301.12.19891A11SNNNNNYNPE01.11.200401.07.202117.9017.9001.11.2012500.00300.0001.05.2010Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-each attendance
401.12.19891A11SDNYNNYNPD01.11.201201.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 3, plus $27.40 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 3 plus $2.15 per patient.01.01.2013Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies) that requires a short patient history and, if necessary, limited examination and management-an attendance on one or more patients at one place on one occasion-each patient
2301.12.19891A12SNNNNNYNPE01.11.200401.07.202139.1039.1001.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance
2401.12.19891A12SDNYNNYNPD01.11.201201.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 23, plus $27.40 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 23 plus $2.15 per patient.01.01.2013Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient
3601.12.19891A13SNNNNNYNPE01.11.200401.07.202175.7575.7501.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance
3701.12.19891A13SDNYNNYNPD01.11.201201.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 36, plus $27.40 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 36 plus $2.15 per patient.01.01.2013Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient
4401.12.19891A14SNNNNNYNPE01.11.200401.07.2021111.50111.5001.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance
4701.12.19891A14SDNYNNYNPD01.11.201201.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 44, plus $27.40 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 44 plus $2.15 per patient.01.01.2013Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one place on one occasion-each patient
5201.12.19891A211SNNNNNNNPE01.01.200501.12.199111.0011.0001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).
5301.12.19891A211SNNNNNNNPE01.01.200501.12.199121.0021.0001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).
5401.12.19891A211SNNNNNNNPE01.01.200501.12.199138.0038.0001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).
5701.12.19891A211SNNNNNNNPE01.01.200501.12.199161.0061.0001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)-each attendance, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).
5801.12.19891A212SDNNNNNNPD01.11.200001.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2000An amount equal to $8.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $8.50 plus $.70 per patient01.11.2019Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).
5901.12.19891A212SDNNNNNNPD01.11.200001.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2000An amount equal to $16.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $16.00 plus $.70 per patient01.11.2019Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).
6001.12.19891A212SDNNNNNNPD01.11.200001.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2000An amount equal to $35.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $35.50 plus $.70 per patient01.11.2019Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).
6501.12.19891A212SDNNNNNNPD01.11.200001.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2000An amount equal to $57.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $57.50 plus $.70 per patient01.11.2019Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration-an attendance on one or more patients at one place on one occasion-each patient, by: (a) a medical practitioner (who is not a general practitioner); or (b) a Group A1 disqualified general practitioner, as defined in the dictionary of the General Medical Services Table (GMST).
9901.07.20111A3SDNNNNNNPB01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.201250% of the fee for item 104 or 105. Benefit: 85% of the derived fee01.11.2019Professional attendance on a patient by a specialist practising in the specialist's specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 104 lasting more than 10 minutes; or (ii) provided with item 105; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible 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
10401.11.19901A3SNNNNNYNPC01.11.199001.07.202190.3567.8076.8001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital by a specialist in the practice of the specialist's specialty after referral of the patient to the specialist-each attendance, other than a second or subsequent attendance, in a single course of treatment, other than a service to which item 106, 109 or 16401 applies
10501.11.19901A3SNNNNNYNPC01.11.199001.07.202145.4034.0538.6001.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist-an attendance after the first in a single course of treatment, if that attendance is at consulting rooms or hospital, other than a service to which item 16404 applies
10601.12.19911A3SNNNNNYNPC01.12.199101.07.202174.9556.2563.7501.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of the specialist's specialty of ophthalmology and following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at which the only service provided is refraction testing for the issue of a prescription for spectacles or contact lenses, if that attendance is at consulting rooms or hospital (other than a service to which any of items 104, 109 and 10801 to 10816 applies)
10701.11.19901A3SNNNNNYNPC01.11.199001.07.2021132.6099.45112.7501.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment), if that attendance is at a place other than consulting rooms or hospital
10801.11.19901A3SNNNNNYNPC01.11.199001.07.202183.9563.0071.4001.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist-each attendance after the first in a single course of treatment, if that attendance is at a place other than consulting rooms or hospital
10901.05.20061A3SNNNNNYNPC01.05.200601.07.2021203.65152.75173.1501.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of the specialist's specialty of ophthalmology following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at which a comprehensive eye examination, including pupil dilation, is performed on: (a) a patient aged 9 years or younger; or (b) a patient aged 14 years or younger with developmental delay; (other than a service to which any of items 104, 106 and 10801 to 10816 applies)
11001.02.19841A4SNNNNNYNPC01.03.198701.07.2021159.35119.55135.4501.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-initial attendance in a single course of treatment
11101.11.20171A3SNNYNYYNPC01.11.201701.07.202145.4034.0538.6001.11.2017500.00300.0001.07.2021Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist's specialty following referral of the patient to the specialist by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) during the attendance, the specialist determines the need to perform an operation on the patient that had not otherwise been scheduled; and (b) the specialist subsequently performs the operation on the patient, on the same day; and (c) the operation is a service to which an item in Group T8 applies; and (d) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15or more For any particular patient, once only on the same day
11201.07.20111A4SDNNNNNNPB01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.201250% of the fee for the associated item. Benefit: 85% of derived fee.01.11.2019Professional attendance on a patient by a consultant physician practising in the consultant physician's specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 110 lasting more than 10 minutes; or (ii) provided with item 116, 119, 132 or 133; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; 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
11301.01.20131A3SNNNNNYNPB01.01.201301.07.202167.8057.6501.01.2013500.00300.0001.11.2019Initial professional attendance of 10 minutes or less in duration on a patient by a specialist in the practice of the specialist's speciality if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible 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; and (d) no other initial consultation has taken place for a single course of treatment
11401.01.20131A4SNNNNNYNPB01.01.201301.07.2021119.55101.6501.01.2013500.00300.0001.11.2019Initial professional attendance of 10 minutes or less in duration on a patient by a consultant physician practising in the consultant physician's specialty if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; 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; and (d) no other initial consultation has taken place for a single course of treatment
11501.04.20191A3DNNYNYYNPC01.04.201901.07.202145.4034.0538.6001.04.2019500.00300.0001.07.2021Professional attendance at consulting rooms or in hospital on a day by a medical practitioner (the attending practitioner) who is a specialist or consultant physician in the practice of the attending practitioner’s specialty after referral of the patient to the attending practitioner by a referring practitioner—an attendance after the initial attendance in a single course of treatment, if: (a) the attending practitioner performs a scheduled operation on the patient on the same day; and (b) the operation is a service to which an item in Group T8 applies; and (c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more; and (d) the attendance is unrelated to the scheduled operation; and (e) it is considered a clinical risk to defer the attendance to a later day For any particular patient, once only on the same day
11601.02.19841A4SNNNNNYNPC01.03.198701.07.202179.7559.8567.8001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each attendance (other than a service to which item 119 applies) after the first in a single course of treatment
11701.11.20171A4SNNYNYYNPC01.11.201701.07.202179.7559.8567.8001.11.2017500.00300.0001.07.2021Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is not a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more For any particular patient, once only on the same day
11922.12.19871A4SNNNNNYNPC22.12.198701.07.202145.4034.0538.6001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each minor attendance after the first in a single course of treatment
12001.11.20171A4SNNYNYYNPC01.11.201701.07.202145.4034.0538.6001.11.2017500.00300.0001.07.2021Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-an attendance after the first attendance in a single course of treatment, if: (a) the attendance is a minor attendance; and (b) during the attendance, the consultant physician determines the need to perform an operation on the patient that had not otherwise been scheduled; and (c) the consultant physician subsequently performs the operation on the patient, on the same day; and (d) the operation is a service to which an item in Group T8 applies; and (e) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $312.15 or more For any particular patient, once only on the same day
12201.02.19841A4SNNNNNYNPC01.03.198701.07.2021193.35145.05164.3501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-initial attendance in a single course of treatment
12801.02.19841A4SNNNNNYNPC01.03.198701.07.2021116.9587.7599.4501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each attendance (other than a service to which item 131 applies) after the first in a single course of treatment
13122.12.19871A4SNNNNNYNPC22.12.198701.07.202184.2563.2071.6501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner-each minor attendance after the first in a single course of treatment
13201.11.20071A4SNNNNNYNPC01.11.200701.07.2021278.75209.10236.9501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and (d) this item has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician
13301.11.20071A4SNNNNNYNPC01.11.200701.07.2021139.55104.70118.6501.01.2013500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and (d) item 132 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same consultant physician who claimed item 132 or a locum tenens; and (f) this item has not applied more than twice in any 12 month period
13501.07.20081A29SNNNNNYNPC01.07.200801.07.2021278.75209.10236.9501.11.2012500.00300.0001.11.2019Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician's specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medical recommendations; (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 137, 139 or 289)
13701.07.20111A29SNNNNNYNPC01.07.201101.07.2021278.75209.10236.9501.11.2012500.00300.0001.11.2011Professional attendance of at least 45 minutes duration, at consulting rooms or hospital, by a specialist or consultant physician, for assessment, diagnosis and the preparation of a treatment and management plan for a child aged under 13 years, with an eligible disability, who has been referred to the specialist or consultant physician by a referring practitioner, if the specialist or consultant physician does the following: (a)undertakes a comprehensive assessment of the child and forms a diagnosis (using the assistance of one or more allied health providers where appropriate) (b)develops a treatment and management plan which must include the following: (i)the outcomes of the assessment; (ii)the diagnosis or diagnoses; (iii)opinion on risk assessment; (iv)treatment options and decisions; (v)appropriate medication recommendations, where necessary. (c)provides a copy of the treatment and management plan to the: (i)referring practitioner; and (ii)relevant allied health providers (where appropriate). Not being an attendance on a child in respect of whom payment has previously been made under this item or items 135, 139 or 289.
13901.07.20111A29SNNNNNYNPE01.07.201101.07.2021139.95139.9501.11.2012500.00300.0001.07.2011Professional attendance of at least 45 minutes in duration at consulting rooms only, by a general practitioner (not including a specialist or consultant physician) for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137 or 289)
14101.11.20071A28SNNNNNYNPC01.11.200701.07.2021478.05358.55406.3501.11.2012500.00300.0001.11.2019Professional attendance of more than 60 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient's family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months
14301.11.20071A28SNNNNNYNPC01.11.200701.07.2021298.85224.15254.0501.11.2012500.00300.0001.11.2019Professional attendance of more than 30 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review
14501.11.20071A28SNNNNNYNPB01.11.200701.07.2021579.65494.9501.01.2013500.00300.0001.11.2019Professional attendance of more than 60 minutes in duration at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (including a general practitioner, but not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) the medical, physical, psychological and social aspects of the patient's health are evaluated in detail utilising appropriately validated assessment tools if indicated (the assessment); and (ii) the patient's various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies, to be undertaken by the patient's general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient, the patient's family and any carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient's family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 141 applies has not been provided to the patient by the same practitioner in the preceding 12 months
14701.11.20071A28SNNNNNYNPB01.11.200701.07.2021362.35308.0001.11.2012500.00300.0001.11.2019Professional attendance of more than 30 minutes in duration at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician's or specialist's specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under items 141 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient's health status is reassessed; and (ii) a management plan that was prepared under item 141 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient's family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item 104, 105, 107, 108, 110, 116 or 119 applies has not been provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or 143 applies has not been provided by the same practitioner in the preceding 12 months, unless there has been a significant change in the patient's clinical condition or care circumstances that requires a further review
14901.07.20111A28SDNNNNNNPC01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.201250% of the fee for item 141 or 143. Benefit: 85% of the derived fee01.11.2019Professional attendance on a patient by a consultant physician or specialist practising in the consultant physician's or specialist's specialty of geriatric medicine if: (a) the attendance is by video conference; and (b) item 141 or 143 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician or 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
16001.02.19841A51SNNNNNYNPD01.11.200401.07.2021230.50172.90230.5001.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death
16101.02.19841A51SNNNNNYNPD01.11.200401.07.2021384.15288.15384.1501.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death
16201.02.19841A51SNNNNNYNPD01.11.200401.07.2021537.55403.20537.5501.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death
16301.02.19841A51SNNNNNYNPD01.11.200401.07.2021691.50518.65691.5001.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner, specialist or consultant physician for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death
16401.02.19841A51SNNNNNYNPD01.11.200401.07.2021768.30576.25768.3001.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner, specialist or consultant physician for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death
17001.08.19871A6SNNNNNYNPD01.11.200401.07.2021122.3591.80122.3501.11.2012500.00300.0001.11.2019Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 2 patients
17101.08.19871A6SNNNNNYNPD01.11.200401.07.2021128.9096.70128.9001.11.2012500.00300.0001.11.2019Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 3 patients
17201.08.19871A6SNNNNNYNPD01.11.200401.07.2021156.80117.60156.8001.11.2012500.00300.0001.11.2019Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician's specialty of psychiatry) involving members of a family and persons with close personal relationships with that family-each group of 4 or more patients
17301.12.19911A71SNNNNNNNPD01.01.200501.11.199421.6516.2521.6501.11.2012500.00300.0001.05.2010Professional attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture was performed
17701.04.20191A75DNNYNYYNPE01.11.201901.07.202160.6060.6001.04.2019500.00300.0001.07.2021Professional attendance on a patient who is 30 years of age or overfor a heart health assessment by amedical practitioner at consulting rooms(other than a specialist or consultant physician) lasting at least 20 minutes and including: collection of relevant information, including taking a patient history; and a basic physical examination, which must include recording blood pressure and cholesterol; and initiating interventions and referrals as indicated; and implementing a management plan; and providing the patient with preventative health care advice and information.
17901.07.20181A72DNNYNNYNPE01.07.201801.07.202114.3014.3001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area.
18101.07.20181A72DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 179, plus $21.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 179 plus $1.70 per patient.01.07.2018Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area
18501.07.20181A72DNNYNNYNPE01.07.201801.07.202131.3031.3001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area
18701.07.20181A72DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 185, plus $21.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 185 plus $1.70 per patient.01.07.2018Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area
18901.07.20181A72DNNYNNYNPE01.07.201801.07.202160.6060.6001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area
19101.07.20181A72DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 189, plus $21.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 189 plus $1.70 per patient.01.07.2018Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area
19301.11.19981A71SNNNNNYNPE01.11.200401.07.202138.5538.5501.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed
19501.11.19981A71SDNYNNYNPD01.11.199801.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 193, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 193 plus $2.10 per patient.01.01.2013 Professional attendance by a general practitioner who is a qualified medical acupuncturist, on one or more patients at a hospital, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed
19701.05.20031A71SNNNNNYNPE01.11.200401.07.202174.6074.6001.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed
19901.05.20031A71SNNNNNYNPE01.11.200401.07.2021109.85109.8501.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed
20301.07.20181A72DNNYNNYNPE01.07.201801.07.202189.2089.2001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)—each attendance, by a medical practitioner in an eligible area
20601.07.20181A72DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 203, plus $21.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 203 plus $1.70 per patient.01.07.2018Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by a medical practitioner in an eligible area
21401.07.20181A73DNNYNNYNPD01.07.201801.07.2021184.40138.30184.4001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death
21501.07.20181A73DNNYNNYNPD01.07.201801.07.2021307.30230.50307.3001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death
21801.07.20181A73DNNYNNYNPD01.07.201801.07.2021430.05322.55430.0501.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death
21901.07.20181A73DNNYNNYNPD01.07.201801.07.2021553.20414.90553.2001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death
22001.07.20181A73DNNYNNYNPD01.07.201801.07.2021614.65461.00614.6501.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death
22101.07.20181A74DNNYNNYNPD01.07.201801.07.202197.9073.4597.9001.07.2018500.00300.0001.07.2018Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family—each Group of 2 patients
22201.07.20181A74DNNYNNYNPD01.07.201801.07.2021103.1077.35103.1001.07.2018500.00300.0001.07.2018Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family—each Group of 3 patients
22301.07.20181A74DNNYNNYNPD01.07.201801.07.2021125.4594.10125.4501.07.2018500.00300.0001.07.2018Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a medical practitioner involving members of a family and persons with close personal relationships with that family—each Group of 4 or more patients
22401.07.20181A75DNNYNNYNPE01.07.201801.07.202149.4049.4001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing the patient with preventive health care advice and information
22501.07.20181A75DNNYNNYNPE01.07.201801.07.2021114.80114.8001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including: (a) detailed information collection, including taking a patient history; and (b) an extensive physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing a preventive health care strategy for the patient
22601.07.20181A75DNNYNNYNPE01.07.201801.07.2021158.40158.4001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient’s medical condition and physical function; and (c) initiating interventions and referrals as indicated; and (d) providing a basic preventive health care management plan for the patient
22701.07.20181A75DNNYNNYNPE01.07.201801.07.2021223.75223.7501.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner to perform a prolonged health assessment (lasting at least 60 minutes) including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and (c) initiating interventions or referrals as indicated; and (d) providing a comprehensive preventive health care management plan for the patient
22801.07.20181A75DNNYNNYNPE01.07.201801.07.2021176.70176.7001.07.2018500.00300.0010.12.2020Professional attendance by a medical practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent—this item or items 715, 93470 or 93479 not more than once in a 9 month period.
22901.07.20181A76DNNYNNYNPD01.07.201801.07.2021120.1090.10120.1001.07.2018500.00300.0001.07.2018Attendance by a medical practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items735 to 758 and items 235 to 240 apply)
23001.07.20181A76DNNYNNYNPD01.07.201801.07.202195.1571.4095.1501.07.2018500.00300.0001.07.2018Attendance by a medical practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 and items 235 to 240 apply)
23101.07.20181A76DNNYNNYNPD01.07.201801.07.202158.6043.9558.6001.07.2018500.00300.0001.07.2018Contribution by a medical practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 and items 235 to 240 apply)
23201.07.20181A76DNNYNNYNPD01.07.201801.07.202158.6043.9558.6001.07.2018500.00300.0001.07.2018Contribution by a medical practitioner, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items735 to 758 and items 235 to 240 apply)
23301.07.20181A76DNNYNNYNPD01.07.201801.07.202159.9545.0059.9501.07.2018500.00300.0001.07.2018Attendance by a medical practitioner to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item721 or item 229 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item723 or item 230 applies
23501.07.20181A76DNNYNNYNPD01.07.201801.07.202158.8544.1558.8501.07.2018500.00300.0010.12.2020Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items721 to 732, items 229 to 233 or items 93469 or 93475 apply).
23601.07.20181A76DNNYNNYNPD01.07.201801.07.2021100.7075.55100.7001.07.2018500.00300.0010.12.2020Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items721 to 732, items 229 to 233 or items 93469 or 93475 apply).
23701.07.20181A76DNNYNNYNPD01.07.201801.07.2021167.85125.90167.8501.07.2018500.00300.0010.12.2020Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items721 to 732, items 229 to 233 or items 93469 or 93475 apply)
23801.07.20181A76DNNYNNYNPD01.07.201801.07.202143.2532.4543.2501.07.2018500.00300.0010.12.2020Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items721 to 732, items 229 to 233 or items 93469 or 93475 apply).
23901.07.20181A76DNNYNNYNPD01.07.201801.07.202174.1055.6074.1001.07.2018500.00300.0010.12.2020Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items721 to 732, items 229 to 233 or items 93469 or 93475 apply).
24001.07.20181A76DNNYNNYNPD01.07.201801.07.2021123.3592.55123.3501.07.2018500.00300.0010.12.2020Attendance by a medical practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items721 to 732, items 229 to 233 or items 93469 or 93475 apply)
24301.07.20181A76DNNYNNYNPD01.07.201801.07.202167.8550.9067.8501.07.2018500.00300.0001.07.2018Attendance by a medical practitioner, as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers
24401.07.20181A76DNNYNNYNPD01.07.201801.07.202131.6023.7031.6001.07.2018500.00300.0001.07.2018Attendance by a medical practitioner, as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers
24501.07.20181A77DNNYNNYNPE01.07.201801.07.2021128.90128.9001.07.2018500.00300.0001.07.2018Participation by a medical practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the medical practitioner, with the patient’s consent: (a) assesses the patient as: (i) having a chronic medical condition or a complex medication regimen; and (ii) not having their therapeutic goals met; and (b) following that assessment: (i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and (ii) provides relevant clinical information required for the DMMR; and (c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and (d) develops a written medication management plan following discussion with the patient; and (e) provides the written medication management plan to a community pharmacy chosen by the patient For any particular patient—this item or item 900 is applicable not more than once in each 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR
24901.07.20181A77DNNYNNYNPE01.07.201801.07.202188.2588.2501.07.2018500.00300.0001.07.2018Participation by a medical practitioner in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility—other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item or item 903 has applied, unless there has been a significant change in the resident’s medical condition or medication management plan requiring a new RMMR
25101.07.20181A78DNNYNNYNPE01.07.201801.07.202114.1014.1001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of less than 5 minutes in duration by a medical practitioner in an eligible area at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
25201.07.20181A78DNNYNNYNPE01.07.201801.07.202130.8530.8501.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
25301.07.20181A78DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 252, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 252 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
25401.07.20181A78DNNYNNYNPE01.07.201801.07.202159.7059.7001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
25501.07.20181A78DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 254, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 254 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
25601.07.20181A78DNNYNNYNPE01.07.201801.07.202187.9087.9001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
25701.07.20181A78DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 256, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 256 plus $1.70 per patient01.07.2018Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
25901.07.20181A78DNNYNNYNPE01.07.201801.07.202130.8530.8501.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
26001.07.20181A78DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 259, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 259 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
26101.07.20181A78DNNYNNYNPE01.07.201801.07.202159.7059.7001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the requirements for a cycle of care of a patient with established diabetes mellitus
26201.07.20181A78DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 261, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 261 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms of more than 25 minutes but not more than 45 minutes, in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
26301.07.20181A78DNNYNNYNPE01.07.201801.07.202187.9087.9001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
26401.07.20181A78DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 263, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 263 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
26501.07.20181A78DNNYNNYNPE01.07.201801.07.202130.8530.8501.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care
26601.07.20181A78DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 265, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 265 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care
26801.07.20181A78DNNYNNYNPE01.07.201801.07.202159.7059.7001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care
26901.07.20181A78DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 268, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 268 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care
27001.07.20181A78DNNYNNYNPE01.07.201801.07.202187.9087.9001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care
27101.07.20181A78DDNYNNYNPE01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 270, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 270 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner in an eligible area, that completes the minimum requirements of the Asthma Cycle of Care
27201.07.20181A79DNNYNNYNPD01.07.201801.07.202159.7044.8059.7001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner (who has not undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient
27601.07.20181A79DNNYNNYNPD01.07.201801.07.202187.9065.9587.9001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner (who has not undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient
27701.07.20181A79DNNYNNYNPD01.07.201801.07.202159.7044.8059.7001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan
27901.07.20181A79DNNYNNYNPD01.07.201801.07.202159.7044.8059.7001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation
28101.07.20181A79DNNYNNYNPD01.07.201801.07.202175.8056.8575.8001.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner (who has undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient
28201.07.20181A79DNNYNNYNPD01.07.201801.07.2021111.6583.75111.6501.07.2018500.00300.0001.07.2018Professional attendance by a medical practitioner (who has undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient
28301.07.20181A79DNNYNNYNPE01.07.201801.07.202177.2077.2001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes
28501.07.20181A79DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 283, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 283 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes
28601.07.20181A79DNNYNNYNPE01.07.201801.07.2021110.50110.5001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes
28701.07.20181A79DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 286, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 286 plus $1.70 per patient.01.07.2018Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes
28801.07.20111A8SDNNNNNNPB01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount
01.11.201250% of the fee for item 291, 293,296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352.Benefit: 85% of derived fee.01.11.2019Professional attendance on a patient by a consultant physician practising inthe consultant physician's specialty of psychiatry if: (a) the attendance is by video conference; and (b) item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352 applies to the attendance; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; 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
28901.07.20081A8SNNNNNYNPC01.07.200801.07.2021278.75209.10236.9501.11.2012500.00300.0001.11.2019Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice ofthe consultant physician's specialty of psychiatry, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant psychiatrist does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient's condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary-medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item 135, 137 or 139)
29101.05.20051A8SNNNNNYNPB01.05.200501.07.2021478.05406.3501.11.2012500.00300.0001.11.2019Professional attendance of more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (including a general practitioner, but not a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient's diagnosis; and (C) comprehensively evaluates the patient's biological, psychological and social issues; and (D) addresses the patient's diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient's biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees
29301.05.20051A8SNNNNNYNPB01.05.200501.07.2021298.85254.0501.11.2012500.00300.0001.11.2020Professional attendance of more than 30 minutes but not more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician's specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item 291; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item 291 applies has been provided; and (f) in the preceding 12 months, a service to which this item or item359 applies has not been provided
29601.11.20061A8SNNNNNYNPC01.11.200601.07.2021274.95206.25233.7501.11.2012500.00300.0001.11.2019Professional attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at consulting rooms if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, item 297 or 299, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months
29701.11.20061A8SNNNNNYNPC01.11.200601.07.2021274.95206.25233.7501.11.2012500.00300.0001.11.2019Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, item 296 or 299, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months (H)
29901.11.20061A8SNNNNNYNPC01.11.200601.07.2021328.75246.60279.4501.11.2012500.00300.0001.11.2019Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician's speciality of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance at a place other than consulting rooms or a hospital if the patient: (a) is a new patient for this consultant psychiatrist; or (b) has not received a professional attendance from this consultant psychiatrist in the preceding 24 months; other than attendance on a patient in relation to whom this item, item 296 or 297, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months
30001.11.19961A8SNNNNNYNPC01.11.199601.07.202145.7534.3538.9001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
30201.11.19961A8SNNNNNYNPC01.11.199601.07.202191.3068.5077.6501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
30401.11.19961A8SNNNNNYNPC01.11.199601.07.2021140.55105.45119.5001.01.2013500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
30601.11.19961A8SNNNNNYNPC01.11.199601.07.2021194.00145.50164.9001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
30801.11.19961A8SNNNNNYNPC01.11.199601.07.2021225.10168.85191.3501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to him or her by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
31001.11.19961A8SNNNNNYNPC01.11.199601.07.202122.8017.1019.4001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient
31201.11.19961A8SNNNNNYNPC01.11.199601.07.202145.7534.3538.9001.01.2013500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient
31401.11.19961A8SNNNNNYNPC01.11.199601.07.202170.4552.8559.9001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient
31601.11.19961A8SNNNNNYNPC01.11.199601.07.202197.1072.8582.5501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient
31801.11.19961A8SNNNNNYNPC01.11.199601.07.2021112.6084.4595.7501.01.2013500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient
31901.01.19971A8SNNYNYYNPC01.05.199701.07.2021194.00145.50164.9001.11.2012500.00300.0001.07.2021Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 45 minutes in duration at consulting rooms, if the patient has: (a) been diagnosed as suffering severe personality disorder, anorexia nervosa, bulimia nervosa, dysthymic disorder, substance-related disorder, somatoform disorder or a pervasive development disorder; and (b) forpatients 18 years and over—been rated with a level of functional impairment within the range 1 to 50 according to the Global Assessment of Functioning Scale; if that attendance and another attendance to which any of items 296, 300 to 319, 353 to 358 and 361 to 370 applies have not exceeded 160 attendances in a calendar year for the patient
32001.11.19961A8SNNNNNYNPC01.11.199601.07.202145.7534.3538.9001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration at hospital
32201.11.19961A8SNNNNNYNPC01.11.199601.07.202191.3068.5077.6501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration at hospital
32401.11.19961A8SNNNNNYNPC01.11.199601.07.2021140.55105.45119.5001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration at hospital
32601.11.19961A8SNNNNNYNPC01.11.199601.07.2021194.00145.50164.9001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration at hospital
32801.11.19961A8SNNNNNYNPC01.11.199601.07.2021225.10168.85191.3501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration at hospital
33001.11.19961A8SNNNNNYNPC01.11.199601.07.202184.0563.0571.4501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of not more than 15 minutes in duration if that attendance is at a place other than consulting rooms or hospital
33201.11.19961A8SNNNNNYNPC01.11.199601.07.2021131.6098.70111.9001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 15 minutes, but not more than 30 minutes, in duration if that attendance is at a place other than consulting rooms or hospital
33401.11.19961A8SNNNNNYNPC01.11.199601.07.2021191.80143.85163.0501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 30 minutes, but not more than 45 minutes, in duration if that attendance is at a place other than consulting rooms or hospital
33601.11.19961A8SNNNNNYNPC01.11.199601.07.2021232.05174.05197.2501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 45 minutes, but not more than 75 minutes, in duration if that attendance is at a place other than consulting rooms or hospital
33801.11.19961A8SNNNNNYNPC01.11.199601.07.2021263.55197.70224.0501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-an attendance of more than 75 minutes in duration if that attendance is at a place other than consulting rooms or hospital
34201.11.19961A8SNNNNNYNPC01.11.199601.07.202152.0539.0544.2501.11.2012500.00300.0001.11.2019Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient
34401.11.19961A8SNNNNNYNPC01.11.199601.07.202169.1051.8558.7501.11.2012500.00300.0001.11.2019Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient
34601.11.19961A8SNNNNNYNPC01.11.199601.07.2021102.2076.6586.9001.11.2012500.00300.0001.11.2019Group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour in duration given under the continuous direct supervision of a consultant physician in the practice of the consultant physician's specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner-each patient
34801.11.19961A8SNNNNNYNPC01.11.199601.07.2021133.85100.40113.8001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient
35001.11.19961A8SNNNNNYNPC01.11.199601.07.2021184.80138.60157.1001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient
35201.11.19961A8SNNNNNYNPC01.11.199601.07.2021133.85100.40113.8001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient-if that attendance and another attendance to which this item applies have not exceeded 4 in a calendar year for the patient
35301.11.20021A8SNNNNNYNPC01.11.200201.07.202160.4545.3551.4001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of not more than 15 minutes in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
35501.11.20021A8SNNNNNYNPC01.11.200201.07.2021120.8590.65102.7501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 15 minutes, but not more than 30 minutes, in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
35601.11.20021A8SNNNNNYNPC01.11.200201.07.2021177.20132.90150.6501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 30 minutes, but not more than 45 minutes, in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
35701.11.20021A8SNNNNNYNPC01.11.200201.07.2021244.45183.35207.8001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 45 minutes, but not more than 75 minutes, in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
35801.11.20021A8SNNNNNYNPC01.11.200201.07.2021297.85223.40253.2001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 75 minutes in duration, if: (a) that attendance and another attendance to which any of items 353 to 358 and 361 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
35901.11.20071A8SNNNNNYNPC01.11.200701.07.2021343.65257.75292.1501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry-a telepsychiatry consultation of more than 30 minutes but not more than 45 minutes in duration, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant physician in accordance with item 291; and (b) the attendance follows referral of the patient to the consultant physician for review of the management plan by the referring practitioner managing the patient; and (c) during the attendance, the consultant physician: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant physician: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient's carer (if any), if the patient agrees; and (e) the patient is located in a regional, rural or remote area; and (f) in the preceding 12 months, a service to which item 291 applies has been performed; and (g) in the preceding 12 months, a service to which this item or item 293 applies has not been performed
36101.11.20071A8SNNNNNYNPC01.11.200701.07.2021316.10237.10268.7001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a telepsychiatry consultation of more than 45 minutes in duration, if the patient: (a) either: (i) is a new patient for this consultant physician; or (ii) has not received a professional attendance from this consultant physician in the preceding 24 months; and (b) is located in a regional, rural or remote area; other than attendance on a patient in relation to whom this item, item 296, 297 or 299, or any of items 300 to 346 and 353 to 370, has applied in the preceding 24 month period
36401.11.20021A8SNNNNNYNPC01.11.200201.07.202145.7534.3538.9001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of not more than 15 minutes in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
36601.11.20021A8SNNNNNYNPC01.11.200201.07.202191.3068.5077.6501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of more than 15 minutes, but not more than 30 minutes, in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
36701.11.20021A8SNNNNNYNPC01.11.200201.07.2021140.55105.45119.5001.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of more than 30 minutes, but not more than 45 minutes, in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
36901.11.20021A8SNNNNNYNPC01.11.200201.07.2021194.15145.65165.0501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of more than 45 minutes, but not more than 75 minutes, in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
37001.11.20021A8SNNNNNYNPC01.11.200201.07.2021225.10168.85191.3501.11.2012500.00300.0001.11.2019Professional attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner-a face-to-face consultation of more than 75 minutes in duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 and 361 applies before that attendance; and (b) that attendance and another attendance to which any of items 296 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient
37101.11.20181A79SNNYNNYNPE01.11.201801.07.202177.2077.2001.11.2018500.00300.0001.11.2018Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner.
37201.11.20181A79SNNYNNYNPE01.11.201801.07.2021110.50110.5001.11.2018500.00300.0001.11.2018Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for assessed mental disorders by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, and lasting at least 40 minutes if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient is located within a telehealth area; and (d) the patient is, at the time of the attendance, at least 15 kilometres by road from the medical practitioner.
38401.01.20131A12SNNNNNYNPB01.01.201301.07.202167.8057.6501.01.2013500.00300.0001.11.2019Initial professional attendance of 10 minutes or less in duration on a patient by a consultant occupational physician practising in the consultant occupational physician's specialty of occupational medicine if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; 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; and (d) no other initial consultation has taken place for a single course of treatment
38501.07.19981A12SNNNNNYNPC01.07.199801.07.202190.3567.8076.8001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-initial attendance in a single course of treatment
38601.07.19981A12SNNNNNYNPC01.07.199801.07.202145.4034.0538.6001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-each attendance after the first in a single course of treatment
38701.07.19981A12SNNNNNYNPC01.07.199801.07.2021132.6099.45112.7501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-initial attendance in a single course of treatment
38801.07.19981A12SNNNNNYNPC01.07.199801.07.202183.9563.0071.4001.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital by a consultant occupational physician in the practice of the consultant occupational physician's specialty of occupational medicine following referral of the patient to the consultant occupational physician by a referring practitioner-each attendance after the first in a single course of treatment
38901.07.20111A12SDNNNNNNPB01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.201250% of the fee for item 385 or 386. Benefit: 85% of the derived fee01.11.2019Professional attendance on a patient by a consultant occupational physician practising in the consultant occupational physician's specialty of occupational medicine if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 385 lasting more than 10 minutes; or (ii) provided with item 386; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the physician; 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
41001.11.19991A131SNNNNNYNPC01.11.199901.07.202120.6515.5017.6001.11.2012500.00300.0001.05.2010LEVEL AProfessional attendance at consulting rooms by a public health physician in the practice of his or her specialty of public health medicine for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management.
41101.11.19991A131SNNNNNYNPC01.11.199901.07.202145.1533.9038.4001.11.2012500.00300.0001.05.2010LEVEL BProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms lasting less than 20 minutes, including any of the following that are clinically relevant: a) taking a patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation.
41201.11.19991A131SNNNNNYNPC01.11.199901.07.202187.3565.5574.2501.11.2012500.00300.0001.05.2010LEVEL CProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms lasting at least 20 minutes, including any of the following that are clinically relevant: a) taking a detailed patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation.
41301.11.19991A131SNNNNNYNPC01.11.199901.07.2021128.6096.45109.3501.11.2012500.00300.0001.05.2010LEVEL DProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine at consulting rooms lasting at least 40 minutes, including any of the following that are clinically relevant: a) taking an extensive patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation.
41401.11.19991A132SDNYNNYNPC01.11.199901.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 410, plus $26.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 410 plus $2.10 per patient.01.01.2013LEVEL AProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine other than at consulting rooms for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management
41501.11.19991A132SDNYNNYNPC01.11.199901.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 411, plus $26.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 411 plus $2.10 per patient.01.01.2013LEVEL BProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine other than at consulting rooms, lasting less than 20 minutes, including any of the following that are clinically relevant: a) taking a patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation.
41601.11.19991A132SDNYNNYNPC01.11.199901.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 412, plus $26.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 412 plus $2.10 per patient.01.01.2013LEVEL CProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine other than at consulting rooms lasting at least 20 minutes, including any of the following that are clinically relevant: a) taking a detailed patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation.
41701.11.19991A132SDNYNNYNPC01.11.199901.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount 01.07.2021The fee for item 413, plus $26.90 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 413 plus $2.10 per patient.01.01.2013LEVEL DProfessional attendance by a public health physician in the practice of his or her specialty of public health medicine other than at consulting rooms lasting at least 40 minutes, including any of the following that are clinically relevant: a) taking an extensive patient history; b) performing a clinical examination; c) arranging any necessary investigation; d) implementing a management plan; e) providing appropriate preventive health care; in relation to 1 or more health-related issues, with appropriate documentation.
58501.03.20181A111SNNNNNYNPD01.03.201801.07.2021135.10101.35135.1001.03.2018500.00300.0001.03.2018Professional attendance by a general practitioner on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
58801.03.20181A111SNNNNNYNPD01.03.201801.07.2021135.10101.35135.1001.03.2018500.00300.0001.03.2018Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) the attendance is in an after-hours rural area; and (d) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
59101.03.20181A111SNNNNNYNPD01.03.201801.07.202193.6570.2593.6501.03.2018500.00300.0001.03.2018Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) the attendance is not in an after-hours rural area; and (d) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
59401.03.20181A111SNNNNNYNPD01.03.201801.07.202143.6532.7543.6501.03.2018500.00300.0001.03.2018Professional attendance by a medical practitioner—each additional patient at an attendance that qualifies for item 585, 588 or 591 in relation to the first patient
59901.05.20101A112SNNNNNYNPD01.05.201001.07.2021159.20119.40159.2001.11.2012500.00300.0001.03.2018Professional attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
60001.05.20101A112SNNNNNYNPD01.05.201001.07.2021127.2595.45127.2501.11.2012500.00300.0001.03.2018Professional attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after-hours period; and (b) the patient’s medical condition requires urgent assessment; and (c) if the attendance is at consulting rooms—it is necessary for the practitioner to return to, and specially open, the consulting rooms for the attendance
69901.04.20191A141DNNYNYYNPE01.11.201901.07.202175.7575.7501.04.2019500.00300.0001.07.2021Professional attendance on a patient who is 30 years of age or over for a heart health assessment by a general practitioner at consulting roomslasting at least 20 minutes and including: collection of relevant information, including taking a patient history; and a basic physical examination, which must include recording blood pressure and cholesterol; and initiating interventions and referrals as indicated; and implementing a management plan; and providing the patient with preventative health care advice and information.
70101.05.20101A141SNNNNNYNPE01.05.201001.07.202161.7561.7501.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner to perform a brief health assessment, lasting not more than 30 minutes and including: (a) collection of relevant information, including taking a patient history; and (b) a basic physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing the patient with preventive health care advice and information
70301.05.20101A141SNNNNNYNPE01.05.201001.07.2021143.50143.5001.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including: (a) detailed information collection, including taking a patient history; and (b) an extensive physical examination; and (c) initiating interventions and referrals as indicated; and (d) providing a preventive health care strategy for the patient
70501.05.20101A141SNNNNNYNPE01.05.201001.07.2021198.00198.0001.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient's medical condition and physical function; and (c) initiating interventions and referrals as indicated; and (d) providing a basic preventive health care management plan for the patient
70701.05.20101A141SNNNNNYNPE01.05.201001.07.2021279.70279.7001.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner to perform a prolonged health assessment (lasting at least 60 minutes) including: (a) comprehensive information collection, including taking a patient history; and (b) an extensive examination of the patient's medical condition, and physical, psychological and social function; and (c) initiating interventions or referrals as indicated; and (d) providing a comprehensive preventive health care management plan for the patient
71501.05.20101A142SNNNNNYNPE01.05.201001.07.2021220.85220.8501.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner at consulting rooms or in another place other than a hospital or residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent-not more than once in a 9 month period
72101.07.20051A151SNNNNNYNPD01.11.200501.07.2021150.10112.60150.1001.11.2012500.00300.0001.07.2018Attendance by a general practitioner for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 735 to 758 apply)
72301.07.20051A151SNNNNNYNPD01.11.200501.07.2021118.9589.25118.9501.11.2012500.00300.0001.07.2018Attendance by a general practitioner to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 735 to 758 apply)
72901.07.20051A151SNNNNNYNPE01.11.200501.07.202173.2573.2501.11.2012500.00300.0001.07.2018Contribution by a general practitioner to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items 735 to 758 apply)
73101.07.20051A151SNNNNNYNPE01.11.200501.07.202173.2573.2501.11.2012500.00300.0001.07.2018Contribution by a general practitioner to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items 735 to 758 apply)
73201.05.20101A151SNNNNNYNPD01.05.201001.07.202174.9556.2574.9501.11.2012500.00300.0001.07.2018Attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item 721 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item 723 applies
73301.07.20181A710DNNYNNYNPE01.07.201801.07.202124.1024.1001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance
73501.05.20101A152SNNNNNYNPD01.05.201001.07.202173.5555.2073.5501.11.2012500.00300.0001.07.2018Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 apply)
73701.07.20181A710DNNYNNYNPE01.07.201801.07.202140.8040.8001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance
73901.05.20101A152SNNNNNYNPD01.05.201001.07.2021125.8594.40125.8501.11.2012500.00300.0001.07.2018Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 apply)
74101.07.20181A710DNNYNNYNPE01.07.201801.07.202169.9069.9001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance
74301.05.20101A152SNNNNNYNPD01.05.201001.07.2021209.80157.35209.8001.11.2012500.00300.0001.07.2018Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply)
74501.07.20181A710DNNYNNYNPE01.07.201801.07.202198.0598.0501.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner—each attendance
74701.05.20101A152SNNNNNYNPD01.05.201001.07.202154.0540.5554.0501.11.2012500.00300.0001.07.2018Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 15 minutes, but for less than 20 minutes (other than a service associated with a service to which items 721 to 732 apply)
75001.05.20101A152SNNNNNYNPD01.05.201001.07.202192.6069.4592.6001.11.2012500.00300.0001.07.2018Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 20 minutes, but for less than 40 minutes (other than a service associated with a service to which items 721 to 732 apply)
75801.05.20101A152SNNNNNYNPD01.05.201001.07.2021154.20115.65154.2001.11.2012500.00300.0001.07.2018Attendance by a general practitioner, as a member of a multidisciplinary case conference team, to participate in: (a) a community case conference; or (b) a multidisciplinary case conference in a residential aged care facility; or (c) a multidisciplinary discharge case conference; if the conference lasts for at least 40 minutes (other than a service associated with a service to which items 721 to 732 apply)
76101.07.20181A710DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 733, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 733 plus $1.70 per patient.01.07.2018Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting not more than 5 minutes—an attendance on one or more patients on one occasion—each patient
76301.07.20181A710DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 737, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 737 plus $1.70 per patient.01.07.2018Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 5 minutes, but not more than 25 minutes—an attendance on one or more patients on one occasion—each patient
76601.07.20181A710DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 741, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 741 plus $1.70 per patient.01.07.2018Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 25 minutes, but not more than 45 minutes—an attendance on one or more patients on one occasion—each patient
76901.07.20181A710DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 745, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 745 plus $1.70 per patient.01.07.2018Professional attendance by a medical practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 45 minutes—an attendance on one or more patients on one occasion—each patient
77201.07.20181A710DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 733, plus $38.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 733 plus $2.70 per patient.01.07.2018Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of not more than 5 minutes in duration by a medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
77601.07.20181A710DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 737, plus $38.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 737 plus $2.70 per patient.01.07.2018Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of more than 5 minutes in duration but not more than 25 minutes in duration by a medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
78801.07.20181A710DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 741, plus $38.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 741 plus $2.70 per patient.01.07.2018Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of more than 25 minutes in duration but not more than 45 minutes by a medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
78901.07.20181A710DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 745, plus $38.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 745 plus $2.70 per patient.01.07.2018Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self contained unit) of more than 45 minutes in duration by a medical practitioner—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
79201.07.20181A711DNNYNNYNPE01.07.201801.07.202163.7563.7501.07.2018500.00300.0001.07.2018Professional attendance of at least 20 minutes in duration at consulting rooms by a medical practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or items 4001, 81000, 81005 or 81010 applies in relation to that pregnancy
81201.07.20181A712DNNYNNYNPE01.07.201801.07.202119.0519.0501.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph(a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service: for which a direction made under subsection19(2) of the Act applies
82001.05.20021A152SNNNNNYNPC01.05.200201.07.2021146.90110.20124.9001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines
82201.05.20021A152SNNNNNYNPC01.05.200201.07.2021220.45165.35187.4001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines
82301.05.20021A152SNNNNNYNPC01.05.200201.07.2021293.70220.30249.6501.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a community case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines
82501.05.20021A152SNNNNNYNPC01.05.200201.07.2021105.5079.1589.7001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team
82601.05.20021A152SNNNNNYNPC01.05.200201.07.2021168.25126.20143.0501.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team
82701.07.20181A712DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 812, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 812 plus $1.70 per patient.01.07.2018Professional attendance not in consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph(a); for an attendance on one or more patients at one place on one occasion—each patient
82801.05.20021A152SNNNNNYNPC01.05.200201.07.2021231.05173.30196.4001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team
82901.07.20181A712DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 812, plus $38.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 812 plus $2.70 per patient.01.07.2018Professional attendance of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self‑contained unit; for an attendance on one or more patients at one place on one occasion—each patient
83001.05.20021A152SNNNNNYNPC01.05.200201.07.2021146.90110.20124.9001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines
83201.05.20021A152SNNNNNYNPC01.05.200201.07.2021220.45165.35187.4001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines
83401.05.20021A152SNNNNNYNPC01.05.200201.07.2021293.70220.30249.6501.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 3 other formal care providers of different disciplines
83501.05.20021A152SNNNNNYNPC01.05.200201.07.2021105.5079.1589.7001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines
83701.05.20021A152SNNNNNYNPC01.05.200201.07.2021168.25126.20143.0501.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines
83801.05.20021A152SNNNNNYNPC01.05.200201.07.2021231.05173.30196.4001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines
85501.11.20021A152SNNNNNYNPC01.11.200201.07.2021146.90110.20124.9001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team
85701.11.20021A152SNNNNNYNPC01.11.200201.07.2021220.45165.35187.4001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team
85801.11.20021A152SNNNNNYNPC01.11.200201.07.2021293.70220.30249.6501.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team
86101.11.20021A152SNNNNNYNPC01.11.200201.07.2021146.90110.20124.9001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines
86401.11.20021A152SNNNNNYNPC01.11.200201.07.2021220.45165.35187.4001.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines
86601.11.20021A152SNNNNNYNPC01.11.200201.07.2021293.70220.30249.6501.11.2012500.00300.0001.11.2019Attendance by a consultant physician in the practice of the consultant physician's specialty of psychiatry, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines
86701.07.20181A712DNNYNNYNPE01.07.201801.07.202141.5541.5501.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph(a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection19(2) of the Act applies
86801.07.20181A712DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 867, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 867 plus $1.70 per patient.01.07.2018Professional attendance not in consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph(a); for an attendance on one or more patients at one place on one occasion—each patient
86901.07.20181A712DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 867, plus $38.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 867 plus $2.70 per patient.01.07.2018Professional attendance of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self‑contained unit; for an attendance on one or more patients at one place on one occasion—each patient
87101.11.20061A152SNNNNNYNPC01.11.200601.07.202184.8063.6072.1001.11.2012500.00300.0001.07.2018Attendance by a general practitioner, specialist or consultant physician as a member of a case conference team, to lead and coordinate a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 3 other medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers
87201.11.20061A152SNNNNNYNPC01.11.200601.07.202139.5029.6533.6001.11.2012500.00300.0001.07.2018Attendance by a general practitioner, specialist or consultant physician as a member of a case conference team, to participate in a multidisciplinary case conference on a patient with cancer to develop a multidisciplinary treatment plan, if the case conference is of at least 10 minutes, with a multidisciplinary team of at least 4 medical practitioners from different areas of medical practice (which may include general practice), and, in addition, allied health providers
87301.07.20181A712DNNYNNYNPE01.07.201801.07.202180.6580.6501.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner who provides clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph(a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service: for which a direction made under subsection19(2) of the Act applies
87601.07.20181A712DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 873, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 873 plus $1.70 per patient.01.07.2018Professional attendance not in consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph(a); for an attendance on one or more patients at one place on one occasion—each patient
88001.05.20061A152SNNNNNYNPA01.05.200601.07.202151.4038.5501.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of geriatric or rehabilitation medicine, as a member of a case conference team, to coordinate a case conference of at least 10 minutes but less than 30 minutes-for any particular patient, one attendance only in a 7 day period (other than attendance on the same day as an attendance for which item 832, 834, 835, 837 or 838 was applicable in relation to the patient) (H)
88101.07.20181A712DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 873, plus $38.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 873 plus $2.70 per patient.01.07.2018Professional attendance of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self‑contained unit; for an attendance on one or more patients at one place on one occasion—each patient
88501.07.20181A712DNNYNNYNPE01.07.201801.07.2021118.60118.6001.07.2018500.00300.0001.07.2018Professional attendance at consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph(a); or (ii) is a patient of: (A) an Aboriginal Medical Service; or (B) an Aboriginal Community Controlled Health Service; for which a direction made under subsection19(2) of the Act applies
89101.07.20181A712DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 885, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 885 plus $1.70 per patient.01.07.2018Professional attendance not in consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance—at least 15 kms by road from the specialist or physician mentioned in paragraph(a); for an attendance on one or more patients at one place on one occasion—each patient
89201.07.20181A712DDNYNNYNPD01.07.201801.07.2018500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount.01.07.2021The fee for item 885, plus $38.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 885 plus $2.70 per patient.01.07.2018Professional attendance of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self‑contained unit; for an attendance on one or more patients at one place on one occasion—each patient
89401.11.20181A712DNNYNNYNPB01.11.201801.07.202136.7531.2501.11.2018500.00300.0001.07.2020Professional attendance by video conference by a medical practitioner, lasting more than 5 minutes but not more than 25 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire.
89601.11.20181A712DNNYNNYNPB01.11.201801.07.202171.2560.6001.11.2018500.00300.0001.07.2020Professional attendance by video conference by a medical practitioner, lasting more than 25 minutes but not more than 45 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire.
89801.11.20181A712DNNYNNYNPB01.11.201801.07.2021104.9089.2001.11.2018500.00300.0001.07.2020Professional attendance by video conference by a medical practitioner, lasting more than 45 minutes, for providing mental health services to a patient with mental health issues if the patient is affected by bushfire.
90001.10.20011A17SNNNNNYNPE01.11.200401.07.2021161.10161.1001.11.2012500.00300.0001.07.2018Participation by a general practitioner in a Domiciliary Medication Management Review (DMMR) for a patient living in a community setting, in which the general practitioner, with the patient’s consent: (a) assesses the patient as: (i) having a chronic medical condition or a complex medication regimen; and (ii) not having their therapeutic goals met; and (b) following that assessment: (i) refers the patient to a community pharmacy or an accredited pharmacist for the DMMR; and (ii) provides relevant clinical information required for the DMMR; and (c) discusses with the reviewing pharmacist the results of the DMMR including suggested medication management strategies; and (d) develops a written medication management plan following discussion with the patient; and (e) provides the written medication management plan to a community pharmacy chosen by the patient For any particular patient—applicable not more than once in each 12 month period, except if there has been a significant change in the patient’s condition or medication regimen requiring a new DMMR
90301.11.20041A17SNNNNNYNPE01.11.200401.07.2021110.30110.3001.11.2012500.00300.0001.07.2018Participation by a general practitioner in a residential medication management review (RMMR) for a patient who is a permanent resident of a residential aged care facility-other than an RMMR for a resident in relation to whom, in the preceding 12 months, this item has applied, unless there has been a significant change in the resident's medical condition or medication management plan requiring a new RMMR
94110.12.20201A79SNNYNNYNPB10.12.202001.07.202190.8077.2010.12.2020500.00300.0010.12.2020Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b)the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 30 minutes, but less than 40 minutes
94210.12.20201A79SNNYNNYNPB10.12.202001.07.2021130.00110.5010.12.2020500.00300.0010.12.2020Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b)the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 40 minutes
210001.07.20111A301SNNNNNYNPE01.07.201101.07.202123.8023.8001.11.2012500.00300.0001.03.2013Professional attendance at consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) 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
212101.11.20181A303DNNNNNYNPB01.11.201801.07.202145.9539.1001.11.2018500.00300.0001.07.2020Professional attendance by video conference by a general practitioner, lasting less than 20 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire.
212201.07.20111A301SDNYNNYNPE01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2100 plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2100 plus $2.10 per patient.01.03.2013Professional attendance not in consulting rooms of at least 5 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient
212501.07.20111A302SDNYNNYNPE01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2100 plus $48.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2100 plus $3.45 per patient.01.07.2018Professional attendance of at least 5 minutes in duration (whether or not continuous) by a general practitioner, specialist or consultant physician providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient
212601.07.20111A301SNNNNNYNPE01.07.201101.07.202151.9551.9501.11.2012500.00300.0001.03.2013Professional attendance at consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) 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
213701.07.20111A301SDNYNNYNPE01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2126 plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2126 plus $2.10 per patient.01.03.2013Professional attendance not in consulting rooms of less than 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient
213801.07.20111A302SDNYNNYNPE01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2126 plus $48.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2126 plus $3.45 per patient.01.07.2018Professional attendance of less than 20 minutes in duration (whether or not continuous) by a general practitioner, specialist or consultant physician providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient
214301.07.20111A301SNNNNNYNPE01.07.201101.07.2021100.80100.8001.11.2012500.00300.0001.03.2013Professional attendance at consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner who provides clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) 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
214701.07.20111A301SDNYNNYNPE01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2143 plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2143 plus $2.10 per patient.01.03.2013Professional attendance not in consulting rooms of at least 20 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient
215001.11.20181A303DNNNNNYNPB01.11.201801.07.202189.0575.7001.11.2018500.00300.0001.07.2020Professional attendance by video conference by a general practitioner, lasting at least 20 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire.
217901.07.20111A302SDNYNNYNPE01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2143 plus $48.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2143 plus $3.45 per patient.01.07.2018Professional attendance of at least 20 minutes in duration (whether or not continuous) by a general practitioner, specialist or consultant physician providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient
219501.07.20111A301SNNNNNYNPE01.07.201101.07.2021148.25148.2501.11.2012500.00300.0001.03.2013Professional attendance at consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); or (ii) 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
219601.11.20181A303DNNNNNYNPB01.11.201801.07.2021131.10111.4501.11.2018500.00300.0001.07.2020Professional attendance by video conference by a general practitioner, lasting at least 40 minutes, for providing mental health services to a patient with mental health issues, if the patient is affected by bushfire.
219901.07.20111A301SDNYNNYNPE01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2195 plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2195 plus $2.10 per patient.01.03.2013Professional attendance not in consulting rooms of at least 40 minutes in duration (whether or not continuous) by a medical practitioner providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is not an admitted patient; and (c) is not a care recipient in a residential care service; and (d) is located both: (i) within a telehealth eligible area; and (ii) at the time of the attendance-at least 15 kms by road from the specialist or physician mentioned in paragraph (a); for an attendance on one or more patients at one place on one occasion-each patient
222001.07.20111A302SDNYNNYNPE01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2195 plus $48.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2195 plus $3.45 per patient.01.07.2018Professional attendance of at least 40 minutes in duration (whether or not continuous) by a general practitioner, specialist or consultant physician providing clinical support to a patient who: (a) is participating in a video conferencing consultation with a specialist or consultant physician; and (b) is a care recipient in a residential care service; and (c) is not a resident of a self-contained unit; for an attendance on one or more patients at one place on one occasion-each patient
246101.11.20191A305SNNNNNYNPE01.11.201901.07.202117.9017.9001.11.2019500.00300.0001.11.2019Professional attendance by video conference by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management, only if: the patient is not an admitted patient; and the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months.
246301.11.20191A305SNNNNNYNPE01.11.201901.07.202139.1039.1001.11.2019500.00300.0001.11.2019Professional attendance by video conference by a general practitioner (other than a service to which another item applies), lasting less than 20 minutes and including any of the following that are clinically relevant: taking a patient history; performing a clinical examination; (arranging any necessary investigation; implementing a management plan; providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation—only if: - the patient is not an admitted patient; and - the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and - at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and - the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months.
246401.11.20191A305SNNNNNYNPE01.11.201901.07.202175.7575.7501.11.2019500.00300.0001.11.2019Professional attendance by video conference by a general practitioner (other than a service to which another item applies), lasting at least 20 minutes but less than 40 minutes and including any of the following that are clinically relevant: taking a patient history; performing a clinical examination; arranging any necessary investigation; implementing a management plan; providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation—only if: - the patient is not an admitted patient; and - the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and - at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and - the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months.
246501.11.20191A305SNNNNNYNPE01.11.201901.07.2021111.50111.5001.11.2019500.00300.0001.11.2019Professional attendance by video conference by a general practitioner (other than a service to which another item applies), lasting at least 40 minutes and including any of the following that are clinically relevant: taking a patient history; performing a clinical examination; arranging any necessary investigation; implementing a management plan; providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation—only if: - the patient is not an admitted patient; and - the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and - at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and - the patient has received 3 face-to-face professional attendances from that practitioner in the preceding 12 months.
247101.11.20191A306SNNNNNYNPE01.11.201901.07.202111.2511.2501.11.2019500.00300.0001.11.2019Professional attendance by video conference of not more than 5 minutes in duration (other than a service to which another item applies) by a medical practitioner (who is not a general practitioner), only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face‑to‑face professional attendances from that practitioner in the preceding 12 months.
247201.11.20191A306SNNNNNYNPE01.11.201901.07.202121.5021.5001.11.2019500.00300.0001.11.2019Professional attendance by video conference of more than 5 minutes in duration but not more than 25 minutes (other than a service to which another item applies) by a medical practitioner (who is not a general practitioner), only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face‑to‑face professional attendances from that practitioner in the preceding 12 months.
247501.11.20191A306SNNNNNYNPE01.11.201901.07.202138.9038.9001.11.2019500.00300.0001.11.2019Professional attendance by video conference of more than 25 minutes in duration but not more than 45 minutes (other than a service to which another item applies) by a medical practitioner (who is not a general practitioner), only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face‑to‑face professional attendances from that practitioner in the preceding 12 months.
247801.11.20191A306SNNNNNYNPE01.11.201901.07.202162.4562.4501.11.2019500.00300.0001.11.2019Professional attendance by video conference of more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner (who is not a general practitioner), only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face‑to‑face professional attendances from that practitioner in the preceding 12 months.
248001.11.20191A307SNNYNNYNPE01.11.201901.07.202114.3014.3001.11.2019500.00300.0001.11.2019Professional attendance by video conference of not more than 5 minutes in duration by a medical practitioner, only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face‑to‑face professional attendances from that practitioner in the preceding 12 months.
248101.11.20191A307SNNYNNYNPE01.11.201901.07.202131.3031.3001.11.2019500.00300.0001.11.2019Professional attendance by video conference of more than 5 minutes in duration but not more than 25 minutes by a medical practitioner, only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face‑to‑face professional attendances from that practitioner in the preceding 12 months.
248201.11.20191A307SNNYNNYNPE01.11.201901.07.202160.6060.6001.11.2019500.00300.0001.11.2019Professional attendance by video conference of more than 25 minutes in duration but not more than 45 minutes by a medical practitioner, only if: (a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face‑to‑face professional attendances from that practitioner in the preceding 12 months.
248301.11.20191A307SNNYNNYNPE01.11.201901.07.202189.2089.2001.11.2019500.00300.0001.11.2019Professional attendance by video conference of more than 45 minutes in duration by a medical practitioner, only if:(a) the patient is not an admitted patient; and (b) the patient is located within a Modified Monash 6 area or a Modified Monash 7 area; and (c) at the time of the attendance, the patient and the medical practitioner are at least 15 km by road from each other; and (d) the patient has received 3 face‑to‑face professional attendances from that practitioner in the preceding 12 months.
249701.05.20051A1811SNNNNNYNPE01.05.200501.07.202117.6017.6001.11.2012500.00300.0001.12.2017Professional attendance at consulting rooms by a general practitioner: (a) involving taking a short patient history and, if required, limited examination and management; and (b) at which a specimen for a cervical screening service is collected from the patient; if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years.
250101.11.20011A1812SNNNNNYNPE01.11.200401.07.202138.5538.5501.11.2012500.00300.0001.12.2017Professional attendance by a general practitioner at consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, andat which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years.
250301.11.20011A1812SDNYNNYNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2501, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2501 plus $2.10 per patient.01.12.2017Professional attendance by a general practitioner at a place other than consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, andat which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years.
250401.11.20011A1813SNNNNNYNPE01.11.200401.07.202174.6074.6001.11.2012500.00300.0001.12.2017Professional attendance by a general practitioner at consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, andat which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
250601.11.20011A1813SDNYNNYNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2504, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2504 plus $2.10 per patient.01.12.2017Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, andat which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
250701.11.20011A1814SNNNNNYNPE01.11.200401.07.2021109.85109.8501.11.2012500.00300.0001.12.2017Professional attendance by a general practitioner at consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, andat which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
250901.11.20011A1814SDNYNNYNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2507, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2507 plus $2.10 per patient.01.12.2017Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, andat which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
251701.11.20011A1821SNNNNNYNPE01.11.200401.07.202138.5538.5501.01.2013500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus
251801.11.20011A1821SDNYNNYNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2517, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2517 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner at a place other than consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus
252101.11.20011A1822SNNNNNYNPE01.11.200401.07.202174.6074.6001.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus
252201.11.20011A1822SDNYNNYNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2521, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for 2521 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus
252501.11.20011A1823SNNNNNYNPE01.11.200401.07.2021109.85109.8501.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus
252601.11.20011A1823SDNYNNYNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2525, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for 2525 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of a cycle of care for a patient with established diabetes mellitus
254601.11.20011A1831SNNNNNYNPE01.11.200401.07.202138.5538.5501.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care
254701.11.20011A1831SDNYNNYNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2546, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2546 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner at a place other than consulting rooms, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care
255201.11.20011A1832SNNNNNYNPE01.11.200401.07.202174.6074.6001.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care
255301.11.20011A1832SDNYNNYNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2552, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2552 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care
255801.11.20011A1833SNNNNNYNPE01.11.200401.07.2021109.85109.8501.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care
255901.11.20011A1833SDNYNNYNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2558, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2558 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner at a place other than consulting rooms, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation, and that completes the minimum requirements of the Asthma Cycle of Care
259801.05.20051A191SNNNNNNNPE01.05.200501.05.200511.0011.0001.11.2012500.00300.0001.12.2017Professional attendance at consulting rooms of less than 5 minutes in duration by a medical practitioner who practices in general practice (other than a general practitioner)at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
260001.11.20011A191SNNNNNNNPE01.11.200101.11.200121.0021.0001.11.2012500.00300.0001.12.2017Professional attendance at consulting rooms of more than 5, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner),at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
260301.11.20011A191SNNNNNNNPE01.11.200101.11.200138.0038.0001.11.2012500.00300.0001.12.2017Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
260601.11.20011A191SNNNNNNNPE01.11.200101.11.200161.0061.0001.11.2012500.00300.0001.12.2017Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
261001.11.20011A191SDNNNNNNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2001An amount equal to $16.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $16.00 plus $0.70 per patient01.12.2017Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner),at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
261301.11.20011A191SDNNNNNNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2001An amount equal to $35.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $35.50 plus $0.70 per patient01.12.2017Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
261601.11.20011A191SDNNNNNNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2001An amount equal to $57.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $57.50 plus $0.70 per patient01.12.2017Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), at which a specimen for a cervical screening service is collected from the patient, if the patient is at least 24 years and 9 months of age but is less than 75 years of age and has not been provided with a cervical screening service or a cervical smear service in the last 4 years
262001.11.20011A192SNNNNNNNPE01.11.200101.11.200121.0021.0001.11.2012500.00300.0001.07.2009Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
262201.11.20011A192SNNNNNNNPE01.11.200101.11.200138.0038.0001.11.2012500.00300.0001.11.2006Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the requirements for a cycle of care of a patient with established diabetes mellitus
262401.11.20011A192SNNNNNNNPE01.11.200101.11.200161.0061.0001.11.2012500.00300.0001.11.2006Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
263101.11.20011A192SDNNNNNNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2001An amount equal to $16.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $16.00 plus $0.70 per patient01.01.2013Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
263301.11.20011A192SDNNNNNNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2001An amount equal to $35.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $35.50 plus $0.70 per patient01.01.2013Professional attendance at a place other than consulting rooms of more than 25 minutes but not more than 45 minutes, in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
263501.11.20011A192SDNNNNNNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2001An amount equal to $57.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $57.50 plus $0.70 per patient01.01.2013Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus
266401.11.20011A193SNNNNNNNPE01.11.200101.11.200121.0021.0001.11.2012500.00300.0001.11.2006Professional attendance at consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care
266601.11.20011A193SNNNNNNNPE01.11.200101.11.200138.0038.0001.11.2012500.00300.0001.11.2006Professional attendance at consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care
266801.11.20011A193SNNNNNNNPE01.11.200101.11.200161.0061.0001.11.2012500.00300.0001.11.2006Professional attendance at consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care
267301.11.20011A193SDNNNNNNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2001An amount equal to $16.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $16.00 plus $0.70 per patient.01.01.2013Professional attendance at a place other than consulting rooms of more than 5 minutes, but not more than 25 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care
267501.11.20011A193SDNNNNNNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2001An amount equal to $35.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $35.50 plus $0.70 per patient01.01.2013Professional attendance at a place other than consulting rooms of more than 25 minutes, but not more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care
267701.11.20011A193SDNNNNNNPD01.11.200101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2001An amount equal to $57.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $57.50 plus $0.70 per patient01.01.2013Professional attendance at a place other than consulting rooms of more than 45 minutes in duration by a medical practitioner who practises in general practice (other than a general practitioner), that completes the minimum requirements of the Asthma Cycle of Care
270001.11.20111A201SNNNNNYNPD01.11.201101.07.202174.6055.9574.6001.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner (including a general practitioner who has not undertaken mental health skills training) of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient
270101.11.20111A201SNNNNNYNPD01.11.201101.07.2021109.8582.40109.8501.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner (including a general practitioner who has not undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient
271201.11.20061A201SNNNNNYNPD01.11.200601.07.202174.6055.9574.6001.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner to review a GP mental health treatment plan which he or she, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan
271301.11.20061A201SNNNNNYNPE01.11.200601.07.202174.6074.6001.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation
271501.11.20111A201SNNNNNYNPD01.11.201101.07.202194.7571.1094.7501.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner (including a general practitioner who has undertaken mental health skills training of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient
271701.11.20111A201SNNNNNYNPD01.11.201101.07.2021139.55104.70139.5501.11.2012500.00300.0001.07.2018Professional attendance by a general practitioner (including a general practitioner who has undertaken mental health skills training) of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient
272101.11.20021A202SNNNNNYNPE01.11.200401.07.202196.5096.5001.11.2012500.00300.0001.07.2018Professional attendance at consulting rooms by a general practitioner, for providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes
272301.11.20021A202SDNYNNYNPD01.11.200201.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2721, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2721 plus $2.10 per patient.01.07.2018Professional attendance at a place other than consulting rooms by a general practitioner, for providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes, but less than 40 minutes
272501.11.20021A202SNNNNNYNPE01.11.200401.07.2021138.10138.1001.11.2012500.00300.0001.07.2018Professional attendance at consulting rooms by a general practitioner, for providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes
272701.11.20021A202SDNYNNYNPD01.11.200201.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 2725, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 2725 plus $2.10 per patient.01.07.2018Professional attendance at a place other than consulting rooms by a general practitioner, for providing focussed psychological strategies for assessed mental disorders by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes
272901.11.20181A202SNNNNNYNPE01.11.201801.07.202196.5096.5001.11.2018500.00300.0001.03.2021Professional attendance at consulting rooms, by a general practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, to provide focussed psychological strategies for assessed mental disorders, if: (a) the attendance is by video conference and lasts at least 30 minutes but less than 40 minutes; and (b) the patient is not an admitted patient; and (c) the patient is located within a Modified Monash 4, 5, 6 or 7 area and, at the time of the attendance, is at least 15 kilometres by road from the general practitioner
273101.11.20181A202SNNNNNYNPE01.11.201801.07.2021138.10138.1001.11.2018500.00300.0001.03.2021Professional attendance at consulting rooms, by a general practitioner registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service, to provide focussed psychological strategies for assessed mental disorders, if: (a) the attendance is by video conference and lasts at least 40 minutes; and (b) the patient is not an admitted patient; and (c) the patient is located within a Modified Monash 4, 5, 6 or 7 area and, at the time of the attendance, is at least 15 kilometres by road from the general practitioner
273310.12.20201A202SNNYNNYNPB10.12.202001.07.2021113.5096.5010.12.2020500.00300.0010.12.2020Professional attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b)the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c)the service lasts at least 30 minutes, but less than 40 minutes
273510.12.20201A202SNNYNNYNPB10.12.202001.07.2021162.45138.1010.12.2020500.00300.0010.12.2020Professional attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b)the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 40 minutes
279901.01.20131A241SNNNNNYNPB01.01.201301.07.2021119.55101.6501.01.2013500.00300.0001.11.2019Initial professional attendance of 10 minutes or less in duration on a patient by a specialist or consultant physician practising in the specialist's or consultant physician's specialty of pain medicine if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; 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; and (d) no other initial consultation has taken place for a single course of treatment
280101.05.20061A241SNNNNNYNPC01.05.200601.07.2021159.35119.55135.4501.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment
280601.05.20061A241SNNNNNYNPC01.05.200601.07.202179.7559.8567.8001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 2814 applies) after the first in a single course of treatment
281401.05.20061A241SNNNNNYNPC01.05.200601.07.202145.4034.0538.6001.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment
282001.07.20111A241SDNNNNNNPB01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.201250% of the fee for item 2801, 2806 or 2814. Benefit: 85% of the derived fee01.11.2019Professional attendance on a patient by a specialist or consultant physician practising in the specialist's or consultant physician's specialty of pain medicine if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 2801 lasting more than 10 minutes; or (ii) provided with item 2806 or 2814; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; 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
282401.05.20061A241SNNNNNYNPB01.05.200601.07.2021193.35164.3501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment
283201.05.20061A241SNNNNNYNPB01.05.200601.07.2021116.9599.4501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 2840 applies) after the first in a single course of treatment
284001.05.20061A241SNNNNNYNPB01.05.200601.07.202184.2571.6501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment
294601.05.20061A242SNNNNNYNPC01.05.200601.07.2021146.90110.20124.9001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes
294901.05.20061A242SNNNNNYNPC01.05.200601.07.2021220.45165.35187.4001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes
295401.05.20061A242SNNNNNYNPC01.05.200601.07.2021293.70220.30249.6501.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes
295801.05.20061A242SNNNNNYNPC01.05.200601.07.2021105.5079.1589.7001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes
297201.05.20061A242SNNNNNYNPC01.05.200601.07.2021168.25126.20143.0501.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes
297401.05.20061A242SNNNNNYNPC01.05.200601.07.2021231.05173.30196.4001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes
297801.05.20061A242SNNNNNYNPC01.05.200601.07.2021146.90110.20124.9001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)
298401.05.20061A242SNNNNNYNPC01.05.200601.07.2021220.45165.35187.4001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)
298801.05.20061A242SNNNNNYNPC01.05.200601.07.2021293.70220.30249.6501.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H)
299201.05.20061A242SNNNNNYNPC01.05.200601.07.2021105.5079.1589.7001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)
299601.05.20061A242SNNNNNYNPC01.05.200601.07.2021168.25126.20143.0501.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)
300001.05.20061A242SNNNNNYNPC01.05.200601.07.2021231.05173.30196.4001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of pain medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H)
300301.01.20131A243SNNNNNYNPB01.01.201301.07.2021119.55101.6501.01.2013500.00300.0001.11.2019Initial professional attendance of 10 minutes or less in duration on a patient by a specialist or consultant physician practising in the specialist's or consultant physician's specialty of palliative medicine if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; 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; and (d) no other initial consultation has taken place for a single course of treatment
300501.05.20061A243SNNNNNYNPC01.05.200601.07.2021159.35119.55135.4501.11.2012500.00300.0001.11.2019Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment
301001.05.20061A243SNNNNNYNPC01.05.200601.07.202179.7559.8567.8001.01.2013500.00300.0001.11.2019Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 3014 applies) after the first in a single course of treatment
301401.05.20061A243SNNNNNYNPC01.05.200601.07.202145.4034.0538.6001.01.2013500.00300.0001.11.2019Professional attendance at consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment
301501.07.20111A243SDNNNNNNPB01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.201250% of the fee for item 3005, 3010 or 3014. Benefit: 85% of the derived fee01.11.2019Professional attendance on a patient by a specialist or consultant physician practising in the specialist's or consultant physician's specialty of palliative medicine if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 3005 lasting more than 10 minutes; or (ii) provided with item 3010 or 3014; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist or physician; 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
301801.05.20061A243SNNNNNYNPB01.05.200601.07.2021193.35164.3501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-initial attendance in a single course of treatment
302301.05.20061A243SNNNNNYNPB01.05.200601.07.2021116.9599.4501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each attendance (other than a service to which item 3028 applies) after the first in a single course of treatment
302801.05.20061A243SNNNNNYNPB01.05.200601.07.202184.2571.6501.11.2012500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or hospital by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine following referral of the patient to the specialist or consultant physician by a referring practitioner-each minor attendance after the first attendance in a single course of treatment
303201.05.20061A244SNNNNNYNPC01.05.200601.07.2021146.90110.20124.9001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes
304001.05.20061A244SNNNNNYNPC01.05.200601.07.2021220.45165.35187.4001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes
304401.05.20061A244SNNNNNYNPC01.05.200601.07.2021293.70220.30249.6501.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a community case conference of at least 45 minutes
305101.05.20061A244SNNNNNYNPC01.05.200601.07.2021105.5079.1589.7001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes
305501.05.20061A244SNNNNNYNPC01.05.200601.07.2021168.25126.20143.0501.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with a multidisciplinary team of at least 2 other formal care providers of different disciplines
306201.05.20061A244SNNNNNYNPC01.05.200601.07.2021231.05173.30196.4001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes
306901.05.20061A244SNNNNNYNPC01.05.200601.07.2021146.90110.20124.9001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)
307401.05.20061A244SNNNNNYNPC01.05.200601.07.2021220.45165.35187.4001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a case conference team, to organise and coordinate a discharge case conference of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)
307801.05.20061A244SNNNNNYNPC01.05.200601.07.2021293.70220.30249.6501.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to organise and coordinate a discharge case conference of at least 45 minutes, before the patient is discharged from a hospital (H)
308301.05.20061A244SNNNNNYNPC01.05.200601.07.2021105.5079.1589.7001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, before the patient is discharged from a hospital (H)
308801.05.20061A244SNNNNNYNPC01.05.200601.07.2021168.25126.20143.0501.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, before the patient is discharged from a hospital (H)
309301.05.20061A244SNNNNNYNPC01.05.200601.07.2021231.05173.30196.4001.11.2012500.00300.0001.11.2019Attendance by a specialist, or consultant physician, in the practice of the specialist's or consultant physician's specialty of palliative medicine, as a member of a multidisciplinary case conference team, to participate in a discharge case conference (other than to organise and coordinate the conference) of at least 45 minutes, before the patient is discharged from a hospital (H)
400101.11.20061A27SNNYNYYNPE01.11.200601.07.202179.7079.7001.11.2012500.00300.0001.07.2021Professional attendance of at least 20 minutes in duration at consulting rooms by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non-directive pregnancy support counselling to a patient who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 81000, 81005 or 81010 applies in relation to that pregnancy Note:For items 81000, 81005 and 81010, see the determination about allied health services under subsection 3C(1) of the Act.
500001.01.20051A221SNNNNNYNPE01.01.200501.07.202130.1530.1501.11.2012500.00300.0001.05.2010Professional attendance at consulting rooms (other than a service to which another item applies) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-each attendance
500101.03.20201A211SNNNNNYNPC01.03.202001.07.202161.0545.8051.9001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision‑making of ordinary complexity
500301.01.20051A221SDNYNNYNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 5000, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5000 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies) that requires a short patient history and, if necessary, limited examination and management-an attendance on one or more patients on one occasion-each patient
500401.03.20201A211SNNNNNYNPC01.03.202001.07.2021102.5076.9087.1501.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of ordinary complexity
501001.01.20051A221SDNYNNYNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 5000, plus $48.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5000 plus $3.45 per patient.01.01.2013Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is accommodated in a residential aged care facility (other than accommodation in a self-contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
501101.03.20201A211SNNNNNYNPC01.03.202001.07.2021102.5076.9087.1501.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of ordinary complexity
501201.03.20201A211SNNNNNYNPC01.03.202001.07.2021160.70120.55136.6001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of complexity that is more than ordinary but is not high
501301.03.20201A211SNNNNNYNPC01.03.202001.07.2021202.15151.65171.8501.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of complexity that is more than ordinary but is not high
501401.03.20201A211SNNNNNYNPC01.03.202001.07.2021202.15151.65171.8501.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of complexity that is more than ordinary but is not high
501601.03.20201A211SNNNNNYNPC01.03.202001.07.2021271.25203.45230.6001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of high complexity
501701.03.20201A211SNNNNNYNPC01.03.202001.07.2021312.80234.60265.9001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of high complexity
501901.03.20201A211SNNNNNYNPC01.03.202001.07.2021312.80234.60265.9001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine involving medical decision-making of high complexity
502001.01.20051A222SNNNNNYNPE01.01.200501.07.202151.0051.0001.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance
502101.03.20201A211SNNNNNYNPC01.03.202001.07.202145.7534.3538.9001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of ordinary complexity
502201.03.20201A211SNNNNNYNPC01.03.202001.07.202176.9057.7065.4001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of ordinary complexity
502301.01.20051A222SDNYNNYNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 5020, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5020 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient
502701.03.20201A211SNNNNNYNPC01.03.202001.07.202176.9057.7065.4001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 75 years or over,at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of ordinary complexity
502801.01.20051A222SDNYNNYNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 5020, plus $48.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5020 plus $3.45 per patient.01.01.2013Professional attendance by a general practitioner (other than a service to which another item in the table applies), at a residential aged care facility to residents of the facility, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
503001.03.20201A211SNNNNNYNPC01.03.202001.07.2021120.4590.35102.4001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high
503101.03.20201A211SNNNNNYNPC01.03.202001.07.2021151.60113.70128.9001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged under 4 years,at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high
503201.03.20201A211SNNNNNYNPC01.03.202001.07.2021151.60113.70128.9001.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of complexity that is more than ordinary but is not high
503301.03.20201A211SNNNNNYNPC01.03.202001.07.2021203.45152.60172.9501.03.2020500.00300.0001.03.2020Professional attendance, on a patient 4 years or over but under 75 years old, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of high complexity
503501.03.20201A211SNNNNNYNPC01.03.202001.07.2021234.60175.95199.4501.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged under 4 years, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of high complexity
503601.03.20201A211SNNNNNYNPC01.03.202001.07.2021234.60175.95199.4501.03.2020500.00300.0001.03.2020Professional attendance, on a patient aged 75 years or over, at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) involving medical decision-making of high complexity
503901.03.20201A212SNNNNNYNPC01.03.202001.07.2021148.25111.20126.0501.03.2020500.00300.0001.03.2020Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019
504001.01.20051A223SNNNNNYNPE01.01.200501.07.202187.4087.4001.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance
504101.03.20201A212SNNNNNYNPC01.03.202001.07.2021278.75209.10236.9501.03.2020500.00300.0001.03.2020Professional attendance at a recognised emergency department of a private hospital by a specialist in the practice of the specialist’s specialty of emergency medicine for preparation of goals of care by the specialist for a gravely ill patient lacking current goals of care if: (a) the specialist takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the specialist for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the specialist that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (d) the attendance is for at least 60 minutes
504201.03.20201A212SNNNNNYNPC01.03.202001.07.2021111.2583.4594.6001.03.2020500.00300.0001.03.2020Professional attendance at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036
504301.01.20051A223SDNYNNYNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 5040, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5040 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient
504401.03.20201A212SNNNNNYNPC01.03.202001.07.2021209.00156.75177.6501.03.2020500.00300.0001.03.2020Professional attendance at a recognised emergency department of a private hospital by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) for preparation of goals of care by the practitioner for a gravely ill patient lacking current goals of care if: (a) the practitioner takes overall responsibility for the preparation of the goals of care for the patient; and (b) the attendance is the first attendance by the practitioner for the preparation of the goals of care for the patient following the presentation of the patient to the emergency department; and (c) the attendance is not in conjunction with, or after, an attendance on the patient by the practitioner that is described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (d) the attendance is for at least 60 minutes
504901.01.20051A223SDNYNNYNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 5040, plus $48.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5040 plus $3.45 per patient.01.01.2013Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
506001.01.20051A224SNNNNNYNPE01.01.200501.07.2021122.55122.5501.11.2012500.00300.0001.05.2010Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-each attendance
506301.01.20051A224SDNYNNYNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 5060, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5060 plus $2.10 per patient.01.01.2013Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients on one occasion-each patient
506701.01.20051A224SDNYNNYNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.07.2021The fee for item 5060, plus $48.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 5060 plus $3.45 per patient.01.01.2013Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health-related issues, with appropriate documentation-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
520001.01.20051A231SNNNNNNNPE01.01.200501.01.200521.0021.0001.11.2012500.00300.0001.01.2005Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance
520301.01.20051A231SNNNNNNNPE01.01.200501.01.200531.0031.0001.11.2012500.00300.0001.01.2005Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance
520701.01.20051A231SNNNNNNNPE01.01.200501.01.200548.0048.0001.11.2012500.00300.0001.01.2005Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance
520801.01.20051A231SNNNNNNNPE01.01.200501.01.200571.0071.0001.11.2012500.00300.0001.01.2005Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)-each attendance
522001.01.20051A232SDNNNNNNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.01.2005An amount equal to $18.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $18.50 plus $.70 per patient01.01.2013Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting not more than 5 minutes-an attendance on one or more patients on one occasion-each patient
522301.01.20051A232SDNNNNNNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.01.2005An amount equal to $26.00, plus $17.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $26.00 plus $.70 per patient01.01.2013Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 5 minutes, but not more than 25 minutes-an attendance on one or more patients on one occasion-each patient
522701.01.20051A232SDNNNNNNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.01.2005An amount equal to $45.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $45.50 plus $.70 per patient01.01.2013Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 25 minutes, but not more than 45 minutes-an attendance on one or more patients on one occasion-each patient
522801.01.20051A232SDNNNNNNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.01.2005An amount equal to $67.50, plus $15.50 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $67.50 plus $.70 per patient01.01.2013Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in the table applies), lasting more than 45 minutes-an attendance on one or more patients on one occasion-each patient
526001.01.20051A233SDNNNNNNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2007An amount equal to $18.50, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $18.50 plus $1.25 per patient01.01.2013Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of not more than 5 minutes in duration by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
526301.01.20051A233SDNNNNNNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2007An amount equal to $26.00, plus $31.55 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $26.00 plus $1.25 per patient01.01.2013Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 5 minutes in duration but not more than 25 minutes in duration by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
526501.01.20051A233SDNNNNNNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2007An amount equal to $45.50, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $45.50 plus $1.25 per patient01.01.2013Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 25 minutes in duration but not more than 45 minutes by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
526701.01.20051A233SDNNNNNNPE01.01.200501.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.2007An amount equal to $67.50, plus $27.95 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - an amount equal to $67.50 plus $1.25 per patient01.01.2013Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in the residential aged care facility (other than accommodation in a self-contained unit) of more than 45 minutes in duration by a medical practitioner (other than a general practitioner)-an attendance on one or more patients at one residential aged care facility on one occasion-each patient
600401.01.20131A26SNNNNNYNPB01.01.201301.07.2021102.6587.3001.01.2013500.00300.0001.01.2013Initial professional attendance of 10 minutes or less in duration on a patient by a specialist practising in his or her specialty of neurosurgery if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible 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; and (d) no other initial consultation has taken place for a single course of treatment
600701.11.20061A26SNNNNNYNPC01.11.200601.07.2021136.85102.65116.3501.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance (other than a second or subsequent attendance in a single course of treatment) at consulting rooms or hospital
600901.11.20061A26SNNNNNYNPC01.11.200601.07.202145.4034.0538.6001.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-a minor attendance after the first in a single course of treatment at consulting rooms or hospital
601101.11.20061A26SNNNNNYNPC01.11.200601.07.202190.3567.8076.8001.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an extensive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration at consulting rooms or hospital
601301.11.20061A26SNNNNNYNPC01.11.200601.07.2021125.1593.90106.4001.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving a detailed and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration at consulting rooms or hospital
601501.11.20061A26SNNNNNYNPC01.11.200601.07.2021159.35119.55135.4501.11.2012500.00300.0001.11.2019Professional attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist-an attendance after the first in a single course of treatment, involving an exhaustive and comprehensive examination, arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration at consulting rooms or hospital
601601.07.20111A26SDNNNNNNPB01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.201250% of the fee for item 6007, 6009, 6011, 6013 or 6015. Benefit: 85% of the derived fee01.11.2019Professional attendance on a patient by a specialist practising in the specialist's specialty of neurosurgery if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6007 lasting more than 10 minutes; or (ii) provided with item 6009, 6011, 6013 or 6015; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible 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
601801.11.20161A311SNNNNNYNPC01.11.201601.07.2021159.35119.55135.4501.01.2021500.00300.0001.11.2019Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided
601901.11.20161A311SNNNNNYNPC01.11.201601.07.202179.7559.8567.8001.01.2021500.00300.0001.11.2019Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty following referral of the patient to the addiction medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6018 in a single course of treatment; or (b) that follows an initial assessment under item 6023 in a single course of treatment; or (c) that follows a review under item 6024 in a single course of treatment
602301.11.20161A311SNNNNNYNPC01.11.201601.07.2021278.75209.10236.9501.01.2021500.00300.0001.11.2019Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the addiction medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) an addiction medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018 or 6019 applies did not take place on the same day by the same addiction medicine specialist; and (d) neither this item nor item 132 has applied to an attendance on the patient in the preceding 12 months by the same addiction medicine specialist
602401.11.20161A311SNNNNNYNPC01.11.201601.07.2021139.55104.70118.6501.01.2021500.00300.0001.11.2019Professional attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified addiction medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6018 or 6019 applies did not take place on the same day by the same addiction medicine specialist; and (d) item 6023 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same addiction medicine specialist who claimed item 6023 or by a locum tenens; and (f) this item has not applied more than twice in any 12 month period
602501.11.20161A311SNNNNNYNPB01.11.201601.07.2021119.55101.6501.01.2021500.00300.0001.11.2019Initial professional attendance of 10 minutes or less, on a patient by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the addiction medicine 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; and (d) no other initial consultation has taken place for a single course of treatment
602601.11.20161A311SDNNNNNNPB01.11.201601.01.2021500.00300.0001.11.201650% of the fee for item 6018, 6019, 6023, or 6024 Benefit: 85% of the derived fee01.11.2019Professional attendance on a patient by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6018 or 6019 and lasting more than 10 minutes; or (ii) provided with item 6023 or 6024; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the addiction medicine 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
602801.11.20161A312SNNNNNYNPC01.11.201601.07.202152.0539.0544.2501.01.2021500.00300.0001.11.2019Group therapy (including any associated consultation with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted) of not less than 1 hour, given under the continuous direct supervision of an addiction medicine specialist in the practice of the addiction medicine specialist's specialty for a group of 2 to 9 unrelated patients, or a family group of more than 2 patients, each of whom is referred to the addiction medicine specialist by a referring practitioner-for each patient
602901.11.20161A313SNNNNNYNPC01.11.201601.07.202145.1033.8538.3501.01.2021500.00300.0001.11.2019Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team
603101.11.20161A313SNNNNNYNPC01.11.201601.07.202179.7559.8567.8001.01.2021500.00300.0001.11.2019Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team
603201.11.20161A313SNNNNNYNPC01.11.201601.07.2021119.6589.75101.7501.01.2021500.00300.0001.11.2019Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team
603401.11.20161A313SNNNNNYNPC01.11.201601.07.2021159.35119.55135.4501.01.2021500.00300.0001.11.2019Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate the multidisciplinary case conference of at least 45 minutes, with the multidisciplinary case conference team
603501.11.20161A313SNNNNNYNPC01.11.201601.07.202136.0527.0530.6501.01.2021500.00300.0001.11.2019Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team
603701.11.20161A313SNNNNNYNPC01.11.201601.07.202163.8047.8554.2501.01.2021500.00300.0001.11.2019Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team
603801.11.20161A313SNNNNNYNPC01.11.201601.07.202195.7071.8081.3501.01.2021500.00300.0001.11.2019Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team
604201.11.20161A313SNNNNNYNPC01.11.201601.07.2021127.5095.65108.4001.01.2021500.00300.0001.11.2019Attendance by an addiction medicine specialist in the practice of the addiction medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team
605101.11.20161A321SNNNNNYNPC01.11.201601.07.2021159.35119.55135.4501.01.2021500.00300.0001.11.2019Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance: (a) includes a comprehensive assessment; and (b) is the first or only time in a single course of treatment that a comprehensive assessment is provided
605201.11.20161A321SNNNNNYNPC01.11.201601.07.202179.7559.8567.8001.01.2021500.00300.0001.11.2019Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner, if the attendance is a patient assessment: (a) before or after a comprehensive assessment under item 6051 in a single course of treatment; or (b) that follows an initial assessment under item 6057 in a single course of treatment; or (c) that follows a review under item 6058 in a single course of treatment
605701.11.20161A321SNNNNNYNPC01.11.201601.07.2021278.75209.10236.9501.01.2021500.00300.0001.11.2019Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 45 minutes for an initial assessment of a patient with at least 2 morbidities, following referral of the patient to the sexual health medicine specialist by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) a comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a sexual health medicine specialist treatment and management plan of significant complexity that includes the following is prepared and provided to the referring practitioner: (i) an opinion on diagnosis and risk assessment; (ii) treatment options and decisions; (iii) medication recommendations; and (c) an attendance on the patient to which item 104, 105, 110, 116, 119, 132, 133, 6051 or 6052 applies did not take place on the same day by the same sexual health medicine specialist; and (d) neither this item nor item 132 has applied to an attendance on the patient in the preceding 12 months by the same sexual health medicine specialist
605801.11.20161A321SNNNNNYNPC01.11.201601.07.2021139.55104.70118.6501.01.2021500.00300.0001.11.2019Professional attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty of at least 20 minutes, after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified sexual health medicine specialist treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient, being an attendance to which item 104, 105, 110, 116, 119, 132, 133, 6051 or 6052 applies did not take place on the same day by the same sexual health medicine specialist; and (d) item 6057 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same sexual health medicine specialist who claimed item 6057 or by a locum tenens; and (f) this item has not applied more than twice in any 12 month period
605901.11.20161A321SNNNNNYNPB01.11.201601.07.2021119.55101.6501.01.2021500.00300.0001.11.2019Initial professional attendance of 10 minutes or less, on a patient by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, if: (a) the attendance is by video conference; and (b) the patient is not an admitted patient; and (c) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the sexual health medicine 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; and (d) no other initial consultation has taken place for a single course of treatment
606001.11.20161A321SDNNNNNNPB01.11.201601.01.2021500.00300.0001.11.201650% of the fee for item 6051, 6052, 6057 or 6058 Benefit: 85% of the derived fee01.11.2019Professional attendance on a patient by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty if: (a) the attendance is by video conference; and (b) the attendance is for a service: (i) provided with item 6051 or 6052 and lasting more than 10 minutes; or (ii) provided with item 6057 or 6058; and (c) the patient is not an admitted patient; and (d) the patient: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 km by road from the sexual health medicine 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
606201.11.20161A322SNNNNNYNPB01.11.201601.07.2021193.35164.3501.01.2021500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner-initial attendance in a single course of treatment
606301.11.20161A322SNNNNNYNPB01.11.201601.07.2021116.9599.4501.01.2021500.00300.0001.11.2019Professional attendance at a place other than consulting rooms or a hospital by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty following referral of the patient to the sexual health medicine specialist by a referring practitioner-each attendance after the attendance under item 6062 in a single course of treatment
606401.11.20161A323SNNNNNYNPC01.11.201601.07.202145.1033.8538.3501.01.2021500.00300.0001.11.2019Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of less than 15 minutes, with the multidisciplinary case conference team
606501.11.20161A323SNNNNNYNPC01.11.201601.07.202179.7559.8567.8001.01.2021500.00300.0001.11.2019Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team
606701.11.20161A323SNNNNNYNPC01.11.201601.07.2021119.6589.75101.7501.01.2021500.00300.0001.11.2019Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team
606801.11.20161A323SNNNNNYNPC01.11.201601.07.2021159.35119.55135.4501.01.2021500.00300.0001.11.2019Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to organise and coordinate a community case conference of at least 45 minutes, with the multidisciplinary case conference team
607101.11.20161A323SNNNNNYNPC01.11.201601.07.202136.0527.0530.6501.01.2021500.00300.0001.11.2019Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of less than 15 minutes, with the multidisciplinary case conference team
607201.11.20161A323SNNNNNYNPC01.11.201601.07.202163.8047.8554.2501.01.2021500.00300.0001.11.2019Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 15 minutes but less than 30 minutes, with the multidisciplinary case conference team
607401.11.20161A323SNNNNNYNPC01.11.201601.07.202195.7071.8081.3501.01.2021500.00300.0001.11.2019Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 30 minutes but less than 45 minutes, with the multidisciplinary case conference team
607501.11.20161A323SNNNNNYNPC01.11.201601.07.2021127.5095.65108.4001.01.2021500.00300.0001.11.2019Attendance by a sexual health medicine specialist in the practice of the sexual health medicine specialist's specialty, as a member of a multidisciplinary case conference team of at least 2 other formal care providers of different disciplines, to participate in a community case conference (other than to organise and coordinate the conference) of at least 45 minutes, with the multidisciplinary case conference team
608001.11.20171A33SNNNNNYNPC01.11.201701.07.202152.9539.7545.0501.01.2021500.00300.0001.11.2017Coordination of a TAVI Case Conference by a TAVI Practitioner where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than once per patient in a five year period.)
608101.11.20171A33SNNNNNYNPC01.11.201701.07.202139.5029.6533.6001.01.2021500.00300.0001.11.2017Attendance at a TAVI Case Conference by a specialist or consultant physician who does not also perform the service described in item 6080 for the same case conference where the TAVI Case Conference has a duration of 10 minutes or more. (Not payable more than twice per patient in a five year period.)
608201.07.20211A33SNYNNNNNNC01.07.202101.07.202152.9539.7545.0501.07.2021Attendance at a TMVr suitability case conference, by a cardiothoracic surgeon or an interventional cardiologist, to coordinate the conference, if: (a) the attendance lasts at least 10 minutes; and (b) the surgeon or cardiologist is accredited by the TMVr accreditation committee to perform the service Applicable once each 5 years
608401.07.20211A33SNYNNNNNNC01.07.202101.07.202139.5029.6533.6001.07.2021Attendance at a TMVr suitability case conference, by a specialist or consultant physician, other than to coordinate the conference, if the attendance lasts at least 10 minutes Applicable once each 5 years
1066018.06.20211A445SNNNNNNNNB18.06.202118.06.202145.9539.1018.06.2021Professional attendance by a general practitioner, if all of the following apply: (a) the service is associated with a service to which item 93624, 93625, 93634, 93635, 93644, 93645, 93653 or 93654 applies; (b) the service is provided to a patient who is at least 50 years of age; (c) the service requires personal attendance by the general practitioner, lasting more than 10 minutes in duration, to provide in-depth clinical advice on the individual risks and benefits associated with receiving a COVID-19 vaccine; (d) one or both of the following is undertaken, where clinically relevant: (i) a detailed patient history; (ii) complex examination and management; (e) the service is bulk-billed
1066118.06.20211A445SNNNNNNNNB18.06.202118.06.202136.8031.3018.06.2021Professional attendance by a medical practitioner (other than a general practitioner), if all of the following apply: (a) the service is associated with a service to which item 93626, 93627, 93636, 93637, 93646, 93647, 93655 or 93656 applies; (b) the service is provided to a patient who is at least 50 years of age; (c) the service requires personal attendance by the medical practitioner (other than a general practitioner), lasting more than 10 minutes in duration, to provide in-depth clinical advice on the individual risks and benefits associated with receiving a COVID-19 vaccine; (d) one or both of the following is undertaken, where clinically relevant: (i) a detailed patient history; (ii) complex examination and management; (e) the service is bulk-billed
1080101.12.19911A9SNNNNNYNPC01.12.199101.07.2021128.5096.40109.2501.11.2012500.00300.0001.11.1997Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with myopia of 5.0 dioptres or greater (spherical equivalent) in one eye
1080201.12.19911A9SNNNNNYNPC01.12.199101.07.2021128.5096.40109.2501.11.2012500.00300.0001.12.1991Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in one eye
1080301.12.19911A9SNNNNNYNPC01.12.199101.07.2021128.5096.40109.2501.11.2012500.00300.0001.12.1991Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with astigmatism of 3.0 dioptres or greater in one eye
1080401.12.19911A9SNNNNNYNPC01.12.199101.07.2021128.5096.40109.2501.11.2012500.00300.0001.11.1997Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens
1080501.12.19911A9SNNNNNYNPC01.12.199101.07.2021128.5096.40109.2501.11.2012500.00300.0001.12.1991Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)
1080601.12.19911A9SNNNNNYNPC01.12.199101.07.2021128.5096.40109.2501.11.2012500.00300.0001.11.1997Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes and for whom a contact lens is prescribed as part of a telescopic system
1080701.12.19911A9SNNNNNYNPC01.12.199101.07.2021128.5096.40109.2501.11.2012500.00300.0001.12.1991Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by pathological mydriasis, aniridia, coloboma of the iris, pupillary malformation or distortion, significant ocular deformity or corneal opacity-whether congenital, traumatic or surgical in origin
1080801.12.19911A9SNNNNNYNPC01.12.199101.07.2021128.5096.40109.2501.11.2012500.00300.0001.12.1991Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient who, because of physical deformity, are unable to wear spectacles
1080901.12.19911A9SNNNNNYNPC01.12.199101.07.2021128.5096.40109.2501.11.2012500.00300.0001.11.1997Attendance for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription-one service in any period of 36 months-patient with a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10806, 10807 or 10808 applies) requiring the use of a contact lens for correction, if the condition is specified on the patient's account
1081619.06.19971A9SNNNNNYNPC01.11.199701.07.2021128.5096.40109.2501.11.2012500.00300.0001.11.1997Attendance for the refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription, if the patient requires a change in contact lens material or basic lens parameters, other than simple power change, because of a structural or functional change in the eye or an allergic response within 36 months after the fitting of a contact lens to which items 10801 to 10809 apply
1090501.11.19971A101SNNNNNYNPB01.11.200401.07.202169.4559.0501.01.2021500.00300.0001.11.1997REFERRED COMPREHENSIVE INITIAL CONSULTATION Professional attendance of more than 15 minutes duration, being the first in a course of attention, where the patient has been referred by another optometrist who is not associated with the optometrist to whom the patient is referred
1090701.11.19971A101SNNNNNYNPB01.11.200401.07.202134.8029.6001.01.2021500.00300.0001.01.2015COMPREHENSIVE INITIAL CONSULTATION BY ANOTHER PRACTITIONER Professional attendance of more than 15 minutes in duration, being the first in a course of attention if the patient has attended another optometrist for an attendance to which this item or item 10905, 10910, 10911, 10912, 10913, 10914 or 10915 applies, or to which old item 10900 applied: (a) for a patient who is less than 65 years of age-within the previous 36 months; or (b) for a patient who is at least 65 years or age-within the previous 12 months
1091001.01.20151A101SNNNNNYNPB01.01.201501.07.202169.4559.0501.01.2021500.00300.0001.01.2015COMPREHENSIVE INITIAL CONSULTATION - PATIENT IS LESS THAN 65 YEARS OF AGE Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if: (a) the patient is less than 65 years of age; and (b) the patient has not, within the previous 36 months, received a service to which: (i)this item or item 10905, 10907, 10912, 10913, 10914 or 10915 applies; or (ii) old item 10900 applied
1091101.01.20151A101SNNNNNYNPB01.01.201501.07.202169.4559.0501.01.2021500.00300.0001.01.2015COMPREHENSIVE INITIAL CONSULTATION - PATIENT IS AT LEAST 65 YEARS OF AGE Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if: (a) the patient is at least 65 years of age; and (b) the patient has not, within the previous 12 months, received a service to which: (i)this item, or item 10905, 10907, 10910, 10912, 10913, 10914 or 10915 applies; or (ii) old item 10900 applied
1091201.11.19971A101SNNNNNYNPB01.11.200401.07.202169.4559.0501.01.2021500.00300.0001.01.2015OTHER COMPREHENSIVE CONSULTATIONS Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if the patient has suffered a significant change of visual function requiring comprehensive reassessment: (a) for a patient who is less than 65 years of age-within 36 months of an initial consultation to which: (i)this item, or item 10905, 10907, 10910, 10913, 10914 or 10915 at the same practice applies; or (ii) old item 10900 at the same practice applied; or (b) for a patient who is at least 65 years of age-within 12 months of an initial consultation to which: (i)this item, or item 10905, 10907, 10910, 10911, 10913, 10914 or 10915 at the same practice applies; or (ii) old item 10900 at the same practice applied
1091301.11.19971A101SNNNNNYNPB01.11.200401.07.202169.4559.0501.01.2021500.00300.0001.01.2015Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if the patient has new signs or symptoms, unrelated to the earlier course of attention, requiring comprehensive reassessment: (a) for a patient who is less than 65 years of age-within 36 months of an initial consultation to which: (i)this item, or item 10905, 10907, 10910, 10912, 10914 or 10915 at the same practice applies; or (ii) old item 10900 at the same practice applied; or (b) for a patient who is at least 65 years of age-within 12 months of an initial consultation to which: (i)this item, or item 10905, 10907, 10910, 10911, 10912, 10914 or 10915 at the same practice applies; or (ii) old item 10900 at the same practice applied
1091401.11.19971A101SNNNNNYNPB01.11.200401.07.202169.4559.0501.01.2021500.00300.0001.01.2015Professional attendance of more than 15 minutes in duration, being the first in a course of attention, if the patient has a progressive disorder (excluding presbyopia) requiring comprehensive reassessment: (a) for a patient who is less than 65 years of age-within 36 months of an initial consultation to which: (i)this item, or item 10905, 10907, 10910, 10912, 10913 or 10915 applies; or (ii) old item 10900 applied; or (b) for a patient who is at least 65 years of age-within 12 months of an initial consultation to which: (i)this item, or item 10905, 10907, 10910, 10911, 10912, 10913 or 10915 applies; or (ii) old item 10900 applied
1091501.11.20031A101SNNNNNYNPB01.11.200401.07.202169.4559.0501.01.2021500.00300.0001.11.2003Professional attendance of more than 15 minutes duration, being the first in a course of attention involving the examination of the eyes, with the instillation of a mydriatic, of a patient with diabetes mellitus requiring comprehensive reassessment.
1091601.11.19971A101SNNNNNYNPB01.11.200401.07.202134.8029.6001.01.2021500.00300.0001.11.2005BRIEF INITIAL CONSULTATION Professional attendance, being the first in a course of attention, of not more than 15 minutes duration, not being a service associated with a service to which item 10931, 10932, 10933, 10940, 10941, 10942 or 10943 applies
1091801.11.19971A101SNNNNNYNPB01.11.200401.07.202134.8029.6001.01.2021500.00300.0001.11.2005SUBSEQUENT CONSULTATION Professional attendance being the second or subsequent in a course of attention not related to the prescription and fitting of contact lenses, not being a service associated with a service to which item 10940 or 10941 applies
1092101.12.19911A101SNNNNNYNPB01.11.200401.07.2021172.55146.7001.01.2021500.00300.0001.01.2015CONTACT LENSES FOR SPECIFIED CLASSES OF PATIENTS - BULK ITEMS FOR ALL SUBSEQUENT CONSULTATIONS All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which: (a)item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or (b) old item 10900 applied Payable once in a period of 36 months for -patients with myopia of 5.0 dioptres or greater (spherical equivalent) in one eye
1092201.12.19911A101SNNNNNYNPB01.11.200401.07.2021172.55146.7001.01.2021500.00300.0001.01.2015All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which: (a) item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or (b) old item 10900 applied Payable once in a period of 36 months for -patients with manifest hyperopia of 5.0 dioptres or greater (spherical equivalent) in one eye
1092301.12.19911A101SNNNNNYNPB01.11.200401.07.2021172.55146.7001.01.2021500.00300.0001.01.2015All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which: (a) item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or (b) old item 10900 applied Payable once in a period of 36 months for -patients with astigmatism of 3.0 dioptres or greater in one eye
1092401.12.19911A101SNNNNNYNPB01.11.200401.07.2021217.70185.0501.01.2021500.00300.0001.01.2015All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which: (a) item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or (b) old item 10900 applied Payable once in a period of 36 months for -patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is worse than 0.3 logMAR (6/12) and if that corrected acuity would be improved by an additional 0.1 logMAR by the use of a contact lens
1092501.12.19911A101SNNNNNYNPB01.11.200401.07.2021172.55146.7001.01.2021500.00300.0001.01.2015All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which: (a) item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or (b) old item 10900 applied Payable once in a period of 36 months for -patients with anisometropia of 3.0 dioptres or greater (difference between spherical equivalents)
1092601.12.19911A101SNNNNNYNPB01.11.200401.07.2021172.55146.7001.01.2021500.00300.0001.01.2015All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which: (a) item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or (b) old item 10900 applied Payable once in a period of 36 months for -patients with corrected visual acuity of 0.7 logMAR (6/30) or worse in both eyes, being patients for whom a contact lens is prescribed as part of a telescopic system
1092701.12.19911A101SNNNNNYNPB01.11.200401.07.2021217.70185.0501.01.2021500.00300.0001.01.2015All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which: (a) item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or (b) old item 10900 applied Payable once in a period of 36 months for -patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by: i.pathological mydriasis; or ii.aniridia; or iii.coloboma of the iris; or iv.pupillary malformation or distortion; or v.significant ocular deformity or corneal opacity -whether congenital, traumatic or surgical in origin
1092801.12.19911A101SNNNNNYNPB01.11.200401.07.2021172.55146.7001.01.2021500.00300.0001.01.2015All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which: (a) item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or (b) old item 10900 applied Payable once in a period of 36 months for -patients who, because of physical deformity, are unable to wear spectacles
1092901.12.19911A101SNNNNNYNPB01.11.200401.07.2021217.70185.0501.01.2021500.00300.0001.01.2015All professional attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention for which the first attendance is a service to which: (a) item 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915 or 10916 applies; or (b) old item 10900 applied Payable once in a period of 36 months for -patients who have a medical or optical condition (other than myopia, hyperopia, astigmatism, anisometropia or a condition to which item 10926, 10927 or 10928 applies) requiring the use of a contact lens for correction, if the condition is specified on the patient's account Note: Benefits may not be claimed under Item 10929 where the patient wants the contact lenses for appearance, sporting, work or psychological reasons - see paragraph O6 of explanatory notes to this category.
1093001.11.19971A101SNNNNNYNPB01.11.200401.07.2021172.55146.7001.01.2021500.00300.0001.11.1997All professional attendances regarded as a single service in a single course of attention involving the prescription and fitting of contact lenses where the patient meets the requirements of an item in the range 10921-10929 and requires a change in contact lens material or basic lens parameters, other than a simple power change, because of a structural or functional change in the eye or an allergic response within 36 months of the fitting of a contact lens covered by item 10921 to 10929
1093101.11.20051A101SNNNNNYNPB01.11.200501.07.202124.2020.6001.01.2021500.00300.0001.11.2005DOMICILIARY VISITS An optometric service to which an item in Group A10 of this table (other than this item or item 10916, 10932, 10933, 10940 or 10941) applies (the applicable item) if the service is: a)rendered at a place other than consulting rooms, being at: (i) a patient's home: or (ii) residential aged care facility: or (iii) an institution; and b)performed on one patient at a single location on one occasion, and c)either: (i) bulk-billed in respect of the fees for both: -this item; and -the applicable item; or (ii) not bulk-billed in respect of the fees for both: -this item; and -the applicable item
1093201.11.20051A101SNNNNNYNPB01.11.200501.07.202112.1010.3001.01.2021500.00300.0001.11.2005An optometric service to which an item in Group A10 of this table (other than this item or item 10916, 10931, 10933, 10940 or 10941) applies (the applicable item) if the service is: a)rendered at a place other than consulting rooms, being at: (i) a patient's home: or (ii) residential aged care facility: or (iii) an institution; and b)performed on two patients at the same location on one occasion, and c)either: (i) bulk-billed in respect of the fees for both: -this item; and -the applicable item; or (ii) not bulk-billed in respect of the fees for both: -this item; and -the applicable item
1093301.11.20051A101SNNNNNYNPB01.11.200501.07.20217.956.8001.01.2021500.00300.0001.11.2005An optometric service to which an item in Group A10 of this table (other than this item or item 10916, 10931, 10932, 10940 or 10941) applies (the applicable item) if the service is: a)rendered at a place other than consulting rooms, being at: (i) a patient's home: or (ii) residential aged care facility: or (iii) an institution; and b)performed on three patients at the same location on one occasion, and c)either: (i) bulk-billed in respect of the fees for both: -this item; and -the applicable item; or (ii) not bulk-billed in respect of the fees for both: -this item; and -the applicable item
1094001.11.20031A101SNNNNNYNPB01.11.200401.07.202166.3056.4001.01.2021500.00300.0001.11.2005COMPUTERISED PERIMETRY Full quantitative computerised perimetry (automated absolute static threshold), with bilateral assessment and report, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that: (a) is not a service involving multifocal multi channel objective perimetry; and (b) is performed by an optometrist; not being a service associated with a service to which item 10916, 10918, 10931, 10932 or 10933 applies To a maximum of 2 examinations per patient (including examinations to which item 10941 applies) in any 12 month period.
1094101.11.20031A101SNNNNNYNPB01.11.200401.07.202140.0034.0001.01.2021500.00300.0001.11.2005COMPUTERISED PERIMETRY Full quantitative computerised perimetry (automated absolute static threshold) with unilateral assessment and report, where indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain that: (a) is not a service involving multifocal multichannel objective perimetry; and (b) is performed by an optometrist; not being a service associated with a service to which item 10916, 10918 10931, 10932 or 10933 applies To a maximum of 2 examinations per patient (including examinations to which item 10940 applies) in any 12 month period.
1094201.05.20051A101SNNNNNYNPB01.05.200501.07.202134.8029.6001.01.2021500.00300.0001.11.2005LOW VISION ASSESSMENT Testing of residual vision to provide optimum visual performance for a patient who has best corrected visual acuity of 6/15 or N.12 or worse in the better eye or a horizontal visual field of less than 120 degrees and within 10 degrees above and below the horizontal midline, involving 1 or more of the following: (a) spectacle correction; (b) determination of contrast sensitivity; (c) determination of glare sensitivity; (d) prescription of magnification aids; not being a service associated with a service to which item 10916, 10921, 10922, 10923, 10924, 10925, 10926, 10927, 10928, 10929 or 10930 applies Not payable more than twice per patient in a 12 month period.
1094301.11.20051A101SNNNNNYNPB01.11.200501.07.202134.8029.6001.01.2021500.00300.0001.11.2005CHILDREN'S VISION ASSESSMENT Additional testing to confirm diagnosis of, or establish a treatment regime for, a significant binocular or accommodative dysfunction, in a patient aged 3 to 14 years, including assessment of 1 or more of the following: (a) accommodation; (b) ocular motility; (c) vergences; (d) fusional reserves; (e) cycloplegic refraction; not being a service to which item 10916, 10921, 10922, 10923, 10924, 10925, 10926, 10927, 10928, 10929 or 10930 applies Not to be used for the assessment of learning difficulties or learning disabilities. Not payable more than once per patient in a 12 month period.
1094401.09.20151A101SNNNNNYNPB01.09.201501.07.202175.0563.8001.01.2021500.00300.0001.09.2017CORNEA, complete removal of embedded foreign body from - not more than once on the same day by the same practitioner (excluding aftercare) The item is not to be billed on the same occasion as MBS items 10905, 10907, 10910, 10911, 10912, 10913, 10914, 10915, 10916 or 10918. If the embedded foreign body is not completely removed, this item does not apply but item 10916 may apply.
1094501.09.20151A1021SNNNNNYNPB01.09.201501.07.202134.8029.6001.01.2021500.00300.0001.04.2016A professional attendance of less than 15 minutes (whether or not continuous) by an attending optometrist that requires the provision of clinical support to a patient who: (a)is participating in a video conferencing consultation with a specialist practising in his or her speciality of ophthalmology; and (b)is not an admitted patient; and (c)either: (i)is located within a telehealth eligible area and, at the time of the attendance, is at least 15 kilometres by road from the specialist mentioned in paragraph (a); or (ii)is a patient of an Aboriginal Medical Service, or an Aboriginal Community Controlled Health Service, for which a direction under subsection 19(2) of the Act applies
1094601.09.20151A1021SNNNNNYNPC01.01.202101.07.202169.4552.1059.0501.01.2021500.00300.0001.04.2016A professional attendance of at least 15 minutes (whether or not continuous) by an attending optometrist that requires the provision of clinical support to a patient who: (a)is participating in a video conferencing consultation with a specialist practising in his or her speciality of ophthalmology; and (b)is not an admitted patient; and (c)either: (i)is located within a telehealth eligible area and, at the time of the attendance, is at least 15 kilometres by road from the specialist mentioned in paragraph (a); or (ii)is a patient of an Aboriginal Medical Service, or an Aboriginal Community Controlled Health Service, for which a direction under subsection 19(2) of the Act applies
1094701.09.20151A1021SNNNNNYNPB01.09.201501.07.202134.8029.6001.01.2021500.00300.0001.04.2016A professional attendance (not being a service to which any other item applies) of less than 15 minutes (whether or not continuous) by an attending optometrist that requires the provision of clinical support to a patient who: a)is participating in a video conferencing consultation with a specialist practising in his or her speciality of ophthalmology; and b)at the time of the attendance, is located at a residential aged care facility (whether or not at consulting rooms situated within the facility); and c)is a care recipient in the facility; and d)is not a resident of a self-contained unit; for an attendance on one occasion-each patient
1094801.09.20151A1021SNNNNNYNPB01.09.201501.07.202169.4559.0501.01.2021500.00300.0001.04.2016A professional attendance (not being a service to which any other item applies) of at least 15 minutes (whether or not continuous) by an attending optometrist that requires the provision of clinical support to a patient who: a)is participating in a video conferencing consultation with a specialist practising in his or her speciality of ophthalmology; and b)at the time of the attendance, is located at a residential aged care facility (whether or not at consulting rooms situated within the facility); and c)is a care recipient in the facility; and d)is not a resident of a self-contained unit; for an attendance on one occasion-each patient
9000101.03.20191A351SNNNNNYNPE01.03.201901.07.202157.2557.2501.01.2021500.00300.0010.12.2020A flag fall service to which item 2733, 2735, 90020, 90035, 90043, 90051, 93287, 93288, 93400, 93401, 93402, 93403, 93421, 93469 or 93470 applies. For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on.
9000201.03.20191A351SNNNNNYNPE01.03.201901.07.202141.6041.6001.01.2021500.00300.0010.12.2020A flag fall service to which item 941, 942, 90092, 90093, 90095, 90096, 90183, 90188, 90202, 90212, 93291, 93292, 93431, 93432, 93433, 93434, 93451, 93475 and 93479 applies. For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on.
9000514.06.20211A351SNNYNNYNNB14.06.202101.07.202167.3557.2514.06.2021A flag fall service to which item 93624, 93625, 93626, 93627, 93634, 93635, 93636, 93637, 93644, 93645, 93646, 93647, 93653, 93654, 93655 or 93656 applies. For the first patient attended during one attendance by a general practitioner or by a medical practitioner (other than a general practitioner) at: a. one residential aged care facility, or at consulting rooms situated within such a complex, on one occasion; orb. one residential disability setting facility, or at consulting rooms situated within such a complex, on one occasion; or c. a person’s place of residence (other than a residential aged care facility) on one occasion.
9002001.03.20191A352SNNNNNYNPE01.03.201901.07.202117.9017.9001.01.2021500.00300.0001.03.2019Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in a residential aged care facility (other than accommodation in a self‑contained unit) by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on one or more patients at one residential aged care facility on one occasion - each patient.
9003501.03.20191A352SNNNNNYNPE01.03.201901.07.202139.1039.1001.01.2021500.00300.0001.03.2019Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
9004301.03.20191A352SNNNNNYNPE01.03.201901.07.202175.7575.7501.01.2021500.00300.0001.03.2019Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
9005101.03.20191A352SNNNNNYNPE01.03.201901.07.2021111.50111.5001.01.2021500.00300.0001.03.2019Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient
9009201.03.20191A353SNNNNNNNPE01.03.201901.03.20198.508.5001.01.2021500.00300.0001.11.2019Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
9009301.03.20191A353DNNNNNNNPE01.03.201901.03.201916.0016.0001.01.2021500.00300.0001.11.2019Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
9009501.03.20191A353SNNNNNNNPE01.03.201901.03.201935.5035.5001.01.2021500.00300.0001.11.2019Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
9009601.03.20191A353SNNNNNNNPE01.03.201901.03.201957.5057.5001.01.2021500.00300.0001.11.2019Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 45 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
9018301.03.20191A354SNNYNNYNPE01.03.201901.07.202114.3014.3001.01.2021500.00300.0001.03.2019Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by medical practitioner in an eligible area.
9018801.03.20191A354SNNYNNYNPE01.03.201901.07.202131.3031.3001.01.2021500.00300.0001.03.2019Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area.
9020201.03.20191A354SNNYNNYNPE01.03.201901.07.202160.6060.6001.01.2021500.00300.0001.03.2019Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area.
9021201.03.20191A354SNNYNNYNPE01.03.201901.07.202189.2089.2001.01.2021500.00300.0001.03.2019Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 45 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner in an eligible area.
9025001.11.20191A361SNNNNNYNPE01.11.201901.07.202174.6074.6001.11.2019500.00300.0001.03.2021Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes.
9025101.11.20191A361SNNNNNYNPE01.11.201901.07.2021109.85109.8501.11.2019500.00300.0001.03.2021Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes
9025201.11.20191A361SNNNNNYNPE01.11.201901.07.202194.7594.7501.11.2019500.00300.0001.03.2021Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training.
9025301.11.20191A361SNNNNNYNPE01.11.201901.07.2021139.55139.5501.11.2019500.00300.0001.03.2021Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training.
9025401.11.20191A361SNNYNNYNPE01.11.201901.07.202159.7059.7001.11.2019500.00300.0001.03.2021Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plant, lasting at least 20 minutes but less than 40 minutes.
9025501.11.20191A361SNNYNNYNPE01.11.201901.07.202187.9087.9001.11.2019500.00300.0001.03.2021Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes.
9025601.11.20191A361SNNYNNYNPE01.11.201901.07.202175.8075.8001.11.2019500.00300.0001.03.2021Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training.
9025701.11.20191A361SNNYNNYNPE01.11.201901.07.2021111.65111.6501.11.2019500.00300.0001.03.2021Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training.
9026001.11.20191A362SNNNNNYNPB01.11.201901.07.2021478.05406.3501.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes
9026101.11.20191A362SNNNNNYNPB01.11.201901.07.2021278.75236.9501.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes
9026201.11.20191A362SNNNNNYNPB01.11.201901.07.2021478.05406.3501.11.2019500.00300.0001.03.2021Professional attendance by a consultant physician in the practice of the physician’s specialty of psychiatry to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance is by video conference and lasts at least 45 minutes
9026301.11.20191A362SNNNNNYNPB01.11.201901.07.2021278.75236.9501.11.2019500.00300.0001.03.2021Professional attendance by a consultant physician in the practice of the physician’s specialty of paediatrics to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance is by video conference and lasts at least 45 minutes
9026401.11.20191A363SNNNNNYNPE01.11.201901.07.202174.6074.6001.11.2019500.00300.0001.03.2021Professional attendance by a general practitioner to review an eating disorder treatment and management plan.
9026501.11.20191A363SNNYNNYNPE01.11.201901.07.202159.7059.7001.11.2019500.00300.0001.03.2021Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to review an eating disorder treatment and management plan.
9026601.11.20191A363SNNNNNYNPB01.11.201901.07.2021298.85254.0501.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 30 minutes
9026701.11.20191A363SNNNNNYNPB01.11.201901.07.2021139.55118.6501.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 20 minutes
9026801.11.20191A363SNNNNNYNPB01.11.201901.07.2021298.85254.0501.11.2019500.00300.0001.03.2021Professional attendance by a consultant physician in the practice of the physician’s specialty of psychiatry to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance is by video conference and lasts at least 30 minutes
9026901.11.20191A363SNNNNNYNPB01.11.201901.07.2021139.55118.6501.11.2019500.00300.0001.03.2021Professional attendance by a consultant physician in the practice of the physician’s specialty of paediatrics to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance is by video conference and lasts at least 20 minutes
9027101.11.20191A364SNNNNNYNPE01.11.201901.07.202196.5096.5001.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
9027201.11.20191A364SDNYNNYNPE01.11.201901.11.2019500.00300.0001.07.2021The fee for item 90271, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 90271 plus $2.10 per patient.01.03.2021Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
9027301.11.20191A364SNNNNNYNPE01.11.201901.07.2021138.10138.1001.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
9027401.11.20191A364SDNYNNYNPE01.11.201901.11.2019500.00300.0001.07.2021Derived Fee: The fee for item 90273, plus $27.00 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 90273 plus $2.10 per patient.01.03.2021Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
9027501.11.20191A364SNNYNNYNPE01.11.201901.07.202177.2077.2001.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
9027601.11.20191A364SDNYNNYNPE01.11.201901.11.2019500.00300.0001.07.2021Derived Fee: The fee for item 90275, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 90275 plus $1.70 per patient.01.03.2021Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
9027701.11.20191A364SNNYNNYNPE01.11.201901.07.2021110.50110.5001.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
9027801.11.20191A364SDNYNNYNPE01.11.201901.11.2019500.00300.0001.07.2021Derived Fee: The fee for item 90277, plus $21.60 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 90277 plus $1.70 per patient.01.03.2021Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
9027901.11.20191A364SNNNNNYNPE01.11.201901.07.202196.5096.5001.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes, if the attendance is by video conference .
9028001.11.20191A364SNNNNNYNPE01.11.201901.07.2021138.10138.1001.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes, if the attendance is by video conference.
9028101.11.20191A364SNNYNNYNPE01.11.201901.07.202177.2077.2001.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes, if the attendance is by video conference.
9028201.11.20191A364SNNYNNYNPE01.11.201901.07.2021110.50110.5001.11.2019500.00300.0001.03.2021Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes, if the attendance is by video conference.
9030001.07.20211A37SNYNNNNNNA01.07.202101.07.2021895.25671.4501.07.2021Professional attendance by a cardiothoracic surgeon in the practice of the surgeon’s speciality, if: (a) the service is performed in conjunction with a service (the lead extraction service) to which item 38358 applies; and (b) the surgeon is: (i) either performing, or providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing, the lead extraction service; and (i) present for the duration of the lead extraction service, other than during the low risk pre and post extraction phases; and (iii) able to immediately scrub in and perform a thoracotomy if major complications occur (H)
9128317.01.20201A39SNNYNNYNPB17.01.202001.07.202190.8077.2001.01.2021500.00300.0017.01.2020Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 30 minutes but less than 40 minutes duration
9128517.01.20201A39SDNYNNYNPB17.01.202001.01.2021500.00300.0001.07.2021The fee for item 91283, plus $25.40 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 91283 plus $1.95 per patient.17.01.2020Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 30 minutes but less than 40 minutes duration
9128617.01.20201A39SNNYNNYNPB17.01.202001.07.2021129.95110.5001.01.2021500.00300.0017.01.2020Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 40 minutes duration
9128717.01.20201A39SDNYNNYNPB17.01.202001.01.2021500.00300.0001.07.2021The fee for item 91286, plus $25.40 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 91286 plus $1.95 per patient.17.01.2020Professional attendance at a place other than consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 40 minutes duration
9137117.01.20201A39SNNYNNYNPB17.01.202001.07.202190.8077.2001.01.2021500.00300.0017.01.2020Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the service is at least 30 minutes but less than 40 minutes duration
9137217.01.20201A39SNNYNNYNPB17.01.202001.07.2021129.95110.5001.01.2021500.00300.0017.01.2020Professional attendance at consulting rooms by a medical practitioner, for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the attendance is by video conference; and (c) the patient is not an admitted patient; and (d) the service is at least 40 minutes duration
9172117.01.20201A39SNNNNNYNPB17.01.202001.07.2021113.5096.5001.01.2021500.00300.0017.01.2020Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 30 minutes but less than 40 minutes duration
9172317.01.20201A39SDNYNNYNPB17.01.202001.01.2021500.00300.0001.07.2021The fee for item 91721, plus $31.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 91721 plus $2.45 per patient.17.01.2020Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 30 minutes but less than 40 minutes duration
9172517.01.20201A39SNNNNNYNPB17.01.202001.07.2021162.45138.1001.01.2021500.00300.0017.01.2020Professional attendance at consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 40 minutes duration
9172717.01.20201A39SDNYNNYNPB17.01.202001.01.2021500.00300.0001.07.2021The fee for item 91725, plus $31.75 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 91725 plus $2.45 per patient.17.01.2020Professional attendance at a place other than consulting rooms by a general practitioner (not including a specialist or a consultant physician), for providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the service is at least 40 minutes duration
9172917.01.20201A39SNNNNNYNPB17.01.202001.07.2021113.5096.5001.01.2021500.00300.0017.01.2020Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the attendance is by video conference; and (c) the service is at least 30 minutes but less than 40 minutes duration
9173117.01.20201A39SNNNNNYNPB17.01.202001.07.2021162.45138.1001.01.2021500.00300.0017.01.2020Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for mental health services to a patient with mental health issues, if: (a) the patient is affected by bushfire; and (b) the attendance is by video conference; and (c) the services is at least 40 minutes duration
9179013.03.20201A401DNNNNNYNPB13.03.202001.07.202121.0517.9001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9179213.03.20201A401DNNNNNYNPB13.03.202001.07.202113.0011.0501.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner of not more than 5 minutes. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9179413.03.20201A401DNNNNNYNPB13.03.202001.07.202116.8514.3501.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9180013.03.20201A401DNNNNNYNPB13.03.202001.07.202145.9539.1001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9180113.03.20201A401DNNNNNYNPB13.03.202001.07.202189.0575.7001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9180213.03.20201A401DNNNNNYNPB13.03.202001.07.2021131.15111.5001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9180313.03.20201A401DNNNNNNNPB13.03.202013.03.202024.7021.0001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9180413.03.20201A401DNNNNNNNPB13.03.202013.03.202044.7038.0001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care; NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9180513.03.20201A401DNNNNNNNPB13.03.202013.03.202071.7561.0001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9180613.03.20201A401DNNNNNYNPB13.03.202001.07.202136.8031.3001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 25 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9180713.03.20201A401DNNNNNYNPB13.03.202001.07.202171.2560.6001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 25 minutes in duration but not more than 45 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9180813.03.20201A401DNNNNNYNPB13.03.202001.07.2021104.9589.2501.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of at least 45 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9181813.03.20201A403DNNNNNYNPB13.03.202001.07.2021113.5096.5001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9181913.03.20201A403DNNNNNYNPB13.03.202001.07.2021162.45138.1001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9182013.03.20201A403DNNYNYYNPB13.03.202001.07.202190.8077.2001.01.2021500.00300.0001.07.2021Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
9182113.03.20201A403DNNYNYYNPB13.03.202001.07.2021130.00110.5001.01.2021500.00300.0001.07.2021Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
9182213.03.20201A404SNNNNNYNPB13.03.202001.07.202190.3576.8001.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.
9182313.03.20201A404SNNNNNYNPB13.03.202001.07.202145.4038.6001.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a specialist in the practice of the specialist’s specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is after the first attendance as part of a single course of treatment.
9182413.03.20201A405DNNNNNYNPB13.03.202001.07.2021159.35135.4501.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.
9182513.03.20201A405DNNNNNYNPB13.03.202001.07.202179.7567.8001.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is not a minor attendance after the first as part of a single course of treatment.
9182613.03.20201A405DNNNNNYNPB13.03.202001.07.202145.4038.6001.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is a minor attendance after the first as part of a single course of treatment.
9182713.03.20201A406DNNNNNYNPB13.03.202001.07.202145.7538.9001.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration.
9182813.03.20201A406DNNNNNYNPB13.03.202001.07.202191.3077.6501.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration.
9182913.03.20201A406DNNNNNYNPB13.03.202001.07.2021140.55119.5001.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration.
9183013.03.20201A406DNNNNNYNPB13.03.202001.07.2021194.00164.9001.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration.
9183113.03.20201A406DNNNNNYNPB13.03.202001.07.2021225.10191.3501.01.2021500.00300.0020.04.2020Telehealth attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration.
9183213.03.20201A407DNNNNNYNPB13.03.202001.07.202190.3576.8001.01.2021500.00300.0020.04.2020Phone attendance for a person by a specialist in the practice of the specialist’s specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.
9183313.03.20201A407DNNNNNYNPB13.03.202001.07.202145.4038.6001.01.2021500.00300.0020.04.2020Phone attendance for a person by a specialist in the practice of the specialist’s specialty if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is after the first attendance as part of a single course of treatment.
9183413.03.20201A408DNNNNNYNPB13.03.202001.07.2021159.35135.4501.01.2021500.00300.0020.04.2020Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance was other than a second or subsequent attendance as part of a single course of treatment.
9183513.03.20201A408DNNNNNYNPB13.03.202001.07.202179.7567.8001.01.2021500.00300.0020.04.2020Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is not a minor attendance after the first as part of a single course of treatment.
9183613.03.20201A408DNNNNNYNPB13.03.202001.07.202145.4038.6001.01.2021500.00300.0020.04.2020Phone attendance for a person by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) if: (a) the attendance follows referral of the patient to the specialist; and (b) the attendance was of more than 5 minutes in duration. Where the attendance is a minor attendance after the first as part of a single course of treatment.
9183713.03.20201A409DNNNNNYNPB13.03.202001.07.202145.7538.9001.01.2021500.00300.0020.04.2020Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was not more than 15 minutes duration.
9183813.03.20201A409DNNNNNYNPB13.03.202001.07.202191.3077.6501.01.2021500.00300.0020.04.2020Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 15 minutes, but not more than 30 minutes in duration.
9183913.03.20201A409DNNNNNYNPB13.03.202001.07.2021140.55119.5001.01.2021500.00300.0020.04.2020Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 30 minutes, but not more than 45 minutes in duration.
9184013.03.20201A409DNNNNNYNPB13.03.202001.07.2021194.00164.9001.01.2021500.00300.0020.04.2020Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 45 minutes, but not more than 75 minutes in duration.
9184113.03.20201A409DNNNNNYNPB13.03.202001.07.2021225.10191.3501.01.2021500.00300.0020.04.2020Phone attendance for a person by a consultant psychiatrist; if: (a) the attendance follows a referral of the patient to the consultant psychiatrist by a referring practitioner; and (b) the attendance was at least 75 minutes in duration.
9184213.03.20201A4010DNNNNNYNPB13.03.202001.07.2021113.5096.5001.01.2021500.00300.0001.10.2020Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9184313.03.20201A4010DNNNNNYNPB13.03.202001.07.2021162.45138.1001.01.2021500.00300.0001.10.2020Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9184413.03.20201A4010DNNNNNYNPB13.03.202001.07.202190.8077.2001.01.2021500.00300.0001.10.2020Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 30 minutes, but less than 40 minutes. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for thedefinition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9184513.03.20201A4010DNNYNYYNPB13.03.202001.07.2021130.00110.5001.01.2021500.00300.0001.07.2021Phone attendance by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the practitioner is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service; and (b) the service lasts at least 40 minutes. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
9189001.07.20211A402SNYNNNNNPB01.07.202101.07.202121.0517.9001.07.2021500.00300.0001.07.2021Phone attendance by a general practitioner lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management
9189101.07.20211A402SNYNNNNNPB01.07.202101.07.202146.0039.1001.07.2021500.00300.0001.07.2021Phone attendance by a general practitioner lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care
9189201.07.20211A402SNYNNNNNPB01.07.202101.07.202112.9011.0001.07.2021500.00300.0001.07.2021Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting less than 6 minutes for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management
9189301.07.20211A402SNYNNNNNPB01.07.202101.07.202124.7021.0001.07.2021500.00300.0001.07.2021Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) lasting at least 6 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventative health care
9200430.03.20201A4011DNNNNNYNPB30.03.202001.07.2021259.80220.8501.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner for a health assessment of a patient - this item or items 93470 or 93479 not more than once in a 9 month period. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9201130.03.20201A4011DNNNNNYNPB30.03.202001.07.2021207.85176.7001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for a health assessment - this item or items 93470 or 93479 not more than once in a 9 month period. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9202430.03.20201A4013DNNNNNYNPB30.03.202001.07.2021176.55150.1001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items735 to 758, items 92074 to 92078 or items 92030 to 92034 apply) NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for thedefinition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9202530.03.20201A4013DNNNNNYNPB30.03.202001.07.2021139.95119.0001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items735 to 758, items 92074 to 92078 or items 92030 to 92034apply) NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for thedefinition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9202630.03.20201A4013DNNNNNYNPB30.03.202001.07.202186.1573.2501.01.2021500.00300.0001.10.2020Telehealth contribution by a general practitioner, to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items735 to 758, items 92074 to 92078 or items 92030 to 92034apply) NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for thedefinition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9202730.03.20201A4013DNNNNNYNPB30.03.202001.07.202186.1573.2501.01.2021500.00300.0001.10.2020Telehealth contribution by a general practitioner, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items735 to 758, items 92074 to 92078 or items 92030 to 92034apply) NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for thedefinition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9202830.03.20201A4013DNNNNNYNPB30.03.202001.07.202188.2075.0001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner to review or coordinate a review of: (a) a GP management plan prepared by a general practitioner (or an associated general practitioner) to which item721 of the general medical services table, or item 229or item 92024 or 92068 applies; or (b) team care arrangements which have been coordinated by the general practitioner (or an associated general practitioner) to which item723 of the general medical services table, oritem 230or item 92025 or 92069 or items applies NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9205530.03.20201A4013DNNNNNYNPB30.03.202001.07.2021141.25120.1001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9205630.03.20201A4013DNNNNNYNPB30.03.202001.07.2021111.9095.1501.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034, or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9205730.03.20201A4013DNNNNNYNPB30.03.202001.07.202168.9558.6501.01.2021500.00300.0001.10.2020Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician), to a multidisciplinary care plan prepared by another provider or a review of a multidisciplinary care plan prepared by another provider (other than a service associated with a service to which any of items735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 apply) NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9205830.03.20201A4013DNNNNNYNPB30.03.202001.07.202168.9558.6501.01.2021500.00300.0001.10.2020Telehealth contribution by a medical practitioner (not including a general practitioner, specialist or consultant physician),, to: (a) a multidisciplinary care plan for a patient in a residential aged care facility, prepared by that facility, or to a review of such a plan prepared by such a facility; or (b) a multidisciplinary care plan prepared for a patient by another provider before the patient is discharged from a hospital, or to a review of such a plan prepared by another provider (other than a service associated with a service to which items735 to 758 of the general medical services table, or items 92074 to 92078 or items 92030 to 92034or items 235 to 240 in the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018 apply). NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9205930.03.20201A4013DNNNNNYNPB30.03.202001.07.202170.5560.0001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician),to review or coordinate a review of: (a) a GP management plan prepared by a medical practitioner (or an associated medical practitioner) to which item 229, 721 or item 229 or item 92024, 92055, 92068 or 92099 applies; or (b) team care arrangements which have been coordinated by the medical practitioner (or an associated medical practitioner) to which item230, 723, 92025, 92056, 92069 or 92100 applies. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9211230.03.20201A4019DNNYNYYNPB30.03.202001.07.202187.7574.6001.01.2021500.00300.0001.07.2021Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
9211330.03.20201A4019DNNNNNYNPB30.03.202001.07.2021129.20109.8501.01.2021500.00300.0001.10.2020Telehealth attendance, by a general practitioner who has not undertaken mental health skills training (and not including a specialist or consultant physician), of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9211430.03.20201A4019DNNYNYYNPB30.03.202001.07.202187.7574.6001.01.2021500.00300.0001.07.2021Telehealth attendance by a general practitionerto review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
9211530.03.20201A4019DNNYNYYNPB30.03.202001.07.202187.7574.6001.01.2021500.00300.0001.07.2021Telehealth attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
9211630.03.20201A4019DNNNNNYNPB30.03.202001.07.2021111.4594.7501.01.2021500.00300.0001.10.2020Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9211730.03.20201A4019DNNNNNYNPB30.03.202001.07.2021164.15139.5501.01.2021500.00300.0001.10.2020Telehealth attendance, by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9211830.03.20201A4019DNNNNNYNPB30.03.202001.07.202170.2059.7001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9211930.03.20201A4019DNNYNYYNPB30.03.202001.07.2021103.4087.9001.01.2021500.00300.0001.07.2021Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
9212030.03.20201A4019DNNNNNYNPB30.03.202001.07.202170.2059.7001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9212130.03.20201A4019DNNNNNYNPB30.03.202001.07.202170.2059.7001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9212230.03.20201A4019DNNNNNYNPB30.03.202001.07.202189.1575.8001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician),who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9212330.03.20201A4019DNNYNYYNPB30.03.202001.07.2021131.35111.6501.01.2021500.00300.0001.07.2021Telehealth attendance by a medical practitioner, (not including a general practitioner, specialist or consultant physician),who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a GP mental health treatment plan for a patient NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
9212630.03.20201A4020DNNNNNYNPB30.03.202001.07.202187.8074.6501.01.2021500.00300.0001.10.2020Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated general practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9212730.03.20201A4020DNNYNYYNPB30.03.202001.07.202187.7574.6001.01.2021500.00300.0001.07.2021Phone attendance by a general practitioner in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply)
9213230.03.20201A4020DNNNNNYNPB30.03.202001.07.202170.2059.7001.01.2021500.00300.0001.10.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), to review a GP mental health treatment plan which he or she, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9213330.03.20201A4020DNNNNNYNPB30.03.202001.07.202170.2059.7001.01.2021500.00300.0001.10.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician),in relation to a mental disorder and of at least 20 minutes in duration, involving taking relevant history and identifying the presenting problem (to the extent not previously recorded), providing treatment and advice and, if appropriate, referral for other services or treatments, and documenting the outcomes of the consultation. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9213630.03.20201A4015DNNYNYYNPB30.03.202001.07.202193.7579.7001.01.2021500.00300.0001.07.2021Telehealth attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92137, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy
9213730.03.20201A4015DNNYNYYNPB30.03.202001.07.202175.0063.7501.01.2021500.00300.0001.07.2021Telehealth attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92138, 92139, 93026 or 93029 applies in relation to that pregnancy
9213830.03.20201A4016DNNYNYYNPB30.03.202001.07.202193.7579.7001.01.2021500.00300.0001.07.2021Phone attendance of at least 20 minutes in duration by a general practitioner who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination, or item 92136, 92137, 92139, 93026 or 93029 applies in relation to that pregnancy
9213930.03.20201A4016DNNYNYYNPB30.03.202001.07.202175.0063.7501.01.2021500.00300.0001.07.2021Phone attendance of at least 20 minutes in duration by a medical practitioner (not including a general practitioner, specialist or consultant physician), who is registered with the Chief Executive Medicare as meeting the credentialing requirements for provision of this service for the purpose of providing non‑directive pregnancy support counselling to a person who: (a) is currently pregnant; or (b) has been pregnant in the 12 months preceding the provision of the first service to which this item or item 4001 of the general medical services table, or item 792 of the Other Medical Practitioner Determination, or item 81000, 81005 or 81010 of the Allied Health Determination or item 92136, 92137, 92138, 93026 or 93029 applies in relation to that pregnancy
9214030.03.20201A4017DNNNNNYNPB30.03.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary—medical recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner and one or more allied health providers, if appropriate, for the treatment of the patient.
9214130.03.20201A4017DNNNNNYNPB30.03.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Telehealth attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary—medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.
9214230.03.20201A4017DNNNNNYNPB30.03.202001.07.2021164.60139.9501.01.2021500.00300.0001.10.2020Telehealth attendance of at least 45 minutes in duration by a general practitioner for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary—medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9214330.03.20201A4018DNNNNNYNPB30.03.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary—medical recommendations; (c) provides a copy of the treatment and management plan to: (i) the referring practitioner; and (ii) one or more allied health providers, if appropriate, for the treatment of the patient.
9214430.03.20201A4018DNNNNNYNPB30.03.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Phone attendance of at least 45 minutes in duration by a specialist or consultant physician following referral of the patient to the specialist or consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary—medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient.
9214630.03.20201A4021DNNNNNYNPB30.03.202001.07.202187.8074.6501.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a)the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b)the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c)the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d)the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9214730.03.20201A4021DNNNNNYNPB30.03.202001.07.2021129.20109.8501.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a)the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d)the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for thedefinition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9214830.03.20201A4021DNNNNNYNPB30.03.202001.07.2021111.4594.7501.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a)the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d)the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9214930.03.20201A4021DNNNNNYNPB30.03.202001.07.2021164.15139.5501.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b)the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9215030.03.20201A4021DNNNNNYNPB30.03.202001.07.202170.2059.7001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9215130.03.20201A4021DNNNNNYNPB30.03.202001.07.2021103.3587.8501.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has not undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a) the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d)the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9215230.03.20201A4021DNNNNNYNPB30.03.202001.07.202189.1575.8001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 20 minutes but less than 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a)the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b) the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9215330.03.20201A4021DNNNNNYNPB30.03.202001.07.2021131.30111.6501.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) who has undertaken mental health skills training, of at least 40 minutes in duration for the preparation of a written eating disorder treatment and management plan for an eligible patient, if: (a)the plan includes an opinion on diagnosis of the patient’s eating disorder; and (b)the plan includes treatment options and recommendations to manage the patient’s condition for the following 12 months; and (c) the plan includes an outline of the referral options to allied health professionals for mental health and dietetic services, and specialists, as appropriate; and (d) the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9216230.03.20201A4023DNNNNNYNPB30.03.202001.07.2021478.05406.3501.01.2021500.00300.0020.04.2020Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient’s diagnosis; and (C) comprehensively evaluates the patient’s biological, psychological and social issues; and (D) addresses the patient’s diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees.
9216330.03.20201A4023DNNNNNYNPB30.03.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Telehealth attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees.
9216630.03.20201A4024DNNNNNYNPB30.03.202001.07.2021478.05406.3501.01.2021500.00300.0020.04.2020Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient’s diagnosis; and (C) comprehensively evaluates the patient’s biological, psychological and social issues; and (D) addresses the patient’s diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees.
9216730.03.20201A4024DNNNNNYNPB30.03.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Phone attendance of at least 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for the preparation of an eating disorder treatment and management plan for an eligible patient, if: (a) the patient has been referred by a referring practitioner; and (b) during the attendance, the consultant paediatrician undertakes an assessment that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of diagnoses; and (c) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that involves: (A) an opinion on diagnosis and risk assessment; and (B) treatment options and decisions; and (C) medication recommendations; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees.
9217030.03.20201A4025DNNNNNYNPB30.03.202001.07.202187.8074.6501.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner to review an eligible patient’s eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacyof services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9217130.03.20201A4025DNNNNNYNPB30.03.202001.07.202170.2059.7001.01.2021500.00300.0001.10.2020Telehealth attendance by amedical practitioner (not including a general practitioner, specialist or consultant physician),to review an eligible patient’s eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the speciality of psychiatry or paediatrics, if: (a) themedical practitioner reviews the treatment efficacyof services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the speciality of psychiatry or paediatrics, where appropriate; and (d) themedical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9217230.03.20201A4025DNNNNNYNPB30.03.202001.07.2021298.85254.0501.01.2021500.00300.0020.04.2020Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacyof services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees.
9217330.03.20201A4025DNNNNNYNPB30.03.202001.07.2021139.55118.6501.01.2021500.00300.0020.04.2020Telehealth attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacyof services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees.
9217630.03.20201A4026DNNNNNYNPB30.03.202001.07.202187.8074.6501.01.2021500.00300.0001.10.2020Phone attendance by a general practitioner to review an eligible patient’s eating disorder treatment and management plan prepared by the general practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the general practitioner reviews the treatment efficacyof services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the general practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9217730.03.20201A4026DNNNNNYNPB30.03.202001.07.202170.2059.7001.01.2021500.00300.0001.10.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review an eligible patient’s eating disorder treatment and management plan prepared by the medical practitioner, an associated medical practitioner working in general practice, or a consultant physician practising in the specialty of psychiatry or paediatrics, if: (a) the medical practitioner reviews the treatment efficacyof services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and (b) modifications are made to the eating disorder treatment and management plan, recorded in writing, including: (i) recommendations to continue with treatment options detailed in the plan; or (ii) recommendations to alter the treatment options detailed in the plan, with the new arrangements documented in the plan; and (c) initiates referrals for a review by a consultant physician practising in the specialty of psychiatry or paediatrics, where appropriate; and (d) the medical practitioner offers the patient and the patient’s carer (if any, and if the practitioner considers it appropriate and the patient agrees): (i) a copy of the plan; and (ii) suitable education about the eating disorder. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9217830.03.20201A4026DNNNNNYNPB30.03.202001.07.2021298.85254.0501.01.2021500.00300.0020.04.2020Phone attendance of at least 30 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry for an eligible patient, if: (a) the consultant psychiatrist reviews the treatment efficacyof services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant psychiatrist: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the eating disorder treatment and management plan; and (d) within 2 weeks after the attendance, the consultant psychiatrist: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees.
9217930.03.20201A4026DNNNNNYNPB30.03.202001.07.2021139.55118.6501.01.2021500.00300.0020.04.2020Phone attendance of at least 20 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of paediatrics for an eligible patient, if: (a) the consultant paediatrician reviews the treatment efficacyof services provided under the eating disorder treatment and management plan, including a discussion with the patient regarding whether the eating disorders psychological treatment and dietetic services are meeting the patient’s needs; and (b) the patient has been referred by a referring practitioner; and (c) during the attendance, the consultant paediatrician reviews the eating disorder treatment and management plan, including a: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (d) within 2 weeks after the attendance, the consultant paediatrician: (i) prepares a written diagnosis of the patient; and (ii) revises the eating disorder treatment and management; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees.
9218230.03.20201A4027DNNNNNYNPB30.03.202001.07.2021113.5096.5001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9218430.03.20201A4027DNNNNNYNPB30.03.202001.07.2021162.45138.1001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9218630.03.20201A4027DNNNNNYNPB30.03.202001.07.202190.8077.2001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9218830.03.20201A4027DNNNNNYNPB30.03.202001.07.2021129.95110.5001.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9219430.03.20201A4028DNNNNNYNPB30.03.202001.07.2021113.5096.5001.01.2021500.00300.0001.10.2020Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9219630.03.20201A4028DNNNNNYNPB30.03.202001.07.2021162.45138.1001.01.2021500.00300.0001.10.2020Phone attendance by a general practitioner, for providing eating disorder psychological treatment services by a general practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9219830.03.20201A4028DNNNNNYNPB30.03.202001.07.202190.8077.2001.01.2021500.00300.0001.10.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 30 minutes but less than 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement thatthis service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9220030.03.20201A4028DNNNNNYNPB30.03.202001.07.2021129.95110.5001.01.2021500.00300.0001.10.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), for providing eating disorder psychological treatment services by a medical practitioner registered with the Chief Executive Medicare as meeting the credentialling requirements for provision of this service, and lasting at least 40 minutes in duration, for an eligible patient if treatment is clinically indicated under an eating disorder treatment and management plan. NOTE: It is a legislative requirement that this service must be performed by the patient’s usual medical practitioner (please see Note AN.1.1 for the definition of ‘patient’s usual medical practitioner’ as some exemptions do apply).
9221030.03.20201A4029DNNNNNYNPB30.03.202001.07.2021187.25159.2001.01.2021500.00300.0001.10.2020Telehealth attendance by a general practitioner on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and (b) the patient’s medical condition requires urgent assessment.
9221130.03.20201A4029DNNNNNYNPB30.03.202001.07.2021149.70127.2501.01.2021500.00300.0001.10.2020Telehealth attendance by a medical practitioner (other than a general practitioner) on not more than one patient on one occasion—each attendance in unsociable hours if: (a) the attendance is requested by the patient or a responsible person in the same unbroken after‑hours period; and (b) the patient’s medical condition requires urgent assessment.
9242206.04.20201A405DNNNNNYNPB06.04.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) this item or item 132 or 92431 has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician.
9242306.04.20201A405DNNNNNYNPB06.04.202001.07.2021139.55118.6501.01.2021500.00300.0020.04.2020Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) item132, 92422 or 92431 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same consultant physician who claimed item132, 92422 or 92431; and (f) this item or item 133 or 92432 has not applied more than twice in any 12 month period.
9243106.04.20201A408DNNNNNYNPB06.04.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Phone attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 45 minutes in duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to the consultant physician by a referring practitioner, if: (a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and (iii) the formulation of differential diagnoses; and (b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner, which involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and (c) an attendance on the patient to which item110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) this item or item 132 or 92422 has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician.
9243206.04.20201A408DNNNNNYNPB06.04.202001.07.2021139.55118.6501.01.2021500.00300.0020.04.2020Phone attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 20 minutes in duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: (a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and (b) the modified consultant physician treatment and management plan is provided to the referring practitioner, which involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and (c) an attendance on the patient to which item110, 116, 119, 91824, 91834, 91825, 91835, 91826 or 91836 applies did not take place on the same day by the same consultant physician; and (d) item132, 92422 or 92431 applied to an attendance claimed in the preceding 12 months; and (e) the attendance under this item is claimed by the same consultant physician who claimed item132, 92422 or 92431; and (f) this item or item 133 or 92423 has not applied more than twice in any 12 month period.
9243406.04.20201A406DNNNNNYNPB06.04.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Telehealth attendance of at least 45 minutes in duration, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary—medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (other than attendance on a patient for whom payment has previously been made under this item or item135, 137, 139, 289, 92140, 92143, 9214, 92144, 92142, 92145 or 92474).
9243506.04.20201A406DNNNNNYNPB06.04.202001.07.2021478.05406.3501.01.2021500.00300.0020.04.2020Telehealth attendance of more than 45 minutes in by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient’s diagnosis; and (C) comprehensively evaluates the patient’s biological, psychological and social issues; and (D) addresses the patient’s diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which this item or item 291 or 92475 applies has not been provided.
9243606.04.20201A406DNNNNNYNPB06.04.202001.07.2021298.85254.0501.01.2021500.00300.0020.04.2020Telehealth attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item291, 92435, 92475; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item291, 92435, 92475 applies has been provided; and (f) in the preceding 12 months, a service to which this item or item293 or 92476 applies has not been provided
9243706.04.20201A406DNNNNNYNPB06.04.202001.07.2021274.95233.7501.01.2021500.00300.0020.04.2020Telehealth attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, item296, 297, 299 or 92477, or any of items300 to 346, 353 to 358, 361 to 370, 91827 to 91831, 91837 to 91841, 92455 to 93457 or 92495 to 92497in the preceding 24 months.
9245520.04.20201A406DNNNNNYNPB20.04.202001.07.202152.0544.2501.01.2021500.00300.0020.04.2020Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and (c) involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner; —each patient
9245620.04.20201A406DNNNNNYNPB20.04.202001.07.202169.1058.7501.01.2021500.00300.0020.04.2020Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and (c) involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner; —each patient
9245720.04.20201A406DNNNNNYNPB20.04.202001.07.2021102.2086.9001.01.2021500.00300.0020.04.2020Telehealth attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and (c) involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner; —each patient
9245806.04.20201A406DNNNNNYNPB06.04.202001.07.2021133.85113.8001.01.2021500.00300.0020.04.2020Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient. .
9245906.04.20201A406DNNNNNYNPB06.04.202001.07.2021184.80157.1001.01.2021500.00300.0020.04.2020Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient.
9246006.04.20201A406DNNNNNYNPB06.04.202001.07.2021133.85113.8001.01.2021500.00300.0020.04.2020Telehealth attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient—if that attendance and another attendance to which this item or item 352 or 92500 applies have not exceeded 4 in a calendar year for the patient.
9247406.04.20201A409DNNNNNYNPB06.04.202001.07.2021278.75236.9501.01.2021500.00300.0020.04.2020Phone attendance of at least 45 minutes in duration , by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); (b) develops a treatment and management plan which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary—medication recommendations; (c) provides a copy of the treatment and management plan to the referring practitioner; (d) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient;(other than attendance on a patient for whom payment has previously been made under this item or item135, 137, 139, 289, 92140, 92143, 92141, 92144, 92142, 92145 or 92434).
9247506.04.20201A409DNNNNNYNPB06.04.202001.07.2021478.05406.3501.01.2021500.00300.0020.04.2020Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if: (a) the attendance follows referral of the patient to the consultant for an assessment or management by a medical practitioner in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (c) the consultant decides that it is clinically appropriate for the patient to be managed by the referring practitioner without ongoing treatment by the consultant; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) prepares a written management plan for the patient that: (A) covers the next 12 months; and (B) is appropriate to the patient’s diagnosis; and (C) comprehensively evaluates the patient’s biological, psychological and social issues; and (D) addresses the patient’s diagnostic psychiatric issues; and (E) makes management recommendations addressing the patient’s biological, psychological and social issues; and (iii) gives the referring practitioner a copy of the diagnosis and the management plan; and (iv) if clinically appropriate, explains the diagnosis and management plan, and a gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which this item or item 291 or 92435 applies has not been provided.
9247606.04.20201A409DNNNNNYNPB06.04.202001.07.2021298.85254.0501.01.2021500.00300.0020.04.2020Phone attendance of more than 30 minutes but not more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if: (a) the patient is being managed by a medical practitioner or a participating nurse practitioner in accordance with a management plan prepared by the consultant in accordance with item291, 92435, 92475; and (b) the attendance follows referral of the patient to the consultant for review of the management plan by the medical practitioner or a participating nurse practitioner managing the patient; and (c) during the attendance, the consultant: (i) uses an outcome tool (if clinically appropriate); and (ii) carries out a mental state examination; and (iii) makes a psychiatric diagnosis; and (iv) reviews the management plan; and (d) within 2 weeks after the attendance, the consultant: (i) prepares a written diagnosis of the patient; and (ii) revises the management plan; and (iii) gives the referring practitioner a copy of the diagnosis and the revised management plan; and (iv) if clinically appropriate, explains the diagnosis and the revised management plan, and gives a copy, to: (A) the patient; and (B) the patient’s carer (if any), if the patient agrees; and (e) in the preceding 12 months, a service to which item291, 92435 or 92475 applies has been provided; and (f) in the preceding 12 months, a service to which this item or item293 or 92436 applies has not been provided.
9247706.04.20201A409DNNNNNYNPB06.04.202001.07.2021274.95233.7501.01.2021500.00300.0020.04.2020Phone attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner: (a) if the patient: (i) is a new patient for this consultant physician; or (ii) has not received an attendance from this consultant physician in the preceding 24 months; and (b) the patient has not received an attendance under this item, item296, 297, 299 or 92437, or any of items300 to 346, 353 to 358, 361 to 370, 91827 to 91831 or 91837 to 91841, in the preceding 24 months.
9249520.04.20201A409DNNNNNYNPB20.04.202001.07.202152.0544.2501.01.2021500.00300.0020.04.2020Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and (c) involving a group of 2 to 9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a referring practitioner; —each patient
9249620.04.20201A409DNNNNNYNPB20.04.202001.07.202169.1058.7501.01.2021500.00300.0020.04.2020Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and (c) involving a family group of 3 patients, each of whom is referred to the consultant physician by a referring practitioner; —each patient
9249720.04.20201A409DNNNNNYNPB20.04.202001.07.2021102.2086.9001.01.2021500.00300.0020.04.2020Phone attendance for group psychotherapy (including any associated consultations with a patient taking place on the same occasion and relating to the condition for which group therapy is conducted): (a) of not less than 1 hour in duration; and (b) given under the continuous direct supervision of a consultant physician in the practice of the consultant physician’s specialty of psychiatry; and (c) involving a family group of 2 patients, each of whom is referred to the consultant physician by a referring practitioner; —each patient
9249806.04.20201A409DNNNNNYNPB06.04.202001.07.2021133.85113.8001.01.2021500.00300.0020.04.2020Phone attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes, but less than 45 minutes, in duration, in the course of initial diagnostic evaluation of a patient.
9249906.04.20201A409DNNNNNYNPB06.04.202001.07.2021184.80157.1001.01.2021500.00300.0020.04.2020Phone attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 45 minutes in duration, in the course of initial diagnostic evaluation of a patient.
9250006.04.20201A409DNNNNNYNPB06.04.202001.07.2021133.85113.8001.01.2021500.00300.0020.04.2020Phone attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, involving an interview of a person other than the patient of not less than 20 minutes in duration, in the course of continuing management of a patient—if that attendance and another attendance to which this item or item 352 or 92460 applies have not exceeded 4 in a calendar year for the patient.
9251320.04.20201A4033DNNNNNYNPB20.04.202001.07.202120.6517.6001.01.2021500.00300.0020.04.2020Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine—attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.
9251420.04.20201A4033DNNNNNYNPB20.04.202001.07.202145.1538.4001.01.2021500.00300.0020.04.2020Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation
9251520.04.20201A4033DNNNNNYNPB20.04.202001.07.202187.3574.2501.01.2021500.00300.0020.04.2020Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation.
9251620.04.20201A4033DNNNNNYNPB20.04.202001.07.2021128.60109.3501.01.2021500.00300.0020.04.2020Telehealth attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation.
9252120.04.20201A4034DNNNNNYNPB20.04.202001.07.202120.6517.6001.01.2021500.00300.0020.04.2020Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine—attendance for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.
9252220.04.20201A4034DNNNNNYNPB20.04.202001.07.202145.1538.4001.01.2021500.00300.0020.04.2020Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation.
9252320.04.20201A4034DNNNNNYNPB20.04.202001.07.202187.3574.2501.01.2021500.00300.0020.04.2020Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation.
9252420.04.20201A4034DNNNNNYNPB20.04.202001.07.2021128.60109.3501.01.2021500.00300.0020.04.2020Phone attendance by a public health physician in the practice of the public health physician’s specialty of public health medicine, lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care; for one or more health‑related issues, with appropriate documentation.
9261020.04.20201A4035DNNNNNYNPB20.04.202001.07.2021136.85116.3501.01.2021500.00300.0020.04.2020Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment).
9261120.04.20201A4035DNNNNNYNPB20.04.202001.07.202145.4038.6001.01.2021500.00300.0020.04.2020Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—a minor attendance after the first in a single course of treatment.
9261220.04.20201A4035DNNNNNYNPB20.04.202001.07.202190.3576.8001.01.2021500.00300.0020.04.2020Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration.
9261320.04.20201A4035DNNNNNYNPB20.04.202001.07.2021125.15106.4001.01.2021500.00300.0020.04.2020Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration.
9261420.04.20201A4035DNNNNNYNPB20.04.202001.07.2021159.35135.4501.01.2021500.00300.0020.04.2020Telehealth attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration.
9261720.04.20201A4036DNNNNNYNPB20.04.202001.07.2021136.85116.3501.01.2021500.00300.0020.04.2020Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist (other than a second or subsequent attendance in a single course of treatment).
9261820.04.20201A4036DNNNNNYNPB20.04.202001.07.202145.4038.6001.01.2021500.00300.0020.04.2020Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—a minor attendance after the first in a single course of treatment.
9261920.04.20201A4036DNNNNNYNPB20.04.202001.07.202190.3576.8001.01.2021500.00300.0020.04.2020Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 15 minutes in duration but not more than 30 minutes in duration.
9262020.04.20201A4036DNNNNNYNPB20.04.202001.07.2021125.15106.4001.01.2021500.00300.0020.04.2020Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 30 minutes in duration but not more than 45 minutes in duration.
9262120.04.20201A4036DNNNNNYNPB20.04.202001.07.2021159.35135.4501.01.2021500.00300.0020.04.2020Phone attendance by a specialist in the practice of neurosurgery following referral of the patient to the specialist—an attendance after the first in a single course of treatment, involving arranging any necessary investigations in relation to one or more complex problems and of more than 45 minutes in duration.
9262306.04.20201A4031DNNNNNYNPB06.04.202001.07.2021478.05406.3501.01.2021500.00300.0020.04.2020Telehealth attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) all relevant aspects of the patient’s health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient’s various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient’s general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient’s family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient’s family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item92628 or 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months.
9262406.04.20201A4031DNNNNNYNPB06.04.202001.07.2021298.85254.0501.01.2021500.00300.0020.04.2020Telehealth attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item141, 92623, 92628 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient’s health status is reassessed; and (ii) a management plan prepared under item141, 92623, 92628 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient’s family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item141, 92623, 92628 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item92629 or 147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient’s clinical condition or care circumstances that requires a further review.
9262806.04.20201A4032DNNNNNYNPB06.04.202001.07.2021478.05406.3501.01.2021500.00300.0020.04.2020Phone attendance of more than 60 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine, if: (a) the patient is at least 65 years old and referred by a medical practitioner practising in general practice (not including a specialist or consultant physician) or a participating nurse practitioner; and (b) the attendance is initiated by the referring practitioner for the provision of a comprehensive assessment and management plan; and (c) during the attendance: (i) all relevant aspects of the patient’s health are evaluated in detail using appropriately validated assessment tools if indicated (the assessment); and (ii) the patient’s various health problems and care needs are identified and prioritised (the formulation); and (iii) a detailed management plan is prepared (the management plan) setting out: (A) the prioritised list of health problems and care needs; and (B) short and longer term management goals; and (C) recommended actions or intervention strategies to be undertaken by the patient’s general practitioner or another relevant health care provider that are likely to improve or maintain health status and are readily available and acceptable to the patient and the patient’s family and carers; and (iv) the management plan is explained and discussed with the patient and, if appropriate, the patient’s family and any carers; and (v) the management plan is communicated in writing to the referring practitioner; and (d) an attendance to which item104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies has not been provided to the patient on the same day by the same practitioner; and (e) an attendance to which this item or item 92623or 145 applies has not been provided to the patient by the same practitioner in the preceding 12 months.
9262906.04.20201A4032DNNNNNYNPB06.04.202001.07.2021298.85254.0501.01.2021500.00300.0020.04.2020Phone attendance of more than 30 minutes in duration by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141, 92623, 92628 or 145, if: (a) the review is initiated by the referring medical practitioner practising in general practice or a participating nurse practitioner; and (b) during the attendance: (i) the patient’s health status is reassessed; and (ii) a management plan prepared under item 141, 92623, 92628 or 145 is reviewed and revised; and (iii) the revised management plan is explained to the patient and (if appropriate) the patient’s family and any carers and communicated in writing to the referring practitioner; and (c) an attendance to which item104, 105, 107, 108, 110, 116, 119, 91822, 91832, 91823, 91833, 91824, 91834, 91825, 91835, 91826 or 91836 applies was not provided to the patient on the same day by the same practitioner; and (d) an attendance to which item 141, 92623, 92628 or 145 applies has been provided to the patient by the same practitioner in the preceding 12 months; and (e) an attendance to which this item or item 92624 or147 applies has not been provided to the patient in the preceding 12 months, unless there has been a significant change in the patient’s clinical condition or care circumstances that requires a further review.
9270122.05.20201A4037DNNNNNYNPB22.05.202001.07.202190.3576.8001.01.2021500.00300.0022.05.2020Telehealth attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items 2801 to 3000 of the general medical services table apply)
9271222.05.20201A4038DNNNNNYNPB22.05.202001.07.202190.3576.8001.01.2021500.00300.0022.05.2020Phone attendance by a medical practitioner in the practice of anaesthesia for a consultation on a patient undergoing advanced surgery or who has complex medical problems, involving a selective history and the formulation of a written patient management plan documented in the patient notes, and lasting more than 15 minutes (other than a service associated with a service to which any of items2801 to 3000 of the general medical services table apply)
9271501.07.20211A4039SNYNNNNNPB01.07.202101.07.202121.0517.9001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9271601.07.20211A4039SNYNNNNNPB01.07.202101.07.202112.9011.0001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9271701.07.20211A4039SNYNNNNNPB01.07.202101.07.202116.8014.3001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9271801.07.20211A4039SNYNNNNNPB01.07.202101.07.202146.0039.1001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9271901.07.20211A4039SNYNNNNNPB01.07.202101.07.202124.7021.0001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9272001.07.20211A4039SNYNNNNNPB01.07.202101.07.202136.8031.3001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9272101.07.20211A4039SNYNNNNNPB01.07.202101.07.202189.1075.7501.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9272201.07.20211A4039SNYNNNNNPB01.07.202101.07.202144.7038.0001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9272301.07.20211A4039SNYNNNNNPB01.07.202101.07.202171.2560.6001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9272401.07.20211A4039SNYNNNNNPB01.07.202101.07.2021131.15111.5001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9272501.07.20211A4039SNYNNNNNPB01.07.202101.07.202171.7561.0001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9272601.07.20211A4039SNYNNNNNPB01.07.202101.07.2021104.9089.2001.07.2021500.00300.0001.07.2021Telehealth attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9273101.07.20211A4040SNYNNNNNPB01.07.202101.07.202121.0517.9001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9273201.07.20211A4040SNYNNNNNPB01.07.202101.07.202112.9011.0001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9273301.07.20211A4040SNYNNNNNPB01.07.202101.07.202116.7014.2001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of not more than 5 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9273401.07.20211A4040SNYNNNNNPB01.07.202101.07.202146.0039.1001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9273501.07.20211A4040SNYNNNNNPB01.07.202101.07.202124.7021.0001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9273601.07.20211A4040SNYNNNNNPB01.07.202101.07.202136.4531.0001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 5 minutes in duration but not more than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9273701.07.20211A4040SNYNNNNNPB01.07.202101.07.202189.1075.7501.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9273801.07.20211A4040SNYNNNNNPB01.07.202101.07.202144.7038.0001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9273901.07.20211A4040SNYNNNNNPB01.07.202101.07.202170.6060.0501.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, of more than 20 minutes in duration but not more than 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9274001.07.20211A4040SNYNNNNNPB01.07.202101.07.2021131.15111.5001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a general practitioner lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9274101.07.20211A4040SNYNNNNNPB01.07.202101.07.202171.7561.0001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician) lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9274201.07.20211A4040SNYNNNNNPB01.07.202101.07.2021104.9089.2001.07.2021500.00300.0001.07.2021Phone attendance for the provision of services related to blood borne viruses, sexual or reproductive health by a medical practitioner (not including a General Practitioner, Specialist or Consultant Physician), in an eligible area, lasting at least 40 minutes in duration if the attendance includes any of the following that are clinically relevant: (a) taking an extensive patient history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
9328710.12.20201A411SNNYNNYNPB10.12.202001.07.2021113.5096.5001.01.2021500.00300.0010.12.2020Professional attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b)the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c)the service lasts at least 30 minutes, but less than 40 minutes
9328810.12.20201A411SNNYNNYNPB10.12.202001.07.2021162.45138.1001.01.2021500.00300.0010.12.2020Professional attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b)the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 40 minutes
9329110.12.20201A412SNNYNNYNPB10.12.202001.07.202190.8077.2001.01.2021500.00300.0010.12.2020Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b)the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 30 minutes, but less than 40 minutes
9329210.12.20201A412SNNYNNYNPB10.12.202001.07.2021130.00110.5001.01.2021500.00300.0010.12.2020Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (a) the person is a care recipient in a residential aged care facility (but not as an admitted patient of a hospital); and (b)the service is clinically indicated under a GP mental health treatment plan or a psychiatrist assessment and management plan; and (c) the service lasts at least 40 minutes
9330007.08.20201A411DNNYNNYNPB07.08.202001.07.2021113.5096.5001.01.2021500.00300.0009.10.2020Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes
9330107.08.20201A411DNNNNNNNPB07.08.202007.08.2020112.5095.6501.01.2021500.00300.0009.10.2020Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes
9330207.08.20201A411DNNNNNNNPB07.08.202007.08.2020112.5095.6501.01.2021500.00300.0009.10.2020Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes
9330307.08.20201A411DNNYNNYNPB07.08.202001.07.2021162.45138.1001.01.2021500.00300.0009.10.2020Professional attendance at consulting rooms by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes
9330407.08.20201A411DNNNNNNNPB07.08.202007.08.2020161.00136.8501.01.2021500.00300.0009.10.2020Telehealth attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes
9330507.08.20201A411DNNNNNNNPB07.08.202007.08.2020161.00136.8501.01.2021500.00300.0009.10.2020Phone attendance by a general practitioner, for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes
9330607.08.20201A412DNNYNNYNPB07.08.202001.07.202190.8077.2001.01.2021500.00300.0009.10.2020Professional attendance at consulting rooms by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes
9330707.08.20201A412DNNNNNNNPB07.08.202007.08.202090.0076.5001.01.2021500.00300.0009.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes
9330807.08.20201A412DNNNNNNNPB07.08.202007.08.202090.0076.5001.01.2021500.00300.0009.10.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 30 minutes, but less than 40 minutes
9330907.08.20201A412DNNYNNYNPB06.05.202101.07.2021130.00110.5001.01.2021500.00300.0009.10.2020Professional attendance at consulting rooms by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if:(b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes
9331007.08.20201A412DNNNNNNNPB07.08.202007.08.2020128.80109.5001.01.2021500.00300.0009.10.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes
9331107.08.20201A412DNNNNNNNPB07.08.202007.08.2020128.80109.5001.01.2021500.00300.0009.10.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician), for the purpose of providing focussed psychological strategies for assessed mental disorders if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service lasts at least 40 minutes
9340010.12.20201A421SNNYNNYNNB10.12.202001.07.202187.7574.6010.12.2020Professional attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes, but less than 40 minutes
9340110.12.20201A421SNNYNNYNNB10.12.202001.07.2021129.20109.8510.12.2020Professional attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9340210.12.20201A421SNNYNNYNNB10.12.202001.07.2021111.4594.7510.12.2020Professional attendance, by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes, but less than 40 minutes
9340310.12.20201A421SNNYNNYNNB10.12.202001.07.2021164.15139.5510.12.2020Professional attendance, by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9340410.12.20201A421SNNNNNYNNB10.12.202001.07.202187.8074.6510.12.2020Telehealth attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes
9340510.12.20201A421SNNNNNYNNB10.12.202001.07.2021129.20109.8510.12.2020Telehealth attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9340610.12.20201A421SNNNNNYNNB10.12.202001.07.2021111.4594.7510.12.2020Telehealth attendance by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes
9340710.12.20201A421SNNNNNYNNB10.12.202001.07.2021164.15139.5510.12.2020Telehealth attendance by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9340810.12.20201A421SNNNNNYNNB10.12.202001.07.202187.8074.6510.12.2020Phone attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes
9340910.12.20201A421SNNNNNYNNB10.12.202001.07.2021129.20109.8510.12.2020Phone attendance by a general practitioner who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9341010.12.20201A421SNNNNNYNNB10.12.202001.07.2021111.4594.7510.12.2020Phone attendance by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes
9341110.12.20201A421SNNNNNYNNB10.12.202001.07.2021164.15139.5510.12.2020Phone attendance by a general practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9342110.12.20201A422SNNYNNYNNB10.12.202001.07.202187.7574.6010.12.2020Professional attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person’s GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services
9342210.12.20201A422SNNNNNYNNB10.12.202001.07.202187.8074.6510.12.2020Telehealth attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person’s GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services
9342310.12.20201A422SNNNNNYNNB10.12.202001.07.202187.8074.6510.12.2020Phone attendance by a general practitioner to review a GP mental health treatment plan which the general practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person’s GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services
9343110.12.20201A423SNNYNNYNNB10.12.202001.07.202170.2559.7510.12.2020Professional attendance by a medical practitioner who has not undertaken mental health skills training (not including a general practitioner, specialist or a consultant physician), for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes, but less than 40 minutes
9343210.12.20201A423SNNYNNYNNB10.12.202001.07.2021103.4087.9010.12.2020Professional attendance by a medical practitioner who has not undertaken mental health skills training (not including a general practitioner, specialist or a consultant physician), for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9343310.12.20201A423SNNYNNYNNC01.07.202101.07.202189.2066.9075.8510.12.2020Professional attendance, by a medical practitioner who has undertaken mental health skills training (but not including a general practitioner, specialist or consultant physician), for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes, but less than 40 minutes
9343410.12.20201A423SNNYNNYNNB10.12.202001.07.2021131.35111.6510.12.2020Professional attendance, by a medical practitioner who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9343510.12.20201A423SNNNNNYNNB10.12.202001.07.202170.2059.7010.12.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes
9343610.12.20201A423SNNNNNYNNB10.12.202001.07.2021103.3587.8510.12.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9343710.12.20201A423SNNNNNYNNB10.12.202001.07.202189.1575.8010.12.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes
9343810.12.20201A423SNNNNNYNNB10.12.202001.07.2021131.30111.6510.12.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9343910.12.20201A423SNNNNNYNNB10.12.202001.07.202170.2059.7010.12.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 20 minutes but less than 40 minutes
9344010.12.20201A423SNNNNNYNNB10.12.202001.07.2021103.3587.8510.12.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has not undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9344110.12.20201A423SNNNNNYNNB10.12.202001.07.202189.1575.8010.12.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) of at least 20 minutes but less than 40 minutes
9344210.12.20201A423SNNNNNYNNB10.12.202001.07.2021131.30111.6510.12.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician), who has undertaken mental health skills training, for the preparation of a GP mental health treatment plan for a patient (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) the service lasts at least 40 minutes
9345110.12.20201A424SNNNNNYNNB10.12.202001.07.202170.2059.7010.12.2020Professional attendance by a medical practitioner to review a GP mental health treatment plan which the medical practitioner, or an associated medical practitioner has prepared, or to review a Psychiatrist Assessment and Management Plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person’s GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services
9345210.12.20201A424SNNNNNYNNB10.12.202001.07.202170.2059.7010.12.2020Telehealth attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review a GP mental health treatment plan which the medical practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person’s GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services
9345310.12.20201A424SNNNNNYNNB10.12.202001.07.202170.2059.7010.12.2020Phone attendance by a medical practitioner (not including a general practitioner, specialist or consultant physician) to review a GP mental health treatment plan which the medical practitioner, or an associated medical practitioner has prepared, or to review a psychiatrist assessment and management plan (but not as an admitted patient of a hospital) if: (a) the person is a care recipient in a residential aged care facility; and (b) one of the following services has been provided to the patient: (i) a mental health treatment plan under items 93400 to 93411 or 93431 to 93442; or (ii) a psychiatrist assessment and management plan; and (c) the reviewing practitioner modifies the person’s GP mental health treatment plan or psychiatrist assessment and management plan to record that they recommend the person have an additional number of better access treatment services
9346910.12.20201A431SNNYNNYNNB10.12.202001.07.202186.1573.2510.12.2020Professional attendance by a general practitioner at a residential aged care facility to contribute to a multidisciplinary care plan, prepared by that facility, or to a review of such a plan prepared by such a facility, if the practitioner performs any of the following as a face-to-face service: (a) prepares part of a multidisciplinary care plan and adding a copy of that part of the plan to the person’s medical records; or (b) preparing amendments to part of a multidisciplinary care plan and adding a copy of the amendments to the person’s medical records; (c) giving advice to a practitioner who prepares part of a multidisciplinary care plan and recording in writing, on the person’s medical records, any advice provided to the practitioner; or (d) giving advice to a practitioner who reviews part of a multidisciplinary care plan and recording in writing, on the person’s medical records, any advice provided to the practitioner not more than once in a 3 month period
9347010.12.20201A431SNNYNNYNNB10.12.202001.07.2021259.80220.8510.12.2020Professional face-to-face attendance by a general practitioner at a residential aged care facility to perform a health assessment of a person who is: (a) of Aboriginal or Torres Strait Islander descent; and (b) a care recipient in a residential aged care facility not more than once in a 9 month period
9347510.12.20201A432SNNYNNYNNB10.12.202001.07.202168.9058.6010.12.2020Professional attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician) at a residential aged care facility to contribute to a multidisciplinary care plan, prepared by that facility, or to a review of such a plan prepared by such a facility, if the practitioner performs any of the following as a face-to-face service: (a) prepares part of a multidisciplinary care plan and adding a copy of that part of the plan to the person’s medical records; or (b) preparing amendments to part of a multidisciplinary care plan and adding a copy of the amendments to the person’s medical records; (c) giving advice to a practitioner who prepares part of a multidisciplinary care plan and recording in writing, on the person’s medical records, any advice provided to the practitioner; or (d) giving advice to a practitioner who reviews part of a multidisciplinary care plan and recording in writing, on the person’s medical records, any advice provided to the practitioner not more than once in a 3 month period
9347910.12.20201A432SNNYNNYNNB10.12.202001.07.2021207.85176.7010.12.2020Professional face-to-face attendance by a medical practitioner (not including a general practitioner, specialist or a consultant physician) at a residential aged care facility to perform a health assessment of a person who is: (a) of Aboriginal or Torres Strait Islander descent; and (b) a care recipient in a residential aged care facility not more than once in a 9 month period
9362426.02.20211A441SNNNNNYNNB26.02.202101.07.202136.5031.0526.02.2021Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area
9362526.02.20211A441SNNNNNYNNB26.02.202101.07.202144.3037.7026.02.2021Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area
9362626.02.20211A441SNNNNNYNNB26.02.202101.07.202128.4524.2026.02.2021Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient’s suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area
9362726.02.20211A441SNNNNNYNNB26.02.202101.07.202140.1034.1026.02.2021Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient’s suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area
9363426.02.20211A442SNNNNNYNNB26.02.202101.07.202150.9043.3026.02.2021Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area; (e) the service is rendered in an after-hours period
9363526.02.20211A442SNNNNNYNNB26.02.202101.07.202158.7049.9026.02.2021Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (e) the service is rendered in an after-hours period
9363626.02.20211A442SNNNNNYNNB26.02.202101.07.202140.3034.3026.02.2021Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient’s suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area; (e) the service is rendered in an after-hours period
9363726.02.20211A442SNNNNNYNNB26.02.202101.07.202151.6043.9026.02.2021Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient’s suitability for the first dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (e) the service is rendered in an after-hours period
9364426.02.20211A443SNNNNNYNNB26.02.202101.07.202128.7524.4526.02.2021Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area
9364526.02.20211A443SNNNNNYNNB26.02.202101.07.202132.7027.8026.02.2021Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area
9364626.02.20211A443SNNNNNYNNB26.02.202101.07.202120.7517.6526.02.2021Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient’s suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area
9364726.02.20211A443SNNNNNYNNB26.02.202101.07.202128.4524.2026.02.2021Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient’s suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area
9365326.02.20211A444SNNNNNYNNB26.02.202101.07.202143.2036.7526.02.2021Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area; (e) the service is rendered in an after-hours period
9365426.02.20211A444SNNNNNYNNB26.02.202101.07.202147.1040.0526.02.2021Professional attendance by a general practitioner for the purpose of assessing a patient’s suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (e) the service is rendered in an after-hours period
9365526.02.20211A444SNNNNNYNNB26.02.202101.07.202132.6027.7526.02.2021Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient’s suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in a Modified Monash 1 area; (e) the service is rendered in an after-hours period
9365626.02.20211A444SNNNNNYNNB26.02.202101.07.202139.9534.0026.02.2021Professional attendance by a medical practitioner (other than a general practitioner) for the purpose of assessing a patient’s suitability for the second or subsequent dose of a COVID-19 vaccine if all of the following apply: (a) one or both of the following is undertaken, where clinically relevant: (i) a short patient history; (ii) limited examination and management; (b) the patient is eligible for a COVID-19 vaccine; (c) the service is bulk-billed; (d) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area; (e) the service is rendered in an after-hours period
1100001.12.19912D11SNNNNNYNNC01.12.199101.07.2021128.1096.10108.90Y01.11.2020ELECTROENCEPHALOGRAPHY, not being a service: (a)associated with a service to which item 11003 or 11009 applies; or (b)involving quantitative topographic mapping using neurometrics or similar devices (Anaes.)
1100301.12.19912D11SNNNNNYNNC01.12.199101.07.2021338.85254.15288.0501.11.2020Electroencephalography, prolonged recording lasting at least 3 hours, that requires multi‑channel recording using: (a) for a service not associated with a service to which an item in Group T8 applies—standard 10‑20 electrode placement; or (b) for a service associated with a service to which an item in Group T8 applies—either standard 10‑20 electrode placement or a different electrode placement and number of recorded channels; other than a service: (c) associated with a service to which item11000, 11004 or 11005 applies; or (d) involving quantitative topographic mapping using neurometrics or similar devices.
1100401.11.20032D11SNNNNNYNNC01.11.200301.07.2021338.85254.15288.0501.11.2020Electroencephalography, ambulatory or video, prolonged recording lasting at least 3 hours and up to 24 hours, that requires multi channel recording using standard 10-20 electrode placement, first day, other than a service:(a) associated with a service to which item 11000, 11003 or 11005 applies; or(b) involving quantitative topographic mapping using neurometrics or similar devices.
1100501.11.20032D11SNNNNNYNNC01.11.200301.07.2021338.85254.15288.0501.11.2020Electroencephalography, ambulatory or video, prolonged recording lasting at least 3 hours and up to 24 hours, that requires multi channel recording using standard 10-20 electrode placement, each day after the first day, other than a service:(a) associated with a service to which item 11000, 11003 or 11004 applies; or(b) involving quantitative topographic mapping using neurometrics or similar devices.
1100901.12.19912D11SNNNNNYNNC01.12.199101.07.2021338.85254.15288.0501.12.1991ELECTROCORTICOGRAPHY
1101201.12.19912D11SNNNNNYNNC01.12.199101.07.2021116.5587.4599.1001.12.1991NEUROMUSCULAR ELECTRODIAGNOSISconduction studies on 1 nerve OR ELECTROMYOGRAPHY of 1 or more muscles using concentric needle electrodes OR both these examinations (not being a service associated with a service to which item 11015 or 11018 applies)
1101501.12.19912D11SNNNNNYNNC01.12.199101.07.2021156.00117.00132.6001.12.1991NEUROMUSCULAR ELECTRODIAGNOSISconduction studies on 2 or 3 nerves with or without electromyography (not being a service associated with a service to which item 11012 or 11018 applies)
1101801.12.19912D11SNNNNNYNNC01.12.199101.07.2021233.05174.80198.1001.12.1991NEUROMUSCULAR ELECTRODIAGNOSISconduction studies on 4 or more nerves with or without electromyography OR recordings from single fibres of nerves and muscles OR both of these examinations (not being a service associated with a service to which item 11012 or 11015 applies)
1102101.12.19912D11SNNNNNYNNC01.12.199101.07.2021156.00117.00132.6001.12.1991NEUROMUSCULAR ELECTRODIAGNOSISrepetitive stimulation for study of neuromuscular conduction OR electromyography with quantitative computerised analysis OR both of these examinations
1102401.12.19912D11SNNNNNYNNC01.12.199101.07.2021118.4588.85100.7001.05.2003CENTRAL NERVOUS SYSTEM EVOKED RESPONSES, INVESTIGATION OF, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event-related potentials or multifocal multichannel objective perimetry - 1 or 2 studies
1102701.12.19912D11SNNNNNYNNC01.12.199101.07.2021175.70131.80149.3501.05.2003CENTRAL NERVOUS SYSTEM EVOKED RESPONSES, INVESTIGATION OF, by computerised averaging techniques, not being a service involving quantitative topographic mapping of event-related potentials or multifocal multichannel objective perimetry - 3 or more studies
1120001.12.19912D12SNNNNNYNNC01.12.199101.07.202142.4531.8536.1001.11.2012PROVOCATIVE TEST OR TESTS FOR OPEN ANGLE GLAUCOMA, including water drinking
1120401.11.20012D12SNNNNNYNNC01.11.200101.07.2021112.6584.5095.8001.11.2017ELECTRORETINOGRAPHY of one or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards,performed by or on behalf of a specialist or consultant physician in the practice of his or her speciality.
1120501.11.20012D12SNNNNNYNNC01.11.200101.07.2021112.6584.5095.8001.11.2017ELECTROOCULOGRAPHY of one or both eyes performed according to current professional guidelines or standards, performed by or on behalf of a specialist or consultant physician in the practice of his or her speciality.
1121001.11.20012D12SNNNNNYNNC01.11.200101.07.2021112.6584.5095.8001.11.2001PATTERN ELECTRORETINOGRAPHY of one or both eyes by computerised averaging techniques, including 3 or more studies performed according to current professional guidelines or standards
1121101.11.20012D12SNNNNNYNNC01.11.200101.07.2021112.6584.5095.8001.11.2001DARK ADAPTOMETRY of one or both eyes with a quantitative (log cd/m2) estimation of threshold in log lumens at 45 minutes of dark adaptations
1121501.12.19912D12SNNNNNYNNC01.12.199101.07.2021127.9596.00108.8001.11.2016RETINAL ANGIOGRAPHY, multiple exposures of 1 eye with intravenous dye injection
1121801.12.19912D12SNNNNNYNNC01.12.199101.07.2021158.10118.60134.4001.11.2016RETINAL ANGIOGRAPHY, multiple exposures of both eyes with intravenous dye injection
1121901.11.20162D12SNNNNNYNNC01.11.201601.07.202141.6031.2035.4001.03.2021Optical coherence tomography for diagnosis of an ocular condition for the treatment of which there is a medication that is: (a) listed on the pharmaceutical benefits scheme; and (b) indicated for intraocular administration Applicable only once in any 12 month period
1122001.12.20162D12SNNNNNYNNC01.12.201601.07.202141.6031.2035.4001.12.2016OPTICAL COHERENCE TOMOGRAPHY for the assessment of the need for treatment following provision of pharmaceutical benefits scheme-subsidised ocriplasmin. Maximum of one service per eye per lifetime.
1122101.12.19912D12SNNNNNYNNC01.12.199101.07.202170.5552.9560.0001.11.2018Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, bilateral—to a maximum of 3 examinations (including examinations to which item 11224 applies) in any 12 month period
1122401.12.19912D12SNNNNNYNNC01.12.199101.07.202142.5031.9036.1501.11.2018Full quantitative computerised perimetry (automated absolute static threshold), other than a service involving multifocal multichannel objective perimetry, performed by or on behalf of a specialist in the practice of his or her specialty, if indicated by the presence of relevant ocular disease or suspected pathology of the visual pathways or brain with assessment and report, unilateral—to a maximum of 3 examinations (including examinations to which item 11221 applies) in any 12 month period
1123501.11.19962D12SNNNNNYNNC01.11.199601.07.2021127.7095.80108.5501.11.1996EXAMINATION OF THE EYE BY IMPRESSION CYTOLOGY OF CORNEA for the investigation of ocular surface dysplasia, including the collection of cells, processing and all cytological examinations and preparation of report
1123701.11.20032D12SNNNNNYNNC01.11.200301.07.202184.7563.6072.0501.11.2003OCULAR CONTENTS, simultaneous ultrasonic echography by both unidimensional and bidimensional techniques, for the diagnosis, monitoring or measurement of choroidal and ciliary body melanomas, retinoblastoma or suspicious naevi or simulating lesions, one eye, not being a service associated with a service to which items in Group I1 of Category 5 apply
1124001.03.19992D12SNNNNNYNNC01.03.199901.07.202184.7563.6072.0501.11.2004ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of one eye prior to lens surgery on that eye, not being a service associated with a service to which items in Group I1 of Category 5 apply.
1124101.11.20012D12SNNNNNYNNC01.11.200101.07.2021107.8580.9091.7001.11.2004ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for bilateral eye measurement prior to lens surgery on both eyes, not being a service associated with a service to which items in Group I1 apply
1124201.11.20012D12SNNNNNYNNC01.11.200101.07.202183.3562.5570.8501.11.2004ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of an eye previously measured and on which lens surgery has been performed, and where further lens surgery is contemplated in that eye, not being a service associated with a service to which items in Group I1 apply
1124301.11.20012D12SNNNNNYNNC01.11.200101.07.202183.3562.5570.8501.11.2004ORBITAL CONTENTS, unidimensional ultrasonic echography or partial coherence interferometry of, for the measurement of a second eye where surgery for the first eye has resulted in more than 1 dioptre of error or where more than 3 years have elapsed since the surgery for the first eye, not being a service associated with a service to which items in Group I1 apply
1124401.03.20132D12SNNNNNYNNC01.03.201301.07.202180.1060.1068.1001.05.2013Orbital contents, diagnostic B-scan of, by a specialist practising in his or her speciality of ophthalmology, not being a service associated with a service to which an item in Group I1 of the diagnostic imaging services table applies.
1130001.12.19912D13SNNNNNYNNC01.12.199101.07.2021200.30150.25170.30Y01.12.1991BRAIN stem evoked response audiometry (Anaes.)
1130301.12.19912D13SNNNNNYNNC01.12.199101.07.2021200.30150.25170.3001.11.1994ELECTROCOCHLEOGRAPHY, extratympanic method, 1 or both ears
1130401.11.19942D13SNNNNNYNNC01.11.199401.07.2021329.80247.35280.3501.11.1994ELECTROCOCHLEOGRAPHY, transtympanic membrane insertion technique, 1 or both ears
1130601.12.19912D13SNNNNNYNNC01.12.199101.07.202122.8017.1019.4001.12.1991Nondeterminate AUDIOMETRY
1130901.12.19912D13SNNNNNYNNC01.12.199101.07.202127.3520.5523.2501.12.1991AUDIOGRAM, air conduction
1131201.12.19912D13SNNNNNYNNC01.12.199101.07.202138.6529.0032.9001.12.1991AUDIOGRAM, air and bone conduction or air conduction and speech discrimination
1131501.12.19912D13SNNNNNYNNC01.12.199101.07.202151.2038.4043.5501.12.1991AUDIOGRAM, air and bone conduction and speech
1131801.12.19912D13SNNNNNYNNC01.12.199101.07.202163.2047.4053.7501.12.1991AUDIOGRAM, air and bone conduction and speech, with other Cochlear tests
1132401.12.19912D13SNNNNNYNNC01.12.199101.07.202134.2025.6529.1001.12.1991IMPEDANCE AUDIOGRAM involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner - not being a service associated with a service to which item 11309, 11312, 11315 or 11318 applies
1132701.12.19912D13SNNNNNYNNC01.12.199101.07.202120.5515.4517.5001.12.1991IMPEDANCE AUDIOGRAM involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner - being a service associated with a service to which item 11309, 11312, 11315 or 11318 applies
1133001.12.19912D13SNNNNNYNNC01.12.199101.07.20218.206.157.0001.12.1991IMPEDANCE AUDIOGRAM where the patient is not referred by a medical practitioner - 1 examination in any 4 week period
1133201.05.20002D13SNNNNNYNNC01.05.200001.07.202160.9545.7551.8501.05.2000OTO-ACOUSTIC EMISSION AUDIOMETRY for the detection of permanent congenital hearing impairment, performed by or on behalf of a specialist or consultant physician, on an infant or child who is at risk due to one or more of the following factors:- (i)admission to a neonatal intensive care unit; or (ii)family history of hearing impairment; or (iii)intra-uterine or perinatal infection (either suspected or confirmed); or (iv)birthweight less than 1.5kg; or (v)craniofacial deformity: or (vi)birth asphyxia; or (vii)chromosomal abnormality, including Down's Syndrome; or (viii)exchange transfusion; and where:- -the patient is referred by another medical practitioner; and -middle ear pathology has been excluded by specialist opinion
1133301.12.19912D13SNNNNNYNNC01.12.199101.07.202146.4034.8039.4501.12.1991CALORIC TEST OF LABYRINTH OR LABYRINTHS
1133601.12.19912D13SNNNNNYNNC01.12.199101.07.202146.4034.8039.4501.12.1991SIMULTANEOUS BITHERMAL CALORIC TEST OF LABYRINTHS
1133901.12.19912D13SNNNNNYNNC01.12.199101.07.202146.4034.8039.4501.12.1991ELECTRONYSTAGMOGRAPHY
1150301.12.19912D14SNNNNNYNNC01.12.199101.07.2021144.25108.20122.6501.11.2018Complex measurement of properties of the respiratory system, including the lungs and respiratory muscles, that is performed: (a) in a respiratory laboratory; and (b) under the supervision of a consultant respiratory physician who is responsible for staff training, supervision, quality assurance and the issuing of written reports on tests performed; and (c) using any of the following tests: (i) measurement of absolute lung volumes by any method; (ii) measurement of carbon monoxide diffusing capacity by any method; (iii) measurement of airway or pulmonary resistance by any method; (iv) inhalation provocation testing, including pre‑provocation spirometry and the construction of a dose response curve, using a recognised direct or indirect bronchoprovocation agent and post‑bronchodilator spirometry; (v) provocation testing involving sequential measurement of lung function at baseline and after exposure to specific sensitising agents, including drugs, or occupational asthma triggers; (vi) spirometry performed before and after simple exercise testing undertaken as a provocation test for the investigation of asthma, in premises equipped with resuscitation equipment and personnel trained in Advanced Life Support; (vii) measurement of the strength of inspiratory and expiratory muscles at multiple lung volumes; (viii) simulated altitude test involving exposure to hypoxic gas mixtures and oxygen saturation at rest and/or during exercise with or without an observation of the effect of supplemental oxygen; (ix) calculation of pulmonary or cardiac shunt by measurement of arterial oxygen partial pressure and haemoglobin concentration following the breathing of an inspired oxygen concentration of 100% for a duration of 15 minutes or greater; (x) if the measurement is for the purpose of determining eligibility for pulmonary arterial hypertension medications subsidised under the Pharmaceutical Benefits Scheme or eligibility for the provision of portable oxygen—functional exercise test by any method (including 6 minute walk test and shuttle walk test); each occasion at which one or more tests are performed Not applicable to a service performed in association with a spirometry or sleep study service to which item11505, 11506, 11507, 11508, 11512, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Not applicable to a service to which item11507 applies
1150501.11.20182D14SNNNNNYNNC01.11.201801.07.202142.8032.1036.4001.11.2018Measurement of spirometry, that: (a) involves a permanently recorded tracing, performed before and after inhalation of a bronchodilator; and (b) is performed to confirm diagnosis of: (i) asthma; or (ii) chronic obstructive pulmonary disease (COPD); or (iii) another cause of airflow limitation; each occasion at which 3 or more recordings are made Applicable only once in any 12 month period
1150601.12.19912D14SNNNNNYNNC01.12.199101.07.202121.4016.0518.2001.11.2018Measurement of spirometry, that: (a) involves a permanently recorded tracing, performed before and after inhalation of a bronchodilator; and (b) is performed to: (i) confirm diagnosis of chronic obstructive pulmonary disease (COPD); or (ii) assess acute exacerbations of asthma; or (iii) monitor asthma and COPD; or (iv) assess other causes of obstructive lung disease or the presence of restrictive lung disease; each occasion at which recordings are made
1150701.11.20182D14SNNNNNYNNC01.11.201801.07.2021104.3078.2588.7001.11.2019Measurement of spirometry: (a) that includes continuous measurement of the relationship between flow and volume during expiration or during expiration and inspiration, performed before and after inhalation of a bronchodilator; and (b) fractional exhaled nitric oxide (FeNO) concentration in exhaled breath; if: (c) the measurement is performed: (i) under the supervision of a specialist or consultant physician; and (ii) with continuous attendance by a respiratory scientist; and (iii) in a respiratory laboratory equipped to perform complex lung function tests; and (d) a permanently recorded tracing and written report is provided; and (e) 3 or more spirometry recordings are performed unless difficult to achieve for clinical reasons; each occasion at which one or more such tests are performed Not applicable to a service associated with a service to which item11503 or 11512 applies
1150801.11.20182D14SNNNNNYNNC01.11.201801.07.2021302.60226.95257.2501.11.2019Maximal symptom‑limited incremental exercise test using a calibrated cycle ergometer or treadmill, if: (a) the test is performed for the evaluation of: (i) breathlessness of uncertain cause from tests performed at rest; or (ii) breathlessness out of proportion with impairment due to known conditions; or (iii) functional status and prognosis in a patient with significant cardiac or pulmonary disease for whom complex procedures such as organ transplantation are considered; or (iv) anaesthetic and perioperative risks in a patient undergoing major surgery who is assessed as substantially above average risk after standard evaluation; and (b) the test has been requested by a specialist or consultant physician following professional attendance on the patient by the specialist or consultant physician; and (c) a respiratory scientist and a medical practitioner are in constant attendance during the test; and (d) the test is performed in a respiratory laboratory equipped with airway management and defibrillator equipment; and (e) there is continuous measurement of at least the following: (i) work rate; (ii) pulse oximetry; (iii) respired oxygen and carbon dioxide partial pressures and respired volumes; (iv) ECG; (v) heart rate and blood pressure; and (f) interpretation and preparation of a permanent report is provided by a consultant respiratory physician who is also responsible for the supervision of technical staff and quality assurance
1151201.12.19912D14SNNNNNYNNC01.12.199101.07.202164.2548.2054.6501.11.2019Measurement of spirometry: (a) that includes continuous measurement of the relationship between flow and volume during expiration or during expiration and inspiration, performed before and after inhalation of a bronchodilator; and (b) that is performed with a respiratory scientist in continuous attendance; and (c) that is performed in a respiratory laboratory equipped to perform complex lung function tests; and (d) that is performed under the supervision of a consultant physician practising respiratory medicine who is responsible for staff training, supervision, quality assurance and the issuing of written reports; and (e) for which a permanently recorded tracing and written report is provided; and (f) for which 3 or more spirometry recordings are performed; each occasion at which one or more such tests are performed Not applicable for a service associated with a service to which item11503 or 11507 applies
1160001.12.19912D15SNNNNNYNNC01.12.199101.07.202172.1054.1061.3001.11.2008BLOOD 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 and where not performed in association with the administration of general anaesthesia)
1160201.11.20032D15SNNNNNYNNC01.11.200301.07.202160.1045.1051.1001.11.2018Investigation of venous reflux or obstruction in one or more limbs at rest by CW Doppler or pulsed Doppler involving examination at multiple sites along each limb using intermittent limb compression or Valsalva manoeuvres, or both, to detect prograde and retrograde flow, other than a service associated with a service to which item 32500 applies—hard copy trace and written report, the report component of which must be performed by a medical practitioner, maximum of 2 examinations in a 12 month period, not to be used in conjunction with sclerotherapy
1160401.11.20032D15SNNNNNYNNC01.11.200301.07.202178.7559.1066.9501.11.2018Investigation of chronic venous disease in the upper and lower extremities, one or more limbs, by plethysmography (excluding photoplethysmography)—examination, hard copy trace and written report, not being a service associated with a service to which item 32500 applies
1160501.11.20032D15SNNNNNYNNC01.11.200301.07.202178.7559.1066.9501.11.2018Investigation of complex chronic lower limb reflux or obstruction, in one or more limbs, by infrared photoplethysmography, during and following exercise to determine surgical intervention or the conservative management of deep venous thrombotic disease—hard copy trace, calculation of 90% recovery time and written report, not being a service associated with a service to which item 32500 applies
1161001.11.20032D15SNNNNNYNNC01.11.200301.07.202166.3049.7556.4001.11.2003MEASUREMENT OF ANKLE: BRACHIAL INDICES AND ARTERIAL WAVEFORM ANALYSIS, measurement of posterior tibial and dorsalis pedis (or toe) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of ankle (or toe) brachial systolic pressure indices and assessment of arterial waveforms for the evaluation of lower extremity arterial disease, examination, hard copy trace and report.
1161101.11.20032D15SNNNNNYNNC01.11.200301.07.202166.3049.7556.4001.11.2003MEASUREMENT OF WRIST: BRACHIAL INDICES AND ARTERIAL WAVEFORM ANALYSIS, measurement of radial and ulnar (or finger) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of the wrist (or finger ) brachial systolic pressure indices and assessment of arterial waveforms for the evaluation of upper extremity arterial disease, examination, hard copy trace and report.
1161201.12.19912D15SNNNNNYNNC01.12.199101.07.2021116.9587.7599.4501.11.2003EXERCISE STUDY FOR THE EVALUATION OF LOWER EXTREMITY ARTERIAL DISEASE, measurement of posterior tibial and dorsalis pedis (or toe) and brachial arterial pressures bilaterally using Doppler or plethysmographic techniques, the calculation of ankle (or toe) brachial systolic pressure indices for the evaluation of lower extremity arterial disease at rest and following exercise using a treadmill or bicycle ergometer or other such equipment where the exercise workload is quantifiably documented, examination and report.
1161401.11.20032D15SNNNNNYNNC01.11.200301.07.202178.7559.1066.9501.11.2003TRANSCRANIAL DOPPLER, examination of the intracranial arterial circulation using CW Doppler or pulsed Doppler with hard copy recording of waveforms, examination and report, not associated with a service to which items 55229 or 55280 in Group I1 of Category 5 apply.
1161501.12.19912D15SNNNNNYNNC01.12.199101.07.202178.9559.2567.1501.12.1991MEASUREMENT OF DIGITAL TEMPERATURE, 1 or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing.
1162701.12.19912D15SNNYNYYNNC01.12.199101.07.2021237.90178.45202.2501.07.2021PULMONARY ARTERY pressure monitoring during open heart surgery, in apatient under 12 years of age
1170401.08.20202D16SNNNNNYNPB01.08.202001.07.202132.5527.7013.04.202125.8080.0001.03.2021Twelve‑lead electrocardiography, trace and formal report, by a specialist or a consultant physician, if the service: (a) is requested by a requesting practitioner; and (b) is not associated with a service to which item12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies. Note: the following are also requirements of the service: a formal report is completed; and a copy of the formal report is provided to the requesting practitioner; and the service is not provided to the patient as part of an episode of hospital treatment or hospital-substitute treatment; and is not provided in association with an attendance item (Part 2 of the schedule); and the specialist or consultant physician who renders the service does not have a financial relationship with the requesting practitioner.
1170501.08.20202D16SNNNNNYNNC01.08.202001.07.202119.1514.4016.3001.03.2021Twelve‑lead electrocardiography, formal report only, by a specialist or a consultant physician, if the service: (a) is requested by a requesting practitioner; and (b) is not associated with a service to which item12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Applicable not more than twice on the same day Note: the following are also requirements of the service: a formal report is completed; and a copy of the formal report is provided to the requesting practitioner; and the specialist or consultant physician who renders the service does not have a financial relationship with the requesting practitioner.
1170701.08.20202D16SNNNNNYNNB01.08.202001.07.202119.1516.3001.03.2021Twelve‑lead electrocardiography, trace only, by a medical practitioner, if: (a) the trace: (i) is required to inform clinical decision making; and (ii) is reviewed in a clinically appropriate timeframe to identify potentially serious or life‑threatening abnormalities; and (iii) does not need to be fully interpreted or reported on; and (b) the service is not associated with a service to which item12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Applicable not more than twice on the same day Note: the service is not provided to the patient as part of an episode of: hospital treatment; or hospital-substitute treatment.
1171301.07.19922D16SNNNNNYNNC31.10.199201.07.202172.5554.4561.7001.11.1994SIGNAL AVERAGED ECG RECORDING involving not more than 300 beats, using at least 3 leads with data acquisition at not less than 1000Hz of at least 100 QRS complexes, including analysis, interpretation and report of recording by a specialist physician or consultant physician
1171401.08.20202D16SNNNNNYNNB01.08.202001.07.202125.2021.4501.03.2021Twelve‑lead electrocardiography, trace and clinical note, by a specialist or consultant physician, if the service is not associated with a service to which item12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Applicable not more than twice on the same day Note: the service is not provided to the patient as part of an episode of: hospital treatment; or hospital-substitute treatment.
1171601.08.20202D16SNNNNNYNNB01.08.202001.07.2021174.30148.2001.03.2021Note:the service only applies if the patient meets one or more of the following and the requirements in Note: DR.1.1 Continuous ambulatory electrocardiogram recording for 12 or more hours, by a specialist or consultant physician, if the service: (a) is indicated for the evaluation of any of the following: (i) syncope; (ii) pre‑syncopal episodes; (iii) palpitations where episodes are occurring more than once a week; (iv) another asymptomatic arrhythmia is suspected with an expected frequency of greater than once a week; (v) surveillance following cardiac surgical procedures that have an established risk of causing dysrhythmia; and (b) utilises a system capable of superimposition and full disclosure printout of at least 12 hours of recorded electrocardiogram data (including resting electrocardiogram and the recording of parameters) and microprocessor based scanning analysis; and (c) includes interpretation and report; and (d) is not provided in association with ambulatory blood pressure monitoring; and (e) is not associated with a service to which item11704, 11705, 11707, 11714, 11717, 11723, 11735, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Applicable only once in any 4 week period Note: this services does not apply if the patient is being provided with the service as part of an episode of: hospital treatment; or hospital‑substitute treatment.
1171701.08.20202D16SNNNNNYNNB01.08.202001.07.2021102.4087.0501.03.2021Note: the service only applies if the patient meets one or more of the following and the requirements in Note: DR.1.1 Ambulatory electrocardiogram monitoring, by a specialist or consultant physician, if the service: (a) utilises a patient activated, single or multiple event memory recording device that: (i) is connected continuously to the patient for between 7 and 30 days; and (ii) is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation; and (b) includes transmission, analysis, interpretation and reporting (including the indication for the investigation); and (c) is for the investigation of recurrent episodes of: unexplained syncope; or palpitation; or other symptoms where a cardiac rhythm disturbance is suspected and where infrequent episodes have occurred; and (d) is not associated with a service to which item11716, 11723, 11735, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Applicable only once in any 3 month period Note: the service does not apply if the patient is being provided with the service as part of an episode of: hospital treatment; or hospital‑substitute treatment.
1171901.09.20152D16SNNNNNYNNC01.09.201501.07.202169.5052.1559.1001.09.2015IMPLANTED PACEMAKER (including cardiac resynchronisation pacemaker) REMOTE MONITORING involving reviews (without patient attendance) of arrhythmias, lead and device parameters, if at least one remote review is provided in a 12 month period. Payable only once in any 12 month period
1172001.09.20152D16SNNYNYYNNC01.09.201501.07.202169.5052.1559.1001.07.2021IMPLANTED PACEMAKER TESTING, with patient attendance, following detection of abnormality by remote monitoring involving electrocardiography, measurement of rate, width and amplitude of stimulus including reprogramming when required, not being a service associated with a service to which item11721 applies.
1172101.07.19922D16SNNYNYYNNC31.10.199201.07.202172.5554.4561.7001.07.2021IMPLANTED PACEMAKER TESTING of atrioventricular (AV) sequential, rate responsive, or antitachycardia pacemakers, including reprogramming when required, not being a service associated with a service to which Item 11704, 11719, 11720, 11725 or 11726 applies
1172301.08.20202D16SNNNNNYNNB01.08.202001.07.202154.0545.9501.03.2021Note:the service only applies if the patient meets one or more of the following and the requirements in Note: DR.1.1 Ambulatory electrocardiogram monitoring, by a specialist or consultant physician, if the service: (a) utilises a patient activated, single or multiple event recording, on a memory recording device that: (i) is connected continuously to the patient for up to 7 days; and (ii) is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation; and (b) includes transmission, analysis, interpretation and formal report (including the indication for the investigation); and (c) is for the investigation of recurrent episodes of: (i) unexplained syncope; or (ii) palpitation; or (iii) other symptoms where a cardiac rhythm disturbance is suspected and where infrequent episodes have occurred; and (d) is not associated with a service to which item11716, 11717, 11735, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Applicable only once in any 3 month period Note: The service does not apply if the patient is an admitted patient.
1172401.07.19952D16SNNNNNYNNC01.07.199501.07.2021175.70131.80149.3501.07.1995UP-RIGHT TILT TABLE TESTING for the investigation of syncope of suspected cardiothoracic origin, including blood pressure monitoring, continuous ECG monitoring and the recording of the parameters, and involving an established intravenous line and the continuous attendance of a specialist or consultant physician - on premises equipped with a mechanical respirator and defibrillator
1172501.09.20152D16SNNNNNYNNC01.09.201501.07.2021197.20147.90167.6501.09.2015IMPLANTED DEFIBRILLATOR (including cardiac resynchronisation defibrillator) REMOTE MONITORING involving reviews (without patient attendance) of arrhythmias, lead and device parameters, if at least 2 remote reviews are provided in a 12 month period. Payable only once in any 12 month period
1172601.09.20152D16SNNNNNYNNC01.09.201501.07.202198.6073.9583.8501.09.2015IMPLANTED DEFIBRILLATOR TESTING with patient attendance following detection of abnormality by remote monitoring involving electrocardiography, measurement of rate, width and amplitude of stimulus, not being a service associated with a service to which item 11727 applies.
1172701.11.20062D16SNNYNYYNNC01.11.200601.07.202198.6073.9583.8501.07.2021IMPLANTED DEFIBRILLATOR TESTING involving electrocardiography, assessment of pacing and sensing thresholds for pacing and defibrillation electrodes, download and interpretation of stored events and electrograms, including programming when required, not being a service associated with a service to which item11719, 11720, 11721, 11725 or 11726 applies
1172801.05.20182D16SNNNNNYNNC01.05.201801.07.202136.1527.1530.7501.05.2018Implanted loop recording for the investigation of atrial fibrillation if the patient to whom the service is provided has been diagnosed as having had an embolic stroke of undetermined source, including reprogramming when required, retrieval of stored data, analysis, interpretation and report, other than a service to which item38288 applies For any particular patient—applicable not more than 4 times in any 12 months
1172901.08.20202D16SNNYNYYNNC01.08.202001.07.2021158.35118.80134.6001.07.2021Note:the service only applies if the patient meets the requirements of the descriptor and the requirements in note DR.1.2 Multi channel electrocardiogram monitoring and recording during exercise (motorised treadmill or cycle ergometer capable of quantifying external workload in watts) or pharmacological stress, if: (a) the patient is 17 years or more; and (b) the patient: (i) has symptoms consistent with cardiac ischemia; or (ii) has other cardiac disease which may be exacerbated by exercise; or (iii) has a first degree relative with suspected heritable arrhythmia; and (c) the monitoring and recording: (i) is not less than 20 minutes; and (ii) includes resting electrocardiogram; and (d) a written report is produced by a medical practitioner that includes interpretation of the monitoring and recording data, commenting on the significance of the data, and the relationship of the data to clinical decision making for the patient in the clinical context; and (e) the service is not a service: (i) provided on the same occasion as a service to which item11704, 11705, 11707 or 11714 applies; or (ii) performed within 24 months of a service to which item 55141, 55143, 55145, 55146, 61311, 61324, 61329, 61332, 61345, 61349, 61357, 61365, 61377, 61380, 61394, 61398, 61406, 61410, 61414 or 61418 applies
1173001.08.20202D16SNNYNYYNNC01.08.202001.07.2021158.35118.80134.6001.07.2021Note:the service only applies if the patient meets the requirements of the descriptor and the requirements in note DR.1.3 Multi channel electrocardiogram monitoring and recording during exercise (motorised treadmill or cycle ergometer capable of quantifying external workload in watts), if: (a) the patient is less than 17 years; and (b) the patient: (i) has symptoms consistent with cardiac ischemia; or (ii) has other cardiac disease which may be exacerbated by exercise; or (iii) has a first degree relative with suspected heritable arrhythmia; and (c) the monitoring and recording: (i) is not less than 20 minutes in duration; and (ii) includes resting electrocardiogram; and (d) a written report is produced by a medical practitioner that includes interpretation of the monitoring and recording data, commenting on the significance of the data, and the relationship of the data to clinical decision making for the patient in the clinical context; and (e) the service is not a service: (i) provided on the same occasion as a service to which item11704, 11705, 11707 or 11714 applies; or (ii) performed within 24 months of a service to which item 55141, 55143, 55145, 55146, 61311, 61324, 61329, 61332, 61345, 61349, 61357, 61365, 61377, 61380, 61394, 61398, 61406, 61410, 61414 or 61418 applies
1173101.08.20202D16SNNNNNYNNC01.08.202001.07.202136.1527.1530.7501.03.2021Implanted electrocardiogram loop recording, by a medical practitioner, including reprogramming (if required), retrieval of stored data, analysis, interpretation and report, if the service is: (a) an investigation for a patient with: (i) cryptogenic stroke; or (ii) recurrent unexplained syncope; and (b) not a service to which item38285 applies Applicable only once in any 4 week period
1173515.09.20202D16SNNNNNYNNB15.09.202001.07.2021133.10113.1501.03.2021Note: the service only applies if the patient meets one or more of the following and the requirements in Note: DR.1.1 Continuous ambulatory electrocardiogram recording for 7 days, by a specialist or consultant physician, if the service: (a) utilises intelligent microprocessor based monitoring, with patient triggered recording and symptom reporting capability, real time analysis of electrocardiograms and alerts and daily or live data uploads; and (b) is for the investigation of: (i) episodes of suspected intermittent cardiac arrhythmia or episodes of syncope; or (ii) suspected intermittent cardiac arrhythmia in a patient who has had a previous cerebrovascular accident, is at risk of cerebrovascular accident or has had one or more previous transient ischemic attacks; and (c) includes interpretation and report; and (d) is not a service: (i) provided in association with ambulatory blood pressure monitoring; or (ii) associated with a service to which item11716, 11717, 11723, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217 or 12250 applies Applicable not more than 4 times in any 12 month period Note:The service does not apply if the patient is an admitted patient.
1180001.12.19912D17SNNNNNYNNC01.12.199101.07.2021181.50136.15154.3001.12.1991OESOPHAGEAL MOTILITY TEST, manometric
1180101.09.20152D17SNNNNNYNNC01.09.201501.07.2021273.65205.25232.65Y01.09.2015CLINICAL ASSESSMENT OF GASTRO-OESOPHAGEAL REFLUX DISEASE that involves 48 hour catheter-free wireless ambulatory oesophageal pH monitoring including administration of the device and associated endoscopy procedure for placement, analysis and interpretation of the data and all attendances for providing the service, if (a)a cathetter-based ambulatory oesophageal pH-mnitoring: (i)has been attempted on the patient but failed due to clinical complications, or (ii)is not clinically appropriate for the patient due to anatomical reasons (nasopharyngeal anatomy) preventing the use of catheter-based pH monitoring; and (b)the services is performed by a specialist or consultant physician with endoscopic training that is recognised by The Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy. Not in association with another item in Category 2, sub-group 7 (Anaes.)
1181001.07.19922D17SNNNNNYNNC31.10.199201.07.2021181.50136.15154.3001.11.1992CLINICAL ASSESSMENT of GASTRO-OESOPHAGEAL REFLUX DISEASE involving 24 hour pH monitoring, including analysis, interpretation and report and including any associated consultation
1182001.05.20042D17SNNNNNYNNC01.05.200401.07.20211279.15959.401194.4501.11.2017Capsule endoscopy to investigate an episode of obscure gastrointestinal bleeding, using a capsule endoscopy device (including administration of the capsule, associated endoscopy procedure if required for placement, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if: (a) the service is provided to a patient who: (i) has overt gastrointestinal bleeding; or (ii) has gastrointestinal bleeding that is recurrent or persistent, and iron deficiency anaemia that is not due to coeliac disease, and, if the patient also has menorrhagia, has had the menorrhagia considered and managed; and (b)an upper gastrointestinal endoscopy and a colonoscopy have been performed on the patient and have not identified the cause of thebleeding; and (c)the service has not been provided to the same patient on more than 2 occasions in the preceding 12 months; and (d)the service is performed by a specialist or consultant physician with endoscopic training that is recognised by the Conjoint Committee for the Recognitionof Training in Gastrointestinal Endoscopy; and (e)the service is not associated with a service to which item30680, 30682, 30684 or 30686 applies
1182301.03.20092D17SNNNNNYNNC01.03.200901.07.20211279.15959.401194.4501.03.2014Capsule endoscopy to conduct small bowel surveillance of a patient diagnosed with Peutz-Jeghers Syndrome, using a capsule endoscopy device approved by the Therapeutic Goods Administration (including administration of the capsule, imaging, image reading and interpretation, and all attendances for providing the service on the day the capsule is administered) if: (a) the service is performed by a specialist or consultant physician with endoscopic training that is recognised by the Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy; and (b) the item is performed only once in any 2 year period; and (c) the service is not associated with balloon enteroscopy.
1183001.07.19922D17SNNNNNYNNC31.10.199201.07.2021194.40145.80165.2501.11.1992DIAGNOSIS of ABNORMALITIES of the PELVIC FLOOR involving anal manometry or measurement of anorectal sensation or measurement of the rectosphincteric reflex
1183301.07.19922D17SNNNNNYNNC31.10.199201.07.2021259.85194.90220.9001.11.1992DIAGNOSIS of ABNORMALITIES of the PELVIC FLOOR and sphincter muscles involving electromyography or measurement of pudendal and spinal nerve motor latency
1190001.12.19912D18SNNNNNYNNC01.12.199101.07.202128.6521.5024.4001.05.2003URINE FLOW STUDY including peak urine flow measurement, not being a service associated with a service to which item 11919 applies
1190301.12.19912D18SNNNNNYNNC01.12.199101.07.2021115.6586.7598.3501.05.2003CYSTOMETROGRAPHY, not being a service associated with a service to which any of items 11012-11027, 11912, 11915, 11919, 11921 and 36800 or any item in Group I3 of Category 5 applies
1190601.12.19912D18SNNNNNYNNC01.12.199101.07.2021115.6586.7598.3501.05.2003URETHRAL PRESSURE PROFILOMETRY, not being a service associated with a service to which any of items 11012-11027, 11909, 11919, 11921 and 36800 or any item in Group I3 of Category 5 applies
1190901.12.19912D18SNNNNNYNNC01.12.199101.07.2021171.85128.90146.1001.05.2003URETHRAL PRESSURE PROFILOMETRY WITH simultaneous measurement of urethral sphincter electromyography, not being a service associated with a service to which item 11906, 11915, 11919, 36800 or any item in Group I3 of Category 5 applies
1191201.12.19912D18SNNNNNYNNC01.12.199101.07.2021171.85128.90146.10Y01.05.2003CYSTOMETROGRAPHY with simultaneous measurement of rectal pressure, not being a service associated with a service to which any of items 11012-11027, 11903, 11915, 11919, 11921 and 36800 or any item in Group I3 of Category 5 applies (Anaes.)
1191501.12.19912D18SNNNNNYNNC01.12.199101.07.2021171.85128.90146.10Y01.05.2003CYSTOMETROGRAPHY with simultaneous measurement of urethral sphincter electromyography, not being a service associated with a service to which any of items 11012-11027, 11903, 11909, 11912, 11919, 11921 and 36800 or any item in Group I3 of Category 5 applies (Anaes.)
1191701.11.20022D18SNNNNNYNNC01.11.200201.07.2021445.75334.35378.90Y01.05.2003CYSTOMETROGRAPHY IN CONJUNCTION WITH ULTRASOUND OF 1 OR MORE COMPONENTS OF THE URINARY TRACT, with measurement of any 1 or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; including all imaging associated with cystometrography, not being a service associated with a service to which items 11012-11027, 11900-11915, 11919, 11921 and 36800 apply. (Anaes.)
1191901.05.20032D18SNNNNNYNNC01.05.200301.07.2021445.75334.35378.90Y01.11.2020CYSTOMETROGRAPHY IN CONJUNCTION WITH CONTRAST MICTURATING CYSTOURETHROGRAPHY, with measurement of any one or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography, being a service associated with a service to which items 60506 or 60509 applies;other than a service associated with a service to which items 11012-11027, 11900-11917, 11921 and 36800 apply (Anaes.)
1192101.12.19912D18SNNNNNYNNC01.12.199101.07.202178.1058.6066.4001.12.1991BLADDER WASHOUT TEST for localisation of urinary infectionnot including bacterial counts for organisms in specimens
1200001.12.19912D19SNNNNNYNNC01.12.199101.07.202140.5030.4034.4501.11.2018Skin prick testing for aeroallergens by a specialist or consultant physician in the practice of the specialist or consultant physician’s specialty, including all allergens tested on the same day, not being a service associated with a service to which item 12001, 12002, 12005, 12012, 12017, 12021, 12022 or 12024 applies
1200101.11.20182D19SNNNNNYNNC01.11.201801.07.202140.5030.4034.4501.11.2018Skin prick testing for aeroallergens, including all allergens tested on the same day, not being a service associated with a service to which item12000, 12002, 12005, 12012, 12017, 12021, 12022 or 12024 applies. Applicable only once in any 12 month period
1200201.11.20182D19SNNNNNYNNC01.11.201801.07.202140.5030.4034.4501.11.2018Repeat skin prick testing of a patient for aeroallergens, including all allergens tested on the same day, if: (a) further testing for aeroallergens is indicated in the same 12 month period to which item12001 applies to a service for the patient; and (b) the service is not associated with a service to which item12000, 12001, 12005, 12012, 12017, 12021, 12022 or 12024 applies Applicable only once in any 12 month period
1200301.12.19912D19SNNNNNYNNC01.12.199101.07.202140.5030.4034.4501.11.2018Skin prick testing for food and latex allergens, including all allergens tested on the same day, not being a service associated with a service to which item 12012, 12017, 12021, 12022 or 12024 applies
1200401.11.20182D19SNNNNNYNNC01.11.201801.07.202161.2545.9552.1001.11.2018Skin testing for medication allergens (antibiotics or non general anaesthetics agents) and venoms (including prick testing and intradermal testing with a number of dilutions), including all allergens tested on the same day, not being a service associated with a service to which item 12012, 12017, 12021, 12022 or 12024 applies
1200501.11.20182D19SNNNNNYNNC01.11.201801.07.202182.4061.8070.0501.11.2018Skin testing: (a) performed by or on behalf of a specialist or consultant physician in the practice of the specialist or consultant physician’s specialty; and (b) for agents used in the perioperative period (including prick testing and intradermal testing with a number of dilutions), to investigate anaphylaxis in a patient with a history of prior anaphylactic reaction or cardiovascular collapse associated with the administration of an anaesthetic; and (c) including all allergens tested on the same day; and (d) not being a service associated with a service to which item12000, 12001, 12002, 12003, 12012, 12017, 12021, 12022 or 12024 applies
1201201.11.19952D19SNNNNNYNNC01.11.199501.07.202121.6516.2518.4501.11.2016Epicutaneous patch testing in the investigation of allergic dermatitis using not more than 25 allergens
1201701.11.20162D19SNNNNNYNNC01.11.201601.07.202173.1054.8562.1501.11.2016Epicutaneous patch testing in the investigation of allergic dermatitis using more than 25 allergens but not more than 50 allergens
1202101.11.19952D19SNNNNNYNNC01.11.199501.07.2021120.1590.15102.1501.05.2017Epicutaneous patch testing in the investigation of allergic dermatitis, performed by or on behalf of a specialist, or consultant physician, in the practice of his or her specialty, using more than 50 allergens but not more than 75 allergens
1202201.11.20162D19SNNNNNYNNC01.11.201601.07.2021141.10105.85119.9501.05.2017Epicutaneous patch testing in the investigation of allergic dermatitis, performed by or on behalf of a specialist, or consultant physician, in the practice of his or her specialty, using more than 75 allergens but not more than 100 allergens
1202401.11.20162D19SNNNNNYNNC01.11.201601.07.2021160.75120.60136.6501.05.2017Epicutaneous patch testing in the investigation of allergic dermatitis, performed by or on behalf of a specialist, or consultant physician, in the practice of his or her specialty, using more than 100 allergens
1220001.12.19912D110SNNNNNYNNC01.12.199101.07.202138.7029.0532.9001.12.1991COLLECTION OF SPECIMEN OF SWEAT by iontophoresis
1220101.05.20042D110SNNNNNYNNC01.05.200401.07.20212489.851867.402405.1501.05.2004Administration, by a specialist or consultant physician in the practice of the specialist’s or consultant physician’s specialty, of thyrotropin alfa-rch (recombinant human thyroid-stimulating hormone), and arranging services to which both items 61426 and 66650 apply, for the detection of recurrent well-differentiated thyroid cancer in a patient if: (a) the patient has had a total thyroidectomy and 1 ablative dose of radioactive iodine; and (b) the patient is maintained on thyroid hormone therapy; and (c) the patient is at risk of recurrence; and (d) on at least 1 previous whole body scan or serum thyroglobulin test when withdrawn from thyroid hormone therapy, the patient did not have evidence of well-differentiated thyroid cancer; and (e) either: (i) withdrawal from thyroid hormone therapy resulted in severe psychiatric disturbances when hypothyroid; or (ii) withdrawal is medically contra-indicated because the patient has: (a) unstable coronary artery disease; or (b) hypopituitarism; or (c) a high risk of relapse or exacerbation of a previous severe psychiatric illness applicable once only in a 12 month period
1220301.12.19912D110SNNNNNYNNC01.07.199501.07.2021611.80458.85527.1001.03.2021Overnight diagnostic assessment of sleep, for at least 8 hours, for a patient aged 18 years or more, to confirm diagnosis of a sleep disorder, if: (a) either: (i) the patient has been referred by a medical practitioner to a qualified adult sleep medicine practitioner or a consultant respiratory physician who has determined that the patient has a high probability for symptomatic, moderate to severe obstructive sleep apnoea based on a STOP‑Bang score of3 or more, an OSA50 score of 5 or more or a high risk score on the Berlin Questionnaire, and an Epworth Sleepiness Scale score of 8 or more; or (ii) following professional attendance on the patient (either face‑to‑face or by video conference) by a qualified adult sleep medicine practitioner or a consultant respiratory physician, the qualified adult sleep medicine practitioner or consultant respiratory physician determines that assessment is necessary to confirm the diagnosis of a sleep disorder; and (b) the overnight diagnostic assessment is performed to investigate: (i) suspected obstructive sleep apnoea syndrome where the patient is assessed as not suitable for an unattended sleep study; or (ii) suspected central sleep apnoea syndrome; or (iii) suspected sleep hypoventilation syndrome; or (iv) suspected sleep‑related breathing disorders in association with non‑respiratory co‑morbid conditions including heart failure, significant cardiac arrhythmias, neurological disease, acromegaly or hypothyroidism; or (v) unexplained hypersomnolence which is not attributed to inadequate sleep hygiene or environmental factors; or (vi) suspected parasomnia or seizure disorder where clinical diagnosis cannot be established on clinical features alone (including associated atypical features, vigilance behaviours or failure to respond to conventional therapy); or (vii) suspected sleep related movement disorder, where the diagnosis of restless legs syndrome is not evident on clinical assessment; and (c) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and (d) there is continuous monitoring and recording, performed in accordance with current professional guidelines, of the following measures: (i) airflow; (ii) continuous EMG; (iii) anterior tibial EMG; (iv) continuous ECG; (v) continuous EEG; (vi) EOG; (vii) oxygen saturation; (viii) respiratory movement (chest and abdomen); (ix) position; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (g) the overnight diagnostic assessment is not provided to the patient on the same occasion that a service described in any of items11000, 11003, 11004, 11005, 11503, 11704, 11705,11707, 11713, 11714, 11716, 11717, 11723, 11735or 12250 is provided to the patient Applicable only once in any 12 month period
1220401.11.20182D110SNNNNNYNNC01.11.201801.07.2021611.80458.85527.1001.03.2021Overnight assessment of positive airway pressure, for at least 8 hours, for a patient aged 18 years or more, if: (a) the necessity for an intervention sleep study is determined by a qualified adult sleep medicine practitioner or consultant respiratory physician where a diagnosis of a sleep‑related breathing disorder has been made; and (b) the patient has not undergone positive airway pressure therapy in the previous 6 months; and (c) following professional attendance on the patient by a qualified adult sleep medicine practitioner or a consultant respiratory physician (either face‑to‑face or by video conference), the qualified adult sleep medicine practitioner or consultant respiratory physician establishes that the sleep‑related breathing disorder is responsible for the patient’s symptoms; and (d) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and (e) there is continuous monitoring and recording, performed in accordance with current professional guidelines, of the following measures: (i) airflow; (ii) continuous EMG; (iii) anterior tibial EMG; (iv) continuous ECG; (v) continuous EEG; (vi) EOG; (vii) oxygen saturation; (viii) respiratory movement; (ix) position; and (f) polygraphic records are: (i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (g) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (h) the overnight assessment is not provided to the patient on the same occasion that a service mentioned in any of items11000, 11003, 11004, 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716,11717, 11723, 11735or 12250 is provided to the patient Applicable only once in any 12 month period
1220501.11.20182D110SNNNNNYNNC01.11.201801.07.2021611.80458.85527.1001.03.2021Follow‑up study for a patient aged 18 years or more with a sleep‑related breathing disorder, following professional attendance on the patient by a qualified adult sleep medicine practitioner or consultant respiratory physician (either face-to-face or by video conference), if: (a) any of the following subparagraphs applies: (i) there has been a recurrence of symptoms not explained by known or identifiable factors such as inadequate usage of treatment, sleep duration or significant recent illness; (ii) there has been a significant change in weight or changes in co‑morbid conditions that could affect sleep‑related breathing disorders, and other means of assessing treatment efficacy (including review of data stored by a therapy device used by the patient) are unavailable or have been equivocal; (iii) the patient has undergone a therapeutic intervention (including, but not limited to, positive airway pressure, upper airway surgery, positional therapy, appropriate oral appliance, weight loss of more than 10% in the previous 6 months or oxygen therapy), and there is either clinical evidence of sub‑optimal response or uncertainty about control of sleep‑disordered breathing; and (b) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and (c) there is continuous monitoring and recording, performed in accordance with current professional guidelines, of the following measures: (i) airflow; (ii) continuous EMG; (iii) anterior tibial EMG; (iv) continuous ECG; (v) continuous EEG; (vi) EOG; (vii) oxygen saturation; (viii) respiratory movement (chest and abdomen); (ix) position; and (d) polygraphic records are: (i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (e) interpretation and preparation of a permanent report is provided by a qualifiedadult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (f) the follow‑up study is not provided to the patient on the same occasion that a service mentioned in any of items 11000, 11003, 11004,11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735or 12250 is provided to the patient Applicable only once in any 12 month period
1220719.06.19972D110SNNNNNYNNC01.11.199701.07.2021611.80458.85527.1001.03.2021Overnight investigation, for a patient aged 18 years or more, for a sleep‑related breathing disorder, following professional attendance by a qualified adult sleep medicine practitioner or a consultant respiratory physician (either face‑to‑face or by video conference), if: (a) the patient is referred by a medical practitioner; and (b) the necessity for the investigation is determined by a qualified adult sleep medicine practitioner before the investigation; and (c) there is continuous monitoring and recording, in accordance with current professional guidelines, of the following measures: (i) airflow; (ii) continuous EMG; (iii) anterior tibial EMG; (iv) continuous ECG; (v) continuous EEG; (vi) EOG; (vii) oxygen saturation; (viii) respiratory movement (chest and abdomen) (ix) position; and (d) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, arousals, respiratory events and assessment of clinically significant alterations in heart rate and limb movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (g) the investigation is not provided to the patient on the same occasion that a service mentioned in any of items 11000, 11003, 11004, 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735 or 12250 is provided to the patient; and (h) previous studies have demonstrated failure of continuous positive airway pressure or oxygen; and (i) if the patient has severe respiratory failure—a further investigation is indicated in the same 12 month period to which items12204 and 12205 apply to a service for the patient, for the adjustment or testing, or both, of the effectiveness of a positive pressure ventilatory support device (other than continuous positive airway pressure) in sleep Applicable only once in any 12 month period
1220801.11.20182D110SNNNNNYNNC01.11.201801.07.2021611.80458.85527.1001.03.2021Overnight investigation, for sleep apnoea for at least 8 hours, for a patient aged 18 years or more, if: (a) a qualified adult sleep medicine practitioner or consultant respiratory physician has determined that the investigation is necessary to confirm the diagnosis of a sleep disorder; and (b) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and (c) there is continuous monitoring and recording, in accordance with current professional guidelines, of the following measures: (i) airflow; (ii) continuous EMG; (iii) anterior tibial EMG; (iv) continuous ECG; (v) continuous EEG; (vi) EOG; (vii) oxygen saturation; (viii) respiratory movement (chest and abdomen); (ix) position; and (d) polygraphic records are: (i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (e) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (f) a further investigation is indicated in the same 12 month period to which item12203 applies to a service for the patient because insufficient sleep was acquired, as evidenced by a sleep efficiency of 25% or less, during the previous investigation to which that item applied; and (g) the investigation is not provided to the patient on the same occasion that a service mentioned in any of items 11000, 11003, 11004, 11005, 11503, 11704, 11705, 11707, 11713, 11714, 11716, 11717, 11723, 11735 or 12250 is provided to the patient Applicable only once in any 12 month period
1221001.11.20012D110SNNNNNYNNC01.11.200101.07.2021730.30547.75645.6001.03.2021Overnight paediatric investigation, for at least 8 hours, for a patient less than 12 years of age, if: (a) the patient is referred by a medical practitioner; and (b) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner before the investigation; and (c) there is continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following are made, in accordance with current professional guidelines: (i) airflow; (ii) continuous EMG; (iii) ECG; (iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads); (v) EOG; (vi) oxygen saturation; (vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen); (viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); and (d) a sleep technician, or registered nurse with sleep technology training, is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f) interpretation and report are provided by a qualified paediatric sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient; and (g) the investigation is not provided to the patient on the same occasion that a service to which item11704, 11705, 11707, 11714, 11716, 11717, 11723 or 11735 applies is provided to the patient For each particular patient—applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period
1221301.11.20012D110SNNNNNYNNC01.11.200101.07.2021657.90493.45573.2001.03.2021Overnight paediatric investigation, for at least 8 hours, for a patient aged at least 12 years but less than 18 years, if: (a) the patient is referred by a medical practitioner; and (b) the necessity for the investigation is determined by a qualified sleep medicine practitioner before the investigation; and (c) there is continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following are made, in accordance with current professional guidelines: (i) airflow; (ii) continuous EMG; (iii) ECG; (iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads); (v) EOG; (vi) oxygen saturation; (vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen); (viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); and (d) a sleep technician, or registered nurse with sleep technology training, is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f) interpretation and report are provided by a qualified sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient; and (g) the investigation is not provided to the patient on the same occasion that a service to which item11704, 11705, 11707, 11714, 11716, 11717, 11723 or 11735 applies is provided to the patient For each particular patient—applicable only in relation to each of the first 3 occasions the investigation is performed in any 12 month period
1221501.11.20012D110SNNNNNYNNC01.11.200101.07.2021730.30547.75645.6001.03.2021Overnight paediatric investigation, for at least 8 hours, for a patient less than 12 years of age, if: (a) the patient is referred by a medical practitioner; and (b) the necessity for the investigation is determined by a qualified paediatric sleep medicine practitioner before the investigation; and (c) there is continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following are made, in accordance with current professional guidelines: (i) airflow; (ii) continuous EMG; (iii) ECG; (iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads); (v) EOG; (vi) oxygen saturation; (vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen); (viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); and (d) a sleep technician, or registered nurse with sleep technology training, is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f) interpretation and report are provided by a qualified paediatric sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient; and (g) a further investigation is indicated in the same 12 month period to which item12210 applies to a service for the patient, for a patient using Continuous Positive Airway Pressure (CPAP) or non‑invasive or invasive ventilation, or supplemental oxygen, in either or both of the following circumstances: (i) there is ongoing hypoxia or hypoventilation on the third study to which item12210 applied for the patient, and further titration of respiratory support is needed to optimise therapy; (ii) there is clear and significant change in clinical status (for example lung function or functional status) or an intervening treatment that may affect ventilation in the period since the third study to which item12210 applied for the patient, and repeat study is therefore required to determine the need for or the adequacy of respiratory support; and (h) the investigation is not provided to the patient on the same occasion that a service to which item11704, 11705, 11707, 11714, 11716, 11717, 11723 or 11735 applies is provided to the patient Applicable only once in the same 12 month period to which item12210 applies
1221701.11.20012D110SNNNNNYNNC01.11.200101.07.2021657.90493.45573.2001.03.2021Overnight paediatric investigation, for at least 8 hours, for a patient aged at least 12 years but less than 18 years, if: (a) the patient is referred by a medical practitioner; and (b) the necessity for the investigation is determined by a qualified sleep medicine practitioner before the investigation; and (c) there is continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following are made, in accordance with current professional guidelines: (i) airflow; (ii) continuous EMG; (iii) ECG; (iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads); (v) EOG; (vi) oxygen saturation; (vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen); (viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); and (d) a sleep technician, or registered nurse with sleep technology training, is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f) interpretation and report are provided by a qualified sleep medicine practitioner based on reviewing the direct original recording of polygraphic data from the patient; and (g) a further investigation is indicated in the same 12 month period to which item12213 applies to a service for the patient, for a patient using Continuous Positive Airway Pressure (CPAP) or non‑invasive or invasive ventilation, or supplemental oxygen, in either or both of the following circumstances: (i) there is ongoing hypoxia or hypoventilation on the third study to which item12213 applied for the patient, and further titration is needed to optimise therapy; (ii) there is clear and significant change in clinical status (for example lung function or functional status) or an intervening treatment that may affect ventilation in the period since the third study to which item12213 applied for the patient, and repeat study is therefore required to determine the need for or the adequacy of respiratory support; and (h) the investigation is not provided to the patient on the same occasion that a service to which item11704, 11705, 11707, 11714, 11716, 11717, 11723 or 11735 applies is provided to the patient Applicable only once in the same 12 month period to which item12213 applies
1225001.10.20082D110SNNNNNYNNC01.11.201201.07.2021348.85261.65296.5501.03.2021Overnight investigation of sleep for at least 8 hours of a patient aged 18 years or more to confirm diagnosis of obstructive sleep apnoea, if: (a) either: (i) the patient has been referred by a medical practitioner to a qualified adult sleep medicine practitioner or a consultant respiratory physician who has determined that the patient has a high probability for symptomatic, moderate to severe obstructive sleep apnoea based on a STOP‑Bang score of3 or more, an OSA50 score of 5 or more or a high risk score on the Berlin Questionnaire, and an Epworth Sleepiness Scale score of 8 or more; or (ii) following professional attendance on the patient (either face‑to‑face or by video conference) by a qualified adult sleep medicine practitioner or a consultant respiratory physician, the qualified adult sleep medicine practitioner or consultant respiratory physician determines that investigation is necessary to confirm the diagnosis of obstructive sleep apnoea; and (b) during a period of sleep, there is continuous monitoring and recording, performed in accordance with current professional guidelines, of the following measures: (i) airflow; (ii) continuous EMG; (iii) continuous ECG; (iv) continuous EEG; (v) EOG; (vi) oxygen saturation; (vii) respiratory effort; and (c) the investigation is performed under the supervision of a qualified adult sleep medicine practitioner; and (d) either: (i) the equipment is applied to the patient by a sleep technician; or (ii) if this is not possible—the reason it is not possible for the sleep technician to apply the equipment to the patient is documented and the patient is given instructions on how to apply the equipment by a sleep technician supported by written instructions; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, arousals, respiratory events and cardiac abnormalities) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (g) the investigation is not provided to the patient on the same occasion that a service mentioned in any of items11000, 11003, 11004, 11005, 11503, 11704, 11705, 11707, 11714, 11716, 11717, 11723, 11735 and 12203 is provided to the patient Applicable only once in any 12 month period
1225401.11.20182D110SNNNNNYNNC01.11.201801.07.2021950.70713.05866.0001.10.2020Multiple sleep latency test for the assessment of unexplained hypersomnolence in a patient aged 18 years or more, if: (a) a qualified adult sleep medicine practitioner or neurologist determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria under the pharmaceutical benefits scheme for drugs relevant to treat that condition are met; and (b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring and recording, in accordance with current professional guidelines, of the following measures: (i) airflow; (ii) continuous EMG; (iii) anterior tibial EMG; (iv) continuous ECG; (v) continuous EEG; (vi) EOG; (vii) oxygen saturation; (viii) respiratory movement (chest and abdomen); (ix) position; and (c) immediately following the overnight investigation a daytime investigation is performed where at least 4 nap periods are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG; and (d) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f) interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item 11003, 12203, 12204, 12205, 12208, 12250 or 12258 is provided to the patient Applicable only once in a 12 month period
1225801.11.20182D110SNNNNNYNNC01.11.201801.07.2021950.70713.05866.0001.10.2020Maintenance of wakefulness test for the assessment of the ability to maintain wakefulness in a patient aged 18 years or more, if: (a) a qualified adult sleep medicine practitioner or neurologist determines that testing is necessary to objectively confirm the ability to maintain wakefulness; and (b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring and recording, in accordance with current professional guidelines, of the following measures: (i) airflow; (ii) continuous EMG; (iii) anterior tibial EMG; (iv) continuous ECG; (v) continuous EEG; (vi) EOG; (vii) oxygen saturation; (viii) respiratory movement (chest and abdomen); (ix) position; and (c) immediately following the overnight investigation, a daytime investigation is performed where at least 4 wakefulness trials are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG; and (d) a sleep technician is in continuous attendance under the supervision of a qualified adult sleep medicine practitioner; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f)interpretation and preparation of a permanent report is provided by a qualified adult sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item 11003, 12203, 12204, 12205, 12208, 12250 or 12254 is provided to the patient Applicable only once in a 12 month period
1226101.11.20182D110DNNNNNYNNC01.11.201801.07.2021996.85747.65912.1501.10.2020Multiple sleep latency test for the assessment of unexplained hypersomnolence in a patient aged at least 12 years but less than 18 years, if: (a) a qualified sleep medicine practitioner determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria under the pharmaceutical benefits scheme for drugs relevant to treat that condition are met; and (b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following, in accordance with current professional guidelines: (i) airflow; (ii) continuous EMG; (iii) ECG; (iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads); (v) EOG; (vi) oxygen saturation; (vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen); (viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); and (c) immediately following the overnight investigation, a daytime investigation is performed where at least 4 nap periods are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG; and (d) a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (e) polygraphic records are: (i) analysed (for assessment of sleep stage, and maturation of sleep indices, arousals, respiratory events and assessment of clinically significant alterations in heart rate and body movement) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f) interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item 11003, 12213, 12217 or 12265 is provided to the patient Applicable only once in a 12 month period
1226501.11.20182D110DNNNNNYNNC01.11.201801.07.2021996.85747.65912.1501.10.2020Maintenance of wakefulness test for the assessment of the ability to maintain wakefulness in a patient aged at least 12 years but less than 18 years, if: (a)a qualified sleep medicine practitioner determines that testing to objectively confirm the ability to maintain wakefulness is necessary; and (b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following, in accordance with current professional guidelines: (i) airflow; (ii) continuous EMG; (iii) ECG; (iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads); (v) EOG; (vi) oxygen saturation; (vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen); (viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); and (c)immediately following the overnight investigation, a daytime investigation is performed where at least 4 wakefulness trials are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG; and (d)a sleep technician is in continuous attendance under the supervision of a qualified sleep medicine practitioner; and (e)polygraphic records are: (i)analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii) stored for interpretation and preparation of a report; and (f)interpretation and preparation of a permanent report is provided by a qualified sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item 11003, 12213, 12217 or 12261 is provided to the patient Applicable only once in a 12 month period
1226801.11.20182D110DNNNNNYNNC01.11.201801.07.20211069.20801.90984.5001.10.2020Multiple sleep latency test for the assessment of unexplained hypersomnolence for a patient less than 12 years of age, if: (a) a qualified paediatric sleep medicine practitioner determines that testing is necessary to confirm the diagnosis of a central disorder of hypersomnolence or to determine whether the eligibility criteria under the pharmaceutical benefits scheme for drugs relevant to treat that condition are met; and (b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following, in accordance with current professional guidelines: (i) airflow; (ii) continuous EMG; (iii) ECG; (iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads); (v) EOG; (vi) oxygen saturation; (vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen); (viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); and (c)immediately following the overnight investigation, a daytime investigation is performed where at least 4 nap periods are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG; and (d) a sleep technician is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and (e)polygraphic records are: (i)analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii)stored for interpretation and preparation of a report; and (f)interpretation and preparation of a permanent report is provided by a qualified paediatric sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item 11003, 12210, 12215 or 12272 is provided to the patient Applicable only once in a 12 month period
1227201.11.20182D110DNNNNNYNNC01.11.201801.07.20211069.20801.90984.5001.10.2020Maintenance of wakefulness test for the assessment of the ability to maintain wakefulness for a patient less than 12 years of age, if: (a)a qualified paediatric sleep medicine practitioner determines that testing to objectively confirm the ability to maintain wakefulness is necessary; and (b) an overnight diagnostic assessment of sleep is performed for at least 8 hours, with continuous monitoring of oxygen saturation and breathing using a multi‑channel polygraph, and recordings of the following, in accordance with current professional guidelines: (i) airflow; (ii) continuous EMG; (iii) ECG; (iv) EEG (with a minimum of 4 EEG leads or, in selected investigations, a minimum of 6 EEG leads); (v) EOG; (vi) oxygen saturation; (vii) respiratory movement of rib and abdomen (whether movement of rib is recorded separately from, or together with, movement of abdomen); (viii) measurement of carbon dioxide (either end‑tidal or transcutaneous); and (c)immediately following the overnight investigation, a daytime investigation is performed where at least 4 wakefulness trials are conducted, during which there is continuous recording of EEG, EMG, EOG and ECG; and (d)a sleep technician is in continuous attendance under the supervision of a qualified paediatric sleep medicine practitioner; and (e) polygraphic records are: (i)analysed (for assessment of sleep stage, arousals, respiratory events, cardiac abnormalities and limb movements) with manual scoring, or manual correction of computerised scoring in epochs of not more than 1 minute; and (ii)stored for interpretation and preparation of a report; and (f)interpretation and preparation of a permanent report is provided by a qualified paediatric sleep medicine practitioner with personal direct review of raw data from the original recording of polygraphic data from the patient; and (g) the diagnostic assessment is not provided to the patient on the same occasion that a service described in item 11003, 12210, 12215 or 12268 is provided to the patient Applicable only once in a 12 month period
1230631.10.19952D110SNNNNNYNNC01.11.201201.07.2021106.5579.9590.6001.11.2017Bone densitometry, using dual energy X‑ray absorptiometry, involving the measurement of 2 or more sites (including interpretation and reporting), for: (a) confirmation of a presumptive diagnosis of low bone mineral density made on the basis of one or more fractures occurring after minimal trauma; or (b) monitoring of low bone mineral density proven by bone densitometry at least 12 months previously; other than a service associated with a service to which item12312, 12315 or 12321 applies For any particular patient, once only in a 24 month period
1231231.10.19952D110SNNNNNYNNC01.08.199601.07.2021106.5579.9590.6001.11.2017Bone densitometry, using dual energy X‑ray absorptiometry, involving the measurement of 2 or more sites (including interpretation and reporting) for diagnosis and monitoring of bone loss associated with one or more of the following: (a) prolonged glucocorticoid therapy; (b) any condition associated with excess glucocorticoid secretion; (c) male hypogonadism; (d) female hypogonadism lasting more than 6 months before the age of 45; other than a service associated with a service to which item12306, 12315 or 12321 applies For any particular patient, once only in a 12 month period
1231531.10.19952D110SNNNNNYNNC01.08.199601.07.2021106.5579.9590.6001.11.2017Bone densitometry, using dual energy X‑ray absorptiometry, involving the measurement of 2 or more sites (including interpretation and reporting) for diagnosis and monitoring of bone loss associated with one or more of the following conditions: (a) primary hyperparathyroidism; (b) chronic liver disease; (c) chronic renal disease; (d) any proven malabsorptive disorder; (e) rheumatoid arthritis; (f) any condition associated with thyroxine excess; other than a service associated with a service to which item12306, 12312 or 12321 applies For any particular patient, once only in a 24 monthperiod
1232001.11.20172D110SNNNNNYNNC01.11.201701.07.2021106.5579.9590.6001.11.2017Bone densitometry, using dual energy X‑ray absorptiometry or quantitative computed tomography, involving the measurement of 2 or more sites (including interpretation and reporting) for measurement of bone mineral density, if:(a) the patient is 70 years of age or over, and (b) either: (i) the patient has not previously had bone densitometry; or (ii) the t-score for the patient's bone mineral density is -1.5 or more; other than a service associated with a service to which item 12306, 12312, 12315, 12321 or 12322 applies For any particular patient, once only in a 5 year period
1232131.10.19952D110SNNNNNYNNC01.08.199601.07.2021106.5579.9590.6001.11.2017Bone densitometry, using dual energy X‑ray absorptiometry, involving the measurement of 2 or more sites at least 12 months after a significant change in therapy (including interpretation and reporting), for: (a) established low bone mineral density; or (b) confirming a presumptive diagnosis of low bone mineral density made on the basis of one or more fractures occurring after minimal trauma; other than a service associated with a service to which item12306, 12312 or 12315 applies For any particular patient, once only in a 12 monthperiod
1232201.11.20172D110SNNNNNYNNC01.11.201701.07.2021106.5579.9590.6001.11.2017Bone densitometry, using dual energy X‑ray absorptiometry or quantitative computed tomography, involving the measurement of 2 or more sites (including interpretation and reporting) for measurement of bone mineral density, if:(a) the patient is 70 years of age or over; and (b) the t‑score for the patient's bone mineral density is less than ‑1.5 but more than ‑2.5; other than a service associated with a service to which item 12306, 12312, 12315, 12320 or 12321 applies For any particular patient, once only in a 2 year period
1232501.11.20162D110SNNNNNYNNC01.11.201601.07.202152.0039.0044.2001.11.2016Assessment of visual acuity and bilateral retinal photography with a non mydriatic retinal camera, including analysis and reporting of the images for initial or repeat assessment for presence or absence of diabetic retinopathy, in a patient with medically diagnosed diabetes, if: (a)the patient is of Aboriginal and Torres Strait Islander descent; and (b)the assessment is performed by the medical practitioner (other than an optometrist or ophthalmologist) providing the primary glycaemic management of the patient's diabetes; and (c)this item and item 12326 have not applied to the patient in the preceding 12 months; and (d)the patient does not have: (i)an existing diagnosis of diabetic retinopathy; or (ii)visual acuity of less than 6/12 in either eye; or (iii) a difference of more than 2 lines of vision between the 2 eyes at the time of presentation
1232601.11.20162D110SNNNNNYNNC01.11.201601.07.202152.0039.0044.2001.11.2016Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera, including analysis and reporting of the images for initial or repeat assessment for presence or absence of diabetic retinopathy, in a patient with medically diagnosed diabetes, if: (a)the assessment is performed by the medical practitioner (other than an optometrist or ophthalmologist) providing the primary glycaemic management of the patient's diabetes; and (b)this item and item 12325 have not applied to the patient in the preceding 24 months; and (c)the patient does not have: (i)an existing diagnosis of diabetic retinopathy; or (ii)visual acuity of less than 6/12 in either eye; or (iii)a difference of more than 2 lines of vision between the 2 eyes at the time of presentation
1250001.12.19912D2SNNNNNYNNC01.12.199101.07.2021225.40169.05191.6001.12.1991BLOOD VOLUME ESTIMATION
1252401.12.19912D2SNNNNNYNNC01.12.199101.07.2021164.75123.60140.0501.12.1991RENAL FUNCTION TEST (without imaging procedure)
1252701.12.19912D2SNNNNNYNNC01.12.199101.07.202188.4066.3075.1501.12.1991RENAL FUNCTION TEST (with imaging and at least 2 blood samples)
1253301.07.19952D2SNNNNNYNNC01.07.199501.07.202188.1066.1074.9001.07.2009CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, performed by a specialist or consultant physician, including the measurement of exhaled 13CO2 or 14CO2, for either:- (a)the confirmation of Helicobacter pylori colonisation, OR (b)the monitoring of the success of eradication of Helicobacter pylori in patients with peptic ulcer disease. not being a service to which 66900 applies
1301501.11.20013T11SNNNNNYNNC01.11.200101.07.2021265.10198.85225.3501.11.2012HYPERBARIC, 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.
1302001.07.19963T11SNNNNNYNNC01.07.199601.07.2021269.35202.05228.9501.05.2002HYPERBARIC 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
1302501.07.19963T11SNNNNNYNNC01.07.199601.07.2021120.3590.30102.3001.11.2001HYPERBARIC 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)
1303001.07.19963T11SNNNNNYNNC01.07.199601.07.2021170.05127.55144.5501.07.1996HYPERBARIC 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)
1310001.12.19913T12SNNNNNYNNC01.12.199101.07.2021142.20106.65120.9001.12.1991SUPERVISION IN HOSPITAL by a medical specialist ofhaemodialysis, 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
1310301.12.19913T12SNNNNNYNNC01.12.199101.07.202174.1055.6063.0001.12.1991SUPERVISION IN HOSPITAL by a medical specialist ofhaemodialysis, 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
1310401.11.20053T12SNNNNNYNNB01.11.200501.07.2021153.90130.8501.11.2005Planning 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
1310501.11.20183T12SNNNNNYNNE01.11.201801.07.2021615.95615.9501.11.2018Haemodialysis for a patient with end‑stage renal disease if: (a) the service is provided by a registered nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner; and (b) the service is supervised by the medical practitioner (either in person or remotely); and (c) the patient’s care is managed by a nephrologist; and (d) the patient is treated or reviewed by the nephrologist every 3 to 6 months (either in person or remotely); and (e) the patient is not an admitted patient of a hospital; and (f) the service is provided in a Modified Monash 7 area
1310601.12.19913T12SNNNNNYNNC01.12.199101.07.2021126.3094.75107.4001.12.1991DECLOTTING OF AN ARTERIOVENOUS SHUNT
1310901.12.19913T12SNNNNNYNNC01.12.199101.07.2021236.95177.75201.45Y01.12.1991INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR DIALYSISINSERTION AND FIXATION OF (Anaes.)
1311001.05.19973T12SNNNNNYNNC01.05.199701.07.2021237.75178.35202.10Y01.11.2018INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR DIALYSIS , removal of (including catheter cuffs) (Anaes.)
1320001.12.19913T13SNNNNNYNFC01.12.199101.07.20213236.752427.603152.0501.01.20101714.2001.01.2010ASSISTED 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 item13201, 13202, 13203, 13206, 13218 applies - being services rendered during 1 treatment cycle - INITIAL cycle in a single calendar year
1320101.01.20103T13SNNNNNYNFC01.01.201001.07.20213027.652270.752942.9501.01.20102488.3501.01.2010ASSISTED 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 item13200, 13202, 13203, 13206, 13218 applies - being services rendered during 1 treatment cycle - each cycle SUBSEQUENT to the first in a single calendar year
1320201.01.20103T13SNNNNNYNFC01.01.201001.07.2021484.40363.30411.7501.01.201066.4501.01.2010ASSISTED 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
1320301.12.19913T13SNNNNNYNFC01.12.199101.07.2021506.45379.85430.5001.01.2010110.6501.01.2010OVULATION 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
1320601.12.19913T13SNNNNNYNFC01.12.199101.07.2021484.40363.30411.7501.01.201066.4501.01.2010ASSISTED 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
1320901.12.19913T13SNNNNNYNFC01.12.199101.07.202188.1566.1574.9501.01.201011.1501.01.2010PLANNING 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
1321001.07.20113T13SDNNNNNNFB01.07.201101.01.20125.4501.11.201250% of the fee for item 13209. Benefit: 85% of the derived fee01.11.2012Professional 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) within a telehealth eligible 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
1321201.12.19913T13SNNNNNYNFC01.12.199101.07.2021368.80276.60313.5001.01.201072.00Y01.11.2014Oocyte retrieval for the purpose of assisted reproductive technologies-only if rendered in connection with a service to which item 13200, 13201 or 13206 applies (Anaes.)
1321501.12.19913T13SNNNNNYNFC01.12.199101.07.2021115.6586.7598.3501.01.201049.85Y01.11.2014Transfer of embryos or both ova and sperm to the uterus or fallopian tubes, excluding artificial insemination-only if rendered in connection with a service to which item 13200, 13201, 13206 or 13218 applies, being services rendered in one treatment cycle (Anaes.)
1321801.12.19913T13SNNNNNYNFC01.12.199101.07.2021825.70619.30741.0001.01.2010718.90Y01.01.2014PREPARATION of frozen or donated embryos or donated oocytes for transfer to the uterus or fallopian tubes, 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.)
1322101.12.19913T13SNNNNNYNFC01.12.199101.07.202152.8039.6044.9001.01.201022.2001.11.2014Preparation of semen for the purpose of artificial insemination-only if rendered in connection with a service to which item 13203 applies
1325101.05.20073T13SNNNNNYNFC01.05.200701.07.2021434.90326.20369.7001.01.2010110.6501.01.2010INTRACYTOPLASMIC SPERM INJECTION for the purposes of assisted reproductive technologies, for male factor infertility, excluding a service to which Item 13203 or 13218 applies
1326001.11.20183T13DNNNNNYNPC01.11.201801.07.2021431.80323.85367.0501.01.201965.0001.11.2018Processing and cryopreservation of semen for fertility preservation treatment before or after completion of gonadotoxic treatment for malignant or non-malignant conditions, in a post-pubertal male in Tanner stages II-V, up to 60 years old, if the patient is referred by a specialist or consultant physician, initial cryopreservation of semen (not including storage) - one of a maximum of two semen collection cycles per patient in a lifetime.
1329001.05.19973T13SNNNNNYNNC01.05.199701.07.2021212.50159.40180.6501.05.1997SEMEN, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, bya medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required
1329201.05.19973T13SNNNNNYNNC01.05.199701.07.2021425.30319.00361.55Y01.05.1997SEMEN, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, bya medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required, under general anaesthetic, in a hospital (Anaes.)
1330001.12.19913T14SNNNNNYNNC01.12.199101.07.202159.2544.4550.4001.12.1991UMBILICAL OR SCALP VEIN CATHETERISATION in a NEONATE with or without infusion; or cannulation of a vein in a neonate
1330301.12.19913T14SNNNNNYNNC01.12.199101.07.202187.8565.9074.7001.12.1991UMBILICAL ARTERY CATHETERISATION with or without infusion
1330601.12.19913T14SNNNNNYNNC01.12.199101.07.2021347.65260.75295.5501.12.1991BLOOD TRANSFUSION with venesection and complete replacement of blood, including collection from donor
1330901.12.19913T14SNNNNNYNNC01.12.199101.07.2021296.40222.30251.9501.12.1991BLOOD TRANSFUSION with venesection and complete replacement of blood, using blood already collected
1331201.12.19913T14SNNNNNYNNC01.12.199101.07.202129.6022.2025.2001.12.1991BLOOD for pathology test, collection of, BY FEMORAL OR EXTERNAL JUGULAR VEIN PUNCTURE IN INFANTS
1331801.12.19913T14SNNYNYYNNC01.12.199101.07.2021236.65177.50201.20Y01.07.2021CENTRAL VEIN CATHETERISATION - by open exposure in a patient under 12 years of age (Anaes.)
1331901.05.19973T14SNNNNNYNNC01.05.199701.07.2021236.65177.50201.20Y01.05.1997CENTRAL VEIN CATHETERISATION in a neonate via peripheral vein (Anaes.)
1340001.12.19913T15SNNYNYYNNA01.07.202101.07.2021100.7575.60Y01.07.2021Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (H) (Anaes.)
1350601.05.19943T16SNNNNNYNNC01.05.199401.07.2021191.95144.00163.2001.01.2014GASTRO-OESOPHAGEAL balloon intubation, for control of bleeding from gastric oesophageal varices
1370001.12.19913T18SNNNNNYNNC01.12.199101.07.2021346.80260.10294.80Y01.12.1991HARVESTING OF HOMOLOGOUS (including allogeneic) or AUTOLOGOUS bone marrow for the purpose of transplantation (Anaes.)
1370301.12.19913T18SNNNNNYNNC01.12.199101.07.2021124.3093.25105.7001.11.2020Transfusion of blood, including collection from donor, when used for intra-operative normovolaemic haemodilution
1370601.12.19913T18SNNNNNYNNC01.12.199101.07.202186.7065.0573.7001.01.2015TRANSFUSION OF BLOOD or bone marrow already collected
1375001.07.19963T18SNNNNNYNNC01.07.199601.07.2021142.20106.65120.9001.07.1996THERAPEUTIC 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
1375501.07.19963T18SNNNNNYNNC01.07.199601.07.2021142.20106.65120.9001.07.1996DONOR HAEMAPHERESIS for the collection of blood products for transfusion, utilising continuous or intermittent 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
1375701.05.19973T18SNNNNNYNNC01.05.199701.07.202175.9056.9564.5501.11.1997THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda
1376001.07.19963T18SNNNNNYNNC01.07.199601.07.2021793.50595.15708.8001.11.2020In vitro processing with cryopreservation of bone marrow or peripheral blood, for autologous stem cell transplantation for a patient receiving high‑dose chemotherapy for management of: (a) aggressive malignancy; or (b) malignancy that has proven refractory to prior treatment
1381501.07.19933T19SNNNNNYNNC01.07.199301.07.2021118.2588.70100.55Y01.03.2020Central vein catheterisation, including under ultrasound guidance where clinically appropriate, by percutaneous or open exposure other than a service to which item 13318 applies (Anaes.) No separate ultrasound item is payable with this item. (Anaes.)
1381801.07.19933T19SNNNNNYNNC01.07.199301.07.2021118.3088.75100.60Y01.05.1994RIGHT HEART BALLOON CATHETER, insertion of, including pulmonary wedge pressure and cardiac output measurement (Anaes.)
1383001.07.19933T19SNNNNNYNNC01.07.199301.07.202178.4058.8066.6501.07.1993INTRACRANIAL PRESSURE, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician - each day
1383201.03.20203T19SNNNNNYNNC01.03.202001.07.2021917.50688.15832.8001.03.2020Peripheral cannulation, including under ultrasound guidance where clinically appropriate, for veno-arterial cardiopulmonary extracorporeal life support No separate ultrasound item is payable with this item
1383401.03.20203T19SNNNNNYNNC01.03.202001.07.2021513.65385.25436.6501.03.2020Veno–arterial cardiopulmonary extracorporeal life support, management of—the first day
1383501.03.20203T19SNNNNNYNNC01.03.202001.07.2021119.5089.65101.6001.03.2020Veno–arterial cardiopulmonary extracorporeal life support, management of—each day after the first
1383701.03.20203T19SNNNNNYNNC01.03.202001.07.2021513.65385.25436.6501.03.2020Veno-venous pulmonary extracorporeal life support, management of—the first day
1383801.03.20203T19SNNNNNYNNC01.03.202001.07.2021119.5089.65101.6001.03.2020Veno-venous pulmonary extracorporeal life support, management of—each day after the first
1383901.05.19943T19SNNNNNYNNC01.05.199401.07.202123.9518.0020.4001.05.1994ARTERIAL PUNCTURE and collection of blood for diagnostic purposes
1384001.03.20203T19SNNNNNYNNC01.03.202001.07.2021614.70461.05530.0001.03.2020Peripheral cannulation, including under ultrasound guidance where clinically appropriate, for veno-venous pulmonary extracorporeal life support No separate ultrasound item is payable with this item
1384201.05.19943T19SNNNNNYNNC01.05.199401.07.202197.3573.0582.7501.03.2020Intra-arterial cannulation, including under ultrasound guidance where clinically appropriate, for the purpose of intra-arterial pressure monitoring or arterial blood sampling (or both) No separate ultrasound item is payable with this item
1384801.05.19943T19SNNNNNYNNC01.05.199401.07.2021162.45121.85138.1001.03.2020Counterpulsation by intra-aortic balloon-management including associated consultations and monitoring of parameters by means of full haemodynamic assessment and management on several occasions on a day – each day
1385101.05.19943T19SNNNNNYNNC01.05.199401.07.2021513.65385.25436.6501.03.2020Ventricular assist device, management of,for a patient admitted to an intensive care unit for implantation of the device or for complications arising from implantation or management of the device - first day
1385401.05.19943T19SNNNNNYNNC01.05.199401.07.2021119.5089.65101.6001.03.2020Ventricular assist device, management of, for a patient admitted to an intensive care unit, including management ofcomplications arising from implantation or management of the device - each day after the first day
1385701.11.19943T19SNNNNNYNNC01.11.199401.07.2021152.35114.30129.5001.11.2005AIRWAY 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
1387001.05.19943T110SNNNNNYNNA01.03.201301.07.2021376.75282.6001.01.2015(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 (H)
1387301.05.19943T110SNNNNNYNNA01.03.201301.07.2021279.50209.6501.01.2015MANAGEMENT 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 (H)
1387601.05.19943T110SNNNNNYNNA01.03.201301.07.202180.0060.0001.01.2015CENTRAL 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) (H)
1388101.11.20053T110SNNNNNYNNA01.03.201301.07.2021152.35114.3001.01.2015AIRWAY 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 (H)
1388201.05.19943T110SNNNNNYNNA01.03.201301.07.2021119.9089.9501.01.2015VENTILATORY 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 (H)
1388501.05.19943T110SNNNNNYNNA01.03.201301.07.2021159.90119.9501.01.2015CONTINUOUS 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 (H)
1388801.05.19943T110SNNNNNYNNA01.03.201301.07.202180.0060.0001.01.2015CONTINUOUS 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(H)
1389901.03.20203T110SNNNNNYNPC01.03.202001.07.2021278.75209.10236.9501.01.2021500.00300.0001.03.2020Preparation of Goals of Care is provided outside of an intensive care unit. Refer to explanatory note TN.1.11 for further information aboutGoals of Care attendance Professional attendance, outside an intensive care unit, for at least 60 minutes spent in preparation of goals of care for a gravely ill patient lacking current goals of care, by aspecialist in the specialty of intensive care who takes overall responsibility for the preparation of the goals of care for the patient Item 13899 cannot be co-claimed with item 13870 or item 13873 on the same day
1395001.11.20203T111SNSNNNNYNNC01.11.202001.07.2021112.4084.3095.5501.11.2020Parenteral administration of one or more antineoplastic agents, including agents used in cytotoxic chemotherapy or monoclonal antibody therapy but not agents used in anti-resorptive bone therapy or hormonal therapy, by or on behalf of a specialist or consultant physician—attendance for one or more episodes of administration Note: The fee for item 13950 contains a component which covers the accessing of a long-term drug delivery device. TN.1.27 refers
1405001.12.19913T112SNNNNNYNNC01.12.199101.07.202154.9041.2046.7001.11.2018UVA or UVB phototherapy administered in a whole body cabinet or hand and foot cabinet including associated consultations other than the initial consultation, if treatment is initiated and supervised by a specialist in the specialty of dermatology Applicable not more than 150 times in a 12 month period
1410001.11.19953T112SNNNNNYNPC01.11.199501.07.2021158.65119.00134.9001.11.201280.00Y01.11.2018Laser photocoagulation using laser radiation in the treatment of vascular abnormalities of the head or neck, including any associated consultation, if: (a) the abnormality is visible from 3 metres; and (b) photographic evidence demonstrating the need for this service is documented in the patient notes; to a maximum of 4 sessions (including any sessions to which this item or any of items14106 to 14118 apply) in any 12 month period (Anaes.)
1410601.11.19953T112SNNNNNYNNC01.11.199501.07.2021166.65125.00141.70Y01.11.2018Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), if the abnormality is visible from 3 metres, including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment less than 150 cm2 (Anaes.)
1411501.11.19953T112SNNNNNYNNC01.11.199501.07.2021266.90200.20226.90Y01.11.2018Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café 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 this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment 150 cm2 to 300 cm2 (Anaes.)
1411801.11.19953T112SNNNNNYNNC01.11.199501.07.2021338.90254.20288.10Y01.11.2018Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café 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 this item or any of items 14100 to 14115 apply) in any 12 month period—area of treatment more than 300 cm2 (Anaes.)
1412419.06.19973T112SNNNNNYNNC01.11.199701.07.2021158.65119.00134.90Y01.11.2018Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café‑au‑lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, if: (a) a seventh or subsequent session (including any sessions to which this item or any of items14100 to 14118 apply) is indicated in a 12 month period commencing on the day of the first session; and (b) photographic evidence demonstrating the need for this service is documented in the patient notes (Anaes.)
1420101.07.20113T113SNNNNNYNPC01.07.201101.07.2021246.45184.85209.5001.01.201315.0001.07.2011POLY-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
1420201.07.20113T113SNNNNNYNPC01.07.201101.07.2021124.7593.60106.0501.01.201315.0001.07.2011POLY-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
1420301.12.19913T113SNNNNNYNNC01.12.199101.07.202153.2039.9045.25Y01.07.1993HORMONE OR LIVING TISSUE IMPLANTATION, by direct implantation involving incision and suture (Anaes.)
1420601.12.19913T113SNNNNNYNNC01.12.199101.07.202137.0527.8031.5001.12.1991HORMONE OR LIVING TISSUE IMPLANTATIONby cannula
1420901.07.19933T113SNNNNNYNNC01.07.199301.07.202192.2569.2078.4501.07.1993INTRAARTERIAL INFUSION or retrograde intravenous perfusion of a sympatholytic agent
1421201.11.19943T113SNNNNNYNNC01.11.199401.07.2021192.75144.60163.85Y01.11.1994INTUSSUSCEPTION, management of fluid or gas reduction for (Anaes.)
1421801.03.19993T113SNNNNNYNNC01.03.199901.07.2021101.9076.4586.6501.05.2005IMPLANTED 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
1422101.03.19993T113SNNNNNYNNC01.03.199901.07.202154.6541.0046.5001.11.2020LONG-TERM IMPLANTED DEVICE FOR DELIVERY OF THERAPEUTIC AGENTS, accessing of, not being a service associated with a service to which item 13950 applies
1422401.03.19993T113SNNNNNYNNC01.03.199901.07.202173.2054.9062.25Y01.03.1999ELECTROCONVULSIVE THERAPY, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (Anaes.)
1422701.05.20063T113SNNNNNYNNC01.05.200601.07.2021101.9076.4586.6501.05.2006IMPLANTED 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
1423401.11.20203T113SNNNNNYNNA01.11.202001.07.2021376.55282.45Y01.11.2020Infusion pump or components of an infusion pump, removal 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.)
1423701.11.20203T113SNNNNNYNNA01.11.202001.07.2021686.65515.00Y01.11.2020Infusion pump or components of an 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.)
1424501.11.20063T113SNNNNNYNNC01.11.200601.07.2021101.9076.4586.6501.11.2007IMMUNOMODULATING 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
1424701.11.20203T113DNSNNNNYNNC01.11.202001.07.20211925.551444.201840.8501.11.2020Extracorporeal photopheresis for the treatment of erythrodermic stage III-IVa T4 M0 cutaneous T-cell lymphoma; if the service is provided in the initial six months of treatment; and the service is delivered using an integrated, closed extracorporeal photopheresis system; and the patient is 18 years old or over; and the patient has received prior systemic treatment for this condition and experienced either disease progression or unacceptable toxicity while on this treatment; and the service is provided in combination with the use of Pharmaceutical Benefits Scheme-subsidised methoxsalen; and the service is supervised by a specialist or consultant physician in the speciality of haematology. Applicable once per treatment cycle
1424901.11.20203T113DNSNNNNYNNC01.11.202001.07.20211925.551444.201840.8501.11.2020Extracorporeal photopheresis for the continuing treatment of erythrodermic stage III-IVa T4 M0 cutaneous T-cell lymphoma; if in the preceding 6 months:(i) a service to which item 14247 applies has been provided; and(ii) the patient has demonstrated a response to this service; and(iii)the patient requires further treatment; and the service is delivered using an integrated, closed extracorporeal photopheresis system; and the patient is 18 years old or over; and the service is provided in combination with the use of Pharmaceutical Benefits Scheme-subsidised methoxsalen; and the service is supervised by a specialist or consultant physician in the speciality of haematology. Applicable once per treatment cycle
1425501.03.20203T114SNNNNNYNNC01.03.202001.07.2021154.40115.80131.25Y01.03.2020Resuscitation of a patient provided for at least 30 minutes but less than 1 hour, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
1425601.03.20203T114SNNNNNYNNC01.03.202001.07.2021296.90222.70252.40Y01.03.2020Resuscitation of a patient provided for at least 1 hour but less than 2 hours, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
1425701.03.20203T114SNNNNNYNNC01.03.202001.07.2021591.25443.45506.55Y01.03.2020Resuscitation of a patient provided for at least 2 hours, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
1425801.03.20203T114SNNNNNYNNC01.03.202001.07.2021115.8586.9098.50Y01.03.2020Resuscitation of a patient provided for at least 30 minutes but less than 1 hour, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
1425901.03.20203T114SNNNNNYNNC01.03.202001.07.2021222.70167.05189.30Y01.03.2020Resuscitation of a patient provided for at least 1 hour but less than 2 hours, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
1426001.03.20203T114SNNNNNYNNC01.03.202001.07.2021443.45332.60376.95Y01.03.2020Resuscitation of a patient provided for at least 2 hours, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
1426301.03.20203T114SNNNNNYNNC01.03.202001.07.202154.3540.8046.20Y01.03.2020Minor procedure on a patient by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
1426401.03.20203T114SNNNNNYNNC01.03.202001.07.2021122.3591.80104.00Y01.03.2020Procedure (except a minor procedure) on a patient by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
1426501.03.20203T114SNNNNNYNNC01.03.202001.07.202140.7530.6034.65Y01.03.2020Minor procedure on a patient by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
1426601.03.20203T114SNNNNNYNNC01.03.202001.07.202191.7568.8578.00Y01.03.2020Procedure (except a minor procedure) on a patient by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
1427001.03.20203T114SNNNNNYNNC01.03.202001.07.2021137.15102.90116.60Y01.03.2020Management, without aftercare, of all fractures and dislocations suffered by a patient that: (a) is provided by a specialist in the practice of the specialist's specialty of emergency medicine in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (b) occurs at a recognised emergency department of a private hospital (Anaes.)
1427201.03.20203T114SNNNNNYNNC01.03.202001.07.2021102.9077.2087.50Y01.03.2020Management, without aftercare, of all fractures and dislocations suffered by a patient that: (a) is provided by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) in conjunction with an attendance on the patient by thepractitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (b) occurs at a recognised emergency department of a private hospital (Anaes.)
1427701.03.20203T114SNNNNNYNNC01.03.202001.07.2021154.40115.80131.2501.03.2020Application of chemical or physical restraint of a patient by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital
1427801.03.20203T114SNNNNNYNNC01.03.202001.07.2021115.8586.9098.5001.03.2020Application of chemical or physical restraint of a patient by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital
1428001.03.20203T114SNNNNNYNNC01.03.202001.07.2021154.40115.80131.2501.03.2020Anaesthesia (whether general anaesthesia or not) of a patient that: (a) is managed by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital; and (b) occurs in conjunction with an attendance on the patient that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017, 5019, 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (c) is not anaesthesia provided by a specialist anaesthetist to which an item in Group T7 or T10 applies
1428301.03.20203T114SNNNNNYNNC01.03.202001.07.2021115.8586.9098.5001.03.2020Anaesthesia (whether general anaesthesia or not) of a patient that: (a) is managed by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital; and (b) occurs in conjunction with an attendance on the patient that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017, 5019, 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (c) is not anaesthesia provided by a specialist anaesthetist to which an item in Group T7 or T10 applies
1428501.03.20203T114SNNNNNYNNC01.03.202001.07.2021154.40115.80131.2501.03.2020Emergent intubation, airway management or both of a patient that: (a) is managed by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital; and (b) occurs in conjunction with an attendance on the patient that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017, 5019, 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (c) is not anaesthesia provided by a specialist anaesthetist to which an item in Group T7 or T10 applies
1428801.03.20203T114SNNNNNYNNC01.03.202001.07.2021115.8586.9098.5001.03.2020Emergent intubation, airway management or both of a patient that: (a) is managed by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital; and (b) occurs in conjunction with an attendance on the patient that is described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017, 5019, 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (c) is not anaesthesia provided by a specialist anaesthetist to which an item in Group T7 or T10 applies
1500001.12.19913T21SNNNNNYNNC01.12.199101.07.202144.3033.2537.7001.12.1991(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
1500301.12.19913T21SDNYNNYNNC01.12.199101.07.2021The fee for item 15000 plus for each field in excess of 1, an amount of $17.7501.12.1991Radiotherapy, superficial (including treatment with x-rays, 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 - 2 or more fields up to a maximum of 5 additional fields
1500601.12.19913T21SNNNNNYNNC01.12.199101.07.202198.2073.6583.5001.12.1991RADIOTHERAPY, SUPERFICIAL, attendance at which single dose technique is applied - 1 field
1500901.12.19913T21SDNYNNYNNC01.12.199101.07.2021The fee for item 15006 plus for each field in excess of 1, an amount of $19.3001.12.1991Radiotherapy, superficial attendance at which a single dose technique is applied - 2 or more fields up to a maximum of 5 additional fields
1501201.12.19913T21SNNNNNYNNC01.12.199101.07.202155.6041.7047.3001.12.1991RADIOTHERAPY, SUPERFICIALeach attendance at which treatment is given to an eye
1510001.12.19913T22SNNNNNYNNC01.12.199101.07.202149.6537.2542.2501.12.1991RADIOTHERAPY, DEEP OR ORTHOVOLTAGE each attendance at which fractionated treatment is given at 3 or more treatments per week - 1 field
1510301.12.19913T22SDNYNNYNNC01.12.199101.07.2021The fee for item 15100 plus for each field in excess of 1, an amount of $19.5501.12.1991Radiotherapy, deep or orthovoltage each attendance at which fractionated treatment is given at 3 or more treatments per week - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
1510601.12.19913T22SNNNNNYNNC01.12.199101.07.202158.5543.9549.8001.12.1991RADIOTHERAPY, DEEP OR ORTHOVOLTAGEeach attendance at which fractionated treatment is given at 2 treatments per week or less frequently - 1 field
1510901.12.19913T22SDNYNNYNNC01.12.199101.07.2021The fee for item 15106 plus for each field in excess of 1, an amount of $23.6001.12.1991Radiotherapy, deep or orthovoltage each attendance at which fractionated treatment is given at 2 treatments per week or less frequently - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
1511201.12.19913T22SNNNNNYNNC01.12.199101.07.2021125.1093.85106.3501.12.1991RADIOTHERAPY, DEEP OR ORTHOVOLTAGEattendance at which single dose technique is applied 1 field
1511501.12.19913T22SDNYNNYNNC01.12.199101.07.2021The fee for item 15112 plus for each field in excess of 1, an amount of $49.2001.12.1991Radiotherapy, deep or orthovoltage attendance at which a single dose technique is applied - 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
1521101.12.19913T23SNNNNNYNNC01.12.199101.07.202156.9542.7548.4501.12.1991RADIATION ONCOLOGY TREATMENT, using cobalt unit or caesium teletherapy uniteach attendance at which treatment is given - 1 field
1521401.12.19913T23SDNYNNYNNC01.12.199101.07.2021The fee for item 15211 plus for each field in excess of 1, an amount of $33.2001.12.1991Radiation oncology treatment, using cobalt unit or caesium teletherapy unit - each attendance at which treatment is given 2 or more fields up to a maximum of 5 additional fields (rotational therapy being 3 fields)
1521501.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.05.2003RADIATION 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)
1521801.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.05.2003RADIATION 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)
1522101.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.05.2003RADIATION 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)
1522401.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.11.2003RADIATION 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
1522701.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.05.2003RADIATION 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
1523001.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15215 plus for each field in excess of 1, an amount of $39.5001.05.2003RADIATION 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)
1523301.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15218 plus for each field in excess of 1, an amount of $39.5001.05.2003RADIATION 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)
1523601.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15221 plus for each field in excess of 1, an amount of $39.5001.05.2003RADIATION 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)
1523901.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15224 plus for each field in excess of 1, an amount of $39.5001.11.2003RADIATION 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
1524201.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15227 plus for each field in excess of 1, an amount of $39.5001.05.2003RADIATION 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
1524501.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.05.2003RADIATION 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)
1524801.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.05.2003RADIATION 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)
1525101.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.05.2003RADIATION 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)
1525401.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.11.2003RADIATION 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
1525701.05.20033T23SNNNNNYNNC01.05.200301.07.202162.0546.5552.7501.05.2003RADIATION 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
1526001.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15245 plus for each field in excess of 1, an amount of $39.5001.05.2003RADIATION ORADIATION 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)
1526301.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15248 plus for each field in excess of 1, an amount of $39.5001.05.2003RADIATION 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)
1526601.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15251 plus for each field in excess of 1, an amount of $39.5001.05.2003RADIATION 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)
1526901.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15254 plus for each field in excess of 1, an amount of $39.5001.11.2003RADIATION 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
1527201.05.20033T23SDNYNNYNNC01.05.200301.07.2021The fee for item 15257 plus for each field in excess of 1, an amount of $39.5001.05.2003RADIATION 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
1527501.01.20163T23SNNNNNYNNC01.01.201601.07.2021190.35142.80161.8001.07.2016RADIATION ONCOLOGY TREATMENT with IGRT imaging facilities undertaken: (a) to implement an IMRT dosimetry plan prepared in accordance with item 15565; and (b) utilising an intensity modulated treatment delivery mode (delivered by a fixed or dynamic gantry linear accelerator or by a helical non C-arm based linear accelerator), once only at each attendance at which treatment is given.
1530301.12.19913T24SNNNNNYNNC01.12.199101.07.2021371.45278.60315.75Y01.12.1991INTRAUTERINE TREATMENT ALONE using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)
1530401.12.19913T24SNNNNNYNNC01.12.199101.07.2021371.45278.60315.75Y01.12.1991INTRAUTERINE TREATMENT ALONE using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)
1530701.12.19913T24SNNNNNYNNC01.12.199101.07.2021704.25528.20619.55Y01.12.1991INTRAUTERINE 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.)
1530801.12.19913T24SNNNNNYNNC01.12.199101.07.2021704.25528.20619.55Y01.12.1991INTRAUTERINE 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.)
1531101.12.19913T24SNNNNNYNNC01.12.199101.07.2021346.75260.10294.75Y01.12.1991INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)
1531201.12.19913T24SNNNNNYNNC01.12.199101.07.2021344.20258.15292.60Y01.12.1991INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)
1531501.12.19913T24SNNNNNYNNC01.12.199101.07.2021680.70510.55596.00Y01.12.1991INTRAVAGINAL 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.)
1531601.12.19913T24SNNNNNYNNC01.12.199101.07.2021680.70510.55596.00Y01.12.1991INTRAVAGINAL 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.)
1531901.12.19913T24SNNNNNYNNC01.12.199101.07.2021422.50316.90359.15Y01.12.1991COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using radioactive sealed sources having a half-life greater than 115 days using manual afterloading techniques (Anaes.)
1532001.12.19913T24SNNNNNYNNC01.12.199101.07.2021422.50316.90359.15Y01.12.1991COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using radioactive sealed sources having a half-life greater than 115 days using automatic afterloading techniques (Anaes.)
1532301.12.19913T24SNNNNNYNNC01.12.199101.07.2021751.25563.45666.55Y01.12.1991COMBINED 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.)
1532401.12.19913T24SNNNNNYNNC01.12.199101.07.2021751.25563.45666.55Y01.12.1991COMBINED 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.)
1532701.12.19913T24SNNNNNYNNC01.12.199101.07.2021817.25612.95732.55Y01.12.1991IMPLANTATION 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.)
1532801.12.19913T24SNNNNNYNNC01.12.199101.07.2021817.25612.95732.55Y01.12.1991IMPLANTATION 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.)
1533101.12.19913T24SNNNNNYNNC01.12.199101.07.2021776.00582.00691.30Y01.12.1991IMPLANTATION 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.)
1533201.12.19913T24SNNNNNYNNC01.12.199101.07.2021776.00582.00691.30Y01.12.1991IMPLANTATION 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.)
1533501.12.19913T24SNNNNNYNNC01.12.199101.07.2021704.25528.20619.55Y01.12.1991IMPLANTATION 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.)
1533601.12.19913T24SNNNNNYNNC01.12.199101.07.2021704.25528.20619.55Y01.12.1991IMPLANTATION 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.)
1533801.11.20013T24SNNNNNYNNC01.11.200101.07.2021973.50730.15888.8001.11.2020Prostate, radioactive seed implantation of, radiation oncology component, using transrectal ultrasound guidance: (a) for a patient with: (i) localised prostatic malignancy at clinical stages T1 (clinically inapparent tumour not palpable or visible by imaging) or T2 (tumour confined within prostate); and (ii) a Gleason score of less than or equal to 7 (Grade Group 1 to Grade Group 3); and (iii) a prostate specific antigen (PSA) of not more than 10ng/ml at the time of diagnosis; and (b) performed by an oncologist at an approved site in association with a urologist; and (c) being a service associated with: (i) services to which items 37220 and 55603 apply; and (ii) a service to which item 60506or 60509 applies
1533901.12.19913T24SNNNNNYNNC01.12.199101.07.202179.2559.4567.40Y01.12.1991REMOVAL OF A SEALED RADIOACTIVE SOURCE under general anaesthesia, or under epidural or spinal nerve block (Anaes.)
1534201.12.19913T24SNNNNNYNNC01.12.199101.07.2021198.00148.50168.3001.12.1991CONSTRUCTION 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
1534501.12.19913T24SNNNNNYNNC01.12.199101.07.2021528.35396.30449.1001.12.1991CONSTRUCTION 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
1534801.12.19913T24SNNNNNYNNC01.12.199101.07.202160.8045.6051.7001.12.1991SUBSEQUENT APPLICATIONS OF RADIOACTIVE MOULD referred to in item 15342 or 15345each attendance
1535101.12.19913T24SNNNNNYNNC01.12.199101.07.2021121.3591.05103.1501.11.2006CONSTRUCTION WITH OR WITHOUT INITIAL APPLICATION OF RADIOACTIVE MOULD not exceeding 5 cm. diameter to an external surface
1535401.12.19913T24SNNNNNYNNC01.12.199101.07.2021147.20110.40125.1501.12.1991CONSTRUCTION AND INITIAL APPLICATION OF RADIOACTIVE MOULD 5 cm. or more in diameter to an external surface
1535701.12.19913T24SNNNNNYNNC01.12.199101.07.202141.6531.2535.4501.12.1991"SUBSEQUENT APPLICATIONS OF RADIOACTIVE MOULD, attendance upon a patient to apply a radioactive mould constructed for application to an external surface of the patient other than an attendance which is the first attendance to apply the mould each attendance"
1550001.12.19913T25SNNNNNYNNC01.12.199101.07.2021252.50189.40214.6501.11.2003RADIOTHERAPY PLANNINGRADIATION 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)
1550301.12.19913T25SNNNNNYNNC01.12.199101.07.2021324.20243.15275.6001.11.2003RADIATION 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)
1550601.12.19913T25SNNNNNYNNC01.12.199101.07.2021484.15363.15411.5501.11.2003RADIATION 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)
1550901.12.19913T25SNNNNNYNNC01.12.199101.07.2021218.80164.10186.0001.12.1991RADIATION 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)
1551201.12.19913T25SNNNNNYNNC01.12.199101.07.2021282.10211.60239.8001.12.1991RADIATION 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)
1551301.11.20013T25SNNNNNYNNC01.11.200101.07.2021318.95239.25271.1501.11.2003RADIATION 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
1551501.12.19913T25SNNNNNYNNC01.12.199101.07.2021408.45306.35347.2001.12.1991RADIATION 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)
1551801.12.19913T25SNNNNNYNNC01.12.199101.07.202180.1060.1068.1001.11.1993RADIATION 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
1552101.12.19913T25SNNNNNYNNC01.12.199101.07.2021353.70265.30300.6501.11.1993RADIATION 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
1552401.12.19913T25SNNNNNYNNC01.12.199101.07.2021663.15497.40578.4501.11.1993RADIATION 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
1552701.12.19913T25SNNNNNYNNC01.12.199101.07.202182.1561.6569.8501.11.1993RADIATION 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
1553001.12.19913T25SNNNNNYNNC01.12.199101.07.2021366.40274.80311.4501.11.1993RADIATION 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
1553301.12.19913T25SNNNNNYNNC01.12.199101.07.2021694.80521.10610.1001.11.1993RADIATION 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
1553601.11.19933T25SNNNNNYNNC01.11.199301.07.2021277.70208.30236.0501.11.1993BRACHYTHERAPY PLANNING, computerised radiation dosimetry
1553901.11.20013T25SNNNNNYNNC01.11.200101.07.2021652.70489.55568.0001.11.2001BRACHYTHERAPY PLANNING, computerised radiation dosimetry for I125 seed implantation of localised prostate cancer, in association with item 15338
1555001.05.20063T25SNNNNNYNNC01.05.200601.07.2021685.30514.00600.6001.05.2006SIMULATION 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
1555301.05.20063T25SNNNNNYNNC01.05.200601.07.2021739.35554.55654.6501.05.2006SIMULATION 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
1555501.01.20163T25SNNNNNYNNC01.01.201601.07.2021739.35554.55654.6501.01.2016SIMULATION FOR INTENSITY-MODULATED RADIATION THERAPY (IMRT), with or without intravenous contrast medium, if: 1.treatment set-up and technique specifications are in preparations for three-dimensional conformal radiotherapy dose planning; and 2.patient set-up and immobilisation techniques are suitable for reliable CT-image volume data acquisition and three-dimensional conformal radiotherapy; and 3.a high-quality CT-image volume dataset is acquired for the relevant region of interest to be planned and treated; and 4.the image set is suitable for the generation of quality digitally-reconstructed radiographic images.
1555601.05.20063T25SNNNNNYNNC01.05.200601.07.2021691.35518.55606.6501.05.2006DOSIMETRY 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
1555901.05.20063T25SNNNNNYNNC01.05.200601.07.2021901.65676.25816.9501.05.2006DOSIMETRY 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
1556201.05.20063T25SNNNNNYNNC01.05.200601.07.20211166.20874.651081.5001.05.2006DOSIMETRY 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
1556501.01.20163T25SNNNNNYNNC01.01.201601.07.20213448.102586.103363.4001.05.2018Preparation of an IMRT DOSIMETRY PLAN, which uses one or more CT image volume datasets, if: (a)in preparing the IMRT dosimetry plan: (i)the differential between target dose and normal tissue dose is maximised, based on a review and assessmentby a radiation oncologist; and (ii)all gross tumour targets, clinical targets, planning targets and organs at risk are rendered as volumes as defined in the prescription; and (iii)organs at risk are nominated as planning dose goals or constraints and the prescription specifies the organs at risk as dose goals or constraints; and (iv)dose calculations and dose volume histograms are generated in an inverse planned process, using a specialised calculation algorithm, with prescription and plan details approved and recorded in the plan; and (v)a CT image volume dataset is used for the relevant region to be planned and treated; and (vi)the CT images are suitable for the generation of quality digitally reconstructed radiographic images; and (b) the final IMRT dosimetry plan is validated by the radiation therapist and the medical physicist, using robust quality assurance processes that include: (i)determination of the accuracy of the dose fluence delivered by the multi-leaf collimator and gantryposition (static or dynamic); and (ii)ensuring that the plan is deliverable, data transfer is acceptable and validation checks are completed on a linear accelerator; and (iii)validating the accuracy of the derived IMRT dosimetry plan; and (c)the final IMRT dosimetry plan is approved by the radiation oncologist prior to delivery.
1560019.06.19973T26SNNNNNYNNC01.11.199701.07.20211771.301328.501686.6001.11.1997STEREOTACTIC RADIOSURGERY, including all radiation oncology consultations, planning, simulation, dosimetry and treatment
1570001.07.20083T27DNNNNNYNNC01.07.200801.07.202147.8535.9040.7001.05.2010RADIATION 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).
1570501.07.20083T27DNNNNNYNNC01.07.200801.07.202179.7059.8067.7501.05.2010RADIATION 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).
1571001.05.20103T27SNNNNNYNNC01.05.201001.07.202179.7059.8067.7501.05.2010RADIATION ONCOLOGY TREATMENT VERIFICATION - volumetric acquisition, when prescribed and reviewedby 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)
1571501.01.20163T27SNNNNNYNNC01.01.201601.07.202179.7059.8067.7501.01.2016RADIATION ONCOLOGY TREATMENT VERIFICATION of planar or volumetric IGRT for IMRT, involving the use of at least 2 planar image views or projections or 1 volumetric image set to facilitate a 3-dimensional adjustment to radiation treatment field positioning, if: (a) the treatment technique is classified as IMRT; and (b) the margins applied to volumes (clinical target volume or planning target volume) are tailored or reduced to minimise treatment related exposure of healthy or normal tissues; and (c) the decisions made using acquired images are based on action algorithms and are given effect immediately prior to or during treatment delivery by qualified and trained staff considering complex competing factors and using software driven modelling programs; and (d) the radiation treatment field positioning requires accuracy levels of less than 5mm (curative cases) or up to 10mm (palliative cases) to ensure accurate dose delivery to the target; and (e) the image decisions and actions are documented in the patient's record; and (f) the radiation oncologist is responsible for supervising the process, including specifying the type and frequency of imaging, tolerance and action levels to be incorporated in the process, reviewing the trend analysis and any reports and relevant images during the treatment course and specifying action protocols as required; and (g) when treatment adjustments are inadequate to satisfy treatment protocol requirements, replanning is required; and (h) the imaging infrastructure (hardware and software) is linked to the treatment unit and networked to an image database, enabling both on line and off line reviews.
1580001.07.20083T28DNNNNNYNNC01.07.200801.07.2021100.2075.1585.2001.07.2008BRACHYTHERAPY TREATMENT VERIFICATION - maximum of one only for each attendance.
1585001.07.20083T28DNNNNNYNNC01.07.200801.07.2021207.60155.70176.5001.07.2008RADIATION 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.
1590001.09.20153T2101SNNNNNYNNA01.09.201501.07.2021260.10195.1001.03.2021BREAST, MALIGNANT TUMOUR, targeted intraoperative radiation therapy, using an Intrabeam®or Xoft® Axxent® device, delivered at the time of breast-conserving surgery (partial mastectomy or lumpectomy) for a patient who: a) is 45 years of age or more; and b) has a T1 or small T2 (less than or equal to 3cm in diameter) primary tumour; and c) has an histologic Grade 1 or 2 tumour; and d) has an oestrogen-receptor positive tumour; and e) has a node negative malignancy; and f) is suitable for wide local excision of a primary invasive ductal carcinoma that was diagnosed as unifocal on conventional examination and imaging; and g) has no contra-indications to breast irradiation Applicable only once per breast per lifetime (H)
1600301.12.19913T3SNNNNNYNNC01.12.199101.07.2021676.85507.65592.15Y01.05.2006INTRACAVITY 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.)
1600601.12.19913T3SNNNNNYNNC01.12.199101.07.2021520.10390.10442.1001.12.1991ADMINISTRATION OF A THERAPEUTIC DOSE OF IODINE 131 for thyroid cancer by single dose technique
1600901.12.19913T3SNNNNNYNNC01.12.199101.07.2021354.95266.25301.7501.12.1991ADMINISTRATION OF A THERAPEUTIC DOSE OF IODINE 131 for thyrotoxicosis by single dose technique
1601201.12.19913T3SNNNNNYNNC01.12.199101.07.2021307.10230.35261.0501.12.1991INTRAVENOUS ADMINISTRATION OF A THERAPEUTIC DOSE OF PHOSPHOROUS 32
1601501.05.19973T3SNNNNNYNNC01.05.199701.07.20214251.203188.404166.5001.05.1997ADMINISTRATION 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
1601822.12.19993T3SNNNNNYNNC01.05.200001.07.20212541.401906.052456.7001.07.2008ADMINISTRATION 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.
1639901.07.20113T4SDNNNNNNFB01.07.201101.07.201124.6501.11.201250% of the fee for item 16401,16404,16406,16500,16590 or 16591. Benefit: 85% of the derived fee01.11.2012Professional 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) within a telehealth eligible 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
1640001.11.20063T4SNNNNNYNFB01.11.200601.07.202128.3524.1001.01.201011.3501.07.2012ANTENATAL CARE Antenatal service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitionerif: (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; (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
1640101.01.20103T4SNNNNNYNFC01.01.201001.07.202189.0066.7575.6501.01.201056.2001.11.2017Professional 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, other than a second or subsequent attendance in a single course of treatment
1640401.01.20103T4SNNNNNYNFC01.01.201001.07.202144.7533.6038.0501.01.201033.7501.01.2010Professional 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.
1640601.11.20103T4SNNNNNYNFC01.11.201001.07.2021139.40104.55118.5001.11.2010110.6501.11.2017Antenatal professional attendance, by an obstetrician or general practitioner, as part of a single course of treatment when the patient is referred by a participating midwife. Payable only once for a pregnancy
1640701.11.20173T4SNNNNNYNPC01.11.201701.07.202174.6055.9563.4501.11.201765.0001.11.2017Postnatal professional attendance (other than a service to which any other item applies) if the attendance: (a) is by an obstetrician or general practitioner; and (b) is in hospital or at consulting rooms; and (c) is between 4 and 8 weeks after the birth; and (d) lasts at least 20 minutes; and (e) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (f) is for a pregnancy in relation to which a service to which item 82140 applies is not provided Payable once only for a pregnancy
1640801.11.20173T4SNNNNNYNPB01.11.201701.07.202155.5547.2501.11.201765.0001.11.2017Postnatal attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if the attendance: (a) is by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item 82130, 82135 or 82140 applies is not provided Payable once only for a pregnancy
1650001.12.19913T4SNNNNNYNFC01.12.199101.07.202149.0536.8041.7001.01.201033.7501.11.1995ANTENATAL ATTENDANCE
1650101.11.20003T4SNNNNNYNFC01.11.200001.07.2021146.25109.70124.3501.01.201067.4001.11.2000EXTERNAL 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
1650201.11.19953T4SNNNNNYNFC01.11.199501.07.202149.0536.8041.7001.01.201022.5001.11.1995POLYHYDRAMNIOS, UNSTABLE LIE, MULTIPLE PREGNANCY, PREGNANCY COMPLICATED BY DIABETES OR ANAEMIA, THREATENED PREMATURE LABOUR treated by bed rest only or oral medication, requiring admission to hospitaleach attendance that is not a routine antenatal attendance, to a maximum of 1 visit per day
1650501.11.19953T4SNNNNNYNFC01.11.199501.07.202149.0536.8041.7001.01.201022.5001.11.1995THREATENED ABORTION, THREATENED MISCARRIAGE OR HYPEREMESIS GRAVIDARUM, requiring admission to hospital, treatment ofeach attendance that is not a routine antenatal attendance
1650801.11.19953T4SNNNNNYNFC01.11.199501.07.202149.0536.8041.7001.01.201022.5001.11.2017Pregnancy complicatedby acute intercurrent infection, fetal growth restriction, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital - each professional attendance (other than a service to which item 16533 applies) that is not a routine antenatal attendance, to a maximum of one visit per day
1650901.11.19953T4SNNNNNYNFC01.11.199501.07.202149.0536.8041.7001.01.201022.5001.11.2017Pre-eclampsia,eclampsia or antepartum haemorrhage, treatment of- each professional attendance (other than a service to which item 16534 applies) that is not a routine antenatal attendance
1651101.11.19953T4SNNNNNYNFC01.11.199501.07.2021228.85171.65194.5501.01.2010112.30Y01.11.1995CERVIX, purse string ligation of (Anaes.)
1651201.11.19953T4SNNNNNYNFC01.11.199501.07.202166.0549.5556.1501.01.201033.75Y01.11.1995CERVIX, removal of purse string ligature of (Anaes.)
1651401.11.19953T4SNNNNNYNFC01.11.199501.07.202138.1528.6532.4501.01.201016.9001.11.1995ANTENATAL CARDIOTOCOGRAPHY in the management of high risk pregnancy (not during the course of the confinement)
1651501.11.19953T4SNNNNNYNFC01.11.199501.07.2021656.40492.30571.7001.01.2010179.65Y01.11.2017Management of vaginal birth as an independent procedure, ifthe patient's care has been transferred by another medical practitioner for management of the birth and the attending medical practitioner has not provided antenatal care to the patient, including all attendances related to the birth (Anaes.)
1651801.11.19953T4SNNNNNYNFC01.11.199501.07.2021468.90351.70398.6001.01.2010179.65Y01.11.2017Management of labour, incomplete, if the patient's care has been transferred to another medical practitioner for completion of the birth (Anaes.)
1651901.11.19953T4SNNNNNYNFC01.11.199501.07.2021722.10541.60637.4001.01.2010336.75Y01.11.2017Management of labourand birth by any means (including Caesarean section) including post-partum care for 5 days (Anaes.)
1652001.12.19913T4SNNNNNYNFC01.12.199101.07.2021656.40492.30571.7001.01.2010336.75Y01.11.2017Caesarean section and post‑operative care for 7 days, if 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.)
1652201.11.19983T4SNNNNNYNNA01.11.201701.07.20211695.351271.55Y01.11.2017Management of labour and birth, or birth alone, (including caesarean section), on or after 23 weeks gestation, if in the course of antenatal supervision or intrapartum management one or more of the following conditions is present, including postnatal care for 7 days: (a) fetal loss; (b) multiple pregnancy; (c) antepartum haemorrhage that is: (i) of greater than 200 ml; or (ii) associated with disseminated intravascular coagulation; (d) placenta praevia on ultrasound in the third trimester with the placenta within 2 cm of the internal cervical os; (e) baby with a birth weight less than or equal to 2,500 g; (f) trial of vaginal birth in a patient with uterine scar where there has been a planned vaginal birth after caesarean section; (g) trial of vaginal breech birth where there has been a planned vaginal breech birth; (h) prolonged labour greater than 12 hours with partogram evidence of abnormal cervimetric progress as evidenced by cervical dilatation at less than 1 cm/hr in the active phase of labour (after 3 cm cervical dilatation and effacement until full dilatation of the cervix); (i) acute fetal compromise evidenced by: (i) scalp pH less than 7.15; or (ii) scalp lactate greater than 4.0; (j) acute fetal compromise evidenced by at least one of the following significant cardiotocograph abnormalities: (i) prolonged bradycardia (less than 100 bpm for more than 2 minutes); (ii) absent baseline variability (less than 3 bpm); (iii) sinusoidal pattern; (iv) complicated variable decelerations with reduced (3 to 5 bpm) or absent baseline variability; (v) late decelerations; (k) pregnancy induced hypertension of at least 140/90 mm Hg associated with: (i) at least 2+ proteinuria on urinalysis; or (ii) protein-creatinine ratio greater than 30 mg/mmol; or (iii) platelet count less than 150 x 109/L; or (iv) uric acid greater than 0.36 mmol/L; (l) gestational diabetes mellitus requiring at least daily blood glucose monitoring; (m) mental health disorder (whether arising prior to pregnancy, during pregnancy or postpartum) that is demonstrated by: (i) the patient requiring hospitalisation; or (ii) the patient receiving ongoing care by a psychologist or psychiatrist to treat the symptoms of a mental health disorder; or (iii) the patient having a GP mental health treatment plan; or (iv) the patient having a management plan prepared in accordance with item 291; (n) disclosure or evidence of domestic violence; (o) any of the following conditions either diagnosed pre-pregnancy or evident at the first antenatal visit before 20 weeks gestation: (i) pre-existing hypertension requiring antihypertensive medication prior to pregnancy; (ii) cardiac disease (co-managed with a specialist physician and with echocardiographic evidence of myocardial dysfunction); (iii) previous renal or liver transplant; (iv) renal dialysis; (v) chronic liver disease with documented oesophageal varices; (vi) renal insufficiency in early pregnancy (serum creatinine greater than 110 mmol/L); (vii) neurological disorder that confines the patient to a wheelchair throughout pregnancy; (viii) maternal height of less than 148 cm; (ix) a body mass index greater than or equal to 40; (x) pre-existing diabetes mellitus on medication prior to pregnancy; (xi) thyrotoxicosis requiring medication; (xii) previous thrombosis or thromboembolism requiring anticoagulant therapy through pregnancy and the early puerperium; (xiii) thrombocytopenia with platelet count of less than 100,000 prior to 20 weeks gestation; (xiv) HIV, hepatitis B or hepatitis C carrier status positive; (xv) red cell or platelet iso-immunisation; (xvi) cancer with metastatic disease; (xvii) illicit drug misuse during pregnancy (Anaes.)
1652701.11.20103T4SNNNNNYNFC01.11.201001.07.2021656.40492.30571.7001.11.2010179.65Y01.11.2017Management of vaginal birth, if the patient's care has been transferred by a participating midwife for management of the birth, including all attendances related to the birth.Payable once only for a pregnancy. (Anaes.)
1652801.11.20103T4SNNNNNYNFC01.11.201001.07.2021656.40492.30571.7001.11.2010336.75Y01.11.2017Caesarean 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.)
1653001.11.20173T4SNNNNNYNPC01.11.201701.07.2021399.90299.95339.9501.11.201765.00Y01.11.2017Management of pregnancy loss, from 14 weeks to 15 weeks and 6 days gestation, other than a service to which item 16531, 35640 or 35643 applies (Anaes.)
1653101.11.20173T4SNNNNNYNNA01.11.201701.07.2021799.85599.90Y01.11.2017Management of pregnancy loss, from 16 weeks to 22 weeks and 6 days gestation, other than a service to which item 16530, 35640 or 35643 applies (Anaes.)
1653301.11.20173T4SNNNNNYNNA01.11.201701.07.2021109.8582.4001.11.2017Pregnancy complicated by acute intercurrent infection, fetal growth restriction, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital—each professional attendance lasting at least 40 minutes that is not a routine antenatal attendance, to a maximum of 3 services per pregnancy
1653401.11.20173T4SNNNNNYNNA01.11.201701.07.2021109.8582.4001.11.2017Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each professional attendance lasting at least 40 minutes that is not a routine antenatal attendance, to a maximum of 3 services per pregnancy
1656401.12.19913T4SNNNNNYNFC01.12.199101.07.2021226.80170.10192.8001.01.2010224.50Y01.11.1995POST-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.)
1656701.12.19913T4SNNNNNYNFC01.12.199101.07.2021331.70248.80281.9501.01.2010224.50Y01.11.1995MANAGEMENT OF POSTPARTUM HAEMORRHAGE by special measures such as packing of uterus, as an independent procedure (Anaes.)
1657001.12.19913T4SNNNNNYNFC01.12.199101.07.2021432.90324.70368.0001.01.2010224.50Y01.11.1995ACUTE INVERSION OF THE UTERUS, vaginal correction of, as an independent procedure (Anaes.)
1657101.11.19953T4SNNNNNYNFC01.11.199501.07.2021331.70248.80281.9501.01.2010224.50Y01.11.1995CERVIX, repair of extensive laceration or lacerations (Anaes.)
1657301.12.19913T4SNNNNNYNFC01.12.199101.07.2021270.30202.75229.8001.01.2010224.50Y01.11.1995THIRD DEGREE TEAR, involving anal sphincter muscles and rectal mucosa, repair of, as an independent procedure (Anaes.)
1659001.11.20053T4SNNNNNYNFC01.11.200501.07.2021387.85290.90329.7001.01.2010224.5001.11.2017Planning and management, by a practitioner, of a pregnancy if: (a) the practitioner intends to take primary responsibility for management of the pregnancy and any complications, and to be available for the birth; and (b) the patient intends to be privately admitted for the birth; and (c) the pregnancy has progressed beyond 28 weeks gestation; and (d) the practitioner has maternity privileges at a hospital or birth centre; and (e) the service includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (f) a service to which item 16591 applies is not provided in relation to the same pregnancy Payable once only for a pregnancy
1659101.01.20103T4SNNNNNYNFC01.01.201001.07.2021148.40111.30126.1501.01.2010112.3001.11.2017Planning and management, by a practitioner, of a pregnancy if: (a) the pregnancy has progressed beyond 28 weeks gestation; and (b) the service includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (c) a service to which item 16590 applies is not provided in relation to the same pregnancy Payable once only for a pregnancy
1660001.07.19953T4SNNNNNYNFC01.07.199501.07.202166.0549.5556.1501.01.201033.7501.07.1995INTERVENTIONAL TECHNIQUES AMNIOCENTESIS, diagnostic
1660301.07.19953T4SNNNNNYNFC01.07.199501.07.2021126.8095.10107.8001.01.201067.4001.07.1995CHORIONIC VILLUS SAMPLING, by any route
1660601.07.19953T4SNNNNNYNFC01.07.199501.07.2021253.10189.85215.1501.01.2010134.80Y01.11.2017Fetal blood sampling, using interventional techniques from umbilical cord or fetus, including fetal neuromuscular blockade and amniocentesis (Anaes.)
1660901.07.19953T4SNNNNNYNFC01.07.199501.07.2021516.10387.10438.7001.01.2010258.25Y01.07.1995FOETAL INTRAVASCULAR BLOOD TRANSFUSION, using blood already collected, including neuromuscular blockade, amniocentesis and foetal blood sampling (Anaes.)
1661201.07.19953T4SNNNNNYNNC01.07.199501.07.2021406.05304.55345.15Y01.07.1995FOETAL INTRAPERITONEAL BLOOD TRANSFUSION, using blood already collected, including neuromuscular blockade, amniocentesis and foetal blood sampling - not performed in conjunction with a service described in item 16609 (Anaes.)
1661501.07.19953T4SNNNNNYNNC01.07.199501.07.2021216.30162.25183.90Y01.07.1995FOETAL INTRAPERITONEAL BLOOD TRANSFUSION, using blood already collected, including neuromuscular blockade, amniocentesis and foetal blood sampling - performed in conjunction with a service described in item 16609 (Anaes.)
1661801.07.19953T4SNNNNNYNFC01.07.199501.07.2021216.30162.25183.9001.01.2010106.7001.07.1995AMNIOCENTESIS, THERAPEUTIC, when indicated because of polyhydramnios with at least 500ml being aspirated
1662101.07.19953T4SNNNNNYNNC01.07.199501.07.2021216.30162.25183.9001.07.1995AMNIOINFUSION, for diagnostic or therapeutic purposes in the presence of severe oligohydramnios
1662401.07.19953T4SNNNNNYNFC01.07.199501.07.2021311.25233.45264.6001.01.2010145.9501.07.1995FOETAL FLUID FILLED CAVITY, drainage of
1662701.07.19953T4SNNNNNYNFC01.07.199501.07.2021633.65475.25548.9501.01.2010314.3501.07.1995FETO-AMNIOTIC SHUNT, insertion of, into fetal fluid filled cavity, including neuromuscular blockade and amniocentesis
1760901.07.20113T61SDNNNNNNPB01.07.201101.01.2013500.00300.00300% of the Derived fee for this item, or $500, whichever is the lesser amount01.11.201250% of the fee for item 17610, 17615, 17620, 17625, 17640, 17645, 17650, or 17655. Benefit: 85% of the derived fee01.01.2013Professional 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, or 17655 applies to the attendance; and (c)the patient is not an admitted patient; and (d)the patient: (i) is located both: (A) within a telehealth eligible 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
1761001.11.20063T61SNNNNNYNPC01.11.200601.07.202145.4034.0538.6001.11.2012500.00300.0001.11.2006ANAESTHETIST, PRE-ANAESTHESIA CONSULTATION (Professional attendance by a medical practitionerin 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
1761501.11.20063T61SNNNNNYNPC01.11.200601.07.202190.3567.8076.8001.11.2012500.00300.0001.11.2006Professional attendance by a medical practitioner in the practice of anaesthesia for 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
1762001.11.20063T61SNNNNNYNPC01.11.200601.07.2021125.1593.90106.4001.11.2012500.00300.0001.11.2006Professional attendance by a medical practitioner in the practice of anaesthesia for 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
1762501.11.20063T61SNNNNNYNPC01.11.200601.07.2021159.35119.55135.4501.11.2012500.00300.0001.11.2006Professional attendance by a medical practitioner in the practice of anaesthesia for 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
1764001.11.20063T61SNNNNNYNPC01.11.200601.07.202145.4034.0538.6001.11.2012500.00300.0001.11.2006ANAESTHETIST, 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 minutesduration, not being a service associated with a service to which items 2801 - 3000 apply
1764501.11.20063T61SNNNNNYNPC01.11.200601.07.202190.3567.8076.8001.11.2012500.00300.0001.11.2006-a consultation involving a selective history and examination of multiple systems andthe 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.
1765001.11.20063T61SNNNNNYNPC01.11.200601.07.2021125.1593.90106.4001.11.2012500.00300.0001.11.2006-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
1765501.11.20063T61SNNNNNYNPC01.11.200601.07.2021159.35119.55135.4501.11.2012500.00300.0001.11.2006-a consultation involving an exhaustive history and comprehensive examination of multiple systems andthe 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.
1768001.11.20063T61SNNNNNYNPC01.11.200601.07.202190.3567.8076.8001.11.2012500.00300.0001.11.2006ANAESTHETIST, 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.
1769001.11.20063T61SNNNNNYNPC01.11.200601.07.202141.7531.3535.5001.11.2012500.00300.0001.11.2006-Where a pre-anaesthesia consultation covered by an itemin 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 providedto 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.
1821301.11.19933T7SNNNNNYNNC01.11.199301.07.202192.2069.1578.4001.11.1993INTRAVENOUS REGIONAL ANAESTHESIA of limb by retrograde perfusion
1821601.11.19933T7SNNNNNYNNC01.11.199301.07.2021197.60148.20168.00Y01.11.2019Intrathecal, combined spinal-epidural or epidural infusion of a therapeutic substance, initial injection or commencement of, including up to 1 hour of continuous attendance by the medical practitioner Applicable once per presentation, per medical practitioner, per complete new procedure (Anaes.)
1821901.11.19933T7SDNYNNYNNC01.11.199301.07.2021The fee for item 18216 plus $19.80 for each additional 15 minutes or part thereof beyond the first hour of attendance by the medical practitioner.Y01.11.2019Intrathecal, combined spinal-epidural or epidural infusion of a therapeutic substance, initial injection or commencement of, if continuous attendance by the medical practitioner extends beyond the first hour (Anaes.)
1822201.11.19933T7SNNNNNYNNC01.11.199301.07.202139.1529.4033.3001.11.1993INFUSION 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
1822501.11.19933T7SNNNNNYNNC01.11.199301.07.202152.0539.0544.2501.11.1993INFUSION 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
1822601.11.20023T7SNNNNNYNNC01.11.200201.07.2021296.35222.30251.9001.11.2019Intrathecal, combined spinal-epidural 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. Applicable once per presentation, per medical practitioner, per complete new procedure
1822701.11.20023T7SDNYNNYNNC01.11.200201.07.2021The fee for item 18226 plus $29.75 for each additional 15 minutes or part there of beyond the first hour of attendance by the medical practitioner.01.11.2019Intrathecal, combined spinal-epidural 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.
1822801.11.19933T7SNNNNNYNNC01.11.199301.07.202165.0548.8055.3001.11.1993INTERPLEURAL BLOCK, initial injection or commencement of infusion of a therapeutic substance
1823001.11.19933T7SNNNNNYNNC01.11.199301.07.2021248.10186.10210.90Y01.07.1996INTRATHECAL or EPIDURAL INJECTION of neurolytic substance (Anaes.)
1823201.11.19933T7SNNNNNYNNC01.11.199301.07.2021197.60148.20168.00Y01.07.1996INTRATHECAL 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.)
1823301.11.19933T7SNNNNNYNNC01.11.199301.07.2021197.60148.20168.00Y01.11.1993EPIDURAL INJECTION of blood for blood patch (Anaes.)
1823401.11.19933T7SNNNNNYNNC01.11.199301.07.2021129.9097.45110.45Y01.11.1993TRIGEMINAL NERVE, primary division of, injection of an anaesthetic agent (Anaes.)
1823601.11.19933T7SNNNNNYNNC01.11.199301.07.202165.0548.8055.30Y01.11.1993TRIGEMINAL NERVE, peripheral branch of, injection of an anaesthetic agent (Anaes.)
1823801.11.19933T7SNNNNNYNNC01.11.199301.07.202139.1529.4033.3001.11.1993FACIAL NERVE, injection of an anaesthetic agent, not being a service associated with a service to which item 18240 applies
1824001.11.19933T7SNNNNNYNNC01.11.199301.07.202197.4073.0582.8001.11.1993RETROBULBAR OR PERIBULBAR INJECTION of an anaesthetic agent
1824201.11.19933T7SNNNNNYNNC01.11.199301.07.202139.1529.4033.30Y01.11.1993GREATER OCCIPITAL NERVE, injection of an anaesthetic agent (Anaes.)
1824401.11.19933T7SNNNNNYNNC01.11.199301.07.2021104.9078.7089.2001.11.1993VAGUS NERVE, injection of an anaesthetic agent
1824801.11.19933T7SNNNNNYNNC01.11.199301.07.202192.2069.1578.4001.11.1993PHRENIC NERVE, injection of an anaesthetic agent
1825001.11.19933T7SNNNNNYNNC01.11.199301.07.202165.0548.8055.3001.11.1993SPINAL ACCESSORY NERVE, injection of an anaesthetic agent
1825201.11.19933T7SNNNNNYNNC01.11.199301.07.2021104.9078.7089.2001.11.1993CERVICAL PLEXUS, injection of an anaesthetic agent
1825401.11.19933T7SNNNNNYNNC01.11.199301.07.2021104.9078.7089.2001.11.1993BRACHIAL PLEXUS, injection of an anaesthetic agent
1825601.11.19933T7SNNNNNYNNC01.11.199301.07.202165.0548.8055.3001.11.1993SUPRASCAPULAR NERVE, injection of an anaesthetic agent
1825801.11.19933T7SNNNNNYNNC01.11.199301.07.202165.0548.8055.3001.11.1993INTERCOSTAL NERVE (single), injection of an anaesthetic agent
1826001.11.19933T7SNNNNNYNNC01.11.199301.07.202192.2069.1578.4001.11.1993INTERCOSTAL NERVES (multiple), injection of an anaesthetic agent
1826201.11.19933T7SNNNNNYNNC01.11.199301.07.202165.0548.8055.30Y01.11.1993ILIO-INGUINAL, ILIOHYPOGASTRIC OR GENITOFEMORAL NERVES, 1 or more of, injection of an anaesthetic agent (Anaes.)
1826401.11.19933T7SNNNNNYNNC01.11.199301.07.2021104.9078.7089.2001.09.2015PUDENDAL NERVE and or dorsal nerve, injection ofanaesthetic agent
1826601.11.19933T7SNNNNNYNNC01.11.199301.07.202165.0548.8055.3001.11.1993ULNAR, RADIAL OR MEDIAN NERVE, MAIN TRUNK OF, 1 or more of, injection of an anaesthetic agent, not being associated with a brachial plexus block
1826801.11.19933T7SNNNNNYNNC01.11.199301.07.202192.2069.1578.4001.11.1993OBTURATOR NERVE, injection of an anaesthetic agent
1827001.11.19933T7SNNNNNYNNC01.11.199301.07.202192.2069.1578.4001.11.1993FEMORAL NERVE, injection of an anaesthetic agent
1827201.11.19933T7SNNNNNYNNC01.11.199301.07.202165.0548.8055.3001.11.1993SAPHENOUS, SURAL, POPLITEAL OR POSTERIOR TIBIAL NERVE, MAIN TRUNK OF, 1 or more of, injection of an anaesthetic agent
1827401.11.19933T7SNNNNNYNNC01.11.199301.07.202192.2069.1578.4001.11.1993PARAVERTEBRAL, CERVICAL, THORACIC, LUMBAR, SACRAL OR COCCYGEAL NERVES, injection of an anaesthetic agent, (single vertebral level)
1827601.11.19933T7SNNNNNYNNC01.11.199301.07.2021129.9097.45110.4501.11.1993PARAVERTEBRAL NERVES, injection of an anaesthetic agent, (multiple levels)
1827801.11.19933T7SNNNNNYNNC01.11.199301.07.202192.2069.1578.4001.11.1993SCIATIC NERVE, injection of an anaesthetic agent
1828001.11.19933T7SNNNNNYNNC01.11.199301.07.2021129.9097.45110.45Y01.11.1993SPHENOPALATINE GANGLION, injection of an anaesthetic agent (Anaes.)
1828201.11.19933T7SNNNNNYNNC01.11.199301.07.2021104.9078.7089.2001.11.1993CAROTID SINUS, injection of an anaesthetic agent, as an independent percutaneous procedure
1828401.11.19933T7SNNNNNYNNC01.11.199301.07.2021153.60115.20130.60Y01.11.1993STELLATE GANGLION, injection of an anaesthetic agent, (cervical sympathetic block) (Anaes.)
1828601.11.19933T7SNNNNNYNNC01.11.199301.07.2021153.60115.20130.60Y01.11.1993LUMBAR OR THORACIC NERVES, injection of an anaesthetic agent, (paravertebral sympathetic block) (Anaes.)
1828801.11.19933T7SNNNNNYNNC01.11.199301.07.2021153.60115.20130.60Y01.11.1993COELIAC PLEXUS OR SPLANCHNIC NERVES, injection of an anaesthetic agent (Anaes.)
1829001.11.19933T7SNNNNNYNNC01.11.199301.07.2021259.85194.90220.90Y01.05.2003CRANIAL NERVE OTHER THAN TRIGEMINAL, destruction by a neurolytic agent, not being a service associated with the injection of botulinum toxin (Anaes.)
1829201.11.19933T7SNNNNNYNNC01.11.199301.07.2021129.9097.45110.45Y01.07.2015NERVE 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 item 18354 applies (Anaes.)
1829401.11.19933T7SNNNNNYNNC01.11.199301.07.2021183.15137.40155.70Y01.11.1993COELIAC PLEXUS OR SPLANCHNIC NERVES, destruction by a neurolytic agent (Anaes.)
1829601.11.19933T7SNNNNNYNNC01.11.199301.07.2021156.65117.50133.20Y01.11.1993LUMBAR SYMPATHETIC CHAIN, destruction by a neurolytic agent (Anaes.)
1829701.11.20193T7SNNNNNYNNC01.11.201901.07.202161.7546.3552.5001.11.2019Assistance at the administration of an epidural blood patch (a service to which item 18233 applies) by another medical practitioner
1829801.11.19933T7SNNNNNYNNC01.11.199301.07.2021183.15137.40155.70Y01.11.1993CERVICAL OR THORACIC SYMPATHETIC CHAIN, destruction by a neurolytic agent (Anaes.)
1835001.05.20033T11SNNNNNYNNC01.05.200301.07.2021129.9097.45110.4501.11.2014Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of hemifacial spasm in a patient who is at least 12 years of age, including all such injections on any one day
1835101.11.20053T11SNNNNNYNNC01.11.200501.07.2021129.9097.45110.4501.11.2014Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport), injection of, for the treatment of hemifacial spasm in a patient who is at least 18 years of age, including all such injections on any one day
1835301.04.20153T11DNNNNNYNNC01.04.201501.07.2021259.85194.90220.9001.04.2015Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport) or IncobotulinumtoxinA (Xeomin), injection of, for the treatment of cervical dystonia (spasmodic torticollis), including all such injections on any one day
1835401.05.20033T11SNNNNNYNNC01.05.200301.07.2021129.9097.45110.45Y01.11.2014Botulinum Toxin Type A Purified Neurotixin Complex (Botox) or Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport), injection of, for the treatment of dynamic equinus foot deformity (including equinovarus and equinovalgus) due to spasticity in an ambulant cerebral palsy patient, if:(a) the patient is at least 2 years of age; and (b) the treatment is for all or any of the muscles subserving one functional activity and supplied by one motor nerve, with a maximum of 4 sets of injections for the patient on any one day (with a maximum of 2 sets of injections for each lower limb), including all injections per set (Anaes.)
1836001.05.20033T11SNNNNNYNNC01.11.200501.07.2021129.9097.45110.4501.11.2018Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), or Clostridium Botulinum Type A Toxin Haemagglutinin Complex (Dysport),injection of, for the treatment of moderate to severe focal spasticity, if: (a)the patient is at least 18 years of age; and (b)the spasticity is associated with a previously diagnosed neurological disorder; and (c)treatment is provided as: (i)second line therapy when standard treatment for the conditions has failed; or (ii)an adjunct to physical therapy; and (d)the treatment is for all or any of the muscles subserving one functional activity and supplied by one motor nerve, with a maximum of 4 sets of injections for the patient on any one day (with a maximum of 2 sets of injections for each limb), including all injections per set; and (e)the treatment is not provided on the same occasion as a service mentioned in item 18365
1836101.07.20113T11DNNNNNYNNC01.07.201101.07.2021129.9097.45110.45Y01.12.2020Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport) or Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of moderate to severe upper limb spasticity due to cerebral palsy if: (a) the patient is at least 2 years of age; and (b) the treatment is for all or any of the muscles subserving one functional activity and supplied by one motor nerve, with a maximum of 4 sets of injections for the patient on any one day (with a maximum of 2 sets of injections for each upper limb), including all injections per set (Anaes.)
1836201.05.20033T11SNNNNNYNNC01.11.200501.07.2021256.70192.55218.20Y01.11.2014Botulinum Toxin type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of severe primary axillary hyperhidrosis, including all injections on any one day, if: (a)the patient is at least 12 years of age; and (b)the patient has been intolerant of, or has not responded to, topical aluminium chloride hexahydrate; and (c)the patient has not had treatment with botulinum toxin within the immediately preceding 4 months; and (d)if the patient has had treatment with botulinum toxin within the previous 12 months - the patient had treatment on no more than 2 separate occasions (Anaes.)
1836501.04.20153T11DNNNNNYNNC01.04.201501.07.2021129.9097.45110.4501.08.2020Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport) or IncobotulinumtoxinA (Xeomin), injection of, for the treatment of moderate to severe spasticity of the upper limb following an acute event,if: (a) the patient is at least 18 years of age; and (b) treatment is provided as: (i)second line therapy when standard treatment for the condition has failed; or (ii) an adjunct to physical therapy; and (c) the patient does not have established severe contracture in the limb that is to be treated; and (d) the treatment is for all or any of the muscles subserving one functional activity and supplied by one motor nerve, with a maximum of 4 sets of injections for the patient on any one day (with a maximum of 2 sets of injections for each upper limb), including all injections per set; and (e) for a patient who has received treatment on 2 previous separate occasions - the patient has responded to the treatment
1836601.05.20033T11SNNNNNYNNC01.11.200501.07.2021162.75122.10138.35Y01.11.2014Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of strabismus, including all such injections on any one day and associated electromyography (Anaes.)
1836801.05.20033T11SNNNNNYNNC01.11.200501.07.2021277.85208.40236.2001.11.2014Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of spasmodic dysphonia, including all such injections on any one day
1836901.04.20153T11DNNNNNYNNC01.04.201501.07.202146.8535.1539.85Y01.04.2015Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport) or IncobotulinumtoxinA (Xeomin), injection of, for the treatment of unilateral blepharospasm in a patient who is at least 18 years of age, including all such injections on any one day (Anaes.)
1837001.05.20033T11SNNNNNYNNC01.05.200301.07.202146.8535.1539.85Y01.11.2014Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of unilateral blepharospasm in a patient who is at least 12 years of age, including all such injections on any one day (Anaes.)
1837201.11.20063T11SNNNNNYNNC01.11.200601.07.2021129.9097.45110.45Y01.11.2014Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of bilateral blepharospasm, in a patient who is at least 12 years of age; including all such injections on any one day (Anaes.)
1837401.04.20153T11DNNNNNYNNC01.04.201501.07.2021129.9097.45110.45Y01.04.2015Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport) or IncobotulinumtoxinA (Xeomin), injection of, for the treatment of bilateral blepharospasm in a patient who is at least 18 years of age, including all such injections on any one day (Anaes.)
1837501.10.20133T11DNNNNNYNNA01.10.201301.07.2021239.20179.40Y01.10.2013Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), intravesical injection of, with cystoscopy, for the treatment of urinary incontinence, including all such injections on any one day, if: (a) the urinary incontinence is due to neurogenic detrusor overactivity as demonstrated by urodynamic study of a patient with: (i) multiple sclerosis; or (ii) spinal cord injury; or (iii) spina bifida and who is at least 18 years of age; and (b) the patient has urinary incontinence that is inadequately controlled by anti-cholinergic therapy, as manifested by having experienced at least 14 episodes of urinary incontinence per week before commencement of treatment with botulinum toxin type A; and (c) the patient is willing and able to self-catheterise; and (d) the requirements relating to botulinum toxin type A under the Pharmaceutical Benefits Scheme are complied with; and (e) treatment is not provided on the same occasion as a service described in item 104, 105, 110, 116, 119, 11900 or 11919 For each patient - applicable not more than once except if the patient achieves at least a 50% reduction in urinary incontinence episodes from baseline at any time during the period of 6 to 12 weeks after first treatment (Anaes.)
1837701.03.20143T11SNNNNNYNNC01.03.201401.07.2021129.9097.45110.4501.03.2014Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of chronic migraine, including all injections in 1 day, if: (a)the patient is at least 18 years of age; and (b) the patient has experienced an inadequate response, intolerance or contraindication to at least 3 prophylactic migraine medications before commencement of treatment with botulinum toxin, as manifested by an average of 15 or more headache days per month, with at least 8 days of migraine, over a period of at least 6 months, before commencement of treatment with botulinum toxin; and (c)the requirements relating to botulinum toxin type A under the Pharmaceutical Benefits Scheme are complied with For each patient-applicable not more than twice except if the patient achieves and maintains at least a 50% reduction in the number of headache days per month from baseline after 2 treatment cycles (each of 12 weeks duration)
1837901.11.20143T11SNNNNNYNNA01.11.201401.07.2021239.20179.40Y01.11.2014Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), intravesical injection of, with cystoscopy, for the treatment of urinary incontinence, including all such injections on any one day, if: (a)the urinary incontinence is due to idiopathic overactive bladder in a patient: and (b)the patient is at least 18 years of age; and (c)the patient has urinary incontinence that is inadequately controlled by at least 2 alternative anti- cholinergic agents, as manifested by having experienced at least 14 episodes of urinary incontinence per week before commencement of treatment with botulinum toxin; and (d)the patient is willing and able to self-catheterise; and (e)treatment is not provided on the same occasion as a service mentioned in item 104, 105, 110, 116, 119, 11900 or 11919 For each patient-applicable not more than once except if the patient achieves at least a 50% reduction in urinary incontinence episodes from baseline at any time during the period of 6 to 12 weeks after first treatment (H) (Anaes.)
2010001.11.20013T101SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION 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)
2010201.11.20013T101SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for plastic repair of cleft lip (6 basic units)
2010401.11.20013T101SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for electroconvulsive therapy (4 basic units)
2012001.11.20013T101SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION 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)
2012401.11.20013T101SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for otoscopy (4 basic units)
2014001.11.20013T101SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on eye, not being a service to which another item in this Group applies (5 basic units)
2014201.11.20013T101SNNNNNYNPC01.11.200101.07.2021103.0077.2587.55501.11.201280.0001.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for lens surgery (5 basic units)
2014301.11.20013T101SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for retinal surgery (6 basic units)
2014401.11.20013T101SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for corneal transplant (7 basic units)
2014501.11.20013T101SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for vitrectomy (7 basic units)
2014601.11.20013T101SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for biopsy of conjunctiva (5 basic units)
2014701.07.20083T101SNNNNNYNNC01.07.200801.07.2021123.6092.70105.10601.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for squint repair (6 basic units)
2014801.11.20013T101SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for ophthalmoscopy (4 basic units)
2016001.11.20013T101SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2019Initiation of the management of anaesthesia for intranasal or accessory sinuses, not being a service to which another item in this Subgroup applies (6 basic units)
2016201.11.20013T101SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2019Initiation of the management of anaesthesia for intranasal surgery for malignancy or for intranasal ablation (7 basic units)
2016401.11.20013T101SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for biopsy of soft tissue of the nose and accessory sinuses (4 basic units)
2017001.11.20013T101SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for intraoral procedures, including biopsy, not being a service to which another item in this Subgroup applies (6 basic units)
2017201.11.20013T101SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of cleft palate (7 basic units)
2017401.11.20013T101SNNNNNYNNC01.11.200101.07.2021185.40139.05157.60901.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for excision of retropharyngeal tumour (9 basic units)
2017601.11.20013T101SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical intraoral surgery (10 basic units)
2019001.11.20013T101SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on facial bones, not being a service to which another item in this Subgroup applies (5 basic units)
2019201.11.20013T101SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.05.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for extensive surgery on facial bones (including prognathism and extensive facial bone reconstruction) (10 basic units)
2021001.11.20013T101SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for intracranial procedures, not being a service to which another item in this Subgroup applies (15 basic units)
2021201.11.20013T101SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for subdural taps (5 basic units)
2021401.11.20013T101SNNNNNYNNC01.11.200101.07.2021185.40139.05157.60901.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for burr holes of the cranium (9 basic units)
2021601.11.20013T101SNNNNNYNNC01.11.200101.07.2021412.00309.00350.202001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for intracranial vascular procedures including those for aneurysms or arterio-venous abnormalities (20 basic units)
2022001.11.20013T101SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for spinal fluid shunt procedures (10 basic units)
2022201.11.20013T101SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for ablation of an intracranial nerve (6 basic units)
2022501.11.20013T101SNNNNNYNNC01.11.200101.07.2021247.20185.40210.151201.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for all cranial bone procedures (12 basic units)
2023001.07.20083T101SNNNNNYNNC01.07.200801.07.2021247.20185.40210.151201.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the head or face (12 basic units)
2030001.11.20013T102SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.05.2002INITIATION 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)
2030501.11.20013T102SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION 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)
2032001.11.20013T102SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION 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)
2032101.11.20013T102SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for laryngectomy, hemi laryngectomy, laryngopharyngectomy or pharyngectomy (10 basic units)
2033001.11.20013T102SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for laser surgery to the airway (excluding nose and mouth) (8 basic units)
2035001.11.20013T102SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION 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)
2035201.11.20013T102SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for simple ligation of major vessels of neck (5 basic units)
2035501.07.20083T102SNNNNNYNNC01.07.200801.07.2021247.20185.40210.151201.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the neck (12 basic units)
2040001.11.20013T103SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION 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)
2040101.11.20013T103SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the breast, not being a service to which another item in this Subgroup applies (4 basic units)
2040201.11.20013T103SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for reconstructive procedures on breast (5 basic units)
2040301.11.20013T103SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.05.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for removal of breast lump or for breast segmentectomy where axillary node dissection is performed (5 basic units)
2040401.11.20013T103SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for mastectomy (6 basic units)
2040501.11.20013T103SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for reconstructive procedures on the breast using myocutaneous flaps (8 basic units)
2040601.11.20013T103SNNNNNYNNC01.11.200101.07.2021267.80200.85227.651301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical or modified radical procedures on breast with internal mammary node dissection (13 basic units)
2041001.11.20013T103SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for electrical conversion of arrhythmias (4 basic units)
2042001.11.20013T103SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.05.2002INITIATION 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)
2044001.05.20033T103SNNNNNYNNC01.05.200301.07.202182.4061.8070.05401.05.2003INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow biopsy of the sternum (4 basic units)
2045001.11.20013T103SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION 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)
2045201.11.20013T103SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical surgery on clavicle, scapula or sternum (6 basic units)
2047001.11.20013T103SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for partial rib resection, not being a service to which another item in this Subgroup applies (6 basic units)
2047201.11.20013T103SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for thoracoplasty (10 basic units)
2047401.11.20013T103SNNNNNYNNC01.11.200101.07.2021267.80200.85227.651301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical procedures on chest wall (13 basic units)
2047501.07.20083T103SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the anterior or posterior thorax (10 basic units)
2050001.11.20013T104SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on the oesophagus (15 basic units)
2052001.11.20013T104SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.05.2002INITIATION 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)
2052201.11.20013T104SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for needle biopsy of pleura (4 basic units)
2052401.11.20013T104SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for pneumocentesis (4 basic units)
2052601.11.20013T104SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for thoracoscopy (10 basic units)
2052801.11.20013T104SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for mediastinoscopy (8 basic units)
2054001.11.20013T104SNNNNNYNNC01.11.200101.07.2021267.80200.85227.651301.11.2001INITIATION 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)
2054201.11.20013T104SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for pulmonary decortication (15 basic units)
2054601.11.20013T104SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for pulmonary resection with thoracoplasty (15 basic units)
2054801.11.20013T104SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for intrathoracic repair of trauma to trachea and bronchi (15 basic units)
2056001.11.20013T104SNNNNNYNNC01.11.200101.07.2021412.00309.00350.202001.11.2017Initiation of the management of anaesthesia for: (a) open procedures on the heart, pericardium or great vessels of the chest; or (b) percutaneous insertion of a valvular prosthesis (20 basic units)
2060001.11.20013T105SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION 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)
2060401.11.20013T105SNNNNNYNNC01.11.200101.07.2021267.80200.85227.651301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for posterior cervical laminectomy with the patient in the sitting position (13 basic units)
2062001.11.20013T105SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION 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)
2062201.11.20013T105SNNNNNYNNC01.11.200101.07.2021267.80200.85227.651301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for thoracolumbar sympathectomy (13 basic units)
2063001.11.20013T105SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures in lumbar region, not being a service to which another item in this Subgroup applies (8 basic units)
2063201.11.20013T105SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for lumbar sympathectomy (7 basic units)
2063401.11.20013T105SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for chemonucleolysis (10 basic units)
2067001.11.20013T105SNNNNNYNNC01.11.200101.07.2021267.80200.85227.651301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for extensive spine and/or spinal cord procedures (13 basic units)
2068001.11.20013T105SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for manipulation of spine when performed in the operating theatre of a hospital (3 basic units)
2069001.11.20013T105SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous spinal procedures, not being a service to which another item in this Subgroup applies (5 basic units)
2070001.11.20013T106SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION 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)
2070201.11.20013T106SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous liver biopsy (4 basic units)
2070301.11.20053T106SNNNNNYNNC01.11.200501.07.202182.4061.8070.05401.11.2005INITIATION 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)
2070401.07.20083T106SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the anterior or posterior upper abdomen (10 basic units)
2070601.11.20013T106SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2019Initiation of the management of anaesthesia for laparoscopic procedures in the upper abdomen, including laparoscopic cholecystectomy, not being a service to which another item in this Subgroup applies (7 basic units)
2073001.11.20013T106SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.05.2001INITIATION 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)
2074001.11.20013T106SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for upper gastrointestinal endoscopic procedures (5 basic units)
2074501.11.20013T106SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2019Initiation of the management of anaesthesia for either or both of the following:(a) upper gastrointestinal endoscopic procedures in association with acute gastrointestinal haemorrhage;(b) endoscopic retrograde cholangiopancreatography (7 basic units)
2075001.11.20013T106SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2019Initiation of the management of anaesthesia for hernia repairs to the upper abdominal wall, other than a service to which another item in this Subgroup applies. (5 basic units)
2075201.11.20013T106SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of incisional hernia and/or wound dehiscence (6 basic units)
2075401.11.20013T106SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on an omphalocele (7 basic units)
2075601.11.20013T106SNNNNNYNNC01.11.200101.07.2021185.40139.05157.60901.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for transabdominal repair of diaphragmatic hernia (9 basic units)
2077001.11.20013T106SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on major upper abdominal blood vessels (15 basic units)
2079001.11.20013T106SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2019Initiation of the management of anaesthesia for procedures within the peritoneal cavity in upper abdomen, including any of the following:(a) open cholecystectomy;(b) gastrectomy;(c) laparoscopically assisted nephrectomy;(d) bowel shunts (8 basic units)
2079101.11.20013T106SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.01.2014Initiation of the management of anaesthesia for bariatric surgery in a patient with clinically severe obesity (10 basic units)
2079201.11.20013T106SNNNNNYNNC01.11.200101.07.2021267.80200.85227.651301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for partial hepatectomy (excluding liver biopsy) (13 basic units)
2079301.11.20013T106SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for extended or trisegmental hepatectomy (15 basic units)
2079401.11.20013T106SNNNNNYNNC01.11.200101.07.2021247.20185.40210.151201.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for pancreatectomy, partial or total (12 basic units)
2079801.11.20013T106SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for neuro endocrine tumour removal in the upper abdomen (10 basic units)
2079901.11.20023T106SNNNNNYNNC01.11.200201.07.2021123.6092.70105.10601.11.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous procedures on an intra-abdominal organ in the upper abdomen (6 basic units)
2080001.11.20013T107SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION 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)
2080201.11.20013T107SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for lipectomy of the lower abdomen (5 basic units)
2080301.11.20053T107SNNNNNYNNC01.11.200501.07.202182.4061.8070.05401.11.2005INITIATION 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)
2080401.11.20083T107SNNNNNYNNC01.11.200801.07.2021206.00154.50175.101001.11.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the anterior or posterior lower abdomen (10 basic units)
2080601.11.20013T107SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for laparoscopic procedures in the lower abdomen (7 basic units)
2081001.11.20013T107SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for lowerintestinal endoscopic procedures (4 basic units)
2081501.11.20013T107SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for extracorporeal shock wave lithotripsy to urinary tract (6 basic units)
2082001.11.20013T107SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin, its derivatives or subcutaneous tissue of the lower posterior abdominal wall (5 basic units)
2083001.11.20013T107SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2083201.11.20013T107SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of incisional herniae and/or wound dehiscence of the lower abdomen (6 basic units)
2084001.11.20013T107SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2019Initiation of the management of anaesthesia for all open procedures within the lower abdominal peritoneal cavity, including appendicectomy, not being a service to which another item in this Subgroup applies (6 basic units)
2084101.11.20013T107SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION 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)
2084201.11.20013T107SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for amniocentesis (4 basic units)
2084401.11.20013T107SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for abdominoperineal resection, including pull through procedures, ultra low anterior resection and formation of bowel reservoir (10 basic units)
2084501.11.20013T107SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical prostatectomy (10 basic units)
2084601.11.20013T107SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical hysterectomy (10 basic units)
2084701.11.20053T107SNNNNNYNNC01.11.200501.07.2021206.00154.50175.101001.11.2005INITIATION OF MANAGEMENT OF ANAESTHESIA for ovarian malignancy (10 basic units)
2084801.11.20013T107SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for pelvic exenteration (10 basic units)
2085001.11.20013T107SNNNNNYNNC01.11.200101.07.2021247.20185.40210.151201.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for Caesarean section (12 basic units)
2085501.11.20013T107SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2017INITIATION OF MANAGEMENT OF ANAESTHESIA for Caesarean hysterectomy or hysterectomy within 24 hours of birth (15 basic units)
2086001.11.20013T107SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.05.2001INITIATION 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)
2086201.11.20013T107SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for renal procedures, including upper 1/3 of ureter (7 basic units)
2086301.07.20083T107SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for nephrectomy (10 basic units)
2086401.11.20013T107SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for total cystectomy (10 basic units)
2086601.11.20013T107SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for adrenalectomy (10 basic units)
2086701.11.20013T107SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for neuro endocrine tumour removal in the lower abdomen (10 basic units)
2086801.11.20013T107SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for renal transplantation (donor or recipient) (10 basic units)
2088001.11.20013T107SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION 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)
2088201.11.20013T107SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for inferior vena cava ligation (10 basic units)
2088401.11.20013T107SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous umbrella insertion (5 basic units)
2088601.11.20023T107SNNNNNYNNC01.11.200201.07.2021123.6092.70105.10601.11.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous procedures on an intra-abdominal organ in the lower abdomen (6 basic units)
2090001.11.20013T108SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.01.2014INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the perineum not being a service to which another item in this Subgroup applies (3 basic units)
2090201.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2019Initiation of the management of anaesthesia for anorectal procedures (including surgical haemorrhoidectomy, but not banding of haemorrhoids) (4 basic units)
2090401.11.20013T108SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical perineal procedures including radical perineal prostatectomy or radical vulvectomy (7 basic units)
2090501.07.20083T108SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the perineum (10 basic units)
2090601.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for vulvectomy (4 basic units)
2091001.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for transurethral procedures (including urethrocystoscopy), not being a service to which another item in this Subgroup applies (4 basic units)
2091101.07.20083T108SNNNNNYNNC01.07.200801.07.2021103.0077.2587.55501.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for endoscopic ureteroscopic surgery including laser procedures (5 basic units)
2091201.11.20013T108SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for transurethral resection of bladder tumour(s) (5 basic units)
2091401.11.20013T108SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for transurethral resection of prostate (7 basic units)
2091601.11.20013T108SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for bleeding post-transurethral resection (7 basic units)
2092001.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.07.2013Initiation of management of anaesthesia for procedures on external genitalia, not being a service to which another item in this Subgroup applies. (4 basic units)
2092401.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on undescended testis, unilateral or bilateral (4 basic units)
2092601.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical orchidectomy, inguinal approach (4 basic units)
2092801.11.20013T108SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical orchidectomy, abdominal approach (6 basic units)
2093001.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for orchiopexy, unilateral or bilateral (4 basic units)
2093201.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for complete amputation of penis (4 basic units)
2093401.11.20013T108SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for complete amputation of penis with bilateral inguinal lymphadenectomy (6 basic units)
2093601.11.20013T108SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for complete amputation of penis with bilateral inguinal and iliac lymphadenectomy (8 basic units)
2093801.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for insertion of penile prosthesis (4 basic units)
2094001.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.01.2014INITIATION OF MANAGEMENT OF ANAESTHESIA for per vagina and vaginal procedures (including biopsy of vagina, cervix or endometrium), not being a service to which another item in this Subgroup applies (4 basic units)
2094201.11.20013T108SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for vaginal procedures including repair operations and urinary incontinence procedures (perineal) (5 basic units)
2094301.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.05.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for transvaginal assisted reproductive services (4 basic units)
2094401.11.20013T108SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for vaginal hysterectomy (6 basic units)
2094601.11.20013T108SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2017INITIATION OF MANAGEMENT OF ANAESTHESIA for vaginal birth (8 basic units)
2094801.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for purse string ligation of cervix, or removal of purse string ligature (4 basic units)
2095001.11.20013T108SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for culdoscopy (5 basic units)
2095201.11.20013T108SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for hysteroscopy (4 basic units)
2095401.11.20013T108SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for correction of inverted uterus (10 basic units)
2095601.05.20023T108SNNNNNYNNC01.05.200201.07.202182.4061.8070.05401.05.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for evacuation of retained products of conception, as a complication of confinement (4 basic units)
2095801.05.20023T108SNNNNNYNNC01.05.200201.07.2021103.0077.2587.55501.11.2017INITIATION OF MANAGEMENT OF ANAESTHESIA for manual removal of retained placenta or for repair of vaginal or perineal tear following birth (5 basic units)
2096001.05.20023T108SNNNNNYNNC01.05.200201.07.2021144.20108.15122.60701.05.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for vaginal procedures in the management of post partum haemorrhage (blood loss > 500mls) (7 basic units)
2110001.11.20013T109SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION 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)
2111001.11.20013T109SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.05.2001INITIATION 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)
2111201.05.20033T109SNNNNNYNNC01.05.200301.07.202182.4061.8070.05401.05.2003INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow biopsy of the anterior iliac crest (4 basic units)
2111401.05.20033T109SNNNNNYNNC01.05.200301.07.2021103.0077.2587.55501.05.2003INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow biopsy of the posterior iliac crest (5 basic units)
2111601.05.20033T109SNNNNNYNNC01.05.200301.07.2021123.6092.70105.10601.05.2003INITIATION OF MANAGEMENT OF ANAESTHESIA for percutaneous bone marrow harvesting from the pelvis (6 basic units)
2112001.11.20013T109SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the bony pelvis (6 basic units)
2113001.11.20013T109SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for body cast application or revision when performed in the operating theatre of a hospital (3 basic units)
2114001.11.20013T109SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for interpelviabdominal (hind-quarter) amputation (15 basic units)
2115001.11.20013T109SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical procedures for tumour of the pelvis, except hind-quarter amputation (10 basic units)
2115501.07.20083T109SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the anterior or posterior pelvis (10 basic units)
2116001.11.20013T109SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2117001.11.20013T109SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures involving symphysis pubis or sacroiliac joint (8 basic units)
2119501.11.20013T1010SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the upper leg (3 basic units)
2119901.11.20013T1010SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of the upper leg (4 basic units)
2120001.11.20013T1010SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures involving hip joint when performed in the operating theatre of a hospital (4 basic units)
2120201.11.20013T1010SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of the hip joint (4 basic units)
2121001.11.20013T1010SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION 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)
2121201.11.20013T1010SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for hip disarticulation (10 basic units)
2121401.11.20013T1010SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for total hip replacement or revision (10 basic units)
2121601.11.20053T1010SNNNNNYNNC01.11.200501.07.2021288.40216.30245.151401.11.2005INITIATION OF MANAGEMENT OF ANAESTHESIA for bilateral total hip replacement (14 basic units)
2122001.11.20013T1010SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2123001.11.20013T1010SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION 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)
2123201.11.20013T1010SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for above knee amputation (5 basic units)
2123401.11.20013T1010SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical resection of the upper 2/3 of femur (8 basic units)
2126001.11.20013T1010SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures involving veins of upper leg, including exploration (4 basic units)
2127001.11.20013T1010SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION 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)
2127201.11.20013T1010SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for femoral artery ligation (4 basic units)
2127401.11.20013T1010SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for femoral artery embolectomy (6 basic units)
2127501.07.20083T1010SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the upper leg (10 basic units)
2128001.11.20013T1010SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of upper leg (15 basic units)
2130001.11.20013T1011SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the knee and/or popliteal area (3 basic units)
2132101.11.20013T1011SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of knee and/or popliteal area (4 basic units)
2134001.11.20013T1011SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2136001.11.20013T1011SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on lower 1/3 of femur (5 basic units)
2138001.11.20013T1011SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on knee joint when performed in the operating theatre of a hospital (3 basic units)
2138201.11.20013T1011SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of knee joint (4 basic units)
2139001.11.20013T1011SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION 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)
2139201.11.20013T1011SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on upper ends of tibia, fibula, and/or patella (4 basic units)
2140001.11.20013T1011SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2140201.11.20013T1011SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.05.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for knee replacement (7 basic units)
2140301.11.20013T1011SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for bilateral knee replacement (10 basic units)
2140401.11.20013T1011SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for disarticulation of knee (5 basic units)
2142001.11.20013T1011SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for cast application, removal, or repair involving knee joint, undertaken in a hospital (3 basic units)
2143001.11.20013T1011SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2143201.11.20013T1011SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of arteriovenous fistula of knee or popliteal area (5 basic units)
2144001.11.20013T1011SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION 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)
2144501.07.20083T1011SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the knee and/or popliteal area (10 basic units)
2146001.11.20013T1012SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of lower leg, ankle, or foot (3 basic units)
2146101.11.20013T1012SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2146201.11.20013T1012SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on lower leg, ankle, or foot (3 basic units)
2146401.11.20013T1012SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedure of ankle joint (4 basic units)
2147201.11.20013T1012SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for repair of Achilles tendon (5 basic units)
2147401.11.20013T1012SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for gastrocnemius recession (5 basic units)
2148001.11.20013T1012SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2148201.11.20013T1012SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical resection of bone involving lower leg, ankle or foot (5 basic units)
2148401.11.20013T1012SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for osteotomy or osteoplasty of tibia or fibula (5 basic units)
2148601.11.20013T1012SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for total ankle replacement (7 basic units)
2149001.11.20013T1012SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for lower leg cast application, removal or repair, undertaken in a hospital (3 basic units)
2150001.11.20013T1012SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION 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)
2150201.11.20013T1012SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for embolectomy of the lower leg (6 basic units)
2152001.11.20013T1012SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2152201.11.20013T1012SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for venous thrombectomy of the lower leg (5 basic units)
2153001.11.20013T1012SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of lower leg, ankle or foot (15 basic units)
2153201.11.20013T1012SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of toe (8 basic units)
2153501.07.20083T1012SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the lower leg (10 basic units)
2160001.11.20013T1013SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the shoulder or axilla (3 basic units)
2161001.11.20013T1013SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on nerves, muscles, tendons, fascia or bursae of shoulder or axilla including axillary dissection (5 basic units)
2162001.11.20013T1013SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2162201.11.20013T1013SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of shoulder joint (5 basic units)
2163001.11.20013T1013SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for open procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint orshoulder joint, not being a service to which another item in this Subgroup applies (5 basic units)
2163201.11.20013T1013SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical resection involving humeral head and neck, sternoclavicular joint, acromioclavicular joint or shoulder joint (6 basic units)
2163401.11.20013T1013SNNNNNYNNC01.11.200101.07.2021185.40139.05157.60901.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for shoulder disarticulation (9 basic units)
2163601.11.20013T1013SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for interthoracoscapular (forequarter) amputation (15 basic units)
2163801.11.20013T1013SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for total shoulder replacement (10 basic units)
2165001.11.20013T1013SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION 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)
2165201.11.20013T1013SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures for axillary-brachial aneurysm (10 basic units)
2165401.11.20013T1013SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for bypass graft of arteries of shoulder or axilla (8 basic units)
2165601.11.20013T1013SNNNNNYNNC01.11.200101.07.2021206.00154.50175.101001.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for axillary-femoral bypass graft (10 basic units)
2167001.11.20013T1013SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on veins of shoulder or axilla (4 basic units)
2168001.11.20013T1013SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION 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)
2168201.11.20013T1013SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for shoulder spica application when undertaken in a hospital (4 basic units)
2168501.07.20083T1013SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the shoulder or the axilla (10 basic units)
2170001.11.20013T1014SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the upper arm or elbow (3 basic units)
2171001.11.20013T1014SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2171201.11.20013T1014SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for open tenotomy of the upper arm orelbow (5 basic units)
2171401.11.20013T1014SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for tenoplasty of the upper arm orelbow (5 basic units)
2171601.11.20013T1014SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for tenodesis for rupture of long tendon of biceps (5 basic units)
2173001.11.20013T1014SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for closed procedures on the upper arm orelbow when performed in the operating theatre of a hospital (3 basic units)
2173201.11.20013T1014SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of elbow joint (4 basic units)
2174001.11.20013T1014SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION 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)
2175601.11.20013T1014SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radical procedures on the upper arm or elbow (6 basic units)
2176001.11.20013T1014SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for total elbow replacement (7 basic units)
2177001.11.20013T1014SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION 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)
2177201.11.20013T1014SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for embolectomy of arteries of the upper arm (6 basic units)
2178001.11.20013T1014SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2178501.07.20083T1014SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the upper arm or elbow (10 basic units)
2179001.11.20013T1014SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of upper arm (15 basic units)
2180001.11.20013T1015SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the skin or subcutaneous tissue of the forearm, wrist or hand (3 basic units)
2181001.11.20013T1015SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for procedures on the nerves, muscles, tendons, fascia, or bursae of the forearm, wrist or hand (4 basic units)
2182001.11.20013T1015SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION 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)
2183001.11.20013T1015SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2183201.11.20013T1015SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for total wrist replacement (7 basic units)
2183401.11.20013T1015SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for arthroscopic procedures of the wrist joint (4 basic units)
2184001.11.20013T1015SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION 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)
2184201.11.20013T1015SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for embolectomy of artery of forearm, wrist or hand (6 basic units)
2185001.11.20013T1015SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2186001.11.20013T1015SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.12.2007INITIATION 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)
2186501.07.20083T1015SNNNNNYNNC01.07.200801.07.2021206.00154.50175.101001.07.2008INITIATION OF MANAGEMENT OF ANAESTHESIA for microvascular free tissue flap surgery involving the forearm, wrist or hand (10 basic units)
2187001.11.20013T1015SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of forearm, wrist or hand (15 basic units)
2187201.11.20013T1015SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for microsurgical reimplantation of a finger (8 basic units)
2187801.11.20013T1016SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION 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)
2187901.11.20013T1016SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION 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)
2188001.11.20013T1016SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.11.2001INITIATION 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)
2188101.11.20013T1016SNNNNNYNNC01.11.200101.07.2021185.40139.05157.60901.11.2001INITIATION 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)
2188201.11.20013T1016SNNNNNYNNC01.11.200101.07.2021226.60169.95192.651101.11.2001INITIATION 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)
2188301.11.20013T1016SNNNNNYNNC01.11.200101.07.2021267.80200.85227.651301.11.2001INITIATION 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)
2188401.11.20013T1016SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION 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)
2188501.11.20013T1016SNNNNNYNNC01.11.200101.07.2021350.20262.65297.701701.11.2001INITIATION 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)
2188601.11.20013T1016SNNNNNYNNC01.11.200101.07.2021391.40293.55332.701901.11.2001INITIATION 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)
2188701.11.20013T1016SNNNNNYNNC01.11.200101.07.2021432.60324.45367.752101.11.2001INITIATION 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)
2190001.11.20013T1017SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for hysterosalpingography (3 basic units)
2190601.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.05.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: lumbar or thoracic (5 basic units)
2190801.11.20013T1017SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: cervical (6 basic units)
2191001.11.20013T1017SNNNNNYNNC01.11.200101.07.2021185.40139.05157.60901.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for myelography: posterior fossa (9 basic units)
2191201.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for discography: lumbar or thoracic (5 basic units)
2191401.11.20013T1017SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for injection procedure for discography: cervical (6 basic units)
2191501.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for peripheral arteriogram (5 basic units)
2191601.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for arteriograms: cerebral, carotid or vertebral (5 basic units)
2191801.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for retrograde arteriogram: brachial or femoral (5 basic units)
2192201.11.20013T1017SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for computerised axial tomography scanning, magnetic resonance scanning, digital subtraction angiography scanning (6 basic units)
2192501.11.20013T1017SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for retrograde cystography, retrograde urethrography or retrograde cystourethrography (4 basic units)
2192601.11.20013T1017SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for fluoroscopy (4 basic units)
2193001.11.20013T1017SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for bronchography (6 basic units)
2193501.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for phlebography (5 basic units)
2193601.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for heart, 2 dimensional real time transoesophageal examination (5 basic units)
2193901.11.20013T1017SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for peripheral venous cannulation (3 basic units)
2194101.11.20013T1017SNNNNNYNNC01.11.200101.07.2021144.20108.15122.60701.05.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for cardiac catheterisation including coronary arteriography, ventriculography, cardiac mapping, insertion of automatic defibrillator or transvenous pacemaker (7 basic units)
2194201.05.20023T1017SNNNNNYNNC01.05.200201.07.2021206.00154.50175.101001.05.2002INITIATION OF MANAGEMENT OF ANAESTHESIA for cardiac electrophysiological procedures including radio frequency ablation (10 basic units)
2194301.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION 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)
2194501.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for lumbar puncture, cisternal puncture, or epidural injection (5 basic units)
2194901.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for harvesting of bone marrow for the purpose of transplantation (5 basic units)
2195201.11.20013T1017SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2019Initiation of the management of anaesthesia for diagnostic muscle biopsy to assess for malignant hyperpyrexia (4 basic units)
2195501.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for electroencephalography (5 basic units)
2195901.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for brain stem evoked response audiometry (5 basic units)
2196201.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for electrocochleography by extratympanic method or transtympanic membrane insertion method (5 basic units)
2196501.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2018INITIATION OF MANAGEMENT OF ANAESTHESIA as a therapeutic procedure if there is a clinical need for anaesthesia, not for headache of any etiology (5 basic units)
2196901.11.20013T1017SNNNNNYNNC01.11.200101.07.2021164.80123.60140.10801.11.2001INITIATION 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)
2197001.11.20013T1017SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA during hyperbaric therapy where the medical practitioner is confined in the chamber (including the administration of oxygen) (15 basic units)
2197301.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for brachytherapy using radioactive sealed sources (5 basic units)
2197601.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for therapeutic nuclear medicine (5 basic units)
2198001.11.20013T1017SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for radiotherapy (5 basic units)
2199001.11.20013T1018SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA when no procedure ensues (3 basic units)
2199201.11.20013T1018SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001INITIATION 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)
2199701.11.20013T1018SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2018INITIATION OF MANAGEMENT OF ANAESTHESIA in connection with a procedure covered by an item that does not include the word "(Anaes.)", other than a service to which item 21965 or 21992 applies, if there is a clinical need for anaesthesia (4 basic units)
2200201.11.20013T1019SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2019Administration of homologous blood or bone marrow already collected, when performed in association with the management of anaesthesia (4 basic units)
2200701.11.20013T1019SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.07.2008ENDOTRACHEAL INTUBATION with flexible fibreoptic scope associated with difficult airway when performed in association with the administration of anaesthesia (4 basic units)
2200801.11.20013T1019SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2001DOUBLE LUMEN ENDOBRONCHIAL TUBE OR BRONCHIAL BLOCKER, insertion of when performed in association with the administration of anaesthesia (4 basic units)
2201201.11.20013T1019SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2019Central venous, pulmonary arterial, systemic arterial or cardiac intracavity blood pressure monitoring by indwelling catheter—once per day for each type of pressure for a patient:(a) when performed in association with the management of anaesthesia for the patient; and(b) other than a service to which item 13876 applies(c) is categorised as having a high risk of complications or during the procedure develops either complications or a high risk of complications (3 basic units)
2201401.11.20013T1019SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.11.2019Central venous, pulmonary arterial, systemic arterial or cardiac intracavity blood pressure monitoring by indwelling catheter—once per day for each type of pressure for a patient:(a) when performed in association with the management of anaesthesia for the patient; and(b) relating to another discrete operation on the same day for the patient; and(c) other than a service to which item 13876 applies(d) who is categorised as having a high risk of complications or develops during the current procedure either complications or a high risk of complications (3 basic units)
2201501.11.20013T1019SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001RIGHT 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)
2202001.11.20013T1019SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.07.2012CENTRAL 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)
2202501.11.20013T1019SNNNNNYNNC01.11.200101.07.202182.4061.8070.05401.11.2019Intra-arterial cannulation when performed in association with the management of anaesthesia in a patient who:(a) is categorised as having a high risk of complications; or(b) develops a high risk of complications during the procedure (4 basic units)
2203101.11.20053T1019SNNNNNYNNC01.11.200501.07.2021103.0077.2587.55501.11.2019Intrathecal or epidural injection (initial) of a therapeutic substance or substances, with or without insertion of a catheter, in association with anaesthesia and surgery, for post-operative pain management, not being a service to which 22036 applies (5 basic units)
2203601.11.20053T1019SNNNNNYNNC01.11.200501.07.202161.8046.3552.55301.11.2005INTRATHECAL 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)
2204101.11.20193T1019SNNNNNYNNC01.11.201901.07.202141.2030.9035.05201.11.2019Perioperative introduction of a plexus or nerve block proximal to the lower leg or forearm for post operative pain management (2 basic units)
2204201.11.20193T1019SNNNNNYNNC01.11.201901.07.202120.6015.4517.55101.11.2019Introduction of a nerve block performed via a retrobulbar, peribulbar, or sub Tenon’s approach, or other complex eye block, when administered by an anaesthetist perioperatively (1 basic units)
2205101.11.20083T1019SNNNNNYNNC01.11.200801.07.2021185.40139.05157.60901.11.2008INTRA-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)
2205501.11.20013T1019SNNNNNYNNC01.11.200101.07.2021247.20185.40210.151201.07.2009PERFUSION 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)
2206001.11.20013T1019SNNNNNYNNC01.11.200101.07.2021618.00463.50533.3030Y01.03.2021WHOLE BODY PERFUSION, CARDIAC BYPASS, where the heart-lung machine or equivalent is continuously operated by a medical perfusionist, other than a service associated with anaesthesia to which an item in Subgroup 21 applies (Anaes.) (30 basic units)
2206501.11.20013T1019SNNNNNYNNC01.11.200101.07.2021103.0077.2587.55501.07.2009INDUCED 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)
2207501.11.20013T1019SNNNNNYNNC01.11.200101.07.2021309.00231.75262.651501.07.2009DEEP 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)
2290001.11.20013T1020SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION 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)
2290501.11.20013T1020SNNNNNYNNC01.11.200101.07.2021123.6092.70105.10601.11.2001INITIATION OF MANAGEMENT OF ANAESTHESIA for restorative dental work (6 basic units)
2301001.11.20013T1021SNNNNNYNNC01.11.200101.07.202120.6015.4517.55101.07.2008ANAESTHESIA, 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)
2302501.11.20193T1021SNNNNNYNNC01.11.201901.07.202141.2030.9035.05201.11.201916 MINUTES TO 30 MINUTES (2 basic units)
2303501.11.20193T1021SNNNNNYNNC01.11.201901.07.202161.8046.3552.55301.11.201931 MINUTES to 45 MINUTES (3 basic units)
2304501.11.20193T1021SNNNNNYNNC01.11.201901.07.202182.4061.8070.05401.11.201946 MINUTES to 1:00 HOUR (4 basic units)
2305501.11.20193T1021SNNNNNYNNC01.11.201901.07.2021103.0077.2587.55501.11.20191:01 HOURS to 1:15 HOURS (5 basic units)
2306501.11.20193T1021SNNNNNYNNC01.11.201901.07.2021123.6092.70105.10601.11.20191:16 HOURS to 1:30 HOURS (6 basic units)
2307501.11.20193T1021SNNNNNYNNC01.11.201901.07.2021144.20108.15122.60701.11.20191:31 HOURS to 1:45 HOURS (7 basic units)
2308501.11.20193T1021SNNNNNYNNC01.11.201901.07.2021164.80123.60140.10801.11.20191:46 HOURS to 2:00 HOURS (8 basic units)
2309101.11.20053T1021SNNNNNYNNC01.11.200501.07.2021185.40139.05157.60901.11.20052:01 HOURS TO 2:10 HOURS (9 basic units)
2310101.11.20053T1021SNNNNNYNNC01.11.200501.07.2021206.00154.50175.101001.11.20052:11 HOURS TO 2:20 HOURS (10 basic units)
2311101.11.20053T1021SNNNNNYNNC01.11.200501.07.2021226.60169.95192.651101.11.20052:21 HOURS TO 2:30 HOURS (11 basic units)
2311201.11.20053T1021SNNNNNYNNC01.11.200501.07.2021247.20185.40210.151201.11.20052:31 HOURS TO 2:40 HOURS (12 basic units)
2311301.11.20053T1021SNNNNNYNNC01.11.200501.07.2021267.80200.85227.651301.11.20052:41 HOURS TO 2:50 HOURS (13 basic units)
2311401.11.20053T1021SNNNNNYNNC01.11.200501.07.2021288.40216.30245.151401.11.20052:51 HOURS TO 3:00 HOURS (14 basic units)
2311501.11.20053T1021SNNNNNYNNC01.11.200501.07.2021309.00231.75262.651501.11.20053:01 HOURS TO 3:10 HOURS (15 basic units)
2311601.11.20053T1021SNNNNNYNNC01.11.200501.07.2021329.60247.20280.201601.11.20053:11 HOURS TO 3:20 HOURS (16 basic units)
2311701.11.20053T1021SNNNNNYNNC01.11.200501.07.2021350.20262.65297.701701.11.20053:21 HOURS TO 3:30 HOURS (17 basic units)
2311801.11.20053T1021SNNNNNYNNC01.11.200501.07.2021370.80278.10315.201801.11.20053:31 HOURS TO 3:40 HOURS (18 basic units)
2311901.11.20053T1021SNNNNNYNNC01.11.200501.07.2021391.40293.55332.701901.11.20053:41 HOURS TO 3:50 HOURS (19 basic units)
2312101.11.20053T1021SNNNNNYNNC01.11.200501.07.2021412.00309.00350.202001.11.20053:51 HOURS TO 4:00 HOURS (20 basic units)
2317001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021432.60324.45367.752101.05.20014:01 HOURS TO 4:10 HOURS (21 basic units)
2318001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021453.20339.90385.252201.05.20014:11 HOURS TO 4:20 HOURS (22 basic units)
2319001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021473.80355.35402.752301.05.20014:21 HOURS TO 4:30 HOURS (23 basic units)
2320001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021494.40370.80420.252401.05.20014:31 HOURS TO 4:40 HOURS (24 basic units)
2321001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021515.00386.25437.752501.05.20014:41 HOURS TO 4:50 HOURS (25 basic units)
2322001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021535.60401.70455.302601.05.20014:51 HOURS TO 5:00 HOURS (26 basic units)
2323001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021556.20417.15472.802701.05.20015:01 HOURS TO 5:10 HOURS (27 basic units)
2324001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021576.80432.60492.102801.05.20015:11 HOURS TO 5:20 HOURS (28 basic units)
2325001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021597.40448.05512.702901.05.20015:21 HOURS TO 5:30 HOURS (29 basic units)
2326001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021618.00463.50533.303001.05.20015:31 HOURS TO 5:40 HOURS (30 basic units)
2327001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021638.60478.95553.903101.05.20015:41 HOURS TO 5:50 HOURS (31 basic units)
2328001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021659.20494.40574.503201.05.2001(5:51 HOURS TO 6:00 HOURS (32 basic units)
2329001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021679.80509.85595.103301.05.20016:01 HOURS TO 6:10 HOURS (33 basic units)
2330001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021700.40525.30615.703401.05.20016:11 HOURS TO 6:20 HOURS (34 basic units)
2331001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021721.00540.75636.303501.05.20016:21 HOURS TO 6:30 HOURS (35 basic units)
2332001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021741.60556.20656.903601.05.20016:31 HOURS TO 6:40 HOURS (36 basic units)
2333001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021762.20571.65677.503701.05.20016:41 HOURS TO 6:50 HOURS (37 basic units)
2334001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021782.80587.10698.103801.05.20016:51 HOURS TO 7:00 HOURS (38 basic units)
2335001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021803.40602.55718.703901.05.20017:01 HOURS TO 7:10 HOURS (39 basic units)
2336001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021824.00618.00739.304001.05.20017:11 HOURS TO 7:20 HOURS (40 basic units)
2337001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021844.60633.45759.904101.05.20017:21 HOURS TO 7:30 HOURS (41 basic units)
2338001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021865.20648.90780.504201.05.20017:31 HOURS TO 7:40 HOURS (42 basic units)
2339001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021885.80664.35801.104301.05.20017:41 HOURS TO 7:50 HOURS (43 basic units)
2340001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021906.40679.80821.704401.05.20017:51 HOURS TO 8:00 HOURS (44 basic units)
2341001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021927.00695.25842.304501.05.20018:01 HOURS TO 8:10 HOURS (45 basic units)
2342001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021947.60710.70862.904601.05.20018:11 HOURS TO 8:20 HOURS (46 basic units)
2343001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021968.20726.15883.504701.05.20018:21 HOURS TO 8:30 HOURS (47 basic units)
2344001.11.20013T1021SNNNNNYNNC01.11.200101.07.2021988.80741.60904.104801.05.20018:31 HOURS TO 8:40 HOURS (48 basic units)
2345001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211009.40757.05924.704926.01.20018:41 HOURS TO 8:50 HOURS (49 basic units)
2346001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211030.00772.50945.305001.05.20018:51 HOURS TO 9:00 HOURS (50 basic units)
2347001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211050.60787.95965.905101.05.20019:01 HOURS TO 9:10 HOURS (51 basic units)
2348001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211071.20803.40986.505201.05.20019:11 HOURS TO 9:20 HOURS (52 basic units)
2349001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211091.80818.851007.105301.05.20019:21 HOURS TO 9:30 HOURS (53 basic units)
2350001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211112.40834.301027.705401.05.20019:31 HOURS TO 9:40 HOURS (54 basic units)
2351001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211133.00849.751048.305501.05.20019:41 HOURS TO 9:50 HOURS (55 basic units)
2352001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211153.60865.201068.905601.05.20019:51 HOURS TO 10:00 HOURS (56 basic units)
2353001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211174.20880.651089.505701.05.200110:01 HOURS TO 10:10 HOURS (57 basic units)
2354001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211194.80896.101110.105801.05.200110:11 HOURS TO 10:20 HOURS (58 basic units)
2355001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211215.40911.551130.705901.01.200110:21 HOURS TO 10:30 HOURS (59 basic units)
2356001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211236.00927.001151.306001.05.200110:31 HOURS TO 10:40 HOURS (60 basic units)
2357001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211256.60942.451171.906101.05.200110:41 HOURS TO 10:50 HOURS (61 basic units)
2358001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211277.20957.901192.506201.01.200110:51 HOURS TO 11:00 HOURS (62 basic units)
2359001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211297.80973.351213.106301.01.200111:01 HOURS TO 11:10 HOURS (63 basic units)
2360001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211318.40988.801233.706401.05.200111:11 HOURS TO 11:20 HOURS (64 basic units)
2361001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211339.001004.251254.306501.05.200111:21 HOURS TO 11:30 HOURS (65 basic units)
2362001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211359.601019.701274.906601.05.200111:31 HOURS TO 11:40 HOURS (66 basic units)
2363001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211380.201035.151295.506701.05.200111:41 HOURS TO 11:50 HOURS (67 basic units)
2364001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211400.801050.601316.106801.05.200111:51 HOURS TO 12:00 HOURS (68 basic units)
2365001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211421.401066.051336.706901.05.200112:01 HOURS TO 12:10 HOURS (69 basic units)
2366001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211442.001081.501357.307001.05.200112:11 HOURS TO 12:20 HOURS (70 basic units)
2367001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211462.601096.951377.907101.05.200112:21 HOURS TO 12:30 HOURS (71 basic units)
2368001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211483.201112.401398.507201.05.200112:31 HOURS TO 12:40 HOURS (72 basic units)
2369001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211503.801127.851419.107301.05.200112:41 HOURS TO 12:50 HOURS (73 basic units)
2370001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211524.401143.301439.707401.05.200112:51 HOURS TO 13:00 HOURS (74 basic units)
2371001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211545.001158.751460.307501.05.200113:01 HOURS TO 13:10 HOURS (75 basic units)
2372001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211565.601174.201480.907601.05.200113:11 HOURS TO 13:20 HOURS (76 basic units)
2373001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211586.201189.651501.507701.05.200113:21 HOURS TO 13:30 HOURS (77 basic units)
2374001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211606.801205.101522.107801.05.200113:31 HOURS TO 13:40 HOURS (78 basic units)
2375001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211627.401220.551542.707901.05.200113:41 HOURS TO 13:50 HOURS (79 basic units)
2376001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211648.001236.001563.308001.05.200113:51 HOURS TO 14:00 HOURS (80 basic units)
2377001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211668.601251.451583.908101.05.200114:01 HOURS TO 14:10 HOURS (81 basic units)
2378001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211689.201266.901604.508201.05.200114:11 HOURS TO 14:20 HOURS (82 basic units)
2379001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211709.801282.351625.108301.05.200114:21 HOURS TO 14:30 HOURS (83 basic units)
2380001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211730.401297.801645.708401.05.200114:31 HOURS TO 14:40 HOURS (84 basic units)
2381001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211751.001313.251666.308501.05.200114:41 HOURS TO 14:50 HOURS (85 basic units)
2382001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211771.601328.701686.908601.05.200114:51 HOURS TO 15:00 HOURS (86 basic units)
2383001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211792.201344.151707.508701.05.200115:01 HOURS TO 15:10 HOURS (87 basic units)
2384001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211812.801359.601728.108801.05.200115:11 HOURS TO 15:20 HOURS (88 basic units)
2385001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211833.401375.051748.708901.05.200115:21 HOURS TO 15:30 HOURS (89 basic units)
2386001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211854.001390.501769.309001.05.200115:31 HOURS TO 15:40 HOURS (90 basic units)
2387001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211874.601405.951789.909101.05.200115:41 HOURS TO 15:50 HOURS (91 basic units)
2388001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211895.201421.401810.509201.05.200115:51 HOURS TO 16:00 HOURS (92 basic units)
2389001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211915.801436.851831.109301.05.200116:01 HOURS TO 16:10 HOURS (93 basic units)
2390001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211936.401452.301851.709401.05.200116:11 HOURS TO 16:20 HOURS (94 basic units)
2391001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211957.001467.751872.309501.05.200116:21 HOURS TO 16:30 HOURS (95 basic units)
2392001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211977.601483.201892.909601.05.200116:31 HOURS TO 16:40 HOURS (96 basic units)
2393001.11.20013T1021SNNNNNYNNC01.11.200101.07.20211998.201498.651913.509701.05.200116:41 HOURS TO 16:50 HOURS (97 basic units)
2394001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212018.801514.101934.109801.05.200116:51 HOURS TO 17:00 HOURS (98 basic units)
2395001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212039.401529.551954.709901.05.200117:01 HOURS TO 17:10 HOURS (99 basic units)
2396001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212060.001545.001975.3010001.05.200117:11 HOURS TO 17:20 HOURS (100 basic units)
2397001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212080.601560.451995.9010101.05.200117:21 HOURS TO 17:30 HOURS (101 basic units)
2398001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212101.201575.902016.5010201.05.200117:31 HOURS TO 17:40 HOURS (102 basic units)
2399001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212121.801591.352037.1010301.05.200117:41 HOURS TO 17:50 HOURS (103 basic units)
2410001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212142.401606.802057.7010401.05.200117:51 HOURS TO 18:00 HOURS (104 basic units)
2410101.11.20013T1021SNNNNNYNNC01.11.200101.07.20212163.001622.252078.3010501.05.200118:01 HOURS TO 18:10 HOURS (105 basic units)
2410201.11.20013T1021SNNNNNYNNC01.11.200101.07.20212183.601637.702098.9010601.05.200118:11 HOURS TO 18:20 HOURS (106 basic units)
2410301.11.20013T1021SNNNNNYNNC01.11.200101.07.20212204.201653.152119.5010701.05.200118:21 HOURS TO 18:30 HOURS (107 basic units)
2410401.11.20013T1021SNNNNNYNNC01.11.200101.07.20212224.801668.602140.1010801.05.200118:31 HOURS TO 18:40 HOURS (108 basic units)
2410501.11.20013T1021SNNNNNYNNC01.11.200101.07.20212245.401684.052160.7010901.05.200118:41 HOURS TO 18:50 HOURS (109 basic units)
2410601.11.20013T1021SNNNNNYNNC01.11.200101.07.20212266.001699.502181.3011001.05.200118:51 HOURS TO 19:00 HOURS (110 basic units)
2410701.11.20013T1021SNNNNNYNNC01.11.200101.07.20212286.601714.952201.9011101.05.200119:01 HOURS TO 19:10 HOURS (111 basic units)
2410801.11.20013T1021SNNNNNYNNC01.11.200101.07.20212307.201730.402222.5011201.05.200119:11 HOURS TO 19:20 HOURS (112 basic units)
2410901.11.20013T1021SNNNNNYNNC01.11.200101.07.20212327.801745.852243.1011301.05.200119:21 HOURS TO 19:30 HOURS (113 basic units)
2411001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212348.401761.302263.7011401.05.200119:31 HOURS TO 19:40 HOURS (114 basic units)
2411101.11.20013T1021SNNNNNYNNC01.11.200101.07.20212369.001776.752284.3011501.05.200119:41 HOURS TO 19:50 HOURS (115 basic units)
2411201.11.20013T1021SNNNNNYNNC01.11.200101.07.20212389.601792.202304.9011601.05.200119:51 HOURS TO 20:00 HOURS (116 basic units)
2411301.11.20013T1021SNNNNNYNNC01.11.200101.07.20212410.201807.652325.5011701.05.200120:01 HOURS TO 20:10 HOURS (117 basic units)
2411401.11.20013T1021SNNNNNYNNC01.11.200101.07.20212430.801823.102346.1011801.05.200120:11 HOURS TO 20:20 HOURS (118 basic units)
2411501.11.20013T1021SNNNNNYNNC01.11.200101.07.20212451.401838.552366.7011901.05.200120:21 HOURS TO 20:30 HOURS (119 basic units)
2411601.11.20013T1021SNNNNNYNNC01.11.200101.07.20212472.001854.002387.3012001.05.200120:31 HOURS TO 20:40 HOURS (120 basic units)
2411701.11.20013T1021SNNNNNYNNC01.11.200101.07.20212492.601869.452407.9012101.05.200120:41 HOURS TO 20:50 HOURS (121 basic units)
2411801.11.20013T1021SNNNNNYNNC01.11.200101.07.20212513.201884.902428.5012201.05.200120:51 HOURS TO 21:00 HOURS (122 basic units)
2411901.11.20013T1021SNNNNNYNNC01.11.200101.07.20212533.801900.352449.1012301.05.200121:01 HOURS TO 21:10 HOURS (123 basic units)
2412001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212554.401915.802469.7012401.05.200121:11 HOURS TO 21:20 HOURS (124 basic units)
2412101.11.20013T1021SNNNNNYNNC01.11.200101.07.20212575.001931.252490.3012501.05.200121:21 HOURS TO 21:30 HOURS (125 basic units)
2412201.11.20013T1021SNNNNNYNNC01.11.200101.07.20212595.601946.702510.9012601.05.200121:31 HOURS TO 21:40 HOURS (126 basic units)
2412301.11.20013T1021SNNNNNYNNC01.11.200101.07.20212616.201962.152531.5012701.05.200121:41 HOURS TO 21:50 HOURS (127 basic units)
2412401.11.20013T1021SNNNNNYNNC01.11.200101.07.20212636.801977.602552.1012801.05.200121:51 HOURS TO 22:00 HOURS (128 basic units)
2412501.11.20013T1021SNNNNNYNNC01.11.200101.07.20212657.401993.052572.7012901.05.200122:01 HOURS TO 22:10 HOURS (129 basic units)
2412601.11.20013T1021SNNNNNYNNC01.11.200101.07.20212678.002008.502593.3013001.05.200122:11 HOURS TO 22:20 HOURS (130 basic units)
2412701.11.20013T1021SNNNNNYNNC01.11.200101.07.20212698.602023.952613.9013101.05.200122:21 HOURS TO 22:30 HOURS (131 basic units)
2412801.11.20013T1021SNNNNNYNNC01.11.200101.07.20212719.202039.402634.5013201.05.200122:31 HOURS TO 22:40 HOURS (132 basic units)
2412901.11.20013T1021SNNNNNYNNC01.11.200101.07.20212739.802054.852655.1013301.05.200122:41 HOURS TO 22:50 HOURS (133 basic units)
2413001.11.20013T1021SNNNNNYNNC01.11.200101.07.20212760.402070.302675.7013401.05.200122:51 HOURS TO 23:00 HOURS (134 basic units)
2413101.11.20013T1021SNNNNNYNNC01.11.200101.07.20212781.002085.752696.3013501.05.200123:01 HOURS TO 23:10 HOURS (135 basic units)
2413201.11.20013T1021SNNNNNYNNC01.11.200101.07.20212801.602101.202716.9013601.05.200123:11 HOURS TO 23:20 HOURS (136 basic units)
2413301.11.20013T1021SNNNNNYNNC01.11.200101.07.20212822.202116.652737.5013701.05.200123:21 HOURS TO 23:30 HOURS (137 basic units)
2413401.11.20013T1021SNNNNNYNNC01.11.200101.07.20212842.802132.102758.1013801.05.200123:31 HOURS TO 23:40 HOURS (138 basic units)
2413501.11.20013T1021SNNNNNYNNC01.11.200101.07.20212863.402147.552778.7013901.05.200123:41 HOURS TO 23:50 HOURS (139 basic units)
2413601.11.20013T1021SNNNNNYNNC01.11.200101.07.20212884.002163.002799.3014001.05.200123:51 HOURS TO 24:00 HOURS (140 basic units)
2500001.11.20013T1022SNNNNNYNNC01.11.200101.07.202120.6015.4517.55101.11.2001ANAESTHESIA, 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)
2500501.11.20013T1022SNNNNNYNNC01.11.200101.07.202141.2030.9035.05201.11.2001Where the patient has severe systemic disease which is a constant threat to life equivalent to ASA physical status indicator 4 (2 basic units)
2501001.11.20013T1022SNNNNNYNNC01.11.200101.07.202161.8046.3552.55301.05.2001For 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)
2501301.05.20203T1023SNSNNNNYNNC01.05.202001.07.202120.6015.4517.551Y01.05.2020Anaesthesia, perfusion or assistance in the management of anaesthesia, if the patient is aged under 4 years (Anaes.) (1 basic units)
2501401.05.20203T1023SNSNNNNYNNC01.05.202001.07.202120.6015.4517.551Y01.05.2020Anaesthesia, perfusion or assistance in the management of anaesthesia, if the patient is aged 75 years or more (Anaes.) (1 basic units)
2502001.11.20013T1023SNNNNNYNNC01.11.200101.07.202141.2030.9035.05201.11.2001ANAESTHESIA, 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)
2502501.11.20013T1024SDNNNNYNNC01.11.2001001.07.2020An additional amount of 50% of fee for the anaesthetic service.That is:(a) an anaesthesia item/s range 20100 - 21997 or 22900, plus (b)an item range 23010 - 24136, plus(c) if applicable,an item range 25000-25014, plus(d) where performed, any assoc therapeutic or diagnostic service range 22002-2205101.07.2020Anaesthesia, if the patient requires immediate treatment without which there would be significant threat to life or body part and if more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday (0 basic units)
2503001.11.20013T1024SDNNNNYNNC01.11.2001001.07.202050% of the fee for assistance at anaesthesia. That is: (a) an assistant anaesthesia item in the range 25200 - 25205, plus (b) an item range 23010-24136, plus (c) where applicable, an item range 25000-25014, plus (d) where performed, any associated therapeutic or diagnostic service 22002 -2205101.07.2020Assistance in the management of anaesthesia, if the patient requires immediate treatment without which there would be significant threat to life or body part and if more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday (0 basic units)
2505001.11.20013T1025SDNNNNYNNC01.11.2001001.07.2020An additional amount of 50% of the fee for the perfusion service. That is: (a) item 22060, plus (b) an item range 23010 - 24136, plus (c) where applicable, an item range 25000 - 25014, plus (d) where performed, any associated therapeutic or diagnostic service in the range 22002-22051 or 22065-2207501.07.2020Perfusion, if the patient requires immediate treatment without which there would be significant threat to life or body part and if more than 50% of the service time occurs between 8 pm to 8 am on any weekday, or on a Saturday, Sunday or public holiday. (0 basic units)
2520001.11.20013T1026SDNYNNYNNC01.11.2001501.07.2021An amount of $103.00 (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 - 2205101.11.2001ASSISTANCE 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)
2520501.11.20013T1026SDNYNNYNNC01.11.2001501.07.2021An amount of $103.00 (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 - 2205101.11.2001ASSISTANCE 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)
3000101.11.19973T81SDNNNNNNNC01.11.199701.11.199850% of the fee which would have applied had the procedure not been discontinued01.11.1997OPERATIVE 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
3000301.12.19913T81SNNNNNYNNC01.12.199101.07.202137.8028.3532.1501.11.1995LOCALISED BURNS, dressing of, (not involving grafting)each attendance at which the procedure is performed, including any associated consultation
3000601.12.19913T81SNNNNNYNNC01.12.199101.07.202148.4036.3041.1501.11.1995EXTENSIVE BURNS, dressing of, without anaesthesia (not involving grafting)each attendance at which the procedure is performed, including any associated consultation
3001001.12.19913T81SNNNNNYNNA01.11.200401.07.202176.9557.75Y01.11.1995LOCALISED BURNS, dressing of, under general anaesthesia (not involving grafting) (Anaes.)
3001401.12.19913T81SNNNNNYNNA01.11.200401.07.2021161.70121.30Y01.11.1995EXTENSIVE BURNS, dressing of, under general anaesthesia (not involving grafting) (Anaes.)
3001701.12.19913T81SNNNNNYNNC01.12.199101.07.2021339.25254.45288.40Y01.11.1995BURNS, 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.)
3002001.12.19913T81SNNNNNYNNA01.11.200401.07.2021660.75495.60Y01.11.1995BURNS, 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.)
3002301.12.19913T81SNNNNNYNNC01.12.199101.07.2021339.25254.45288.40Y01.11.2005WOUND 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.)
3002401.11.20053T81SNNNNNYNNC01.11.200501.07.2021339.25254.45288.40Y01.11.2005WOUND 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.)
3002601.12.19913T81SNNNNNYNNC01.12.199101.07.202154.3540.8046.20Y01.07.1998SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OFWOUND 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.)
3002901.12.19913T81SNNNNNYNNC01.12.199101.07.202193.6570.2579.65Y01.07.1998SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OFWOUND 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.)
3003201.12.19913T81SNNNNNYNNC01.12.199101.07.202185.8064.3572.95Y01.07.1998SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OFWOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial (Anaes.)
3003501.12.19913T81SNNNNNYNNC01.12.199101.07.2021122.3591.80104.00Y01.07.1998SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OFWOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue (Anaes.)
3003801.12.19913T81SNNNNNYNNC01.12.199101.07.202193.6570.2579.65Y01.07.1998SKIN 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.)
3004201.12.19913T81SNNNNNYNNC01.12.199101.07.2021193.10144.85164.15Y01.11.2017SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OFWOUND OF, other than wound closure at time of surgery, other than on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue, other than a service to which another item in Group T4 applies (Anaes.)
3004501.12.19913T81SNNNNNYNNC01.12.199101.07.2021122.3591.80104.00Y01.07.1998SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OFWOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), superficial (Anaes.)
3004901.12.19913T81SNNNNNYNNC01.12.199101.07.2021193.10144.85164.15Y01.07.1998SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OFWOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue (Anaes.)
3005201.12.19913T81SNNNNNYNNC01.12.199101.07.2021264.25198.20224.65Y01.11.1995FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.)
3005501.12.19913T81SNNYNYYNNC01.12.199101.07.202176.9557.7565.45Y01.07.2021Wounds, dressing of, under general, regional or intravenous sedation, with or without removal of sutures, other than a service associated with a service to which another item in this Group applies (Anaes.)
3005801.12.19913T81SNNNNNYNNC01.12.199101.07.2021150.20112.65127.70Y01.11.1995POSTOPERATIVE HAEMORRHAGE, control of, under general anaesthesia, as an independent procedure (Anaes.)
3006101.12.19913T81SNNNNNYNNC01.12.199101.07.202124.4518.3520.80Y01.12.1991SUPERFICIAL FOREIGN BODY, REMOVAL OF, (including from cornea or sclera), as an independent procedure (Anaes.)
3006201.05.20073T81SNNNNNYNNC01.05.200701.07.202163.2047.4053.75Y01.05.2007Etonogestrel subcutaneous implant, removal of, as an independent procedure (Anaes.)
3006401.12.19913T81SNNNNNYNNC01.12.199101.07.2021114.3085.7597.20Y01.11.1995SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes.)
3006801.12.19913T81SNNNNNYNNC01.12.199101.07.2021288.00216.00244.80Y01.12.1991FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure (Anaes.) (Assist.)
3007101.12.19913T81SNNNNNYNPC01.12.199101.07.202154.3540.8046.2001.11.201280.00Y01.11.2016Diagnostic biopsy of skin, as an independent procedure, if the biopsy specimen is sent for pathological examination (Anaes.)
3007201.11.20163T81SNNNNNYNNC01.11.201601.07.202154.3540.8046.20Y01.11.2016Diagnostic biopsy of mucous membrane, as an independent procedure, if the biopsy specimen is sent for pathological examination (Anaes.)
3007501.12.19913T81SNNNNNYNNC01.12.199101.07.2021155.85116.90132.50Y01.11.2019DIAGNOSTIC BIOPSY OF LYMPH NODE, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure,if the biopsy specimen is sent for pathological examination (Anaes.)
3007801.12.19913T81SNNNNNYNNC01.12.199101.07.202150.4537.8542.90Y01.11.2019DIAGNOSTIC DRILL BIOPSY OF LYMPH NODE, DEEP TISSUE OR ORGAN, as an independent procedure, where the biopsy specimen is sent for pathological examination (Anaes.)
3008101.12.19913T81SNNNNNYNNC01.12.199101.07.2021114.3085.7597.20Y01.11.2003DIAGNOSTIC BIOPSY OF BONE MARROW by trephine using open approach, where the biopsy specimen is sent for pathological examination (Anaes.)
3008401.12.19913T81SNNNNNYNNC01.12.199101.07.202161.2045.9052.05Y01.01.2014DIAGNOSTIC BIOPSY OF BONE MARROW by trephine using percutaneous approach where the biopsy is sent for pathological examination (Anaes.)
3008701.12.19913T81SNNNNNYNNC01.12.199101.07.202130.6022.9526.05Y01.11.2003DIAGNOSTIC BIOPSY OF BONE MARROW by aspiration or PUNCH BIOPSY OF SYNOVIAL MEMBRANE, where the biopsy is sent for pathological examination (Anaes.)
3009001.12.19913T81SNNNNNYNNC01.12.199101.07.2021133.75100.35113.70Y01.11.2003DIAGNOSTIC BIOPSY OF PLEURA, PERCUTANEOUS 1 or more biopsies on any 1 occasion, where the biopsy is sent for pathological examination (Anaes.)
3009301.12.19913T81SNNNNNYNNC01.12.199101.07.2021178.50133.90151.75Y01.11.2003DIAGNOSTIC NEEDLE BIOPSY OF VERTEBRA, where the biopsy is sent for pathological examination (Anaes.)
3009401.04.19923T81SNNNNNYNNC01.04.199201.07.2021197.10147.85167.55Y01.11.2003DIAGNOSTIC PERCUTANEOUS ASPIRATION BIOPSY of deep organ using interventional imaging techniques - but not including imaging, where the biopsy is sent for pathological examination (Anaes.)
3009701.11.20063T81SNNNNNYNNC01.11.200601.07.2021101.1075.8585.9501.11.2018Personal 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, if: serum cortisol at 0830-0930 hours on any dayin the preceding month has been measured at greater than 100 nmol/L but less than 400 nmol/L; or in a patient who is acutely unwelland adrenal insufficiency is suspected.
3009901.12.19913T81SNNNNNYNNC01.12.199101.07.202193.6570.2579.65Y01.12.1991SINUS, excision of, involving superficial tissue only (Anaes.)
3010301.12.19913T81SNNNNNYNNC01.12.199101.07.2021191.35143.55162.65Y01.12.1991SINUS, excision of, involving muscle and deep tissue (Anaes.)
3010401.11.19953T81SNNYNYYNNC01.11.199501.07.2021132.1099.10112.30Y01.07.2021Pre-auricular sinus, excision of, on a patient 10 years of age or over (Anaes.)
3010501.09.20153T81SNNYNYYNNC01.09.201501.07.2021171.65128.75145.95Y01.07.2021Pre-auricular sinus, excision of, on a patient under 10 years of age (Anaes.)
3010701.12.19913T81SNNYNYYNNC01.12.199101.07.2021228.85171.65194.55Y01.07.2021Excision of ganglion, other than a service associated with a service to which another item in this Group applies (Anaes.)
3016501.12.19913T81SNNNNNYNNA01.03.201301.07.2021473.30355.00Y01.01.2016Lipectomy, wedge excision of abdominal apron that is a direct consequence of significant weight loss, not being a service associated with a service to which item 30168, 30171, 30172, 30176, 30177, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the abdominal apron interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) (Anaes.) (Assist.)
3016801.12.19913T81SNNNNNYNNA01.03.201301.07.2021473.30355.00Y01.01.2016Lipectomy, wedge excision of redundant non abdominal skin and fat that is a direct consequence of significant weight loss,not being a service associated with a service to which item 30165, 30171, 30172, 30176, 30177, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy; and (d) the procedure involves 1 excision only (H) (Anaes.) (Assist.)
3017101.12.19913T81SNNNNNYNNA01.03.201301.07.2021719.75539.85Y01.01.2016Lipectomy, wedge excision of redundant non abdominal skin and fat that is a direct consequence of significant weight loss, not being a service associated with a service to which item 30165, 30168, 30172, 30176, 30177, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy; and (d) the procedure involves 2 excisions only (H) (Anaes.) (Assist.)
3017201.01.20163T81SNNNNNYNNA01.01.201601.07.2021719.75539.85Y01.01.2016Lipectomy, wedge excision of redundant non abdominal skin and fat that is a direct consequence of significant weight loss, not being a service associated with a service to which item 30165, 30168, 30171, 30176, 30177, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy; and (d) the procedure involves 3 or more excisions (H) (Anaes.) (Assist.)
3017601.01.20163T81SNNNNNYNNA01.01.201601.07.20211025.60769.20Y01.11.2018Lipectomy, 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 associated with a service to which item 30165, 30168, 30171, 30172, 30177, 30179, 45530, 45564 or 45565 applies,if the patient has previously had a massive intra-abdominal or pelvic tumour surgically removed (Anaes.) (Assist.)
3017701.12.19913T81SNNNNNYNNA01.11.200401.07.20211025.60769.20Y01.01.2016Lipectomy, excision of skin and subcutaneous tissue associated with redundant abdominal skin and fat that is a direct consequence of significant weight loss, in conjunction with a radical abdominoplasty (Pitanguy type or similar), with or without repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30179, 45530, 45564 or 45565 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) (Anaes.) (Assist.)
3017901.01.20163T81SNNNNNYNNA01.01.201601.07.20211262.30946.75Y01.01.2016Circumferential lipectomy, as an independent procedure, to correct circumferential excess of redundant skin and fat that is a direct consequence of significant weight loss, with or without a radical abdominoplasty (Pitanguy type or similar),not being a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30177, 45530, 45564 or 45565 applies, if: (a) the circumferential excess of redundant skin and fat is complicated by intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non surgical) treatment; and (b) the circumferential excess of redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) (Anaes.) (Assist.)
3018001.12.19913T81SNNNNNYNNC01.12.199101.07.2021142.05106.55120.75Y01.11.2003AXILLARY HYPERHIDROSIS, partial excision for (Anaes.)
3018301.12.19913T81SNNNNNYNNC01.12.199101.07.2021256.50192.40218.05Y01.12.1991AXILLARY HYPERHIDROSIS, total excision of sweat gland bearing area (Anaes.)
3018701.11.19953T81SNNNNNYNNC01.11.199501.07.2021267.35200.55227.25Y01.05.2001PALMAR 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.)
3018901.12.19913T81SNNNNNYNNA01.03.201301.07.2021153.25114.95Y01.01.2015WARTS 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 (H) (Anaes.)
3019001.11.19953T81SNNNNNYNNC01.11.199501.07.2021413.85310.40351.80Y01.11.2018Angiofibromas, trichoepitheliomas or other severely disfiguring tumours of the face or neck (excluding melanocytic naevi, sebaceous hyperplasia, dermatosis papulosa nigra, Campbell De Morgan angiomas and seborrheic or viral warts), suitable for laser ablation as confirmed by the opinion of a specialist in the specialty of dermatology—removal of, by carbon dioxide laser or erbium laser ablation, including associated resurfacing (10 or more tumours) (Anaes.)
3019101.11.20183T81SNNNNNYNNC01.11.201801.07.202166.0549.5556.1501.11.2018Angiofibromas, trichoepithelioma, epidermal naevi, xanthelasma, pyogenic granuloma, genital angiokeratomas, hereditary haemorrhagic telangiectasia and other severely disfiguring or recurrently bleeding tumours (excluding melanocytic naevi, sebaceous hyperplasia, dermatosis papulosa nigra, Campbell De Morgan angiomas and seborrheic or viral warts), treatment of, with carbon dioxide/erbium or other appropriate laser (or curettage and fine point diathermy for pyogenic granuloma only), if confirmed by the opinion of a specialist in the specialty of dermatology, one or more lesions.
3019201.12.19913T81SNNNNNYNNC01.12.199101.07.202141.1530.9035.00Y01.11.2003PREMALIGNANT SKIN LESIONS (including solar keratoses), treatment of, by ablative technique (10 or more lesions) (Anaes.)
3019601.11.19933T81SNNNNNYNNC01.11.199301.07.2021131.3598.55111.65Y01.03.2021Malignant neoplasm of skin or mucous membrane that has been: (a) proven by histopathology; or (b) confirmed by the opinion of a specialist in the specialty of dermatology or plastic surgerywhere a specimen has been submitted for histologic confirmation; removal of, by serial curettage, or carbon dioxide laser or erbium laser excision‑ablation, including any associated cryotherapy or diathermy (Anaes.)
3020201.11.19933T81SNNNNNYNNC01.11.199301.07.202150.3037.7542.8001.03.2021Malignant neoplasm of skin or mucous membrane proven by histopathology or confirmed by the opinion of a specialist in the specialty of dermatology or plastic surgery—removal of, by liquid nitrogen cryotherapy using repeat freeze thaw cycles
3020701.12.19913T81SNNNNNYNNC01.12.199101.07.202146.4034.8039.45Y01.11.2018Skin lesions, multiple injections with glucocorticoid preparations (Anaes.)
3021001.12.19913T81SNNNNNYNNA01.03.201301.07.2021169.55127.20Y01.11.2018Keloid and other skin lesions, extensive, multiple injections of glucocorticoid preparations, if undertaken in the operating theatre of a hospital on a patient less than 16 years of age (Anaes.)
3021601.12.19913T81SNNNNNYNNC01.12.199101.07.202128.4521.3524.20Y01.12.1991HAEMATOMA, aspiration of (Anaes.)
3021901.12.19913T81SNNNNNYNNC01.12.199101.07.202128.4521.3524.2001.05.2000HAEMATOMA, FURUNCLE, SMALL ABSCESS OR SIMILAR LESION not requiring admission to a hospital - INCISION WITH DRAINAGE OF (excluding aftercare)
3022301.12.19913T81SNNNNNYNNA01.11.200401.07.2021169.55127.20Y01.05.2000LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion, requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding aftercare) (Anaes.)
3022401.04.19923T81SNNNNNYNNC01.04.199201.07.2021247.20185.40210.15Y01.11.1992PERCUTANEOUS DRAINAGE OF DEEP ABSCESS using interventional imaging techniques - but not including imaging (Anaes.)
3022501.04.19923T81SNNNNNYNNC01.04.199201.07.2021278.55208.95236.80Y01.11.1992ABSCESS DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging (Anaes.)
3022601.12.19913T81SNNNNNYNNC01.12.199101.07.2021155.85116.90132.50Y01.12.1991MUSCLE, excision of (LIMITED), or fasciotomy (Anaes.)
3022901.12.19913T81SNNNNNYNNC01.12.199101.07.2021284.00213.00241.40Y01.12.1991MUSCLE, excision of (EXTENSIVE) (Anaes.) (Assist.)
3023201.12.19913T81SNNNNNYNNC01.12.199101.07.2021232.70174.55197.80Y01.12.1991MUSCLE, RUPTURED, repair of (limited), not associated with external wound (Anaes.)
3023501.12.19913T81SNNNNNYNNC01.12.199101.07.2021307.70230.80261.55Y01.12.1991MUSCLE, RUPTURED, repair of (extensive), not associated with external wound (Anaes.) (Assist.)
3023801.12.19913T81SNNNNNYNNC01.12.199101.07.2021155.85116.90132.50Y01.12.1991FASCIA, DEEP, repair of, FOR HERNIATED MUSCLE (Anaes.)
3024101.12.19913T81SNNNNNYNNC01.12.199101.07.2021370.80278.10315.20Y01.12.1991BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
3024401.12.19913T81SNNNNNYNNA01.11.200401.07.2021370.80278.10Y01.12.1991STYLOID PROCESS OF TEMPORAL BONE, removal of (Anaes.) (Assist.)
3024601.07.19983T81SNNNNNYNNA01.11.200401.07.2021717.75538.35Y01.07.1998PAROTID DUCT, repair of, using micro-surgical techniques (Anaes.) (Assist.)
3024701.12.19913T81SNNNNNYNNA01.11.200401.07.2021769.30577.00Y01.12.1991PAROTID GLAND, total extirpation of (Anaes.) (Assist.)
3025001.12.19913T81SNNNNNYNNA01.11.200401.07.20211301.75976.35Y01.12.1991PAROTID GLAND, total extirpation of, with preservation of facial nerve (Anaes.) (Assist.)
3025101.07.19983T81SNNNNNYNNC01.07.199801.07.20211999.651499.751914.95Y01.07.1998RECURRENT PAROTID TUMOUR, excision of, withpreservation of facial nerve (Anaes.) (Assist.)
3025301.12.19913T81SNNNNNYNNA01.11.200401.07.2021867.85650.90Y01.07.1998PAROTID GLAND, SUPERFICIAL LOBECTOMY OF, with exposure of facial nerve (Anaes.) (Assist.)
3025501.05.19973T81SNNNNNYNNA01.11.200401.07.20211155.65866.75Y01.07.1998SUBMANDIBULAR DUCTS, relocation of, for surgical control of drooling (Anaes.) (Assist.)
3025601.12.19913T81SNNNNNYNNA01.11.200401.07.2021463.50347.65Y01.12.1991SUBMANDIBULAR GLAND, extirpation of (Anaes.) (Assist.)
3025901.12.19913T81SNNNNNYNNC01.12.199101.07.2021206.60154.95175.65Y01.12.1991SUBLINGUAL GLAND, extirpation of (Anaes.)
3026201.12.19913T81SNNNNNYNNC01.12.199101.07.202161.2045.9052.05Y01.12.1991SALIVARY GLAND, DILATATION OR DIATHERMY of duct (Anaes.)
3026601.12.19913T81SNNNNNYNNC01.12.199101.07.2021155.85116.90132.50Y01.12.1991Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures. (Anaes.)
3026901.12.19913T81SNNNNNYNNC01.12.199101.07.2021155.85116.90132.50Y01.12.1991SALIVARY GLAND, repair of CUTANEOUS FISTULA OF (Anaes.)
3027201.12.19913T81SNNNNNYNNC01.12.199101.07.2021307.70230.80261.55Y01.12.1991TONGUE, partial excision of (Anaes.) (Assist.)
3027501.12.19913T81SNNNNNYNNA01.11.200401.07.20211834.151375.65Y01.11.2019RADICAL EXCISION OF INTRAORAL TUMOUR INVOLVING RESECTION OF MANDIBLE AND LYMPH NODES OF NECK (commandotype operation) (Anaes.) (Assist.)
3027801.12.19913T81SNNNNNYNNC01.12.199101.07.202148.4036.3041.15Y01.12.1991TONGUE TIE, repair of, not being a service to which another item in this Group applies (Anaes.)
3028101.12.19913T81SNNYNYYNNC01.12.199101.07.2021124.3093.25105.70Y01.07.2021Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a patient aged 2 years and over, under general anaesthesia (Anaes.)
3028301.12.19913T81SNNNNNYNNC01.12.199101.07.2021213.00159.75181.05Y01.12.1991RANULA OR MUCOUS CYST OF MOUTH, removal of (Anaes.)
3028601.12.19913T81SNNYNYYNNC01.12.199101.07.2021413.95310.50351.90Y01.07.2021Branchial cyst, removal of, on a patient 10 years of age or over (Anaes.) (Assist.)
3028701.09.20153T81SNNYNYYNNC01.09.201501.07.2021538.20403.65457.50Y01.07.2021Branchial cyst, removal of, on a patient under 10 years of age (Anaes.) (Assist.)
3028901.12.19913T81SNNYNYYNNA01.11.200401.07.2021522.60391.95Y01.07.2021Branchial fistula, removal of, on a patient 10 years of age or over (Anaes.) (Assist.)
3029301.11.19923T81SNNNNNYNNC31.10.199201.07.2021463.50347.65394.00Y01.11.1992CERVICAL OESOPHAGOSTOMY or CLOSURE OF CERVICAL OESOPHAGOSTOMY with or without plastic repair (Anaes.) (Assist.)
3029401.11.19923T81SNNNNNYNNA01.11.200401.07.20211834.151375.65Y01.11.1992CERVICAL OESOPHAGECTOMY with tracheostomy and oesophagostomy, with or without plastic reconstruction; or LARYNGOPHARYNGECTOMY with tracheostomy and plastic reconstruction (Anaes.) (Assist.)
3029601.11.19923T81SNNNNNYNNA01.11.200401.07.20211065.20798.90Y01.11.1992THYROIDECTOMY, total (Anaes.) (Assist.)
3029701.11.19923T81SNNNNNYNNA01.11.200401.07.20211065.20798.90Y01.11.1992THYROIDECTOMY following previous thyroid surgery (Anaes.) (Assist.)
3029901.11.20053T81SNNNNNYNNA01.11.200501.07.2021663.25497.45Y01.11.2005SENTINEL 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.)
3030001.11.20053T81SNNNNNYNNA01.11.200501.07.2021795.90596.95Y01.11.2005SENTINEL 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.)
3030201.11.20053T81SNNNNNYNNA01.11.200501.07.2021530.60397.95Y01.11.2005SENTINEL 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.)
3030301.11.20053T81SNNNNNYNNA01.11.200501.07.2021636.65477.50Y01.11.2005SENTINEL 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.)
3030601.11.19923T81SNNNNNYNNA01.11.200401.07.2021831.00623.25Y01.11.1992TOTAL HEMITHYROIDECTOMY (Anaes.) (Assist.)
3031001.12.19913T81SNNNNNYNNA01.11.200401.07.2021831.00623.25Y01.11.2018Partial or subtotal thyroidectomy (Anaes.) (Assist.)
3031401.11.19923T81SNNYNYYNNA01.11.200401.07.2021475.90356.95Y01.07.2021Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone, on a patient 10 years of age or over (Anaes.) (Assist.)
3031501.11.19923T81SNNNNNYNNA01.11.200401.07.20211186.10889.60Y01.11.2018Minimally invasive parathyroidectomy. Removal of 1 or more parathyroid adenoma through a small cervical incision for an image localised adenoma, including thymectomy. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item30318, 30317 or 30320 applies. (Anaes.) (Assist.)
3031701.11.19923T81SNNNNNYNNA01.11.200401.07.20211420.201065.15Y01.11.2018Redo parathyroidectomy. Cervical re-exploration for persistent or recurrent hyperparathyroidism, including thymectomy and cervical exploration of the mediastinum. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30315, 30318 or 30320 applies. (Anaes.) (Assist.)
3031801.11.19923T81SNNNNNYNNA01.11.200401.07.20211186.10889.60Y01.11.2018Open parathyroidectomy, exploration and removal of 1 or more adenoma or hyperplastic glands via a cervical incision including thymectomy and cervical exploration of the mediastinum when performed. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30315, 30317 or 30320 applies. (Anaes.) (Assist.)
3032001.11.19923T81SNNNNNYNNA01.11.200401.07.20211420.201065.15Y01.11.2018Removal of a mediastinal parathyroid adenoma via sternotomy or mediastinal thorascopic approach. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30315, 30317 or 30318 applies. (Anaes.) (Assist.)
3032301.11.19923T81SNNNNNYNNA01.11.200401.07.20211420.201065.15Y01.11.2018Excision of phaeochromocytoma or extraadrenal paraganglioma via endoscopic or open approach. (Anaes.) (Assist.)
3032401.11.19923T81SNNNNNYNNA01.11.200401.07.20211420.201065.15Y01.11.2018Excision of an adrenocortical tumour or hyperplasia via endoscopic or open approach. (Anaes.) (Assist.)
3032601.09.20153T81SNNYNYYNNA01.09.201501.07.2021618.65464.00Y01.07.2021Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone, on a patient under 10 years of age (Anaes.) (Assist.)
3032901.11.19923T81SNNNNNYNNC31.10.199201.07.2021256.95192.75218.45Y01.11.2019LYMPH NODES of GROIN, limited excision of (Anaes.)
3033001.11.19923T81SNNNNNYNNA01.11.200401.07.2021747.85560.90Y01.11.2019LYMPH NODES of GROIN, radical excision of (Anaes.) (Assist.)
3033201.11.19923T81SNNNNNYNNA01.11.200401.07.2021360.80270.60Y01.05.2000LYMPH NODES of AXILLA, limited excision of (sampling) (Anaes.) (Assist.)
3033501.05.20003T81SNNNNNYNNA01.11.200401.07.2021901.95676.50Y01.05.2000LYMPH NODES of AXILLA, complete excision of, to level I (Anaes.) (Assist.)
3033601.05.20003T81SNNNNNYNNA01.11.200401.07.20211082.40811.80Y01.05.2000LYMPH NODES of AXILLA, complete excision of, to level II or level III (Anaes.) (Assist.)
3038201.11.19923T81SNNYNYYNNA01.11.200401.07.20211359.851019.90Y01.07.2021Enterocutaneous fistula, repair of,if dissection and resection of bowel is performed, with or without anastomosis or formation of a stoma (H) (Anaes.) (Assist.)
3038401.11.19923T81SNNYNYYNNA01.11.200401.07.20211420.201065.15Y01.07.2021Open or minimally invasive excision of a retroperitoneal mass, 4 cm or greater in largest dimension, lasting more than 3 hours, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.)
3038501.11.19923T81SNNYNYYNNA01.11.200401.07.2021586.15439.65Y01.07.2021Unplanned return to theatre for laparotomy or laparoscopy for control or drainage of intra-abdominal haemorrhage following abdominal surgery (H) (Anaes.) (Assist.)
3038701.11.19923T81SNNYNYYNNA01.11.200401.07.2021660.75495.60Y01.07.2021Laparoscopy or laparotomy when an operation is performed on abdominal, retroperitoneal or pelvic viscera, excluding lymph node biopsy, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.)
3038801.11.19923T81SNNYNYYNNA01.11.200401.07.20211108.20831.15Y01.07.2021Laparotomy for abdominal trauma, including control of haemorrhage (with or without packing) and containment of contamination (H) (Anaes.) (Assist.)
3039001.11.19923T81SNNYNYYNNA01.11.200401.07.2021228.85171.65Y01.07.2021Laparoscopy, diagnostic, with or without aspiration of fluid, on a patient 10 years of age or over, if no other intra-abdominal procedure is performed (H) (Anaes.) (Assist.)
3039201.12.19913T81SNNNNNYNNA01.11.200401.07.2021701.85526.40Y01.11.1997RADICAL OR DEBULKING OPERATION for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure (Anaes.) (Assist.)
3039601.11.19923T81SNNYNYYNNA01.11.200401.07.20211057.75793.35Y01.07.2021Laparotomy or laparoscopy for generalised intra-peritoneal sepsis(also known asperitonitis), with or without removal of foreign material or enteric contents, with lavage of the entire peritoneal cavity, with or without closure of the abdomen when performed by laparotomy (H) (Anaes.) (Assist.)
3039701.11.19923T81SNNYNYYNNA01.11.200401.07.2021241.75181.35Y01.07.2021Laparostomy, via wound previously made and left open or closed, including change of dressings or packs, with or without drainage of loculated collections (H) (Anaes.)
3039901.11.19923T81SNNYNYYNNA01.11.200401.07.2021332.50249.40Y01.07.2021Laparostomy, final closure of wound made at previous operation, after removal of dressings or packs (Anaes.) (Assist.)
3040001.11.19923T81SNNNNNYNNA01.11.200401.07.2021658.10493.60Y01.11.1992LAPAROTOMY WITH INSERTION OF PORTACATH for administration of cytotoxic therapy including placement of reservoir (Anaes.) (Assist.)
3040601.11.19923T81SNNNNNYNNC31.10.199201.07.202154.3540.8046.20Y01.11.1992PARACENTESIS ABDOMINIS (Anaes.)
3040801.11.19923T81SNNNNNYNNA01.11.200401.07.2021408.00306.00Y01.11.2010PERITONEOVENOUS shunt, insertion of (Anaes.) (Assist.)
3040901.11.19923T81SNNNNNYNNC31.10.199201.07.2021181.50136.15154.30Y01.11.1992LIVER BIOPSY, percutaneous (Anaes.)
3041101.11.19923T81SNNNNNYNNA01.11.200401.07.202192.3569.30Y01.11.1992LIVER BIOPSY by wedge excision when performed in conjunction with another intraabdominal procedure (Anaes.)
3041201.11.19923T81SNNNNNYNNC01.07.199501.07.202154.5040.9046.35Y01.07.1995LIVER BIOPSY by core needle, when performed in conjunction with another intra-abdominal procedure (Anaes.)
3041401.11.19923T81SNNNNNYNNA01.11.200401.07.2021717.75538.35Y01.07.1995LIVER, subsegmental resection of, (local excision), other than for trauma (Anaes.) (Assist.)
3041501.11.19923T81SNNNNNYNNA01.11.200401.07.20211435.351076.55Y01.07.1995LIVER, segmental resection of, other than for trauma (Anaes.) (Assist.)
3041601.12.19913T81SNNYNYYNNA01.11.200401.07.2021779.30584.50Y01.07.2021Liver cysts, greater than 5 cm in diameter, marsupialisation of 4 or less (Anaes.) (Assist.)
3041701.04.19923T81SNNYNYYNNA01.11.200401.07.20211168.90876.70Y01.07.2021Liver cysts, greater than 5 cm in diameter, marsupialisation of 5 or more (Anaes.) (Assist.)
3041801.11.19923T81SNNNNNYNNA01.11.200401.07.20211662.301246.75Y01.07.1995LIVER, lobectomy of, other than for trauma (Anaes.) (Assist.)
3041901.12.19913T81SNNYNYYNNC01.05.199701.07.2021850.20637.65765.50Y01.07.2021Liver tumour, other than a hepatocellular carcinoma, destruction of one or more, by local ablation, other than a service associated with a service to which item 50950 or 50952 applies (Anaes.) (Assist.)
3042101.11.19923T81SNNYNYYNNA01.11.200401.07.20212077.501558.15Y01.07.2021Liver, extended lobectomy of, or central resections of segments 4, 5 and 8, other than for trauma (Anaes.) (Assist.)
3042201.11.19923T81SNNNNNYNNA01.11.200401.07.2021702.70527.05Y01.07.1995LIVER, repair of superficial laceration of, for trauma (Anaes.) (Assist.)
3042501.11.19923T81SNNNNNYNNA01.11.200401.07.20211359.851019.90Y01.07.1995LIVER, repair of deep multiple lacerations of, or debridement of, for trauma (Anaes.) (Assist.)
3042701.11.19923T81SNNNNNYNNA01.11.200401.07.20211624.251218.20Y01.07.1995LIVER, segmental resection of, for trauma (Anaes.) (Assist.)
3042801.11.19923T81SNNNNNYNNC01.07.199501.07.20211737.651303.251652.95Y01.07.1995LIVER, lobectomy of, for trauma (Anaes.) (Assist.)
3043001.11.19923T81SNNYNYYNNC01.07.199501.07.20212417.401813.052332.70Y01.07.2021Liver, extended lobectomy of, or central resections of segments 4, 5 and 8, for trauma (Anaes.) (Assist.)
3043101.11.19923T81SNNYNYYNNC31.10.199201.07.2021542.40406.80461.05Y01.07.2021Liver abscess, single, open or minimally invasive abdominal drainage of, excluding aftercare (Anaes.) (Assist.)
3043301.11.19923T81SNNYNYYNNA01.11.200401.07.2021755.45566.60Y01.07.2021Liver abscess, multiple, open or minimally invasive abdominal drainage of, excluding aftercare (Anaes.) (Assist.)
3043901.11.19923T81SNNYNYYNNA01.11.200401.07.2021193.10144.85Y01.07.2021Intraoperative ultrasound of biliary tract, or operative cholangiography, if the service: (a) is performed in association with an intra-abdominal procedure; and (b) is not associated with a service to which item 30442 or 30445 applies (Anaes.) (Assist.)
3044001.11.19923T81SNNNNNYNNC31.10.199201.07.2021547.70410.80465.55Y01.05.2005CHOLANGIOGRAM, 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.)
3044101.12.19913T81SNNYNYYNNA01.11.200401.07.2021141.80106.35Y01.07.2021Intraoperative ultrasoundfor staging of intra-abdominal tumours (Anaes.)
3044201.11.19923T81SNNNNNYNNA01.11.200401.07.2021193.10144.85Y01.11.1992CHOLEDOCHOSCOPY in conjunction with another procedure (Anaes.)
3044301.11.19923T81SNNYNYYNNA01.11.200401.07.2021668.45501.35Y01.07.2021Cholecystectomy, by any approach, without cholangiogram (Anaes.) (Assist.)
3044501.11.19923T81SNNYNYYNNA01.11.200401.07.2021865.85649.40Y01.07.2021Cholecystectomy, by any approach, with attempted or completed cholangiogram or intraoperative ultrasound of the biliary system, when performed via laparoscopic or open approach or when conversion from laparoscopic to open approach is required (Anaes.) (Assist.)
3044801.11.19923T81SNNYNYYNNA01.11.200401.07.20211012.35759.30Y01.07.2021Cholecystectomy, by any approach, involving removal of common duct calculi via the cystic duct, with or without stent insertion (Anaes.) (Assist.)
3044901.11.19923T81SNNYNYYNNA01.11.200401.07.20211125.70844.30Y01.07.2021Cholecystectomy with removal of common duct calculi via choledochotomy, by any approach, with or without insertion of a stent (Anaes.) (Assist.)
3045001.12.19913T81SNNYNYYNNC01.11.199601.07.2021545.65409.25463.85Y01.07.2021Calculus of biliary tract, extraction of, using interventional imaging techniques (Anaes.) (Assist.)
3045101.11.19923T81SNNNNNYNNC31.10.199201.07.2021278.55208.95236.80Y01.05.2005BILIARY 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.)
3045201.11.19923T81SNNNNNYNNA01.11.200401.07.2021392.80294.60Y01.07.1995CHOLEDOCHOSCOPY with balloon dilation of a stricture or passage of stent or extraction of calculi (Anaes.) (Assist.)
3045401.11.19923T81SNNYNYYNNA01.11.200401.07.20211371.651028.75Y01.07.2021Choledochotomy without cholecystectomy, with or without removal of calculi (Anaes.) (Assist.)
3045501.11.19923T81SNNYNYYNNA01.11.200401.07.20211371.651028.75Y01.07.2021Choledochotomy with cholecystectomy, with removal of calculi, including biliary intestinal anastomosis (Anaes.) (Assist.)
3045701.11.19923T81SNNNNNYNNC01.07.199501.07.20211435.351076.551350.65Y01.07.1995CHOLEDOCHOTOMY, intrahepatic, involving removal of intrahepatic bile duct calculi (Anaes.) (Assist.)
3045801.11.19923T81SNNNNNYNNA01.11.200401.07.20211055.10791.35Y01.11.1992TRANSDUODENAL 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.)
3046001.11.19923T81SNNNNNYNNA01.11.200401.07.2021897.45673.10Y01.11.1992CHOLECYSTODUODENOSTOMY, CHOLECYSTOENTEROSTOMY, CHOLEDOCHOJEJUNOSTOMY or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (Anaes.) (Assist.)
3046101.11.19923T81SNNYNYYNNA01.11.200401.07.20211538.301153.75Y01.07.2021Radical resection of porta hepatis (including associated neuro-lymphatic tissue), for cancer, suspected cancer or choledochal cyst, including bile duct excision and biliary-enteric anastomoses, other than a service associated with a service to which item 30440, 30451 or 31454 applies (Anaes.) (Assist.)
3046301.11.19923T81SNNYNYYNNA01.11.200401.07.20211888.751416.60Y01.07.2021Radical resection of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses, for cancer, suspected cancer or choledochal cyst (Anaes.) (Assist.)
3046431.10.19923T81SNNYNYYNNA01.11.200401.07.20212266.501699.90Y01.07.2021Radical resection of common hepatic duct and right and left hepatic ducts, for cancer, suspected cancer or choledochal cyst, involving either or both of the following:(a) more than 2 anastomoses;(b) resection of segment (or major portion of segment) of liver; (Anaes.) (Assist.)
3046901.11.19923T81SNNNNNYNNC01.07.199501.07.20211790.651343.001705.95Y01.07.1995BILIARY STRICTURE, repair of, after 1 or more operations on the biliary tree (Anaes.) (Assist.)
3047201.11.19923T81SNNYNYYNNA01.07.202101.07.20211386.901040.20Y01.07.2021Repair of bile duct injury, including immediate reconstruction, other than a service associated with a service to which item 30584 applies (Anaes.) (Assist.)
3047301.11.19923T81SNNNNNYNNC31.10.199201.07.2021184.30138.25156.70Y01.11.2017Oesophagoscopy (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 30478 or 30479 applies. (Anaes.)
3047501.11.19923T81SNNNNNYNNC31.10.199201.07.2021363.10272.35308.65Y01.11.2017Endoscopic dilatation of stricture of upper gastrointestinal tract (including the use of imaging intensification where clinically indicated) (Anaes.)
3047801.11.19923T81SNNNNNYNNC31.10.199201.07.2021255.55191.70217.25Y01.11.2017Oesophagoscopy (other than a service to which item41816, 41822 or 41825 applies), gastroscopy, duodenoscopy, panendoscopy or push enteroscopy, one or more such procedures, if: (a) the procedures are performed using one or more of the following endoscopic procedures: (i) polypectomy; (ii) sclerosing or adrenalin injections; (iii) banding; (iv) endoscopic clips; (v) haemostatic powders; (vi) diathermy; (vii) argon plasma coagulation; and (b) the procedures are for the treatment of one or more of the following: (i) upper gastrointestinal tract bleeding; (ii) polyps; (iii) removal of foreign body; (iv) oesophageal or gastric varices; (v) peptic ulcers; (vi) neoplasia; (vii) benign vascular lesions; (viii) strictures of the gastrointestinal tract; (ix) tumorous overgrowth through or over oesophageal stents; other than a service associated with a service to which item30473 or 30479 applies (Anaes.)
3047901.11.19923T81SNNNNNYNNC31.10.199201.07.2021495.35371.55421.05Y01.11.2017Endoscopy with laser therapy, for the treatment of one or more of the following: (a) neoplasia; (b) benign vascular lesions; (c) strictures of the gastrointestinal tract; (d) tumorous overgrowth through or over oesophageal stents; (e) peptic ulcers; (f) angiodysplasia; (g) gastric antral vascular ectasia; (h) post-polypectomy bleeding; other than a service associated with a service to which item 30473 or 30478 applies (Anaes.)
3048101.11.19923T81SNNNNNYNNC31.10.199201.07.2021371.45278.60315.75Y01.05.2018PERCUTANEOUS GASTROSTOMY (initial procedure): (a) including any associated imaging services; and (b) excluding the insertion of a device for the purpose of facilitating weight loss (Anaes.)
3048201.11.19923T81SNNNNNYNNC31.10.199201.07.2021264.10198.10224.50Y01.05.2018PERCUTANEOUS GASTROSTOMY (repeat procedure): (a) including any associated imaging services; and (b) excluding the insertion of a device for the purpose of facilitating weight loss (Anaes.)
3048301.12.19913T81SNNYNYYNNC01.11.199601.07.2021184.25138.20156.65Y01.07.2021Gastrostomy button, caecostomy antegrade enema device (chait etc.) or stomal indwelling device: (a) non-endoscopic insertion of; or (b) non-endoscopic replacement of; on a patient 10 years of age or over, excluding the insertion of a device for the purpose of facilitating weight loss (Anaes.)
3048401.11.19923T81SNNNNNYNNC31.10.199201.07.2021379.70284.80322.75Y01.11.1992ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (Anaes.)
3048501.11.19923T81SNNNNNYNNC31.10.199201.07.2021586.15439.65501.45Y01.11.1992ENDOSCOPIC SPHINCTEROTOMY with or without extraction of stones from common bile duct (Anaes.)
3048801.11.19923T81SNNNNNYNNC31.10.199201.07.202193.6570.2579.65Y01.11.1992SMALL BOWEL INTUBATIONas an independent procedure (Anaes.)
3049001.11.19923T81SNNNNNYNNC31.10.199201.07.2021547.70410.80465.55Y01.11.1992OESOPHAGEAL PROSTHESIS, insertion of, including endoscopy and dilatation (Anaes.)
3049101.11.19923T81SNNNNNYNNC31.10.199201.07.2021577.85433.40493.15Y01.11.1992BILE DUCT, ENDOSCOPIC STENTING OF (including endoscopy and dilatation) (Anaes.)
3049201.12.19913T81SNNNNNYNNA01.05.200501.07.2021819.20614.40Y01.05.2005BILE DUCT, PERCUTANEOUS STENTING OF (including dilatation when performed), using interventional imaging techniques - but not including imaging (Anaes.)
3049401.11.19923T81SNNNNNYNNA01.11.200401.07.2021437.55328.20Y01.11.1992ENDOSCOPIC BILIARY DILATATION (Anaes.)
3049501.12.19913T81SNNNNNYNNA01.05.200501.07.2021819.20614.40Y01.05.2005PERCUTANEOUS BILIARY DILATATION for biliary stricture, using interventional imaging techniques - but not including imaging (Anaes.)
3051501.11.19923T81SNNYNYYNNA01.11.200401.07.2021732.90549.70Y01.07.2021Gastroenterostomy (including gastroduodenostomy), enterocolostomy or enteroenterostomy, as an independent procedure or in combination with another procedure, only if required for irresectable obstruction, other than a service to which any of items 31569 to 31581 apply (Anaes.) (Assist.)
3051701.11.19923T81SNNYNYYNNA01.11.200401.07.2021959.55719.70Y01.07.2021Revision of gastroenterostomy, pyloroplasty or gastroduodenostomy (Anaes.) (Assist.)
3051801.11.19923T81SNNNNNYNNA01.11.200401.07.20211027.50770.65Y01.07.2013Partial gastrectomy, not being a service associated with a service to which any of items 31569 to 31581 apply (Anaes.) (Assist.)
3052001.11.19923T81SNNYNYYNNA01.11.200401.07.2021884.00663.00Y01.07.2021Gastric tumour, 2 cm or greater in diameter, removal of, by local excision, by laparoscopic or open approach, including any associated anastomosis, excluding polypectomy, other than a service to which item 30518 applies (Anaes.) (Assist.)
3052101.11.19923T81SNNNNNYNNA01.11.200401.07.20211503.401127.55Y01.11.1992GASTRECTOMY, TOTAL, for benign disease (Anaes.) (Assist.)
3052601.11.19923T81SNNYNYYNNA01.11.200401.07.20212243.701682.80Y01.07.2021Gastrectomy, total, and removal of lower oesophagus, performed by open or minimally invasive approach, with anastomosis in the mediastinum, including any of the following (if performed):(a) distal pancreatectomy;(b) nodal dissection;(c) splenectomy (Anaes.) (Assist.)
3052901.11.19923T81SNNNNNYNNA01.11.200401.07.20211359.851019.90Y01.11.1992ANTIREFLUX operation by fundoplasty, with OESOPHAGOPLASTY for stricture or short oesophagus (Anaes.) (Assist.)
3053001.11.19923T81SNNNNNYNNA01.11.200401.07.2021816.00612.00Y01.11.1992ANTIREFLUX operation by cardiopexy, with or without fundoplasty (Anaes.) (Assist.)
3053201.11.19923T81SNNYNYYNNA01.11.200401.07.2021936.90702.70Y01.07.2021Oesophagogastric myotomy (Heller’s operation) by endoscopic, abdominal or thoracic approach, whether performed by open or minimally invasive approach, including fundoplication when performed laparoscopically (Anaes.) (Assist.)
3053301.11.19923T81SNNNNNYNNA01.11.200401.07.20211114.40835.80Y01.11.2000OESOPHAGOGASTRIC 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.)
3055901.11.19923T81SNNNNNYNNC31.10.199201.07.2021884.00663.00799.30Y01.11.1992OESOPHAGUS, local excision for tumour of (Anaes.) (Assist.)
3056001.11.19923T81SNNYNYYNNA01.11.200401.07.2021982.05736.55Y01.07.2021Oesophageal perforation, repair of, by abdominal or thoracic approach, including thoracic drainage (Anaes.) (Assist.)
3056201.11.19923T81SNNYNYYNNA01.11.200401.07.2021619.05464.30Y01.07.2021Enterostomy or colostomy, closure of (not involving resection of bowel), on a patient 10 years of age or over (Anaes.) (Assist.)
3056301.11.19923T81SNNNNNYNNC31.10.199201.07.2021619.05464.30534.35Y01.09.2015COLOSTOMY OR ILEOSTOMY, refashioning of, on a person 10 years of age or over (Anaes.) (Assist.)
3056501.11.19923T81SNNNNNYNNA01.11.200401.07.2021906.65680.00Y01.11.1992SMALL INTESTINE, resection of, without anastomosis (including formation of stoma) (Anaes.) (Assist.)
3057401.11.19923T81SNNYNYYNNA01.11.200401.07.202164.1048.10Y01.07.2021NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item Appendicectomy, when performed in conjunction with another intra-abdominal procedure and during which a specimen is collected and sent for pathological testing (Anaes.)
3057701.11.19923T81SNNYNYYNNA01.11.200401.07.20211133.30850.00Y01.07.2021Initial pancreatic necrosectomy by open, laparoscopic or endoscopic approach, excluding aftercare (Anaes.) (Assist.)
3058301.11.19923T81SNNYNYYNNA01.11.200401.07.20211617.351213.05Y01.07.2021Distal pancreatectomy with splenic preservation, by open or minimally invasive approach (Anaes.) (Assist.)
3058401.11.19923T81SNNYNYYNNA01.11.200401.07.20213121.552341.20Y01.07.2021Pancreatico duodenectomy (Whipple’s procedure), with or without preservation of pylorus, including any of the following (if performed):(a) cholecystectomy;(b) pancreatico-biliary anastomosis;(c) gastro-jejunal anastomosis (Anaes.) (Assist.)
3058901.11.19923T81SNNNNNYNNA01.11.200401.07.20211301.75976.35Y01.11.1992PANCREATICO-JEJUNOSTOMY for pancreatitis or trauma (Anaes.) (Assist.)
3059001.11.19923T81SNNNNNYNNA01.11.200401.07.20211435.351076.55Y01.11.1992PANCREATICO-JEJUNOSTOMY following previous pancreatic surgery (Anaes.) (Assist.)
3059301.11.19923T81SNNNNNYNNC31.10.199201.07.20211964.201473.151879.50Y01.11.1992PANCREATECTOMY, near total or total (including duodenum), with or without splenectomy (Anaes.) (Assist.)
3059401.11.19923T81SNNNNNYNNA01.11.200401.07.20212266.501699.90Y01.11.1992PANCREATECTOMY for pancreatitis following previously attempted drainage procedure or partial resection (Anaes.) (Assist.)
3059601.11.19923T81SNNNNNYNNA01.11.200401.07.2021933.65700.25Y01.11.2000SPLENORRHAPHY OR PARTIAL SPLENECTOMY (Anaes.) (Assist.)
3059901.11.19923T81SNNNNNYNNA01.11.200401.07.20211359.851019.90Y01.11.1992SPLENECTOMY, for massive spleen (weighing more than 1500 grams) or involving thoraco-abdominal incision (Anaes.) (Assist.)
3060001.11.19923T81SNNYNYYNNA01.11.200401.07.2021808.60606.45Y01.07.2021Emergency repair of diaphragmatic laceration or hernia, following recent trauma, by any approach, including when performed in conjunction with another procedure indicated as a result of abdominal or chest trauma (Anaes.) (Assist.)
3060101.12.19913T81SNNYNYYNNA01.11.200401.07.2021996.10747.10Y01.07.2021Diaphragmatic hernia, congenital, or delayed presentation of traumatic rupture, repair of, by thoracic or abdominal approach, on a patient 10 years of age or over,other thana service to which any of items 31569 to 31581 apply (Anaes.) (Assist.)
3060601.11.19923T81SNNNNNYNNA01.11.200401.07.20211155.80866.85Y01.11.1992PORTAL HYPERTENSION, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (Anaes.) (Assist.)
3060801.09.20153T81SNNYNYYNNA01.09.201501.07.20211309.25981.95Y01.07.2021Small intestine, resection of, with anastomosis, on a patient under 10 years of age (Anaes.) (Assist.)
3061101.09.20153T81SNNYNYYNNC01.09.201501.07.2021586.20439.65501.50Y01.07.2021Benign tumour of soft tissue (other than tumours of skin, cartilage and bone, simple lipomas covered by item 31345 and lipomata), removal of, by surgical excision, on a patient under 10 years of age, if the specimen excised is sent for histological confirmation of diagnosis, other than a service to which another item in this Group applies (Anaes.) (Assist.)
3061501.11.19923T81SNNYNYYNNA01.11.200401.07.2021542.40406.80Y01.07.2021Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection, on a patient 10 years of age or over (Anaes.) (Assist.)
3061801.09.20153T81SNNYNYYNNC01.09.201501.07.2021543.40407.55461.90Y01.07.2021Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient under 10 years of age (Anaes.) (Assist.)
3061901.09.20153T81SNNYNYYNNA01.09.201501.07.2021974.20730.65Y01.07.2021Laparoscopic splenectomy, on a patient under 10 years of age (Anaes.) (Assist.)
3062101.12.19913T81SNNYNYYNNA01.11.200401.07.2021424.00318.00Y01.07.2021Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other repair, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service to which item 30651 or 30655 applies (Anaes.) (Assist.)
3062201.09.20153T81SNNYNYYNNA01.09.201501.07.2021705.15528.90Y01.07.2021Caecostomy, 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 or drainage of pancreas, on a patient under 10 years of age (Anaes.) (Assist.)
3062301.09.20153T81SNNYNYYNNA01.09.201501.07.2021705.15528.90Y01.07.2021Laparotomy involving division of peritoneal adhesions (if no other intra-abdominal procedure is performed), on a patient under 10 years of age (Anaes.) (Assist.)
3062601.09.20153T81SNNYNYYNNA01.09.201501.07.2021708.40531.30Y01.07.2021Laparotomy involving division of adhesions in association with another intra-abdominal procedure if the time taken to divide the adhesions is between 45 minutes and 2 hours, on a patient under 10 years of age (Anaes.) (Assist.)
3062701.09.20153T81SNNYNYYNNA01.09.201501.07.2021297.55223.20Y01.07.2021Laparoscopy, diagnostic, if no other intra-abdominal procedure is performed, on a patient under 10 years of age (H) (Anaes.)
3062801.12.19913T81SNNNNNYNNC01.12.199101.07.202137.0527.8031.5001.12.1991HYDROCELE, tapping of
3062901.11.20203T81SNNNNNYNNA01.11.202001.07.2021542.40406.80Y01.11.2020Orchidectomy, radical, including spermatic cord, unilateral, for tumour, inguinal approach, without insertion of testicular prosthesis, other than a service associated with a service to which item 30631, 30635, 30641, 30643 or 30644 applies (Anaes.) (Assist.)
3063001.11.20203T81DNNNNNYNNA01.11.202001.07.2021492.95369.75Y01.11.2020Insertion of testicular prosthesis,at least 6 months following orchidectomy (Anaes.) (Assist.)
3063101.12.19913T81SNNNNNYNNC01.12.199101.07.2021246.25184.70209.35Y01.11.2017Hydrocele, removal of, other than a service associated with a service to which item 30641, 30642 or 30644 applies (Anaes.)
3063501.12.19913T81SNNNNNYNNA01.11.200401.07.2021303.60227.70Y01.11.2020Varicocele, surgical correction of, including microsurgical techniques, other than a service associated with a service to which item 30390, 30627, 30641, 30642 or 30644 applies—one procedure (Anaes.) (Assist.)
3063601.09.20153T81SNNYNYYNNC01.09.201501.07.2021242.60181.95206.25Y01.07.2021Gastrostomy button, caecostomy antegrade enema device (chait etc.) or stomal indwelling device, non-endoscopic insertion of, or non-endoscopic replacement of, on a patient under 10 years of age (Anaes.)
3063701.09.20153T81SNNYNYYNNA01.09.201501.07.2021804.90603.70Y01.07.2021Enterostomy or colostomy, closure of (not involving resection of bowel), on a patient under 10 years of age (Anaes.) (Assist.)
3063901.09.20153T81SNNYNYYNNC01.09.201501.07.2021804.90603.70720.20Y01.07.2021Colostomy or ileostomy, refashioning of, on a patient under 10 years of age (Anaes.) (Assist.)
3064001.05.20163T81SNNYNYYNNA01.05.201601.07.2021952.05714.05Y01.07.2021Repair of large and irreducible scrotal hernia, if surgery exceeds 2 hours, in a patient 10 years of age or over, other than a service to which item30615, 30621, 30648, 30651 or 30655 applies (Anaes.) (Assist.)
3064101.12.19913T81SNNNNNYNNA01.11.200401.07.2021424.00318.00Y01.12.1991ORCHIDECTOMY, simple or subscapsular, unilateral with or without insertion of testicular prosthesis (Anaes.) (Assist.)
3064201.05.20173T81SNNNNNYNNA01.05.201701.07.2021788.90591.70Y01.11.2020Orchidectomy, radical, including spermatic cord, unilateral, for tumour, inguinal approach, with insertion of testicular prosthesis, other than a service associated with a service to which item 30631, 30635, 30641, 30643, 30644 or 45051 applies (Anaes.) (Assist.)
3064301.09.20153T81SNNNNNYNNA01.09.201501.07.2021705.15528.90Y01.11.2020Exploration of spermatic cord, inguinal approach, with or without testicular biopsy, with or without excision of spermatic cord lesion, for a patient under 10 years of age, other than a service associated with a service to which item 30629, 30630 or 30642 applies (Anaes.) (Assist.)
3064401.12.19913T81SNNNNNYNNA01.11.200401.07.2021542.40406.80Y01.11.2020Exploration of spermatic cord, inguinal approach, with or without testicular biopsy, with or without excision of spermatic cord lesion, for a patient at least 10 years of age, other than a service associated with a service to which item 30629, 30630 or 30642 applies (Anaes.) (Assist.)
3064501.09.20153T81SNNYNYYNNA01.09.201501.07.2021602.40451.80Y01.07.2021Appendicectomy, on a patient under 10 years of age, other than a service to which item 30574 applies (Anaes.) (Assist.)
3064601.09.20153T81SNNYNYYNNA01.09.201501.07.2021602.40451.80Y01.07.2021Laparoscopic appendicectomy, on a patient under 10 years of age (Anaes.) (Assist.)
3064801.07.20213T81SNYNNNNNNA01.07.202101.07.2021483.35362.55Y01.07.2021Femoral or inguinal hernia or infantile hydrocele, repair of, by open or minimally invasive approach, on a patient 10 years of age or over,otherthan a service to which item30615 or 30651 applies (Anaes.) (Assist.)
3064901.09.20153T81SNNYNYYNNC01.09.201501.07.2021195.25146.45166.00Y01.07.2021Haemorrhage, arrest of, following circumcision requiring general anaesthesia, on a patient under 10 years of age (Anaes.)
3065101.07.20213T81SNYNNNNNNA01.07.202101.07.2021542.40406.80Y01.07.2021Ventral hernia repair involving primary fascial closure by suture, with or without onlay mesh or insertion of intraperitoneal onlay mesh repair, without closure of the defect or advancement of the rectus muscle toward the midline, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service to which item 30621, 30655 or 30657 applies (Anaes.) (Assist.)
3065201.07.20213T81SNYNNNNNNA01.07.202101.07.2021542.40406.80Y01.07.2021Recurrent groin hernia regardless of size of defect, repair of, with or without mesh, by open or minimally invasive approach, in a patient 10 years of age or over (Anaes.) (Assist.)
3065401.11.20163T81SNNNNNYNNC01.11.201601.07.202148.4036.3041.1501.11.2020Circumcision of the penis, with topical or local analgesia, other than a service to which item 30658 applies
3065501.07.20213T81SNYNNNNNNA01.07.202101.07.2021952.05714.05Y01.07.2021Ventral hernia, repair of,with advancement of the rectus muscles to the midline using a retro-rectus, pre-peritoneal or sublay technique,by open or minimally invasive approach, in a patient 10 years of age or over, other than a service to which item 30621 or 30651 applies (Anaes.) (Assist.)
3065701.07.20213T81SNYNNNNNNA01.07.202101.07.20211355.651016.75Y01.07.2021Unilateral abdominal wall reconstruction with component separation, including transversus abdominus release and external oblique release for abdominal wall closure by mobilising the rectus abdominis muscles to the midline, by open or minimally invasive approach (Anaes.) (Assist.)
3065801.11.20163T81SNNNNNYNNC01.11.201601.07.2021147.70110.80125.55Y01.11.2020Circumcision of the penis, when performed under general or regional anaesthesia and in conjunction with a service to which an item in Group T7 or Group T10 applies (Anaes.)
3066301.12.19913T81SNNYNYYNNC01.12.199101.07.2021150.20112.65127.70Y01.07.2021Haemorrhage, arrest of, following circumcision requiring general anaesthesia, on a patient 10 years of age or over (Anaes.)
3066601.12.19913T81SNNNNNYNNC01.12.199101.07.202149.3537.0541.95Y01.09.2015PARAPHIMOSIS or PHIMOSIS, 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.)
3067201.12.19913T81SNNNNNYNNA01.11.200401.07.2021463.50347.65Y01.12.1991COCCYX, excision of (Anaes.) (Assist.)
3067601.12.19913T81SNNYNYYNNC01.12.199101.07.2021394.40295.80335.25Y01.07.2021Pilonidal sinus or cyst, or sacral sinus or cyst, definitive excision of (Anaes.)
3067901.12.19913T81SNNNNNYNNC01.12.199101.07.2021100.2075.1585.20Y01.12.1991PILONIDAL SINUS, injection of sclerosant fluid under anaesthesia (Anaes.)
3068001.07.20073T81SNNNNNYNNC01.07.200701.07.20211217.40913.051132.70Y01.03.2014Balloon 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.)
3068201.07.20073T81SNNNNNYNNC01.07.200701.07.20211217.40913.051132.70Y01.03.2014Balloon 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: (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 ofthe bleeding. (Anaes.)
3068401.07.20073T81SNNNNNYNNC01.07.200701.07.20211498.201123.651413.50Y01.03.2014Balloon 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, laser coagulation or argon plasma 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: (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.)
3068601.07.20073T81SNNNNNYNNC01.07.200701.07.20211498.201123.651413.50Y01.03.2014Balloon 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, laser coagulation or argon plasma 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: (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.)
3068701.11.20123T81SNNNNNYNNC01.11.201201.07.2021495.35371.55421.05Y01.11.2012ENDOSCOPY 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.)
3068801.07.20073T81SNNNNNYNNC01.07.200701.07.2021379.70284.80322.75Y01.11.2017Endoscopicultrasound(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 (other thanitem30484, 30485, 30491 or 30494) andother thana service associated with the routine monitoring of chronic pancreatitis. (Anaes.)
3069001.07.20073T81SNNNNNYNNC01.07.200701.07.2021586.15439.65501.45Y01.11.2017Endoscopic 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 (other than item30484, 30485, 30491 or 30494)and other thana service associated with the routine monitoring of chronic pancreatitis. (Anaes.)
3069201.07.20073T81SNNNNNYNNC01.07.200701.07.2021379.70284.80322.75Y01.11.2017Endoscopic 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 (other than item30484, 30485, 30491 or 30494)and other thana service associated with the routine monitoring of chronic pancreatitis. (Anaes.)
3069401.07.20073T81SNNNNNYNNC01.07.200701.07.2021586.15439.65501.45Y01.11.2017Endoscopic 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 (other than item30484, 30485, 30491 or 30494)and other thana service associated with the routine monitoring of chronic pancreatitis. (Anaes.)
3072001.07.20213T81SNYNNNNNNA01.07.202101.07.2021463.50347.65Y01.07.2021Appendicectomy, on a patient 10 years of age or over, whether performed by:(a) laparoscopy or right iliac fossa open incision; or(b) conversion of a laparoscopy to an open right iliac fossa incision;other than a service to which item 30574 applies (Anaes.) (Assist.)
3072101.07.20213T81SNYNNNNNNA01.07.202101.07.2021502.85377.15Y01.07.2021Laparotomy or laparoscopy, or laparoscopy converted to laparotomy, with or without associated biopsies, including the division of adhesions (if performed, but only if the time taken to divide adhesions is 45 minutes or less), if no other intra-abdominal procedure is performed (Anaes.) (Assist.)
3072201.07.20213T81SNYNNNNNNA01.07.202101.07.2021542.40406.80Y01.07.2021Laparotomy or laparoscopy, on a patient 10 years of age or over, including any of the following procedures (if performed, and including division of one or more adhesions, but only if the time taken to divide the adhesions is 45 minutes or less): (a) colostomy; (b) colotomy; (c) cholecystostomy; (d) enterostomy; (e) enterotomy; (f) gastrostomy; (g) gastrotomy; (h) caecostomy; (i) gastric fixation by cardiopexy; (j) reduction of intussusception; (k) simple repair of ruptured viscus (including perforated peptic ulcer); (l) reduction of volvulus; (m) drainage of pancreas (Anaes.) (Assist.)
3072301.07.20213T81SNYNNNNNNA01.07.202101.07.2021542.40406.80Y01.07.2021Laparotomy, laparoscopy or extra-peritoneal approach, for drainage of an intra-abdominal, pancreatic or retroperitoneal collection or abscess (Anaes.) (Assist.)
3072401.07.20213T81SNYNNNNNNA01.07.202101.07.2021544.95408.75Y01.07.2021Laparotomy or laparoscopy with division of adhesions, lasting more than 45 minutes but less than 2 hours, performed either:(a) as a primary procedure; or(b) when the division of adhesions is performed in conjunction with another primary procedure—to provide access to a surgical field (but excluding mobilisation or normal anatomical dissection of the organ or structure for which the primary procedure is being carried out) (Anaes.) (Assist.)
3072501.07.20213T81SNYNNNNNNA01.07.202101.07.2021965.75724.35Y01.07.2021Laparotomy or laparoscopy for intestinal obstruction or division of extensive, complex adhesions, lasting 2 hours or more, performed either:a) as a primary procedure; orb) when the division of adhesions is performed in conjunction with another procedure—to provide access to a surgical field, but excluding mobilisation or normal anatomical dissection of the organ or structure for which the other procedure is being carried out (Anaes.) (Assist.)
3073001.07.20213T81SNYNNNNNNA01.07.202101.07.20211007.10755.35Y01.07.2021Small intestine, resection of, including either of the following:(a) a small bowel diverticulum (such as Meckel’s procedure) with anastomosis;(b) stricturoplasty (Anaes.) (Assist.)
3073101.07.20213T81SNYNNNNNNA01.07.202101.07.2021755.45566.60Y01.07.2021Intraoperative enterotomy for visualisation of the small intestine by endoscopy, including endoscopic examination using a flexible endoscope, with or without biopsies (Anaes.) (Assist.)
3073201.07.20213T81SNYNNNNNNA01.07.202101.07.20214136.103102.10Y01.07.2021Peritonectomy, lasting more than 5 hours, including hyperthermic intra-peritoneal chemotherapy (Anaes.) (Assist.)
3075001.07.20213T81SNYNNNNNNA01.07.202101.07.20212145.801609.35Y01.07.2021Oesophagectomy with colon or jejunal interposition graft, by any approach, including:(a) any gastrointestinal anastomoses (except vascular anastomoses); and(b) anastomoses in the chest or neck (if appropriate)One surgeon (Anaes.) (Assist.)
3075101.07.20213T81SNYNNNNNNA01.07.202101.07.20212145.801609.35Y01.07.2021Oesophagectomy with colon or jejunal interposition graft, by any approach, including:(a) any gastrointestinal anastomoses (except vascular anastomoses); and(b) anastomoses in the chest or neck (if appropriate)Conjoint surgery, principal surgeon (Anaes.) (Assist.)
3075201.07.20213T81SNYNNNNNNA01.07.202101.07.20211609.351207.05Y01.07.2021Oesophagectomy with colon or jejunal interposition graft, by any approach, including:(a) any gastrointestinal anastomoses (except vascular anastomoses); and(b) anastomoses in the chest or neck (if appropriate)Conjoint surgery, co-surgeon (Anaes.) (Assist.)
3075301.07.20213T81SNYNNNNNNA01.07.202101.07.20211790.651343.00Y01.07.2021Oesophagectomy, by any approach, including:(a) gastric reconstruction by abdominal mobilisation, thoracotomy or thoracoscopy; and(b) anastomosis in the neck or chestOne surgeon (Anaes.) (Assist.)
3075401.07.20213T81SNYNNNNNNA01.07.202101.07.20211790.651343.00Y01.07.2021Oesophagectomy, by any approach, including:(a) gastric reconstruction by abdominal mobilisation, thoracotomy or thoracoscopy; and(b) anastomosis in the neck or chestConjoint surgery, principal surgeon (Anaes.) (Assist.)
3075501.07.20213T81SNYNNNNNNA01.07.202101.07.20211343.001007.25Y01.07.2021Oesophagectomy by any approach, including:(a) gastric reconstruction by abdominal mobilisation, thoracotomy or thoracoscopy; and(b) anastomosis in the neck or chestConjoint surgery, co-surgeon (Anaes.) (Assist.)
3075601.07.20213T81SNYNNNNNNA01.07.202101.07.2021906.65680.00Y01.07.2021Antireflux operation by fundoplasty, with or without cardiopexy, by any approach, with or without closure of the diaphragmatic hiatus, other than a service to which item 30601 applies (Anaes.) (Assist.)
3076001.07.20213T81SNYNNNNNNA01.07.202101.07.2021611.95459.00Y01.07.2021Vagotomy, with or without gastroenterostomy, pyloroplasty or other drainage procedure (Anaes.) (Assist.)
3076101.07.20213T81SNYNNNNNNA01.07.202101.07.2021789.45592.10Y01.07.2021Bleeding peptic ulcer, control of, by laparoscopy or laparotomy, involving suture of bleeding point or wedge excision (with or without gastric resection), including either of the following (if performed):(a) vagotomy and pyloroplasty;(b) gastroenterostomy (Anaes.) (Assist.)
3076201.07.20213T81SNYNNNNNNA01.07.202101.07.20211730.051297.55Y01.07.2021Gastrectomy, subtotal or total radical, for carcinoma, by open or minimally invasive approach, including all necessary anastomoses, including either or both of the following (if performed):(a) extended lymph node dissection;(b) splenectomy (Anaes.) (Assist.)
3076301.07.20213T81SNYNNNNNNA01.07.202101.07.2021702.70527.05Y01.07.2021Gastric tumour, 2cm or greater in diameter, removal of, by local excision, by endoscopic approach, including any required anastomosis, excluding polypectomy, other than a service to which item 30518 applies (Anaes.) (Assist.)
3077001.07.20213T81SNYNNNNNNA01.07.202101.07.2021870.25652.70Y01.07.2021Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty (Anaes.) (Assist.)
3077101.07.20213T81SNYNNNNNNA01.07.202101.07.20211755.201316.40Y01.07.2021Portal hypertension, porto-caval, meso-caval or selective spleno-renal shunt for (Anaes.) (Assist.)
3078001.07.20213T81SNYNNNNNNA01.07.202101.07.20211461.851096.40Y01.07.2021Intrahepatic biliary bypass of left or right hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes.) (Assist.)
3079001.07.20213T81SNYNNNNNNA01.07.202101.07.2021729.70547.30Y01.07.2021Pancreatic cyst anastomosis to stomach, duodenum or small intestine, by endoscopic, open or minimally invasive approach, with or without the use of endoscopic or intraoperative ultrasound (Anaes.) (Assist.)
3079101.07.20213T81SNYNNNNNNA01.07.202101.07.2021453.35340.05Y01.07.2021Pancreatic necrosectomy, by open, laparoscopic or endoscopic approach, excluding aftercare, subsequent procedure (Anaes.) (Assist.)
3079201.07.20213T81SNYNNNNNNA01.07.202101.07.20211242.65932.00Y01.07.2021Distal pancreatectomy with splenectomy, by open or minimally invasive approach (Anaes.) (Assist.)
3080001.07.20213T81SNYNNNNNNA01.07.202101.07.2021749.40562.05Y01.07.2021Splenectomy, by open or minimally invasive approach, other than a service to which item 30792 applies (Anaes.) (Assist.)
3081001.07.20213T81SNYNNNNNNA01.07.202101.07.20211193.70895.30Y01.07.2021Exploration of pancreas or duodenum for endocrine tumour, including associated imaging, either: (a) followed by local excision of tumour; or (b) when, after extensive exploration, no tumour is found (Anaes.) (Assist.)
3082001.07.20213T81SNYNNNNNNC01.07.202101.07.2021191.35143.55162.65Y01.07.2021Lymph node of neck, biopsy of, by open procedure, if the specimen excised is sent for pathological examination (Anaes.)
3100001.03.19923T81SNNNNNYNNC01.07.199501.07.2021604.45453.35519.75Y01.11.2018Mohs surgery of skin tumour located on the head, neck, genitalia, hand, digits, leg (below knee) or foot, utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—6 or fewer sections (Anaes.)
3100101.03.19923T81SNNNNNYNNC01.07.199501.07.2021755.45566.60670.75Y01.11.2018Mohs surgery of skin tumour located on the head, neck, genitalia, hand, digits, leg (below knee) or foot, utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—7 to 12 sections (inclusive) (Anaes.)
3100201.03.19923T81SNNNNNYNNC01.07.199501.07.2021906.65680.00821.95Y01.11.2018Mohs surgery of skin tumour located on the head, neck, genitalia, hand, digits, leg (below knee) or foot, utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—13 or more sections (Anaes.)
3100301.11.20183T81SNNNNNYNNC01.11.201801.07.2021604.45453.35519.75Y01.11.2018Mohs surgery 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, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—6 or fewer sections Not applicable to a service performed in association with a service to which item31000 applies (Anaes.)
3100401.11.20183T81SNNNNNYNNC01.11.201801.07.2021755.45566.60670.75Y01.11.2018Mohs surgery 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, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—7 to 12 sections (inclusive) Not applicable to a service performed in association with a service to which item31001 applies (Anaes.)
3100501.11.20183T81SNNNNNYNNC01.11.201801.07.2021906.65680.00821.95Y01.11.2018Mohs surgery 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, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—13 or more sections Not applicable to a service performed in association with a service to which item31002 applies (Anaes.)
3120601.11.20163T81SNNNNNYNNC01.11.201601.07.202199.3574.5584.45Y01.11.2016Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is not more than 10 mm in diameter; and (b) the removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination (Anaes.)
3121101.11.20163T81SNNNNNYNNC01.11.201601.07.2021128.1096.10108.90Y01.11.2016Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is more than 10 mm, but not more than 20 mm, in diameter; and (b) the removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination (Anaes.)
3121601.11.20163T81SNNNNNYNNC01.11.201601.07.2021149.40112.05127.00Y01.11.2016Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is more than 20 mm in diameter; and (b) the removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination (Anaes.)
3122001.05.19973T81SNNNNNYNNC01.05.199701.07.2021223.25167.45189.80Y01.11.2016Tumours (other than viral verrucae (common warts) and seborrheic keratoses), cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of 4 to 10 lesions and suture, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from cutaneous or subcutaneous tissue by surgical excision (other than by shave excision); and (c) all of the specimens excised are sent for histological examination (Anaes.)
3122101.11.20163T81SNNNNNYNNC01.11.201601.07.2021223.25167.45189.80Y01.11.2016Tumours, cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of 4 to 10 lesions, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) each site of excision is closed by suture; and (d) all of the specimens excised are sent for histological examination (Anaes.)
3122501.05.19973T81SNNNNNYNNC01.05.199701.07.2021396.75297.60337.25Y01.11.2016Tumours (other than viral verrucae (common warts) and seborrheic keratoses), cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of more than 10 lesions, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from cutaneous or subcutaneous tissue or mucous membrane by surgical excision (other than by shave excision); and (c) each site of excision is closed by suture; and (d) all of the specimens excised are sent for histological examination (Anaes.)
3124501.05.19973T81SNNNNNYNNC01.05.199701.07.2021383.90287.95326.35Y01.05.1997SKIN 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.)
3125001.05.19973T81SNNNNNYNNC01.05.199701.07.2021383.90287.95326.35Y01.05.2003GIANT 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.)
3134001.05.19973T81SDNNNNNNNA01.05.201701.11.199875% of the fee for excision of malignant tumourY01.11.2018Muscle, bone or cartilage, excision of one or more of, if clinically indicated, and if: (a) the specimen excised is sent for histological confirmation; and (b)a malignant tumour of skin covered by item 31000, 31001, 31002, 31003, 31004, 31005, 31356, 31358, 31359, 31361, 31363, 31365, 31367, 31369, 31371,31372, 31373, 31374, 31375 or 31376 is excised (Anaes.)
3134501.05.19973T81SNNNNNYNNC01.05.199701.07.2021219.50164.65186.60Y01.11.2005LIPOMA, 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.)
3134601.05.20033T81SNNNNNYNNC01.05.200301.07.2021219.50164.65186.60Y01.11.2018Liposuction (suction assisted lipolysis) to one regional area for contour problems of abdominal, upper arm or thigh fat because of repeated insulin injections, if: (a) the lesion is subcutaneous; and (b) the lesion is 50 mm or more in diameter; and (c) photographic and/or diagnostic imaging evidence demonstrating the need for this service is documented in the patient notes (Anaes.)
3135001.05.19973T81SNNYNYYNNC01.05.199701.07.2021450.90338.20383.30Y01.07.2021Benign tumour of soft tissue (other than tumours of skin, cartilage and bone, simple lipomas covered by item 31345 and lipomata), removal of, by surgical excision, on a patient 10 years of age or over, if the specimen excised is sent for histological confirmation of diagnosis, other than a service to which another item in this Group applies (Anaes.) (Assist.)
3135501.05.19973T81SNNNNNYNNC01.05.199701.07.2021743.45557.60658.75Y01.11.2005MALIGNANT TUMOURof 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.)
3135601.11.20163T81SNNNNNYNNC01.11.201601.07.2021230.30172.75195.80Y01.11.2016Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is less than 6 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.)
3135701.11.20163T81SNNNNNYNNC01.11.201601.07.2021114.1085.6097.00Y01.11.2016Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is less than 6 mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 (Anaes.)
3135801.11.20163T81SNNNNNYNNC01.11.201601.07.2021281.85211.40239.60Y01.11.2016Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.)
3135901.11.20163T81SNNNNNYNNA01.11.201601.07.2021343.55257.70Y01.11.2016Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia (the applicable site); and (b) the necessary excision area is at least one third of the surface area of the applicable site; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (H) (Anaes.)
3136001.11.20163T81SNNNNNYNNC01.11.201601.07.2021174.85131.15148.65Y01.11.2016Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination (Anaes.)
3136101.11.20163T81SNNNNNYNNC01.11.201601.07.2021194.30145.75165.20Y01.11.2016Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.)
3136201.11.20163T81SNNNNNYNNC01.11.201601.07.2021139.35104.55118.45Y01.11.2016Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 (Anaes.)
3136301.11.20163T81SNNNNNYNNC01.11.201601.07.2021254.15190.65216.05Y01.11.2016Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.)
3136401.11.20163T81SNNNNNYNNC01.11.201601.07.2021174.85131.15148.65Y01.11.2016Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination (Anaes.)
3136501.11.20163T81SNNNNNYNNC01.11.201601.07.2021164.70123.55140.00Y01.11.2016Malignant skin lesion (other than a malignant skin lesion covered by item 31369, 31370, 31371, 31372 or 31373), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.)
3136601.11.20163T81SNNNNNYNNC01.11.201601.07.202199.3574.5584.45Y01.11.2016Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31357, 31360, 31362 or 31364; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 (Anaes.)
3136701.11.20163T81SNNNNNYNNC01.11.201601.07.2021222.25166.70188.95Y01.11.2016Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.)
3136801.11.20163T81SNNNNNYNNC01.11.201601.07.2021130.6097.95111.05Y01.11.2016Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31357, 31360, 31362 or 31364; and (b) the necessary excision diameter is at least 15 mm but not more than 30mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 (Anaes.)
3136901.11.20163T81SNNNNNYNNC01.11.201601.07.2021255.90191.95217.55Y01.11.2016Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375 or 31376), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.)
3137001.11.20163T81SNNNNNYNNC01.11.201601.07.2021149.40112.05127.00Y01.11.2016Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31357, 31360, 31362 or 31364; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination (Anaes.)
3137101.11.20163T81SNNNNNYNNC01.11.201601.07.2021371.45278.60315.75Y01.11.2016Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.)
3137201.11.20163T81SNNNNNYNNC01.11.201601.07.2021321.20240.90273.05Y01.11.2016Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.)
3137301.11.20163T81SNNNNNYNNC01.11.201601.07.2021371.25278.45315.60Y01.11.2016Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.)
3137401.11.20163T81SNNNNNYNNC01.11.201601.07.2021293.30220.00249.35Y01.11.2016Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.)
3137501.11.20163T81SNNNNNYNNC01.11.201601.07.2021315.65236.75268.35Y01.11.2016Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.)
3137601.11.20163T81SNNNNNYNNC01.11.201601.07.2021365.85274.40311.00Y01.11.2016Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.)
3140001.07.19983T81SNNNNNYNNC01.07.199801.07.2021271.65203.75230.95Y01.11.2005MALIGNANT 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.)
3140301.07.19983T81SNNNNNYNNA01.11.200401.07.2021313.55235.20Y01.11.2005MALIGNANT 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.)
3140601.07.19983T81SNNNNNYNNC01.07.199801.07.2021522.50391.90444.15Y01.07.1998MALIGNANT 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.)
3140901.07.19983T81SNNNNNYNNA01.11.200401.07.20211623.401217.55Y01.07.1998PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
3141201.07.19983T81SNNNNNYNNA01.11.200401.07.20211999.651499.75Y01.07.1998RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
3142301.07.19983T81SNNYNYYNNC01.07.199801.07.2021418.05313.55355.35Y01.07.2021Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over (Anaes.) (Assist.)
3142601.07.19983T81SNNNNNYNNA01.11.200401.07.2021836.00627.00Y01.07.1998LYMPH 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.)
3142901.07.19983T81SNNNNNYNNA01.11.200401.07.20211302.85977.15Y01.07.1998LYMPH 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.)
3143201.07.19983T81SNNNNNYNNA01.11.200401.07.20211393.451045.10Y01.07.1998LYMPH NODES OF NECK, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections) (Anaes.) (Assist.)
3143501.07.19983T81SNNNNNYNNA01.11.200401.07.20211024.20768.15Y01.07.1998LYMPH NODES OF NECK, comprehensive dissection of all 5 lymph node levels on one side of the neck (Anaes.) (Assist.)
3143801.07.19983T81SNNNNNYNNA01.11.200401.07.20211623.401217.55Y01.07.1998LYMPH 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.)
3145401.11.20003T81SNNYNYYNNA01.11.200401.07.2021586.15439.65Y01.07.2021Laparoscopy or laparotomy with drainage of bile, as an independent procedure (H) (Anaes.) (Assist.)
3145601.11.20003T81SNNNNNYNNA01.11.200401.07.2021255.55191.70Y01.11.2000GASTROSCOPY 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.)
3145801.11.20003T81SNNNNNYNNA01.11.200401.07.2021306.60229.95Y01.11.2000GASTROSCOPY 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.)
3146001.11.20003T81SNNNNNYNNA01.11.200401.07.2021371.45278.60Y01.11.2000PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, including any associated imaging services (Anaes.) (Assist.)
3146201.11.20003T81SNNNNNYNNA01.11.200401.07.2021542.40406.80Y01.11.2000OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.)
3146601.11.20003T81SNNNNNYNNA01.11.200401.07.20211359.901019.95Y01.11.2000ANTIREFLUX 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.)
3146801.11.20003T81SNNYNYYNNA01.11.200401.07.20211494.051120.55Y01.07.2021Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication, other than a service associated with a service to which item 30756 or 31466 applies (Anaes.) (Assist.)
3147201.11.20003T81SNNYNYYNNA01.11.200401.07.20211399.801049.85Y01.07.2021Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y loop to provide biliary drainage or bypass, other than a service associated with a service to which item 30584 applies (Anaes.) (Assist.)
3150001.11.20023T81SNNNNNYNNC01.11.200201.07.2021270.55202.95230.00Y01.05.2003BREAST, 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.)
3150301.11.20023T81SNNNNNYNNC01.11.200201.07.2021360.80270.60306.70Y01.05.2003BREAST, BENIGN LESION more than 50mm in diameter, excision of (Anaes.) (Assist.)
3150601.11.20023T81SNNNNNYNNA01.11.200401.07.2021405.90304.45Y01.05.2003BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes.) (Assist.)
3150901.11.20023T81SNNNNNYNNC01.11.200201.07.2021360.80270.60306.70Y01.05.2003BREAST, MALIGNANT TUMOUR, open surgical biopsy of, with or without frozen section histology (Anaes.)
3151201.11.20023T81SNNNNNYNNA01.11.200401.07.2021676.50507.40Y01.05.2003BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology (Anaes.) (Assist.)
3151501.11.20023T81SNNNNNYNNA01.11.200401.07.2021453.85340.40Y01.05.2003BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour (Anaes.) (Assist.)
3151601.09.20153T81SNNNNNYNNA01.09.201501.07.2021902.10676.60Y01.03.2021BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology when targeted intraoperative radiation therapy(using an Intrabeam® or Xoft® Axxent® device) is performed concurrently, if the patient satisfies the requirements mentioned in paragraphs(a) to (g) of item15900 Applicable only once per breast per lifetime (H) (Anaes.) (Assist.)
3151901.07.20143T81SNNNNNYNNA01.07.201401.07.2021765.90574.45Y01.07.2014BREAST, total mastectomy (H) (Anaes.) (Assist.)
3152401.11.20023T81SNNNNNYNNA01.11.200401.07.20211082.40811.80Y01.07.2014BREAST, subcutaneous mastectomy (H) (Anaes.) (Assist.)
3152501.07.20143T81SNNNNNYNNA01.07.201401.07.2021541.05405.80Y01.07.2014BREAST, mastectomy for gynecomastia, with or without liposuction (suction assisted lipolysis), not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.)
3153001.11.20023T81SNNNNNYNNC01.11.200201.07.2021619.85464.90535.1501.05.2020Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, if imaging has demonstrated:(a) microcalcification of lesion; or(b) impalpable lesion less than one cm in diameter;including pre-operative localisation of lesion, if performed, other than a service associated with a service to which item 31548 applies
3153301.11.20023T81SNNNNNYNNC01.11.200201.07.2021143.50107.65122.00Y01.11.2002FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging (Anaes.)
3153601.11.20023T81SNNNNNYNNC01.11.200201.07.2021197.10147.85167.55Y01.05.2020Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques, but not including imaging (Anaes.) (Anaes.)
3154801.11.20023T81SNNNNNYNNC01.11.200201.07.2021208.10156.10176.90Y01.05.2020Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, other than a service associated with a service to which item 31530 applies (Anaes.) (Anaes.)
3155101.11.20023T81SNNNNNYNNA01.05.201601.07.2021225.50169.15Y01.11.2002BREAST, 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.)
3155401.11.20023T81SNNNNNYNNA01.11.200401.07.2021451.05338.30Y01.11.2002BREAST, microdochotomy of, for benign or malignant condition (Anaes.) (Assist.)
3155701.11.20023T81SNNNNNYNNC01.11.200201.07.2021360.80270.60306.70Y01.11.2002BREAST CENTRAL DUCTS, excision of, for benign condition (Anaes.) (Assist.)
3156001.11.20023T81SNNNNNYNPC01.11.200201.07.2021360.80270.60306.7001.11.201280.00Y01.11.2002ACCESSORY BREAST TISSUE, excision of (Anaes.) (Assist.)
3156301.11.20023T81SNNNNNYNNC01.11.200201.07.2021270.25202.70229.75Y01.11.2002INVERTED NIPPLE, surgical eversion of (Anaes.)
3156601.11.20023T81SNNNNNYNNC01.11.200201.07.2021135.25101.45115.00Y01.11.2002ACCESSORY NIPPLE, excision of (Anaes.)
3156901.07.20133T811SNNNNNYNNA01.07.201301.07.2021884.00663.00Y01.07.2013Adjustable gastric band, placement of, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
3157201.07.20133T811SNNNNNYNNA01.07.201301.07.20211087.80815.85Y01.07.2013Gastric bypass by Roux-en-Y including associated anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity not being associated with a service to which item 30515 applies (Anaes.) (Assist.)
3157501.07.20133T811SNNNNNYNNA01.07.201301.07.2021884.00663.00Y01.07.2013Sleeve gastrectomy, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
3157801.07.20133T811SNNNNNYNNA01.07.201301.07.2021884.00663.00Y01.07.2013Gastroplasty (excluding by gastric plication), with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
3158101.07.20133T811SNNNNNYNNA01.07.201301.07.20211087.80815.85Y01.07.2013Gastric bypass by biliopancreatic diversion with or without duodenal switch including gastric resection and anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
3158401.07.20133T811SNNYNYYNNA16.11.201701.07.20211601.501201.15Y01.07.2021Surgical reversal of previous bariatric procedure, including revision or conversion, if:a) the previous procedure involved any of the following:(i) placement of adjustable gastric banding;(ii) gastric bypass;(iii) sleeve gastrectomy;(iv) gastroplasty (excluding gastric plication);(v) biliopancreatic diversion; and(b) any of items 31569 to 31581 applied to the previous procedureother than a service associated with a service to which item 31585 applies (Anaes.) (Assist.)
3158501.07.20213T81SNYNNNNNNA01.07.202101.07.2021865.85649.40Y01.07.2021Removal of adjustable gastric band (Anaes.) (Assist.)
3158701.07.20133T811SNNNNNYNNC01.07.201301.07.2021101.9076.4586.6501.07.2013Adjustment of gastric band as an independent procedure including any associated consultation
3159001.07.20133T811SNNNNNYNNC01.07.201301.07.2021261.95196.50222.70Y01.07.2013Adjustment of gastric band reservoir, repair, revision or replacement of (Anaes.) (Assist.)
3200001.12.19913T82SNNNNNYNNA01.11.200401.07.20211073.10804.85Y01.12.1991LARGE INTESTINE, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (Anaes.) (Assist.)
3200301.12.19913T82SNNNNNYNNA01.11.200401.07.20211122.50841.90Y01.12.1991LARGE INTESTINE, resection of, with anastomosis, including right hemicolectomy (Anaes.) (Assist.)
3200401.11.19923T82SNNNNNYNNA01.11.200401.07.20211197.00897.75Y01.11.1993LARGE 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.)
3200501.11.19923T82SNNNNNYNNA01.11.200401.07.20211352.201014.15Y01.11.1993LARGE 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.)
3200601.12.19913T82SNNNNNYNNA01.11.200401.07.20211197.00897.75Y01.12.1991LEFT HEMICOLECTOMY, including the descending and sigmoid colon (including formation of stoma) (Anaes.) (Assist.)
3200901.12.19913T82SNNNNNYNNA01.11.200401.07.20211419.901064.95Y01.12.1991TOTAL COLECTOMY AND ILEOSTOMY (Anaes.) (Assist.)
3201201.12.19913T82SNNNNNYNNA01.11.200401.07.20211568.451176.35Y01.12.1991TOTAL COLECTOMY AND ILEORECTAL ANASTOMOSIS (Anaes.) (Assist.)
3201501.12.19913T82SNNNNNYNNA01.11.200401.07.20211927.601445.70Y01.12.1991TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOSTOMY1 surgeon (Anaes.) (Assist.)
3201801.12.19913T82SNNNNNYNNA01.11.200401.07.20211634.551225.95Y01.12.1991TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOSTOMY, COMBINED SYNCHRONOUS OPERATION; ABDOMINAL RESECTION (including aftercare) (Anaes.) (Assist.)
3202101.12.19913T82SNNNNNYNNA01.11.200401.07.2021586.15439.6501.12.1991TOTAL COLECTOMY WITH EXCISION OF RECTUM AND ILEOSTOMY, COMBINED SYNCHRONOUS OPERATION; PERINEAL RESECTION (Assist.)
3202301.03.20133T82SNNNNNYNNA01.03.201301.07.2021577.85433.40Y01.03.2013Endoscopic insertion of stent or stents for large bowel obstruction, stricture or stenosis, including colonoscopy and any image intensification, where the obstruction is due to: a) a pre-diagnosed colorectal cancer, or cancer of an organ adjacent to the bowel; or b) an unknown diagnosis (Anaes.)
3202401.12.19913T82SNNNNNYNNA01.11.200401.07.20211419.901064.95Y01.05.2004RECTUM, HIGH RESTORATIVE ANTERIOR RESECTION WITH INTRAPERITONEAL ANASTOMOSIS (of the rectum) greater than 10 centimetres from the anal vergeexcluding resection of sigmoid colon alone not being a service associated with a service to which item 32103, 32104 or 32106 applies (Anaes.) (Assist.)
3202501.05.19943T82SNNNNNYNNA01.11.200401.07.20211899.251424.45Y01.05.2004RECTUM, 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.)
3202601.05.19943T82SNNNNNYNNA01.11.200401.07.20212045.301534.00Y01.05.1994RECTUM, 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.)
3202801.05.19943T82SNNNNNYNNA01.11.200401.07.20212191.551643.70Y01.05.1994RECTUM, LOW OR ULTRA LOW RESTORATIVE RESECTION, with peranal sutured coloanal anastomosis, with or without covering stoma (Anaes.) (Assist.)
3202901.05.19943T82SNNNNNYNNA01.11.200401.07.2021438.25328.70Y01.05.1994COLONIC RESERVOIR, construction of, being a service associated with a service to which any other item in this Subgroup applies (Anaes.) (Assist.)
3203001.12.19913T82SNNNNNYNNA01.11.200401.07.20211073.10804.85Y01.12.1991RECTOSIGMOIDECTOMY(Hartmann's operation) (Anaes.) (Assist.)
3203301.12.19913T82SNNNNNYNNA01.11.200401.07.20211568.451176.35Y01.11.1992RESTORATION OF BOWEL following Hartmann's or similar operation, including dismantling of the stoma (Anaes.) (Assist.)
3203601.12.19913T82SNNNNNYNNA01.11.200401.07.20211989.301492.00Y01.12.1991SACROCOCCYGEAL AND PRESACRAL TUMOURexcision of (Anaes.) (Assist.)
3203901.12.19913T82SNNNNNYNNA01.11.200401.07.20211597.251197.95Y01.12.1991RECTUM AND ANUS, ABDOMINOPERINEAL RESECTION OF1 surgeon (Anaes.) (Assist.)
3204201.12.19913T82SNNNNNYNNA01.11.200401.07.20211345.551009.20Y01.12.1991RECTUM AND ANUS, ABDOMINOPERINEAL RESECTION OF, COMBINED SYNCHRONOUS OPERATIONabdominal resection (Anaes.) (Assist.)
3204501.12.19913T82SNNNNNYNNA01.11.200501.07.2021503.60377.7001.12.1991RECTUM AND ANUS, ABDOMINOPERINEAL RESECTION OF, COMBINED SYNCHRONOUS OPERATIONperineal resection (Assist.)
3204601.11.19923T82SNNNNNYNNA01.11.200401.07.2021778.20583.6501.11.1992RECTUM and ANUS, abdomino-perineal resection of, combined synchronous operation - perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon (Assist.)
3204701.11.19923T82SNNNNNYNNA01.11.200501.07.2021906.65680.00Y01.11.1992PERINEAL PROCTECTOMY (Anaes.) (Assist.)
3205101.12.19913T82SNNNNNYNNA01.11.200401.07.20212410.451807.85Y01.12.1991TOTAL COLECTOMY with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy1 surgeon (Anaes.) (Assist.)
3205401.12.19913T82SNNNNNYNNA01.11.200401.07.20212212.351659.30Y01.12.1991TOTAL COLECTOMY with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomyconjoint surgery, abdominal surgeon (including aftercare) (Anaes.) (Assist.)
3205701.12.19913T82SNNNNNYNNA01.11.200501.07.2021586.15439.6501.12.1991TOTAL COLECTOMY with excision of rectum and ileoanal anastomosis with formation of ileal reservoirconjoint surgery, perineal surgeon (Assist.)
3206001.12.19913T82SNNNNNYNNA01.11.200401.07.20212410.451807.85Y01.12.1991ILEOSTOMY CLOSURE with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy1 surgeon (Anaes.) (Assist.)
3206301.12.19913T82SNNNNNYNNA01.11.200401.07.20212212.351659.30Y01.12.1991ILEOSTOMY CLOSURE with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomyconjoint surgery, abdominal surgeon (including aftercare) (Anaes.) (Assist.)
3206601.12.19913T82SNNNNNYNNA01.11.200401.07.2021586.15439.6501.12.1991ILEOSTOMY CLOSURE with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomyconjoint surgery, perineal surgeon (Assist.)
3206901.12.19913T82SNNNNNYNNA01.11.200501.07.20211783.051337.30Y01.12.1991ILEOSTOMY RESERVOIR, continent type, creation of, including conversion of existing ileostomy where appropriate (Anaes.)
3207201.12.19913T82SNNNNNYNNC01.12.199101.07.202149.8037.3542.3501.12.1991SIGMOIDOSCOPIC EXAMINATION (with rigid sigmoidoscope), with or without biopsy
3207501.12.19913T82SNNNNNYNNC01.12.199101.07.202178.1058.6066.40Y01.12.1991SIGMOIDOSCOPIC 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.)
3208401.12.19913T82SNNNNNYNNC01.12.199101.07.2021115.9086.9598.55Y01.05.2020Sigmoidoscopy or colonoscopy up to the hepatic flexure, with or without biopsy,other thana service associated with a service to whichany of items 32222 to 32228applies. (Anaes.)
3208701.12.19913T82SNNNNNYNNC01.12.199101.07.2021213.00159.75181.05Y01.05.2020Endoscopic examination of the colon up to the hepatic flexure by sigmoidoscopy or colonoscopy for the removal of one or more polyps, other than a service associated with a service to which any of items 32222 to 32228 applies (Anaes.) (Anaes.)
3209401.11.19923T82SNNNNNYNNA01.11.200501.07.2021574.20430.65Y01.11.1992ENDOSCOPIC DILATATION OF COLORECTAL STRICTURES including colonoscopy (Anaes.)
3209501.11.19923T82SNNNNNYNNC31.10.199201.07.2021133.0099.75113.05Y01.11.1992ENDOSCOPIC EXAMINATION of SMALL BOWEL with flexible endoscope passed by stoma, with or without biopsies (Anaes.)
3209601.12.19913T82SNNNNNYNNA01.09.201501.07.2021267.35200.55Y01.12.1991RECTAL BIOPSY, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital (Anaes.) (Assist.)
3209901.12.19913T82SNNNNNYNNA01.11.200401.07.2021346.75260.10Y01.11.1992RECTAL TUMOUR of 5 centimetres or less in diameter, per anal submucosal excision of (Anaes.) (Assist.)
3210201.12.19913T82SNNNNNYNNA01.11.200401.07.2021660.40495.30Y01.11.1992RECTAL TUMOUR of greater than 5 centimetres in diameter, indicated by pathological examination, per anal submucosal excision of (Anaes.) (Assist.)
3210301.05.20043T82SNNNNNYNNA01.11.200501.07.2021803.55602.70Y01.11.2012RECTAL 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.)
3210401.05.20043T82SNNNNNYNNA01.11.200501.07.20211040.20780.15Y01.11.2012RECTAL 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.)
3210501.12.19913T82SNNNNNYNNC01.12.199101.07.2021503.60377.70428.10Y01.12.1991ANORECTAL CARCINOMAper anal full thickness excision of (Anaes.) (Assist.)
3210601.05.20043T82SNNNNNYNNC01.05.200401.07.20211419.901064.951335.20Y01.11.2012ANTEROLATERAL 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.)
3210801.12.19913T82SNNNNNYNNA01.11.200401.07.20211040.20780.15Y01.12.1991RECTAL TUMOUR, transsphincteric excision of (Kraske or similar operation) (Anaes.) (Assist.)
3211101.12.19913T82SNNNNNYNNA01.11.200401.07.2021660.40495.30Y01.12.1991RECTAL PROLAPSEDelorme procedure for (Anaes.) (Assist.)
3211201.05.19943T82SNNNNNYNNA01.11.200401.07.2021803.55602.70Y01.05.1994RECTAL PROLAPSE, perineal recto-sigmoidectomy for (Anaes.) (Assist.)
3211401.12.19913T82SNNNNNYNNC01.12.199101.07.2021181.50136.15154.30Y01.12.1991RECTAL STRICTURE, per anal release of (Anaes.)
3211501.05.19973T82SNNNNNYNNA01.11.200501.07.2021132.0599.05Y01.05.1997RECTAL STRICTURE, dilatation of (Anaes.)
3211701.12.19913T82SNNNNNYNNA01.11.200401.07.20211040.20780.15Y01.05.1994RECTAL PROLAPSE, abdominal rectopexy of (Anaes.) (Assist.)
3212001.12.19913T82SNNNNNYNNA01.11.200501.07.2021267.35200.55Y01.12.1991RECTAL PROLAPSE, perineal repair of (Anaes.) (Assist.)
3212301.12.19913T82SNNNNNYNNC01.12.199101.07.2021346.75260.10294.75Y01.12.1991ANAL STRICTURE, anoplasty for (Anaes.) (Assist.)
3212601.12.19913T82SNNNNNYNNA01.11.200401.07.2021503.60377.70Y01.12.1991ANAL INCONTINENCE, Parks' intersphincteric procedure for (Anaes.) (Assist.)
3212901.12.19913T82SNNNNNYNNA01.11.200401.07.2021660.40495.30Y01.12.1991ANAL SPHINCTER, direct repair of (Anaes.) (Assist.)
3213101.05.19943T82SNNNNNYNNA01.11.200401.07.2021555.25416.45Y01.05.2001RECTOCELE, transanal repair of rectocele (Anaes.) (Assist.)
3213201.12.19913T82SNNNNNYNNC01.12.199101.07.202146.9035.2039.90Y01.12.1991HAEMORRHOIDS OR RECTAL PROLAPSEsclerotherapy for (Anaes.)
3213501.12.19913T82SNNNNNYNNC01.12.199101.07.202170.3052.7559.80Y01.11.2003HAEMORRHOIDS OR RECTAL PROLAPSErubber band ligation of, with or without sclerotherapy, cryotherapy or infra red therapy for (Anaes.)
3213801.12.19913T82SNNNNNYNNC01.12.199101.07.2021382.65287.00325.30Y01.07.1995HAEMORRHOIDECTOMY including excision of anal skin tags when performed (Anaes.)
3213901.05.19973T82SNNNNNYNNA01.11.200401.07.2021382.65287.00Y01.05.1997HAEMORRHOIDECTOMY involving third or fourth degree haemorrhoids, including excision of anal skin tags when performed (Anaes.) (Assist.)
3214201.11.19923T82SNNNNNYNNC31.10.199201.07.202170.3052.7559.80Y01.11.1992ANAL SKIN TAGS or ANAL POLYPS, excision of 1 or more of (Anaes.)
3214501.11.19923T82SNNNNNYNNA01.05.201601.07.2021140.50105.40Y01.11.1992ANAL SKIN TAGS or ANAL POLYPS, excision of 1 or more of, undertaken in the operating theatre of a hospital (Anaes.)
3214701.12.19913T82SNNNNNYNNC01.12.199101.07.202146.9035.2039.90Y01.12.1991PERIANAL THROMBOSIS, incision of (Anaes.)
3215001.12.19913T82SNNNNNYNNC01.12.199101.07.2021267.35200.55227.25Y01.12.1991OPERATION FOR FISSUREINANO, including excision or sphincterotomy, but excluding dilatation only (Anaes.) (Assist.)
3215301.12.19913T82SNNNNNYNNA01.11.200501.07.202172.9054.70Y01.12.1991ANUS, 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.)
3215601.12.19913T82SNNNNNYNNC01.12.199101.07.2021137.05102.80116.50Y01.12.1991FISTULA-IN-ANO, SUBCUTANEOUS, excision of (Anaes.)
3215901.12.19913T82SNNNNNYNNA01.11.200401.07.2021346.75260.10Y01.05.2004ANAL 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.)
3216201.12.19913T82SNNNNNYNNA01.11.200401.07.2021503.60377.70Y01.05.2004ANAL 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.)
3216501.12.19913T82SNNNNNYNNC01.12.199101.07.2021660.40495.30575.70Y01.12.1991ANAL FISTULA, repair of, by mucosal flap advancement (Anaes.) (Assist.)
3216601.11.19923T82SNNNNNYNNC31.10.199201.07.2021214.55160.95182.40Y01.11.1992ANAL FISTULA - readjustment of Seton (Anaes.)
3216801.12.19913T82SNNNNNYNNA01.11.200401.07.2021137.05102.80Y01.05.1994FISTULA WOUND, review of, under general or regional anaesthetic, as an independent procedure (Anaes.)
3217101.12.19913T82SNNNNNYNNA01.11.200401.07.202192.3569.30Y01.12.1991ANORECTAL 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.)
3217401.12.19913T82SNNNNNYNNC01.12.199101.07.202192.3569.3078.50Y01.12.1991INTR-AANAL, perianal or ischiorectal abscess, drainage of (excluding aftercare) (Anaes.)
3217501.11.19923T82SNNNNNYNNA01.11.200401.07.2021169.25126.95Y01.11.1992INTRA-ANAL, PERIANAL or ISCHIO-RECTAL ABSCESS, draining of, undertaken in the operating theatre of a hospital (excluding aftercare) (Anaes.)
3217701.12.19913T82SNNNNNYNNA01.11.200401.07.2021181.30136.00Y01.04.1992ANAL 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.)
3218001.12.19913T82SNNNNNYNNA01.11.200401.07.2021267.35200.55Y01.04.1992ANAL 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.)
3218301.12.19913T82SNNNNNYNNA01.11.200401.07.2021584.40438.30Y01.12.1991INTESTINAL SLING PROCEDURE prior to radiotherapy (Anaes.) (Assist.)
3218601.12.19913T82SNNNNNYNNA01.11.200401.07.2021584.40438.30Y01.12.1991COLONIC LAVAGE, total, intra operative (Anaes.) (Assist.)
3220001.05.19973T82SNNNNNYNNC01.05.199701.07.2021307.70230.80261.55Y01.05.1997DISTAL MUSCLE, devascularisation of (Anaes.) (Assist.)
3220301.05.19973T82SNNNNNYNNA01.11.200401.07.2021660.75495.60Y01.05.1997ANAL OR PERINEAL GRACILOPLASTY (Anaes.) (Assist.)
3220601.05.19973T82SNNNNNYNNA01.11.200401.07.2021596.95447.75Y01.05.1997STIMULATOR AND ELECTRODES, insertion of, following previous graciloplasty (Anaes.) (Assist.)
3220901.05.19973T82SNNNNNYNNA01.11.200401.07.2021959.30719.50Y01.05.1997ANAL OR PERINEAL GRACILOPLASTY with insertion of stimulator and electrodes (Anaes.) (Assist.)
3221019.06.19973T82SNNNNNYNNC01.11.199701.07.2021265.80199.35225.95Y01.11.1997GRACILIS NEOSPHINCTER PACEMAKER, replacement of (Anaes.)
3221201.05.19973T82SNNNNNYNNA01.05.201601.07.2021141.80106.35Y01.05.1997ANO-RECTAL APPLICATION OF FORMALIN in the treatment of radiation proctitis, where performed in the operating theatre of a hospital, excluding aftercare (Anaes.)
3221301.11.20053T82SNNNNNYNNA01.11.200501.07.2021687.75515.85Y01.05.2017Sacral nerve lead or leads, percutaneous placement using fluoroscopic guidance (or open placement) and intraoperative test stimulation, to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months (Anaes.)
3221401.11.20053T82SNNNNNYNNA01.11.200501.07.2021347.55260.70Y01.05.2017Neurostimulator or receiver, subcutaneous placement of, involving placement and connection of an extension wire to a sacral nerve electrode using fluoroscopic guidance, to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months (Anaes.) (Assist.)
3221501.11.20053T82SNNNNNYNNC01.11.200501.07.2021130.4597.85110.9001.05.2017Sacral nerve electrode or electrodes, management, adjustment and electronic programming of the neurostimulator by a medical practitioner, to manage faecal incontinence, other than in a patient who: a) is medically unfit for surgery; or b) is pregnant or planning pregnancy; or c) has irritable bowel syndrome; or d) has congenital anorectal malformations; or e) has active anal abscesses or fistulas; or f) has anorectal organic bowel disease, including cancer; or g) has functional effects of previous pelvic irradiation; or h) has congenital or acquired malformations of the sacrum; or i) has had rectal or anal surgery within the previous 12 months –each day
3221601.11.20053T82SNNNNNYNNA01.11.200501.07.2021617.60463.20Y01.05.2017Sacral nerve lead or leads, percutaneous surgical repositioning of, using fluoroscopic guidance (or open surgical repositioning of) and interoperative test stimulation, to correct displacement or unsatisfactory positioning, if the lead was inserted to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months other than a service to which item 32213 applies (Anaes.)
3221701.11.20053T82SNNNNNYNNA01.11.200501.07.2021162.65122.00Y01.05.2017Neurostimulator or receiver, removal of, if the neurostimulator or receiver was inserted to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months (Anaes.)
3221801.11.20053T82SNNNNNYNNA01.11.200501.07.2021162.65122.00Y01.05.2017Sacral nerve lead or leads, removal of, if the lead was inserted to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non‑surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months (Anaes.)
3222001.03.20093T82SNNNNNYNNC01.03.200901.07.2021940.55705.45855.85Y01.01.2015Insertion 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.Contraindicated in: (a)patients with inflammatory bowel disease, pelvic sepsis, pregnancy, progressive degenerative diseases or a scarred or fragile perineum; and (b)patients who have had an adverse reaction or radiopaque solution; and (c)patients who enage in receptive anal intercourse (Anaes.) (Assist.)
3222101.03.20093T82SNNNNNYNNC01.03.200901.07.2021940.55705.45855.85Y01.01.2015Removal 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.Contraindicated in: (a)patients with inflammatory bowel disease, pelvic sepsis, pregnancy, progressive degenerative diseases or a scarred or fragile perineum; and (b)patients who have had an adverse reaction to radiopaque solution; and (c)patients who engage in receptive anal intercourse (Anaes.) (Assist.)
3222201.11.20193T82SNNNNNYNNC01.11.201901.07.2021347.90260.95295.75Y01.11.2019Endoscopic examination of the colon to the caecum by colonoscopy, for a patient: (a) following a positive faecal occult blood test; or (b) who has symptoms consistent with pathology of the colonic mucosa; or (c) with anaemia or iron deficiency; or (d) for whom diagnostic imaging has shown an abnormality of the colon; or (e) who is undergoing the first examination following surgery for colorectal cancer; or (f) who is undergoing pre‑operative evaluation; or (g) for whom a repeat colonoscopy is required due to inadequate bowel preparation for the patient’s previous colonoscopy; or (h) for the management of inflammatory bowel disease Applicable only once on a day under a single episode of anaesthesia or other sedation (Anaes.)
3222301.11.20193T82SNNNNNYNNC01.11.201901.07.2021347.90260.95295.7501.03.2021Endoscopic examination of the colon to the caecum by colonoscopy, for a patient: (a) who has had a colonoscopy that revealed: (i) 1 to 4 adenomas, each of which was less than 10 mm in diameter, had no villous features and had no high grade dysplasia; or (ii) 1 or 2 sessile serrated lesions, each of which was less than 10 mm in diameter, and without dysplasia; or (b) with a moderate risk of colorectal cancer due to family history; or (c) with a history of colorectal cancer, who has had an initial post‑operative colonoscopy that did not reveal any adenomas or colorectal cancer Applicable only once in any 5 year period.
3222401.11.20193T82SNNNNNYNNC01.11.201901.07.2021347.90260.95295.7501.03.2021Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a moderate risk of colorectal cancer due to: (a) a history of adenomas, including an adenoma that: (i) was 10 mm or greater in diameter; or (ii) had villous features; or (iii) had high grade dysplasia; or (b) having had a previous colonoscopy that revealed: (i) 5 to 9 adenomas, each of which was less than 10 mm in diameter, had no villous features and had no high grade dysplasia; or (ii) 1 or 2 sessile serrated lesions, each of which was 10 mm or greater in diameter or had dysplasia; or (iii) a hyperplastic polyp that was 10 mm or greater in diameter; or (iv) 3 or more sessile serrated lesions, each of which was less than 10 mm in diameter and had no dysplasia; or (v) 1 or 2 traditional serrated adenomas, of any size Applicable only once in any 3 year period (Anaes.)
3222501.11.20193T82SNNNNNYNNC01.11.201901.07.2021347.90260.95295.75Y01.11.2019Endoscopic examination of the colon to the caecum by colonoscopy, for a patient with a high risk of colorectal cancer due to having had a previous colonoscopy that: (a) revealed 10 or more adenomas; or (b) included a piecemeal, or possibly incomplete, excision of a large, sessile polyp Applicable not more than 4 times in any 12 month period (Anaes.)
3222601.11.20193T82SNNNNNYNNC01.11.201901.07.2021347.90260.95295.7501.03.2021Endoscopic examination of the colon to the caecum by colonoscopy, for a patient who has a high risk of colorectal cancer due to: (a) having either: (i) a known or suspected familial condition, such as familial adenomatous polyposis, Lynch syndrome or serrated polyposis syndrome; or (ii) a genetic mutation associated with hereditary colorectal cancer; or (b) having had a previous colonoscopy that revealed: (i) 5 or more sessile serrated lesions, each of which was less than 10 mm in diameter and had no dysplasia; or (ii) 3 or more sessile serrated lesions, 1 or more of which was 10 mm or greater in diameter or had dysplasia; or (iii) 3 or more traditional serrated adenomas, of any size Applicable only once in any 12 month period (Anaes.)
3222701.11.20193T82SNNNNNYNNC01.11.201901.07.2021488.20366.15415.00Y01.11.2019Endoscopic examination of the colon to the caecum by colonoscopy: (a) for the treatment of bleeding, including one or more of the following: (i) radiation proctitis; (ii) angioectasia; (iii) post‑polypectomy bleeding; or (b) for the treatment of colonic strictures with balloon dilatation Applicable only once on a day under a single episode of anaesthesia or other sedation (Anaes.)
3222801.11.20193T82SNNNNNYNNC01.11.201901.07.2021347.90260.95295.75Y01.11.2019Endoscopic examination of the colon to the caecum by colonoscopy, other that a service to which item 32222, 32223, 32224, 32225, or 32226 applies. Applicable only once (Anaes.)
3222901.11.20193T82SNNNNNYNNC01.11.201901.07.2021280.60210.45238.55Y01.11.2019Removal of one or more polyps during colonoscopy, in association with a service to which item 32222, 32223, 32224, 32225, 32226, or 32228 applies (Anaes.)
3250001.12.19913T831SNNNNNYNPC01.12.199101.07.2021114.2085.6597.1001.01.2013110.00Y01.05.2003VARICOSE 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.)
3250401.11.19943T831SNNNNNYNPC01.11.199401.07.2021278.55208.95236.8001.11.201280.00Y01.11.2002VARICOSE 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.)
3250701.07.19983T831SNNNNNYNPC01.07.199801.07.2021555.25416.45472.0001.11.201280.00Y01.11.2002VARICOSE 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.)
3250801.11.19943T831SNNNNNYNNA01.11.200401.07.2021555.25416.45Y01.11.2002VARICOSE 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.)
3251101.11.19943T831SNNNNNYNNA01.11.200401.07.2021825.45619.10Y01.11.2002VARICOSE 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.)
3251401.11.19943T831SNNNNNYNNA01.11.200401.07.2021964.35723.30Y01.11.2002VARICOSE 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.)
3251701.11.19943T831SNNNNNYNNA01.11.200401.07.20211241.80931.35Y01.11.2002VARICOSE 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.)
3252001.11.20113T831SNNNNNYNPC01.11.201101.07.2021555.25416.45472.0001.01.201315.00Y01.11.2018Varicose 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, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate embolisation; and (c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507 (Anaes.)
3252201.11.20113T831SNNNNNYNPC01.11.201101.07.2021825.45619.10740.7501.01.201310.00Y01.11.2018Varicose 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, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or cyanoacrylate embolisation, and not provided on the same occasion as a service described in any of items 32500, 32504 and 32507 (Anaes.)
3252301.05.20133T831SNNNNNYNPC01.05.201301.07.2021555.25416.45472.0001.05.201315.00Y01.11.2018Varicose 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 radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including endovenous laser therapy or cyanoacrylate embolisation; and (c) not provided on the same occasion as a service described in any of items 32500, 32504and 32507 (Anaes.)
3252601.05.20133T831SNNNNNYNPC01.05.201301.07.2021825.45619.10740.7501.05.201310.00Y01.11.2018Varicose 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 radiofrequency catheter introduced by an endovenous catheter, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including endovenous laser therapy or cyanoacrylate embolisation; and (c) not provided on the same occasion as a service described in any of items 32500, 32504 and 32507 (Anaes.)
3252801.05.20183T831SNNNNNYNPC01.05.201801.07.2021555.25416.45472.0001.01.201915.00Y01.11.2018Varicose 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 cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great or small saphenous vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; and (c) not provided on the same occasion as a service described in any of items32500, 32504 and 32507 (Anaes.)
3252901.05.20183T831SNNNNNYNPC01.05.201801.07.2021825.45619.10740.7501.01.201910.00Y01.11.2018Varicose 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 cyanoacrylate adhesive, if it is documented by duplex ultrasound that the great and small saphenous veins demonstrate reflux of 0.5 seconds or longer: (a) including all preparation and immediate clinical aftercare (including excision or injection of either tributaries or incompetent perforating veins, or both); and (b) not including radiofrequency diathermy, radiofrequency ablation or endovenous laser therapy; and (c) not provided on the same occasion as a service described in any of items32500, 32504 and 32507 (Anaes.)
3270001.12.19913T832SNNNNNYNNA01.11.200401.07.20211494.551120.95Y01.12.1991ARTERY OF NECK, bypass using vein or synthetic material (Anaes.) (Assist.)
3270301.12.19913T832SNNNNNYNNA01.11.200401.07.20211236.35927.30Y01.12.1991INTERNAL CAROTID ARTERY, transection and reanastomosis of, or resection of small length and reanastomosis of - with or without endarterectomy (Anaes.) (Assist.)
3270801.07.19963T832SNNNNNYNNA01.11.200401.07.20211478.951109.25Y01.07.1996AORTIC BYPASS for occlusive disease using a straight non-bifurcated graft (Anaes.) (Assist.)
3271001.07.19963T832SNNNNNYNNA01.11.200401.07.20211643.251232.45Y01.07.1996AORTIC BYPASS for occlusive disease using a bifurcated graft with 1 or both anastomoses to the iliac arteries (Anaes.) (Assist.)
3271101.07.19963T832SNNNNNYNNA01.11.200401.07.20211807.651355.75Y01.07.1996AORTIC BYPASS for occlusive disease using a bifurcated graft with 1 or both anastomoses to the common femoral or profunda femoris arteries (Anaes.) (Assist.)
3271201.12.19913T832SNNNNNYNNA01.11.200401.07.20211306.70980.05Y01.12.1991ILIO-FEMORAL BYPASS GRAFTING (Anaes.) (Assist.)
3271501.12.19913T832SNNNNNYNNA01.11.200401.07.20211306.70980.05Y01.12.1991AXILLARY or SUBCLAVIAN TO FEMORAL BYPASS GRAFTING to 1 or both FEMORAL ARTERIES (Anaes.) (Assist.)
3271801.12.19913T832SNNNNNYNNA01.11.200401.07.20211236.35927.30Y01.12.1991FEMORO-FEMORAL OR ILIO-FEMORAL CROSS-OVER BYPASS GRAFTING (Anaes.) (Assist.)
3272101.12.19913T832SNNNNNYNNA01.11.200401.07.20211963.801472.85Y01.12.1991RENAL ARTERY, bypass grafting to (Anaes.) (Assist.)
3272401.12.19913T832SNNNNNYNNA01.11.200401.07.20212229.951672.50Y01.12.1991RENAL ARTERIES (both), bypass grafting to (Anaes.) (Assist.)
3273001.12.19913T832SNNNNNYNNA01.11.200401.07.20211690.151267.65Y01.12.1991MESENTERIC VESSEL (single), bypass grafting to (Anaes.) (Assist.)
3273301.12.19913T832SNNNNNYNNA01.11.200401.07.20211963.801472.85Y01.12.1991MESENTERIC VESSELS (multiple), bypass grafting to (Anaes.) (Assist.)
3273601.12.19913T832SNNNNNYNNA01.11.200401.07.2021430.30322.75Y01.12.1991INFERIOR MESENTERIC ARTERY, operation on, when performed in conjunction with another intra-abdominal vascular operation (Anaes.) (Assist.)
3273901.12.19913T832SNNNNNYNNA01.11.200401.07.20211345.801009.35Y01.12.1991FEMORAL ARTERY BYPASS GRAFTING using vein, including harvesting of vein (when it is the ipsilateral long saphenous vein) with above knee anastomosis (Anaes.) (Assist.)
3274201.12.19913T832SNNNNNYNNA01.11.200401.07.20211541.551156.20Y01.12.1991FEMORAL 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.)
3274501.12.19913T832SNNNNNYNNA01.11.200401.07.20211760.501320.40Y01.12.1991FEMORAL 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.)
3274801.12.19913T832SNNNNNYNNA01.11.200401.07.20211909.151431.90Y01.12.1991FEMORAL 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.)
3275101.12.19913T832SNNNNNYNNA01.11.200401.07.20211236.35927.30Y01.12.1991FEMORAL ARTERY BYPASS GRAFTING using synthetic graft, with lower anastomosis above or below the knee (Anaes.) (Assist.)
3275401.12.19913T832SNNNNNYNNA01.11.200401.07.20211541.551156.20Y01.12.1991FEMORAL 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.)
3275701.12.19913T832SNNNNNYNNA01.11.200401.07.2021430.30322.75Y01.12.1991FEMORAL 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.)
3276001.12.19913T832SNNNNNYNNA01.11.200401.07.2021422.50316.90Y01.07.1993VEIN, 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.)
3276301.12.19913T832SNNNNNYNNA01.11.200401.07.20211236.35927.30Y01.12.1991ARTERIAL BYPASS GRAFTING, using vein or synthetic material, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
3276601.12.19913T832SNNNNNYNNA01.11.200401.07.2021821.70616.30Y01.12.1991ARTERIAL OR VENOUS ANASTOMOSIS, not being a service to which another item in this Sub-group applies, as an independent procedure (Anaes.) (Assist.)
3276901.12.19913T832SNNNNNYNNA01.11.200401.07.2021284.75213.60Y01.12.1991ARTERIAL 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.)
3305001.07.19963T833SNNNNNYNNA01.11.200401.07.20211514.301135.75Y01.07.1996BYPASS GRAFTING to replace a popliteal aneurysm using vein, including harvesting vein (when it is the ipsilateral long saphenous vein) (Anaes.) (Assist.)
3305501.07.19963T833SNNNNNYNNA01.11.200401.07.20211214.35910.80Y01.07.1996BYPASS GRAFTING to replace a popliteal aneurysm using a synthetic graft (Anaes.) (Assist.)
3307001.07.19963T833SNNNNNYNNC01.07.199601.07.2021876.10657.10791.40Y01.07.1996ANEURYSM IN THE EXTREMITIES, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
3307501.07.19963T833SNNNNNYNNA01.11.200401.07.20211114.45835.85Y01.07.1996ANEURYSM IN THE NECK, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
3308001.07.19963T833SNNNNNYNNA01.11.200401.07.20211360.451020.35Y01.07.1996INTRA-ABDOMINAL OR PELVIC ANEURYSM, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
3310001.12.19913T833SNNNNNYNNC01.12.199101.07.20211494.551120.951409.85Y01.12.1991ANEURYSM OF COMMON OR INTERNAL CAROTID ARTERY, OR BOTH, replacement by graft of vein or synthetic material (Anaes.) (Assist.)
3310301.12.19913T833SNNNNNYNNA01.11.200401.07.20212096.951572.75Y01.12.1991THORACIC ANEURYSM, replacement by graft (Anaes.) (Assist.)
3310901.12.19913T833SNNNNNYNNC01.12.199101.07.20212535.251901.452450.55Y01.12.1991THORACO-ABDOMINAL ANEURYSM, replacement by graft including re-implantation of arteries (Anaes.) (Assist.)
3311201.12.19913T833SNNNNNYNNA01.11.200401.07.20212198.701649.05Y01.12.1991SUPRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by graft including re-implantation of arteries (Anaes.) (Assist.)
3311501.12.19913T833SNNNNNYNNA01.11.200401.07.20211478.951109.25Y01.11.1999INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft, not being a service associated with a service to which item 33116 applies (Anaes.) (Assist.)
3311601.11.19993T833SNNNNNYNNC01.11.199901.07.20211455.701091.801371.00Y01.11.2007INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft using endovascular repair procedure, excluding associated radiological services (Anaes.) (Assist.)
3311801.12.19913T833SNNNNNYNNA01.11.200401.07.20211643.251232.45Y01.11.1999INFRARENAL 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.)
3311901.11.19993T833SNNNNNYNNC01.11.199901.07.20211617.551213.201532.85Y01.11.2007INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to one or both iliac arteries using endovascular repair procedure, excluding associated radiological services (Anaes.) (Assist.)
3312101.12.19913T833SNNNNNYNNA01.11.200401.07.20211807.651355.75Y01.12.1991INFRARENAL 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.)
3312401.12.19913T833SNNNNNYNNA01.11.200401.07.20211259.85944.90Y01.12.1991ANEURYSM OF ILIAC ARTERY (common, external or internal), replacement by graft - unilateral (Anaes.) (Assist.)
3312701.12.19913T833SNNNNNYNNC01.12.199101.07.20211651.101238.351566.40Y01.12.1991ANEURYSMS OF ILIAC ARTERIES (common, external or internal), replacement by graft - bilateral (Anaes.) (Assist.)
3313001.12.19913T833SNNNNNYNNA01.11.200401.07.20211439.751079.85Y01.12.1991ANEURYSM OF VISCERAL ARTERY, excision and repair by direct anastomosis or replacement by graft (Anaes.) (Assist.)
3313301.12.19913T833SNNNNNYNNA01.11.200401.07.20211079.70809.80Y01.12.1991ANEURYSM OF VISCERAL ARTERY, dissection and ligation of arteries without restoration of continuity (Anaes.) (Assist.)
3313601.12.19913T833SNNNNNYNNA01.11.200401.07.20212722.802042.10Y01.12.1991FALSE ANEURYSM, repair of, at aortic anastomosis following previous aortic surgery (Anaes.) (Assist.)
3313901.12.19913T833SNNNNNYNNA01.11.200401.07.20211651.101238.35Y01.12.1991FALSE ANEURYSM, repair of, in iliac artery and restoration of arterial continuity (Anaes.) (Assist.)
3314201.12.19913T833SNNNNNYNNC01.12.199101.07.20211541.551156.201456.85Y01.12.1991FALSE ANEURYSM, repair of, in femoral artery and restoration of arterial continuity (Anaes.) (Assist.)
3314501.12.19913T833SNNNNNYNNA01.11.200401.07.20212652.501989.40Y01.12.1991RUPTURED THORACIC AORTIC ANEURYSM, replacement by graft (Anaes.) (Assist.)
3314801.12.19913T833SNNNNNYNNA01.11.200401.07.20213294.102470.60Y01.12.1991RUPTURED THORACO-ABDOMINAL AORTIC ANEURYSM, replacement by graft (Anaes.) (Assist.)
3315101.12.19913T833SNNNNNYNNA01.11.200401.07.20213129.802347.35Y01.12.1991RUPTURED SUPRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by graft (Anaes.) (Assist.)
3315401.12.19913T833SNNNNNYNNA01.11.200401.07.20212316.051737.05Y01.12.1991RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube graft (Anaes.) (Assist.)
3315701.12.19913T833SNNNNNYNNA01.11.200401.07.20212582.051936.55Y01.12.1991RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to iliac arteries (with or without excision or bypass of common iliac aneurysms) (Anaes.) (Assist.)
3316001.12.19913T833SNNNNNYNNA01.11.200401.07.20212582.051936.55Y01.12.1991RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by bifurcation graft to 1 or both femoral arteries (Anaes.) (Assist.)
3316301.12.19913T833SNNNNNYNNA01.11.200401.07.20212191.051643.30Y01.12.1991RUPTURED ILIAC ARTERY ANEURYSM, replacement by graft (Anaes.) (Assist.)
3316601.12.19913T833SNNNNNYNNC01.12.199101.07.20212191.051643.302106.35Y01.12.1991RUPTURED ANEURYSM OF VISCERAL ARTERY, replacement by anastomosis or graft (Anaes.) (Assist.)
3316901.12.19913T833SNNNNNYNNA01.11.200401.07.20211705.801279.35Y01.12.1991RUPTURED ANEURYSM OF VISCERAL ARTERY, simple ligation of (Anaes.) (Assist.)
3317201.12.19913T833SNNNNNYNNA01.11.200401.07.20211330.15997.65Y01.12.1991ANEURYSM OF MAJOR ARTERY, replacement by graft, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
3317501.07.19963T833SNNNNNYNNA01.11.200401.07.20211225.85919.40Y01.07.1996RUPTURED ANEURYSM IN THE EXTREMITIES, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
3317801.07.19963T833SNNNNNYNNA01.11.200401.07.20211558.901169.20Y01.07.1996RUPTURED ANEURYSM IN THE NECK, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
3318101.07.19963T833SNNNNNYNNA01.11.200401.07.20211905.901429.45Y01.07.1996RUPTURED INTRA-ABDOMINAL OR PELVIC ANEURYSM, ligation, suture closure or excision of, without bypass grafting (Anaes.) (Assist.)
3350001.12.19913T834SNNNNNYNNA01.11.200401.07.20211181.40886.05Y01.12.1991ARTERY 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.)
3350601.12.19913T834SNNNNNYNNA01.11.200401.07.20211322.40991.80Y01.12.1991INNOMINATE OR SUBCLAVIAN ARTERY, endarterectomy of, including closure by suture (Anaes.) (Assist.)
3350901.12.19913T834SNNNNNYNNA01.11.200401.07.20211478.951109.25Y01.12.1991AORTIC ENDARTERECTOMY, including closure by suture, not being a service associated with another procedure on the aorta (Anaes.) (Assist.)
3351201.12.19913T834SNNNNNYNNA01.11.200401.07.20211643.251232.45Y01.12.1991AORTO-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.)
3351501.12.19913T834SNNNNNYNNA01.11.200401.07.20211807.651355.75Y01.12.1991AORTO-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.)
3351801.12.19913T834SNNNNNYNNC01.12.199101.07.20211322.40991.801237.70Y01.12.1991ILIAC ENDARTERECTOMY, including closure by suture, not being a service associated with another procedure on the iliac artery (Anaes.) (Assist.)
3352101.12.19913T834SNNNNNYNNA01.11.200401.07.20211431.801073.85Y01.12.1991ILIO-FEMORAL ENDARTERECTOMY (1 side), including closure by suture (Anaes.) (Assist.)
3352401.12.19913T834SNNNNNYNNA01.11.200401.07.20211690.151267.65Y01.12.1991RENAL ARTERY, endarterectomy of (Anaes.) (Assist.)
3352701.12.19913T834SNNNNNYNNA01.11.200401.07.20211963.801472.85Y01.12.1991RENAL ARTERIES (both), endarterectomy of (Anaes.) (Assist.)
3353001.12.19913T834SNNNNNYNNA01.11.200401.07.20211690.151267.65Y01.12.1991COELIAC OR SUPERIOR MESENTERIC ARTERY, endarterectomy of (Anaes.) (Assist.)
3353301.12.19913T834SNNNNNYNNA01.11.200401.07.20211963.801472.85Y01.12.1991COELIAC AND SUPERIOR MESENTERIC ARTERY, endarterectomy of (Anaes.) (Assist.)
3353601.12.19913T834SNNNNNYNNA01.11.200401.07.20211400.651050.50Y01.12.1991INFERIOR MESENTERIC ARTERY, endarterectomy of, not being a service associated with a service to which another item in this Sub-group applies (Anaes.) (Assist.)
3353901.12.19913T834SNNNNNYNNA01.11.200401.07.20211009.35757.05Y01.12.1991ARTERY OF EXTREMITIES, endarterectomy of, including closure by suture (Anaes.) (Assist.)
3354201.12.19913T834SNNNNNYNNA01.11.200401.07.20211439.751079.85Y01.12.1991EXTENDED DEEP FEMORAL ENDARTERECTOMY where the endarterectomy is at least 7cms long (Anaes.) (Assist.)
3354501.12.19913T834SNNNNNYNNA01.11.200401.07.2021284.75213.60Y01.03.1999ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or synthetic material where patch is less than 3cm long (Anaes.) (Assist.)
3354801.12.19913T834SNNNNNYNNA01.11.200401.07.2021579.15434.40Y01.03.1999ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or synthetic material where patch is 3cm long or greater (Anaes.) (Assist.)
3355101.12.19913T834SNNNNNYNNA01.11.200401.07.2021284.75213.60Y01.12.1991VEIN, harvesting of from leg or arm for patch when not performed through same incision as operation (Anaes.) (Assist.)
3355401.12.19913T834SNNNNNYNNA01.11.200401.07.2021283.45212.60Y01.12.1991ENDARTERECTOMY, in conjunction with an arterial bypass operation to prepare the site for anastomosis - each site (Anaes.) (Assist.)
3380001.12.19913T835SNNNNNYNNC01.12.199101.07.20211228.45921.351143.75Y01.12.1991EMBOLUS, removal of, from artery of neck (Anaes.) (Assist.)
3380301.12.19913T835SNNNNNYNNA01.11.200401.07.20211173.75880.35Y01.12.1991EMBOLECTOMY or THROMBECTOMY, by abdominal approach, of an artery or bypass graft of trunk (Anaes.) (Assist.)
3380601.12.19913T835SNNNNNYNNC01.12.199101.07.2021845.10633.85760.40Y01.03.2013Embolectomy 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, item to be claimed once per extremity, regardless of the number of incisions required to access the artery or bypass graft (Anaes.) (Assist.)
3381001.07.19963T835SNNNNNYNNC01.07.199601.07.2021616.50462.40531.80Y01.07.1996INFERIOR VENA CAVA OR ILIAC VEIN, closed thrombectomy by catheter via the femoral vein (Anaes.) (Assist.)
3381101.07.19963T835SNNNNNYNNA01.11.200401.07.20211835.251376.45Y01.07.1996INFERIOR VENA CAVA OR ILIAC VEIN, open removal of thrombus or tumour (Anaes.) (Assist.)
3381201.12.19913T835SNNNNNYNNC01.12.199101.07.2021970.20727.65885.50Y01.12.1991THROMBUS, removal of, from femoral or other similar large vein (Anaes.) (Assist.)
3381501.12.19913T835SNNNNNYNNA01.11.200401.07.2021892.00669.00Y01.12.1991MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by lateral suture (Anaes.) (Assist.)
3381801.12.19913T835SNNNNNYNNA01.11.200401.07.20211040.70780.55Y01.12.1991MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by direct anastomosis (Anaes.) (Assist.)
3382101.12.19913T835SNNNNNYNNA01.11.200401.07.20211189.30892.00Y01.12.1991MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (Anaes.) (Assist.)
3382401.12.19913T835SNNNNNYNNA01.11.200401.07.20211134.50850.90Y01.12.1991MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by lateral suture (Anaes.) (Assist.)
3382701.12.19913T835SNNNNNYNNA01.11.200401.07.20211330.15997.65Y01.12.1991MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by direct anastomosis (Anaes.) (Assist.)
3383001.12.19913T835SNNNNNYNNA01.11.200401.07.20211525.701144.30Y01.12.1991MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with restoration of continuity, by interposition graft of synthetic material or vein (Anaes.) (Assist.)
3383301.12.19913T835SNNNNNYNNA01.11.200401.07.20211385.101038.85Y01.12.1991MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by lateral suture (Anaes.) (Assist.)
3383601.12.19913T835SNNNNNYNNA01.11.200401.07.20211651.101238.35Y01.12.1991MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by direct anastomosis (Anaes.) (Assist.)
3383901.12.19913T835SNNNNNYNNA01.11.200401.07.20211932.651449.50Y01.12.1991MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with restoration of continuity by means of interposition graft (Anaes.) (Assist.)
3384201.12.19913T835SNNNNNYNNA01.11.200401.07.2021954.60715.95Y01.12.1991ARTERY OF NECK, re-operation for bleeding or thrombosis after carotid or vertebral artery surgery (Anaes.) (Assist.)
3384501.12.19913T835SNNNNNYNNA01.11.200401.07.2021665.15498.90Y01.12.1991LAPAROTOMY for control of post operative bleeding or thrombosis after intra-abdominal vascular procedure, where no other procedure is performed (Anaes.) (Assist.)
3384801.12.19913T835SNNNNNYNNA01.11.200401.07.2021665.15498.90Y01.12.1991EXTREMITY, re-operation on, for control of bleeding or thrombosis after vascular procedure, where no other procedure is performed (Anaes.) (Assist.)
3410001.12.19913T836SNNNNNYNNA01.11.200401.07.2021735.60551.70Y01.12.1991MAJOR ARTERY OF NECK, elective ligation or exploration of, not being a service associated with any other vascular procedure (Anaes.) (Assist.)
3410301.12.19913T836SNNNNNYNNA01.11.200401.07.2021430.30322.75Y01.05.2018Great artery (aorta or pulmonary artery) or great vein (superior or inferior vena cava), ligation or exploration of immediate branches or tributaries, or ligation or exploration of the subclavian, axillary, iliac, femoral or popliteal arteries or veins, if the service is not associated with item 32508, 32511, 32520, 32522, 32523, 32526, 32528 or 32529 - for a maximum of 2 services provided to the same patient on the same occasion (H) (Anaes.) (Assist.)
3410601.12.19913T836SNNNNNYNPC01.12.199101.07.2021303.50227.65258.0001.11.201280.00Y01.07.1998ARTERY 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.)
3410901.12.19913T836SNNNNNYNNC01.12.199101.07.2021352.05264.05299.25Y01.12.1991TEMPORAL ARTERY, biopsy of (Anaes.) (Assist.)
3411201.12.19913T836SNNNNNYNNA01.11.200401.07.2021892.00669.00Y01.12.1991ARTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and ligation (Anaes.) (Assist.)
3411501.12.19913T836SNNNNNYNNA01.11.200401.07.20211009.35757.05Y01.12.1991ARTERIO-VENOUS FISTULA OF THE NECK, dissection and ligation (Anaes.) (Assist.)
3411801.12.19913T836SNNNNNYNNC01.12.199101.07.20211439.751079.851355.05Y01.12.1991ARTERIO-VENOUS FISTULA OF THE ABDOMEN, dissection and ligation (Anaes.) (Assist.)
3412101.12.19913T836SNNNNNYNNA01.11.200401.07.20211150.15862.65Y01.12.1991ARTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and repair of, with restoration of continuity (Anaes.) (Assist.)
3412401.12.19913T836SNNNNNYNNA01.11.200401.07.20211259.85944.90Y01.12.1991ARTERIO-VENOUS FISTULA OF THE NECK, dissection and repair of, with restoration of continuity (Anaes.) (Assist.)
3412701.12.19913T836SNNNNNYNNA01.11.200401.07.20211651.101238.35Y01.12.1991ARTERIO-VENOUS FISTULA OF THE ABDOMEN, dissection and repair of, with restoration of continuity (Anaes.) (Assist.)
3413001.12.19913T836SNNNNNYNNC01.12.199101.07.2021516.40387.30438.95Y01.12.1991SURGICALLY CREATED ARTERIO-VENOUS FISTULA OF AN EXTREMITY, closure of (Anaes.) (Assist.)
3413301.12.19913T836SNNNNNYNNA01.11.200401.07.2021579.15434.40Y01.12.1991SCALENOTOMY (Anaes.) (Assist.)
3413601.12.19913T836SNNNNNYNNA01.11.200401.07.2021931.00698.25Y01.12.1991FIRST RIB, resection of portion of (Anaes.) (Assist.)
3413901.12.19913T836SNNNNNYNNA01.11.200401.07.2021931.00698.25Y01.12.1991CERVICAL 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.)
3414201.12.19913T836SNNNNNYNNA01.11.200401.07.20211150.15862.65Y01.12.1991COELIAC ARTERY, decompression of, for coeliac artery compression syndrome, as an independent procedure (Anaes.) (Assist.)
3414501.12.19913T836SNNNNNYNNA01.11.200401.07.2021837.20627.90Y01.12.1991POPLITEAL ARTERY, exploration of, for popliteal entrapment, with or without division of fibrous tissue and muscle (Anaes.) (Assist.)
3414801.12.19913T836SNNNNNYNNA01.11.200401.07.20211494.551120.95Y01.07.1998CAROTID 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.)
3415101.12.19913T836SNNNNNYNNA01.11.200401.07.20212042.151531.65Y01.07.1998CAROTID 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.)
3415401.12.19913T836SNNNNNYNNC01.12.199101.07.20212433.501825.152348.80Y01.07.1998RECURRENT CAROTID ASSOCIATED TUMOUR, resection of, with or without repair or replacement of portion of internal or common carotid arteries (Anaes.) (Assist.)
3415701.12.19913T836SNNNNNYNNA01.11.200401.07.20211236.35927.30Y01.12.1991NECK, excision of infected bypass graft, including closure of vessel or vessels (Anaes.) (Assist.)
3416001.12.19913T836SNNNNNYNNA01.11.200401.07.20212316.051737.05Y01.12.1991AORTO-DUODENAL FISTULA, repair of, by suture of aorta and repair of duodenum (Anaes.) (Assist.)
3416301.12.19913T836SNNNNNYNNA01.11.200401.07.20212973.302230.00Y01.12.1991AORTO-DUODENAL FISTULA, repair of, by insertion of aortic graft and repair of duodenum (Anaes.) (Assist.)
3416601.12.19913T836SNNNNNYNNA01.11.200401.07.20212973.302230.00Y01.12.1991AORTO-DUODENAL FISTULA, repair of, by oversewing of abdominal aorta, repair of duodenum and axillo-bifemoral grafting (Anaes.) (Assist.)
3416901.12.19913T836SNNNNNYNNA01.11.200401.07.20211651.101238.35Y01.12.1991INFECTED BYPASS GRAFT FROM TRUNK, excision of, including closure of arteries (Anaes.) (Assist.)
3417201.12.19913T836SNNNNNYNNA01.11.200401.07.20211345.801009.35Y01.12.1991INFECTED AXILLO-FEMORAL OR FEMORO-FEMORAL GRAFT, excision of, including closure of arteries (Anaes.) (Assist.)
3417501.12.19913T836SNNNNNYNNA01.11.200401.07.20211236.35927.30Y01.12.1991INFECTED BYPASS GRAFT FROM EXTREMITIES, excision of including closure of arteries (Anaes.) (Assist.)
3450001.12.19913T837SNNNNNYNNC01.12.199101.07.2021320.90240.70272.80Y01.12.1991ARTERIOVENOUS SHUNT, EXTERNAL, insertion of (Anaes.) (Assist.)
3450301.12.19913T837SNNNNNYNNA01.11.200401.07.2021430.30322.75Y01.12.1991ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, in conjunction with another venous or arterial operation (Anaes.) (Assist.)
3450601.12.19913T837SNNNNNYNNA01.11.200401.07.2021218.95164.25Y01.12.1991ARTERIOVENOUS SHUNT, EXTERNAL, removal of (Anaes.) (Assist.)
3450901.12.19913T837SNNNNNYNNA01.11.200401.07.20211017.15762.90Y01.12.1991ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, not in conjunctionwith another venous or arterial operation (Anaes.) (Assist.)
3451201.12.19913T837SNNNNNYNNA01.11.200401.07.20211119.00839.25Y01.12.1991ARTERIOVENOUS ACCESS DEVICE, insertion of (Anaes.) (Assist.)
3451501.12.19913T837SNNNNNYNNA01.11.200401.07.2021798.05598.55Y01.12.1991ARTERIOVENOUS ACCESS DEVICE, thrombectomy of (Anaes.) (Assist.)
3451801.12.19913T837SNNNNNYNNA01.11.200401.07.20211337.851003.40Y01.12.1991STENOSIS OF ARTERIOVENOUS FISTULA OR PROSTHETIC ARTERIOVENOUS ACCESS DEVICE, correction of (Anaes.) (Assist.)
3452101.12.19913T837SNNNNNYNNA01.11.200401.07.2021822.00616.50Y01.12.1991INTRA-ABDOMINAL ARTERY OR VEIN, cannulation of, for infusion chemotherapy, by open operation (excluding aftercare) (Anaes.) (Assist.)
3452401.12.19913T837SNNNNNYNNA01.11.200401.07.2021430.30322.75Y01.12.1991ARTERIAL CANNULATION for infusion chemotherapy by open operation, not being a service to which item 34521 applies (excluding after-care) (Anaes.) (Assist.)
3452701.12.19913T837SNNYNYYNNC01.12.199101.07.2021573.95430.50489.25Y01.07.2021CENTRAL VEIN CATHETERISATION by open technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, including any associated percutaneous central vein catheterisation, on apatient 10 years of age or over (Anaes.)
3452801.07.19963T837SNNYNYYNNC01.07.199601.07.2021283.45212.60240.95Y01.07.2021CENTRAL VEIN CATHETERISATION by percutaneous technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, on a patient 10 years of age or over (Anaes.)
3452901.09.20153T837SNNYNYYNNC01.09.201501.07.2021746.15559.65661.45Y01.07.2021CENTRAL VEIN CATHETERISATION by open technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, including any associated percutaneous central vein catheterisation, on apatient under 10 years of age (Anaes.)
3453001.12.19913T837SNNYNYYNNC01.12.199101.07.2021212.50159.40180.65Y01.07.2021CENTRAL VENOUS LINE, OR OTHER CHEMOTHERAPY DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital on apatient 10 years of age or over (Anaes.)
3453301.12.19913T837SNNNNNYNNC01.12.199101.07.20211290.90968.201206.20Y01.12.1991ISOLATED 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.)
3453401.09.20153T837SNNYNYYNNC01.09.201501.07.2021368.45276.35313.20Y01.07.2021CENTRAL VEIN CATHETERISATION by percutaneous technique, using subcutaneous tunnel with pump or access port as with central venous line catheter or other chemotherapy delivery device, on a patient under 10 years of age (Anaes.)
3453801.05.20043T837SNNNNNYNNC01.05.200401.07.2021283.45212.60240.95Y01.05.2004CENTRAL VEIN CATHERTERISATION by percutaneous technique, using subcutaneous tunnelled cuffed catheter or similar device, for the administration of haemodialysis or parenteral nutrition (Anaes.)
3453901.05.20043T837SNNNNNYNNC01.05.200401.07.2021212.50159.40180.65Y01.05.2016TUNNELLED CUFFED CATHETER, OR SIMILAR DEVICE, removal of, by open surgical procedure (Anaes.)
3454001.09.20153T837SNNYNYYNNC01.09.201501.07.2021276.25207.20234.85Y01.07.2021CENTRAL VENOUS LINE, OR OTHER CHEMOTHERAPY DEVICE, removal of, by open surgical procedure in the operating theatre of a hospital, on a patient under 10 years of age (Anaes.)
3480001.12.19913T838SNNNNNYNNC01.12.199101.07.2021845.10633.85760.40Y01.12.1991INFERIOR VENA CAVA, plication, ligation, or application of caval clip (Anaes.) (Assist.)
3480301.12.19913T838SNNNNNYNNA01.11.200401.07.20211862.401396.80Y01.12.1991INFERIOR VENA CAVA, reconstruction of or bypass by vein or synthetic material (Anaes.) (Assist.)
3480601.12.19913T838SNNNNNYNNA01.11.200401.07.20211009.35757.05Y01.12.1991CROSS LEG BYPASS GRAFTING, saphenous to iliac or femoral vein (Anaes.) (Assist.)
3480901.12.19913T838SNNNNNYNNA01.11.200401.07.20211009.35757.05Y01.12.1991SAPHENOUS VEIN ANASTOMOSIS to femoral or popliteal vein for femoral vein bypass (Anaes.) (Assist.)
3481201.12.19913T838SNNNNNYNNA01.11.200401.07.20211220.60915.45Y01.12.1991VENOUS 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.)
3481501.12.19913T838SNNNNNYNNA01.11.200401.07.20211009.35757.05Y01.12.1991VEIN STENOSIS, patch angioplasty for, (excluding vein graft stenosis)-using vein or synthetic material (Anaes.) (Assist.)
3481801.12.19913T838SNNNNNYNNA01.11.200401.07.20211111.05833.30Y01.12.1991VENOUS VALVE, plication or repair to restore valve competency (Anaes.) (Assist.)
3482101.12.19913T838SNNNNNYNNC01.12.199101.07.20211510.201132.651425.50Y01.12.1991VEIN TRANSPLANT to restore valvular function (Anaes.) (Assist.)
3482401.12.19913T838SNNNNNYNNA01.11.200401.07.2021516.40387.30Y01.12.1991EXTERNAL STENT, application of, to restore venous valve competency to superficial vein - 1 stent (Anaes.) (Assist.)
3482701.12.19913T838SNNNNNYNNA01.11.200401.07.2021626.05469.55Y01.12.1991EXTERNAL STENTS, application of, to restore venous valve competency to superficial vein or veins - more than 1 stent (Anaes.) (Assist.)
3483001.12.19913T838SNNNNNYNNC01.12.199101.07.2021735.60551.70650.90Y01.12.1991EXTERNAL STENT, application of, to restore venous valve competency to deep vein (1 stent) (Anaes.) (Assist.)
3483301.12.19913T838SNNNNNYNNA01.11.200401.07.2021954.60715.95Y01.12.1991EXTERNAL STENTS, application of, to restore venous valve competency to deep vein or veins (more than 1 stent) (Anaes.) (Assist.)
3500001.12.19913T839SNNNNNYNNC01.12.199101.07.2021735.60551.70650.90Y01.12.1991LUMBAR SYMPATHECTOMY (Anaes.) (Assist.)
3500301.12.19913T839SNNNNNYNNA01.11.200401.07.2021954.60715.95Y01.12.1991CERVICAL OR UPPER THORACIC SYMPATHECTOMY by any surgical approach (Anaes.) (Assist.)
3500601.12.19913T839SNNNNNYNNA01.11.200401.07.20211197.20897.90Y01.12.1991CERVICAL OR UPPER THORACIC SYMPATHECTOMY, where operation is a reoperation for previous incomplete sympathectomy by any surgical approach (Anaes.) (Assist.)
3500901.12.19913T839SNNNNNYNNA01.11.200401.07.2021931.00698.25Y01.12.1991LUMBAR SYMPATHECTOMY, where operation is following chemical sympathectomy or for previous incomplete surgical sympathectomy (Anaes.) (Assist.)
3501201.05.19943T839SNNNNNYNNA01.11.200401.07.2021735.60551.70Y01.05.1994SACRAL or PRE-SACRAL SYMPATHECTOMY (Anaes.) (Assist.)
3510001.12.19913T8310SNNNNNYNNA01.11.200401.07.2021383.45287.60Y01.12.1991ISCHAEMIC 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.)
3510301.12.19913T8310SNNNNNYNNA01.05.201601.07.2021244.05183.05Y01.12.1991ISCHAEMIC LIMB, debridement of necrotic material, gangrenous tissue, or slough in, in the operating theatre of a hospital, superficial tissue only (Anaes.)
3520001.12.19913T8311SNNNNNYNNA01.11.200401.07.2021178.45133.85Y01.12.1991OPERATIVE ARTERIOGRAPHY OR VENOGRAPHY, 1 or more of, performed during the course of an operative procedure on an artery or vein, 1 site (Anaes.)
3520201.07.19963T8311SNNNNNYNNA01.11.200401.07.2021850.20637.65Y01.07.1996MAJOR ARTERIES OR VEINS IN THE NECK, ABDOMEN OR EXTREMITIES, access to, as part of RE-OPERATION after prior surgery on these vessels (Anaes.) (Assist.)
3530001.04.19923T8312SNNNNNYNNC01.04.199201.07.2021536.25402.20455.85Y01.11.1993TRANSLUMINAL 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.)
3530301.04.19923T8312SNNNNNYNNC01.04.199201.07.2021687.55515.70602.85Y01.11.1993TRANSLUMINAL 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.)
3530601.04.19923T8312SNNNNNYNNC01.04.199201.07.2021634.60475.95549.90Y01.05.2016TRANSLUMINAL STENT INSERTION, 1 or more stents, 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.)
3530701.11.20053T8312SNNNNNYNNA01.11.200501.07.20211166.60874.95Y01.11.2005TRANSLUMINAL 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.)
3530901.04.19923T8312SNNNNNYNNC01.04.199201.07.2021793.25594.95708.55Y01.05.2016TRANSLUMINAL STENT INSERTION, 1 or more stents, 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.)
3531201.04.19923T8312SNNNNNYNNA01.11.200401.07.2021899.00674.25Y01.11.1993PERIPHERAL 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.)
3531501.04.19923T8312SNNNNNYNNA01.11.200401.07.2021899.00674.25Y01.11.1993PERIPHERAL 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.)
3531701.07.19963T8312SNNNNNYNNC01.07.199601.07.2021370.20277.65314.70Y01.11.2002PERIPHERAL 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.)
3531901.07.19963T8312SNNNNNYNNC01.07.199601.07.2021663.60497.70578.90Y01.11.2002PERIPHERAL 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.)
3532001.07.19963T8312SNNNNNYNNC01.07.199601.07.2021891.40668.55806.70Y01.11.2002PERIPHERAL 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.)
3532101.04.19923T8312SNNNNNYNNC01.04.199201.07.2021846.25634.70761.55Y01.05.2009PERIPHERAL 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.)
3532401.04.19923T8312SNNNNNYNNA01.11.200401.07.2021317.35238.05Y01.04.1992ANGIOSCOPY not combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
3532701.04.19923T8312SNNNNNYNNA01.11.200401.07.2021425.30319.00Y01.04.1992ANGIOSCOPY combined with any other procedure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
3533001.04.19923T8312SNNNNNYNNC01.04.199201.07.2021536.25402.20455.85Y01.04.1992INSERTION of INFERIOR VENA CAVAL FILTER, percutaneous or by open exposure, excluding associated radiological services or preparation, and excluding aftercare (Anaes.) (Assist.)
3533101.05.20053T8312SNNNNNYNNA01.05.200501.07.2021616.50462.40Y01.05.2005RETRIEVAL OF INFERIOR VENA CAVAL FILTER, percutaneous or by open exposure, not including associated radiological services or preparation, and not including aftercare (Anaes.)
3536001.05.20053T8312SNNNNNYNNA01.05.200501.07.2021861.75646.35Y01.05.2005Retrieval 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.)
3536101.05.20053T8312SNNNNNYNNA01.05.200501.07.2021739.05554.30Y01.05.2005Retrieval 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.)
3536201.05.20053T8312SNNNNNYNNA01.05.200501.07.2021616.50462.40Y01.05.2005Retrieval 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.)
3536301.05.20053T8312SNNNNNYNNA01.05.200501.07.2021493.90370.45Y01.05.2005Retrieval 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.)
3540401.05.20063T8313SNNNNNYNNA01.05.200601.07.2021360.65270.5001.05.2006DOSIMETRY, 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.
3540601.05.20063T8313SNNNNNYNNA01.05.200601.07.2021846.25634.70Y01.05.2006Trans-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.)
3540801.05.20063T8313SNNNNNYNNA01.05.200601.07.2021634.80476.10Y01.05.2006Catheterisation 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.)
3541001.11.20063T8313SNNNNNYNNC01.11.200601.07.2021846.25634.70761.55Y01.11.2006UTERINE 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.)
3541201.11.20063T8313SNNNNNYNNC01.11.200601.07.20212973.302230.002888.60Y01.01.2015Intracranial 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 aftercare, including intra-operative imaging, but in association with the following pre-operative diagnostic imaging items: - either 60009 or 60010; and - either 60072, 60073, 60075, 60076, 60078 or 60079 (Anaes.) (Assist.)
3541401.11.20173T8313SNNNNNYNNA01.11.201701.07.20213641.852731.40Y01.11.2017Mechanical thrombectomy, in a patient with a diagnosis of acute ischaemic stroke caused by occlusion of a large vessel of the anterior cerebral circulation, including intra-operative imaging and aftercare, if: (a) the diagnosis is confirmed by an appropriate imaging modality such as computed tomography, magnetic resonance imaging or angiography; and (b) the service is performed by a specialist or consultant physician with appropriate training that is recognised by the Conjoint Committee for Recognition of Training in Interventional Neuroradiology; and (c) the service is provided in an eligible stroke centre. For any particular patient - applicable once per presentation by the patient at an eligible stroke centre, regardless of the number of times mechanical thrombectomy is attempted during that presentation (Anaes.) (Assist.)
3550001.12.19913T84SNNNNNYNNC01.12.199101.07.202184.6063.4571.95Y01.12.1991GYNAECOLOGICAL EXAMINATION UNDER ANAESTHESIA, not being a service associated with a service to which another item in this Group applies (Anaes.)
3550201.11.20043T84SNNNNNYNNC01.11.200401.07.202183.4062.5570.90Y01.11.2004INTRAUTERINE 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.)
3550301.12.19913T84SNNNNNYNNC01.12.199101.07.202155.7041.8047.35Y01.11.2014Intra uterine contraceptive device, introduction of, if the service is not associated with a service to which another item in this Group applies (other than a service mentioned in item 30062) (Anaes.)
3550601.12.19913T84SNNNNNYNNC01.12.199101.07.202155.8541.9047.50Y01.12.1991INTRAUTERINE CONTRACEPTIVE DEVICE, REMOVAL OF UNDER GENERAL ANAESTHESIA, not being a service associated with a service to which another item in this Group applies (Anaes.)
3550701.04.19923T84SNNNNNYNNC01.04.199201.07.2021181.50136.15154.30Y01.04.1992VULVAL 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.)
3550801.04.19923T84SNNNNNYNNC01.04.199201.07.2021267.35200.55227.25Y01.04.1992VULVAL 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.)
3550901.12.19913T84SNNNNNYNNC01.12.199101.07.202193.1069.8579.15Y01.12.1991HYMENECTOMY (Anaes.)
3551301.12.19913T84SNNNNNYNNC01.12.199101.07.2021230.70173.05196.10Y01.12.1991BARTHOLIN'S CYST, excision of (Anaes.)
3551701.12.19913T84SNNNNNYNNC01.12.199101.07.2021151.95114.00129.20Y01.12.1991BARTHOLIN'S CYST OR GLAND, marsupialisation of (Anaes.)
3551801.07.19953T84SNNNNNYNNC01.07.199501.07.2021216.30162.25183.90Y01.01.2014OVARIAN CYST ASPIRATION, for cysts of at least 4cm in diameter in a premenopausal person and at least 2cm in diameter in a postmenopausal person, by abdominal or vaginal route, using interventional imaging techniques and not associated with services provided for assisted reproductive techniques (Anaes.)
3552001.12.19913T84SNNNNNYNNC01.12.199101.07.202160.7045.5551.60Y01.12.1991BARTHOLIN'S ABSCESS, incision of (Anaes.)
3552301.12.19913T84SNNNNNYNNC01.12.199101.07.202160.7045.5551.60Y01.12.1991URETHRA OR URETHRAL CARUNCLE, cauterisation of (Anaes.)
3552701.12.19913T84SNNNNNYNNC01.12.199101.07.2021151.95114.00129.20Y01.12.1991URETHRAL CARUNCLE, excision of (Anaes.)
3553001.12.19913T84SNNNNNYNNA01.11.200401.07.2021280.75210.60Y01.12.1991CLITORIS, amputation of, where medically indicated (Anaes.) (Assist.)
3553301.12.19913T84SNNNNNYNNA01.11.201401.07.2021364.05273.05Y01.11.2018Vulvoplasty or labioplasty, for repair of: (a) female genital mutilation; or (b) an anomaly associated with a major congenital anomaly of the uro-gynaecological tract other than a service associated with a service to which item35536, 37836, 37050, 37842, 37851 or 43882 applies (Anaes.)
3553401.11.20143T84SNNNNNYNNA01.11.201401.07.2021364.05273.05Y01.11.2018Vulvoplasty or labioplasty, in a patient aged 18 years or more, performed by a specialist in the practice of the specialist's specialty, for a structural abnormality that is causing significant functional impairment, if the patient's labium extends more than 8 cm below the vaginal introitus while the patient is in a standing resting position (Anaes.)
3553601.12.19913T84SNNNNNYNNC01.12.199101.07.2021362.60271.95308.25Y01.04.1992VULVA, wide local excision of suspected malignancy or hemivulvectomy, 1 or both procedures (Anaes.) (Assist.)
3553901.12.19913T84SNNNNNYNNC01.12.199101.07.2021284.00213.00241.40Y01.04.1992COLPOSCOPICALLY DIRECTED CO² LASER THERAPY for previously confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies1 anatomical site (Anaes.)
3554201.12.19913T84SNNNNNYNNC01.12.199101.07.2021332.50249.40282.65Y01.04.1992COLPOSCOPICALLY DIRECTED CO² LASER THERAPY for previously confirmed intraepithelial neoplasticchanges of the cervix, vagina, vulva, urethra or anal canal, including any associated biopsies2 or more anatomical sites (Anaes.) (Assist.)
3554501.12.19913T84SNNNNNYNNC01.12.199101.07.2021191.05143.30162.40Y01.12.1991COLPOSCOPICALLY DIRECTED CO² LASER THERAPY for condylomata, unsuccessfully treated by other methods (Anaes.)
3554801.12.19913T84SNNNNNYNNA01.11.200401.07.2021867.85650.90Y01.11.1992VULVECTOMY, radical, for malignancy (Anaes.) (Assist.)
3555101.12.19913T84SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.11.2020Pelvic lymph nodes, radical excision of,unilateral, or sentinel node dissection (including any pre-operative injection) (Anaes.) (Assist.)
3555201.11.20203T84SNNNNNYNNA01.11.202001.07.20211447.501085.65Y01.11.2020Pelvic lymph nodes, radical excision of, unilateral, following similar previous dissection, radiation or chemotherapy (Anaes.) (Assist.)
3555401.12.19913T84SNNNNNYNNC01.12.199101.07.202145.2533.9538.50Y01.12.1991VAGINA, DILATATION OF, as an independent procedure including any associated consultation (Anaes.)
3555701.12.19913T84SNNNNNYNNC01.12.199101.07.2021223.20167.40189.75Y01.12.1991VAGINA, removal of simple tumour (including Gartner duct cyst) (Anaes.)
3556001.12.19913T84SNNNNNYNNA01.11.200401.07.2021711.60533.70Y01.12.1991VAGINA, partial or complete removal of (Anaes.) (Assist.)
3556101.11.19923T84SNNNNNYNNA01.11.200401.07.20211435.351076.55Y01.11.1992VAGINECTOMY, radical, for proven invasive malignancy - 1 surgeon (Anaes.) (Assist.)
3556201.11.19923T84SNNNNNYNNA01.11.200401.07.20211178.45883.85Y01.11.1992VAGINECTOMY, radical, for proven invasive malignancy, conjoint surgery - abdominal surgeon (including aftercare) (Anaes.) (Assist.)
3556401.11.19923T84SNNNNNYNNA01.11.200401.07.2021544.00408.0001.11.1992VAGINECTOMY, radical, for proven invasive malignancy, conjoint surgery - perineal surgeon (Assist.)
3556501.11.19923T84SNNNNNYNNA01.11.200401.07.2021711.60533.70Y01.11.1992VAGINAL RECONSTRUCTION for congenital absence, gynatresia or urogenital sinus (Anaes.) (Assist.)
3556601.12.19913T84SNNNNNYNNA01.11.200401.07.2021413.35310.05Y01.12.1991VAGINAL SEPTUM, excision of, for correction of double vagina (Anaes.) (Assist.)
3556801.05.20053T84SNNNNNYNNA01.05.200501.07.2021649.90487.45Y01.05.2005SACROSPINOUS COLPOPEXY FOR MANAGEMENT OF UPPER VAGINAL PROLAPSE (Anaes.) (Assist.)
3556901.12.19913T84SNNNNNYNNA01.05.201901.07.2021167.35125.55Y01.12.1991PLASTIC REPAIR TO ENLARGE VAGINAL ORIFICE (Anaes.)
3557001.05.20053T84SNNNNNYNNA01.05.200501.07.2021576.30432.25Y01.03.2021Anterior vaginal compartment repair by vaginal approach for pelvic organ prolapse: (a) involving repair of urethrocele and cystocele; and (b) using native tissue without graft; other than a service associated with a service to which item 35573, 35577 or 35578 applies (Anaes.) (Assist.)
3557101.05.20053T84SNNNNNYNNA01.05.200501.07.2021576.30432.25Y01.03.2021Posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse: (a) involving repair of one or more of the following: (i) perineum; (ii) rectocoele; (iii) enterocoele; and (b) using native tissue without graft; other than a service associated with a service to which item 35573, 35577 or 35578 applies (Anaes.) (Assist.)
3557201.12.19913T84SNNNNNYNNA01.11.200401.07.2021128.8596.65Y01.12.1991COLPOTOMYnot being a service to which another item in this Group applies (Anaes.)
3557301.05.20053T84SNNNNNYNNA01.05.200501.07.2021864.55648.45Y01.03.2021Anterior and posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse: (a) involving anterior and posterior compartment defects; and (b) using native tissue without graft; other than a service associated with a service to which item 35577 or 35578 applies (Anaes.) (Assist.)
3557701.05.20053T84SNNNNNYNNA01.05.200501.07.2021701.85526.40Y01.03.2021Manchester (Donald Fothergill) operation for pelvic organ prolapse, involving either or both of the following: (a) cervical amputation; (b) anterior and posterior native tissue vaginal wall repairs without graft (Anaes.) (Assist.)
3557801.05.20053T84SNNNNNYNNA01.05.200501.07.2021701.85526.40Y01.05.2005LE FORT OPERATION for genital prolapse, not being a service associated with a service to which another item in this Subgroup applies (Anaes.) (Assist.)
3558101.07.20183T84SNNNNNYNNA01.07.201801.07.2021576.30432.25Y01.03.2021Vaginal procedure for excision of graft material in symptomatic patients with graft related complications (including graft related pain or discharge and bleeding related to graft exposure), less than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35582 or 35585 applies (Anaes.) (Assist.)
3558201.07.20183T84SNNNNNYNNA01.07.201801.07.2021864.55648.45Y01.03.2021Vaginal procedure for excision of graft material in symptomatic patients with graft related complications (including graft related pain or discharge and bleeding related to graft exposure),2cm2 or more in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35581 or 35585 applies (Anaes.) (Assist.)
3558501.07.20183T84SNNNNNYNNA01.07.201801.07.20211532.851149.65Y01.03.2021Abdominal procedure, by open, laparoscopic or robot‑assisted approach, if the service: (a) is for the removal of graft material: (i) in symptomatic patients with graft related complications (including graft related pain or discharge and bleeding related to graft exposure); or (ii) where the graft has penetrated adjacent organs such as the bladder (including urethra) or bowel; and (b) if required—includes retroperitoneal dissection, and mobilisation, of either or both of the bladder and bowel; other than a service associated with a service to which item 35581 or 35582 applies (Anaes.) (Assist.)
3559501.05.20053T84SNNNNNYNNA01.05.200501.07.20211201.80901.35Y01.05.2005LAPAROSCOPIC 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.)
3559601.12.19913T84SNNNNNYNNA01.11.200401.07.2021711.60533.70Y01.12.1991FISTULA BETWEEN GENITAL AND URINARY OR ALIMENTARY TRACTS, repair of, not being a service to which item 37029, 37333 or 37336 applies (Anaes.) (Assist.)
3559701.05.20053T84SNNNNNYNNA01.05.200501.07.20211532.851149.65Y01.05.2005SACRAL 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.)
3559901.12.19913T84SNNNNNYNNA01.11.200401.07.2021788.60591.45Y01.11.2020Stress incontinence, procedure using a female synthetic mid-urethral sling, with diagnostic cystoscopy to assess the integrity of the lower urinary tract, other than a service associated with a service to which item 30405 or 36812 applies (Anaes.) (Assist.)
3560201.12.19913T84SNNNNNYNNA01.11.200401.07.2021701.85526.40Y01.05.2004STRESS 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.)
3560501.12.19913T84SNNNNNYNNC01.12.199101.07.2021380.80285.60323.7001.05.2004STRESS 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.)
3560801.12.19913T84SNNNNNYNNC01.12.199101.07.202166.5549.9556.60Y01.12.1991CERVIX, cauterisation (other than by chemical means), ionisation, diathermy or biopsy of, with or without dilatation of cervix (Anaes.)
3561101.12.19913T84SNNNNNYNNC01.12.199101.07.202166.5549.9556.60Y01.12.1991CERVIX, 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.)
3561201.05.19973T84SNNNNNYNNC01.05.199701.07.2021526.50394.90447.55Y01.05.1997CERVIX, RESIDUAL STUMP, removal of, by abdominal approach (Anaes.) (Assist.)
3561301.05.19973T84SNNNNNYNNA01.11.200401.07.2021421.20315.90Y01.05.1997CERVIX, RESIDUAL STUMP, removal of, by vaginal approach (Anaes.) (Assist.)
3561401.12.19913T84SNNNNNYNNC01.12.199101.07.202166.4549.8556.50Y01.12.2017EXAMINATION OF LOWER TRACT by a Hinselmanntype colposcope in a patient with a previous abnormal cervical smear screen result 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.)
3561501.04.19923T84SNNNNNYNNC01.04.199201.07.202155.8541.9047.5001.04.1992VULVA, biopsy of, when performed in conjunction with a service to which item 35614 applies
3561601.05.20013T84SNNNNNYNNA01.11.200401.07.2021467.80350.85Y01.05.2006ENDOMETRIUM, 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.)
3561801.12.19913T84SNNNNNYNNC01.12.199101.07.2021226.80170.10192.80Y01.11.2017CERVIX, cone biopsy, amputation or repair of, other than a service to which item35577 or 35578 applies (Anaes.)
3562001.05.19943T84SNNNNNYNNC01.05.199401.07.202155.5041.6547.20Y01.05.1994ENDOMETRIAL BIOPSY where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (Anaes.)
3562201.05.19943T84SNNNNNYNNA01.11.200401.07.2021626.90470.20Y01.05.1994ENDOMETRIUM, 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.)
3562301.05.19943T84SNNNNNYNNA01.11.200401.07.2021852.45639.35Y01.11.2000HYSTEROSCOPIC RESECTION of myoma, or myoma and uterine septum resection (where both are performed), followed by endometrial ablation by laser or diathermy (Anaes.)
3562601.04.19923T84SNNNNNYNNC01.04.199201.07.202186.1064.6073.2001.11.1994HYSTEROSCOPY, 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
3562701.12.19913T84SNNNNNYNNA01.11.200401.07.2021111.5083.65Y01.11.1994HYSTEROSCOPY 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.)
3563001.12.19913T84SNNNNNYNNA01.05.201601.07.2021190.45142.85Y01.11.1994HYSTEROSCOPY, 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.)
3563301.12.19913T84SNNNNNYNNC01.12.199101.07.2021226.80170.10192.80Y01.05.2002HYSTEROSCOPY 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.)
3563401.11.20003T84SNNNNNYNNC01.11.200001.07.2021713.45535.10628.75Y01.11.2000HYSTEROSCOPIC RESECTION of uterine septum followed by endometrial ablation by laser or diathermy (Anaes.)
3563501.11.20003T84SNNNNNYNNA01.11.200401.07.2021311.60233.70Y01.11.2000HYSTEROSCOPY involving resection of the uterine septum (Anaes.)
3563601.12.19913T84SNNNNNYNNA01.11.200401.07.2021450.55337.95Y01.11.2000HYSTEROSCOPY, involving resection of myoma, or resection of myoma and uterine septum (where both are performed) (Anaes.)
3563701.04.19923T84SNNNNNYNNA01.11.200401.07.2021423.10317.35Y01.11.1993LAPAROSCOPY, 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.)
3563801.04.19923T84SNNNNNYNNA01.11.200401.07.2021740.35555.30Y01.05.2001COMPLICATED 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.)
3564001.12.19913T84SNNNNNYNNA01.11.200401.07.2021190.45142.85Y01.11.2017UTERUS, CURETTAGE OF, with or without dilatation (including curettage for incomplete miscarriage) under general anaesthesia, or under epidural or spinal (intrathecal) nerve block, including procedures to which item 35626, 35627 or 35630 applies,if performed (Anaes.)
3564101.11.20003T84SNNNNNYNNA01.11.200401.07.20211293.05969.80Y01.05.2001ENDOMETRIOSIS 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.)
3564301.12.19913T84SNNNNNYNNC01.12.199101.07.2021226.80170.10192.80Y01.11.2017EVACUATION OF THE CONTENTS OF THE GRAVID UTERUS BY CURETTAGE OR SUCTION CURETTAGE other than a service to which item 35640 applies, including procedures to which item 35626, 35627 or 35630 applies, if performed (Anaes.)
3564401.04.19923T84SNNNNNYNNC01.04.199201.07.2021211.90158.95180.15Y01.11.2017CERVIX, electrocoagulation diathermy with colposcopy, for previously confirmed intraepithelial neoplastic changes of the cervix, including any local anaesthesia and biopsies, other than a service associated with a service to which item 35640 or 35647 applies (Anaes.)
3564501.04.19923T84SNNNNNYNNC01.04.199201.07.2021331.60248.70281.90Y01.04.1992CERVIX, 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.)
3564601.12.19913T84SNNNNNYNNC01.12.199101.07.2021211.90158.95180.15Y01.05.2016CERVIX, colposcopy with radical diathermy of, with or without cervical biopsy, for previously confirmed intraepithelial neoplastic changes of the cervix (Anaes.)
3564701.04.19923T84SNNNNNYNNC01.04.199201.07.2021211.90158.95180.15Y01.04.1992CERVIX, 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.)
3564801.04.19923T84SNNNNNYNNC01.04.199201.07.2021331.60248.70281.90Y01.04.1992CERVIX, 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.)
3564901.12.19913T84SNNNNNYNNA01.11.200401.07.2021557.70418.30Y01.12.1991HYSTEROTOMY or UTERINE MYOMECTOMY, abdominal (Anaes.) (Assist.)
3565301.12.19913T84SNNNNNYNNA01.11.200401.07.2021702.05526.55Y01.12.1991HYSTERECTOMY, ABDOMINAL, SUBTOTAL or TOTAL, with or without removal of uterine adnexae (Anaes.) (Assist.)
3565701.12.19913T84SNNNNNYNNA01.11.200401.07.2021702.05526.55Y01.05.2002HYSTERECTOMY, 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.)
3565801.11.19953T84SNNNNNYNNA01.11.200401.07.2021432.90324.70Y01.11.1995UTERUS (at least equivalent in size to a 10 week gravid uterus), debulking of, prior to vaginal removal at hysterectomy (Anaes.) (Assist.)
3566101.12.19913T84SNNNNNYNNA01.11.200401.07.2021906.65680.00Y01.11.1992HYSTERECTOMY, 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.)
3566401.12.19913T84SNNNNNYNNA01.11.200401.07.20211511.101133.35Y01.11.2019RADICAL HYSTERECTOMY with radical excision of pelvic lymph nodes (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.)
3566701.12.19913T84SNNNNNYNNA01.11.200401.07.20211284.25963.20Y01.11.1992RADICAL 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.)
3567001.12.19913T84SNNNNNYNNA01.11.200401.07.20211057.50793.15Y01.11.2019HYSTERECTOMY, abdominal, with radical excision of pelvic lymph nodes, with or without removal of uterine adnexae (Anaes.) (Assist.)
3567301.12.19913T84SNNNNNYNNA01.11.200401.07.2021788.50591.40Y01.12.1991HYSTERECTOMY, VAGINAL (with or without uterine curettage) with salpingectomy, oophorectomy or excision of ovarian cyst, 1 or more, 1 or both sides (Anaes.) (Assist.)
3567401.07.19953T84SNNNNNYNNC01.07.199501.07.2021216.30162.25183.9001.07.1995ULTRASOUND GUIDED NEEDLING and injection of ectopic pregnancy
3567701.12.19913T84SNNNNNYNNA01.11.200401.07.2021557.70418.30Y01.12.1991ECTOPIC PREGNANCY, removal of (Anaes.) (Assist.)
3567801.04.19923T84SNNNNNYNNA01.11.200401.07.2021672.45504.35Y01.04.1992ECTOPIC PREGNANCY, laparoscopic removal of (Anaes.) (Assist.)
3568001.12.19913T84SNNNNNYNNC01.12.199101.07.2021605.60454.20520.90Y01.12.1991BICORNUATE UTERUS, plastic reconstruction for (Anaes.) (Assist.)
3568401.12.19913T84SNNNNNYNNA01.11.200401.07.2021490.25367.70Y01.12.1991UTERUS, SUSPENSION OR FIXATION OF, as an independent procedure (Anaes.) (Assist.)
3568801.12.19913T84SNNNNNYNNA01.11.200401.07.2021413.35310.05Y01.05.2002STERILISATION 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.)
3569101.12.19913T84SNNNNNYNNA01.11.200401.07.2021165.10123.85Y01.05.2002STERILISATION 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.)
3569401.12.19913T84SNNNNNYNNA01.11.200401.07.2021663.50497.65Y01.12.1991TUBOPLASTY (salpingostomy, salpingolysis or tubal implantation into uterus), UNILATERAL or BILATERAL, 1 or more procedures (Anaes.) (Assist.)
3569701.12.19913T84SNNNNNYNNA01.11.200401.07.2021984.55738.45Y01.12.1991MICROSURGICAL TUBOPLASTY (salpingostomy, salpingolysis or tubal implantation into uterus), UNILATERAL or BILATERAL, 1 or more procedures (Anaes.) (Assist.)
3570001.12.19913T84SNNNNNYNNA01.11.200401.07.2021759.70569.80Y01.07.2008FALLOPIAN TUBES, unilateral microsurgical anastomosis of, using operating microscope (Anaes.) (Assist.)
3570301.12.19913T84SNNNNNYNNC01.12.199101.07.202170.3052.7559.80Y01.12.1991HYDROTUBATION 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.)
3570601.12.19913T84SNNNNNYNNC01.12.199101.07.202170.3052.7559.80Y01.12.1991RUBIN TEST FOR PATENCY OF FALLOPIAN TUBES (Anaes.)
3570901.12.19913T84SNNNNNYNNC01.12.199101.07.202145.2533.9538.50Y01.12.1991FALLOPIAN TUBES, hydrotubation of, as a repetitive postoperative procedure (Anaes.)
3571001.05.19973T84SNNNNNYNNA01.11.200401.07.2021482.05361.55Y01.05.1997FALLOPOSCOPY, unilateral or bilateral, including hysteroscopy and tubal catheterization (Anaes.) (Assist.)
3571301.12.19913T84SNNNNNYNNA01.11.200401.07.2021471.20353.40Y01.11.2017LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGO-OOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST - one such procedure,other than a serviceassociated with hysterectomy (Anaes.) (Assist.)
3571701.12.19913T84SNNNNNYNNA01.11.200401.07.2021567.35425.55Y01.11.2017LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, SALPINGO-OOPHORECTOMY, removal of OVARIAN, PARAOVARIAN, FIMBRIAL or BROAD LIGAMENT CYST - 2 or more such procedures, unilateral or bilateral,other thana service associated with hysterectomy (Anaes.) (Assist.)
3572001.12.19913T84SNNNNNYNNA01.11.200401.07.2021701.85526.40Y01.12.1991RADICAL OR DEBULKING OPERATION for advanced gynaecological malignancy, with or without omentectomy (Anaes.) (Assist.)
3572301.12.19913T84SNNNNNYNNA01.11.200401.07.2021502.70377.05Y01.12.1991RETROPERITONEAL LYMPH NODE BIOPSIES from above the level of the aortic bifurcation, for staging or restaging of gynaecological malignancy (Anaes.) (Assist.)
3572601.12.19913T84SNNNNNYNNA01.11.200401.07.2021502.70377.05Y01.12.1991INFRACOLIC OMENTECTOMY with multiple peritoneal biopsies for staging or restaging of gynaecological malignancy (Anaes.) (Assist.)
3572901.11.19923T84SNNNNNYNNA01.11.200401.07.2021226.60169.95Y01.11.1992OVARIAN TRANSPOSITION out of the pelvis, in conjunction with radical hysterectomy for invasive malignancy (Anaes.)
3573001.05.20173T84SNNNNNYNNA01.05.201701.07.2021226.60169.95Y01.05.2017Ovarian repositioning for one or both ovaries to preserve ovarian function, prior to gonadotoxic radiotherapy when the treatment volume and dose of radiation have a high probability of causing infertility (Anaes.)
3575001.05.19973T84SNNNNNYNNA01.11.200401.07.2021816.40612.30Y01.05.1997LAPAROSCOPICALLY ASSISTED HYSTERECTOMY, including any associated laparoscopy (Anaes.) (Assist.)
3575301.05.19973T84SNNNNNYNNA01.11.200401.07.2021902.75677.10Y01.05.2001LAPAROSCOPICALLY 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.)
3575401.05.20013T84SNNNNNYNNA01.11.200401.07.20211136.15852.15Y01.05.2001LAPAROSCOPICALLY 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.)
3575601.05.19973T84SNNNNNYNNA01.11.200401.07.2021816.40612.30Y01.05.1997LAPAROSCOPICALLY ASSISTED HYSTERECTOMY, when procedure is completed by open hysterectomy, including any associated laparoscopy (Anaes.) (Assist.)
3575901.11.20003T84SNNNNNYNNA01.11.200401.07.2021586.15439.65Y01.11.2013Procedure 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.)
3650201.11.19973T851SNNNNNYNNA01.11.200401.07.2021711.60533.70Y01.11.1997PELVIC LYMPHADENECTOMY, open or laparoscopic, or both, unilateral or bilateral (Anaes.) (Assist.)
3650301.12.19913T851SNNNNNYNNA01.11.200401.07.20211447.501085.65Y01.12.1991RENAL TRANSPLANT (not being a service to which item 36506 or 36509 applies) (Anaes.) (Assist.)
3650401.05.20193T852SNNNNNYNNC01.05.201901.07.2021306.80230.10260.80Y01.05.2019RIGID CYSTOSCOPY using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with biopsy of bladder, not being a service associated with a service to which item 36505, 36507, 36508, 36812, 36830, 36836, 36840, 36845, 36848, 36854, 37203, 37206, 37215, 37230 or 37233 applies. (Anaes.)
3650501.05.20193T852SNNNNNYNNC01.05.201901.07.2021241.10180.85204.95Y01.05.2019RIGID CYSTOSCOPY using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, 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.)
3650601.12.19913T851SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991RENAL TRANSPLANT, performed by vascular surgeon and urologist operating togethervascular anastomosis including aftercare (Anaes.) (Assist.)
3650701.05.20193T852SNNNNNYNNC01.05.201901.07.2021403.90302.95343.35Y01.05.2019RIGID CYSTOSCOPY using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with resection, diathermy or visual laser destruction of bladder tumour or other lesion of the bladder, not being a service to which item 36840 or 36845 applies. (Anaes.)
3650801.05.20193T852SNNNNNYNNC01.05.201901.07.2021787.05590.30702.35Y01.05.2019RIGID CYSTOSCOPY using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, 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, not being a service to which item 36845 applies. (Anaes.)
3650901.12.19913T851SNNNNNYNNA01.11.200401.07.2021814.70611.0501.12.1991RENAL TRANSPLANT, performed by vascular surgeon and urologist operating togetherureterovesical anastomosis including aftercare (Assist.)
3651601.12.19913T851SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.11.2020Nephrectomy, complete, by open, laparoscopic or robot-assisted approach, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
3651901.12.19913T851SNNNNNYNNA01.11.200401.07.20211343.451007.60Y01.11.2020Nephrectomy, complete, by open, laparoscopic or robot-assisted approach, complicated by previous surgery on the same kidney, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
3652201.12.19913T851SNNNNNYNNA01.11.200401.07.20211152.90864.70Y01.11.2020Nephrectomy, partial,by open, laparoscopic or robot-assisted approach, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
3652501.12.19913T851SNNNNNYNNA01.11.200401.07.20211638.251228.70Y01.11.2020Nephrectomy, partial, by open, laparoscopic or robot‑assisted approach: (a) if complicated by previous surgery or ablative procedure on the same kidney; or (b) for a patient with a solitary functioning kidney; or (c) for a patient with an estimated glomerular filtration rate (eGFR) of less than 60ml/min/1.73m2; other than a service associated with a service to which item30390 or 30627 applies (Anaes.) (Assist.)
3652801.12.19913T851SNNNNNYNNA01.11.200401.07.20211343.451007.60Y01.11.2020Nephrectomy, radical, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10 cm in diameter, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
3652901.05.20013T851SNNNNNYNNA01.11.200401.07.20211658.001243.50Y01.11.2020Nephrectomy, radical, by open, laparoscopic or robot‑assisted approach, with or without en bloc dissection of lymph nodes, with or without adrenalectomy: (a) for a tumour 10 cm or more in diameter; or (b) if complicated by previous open or laparoscopic surgery on the same kidney; other than a service associated with a service to which item30390 or 30627 applies (Anaes.) (Assist.)
3653101.12.19913T851SNNNNNYNNA01.11.200401.07.20211204.80903.60Y01.11.2020Nephroureterectomy, complete, by open, laparoscopic or robot-assisted approach, including associated bladder repair and any associated endoscopic procedure, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
3653201.05.20013T851SNNNNNYNNA01.11.200401.07.20211729.201296.90Y01.11.2020Nephroureterectomy, for tumour, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, other than a service to which item 36533 applies or a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
3653301.05.20013T851SNNNNNYNNA01.11.200401.07.20212043.801532.85Y01.11.2020Nephroureterectomy, for tumour, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, if complicated by previous open or laparoscopic surgery on the same kidney or ureter, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
3653701.12.19913T851SNNNNNYNNA01.11.200401.07.2021719.40539.55Y01.12.1991KIDNEY 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.)
3654301.12.19913T851SNNNNNYNNC01.12.199101.07.20211343.451007.601258.75Y01.11.2020Nephrolithotomy or pyelolithotomy, or both, extended, for one or more renal stones, including one or more of nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (Anaes.) (Assist.)
3654601.12.19913T851SNNNNNYNNC01.12.199101.07.2021719.40539.55634.70Y01.12.1991EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) to urinary tract and posttreatment care for 3 days, including pretreatment consultation, unilateral (Anaes.)
3654901.12.19913T851SNNNNNYNNA01.11.200401.07.2021866.90650.20Y01.11.2020Ureterolithotomy, by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.)
3655201.12.19913T851SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.12.1991NEPHROSTOMY or pyelostomy, open, as an independent procedure (Anaes.) (Assist.)
3655801.12.19913T851SNNNNNYNNC01.12.199101.07.2021676.15507.15591.45Y01.12.1991RENAL CYST OR CYSTS, excision or unroofing of (Anaes.) (Assist.)
3656101.12.19913T851SNNNNNYNNC01.12.199101.07.2021179.50134.65152.60Y01.11.2020Renal biopsy, performed under image guidance (closed) (Anaes.)
3656401.12.19913T851SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.11.2020Pyeloplasty, (plastic reconstruction of the pelvi-ureteric junction) by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
3656701.12.19913T851SNNNNNYNNA01.11.200401.07.20211057.50793.15Y01.11.2020Pyeloplasty in a kidney that is congenitally abnormal (in addition to the presence of pelvi-ureteric junction obstruction), or in a solitary kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
3657001.12.19913T851SNNNNNYNNA01.11.200401.07.20211343.451007.60Y01.11.2020Pyeloplasty, complicated by previous surgery on the same kidney, by open,laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
3657301.12.19913T851SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991DIVIDED URETER, repair of (Anaes.) (Assist.)
3657601.12.19913T851SNNNNNYNNA01.11.200401.07.20211204.80903.60Y01.11.2020Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, by open, laparoscopic or robot‑assisted approach, other than a service associated with: (a) any other procedure performed on the kidney, renal pelvis or renal pedicle; or (b) a service to which item30390 or 30627 applies (Anaes.) (Assist.)
3657901.12.19913T851SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.11.2020Ureterectomy, complete or partial: (a) for a tumour within the ureter, proven by histopathology at the time of surgery; or (b) for congenital anomaly; with or without associated bladder repair (Anaes.) (Assist.)
3658501.12.19913T851SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.12.1991URETER, transplantation of, into skin (Anaes.) (Assist.)
3658801.12.19913T851SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991URETER, reimplantation into bladder (Anaes.) (Assist.)
3659101.12.19913T851SNNNNNYNNA01.11.200401.07.20211152.90864.70Y01.12.1991URETER, reimplantation into bladder with psoas hitch or Boari flap or both (Anaes.) (Assist.)
3659401.12.19913T851SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991URETER, transplantation of, into intestine (Anaes.) (Assist.)
3659701.12.19913T851SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991URETER, transplantation of, into another ureter (Anaes.) (Assist.)
3660001.12.19913T851SNNNNNYNNC01.12.199101.07.20211152.90864.701068.20Y01.12.1991URETER, transplantation of, into isolated intestinal segment, unilateral (Anaes.) (Assist.)
3660301.12.19913T851SNNNNNYNNA01.11.200401.07.20211343.451007.60Y01.12.1991URETERS, transplantation of, into isolated intestinal segment, bilateral (Anaes.) (Assist.)
3660401.05.19973T851SNNNNNYNNC01.05.199701.07.2021278.55208.95236.80Y01.11.2020Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional radiology techniques, but not including imaging (Anaes.)
3660601.12.19913T851SNNNNNYNNA01.11.200401.07.20212409.651807.25Y01.12.1991INTESTINAL URINARY RESERVOIR, continent, formation of, including formation of nonreturn valves and implantation of ureters (1 or both) into reservoir (Anaes.) (Assist.)
3660701.05.20053T851SNNNNNYNNA01.05.200501.07.2021718.70539.05Y01.11.2020Ureteric stent insertion of, with balloon dilatation of: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventionalradiology techniques, but not including imaging (Anaes.)
3660801.05.20053T851SNNNNNYNNA01.05.200501.07.2021278.55208.95Y01.11.2020Ureteric stent, exchange of, percutaneously through either the ileal conduit or bladder, using interventional radiology techniques, but not including imaging, not being a service associated with a service to which items 36811 to 36854 apply (Anaes.)
3660901.12.19913T851SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.11.2020Intestinal urinary conduit, reservoir or ureterostomy, revision of (Anaes.) (Assist.)
3661001.11.20203T851SNNNNNYNNA01.11.202001.07.20211846.951385.25Y01.11.2020Intestinal urinary conduit, incontinent, formation of (including associated small bowel resection and anastomosis), including implantation of one or both ureters into reservoir (Anaes.) (Assist.)
3661101.11.20203T851SNNNNNYNNA01.11.202001.07.20212913.202184.90Y01.11.2020Intestinal urinary reservoir, continent, formation of (including associated small bowel resection and anastomosis), including formation of non-return valves and implantation of one or both ureters into reservoir, performed by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.)
3661201.12.19913T851SNNNNNYNNA01.11.200401.07.2021676.15507.15Y01.12.1991URETER, exploration of, with or without drainage of, as an independent procedure (Anaes.) (Assist.)
3661501.12.19913T851SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.11.2020Ureterolysis, unilateral, with or without repositioning of the ureter, for obstruction of the ureter, if: (a) the obstruction: (i) is evident either radiologically or by proximal ureteric dilatation at operation; and (ii) is secondary to retroperitoneal fibrosis; and (b) there is biopsy proven fibrosis, endometriosis or cancer at the site of the obstruction at time of surgery (Anaes.) (Assist.)
3661801.12.19913T851SNNNNNYNNA01.11.200401.07.2021676.15507.15Y01.12.1991REDUCTION URETEROPLASTY (Anaes.) (Assist.)
3662101.12.19913T851SNNNNNYNNA01.11.200401.07.2021483.35362.55Y01.12.1991CLOSURE OF CUTANEOUS URETEROSTOMY (Anaes.) (Assist.)
3662401.12.19913T851SNNNNNYNNC01.12.199101.07.2021580.75435.60496.05Y01.11.2020Nephrostomy, percutaneous, using interventional radiology techniques, but not including imaging (Anaes.) (Assist.)
3662701.12.19913T851SNNNNNYNNA01.11.200401.07.2021719.40539.55Y01.11.2020Nephroscopy, percutaneous, with or without any one or more of; stone extraction, biopsy or diathermy, not being a service to which item 36639 or 36645 applies (Anaes.)
3663301.12.19913T851SNNNNNYNNC01.12.199101.07.2021771.55578.70686.85Y01.11.2020Nephroscopy, percutaneous, with incision of any one 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 or 36645 applies (Anaes.) (Assist.)
3663601.12.19913T851SNNNNNYNNA01.11.200401.07.2021416.10312.10Y01.11.2020Nephroscopy, percutaneous, with incision of any one 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 or 36645 applies (Anaes.) (Assist.)
3663901.12.19913T851SNNNNNYNNA01.11.200401.07.2021866.90650.20Y01.11.2020Nephroscopy, percutaneous, with destruction and extraction of one or two stones using ultrasound or electrohydraulic shock waves orlasers, other than a service to which item 36645 applies (Anaes.)
3664501.12.19913T851SNNNNNYNNA01.11.200401.07.20211109.50832.15Y01.12.1991NEPHROSCOPY, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (Anaes.) (Assist.)
3664901.04.19923T851SNNNNNYNNC01.04.199201.07.2021278.55208.95236.80Y01.11.2020Nephrostomy drainage tube, exchange of, using interventional radiology techniques, but not including imaging (Anaes.) (Assist.)
3665001.05.20053T851SNNNNNYNNA01.05.200501.07.2021155.80116.85Y01.11.2020Nephrostomy tube, removal of, using interventionalradiology techniques, but not including imaging, if the ureter has been stented with a double J ureteric stent and that stent is left in place (Anaes.)
3665201.05.20013T851SNNNNNYNNA01.11.200401.07.2021676.15507.15Y01.05.2001PYELOSCOPY, 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.)
3665401.05.20013T851SNNNNNYNNA01.11.200401.07.2021866.90650.20Y01.11.2001PYELOSCOPY, 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 (Anaes.) (Assist.)
3665601.05.20013T851SNNNNNYNNA01.11.200401.07.20211109.50832.15Y01.11.2001PYELOSCOPY, 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.)
3666301.05.20103T852SNNNNNYNNC01.05.201701.07.2021687.75515.85603.05Y01.05.2017Both:(a) percutaneous placement of sacral nerve lead or leads using fluoroscopic guidance, or open placement of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to manage: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
3666401.05.20103T852SNNNNNYNNC01.05.201701.07.2021617.60463.20532.90Y01.05.2017Both:(a) percutaneous repositioning of sacral nerve lead or leads using fluoroscopic guidance, or open repositioning of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment —other than a service to which item 36663 applies (Anaes.)
3666501.05.20103T852SNNNNNYNNC01.05.201001.07.2021130.4597.85110.9001.05.2010Sacral 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
3666601.05.20103T852SNNNNNYNNC01.05.201701.07.2021347.55260.70295.45Y01.05.2017Pulse generator, subcutaneous placement of, and placement and connection of extension wire or wires to sacral nerve electrode or electrodes, for the management of:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
3666701.05.20103T852SNNNNNYNNC01.05.201701.07.2021162.65122.00138.30Y01.05.2017Sacral nerve lead or leads, removal of, if the lead was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
3666801.05.20103T852SNNNNNYNNC01.05.201701.07.2021162.65122.00138.30Y01.05.2017Pulse generator, removal of, if the pulse generator was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
3667101.11.20183T852SNNNNNYNNC01.11.201801.07.2021208.10156.10176.9001.11.2018Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if: (a) the patient has been diagnosed with idiopathic overactive bladder; and (b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti‑cholinergic agents); and (c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and (d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and (e) the patient is willing and able to comply with the treatment protocol; and (f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and (g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. For each patient—applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period. Not applicable for a service associated with a service to which item36672 or 36673 applies
3667201.11.20183T852SNNNNNYNNC01.11.201801.07.2021208.10156.10176.9001.11.2018Percutaneous tibial nerve stimulation, tapering treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the tapering treatment protocol comprises no more than 5 sessions, delivered over a 3 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for a service associated with a service to which item36671 or 36673 applies
3667301.11.20183T852SNNNNNYNNC01.11.201801.07.2021208.10156.10176.9001.11.2018Percutaneous tibial nerve stimulation, maintenance treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and to the tapering treatment protocol, and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the maintenance treatment protocol comprises no more than 12 sessions, delivered over a 12 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for service associated with a service to which item36671 or 36672 applies
3680001.12.19913T852SNNNNNYNNC01.12.199101.07.202128.7021.5524.40Y01.12.1991BLADDER, catheterisation of, where no other procedure is performed (Anaes.)
3680301.12.19913T852SNNNNNYNNC01.12.199101.07.2021485.25363.95412.50Y01.11.2020Ureteroscopy, 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 or 36848 applies (Anaes.) (Assist.)
3680601.12.19913T852SNNNNNYNNA01.11.200401.07.2021676.15507.15Y01.11.2020Ureteroscopy, of one ureter: (a) with or without one or more of the following: (i) cystoscopy; (ii) endoscopic incision of pelviureteric junction or ureteric stricture; (iii) ureteric meatotomy; (iv) ureteric dilatation; and (b) with either or both of the following: (i) extraction of stone from the ureter; (ii) biopsy or diathermy of the ureter; other than: (c) a service associated with a service to which item36803 or 36812 applies; or (d) a service associated with a service, performed on the same ureter, to which item36809, 36824 or 36848 applies (Anaes.) (Assist.)
3680901.12.19913T852SNNNNNYNNA01.11.200401.07.2021866.90650.20Y01.11.2020Ureteroscopy, 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 or 36848 applies to a procedure performed on the same ureter (Anaes.) (Assist.)
3681101.05.19973T852SNNNNNYNNC01.05.199701.07.2021336.50252.40286.05Y01.11.2020Cystoscopy, with insertion of one or more urethral or prostatic prostheses, other than a service associated with a service to which item 37203, 37207 or 37230 applies (Anaes.)
3681201.12.19913T852SNNNNNYNNC01.12.199101.07.2021173.45130.10147.45Y01.11.2020Either or both of cystoscopy and urethroscopy, with or without urethral dilatation, other than a service associated with any other urological endoscopic procedure on the lower urinary tract (Anaes.)
3681501.12.19913T852SNNNNNYNNC01.12.199101.07.2021247.55185.70210.45Y01.12.1991CYSTOSCOPY, 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.)
3681801.12.19913T852SNNNNNYNNC01.12.199101.07.2021287.80215.85244.65Y01.11.2020Cystoscopy, with ureteric catheterisation, unilateral or bilateral, guided by fluoroscopic imaging of the upper urinary tract, other than a service associated with a service to which item 36824 or 36830 applies (Anaes.)
3682101.12.19913T852SNNNNNYNNC01.12.199101.07.2021336.30252.25285.90Y01.11.2020Cystoscopy with one or more of; ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or renal pelvis, unilateral (Anaes.) (Assist.)
3682201.11.20203T852SNNNNNYNNC01.11.202001.07.2021480.25360.20408.25Y01.11.2020Cystoscopy, with ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis; other than a service associated with a service to which item36818, 36821 or 36830 applies (Anaes.) (Assist.)
3682301.11.20203T852SNNNNNYNNC01.11.202001.07.2021552.20414.15469.40Y01.11.2020Cystoscopy, with removal of ureteric stent and ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including either or both of the following: (i) ureteric dilatation; or (ii) insertion of ureteric stent of ureter or of renal pelvis; other than a service associated with a service to which item36818, 36821, 36830 or 36833 applies (Anaes.) (Assist.)
3682401.12.19913T852SNNNNNYNNC01.12.199101.07.2021221.80166.35188.55Y01.11.2020Cystoscopy, with ureteric catheterisation, unilateral or bilateral,other than a service associated with a service to which item 36818 applies (Anaes.)
3682701.12.19913T852SNNNNNYNNC01.12.199101.07.2021239.20179.40203.35Y01.11.2020Cystoscopy, with controlled hydrodilatation of the bladder,other than a service associated with a service to which item 37011 or 37245 applies (Anaes.)
3683001.12.19913T852SNNNNNYNNA01.11.200401.07.2021211.50158.65Y01.12.1991CYSTOSCOPY, with ureteric meatotomy (Anaes.)
3683301.12.19913T852SNNNNNYNNC01.12.199101.07.2021287.80215.85244.65Y01.11.2020Cystoscopy, with removal of ureteric stent or other foreign body in the lower urinary tract, unilateral (Anaes.)
3683601.12.19913T852SNNNNNYNNC01.12.199101.07.2021239.20179.40203.35Y01.02.2019CYSTOSCOPY, with biopsy of bladder, not being a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203, 37206, 37215, 37230 or 37233applies (Anaes.)
3684001.05.20033T852SNNNNNYNNC01.05.200301.07.2021336.30252.25285.90Y01.11.2020Cystoscopy, with diathermy, resection or visual laser destruction of bladder tumour or other lesion of the bladder, for: (a) a tumour or lesion in only one quadrant of the bladder; or (b) a solitary tumour of not more than 2 cm in diameter; other than a service associated with a service to which item36845 applies (Anaes.)
3684201.12.19913T852SNNNNNYNNA01.11.200401.07.2021338.35253.80Y01.11.2020Cystoscopy, with lavage of blood clots from bladder, including any associated cautery of prostate or bladder, other than a service associated with a service to which any of items 36812, 36827 to 36863, 37203, 37206, 37230 and 37233 apply (Anaes.)
3684501.12.19913T852SNNNNNYNNC01.11.200601.07.2021719.40539.55634.70Y01.11.2020Cystoscopy, with diathermy, resection or visual laser destruction of: (a) multiple tumours in 2 or more quadrants of the bladder; or (b) a solitary bladder tumour of more than 2 cm in diameter (Anaes.)
3684801.12.19913T852SNNNNNYNNA01.11.200401.07.2021239.20179.40Y01.12.1991CYSTOSCOPY, with resection of ureterocele (Anaes.)
3685101.12.19913T852SNNNNNYNNA01.11.200401.07.2021239.20179.40Y01.11.2014Cystoscopy, with injection into bladder wall, other than a service associated with a service to which item 18375 or 18379 applies (H) (Anaes.)
3685401.12.19913T852SNNNNNYNNA01.11.200401.07.2021485.25363.95Y01.12.1991CYSTOSCOPY, with endoscopic incision or resection of external sphincter, bladder neck or both (Anaes.)
3686001.12.19913T852SNNNNNYNNC01.12.199101.07.2021173.45130.10147.45Y01.12.1991ENDOSCOPIC EXAMINATION of intestinal conduit or reservoir (Anaes.)
3686301.12.19913T852SNNNNNYNNA01.11.200401.07.2021485.25363.95Y01.11.2020Litholapaxy, with or without cystoscopy (Anaes.)
3700001.12.19913T852SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.12.1991BLADDER, partial excision of (Anaes.) (Assist.)
3700401.12.19913T852SNNNNNYNNA01.11.200401.07.2021676.15507.15Y01.12.1991BLADDER, repair of rupture (Anaes.) (Assist.)
3700801.12.19913T852SNNNNNYNNC01.12.199101.07.2021433.30325.00368.35Y01.11.2020Open cystostomy or cystotomy, suprapubic, other than: (a) a service to which item37011 applies; or (b) a service associated with a service to which item37245 applies; or (c) another open bladder procedure (Anaes.) (Assist.)
3701101.12.19913T852SNNNNNYNNC01.12.199101.07.202197.1072.8582.55Y01.11.2020Suprapubic stab cystotomy, other than a service associated with a service to which item 36827 applies (Anaes.)
3701401.12.19913T852SNNNNNYNNA01.11.200401.07.20211109.50832.15Y01.12.1991BLADDER, total excision of (Anaes.) (Assist.)
3701501.11.20203T852SNNNNNYNNA01.11.202001.07.20211331.40998.55Y01.11.2020Bladder, total excision of, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis (Anaes.) (Assist.)
3701601.11.20203T852SNNNNNYNNA01.11.202001.07.20212076.051557.05Y01.11.2020Cystectomy, including prostatectomy and pelvic lymph node dissection, other than a service associated with a service to which items 37000, 37014, 37015, 37209, 35551 or 36502 applies (Anaes.) (Assist.)
3701801.11.20203T852SNNNNNYNNA01.11.202001.07.20213114.152335.65Y01.11.2020Cystectomy, including prostatectomy and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which items 37000, 37014, 37015, 37016, 37209, 35551 or 36502 applies (Anaes.) (Assist.)
3701901.11.20203T852SNNNNNYNNA01.11.202001.07.20212073.701555.30Y01.11.2020Cystectomy, including anterior exenteration and pelvic lymph node dissection, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502, and 35653 to 35756 apply (Anaes.) (Assist.)
3702001.12.19913T852SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.12.1991BLADDER DIVERTICULUM, excision or obliteration of (Anaes.) (Assist.)
3702101.11.20203T852SNNNNNYNNA01.11.202001.07.20213110.552332.95Y01.11.2020Cystectomy, including anterior exenteration and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502 and 35653 to 35756 apply (Anaes.) (Assist.)
3702301.12.19913T852SNNNNNYNNA01.11.200401.07.2021433.30325.00Y01.12.1991VESICAL FISTULA, cutaneous, operation for (Anaes.)
3702601.12.19913T852SNNNNNYNNA01.11.200401.07.2021433.30325.00Y01.12.1991CUTANEOUS VESICOSTOMY, establishment of (Anaes.) (Assist.)
3702901.12.19913T852SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991VESICOVAGINAL FISTULA, closure of, by abdominal approach (Anaes.) (Assist.)
3703801.12.19913T852SNNNNNYNNA01.11.200401.07.2021719.75539.85Y01.12.1991VESICOINTESTINAL FISTULA, closure of, excluding bowel resection (Anaes.) (Assist.)
3703901.11.20203T852SNNNNNYNNA01.11.202001.07.2021701.85526.40Y01.11.2020Bladder stress incontinence, sling procedure for, using a non-autologous biological sling (Anaes.) (Assist.)
3704001.05.20163T852SNNNNNYNNA01.05.201601.07.2021948.25711.20Y01.11.2020Bladder stress incontinence, sling procedure for, using a non-adjustable synthetic male sling system, other than a service associated with a service to which item 30405 or 37042 applies (Anaes.) (Assist.)
3704101.12.19913T852SNNNNNYNNC01.12.199101.07.202148.5036.4041.2501.12.1991BLADDER ASPIRATION by needle
3704201.05.20013T852SNNNNNYNNA01.11.200401.07.2021948.25711.20Y01.11.2020Bladder stress incontinence, sling procedure for, using autologous fascial sling, including harvesting of sling, other than a service associated with a service to which item 30405 or 35599 applies (Anaes.) (Assist.)
3704301.05.20013T852SNNNNNYNNA01.11.200401.07.2021701.85526.40Y01.11.2020Bladder stress incontinence, Stamey or similar type needle colposuspension, other than a service associated with a service to which item 30405 or 35599 applies (Anaes.) (Assist.)
3704401.12.19913T852SNNNNNYNNA01.11.200401.07.2021719.75539.85Y01.11.2020Bladder stress incontinence, suprapubic procedure for, eg Burch colposuspension,other than a service associated with a service to which item 30405 or 35599 applies (Anaes.) (Assist.)
3704501.05.19973T852SNNNNNYNNA01.11.200401.07.20211486.601114.95Y01.09.2015CONTINENT CATHETERISATION BLADDER STOMAS (eg. Mitrofanoff), formation of (Anaes.) (Assist.)
3704601.11.20203T85SNNNNNYNNA01.11.202001.07.2021720.50540.40Y01.11.2020Suprapubic or perineal procedure for excision of graft material, either singly or in multiple pieces, for a symptomatic patient with graft related complications (including graft related pain or discharge and bleeding related to graft exposure), if not more than one service to which this item applies has been provided to the patient by the same practitioner in the preceding 12 months (Anaes.) (Assist.)
3704701.12.19913T852SNNNNNYNNA01.11.200401.07.20211733.551300.20Y01.12.1991BLADDER ENLARGEMENT using intestine (Anaes.) (Assist.)
3704801.11.20203T852SNNNNNYNNA01.11.202001.07.2021962.20721.65Y01.11.2020Bladder neck closure for the management of urinary incontinence (Anaes.) (Assist.)
3705001.12.19913T852SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.12.1991BLADDER EXSTROPHY CLOSURE, not involving sphincter reconstruction (Anaes.) (Assist.)
3705301.12.19913T852SNNNNNYNNA01.11.200401.07.2021891.40668.55Y01.12.1991BLADDER TRANSECTION AND RE-ANASTOMOSIS TO TRIGONE (Anaes.) (Assist.)
3720001.12.19913T854SNNNNNYNNA01.11.200401.07.20211057.50793.15Y01.11.2020Prostatectomy, by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.)
3720101.11.20023T854SNNNNNYNNA01.11.200401.07.2021862.45646.85Y01.05.2013PROSTATE, 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, 37245, 37303, 37321 or 37324 applies (Anaes.)
3720201.11.20023T854SNNNNNYNNC01.11.200301.07.2021432.90324.70368.00Y01.05.2013PROSTATE, 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, 37245, 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.)
3720301.12.19913T854SNNNNNYNNA01.11.200401.07.20211084.35813.30Y01.11.2020Prostatectomy, transurethral resection using cautery, with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37201, 37202, 37207, 37208, 37245, 37303, 37321 or 37324 applies (Anaes.)
3720601.12.19913T854SNNNNNYNNA01.11.200401.07.2021580.75435.60Y01.11.2020Prostatectomy, endoscopic, using diathermy or other ablative techniques: (a) with or without cystoscopy and with or without urethroscopy; and (b) including services to which one or more of items36854, 37303, 37321 and 37324 apply; continuation, within 10 days, of treatment of benign prostatic hyperplasia that had to be discontinued for medical reasons (Anaes.)
3720701.07.19953T854SNNNNNYNNA01.11.200401.07.20211084.35813.30Y01.05.2020PROSTATE, 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, 37245, 37303, 37321 or 37324 applies (Anaes.)
3720801.07.19953T854SNNNNNYNNA01.11.200401.07.2021580.75435.60Y01.05.2013PROSTATE, 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, 37207 or 37245 which had to be discontinued for medical reasons (Anaes.)
3720901.12.19913T854SNNNNNYNNA01.11.200401.07.20211343.451007.60Y01.05.2001PROSTATE, 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.)
3721001.11.19973T854SNNNNNYNNA01.11.200401.07.20211658.001243.50Y01.11.2020Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated) with or without bladder neck reconstruction, other than a service associated with a service to which item 30390, 30627, 35551, 36502 or 37375 applies (Anaes.) (Assist.)
3721101.11.19973T854SNNNNNYNNA01.11.200401.07.20212013.601510.20Y01.11.2020Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated): (a) with or without bladder neck reconstruction; and (b) with pelvic lymphadenectomy; other than a service associated with a service to which item30390, 30627, 35551, 36502 or 37375 applies (Anaes.) (Assist.)
3721301.11.20203T854SNNNNNYNNA01.11.202001.07.20212486.851865.15Y01.11.2020Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated): (a) complicated by: (i) previous radiation therapy (including brachytherapy) on the prostate; or (ii) previous ablative procedures on the prostate; and (b) with bladder neck reconstruction; other than a service associated with a service to which item30390, 30627, 35551, 36502 or 37375 applies (Anaes.) (Assist.)
3721401.11.20203T854SNNNNNYNNA01.11.202001.07.20213020.652265.50Y01.11.2020Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated): (a) complicated by: (i) previous radiation therapy (including brachytherapy) on the prostate; or (ii) previous ablative procedures on the prostate; and (b) with bladder neck reconstruction and pelvic lymphadenectomy; other than a service associated with a service to which item30390, 30627, 35551, 36502 or 37375 applies (Anaes.) (Assist.)
3721501.12.19913T854SNNNNNYNNC01.12.199101.07.2021433.30325.00368.35Y01.11.2020Prostate, biopsy of, endoscopic, with or without cystoscopy (Anaes.)
3721601.11.20203T854SNNNNNYNNC01.11.202001.07.2021146.15109.65124.25Y01.11.2020Prostate or prostatic bed, needle biopsy of, by the transrectal route, using prostatic ultrasound guidance and obtaining one or more prostatic specimens, being a service associated with a service to which item 55603 applies (Anaes.)
3721701.07.20113T854SNNNNNYNNC01.07.201101.07.2021143.90107.95122.35Y01.11.2020Prostate, implantation of radio-opaque fiducial markers into the prostate gland or prostate surgical bed, under ultrasound guidance, being an item associated with a service to which item 55603 applies (Anaes.)
3721801.12.19913T854SNNNNNYNNC01.12.199101.07.2021143.90107.95122.35Y01.11.2020Prostate, injection into, one or more, excluding insertion of fiduciary markers (Anaes.)
3721901.05.19943T854SNNNNNYNNC01.05.199401.07.2021350.75263.10298.15Y01.11.2020Prostate or prostatic bed, needle biopsy of, by the transperineal route, using prostatic ultrasound guidance and obtaining one or more prostatic specimens, being a service associated with a service to which item 55600 or 55603 applies (Anaes.)
3722001.11.20013T854SNNNNNYNNA01.11.200401.07.20211086.50814.90Y01.11.2020Prostate, radioactive seed implantation of, urological component, using transrectal ultrasound guidance: (a) for a patient with: (i) localised prostatic malignancy at clinical stages T1 (clinically inapparent tumour not palpable or visible by imaging) or T2 (tumour confined within prostate); and (ii) a Gleason score of less than or equal to 7 (Grade Group 1 to Grade Group 3); and (iii) a prostate specific antigen (PSA) of not more than 10ng/ml at the time of diagnosis; and (b) performed by a urologist at an approved site in association with a radiation oncologist; and (c) being a service associated with: (i) services to which items15338 and 55603 apply; and (ii) a service to which item60506 or 60509 applies (Anaes.)
3722101.12.19913T854SNNNNNYNNA01.11.200401.07.2021485.25363.95Y01.11.2020Prostatic abscess, endoscopic drainage of (Anaes.)
3722301.05.19973T854SNNNNNYNNA01.11.200401.07.2021214.60160.95Y01.05.1997PROSTATIC COIL, insertion of, under ultrasound control (Anaes.)
3722401.05.20033T854SNNNNNYNNC01.05.200301.07.2021336.30252.25285.90Y01.11.2020Prostate, diathermy or cauterisation,other than a service associated with a service to which item 37201, 37202, 37203, 37206, 37207, 37208 or 37215 applies (Anaes.)
3722601.05.20203T85SNSNNNNYNNC01.05.202001.07.2021292.25219.20248.45Y01.05.2020Prostate or prostatic bed, needle biopsy of, using prostatic magnetic resonance imaging techniques and obtaining 1 or more prostatic specimens. (Anaes.) (Anaes.)
3722701.11.20063T854SNNNNNYNNC01.11.200601.07.2021588.75441.60504.05Y01.05.2007PROSTATE, 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.)
3723001.05.20063T854SNNNNNYNNC01.05.200601.07.20211084.35813.30999.65Y01.11.2020Prostate, ablation by electrocautery or high-energy transurethral microwave thermotherapy, with or without cystoscopy and with or without urethroscopy (Anaes.)
3723301.05.20063T854SNNNNNYNNC01.05.200601.07.2021580.75435.60496.05Y01.11.2020Prostate, ablation by electrocautery or high-energy transurethral microwave thermotherapy, with or without cystoscopy and with or without urethroscopy, continuation, within 10 days, of a urological procedure of the prostate that had to be discontinued for medical reasons (Anaes.)
3724501.03.20133T854SNNNNNYNNA01.03.201301.07.20211313.30985.00Y01.11.2020Prostate, endoscopic enucleation of, for the treatment of benign prostatic hyperplasia: (a) with morcellation, including mechanical morcellation or by an endoscopic technique; and (b) with or without cystoscopy; and (c) with or without urethroscopy; and other than a service associated with a service to which item36827, 36854, 37008, 37201, 37202, 37203, 37206, 37207, 37208, 37303, 37321 or 37324 applies (Anaes.)
3730001.12.19913T855SNNNNNYNNC01.12.199101.07.202148.5036.4041.25Y01.12.1991URETHRAL SOUNDS, passage of, as an independent procedure (Anaes.)
3730301.12.19913T855SNNNNNYNNC01.12.199101.07.202177.1057.8565.55Y01.12.1991URETHRAL STRICTURE, dilatation of (Anaes.)
3730601.12.19913T855SNNNNNYNNA01.11.200401.07.2021676.15507.15Y01.12.1991URETHRA, repair of rupture of distal section (Anaes.) (Assist.)
3730901.12.19913T855SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991URETHRA, repair of rupture of prostatic or membranous segment (Anaes.) (Assist.)
3731801.12.19913T855SNNNNNYNNC01.12.199101.07.2021287.80215.85244.65Y01.11.2020Urethroscopy, with or without cystoscopy, with one or more of biopsy, diathermy, visual laser destruction of urethral calculi or removal of foreign body or calculi (Anaes.)
3732101.12.19913T855SNNNNNYNNC01.12.199101.07.202197.1072.8582.55Y01.12.1991URETHRAL MEATOTOMY, EXTERNAL (Anaes.)
3732401.12.19913T855SNNNNNYNNA01.11.200401.07.2021239.20179.40Y01.11.2020Urethrotomy or urethrostomy, internal or external (Anaes.) (Assist.)
3732701.12.19913T855SNNNNNYNNA01.11.200401.07.2021336.30252.25Y01.12.1991URETHROTOMY, optical, for urethral stricture (Anaes.) (Assist.)
3733001.12.19913T855SNNNNNYNNA01.11.200401.07.2021676.15507.15Y01.12.1991URETHRECTOMY, partial or complete, for removal of tumour (Anaes.) (Assist.)
3733301.12.19913T855SNNNNNYNNA01.11.200401.07.2021580.75435.60Y01.12.1991URETHROVAGINAL FISTULA, closure of (Anaes.) (Assist.)
3733601.12.19913T855SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.12.1991URETHRORECTAL FISTULA, closure of (Anaes.) (Assist.)
3733801.05.20163T855SNNNNNYNNA01.05.201601.07.2021948.25711.20Y01.11.2020Urethral synthetic male sling system, division or removal of, for urethral obstruction, sling erosion, pain or infection, following previous surgery for urinary incontinence, other than a service associated with a service to which item 37340 or 37341 applies (Anaes.) (Assist.)
3733901.12.19913T855SNNNNNYNNC01.12.199101.07.2021249.60187.20212.20Y01.11.2020Periurethral or transurethral injection of urethral bulking agents for the treatment of urinary incontinence, including cystoscopy and urethroscopy, other than a service associated with a service to which item 18375 or 18379 applies (Anaes.)
3734001.05.20013T855SNNNNNYNNA01.11.200401.07.2021948.25711.20Y01.11.2020Urethral synthetic sling, division or removal of, for urethral obstruction, sling erosion, pain or infection following previous surgery for urinary incontinence, vaginal approach, other than a service associated with a service to which item 37341 or 37344 applies (Anaes.) (Assist.)
3734101.05.20013T855SNNNNNYNNA01.11.200401.07.2021948.25711.20Y01.11.2020Urethral sling, division or removal of, for urethral obstruction, sling erosion, pain or infection following previous surgery for urinary incontinence, suprapubic, combined suprapubic and vaginal or combined suprapubic and perineal approach, other than a service associated with a service to which item 37340 or 37344 applies (Anaes.) (Assist.)
3734201.12.19913T855SNNNNNYNNA01.11.200401.07.2021866.90650.20Y01.12.1991URETHROPLASTYsingle stage operation (Anaes.) (Assist.)
3734301.05.20013T855SNNNNNYNNA01.11.200401.07.20211447.501085.65Y01.05.2001URETHROPLASTY, 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.)
3734401.11.20203T855SNNNNNYNNA01.11.202001.07.2021948.25711.20Y01.11.2020Urethral autologous fascial sling (or other biological sling), division or removal of, for urethral obstruction, sling erosion, pain or infection following previous surgery for urinary incontinence, vaginal approach, other than a service to which 37340 or 37341 applies (Anaes.) (Assist.)
3734501.12.19913T855SNNNNNYNNA01.11.200401.07.2021719.40539.55Y01.12.1991URETHROPLASTY2 stage operationfirst stage (Anaes.) (Assist.)
3734801.12.19913T855SNNNNNYNNA01.11.200401.07.2021719.40539.55Y01.12.1991URETHROPLASTY2 stage operationsecond stage (Anaes.) (Assist.)
3735101.12.19913T855SNNNNNYNNA01.11.200401.07.2021287.80215.85Y01.12.1991URETHROPLASTY, not being a service to which another item in this Group applies (Anaes.) (Assist.)
3735401.12.19913T855SNNNNNYNNA01.11.200401.07.2021336.30252.25Y01.12.1991HYPOSPADIAS, meatotomy and hemicircumcision (Anaes.) (Assist.)
3736901.12.19913T855SNNNNNYNNA01.11.200401.07.2021194.20145.65Y01.12.1991URETHRA, excision of prolapse of (Anaes.)
3737201.12.19913T855SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.11.2020Urethral diverticulum, excision of (Anaes.) (Assist.)
3737501.12.19913T855SNNNNNYNNA01.11.200401.07.20211204.80903.60Y01.12.1991URETHRAL SPHINCTER, reconstruction by bladder tubularisation technique or similar procedure (Anaes.) (Assist.)
3738101.12.19913T855SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.12.1991ARTIFICIAL URINARY SPHINCTER, insertion of cuff, perineal approach (Anaes.) (Assist.)
3738401.12.19913T855SNNNNNYNNA01.11.200401.07.20211204.80903.60Y01.12.1991ARTIFICIAL URINARY SPHINCTER, insertion of cuff, abdominal approach (Anaes.) (Assist.)
3738701.12.19913T855SNNNNNYNNA01.11.200401.07.2021336.30252.25Y01.12.1991ARTIFICIAL URINARY SPHINCTER, insertion of pressure regulating balloon and pump (Anaes.) (Assist.)
3738801.11.20203T855SNNNNNYNNC01.11.202001.07.2021101.9076.4586.6501.11.2020Artificial urinary sphincter, sterile, percutaneous adjustment of filling volume
3739001.12.19913T855SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991ARTIFICIAL URINARY SPHINCTER, revision or removal of, with or without replacement (Anaes.) (Assist.)
3739301.12.19913T855SNNNNNYNNC01.12.199101.07.2021239.20179.40203.35Y01.12.1991PRIAPISM, decompression by glanular stab cavernosospongiosum shunt or penile aspiration with or without lavage (Anaes.)
3739601.12.19913T855SNNNNNYNNA01.11.200401.07.2021771.55578.70Y01.12.1991PRIAPISM, shunt operation for, not being a service to which item 37393 applies (Anaes.) (Assist.)
3740201.12.19913T855SNNNNNYNNA01.11.200401.07.2021485.25363.95Y01.12.1991PENIS, partial amputation of (Anaes.) (Assist.)
3740501.12.19913T855SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991PENIS, complete or radical amputation of (Anaes.) (Assist.)
3740801.12.19913T855SNNNNNYNNA01.11.200401.07.2021485.25363.95Y01.12.1991PENIS, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (Anaes.) (Assist.)
3741101.12.19913T855SNNNNNYNNC01.12.199101.07.2021962.20721.65877.50Y01.12.1991PENIS, repair of avulsion (Anaes.) (Assist.)
3741501.07.19963T855SNNNNNYNNC01.07.199601.07.202148.5036.4041.2501.11.2020Penis, injection of, for the investigation and treatment of erectile dysfunction. Applicable not more than twice in a 36‑month period
3741701.12.19913T855SNNNNNYNNA01.11.200401.07.2021580.75435.60Y01.11.2020Penis, correction of chordee by plication techniques including Nesbit’s corporoplasty (Anaes.) (Assist.)
3741801.05.20013T855SNNNNNYNNC01.05.200101.07.2021771.55578.70686.85Y01.11.2020Penis, correction of chordee with incision or excision of fibrous plaque or plaques, with or without mobilisation of one or both of the neuro-vascular bundle and urethra (Anaes.) (Assist.)
3742301.12.19913T855SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.11.2020Penis, lengthening by translocation of corpora, in conjunction with partial penectomy or penile epispadias secondary repair, either as primary or secondary procedures (Anaes.) (Assist.)
3742601.12.19913T855SNNNNNYNNA01.11.200401.07.20211014.05760.55Y01.12.1991PENIS, artificial erection device, insertion of, into 1 or both corpora (Anaes.) (Assist.)
3742901.12.19913T855SNNNNNYNNA01.11.200401.07.2021336.30252.25Y01.12.1991PENIS, artificial erection device, insertion of pump and pressure regulating reservoir (Anaes.) (Assist.)
3743201.12.19913T855SNNNNNYNNA01.11.200401.07.2021962.20721.65Y01.12.1991PENIS, artificial erection device, complete or partial revision or removal of components, with or without replacement (Anaes.) (Assist.)
3743501.12.19913T855SNNNNNYNNC01.12.199101.07.202197.1072.8582.55Y01.12.1991PENIS, frenuloplasty as an independent procedure (Anaes.)
3743801.12.19913T855SNNNNNYNNC01.12.199101.07.2021287.80215.85244.65Y01.11.2020Scrotum, partial excision of, for histologically proven malignancy or infection (Anaes.) (Assist.)
3760101.12.19913T856SNNNNNYNNC01.12.199101.07.2021287.80215.85244.65Y01.12.1991SPERMATOCELE OR EPIDIDYMAL CYST, excision of, 1 or more of, on 1 side (Anaes.)
3760401.12.19913T856SNNNNNYNNC01.12.199101.07.2021287.80215.85244.65Y01.11.2020Exploration of scrotal contents, with or without fixation and with or without biopsy, unilateral or bilateral, other than a service associated with sperm harvesting for IVF (Anaes.)
3760501.05.20073T856SNNNNNYNNC01.05.200701.07.2021388.60291.45330.35Y01.07.2013Transcutaneous sperm retrieval, unilateral, from either the testis or the epididymis, for the purposes ofintracytoplasmic sperm injection, for male factor infertility, excluding a service to which item 13218 applies. (Anaes.)
3760601.05.20073T856SNNNNNYNNC01.05.200701.07.2021577.00432.75492.30Y01.07.2013Open surgical sperm retrieval, unilateral, including the exploration of scrotal contents, with our without biopsy, for the purposes of intracytoplasmic sperm injection, for male factor infertility, performed in a hospital, excluding a service to which item13218 or 37604 applies. (Anaes.)
3760701.12.19913T856SNNNNNYNNA01.11.200401.07.20211443.251082.45Y01.11.2020Bilateral retroperitoneal lymph node dissection, for testicular tumour, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
3761001.12.19913T856SNNNNNYNNA01.11.200401.07.20212171.301628.50Y01.11.2020Bilateral retroperitoneal lymph node dissection, for testicular tumour, following previous similar retroperitoneal dissection, retroperitoneal radiation therapy or chemotherapy, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
3761301.12.19913T856SNNNNNYNNC01.12.199101.07.2021287.80215.85244.65Y01.12.1991EPIDIDYMECTOMY (Anaes.)
3761601.12.19913T856SNNNNNYNNA01.11.200401.07.2021719.40539.55Y01.07.2008VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, using operating microscope, not being a service associated with sperm harvesting for IVF (Anaes.) (Assist.)
3761901.12.19913T856SNNNNNYNPC01.12.199101.07.2021287.80215.85244.6501.11.201280.00Y01.07.2008VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, not being a service associated with sperm harvesting for IVF (Anaes.) (Assist.)
3762301.12.19913T856SNNNNNYNNC01.12.199101.07.2021239.20179.40203.35Y01.05.2002VASOTOMY 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.)
3780001.11.19943T857SNNYNYYNNA01.11.200401.07.2021542.40406.80Y01.07.2021PATENT URACHUS, excision of, on a patient 10 years of age or over. (Anaes.) (Assist.)
3780101.09.20153T857SNNYNYYNNA01.09.201501.07.2021705.15528.90Y01.07.2021PATENT URACHUS, excision of, when performed on a patient under 10 years of age (Anaes.) (Assist.)
3780301.11.19943T857SNNYNYYNNA01.11.200401.07.2021542.40406.80Y01.07.2021UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37806 applies, on a patient 10 years of age or over. (Anaes.) (Assist.)
3780401.09.20153T857SNNYNYYNNA01.09.201501.07.2021705.15528.90Y01.07.2021UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37807 applies, on apatient under 10 years of age (Anaes.) (Assist.)
3780601.11.19943T857SNNYNYYNNC01.11.199401.07.2021626.70470.05542.00Y01.07.2021UNDESCENDED TESTIS in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for, on a patient 10 years of age or over (Anaes.) (Assist.)
3780701.09.20153T857SNNYNYYNNC01.09.201501.07.2021814.70611.05730.00Y01.07.2021UNDESCENDED TESTIS in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for, on a patient under 10 years of age (Anaes.) (Assist.)
3780901.11.19943T857SNNYNYYNNA01.11.200401.07.2021626.70470.05Y01.07.2021UNDESCENDED TESTIS, revision orchidopexy for, on a patient 10 years of age or over. (Anaes.) (Assist.)
3781001.09.20153T857SNNYNYYNNA01.09.201501.07.2021814.70611.05Y01.07.2021UNDESCENDED TESTIS, revision orchidopexy for, on a patient under 10 years of age (Anaes.) (Assist.)
3781201.11.19943T857SNNYNYYNNA01.11.200401.07.2021578.50433.90Y01.07.2021IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37803, 37806 and 37809 applies, on a patient 10 years of age or over. (Anaes.) (Assist.)
3781301.09.20153T857SNNYNYYNNA01.09.201501.07.2021752.05564.05Y01.07.2021IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37804, 37807 and 37810 applies, on a patient under 10 years of age (Anaes.) (Assist.)
3781501.11.19943T857SNNYNYYNNA01.11.200401.07.202196.5072.40Y01.07.2021HYPOSPADIAS, examination under anaesthesia with erection test on a patient 10 years of age or over. (Anaes.)
3781601.09.20153T857SNNYNYYNNA01.09.201501.07.2021125.5094.15Y01.07.2021HYPOSPADIAS, examination under anaesthesia with erection test, on apatient under 10 years of age (Anaes.)
3781801.11.19943T857SNNYNYYNNC01.11.199401.07.2021511.35383.55434.65Y01.07.2021HYPOSPADIAS, glanuloplasty incorporating meatal advancement, on a patient 10 years of age or over (Anaes.) (Assist.)
3781901.09.20153T857SNNYNYYNNC01.09.201501.07.2021664.80498.60580.10Y01.07.2021HYPOSPADIAS, glanuloplasty incorporating meatal advancement, on a patient under 10 years of age (Anaes.) (Assist.)
3782101.11.19943T857SNNYNYYNNA01.11.200401.07.2021866.90650.20Y01.07.2021HYPOSPADIAS, distal, 1 stage repair, on a patient 10 years of age or over. (Anaes.) (Assist.)
3782201.09.20153T857SNNYNYYNNA01.09.201501.07.20211126.95845.25Y01.07.2021HYPOSPADIAS, distal, 1 stage repair, on a patient under 10 years of age (Anaes.) (Assist.)
3782401.11.19943T857SNNYNYYNNA01.11.200401.07.20211205.25903.95Y01.07.2021HYPOSPADIAS, proximal, 1 stage repair, on a patient 10 years of age or over (Anaes.) (Assist.)
3782501.09.20153T857SNNYNYYNNA01.09.201501.07.20211566.851175.15Y01.07.2021HYPOSPADIAS, proximal, 1 stage repair, on a patient under 10 years of age (Anaes.) (Assist.)
3782701.11.19943T857SNNYNYYNNA01.11.200401.07.2021555.25416.45Y01.07.2021HYPOSPADIAS, staged repair, first stage, on a patient 10 years of age or over (Anaes.) (Assist.)
3782801.09.20153T857SNNYNYYNNA01.09.201501.07.2021721.80541.35Y01.07.2021HYPOSPADIAS, staged repair, first stage, on a patient under 10 years of age (Anaes.) (Assist.)
3783001.11.19943T857SNNYNYYNNC01.11.199401.07.2021719.40539.55634.70Y01.07.2021HYPOSPADIAS, staged repair, second stage, on a patient 10 years of age or over (Anaes.) (Assist.)
3783101.11.20153T857SNNYNYYNNC01.11.201501.07.2021935.35701.55850.65Y01.07.2021HYPOSPADIAS, staged repair, second stage, on a patient under 10 years of age (Anaes.) (Assist.)
3783301.11.19943T857SNNYNYYNNA01.11.200401.07.2021343.35257.55Y01.07.2021Hypospadias, repair of urethral fistula, on apatient 10 years of age or over (Anaes.) (Assist.)
3783401.09.20153T857SNNYNYYNNA01.09.201501.07.2021446.35334.80Y01.07.2021Hypospadias, repair of urethral fistula, on a patient under 10 years of age (Anaes.) (Assist.)
3783601.11.19943T857SNNNNNYNNA01.11.200401.07.2021723.15542.40Y01.11.1994EPISPADIAS, staged repair, first stage (Anaes.) (Assist.)
3783901.11.19943T857SNNNNNYNNA01.11.200401.07.2021819.50614.65Y01.11.1994EPISPADIAS, staged repair, second stage (Anaes.) (Assist.)
3784201.11.19943T857SNNNNNYNNA01.11.200401.07.20211591.051193.30Y01.11.2020Exstrophy of bladder or epispadias, primary or secondary repair with or without bladder neck tightening, with or without ureteric reimplantation (Anaes.) (Assist.)
3784501.11.19943T857SNNNNNYNNA01.11.200401.07.2021723.15542.40Y01.11.2020Congenital disorder of sexual differentiation with urogenital sinus, external genitoplasty, with or without endoscopy (Anaes.) (Assist.)
3784801.11.19943T857SNNNNNYNNA01.11.200401.07.20211301.70976.30Y01.11.2020Congenital disorder of sexual differentiation with urogenital sinus, external genitoplasty with endoscopy and vaginoplasty (Anaes.) (Assist.)
3785101.11.19943T857SNNNNNYNNA01.11.200401.07.2021964.35723.30Y01.11.2020Congenital disorder of sexual differentiation, vaginoplasty for, with or without endoscopy (Anaes.) (Assist.)
3785401.11.19943T857SNNNNNYNNA01.11.200401.07.2021381.30286.00Y01.11.2020Urethral valve, destruction of, including cystoscopy and urethroscopy (Anaes.)
3820001.12.19913T861SNNYNYYNNC01.12.199101.07.2021463.50347.65394.00Y01.07.2021Right heart catheterisation with any one or more of the following: (a) fluoroscopy; (b) oximetry; (c) dye dilution curves; (d) cardiac output measurement by any method; (e) shunt detection; (f) exercise stress test; other than a service associated with a service to which item 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38254 or 38368 applies (Anaes.)
3820301.12.19913T861SNNYNYYNNC01.12.199101.07.2021553.10414.85470.15Y01.07.2021Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture, with any one or more of the following: (a) fluoroscopy; (b) oximetry; (c) dye dilution curves; (d) cardiac output measurements by any method; (e) shunt detection; (f) exercise stress test; other than a service associated with a service to which item 38200, 38206, 38244, 38247, 38248, 38249, 38251, 38252 or 38254 applies (Anaes.)
3820601.12.19913T861SNNYNYYNNC01.12.199101.07.2021668.70501.55584.00Y01.07.2021Right heart catheterisation with left heart catheterisation via the right heart or by another procedure, with any one or more of the following: (a) fluoroscopy; (b) oximetry; (c) dye dilution curves; (d) cardiac output measurements by any method; (e) shunt detection; (f) exercise stress test; other than a service associated with a service to which item 38200, 38203, 38244, 38247, 38248, 38249, 38251, 38252 or 38254 applies (Anaes.)
3820901.12.19913T861SNNNNNYNNC01.12.199101.07.2021858.60643.95773.90Y01.11.1996CARDIAC ELECTROPHYSIOLOGICAL STUDYup to and including 3 catheter investigation of any 1 or more ofsyncope, 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.)
3821201.12.19913T861SNNYNYYNNC01.12.199101.07.20211428.051071.051343.35Y01.07.2021Cardiac electrophysiological study involving 4 or more catheters for: (a) supraventricular tachycardia investigation; or (b) complex tachycardia inductions; or (c) multiple catheter mapping; or (d) acute intravenous anti-arrhythmic drug testing with pre and post drug inductions; or (e) catheter ablation to intentionally induce complete atrioventricular block; or (f) intraoperative mapping; other than a service associated with a service to which item 38209 or 38213 applies (Anaes.)
3821301.11.19963T861SNNYNYYNNC01.11.199601.07.2021425.30319.00361.55Y01.07.2021Cardiac electrophysiological study, performed either: (a) during insertion of implantable defibrillator; or (b) for defibrillation threshold testing at a different time to implantation; other than a service associated with a service to which item 38209 or 38212 applies (Anaes.)
3824101.11.20063T861SNNYNYYNNC01.11.200601.07.2021488.70366.55415.40Y01.07.2021Use of a coronary pressure wire, if the service is: (a) performed during selective coronary angiography, percutaneous angioplasty or transluminal insertion of one or more stents; and (b) to measure fractional flow reserve, non-hyperaemic pressure ratios or coronary flow reserve in intermediate coronary artery or graft lesions (stenosis of 50 to 70%); and (c) to determine whether revascularisation is appropriate, if previous functional imaging: (i) has not been performed; or (ii) has been performed but the results are inconclusive or do not apply to the vessel being interrogated; and (d) performed on one or more coronary vascular territories (Anaes.)
3824401.07.20213T861SNYNNNNNNC01.07.202101.07.2021920.00690.00835.30Y01.07.2021Note: (acute coronary syndrome)the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3and TR.8.5 Selective coronary angiography: (a) for a patient who is eligible for the service under clause 5.10.17A; and (b) with placement of one or more catheters and injection of opaque material into native coronary arteries; and (c) with or without left heart catheterisation, left ventriculography or aortography; and (d) including all associated imaging; other than a service associated with a service to which 38200, 38203, 38206, 38247, 38248, 38249, 38251 or 38252 applies (Anaes.)
3824701.07.20213T861SNYNNNNNNC01.07.202101.07.20211473.951105.501389.25Y01.07.2021Note: (acute coronary syndrome - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Selective coronary and graft angiography: (a) for a patient who is eligible for the service under clause 5.10.17A; and (b) with placement of one or more catheters and injection of opaque material into the native coronary arteries; and (c) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present—with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and (d) with or without left heart catheterisation, left ventriculography or aortography; and (e) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38248, 38249, 38251 or 38252 applies (Anaes.)
3824801.07.20213T861SNYNNNNNNC01.07.202101.07.2021920.00690.00835.30Y01.07.2021Note: (stable coronary syndrome) the service only applies if the patient meets the requirements of the descriptor and the of Note: TR.8.2 and TR.8.5 Selective coronary angiography: (a) for a patient who is eligible for the service under clause 5.10.17B; and (b) as part of the management of the patient; and (c) with placement of catheters and injection of opaque material into native coronary arteries; and (d) with or without left heart catheterisation, left ventriculography or aortography; and (e) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38249, 38251 or 38252 applies—applicable each 3 months (Anaes.)
3824901.07.20213T861SNYNNNNNNC01.07.202101.07.20211473.951105.501389.25Y01.07.2021Note: (stable coronary syndrome - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.2 and TR.8.5 Selective coronary and graft angiography: (a) for a patient who is eligible for the service under clause 5.10.17B; and (b) as part of the management of the patient; and (c) with placement of one or more catheters and injection of opaque material into native coronary arteries; and (d) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present—with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts);and (e) with or without left heart catheterisation, left ventriculography or aortography; and (f) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38251 or 38252 applies—applicable once each 3 months (Anaes.)
3825101.07.20213T861SNYNNNNNNC01.07.202101.07.2021920.00690.00835.30Y01.07.2021Note: (pre-operative assessment) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.5 Selective coronary angiography: (a) for a symptomatic patient with valvular or other non-coronary structural heart disease; and (b) as part of the management of the patient for: (i) pre-operative assessment for planning non-coronary cardiac surgery, including by transcatheter approaches; or (ii) evaluation of valvular heart disease or other non-coronary structural heart disease where clinical impression is discordant with non-invasive assessment; and (c) with placement of catheters and injection of opaque material into native coronary arteries; and (d) with or without left heart catheterisation, left ventriculography or aortography; and (e) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249 or 38252 applies—applicable once each 12 months (Anaes.)
3825201.07.20213T861SNYNNNNNNC01.07.202101.07.20211473.951105.501389.25Y01.07.2021Note: (pre-operative assessment - graft) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.5 Selective coronary and graft angiography: (a) for a symptomatic patient with valvular or other non-coronary structural heart disease; and (b) as part of the management of the patient for: (i) pre-operative assessment for planning non-coronary cardiac surgery, including by transcatheter approaches; or (ii) evaluation of valvular heart disease or other non-coronary structural heart disease where clinical impression is discordant with non-invasive assessment; and (c) with placement of one or more catheters and injection of opaque material into the native coronary arteries; and (d) if free coronary grafts attached to the aorta or direct internal mammary artery grafts are present—with placement of one or more catheters and injection of opaque material into those grafts (irrespective of the number of grafts); and (e) with or without left heart catheterisation, left ventriculography or aortography; and (f) including all associated imaging; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249 or 38251 applies—applicable once each 12 months (Anaes.)
3825401.07.20213T861SNYNNNNNNC01.07.202101.07.2021463.50347.65394.00Y01.07.2021Right heart catheterisation: (a) performed at the same time as service to which item 38244, 38247, 38248, 38249, 38251 or 38252 applies; and (b) including any of the following (if performed): (i) fluoroscopy; (ii) oximetry; (iii) dye dilution curves; (iv) cardiac output measurement; (v) shunt detection; (vi) exercise stress test (Anaes.)
3825601.07.19933T861SNNNNNYNNC01.07.199301.07.2021278.10208.60236.40Y01.07.1993TEMPORARY TRANSVENOUS PACEMAKING ELECTRODE, insertion of (Anaes.)
3827001.05.19973T861SNNNNNYNNC01.05.199701.07.2021949.25711.95864.55Y01.11.2004BALLOON VALVULOPLASTY OR ISOLATED ATRIAL SEPTOSTOMY, including cardiac catheterisations before and after balloon dilatation (Anaes.) (Assist.)
3827201.11.20053T861SNNYNYYNNC01.11.200501.07.2021949.25711.95864.55Y01.07.2021Atrial septal defect or patent foramen closure: (a) for congenital heart disease in a patient with documented evidence of right heart overload or paradoxical embolism; and (b) using a septal occluder or similar device, by transcatheter approach; and (c) including right or left heart catheterisation (or both); other than a service associated with a service to which item 38200, 38203, 38206 or 38254 applies (Anaes.) (Assist.)
3827301.07.20143T861SNNNNNYNNA01.07.201401.07.2021949.25711.95Y01.07.2014Patent ductus arteriosus, transcatheter closure of, including cardiac catheterisation and any imaging associated with the service (Anaes.) (Assist.)
3827401.07.20143T861SNNYNYYNNA01.07.201401.07.2021777.60583.20Y01.07.2021Ventricular septal defect, transcatheter closure of, with cardiac catheterisation, excluding imaging (H) (Anaes.) (Assist.)
3827501.05.19973T861SNNNNNYNNC01.05.199701.07.2021310.25232.70263.75Y01.05.1997MYOCARDIAL BIOPSY, by cardiac catheterisation (Anaes.)
3827601.11.20173T861SNNNNNYNNA01.11.201701.07.2021949.25711.95Y01.11.2017Transcatheter occlusion of left atrial appendage, and cardiac catheterisation performed by the same practitioner, for stroke prevention in a patient who has non‑valvular atrial fibrillation and a contraindication to life‑long oral anticoagulation therapy, and is at increased risk of thromboembolism demonstrated by: (a) a prior stroke (whether of an ischaemic or unknown type), transient ischaemic attack or non‑central nervous system systemic embolism; or (b) at least 2 of the following risk factors: (i) an age of 65 years or more; (ii) hypertension; (iii) diabetes mellitus; (iv) heart failure or left ventricular ejection fraction of 35% or less (or both); (v) vascular disease (prior myocardial infarction, peripheral artery disease or aortic plaque) (Anaes.) (Assist.)
3828501.11.20043T861SNNYNYYNNC01.11.200401.07.2021160.55120.45136.50Y01.07.2021Insertion of implantable ECG loop recorder, by a specialist or consultant physician, for the diagnosis of a primary disorder, including initial programming and testing, if: (a) the patient has recurrent unexplained syncope and does not have a structural heart defect associated with a high risk of sudden cardiac death; and (b) a diagnosis has not been achieved through all other available cardiac investigations; and (c) a neurogenic cause is not suspected (Anaes.)
3828601.11.20043T861SNNYNYYNNC01.11.200401.07.2021144.60108.45122.95Y01.07.2021Removal of implantable ECG loop recorder (Anaes.)
3828701.07.19983T862SNNNNNYNNC01.07.199801.07.20212183.551637.702098.85Y01.07.1998ABLATION OF ARRHYTHMIA CIRCUIT OR FOCUS or isolation procedure involving 1 atrial chamber (Anaes.) (Assist.)
3828801.05.20183T861SNNNNNYNNC01.05.201801.07.2021200.75150.60170.65Y01.05.2018Implantable loop recorder, insertion of, for diagnosis of atrial fibrillation, if: (a) the patient to whom the service is provided has been diagnosed as having had an embolic stroke of undetermined source; and (b) the bases of the diagnosis included the following: (i) the medical history of the patient; (ii) physical examination; (iii) brain and carotid imaging; (iv) cardiac imaging; (v) surface ECG testing including 24‑hour Holter monitoring; and (c) atrial fibrillation is suspected; and (d) the patient: (i) does not have a permanent indication for oral anticoagulants; or (ii) does not have a permanent oral anticoagulants contraindication; including initial programming and testing (Anaes.)
3829001.07.19983T862SNNNNNYNNA01.11.200401.07.20212780.202085.15Y01.07.1998ABLATION OF ARRHYTHMIA CIRCUITS OR FOCI, or isolation procedure involving both atrial chambers and including curative procedures for atrial fibrillation (Anaes.) (Assist.)
3829301.07.19983T862SNNNNNYNNC01.07.199801.07.20212984.252238.202899.55Y01.07.1998VENTRICULAR ARRHYTHMIA with mapping and ablation, including all associated electrophysiological studies performed on the same day (Anaes.) (Assist.)
3830701.07.20213T863SNYNNNNNNC01.07.202101.07.20211844.601383.451759.90Y01.07.2021Note: (acute coronary syndrome -1 coronary territory with selective coronary angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)
3830801.07.20213T863SNYNNNNNNC01.07.202101.07.20212122.251591.702037.55Y01.07.2021Note:(acute coronary syndrome -2 coronary territories with selective coronary angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)
3830901.11.20053T863SNNYNYYNNC01.11.200501.07.20211250.70938.051166.00Y01.07.2021Percutaneous transluminal rotational atherectomy of one or more coronary arteries, including all associated imaging, if: (a) the target stenosis within at least one coronary artery is heavily calcified and balloon angioplasty with or without stenting is not feasible without rotational artherectomy; and (b) the service is performed in conjunction with a service to which item 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies Applicable only once on each occasion the service is performed (Anaes.) (Assist.)
3831001.07.20213T863SNYNNNNNNC01.07.202101.07.20212399.901799.952315.20Y01.07.2021Note: (acute coronary syndrome -3 coronary territories with selective coronary angiography)the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38311, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)
3831101.07.20213T863SNYNNNNNNC01.07.202101.07.20211844.601383.451759.90Y01.07.2021Note: (stablemulti-vessel disease-1 coronary territory with selective angiography)the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible under clause 5.10.17C for the service and a service to which item 38314 applies; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38313, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)
3831301.07.20213T863SNYNNNNNNC01.07.202101.07.20212122.251591.702037.55Y01.07.2021Note: (stablemulti-vessel disease-2 coronary territories with selective angiography)the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible under clause 5.10.17C for the service and a service to which item 38314 applies; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38314, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)
3831401.07.20213T863SNYNNNNNNC01.07.202101.07.20212399.901799.952315.20Y01.07.2021Note: (stablemulti-vessel disease-3 coronary territory with selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17C; and (ii) for whom selective coronary angiography has not been completed in the previous 3 months; and (b) including selective coronary angiography and all associated imaging, catheter and contrast; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (c) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38316, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)
3831601.07.20213T863SNYNNNNNNC01.07.202101.07.20211648.951236.751564.25Y01.07.2021Note: (acute coronary syndrome -1 coronary territory without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38317, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)
3831701.07.20213T863SNYNNNNNNC01.07.202101.07.20212088.801566.602004.10Y01.07.2021Note: (acute coronary syndrome -2 coronary territories without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 3808, 38310, 38311, 38313, 38314, 38316, 38319, 38320, 38322 or 38323 applies (Anaes.) (Assist.)
3831901.07.20213T863SNYNNNNNNC01.07.202101.07.20212366.451774.852281.75Y01.07.2021Note: (acute coronary syndrome -3 coronary territories without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17A; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38320, 38322 or 38323 applies (Anaes.) (Assist.)
3832001.07.20213T863SNYNNNNNNC01.07.202101.07.20211648.951236.751564.25Y01.07.2021Note: (stablemulti-vessel disease-1 coronary territory without selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible under clause 5.10.17C for the service and a service to which item 38323 applies; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on one coronary vascular territory; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38322 or 38323 applies (Anaes.) (Assist.)
3832201.07.20213T863SNYNNNNNNC01.07.202101.07.20212088.801566.602004.10Y01.07.2021Note: (stablemulti-vessel disease-2 coronary territories with selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible under clause 5.10.17C for the service and a service to which item 38323 applies; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 2 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320 or 38323 applies (Anaes.) (Assist.)
3832301.07.20213T863SNYNNNNNNC01.07.202101.07.20212366.451774.852281.75Y01.07.2021Note: (stablemulti-vessel disease-3 coronary territories with selective angiography) the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.4 and TR.8.5 Percutaneous coronary intervention: (a) for a patient: (i) eligible for the service under clause 5.10.17C; and (ii) for whom selective coronary angiography has been completed in the previous 3 months; and (b) including any associated coronary angiography; and (c) including either or both: (i) percutaneous angioplasty; and (ii) transluminal insertion of one or more stents; and (d) performed on 3 coronary vascular territories; and (e) excluding aftercare; other than a service associated with a service to which item 38200, 38203, 38206, 38244, 38247, 38248, 38249, 38251, 38252, 38307, 38308, 38310, 38311, 38313, 38314, 38316, 38317, 38319, 38320 or 38322 applies (Anaes.) (Assist.)
3835001.11.20053T864SNNNNNYNNA01.11.200501.07.2021664.55498.45Y01.11.2010SINGLE CHAMBER PERMANENT TRANSVENOUS ELECTRODE, insertion, removal or replacement of, including cardiac electrophysiological services where used for pacemaker implantation (Anaes.)
3835301.11.20053T864SNNNNNYNNA01.11.200501.07.2021265.80199.35Y01.11.2010PERMANENT CARDIAC PACEMAKER, insertion, removal or replacement of, not for cardiac resynchronisation therapy, including cardiac electrophysiological services where used for pacemaker implantation (Anaes.)
3835601.11.20053T864SNNNNNYNNA01.11.200501.07.2021871.25653.45Y01.11.2010DUAL CHAMBER PERMANENT TRANSVENOUS ELECTRODES, insertion, removal or replacement of, including cardiac electrophysiological services where used for pacemaker implantation (Anaes.)
3835801.11.20053T864SNNYNYYNNA01.11.200501.07.20212089.001566.75Y01.07.2021Extraction of one or more chronically implanted transvenous pacing or defibrillator leads, by percutaneous method, with locking stylets and snares, with extraction sheaths (if any), if: (a) the leads have been in place for more than 6 months and require removal; and (b) the service is performed: (i) in association with a service to which item 61109 or 60509 applies; and (ii) by a specialist or consultant physician who has undertaken the training to perform the service; and (iii) in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and (c) if the service is performed by an interventional cardiologist—a cardiothoracic surgeon is in attendance during the service (H) (Anaes.) (Assist.)
3835901.11.20053T864SNNNNNYNNC01.11.200501.07.2021139.00104.25118.15Y01.11.2005PERICARDIUM, paracentesis of (excluding aftercare) (Anaes.)
3836201.11.20053T864SNNNNNYNNC01.11.200501.07.2021400.50300.40340.45Y01.11.2005INTRA-AORTIC BALLOON PUMP, percutaneous insertion of (Anaes.)
3836501.05.20063T864SNNYNYYNNA01.05.200601.07.2021265.80199.35Y01.07.2021Insertion, removal or replacement of permanent cardiac synchronisation device, if the patient: (a) has all of the following: (i) chronic heart failure, classified as New York Heart Association class III or IV (despite optimised medical therapy); (ii) left ventricular ejection fraction of less than 35%; (iii) QRS duration of greater than or equal to 130 ms; or (b) has all of the following: (i) chronic heart failure, classified as New York Heart Association class II (despite optimised medical therapy); (ii) left ventricular ejection fraction of less than 35%; (iii) QRS duration of greater than or equal to 150 ms; other than a service associated with a service to which item 38212 applies(H) (Anaes.) (Assist.)
3836801.05.20063T864SNNYNYYNNA01.05.200601.07.20211274.20955.65Y01.07.2021Insertion, removal or replacement of permanent transvenous left ventricular electrode, through the coronary sinus, for the purpose of cardiac resynchronisation therapy, including right heart catheterisation and any associated venograms, if the patient: (a) has all of the following: (i) chronic heart failure, classified as New York Heart Association class III or IV (despite optimised medical therapy); (ii) left ventricular ejection fraction of less than 35%; (iii) QRS duration of greater than or equal to 130 ms; or (b) has all of the following: (i) chronic heart failure, classified as New York Heart Association class II (despite optimised medical therapy); (ii) left ventricular ejection fraction of less than 35%; (iii) QRS duration of greater than or equal to 150 ms; other than a service associated with a service to which item 35200, 38200 or 38212 applies (H) (Anaes.) (Assist.)
3841501.12.19913T865SNNNNNYNNC01.12.199101.07.2021415.55311.70353.25Y01.12.1991EMPYEMA, radical operation for, involving resection of rib (Anaes.) (Assist.)
3841601.03.20213T865SNSNNNNYNNC01.03.202101.07.2021586.15439.65501.45Y01.03.2021Endoscopic ultrasound guided fine needle aspiration biopsy or biopsies (endoscopy with ultrasound imaging) to obtain one or more specimens from either or both of the following: (a) mediastinal masses; (b) locoregional nodes to stage non-small cell lung carcinoma; other than a service associated with a service to which an item in Subgroup 1 of this Group, or item 38417 or 55054, applies (Anaes.)
3841701.03.20213T865SNSNNNNYNNC01.03.202101.07.2021586.15439.65501.45Y01.03.2021Endobronchial ultrasound guided biopsy or biopsies (bronchoscopy with ultrasound imaging, with or without associated fluoroscopic imaging) to obtain one or more specimens by: (a) transbronchial biopsy or biopsies of peripheral lung lesions; or (b) fine needle aspirations of one or more mediastinal masses; or (c) fine needle aspirations of locoregional nodes to stage non-small cell lung carcinoma; other than a service associated with a service to which an item in Subgroup 1 of this Group, item 38416, 38420 or 38423, or an item in Subgroup I5 of Group I3, applies (Anaes.)
3841801.12.19913T865SNNNNNYNNA01.11.200401.07.2021997.25747.95Y01.12.1991THORACOTOMY, exploratory, with or without biopsy (Anaes.) (Assist.)
3841901.03.20213T865SNSNNNNYNNC01.03.202101.07.2021185.25138.95157.50Y01.03.2021Bronchoscopy, as an independent procedure (Anaes.)
3842001.03.20213T865SNSNNNNYNNC01.03.202101.07.2021244.60183.45207.95Y01.03.2021Bronchoscopy with one or more endobronchial biopsies or other diagnostic or therapeutic procedures (Anaes.)
3842101.12.19913T865SNNNNNYNNA01.11.200401.07.20211594.051195.55Y01.12.1991THORACOTOMY, with pulmonary decortication (Anaes.) (Assist.)
3842201.03.20213T865SNSNNNNYNNA01.03.202101.07.2021382.65287.00Y01.03.2021Bronchus, removal of foreign body in (Anaes.) (Assist.)
3842301.03.20213T865SNSNNNNYNNC01.03.202101.07.2021267.35200.55227.25Y01.03.2021Fibreoptic bronchoscopy with one or more transbronchial lung biopsies, with or without bronchial or broncho-alveolar lavage, with or without the use of interventional imaging (Anaes.) (Assist.)
3842401.12.19913T865SNNNNNYNNA01.11.200401.07.2021997.25747.95Y01.12.1991THORACOTOMY, with pleurectomy or pleurodesis, OR ENUCLEATION OF HYDATID cysts (Anaes.) (Assist.)
3842501.03.20213T865SNSNNNNYNNA01.03.202101.07.2021628.75471.60Y01.03.2021Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (Anaes.) (Assist.)
3842601.03.20213T86SNSNNNNYNNA01.03.202101.07.2021471.70353.80Y01.03.2021Trachea or bronchus, dilatation of stricture and endoscopic insertion of stent (Anaes.) (Assist.)
3842701.12.19913T865SNNNNNYNNA01.11.200401.07.20211231.40923.55Y01.11.1992THORACOPLASTY (complete) - 3 or more ribs (Anaes.) (Assist.)
3843001.12.19913T865SNNNNNYNNA01.11.200401.07.2021634.60475.95Y01.12.1991THORACOPLASTY (in stages)each stage (Anaes.) (Assist.)
3843601.12.19913T865SNNNNNYNNA01.11.200401.07.2021259.85194.90Y01.05.2004THORACOSCOPY, with or without division of pleural adhesions, including insertion of intercostal catheter where necessary, with or without biopsy (Anaes.)
3843801.11.19923T865SNNNNNYNNA01.11.200401.07.20211594.051195.55Y01.05.1997PNEUMONECTOMY or LOBECTOMY or SEGMENTECTOMY not being a service associated with a service to which Item 38418 applies (Anaes.) (Assist.)
3844001.11.19923T865SNNNNNYNNA01.11.200401.07.20211193.70895.30Y01.11.1992LUNG, wedge resection of (Anaes.) (Assist.)
3844101.11.19923T865SNNNNNYNNA01.11.200401.07.20211888.751416.60Y01.11.1992RADICAL LOBECTOMY or PNEUMONECTOMY including resection of chest wall, diaphragm, pericardium, or formal mediastinal node dissection (Anaes.) (Assist.)
3844601.11.19923T865SNNNNNYNNA01.11.200401.07.20211231.40923.55Y01.11.1992THORACOTOMY or STERNOTOMY, for removal of thymus or mediastinal tumour (Anaes.) (Assist.)
3844701.07.19933T865SNNNNNYNNA01.11.200401.07.20211594.051195.55Y01.07.1993PERICARDIECTOMY via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass (Anaes.) (Assist.)
3844801.12.19913T865SNNNNNYNNA01.11.200401.07.2021377.75283.35Y01.12.1991MEDIASTINUM, cervical exploration of, with or without biopsy (Anaes.) (Assist.)
3844901.07.19933T865SNNNNNYNNA01.11.200401.07.20212230.051672.55Y01.07.1993PERICARDIECTOMY via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass (Anaes.) (Assist.)
3845001.11.19923T865SNNNNNYNNA01.11.200401.07.2021891.35668.55Y01.11.2005PERICARDIUM, transthoracic open surgical drainage of (Anaes.) (Assist.)
3845201.11.19923T865SNNNNNYNNA01.11.200401.07.2021596.95447.75Y01.06.2017PERICARDIUM, subxiphoid open surgical drainage of (Anaes.) (Assist.)
3845301.11.19923T865SNNNNNYNNA01.11.200401.07.20211790.651343.00Y01.11.1992TRACHEAL excision and repair without cardiopulmonary bypass (Anaes.) (Assist.)
3845501.07.19933T865SNNNNNYNNA01.11.200401.07.20212422.001816.50Y01.07.1993TRACHEAL EXCISION AND REPAIR OF, with cardiopulmonary bypass (Anaes.) (Assist.)
3845601.07.19933T865SNNNNNYNNA01.11.200401.07.20211594.051195.55Y01.07.1993INTRATHORACIC 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.)
3845701.07.19933T865SNNNNNYNNA01.11.200401.07.20211488.201116.15Y01.07.1993PECTUS EXCAVATUM or PECTUS CARINATUM, repair or radical correction of (Anaes.) (Assist.)
3845801.07.19933T865SNNNNNYNNA01.11.200401.07.2021793.25594.95Y01.07.1993PECTUS EXCAVATUM, repair of, with implantation of subcutaneous prosthesis (Anaes.) (Assist.)
3846001.07.19933T865SNNNNNYNNA01.11.200401.07.2021286.55214.95Y01.07.1993STERNAL WIRE OR WIRES, removal of (Anaes.)
3846101.07.20213T867DNYNNNNNNA01.07.202101.07.20211490.251117.70Y01.07.2021TMVr, by transvenous or transeptal techniques, for permanent coaptation of mitral valve leaflets using one or more Mitraclips™, including intra‑operative diagnostic imaging, if: (a) the patient has each of the following risk factors: (i) moderate to severe, or severe, symptomatic degenerative (primary) mitral valve regurgitation (grade 3+ or 4+); (ii) left ventricular ejection fraction of 20% or more; (iii) symptoms of mild, moderate or severe chronic heart failure (New York Heart Association class II, III or IV); and (b) as a result of a TMVr suitability case conference, the patient has been: (i) assessed as having an unacceptably high risk for surgical mitral valve replacement; and (ii) recommended as being suitable for the service; and (c) the service is performed: (i) by a cardiothoracic surgeon, or an interventional cardiologist, accredited by the TMVr accreditation committee to perform the service; and (ii) via transfemoral venous delivery, unless transfemoral venous delivery is contraindicated or not feasible; and (iii) in a hospital that is accredited by the TMVr accreditation committee as a suitable hospital for the service; and (d) a service to which this item, or item38463, applies has not been provided to the patient in the previous 5 years (H) (Anaes.) (Assist.)
3846201.07.19933T865SNNNNNYNNA01.11.200401.07.2021339.65254.75Y01.07.1993STERNOTOMY WOUND, debridement of, not involving reopening of the mediastinum (Anaes.)
3846301.07.20213T867DNYNNNNNNA01.07.202101.07.20211490.251117.70Y01.07.2021TMVr, by transvenous or transeptal techniques, for permanent coaptation of mitral valve leaflets using one or more Mitraclips™, including intra‑operative diagnostic imaging, if: (a) the patient has each of the following risk factors: (i) moderate to severe, or severe, symptomatic functional (secondary) mitral valve regurgitation (grade 3+ or 4+); (ii) left ventricular ejection fraction of 20% to 50%; (iii) left ventricular end systolic diameter of not more than 70mm; (iv) symptoms of mild, moderate or severe chronic heart failure (New York Heart Association class II, III or IV) that persist despite maximally tolerated guideline directed medical therapy; and (b) as a result of a TMVr suitability case conference, the patient has been: (i) assessed as having an unacceptably high risk for surgical mitral valve replacement; and (ii) recommended as being suitable for the service; and (c) the service is performed: (i) by a cardiothoracic surgeon, or an interventional cardiologist, accredited by the TMVr accreditation committee to perform the service; and (ii) via transfemoral venous delivery, unless transfemoral venous delivery is contraindicated or not feasible; and (iii) in a hospital that is accredited by the TMVr accreditation committee as a suitable hospital for the service; and (d) a service to which this item, or item38461, applies has not been provided to the patient in the previous 5 years (H) (Anaes.) (Assist.)
3846401.07.19933T865SNNNNNYNNA01.11.200401.07.2021369.20276.90Y01.07.1993STERNOTOMY WOUND, debridement of, involving curettage of infected bone with or without removal of wires but not involving reopening of the mediastinum (Anaes.)
3846601.07.19933T865SNNNNNYNNA01.11.200401.07.2021996.85747.65Y01.07.1993STERNUM, reoperation on, for dehiscence or infection involving reopening of the mediastinum, with or without rewiring (Anaes.) (Assist.)
3846701.07.20213T866SNYNNNNNNA01.07.202101.07.2021997.25747.95Y01.07.2021Insertion, removal or replacement of permanent myocardial electrode, by open surgical approach, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3846801.07.19933T865SNNNNNYNNA01.11.200401.07.20211535.951152.00Y01.07.1993STERNUM AND MEDIASTINUM, reoperation for infection of, involving muscle advancement flaps or greater omentum (Anaes.) (Assist.)
3846901.07.19933T865SNNNNNYNNA01.11.200401.07.20211790.651343.00Y01.07.1993STERNUM AND MEDIASTINUM, reoperation for infection of, involving muscle advancement flaps and greater omentum (Anaes.) (Assist.)
3847101.07.20213T864SNYNNNNNNA01.07.202101.07.20211095.30821.50Y01.07.2021Insertion of implantable defibrillator, including insertion of patches for the insertion of one or more transvenous endocardial leads, if the patient has one of the following: (a) a history of haemodynamically significant ventricular arrhythmias in the presence of structural heart disease; (b) documented high-risk genetic cardiac disease; (c) ischaemic heart disease, with a left ventricular ejection fraction of less than 30% at least one month after experiencing a myocardial infarction and while on optimised medical therapy; (d) chronic heart failure, classified as New York Heart Association class II or III, with a left ventricular ejection fraction of less than 35% (despite optimised medical therapy); other than a service to which item 38212 applies (H) (Anaes.) (Assist.)
3847201.07.20213T864SNYNNNNNNA01.07.202101.07.2021299.50224.65Y01.07.2021Insertion, replacement or removal of implantable defibrillator generator, if the patient has one of the following: (a) a history of haemodynamically significant ventricular arrhythmias in the presence of structural heart disease; (b) documented high-risk genetic cardiac disease; (c) ischaemic heart disease, with a left ventricular ejection fraction of less than 30% at least one month after experiencing a myocardial infarction and while on optimised medical therapy; (d) chronic heart failure, classified as New York Heart Association class II or III, with a left ventricular ejection fraction of less than 35% (despite optimised medical therapy); other than a service to which item 38212 applies (H) (Anaes.) (Assist.)
3847401.07.20213T8616SNYNNNNNNA01.07.202101.07.20212257.101692.85Y01.07.2021Repair, augmentation or replacement of branch pulmonary arteries—left or right (or both), with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3847701.11.19953T867SNNYNYYNNA01.11.200401.07.20212084.551563.45Y01.07.2021Valve annuloplasty with insertion of ring, other than: (a) a service to which item 38516 or 38517 applies; or (b) a service associated with a service to which to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3848401.07.20213T867SNYNNNNNNA01.07.202101.07.20212112.201584.15Y01.07.2021Aortic or pulmonary valve replacement with bioprosthesis or mechanical prosthesis, including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3848501.11.19923T867SNNNNNYNNA01.11.200401.07.2021850.20637.65Y01.11.1995MITRAL ANNULUS, reconstruction of, after decalcification, when performed in association with valve surgery (Anaes.) (Assist.)
3848701.07.19933T867SNNNNNYNNA01.11.200401.07.20211790.651343.00Y01.07.1993MITRAL VALVE, open valvotomy of (Anaes.) (Assist.)
3849001.11.19953T867SNNYNYYNNA01.11.200401.07.2021577.00432.75Y01.07.2021Reconstruction and re-implantation of sub-valvular structures, if performed in conjunction with a service to which item 38499 applies (H) (Anaes.) (Assist.)
3849301.11.19983T867SNNNNNYNNA01.11.200401.07.20212036.901527.70Y01.11.1998OPERATIVE MANAGEMENT of acute infective endocarditis, in association with heart valve surgery (Anaes.) (Assist.)
3849501.11.20173T867SNNNNNYNNC01.11.201701.07.20211490.251117.701405.55Y01.11.2017TAVI, for the treatment of symptomatic severe aortic stenosis, performed via transfemoral delivery, unless transfemoral delivery is contraindicated or not feasible, in a TAVI Hospital on a TAVI Patient by a TAVI Practitioner – includes all intraoperative diagnostic imaging that the TAVI Practitioner performs upon the TAVI Patient. (Not payable more than once per patient in a five year period.) (Anaes.) (Assist.)
3849901.07.20213T867SNYNNNNNNA01.07.202101.07.20212112.201584.15Y01.07.2021Mitral or tricuspid valve replacement with bioprothesis or mechanical prosthesis, including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3850201.07.20213T868SNYNNNNNNA01.07.202101.07.20212451.551838.70Y01.07.2021Coronary artery bypass, including cardiopulmonary bypass, with or without retrograde cardioplegia, with or without vein grafts, and including at least one of the following: (a) harvesting of left internal mammary artery and vein graft material; (b) harvesting of left internal mammary artery; (c) harvesting of vein graft material; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies(H) (Anaes.) (Assist.)
3850801.11.19953T868SNNYNYYNNA01.11.200401.07.20211996.201497.15Y01.07.2021Repair or reconstruction of left ventricular aneurysm, including plication, resection and primary and patch repairs, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3850901.11.19923T868SNNYNYYNNA01.11.200401.07.20212485.451864.10Y01.07.2021Repair of ischaemic ventricular septal rupture,, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3851001.07.20213T868SNYNNNNNNA01.07.202101.07.2021649.25486.95Y01.07.2021Artery harvesting (other than of the left internal mammary), for coronary artery bypass, if: (a) more than one arterial graft is required; and (b) the service is performed in conjunction with a service to which item 38502 applies (H) (Anaes.) (Assist.)
3851101.07.20213T868SNYNNNNNNA01.07.202101.07.2021624.30468.25Y01.07.2021Coronary artery bypass, with the aid of tissue stabilisers, if the service is performed: (a) without cardiopulmonary bypass; and (b) in conjunction with a service to which item 38502 applies (H) (Anaes.) (Assist.)
3851201.11.19923T869SNNYNYYNNA01.11.200401.07.20212183.551637.70Y01.07.2021Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving one atrial chamber only, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3851301.07.20213T868SNYNNNNNNA01.07.202101.07.20211040.55780.45Y01.07.2021Creation of graft anastomosis, including Y-graft, T-graft and graft-to-graft extensions, with micro-arterial or micro-venous anastomosis using microsurgical techniques, if the service is performed in conjunction with a service to which item 38502 applies (H) (Anaes.) (Assist.)
3851501.11.19923T869SNNYNYYNNA01.11.200401.07.20212780.202085.15Y01.07.2021Division of accessory pathway, isolation procedure, procedure on atrioventricular node or perinodal tissues involving both atrial chambers and including curative surgery for atrial fibrillation, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3851601.07.20213T867SNYNNNNNNA01.07.202101.07.20212509.251881.95Y01.07.2021Simple valve repair: (a) with or without annuloplasty; and (b) including quadrangular resection, cleft closure or alfieri; and (c) including retrograde cardioplegia (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3851701.07.20213T867SNYNNNNNNA01.07.202101.07.20213055.852291.90Y01.07.2021Complex valve repair: (a) with or without annuloplasty; and (b) including retrograde cardioplegia (if performed); and (c) including one of the following: (i) neochords; (ii) chordal transfer; (iii) patch augmentation; (iv) multiple leaflets; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies(H) (Anaes.) (Assist.)
3851801.11.19923T869SNNYNYYNNA01.11.200401.07.20212984.252238.20Y01.07.2021Ventricular arrhythmia with mapping and muscle ablation, with or without aneurysmeotomy, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3851901.07.20213T867SNYNNNNNNA01.07.202101.07.20211100.00825.00Y01.07.2021Valve explant of a previous prosthesis, if performed during a service to which item 38484 or 38499 applies, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3855001.11.19923T8610SNNYNYYNNA01.11.200401.07.20212337.501753.15Y01.07.2021Repair or replacement of ascending thoracic aorta: (a) including: (i) cardiopulmonary bypass; and (ii) retrograde cardioplegia (if performed); and (b) not including valve replacement or repair or implantation of coronary arteries; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3855301.11.19923T8610SNNYNYYNNA01.11.200401.07.20212942.902207.20Y01.07.2021Repair or replacement of ascending thoracic aorta: (a) including: (i) aortic valve replacement or repair; and (i) cardiopulmonary bypass; and (ii) retrograde cardioplegia (if performed); and (b) not including implantation of coronary arteries; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3855401.07.20213T8610SNYNNNNNNA01.07.202101.07.20214236.453177.35Y01.07.2021Valve sparing aortic root surgery, with reimplantation of aortic valve and coronary arteries and replacement of the ascending aorta, including cardiopulmonary bypass, and including retrograde cardioplegia (if performed), other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3855501.07.20213T8610SNYNNNNNNA01.07.202101.07.20213374.002530.50Y01.07.2021Simple replacement or repair of aortic arch, performed in conjunction with a service to which item 38550, 38553, 38554, 38556, 38568 or 38571 applies, including: (a) deep hypothermic circulatory arrest; and (b) peripheral cannulation for cardiopulmonary bypass; and (c) antegrade or retrograde cerebral perfusion (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38603, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3855601.11.19923T8610SNNYNYYNNA01.11.200401.07.20213230.502422.90Y01.07.2021Repair or replacement of ascending thoracic aorta, including: (a) aortic valve replacement or repair; and (b) implantation of coronary arteries; and (c) cardiopulmonary bypass; and (d) retrograde cardioplegia (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38603, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3855701.07.20213T8610SNYNNNNNNA01.07.202101.07.20213894.302920.75Y01.07.2021Complex replacement or repair of aortic arch, performed in conjunction with a service to which item 38550, 38553, 38554, 38556, 38568 or 38571 applies, including: (a) debranching and reimplantation of head and neck vessels; and (b) deep hypothermic circulatory arrest; and (c) peripheral cannulation for cardiopulmonary bypass; and (d) antegrade or retrograde cerebral perfusion (if performed); other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3855801.07.20213T8610SNYNNNNNNA01.07.202101.07.20215083.703812.80Y01.07.2021Aortic repair involving augmentation of hypoplastic or interrupted aortic arch, if: (a) the patient is a neonate; and (b) the service includes: (i) the use of antegrade cerebral perfusion or deep hypothermic circulatory arrest and associated myocardial preservation; and (ii) retrograde cardioplegia; other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3856801.11.19923T8610SNNYNYYNNA01.11.200401.07.20211938.451453.85Y01.07.2021Repair or replacement of descending thoracic aorta, without shunt or cardiopulmonary bypass, by open exposure, percutaneous or endovascular means, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3857101.11.19923T8610SNNYNYYNNA01.11.200401.07.20212209.651657.25Y01.07.2021Repair or replacement of descending thoracic aorta, with shunt or cardiopulmonary bypass, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3857201.07.19933T8610SNNYNYYNNA01.11.200401.07.20212067.601550.70Y01.07.2021Operative management of acute rupture or dissection, if the service: (a) is performed in conjunction with a service to which item 38550, 38553, 38554, 38555, 38556, 38557, 38558, 38568, 38571, 38706 or 38709 applies; and (b) is not associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3860001.11.19923T8612SNNNNNYNNA01.11.200401.07.20211594.051195.55Y01.07.1993CENTRAL 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.)
3860301.11.19923T8612SNNYNYYNNA01.11.200401.07.2021997.25747.95Y01.07.2021Peripheral cannulation for cardiopulmonary bypass, excluding post-operative management, other than a service: (a) in which peripheral cannulation is used in preference to central cannulation for valve or coronary bypass procedures; or (b) associated with a service to which item 38555 or 38572 applies (H) (Anaes.) (Assist.)
3860901.11.19923T8612SNNYNYYNNA01.11.200401.07.2021498.55373.95Y01.07.2021Insertion of intra-aortic balloon pump, by arteriotomy, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies(H) (Anaes.) (Assist.)
3861201.11.19923T8612SNNYNYYNNA01.07.202101.07.2021558.90419.20Y01.07.2021Removal of intra-aortic balloon pump, with closure of artery by direct suture, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies(H) (Anaes.) (Assist.)
3861501.11.19923T8612SNNYNYYNNA01.11.200401.07.20211594.051195.55Y01.07.2021Insertion of a left or right ventricular assist device, for use as: (a) a bridge to cardiac transplantation in patients with refractory heart failure who are: (i)currently on a heart transplant waiting list, or (ii)expected to be suitable candidates for cardiac transplantation following a period of support on the ventricularassist device; or (b) acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or (c)cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6weeks; other than a service associated with a service to which: (d) item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies; or (e) another item in this Schedule applies if the service described in the item is for the use of a ventricular assist device as destination therapy in the management of a patient with heart failure who is not expected to be a suitable candidate for cardiac transplantation (H) (Anaes.) (Assist.)
3861801.11.19923T8612SNNYNYYNNA01.11.200401.07.20211986.951490.25Y01.07.2021Insertion of a left and right ventricular assist device, for use as: (a)a bridge to cardiac transplantation in patients with refractory heart failure who are: (i)currently on a heart transplant waiting list, or (ii)expected to be suitable candidates for cardiac transplantation following a period of support on the ventricular assist device; or (b)acute post cardiotomy support for failure to wean from cardiopulmonary transplantation; or (c)cardio-respiratory support for acute cardiac failure which is likely to recover with short term support of less than 6 weeks; other than a service associated with a service to which: (d) item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies; or (e) another item in this Schedule applies if the service described in the item is for the use of a ventricular assist device as destination therapy in the management of a patient with heart failure who is not expected to be a suitable candidate for cardiac transplantation (H) (Anaes.) (Assist.)
3862101.11.19923T8612SNNYNYYNNA01.11.200401.07.2021793.25594.95Y01.07.2021LEFT OR RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38627, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3862401.11.19923T8612SNNYNYYNNA01.11.200401.07.2021891.35668.55Y01.07.2021LEFT AND RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an independent procedure, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38627, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3862701.07.19983T8612SNNYNYYNNA01.11.200401.07.2021696.70522.55Y01.07.2021EXTRA-CORPOREAL MEMBRANE OXYGENATION, BYPASS OR VENTRICULAR ASSIST DEVICE CANNULAE, adjustment and re-positioning of, by open operation, in patients supported by these devices, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38627, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3863701.11.19953T8613SNNYNYYNNA01.11.200401.07.2021577.00432.75Y01.07.2021PATENT DISEASED coronary artery bypass vein graft or grafts, dissection, disconnection and oversewing of, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3864301.11.19953T8614SNNYNYYNNA01.11.200401.07.20211567.651175.75Y01.07.2021Re-operation via thoracotomy or sternotomy, by any procedure: (a) including any division of adhesions if the time taken to divide the adhesions exceeds 30 minutes; and (b) other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3865301.11.19923T8614SNNYNYYNNA01.11.200401.07.20212090.501567.90Y01.07.2021Open heart surgery, other than a service: (a) to which another item in this Group applies; or (b) associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3865601.11.19923T8614SNNYNYYNNA01.11.200401.07.2021997.25747.95Y01.07.2021THORACOTOMY or median sternotomy for post-operative bleeding, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3867001.11.19953T8615SNNYNYYNNA01.11.200401.07.20211986.551489.95Y01.07.2021CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, without patch or conduit reconstruction, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3867301.11.19953T8615SNNYNYYNNA01.11.200401.07.20212235.951677.00Y01.07.2021CARDIAC TUMOUR, excision of, involving the wall of the atrium or inter-atrial septum, requiring reconstruction with patch or conduit, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3867701.11.19953T8615SNNYNYYNNA01.11.200401.07.20212091.801568.85Y01.07.2021CARDIAC TUMOUR arising from ventricular myocardium, partial thickness excision of, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3868001.11.19953T8615SNNYNYYNNA01.07.202101.07.20212481.201860.90Y01.07.2021CARDIAC TUMOUR arising from ventricular myocardium, full thickness excision of including repair or reconstruction, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3870001.11.19923T8616SNNYNYYNNA01.11.200401.07.20211110.65833.00Y01.07.2021PATENT DUCTUS ARTERIOSUS, shunt, collateral or other single large vessel, division or ligation of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3870301.11.19923T8616SNNYNYYNNA01.11.200401.07.20212008.851506.65Y01.07.2021Patent ductus arteriosus, shunt, collateral or other single large vessel, division or ligation of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3870601.11.19923T8616SNNYNYYNNA01.11.200401.07.20211896.201422.15Y01.07.2021AORTA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3870901.11.19923T8616SNNYNYYNNA01.11.200401.07.20212235.451676.60Y01.07.2021Anastomosis or repair of aorta, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3871501.11.19923T8616SNNYNYYNNA01.11.200401.07.20211775.451331.60Y01.07.2021MAIN PULMONARY ARTERY, banding, debanding or repair of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3871801.11.19923T8616SNNYNYYNNA01.11.200401.07.20212245.701684.30Y01.07.2021Banding, debanding or repair of main pulmonary artery, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies(H) (Anaes.) (Assist.)
3872101.11.19923T8616SNNYNYYNNA01.11.200401.07.20211556.451167.35Y01.07.2021VENA CAVA, anastomosis or repair of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3872401.11.19923T8616SNNYNYYNNA01.11.200401.07.20212264.551698.45Y01.07.2021Vena cava, anastomosis or repair of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3872701.11.19923T8616SNNYNYYNNA01.11.200401.07.20211556.451167.35Y01.07.2021Anastomosis or repair of intrathoracic vessels, without cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721, 38724, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3873001.11.19923T8616SNNYNYYNNA01.11.200401.07.20212221.001665.75Y01.07.2021Anastomosis or repair of intrathoracic vessels, with cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38700, 38703, 38706, 38709, 38712, 38715, 38718, 38721, 38724, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3873301.11.19923T8616SNNYNYYNNA01.11.200401.07.20211556.451167.35Y01.07.2021SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3873601.11.19923T8616SNNYNYYNNA01.11.200401.07.20212221.001665.75Y01.07.2021SYSTEMIC PULMONARY or CAVO-PULMONARY SHUNT, creation of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3873901.11.19923T8616SNNYNYYNNA01.11.200401.07.20212036.551527.45Y01.07.2021Atrial septectomy, with or without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3874201.11.19923T8616SNNYNYYNNA01.11.200401.07.20212002.051501.55Y01.07.2021Atrial septal defect, closure by open exposure and direct suture or patch, for congenital heart disease in a patient with documented evidence of right heart overload or paradoxical embolism, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3874501.11.19923T8616SNNYNYYNNA01.11.200401.07.20212221.001665.75Y01.07.2021INTRA-ATRIAL BAFFLE, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3874801.11.19923T8616SNNYNYYNNA01.11.200401.07.20212221.001665.75Y01.07.2021VENTRICULAR SEPTECTOMY, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3875101.11.19923T8616SNNYNYYNNA01.11.200401.07.20212221.001665.75Y01.07.2021Ventricular septal defect, closure by direct suture or patch, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3875401.11.19923T8616SNNYNYYNNA01.11.200401.07.20212780.202085.15Y01.07.2021INTRAVENTRICULAR BAFFLE OR CONDUIT, insertion of, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3875701.11.19923T8616SNNYNYYNNA01.11.200401.07.20212221.001665.75Y01.07.2021EXTRACARDIAC CONDUIT, insertion of, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3876001.11.19923T8616SNNYNYYNNA01.11.200401.07.20212221.001665.75Y01.07.2021EXTRACARDIAC CONDUIT, replacement of, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3876401.07.20213T8614SNYNNNNNNA01.07.202101.07.20212221.001665.75Y01.07.2021Ventricular myectomy, for relief of right or left ventricular obstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3876601.11.19923T8616SNNYNYYNNA01.11.200401.07.20212221.001665.75Y01.07.2021VENTRICULAR AUGMENTATION, right or left, for congenital heart disease, other than a service associated with a service to which item11704, 11705, 11707, 11714, 18260, 33824, 38418, 38806 or 45503 applies (H) (Anaes.) (Assist.)
3880001.11.20053T8617SNNNNNYNNC01.11.200501.07.202140.0530.0534.0501.11.2005THORACIC CAVITY, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38803 applies
3880301.11.20053T8617SNNNNNYNNC01.11.200501.07.202180.0060.0068.0001.11.2005THORACIC CAVITY, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample
3880601.11.20053T8617SNNNNNYNNC01.11.200501.07.2021139.00104.25118.15Y01.11.2005INTERCOSTAL DRAIN, insertion of, not involving resection of rib (excluding aftercare) (Anaes.)
3880901.11.20053T8617SNNNNNYNNC01.11.200501.07.2021171.25128.45145.60Y01.11.2005INTERCOSTAL DRAIN, insertion of, with pleurodesis and not involving resection of rib (excluding aftercare) (Anaes.)
3881201.11.20053T8617SNNNNNYNNC01.11.200501.07.2021217.65163.25185.05Y01.11.2005PERCUTANEOUS NEEDLE BIOPSY of lung (Anaes.)
3900001.12.19913T871SNNNNNYNNC01.12.199101.07.202178.3558.8066.60Y01.11.1993LUMBAR PUNCTURE (Anaes.)
3900701.11.20203T871SNNNNNYNNC01.11.202001.07.2021165.90124.45141.05Y01.11.2020Procedure to obtain access to intracranial space (including subdural space, ventricle or basal cistern), percutaneously or by burr-hole (Anaes.)
3901301.07.19933T871SNNNNNYNNC01.07.199301.07.2021113.5585.2096.55Y01.07.1993INJECTION 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.)
3901501.12.19913T871SNNNNNYNNA01.11.200401.07.2021391.25293.45Y01.11.2020Intracranial parenchymal pressure monitoring device, insertion of—including burr hole (excluding after care) (Anaes.)
3901801.12.19913T871SNNNNNYNNA01.11.200401.07.2021860.15645.15Y01.11.2020Cerebrospinal reservoir, ventricular reservoir or external ventricular drain, insertion of, with or without stereotaxy (Anaes.) (Assist.)
3910001.12.19913T872SNNNNNYNNC01.12.199101.07.2021247.20185.40210.15Y01.12.1991INJECTION OF PRIMARY BRANCH OF TRIGEMINAL NERVE with alcohol, cortisone, phenol, or similar substance (Anaes.)
3910901.12.19913T872SNNNNNYNNC01.12.199101.07.20211475.051106.301390.35Y01.11.2020Trigeminal gangliotomy by radiofrequency, balloon or glycerol, including stereotaxy (Anaes.) (Assist.)
3911301.11.20203T872SNNNNNYNNA01.11.202001.07.20212474.451855.85Y01.11.2020Cranial nerve, neurectomy or intracranial decompression of, using microsurgical techniques, including stereotaxy and cranioplasty (Anaes.) (Assist.)
3911501.12.19913T872SNNNNNYNNC01.12.199101.07.202178.3558.8066.60Y01.07.1993PERCUTANEOUS 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.)
3911801.12.19913T872SNNNNNYNNC01.12.199101.07.2021309.90232.45263.45Y01.12.1991PERCUTANEOUS NEUROTOMY for facet joint denervation by radio-frequency probe or cryoprobe using radiological imaging control (Anaes.) (Assist.)
3912101.12.19913T872SNNNNNYNNC01.12.199101.07.2021657.35493.05572.65Y01.12.1991PERCUTANEOUS CORDOTOMY (Anaes.) (Assist.)
3912401.12.19913T872SNNNNNYNNA01.11.200401.07.20211682.301261.75Y01.11.2006CORDOTOMY OR MYELOTOMY, partial or total laminectomy for, or operation for dorsal root entry zone (Drez) lesion (Anaes.) (Assist.)
3912501.07.19933T872SNNNNNYNNA01.11.200401.07.2021310.10232.60Y01.05.2005Intrathecal 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.)
3912601.07.19933T872SNNNNNYNNA01.11.200401.07.2021376.55282.45Y01.05.2005INFUSION 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.)
3912701.12.19913T872SNNNNNYNNA01.11.200401.07.2021492.85369.65Y01.05.2005SUBCUTANEOUS RESERVOIR AND SPINAL CATHETER, insertion of, for the management of chronic intractable pain (Anaes.)
3912801.07.19933T872SNNNNNYNNA01.11.200401.07.2021686.65515.00Y01.05.2005INFUSION 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.)
3913001.12.19913T872SNNNNNYNNA01.11.200401.07.2021701.45526.10Y01.11.2004EPIDURAL 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.)
3913101.07.19933T872SNNNNNYNNC01.07.199301.07.2021133.0099.75113.0501.11.2004ELECTRODES, 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
3913301.12.19913T872SNNNNNYNNA01.11.200401.07.2021165.90124.45Y01.05.2005Removal of subcutaneously IMPLANTED INFUSION PUMP OR removal or repositioning of intrathecal or epidural SPINAL CATHETER, for the management of chronic intractable pain (Anaes.)
3913401.07.19933T872SNNNNNYNNA01.11.200401.07.2021354.40265.80Y01.11.2004NEUROSTIMULATOR 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.)
3913501.11.20043T872SNNNNNYNNA01.05.201601.07.2021165.90124.45Y01.11.2004NEUROSTIMULATOR 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.)
3913601.12.19913T872SNNNNNYNNA01.11.200401.07.2021165.90124.45Y01.11.2004LEAD, 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.)
3913701.11.20043T872SNNNNNYNNA01.11.200401.07.2021629.90472.45Y01.11.2004LEAD, 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.)
3913801.11.20043T872SNNNNNYNNA01.11.200401.07.2021701.45526.10Y01.11.2005PERIPHERAL 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.)
3913901.12.19913T872SNNNNNYNNA01.11.200401.07.2021941.80706.35Y01.11.2006Epidural 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—to a maximum of 4 leads (H) (Anaes.) (Assist.)
3914001.05.19973T872SNNNNNYNNC01.05.199701.07.2021304.70228.55259.00Y01.05.1997EPIDURAL CATHETER, insertion of, under imaging control, with epidurogram and epidural therapeutic injection for lysis of adhesions (Anaes.)
3930001.12.19913T873SNNYNYYNNA01.11.200401.07.2021367.70275.80Y01.07.2021Nerve, digital or cutaneous, primary repair of, using microsurgical techniques, other than a service associated with a service to which item 39330 applies—applicable once per nerve (H) (Anaes.) (Assist.)
3930301.12.19913T873SNNYNYYNNA01.11.200401.07.2021485.00363.75Y01.07.2021Nerve, digital or cutaneous, delayed repair of, using microsurgical techniques, including either or both of the following (if performed): (a) neurolysis; (b) transposition of nerve to facilitate repair; other than a service associated with a service to which item 30023 applies—applicable once per nerve (H) (Anaes.) (Assist.)
3930601.12.19913T873SNNYNYYNNA01.11.200401.07.2021704.25528.20Y01.07.2021Nerve trunk, primary repair of, using microsurgical techniques, other than a service associated with a service to which item 39330 applies (H) (Anaes.) (Assist.)
3930701.07.20213T873SNYNNNNNNC01.07.202101.07.2021857.55643.20772.85Y01.07.2021Reconstruction of nerve trunk using biological or synthetic nerve conduit, using microsurgical techniques, other than a service associated with a service to which item 39330 applies (Anaes.) (Assist.)
3930901.12.19913T873SNNYNYYNNA01.11.200401.07.2021743.35557.55Y01.07.2021Nerve trunk, delayed repair of, using microsurgical techniques, including either or both of the following (if performed): (a) neurolysis; (b) transposition of nerve or nerve transfer to facilitate repair; other than a service associated with a service to which item 30023 or 39321 applies (H) (Anaes.) (Assist.)
3931201.12.19913T873SNNYNYYNNA01.11.200401.07.2021414.70311.05Y01.07.2021Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques, other than a service associated with a service to which item30023 applies (H) (Anaes.) (Assist.)
3931501.12.19913T873SNNYNYYNNA01.11.200401.07.20211071.95804.00Y01.07.2021Nerve trunk, nerve graft to, by cable graft, using microsurgical techniques, including any of the following (if performed): (a) harvesting of nerve graft; (b) proximal and distal anastomosis of nerve graft; (c) transposition of nerve to facilitate grafting; (d) neurolysis; other than a service associated with a service to which item 30023 or 39330 applies (H) (Anaes.) (Assist.)
3931801.12.19913T873SNNYNYYNNA01.11.200401.07.2021665.15498.90Y01.07.2021Nerve, digital or cutaneous, nerve graft to, using microsurgical techniques, including either or both of the following (if performed): (a) harvesting of nerve graft from separate donor site; (b) proximal and distal anastomosis of nerve graft; other than a service associated with a service to which item 39330 applies (H) (Anaes.) (Assist.)
3931901.07.20213T873SNYNNNNNNC01.07.202101.07.2021485.00363.75412.25Y01.07.2021Reconstruction of digital or cutaneous nerve using biological or synthetic nerve conduit, using microsurgical techniques, other than a service associated with a service to which item 39330 applies (Anaes.) (Assist.)
3932101.12.19913T873SNNNNNYNNA01.11.200401.07.2021492.85369.65Y01.12.1991NERVE, transposition of (Anaes.) (Assist.)
3932301.07.19933T873SNNNNNYNNC01.07.199301.07.2021288.00216.00244.80Y01.11.2003PERCUTANEOUS NEUROTOMY by cryotherapy or radiofrequency lesion generator, not being a service to which another item applies (Anaes.) (Assist.)
3932401.12.19913T873SNNYNYYNNC01.12.199101.07.2021288.00216.00244.80Y01.07.2021Neurectomy or removal of tumour or neuroma from superficial peripheral nerve (Anaes.) (Assist.)
3932701.12.19913T873SNNNNNYNNA01.03.201301.07.2021492.95369.75Y01.11.2006NEURECTOMY, 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.)
3932801.07.20213T873SNYNNNNNNA01.07.202101.07.2021492.95369.75Y01.07.2021Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation, for upper limb surgery (H) (Anaes.) (Assist.)
3932901.07.20213T873SNYNNNNNNC01.07.202101.07.2021367.70275.80312.55Y01.07.2021Extensive neurolysis of radial, median or ulnar nerve trunk nerve in the forearm or arm, other than a service associated with a service to which item 30023, 39303, 39309, 39312, 39315, 39318, 39324, 39327 or 39333 applies (Anaes.) (Assist.)
3933001.12.19913T873SNNYNYYNNA01.11.200401.07.2021288.00216.00Y01.07.2021Neurolysis by open operation without transposition, other than a service associated with a service to which item 30023, 39321, 39328, 39329, 39332, 39336, 39339, 39342, 39345, 49774 or 49775 applies (H) (Anaes.) (Assist.)
3933101.07.19933T873SNNYNYYNNC01.07.199301.07.2021288.00216.00244.80Y01.07.2021Carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed): (a) synovectomy; (b) neurolysis Other than a service associated with a service to which item 30023 or 46339 applies (Anaes.) (Assist.)
3933201.07.20213T873SNYNNNNNNC01.07.202101.07.2021432.05324.05367.25Y01.07.2021Revision of carpal tunnel release, including division of transverse carpal ligament or release of median nerve, by any method, including either or both of the following (if performed): (a) synovectomy; (b) neurolysis; other than a service associated with a service to which item 30023 or 46339 applies. (Anaes.) (Assist.)
3933301.12.19913T873SNNNNNYNNC01.12.199101.07.2021414.70311.05352.50Y01.12.1991BRACHIAL PLEXUS, exploration of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
3933601.07.20213T873SNYNNNNNNC01.07.202101.07.2021288.00216.00244.80Y01.07.2021Ulnar nerve decompression at elbow or wrist (cubital tunnel or Guyon's canal) without transposition, by any method, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies (Anaes.) (Assist.)
3933901.07.20213T873SNYNNNNNNC01.07.202101.07.2021432.05324.05367.25Y01.07.2021Revision of ulnar nerve decompression at elbow (cubital tunnel) without transposition, by any method, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies (Anaes.) (Assist.)
3934201.07.20213T873SNYNNNNNNC01.07.202101.07.2021566.75425.10482.05Y01.07.2021Ulnar nerve decompression at elbow (cubital tunnel), including any of the following (if performed): (a) associated transposition; (b) subcutaneous or submuscular transposition of the nerve; (c) medial epicondylectomy; (d) ostetomy and reconstruction of the flexor origin; (e) neurolysis; other than a service associated with a service to which item 30023 applies (Anaes.) (Assist.)
3934501.07.20213T873SNYNNNNNNC01.07.202101.07.2021288.00216.00244.80Y01.07.2021Localised decompression of radial, median or ulnar nerve, or branches of, in the forearm for compressive neuropathy, including neurolysis (if performed), other than a service associated with a service to which item 30023 applies (Anaes.) (Assist.)
3950301.12.19913T874SNNNNNYNNA01.11.200401.07.2021993.70745.30Y01.11.2020Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of (Anaes.) (Assist.)
3960401.11.20203T875SNNNNNYNNA01.11.202001.07.20211866.251399.70Y01.11.2020Any of the following procedures for intracranial haemorrhage or swelling:(a) craniotomy, craniectomy or burr-holes for removal of intracranial haemorrhage, including stereotaxy;(b) craniotomy or craniectomy for brain swelling, stroke, or raised intracranial pressure, including for subtemporal decompression, including stereotaxy; or(c) post-operative re-opening, including for swelling or post-operative cerebrospinal fluid leak. (Anaes.) (Assist.)
3961001.11.20203T875SNNNNNYNNA01.11.202001.07.2021993.70745.30Y01.11.2020Fractured skull, without brain laceration or dural penetration, repair of (Anaes.) (Assist.)
3961201.12.19913T875SNNNNNYNNA01.11.200401.07.20211165.90874.45Y01.11.2020Fractured skull, with brain laceration or dural penetration but without cerebrospinal fluid, rhinorrhoea or otorrhoea, repair of (Anaes.) (Assist.)
3961501.12.19913T875SNNNNNYNNA01.11.200401.07.20211989.501492.15Y01.11.2020Fractured skull, after trauma, with cerebrospinal fluid rhinorrhoea or otorrhoea, repair of, including stereotaxy and dermofat graft (Anaes.) (Assist.)
3963801.11.20203T876SNNNNNYNNA01.11.202001.07.20214429.653322.25Y01.11.2020Anterior or middle cranial fossa or cavernous sinus, tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty—conjoint surgery, principal surgeon (Anaes.) (Assist.)
3963901.11.20203T876SNNNNNYNNA01.11.202001.07.20213539.752654.8501.11.2020Anterior or middle cranial fossa or cavernous sinus, tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty—conjoint surgery, co‑surgeon (Assist.)
3964101.11.20203T876SNNNNNYNNA01.11.202001.07.20214672.153504.15Y01.11.2020Anterior or middle cranial fossa or cavernous sinus, tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty - one surgeon (Anaes.) (Assist.)
3965101.11.20203T876SNNNNNYNNA01.11.202001.07.20215764.254323.20Y01.11.2020Petro-clival, clival or foramen magnum tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty - one surgeon (Anaes.) (Assist.)
3965401.07.19953T876SNNNNNYNNA01.11.200401.07.20214429.653322.25Y01.11.2020Petro-clival, clival or foramen magnum tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty—conjoint surgery, principal surgeon (Anaes.) (Assist.)
3965601.07.19953T876SNNNNNYNNA01.11.200401.07.20213539.752654.8501.11.2020Petro clival, clival or foramen magnum tumour or vascular lesion, removal or radical excision of, including stereotaxy and cranioplasty—conjoint surgery, co surgeon (Assist.)
3970001.12.19913T877SNNNNNYNNA01.11.200401.07.20211885.801414.35Y01.11.2020Skull tumour, benign or malignant, excision of, including stereotaxy and cranioplasty (Anaes.) (Assist.)
3970301.12.19913T877SNNNNNYNNA01.11.200401.07.20211514.201135.65Y01.11.2020Intracranial tumour, cyst or other brain tissue, either or both of: (a) burr hole and biopsy of; (b) drainage of; including stereotaxy (Anaes.) (Assist.)
3971001.11.20203T877SNNNNNYNNA01.11.202001.07.20212521.601891.20Y01.11.2020Intracranial tumour, one or more, biopsy, drainage, decompression or removal of, through a single craniotomy, including stereotaxy and cranioplasty (Anaes.) (Assist.)
3971201.12.19913T877SNNNNNYNNA01.11.200401.07.20213851.652888.75Y01.11.2020Transcranial tumour removal or biopsy of one or more of any of the following: (a) meningioma; (b) pinealoma; (c) cranio pharyngioma; (d) pituitary tumour; (e) intraventricular lesion; (f) brain stem lesion; (g) any other intracranial tumour; by any means (with or without endoscopy), through a single craniotomy, including stereotaxy and cranioplasty (Anaes.) (Assist.)
3971501.12.19913T877SNNNNNYNNA01.11.200401.07.20212811.052108.30Y01.11.2020Pituitary tumour, removal of, by transphenoidal approach, including stereotaxy and dermis, dermofat or fascia grafting, other than a service associated with a service to which item 40600 applies (Anaes.) (Assist.)
3971801.12.19913T877SNNNNNYNNA01.11.200401.07.20211698.051273.55Y01.11.2020Arachnoidal cyst, craniotomy for, including stereotaxy and neuroendoscopy (Anaes.) (Assist.)
3972001.11.20203T877SNNNNNYNNA01.11.202001.07.20213603.202702.40Y01.11.2020Awake craniotomy for functional neurosurgery (Anaes.) (Assist.)
3980101.11.20203T878SNNNNNYNNA01.11.202001.07.20215764.254323.20Y01.11.2020Aneurysm, clipping, proximal ligation, or reinforcement of sac, including stereotaxy and cranioplasty (Anaes.) (Assist.)
3980301.12.19913T878SNNNNNYNNA01.11.200401.07.20215764.254323.20Y01.11.2020Intracranial arteriovenous malformation or fistula, treatment through a craniotomy, including stereotaxy, cranioplasty and all angiography (Anaes.) (Assist.)
3981501.12.19913T878SNNNNNYNNC01.12.199101.07.20211901.301426.001816.60Y01.12.1991CAROTID-CAVERNOUS FISTULA, obliteration of - combined cervical and intracranial procedure (Anaes.) (Assist.)
3981801.12.19913T878SNNNNNYNNA01.11.200401.07.20212523.451892.60Y01.11.2020Intracranial vascular bypass using indirect techniques, including stereotaxy (Anaes.) (Assist.)
3982101.07.19953T878SNNNNNYNNA01.11.200401.07.20213595.402696.55Y01.11.2020Intracranial vascular bypass using direct anastomosis techniques, including stereotaxy (Anaes.) (Assist.)
3990001.12.19913T879SNNNNNYNNA01.11.200401.07.20211514.201135.65Y01.11.2020Intracranial infection, treated by burr hole, including stereotaxy, other than a service associated with a service to which item 40600 applies (Anaes.) (Assist.)
3990301.12.19913T879SNNNNNYNNA01.11.200401.07.20212273.201704.90Y01.11.2020Intracranial infection, treated by craniotomy, including stereotaxy, other than a service associated with a service to which item 40600 applies (Anaes.) (Assist.)
3990601.12.19913T879SNNNNNYNNA01.11.200401.07.2021829.40622.05Y01.11.2020Osteomyelitis of skull or removal of infected bone flap, craniectomy for, other than a service associated with a service to which item 40600 applies (Anaes.) (Assist.)
4000401.11.20203T878SNNNNNYNNA01.11.202001.07.20211721.501291.15Y01.11.2020Ventricular, lumbar or cisternal shunt diversion, insertion or revision of, including stereotaxy (Anaes.) (Assist.)
4001201.12.19913T8710SNNNNNYNNA01.11.200401.07.20211780.201335.15Y01.11.2020Endoscopic ventriculostomy for treatment of cerebrospinal fluid circulation disorders, including stereotaxy (Anaes.) (Assist.)
4001801.12.19913T8710SNNNNNYNNC01.12.199101.07.2021165.90124.45141.05Y01.12.1991LUMBAR CEREBROSPINAL FLUID DRAIN, insertion of (Anaes.)
4010401.11.20203T8711SNNNNNYNNA01.11.202001.07.20211056.35792.30Y01.11.2020Spinal myelomeningocele or spinal meningocele, excision and closure of, other than a service associated with a service to which item40600 applies (Anaes.) (Assist.)
4010601.12.19913T8711SNNNNNYNNA01.11.200401.07.20212507.801880.85Y01.11.2020Chiari malformation, decompression or reconstruction of, including laminectomy, dermofat graft and stereotaxy, other than a service associated with a service to which item 40600 applies (Anaes.) (Assist.)
4010901.12.19913T8711SNNNNNYNNA01.11.200401.07.20211946.401459.80Y01.11.2020Encephalocoele or cranial meningocele, excision and closure of, including stereotaxy and dermofat graft (Anaes.) (Assist.)
4011201.12.19913T8711SNNNNNYNNA01.11.200401.07.20212486.351864.80Y01.11.2020Tethered cord, release of, including lipomeningocele or diastematomyelia, multiple levels, including laminectomy and rhizolysis, other than a service associated with a service to which item 40600 applies (Anaes.) (Assist.)
4011901.11.20203T8711SNNNNNYNNA01.11.202001.07.2021993.70745.30Y01.11.2020Craniostenosis, operation for, other than a service associated with a service to which item40600 applies (Anaes.) (Assist.)
4060001.12.19913T8713SNNNNNYNNA01.11.200401.07.2021993.70745.30Y01.11.2020Cranioplasty, reconstructive, other than a service associated with a service to which item39113, 39638, 39639, 39641, 39651, 39654, 39656, 39700, 39710, 39712, 39715, 39801, 39803 or 40703 applies (Anaes.) (Assist.)
4070001.12.19913T8714SNNNNNYNNA01.11.200401.07.20212437.451828.10Y01.11.2020Corpus callosotomy, for epilepsy, including stereotaxy (Anaes.) (Assist.)
4070101.11.20173T8714SNNNNNYNNA01.11.201701.07.2021354.40265.80Y01.11.2017Vagus nerve stimulation therapy through stimulation of the left vagus nerve, subcutaneous placement of electrical pulse generator, for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
4070201.11.20173T8714SNNNNNYNNA01.11.201701.07.2021165.90124.45Y01.11.2017Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical repositioning or removal of electrical pulse generator inserted for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
4070301.12.19913T8714SNNNNNYNNA01.11.200401.07.20212521.601891.20Y01.11.2020Corticectomy, topectomy or partial lobectomy, for epilepsy, including stereotaxy and cranioplasty (Anaes.) (Assist.)
4070401.11.20173T8714SNNNNNYNNA01.11.201701.07.2021701.45526.10Y01.11.2017Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical placement of lead, including connection of lead to left vagus nerve and intra-operative test stimulation, for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
4070501.11.20173T8714SNNNNNYNNA01.11.201701.07.2021629.90472.45Y01.11.2017Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical repositioning or removal of lead attached to left vagus nerve for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
4070601.12.19913T8714SNNNNNYNNA01.11.202001.07.20213603.252702.45Y01.11.2020Hemispherectomy or functional hemispherectomy, for intractable epilepsy, including stereotaxy (Anaes.) (Assist.)
4070701.11.20173T8714SNNNNNYNNC01.11.201701.07.2021197.40148.05167.8001.11.2017Vagus nerve stimulation therapy through stimulation of the left vagus nerve, electrical analysis and programming of vagus nerve stimulation therapy device using external wand, for: (a) management of refractory generalised epilepsy; or (b) treatment of refractory focal epilepsy not suitable for resective epilepsy surgery
4070801.11.20173T8714SNNNNNYNNA01.11.201701.07.2021354.40265.80Y01.11.2017Vagus nerve stimulation therapy through stimulation of the left vagus nerve, surgical replacement of battery in electrical pulse generator inserted for: (a) management of refractory generalised epilepsy; or (b) treating refractory focal epilepsy not suitable for resective epilepsy surgery (Anaes.) (Assist.)
4070901.12.19913T8714SNNNNNYNNA01.11.200401.07.20211514.201135.65Y01.11.2020Intracranial electrode placement by burr hole, including stereotaxy (Anaes.) (Assist.)
4071201.12.19913T8714SNNNNNYNNA01.11.200401.07.20213603.252702.45Y01.11.2020Intracranial electrode placement by craniotomy, single or multiple, including stereotactic EEG, including stereotaxy (Anaes.) (Assist.)
4080101.07.19933T8715SNNNNNYNNA01.11.200401.07.20211816.551362.45Y01.11.2020Functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation, and lesion production, by any method, in the basal ganglia, brain stem or deep white matter tracts, other than a service associated with deep brain stimulation for Parkinson’s disease, essential tremor or dystonia (Anaes.) (Assist.)
4080301.12.19913T8715SNNNNNYNNC01.12.199101.07.20211244.15933.151159.45Y01.11.2020Intracranial stereotactic procedure by any method, other than: (a) a service to which item40801 applies; or (b) a service associated with a service to which item39018, 39109, 39113, 39604, 39615, 39638, 39639, 39641, 39651, 39654, 39656, 39700, 39703, 39710, 39712, 39715, 39718, 39720, 39801, 39803, 39818, 39821, 39900, 39903, 40004, 40012, 40106, 40109, 40700, 40703, 40706, 40709 or 40712 applies (Anaes.) (Assist.)
4085001.02.20023T8715SNNNNNYNNA01.11.200601.07.20212356.201767.15Y01.07.2009DEEP 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.)
4085105.05.20033T8715SNNNNNYNNA01.11.200601.07.20214123.603092.70Y01.07.2009DEEP 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.)
4085201.02.20023T8715SNNNNNYNNA01.11.200601.07.2021354.40265.80Y01.07.2009DEEP 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.)
4085401.02.20023T8715SNNNNNYNNA01.11.200601.07.2021547.70410.80Y01.07.2009DEEP 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.)
4085601.02.20023T8715SNNNNNYNNA01.11.200601.07.2021265.80199.35Y01.07.2009DEEP 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.)
4085801.02.20023T8715SNNNNNYNNA01.11.200601.07.2021547.70410.80Y01.07.2009DEEP BRAIN STIMULATION (unilateral) placement, removal or replacement of extension leadfor 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.)
4086001.02.20023T8715SNNNNNYNNA01.11.200601.07.20212104.651578.50Y01.07.2009DEEP 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.)
4086201.02.20023T8715SNNNNNYNNC01.11.200601.07.2021197.40148.05167.80Y01.07.2009DEEP 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.)
4090501.05.20043T8716SNNNNNYNNA01.11.202001.07.2021626.10469.60Y01.11.2020Craniotomy, performed by a neurosurgeon in conjunction with the correction of craniofacial abnormalities (Anaes.) (Assist.)
4150001.12.19913T88SNNNNNYNNC01.12.199101.07.202185.8064.3572.95Y01.07.1996EAR, foreign body (other than ventilating tube) in, removal of, other than by simple syringing (Anaes.)
4150101.11.20193T88SNNNNNYNNC01.11.201901.07.2021193.10144.85164.1501.03.2020Examination of glottal cycles and vibratory characteristics of the vocal folds by a specialist in the practice of the specialist’s specialty of otolaryngology using videostroboscopy, including capturing audio, video, frequency and intensity, for confirmation of diagnosis , or for confirmation of treatment effectiveness where there is failure to progress or respond as expected, for: dysphonia where non stroboscopic techniques of the visualising the larynx have failed to identify any frank abnormality of the vocal folds; or benign or malignant vocal fold lesions; or premalignant or malignant laryngeal lesions; or vocal fold motion impairment or glottal insufficiency; or evaluation of vocal fold function after treatment or phonosurgery other than a service associated with a service to which item 41764 applies or with a services associated with the administration of a general anaesthetic
4150301.12.19913T88SNNNNNYNNC01.12.199101.07.2021248.45186.35211.20Y01.12.1991EAR, foreign body in, removal of, involving incision of external auditory canal (Anaes.)
4150601.12.19913T88SNNNNNYNNC01.12.199101.07.2021149.85112.40127.40Y01.12.1991AURAL POLYP, removal of (Anaes.)
4150901.12.19913T88SNNNNNYNNC01.12.199101.07.2021169.55127.20144.15Y01.12.1991EXTERNAL AUDITORY MEATUS, surgical removal of keratosis obturans from, not being a service to which another item in this Group applies (Anaes.)
4151201.12.19913T88SNNNNNYNNA01.11.200501.07.2021609.65457.25Y01.12.1991MEATOPLASTY involving removal of cartilage or bone or both cartilage and bone, not being a service to which item 41515 applies (Anaes.) (Assist.)
4151501.12.19913T88SNNNNNYNNA01.11.200401.07.2021400.10300.10Y01.12.1991MEATOPLASTY 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.)
4151801.12.19913T88SNNNNNYNNA01.11.200401.07.2021966.35724.80Y01.12.1991EXTERNAL AUDITORY MEATUS, removal of EXOSTOSES IN (Anaes.) (Assist.)
4152101.12.19913T88SNNNNNYNNA01.11.200401.07.20211028.90771.70Y01.12.1991Correction of AUDITORY CANAL STENOSIS, including meatoplasty, with or without grafting (Anaes.) (Assist.)
4152401.12.19913T88SNNNNNYNNA01.11.200501.07.2021297.25222.95Y01.12.1991RECONSTRUCTION OF EXTERNAL AUDITORY CANAL, being a service associated with a service to which items 41557, 41560 and 41563 apply (Anaes.) (Assist.)
4152701.12.19913T88SNNNNNYNNA01.11.200501.07.2021611.40458.55Y01.12.1991MYRINGOPLASTY, transcanal approach (Rosen incision) (Anaes.) (Assist.)
4153001.12.19913T88SNNNNNYNNA01.11.200401.07.2021996.10747.10Y01.12.1991MYRINGOPLASTY, postaural or endaural approach with or without mastoid inspection (Anaes.)
4153301.12.19913T88SNNNNNYNNA01.11.200401.07.20211190.65893.00Y01.12.1991ATTICOTOMY without reconstruction of the bony defect, with or without myringoplasty (Anaes.) (Assist.)
4153601.12.19913T88SNNNNNYNNA01.11.200401.07.20211333.651000.25Y01.12.1991ATTICOTOMY with reconstruction of the bony defect, with or without myringoplasty (Anaes.) (Assist.)
4153901.12.19913T88SNNNNNYNNA01.11.200401.07.20211134.05850.55Y01.12.1991OSSICULAR CHAIN RECONSTRUCTION (Anaes.) (Assist.)
4154201.12.19913T88SNNNNNYNNA01.11.200401.07.20211242.65932.00Y01.12.1991OSSICULAR CHAIN RECONSTRUCTION AND MYRINGOPLASTY (Anaes.) (Assist.)
4154501.12.19913T88SNNNNNYNNA01.11.200401.07.2021542.40406.80Y01.12.1991MASTOIDECTOMY (CORTICAL) (Anaes.) (Assist.)
4154801.12.19913T88SNNNNNYNNA01.11.200401.07.2021719.75539.85Y01.12.1991OBLITERATION OF THE MASTOID CAVITY (Anaes.) (Assist.)
4155101.12.19913T88SNNNNNYNNA01.11.200401.07.20211657.651243.25Y01.12.1991MASTOIDECTOMY, intact wall technique, with myringoplasty (Anaes.) (Assist.)
4155401.12.19913T88SNNNNNYNNA01.11.200401.07.20211953.001464.75Y01.12.1991MASTOIDECTOMY, intact wall technique, with myringoplasty and ossicular chain reconstruction (Anaes.) (Assist.)
4155701.12.19913T88SNNNNNYNNA01.11.200401.07.20211134.05850.55Y01.12.1991MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL) (Anaes.) (Assist.)
4156001.12.19913T88SNNNNNYNNA01.11.200401.07.20211242.65932.00Y01.12.1991MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL) AND MYRINGOPLASTY (Anaes.)
4156301.12.19913T88SNNNNNYNNA01.11.200401.07.20211538.301153.75Y01.12.1991MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL), MYRINGOPLASTY AND OSSICULAR CHAIN RECONSTRUCTION (Anaes.) (Assist.)
4156401.05.19973T88SNNNNNYNNA01.11.200401.07.20211989.301492.00Y01.05.1997MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL), OBLITERATION OF THE MASTOID CAVITY, BLIND SAC CLOSURE OF EXTERNAL AUDITORY CANAL AND OBLITERATION OF EUSTACHIAN TUBE (Anaes.) (Assist.)
4156601.12.19913T88SNNNNNYNNA01.11.200401.07.20211134.05850.55Y01.12.1991REVISION OF MASTOIDECTOMY (radical, modified radical or intact wall), including myringoplasty (Anaes.) (Assist.)
4156901.12.19913T88SNNNNNYNNA01.11.200401.07.20211242.65932.00Y01.12.1991DECOMPRESSION OF FACIAL NERVE in its mastoid portion (Anaes.) (Assist.)
4157201.12.19913T88SNNNNNYNNA01.11.200401.07.20211075.10806.35Y01.12.1991LABYRINTHOTOMY OR DESTRUCTION OF LABYRINTH (Anaes.) (Assist.)
4157501.12.19913T88SNNNNNYNNA01.11.200401.07.20212534.351900.80Y01.12.1991CEREBELLOPONTINE ANGLE TUMOUR, removal of by 2 surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approachtransmastoid, translabyrinthine or retromastoid procedure (including aftercare) (Anaes.) (Assist.)
4157601.11.19953T88SNNNNNYNNA01.11.200401.07.20213801.652851.25Y01.11.1995CEREBELLO - 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.)
4157801.12.19913T88SNNNNNYNNA01.11.200401.07.20212534.351900.80Y01.07.1995CEREBELLOPONTINE ANGLE TUMOUR, removal of, by transmastoid, translabyrinthine or retromastoid approach, (intracranial procedure) - conjoint surgery, principal surgeon (Anaes.) (Assist.)
4157901.07.19953T88SNNNNNYNNA01.11.200401.07.20211900.801425.6001.07.1995CEREBELLO-PONTINE ANGLE TUMOUR, removal of, by transmastoid, translabyrinthine or retromastoid approach, (intracranial procedure) - conjoint surgery, co-surgeon (Assist.)
4158101.12.19913T88SNNNNNYNNA01.11.200501.07.20212915.052186.30Y01.07.1995TUMOUR INVOLVING INFRA-TEMPORAL FOSSA, removal of, involving craniotomy and radical excision of (Anaes.) (Assist.)
4158401.12.19913T88SNNNNNYNNA01.11.200401.07.20212000.551500.45Y01.12.1991PARTIAL TEMPORAL BONE RESECTION for removal of tumour involving mastoidectomy with or without decompression of facial nerve (Anaes.) (Assist.)
4158701.12.19913T88SNNNNNYNNA01.11.200401.07.20212724.702043.55Y01.12.1991TOTAL TEMPORAL BONE RESECTION for removal of tumour (Anaes.) (Assist.)
4159001.12.19913T88SNNNNNYNNA01.11.200401.07.20211242.65932.00Y01.12.1991ENDOLYMPHATIC SAC, TRANSMASTOID DECOMPRESSION with or without drainage of (Anaes.) (Assist.)
4159301.12.19913T88SNNNNNYNNA01.11.200401.07.20211619.551214.70Y01.12.1991TRANSLABYRINTHINE VESTIBULAR NERVE SECTION (Anaes.) (Assist.)
4159601.12.19913T88SNNNNNYNNA01.11.200401.07.20211810.001357.50Y01.12.1991RETROLABYRINTHINE VESTIBULAR NERVE SECTION or COCHLEAR NERVE SECTION, or BOTH (Anaes.) (Assist.)
4159901.12.19913T88SNNNNNYNNA01.11.200401.07.20211810.001357.50Y01.12.1991INTERNAL AUDITORY MEATUS, exploration by middle cranial fossa approach with cranial nerve decompression (Anaes.) (Assist.)
4160301.11.20063T88SNNNNNYNNC01.11.200601.07.2021524.30393.25445.70Y01.11.2006OSSEO-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.)
4160401.11.20063T88SNNNNNYNNC01.11.200601.07.2021194.10145.60165.00Y01.11.2006OSSEO-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.)
4160801.12.19913T88SNNNNNYNNA01.11.200401.07.20211134.05850.55Y01.12.1991STAPEDECTOMY (Anaes.) (Assist.)
4161101.12.19913T88SNNNNNYNNA01.11.200401.07.2021729.70547.30Y01.12.1991STAPES MOBILISATION (Anaes.) (Assist.)
4161401.12.19913T88SNNNNNYNNC01.12.199101.07.20211134.05850.551049.35Y01.12.1991ROUND WINDOW SURGERY including repair of cochleotomy (Anaes.) (Assist.)
4161501.05.19943T88SNNNNNYNNC01.05.199401.07.20211134.05850.551049.35Y01.05.1994OVAL 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.)
4161701.12.19913T88SNNNNNYNNA01.11.200401.07.20211972.001479.00Y01.12.1991COCHLEAR IMPLANT, insertion of, including mastoidectomy (Anaes.) (Assist.)
4161801.05.20173T88SNNNNNYNNA01.05.201701.07.20211953.001464.75Y01.05.2017Middle ear implant, partially implantable, insertion of, via mastoidectomy, for patients with: (a) stable sensorineural hearing loss; and (b) outer ear pathology that prevents the use of a conventional hearing aid; and (c) a PTA4 of less than 80 dBHL; and (d) bilateral, symmetrical hearing loss with PTA thresholds in both ears within 20 dBHL (0.5‑4kHz) of each other; and (e) speech perception discrimination of at least 65% correct for word lists with appropriately amplified sound; and (f) a normal middle ear; and (g) normal tympanometry; and (h) on audiometry, an air‑bone gap of less than 10 dBHL (0.5‑4kHz) across all frequencies; and (i) no other inner ear disorders (Anaes.) (Assist.)
4162001.12.19913T88SNNNNNYNNA01.11.200401.07.2021857.95643.50Y01.12.1991GLOMUS TUMOUR, transtympanic removal of (Anaes.) (Assist.)
4162301.12.19913T88SNNNNNYNNA01.11.200401.07.20211242.65932.00Y01.12.1991GLOMUS TUMOUR, transmastoid removal of, including mastoidectomy (Anaes.) (Assist.)
4162601.12.19913T88SNNNNNYNNC01.12.199101.07.2021149.85112.40127.40Y01.12.1991ABSCESS OR INFLAMMATION OF MIDDLE EAR, operation for (excluding aftercare) (Anaes.)
4162901.12.19913T88SNNNNNYNNA01.11.200501.07.2021542.40406.80Y01.12.1991MIDDLE EAR, EXPLORATION OF (Anaes.) (Assist.)
4163201.12.19913T88SNNNNNYNNC01.12.199101.07.2021248.45186.35211.20Y01.12.1991MIDDLE EAR, insertion of tube for DRAINAGE OF (including myringotomy) (Anaes.)
4163501.12.19913T88SNNNNNYNNC01.12.199101.07.20211190.65893.001105.95Y01.12.1991CLEARANCE OF MIDDLE EAR FOR GRANULOMA, CHOLESTEATOMA and POLYP, 1 or more, with or without myringoplasty (Anaes.) (Assist.)
4163801.12.19913T88SNNNNNYNNA01.11.200401.07.20211486.201114.65Y01.12.1991CLEARANCE OF MIDDLE EAR FOR GRANULOMA, CHOLESTEATOMA and POLYP, 1 or more, with or without myringoplasty with ossicular chain reconstruction (Anaes.) (Assist.)
4164101.12.19913T88SNNNNNYNNC01.12.199101.07.202149.3537.0541.95Y01.12.1991PERFORATION OF TYMPANUM, cauterisation or diathermy of (Anaes.)
4164401.12.19913T88SNNNNNYNNC01.12.199101.07.2021148.65111.50126.40Y01.12.1991EXCISION OF RIM OF EARDRUM PERFORATION, not being a service associated with myringoplasty (Anaes.)
4164701.12.19913T88SNNNNNYNNC01.12.199101.07.2021114.3085.7597.20Y01.12.1991EAR TOILET requiring use of operating microscope and microinspection of tympanic membrane with or without general anaesthesia (Anaes.)
4165001.12.19913T88SNNNNNYNNC01.12.199101.07.2021114.3085.7597.20Y01.12.1991TYMPANIC 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.)
4165301.12.19913T88SNNNNNYNNC01.12.199101.07.202174.8556.1563.65Y01.12.1991EXAMINATION 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.)
4165601.12.19913T88SNNNNNYNNC01.12.199101.07.2021127.8095.85108.65Y01.12.1991NASAL HAEMORRHAGE, POSTERIOR, ARREST OF, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding aftercare) (Anaes.)
4165901.12.19913T88SNNNNNYNNC01.12.199101.07.202180.7060.5568.60Y01.12.1991NOSE, removal of FOREIGN BODY IN, other than by simple probing (Anaes.)
4166201.12.19913T88SNNNNNYNNC01.12.199101.07.202185.8064.3572.9501.12.1991NASAL POLYP OR POLYPI (SIMPLE), removal of
4166801.12.19913T88SNNNNNYNNA01.11.200401.07.2021228.85171.65Y01.11.2017NASAL POLYP OR POLYPI, removal of (Anaes.)
4167101.12.19913T88SNNNNNYNNA01.11.200501.07.2021502.85377.15Y01.12.1991NASAL SEPTUM, SEPTOPLASTY, SUBMUCOUS RESECTION or closure of septal perforation (Anaes.)
4167201.05.19973T88SNNNNNYNNA01.11.200401.07.2021627.30470.50Y01.05.1997NASAL SEPTUM, reconstruction of (Anaes.) (Assist.)
4167401.12.19913T88SNNNNNYNNC01.12.199101.07.2021104.6078.4588.95Y01.11.2017Cauterisation (other than by chemical means) or cauterisation by chemical means when performed under general anaesthesia or diathermy of septum or turbinates—one or more of these procedures (including any consultation on the same occasion) other than a service associated with another operation on the nose (Anaes.)
4167701.12.19913T88SNNNNNYNNC01.12.199101.07.202193.6570.2579.65Y01.12.1991NASAL HAEMORRHAGE, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.)
4168301.12.19913T88SNNNNNYNNC01.12.199101.07.2021122.0091.50103.70Y01.12.1991DIVISION 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.)
4168601.12.19913T88SNNNNNYNNC01.12.199101.07.202174.8556.1563.65Y01.12.1991DISLOCATION 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.)
4168901.12.19913T88SNNNNNYNNA01.11.200501.07.2021142.05106.55Y01.12.1991TURBINECTOMY or turbinectomies, partial or total, unilateral (Anaes.)
4169201.12.19913T88SNNNNNYNNA01.11.200401.07.2021185.25138.95Y01.12.1991TURBINATES, submucous resection of, unilateral (Anaes.)
4169801.12.19913T88SNNNNNYNNC01.12.199101.07.202133.8525.4028.80Y01.12.1991MAXILLARY ANTRUM, PROOF PUNCTURE AND LAVAGE OF (Anaes.)
4170101.12.19913T88SNNNNNYNNA01.11.200401.07.202195.6071.70Y01.12.1991MAXILLARY 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.)
4170401.12.19913T88SNNNNNYNNC01.12.199101.07.202137.8028.3532.15Y01.12.1991MAXILLARY ANTRUM, LAVAGE OFeach attendance at which the procedure is performed, including any associated consultation (Anaes.)
4170701.12.19913T88SNNNNNYNNA01.11.200501.07.2021466.75350.10Y01.12.1991MAXILLARY ARTERY, transantral ligation of (Anaes.) (Assist.)
4171001.12.19913T88SNNNNNYNNA01.11.200401.07.2021542.40406.80Y01.12.1991ANTROSTOMY (RADICAL) (Anaes.) (Assist.)
4171301.12.19913T88SNNNNNYNNA01.11.200401.07.2021631.10473.35Y01.12.1991ANTROSTOMY (RADICAL) with transantral ethmoidectomy or transantral vidian neurectomy (Anaes.) (Assist.)
4171601.12.19913T88SNNNNNYNNA01.11.200501.07.2021307.70230.80Y01.12.1991ANTRUM, intranasal operation on, or removal of foreign body from (Anaes.) (Assist.)
4171901.12.19913T88SNNNNNYNNC01.12.199101.07.2021122.3591.80104.00Y01.12.1991ANTRUM, drainage of, through tooth socket (Anaes.)
4172201.12.19913T88SNNNNNYNNC01.12.199101.07.2021611.40458.55526.70Y01.12.1991OROANTRAL FISTULA, plastic closure of (Anaes.) (Assist.)
4172501.12.19913T88SNNNNNYNNA01.11.200401.07.2021466.75350.10Y01.12.1991ETHMOIDAL ARTERY OR ARTERIES, transorbital ligation of (unilateral) (Anaes.) (Assist.)
4172801.12.19913T88SNNNNNYNNA01.11.200401.07.2021933.65700.25Y01.12.1991LATERAL RHINOTOMY with removal of tumour (Anaes.) (Assist.)
4172901.11.19943T88SNNNNNYNNA01.11.200401.07.2021591.70443.80Y01.11.1994DERMOID OF NOSE, excision of, with intranasal extension (Anaes.) (Assist.)
4173101.12.19913T88SNNNNNYNNA01.11.200401.07.2021808.60606.45Y01.11.1993FRONTONASAL ETHMOIDECTOMY by external approach with or without sphenoidectomy (Anaes.) (Assist.)
4173401.12.19913T88SNNNNNYNNA01.11.200401.07.20211055.10791.35Y01.12.1991RADICAL FRONTOETHMOIDECTOMY with osteoplastic flap (Anaes.) (Assist.)
4173701.12.19913T88SNNNNNYNNA01.11.200501.07.2021502.85377.15Y01.11.1999FRONTAL SINUS, OR ETHMOIDAL SINUSES ON THE ONE SIDE, intranasal operation on (Anaes.) (Assist.)
4174001.12.19913T88SNNNNNYNNA01.11.200401.07.202161.2045.90Y01.12.1991FRONTAL SINUS, catheterisation of (Anaes.)
4174301.12.19913T88SNNNNNYNNA01.11.200401.07.2021351.15263.40Y01.12.1991FRONTAL SINUS, trephine of (Anaes.) (Assist.)
4174601.12.19913T88SNNNNNYNNC01.12.199101.07.2021808.60606.45723.90Y01.12.1991FRONTAL SINUS, radical obliteration of (Anaes.) (Assist.)
4174901.12.19913T88SNNNNNYNNA01.11.200501.07.2021631.10473.35Y01.12.1991ETHMOIDAL SINUSES, external operation on (Anaes.) (Assist.)
4175201.12.19913T88SNNNNNYNNA01.11.200401.07.2021307.70230.80Y01.12.1991SPHENOIDAL SINUS, intranasal operation on (Anaes.) (Assist.)
4175501.12.19913T88SNNNNNYNNC01.12.199101.07.202148.4036.3041.15Y01.12.1991EUSTACHIAN TUBE, catheterisation of (Anaes.)
4176401.12.19913T88SNNNNNYNNC01.12.199101.07.2021127.8095.85108.65Y01.11.2006NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX and LARYNX, one or more of these procedures, unilateral or bilateral examination (Anaes.)
4176701.12.19913T88SNNNNNYNNC01.12.199101.07.2021766.90575.20682.20Y01.07.2011NASOPHARYNGEAL ANGIOFIBROMA, removal of (Anaes.) (Assist.)
4177001.12.19913T88SNNNNNYNNA01.11.200401.07.2021729.70547.30Y01.12.1991PHARYNGEAL POUCH, removal of, with or without cricopharyngeal myotomy (Anaes.) (Assist.)
4177301.12.19913T88SNNNNNYNNA01.11.200401.07.2021611.40458.55Y01.12.1991PHARYNGEAL POUCH, ENDOSCOPIC RESECTION OF (Dohlman's operation) (Anaes.) (Assist.)
4177601.12.19913T88SNNNNNYNNA01.11.200401.07.2021609.65457.25Y01.12.1991CRICOPHARYNGEAL MYOTOMY with or without inversion of pharyngeal pouch (Anaes.) (Assist.)
4177901.12.19913T88SNNNNNYNNA01.11.200401.07.2021729.70547.30Y01.12.1991PHARYNGOTOMY (lateral), with or without total excision of tongue (Anaes.) (Assist.)
4178201.12.19913T88SNNNNNYNNC01.12.199101.07.2021990.70743.05906.00Y01.12.1991PARTIAL PHARYNGECTOMY via PHARYNGOTOMY (Anaes.) (Assist.)
4178501.12.19913T88SNNNNNYNNA01.11.200401.07.20211229.00921.75Y01.12.1991PARTIAL PHARYNGECTOMY via PHARYNGOTOMY with partial or total glossectomy (Anaes.) (Assist.)
4178601.12.19913T88SNNNNNYNNA01.11.200401.07.2021766.90575.20Y01.11.1994UVULOPALATOPHARYNGOPLASTY, with or without tonsillectomy, by any means (Anaes.) (Assist.)
4178701.11.19943T88SNNNNNYNNC01.11.199401.07.2021591.70443.80507.00Y01.11.1994UVULECTOMY 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.)
4178901.12.19913T88SNNYNYYNNA01.11.200401.07.2021307.70230.80Y01.07.2021Tonsils or tonsils and adenoids, removal of, in a patient aged less than 12 years(including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
4179301.12.19913T88SNNYNYYNNA01.11.200401.07.2021386.55289.95Y01.07.2021Tonsils or tonsils and adenoids, removal of, in a patient 12 years of age or over (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
4179701.12.19913T88SNNNNNYNNA01.11.200401.07.2021149.85112.40Y01.12.1991TONSILS OR TONSILS AND ADENOIDS, ARREST OF HAEMORRHAGE requiring general anaesthesia, following removal of (Anaes.)
4180101.12.19913T88SNNNNNYNNA01.11.200401.07.2021169.55127.20Y01.11.2017Adenoids, removal of (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
4180401.12.19913T88SNNNNNYNNA01.11.200501.07.202193.6570.25Y01.12.1991LINGUAL TONSIL OR LATERAL PHARYNGEAL BANDS, removal of (Anaes.)
4180701.12.19913T88SNNNNNYNNC01.12.199101.07.202172.9054.7062.00Y01.12.1991PERITONSILLAR ABSCESS (quinsy), incision of (Anaes.)
4181001.12.19913T88SNNNNNYNNC01.12.199101.07.202137.0527.8031.50Y01.12.1991UVULOTOMY or UVULECTOMY (Anaes.)
4181301.12.19913T88SNNNNNYNNA01.11.200501.07.2021370.80278.10Y01.12.1991VALLECULAR OR PHARYNGEAL CYSTS, removal of (Anaes.) (Assist.)
4181601.12.19913T88SNNNNNYNNC01.12.199101.07.2021193.10144.85164.15Y01.12.1991OESOPHAGOSCOPY (with rigid oesophagoscope) (Anaes.)
4182201.12.19913T88SNNNNNYNNA01.11.200401.07.2021248.45186.35Y01.12.1991OESOPHAGOSCOPY (with rigid oesophagoscope), with biopsy (Anaes.)
4182501.12.19913T88SNNNNNYNNA01.11.200401.07.2021370.80278.10Y01.12.1991OESOPHAGOSCOPY (with rigid oesophagoscope), with removal of foreign body (Anaes.) (Assist.)
4182801.12.19913T88SNNNNNYNNC01.12.199101.07.202154.3540.8046.20Y01.12.1991OESOPHAGEAL STRICTURE, dilatation of, without oesophagoscopy (Anaes.)
4183101.12.19913T88SNNNNNYNNC01.12.199101.07.2021371.45278.60315.75Y01.11.2017Oesophagus, endoscopic pneumatic dilatation of,for treatment of achalasia (Anaes.) (Assist.)
4183201.05.19973T88SNNNNNYNNC01.05.199701.07.2021237.75178.35202.10Y01.05.1997OESOPHAGUS, balloon dilatation of, using interventional imaging techniques (Anaes.)
4183401.12.19913T88SNNNNNYNNA01.11.200401.07.20211341.401006.05Y01.12.1991LARYNGECTOMY (TOTAL) (Anaes.) (Assist.)
4183701.12.19913T88SNNNNNYNNA01.11.200401.07.20211286.15964.65Y01.12.1991VERTICAL HEMILARYNGECTOMY including tracheostomy (Anaes.) (Assist.)
4184001.12.19913T88SNNNNNYNNA01.11.200401.07.20211581.351186.05Y01.12.1991SUPRAGLOTTIC LARYNGECTOMY including tracheostomy (Anaes.) (Assist.)
4184301.12.19913T88SNNNNNYNNA01.11.200401.07.20211390.601042.95Y01.12.1991LARYNGOPHARYNGECTOMY or PRIMARY RESTORATION OF ALIMENTARY CONTINUITY after laryngopharyngectomy USING STOMACH OR BOWEL (Anaes.) (Assist.)
4185501.12.19913T88SNNNNNYNNA01.11.200501.07.2021299.85224.90Y01.12.1991MICROLARYNGOSCOPY (Anaes.) (Assist.)
4185801.12.19913T88SNNNNNYNNA01.11.200501.07.2021514.20385.65Y01.12.1991MICROLARYNGOSCOPY with removal of juvenile papillomata (Anaes.) (Assist.)
4186101.12.19913T88SNNNNNYNNA01.11.200401.07.2021628.75471.60Y01.07.2011MICROLARYNGOSCOPY with removal of benign lesions of the larynx by laser surgery (Anaes.) (Assist.)
4186401.12.19913T88SNNNNNYNNA01.11.200401.07.2021424.00318.00Y01.12.1991MICROLARYNGOSCOPY WITH REMOVAL OF TUMOUR (Anaes.) (Assist.)
4186701.12.19913T88SNNNNNYNNA01.11.200401.07.2021638.25478.70Y01.12.1991MICROLARYNGOSCOPY with arytenoidectomy (Anaes.) (Assist.)
4186801.05.19973T88SNNNNNYNNA01.11.200401.07.2021404.40303.30Y01.05.1997LARYNGEAL WEB, division of, using microlarygoscopic techniques (Anaes.)
4187001.12.19913T88SNNNNNYNNA01.11.200401.07.2021473.30355.00Y01.11.1997INJECTION OF VOCAL CORD BY TEFLON, FAT, COLLAGEN OR GELFOAM (Anaes.) (Assist.)
4187301.12.19913T88SNNNNNYNNC01.12.199101.07.2021611.40458.55526.70Y01.12.1991LARYNX, FRACTURED, operation for (Anaes.) (Assist.)
4187601.12.19913T88SNNNNNYNNC01.12.199101.07.2021611.40458.55526.70Y01.12.1991LARYNX, external operation on, OR LARYNGOFISSURE with or without cordectomy (Anaes.) (Assist.)
4187901.12.19913T88SNNNNNYNNA01.11.200401.07.2021990.70743.05Y01.12.1991LARYNGOPLASTY or TRACHEOPLASTY, including tracheostomy (Anaes.) (Assist.)
4188023.11.19983T88SNNNNNYNNA01.11.200401.07.2021264.40198.30Y01.03.1999TRACHEOSTOMY by a percutaneous technique using sequential dilatation or partial splitting method to allow insertion of a cuffed tracheostomy tube (Anaes.)
4188101.07.19983T88SNNNNNYNNA01.11.200401.07.2021418.05313.55Y01.03.1999TRACHEOSTOMY by open exposure of the trachea, including separation of the strap muscles or division of the thyroid isthmus, where performed (Anaes.) (Assist.)
4188401.07.19953T88SNNNNNYNNA01.11.200401.07.202194.7571.10Y01.01.2014CRICOTHYROSTOMY by direct stab or Seldinger technique, using mini tracheostomy device (Anaes.)
4188501.07.19983T88SNNNNNYNNC01.07.199801.07.2021299.55224.70254.65Y01.07.1998TRACHE-OESOPHAGEAL FISTULA, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures (Anaes.) (Assist.)
4188601.12.19913T88SNNNNNYNNC01.12.199101.07.2021185.25138.95157.50Y01.12.1991TRACHEA, removal of foreign body in (Anaes.)
4190401.12.19913T88SNNNNNYNNC01.12.199101.07.2021256.50192.40218.05Y01.12.1991BRONCHOSCOPY with dilatation of tracheal stricture (Anaes.)
4190701.12.19913T88SNNNNNYNNC01.12.199101.07.2021127.8095.85108.65Y01.12.1991NASAL SEPTUM BUTTON, insertion of (Anaes.)
4191001.07.19933T88SNNNNNYNNA01.11.200401.07.2021406.05304.55Y01.07.1993DUCT OF MAJOR SALIVARY GLAND, transposition of (Anaes.) (Assist.)
4250301.12.19913T89SNNNNNYNNA01.11.200501.07.2021106.6580.00Y01.12.1991OPHTHALMOLOGICAL EXAMINATION under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes.)
4250401.05.20203T89SNSNNNNYNPC01.05.202001.07.2021312.95234.75266.0501.05.202015.00Y01.05.2020Glaucoma, implantation of a micro-bypass surgery stent system into the trabecular meshwork, if: (a) conservative therapies have failed, are likely to fail, or are contraindicated; and (b) the service is performed by a specialist with training that is recognised by the Conjoint Committee for the Recognition of Training in Micro-Bypass Glaucoma Surgery (Anaes.)
4250501.11.20183T89SNNNNNYNPC01.11.201801.07.2021312.95234.75266.0501.01.201915.00Y01.02.2019Complete removal from the eye of a trans-trabecular drainage device or devices, with or without replacement, following device related medical complications necessitating complete removal. (Anaes.)
4250601.12.19913T89SNNNNNYNNC01.12.199101.07.2021500.75375.60425.65Y01.12.1991EYE, ENUCLEATION OF, with or without sphere implant (Anaes.) (Assist.)
4250901.12.19913T89SNNNNNYNNA01.11.200401.07.2021633.75475.35Y01.12.1991EYE, ENUCLEATION OF, with insertion of integrated implant (Anaes.) (Assist.)
4251001.05.19943T89SNNNNNYNNA01.11.200501.07.2021730.50547.90Y01.07.1998EYE, enucleation of, with insertion of hydroxy apatite implant or similar coralline implant (Anaes.) (Assist.)
4251201.12.19913T89SNNNNNYNNC01.12.199101.07.2021500.75375.60425.65Y01.12.1991GLOBE, EVISCERATION OF (Anaes.) (Assist.)
4251501.12.19913T89SNNNNNYNNA01.11.200501.07.2021633.75475.35Y01.12.1991GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE (Anaes.) (Assist.)
4251801.12.19913T89SNNNNNYNNA01.11.200501.07.2021367.70275.80Y01.11.1996ANOPHTHALMIC 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.)
4252101.12.19913T89SNNNNNYNNA01.11.200401.07.20211251.95939.00Y01.12.1991ANOPHTHALMIC SOCKET, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (Anaes.) (Assist.)
4252401.12.19913T89SNNNNNYNNC01.12.199101.07.2021212.85159.65180.95Y01.12.1991ORBIT, SKIN GRAFT TO, as a delayed procedure (Anaes.)
4252701.12.19913T89SNNNNNYNNA01.11.200501.07.2021422.50316.90Y01.12.1991CONTRACTED SOCKET, RECONSTRUCTION INCLUDING MUCOUS MEMBRANE GRAFTING AND STENT MOULD (Anaes.) (Assist.)
4253001.12.19913T89SNNNNNYNNA01.11.200401.07.2021657.35493.05Y01.12.1991ORBIT, EXPLORATION with or without biopsy, requiring REMOVAL OF BONE (Anaes.) (Assist.)
4253301.12.19913T89SNNNNNYNNA01.11.200401.07.2021422.50316.90Y01.12.1991ORBIT, EXPLORATION OF, with drainage or biopsy not requiring removal of bone (Anaes.) (Assist.)
4253601.12.19913T89SNNNNNYNNA01.11.200401.07.2021868.40651.30Y01.12.1991ORBIT, EXENTERATION OF, with or without skin graft and with or without temporalis muscle transplant (Anaes.) (Assist.)
4253901.12.19913T89SNNNNNYNNA01.11.200501.07.20211236.35927.30Y01.12.1991ORBIT, EXPLORATION OF, with removal of tumour or foreign body, requiring removal of bone (Anaes.) (Assist.)
4254201.12.19913T89SNNNNNYNNA01.11.200501.07.2021524.30393.25Y01.07.1998ORBIT, exploration of anterior aspect with removal of tumour or foreign body (Anaes.) (Assist.)
4254301.07.19983T89SNNNNNYNNA01.11.200401.07.2021919.65689.75Y01.07.1998ORBIT, exploration of retrobulbar aspect with removal of tumour or foreign body (Anaes.) (Assist.)
4254501.12.19913T89SNNNNNYNNA01.11.200401.07.20211330.15997.65Y01.07.1998ORBIT, decompression of, for dysthyroid eye disease, by fenestrationof 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye (Anaes.) (Assist.)
4254801.12.19913T89SNNNNNYNNA01.11.200401.07.2021790.15592.65Y01.12.1991OPTIC NERVE MENINGES, incision of (Anaes.) (Assist.)
4255101.12.19913T89SNNNNNYNNC01.12.199101.07.2021657.35493.05572.65Y01.11.2012EYE, 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.)
4255401.12.19913T89SNNNNNYNNA01.11.200501.07.2021766.90575.20Y01.11.2012EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration or prolapse of uveal tissue repair (Anaes.) (Assist.)
4255701.12.19913T89SNNNNNYNNA01.11.200401.07.20211071.95804.00Y01.11.2012EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration of lens or vitreous repair (Anaes.) (Assist.)
4256301.12.19913T89SNNNNNYNNC01.12.199101.07.2021540.00405.00459.00Y01.11.2012INTRAOCULAR FOREIGN BODY, removal from anterior segment (Anaes.) (Assist.)
4256901.12.19913T89SNNNNNYNNA01.11.200401.07.20211071.95804.00Y01.11.2012INTRAOCULAR FOREIGN BODY, removal from posterior segment (Anaes.) (Assist.)
4257201.12.19913T89SNNNNNYNNC01.12.199101.07.2021122.1591.65103.85Y01.12.1991ORBITAL ABSCESS OR CYST, drainage of (Anaes.)
4257301.11.19943T89SNNYNYYNNC01.11.199401.07.2021236.65177.50201.20Y01.07.2021DERMOID, periorbital, excision of, on a patient 10 years of age or over (Anaes.)
4257401.11.19943T89SNNNNNYNNC01.11.199401.07.2021502.85377.15427.45Y01.11.1994DERMOID, orbital, excision of (Anaes.) (Assist.)
4257501.12.19913T89SNNNNNYNNC01.12.199101.07.202186.0564.5573.15Y01.12.1991TARSAL CYST, extirpation of (Anaes.)
4257601.09.20153T89SNNYNYYNNC01.09.201501.07.2021307.70230.80261.55Y01.07.2021DERMOID, periorbital, excision of, on a patient under 10 years of age (Anaes.)
4258101.12.19913T89SNNNNNYNNC01.12.199101.07.2021122.1591.65103.85Y01.12.1991ECTROPION OR ENTROPION, tarsal cauterisation of (Anaes.)
4258401.12.19913T89SNNNNNYNNC01.12.199101.07.2021288.00216.00244.80Y01.12.1991TARSORRHAPHY (Anaes.) (Assist.)
4258701.12.19913T89SNNNNNYNNC01.12.199101.07.202154.1040.6046.00Y01.11.2018TRICHIASIS (due to causes other than trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.)
4258801.11.20183T89SNNNNNYNNC01.11.201801.07.202154.1040.6046.00Y01.11.2018TRICHIASIS (due to trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.)
4259001.12.19913T89SNNNNNYNPC01.12.199101.07.2021352.05264.05299.2501.11.201280.00Y01.12.1991CANTHOPLASTY, medial or lateral (Anaes.) (Assist.)
4259301.12.19913T89SNNNNNYNNA01.11.200401.07.2021212.85159.65Y01.12.1991LACRIMAL GLAND, excision of palpebral lobe (Anaes.)
4259601.12.19913T89SNNNNNYNNC01.12.199101.07.2021524.30393.25445.70Y01.12.1991LACRIMAL SAC, excision of, or operation on (Anaes.) (Assist.)
4259901.12.19913T89SNNNNNYNNC01.12.199101.07.2021657.35493.05572.65Y01.12.1991LACRIMAL CANALICULAR SYSTEM, establishment of patency by closed operation using silicone tubes or similar, 1 eye (Anaes.) (Assist.)
4260201.12.19913T89SNNNNNYNNC01.12.199101.07.2021657.35493.05572.65Y01.12.1991LACRIMAL CANALICULAR SYSTEM, establishment of patency by open operation, 1 eye (Anaes.) (Assist.)
4260501.12.19913T89SNNNNNYNNC01.12.199101.07.2021485.00363.75412.25Y01.12.1991LACRIMAL CANALICULUS, immediate repair of (Anaes.) (Assist.)
4260801.12.19913T89SNNNNNYNNC01.12.199101.07.2021312.95234.75266.05Y01.12.1991LACRIMAL DRAINAGE by insertion of glass tube, as an independent procedure (Anaes.) (Assist.)
4261001.05.19943T89SNNNNNYNNC01.05.199401.07.2021100.1575.1585.15Y01.07.1998NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing for obstruction, unilateral, with or without lavage - under general anaesthesia (Anaes.)
4261101.12.19913T89SNNNNNYNNC01.12.199101.07.2021150.20112.65127.70Y01.07.1998NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing for obstruction, bilateral, with or without lavage - under general anaesthesia (Anaes.)
4261401.12.19913T89SNNNNNYNNC01.12.199101.07.202150.2537.7042.7501.11.2001NASOLACRIMAL 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)
4261501.05.19943T89SNNNNNYNNC01.05.199401.07.202175.1556.4063.9001.11.2001NASOLACRIMAL 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)
4261701.12.19913T89SNNNNNYNNC01.12.199101.07.2021142.50106.90121.15Y01.12.1991PUNCTUM SNIP operation (Anaes.)
4262001.12.19913T89SNNNNNYNNC01.12.199101.07.202154.8041.1046.60Y01.12.1991PUNCTUM, occlusion of, by use of a plug (Anaes.)
4262201.11.19963T89SNNNNNYNNC01.11.199601.07.202186.0564.5573.15Y01.11.1996PUNCTUM, permanent occlusion of, by use of electrical cautery (Anaes.)
4262301.12.19913T89SNNNNNYNNA01.11.200401.07.2021727.80545.85Y01.12.1991DACRYOCYSTORHINOSTOMY (Anaes.) (Assist.)
4262601.12.19913T89SNNNNNYNNC01.12.199101.07.20211173.75880.351089.05Y01.12.1991DACRYOCYSTORHINOSTOMY where a previous dacryocystorhinostomy has been performed (Anaes.) (Assist.)
4262901.12.19913T89SNNNNNYNNA01.11.200401.07.2021884.15663.15Y01.12.1991CONJUNCTIVORHINOSTOMY including dacryocystorhinostomy and fashioning of conjunctival flaps (Anaes.) (Assist.)
4263201.12.19913T89SNNNNNYNNC01.12.199101.07.2021122.1591.65103.85Y01.12.1991CONJUNCTIVAL PERITOMY OR REPAIR OF CORNEAL LACERATION by conjunctival flap (Anaes.)
4263501.12.19913T89SNNNNNYNNC01.12.199101.07.2021312.95234.75266.05Y01.12.1991CORNEAL PERFORATIONS, sealing of, with tissue adhesive (Anaes.) (Assist.)
4263801.12.19913T89SNNNNNYNNC01.12.199101.07.2021391.25293.45332.60Y01.12.1991CONJUNCTIVAL GRAFT OVER CORNEA (Anaes.) (Assist.)
4264101.12.19913T89SNNNNNYNNC01.12.199101.07.2021508.55381.45432.30Y01.12.1991AUTOCONJUNCTIVAL TRANSPLANT, or mucous membrane graft (Anaes.) (Assist.)
4264401.12.19913T89SNNNNNYNNC01.12.199101.07.202175.0556.3063.80Y01.11.2012CORNEA OR SCLERA, complete removal of embedded foreign body from - not more than once on the same day by the same practitioner (excluding aftercare) (Anaes.)
4264701.12.19913T89SNNNNNYNNC01.12.199101.07.2021212.85159.65180.95Y01.12.1991CORNEAL SCARS, removal of, by partial keratectomy, not being a service associated with a service to which item 42686 applies (Anaes.)
4265001.12.19913T89SNNNNNYNNC01.12.199101.07.202175.0556.3063.80Y01.12.1991CORNEA, epithelial debridement for corneal ulcer or corneal erosion (excluding aftercare) (Anaes.)
4265101.07.19983T89SNNNNNYNNC01.07.199801.07.2021167.30125.50142.25Y01.07.1998CORNEA, epithelial debridement for eliminating band keratopathy (Anaes.)
4265201.05.20183T89SNNYNYYNNC01.05.201801.07.20211248.65936.501163.95Y01.07.2021Corneal collagen cross linking, on a patient with a corneal ectatic disorder, with evidence of progression—per eye (Anaes.)
4265301.12.19913T89SNNNNNYNNA01.11.200401.07.20211360.751020.60Y01.07.2014CORNEA transplantation of (Anaes.) (Assist.)
4265601.12.19913T89SNNNNNYNNA01.11.200401.07.20211737.101302.85Y01.11.2003CORNEA, transplantation of, second and subsequent procedures (Anaes.) (Assist.)
4266201.12.19913T89SNNNNNYNNA01.11.200501.07.2021938.85704.15Y01.12.1991SCLERA, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.)
4266501.12.19913T89SNNNNNYNNC01.12.199101.07.2021626.05469.55541.35Y01.12.1991SCLERA, transplantation of, superficial or lamellar, including collection of donor material (Anaes.) (Assist.)
4266701.05.19973T89SNNNNNYNNC01.05.199701.07.2021147.65110.75125.5501.05.1997RUNNING 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
4266801.12.19913T89SNNNNNYNNC01.12.199101.07.202178.3558.8066.60Y01.12.1991CORNEAL SUTURES, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.)
4267201.11.20033T89SNNNNNYNNC01.11.200301.07.2021938.85704.15854.15Y01.11.2003CORNEAL 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.)
4267301.11.20033T89SNNNNNYNNC01.11.200301.07.2021469.35352.05398.95Y01.11.2003ADDITIONAL 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.)
4267601.05.19973T89SNNNNNYNNC01.05.199701.07.2021120.3590.30102.3001.05.1997CONJUNCTIVA, biopsy of, as an independent procedure
4267701.12.19913T89SNNNNNYNNC01.12.199101.07.202163.4547.6053.95Y01.12.1991CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUSeach attendance at which treatment is given including any associated consultation (Anaes.)
4268001.12.19913T89SNNNNNYNNC01.12.199101.07.2021312.95234.75266.05Y01.12.1991CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using CO² or N²0 (Anaes.)
4268301.12.19913T89SNNNNNYNNA01.11.200401.07.2021125.2593.95Y01.12.1991CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.)
4268601.12.19913T89SNNNNNYNNC01.12.199101.07.2021284.75213.60242.05Y01.12.1991PTERYGIUM, removal of (Anaes.)
4268901.12.19913T89SNNNNNYNNC01.12.199101.07.2021122.1591.65103.85Y01.12.1991PINGUECULA, removal of, not being a service associated with the fitting of contact lenses (Anaes.)
4269201.12.19913T89SNNNNNYNNC01.12.199101.07.2021288.00216.00244.80Y01.11.1998LIMBIC TUMOUR, removal of, excluding Pterygium (Anaes.) (Assist.)
4269501.12.19913T89SNNNNNYNNC01.12.199101.07.2021469.35352.05398.95Y01.11.1998LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.)
4269801.12.19913T89DNNNNNYNNC01.11.200501.07.2021618.80464.10534.10Y01.11.2001LENS 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.)
4270101.12.19913T89DNNNNNYNNC01.11.200501.07.2021345.15258.90293.40Y01.11.2012INTRAOCULAR LENS, insertion of, excluding surgery performed for the correction of refractive errorexcept for anisometropia greater than 3 dioptres following the removal of cataract in the first eye (Anaes.)
4270201.11.19963T89DNNNNNYNPC01.11.200501.07.2021791.45593.60706.7501.01.201315.00Y01.11.2012LENS 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.)
4270301.11.19963T89SNNNNNYNNC01.11.200501.07.2021595.20446.40510.50Y01.11.2012INTRAOCULAR LENS or IRIS PROSTHESIS insertion of, into the posterior chamber with fixation to the iris or sclera (Anaes.) (Assist.)
4270401.12.19913T89SNNNNNYNNC01.12.199101.07.2021485.00363.75412.25Y01.11.2012INTRAOCULAR LENS, REMOVAL or REPOSITIONING of by open operation, not being a service associated with a service to which item 42701 applies (Anaes.)
4270501.05.20173T89SNNNNNYNPC01.05.201701.07.2021948.05711.05863.3501.01.201915.00Y01.05.2017LENS EXTRACTION AND INSERTION OF INTRAOCULAR LENS, excluding surgery performed for the correction of refractive errorexcept for anisometropia greater than 3 dioptres following the removal of cataract in the first eye, performed in association with insertion of a trans-trabecular drainage device or devices, in a patient diagnosed with open angle glaucoma who is not adequately responsive to topical anti-glaucoma medications or who is intolerant of anti-glaucoma medication. (Anaes.)
4270701.12.19913T89SNNNNNYNNC01.11.200501.07.2021829.40622.05744.70Y01.11.2012INTRAOCULAR 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.)
4271001.12.19913T89SNNNNNYNNC01.11.200501.07.2021938.85704.15854.15Y01.11.2012INTRAOCULAR LENS, removal of, and replacement with a lens inserted into the posterior chamber and fixated to the iris or sclera (Anaes.) (Assist.)
4271301.12.19913T89SNNNNNYNNC01.12.199101.07.2021391.25293.45332.60Y01.11.2012IRIS SUTURING, McCannell technique or similar, for fixation of intraocular lens or repair of iris defect (Anaes.) (Assist.)
4271601.12.19913T89SNNNNNYNNC01.11.200501.07.20211244.15933.151159.45Y01.12.1991CATARACT, JUVENILE, removal of, including subsequent needlings (Anaes.) (Assist.)
4271901.12.19913T89SNNNNNYNNC01.12.199101.07.2021540.00405.00459.00Y01.11.2012REMOVAL 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.)
4272501.12.19913T89SNNNNNYNNA01.11.200501.07.20211392.651044.50Y01.05.2017Vitrectomy via pars plana sclerotomy, including one or more of the following:(a) removal of vitreous; (b) division of vitreous bands; (c) removal of epiretinal membranes; (d) capsulotomy (Anaes.) (Assist.)
4273101.12.19913T89SNNNNNYNNA01.11.200401.07.20211580.551185.45Y01.11.2012LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 (Anaes.) (Assist.)
4273401.12.19913T89SNNNNNYNNC01.12.199101.07.2021312.95234.75266.05Y01.05.2017Capsulotomy, other than by laser, and other than a service associated with a service to which item 42725 or 42731 applies (Anaes.) (Assist.)
4273801.03.20123T89SNNNNNYNPC01.03.201201.07.2021312.95234.75266.0501.11.201280.0001.03.2012PARACENTESIS 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.
4273901.03.20123T89SNNYNYYNPC01.03.201201.07.2021312.95234.75266.0501.11.201280.00Y01.07.2021PARACENTESIS 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,one or more of, as an independent procedure, for a patient requiring the administration of anaesthetic by an anaesthetist. (Anaes.)
4274001.12.19913T89SNNNNNYNPC01.12.199101.07.2021312.95234.75266.0501.11.201280.00Y01.03.2012INTRAVITREAL 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.)
4274101.07.20083T89SNNNNNYNNC01.07.200801.07.2021312.95234.75266.05Y01.07.2008Posterior 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.)
4274301.12.19913T89SNNNNNYNNC01.12.199101.07.2021657.35493.05572.65Y01.12.1991ANTERIOR CHAMBER, IRRIGATION OF BLOOD FROM, as an independent procedure (Anaes.) (Assist.)
4274401.11.20053T89SNNNNNYNNC01.11.200501.07.2021312.75234.60265.85Y01.07.2014Needle revision of glaucoma filtration bleb, following glaucoma filtering procedure (Anaes.)
4274601.12.19913T89SNNNNNYNNA01.11.200501.07.2021993.70745.30Y01.11.2012GLAUCOMA, filtering operation for, where conservative therapies have failed, are likely to fail, or are contraindicated (Anaes.) (Assist.)
4274901.12.19913T89SNNNNNYNNA01.11.200401.07.20211244.15933.15Y01.12.1991GLAUCOMA, filtering operation for, where previous filtering operation has been performed (Anaes.) (Assist.)
4275201.12.19913T89SNNNNNYNNA01.11.200401.07.20211392.651044.50Y01.11.2012GLAUCOMA, insertion of drainage device incorporating an extraocular reservoir for, such as a Molteno device (Anaes.) (Assist.)
4275501.12.19913T89SNNNNNYNNC01.12.199101.07.2021172.15129.15146.35Y01.11.2012GLAUCOMA, removal of drainage device incorporating an extraocular reservoir for, such as a Molteno device (Anaes.)
4275801.12.19913T89SNNNNNYNNA01.11.200501.07.2021727.80545.85Y01.05.2017Goniotomy for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices (Anaes.) (Assist.)
4276101.12.19913T89SNNNNNYNNC01.12.199101.07.2021540.00405.00459.00Y01.12.1991DIVISION OF ANTERIOR OR POSTERIOR SYNECHIAE, as an independent procedure, other than by laser (Anaes.) (Assist.)
4276401.12.19913T89SNNNNNYNNC01.12.199101.07.2021540.00405.00459.00Y01.12.1991IRIDECTOMY (including excision of tumour of iris) OR IRIDOTOMY, as an independent procedure, other than by laser (Anaes.) (Assist.)
4276701.12.19913T89SNNNNNYNNA01.11.200401.07.20211134.50850.90Y01.12.1991TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of (Anaes.) (Assist.)
4277001.12.19913T89SNNNNNYNNC01.12.199101.07.2021306.75230.10260.75Y01.11.1996CYCLODESTRUCTIVE 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.)
4277301.12.19913T89SNNNNNYNNC01.12.199101.07.2021938.85704.15854.15Y01.11.2012DETACHED RETINA, pneumatic retinopexy for, not being a service associated with a service to which item 42776 applies (Anaes.) (Assist.)
4277601.12.19913T89SNNNNNYNNA01.11.200401.07.20211392.651044.50Y01.12.1991DETACHED RETINA, buckling or resection operation for (Anaes.) (Assist.)
4277901.12.19913T89SNNNNNYNNA01.11.200401.07.20211737.101302.85Y01.11.2012DETACHED RETINA, revision of scleral buckling operation for (Anaes.) (Assist.)
4278201.12.19913T89SNNNNNYNNC01.12.199101.07.2021469.35352.05398.95Y01.11.2012LASER 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.)
4278501.12.19913T89SNNNNNYNNC01.12.199101.07.2021367.70275.80312.55Y01.11.2018LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)
4278801.12.19913T89SNNNNNYNNC01.12.199101.07.2021367.70275.80312.55Y01.05.2017Laser capsulotomy—each treatment episode to one eye, to a maximum of 2 treatments to that eye in a 2 year period—other than a service associated with a service to which item 42702 applies (Anaes.) (Assist.)
4279101.12.19913T89SNNNNNYNNC01.12.199101.07.2021367.70275.80312.55Y01.11.2018Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity—each treatment to one eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)
4279401.12.19913T89SNNNNNYNNC01.12.199101.07.202170.4552.8559.90Y01.07.2014DIVISION OF SUTURE BY LASER following glaucoma filtration surgery, each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.)
4280101.11.20063T89SNNNNNYNNA01.11.200601.07.20211092.25819.20Y01.11.2006EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Anaes.) (Assist.)
4280201.11.20063T89SNNNNNYNNA01.11.200601.07.2021545.95409.50Y01.11.2006EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, removal of (Anaes.) (Assist.)
4280501.11.20053T89SNNNNNYNNC01.11.200501.07.2021610.30457.75525.60Y01.11.2005TANTALUM 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.)
4280601.12.19913T89SNNNNNYNNC01.12.199101.07.2021367.70275.80312.55Y01.12.1991IRIS TUMOUR, laser photocoagulation of (Anaes.) (Assist.)
4280701.05.19973T89SNNNNNYNNC01.05.199701.07.2021370.20277.65314.7001.05.1997PHOTOMYDRIASIS, laser
4280801.05.19973T89SNNNNNYNNC01.05.199701.07.2021370.20277.65314.7001.07.2014Laser peripheral iridoplasty
4280901.12.19913T89SNNNNNYNNC01.12.199101.07.2021469.35352.05398.95Y01.11.2002RETINA, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin (Anaes.) (Assist.)
4281001.11.19963T89SNNNNNYNNC01.11.199601.07.2021590.70443.05506.00Y01.11.1996PHOTOTHERAPEUTIC KERATECTOMY, by laser, for corneal scarring or disease, excluding surgery for refractive error (Anaes.)
4281101.11.20053T89SNNNNNYNNC01.11.200501.07.2021469.35352.05398.95Y01.11.2005TRANSPUPILLARY THERMOTHERAPY, for treatment of choroidal and retinal tumours or vascular malformations (Anaes.)
4281201.12.19913T89SNNNNNYNNC01.12.199101.07.2021172.15129.15146.35Y01.11.2012Removal of scleral buckling material, from an eye having undergone previous scleral buckling surgery (Anaes.)
4281501.12.19913T89SNNNNNYNNA01.11.200401.07.2021657.35493.05Y01.11.2012VITREOUS 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.)
4281801.12.19913T89SNNNNNYNNC01.12.199101.07.2021610.30457.75525.60Y01.11.2012RETINA, CRYOTHERAPY TO, as an independent procedure, or when performed in conjunction with item 42809 or 42770 (Anaes.)
4282101.12.19913T89SNNNNNYNNC01.12.199101.07.202194.0570.5579.95Y01.11.2005OCULAR TRANSILLUMINATION, for the diagnosis and measurement of intraocular tumours (Anaes.)
4282401.12.19913T89SNNNNNYNNC01.12.199101.07.202172.7054.5561.8001.12.1991RETROBULBAR INJECTION OF ALCOHOL OR OTHER DRUG, as an independent procedure
4283301.12.19913T89SNNNNNYNNA01.11.200501.07.2021610.30457.75Y01.11.2006SQUINT, 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.)
4283601.12.19913T89SNNNNNYNNA01.11.200401.07.2021758.95569.25Y01.11.2006SQUINT, 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.)
4283901.12.19913T89SNNNNNYNNA01.11.200401.07.2021727.80545.85Y01.11.2006SQUINT, 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.)
4284201.12.19913T89SNNNNNYNNA01.11.200401.07.2021907.65680.75Y01.11.2006SQUINT, 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.)
4284501.12.19913T89SNNNNNYNNC01.12.199101.07.2021197.10147.85167.55Y01.12.1991READJUSTMENT OF ADJUSTABLE SUTURES, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.)
4284801.12.19913T89SNNNNNYNNA01.11.200401.07.2021727.80545.85Y01.11.2006SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 15 years or over (Anaes.) (Assist.)
4285101.12.19913T89SNNNNNYNNA01.11.200401.07.2021907.65680.75Y01.11.2006SQUINT, 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.)
4285401.12.19913T89SNNNNNYNNC01.12.199101.07.2021422.50316.90359.15Y01.12.1991RUPTURED MEDIAL PALPEBRAL LIGAMENT or ruptured EXTRAOCULAR MUSCLE, repair of (Anaes.) (Assist.)
4285701.12.19913T89SNNNNNYNNC01.12.199101.07.2021422.50316.90359.15Y01.12.1991RESUTURING OF WOUND FOLLOWING INTRAOCULAR PROCEDURES with or without excision of prolapsed iris (Anaes.) (Assist.)
4286001.12.19913T89SNNNNNYNNC01.12.199101.07.2021938.85704.15854.15Y01.07.1998EYELID (upper or lower), scleral or Goretex or other non-autogenous graft to, with recession of the lid retractors (Anaes.) (Assist.)
4286301.12.19913T89SNNNNNYNNC01.12.199101.07.2021805.95604.50721.25Y01.07.1998EYELID, recession of (Anaes.) (Assist.)
4286601.12.19913T89SNNNNNYNNC01.12.199101.07.2021782.35586.80697.65Y01.07.1998ENTROPION 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.)
4286901.12.19913T89SNNNNNYNNC01.12.199101.07.2021571.25428.45486.55Y01.12.1991EYELID closure in facial nerve paralysis, insertion of foreign implant for (Anaes.) (Assist.)
4287201.12.19913T89SNNNNNYNNC01.12.199101.07.2021250.45187.85212.90Y01.11.2018EYEBROW, elevation of, by skin excision, to correct for a reduced field of vision caused by paretic, involutional, or traumatic eyebrow descent/ptosis to a position below the superior orbital rim (Anaes.)
4302101.08.20073T89DNNNNNYNNC01.08.200701.07.2021473.50355.15402.5001.08.2007Photodynamic 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.
4302201.08.20073T89DNNNNNYNNC01.08.200701.07.2021568.25426.20483.5501.08.2007Photodynamic 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.
4302301.08.20073T89DNNNNNYNNC01.08.200701.07.202192.0569.0578.2501.08.2007Infusion 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.
4352101.12.19913T8102SNNNNNYNNA01.11.200401.07.2021483.35362.55Y01.12.1991OPERATION ON SKULL (Anaes.) (Assist.)
4352701.07.20213T8102SNYNNNNNNA01.07.202101.07.2021370.80278.10Y01.07.2021Operation on sternum, clavicle, rib, metacarpus, carpus, phalanx, metatarsus, tarsus, mandible or maxilla (other than alveolar margins), by open or arthroscopic means, for septic arthritis or osteomyelitis—one approach, inclusive of the adjoining joint (H) (Anaes.) (Assist.)
4353001.07.20213T8102SNYNNNNNNC01.07.202101.07.2021370.80278.10315.20Y01.07.2021Operation on scapula, ulna, radius, tibia, fibula, humerus or femur, by open or arthroscopic means, for septic arthritis or osteomyelitis—one approach, inclusive of the adjoining joint (Anaes.) (Assist.)
4353301.07.20213T8102SNYNNNNNNC01.07.202101.07.2021611.40458.55526.70Y01.07.2021Operation on spine or pelvic bones, by open or arthroscopic means, for septic arthritis or osteomyelitis—one approach, inclusive of the adjoining joint (Anaes.) (Assist.)
4380101.11.19943T8111SNNNNNYNNA01.11.200401.07.2021996.10747.10Y01.11.1994INTESTINAL MALROTATION with or without volvulus, laparotomy for, not involving bowel resection (Anaes.) (Assist.)
4380401.11.19943T8111SNNNNNYNNA01.11.200401.07.20211060.55795.45Y01.11.1994INTESTINAL MALROTATION with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma (Anaes.) (Assist.)
4380501.09.20153T8111SNNYNYYNNA01.09.201501.07.2021370.80278.10Y01.07.2021UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, on a patient under 10 years of age (Anaes.)
4380701.11.19943T8111SNNNNNYNNA01.11.200401.07.20211157.05867.80Y01.11.1994DUODENAL ATRESIA or STENOSIS, duodenoduodenostomy or duodenojejunostomy for (Anaes.) (Assist.)
4381001.11.19943T8111SNNNNNYNNA01.11.200401.07.20211349.901012.45Y01.11.1994JEJUNAL ATRESIA, bowel resection and anastomosis for, with or without tapering (Anaes.) (Assist.)
4381301.11.19943T8111SNNNNNYNNA01.11.200401.07.20211349.901012.45Y01.11.1994MECONIUM ILEUS, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intesinal perforation with or without meconium peritonitis (Anaes.) (Assist.)
4381601.11.19943T8111SNNNNNYNNA01.11.200401.07.20211253.40940.05Y01.11.1994ILEAL ATRESIA, COLONIC ATRESIA OR MECONIUM ILEUS not being a service associated with a service to which item 43813 applies, laparotomy for (Anaes.) (Assist.)
4381901.11.19943T8111SNNNNNYNNA01.11.200401.07.20211012.40759.30Y01.09.2015Agangliosis Coli, laparotomy for, with or without frozen section biopsies and formation of stoma (Anaes.) (Assist.)
4382201.11.19943T8111SNNNNNYNNA01.11.200401.07.20211012.40759.30Y01.11.1994ANORECTAL MALFORMATION, laparotomy and colostomy for (Anaes.) (Assist.)
4382501.11.19943T8111SNNNNNYNNA01.11.200401.07.20211157.05867.80Y01.11.1994NEONATAL ALIMENTARY OBSTRUCTION, laparotomy for, not being a service to which any other item in this Subgroup applies (Anaes.) (Assist.)
4382801.11.19943T8111SNNNNNYNNA01.11.200401.07.20211278.30958.75Y01.11.1994ACUTE NEONATAL NECROTISING ENTEROCOLITIS, laparotomy for, with resection, including any anastomoses or stoma formation (Anaes.) (Assist.)
4383101.11.19943T8111SNNNNNYNNA01.11.200401.07.2021996.10747.10Y01.11.1994ACUTE NEONATAL NECROTISING ENTEROCOLITIS where no definitive procedure is possible, laparotomy for (Anaes.) (Assist.)
4383201.09.20153T8111SNNYNYYNNA01.09.201501.07.2021679.40509.55Y01.07.2021Branchial fistula, removal of, on a patient under 10 years of age (Anaes.) (Assist.)
4383401.11.19943T8111SNNNNNYNNA01.11.200401.07.20211157.05867.80Y01.11.1994BOWEL RESECTION for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (Anaes.) (Assist.)
4383501.09.20153T8111SNNYNYYNNA01.09.201501.07.2021705.15528.90Y01.07.2021STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection, on apatient under 10 years of age (Anaes.) (Assist.)
4383701.11.19943T8111SNNNNNYNNA01.11.200401.07.20211446.251084.70Y01.11.1994CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life (Anaes.) (Assist.)
4383801.09.20153T8111SNNYNYYNNA01.09.201501.07.20211294.90971.20Y01.07.2021Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply, on a patient under 10 years of age (Anaes.) (Assist.)
4384001.11.19943T8111SNNNNNYNNA01.11.200401.07.20211253.40940.05Y01.11.1994CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age (Anaes.) (Assist.)
4384101.09.20153T8111SNNYNYYNNA01.09.201501.07.2021628.30471.25Y01.07.2021FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, repair of, not being a service to which item 30403 or 43835 applies, on a patient under 10 years of age (Anaes.) (Assist.)
4384301.11.19943T8111SNNNNNYNNA01.11.200401.07.20211928.451446.35Y01.11.1994OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies (Anaes.) (Assist.)
4384601.11.19943T8111SNNNNNYNNA01.11.200401.07.20212073.051554.80Y01.11.1994OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1500 grams (Anaes.) (Assist.)
4384901.11.19943T8111SNNNNNYNNA01.11.200401.07.2021530.30397.75Y01.11.1994OESOPHAGEAL ATRESIA, gastrostomy for (Anaes.) (Assist.)
4385201.11.19943T8111SNNNNNYNNA01.09.201501.07.20211687.251265.45Y01.09.2015OESOPHAGEAL ATRESIA, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis (Anaes.) (Assist.)
4385501.11.19943T8111SNNNNNYNNA01.11.200401.07.20211783.851337.90Y01.11.1994OESOPHAGEAL ATRESIA, delayed primary anastomosis for (Anaes.) (Assist.)
4385801.11.19943T8111SNNNNNYNNA01.09.201501.07.2021626.70470.05Y01.09.2015OESOPHAGEAL ATRESIA, cervical oesophagostomy for (Anaes.) (Assist.)
4386101.11.19943T8111SNNNNNYNNA01.11.200401.07.20211735.651301.75Y01.11.1994CONGENITAL CYSTADENOMATOID MALFORMATION OR CONGENITAL LOBAR EMPHYSEMA, thoracotomy and lung resection for (Anaes.) (Assist.)
4386401.11.19943T8111SNNNNNYNNA01.11.200401.07.20211301.70976.30Y01.11.1994GASTROSCHISIS, operation for (Anaes.) (Assist.)
4386701.11.19943T8111SNNNNNYNNA01.11.200401.07.2021723.15542.40Y01.09.2015GASTROSCHISIS or Exomphalos, secondary operation for, with removal of silo (Anaes.) (Assist.)
4387001.11.19943T8111SNNNNNYNNA01.11.200401.07.20211012.40759.30Y01.11.1994EXOMPHALOS containing small bowel only, operation for (Anaes.) (Assist.)
4387301.11.19943T8111SNNNNNYNNA01.11.200401.07.20211349.901012.45Y01.11.1994EXOMPHALOS containing small bowel and other viscera, operation for (Anaes.) (Assist.)
4387601.11.19943T8111SNNNNNYNNA01.11.200401.07.20211157.05867.80Y01.11.1994SACROCOCCYGEAL TERATOMA, excision of, by posterior approach (Anaes.) (Assist.)
4387901.11.19943T8111SNNNNNYNNA01.11.200401.07.20211349.901012.45Y01.11.1994SACROCOCCYGEAL TERATOMA, excision of, by combined posterior and abdominal approach (Anaes.) (Assist.)
4388201.11.19943T8111SNNNNNYNNC01.11.199401.07.20211735.651301.751650.95Y01.11.1994CLOACAL EXSTROPHY, operation for (Anaes.) (Assist.)
4390001.11.19943T8112SNNNNNYNNA01.11.200401.07.20211157.05867.80Y01.11.1994TRACHEO-OESOPHAGEAL FISTULA without atresia, division and repair of (Anaes.) (Assist.)
4390301.11.19943T8112SNNNNNYNNA01.11.200401.07.20211928.451446.35Y01.11.1994OESOPHAGEAL ATRESIA or CORROSIVE OESOPHAGEAL STRICTURE, oesophageal replacement for, utilizing gastric tube, jejunum or colon (Anaes.) (Assist.)
4390601.11.19943T8112SNNNNNYNNA01.11.200401.07.20211687.251265.45Y01.11.1994OESOPHAGUS, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (Anaes.) (Assist.)
4390901.11.19943T8112SNNNNNYNNA01.11.200401.07.20211687.251265.45Y01.11.1994TRACHEOMALACIA, aortopexy for (Anaes.) (Assist.)
4391201.11.19943T8112SNNNNNYNNA01.11.200401.07.20211594.051195.55Y01.11.1994THORACOTOMY and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma (Anaes.) (Assist.)
4391501.11.19943T8112SNNNNNYNNA01.09.201501.07.20211205.25903.95Y01.09.2015EVENTRATION, plication of diaphragm for (Anaes.) (Assist.)
4393001.11.19943T8113SNNNNNYNNA01.11.200401.07.2021463.50347.65Y01.11.1994HYPERTROPHIC PYLORIC STENOSIS, pyloromyotomy for (Anaes.) (Assist.)
4393301.11.19943T8113SNNNNNYNNA01.11.200401.07.2021542.55406.95Y01.11.1994IDIOPATHIC INTUSSUSCEPTION, laparotomy and manipulative reduction of (Anaes.) (Assist.)
4393601.11.19943T8113SNNNNNYNNA01.11.200401.07.20211012.40759.30Y01.11.1994INTUSSUSCEPTION, laparotomy and resection with anastomosis (Anaes.) (Assist.)
4393901.11.19943T8113SNNNNNYNNA01.11.200401.07.2021771.35578.55Y01.11.1994VENTRAL HERNIA following neonatal closure of exomphalos or gastroschisis, repair of (Anaes.) (Assist.)
4394201.11.19943T8113SNNNNNYNNA01.09.201501.07.2021241.10180.85Y01.09.2015ABDOMINAL WALL VITELLO INTESTINAL REMNANT, excision of (Anaes.)
4394501.11.19943T8113SNNNNNYNNA01.11.200401.07.20211012.40759.30Y01.11.1994PATENT VITELLO INTESTINAL DUCT, excision of (Anaes.) (Assist.)
4394801.11.19943T8113SNNNNNYNNA01.09.201501.07.2021144.75108.60Y01.09.2015UMBILICAL GRANULOMA, excision of, under general anaesthesia (Anaes.)
4395101.11.19943T8113SNNNNNYNNA01.11.200401.07.2021906.65680.00Y01.11.1994GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (Anaes.) (Assist.)
4395401.11.19943T8113SNNNNNYNNA01.11.200401.07.20211108.95831.75Y01.11.1994GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (Anaes.) (Assist.)
4395701.11.19943T8113SNNNNNYNNA01.11.200401.07.20211205.25903.95Y01.11.1994GASTRO-OESOPHAGEAL REFLUX, LAPAROTOMY AND FUNDOPLICATION for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (Anaes.) (Assist.)
4396001.11.19943T8113SNNNNNYNNA01.11.200401.07.2021424.00318.00Y01.11.1994ANORECTAL MALFORMATION, perineal anoplasty of (Anaes.) (Assist.)
4396301.11.19943T8113SNNNNNYNNA01.11.200401.07.20211687.251265.45Y01.11.1994ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of (Anaes.) (Assist.)
4396601.11.19943T8113SNNNNNYNNA01.11.200401.07.20211928.451446.35Y01.11.1994ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of, with laparotomy (Anaes.) (Assist.)
4396901.11.19943T8113SNNNNNYNNA01.11.200401.07.20212651.601988.70Y01.11.1994PERSISTENT CLOACA, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (Anaes.) (Assist.)
4397201.11.19943T8113SNNNNNYNNA01.11.200401.07.20211928.451446.35Y01.11.1994CHOLEDOCHAL CYST, resection of, with 1 duct anastomosis (Anaes.) (Assist.)
4397501.11.19943T8113SNNNNNYNNA01.11.200401.07.20212265.951699.50Y01.11.1994CHOLEDOCHAL CYST, resection of, with 2 duct anastomoses (Anaes.) (Assist.)
4397801.11.19943T8113SNNNNNYNNA01.11.200401.07.20211928.451446.35Y01.11.1994BILIARY ATRESIA, portoenterostomy for (Anaes.) (Assist.)
4398101.11.19943T8113SNNNNNYNNA01.11.200401.07.2021530.30397.75Y01.11.1994NEPHROBLASTOMA, NEUROBLASTOMA OR OTHER MALIGNANT TUMOUR, laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (Anaes.) (Assist.)
4398401.11.19943T8113SNNNNNYNNA01.11.200401.07.20211349.901012.45Y01.11.1994NEPHROBLASTOMA, radical nephrectomy for (Anaes.) (Assist.)
4398701.11.19943T8113SNNNNNYNNA01.11.200401.07.20211494.651121.00Y01.11.1994NEUROBLASTOMA, radical excision of (Anaes.) (Assist.)
4399001.11.19943T8113SNNNNNYNNA01.11.200401.07.20211832.101374.10Y01.09.2015Aganglionosis Coli, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends to sigmoid colon (Anaes.) (Assist.)
4399301.11.19943T8113SNNNNNYNNA01.09.201501.07.20211976.651482.50Y01.09.2015Aganglionosis Coli, 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.)
4399601.11.19943T8113SNNNNNYNNA01.09.201501.07.20212217.751663.35Y01.09.2015Aganglionosis Coli, total colectomy for total colonic aganglionosis with ileoanal pull-through, with or without side to side ileocolic anastomosis (Anaes.) (Assist.)
4399901.11.19943T8113SNNNNNYNNA01.11.200401.07.2021277.30208.00Y01.09.2015Aganglionosis Coli, anal sphincterotomy as an independent procedure for (Anaes.) (Assist.)
4410101.09.20153T8113SNNYNYYNNA01.09.201501.07.2021347.60260.70Y01.07.2021RECTUM, examination of, on a patient under 2 years of age, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
4410201.11.19943T8113SNNYNYYNNA01.11.200401.07.2021267.35200.55Y01.07.2021RECTUM, examination of, on a patient 2 years of age or over, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
4410401.09.20153T8113SNNYNYYNNC01.09.201501.07.202161.0545.8051.90Y01.07.2021RECTAL PROLAPSE, SUBMUCOSAL or perirectal injection for, on a patient under 2 years of age, under general anaesthesia (Anaes.)
4410501.11.19943T8113SNNYNYYNNC01.11.199401.07.202146.9035.2039.90Y01.07.2021RECTAL PROLAPSE, SUBMUCOSAL or perirectal injection for, on a patient 2 years of age or over, under general anaesthesia (Anaes.)
4410801.11.19943T8113SNNNNNYNNA01.11.200401.07.2021511.35383.55Y01.09.2015INGUINAL HERNIA repair at age less than 12 months (Anaes.) (Assist.)
4411101.11.19943T8113SNNNNNYNNC01.11.199401.07.2021598.95449.25514.25Y01.09.2015OBSTRUCTED OR STRANGULATED INGUINAL HERNIA, repair, at age, less than 12 months including orchidopexy when performed (Anaes.) (Assist.)
4411401.11.19943T8113SNNNNNYNNA01.11.200401.07.2021598.95449.25Y01.09.2015INGUINAL HERNIA repair at age less than 12 months when orchidopexy also required (Anaes.) (Assist.)
4413001.11.19943T8114SNNNNNYNNC01.11.199401.07.2021482.05361.55409.75Y01.11.1994LYMPHADENECTOMY, for atypical mycobacterial infection or other granulomatous disease (Anaes.) (Assist.)
4413301.11.19943T8114SNNNNNYNNA01.11.200401.07.2021382.65287.00Y01.11.1994TORTICOLLIS, open division of sternomastoid muscle for (Anaes.) (Assist.)
4413601.11.19943T8114SNNNNNYNNC01.11.199401.07.2021176.35132.30149.90Y01.11.1994INGROWN TOE NAIL, operation for, under general anaesthesia (Anaes.)
4432501.12.19913T812SNNYNYYNNA01.07.202101.07.2021307.70230.80Y01.07.2021Amputation of hand, transcarpal (H) (Anaes.) (Assist.)
4432801.12.19913T812SNNYNYYNNA01.11.200401.07.2021370.80278.10Y01.07.2021Amputation of hand, proximal to wrist radiocarpal joint, through forearm (H) (Anaes.) (Assist.)
4433101.12.19913T812SNNNNNYNNA01.11.200401.07.2021611.40458.55Y01.11.1999AMPUTATION AT SHOULDER (Anaes.) (Assist.)
4433401.12.19913T812SNNNNNYNNC01.12.199101.07.20211242.65932.001157.95Y01.11.1999INTERSCAPULOTHORACIC AMPUTATION (Anaes.) (Assist.)
4433801.12.19913T812SNNYNYYNNA01.07.202101.07.2021149.85112.40Y01.07.2021Amputation of one digit of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
4434201.12.19913T812SNNYNYYNNA01.11.200401.07.2021228.85171.65Y01.07.2021Amputation of 2 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
4434601.12.19913T812SNNYNYYNNA01.11.200401.07.2021264.25198.20Y01.07.2021Amputation of 3 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
4435001.12.19913T812SNNYNYYNNA01.07.202101.07.2021299.85224.90Y01.07.2021Amputation of 4 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
4435401.12.19913T812SNNYNYYNNA01.11.200401.07.2021343.20257.40Y01.07.2021Amputation of 5 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
4435801.12.19913T812SNNYNYYNNA01.11.200401.07.2021228.85171.65Y01.07.2021Amputation of one ray of one foot, proximal to the metatarsal head, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover or recontouring with homodigital flaps (H) (Anaes.) (Assist.)
4435901.11.19993T812SNNYNYYNNA01.11.200401.07.2021274.60205.95Y01.07.2021Amputation of one or more toes of one foot, or amputation at midfoot or hindfoot of one foot, for diabetic or other microvascular disease; (a) including any of the following (if performed): (i) resection of bone; (ii) excision of neuromas; (iii) excision of one or more bones of the foot; (iv) treatment of underlying infection; (v) skin cover or recontouring with homodigital flaps; and (b) excluding aftercare; —applicable only once per foot per occasion on which the service is performed (H) (Anaes.) (Assist.)
4436101.12.19913T812SNNYNYYNNA01.11.200401.07.2021454.10340.60Y01.07.2021Amputation of foot, at ankle or hindfoot, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
4436401.12.19913T812SNNYNYYNNA01.11.200401.07.2021307.70230.80Y01.07.2021Amputation of foot, transtarsal, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
4436701.12.19913T812SNNNNNYNNA01.11.200401.07.2021543.10407.35Y01.11.1999AMPUTATION THROUGH THIGH, AT KNEE OR BELOW KNEE (Anaes.) (Assist.)
4437001.12.19913T812SNNNNNYNNA01.11.200401.07.2021749.40562.05Y01.11.1999AMPUTATION AT HIP (Anaes.) (Assist.)
4437301.12.19913T812SNNNNNYNNC01.12.199101.07.20211538.301153.751453.60Y01.11.1999HINDQUARTER, amputation of (Anaes.) (Assist.)
4437601.12.19913T812SDNNNNNNNC01.12.199101.11.199875% of the original amputation fee01.12.1991AMPUTATION STUMP, reamputation of, to provide adequate skin and muscle cover (Assist.)
4500001.12.19913T8131SNNNNNYNNC01.12.199101.07.2021563.25422.45478.80Y01.11.2016Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals not in association with any of items 31356 to 31376 (Anaes.)
4500301.12.19913T8131SNNNNNYNPC01.12.199101.07.2021626.05469.55541.3501.11.201280.00Y01.11.2016Single stage local myocutaneous flap repair to one defect, simple and small not in association with any of items 31356 to 31376 (Anaes.)
4500601.12.19913T8131SNNNNNYNNA01.11.200401.07.20211079.70809.80Y01.12.1991SINGLE STAGE LARGE MYOCUTANEOUS FLAP REPAIR to 1 defect, (pectoralis major, latissimus dorsi, or similar large muscle) (Anaes.) (Assist.)
4500901.12.19913T8131SNNNNNYNNA01.11.200401.07.2021394.40295.80Y01.12.1991SINGLE STAGE LOCAL muscle flap repair to 1 defect, simple and small (Anaes.) (Assist.)
4501201.12.19913T8131SNNNNNYNNA01.11.200401.07.2021660.75495.60Y01.12.1991SINGLE STAGE LARGE MUSCLE FLAP REPAIR to 1 defect, (pectoralis major, gastrocnemius, gracilis or similar large muscle) (Anaes.) (Assist.)
4501501.12.19913T8131SNNNNNYNNA01.11.200401.07.2021312.95234.75Y01.12.1991MUSCLE OR MYOCUTANEOUS FLAP, delay of (Anaes.)
4501801.12.19913T8131SNNNNNYNNC01.12.199101.07.2021492.85369.65418.95Y01.11.2020Dermis, dermofat or fascia graft (other than transfer of fat by injection): (a) if the service is not associated with neurosurgical services for spinal disorders mentioned in any of items51011 to 51171; and (b) other than a service associated with a service to which item39615, 39715, 40106 or 40109 applies (Anaes.) (Assist.)
4501919.06.19973T8131SNNNNNYNNA01.11.200501.07.2021412.80309.60Y01.11.2018Full face chemical peel for severely sun‑damaged skin, if: (a) the damage affects at least 75% of the facial skin surface area; and (b) the damage involves photo-damage (dermatoheliosis); and (c) the photo-damage involves: (i) a solar keratosis load exceeding 30 individual lesions; or (ii) solar lentigines; or (iii) freckling, yellowing or leathering of the skin; or (iv) solar kertoses which have proven refractory to, or recurred following, medical therapies; and (d) at least medium depth peeling agents are used; and (e) the chemical peel is performed in the operating theatre of a hospital by a medical practitioner recognised as a specialist in the specialty of dermatology or plastic surgery. Applicable once only in any 12 month period (Anaes.)
4502101.12.19913T8131SNNNNNYNNC01.12.199101.07.2021184.55138.45156.90Y01.11.1999ABRASIVE THERAPY for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area (Anaes.)
4502401.12.19913T8131SNNNNNYNNC01.12.199101.07.2021414.70311.05352.50Y01.11.1999ABRASIVE THERAPY for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area (Anaes.)
4502501.11.19953T8131SNNNNNYNPC01.11.199501.07.2021184.55138.45156.9001.11.201280.00Y01.11.2007CARBON 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.)
4502601.11.19953T8131SNNNNNYNPC01.11.199501.07.2021414.70311.05352.5001.11.201280.00Y01.11.2007CARBON 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.)
4502701.12.19913T8131SNNNNNYNNC01.12.199101.07.2021125.2593.95106.50Y01.12.1991ANGIOMA, cauterisation of or injection into, where undertaken in the operating theatre of a hospital (Anaes.)
4503001.12.19913T8131SNNNNNYNNC01.12.199101.07.2021134.45100.85114.30Y01.11.1994ANGIOMA (haemangioma or lymphangioma or both) of skin and subcutaneous tissue (excluding facial muscle or breast) or mucous surface, small, excision and suture of (Anaes.)
4503301.12.19913T8131SNNNNNYNNC01.12.199101.07.2021250.45187.85212.90Y01.11.1994ANGIOMA, (haemangioma or lymphangioma or both), large or involving deeper tissue including facial muscle or breast, excision and suture of (Anaes.)
4503501.11.19943T8131SNNNNNYNNA01.11.200401.07.2021730.50547.90Y01.11.1994ANGIOMA (haemangioma or lymphangioma or both), large and deep, involving muscles or nerves, excision of (Anaes.) (Assist.)
4503601.12.19913T8131SNNNNNYNNA01.11.200401.07.20211173.75880.35Y01.11.1994ANGIOMA (haemangioma or lymphangioma or both) of neck, deep, excision of (Anaes.) (Assist.)
4503901.12.19913T8131SNNNNNYNNC01.12.199101.07.2021250.45187.85212.90Y01.12.1991ARTERIOVENOUS MALFORMATION (3 centimetres or less) of superficial tissue, excision of (Anaes.)
4504201.12.19913T8131SNNNNNYNNC01.12.199101.07.2021320.90240.70272.80Y01.12.1991ARTERIOVENOUS MALFORMATION, (greater than 3 centimetres), excision of (Anaes.) (Assist.)
4504501.12.19913T8131SNNNNNYNNC01.12.199101.07.2021320.90240.70272.80Y01.07.1993ARTERIOVENOUS MALFORMATION on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (Anaes.)
4504801.12.19913T8131SNNNNNYNNA01.11.200401.07.2021805.95604.50Y01.11.1994LYMPHOEDEMATOUS tissue or lymphangiectasis, of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of (Anaes.) (Assist.)
4505101.12.19913T8131SNNNNNYNNA01.11.200401.07.2021492.95369.75Y01.11.2018Contour reconstruction by open repair of contour defects, due to deformity, if: (a) contour reconstructive surgery is indicated because the deformity is secondary to congenital absence of tissue or has arisen from trauma (other than trauma from previous cosmetic surgery); and (b) insertion of a non-biological implant is required, other than one or more of the following: (i) insertion of a non-biological implant that is a component of another service specified in Group T8; (ii) injection of liquid or semisolid material; (iii) an oral and maxillofacial implant service to which item52321 applies; (iv) a service to insert mesh; and (c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
4505401.11.19993T8131SNNNNNYNNA01.11.200401.07.2021256.10192.10Y01.11.1999LIMB OR CHEST, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn (Anaes.) (Assist.)
4506001.11.20183T8131SNNNNNYNNA01.11.201801.07.20211322.80992.10Y01.11.2018Developmental breast abnormality, single stage correction of, if: (a) the correction involves either: (i) bilateral mastopexy for symmetrical tubular breasts; or (ii) surgery on both breasts with a combination of insertion of one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least 20% in normally shaped breasts, or 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
4506101.11.20183T8131SNNNNNYNNA01.11.201801.07.20211322.80992.10Y01.11.2018Developmental breast abnormality, 2 stage correction of, first stage, involving surgery on both breasts with a combination of insertion of one or more tissue expanders, mastopexy or reduction mammaplasty, if: (a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes. Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
4506201.11.20183T8131SNNNNNYNNA01.11.201801.07.2021957.25717.95Y01.11.2018Developmental breast abnormality, 2 stage correction of, second stage, involving surgery on both breasts with a combination of exchange of one or more tissue expanders for one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if: (a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes. Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
4520001.12.19913T8132SNNNNNYNPC01.12.199101.07.2021295.90221.95251.5501.11.201280.00Y01.11.2016Single stage local flap, if indicated to repair one defect, simple and small, excluding flap for male pattern baldness and excluding H-flap or double advancement flap not in association with any of items 31356 to 31376 (Anaes.)
4520101.11.20163T8132SNNNNNYNNC01.11.201601.07.2021430.70323.05366.10Y01.11.2018Muscle, myocutaneous or skin flap, where clinically indicated to repair one surgical excision made in the removal of a malignant or non-malignant skin lesion (only in association with items 31000, 31001, 31002, 31003, 31004, 31005, 31358, 31359, 31360, 31363, 31364, 31369, 31370, 31371, 31373 or 31376)-may be claimed only once per defect (Anaes.)
4520201.11.20163T8132SNNNNNYNNC01.11.201601.07.2021430.70323.05366.10Y01.11.2016Muscle, myocutaneous or skin flap, where clinically indicated to repair one surgical excision made in the removal of a malignant or non-malignant skin lesion in a patient, if the clinical relevance of the procedure is clearly annotated in the patient's record and either: (a) item 45201 applies and additional flap repair is required for the same defect; or (b) item 45201 does not apply and either: (i) the patient has severe pre-existing scarring, severe skin atrophy or sclerodermoid changes; or (ii) the repair is contiguous with a free margin (Anaes.)
4520301.12.19913T8132SNNNNNYNPC01.12.199101.07.2021422.50316.90359.1501.11.201280.00Y01.11.2016Single stage local flap, if indicated to repair one defect, complicated or large, excluding flap for male pattern baldness and excluding H-flap or double advancement flap not in association with any of items 31356 to 31376 (Anaes.) (Assist.)
4520601.12.19913T8132SNNNNNYNPC01.12.199101.07.2021399.10299.35339.2501.11.201280.00Y01.11.2016Single stage local flap if indicated to repair one defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals and excluding H-flap or double advancement flap not in association with any of items 31356 to 31376 (Anaes.)
4520701.11.20063T8132SNNNNNYNNC01.11.200601.07.2021399.10299.35339.25Y01.11.2016H-flap or double advancement flap if indicated to repair one defect, on eyelid, eyebrow or forehead not in association with any of items 31356 to 31376 (Anaes.)
4520901.12.19913T8132SNNNNNYNNC01.12.199101.07.2021492.95369.75419.05Y01.12.1991DIRECT FLAP REPAIR (cross arm, abdominal or similar), first stage (Anaes.) (Assist.)
4521201.12.19913T8132SNNNNNYNNC01.12.199101.07.2021244.60183.45207.95Y01.12.1991DIRECT FLAP REPAIR (cross arm, abdominal or similar), second stage (Anaes.)
4521501.12.19913T8132SNNNNNYNNA01.11.200401.07.20211055.10791.35Y01.12.1991DIRECT FLAP REPAIR, cross leg, first stage (Anaes.) (Assist.)
4521801.12.19913T8132SNNNNNYNNA01.11.200501.07.2021473.30355.00Y01.12.1991DIRECT FLAP REPAIR, cross leg, second stage (Anaes.) (Assist.)
4522101.12.19913T8132SNNNNNYNNC01.12.199101.07.2021272.20204.15231.40Y01.12.1991DIRECT FLAP REPAIR, small (cross finger or similar), first stage (Anaes.)
4522401.12.19913T8132SNNNNNYNNC01.12.199101.07.2021122.3591.80104.00Y01.12.1991DIRECT FLAP REPAIR, small (cross finger or similar), second stage (Anaes.)
4522701.12.19913T8132SNNNNNYNNC01.12.199101.07.2021463.50347.65394.00Y01.12.1991INDIRECT FLAP OR TUBED PEDICLE, formation of (Anaes.) (Assist.)
4523001.12.19913T8132SNNNNNYNNC01.12.199101.07.2021231.75173.85197.00Y01.12.1991DIRECT OR INDIRECT FLAP OR TUBED PEDICLE, delay of (Anaes.)
4523301.12.19913T8132SNNNNNYNNC01.12.199101.07.2021492.95369.75419.05Y01.12.1991INDIRECT FLAP OR TUBED PEDICLE, preparation of intermediate or final site and attachment to the site (Anaes.) (Assist.)
4523601.12.19913T8132SNNNNNYNNA01.11.200401.07.2021386.55289.95Y01.12.1991INDIRECT FLAP OR TUBED PEDICLE, spreading of pedicle, as a separate procedure (Anaes.)
4523901.12.19913T8132SNNNNNYNNC01.12.199101.07.2021272.20204.15231.40Y01.11.2006DIRECT, INDIRECT OR LOCAL FLAP, revision of, by incision and suture, not being a service to which item 45240 applies (Anaes.)
4524001.11.20063T8132SNNNNNYNNC01.11.200601.07.2021272.20204.15231.40Y01.11.2006DIRECT, INDIRECT OR LOCAL FLAP, revision of, by liposuction, not being a service to which item 45239, 45497, 45498 or 45499 applies (Anaes.)
4540001.12.19913T8133SNNNNNYNNC01.12.199101.07.2021213.00159.75181.05Y01.12.1991FREE GRAFTING (split skin) of a granulating area, small (Anaes.)
4540301.12.19913T8133SNNNNNYNNC01.12.199101.07.2021424.00318.00360.40Y01.12.1991FREE GRAFTING (split skin) of a granulating area, extensive (Anaes.) (Assist.)
4540601.12.19913T8133SNNNNNYNNC01.12.199101.07.2021469.35352.05398.95Y01.12.1991FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving not more than 3 per cent of total body surface (Anaes.) (Assist.)
4540901.12.19913T8133SNNNNNYNNA01.11.200401.07.2021626.05469.55Y01.12.1991FREE 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.)
4541201.12.19913T8133SNNNNNYNNA01.11.200401.07.2021860.85645.65Y01.12.1991FREE 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.)
4541501.12.19913T8133SNNNNNYNNA01.11.200401.07.2021938.85704.15Y01.12.1991FREE 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.)
4541801.12.19913T8133SNNNNNYNNA01.11.200401.07.20211017.15762.90Y01.11.1999FREE 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.)
4543901.12.19913T8133SNNNNNYNNC01.12.199101.07.2021295.90221.95251.55Y01.12.1991FREE GRAFTING (split skin) to 1 defect, including elective dissection, small (Anaes.)
4544201.12.19913T8133SNNNNNYNNC01.12.199101.07.2021610.30457.75525.60Y01.12.1991FREE GRAFTING (split skin) to 1 defect, including elective dissection, extensive (Anaes.) (Assist.)
4544501.12.19913T8133SNNNNNYNNC01.12.199101.07.2021579.15434.40494.45Y01.12.1991FREE GRAFTING (split skin) as inlay graft to 1 defect including elective dissection using a mould (including insertion of, and removal of mould) (Anaes.) (Assist.)
4544801.12.19913T8133SNNNNNYNNC01.12.199101.07.2021391.25293.45332.60Y01.12.1991FREE 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.)
4545101.12.19913T8133SNNNNNYNNC01.12.199101.07.2021492.95369.75419.05Y01.12.1991FREE GRAFTING (full thickness), to 1 defect, excluding grafts for male pattern baldness (Anaes.) (Assist.)
4546001.05.20003T8133SNNNNNYNNA01.11.200401.07.20211304.10978.10Y01.05.2000FREE 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.)
4546101.05.20003T8133SNNNNNYNNA01.11.200401.07.2021929.45697.10Y01.05.2000FREE 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.)
4546201.05.20003T8133SNNNNNYNNA01.11.200401.07.2021701.35526.0501.05.2000FREE 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.)
4546401.05.20003T8133SNNNNNYNNA01.11.200401.07.20211990.601492.95Y01.05.2000FREE 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.)
4546501.05.20003T8133SNNNNNYNNC01.05.200001.07.20211418.201063.651333.50Y01.05.2000FREE 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.)
4546601.05.20003T8133SNNNNNYNNC01.05.200001.07.20211069.60802.20984.9001.05.2000FREE 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.)
4546801.05.20003T8133SNNNNNYNNA01.11.200401.07.20211906.901430.20Y01.05.2000FREE 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.)
4546901.05.20003T8133SNNNNNYNNC01.05.200001.07.20211438.701079.051354.0001.05.2000FREE 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.)
4547101.05.20003T8133SNNNNNYNNC01.05.200001.07.20212397.001797.752312.30Y01.05.2000FREE 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.)
4547201.05.20003T8133SNNNNNYNNC01.05.200001.07.20211808.051356.051723.3501.05.2000FREE 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.)
4547401.05.20003T8133SNNNNNYNNC01.05.200001.07.20212885.652164.252800.95Y01.05.2000FREE 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.)
4547501.05.20003T8133SNNNNNYNNC01.05.200001.07.20212177.251632.952092.5501.05.2000FREE 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.)
4547701.05.20003T8133SNNNNNYNNC01.05.200001.07.20213374.402530.803289.70Y01.05.2000FREE 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.)
4547801.05.20003T8133SNNNNNYNNC01.05.200001.07.20212545.201908.902460.5001.05.2000FREE 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.)
4548001.05.20003T8133SNNNNNYNNC01.05.200001.07.20213863.052897.303778.35Y01.05.2000FREE 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.)
4548101.05.20003T8133SNNNNNYNNC01.05.200001.07.20212914.602185.952829.9001.05.2000FREE 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.)
4548301.05.20003T8133SNNNNNYNNC01.05.200001.07.20214401.353301.054316.65Y01.05.2000FREE 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.)
4548401.05.20003T8133SNNNNNYNNC01.05.200001.07.20213320.802490.603236.1001.05.2000FREE GRAFTING (split skin) to burns, including excision of burnt tissue - involving 80 percent or more of total body surface - conjoint surgery, co-surgeon (Assist.)
4548501.11.19993T8133SNNNNNYNNA01.11.200401.07.2021549.10411.85Y01.11.1999FREE GRAFTING (split skin) to burns, including excision of burnt tissue - upper eyelid, nose, lip, ear or palm of the hand (Anaes.) (Assist.)
4548601.11.19993T8133SNNNNNYNNA01.11.200401.07.2021469.35352.05Y01.11.1999FREE 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.)
4548701.11.19993T8133SNNNNNYNNC01.11.199901.07.2021422.50316.90359.15Y01.11.1999FREE GRAFTING (split skin) to burns, including excision of burnt tissue - whole of toe (Anaes.) (Assist.)
4548801.11.19993T8133SNNNNNYNNA01.11.200401.07.2021469.35352.05Y01.11.1999FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 1 digit of the hand (Anaes.) (Assist.)
4548901.11.19993T8133SNNNNNYNNC01.11.199901.07.2021704.25528.20619.55Y01.11.1999FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 2 digits of the hand (Anaes.) (Assist.)
4549001.11.19993T8133SNNNNNYNNA01.11.200401.07.2021939.10704.35Y01.11.1999FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 3 digits of the hand (Anaes.) (Assist.)
4549101.11.19993T8133SNNNNNYNNA01.11.200401.07.20211173.75880.35Y01.11.1999FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 4 digits of the hand (Anaes.) (Assist.)
4549201.11.19993T8133SNNNNNYNNA01.11.200401.07.20211408.451056.35Y01.11.1999FREE GRAFTING (split skin) to burns, including excision of burnt tissue - the whole of 5 digits of the hand (Anaes.) (Assist.)
4549301.11.19993T8133SNNNNNYNNA01.11.200401.07.2021422.50316.90Y01.11.1999FREE GRAFTING (split skin) to burns, including excision of burnt tissue - portion of digit of hand (Anaes.) (Assist.)
4549401.11.19993T8133SNNNNNYNNC01.11.199901.07.20211705.051278.801620.35Y01.11.1999FREE GRAFTING (split skin) to burns, including excision of burnt tissue - whole of face (excluding ears) (Anaes.) (Assist.)
4549601.05.20003T8134SNNNNNYNNA01.11.200401.07.2021432.90324.70Y01.05.2000FLAP, free tissue transfer using microvascular techniques - revision of, by open operation (Anaes.)
4549701.05.20003T8134SNNNNNYNNA01.11.200401.07.2021338.10253.60Y01.11.2006FLAP, free tissue transfer using microvascular techniques, or any autogenous breast reconstruction - complete revision of, by liposuction (Anaes.)
4549801.05.20003T8134SNNNNNYNNA01.11.200401.07.2021272.20204.15Y01.11.2006FLAP, free tissue transfer using microvascular techniques, or any autogenous breast reconstruction - staged revision of, by liposuction - first stage (Anaes.)
4549901.05.20003T8134SNNNNNYNNA01.11.200401.07.2021202.85152.15Y01.11.2006FLAP, free tissue transfer using microvascular techniques, or any autogenous breast reconstruction - staged revision of, by liposuction - second stage (Anaes.)
4550001.12.19913T8134SNNNNNYNNA01.11.200401.07.20211134.50850.90Y01.12.1991MICROVASCULAR REPAIR using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (Anaes.) (Assist.)
4550101.03.19993T8134SNNNNNYNNA01.11.200401.07.20211846.601384.95Y01.03.1999MICROVASCULAR ANASTOMOSIS of artery using microsurgical techniques, for re-implantation of limb or digit (Anaes.) (Assist.)
4550201.07.19933T8134SNNNNNYNNA01.11.200401.07.20211846.601384.95Y01.03.1999MICROVASCULAR ANASTOMOSIS of vein using microsurgical techniques, for re-implantation of limb or digit (Anaes.) (Assist.)
4550301.12.19913T8134SNNNNNYNNA01.11.200501.07.20212112.651584.50Y01.12.1991MICRO-ARTERIAL OR MICRO-VENOUS GRAFT using microsurgical techniques (Anaes.) (Assist.)
4550401.03.19993T8134SNNNNNYNNA01.11.200401.07.20211846.601384.95Y01.03.1999MICROVASCULAR ANASTOMOSIS of artery using microsurgical techniques, for free transfer of tissue including setting in of free flap (Anaes.) (Assist.)
4550501.03.19993T8134SNNNNNYNNA01.11.200401.07.20211846.601384.95Y01.03.1999MICROVASCULAR ANASTOMOSIS of vein using microsurgical techniques, for free transfer of tissue including setting in of free flap (Anaes.) (Assist.)
4550601.12.19913T8134SNNNNNYNNC01.12.199101.07.2021228.85171.65194.55Y01.07.1993SCAR, 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.)
4551201.12.19913T8134SNNNNNYNNC01.12.199101.07.2021307.70230.80261.55Y01.07.1993SCAR, 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.)
4551501.12.19913T8134SNNNNNYNNC01.12.199101.07.2021194.10145.60165.00Y01.07.1993SCAR, 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.)
4551801.12.19913T8134SNNNNNYNNC01.12.199101.07.2021234.85176.15199.65Y01.07.1993SCAR, 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.)
4551901.11.19963T8134SNNNNNYNNA01.11.200401.07.2021446.45334.85Y01.11.1996EXTENSIVE BURN SCARS OF SKIN (more than 1 percent of body surface area), excision of, for correction of scar contracture (Anaes.) (Assist.)
4552001.07.19983T8134SNNNNNYNNA01.11.200401.07.2021936.90702.70Y01.11.2018Reduction mammaplasty (unilateral) with surgical repositioning of nipple,in the context of breast cancer or developmental abnormality of the breast (Anaes.) (Assist.)
4552201.07.19983T8134SNNNNNYNNA01.03.201301.07.2021657.35493.05Y01.11.2018Reduction mammaplasty (unilateral) without surgical repositioning of the nipple: (a) excluding the treatment of gynaecomastia; and (b) not with insertion of any prosthesis (Anaes.) (Assist.)
4552301.11.20183T8134SNNNNNYNNA01.11.201801.07.20211405.451054.10Y01.11.2018Reduction mammaplasty (bilateral) with surgical repositioning of the nipple: (a) for patients with macromastia and experiencing pain in the neck or shoulder region; and (b) not with insertion of any prosthesis (Anaes.) (Assist.)
4552401.12.19913T8134SNNNNNYNNA01.11.200401.07.2021771.70578.80Y01.11.2018Mammaplasty, augmentation (unilateral) in the context of: (a) breast cancer; or (b) developmental abnormality of the breast, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds. Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
4552701.12.19913T8134SNNNNNYNNA01.11.200401.07.2021771.70578.80Y01.11.2018Breast reconstruction (unilateral), following mastectomy, using a permanent prosthesis (Anaes.) (Assist.)
4552819.06.19973T8134SNNNNNYNNA01.11.200401.07.20211157.40868.05Y01.11.2018Mammaplasty, augmentation, bilateral (other than a service to which item45527 applies), if: (a) reconstructive surgery is indicated because of: (i) developmental malformation of breast tissue (excluding hypomastia); or (ii) disease of or trauma to the breast (other than trauma resulting from previous elective cosmetic surgery); or (iii) amastia secondary to a congenital endocrine disorder; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
4553001.12.19913T8134SNNNNNYNNA01.11.200401.07.20211143.95858.00Y01.01.2016Breast 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, other than a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30177 or 30179 applies (H) (Anaes.) (Assist.)
4553301.12.19913T8134SNNNNNYNNA01.11.200401.07.20211295.50971.65Y01.11.2005BREAST 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.)
4553601.12.19913T8134SNNNNNYNNA01.11.200401.07.2021476.45357.35Y01.12.1991BREAST 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.)
4553901.12.19913T8134SNNNNNYNNA01.11.200401.07.20211114.65836.00Y01.12.1991BREAST RECONSTRUCTION (unilateral), following mastectomy, using tissue expansion - insertion of tissue expansion unit and all attendances for subsequent expansion injections (Anaes.) (Assist.)
4554201.12.19913T8134SNNNNNYNNA01.11.200401.07.2021638.25478.70Y01.12.1991BREAST RECONSTRUCTION (unilateral), following mastectomy, using tissue expansion - removal of tissue expansion unit and insertion of permanent prosthesis (Anaes.) (Assist.)
4554501.12.19913T8134SNNNNNYNPC01.12.199101.07.2021647.80485.85563.1001.11.201280.00Y01.07.1998NIPPLE OR AREOLA or both, reconstruction of, by any surgical technique (Anaes.) (Assist.)
4554601.11.19983T8134SNNNNNYNNC01.11.199801.07.2021205.85154.40175.0001.11.1998NIPPLE OR AREOLA or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple
4554801.12.19913T8134SNNNNNYNNC01.12.199101.07.2021288.00216.00244.80Y01.12.1991BREAST PROSTHESIS, removal of, as an independent procedure (Anaes.)
4555101.12.19913T8134SNNNNNYNNA01.11.200401.07.2021461.65346.25Y01.11.2018Breast prosthesis, removal of, with excision of at least half of the fibrous capsule, not with insertion of any prosthesis. The excised specimen must be sent for histopathology and the volume removed must be documented in the histopathology report (Anaes.) (Assist.)
4555301.11.20063T8134SNNNNNYNNA01.11.201801.07.2021594.75446.10Y01.11.2018Breast prosthesis, removal of and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
4555401.12.19913T8134SNNNNNYNNA01.11.201801.07.2021727.80545.85Y01.11.2018Breast prosthesis, removal and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), including excision of at least half of the fibrous capsule or formation of a new pocket, or both, if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) the excised specimen is sent for histopathology and the volume removed is documented in the histopathology report; and (c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
4555601.11.20013T8134SNNNNNYNNA01.03.201301.07.2021797.05597.80Y01.11.2018Breast ptosis, correction of (unilateral), in the context of breast cancer or developmental abnormality, if photographic evidence (including anterior, left lateral and right lateral views) and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
4555801.11.20013T8134SNNNNNYNNA01.11.200401.07.20211195.50896.65Y01.11.2018Breast ptosis, correction by mastopexy of (bilateral), if: (a) at least two-thirds of the breast tissue, including the nipple, lies inferior to the infra-mammary fold where the nipple is located at the most dependent, inferior part of the breast contour; and (b) if the patient has been pregnant—the correction is performed not less than 1 year, or more than 7 years, after completion of the most recent pregnancy of the patient; and (c) photographic evidence (including anterior, left lateral and right lateral views), with a marker at the level of the inframammary fold, demonstrating the clinical need for this service, is documented in the patient notes Applicable only once per lifetime (Anaes.) (Assist.)
4556001.12.19913T8134SNNNNNYNPC01.12.199101.07.2021492.85369.65418.9501.01.201335.00Y01.12.1991HAIR 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.)
4556101.05.20073T8134SNNNNNYNNA01.05.200701.07.20211846.601384.95Y01.05.2007MICROVASCULAR ANASTOMOSIS of artery or vein using microsurgical techniques, for supercharging of pedicled flaps (Anaes.) (Assist.)
4556201.03.19993T8134SNNNNNYNNC01.03.199901.07.20211143.95858.001059.25Y01.03.1999FREE 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.)
4556301.12.19913T8134SNNNNNYNNC01.12.199101.07.20211143.95858.001059.25Y01.03.1999NEUROVASCULAR ISLAND FLAP, including direct repair of secondary cutaneous defect if performed, excluding flap for male pattern baldness (Anaes.) (Assist.)
4556401.11.19993T8134SNNNNNYNNA01.11.200401.07.20212649.501987.15Y01.01.2016Free 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 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, other than a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 applies-conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
4556501.11.19993T8134SNNNNNYNNA01.11.200401.07.20211987.201490.4001.01.2016Free 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 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, other than a service associated with a service to which item 30165, 30168, 30171, 30172, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 applies-conjoint surgery, conjoint specialist surgeon (H) (Assist.)
4556601.12.19913T8134SNNNNNYNNA01.11.200401.07.20211114.65836.00Y01.12.1991TISSUE 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.)
4556801.11.20033T8134SNNNNNYNNA01.11.200501.07.2021461.65346.25Y01.11.2003TISSUE EXPANDER, removal of, with complete excision of fibrous capsule (Anaes.) (Assist.)
4556901.11.20063T8134SNNNNNYNNA01.11.200601.07.2021705.10528.85Y01.11.2006CLOSURE OF ABDOMEN WITH RECONSTRUCTION OF UMBILICUS, with or without lipectomy, being a service associated with items 45562, 45564, 45565 or 45530 (Anaes.) (Assist.)
4557001.11.20063T8134SNNNNNYNNC01.11.200601.07.2021952.05714.05867.35Y01.11.2006CLOSURE OF ABDOMEN, repair of musculoaponeurotic layer, being a service associated with item 45569 (Anaes.) (Assist.)
4557201.12.19913T8134SNNNNNYNNC01.12.199101.07.2021303.50227.65258.00Y01.12.1991INTRA 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.)
4557501.12.19913T8134SNNNNNYNNC01.12.199101.07.2021749.40562.05664.70Y01.12.1991FACIAL NERVE PARALYSIS, free fascia graft for (Anaes.) (Assist.)
4557801.12.19913T8134SNNNNNYNNA01.11.200401.07.2021867.85650.90Y01.12.1991FACIAL NERVE PARALYSIS, muscle transfer for (Anaes.) (Assist.)
4558101.12.19913T8134SNNNNNYNNC01.12.199101.07.2021288.00216.00244.80Y01.12.1991FACIAL NERVE PALSY, excision of tissue for (Anaes.)
4558401.12.19913T8134SNNNNNYNNA01.11.201801.07.2021657.35493.05Y01.11.2018Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), for treatment of post traumatic pseudolipoma, if photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
4558519.06.19973T8134SNNNNNYNNA01.11.201801.07.2021657.35493.05Y01.11.2018Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), other than a service associated with a service to which item31525 applies, if: (a) the liposuction is for: (i) the treatment of Barraquer-Simons syndrome, lymphoedema or macrodystrophia lipomatosa; or (ii) the reduction of a buffalo hump that is secondary to an endocrine disorder or pharmacological treatment of a medical condition; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
4558701.12.19913T8134SNNNNNYNNA01.11.201801.07.2021926.95695.25Y01.11.2018Meloplasty for correction of facial asymmetry if: (a) the asymmetry is secondary to trauma (including previous surgery), a congenital condition or a medical condition (such as facial nerve palsy); and (b) the meloplasty is limited to one side of the face (Anaes.) (Assist.)
4558819.06.19973T8134SNNNNNYNNA01.11.200401.07.20211390.551042.95Y01.11.2018Meloplasty (excluding browlifts and chinlift platysmaplasties), bilateral, if: (a) surgery is indicated to correct a functional impairment due to a congenital condition, disease (excluding post-acne scarring) or trauma (other than trauma resulting from previous elective cosmetic surgery); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
4559001.12.19913T8134SNNNNNYNNA01.11.200401.07.2021502.85377.15Y01.12.1991ORBITAL CAVITY, reconstruction of a wall or floor, with or without foreign implant (Anaes.) (Assist.)
4559301.12.19913T8134SNNNNNYNNA01.11.200401.07.2021590.65443.00Y01.12.1991ORBITAL CAVITY, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Anaes.) (Assist.)
4559601.12.19913T8134SNNNNNYNNA01.11.200401.07.2021936.90702.70Y01.12.1991MAXILLA, total resection of (Anaes.) (Assist.)
4559701.04.19923T8134SNNNNNYNNA01.11.200501.07.20211254.25940.70Y01.04.1992MAXILLA, total resection of both maxillae (Anaes.) (Assist.)
4559901.12.19913T8134SNNNNNYNNC01.12.199101.07.2021974.50730.90889.80Y01.12.1991MANDIBLE, total resection of both sides, including condylectomies where performed (Anaes.) (Assist.)
4560201.12.19913T8134SNNNNNYNNA01.11.200401.07.2021727.80545.85Y01.12.1991MANDIBLE, including lower border, OR MAXILLA, sub-total resection of (Anaes.) (Assist.)
4560501.12.19913T8134SNNNNNYNNA01.11.200401.07.2021611.40458.55Y01.12.1991MANDIBLE OR MAXILLA, segmental resection of, for tumours or cysts (Anaes.) (Assist.)
4560801.12.19913T8134SNNNNNYNNA01.11.200401.07.2021860.85645.65Y01.12.1991MANDIBLE, hemimandibular reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (Anaes.) (Assist.)
4561101.12.19913T8134SNNNNNYNNA01.11.200401.07.2021492.95369.75Y01.12.1991MANDIBLE, condylectomy (Anaes.) (Assist.)
4561401.12.19913T8134SNNNNNYNPC01.12.199101.07.2021611.40458.55526.7001.11.201280.00Y01.12.1991EYELID, WHOLE THICKNESS RECONSTRUCTION OF other than by direct suture only (Anaes.) (Assist.)
4561701.12.19913T8134SNNNNNYNPC01.12.199101.07.2021244.60183.45207.9501.11.201280.00Y01.11.2018Upper eyelid, reduction of, if: (a) the reduction is for any of the following: (i) skin redundancy that causes a visual field defect (confirmed by an optometrist or ophthalmologist) or intertriginous inflammation of the eyelid; (ii) herniation of orbital fat in exophthalmos; (iii) facial nerve palsy; (iv) post-traumatic scarring; (v) the restoration of symmetry of contralateral upper eyelid in respect of one of the conditions mentioned in subparagraphs (i) to (iv); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
4562001.12.19913T8134SNNNNNYNPC01.12.199101.07.2021339.25254.45288.4001.11.201280.00Y01.11.2018Lower eyelid, reduction of, if: (a) the reduction is for: (i) herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring; or (ii) the restoration of symmetry of the contralateral lower eyelid in respect of one of these conditions; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
4562301.12.19913T8134SNNNNNYNPC01.12.199101.07.2021752.30564.25667.6001.11.201280.00Y01.11.2018Ptosis of upper eyelid (unilateral), correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; Not applicable to a service for repair of mechanical ptosis to which item45617 applies (Anaes.) (Assist.)
4562401.07.19983T8134SNNNNNYNPC01.07.199801.07.2021975.40731.55890.7001.11.201280.00Y01.11.2018Ptosis of upper eyelid, correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; if a previous ptosis surgery has been performed on that side (Anaes.) (Assist.)
4562501.07.19983T8134SNNNNNYNNA01.11.200501.07.2021195.15146.40Y01.07.1998PTOSIS 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.)
4562601.12.19913T8134SNNNNNYNNC01.12.199101.07.2021339.25254.45288.40Y01.11.2019Ectropion or entropion, not caused by trachoma, correction of (unilateral) (Anaes.)
4562701.11.20193T8134SNSNNNNYNNC01.11.201901.07.2021339.25254.45288.40Y01.11.2019Ectropion or entropion, caused by trachoma, correction of (unilateral) (Anaes.)
4562901.12.19913T8134SNNNNNYNNC01.12.199101.07.2021492.95369.75419.05Y01.12.1991SYMBLEPHARON, grafting for (Anaes.) (Assist.)
4563201.12.19913T8134SNNNNNYNPC01.12.199101.07.2021532.70399.55452.8001.11.201280.00Y01.11.2018Rhinoplasty, partial, involving correction of lateral or alar cartilages, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
4563501.12.19913T8134SNNNNNYNPC01.12.199101.07.2021611.40458.55526.7001.11.201280.00Y01.11.2018Rhinoplasty, partial, involving correction of bony vault only, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
4564101.12.19913T8134SNNNNNYNNA01.03.201301.07.20211109.20831.90Y01.11.2018Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, with or without autogenous cartilage or bone graft from a local site (nasal), if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
4564401.12.19913T8134SNNNNNYNNA01.03.201301.07.20211331.25998.45Y01.11.2018Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
4564501.11.19943T8134SNNNNNYNNA01.11.200401.07.2021232.70174.55Y01.11.1994CHOANAL ATRESIA, repair of by puncture and dilatation (Anaes.)
4564601.11.19943T8134SNNNNNYNNC01.11.199401.07.2021936.90702.70852.20Y01.11.1994CHOANAL ATRESIA - correction by open operation with bone removal (Anaes.) (Assist.)
4564701.12.19913T8134SNNNNNYNNA01.11.200401.07.20211331.25998.45Y01.11.2003FACE, contour restoration of 1 region, using autogenous bone or cartilage graft (not being a service to which item 45644 applies) (Anaes.) (Assist.)
4565001.12.19913T8134SNNNNNYNNC01.12.199101.07.2021153.75115.35130.70Y01.11.2018Rhinoplasty, revision of, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
4565201.11.19953T8134SNNNNNYNPC01.11.199501.07.2021370.80278.10315.2001.11.201280.00Y01.11.2018Rhinophyma of a moderate or severe degree, carbon dioxide laser or erbium laser excision - ablation of (Anaes.)
4565301.12.19913T8134SNNNNNYNNC01.12.199101.07.2021370.80278.10315.20Y01.12.1991RHINOPHYMA, shaving of (Anaes.)
4565601.12.19913T8134SNNNNNYNNC01.12.199101.07.2021522.60391.95444.25Y01.12.1991COMPOSITE GRAFT (Chondrocutaneous or chondromucosal) to nose, ear or eyelid (Anaes.) (Assist.)
4565801.03.20213T8134SNSNNNNYNNA01.03.202101.07.2021542.40406.80Y01.03.2021Correction of a congenital deformity of the ear if: (a)the congenital deformity is not related to a prominent ear; and (b) the deformity has been clinically diagnosed as a constricted ear, Stahl's ear, or a similar congenital deformity; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes. (Anaes.) (Assist.)
4565901.12.19913T8134SNNNNNYNNA01.11.201801.07.2021542.40406.80Y01.11.2018Correction of a congenital deformity of the ear if: (a) the patient is less than 18 years of age; and (b) the deformity is characterised by an absence of the antihelical fold and/or large scapha and/or large concha; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
4566001.11.20003T8134SNNNNNYNNA01.11.200401.07.20212995.352246.55Y01.11.2000EXTERNAL 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.)
4566101.11.20003T8134SNNNNNYNNA01.11.200401.07.20211331.25998.45Y01.11.2000EXTERNAL 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.)
4566201.12.19913T8134SNNNNNYNNA01.11.200401.07.2021729.70547.30Y01.12.1991CONGENITAL ATRESIA, reconstruction of external auditory canal (Anaes.) (Assist.)
4566501.12.19913T8134SNNNNNYNNC01.12.199101.07.2021339.25254.45288.40Y01.12.1991LIP, EYELID OR EAR, FULL THICKNESS WEDGE EXCISION OF, with repair by direct sutures (Anaes.)
4566801.12.19913T8134SNNNNNYNNC01.12.199101.07.2021339.25254.45288.40Y01.11.1995VERMILIONECTOMY, by surgical excision (Anaes.)
4566901.11.19953T8134SNNNNNYNNC01.11.199501.07.2021339.25254.45288.40Y01.11.2018Vermilionectomy for biopsy-confirmed cellular atypia, using carbon dioxide laser or erbium laser excision - ablation (Anaes.)
4567101.12.19913T8134SNNNNNYNNC01.12.199101.07.2021867.85650.90783.15Y01.12.1991LIP OR EYELID RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)
4567401.12.19913T8134SNNNNNYNNC01.12.199101.07.2021252.40189.30214.55Y01.12.1991LIP OR EYELID RECONSTRUCTION using full thickness flap (Abbe or similar), second stage (Anaes.)
4567501.11.19943T8134SNNNNNYNNA01.11.200401.07.2021502.85377.15Y01.11.1994MACROCHEILIA or macroglossia, operation for (Anaes.) (Assist.)
4567601.11.19943T8134SNNNNNYNNA01.11.200401.07.2021598.60448.95Y01.11.1994MACROSTOMIA, operation for (Anaes.) (Assist.)
4567701.12.19913T8134SNNNNNYNNA01.11.200401.07.2021563.25422.45Y01.12.1991CLEFT LIP, unilateralprimary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)
4568001.12.19913T8134SNNNNNYNNA01.11.200401.07.2021704.25528.20Y01.12.1991CLEFT LIP, unilateral - primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)
4568301.12.19913T8134SNNNNNYNNA01.11.200401.07.2021782.35586.80Y01.12.1991CLEFT LIP, bilateral - primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)
4568601.12.19913T8134SNNNNNYNNA01.11.200501.07.2021923.50692.65Y01.12.1991CLEFT LIP, bilateral - primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)
4568901.12.19913T8134SNNNNNYNNA01.11.200401.07.2021272.40204.30Y01.12.1991CLEFT LIP, lip adhesion procedure, unilateral or bilateral (Anaes.) (Assist.)
4569201.12.19913T8134SNNNNNYNNC01.12.199101.07.2021312.95234.75266.05Y01.12.1991CLEFT LIP, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes.)
4569501.12.19913T8134SNNNNNYNNA01.11.200401.07.2021508.55381.45Y01.12.1991CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.)
4569801.12.19913T8134SNNNNNYNNA01.11.200401.07.2021477.35358.05Y01.12.1991CLEFT LIP, primary columella lengthening procedure, bilateral (Anaes.)
4570101.12.19913T8134SNNNNNYNNA01.11.200401.07.2021860.85645.65Y01.12.1991CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)
4570401.12.19913T8134SNNNNNYNNC01.12.199101.07.2021312.95234.75266.05Y01.12.1991CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), second stage (Anaes.)
4570701.12.19913T8134SNNNNNYNNA01.11.200401.07.2021813.60610.20Y01.12.1991CLEFT PALATE, primary repair (Anaes.) (Assist.)
4571001.12.19913T8134SNNNNNYNNA01.11.200401.07.2021508.55381.45Y01.12.1991CLEFT PALATE, secondary repair, closure of fistula using local flaps (Anaes.)
4571301.12.19913T8134SNNNNNYNNA01.11.200401.07.2021579.15434.40Y01.12.1991CLEFT PALATE, secondary repair, lengthening procedure (Anaes.) (Assist.)
4571401.11.19953T8134SNNNNNYNNA01.11.200401.07.2021813.60610.20Y01.11.1995ORO-NASAL FISTULA, plastic closure of, including services to which item 45200, 45203 or 45239 applies (Anaes.) (Assist.)
4571601.12.19913T8134SNNNNNYNNA01.11.200401.07.2021813.60610.20Y01.12.1991VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for (Anaes.)
4572001.07.19983T8134SNNNNNYNNC01.07.199801.07.20211005.95754.50921.25Y01.05.2009MANDIBLE 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.)
4572301.07.19983T8134SNNNNNYNNA01.11.200401.07.20211134.50850.90Y01.05.2009MANDIBLE 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.)
4572601.07.19983T8134SNNNNNYNNA01.11.200401.07.20211282.00961.50Y01.05.2009MANDIBLE 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.)
4572901.07.19983T8134SNNNNNYNNA01.11.200401.07.20211439.751079.85Y01.05.2009MANDIBLE 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.)
4573101.12.19913T8134SNNNNNYNNA01.11.200401.07.20211459.551094.70Y01.05.2009MANDIBLE 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.)
4573201.07.19983T8134SNNNNNYNNA01.11.200501.07.20211643.151232.40Y01.05.2009MANDIBLE 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.)
4573501.07.19983T8134SNNNNNYNNA01.11.200401.07.20211676.351257.30Y01.05.2009MANDIBLE 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.)
4573801.07.19983T8134SNNNNNYNNA01.11.200401.07.20211885.801414.35Y01.05.2009MANDIBLE 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.)
4574101.07.19983T8134SNNNNNYNNA01.11.200401.07.20211844.101383.10Y01.05.2009MANDIBLE 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.)
4574401.07.19983T8134SNNNNNYNNA01.11.200401.07.20212073.451555.10Y01.05.2009MANDIBLE 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.)
4574701.07.19983T8134SNNNNNYNNC01.07.199801.07.20212011.901508.951927.20Y01.05.2009MANDIBLE 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.)
4575201.12.19913T8134SNNNNNYNNA01.11.200501.07.20212253.501690.15Y01.05.2009MANDIBLE 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.)
4575301.07.19933T8134SNNNNNYNNC01.07.199301.07.20212266.851700.152182.15Y01.07.1993MIDFACIAL 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.)
4575401.07.19933T8134SNNNNNYNNA01.11.200401.07.20212717.452038.10Y01.11.2000MIDFACIAL 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.)
4575501.12.19913T8134SNNNNNYNNC01.12.199101.07.2021382.65287.00325.30Y01.11.2006TEMPOROMANDIBULAR PARTIAL OR TOTAL MENISCECTOMY (Anaes.) (Assist.)
4575801.12.19913T8134SNNNNNYNNA01.11.200401.07.2021684.75513.60Y01.12.1991TEMPORO-MANDIBULAR JOINT, arthroplasty (Anaes.) (Assist.)
4576101.12.19913T8134SNNNNNYNNA01.11.200501.07.2021779.00584.25Y01.07.1998GENIOPLASTY, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
4576701.12.19913T8134SNNNNNYNNC01.12.199101.07.20212613.451960.102528.75Y01.12.1991HYPERTELORISM, correction of, intracranial (Anaes.) (Assist.)
4577001.12.19913T8134SNNNNNYNNA01.11.200401.07.20212001.851501.40Y01.12.1991HYPERTELORISM, correction of, subcranial (Anaes.) (Assist.)
4577301.12.19913T8134SNNNNNYNNC01.12.199101.07.20211824.401368.301739.70Y01.12.1991TREACHER COLLINS SYNDROME, PERIORBITAL CORRECTION OF, with rib and iliac bone grafts (Anaes.) (Assist.)
4577601.12.19913T8134SNNNNNYNNA01.11.200401.07.20211824.401368.30Y01.12.1991ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, intracranial (Anaes.) (Assist.)
4577901.12.19913T8134SNNNNNYNNA01.11.200401.07.20211341.401006.05Y01.12.1991ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, extracranial (Anaes.) (Assist.)
4578201.12.19913T8134SNNNNNYNNC01.12.199101.07.20211025.60769.20940.90Y01.12.1991FRONTOORBITAL ADVANCEMENT, UNILATERAL (Anaes.) (Assist.)
4578501.12.19913T8134SNNNNNYNNA01.11.200401.07.20211735.701301.80Y01.12.1991CRANIAL VAULT RECONSTRUCTION for oxycephaly, brachycephaly, turricephaly or similar condition(bilateral frontoorbital advancement) (Anaes.) (Assist.)
4578801.12.19913T8134SNNNNNYNNA01.11.200401.07.20211715.951287.00Y01.12.1991GLENOID FOSSA, ZYGOMATIC ARCH AND TEMPORAL BONE, RECONSTRUCTION OF, (Obwegeser technique) (Anaes.) (Assist.)
4579101.12.19913T8134SNNNNNYNNA01.11.200401.07.2021926.95695.25Y01.12.1991ABSENT CONDYLE AND ASCENDING RAMUS in hemifacial microsomia, CONSTRUCTION OF, not including harvesting of graft material (Anaes.) (Assist.)
4579401.12.19913T8134SNNNNNYNNC01.11.200401.07.2021524.30393.25445.70Y01.11.2006OSSEO-INTEGRATION PROCEDURE - extra-oral, implantation of titanium fixture, not for implantable bone conduction hearing system device (Anaes.)
4579701.12.19913T8134SNNNNNYNNC01.11.200401.07.2021194.10145.60165.00Y01.11.2006OSSEO-INTEGRATION PROCEDURE, fixation of transcutaneous abutment, not for implantable bone conduction hearing system device (Anaes.)
4579901.11.20043T8135SNNNNNYNNC01.11.200401.07.202130.6022.9526.05Y01.11.2004ASPIRATION 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.)
4580101.11.20043T8135SNNNNNYNNC01.11.200401.07.2021132.1099.10112.30Y01.11.2004TUMOUR, 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.)
4580301.11.20043T8135SNNNNNYNNC01.11.200401.07.2021339.25254.45288.40Y01.11.2004TUMOURS, 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.)
4580501.11.20043T8135SNNNNNYNNC01.11.200401.07.2021179.50134.65152.60Y01.11.2004TUMOUR, 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.)
4580701.11.20043T8135SNNNNNYNNC01.11.200401.07.2021256.50192.40218.05Y01.11.2004TUMOUR, 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.)
4580901.11.20043T8135SNNNNNYNNC01.11.200401.07.2021386.55289.95328.60Y01.11.2004TUMOUR 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.)
4581101.11.20043T8135SNNNNNYNNC01.11.200401.07.2021522.60391.95444.25Y01.11.2004TUMOUR, 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.)
4581301.11.20043T8135SNNNNNYNNC01.11.200401.07.2021611.40458.55526.70Y01.11.2004TUMOUR, 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.)
4581501.11.20043T8135SNNNNNYNNC01.11.200401.07.2021370.80278.10315.20Y01.11.2004OPERATION ON MANDIBLE OR MAXILLA (other than alveolar margins) for chronic osteomyelitis - 1 bone or in combination with adjoining bones (Anaes.) (Assist.)
4581701.11.20043T8135SNNNNNYNNC01.11.200401.07.2021483.35362.55410.85Y01.11.2004OPERATION on SKULL for OSTEOMYELITIS (Anaes.) (Assist.)
4581901.11.20043T8135SNNNNNYNNC01.11.200401.07.2021611.35458.55526.65Y01.11.2004OPERATION ON ANY COMBINATION OF ADJOINING BONES IN THE ORAL AND MAXILLOFACIAL REGION, being bones referred to in item 45817 (Anaes.) (Assist.)
4582101.11.20043T8135SNNNNNYNNC01.11.200401.07.2021396.25297.20336.85Y01.11.2004BONE GROWTH STIMULATOR IN THE ORAL AND MAXILLOFACIAL REGION, insertion of (Anaes.) (Assist.)
4582301.11.20043T8135SNNNNNYNNA01.05.201601.07.2021113.3085.00Y01.11.2004ARCH 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.)
4582501.11.20043T8135SNNNNNYNNC01.11.200401.07.2021352.05264.05299.25Y01.11.2004MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.)
4582701.11.20043T8135SNNNNNYNNC01.11.200401.07.2021336.50252.40286.05Y01.11.2004MYLOHYOID RIDGE, reduction of (Anaes.) (Assist.)
4582901.11.20043T8135SNNNNNYNNC01.11.200401.07.2021256.70192.55218.20Y01.11.2004MAXILLARY TUBEROSITY, reduction of (Anaes.)
4583101.11.20043T8135SNNNNNYNNC01.11.200401.07.2021336.50252.40286.05Y01.11.2004PAPILLARY HYPERPLASIA OF THE PALATE, removal of - less than 5 lesions (Anaes.) (Assist.)
4583301.11.20043T8135SNNNNNYNNC01.11.200401.07.2021422.50316.90359.15Y01.11.2004PAPILLARY HYPERPLASIA OF THE PALATE, removal of - 5 to 20 lesions (Anaes.) (Assist.)
4583501.11.20043T8135SNNNNNYNNC01.11.200401.07.2021524.30393.25445.70Y01.11.2004PAPILLARY HYPERPLASIA OF THE PALATE, removal of - more than 20 lesions (Anaes.) (Assist.)
4583701.11.20043T8135SNNNNNYNNC01.11.200401.07.2021610.30457.75525.60Y01.11.2004VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.)
4583901.11.20043T8135SNNNNNYNNC01.11.200401.07.2021610.30457.75525.60Y01.11.2004FLOOR OF MOUTH LOWERING (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed - unilateral (Anaes.) (Assist.)
4584101.11.20043T8135SNNNNNYNNC01.11.200401.07.2021492.85369.65418.95Y01.11.2004ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.)
4584301.11.20043T8135SNNNNNYNNC01.11.200401.07.2021302.30226.75257.00Y01.11.2004ALVEOLAR RIDGE AUGMENTATION - unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (Anaes.) (Assist.)
4584501.11.20043T8135SNNNNNYNNC01.11.200401.07.2021524.30393.25445.70Y01.11.2004OSSEO-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.)
4584701.11.20043T8135SNNNNNYNNC01.11.200401.07.2021194.10145.60165.00Y01.11.2004OSSEO-INTEGRATION PROCEDURE - fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
4584901.11.20043T8135SNNNNNYNNC01.11.200401.07.2021604.45453.35519.75Y01.11.2004MAXILLARY SINUS, BONE GRAFT to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), (unilateral) (Anaes.) (Assist.)
4585101.11.20043T8135SNNNNNYNNA01.05.201601.07.2021148.80111.60Y01.11.2004TEMPOROMANDIBULAR 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.)
4585301.11.20043T8135SNNNNNYNNC01.11.200401.07.2021926.95695.25842.25Y01.11.2004ABSENT CONDYLE and ASCENDING RAMUS in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes.) (Assist.)
4585501.11.20043T8135SNNNNNYNNC01.11.200401.07.2021425.30319.00361.55Y01.11.2004TEMPOROMANDIBULAR JOINT, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint (Anaes.) (Assist.)
4585701.11.20043T8135SNNNNNYNNC01.11.200401.07.2021680.25510.20595.55Y01.05.2009TEMPOROMANDIBULAR 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.)
4585901.11.20043T8135SNNNNNYNNC01.11.200401.07.2021342.90257.20291.50Y01.11.2004TEMPOROMANDIBULAR JOINT, arthrotomy of, not being a service to which another item in this Subgroup applies (Anaes.) (Assist.)
4586101.11.20043T8135SNNNNNYNNC01.11.200401.07.2021907.65680.75822.95Y01.11.2004TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without microsurgical techniques (Anaes.) (Assist.)
4586301.11.20043T8135SNNNNNYNNC01.11.200401.07.20211006.15754.65921.45Y01.11.2004TEMPOROMANDIBULAR JOINT, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (Anaes.) (Assist.)
4586501.11.20043T8135SNNNNNYNNC01.11.200401.07.2021302.30226.75257.00Y01.11.2004ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.)
4586701.11.20043T8135SNNNNNYNNC01.11.200401.07.2021324.95243.75276.25Y01.11.2004TEMPOROMANDIBULAR JOINT, synovectomy of, not being a service to which another item in this Subgroup applies (Anaes.) (Assist.)
4586901.11.20043T8135SNNNNNYNNC01.11.200401.07.20211236.35927.301151.65Y01.11.2006TEMPOROMANDIBULAR 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.)
4587101.11.20043T8135SNNNNNYNNC01.11.200401.07.20211392.651044.501307.95Y01.11.2004TEMPOROMANDIBULAR JOINT, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (Anaes.) (Assist.)
4587301.11.20043T8135SNNNNNYNNC01.11.200401.07.20211564.951173.751480.25Y01.11.2004TEMPOROMANDIBULAR 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.)
4587501.11.20043T8135SNNNNNYNNC01.11.200401.07.2021489.75367.35416.30Y01.11.2004TEMPOROMANDIBULAR 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.)
4587701.11.20043T8135SNNNNNYNNC01.11.200401.07.2021489.75367.35416.30Y01.05.2009TEMPOROMANDIBULAR JOINT, arthrodesis of, with synovectomy if performed, not being a service to which another item in this Subgroup applies (Anaes.) (Assist.)
4587901.11.20043T8135SNNNNNYNNC01.11.200401.07.2021324.95243.75276.25Y01.11.2004TEMPOROMANDIBULAR JOINT OR JOINTS, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.)
4588201.11.20073T8135SNNNNNYNNC01.11.200701.07.202144.7533.6038.0501.11.2007The treatment of a premalignant lesion of the oral mucosa by a treatment using cryotherapy, diathermy or carbon dioxide laser.
4588501.11.20073T8135SNNNNNYNNC01.11.200701.07.2021461.65346.25392.45Y01.11.2007Facial, mandibular or lingual artery or vein or artery and vein, ligation of, not being a service to which item 41707 applies (Anaes.) (Assist.)
4588801.11.20073T8135SNNNNNYNNC01.11.200701.07.2021430.30322.75365.80Y01.11.2007FOREIGN BODY, in the oral and maxillofacial region, deep, removal of using interventional imaging techniques (Anaes.) (Assist.)
4589101.11.20073T8135SNNNNNYNNC01.11.200701.07.2021626.90470.20542.20Y01.11.2007SINGLE-STAGE LOCAL FLAP where indicated, repair to 1 defect, using temporalis muscle (Anaes.) (Assist.)
4589401.11.20073T8135SNNNNNYNNC01.11.200701.07.2021213.00159.75181.05Y01.11.2007FREE GRAFTING, in the oral and maxillofacial region, (mucosa or split skin) of a granulating area (Anaes.)
4589701.11.20073T8135SNNNNNYNNC01.11.200701.07.20211112.40834.301027.70Y01.11.2007ALVEOLAR CLEFT (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (Anaes.) (Assist.)
4590001.11.20073T8135SNNNNNYNNC01.11.200701.07.2021250.90188.20213.3001.11.2007MANDIBLE, fixation by intermaxillary wiring, excluding wiring for obesity
4593901.11.20073T8135SNNNNNYNNC01.11.200701.07.2021465.20348.90395.45Y01.11.2007PERIPHERAL BRANCHES OF THE TRIGEMINAL NERVE, cryosurgery of, for pain relief (Anaes.) (Assist.)
4594501.11.20073T8135SNNNNNYNNC01.11.200701.07.2021123.5092.65105.00Y01.11.2007MANDIBLE, treatment of a dislocation of, requiring open reduction (Anaes.)
4597501.11.20073T8135SNNNNNYNNC01.11.200701.07.2021134.40100.80114.2501.11.2007MAXILLA, unilateral or bilateral, treatment of fracture of, not requiring splinting
4597801.11.20073T8135SNNNNNYNNC01.11.200701.07.2021164.25123.20139.6501.11.2007MANDIBLE, treatment of fracture of, not requiring splinting
4598101.11.20073T8135SNNNNNYNNC01.11.200701.07.202189.1066.8575.7501.11.2007ZYGOMATIC BONE, treatment of fracture of, not requiring surgical reduction
4598401.11.20073T8135SNNNNNYNNC01.11.200701.07.2021641.60481.20556.90Y01.11.2007MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves requiring open reduction not involving plate(s) (Anaes.) (Assist.)
4598701.11.20073T8135SNNNNNYNNC01.11.200701.07.2021641.60481.20556.90Y01.11.2007MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.)
4599001.11.20073T8135SNNNNNYNNC01.11.200701.07.2021876.40657.30791.70Y01.11.2007MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves requiring open reduction involving the use of plate(s) (Anaes.) (Assist.)
4599301.11.20073T8135SNNNNNYNNC01.11.200701.07.2021876.40657.30791.70Y01.11.2007MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Anaes.) (Assist.)
4599601.11.20073T8135SNNNNNYNNC01.11.200701.07.2021248.45186.35211.20Y01.11.2007MANDIBLE, treatment of a closed fracture of, involving a joint surface (Anaes.)
4630001.12.19913T814SNNYNYYNNA01.11.200401.07.2021422.55316.95Y01.07.2021Arthrodesis of interphalangeal or metacarpophalangeal joint of hand, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy —one joint (H) (Anaes.) (Assist.)
4630301.12.19913T814SNNYNYYNNA01.11.200401.07.2021547.85410.90Y01.07.2021Arthrodesis of carpometacarpal joint of hand, including either or both of the following (if performed): (a) joint debridement; (b) synovectomy —one joint (H) (Anaes.) (Assist.)
4630801.07.20213T814SNYNNNNNNC01.07.202101.07.2021547.80410.85465.65Y01.07.2021Volar plate or soft tissue interposition arthroplasty of interphalangeal or metacarpophalangeal joint of hand, including either or both of the following (if performed): (a) realignment procedures; (b) tendon transfer —one joint (Anaes.) (Assist.)
4630901.12.19913T814SNNYNYYNNA01.11.200401.07.2021547.80410.85Y01.07.2021Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer —one joint (H) (Anaes.) (Assist.)
4631201.12.19913T814SNNYNYYNNA01.11.200401.07.2021704.40528.30Y01.07.2021Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer —2 joints of one hand (H) (Anaes.) (Assist.)
4631501.12.19913T814SNNYNYYNNA01.11.200401.07.2021939.15704.40Y01.07.2021Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer —3 joints of one hand (H) (Anaes.) (Assist.)
4631801.12.19913T814SNNYNYYNNA01.11.200401.07.20211173.95880.50Y01.07.2021Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer —4 joints of one hand (H) (Anaes.) (Assist.)
4632101.12.19913T814SNNYNYYNNA01.07.202101.07.20211408.751056.60Y01.07.2021Prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) ligament reconstruction; (b) ligament realignment; (c) synovectomy; (d) tendon transfer; —5 joints of one hand (H) (Anaes.) (Assist.)
4632201.07.20213T814SNYNNNNNNA01.07.202101.07.2021821.80616.35Y01.07.2021Revision of prosthetic replacement arthroplasty or hemiarthroplasty of interphalangeal or metacarpal joint of hand, including any of the following (if performed): (a) bone grafting; (b) ligament reconstruction; (c) ligament realignment; (d) synovectomy; (e) tendon or ligament reconstruction; (f) tendon transfer; —one joint (H) (Anaes.) (Assist.)
4632401.12.19913T814SNNYNYYNNA01.11.200401.07.2021958.55718.95Y01.07.2021Trapezium replacement arthroplasty or prosthetic interpositional replacement of carpometacarpal joint of thumb, including either or both of the following (if performed): (a) ligament and tendon transfers; (b) rebalancing procedures (H) (Anaes.) (Assist.)
4632501.11.19943T814SNNYNYYNNA01.11.200401.07.2021958.55718.95Y01.07.2021Excisional arthroplasty of carpometacarpal joint of thumb, with excision of adjacent trapezoid, including either or both of the following (if performed): (a) ligament and tendon transfers; (b) realignment procedures (H) (Anaes.) (Assist.)
4633001.12.19913T814SNNYNYYNNA01.11.200401.07.2021360.10270.10Y01.07.2021Ligamentous or capsular repair or reconstruction of interphalangeal or metacarpophalangeal joint of hand, including any of the following (if performed): (a) arthrotomy; (b) joint stabilisation; (c) synovectomy; —one joint (H) (Anaes.) (Assist.)
4633301.12.19913T814SNNYNYYNNA01.11.200401.07.2021586.90440.20Y01.07.2021Ligamentous or capsular repair or reconstruction of interphalangeal or metacarpophalangeal joint of hand with graft, using graft or implant, including any of the following (if performed): (a) arthrotomy; (b) harvest of graft; (c) joint stabilisation; (d) synovectomy; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 apply—one joint (H) (Anaes.) (Assist.)
4633501.07.20213T814SNYNNNNNNC01.07.202101.07.2021485.10363.85412.35Y01.07.2021Synovectomy of digital extensor tendons of hand, distal to wrist, for diagnosed inflammatory arthritis, including any of the following (if performed): (a) reconstruction of extensor retinaculum; (b) removal of tendon nodules; (c) tenolysis; (d) tenoplasty; other than a service associated with a service to which item 30023, 39331 or 39330 applies—applicable only once per occasion on which the service is performed (Anaes.) (Assist.)
4633601.12.19913T814SNNYNYYNNC01.12.199101.07.2021273.95205.50232.90Y01.07.2021Synovectomy of interphalangeal, metacarpophalangeal or carpometacarpal joint of hand, including any of the following (if performed): (a) capsulectomy; (b) debridement; (c) ligament or tendon realignment (or both); other than a service combined with a service to which item 46495 applies—one joint (Anaes.) (Assist.)
4633901.12.19913T814SNNYNYYNNA01.07.202101.07.2021485.10363.85Y01.07.2021Synovectomy of digital flexor tendons at wrist level, for diagnosed inflammatory arthritis, including either or both of the following (if performed): (a) tenolysis; (b) release of median nerve and carpal tunnel; other than a service associated with a service to which item 30023, 39331 or 39330 applies—applicable only once per occasion on which the service is performed (H) (Anaes.) (Assist.)
4634001.07.20213T814SNYNNNNNNA01.07.202101.07.2021412.35309.30Y01.07.2021Synovectomy of wrist flexor or extensor tendons of hand or wrist, for diagnosed inflammatory tenosynovitis, including any of the following (if performed): (a) reconstruction of flexor or extensor retinaculum; (b) removal of tendon nodules; (c) tenolysis; (d) tenoplasty; other than a service associated with a service to which item 30023, 39331 or 39330 applies—one or more compartments (H) (Anaes.) (Assist.)
4634101.07.20213T814SNYNNNNNNA01.07.202101.07.2021264.45198.35Y01.07.2021Synovectomy of wrist flexor or extensor tendons of hand or wrist, for non-inflammatory tenosynovitis or post traumatic synovitis, including any of the following (if performed): (a) reconstruction of flexor or extensor retinaculum; (b) removal of tendon nodules; (c) tenolysis; (d) tenoplasty; other than a service associated with a service to which item 30023, 39331 or 39330 applies—one or more compartments (H) (Anaes.) (Assist.)
4634201.12.19913T814SNNYNYYNNA01.11.200401.07.2021485.10363.85Y01.07.2021Synovectomy of distal radioulnar or carpometacarpal joint of hand—one or more joints (H) (Anaes.) (Assist.)
4634501.12.19913T814SNNYNYYNNA01.11.200401.07.2021586.90440.20Y01.07.2021Resection arthroplasty of distal radioulnar joint of hand, partial or complete, including any of the following (if performed): (a) ligament or tendon reconstruction; (b) joint stabilisation; (c) synovectomy (H) (Anaes.) (Assist.)
4634801.12.19913T814SNNYNYYNNA01.07.202101.07.2021254.35190.80Y01.07.2021Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies—one ray (H) (Anaes.) (Assist.)
4635101.12.19913T814SNNYNYYNNA01.11.200401.07.2021379.60284.70Y01.07.2021Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies—2 rays of one hand (H) (Anaes.) (Assist.)
4635401.12.19913T814SNNYNYYNNA01.11.200401.07.2021508.65381.50Y01.07.2021Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies—3 rays of one hand (H) (Anaes.) (Assist.)
4635701.12.19913T814SNNYNYYNNA01.11.200401.07.2021633.90475.45Y01.07.2021Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies—4 rays of one hand (H) (Anaes.) (Assist.)
4636001.12.19913T814SNNYNYYNNA01.11.200401.07.2021763.10572.35Y01.07.2021Flexor tenosynovectomy of hand, distal to lumbrical origin, including any of the following (if performed): (a) removal of intratendinous nodules; (b) tenolysis; (c) tenoplasty; other than a service associated with a service to which item 30023 or 46363 applies—5 rays of one hand (H) (Anaes.) (Assist.)
4636301.12.19913T814SNNYNYYNNC01.12.199101.07.2021219.10164.35186.25Y01.07.2021Trigger finger release, for stenosing tenosynoviti, including either or both of the following (if performed): (a) synovectomy; (b) synovial biopsy; —one ray (Anaes.) (Assist.)
4636401.07.20213T814SNYNNNNNNC01.07.202101.07.2021485.10363.85412.35Y01.07.2021Digital sympathectomy of hand, using microsurgical techniques, other than a service associated with a service to which item 30023 or 46363 applies—one digit or palmer arch (or both) or radial or ulnar artery (or both) (Anaes.) (Assist.)
4636501.07.20213T814SNYNNNNNNC01.07.202101.07.2021273.95205.50232.90Y01.07.2021Excision of rheumatoid nodules of hand —one lesion (Anaes.) (Assist.)
4636701.07.20213T814SNYNNNNNNC01.07.202101.07.2021413.70310.30351.65Y01.07.2021De Quervain's release, including any of the following (if performed): (a) synovectomy of extensor pollicis brevis; (b) synovectomy of abductor pollicis longus tendons; (c) retinaculum reconstruction; other than a service associated with a service to which item 46339 applies (Anaes.) (Assist.)
4637001.07.20213T814SNYNNNNNNC01.07.202101.07.2021133.1099.85113.15Y01.07.2021Percutaneous fasciotomy for Dupuytren’s contracture, by needle or chemical method, including either or both of the following (if performed): (a) immediate or delayed manipulation; (b) local or regional nerve block; —one ray (Anaes.) (Assist.)
4637201.12.19913T814SNNYNYYNNA01.07.202101.07.2021445.25333.95Y01.07.2021Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—one ray (H) (Anaes.) (Assist.)
4637501.12.19913T814SNNYNYYNNA01.07.202101.07.2021528.25396.20Y01.07.2021Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—2 rays (H) (Anaes.) (Assist.)
4637801.12.19913T814SNNYNYYNNA01.11.200401.07.2021704.40528.30Y01.07.2021Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—3 rays (H) (Anaes.) (Assist.)
4637901.07.20213T814SNYNNNNNNA01.07.202101.07.2021887.40665.55Y01.07.2021Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—4 rays (H) (Anaes.) (Assist.)
4638001.07.20213T814SNYNNNNNNA01.07.202101.07.20211118.05838.55Y01.07.2021Fasciectomy for Dupuytren’s contracture, including dissection of nerves (if performed)—5 rays (H) (Anaes.) (Assist.)
4638101.12.19913T814SNNYNYYNNA01.11.200401.07.2021313.00234.75Y01.07.2021Release of interphalangeal joint of hand, by open procedure, when performed in conjunction with an operation for Dupuytren’s contracture—one joint (H) (Anaes.) (Assist.)
4638401.12.19913T814SNNYNYYNNA01.11.200401.07.2021313.00234.75Y01.07.2021Z-plasty or similar local flap procedure, when performed in conjunction with an operation for Dupuytren’s contracture, including raising, transfer in-setting and suturing of both components (flaps)—one Z-plasty or local flap procedure (H) (Anaes.) (Assist.)
4638701.12.19913T814SNNYNYYNNA01.07.202101.07.2021645.75484.35Y01.07.2021Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies—one ray (H) (Anaes.) (Assist.)
4639001.12.19913T814SNNYNYYNNA01.11.200401.07.2021861.05645.80Y01.07.2021Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies—2 rays (H) (Anaes.) (Assist.)
4639301.12.19913T814SNNYNYYNNA01.11.200401.07.2021997.85748.40Y01.07.2021Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies—3 rays (H) (Anaes.) (Assist.)
4639401.07.20213T814SNYNNNNNNA01.07.202101.07.20211243.45932.60Y01.07.2021Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies—4 rays (H) (Anaes.) (Assist.)
4639501.07.20213T814SNYNNNNNNA01.07.202101.07.20211549.551162.20Y01.07.2021Fasciectomy for recurrence of Dupuytren’s contracture, including either or both of the following (if performed): (a) dissection of nerves; (b) neurolysis; other than a service associated with a service to which item 30023 applies—5 rays (H) (Anaes.) (Assist.)
4639901.12.19913T814SNNYNYYNNA01.11.200401.07.2021538.80404.10Y01.07.2021Osteotomy of phalanx or metacarpal of hand, with internal fixation—one bone (H) (Anaes.) (Assist.)
4640101.07.20213T814SNYNNNNNNC01.07.202101.07.2021432.45324.35367.60Y01.07.2021Operative treatment of non-union of phalanx or metacarpal of hand, including internal fixation (if performed) (Anaes.) (Assist.)
4640801.12.19913T814SNNYNYYNNA01.11.200401.07.2021720.00540.00Y01.07.2021Reconstruction of tendon of hand or wrist, by tendon graft, including either or both of the following (if performed): (a) harvest of graft; (b) tenolysis; other than a service associated with a service to which item 30023 applies (H) (Anaes.) (Assist.)
4641101.12.19913T814SNNYNYYNNA01.11.200401.07.2021422.60316.95Y01.07.2021Reconstruction of complete flexor tendon pulley of hand or wrist, with graft, including harvest of graft (if performed)—one pulley (H) (Anaes.) (Assist.)
4641401.12.19913T814SNNYNYYNNC01.12.199101.07.2021547.70410.80465.55Y01.07.2021Insertion of artificial tendon prosthesis in preparation for grafting of tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies (Anaes.) (Assist.)
4641701.12.19913T814SNNYNYYNNA01.11.200401.07.2021508.65381.50Y01.07.2021Transfer of tendon of hand or wrist, for restoration of hand or digit motion, including harvest of donor motor unit (if performed)—one transfer (H) (Anaes.) (Assist.)
4642001.12.19913T814SNNYNYYNNC01.12.199101.07.2021212.85159.65180.95Y01.07.2021Primary repair of extensor tendon of hand or wrist—one tendon (Anaes.) (Assist.)
4642301.12.19913T814SNNYNYYNNC01.12.199101.07.2021340.45255.35289.40Y01.07.2021Delayed repair of extensor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies (Anaes.) (Assist.)
4642601.12.19913T814SNNYNYYNNA01.11.200401.07.2021352.10264.10Y01.07.2021Primary repair of flexor tendon of hand or wrist, proximal to A1 pulley, other than a service to repair a tendon of a digit if 2 tendons of the same digit have been repaired during the same procedure—one tendon (H) (Anaes.) (Assist.)
4643201.12.19913T814SNNYNYYNNA01.11.200401.07.2021587.10440.35Y01.07.2021Primary repair of flexor tendon of hand or wrist, distal to A1 pulley, other than a service to repair a tendon of a digit if 2 tendons of the same digit have been repaired during the same procedure—one tendon (H) (Anaes.) (Assist.)
4643401.07.20213T814SNYNNNNNNC01.07.202101.07.2021505.80379.35429.95Y01.07.2021Delayed repair of flexor tendon of hand or wrist, including tenolysis (if performed), other than a service associated with a service to which item 30023 applies (Anaes.) (Assist.)
4643801.12.19913T814SNNYNYYNNC01.12.199101.07.2021140.90105.70119.80Y01.07.2021Closed pin fixation of mallet finger (Anaes.)
4644101.12.19913T814SNNYNYYNNC01.12.199101.07.2021340.45255.35289.40Y01.07.2021Open reduction of mallet finger, including any of the following (if performed): (a) joint release; (b) pin fixation; (c) tenolysis (Anaes.) (Assist.)
4644201.11.19943T814SNNNNNYNNA01.11.200401.07.2021292.25219.20Y01.11.1994MALLET FINGER with intra articular fracture involving more than one third of base of terminal phalanx - open reduction (Anaes.) (Assist.)
4644401.12.19913T814SNNYNYYNNA01.11.200401.07.2021508.65381.50Y01.07.2021Reconstruction of Boutonniere or swan neck deformity of hand, including either or both of the following (if performed): (a) tendon graft harvest; (b) tendon transfer —one joint (H) (Anaes.) (Assist.)
4645001.12.19913T814SNNYNYYNNA01.11.200401.07.2021234.85176.15Y01.07.2021Tenolysis of extensor tendon of hand or wrist, following tendon injury or graft, other than a service: (a) for acute, traumatic injury; or (b) associated with a service to which item 30023 applies —one ray (H) (Anaes.)
4645301.12.19913T814SNNYNYYNNA01.11.200401.07.2021391.35293.55Y01.07.2021Tenolysis of flexor tendon of hand or wrist, following tendon injury, repair or graft, other than a service: (a) for acute, traumatic injury; or (b) associated with a service to which item 30023 applies (H) (Anaes.) (Assist.)
4645601.12.19913T814SNNYNYYNNC01.12.199101.07.2021101.7576.3586.50Y01.07.2021Percutaneous tenotomy of digit of hand (Anaes.)
4646401.11.19943T814SNNYNYYNNA01.07.202101.07.2021234.85176.15Y01.07.2021Amputation of a supernumerary complete digit of hand (H) (Anaes.) (Assist.)
4646501.12.19913T814SNNYNYYNNA01.07.202101.07.2021234.85176.15Y01.07.2021Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps —one ray (H) (Anaes.) (Assist.)
4646801.12.19913T814SNNYNYYNNA01.11.200401.07.2021410.85308.15Y01.07.2021Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps —2 rays (H) (Anaes.) (Assist.)
4647101.12.19913T814SNNYNYYNNA01.07.202101.07.2021586.90440.20Y01.07.2021Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps —3 rays (H) (Anaes.) (Assist.)
4647401.12.19913T814SNNYNYYNNA01.11.200401.07.2021763.10572.35Y01.07.2021Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps —4 rays (H) (Anaes.) (Assist.)
4647701.12.19913T814SNNYNYYNNA01.11.200401.07.2021939.15704.40Y01.07.2021Amputation of digit of hand, distal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) resection of bone; (c) skin cover with local flaps —5 rays (H) (Anaes.) (Assist.)
4648001.12.19913T814SNNYNYYNNA01.07.202101.07.2021391.35293.55Y01.07.2021Amputation of ray of hand, proximal to metacarpal head, including any of the following (if performed): (a) excision of neuroma; (b) recontouring; (c) resection of bone; (d) skin cover with local flaps —one ray (H) (Anaes.) (Assist.)
4648301.12.19913T814SNNYNYYNNA01.07.202101.07.2021313.00234.75Y01.07.2021Revision of amputation stump of hand to provide adequate cover, including any of the following (if performed): (a) bone shortening; (b) excision of nail bed remnants; (c) excision of neuroma (H) (Anaes.) (Assist.)
4648601.12.19913T814SNNYNYYNNA01.05.201601.07.2021234.85176.15Y01.07.2021Accurate reconstruction of nail bed laceration using magnification (H) (Anaes.)
4648901.12.19913T814SNNYNYYNNA01.05.201601.07.2021273.95205.50Y01.07.2021Secondary reconstruction of nail bed deformity using magnification, including removal of nail (if performed), other than a service associated with a service to which item 46513 or 45451 applies (H) (Anaes.) (Assist.)
4649201.12.19913T814SNNYNYYNNA01.11.200401.07.2021375.70281.80Y01.07.2021Surgical correction of contracture of joint of hand, flexor or extensor tendon, involving tissues deeper than skin and subcutaneous tissue—one joint (H) (Anaes.) (Assist.)
4649301.07.20213T814SNYNNNNNNC01.07.202101.07.2021342.90257.20291.50Y01.07.2021Resection of boss of metacarpal base of hand, including either or both of the following (if performed): (a) excision of ganglion; (b) synovectomy (Anaes.) (Assist.)
4649501.12.19913T814SNNYNYYNNA01.07.202101.07.2021211.40158.55Y01.07.2021Complete excision of one or more ganglia or mucous cysts of interphalangeal, metacarpophalangeal or carpometacarpal joint of hand, including any of the following (if performed): (a) arthrotomy; (b) osteophyte resections (c) synovectomy other than a service associated with a service to which item30107 or 46336 applies—one joint (H) (Anaes.) (Assist.)
4649801.12.19913T814SNNYNYYNNC01.12.199101.07.2021228.85171.65194.55Y01.07.2021Excision of ganglion of flexor tendon sheath of hand, including any of the following (if performed): (a) flexor tenosynovectomy; (b) sheath excision; (c) skin closure by any method other than a service associated with a service to which item30106, 30107 or 46363 applies (Anaes.)
4650001.11.19943T814SNNYNYYNNC01.11.199401.07.2021273.95205.50232.90Y01.07.2021Excision of ganglion of dorsal wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy other than a service associated with a service to which item30106 or 30107 applies (Anaes.) (Assist.)
4650101.12.19913T814SNNYNYYNNC01.12.199101.07.2021342.50256.90291.15Y01.07.2021Excision of ganglion of volar wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy; other than a service associated with a service to which item30106, 30107 or 46325 applies (Anaes.) (Assist.)
4650201.11.19943T814SNNYNYYNNC01.11.199401.07.2021410.90308.20349.30Y01.07.2021Excision of recurrent ganglion of dorsal wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy (Anaes.) (Assist.)
4650301.11.19943T814SNNYNYYNNC01.11.199401.07.2021393.70295.30334.65Y01.07.2021Excision of recurrent ganglion of volar wrist joint of hand, including any of the following (if performed): (a) arthrotomy; (b) capsular or ligament repair (or both); (c) synovectomy; other than a service associated with a service to which item 30106 or 30107 applies (Anaes.) (Assist.)
4650401.12.19913T814SNNYNYYNNC01.12.199101.07.20211150.35862.801065.65Y01.07.2021Neurovascular island flap, heterodigital, for pulp re-innervation and soft tissue cover (Anaes.) (Assist.)
4650701.12.19913T814SNNYNYYNNA01.11.200401.07.20211560.751170.60Y01.07.2021Transposition or transfer of digit or ray on vascular pedicle of hand, including any of the following (if performed): (a) nerve transfer; (b) skin closure, by any means; (c) rebalancing procedures (H) (Anaes.) (Assist.)
4651001.12.19913T814SNNYNYYNNA01.11.200401.07.2021365.20273.90Y01.07.2021Surgical reduction of enlarged elements resulting from macrodactyly, including any of the following (if performed): (a) nerve transfer; (b) skin closure, by any means; (c) rebalancing procedures —one digit (H) (Anaes.) (Assist.)
4651301.11.19943T814SNNYNYYNNC01.11.199401.07.202158.7544.1049.95Y01.07.2021Removal of nail of finger or thumb—one nail (Anaes.)
4651901.11.19943T814SNNYNYYNNC01.11.199401.07.2021146.95110.25124.95Y01.07.2021Drainage of midpalmar, thenar or hypothenar spaces or dorsum of hand, excluding aftercare (Anaes.) (Assist.)
4652201.11.19943T814SNNYNYYNNA01.11.200401.07.2021438.25328.70Y01.07.2021Open operation and drainage of infection for flexor tendon sheath of finger or thumb, including either or both of the following (if performed): (a) synovectomy; (b) tenolysis; other than a service associated with a service to which item 30023 applies—one digit (H) (Anaes.) (Assist.)
4652501.11.19943T814SNNYNYYNNA01.07.202101.07.202158.7544.10Y01.07.2021Incision for pulp space infection of hand: (a) other than a service: (i) to which another item in this Group applies; or (ii) associated with a service to which item30023 applies; and (b) excluding aftercare (H) (Anaes.)
4652801.11.19943T814SNNYNYYNNC01.11.199401.07.2021176.35132.30149.90Y01.07.2021Wedge resection for ingrowing nail of finger or thumb: (a) including each of the following: (i) excision and partial ablation of germinal matrix; (ii) removal of segment of nail; (iii) removal of ungual fold; and (b) including phenolisation (if performed) (Anaes.)
4653101.11.19943T814SNNYNYYNNC01.11.199401.07.202188.6066.4575.35Y01.07.2021Partial resection of ingrowing nail of finger or thumb,including phenolisation (Anaes.)
4653401.11.19943T814SNNYNYYNNA01.07.202101.07.2021245.05183.80Y01.07.2021Complete ablation of nail germinal matrix (H) (Anaes.)
4700001.12.19913T8151SNNYNYYNNC01.12.199101.07.202173.5555.2062.55Y01.07.2021Treatment of dislocation of mandible, by closed reduction (Anaes.)
4700301.12.19913T8151SNNYNYYNNC01.12.199101.07.202188.2566.2075.05Y01.07.2021Treatment of dislocation of clavicle, by closed reduction (Anaes.)
4700701.07.20213T8151SNYNNNNNNC01.07.202101.07.2021367.35275.55312.25Y01.07.2021Repair of acromioclavicular or sternoclavicular joint dislocation (acute or chronic), by open, mini-open or arthroscopic technique, including either or both of the following (if performed): (a) ligament augmentation; (b) tendon transfers (Anaes.) (Assist.)
4700901.12.19913T8151SNNYNYYNNC01.12.199101.07.2021176.35132.30149.90Y01.07.2021Treatment of dislocation of shoulder, requiring general anaesthesia, other than a service to which item47012 applies (Anaes.)
4701201.12.19913T8151SNNYNYYNNA01.11.200401.07.2021352.55264.45Y01.07.2021Treatment of dislocation of shoulder, requiring general anaesthesia, by open reduction (H) (Anaes.) (Assist.)
4701501.12.19913T8151SNNYNYYNNC01.12.199101.07.202188.2566.2075.0501.07.2021Treatment of dislocation of shoulder, not requiring general anaesthesia
4701801.12.19913T8151SNNYNYYNNC01.12.199101.07.2021205.60154.20174.80Y01.07.2021Treatment of dislocation of elbow, by closed reduction (Anaes.)
4702101.12.19913T8151SNNYNYYNNA01.11.200401.07.2021274.25205.70Y01.07.2021Treatment of dislocation of elbow, by open reduction (H) (Anaes.) (Assist.)
4702401.12.19913T8151SNNYNYYNNC01.12.199101.07.2021205.60154.20174.80Y01.07.2021Treatment of dislocation of distal or proximal radioulnar joint, by closed reduction, other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose of treating fracture or dislocation in the same region (Anaes.)
4702701.12.19913T8151SNNYNYYNNC01.07.202101.07.2021676.05507.05591.35Y01.07.2021Treatment of dislocation of distal or proximal radioulnar joint, by open reduction, including either or both of the following (if performed): (a) styloid fracture; (b) triangular fibrocartilage complex repair; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of treating fracture or dislocation in the same region (Anaes.) (Assist.)
4703001.12.19913T8151SNNYNYYNNC01.12.199101.07.2021205.60154.20174.80Y01.07.2021Treatment of dislocation of carpus, carpus on radius and ulna or carpometacarpal joint, by closed reduction (Anaes.)
4703301.12.19913T8151SNNYNYYNNC01.12.199101.07.2021676.05507.05591.35Y01.07.2021Treatment of dislocation of carpus, carpus on radius and ulna or carpometacarpal joint, by open reduction, including ligament repair (if performed) (Anaes.) (Assist.)
4704201.12.19913T8151SNNYNYYNNC01.12.199101.07.2021117.4088.0599.80Y01.07.2021Treatment of dislocation of interphalangeal or metacarpophalangeal joint, by closed reduction (Anaes.)
4704501.12.19913T8151SNNYNYYNNC01.12.199101.07.2021438.55328.95372.80Y01.07.2021Treatment of dislocation of interphalangeal or metacarpophalangeal joint, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) ligament repair; (d) volar plate repair (Anaes.) (Assist.)
4704701.07.20213T8151SNYNNNNNNC01.07.202101.07.2021337.95253.50287.30Y01.07.2021Treatment of dislocation of prosthetic hip, by closed reduction (Anaes.) (Assist.)
4704901.07.20213T8151SNYNNNNNNC01.07.202101.07.2021450.50337.90382.95Y01.07.2021Treatment of dislocation of prosthetic hip, by open reduction (Anaes.) (Assist.)
4705201.07.20213T8151SNYNNNNNNC01.07.202101.07.2021439.35329.55373.45Y01.07.2021Treatment of dislocation of native hip, by closed reduction (Anaes.) (Assist.)
4705301.07.20213T8151SNYNNNNNNC01.07.202101.07.2021585.65439.25500.95Y01.07.2021Treatment of dislocation of native hip, by open reduction, with internal fixation (if performed) (Anaes.) (Assist.)
4705401.12.19913T8151SNNYNYYNNC01.12.199101.07.2021337.95253.50287.30Y01.07.2021Treatment of dislocation of knee, by closed reduction, including application of external fixator (if performed) (Anaes.) (Assist.)
4705701.12.19913T8151SNNYNYYNNC01.12.199101.07.2021132.2099.15112.40Y01.07.2021Treatment of dislocation of patella, by closed reduction (Anaes.)
4706001.12.19913T8151SNNYNYYNNC01.12.199101.07.2021176.35132.30149.90Y01.07.2021Treatment of dislocation of patella, by open reduction (Anaes.) (Assist.)
4706301.12.19913T8151SNNYNYYNNC01.12.199101.07.2021264.45198.35224.80Y01.07.2021Treatment of dislocation of ankle or tarsus, by closed reduction (Anaes.) (Assist.)
4706601.12.19913T8151SNNYNYYNNA01.11.200401.07.2021352.55264.45Y01.07.2021Treatment of dislocation of ankle or tarsus, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint (H) (Anaes.) (Assist.)
4706901.12.19913T8151SNNYNYYNNC01.12.199101.07.202173.5555.2062.55Y01.07.2021Treatment of dislocation of toe, by open reduction—one toe (Anaes.)
4730101.05.20163T8152SNNYNYYNNC01.05.201601.07.202190.3067.7576.80Y01.07.2021Treatment of fracture of middle or proximal phalanx, by closed reduction, requiring anaesthesia—one bone (Anaes.)
4730401.05.20163T8152SNNYNYYNNA01.05.201601.07.2021102.9077.20Y01.07.2021Treatment of fracture of metacarpal, by closed reduction, requiring anaesthesia—onebone (H) (Anaes.)
4730701.05.20163T8152SNNYNYYNNA01.05.201601.07.2021208.10156.10Y01.07.2021Treatment of fracture of phalanx or metacarpal, by closed reduction, including percutaneous K‑wire fixation (if performed)—one bone (H) (Anaes.) (Assist.)
4731001.05.20163T8152SNNYNYYNNA01.05.201601.07.2021343.40257.55Y01.07.2021Treatment of fracture of phalanx or metacarpal, by open reduction, with internal fixation (H) (Anaes.) (Assist.)
4731301.05.20163T8152SNNYNYYNNA01.05.201601.07.2021332.95249.75Y01.07.2021Treatment of intra-articular fracture of phalanx or metacarpal, by closed reduction, including: (a) percutaneous K-wire fixation; and (b) external or dynamic fixation (if performed) (H) (Anaes.) (Assist.)
4731601.05.20163T8152SNNYNYYNNA01.05.201601.07.2021660.75495.60Y01.07.2021Treatment of intra‑articular fracture of phalanx or metacarpal, by open reduction with fixation, other than a service provided on the same occasion as a service to which item47319 applies (H) (Anaes.) (Assist.)
4731901.05.20163T8152SNNYNYYNNA01.05.201601.07.2021676.35507.30Y01.07.2021Treatment of intra-articular fracture of proximal end of middle phalanx, by open reduction, with fixation, other than a service provided on the same occasion as a service to which item47316 applies (H) (Anaes.) (Assist.)
4734801.12.19913T8152SNNYNYYNNC01.12.199101.07.202197.8073.3583.15Y01.07.2021Treatment of fracture of carpus (excluding scaphoid), by cast immobilisation, other than a service associated with a service to which item47351 applies (Anaes.)
4735101.12.19913T8152SNNYNYYNNC01.12.199101.07.2021245.05183.80208.30Y01.07.2021Treatment of fracture of carpus (excluding scaphoid), by open reduction, with internal fixation (Anaes.) (Assist.)
4735401.12.19913T8152SNNYNYYNNC01.12.199101.07.2021176.35132.30149.90Y01.07.2021Treatment of fracture of carpal scaphoid, by cast immobilisation, other than a service associated with a service to which item47357 applies (Anaes.)
4735701.12.19913T8152SNNYNYYNNC01.12.199101.07.2021391.80293.85333.05Y01.07.2021Treatment of fracture of carpal scaphoid, by open reduction, with internal or percutaneous fixation (Anaes.) (Assist.)
4736101.05.20163T8152SNNYNYYNNC01.05.201601.07.2021137.15102.90116.6001.07.2021Treatment of fracture of distal end of radius or ulna (or both), by cast immobilisation, other than a service associated with a service to which item47362, 47364, 47367, 47370 or 47373 applies
4736201.05.20163T8152SNNYNYYNNC01.05.201601.07.2021205.60154.20174.80Y01.07.2021Treatment of fracture of distal end of radius or ulna (or both), by closed reduction, requiring general or major regional anaesthesia, but excluding local infiltration, other than a service associated with a service to which item47361, 47364, 47367, 47370 or 47373 applies (Anaes.)
4736401.05.20163T8152SNNYNYYNNA01.05.201601.07.2021291.35218.55Y01.07.2021Treatment of fracture of distal end of radius or ulna (not involving joint surface), by open reduction with fixation, other than a service associated with a service to which item47361 or 47362 applies (H) (Anaes.) (Assist.)
4736701.05.20163T8152SNNYNYYNNA01.05.201601.07.2021232.70174.55Y01.07.2021Treatment of fracture of distal end of radius, by closed reduction with percutaneous fixation, other than a service associated with a service to which item47361 or 47362 applies (H) (Anaes.) (Assist.)
4737001.05.20163T8152SNNYNYYNNA01.05.201601.07.2021422.45316.85Y01.07.2021Treatment of intra‑articular fracture of distal end of radius, by open reduction with fixation, other than a service associated with a service to which item47361 or 47362 applies (H) (Anaes.) (Assist.)
4737301.05.20163T8152SNNYNYYNNA01.05.201601.07.2021301.75226.35Y01.07.2021Treatment of intra‑articular fracture of distal end of ulna, by open reduction with fixation, other than a service associated with a service to which item47361 or 47362 applies (H) (Anaes.) (Assist.)
4738101.12.19913T8152SNNYNYYNNA01.05.201601.07.2021264.45198.35Y01.07.2021Treatment of fracture of shaft of radius or ulna, by closed reduction (H) (Anaes.)
4738401.12.19913T8152SNNYNYYNNA01.11.200401.07.2021352.55264.45Y01.07.2021Treatment of fracture of shaft of radius or ulna, by open reduction with internal fixation (H) (Anaes.) (Assist.)
4738501.12.19913T8152SNNYNYYNNA01.05.201601.07.2021303.55227.70Y01.07.2021Treatment of: (a) fracture of shaft of radius or ulna; and (b) dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury); by closed reduction (H) (Anaes.) (Assist.)
4738601.12.19913T8152SNNYNYYNNA01.11.200401.07.2021489.75367.35Y01.07.2021Treatment of: (a) fracture of shaft of radius or ulna; and (b) dislocation of distal radio-ulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury); by open reduction, with internal fixation, including reduction of dislocation (if performed) (H) (Anaes.) (Assist.)
4738701.12.19913T8152SNNYNYYNNC01.12.199101.07.2021284.00213.00241.40Y01.07.2021Treatment of fracture of distal or shaft of radius or ulna (or both), by cast immobilisation, other than a service to which item47390 or 47393 applies (Anaes.) (Assist.)
4739001.12.19913T8152SNNYNYYNNA01.11.200401.07.2021426.15319.65Y01.07.2021Treatment of fracture of shafts of radius and ulna, by closed reduction (H) (Anaes.)
4739301.12.19913T8152SNNYNYYNNA01.11.200401.07.2021568.10426.10Y01.07.2021Treatment of fracture of shafts of radius and ulna, by open reduction, with internal fixation (H) (Anaes.) (Assist.)
4739601.12.19913T8152SNNYNYYNNC01.12.199101.07.2021195.80146.85166.45Y01.07.2021Treatment of fracture of olecranon, by closed reduction (Anaes.)
4739901.12.19913T8152SNNYNYYNNA01.11.200401.07.2021391.80293.85Y01.07.2021Treatment of fracture of olecranon, by open reduction (H) (Anaes.) (Assist.)
4740201.12.19913T8152SNNYNYYNNC01.12.199101.07.2021293.75220.35249.70Y01.07.2021Treatment of fracture of olecranon, with excision of olecranon fragment and reimplantation of tendon (Anaes.) (Assist.)
4740501.12.19913T8152SNNYNYYNNC01.12.199101.07.2021195.80146.85166.45Y01.07.2021Treatment of fracture of head or neck of radius, by closed reduction (Anaes.)
4740801.12.19913T8152SNNYNYYNNA01.11.200401.07.2021391.80293.85Y01.07.2021Treatment of fracture of head or neck of radius, by open reduction, including internal fixation and excision (if performed) (H) (Anaes.) (Assist.)
4741101.12.19913T8152SNNYNYYNNC01.12.199101.07.2021117.4088.0599.80Y01.07.2021Treatment of fracture of tuberosity of humerus, other than a service to which item47417 applies (Anaes.)
4741401.12.19913T8152SNNYNYYNNC01.12.199101.07.2021235.15176.40199.90Y01.07.2021Treatment of fracture of tuberosity of humerus, by open reduction (Anaes.)
4741701.12.19913T8152SNNYNYYNNC01.12.199101.07.2021274.25205.70233.15Y01.07.2021Treatment of fracture of tuberosity of humerus and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.)
4742001.12.19913T8152SNNYNYYNNA01.11.200401.07.2021538.80404.10Y01.07.2021Treatment of fracture of tuberosity of humerus and associated dislocation of shoulder, by open reduction (H) (Anaes.) (Assist.)
4742301.12.19913T8152SNNYNYYNNC01.12.199101.07.2021225.25168.95191.50Y01.07.2021Humerus, proximal, treatment of fracture of, other than a service to which item47426, 47429 or 47432 applies (Anaes.)
4742601.12.19913T8152SNNYNYYNNB01.07.202101.07.2021337.95287.30Y01.07.2021Humerus, proximal, treatment of fracture of, by closed reduction (H) (Anaes.)
4742901.12.19913T8152SNNYNYYNNA01.11.200401.07.2021450.50337.90Y01.07.2021Humerus, proximal, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.)
4743201.12.19913T8152SNNYNYYNNA01.11.200401.07.2021563.20422.40Y01.07.2021Humerus, proximal, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.)
4743501.12.19913T8152SNNYNYYNND01.07.202101.07.2021431.05323.30431.05Y01.07.2021Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction (Anaes.) (Assist.)
4743801.12.19913T8152SNNYNYYNNA01.11.200401.07.2021685.85514.40Y01.07.2021Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (H) (Anaes.) (Assist.)
4744101.12.19913T8152SNNYNYYNNA01.11.200401.07.2021857.15642.90Y01.07.2021Humerus, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction (H) (Anaes.) (Assist.)
4744401.12.19913T8152SNNYNYYNNC01.12.199101.07.2021235.15176.40199.90Y01.07.2021Humerus, shaft of, treatment of fracture of, other than a service to which item47447 or 47450 applies (Anaes.)
4744701.12.19913T8152SNNYNYYNNA01.11.200401.07.2021352.55264.45Y01.07.2021Humerus, shaft of, treatment of fracture of, by closed reduction (H) (Anaes.)
4745001.12.19913T8152SNNYNYYNNA01.11.200401.07.2021470.30352.75Y01.07.2021Humerus, shaft of, treatment of fracture of, by internal or external (H) (Anaes.) (Assist.)
4745101.11.19963T8152SNNYNYYNNA01.11.200401.07.2021566.85425.15Y01.07.2021Humerus, shaft of, treatment of fracture of, by intramedullary fixation (H) (Anaes.) (Assist.)
4745301.12.19913T8152SNNYNYYNNC01.12.199101.07.2021274.25205.70233.15Y01.07.2021Humerus, distal, (supracondylar or condylar), treatment of fracture of, other than a service to which item47456 or 47459 applies (Anaes.) (Assist.)
4745601.12.19913T8152SNNYNYYNNA01.05.201601.07.2021411.55308.70Y01.07.2021Humerus, distal (supracondylar or condylar), treatment of fracture of, by closed reduction (H) (Anaes.) (Assist.)
4745901.12.19913T8152SNNYNYYNNA01.11.200401.07.2021548.65411.50Y01.07.2021Humerus, distal (supracondylar or condylar), treatment of fracture of, by open reduction (H) (Anaes.) (Assist.)
4746201.12.19913T8152SNNYNYYNNC01.12.199101.07.2021117.4088.0599.80Y01.07.2021Clavicle, treatment of fracture of, other than a service to which item47465 applies (Anaes.)
4746501.12.19913T8152SNNYNYYNNC01.12.199101.07.2021538.80404.10458.00Y01.07.2021Clavicle, treatment of fracture of, by open reduction (Anaes.) (Assist.)
4746601.12.19913T8152SNNYNYYNNC01.12.199101.07.2021117.4088.0599.80Y01.07.2021Sternum, treatment of fracture of, other than a service to which item47467 applies (Anaes.)
4746701.12.19913T8152SNNYNYYNNA01.11.200401.07.2021235.15176.40Y01.07.2021Sternum, treatment of fracture of, by open reduction (H) (Anaes.)
4746801.12.19913T8152SNNYNNYNNC01.12.199101.07.2021450.50337.90382.95Y01.12.1991SCAPULA, neck or glenoid region of, treatment of fracture of, by open reduction (Anaes.) (Assist.)
4747101.12.19913T8152SNNYNYYNNC01.12.199101.07.202144.7533.6038.0501.07.2021RIBS (one or more), treatment of fracture of - each attendance
4747401.12.19913T8152SNNYNNYNNC01.12.199101.07.2021195.80146.85166.4501.11.1994PELVIC RING, treatment of fracture of, not involving disruption of pelvic ring or acetabulum
4747701.12.19913T8152SNNYNNYNNC01.12.199101.07.2021245.05183.80208.3001.11.1994PELVIC RING, treatment of fracture of, with disruption of pelvic ring or acetabulum
4748001.12.19913T8152SNNYNYYNNA01.11.200401.07.2021489.75367.35Y01.07.2021PELVIC RING, treatment of fracture of, requiring traction (H) (Anaes.) (Assist.)
4748301.12.19913T8152SNNYNYYNNA01.11.200401.07.2021587.75440.85Y01.07.2021PELVIC RING, treatment of fracture of, requiring control by external fixation (H) (Anaes.) (Assist.)
4748601.12.19913T8152SNNYNYYNNA01.11.200401.07.2021979.60734.70Y01.07.2021Treatment of fracture of anterior pelvic ring or sacroiliac joint disruption (or both), by open reduction, with internal fixation (H) (Anaes.) (Assist.)
4748901.12.19913T8152SNNYNYYNNA01.11.200401.07.20211469.401102.05Y01.07.2021Treatment of fracture of posterior pelvic ring or sacroiliac joint disruption (or both), by open reduction, with internal fixation (H) (Anaes.) (Assist.)
4749101.07.20213T81511SNSYNNNNNNA01.07.202101.07.20211616.301212.25Y01.07.2021Combined anterior and posterior pelvic ring disruption, including sacroiliac joint disruption, treatment of fracture by open reduction and internal fixation of both anterior and posterior ring segments (H) (Anaes.) (Assist.)
4749501.12.19913T8152SNNYNYYNNC01.12.199101.07.2021489.75367.35416.30Y01.07.2021Treatment of fracture of acetabulum and associated dislocation of hip, including the application and management of traction (if performed), excluding aftercare (Anaes.) (Assist.)
4749801.12.19913T8152SNNYNYYNNA01.11.200401.07.2021734.65551.00Y01.07.2021Treatment of isolated posterior wall fracture of acetabulumand associated dislocation of hip, by open reduction, with internal fixation, including the application and management of traction (if performed) (H) (Anaes.) (Assist.)
4750101.12.19913T8152SNNYNYYNNA01.11.200401.07.2021979.60734.70Y01.07.2021Treatment of anterior or posterior column fracture of acetabulum, by open reduction, with internal fixation, including any of the following (if performed): (a) capsular stabilisation; (b) capsulotomy; (c) osteotomy (H) (Anaes.) (Assist.)
4751101.07.20213T8152SNYNNNNNNA01.07.202101.07.20211469.401102.05Y01.07.2021Treatment of combined column T-Type, transverse, anterior column or posterior hemitransverse fractures of acetabulum, by open reduction, with internal fixation, performed through single or dual approach (including fixation of the posterior wall fracture), including any of the following (if performed): (a) capsular stabilisation; (b) capsulotomy; (c) osteotomy (H) (Anaes.) (Assist.)
4751401.07.20213T8152SNYNNNNNNA01.07.202101.07.2021857.15642.90Y01.07.2021Treatment of posterior wall fracture of acetabulum and associated femoral head fracture, by open reduction, with internal fixation (H) (Anaes.) (Assist.)
4751601.12.19913T8152SNNYNNYNNC01.12.199101.07.2021450.50337.90382.95Y01.12.1991FEMUR, treatment of fracture of, by closed reduction or traction (Anaes.) (Assist.)
4751901.12.19913T8152SNNYNYYNNA01.11.200401.07.2021901.30676.00Y01.07.2021FEMUR, treatment of trochanteric or subcapital fracture of, by internal fixation (H) (Anaes.) (Assist.)
4752801.12.19913T8152SNNYNYYNNA01.11.200401.07.2021783.80587.85Y01.07.2021FEMUR, treatment of fracture of, by internal fixation or external fixation (H) (Anaes.) (Assist.)
4753101.12.19913T8152SNNYNYYNNA01.11.200401.07.2021999.15749.40Y01.07.2021FEMUR, treatment of fracture of shaft, by intramedullary fixation and cross fixation (H) (Anaes.) (Assist.)
4753401.12.19913T8152SNNYNYYNNA01.11.200401.07.20211126.55844.95Y01.07.2021Femur, condylar region of, treatment of intra‑articular (T‑shaped condylar) fracture of, requiring internal fixation, with or without internal fixation of one or more osteochondral fragments (H) (Anaes.) (Assist.)
4753701.12.19913T8152SNNYNYYNNC01.12.199101.07.2021450.50337.90382.95Y01.07.2021Femur, condylar region of, treatment of fracture of, requiring internal fixation of one or more osteochondral fragments, other than a service associated with a service to which item47534 applies (Anaes.) (Assist.)
4754001.12.19913T8152SNNYNYYNNC01.12.199101.07.2021225.25168.95191.50Y01.07.2021Hip spica or shoulder spica, application of, as an independent procedure (Anaes.)
4754301.12.19913T8152SNNYNYYNNC01.12.199101.07.2021235.15176.40199.90Y01.07.2021Tibia, plateau of, treatment of medial or lateral fracture of, other than a service to which item47546 or 47549 applies (Anaes.)
4754601.12.19913T8152SNNYNYYNNC01.12.199101.07.2021352.55264.45299.70Y01.07.2021Tibia, plateau of, treatment of medial or lateral fracture of, by closed reduction (Anaes.)
4754901.12.19913T8152SNNYNYYNNA01.11.200401.07.2021560.05420.05Y01.07.2021Treatment of medial or lateral fracture of plateau of tibia, by open reduction, with internal fixation, including any of the following (if performed): (a) arthroscopy; (b) arthrotomy; (c) meniscal repair (H) (Anaes.) (Assist.)
4755201.12.19913T8152SNNYNYYNNC01.12.199101.07.2021391.80293.85333.05Y01.07.2021Tibia, plateau of, treatment of both medial and lateral fractures of, other than a service to which item47555 or 47558 applies (Anaes.) (Assist.)
4755501.12.19913T8152SNNYNYYNNA01.11.200401.07.2021587.75440.85Y01.07.2021Tibia, plateau of, treatment of both medial and lateral fractures of, by closed reduction (H) (Anaes.)
4755801.12.19913T8152SNNYNYYNNA01.11.200401.07.20211038.40778.80Y01.07.2021Treatment of medial and lateral fractures of tibia, by open reduction, with internal fixation, including any of the following (if performed): (a) arthroscopy; (b) arthrotomy; (c) meniscal repair (H) (Anaes.) (Assist.)
4755901.07.20213T8152SNYNNNNNNC01.07.202101.07.2021795.25596.45710.55Y01.07.2021Treatment of medial or lateral (or both) fracture of plateau of tibia, with application of a bridging external fixator to the plateau (Anaes.) (Assist.)
4756101.12.19913T8152SNNYNYYNNC01.12.199101.07.2021284.00213.00241.40Y01.07.2021Treatment of fracture of shaft of tibia, by cast immobilisation, other than a service to which item47570 or 47573 applies (Anaes.)
4756501.05.19943T8152SNNYNYYNNA01.11.200401.07.2021741.25555.95Y01.07.2021Tibia, shaft of, treatment of fracture of, by internal fixation or external fixation (H) (Anaes.) (Assist.)
4756601.05.19943T8152SNNYNYYNNA01.11.200401.07.2021944.90708.70Y01.07.2021Tibia, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation (H) (Anaes.) (Assist.)
4756801.07.20213T8152SNYNNNNNNC01.07.202101.07.2021426.15319.65362.25Y01.07.2021Closed reduction of proximal tibia, distal tibia or shaft of tibia, with or without treatment of fibular fracture (Anaes.) (Assist.)
4757001.12.19913T8152SNNYNYYNNC01.12.199101.07.2021568.10426.10483.40Y01.07.2021Tibia, shaft of, treatment of fracture of, by open reduction, with or without treatment of fibular fracture (Anaes.) (Assist.)
4757301.12.19913T8152SNNYNYYNNA01.11.200401.07.2021710.20532.65Y01.07.2021Treatment of proximal or distal intra-articular fracture of shaft of tibia, by open reduction, with or without treatment of fibular fracture, including any of the following (if performed): (a) arthroscopy; (b) arthrotomy; (c) capsule repair; (d) removal of intervening soft tissue; (e) removal of loose fragments; (f) washout of joint; other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose of treating a medial malleolus fractureof the distal tibia (H) (Anaes.) (Assist.)
4757901.12.19913T8152SNNYNYYNNC01.12.199101.07.2021166.55124.95141.60Y01.07.2021Treatment of fracture of patella, other than a service to which item 47582 or 47585 applies (Anaes.)
4758201.12.19913T8152SNNYNYYNNA01.11.200401.07.2021440.95330.75Y01.07.2021Treatment of fracture of patella, with internal fixation, including bone grafting (if performed), other than a service associated with a service to which item 47579 or 47585 applies (H) (Anaes.) (Assist.)
4758501.12.19913T8152SNNYNYYNNA01.11.200401.07.2021455.85341.90Y01.07.2021Treatment of proximal or distal fracture of patella, by open reduction, with internal fixation, including any of the following (if performed): (a) arthrotomy; (b) excision of patellar pole, with reattachment of tendon; (c) removal of loose fragments; (d) repair of quadriceps or patellar tendon (or both); (e) stabilisation of patello-femoral joint (H) (Anaes.) (Assist.)
4758801.12.19913T8152SNNYNYYNNA01.11.200401.07.20211371.251028.45Y01.07.2021Knee joint, treatment of fracture of, by internal fixation of intra‑articular fractures of femoral condylar or tibial articular surfaces and requiring repair or reconstruction of one or more ligaments (H) (Anaes.) (Assist.)
4759101.12.19913T8152SNNYNYYNNA01.11.200401.07.20211665.501249.15Y01.07.2021Knee joint, treatment of fracture of, by internal fixation of intra‑articular fractures of femoral condylar and tibial articular surfaces and requiring repair or reconstruction of one or more ligaments (H) (Anaes.) (Assist.)
4759201.07.20213T81512SNYNNNNNNA01.07.202101.07.2021339.20254.40Y01.07.2021Repair or reconstruction (or both) of acute traumatic chondral injury to the distal femoral or proximal tibial articular surfaces of the knee, when chondral or osteochondral implants or transfers are utilised (H) (Anaes.) (Assist.)
4759301.07.20213T8152SNYNNNNNNA01.07.202101.07.2021830.30622.75Y01.07.2021Repair or reconstruction (or both) of acute traumatic chondral injury to the distal femoral and proximal tibial articular surfaces of the knee, using chondral or osteochondral implants or transfers (H) (Anaes.) (Assist.)
4759501.07.20213T8152SNYNNNNNNC01.07.202101.07.2021167.60125.70142.50Y01.07.2021Treatment of fracture of ankle joint, hindfoot, midfoot, metatarsals or toes, by non-surgical management—one leg (Anaes.)
4759701.12.19913T8152SNNYNYYNNC01.12.199101.07.2021337.95253.50287.30Y01.07.2021Treatment of fracture of ankle joint, by closed reduction (Anaes.) (Assist.)
4760001.12.19913T8152SNNYNYYNNA01.11.200401.07.2021587.75440.85Y01.07.2021Treatment of fracture of ankle joint: (a) by internal fixation of the malleolus, fibula or diastasis; and (b) including any of the following (if performed): (i) arthrotomy; (ii) capsule repair; (iii) removal of loose fragments or intervening soft tissue; (iv) washout of joint (H) (Anaes.) (Assist.)
4760301.12.19913T8152SNNYNYYNNA01.11.200401.07.2021741.25555.95Y01.07.2021Treatment of fracture of ankle joint: (a) by internal fixation of 2 or more of the malleolus, fibula, diastasis and medial tissue interposition; and (b) including any of the following (if performed): (i) arthrotomy; (ii) capsule repair; (iii) removal of loose fragments or intervening soft tissue; (iv) washout of joint (H) (Anaes.) (Assist.)
4761201.12.19913T8152SNNYNYYNNC01.12.199101.07.2021426.15319.65362.25Y01.07.2021Treatment of intra-articular fracture of hindfoot, by closed reduction, with or without dislocation—one foot (Anaes.) (Assist.)
4761501.12.19913T8152SNNYNYYNNC01.12.199101.07.2021489.75367.35416.30Y01.07.2021Treatment of fracture of hindfoot, by open reduction, with or without dislocation, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint —one foot (Anaes.) (Assist.)
4761801.12.19913T8152SNNYNYYNNA01.11.200401.07.2021612.25459.20Y01.07.2021Treatment of intra-articular fracture of hindfoot, by open reduction, with or without dislocation,including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint —one foot(H) (Anaes.) (Assist.)
4762101.12.19913T8152SNNYNYYNNC01.12.199101.07.2021426.15319.65362.25Y01.07.2021Treatment of intra-articular fracture of midfoot, by closed reduction, with or without dislocation—one foot (Anaes.) (Assist.)
4762401.12.19913T8152SNNYNYYNNA01.11.200401.07.2021587.75440.85Y01.07.2021Treatment of fracture of tarso-metatarsal, by open reduction, with or without dislocation, including any of the following (if performed): (a) arthrotomy; (b) capsule or ligament repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint —one joint (H) (Anaes.) (Assist.)
4763001.12.19913T8152SNNYNYYNNC01.12.199101.07.2021352.55264.45299.70Y01.07.2021Treatment of fracture of cuneiform, by open reduction, with or without dislocation, including any of the following (if performed): (a) arthrotomy; (b) capsule or ligament repair; (c) removal of loose fragments or intervening soft tissue; (d) washout of joint —one bone (Anaes.) (Assist.)
4763701.07.20213T8152SNYNNNNNNC01.07.202101.07.2021199.60149.70169.70Y01.07.2021Treatment of fractures of metatarsal, by closed reduction—one or more metatarsals of one foot (Anaes.) (Assist.)
4763901.12.19913T8152SNNYNYYNNC01.12.199101.07.2021235.15176.40199.90Y01.07.2021Treatment of fracture of metatarsal, by open reduction, including removal of loose fragments or intervening soft tissue (if performed)—one metatarsal (Anaes.) (Assist.)
4764801.12.19913T8152SNNYNYYNNA01.11.200401.07.2021313.25234.95Y01.07.2021Treatment of fracture of metatarsal, by open reduction, including removal of loose fragments or intervening soft tissue (if performed)—2 metatarsals of one foot (H) (Anaes.) (Assist.)
4765701.12.19913T8152SNNYNYYNNA01.11.200401.07.2021489.75367.35Y01.07.2021Treatment of fracture of metatarsal, by open reduction, including removal of loose fragments or intervening soft tissue (if performed)—3 or more metatarsals of one foot (H) (Anaes.) (Assist.)
4766301.12.19913T8152SNNYNYYNNC01.12.199101.07.2021146.95110.25124.95Y01.07.2021Treatment of fracture of phalanx of toe, by closed reduction—one toe (Anaes.)
4766601.12.19913T8152SNNYNYYNNC01.12.199101.07.2021245.05183.80208.30Y01.07.2021Treatment of fracture or dislocation of phalanx of great toe, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments; (d) removal of intervening soft tissue; (e) washout of joint — one great toe (Anaes.)
4767201.12.19913T8152SNNYNYYNNC01.12.199101.07.2021117.4088.0599.80Y01.07.2021Treatment of fracture or dislocation of phalanx of toe, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments; (d) removal of intervening soft tissue; (e) washout of joint —one toe (other than great toe) of one foot (Anaes.)
4767801.12.19913T8152SNNYNYYNNC01.12.199101.07.2021176.35132.30149.90Y01.07.2021Treatment of fracture or dislocation of phalanx of toe, by open reduction, including any of the following (if performed): (a) arthrotomy; (b) capsule repair; (c) removal of loose fragments; (d) removal of intervening soft tissue; (e) washout of joint —2 or more toes (other than great toe) of one foot (Anaes.)
4773501.12.19913T8152SNNYNYYNNC01.12.199101.07.202144.8033.6038.1001.07.2021Nasal bones, treatment of fracture of, other than a service to which item47738 or 47741 applies—each attendance
4773801.12.19913T8152SNNYNYYNNC01.12.199101.07.2021245.05183.80208.30Y01.07.2021Nasal bones, treatment of fracture of, by reduction (Anaes.)
4774101.12.19913T8152SNNYNYYNNA01.11.200401.07.2021499.80374.85Y01.07.2021Nasal bones, treatment of fracture of, by open reduction involving osteotomies (H) (Anaes.) (Assist.)
4775301.12.19913T8152SNNYNYYNNA01.11.200401.07.2021423.10317.35Y01.07.2021Maxilla, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) (Anaes.) (Assist.)
4775601.02.19923T8152SNNYNYYNNA01.11.200401.07.2021423.10317.35Y01.07.2021Mandible, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (H) (Anaes.) (Assist.)
4776201.12.19913T8152SNNYNYYNNC01.04.199201.07.2021248.45186.35211.20Y01.07.2021Zygomatic bone, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach (Anaes.)
4776501.12.19913T8152SNNYNYYNNA01.11.200401.07.2021408.00306.00Y01.07.2021Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (H) (Anaes.) (Assist.)
4776801.01.19923T8152SNNYNYYNNA01.11.200401.07.2021499.80374.85Y01.07.2021Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (H) (Anaes.) (Assist.)
4777101.01.19923T8152SNNYNYYNNA01.11.200401.07.2021574.20430.65Y01.07.2021Zygomatic bone, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (H) (Anaes.) (Assist.)
4777401.12.19913T8152SNNYNYYNNA01.11.200401.07.2021453.30340.00Y01.07.2021Maxilla, treatment of fracture of, requiring open operation (H) (Anaes.) (Assist.)
4777701.12.19913T8152SNNYNYYNNA01.11.200401.07.2021453.30340.00Y01.07.2021Mandible, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.)
4778001.01.19923T8152SNNYNYYNNA01.11.200401.07.2021589.30442.00Y01.07.2021Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving plate(H) (Anaes.) (Assist.)
4778301.04.19923T8152SNNYNYYNNC01.04.199201.07.2021589.30442.00504.60Y01.07.2021Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving plate (Anaes.) (Assist.)
4778601.03.19923T8152SNNYNYYNNA01.11.200401.07.2021747.85560.90Y01.07.2021Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving plate(H) (Anaes.) (Assist.)
4778901.12.19913T8152SNNYNYYNNA01.11.200401.07.2021747.85560.90Y01.07.2021Mandible, treatment of fracture of, requiring open reduction and internal fixation involving plate(H) (Anaes.) (Assist.)
4790001.12.19913T8153SNNYNYYNNC01.12.199101.07.2021176.35132.30149.90Y01.07.2021Injection into, or aspiration of, unicameral bone cyst (Anaes.)
4790301.12.19913T8153SNNYNYYNNC01.12.199101.07.2021245.05183.80208.30Y01.07.2021Epicondylitis, open operation for (Anaes.)
4790401.12.19913T8153SNNYNYYNNC01.12.199101.07.202158.7544.1049.95Y01.07.2021Digital nail of toe, removal of, not being a service to which item 47906 applies (Anaes.)
4790601.12.19913T8153SNNYNYYNNA01.05.201601.07.2021117.4088.05Y01.07.2021Digital nail of toe, removal of, in the operating theatre of a hospital(H) (Anaes.)
4791501.12.19913T8153SNNYNYYNNC01.12.199101.07.2021176.35132.30149.90Y01.07.2021Wedge resection for ingrowing nail of toe: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and partial ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) (Anaes.) (Assist.)
4791601.07.19933T8153SNNYNYYNNC01.07.199301.07.202188.6066.4575.35Y01.07.2021Partial resection for ingrowing nail of toe, including phenolisation (Anaes.)
4791801.12.19913T8153SNNYNYYNNC01.12.199101.07.2021245.05183.80208.30Y01.07.2021Complete ablation of nail germinal matrix: (a) including each of the following: (i) removal of segment of nail; (ii) removal of ungual fold; (iii) excision and ablation of germinal matrix and portion of nail bed; and (b) including phenolisation (if performed) (Anaes.) (Assist.)
4792101.12.19913T8153SNNYNYYNNC01.12.199101.07.2021117.4088.0599.80Y01.07.2021Orthopaedic pin or wire, insertion of, as an independent procedure (Anaes.)
4792401.12.19913T8153SNNYNYYNNC01.12.199101.07.202139.1529.4033.30Y01.07.2021Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes), with incision, other than a service associated with a service to which item47927 or 47929 applies—one bone (Anaes.)
4792701.12.19913T8153SNNYNYYNNA01.11.200401.07.2021146.95110.25Y01.07.2021Removal of one or more buried wires, pins or screws (inserted for internal fixation purposes)—one bone (H) (Anaes.)
4792901.07.20213T8153SNYNNNNNNA01.07.202101.07.2021391.80293.85Y01.07.2021Removal of fixation elements (including plate, rod or nail and associated wires, pins, screws or external fixation), other than a service associated with a service to which item 47924 or 47927 applies—one bone (H) (Anaes.) (Assist.)
4795301.07.20213T8153SNYNNNNNNC01.07.202101.07.2021450.50337.90382.95Y01.07.2021Repair of distal biceps brachii tendon, by any method, performed as an independent procedure (Anaes.) (Assist.)
4795401.12.19913T8153SNNYNYYNNC01.12.199101.07.2021391.80293.85333.05Y01.07.2021Repair of traumatic tear or rupture of tendon, other than a service associated with: (a) a service to which item 39330 applies; or (b) a service to which another item in this Schedule applies if the service decribedin the other item is for the purpose of repairing peripheral nerve items in the same region (Anaes.) (Assist.)
4795501.07.20213T8153SNYNNNNNNA01.07.202101.07.2021678.05508.55Y01.07.2021Repair of gluteal or rectus femoris tendon, by open or arthroscopic means, when performed as an independent procedure, including either or both of the following (if performed): (a) bursectomy; (b) preparation of greater trochanter; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
4795601.07.20213T8153SNYNNNNNNA01.07.202101.07.20211017.05762.80Y01.07.2021Repair of proximal hamstring tendon, performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
4796001.12.19913T8153SNNNNNYNNC01.12.199101.07.2021137.15102.90116.60Y01.12.1991TENOTOMY, SUBCUTANEOUS, not being a service to which another item in this Group applies (Anaes.)
4796401.07.20213T8153SNYNNNNNNA01.07.202101.07.2021225.25168.95Y01.07.2021Iliopsoas tenotomy, by open or arthroscopic means, when performed as an independent procedure, other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose of performing a procedure on the hip (H) (Anaes.) (Assist.)
4796701.07.20213T8153SNYNNNNNNA01.07.202101.07.2021450.50337.90Y01.07.2021Restoration of shoulder function by major muscle tendon transfer, including associated dissection of neurovascular pedicle, excluding micro-anastomosis and biceps tenodesis—one transfer (H) (Anaes.) (Assist.)
4797501.07.19933T8153SNNYNYYNNA01.11.200401.07.2021384.15288.15Y01.07.2021Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue(H) (Anaes.) (Assist.)
4797801.07.19933T8153SNNYNYYNNA01.11.200401.07.2021233.30175.00Y01.07.2021Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue(H) (Anaes.)
4798101.07.19933T8153SNNYNYYNNC01.07.199301.07.2021156.65117.50133.20Y01.07.2021Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, other than a service to which another item in this Group applies (Anaes.)
4798201.05.19973T8153SNNYNYYNNA01.11.200401.07.2021379.70284.80Y01.07.2021Forage (Drill decompression), of neck or head of femur, or both (H) (Anaes.) (Assist.)
4798301.07.20213T8153SNYNNNNNNA01.07.202101.07.2021901.30676.00Y01.07.2021Stabilisation of slipped capital femoral epiphysis, by internal fixation (H) (Anaes.) (Assist.)
4798401.07.20213T8153SNYNNNNNNA01.07.202101.07.2021901.30676.00Y01.07.2021Open subcapital realignment of slipped capital femoral epiphysis, other than a service associated with a service to which item 48427 applies (H) (Anaes.) (Assist.)
4824501.07.20213T8154SNYNNNNNNA01.07.202101.07.2021325.45244.10Y01.07.2021Harvesting and insertion of bone graft (autograft) via separate incisions and at separate surgical fields (H) (Anaes.) (Assist.)
4824801.07.20213T8154SNYNNNNNNA01.07.202101.07.2021504.00378.00Y01.07.2021Harvesting and insertion of bone graft (autograft) via separate incisions, including internal fixation of the graft or fusion fixation (or both) (H) (Anaes.) (Assist.)
4825101.07.20213T8154SNYNNNNNNA01.07.202101.07.2021414.75311.10Y01.07.2021Harvesting and insertion of osteochondral graft (autograft) via separate incisions at the same joint or joint complex (H) (Anaes.) (Assist.)
4825401.07.20213T8154SNYNNNNNNA01.07.202101.07.2021950.25712.70Y01.07.2021Harvesting and insertion of pedicled bone flap (autograft), including internal fixation of the bone flap (if performed), other than a service associated with a service to which item 45562, 45504 or 45505 applies (H) (Anaes.) (Assist.)
4825701.07.20213T8154SNYNNNNNNA01.07.202101.07.2021414.75311.10Y01.07.2021Preparation and insertion of metallic, cortical or other graft substitute (allograft), where substitute is structural cortico-cancellous bone or structural bone (or both), including internal fixation (if performed) (H) (Anaes.) (Assist.)
4840001.12.19913T8155SNNYNYYNNA01.11.200401.07.2021342.90257.20Y01.07.2021Osteotomy of phalanx or metatarsal of foot, for correction of deformity, excision of accessory bone or sesamoid bone, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; —one bone (H) (Anaes.) (Assist.)
4840301.12.19913T8155SNNYNYYNNA01.11.200401.07.2021538.80404.10Y01.07.2021Osteotomy of phalanx or metatarsal of first toe of foot, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; —one bone (H) (Anaes.) (Assist.)
4840601.12.19913T8155SNNYNYYNNA01.11.200401.07.2021342.90257.20Y01.07.2021Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; —one bone (H) (Anaes.) (Assist.)
4840901.12.19913T8155SNNYNYYNNA01.11.200401.07.2021538.80404.10Y01.07.2021Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, for correction of deformity, with internal fixation, including any of the following (if performed): (a) removal of bone; (b) excision of surrounding osteophytes; (c) synovectomy; (d) joint release; —one bone (H) (Anaes.) (Assist.)
4841201.12.19913T8155SNNYNYYNNA01.11.200401.07.2021656.20492.15Y01.07.2021Osteotomy of humerus, without internal fixation (H) (Anaes.) (Assist.)
4841501.12.19913T8155SNNYNYYNNA01.11.200401.07.2021832.65624.50Y01.07.2021Osteotomy of humerus, with internal fixation (H) (Anaes.) (Assist.)
4841901.07.20213T8155SNYNNNNNNA01.07.202101.07.2021656.20492.15Y01.07.2021Osteotomy of distal tibia, for correction of deformity, without internal or external fixation, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; —one bone (H) (Anaes.) (Assist.)
4842001.07.20213T8155SNYNNNNNNA01.07.202101.07.2021832.65624.50Y01.07.2021Osteotomy of distal tibia, for correction of deformity, with internal or external fixation by any method, including any of the following (if performed): (a) excision of surrounding osteophytes; (b) release of joint; (c) removal of bone; (d) synovectomy; —one bone (H) (Anaes.) (Assist.)
4842101.12.19913T8155SNNYNYYNNA01.11.200401.07.2021956.30717.25Y01.07.2021Osteotomy of proximal tibia, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) (Anaes.) (Assist.)
4842201.07.20213T8155SNYNNNNNNA01.07.202101.07.2021950.25712.70Y01.07.2021Osteotomy of distal femur, to alter lower limb alignment or rotation (or both), with internal or external fixation (or both) (H) (Anaes.) (Assist.)
4842301.07.20213T8155SNYNNNNNNA01.07.202101.07.2021783.80587.85Y01.07.2021Osteotomy of pelvis, in a patient aged 18 years or over, including any of the following (if performed): (a) associated intra-articular procedures; (b) bone grafting; (c) internal fixation (H) (Anaes.) (Assist.)
4842401.12.19913T8155SNNYNYYNNA01.11.200401.07.2021783.80587.85Y01.07.2021Osteotomy of pelvis, in a patient aged less than 18 years, with application of hip spica, including internal fixation (if performed), other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4842601.07.20213T8155SNYNNNNNNA01.07.202101.07.2021950.25712.70Y01.07.2021Osteotomy of femur, in a patient aged 18 years or over, including either or both of the following (if performed): (a) bone grafting; (b) internal fixation (H) (Anaes.) (Assist.)
4842701.12.19913T8155SNNYNYYNNA01.11.200401.07.2021950.25712.70Y01.07.2021Osteotomy of femur, in a patient aged less than 18 years, including internal fixation (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4843001.07.20213T8155SNYNNNNNNA01.07.202101.07.2021279.20209.40Y01.07.2021Excision of one or more osteophytes of the foot or ankle, or simple removal of bunion, including any of the following (if performed): (a) capsulotomy; (b) excision of surrounding osteophytes; (c) release of ligaments; (d) removal of one or more associated bursae or ganglia; (e) removal of bone; (f) synovectomy; —each incision (H) (Anaes.) (Assist.)
4843301.07.20213T8155SNYNNNNNNA01.07.202101.07.20211111.90833.95Y01.07.2021Treatment of non-union or malunion, with preservation of the joint, for ankle or hindfoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; —one bone (H) (Anaes.) (Assist.)
4843501.07.20213T8155SNYNNNNNNA01.07.202101.07.2021587.75440.85Y01.07.2021Treatment of non-union or malunion, with preservation of the joint, for midfoot or forefoot fracture, with internal or external fixation by any method, including any of the following (if performed): (a) arthrotomy; (b) debridement; (c) excision of surrounding osteophytes; (d) osteotomy; (e) release of joint; (f) removal of bone; (g) removal of hardware; (h) synovectomy; —one bone (H) (Anaes.) (Assist.)
4850701.07.20213T8156SNYNNNNNNA01.07.202101.07.2021381.05285.80Y01.07.2021Epiphysiodesis of a long bone, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
4850901.12.19913T8156SNNYNYYNNA01.11.200401.07.2021342.90257.20Y01.07.2021Hemiepiphysiodesis, partial growth plate arrest using internal fixation, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
4851201.12.19913T8156SNNYNYYNNA01.11.200401.07.2021930.65698.00Y01.07.2021Epiphysiolysis, release of focal growth plate closure, in a patient less than 18 years of age (H) (Anaes.) (Assist.)
4890001.12.19913T8158SNNYNYYNNC01.12.199101.07.2021293.75220.35249.70Y01.07.2021Shoulder, excision of coraco‑acromial ligament or removal of calcium deposit from cuff or both (Anaes.) (Assist.)
4890301.12.19913T8158SNNYNYYNNA01.11.200401.07.2021587.75440.85Y01.07.2021Shoulder, decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination (H) (Anaes.) (Assist.)
4890601.12.19913T8158SNNYNYYNNA01.11.200401.07.2021587.75440.85Y01.07.2021Shoulder, repair of rotator cuff, including excision of coraco‑acromial ligament or removal of calcium deposit from cuff, or both—other than a service associated with a service to which item48900 applies (H) (Anaes.) (Assist.)
4890901.12.19913T8158SNNYNYYNNA01.11.200401.07.2021783.80587.85Y01.07.2021Shoulder, repair of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco‑acromial ligament and distal clavicle, or any combination, other than a service associated with a service to which item48903 applies (H) (Anaes.) (Assist.)
4891501.12.19913T8158SNNYNYYNNA01.11.200401.07.2021783.80587.85Y01.07.2021Shoulder, hemi‑arthroplasty of (H) (Anaes.) (Assist.)
4891801.12.19913T8158SNNYNYYNNA01.11.200401.07.20211567.501175.65Y01.07.2021Anatomic or reverse total shoulder replacement, including any of the following (if performed): (a) associated rotator cuff repair; (b) biceps tenodesis; (c) tuberosity osteotomy; other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose ofperforming a procedure on the shoulder region by open or arthroscopic means (H) (Anaes.) (Assist.)
4892101.12.19913T8158SNNYNYYNNA01.11.200401.07.20211616.301212.25Y01.07.2021Shoulder, total replacement arthroplasty, revision of (H) (Anaes.) (Assist.)
4892401.12.19913T8158SNNYNYYNNA01.11.200401.07.20211861.301396.00Y01.07.2021Revision of total shoulder replacement, including either or both of the following (if performed): (a) bone graft to humerus; (b) bone graft to scapula (H) (Anaes.) (Assist.)
4892701.12.19913T8158SNNYNYYNNA01.11.200401.07.2021381.90286.45Y01.07.2021Shoulder prosthesis, removal of (H) (Anaes.) (Assist.)
4893901.12.19913T8158SNNYNYYNNA01.11.200401.07.20211126.55844.95Y01.07.2021Shoulder, arthrodesis of, with synovectomy if performed (H) (Anaes.) (Assist.)
4894201.12.19913T8158SNNYNYYNNA01.11.200401.07.20211469.401102.05Y01.07.2021Arthrodesis of shoulder, with bone grafting or internal fixation, including either or both of the following (if performed): (a) removal of prosthesis; (b) synovectomy; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4894501.12.19913T8158SNNYNYYNNA01.11.200401.07.2021284.00213.00Y01.07.2021SHOULDER, diagnostic arthroscopy of (including biopsy) - not being a service associated with any other arthroscopic procedure of the shoulder region (H) (Anaes.) (Assist.)
4894801.12.19913T8158SNNYNYYNNA01.11.200401.07.2021636.75477.60Y01.07.2021SHOULDER, 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(H) (Anaes.) (Assist.)
4895101.12.19913T8158SNNYNYYNNA01.11.200401.07.2021930.65698.00Y01.07.2021SHOULDER, arthroscopic division of coraco-acromial ligament including acromioplasty - not being a service associated with any other arthroscopic procedure of the shoulder region(H) (Anaes.) (Assist.)
4895401.12.19913T8158SNNYNYYNNA01.11.200401.07.2021979.60734.70Y01.07.2021Synovectomy of shoulder, performed as an independent procedure, including release of contracture (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
4895801.07.20213T8158SNYNNNNNNA01.07.202101.07.20211126.55844.95Y01.07.2021Joint stabilisation procedure for multi-directional instability of shoulder, anterior or posterior repair, by open or arthroscopic means, including labral repair or attachment (if performed), excluding bone grafting and removal of hardware, other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose of performing a procedure on the shoulder region by arthroscopic means (H) (Anaes.) (Assist.)
4896001.12.19913T8158SNNYNYYNNA01.11.200401.07.2021979.60734.70Y01.07.2021SHOULDER, 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(H) (Anaes.) (Assist.)
4897201.07.20213T8158SNYNNNNNNA01.07.202101.07.2021450.50337.90Y01.07.2021Tenodesis of biceps, by open or arthroscopic means, performed as an independent procedure (H) (Anaes.) (Assist.)
4898001.07.20213T8158SNYNNNNNNA01.07.202101.07.2021832.65624.50Y01.07.2021Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the shoulder girdle (H) (Anaes.) (Assist.)
4898301.07.20213T8159SNYNNNNNNA01.07.202101.07.2021610.65458.00Y01.07.2021Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the elbow (H) (Anaes.) (Assist.)
4898601.07.20213T8159SNYNNNNNNA01.07.202101.07.2021832.65624.50Y01.07.2021Excision of heterotopic ossification, myositis ossificans or post-traumatic ossification in the forearm (H) (Anaes.) (Assist.)
4910001.12.19913T8159SNNYNYYNNA01.11.200401.07.2021342.90257.20Y01.07.2021ELBOW, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture(H) (Anaes.) (Assist.)
4910401.07.20213T8159SNYNNNNNNA01.07.202101.07.2021551.00413.25Y01.07.2021Repair of one or more ligaments of the elbow, for acute instability—within 6 weeks after the time of injury (H) (Anaes.) (Assist.)
4910501.07.20213T8159SNYNNNNNNA01.07.202101.07.2021808.15606.15Y01.07.2021Stabilisation of one or more ligaments of the elbow, for chronic instability, including harvesting of tendon graft—6 weeks or more after the time of injury (H) (Anaes.) (Assist.)
4910601.12.19913T8159SNNYNNYNNC01.12.199101.07.2021979.60734.70894.90Y01.05.2009ELBOW, arthrodesis of, with synovectomy if performed (Anaes.) (Assist.)
4910901.12.19913T8159SNNYNYYNNA01.11.200401.07.2021734.65551.00Y01.07.2021ELBOW, total synovectomy of(H) (Anaes.) (Assist.)
4911201.12.19913T8159SNNYNYYNNA01.11.200401.07.2021734.65551.00Y01.07.2021Radial head replacement of elbow, other than a service associated with a service to which item 49115 applies (H) (Anaes.) (Assist.)
4911501.12.19913T8159SNNYNYYNNA01.11.200401.07.20211175.40881.55Y01.07.2021Total or hemi humeral arthroplasty of elbow, excluding isolated radial head replacement and ligament stabilisation procedures, other than a service associated with a service to which item 49112 applies (H) (Anaes.) (Assist.)
4911601.11.20063T8159SNNYNYYNNA01.11.200601.07.20211551.551163.70Y01.07.2021ELBOW, total replacement arthroplasty of, revision procedure, including removal of prosthesis(H) (Anaes.) (Assist.)
4911701.11.20063T8159SNNYNYYNNA01.11.200601.07.20211861.851396.40Y01.07.2021Revision of total replacement arthroplasty of elbow, including bone grafting and removal of prosthesis (H) (Anaes.) (Assist.)
4911801.12.19913T8159SNNYNYYNNA01.11.200401.07.2021284.00213.00Y01.07.2021ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not being a service associated with any other arthroscopic procedure of the elbow(H) (Anaes.) (Assist.)
4912101.12.19913T8159SNNYNYYNNA01.11.200401.07.2021636.75477.60Y01.07.2021Surgery of the elbow, by arthroscopic means, including any of the following (if performed): (a) chondroplasty; (b) drilling of defect; (c) osteoplasty; (d) removal of loose bodies; (e) release of contracture or adhesions; (f) treatment of epicondylitis; other than a service associated witha service to which another item in this Schedule applies if the service described in the other item is for the purpose of an arthroscopic procedure of the elbow (H) (Anaes.) (Assist.)
4912401.07.20213T8159SNYNNNNNNC01.07.202101.07.2021386.55289.95328.60Y01.07.2021Excision of olecranon bursa, including bony prominence, other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose of an arthroscopic procedure of the elbow (Anaes.) (Assist.)
4920001.12.19913T81510SNNYNYYNNA01.11.200401.07.2021852.15639.15Y01.07.2021Wrist, arthrodesis of, with synovectomy if performed, with or without bone graft and internal fixation of the radiocarpal joint (H) (Anaes.) (Assist.)
4920301.12.19913T81510SNNYNYYNNA01.11.200401.07.2021807.20605.40Y01.07.2021Limited fusion of wrist, with or without bone graft, including each of the following: (a) ligament or tendon transfers; (b) partial or total excision of one or more carpal bones; (c) rebalancing procedures; (d) synovectomy (H) (Anaes.) (Assist.)
4920601.12.19913T81510SNNYNYYNNA01.11.200401.07.2021587.75440.85Y01.07.2021Proximal row carpectomy of wrist, including either or both of the following (if performed): (a) styloidectomy; (b) synovectomy (H) (Anaes.) (Assist.)
4920901.12.19913T81510SNNYNYYNNA01.11.200401.07.2021783.80587.85Y01.07.2021Prosthetic replacement of wrist or distal radioulnar joint, including either or both of the following (if performed): (a) ligament realignment; (b) tendon realignment (H) (Anaes.) (Assist.)
4921001.11.20063T81510SNNYNYYNNA01.11.200601.07.20211034.60775.95Y01.07.2021Revision of total replacement arthroplasty of wrist or distal radioulnar joint, including any of the following (if performed): (a) ligament rebalancing; (b) removal of prosthesis; (c) tendon rebalancing (H) (Anaes.) (Assist.)
4921201.12.19913T81510SNNYNYYNNA01.11.200401.07.2021245.05183.80Y01.07.2021Arthrotomy of wrist or distal radioulnar joint, for infection, including any of the following (if performed): (a) joint debridement; (b) removal of loose bodies; (c) synovectomy (H) (Anaes.) (Assist.)
4921301.07.20213T81510SNYNNNNNNC01.07.202101.07.2021876.65657.50791.95Y01.07.2021Sauve-Kapandji procedure of distal radioulnar joint, including any of the following (if performed): a) radioulnar fusion; b) osteotomy; c) soft tissue reconstruction (Anaes.) (Assist.)
4921501.12.19913T81510SNNYNYYNNA01.11.200401.07.2021676.05507.05Y01.07.2021Reconstruction of single or multiple ligaments or capsules of wrist, by open procedure, including any of the following (if performed): (a) arthrotomy; (b) ligament harvesting and grafting; (c) synovectomy; (d) tendon harvesting and grafting; (e) insertion of synthetic ligament substitute (H) (Anaes.) (Assist.)
4921801.12.19913T81510SNNYNYYNNA01.11.200401.07.2021284.00213.00Y01.07.2021Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy)—other than a service associated with another arthroscopic procedure of the wrist joint(H) (Anaes.) (Assist.)
4921901.07.20213T81510SNYNNNNNNA01.07.202101.07.2021284.00213.00Y01.07.2021Diagnosis of carpometacarpal of thumb or joint of digit, by arthroscopic means, including biopsy (if performed) (H) (Anaes.) (Assist.)
4922001.07.20213T81510SNYNNNNNNA01.07.202101.07.2021636.75477.60Y01.07.2021Treatment of carpometacarpal of thumb or joint of digit, by arthroscopic means—one joint (H) (Anaes.) (Assist.)
4922101.12.19913T81510SNNYNYYNNA01.11.200401.07.2021636.75477.60Y01.07.2021Treatment of wrist, by arthroscopic means, including any of the following (if performed): (a) drilling of defect; (b) removal of loose bodies; (c) release of adhesions; (d) synovectomy; (e) debridement; (f) resection of dorsal or volar ganglia; other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose of performing an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
4922401.12.19913T81510SNNYNYYNNA01.11.200401.07.2021734.65551.00Y01.07.2021Osteoplasty of wrist, by arthroscopic means, including either or both of the following (if performed): (a) excision of the distal ulna; (b) total synovectomy; other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroscopic procedure of the wrist joint—2 or more distinct areas (H) (Anaes.) (Assist.)
4922701.12.19913T81510SNNYNYYNNA01.11.200401.07.2021734.65551.00Y01.07.2021Treatment of wrist by one of the following: (a) pinning of osteochondral fragment, by arthroscopic means; (b) stabilisation procedure for ligamentous disruption; (c) partial wrist fusion or carpectomy, by arthroscopic means; (d) fracture management; other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose of performing an arthroscopic procedure of the wrist joint (H) (Anaes.) (Assist.)
4923001.07.20213T81510SNYNNNNNNA01.07.202101.07.2021958.55718.95Y01.07.2021Total, hemi or interpositional prosthetic replacement of carpal bone of wrist, for trauma or emergency, including all of the following: (a) ligament and tendon rebalancing procedures; (b) limited wrist fusions; (c) limited bone grafting (H) (Anaes.) (Assist.)
4923301.07.20213T81510SNYNNNNNNA01.07.202101.07.2021403.60302.70Y01.07.2021Excisional arthroplasty of single (or part of) carpal bone of wrist, when transfers of ligaments or tendons, or rebalancing procedures, are not required, including all of the following: (a) radial styloidectomy; (b) ulnar styloidectomy; (c) proximal hamate; (d) partial scaphoid; other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose of performing a distal radial ulnar joint reconstruction, a proximal row carpectomy or another wrist procedure—applicable once for a single operation (H) (Anaes.) (Assist.)
4923601.07.20213T81510SNYNNNNNNA01.07.202101.07.2021608.45456.35Y01.07.2021Stabilisation of soft tissue of distal radioulnar joint, by open procedure, with or without ligament or tendon grafting, including either or both of the following (if performed): (a) graft harvest; (b) triangular fibrocartilage complex repair or reconstruction (H) (Anaes.) (Assist.)
4923901.07.20213T81510SNYNNNNNNA01.07.202101.07.2021302.70227.05Y01.07.2021Excision of pisiform or hook of hamate, including release of ulnar nerve (if performed) (H) (Anaes.) (Assist.)
4930001.12.19913T81511SNNYNYYNNA01.11.200401.07.2021542.40406.80Y01.07.2021Sacro-iliac joint—arthrodesis of(H) (Anaes.) (Assist.)
4930301.12.19913T81511SNNYNYYNNA01.11.200401.07.2021568.10426.10Y01.07.2021Arthrotomy of hip, by open procedure, including any of the following (if performed): (a) lavage; (b) drainage; (c) biopsy (H) (Anaes.) (Assist.)
4930601.12.19913T81511SNNYNYYNNA01.11.200401.07.20211126.55844.95Y01.07.2021Hip, arthrodesis of, with synovectomy if performed(H) (Anaes.) (Assist.)
4930901.12.19913T81511SNNYNYYNNA01.11.200401.07.2021783.80587.85Y01.07.2021Arthrectomy or excision arthroplasty (Girdlestone) of hip, other than a service performed: (a) for the purpose of implant removal; or (b) as stage 1 of a 2-stage procedure (H) (Anaes.) (Assist.)
4931501.12.19913T81511SNNYNYYNNA01.11.200401.07.2021881.65661.25Y01.07.2021Hip, arthroplasty of, unipolar or bipolar(H) (Anaes.) (Assist.)
4931801.12.19913T81511SNNYNYYNNA01.11.200401.07.20211371.251028.45Y01.07.2021Total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4931901.11.19963T81511SNNYNYYNNA01.11.200401.07.20212409.151806.90Y01.07.2021Bilateral total arthroplasty of hip, including minor bone grafting (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4932101.12.19913T81511SNNYNYYNNA01.11.200401.07.20211665.501249.15Y01.07.2021Total arthroplasty of hip, with internal fixation, including either or both of the following (if performed): (a) structural bone graft; (b) insertion of synthetic substitutes or metal augments; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4936001.05.19943T81511SNNYNYYNNA01.11.200401.07.2021357.90268.45Y01.07.2021Diagnostic arthroscopy of hip, other than a service associated with a service to which another item in this Schedule applies if the service describedin the other item is for the purpose of performing a procedure of the hip joint by arthroscopic means (H) (Anaes.) (Assist.)
4936301.05.19943T81511SNNYNYYNNA01.07.202101.07.2021431.00323.25Y01.07.2021Treatment of hip, by arthroscopic means, with synovial biopsy, including any procedures to treat bone or soft tissue in the same area (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing: (a) a procedure of the hip joint by arthroscopic means; or (b) surgery for femoroacetabular impingement (H) (Anaes.) (Assist.)
4936601.05.19943T81511SNNYNYYNNA01.11.200401.07.2021636.75477.60Y01.07.2021Treatment of hip, by arthroscopic means, including any procedures to treat bone or soft tissue in the same area (if performed), other than a service associated with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing: (a) a procedure of the hip joint by arthroscopic means; or (b) surgery for femoroacetabular impingement (H) (Anaes.) (Assist.)
4937201.07.20213T81511SNYNNNNNNA01.07.202101.07.2021959.80719.85Y01.07.2021Revision arthroplasty of hip, with exchange of head or liner (or both) (H) (Anaes.) (Assist.)
4937401.07.20213T81511SNYNNNNNNA01.07.202101.07.20211782.551336.95Y01.07.2021Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
4937601.07.20213T81511SNYNNNNNNA01.07.202101.07.20212193.951645.50Y01.07.2021Revision arthroplasty of hip, with exchange of head and acetabular shell or cup, including major bone grafting (if performed) (H) (Anaes.) (Assist.)
4937801.07.20213T81511SNYNNNNNNA01.07.202101.07.20211919.601439.70Y01.07.2021Revision arthroplasty of hip, with revision of femoral component (if there is no requirement for femoral osteotomy), including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
4938001.07.20213T81511SNYNNNNNNA01.07.202101.07.20212331.051748.30Y01.07.2021Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
4938201.07.20213T81511SNYNNNNNNA01.07.202101.07.20213016.652262.50Y01.07.2021Revision arthroplasty of hip, with revision of femoral and acetabular components (if femoral osteotomy is not required), including major bone grafting (H) (Anaes.) (Assist.)
4938401.07.20213T81511SNYNNNNNNA01.07.202101.07.20213565.102673.85Y01.07.2021Revision arthroplasty of hip, for pelvic discontinuity, with revision of acetabular component (H) (Anaes.) (Assist.)
4938601.07.20213T81511SNYNNNNNNA01.07.202101.07.20212468.151851.15Y01.07.2021Revision arthroplasty of hip, with revision of femoral component with femoral osteotomy, including minor bone grafting (if performed) (H) (Anaes.) (Assist.)
4938801.07.20213T81511SNYNNNNNNA01.07.202101.07.20212879.602159.70Y01.07.2021Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) minor bone grafting (if performed) (H) (Anaes.) (Assist.)
4939001.07.20213T81511SNYNNNNNNA01.07.202101.07.20213428.002571.00Y01.07.2021Revision arthroplasty of hip, including: (a) revision of both of the following: (i) femoral component with femoral osteotomy; (ii) acetabular component; and (b) major bone grafting (H) (Anaes.) (Assist.)
4939201.07.20213T81511SNYNNNNNNA01.07.202101.07.20214799.203599.40Y01.07.2021Revision arthroplasty of hip, including: (a) either: (i) revision of femoral component with femoral osteotomy; or (ii) proximal femoral replacement; and (b) revision of acetabular component for pelvic discontinuity (H) (Anaes.) (Assist.)
4939401.07.20213T81511SNYNNNNNNA01.07.202101.07.20214113.603085.20Y01.07.2021Revision arthroplasty of hip, including: (a) replacement of proximal femur; and (b) revision of the acetabular component; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.)
4939601.07.20213T81511SNYNNNNNNA01.07.202101.07.20212742.352056.80Y01.07.2021Revision arthroplasty of hip, including: (a) removal of prosthesis as stage 1 of a 2-stage revision arthroplasty or as a definitive stage procedure; and (b) insertion of temporary prosthesis (if performed) (H) (Anaes.) (Assist.)
4939801.07.20213T81511SNYNNNNNNA01.07.202101.07.20212056.851542.65Y01.07.2021Revision arthroplasty of hip, including: (a) revision of femoral component for periprosthetic fracture; and (b) internal fixation; and (c) bone grafting (if performed) (H) (Anaes.) (Assist.)
4950001.12.19913T81512SNNYNYYNNA01.11.200401.07.2021391.80293.85Y01.07.2021Knee, arthrotomy of, involving one or more of capsular release, biopsy or lavage, or removal of loose body or foreign body(H) (Anaes.) (Assist.)
4950301.12.19913T81512SNNYNYYNNA01.11.200401.07.2021509.40382.05Y01.07.2021Arthrotomy of knee, including one of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
4950601.12.19913T81512SNNYNYYNNA01.11.200401.07.2021764.15573.15Y01.07.2021Arthrotomy of knee, including 2 or more of the following: (a) meniscal surgery; (b) repair of collateral or cruciate ligament; (c) patellectomy; (d) single transfer of ligament or tendon; (e) repair or replacement of chondral or osteochondral surface (excluding prosthetic replacement); other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
4950901.12.19913T81512SNNYNYYNNA01.11.200401.07.2021783.80587.85Y01.07.2021Total synovectomy of knee, by open procedure, other than a service performed in association with a service to which another item in this Schedule applies if the service described in the other item is for the purpose of performing an arthroplasty (H) (Anaes.) (Assist.)
4951201.12.19913T81512SNNYNYYNNA01.11.200401.07.20211371.251028.45Y01.07.2021Primary or revision arthrodesis of knee, including arthrodesis (H) (Anaes.) (Assist.)
4951501.12.19913T81512SNNYNYYNNA01.11.200401.07.2021881.65661.25Y01.07.2021Removal of cemented or uncemented knee prosthesis, performed as the first stage of a 2-stage procedure; including: (a) removal of associated cement; and (b) insertion of spacer (if required) (H) (Anaes.) (Assist.)
4951601.07.20213T81512SNYNNNNNNA01.07.202101.07.20212196.651647.50Y01.07.2021Bilateral unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.)
4951701.07.19933T81512SNNYNYYNNA01.11.200401.07.20211255.25941.45Y01.07.2021Unicompartmental arthroplasty of femur and proximal tibia of knee (H) (Anaes.) (Assist.)
4951801.12.19913T81512SNNYNYYNNA01.11.200401.07.20211371.251028.45Y01.07.2021Total replacement arthroplasty of knee, including either or both of the following (if performed): (a) revision of patello-femoral joint replacement to total knee replacement; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4951901.11.19963T81512SNNYNYYNNA01.11.200401.07.20212409.151806.90Y01.07.2021Bilateral total replacement arthroplasty of knee, including patellar resurfacing, other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4952101.12.19913T81512SNNYNYYNNA01.11.200401.07.20211665.501249.15Y01.07.2021Complex primary arthroplasty of knee, with revision of components to femur or tibia, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4952401.12.19913T81512SNNYNYYNNA01.11.200401.07.20211959.301469.50Y01.07.2021Complex primary arthroplasty of knee, with revision of components to femur and tibia, including either or both of the following (if performed): (a) ligament reconstruction; (b) patellar resurfacing; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4952501.07.20213T81512SNYNNNNNNA01.07.202101.07.20211665.501249.15Y01.07.2021Revision of uni-compartmental arthroplasty of the knee, with femoral or tibial components (or both) with uni-compartmental implants, other than a service associated with a service to which: (a) item 48245, 48248, 48251, 48254 or 48257 applies; or (b) another item in this Group applies if the service describedin the other item is for the purpose of performing surgery on a knee (H) (Anaes.) (Assist.)
4952701.12.19913T81512SNNYNYYNNA01.11.200401.07.20211371.251028.45Y01.07.2021Minor revision of total or partial replacement of knee, including either or both of the following: (a) exchange of polyethylene component (including uni); (b) insertion of patellar component; other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4953001.12.19913T81512SNNYNYYNNA01.11.200401.07.20212057.351543.05Y01.07.2021Revision of total or partial replacement of knee, with exchange of femoral or tibial component: (a) excluding revision of unicompartmental with unicompartmental implants; and (b) including patellar resurfacing (if performed); other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4953301.12.19913T81512SNNYNYYNNA01.11.200401.07.20212645.551984.20Y01.07.2021Revision of total or partial replacement of knee, with exchange of femoral and tibial components, excluding revision of unicompartmental with unicompartmental implants, including patellar resurfacing (if performed), other than a service associated with a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4953401.11.19963T81512SNNYNYYNNA01.11.200401.07.2021756.75567.60Y01.07.2021Replacement of patella and trochlea of patello-femoral joint of knee, performed as a primary procedure (H) (Anaes.) (Assist.)
4953601.12.19913T81512SNNYNYYNNA01.11.200401.07.2021979.60734.70Y01.07.2021Either: (a) repair of cruciate ligaments of knee; or (b) repair or reconstruction of collateral ligaments of knee; by open or arthroscopic means, including either or both of the following (if performed): (c) graft harvest; (d) intraarticular knee surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
4954201.12.19913T81512SNNYNYYNNA01.11.200401.07.20211371.251028.45Y01.07.2021Reconstruction of anterior or posterior cruciate ligament of knee, by open or arthroscopic means, including any of the following (if performed): (a) graft harvest; (b) donor site repair; (c) meniscal repair; (d) collateral ligament repair; (e) extra-articular tenodesis; (f) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
4954401.07.20213T81512SNYNNNNNNA01.07.202101.07.20211596.451197.35Y01.07.2021Reconstruction of 2 or more cruciate or collateral ligaments of knee, by open or arthroscopic means, including any of the following (if performed): (a) ligament repair; (b) graft harvest donor site repair; (c) meniscal repair; (d) any other associated intra-articular surgery; other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
4954801.12.19913T81512SNNYNYYNNA01.11.200401.07.2021979.60734.70Y01.07.2021Knee, revision of patello-femoral stabilisation(H) (Anaes.) (Assist.)
4955101.12.19913T81512SNNYNYYNNA01.11.200401.07.20211371.251028.45Y01.07.2021Knee, revision of procedures to which item 49536 or 49542 applies (H) (Anaes.) (Assist.)
4955401.12.19913T81512SNNYNYYNNA01.11.200401.07.20211959.301469.50Y01.07.2021Revision of total replacement of knee, by anatomic specific allograft of tibia or femur, other than a service to which item 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4956401.05.20003T81512SNNYNYYNNA01.11.200401.07.2021956.30717.25Y01.07.2021Stabilisation of patellofemoral joint of knee, by combined open and arthroscopic means, including either or both of the following (if performed): (a) medial soft tissue reconstruction and tendon transfer; (b) tibial tuberosity transfer with bone graft and internal fixation; other than a service associated a service to which another item of this Schedule applies if the service describedin the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
4956501.07.20213T81512SNYNNNNNNA01.07.202101.07.20211372.601029.45Y01.07.2021Reconstruction of patellofemoral joint of knee, by combined open and arthroscopic means, including: (a) both of the following: (i) medial soft tissue reconstruction; (ii) tibial tuberosity transfer; and (b) any of the following (if performed): (i) bone graft; (ii) internal fixation; (iii) trochleoplasty; other than a service associated a service to which another item of this Schedule applies if the service describedin the other item is for the purpose of performing a procedure on the knee by arthroscopic means (H) (Anaes.) (Assist.)
4956901.05.19943T81512SNNYNYYNNA01.11.200401.07.2021783.80587.85Y01.07.2021Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty)(H) (Anaes.) (Assist.)
4957001.07.20213T81512SNYNNNNNNA01.07.202101.07.2021284.00213.00Y01.07.2021Diagnosis of knee, by arthroscopic means, when the pre-procedure diagnosis is undetermined, including either or both of the following (if performed): (a) biopsy; (b) lavage (H) (Anaes.) (Assist.)
4957201.07.20213T81512SNYNNNNNNA01.07.202101.07.2021691.15518.40Y01.07.2021Partial meniscectomy of knee, by arthroscopic means, for atraumatic meniscus tear, other than a service to which another item of this Schedule applies if the service described in the other item is for the purpose of treating osteoarthritis (H) (Anaes.) (Assist.)
4957401.07.20213T81512SNYNNNNNNA01.07.202101.07.2021691.15518.40Y01.07.2021Removal of loose bodies of knee, by arthroscopic means—one or more bodies (H) (Anaes.) (Assist.)
4957601.07.20213T81512SNYNNNNNNA01.07.202101.07.2021691.15518.40Y01.07.2021Repair of chondral lesion of knee, by arthroscopic means, including either or both of the following (if performed): (a) microfracture; (b) microdrilling; other than a service performed in combination with a service to which another item of this Schedule applies if the servicedescribedin the other item is for the purpose of performing chondral or osteochondral grafts (H) (Anaes.) (Assist.)
4957801.07.20213T81512SNYNNNNNNA01.07.202101.07.2021691.15518.40Y01.07.2021Release of soft tissue, lateral release or osteoplasty of knee, by arthroscopic means, other than a service performed in combination with a service to which another item of this Schedule applies if the service describedin the other item is for the purpose of stabilising the patellofemoral joint of the knee (H) (Anaes.) (Assist.)
4958001.07.20213T81512SNYNNNNNNA01.07.202101.07.2021691.15518.40Y01.07.2021Partial meniscectomy of knee, by arthroscopic means, for traumatic meniscus tear (H) (Anaes.) (Assist.)
4958201.07.20213T81512SNYNNNNNNA01.07.202101.07.2021807.05605.30Y01.07.2021Meniscal repair of knee, by arthroscopic means (H) (Anaes.) (Assist.)
4958401.07.20213T81512SNYNNNNNNA01.07.202101.07.2021807.05605.30Y01.07.2021Chondral, osteochondral or meniscal graft of knee, by arthroscopic means (H) (Anaes.) (Assist.)
4958601.07.20213T81512SNYNNNNNNC01.07.202101.07.2021807.05605.30722.35Y01.07.2021Synovectomy of knee, by arthroscopic means, for neoplasia or inflammatory arthropathy, other than a service to which another item of this Schedule applies if the service describedin the other item is for the purpose of treating uncomplicated osteoarthritis (Anaes.) (Assist.)
4959001.07.20213T81512SNYNNNNNNC01.07.202101.07.2021386.55289.95328.60Y01.07.2021Excision of ganglion, cyst or bursa of knee, by open or arthroscopic means, performed as an independent procedure, other than a service associated with a service to which another item in this Group applies (Anaes.) (Assist.)
4970301.12.19913T81513SNNYNYYNNA01.11.200401.07.2021636.75477.60Y01.07.2021Surgery of ankle joint, by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which another item in this Group applies if the service describedin the other item is for the purpose of performing a procedure on the ankle by arthroscopic means (H) (Anaes.) (Assist.)
4970601.12.19913T81513SNNYNYYNNA01.11.200401.07.2021342.90257.20Y01.07.2021Arthrotomy of joint of ankle, for infection, including removal of loose bodies and joint debridement, including release of joint contracture (if performed) (H) (Anaes.) (Assist.)
4970901.12.19913T81513SNNYNYYNNA01.11.200401.07.2021734.65551.00Y01.07.2021Stabilisation of ligament of ankle or subtalar joint (or both), including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) joint debridement; —one ligament complex, each incision (H) (Anaes.) (Assist.)
4971201.12.19913T81513SNNYNYYNNA01.11.200401.07.2021979.60734.70Y01.07.2021Arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
4971501.12.19913T81513SNNYNYYNNA01.11.200401.07.20211175.40881.55Y01.07.2021Total replacement of ankle, with prosthetic replacement of ankle joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
4971601.11.20063T81513SNNYNYYNNA01.11.200601.07.20211551.551163.70Y01.07.2021Revision of total ankle replacement: (a) including either: (i) exchange of tibial or talar components (or both) and plastic inserts; or (ii) removal of tibial or talar components (or both) and plastic inserts; and (b) including any of the following (if performed): (i) insertion of cement spacer for infection; (ii) capsulotomy; (iii) joint release; (iv) neurolysis; (v) debridement of cysts; (vi) synovectomy; (vii) joint debridement other than a service associated with a service to which 30023 applies. (H) (Anaes.) (Assist.)
4971701.11.20063T81513SNNYNYYNNA01.11.200601.07.20211861.851396.40Y01.07.2021Revision of total ankle replacement: (a) including either: (i) exchange of tibial and talar components; or (ii) removal of tibial and talar components and conversion to ankle arthrodesis; and (b) including both of the following (iii) internal or external fixation, by any means; (iv) major bone grafting; and (c) including any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and extensive grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item 30023, 48245, 48248, 48251, 48254 or 48257 applies (H) (Anaes.) (Assist.)
4971801.12.19913T81513SNNYNYYNNA01.11.200401.07.2021391.80293.85Y01.07.2021Primary repair of major tendon of ankle, by any method, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy —one tendon (H) (Anaes.) (Assist.)
4972401.12.19913T81513SNNYNYYNNA01.11.200401.07.2021685.85514.40Y01.07.2021Reconstruction of major tendon of ankle, by any method, including any of the following (if performed): (a) synovial biopsy; (b) synovectomy; (c) adjacent tendon transfer; (d) turn down flaps; other than a service associated with a service to which item 49718 applies (H) (Anaes.) (Assist.)
4972701.12.19913T81513SNNYNYYNNA01.11.200401.07.2021293.75220.35Y01.07.2021Lengthening of major tendon of ankle, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy (H) (Anaes.) (Assist.)
4972801.11.20063T81513SNNYNYYNNA01.11.200601.07.2021587.60440.70Y01.07.2021Lengthening of Achilles’ tendon, by any method, with gastro-soleus lengthening for the correction of equinous deformity, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; other than a service associated with a service to which item 49727 applies (H) (Anaes.) (Assist.)
4973001.07.20213T81514SNYNNNNNNA01.07.202101.07.2021636.75477.60Y01.07.2021Surgery of joint of hindfoot (other than ankle or first metatarsophalangeal joint), by arthroscopic means, including any of the following (if performed): (a) cartilage treatment; (b) removal of loose bodies; (c) synovectomy; (d) excision of joint osteophytes; other than a service associated with a service to which anotheritem of this Schedule applies if the service describedin the other item is for the purpose of performing a procedure on the ankle by arthroscopic means—one joint (H) (Anaes.) (Assist.)
4973201.07.20213T81514SNYNNNNNNA01.07.202101.07.2021636.75477.60Y01.07.2021Endoscopy of large tendons of foot, including any of the following (if performed): (a) debridement of tendon and sheath; (b) removal of loose bodies; (c) synovectomy; (d) excision of tendon impingement; other than a service associated with a service to which item 49718 or 49724 applies (H) (Anaes.) (Assist.)
4973401.07.20213T81514SNYNNNNNNA01.07.202101.07.2021342.90257.20Y01.07.2021Arthrotomy of hindfoot, midfoot or metatarsophalangeal joint, for infection, including: (a) removal of loose bodies; and (b) either or both of the following: (i) joint debridement; (ii) release of joint contracture; —each incision (H) (Anaes.) (Assist.)
4973601.07.20213T81514SNYNNNNNNA01.07.202101.07.2021685.85514.40Y01.07.2021Transfer of major tendon of foot and ankle, including: (a) split or whole transfer to contralateral side of foot; and (b) passage of posterior or anterior tendon to, or through, interosseous membrane; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) tendon lengthening; (iv) insetting of tendon (H) (Anaes.) (Assist.)
4973801.07.20213T81514SNYNNNNNNA01.07.202101.07.2021489.75367.35Y01.07.2021Stabilisation of ligament of talonavicular or metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement (H) (Anaes.) (Assist.)
4974001.07.20213T81513SNYNNNNNNA01.07.202101.07.20211469.501102.15Y01.07.2021Revision of arthrodesis of ankle, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which 30023 applies (H) (Anaes.) (Assist.)
4974201.07.20213T81513SNYNNNNNNA01.07.202101.07.20211387.201040.40Y01.07.2021Arthrodesis of extended ankle and hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
4974401.07.20213T81513SNYNNNNNNA01.07.202101.07.20212080.851560.65Y01.07.2021Revision of arthrodesis of extended ankle and hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non-union or malunion; other than a service associated with a service to which 30023 applies (H) (Anaes.) (Assist.)
4976001.07.20213T81514SNYNNNNNNA01.07.202101.07.2021367.35275.55Y01.07.2021Arthroereisis of subtalar joint, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) (Anaes.) (Assist.)
4976101.07.20213T81514SNYNNNNNNA01.07.202101.07.2021538.80404.10Y01.07.2021Stabilisation of metatarsophalangeal joint at metatarsal, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —one metatarsal (H) (Anaes.) (Assist.)
4976201.07.20213T81514SNYNNNNNNA01.07.202101.07.2021597.90448.45Y01.07.2021Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —2 metatarsals (H) (Anaes.) (Assist.)
4976301.07.20213T81514SNYNNNNNNA01.07.202101.07.2021657.00492.75Y01.07.2021Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —3 metatarsals (H) (Anaes.) (Assist.)
4976401.07.20213T81514SNYNNNNNNA01.07.202101.07.2021716.15537.15Y01.07.2021Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —4 metatarsals (H) (Anaes.) (Assist.)
4976501.07.20213T81514SNYNNNNNNA01.07.202101.07.2021775.20581.40Y01.07.2021Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —5 metatarsals (H) (Anaes.) (Assist.)
4976601.07.20213T81514SNYNNNNNNA01.07.202101.07.2021834.40625.80Y01.07.2021Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —6 metatarsals (H) (Anaes.) (Assist.)
4976701.07.20213T81514SNYNNNNNNA01.07.202101.07.2021893.50670.15Y01.07.2021Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —7 metatarsals (H) (Anaes.) (Assist.)
4976801.07.20213T81514SNYNNNNNNA01.07.202101.07.2021952.60714.45Y01.07.2021Stabilisation of metatarsophalangeal joint at metatarsals, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) osteotomy, with or without fixation; (e) local tendon transfer; (f) local tendon lengthening or release; (g) ligament repair; (h) joint debridement; —8 metatarsals (H) (Anaes.) (Assist.)
4976901.07.20213T81514SNYNNNNNNA01.07.202101.07.2021942.85707.15Y01.07.2021Unilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
4977001.07.20213T81514SNYNNNNNNA01.07.202101.07.20211567.201175.40Y01.07.2021Bilateral correction of hallux valgus or varus deformity, by osteotomy of first metatarsal and proximal phalanx of first toe, with internal fixation of both bones, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
4977101.07.20213T81513SNYNNNNNNA01.07.202101.07.2021386.55289.95Y01.07.2021Synovectomy of major tendon of ankle, for extensive synovitis by any method, including any of the following (if performed): (a) tenolysis; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercule or osteophyte; (e) reconstruction of tendon retinaculum; (f) neurolysis; other than a service associated with a service to which item30023 applies—each incision (H) (Anaes.) (Assist.)
4977201.07.20213T81514SNYNNNNNNA01.07.202101.07.2021341.15255.90Y01.07.2021Excision of rheumatoid nodules or gouty tophi, excluding aftercare, including any of the following (if performed): (a) capsulotomy; (b) debridement of ligament or tendon (or both); (c) release of ligament or tendon (or both); (d) excision of tubercle or osteophyte; —each incision (H) (Anaes.) (Assist.)
4977301.07.20213T81514SNYNNNNNNA01.07.202101.07.2021422.85317.15Y01.07.2021Revision of excision of intermetatarsal or digital neuroma, including any of the following (if performed): (a) release of tissues; (b) excision of bursae; (c) neurolysis; other than a service associated with a service to which item30023 applies—one web space (H) (Anaes.) (Assist.)
4977401.07.20213T81514SNYNNNNNNA01.07.202101.07.2021288.00216.00Y01.07.2021Release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item30023 applies—one foot (H) (Anaes.) (Assist.)
4977501.07.20213T81514SNYNNNNNNA01.07.202101.07.2021388.85291.65Y01.07.2021Revision of release of tarsal tunnel, including any of the following (if performed): (a) release of ligaments; (b) synovectomy; (c) neurolysis; other than a service associated with a service to which item30023 applies—one foot (H) (Anaes.) (Assist.)
4977601.07.20213T81514SNYNNNNNNA01.07.202101.07.20211223.00917.25Y01.07.2021Revision of arthrodesis of joint of hindfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; (e) removal of hardware; (f) neurolysis; (g) osteotomy of non‑union or malunion; other than a service associated with a service to which item30023 applies (H) (Anaes.) (Assist.)
4977701.07.20213T81514SNYNNNNNNA01.07.202101.07.2021724.15543.15Y01.07.2021Arthrodesis of joint of midfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint; —one joint (H) (Anaes.) (Assist.)
4977801.07.20213T81514SNYNNNNNNA01.07.202101.07.20211086.25814.70Y01.07.2021Arthrodesis of joints of midfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints; —2 joints (H) (Anaes.) (Assist.)
4977901.07.20213T81514SNYNNNNNNA01.07.202101.07.20211267.25950.45Y01.07.2021Arthrodesis of joints of midfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints; —3 joints (H) (Anaes.) (Assist.)
4978001.07.20213T81514SNYNNNNNNA01.07.202101.07.20211448.301086.25Y01.07.2021Arthrodesis of joints of midfoot, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints; —4 joints (H) (Anaes.) (Assist.)
4978101.07.20213T81514SNYNNNNNNA01.07.202101.07.20211086.25814.70Y01.07.2021Revision of arthrodesis of joint of midfoot, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of ostephytes at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion; —one joint (H) (Anaes.) (Assist.)
4978201.07.20213T81513SNYNNNNNNA01.07.202101.07.2021588.35441.30Y01.07.2021Revision of total ankle replacement, including: (a) bone grafting of perioperative cysts to the tibia or talus (or both); and (b) retention of implants; and (c) any of the following (if performed): (i) capsulotomy; (ii) joint release; (iii) neurolysis; (iv) debridement and grafting of cysts; (v) synovectomy; (vi) joint debridement; other than a service associated with a service to which item30023 applies (H) (Anaes.) (Assist.)
4978301.07.20213T815SNYNNNNNNA01.07.202101.07.2021789.00591.75Y01.07.2021Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —3 joints (H) (Anaes.) (Assist.)
4978401.07.20213T81514SNYNNNNNNA01.07.202101.07.2021901.60676.20Y01.07.2021Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —4 joints (H) (Anaes.) (Assist.)
4978501.07.20213T81514SNYNNNNNNA01.07.202101.07.20211014.25760.70Y01.07.2021Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —5 joints (H) (Anaes.) (Assist.)
4978601.07.20213T81514SNYNNNNNNA01.07.202101.07.20211126.90845.20Y01.07.2021Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —6 joints (H) (Anaes.) (Assist.)
4978701.07.20213T81514SNYNNNNNNA01.07.202101.07.20211239.50929.65Y01.07.2021Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —7 joints (H) (Anaes.) (Assist.)
4978801.07.20213T81514SNYNNNNNNA01.07.202101.07.20211352.151014.15Y01.07.2021Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joints, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —8 joints (H) (Anaes.) (Assist.)
4978901.07.20213T81514SNYNNNNNNA01.07.202101.07.20211163.05872.30Y01.07.2021Bilateral arthrodesis of first metatarsophalangeal joint, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
4979001.07.20213T81514SNYNNNNNNA01.07.202101.07.20211010.20757.65Y01.07.2021Revision of arthrodesis of first metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of exostosis at joint; (e) removal of hardware; (f) osteotomy of non-union or malunion (H) (Anaes.) (Assist.)
4979101.07.20213T81514SNYNNNNNNA01.07.202101.07.2021458.00343.50Y01.07.2021Arthrodesis of hallux interphalangeal or lesser metatarsophalangeal joint, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joint (H) (Anaes.) (Assist.)
4979201.07.20213T81514SNYNNNNNNA01.07.202101.07.2021514.45385.85Y01.07.2021Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —one or 2 toes (H) (Anaes.) (Assist.)
4979301.07.20213T81514SNYNNNNNNA01.07.202101.07.2021600.20450.15Y01.07.2021Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —3 toes (H) (Anaes.) (Assist.)
4979401.07.20213T81514SNYNNNNNNA01.07.202101.07.2021685.90514.45Y01.07.2021Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —4 toes (H) (Anaes.) (Assist.)
4979501.07.20213T81514SNYNNNNNNA01.07.202101.07.2021771.65578.75Y01.07.2021Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —5 toes (H) (Anaes.) (Assist.)
4979601.07.20213T81514SNYNNNNNNA01.07.202101.07.2021857.40643.05Y01.07.2021Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —6 toes (H) (Anaes.) (Assist.)
4979701.07.20213T81514SNYNNNNNNA01.07.202101.07.2021943.10707.35Y01.07.2021Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —7 toes (H) (Anaes.) (Assist.)
4979801.07.20213T81514SNYNNNNNNA01.07.202101.07.20211028.85771.65Y01.07.2021Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal joint (or both) of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) joint release; (d) synovectomy; (e) removal of osteophytes at joints; —8 toes (H) (Anaes.) (Assist.)
4980001.12.19913T81514SNNYNYYNNC01.12.199101.07.2021137.15102.90116.60Y01.07.2021Primary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (Anaes.) (Assist.)
4980301.12.19913T81514SNNYNYYNNC01.12.199101.07.2021176.35132.30149.90Y01.07.2021Secondary repair of flexor or extensor tendon of foot, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (Anaes.) (Assist.)
4980601.12.19913T81514SNNYNYYNNC01.12.199101.07.2021137.15102.90116.60Y01.07.2021Subcutaneous tenotomy of foot, by small percutaneous incisions—one or more tendons (Anaes.)
4980901.12.19913T81514SNNYNYYNNC01.07.202101.07.2021225.25168.95191.50Y01.07.2021Open tenotomy or lengthening of foot, by open incision, with or without tenoplasty, including either or both of the following (if performed): (a) synovial biopsy; (b) synovectomy; —one toe (Anaes.) (Assist.)
4981201.12.19913T81514SNNYNYYNNA01.11.200401.07.2021450.50337.90Y01.07.2021Advancement of tendon or ligament transfer of foot, including: (a) side to side transfer, harvesting and transfer for ligament or minor foot tendon reconstruction; and (b) either or both of the following (if performed): (i) synovial biopsy; (ii) synovectomy; —one major tendon or toe (H) (Anaes.) (Assist.)
4981401.07.20213T81513SNYNNNNNNA01.07.202101.07.20211028.70771.55Y01.07.2021Reconstruction of major tendon of ankle, by any method, including: (a) osteotomy of hindfoot, with internal fixation; and (b) lengthening of major tendon of ankle; and (c) any of the following (if performed): (i) synovial biopsy; (ii) synovectomy; (iii) adjacent tendon transfer; (iv) turn down flaps; other than a service associated with a service to which item 49718 applies (H) (Anaes.) (Assist.)
4981501.12.19913T81514SNNYNYYNNA01.11.200401.07.20211426.851070.15Y01.07.2021Triple arthrodesis of hindfoot joints, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints (H) (Anaes.) (Assist.)
4981801.12.19913T81514SNNYNYYNNA01.11.200401.07.2021284.00213.00Y01.07.2021Release of plantar fascia, including excision of calcaneal spur (if performed) (H) (Anaes.) (Assist.)
4982101.12.19913T81514SNNYNYYNNA01.11.200401.07.2021450.50337.90Y01.07.2021Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement —one joint (H) (Anaes.) (Assist.)
4982401.12.19913T81514SNNYNYYNNA01.11.200401.07.2021788.70591.55Y01.07.2021Excisional or interpositional arthroplasty of metatarsophalangeal or tarsometatarsal joint, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) local tendon transfer; (e) joint debridement; —2 joints (H) (Anaes.) (Assist.)
4982701.12.19913T81514SNNYNYYNNA01.11.200401.07.2021489.75367.35Y01.07.2021Unilateral correction of hallux valgus or varus deformity of the foot, by local tendon transfer, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
4983001.12.19913T81514SNNYNYYNNA01.11.200401.07.2021857.15642.90Y01.07.2021Bilateral correction of hallux valgus or varus deformity of the foot, by local tendon transfer, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
4983301.12.19913T81514SNNYNYYNNA01.11.200401.07.2021538.80404.10Y01.07.2021Unilateral correction of hallus valgus or varus deformity of the foot, by osteotomy of first metatarsal, without internal fixation, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
4983601.12.19913T81514SNNYNYYNNA01.11.200401.07.2021930.65698.00Y01.07.2021Bilateral correction of hallus valgus or varus deformity of the foot by osteotomy of first metatarsal, without internal fixation, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
4983701.05.20003T81514SNNYNYYNNA01.11.200401.07.2021673.45505.10Y01.07.2021Unilateral correction of hallus valgus or varus deformity of the foot, by osteotomy of first metatarsal, with internal fixation, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
4983801.05.20003T81514SNNYNYYNNA01.11.200401.07.20211163.05872.30Y01.07.2021Bilateral correction of hallus valgus or varus deformity of the foot by osteotomy of first metatarsal, with internal fixation or arthrodesis of first metatarsophalangeal joint, including any of the following (if performed): (a) exostectomy; (b) removal of bursae; (c) synovectomy; (d) capsule repair; (e) capsule or tendon release or transfer (H) (Anaes.) (Assist.)
4983901.12.19913T81514SNNYNYYNNA01.11.200401.07.2021538.80404.10Y01.07.2021Total replacement of first metatarsophalangeal joint, with replacement of both joint surfaces, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) (Anaes.) (Assist.)
4984501.12.19913T81514SNNYNYYNNA01.11.200401.07.2021673.45505.10Y01.07.2021Unilateral arthrodesis of first metatarsophalangeal joint, by open or arthroscopic means, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints (H) (Anaes.) (Assist.)
4985101.12.19913T81514SNNYNYYNNA01.11.200401.07.2021450.50337.90Y01.07.2021Arthrodesis, osteotomy or interpositional arthroplasty of proximal or distal (or both) joints of lesser toe, including any of the following (if performed): (a) internal fixation, by any method; (b) capsulotomy; (c) tendon lengthening; (d) joint release; (e) synovectomy; (f) removal of osteophytes at joints; —one toe (H) (Anaes.)
4985401.12.19913T81514SNNYNYYNNA01.11.200401.07.2021391.80293.85Y01.07.2021Radical plantar fasciotomy or fasciectomy, with extensive incision into foot and excision of fascia, including excision of calcaneal spur (if performed), other than a service associated with a service to which 49818 applies (H) (Anaes.) (Assist.)
4985701.12.19913T81514SNNYNYYNNA01.11.200401.07.2021362.45271.85Y01.07.2021Hemi joint replacement of first or lesser metatarsophalangeal joint, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) joint debridement (H) (Anaes.) (Assist.)
4986001.12.19913T81514SNNYNYYNNA01.11.200401.07.2021338.45253.85Y01.07.2021Synovectomy of metatarsophalangeal joints, including any of the following (if performed): (a) capsulotomy; (b) debridement; (c) release of ligament or tendon (or both); —one or more joints on one foot (H) (Anaes.) (Assist.)
4986601.12.19913T81514SNNYNYYNNA01.11.200401.07.2021313.25234.95Y01.07.2021Excision of intermetatarsal or digital neuroma, including any of the following (if performed): (a) release of metatarsal or digital ligament; (b) excision of bursae; (c) neurolysis; other than a service associated with a service to which item30023 applies—one web space (H) (Anaes.) (Assist.)
4987801.12.19913T81514SNNYNYYNNC01.12.199101.07.202158.7544.1049.95Y01.07.2021Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment by cast, splint or manipulation—each attendance (Anaes.)
4988101.07.20213T81514SNYNNNNNNA01.07.202101.07.2021228.85171.65Y01.07.2021Complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) skin closure, by any local method; other than a service associated with a service to which item30023 applies—each incision (H) (Anaes.) (Assist.)
4988401.07.20213T81513SNYNNNNNNA01.07.202101.07.2021386.55289.95Y01.07.2021Complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of ankle, hindoot or midfoot joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) capsular or ligament repair; (vi) skin closure, by any method; other than a service associated with a service to which item30023 applies—each incision (H) (Anaes.) (Assist.)
4988701.07.20213T81514SNYNNNNNNA01.07.202101.07.2021309.00231.75Y01.07.2021Revision of complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of interphalangeal or metatarsophalangeal joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) skin closure, by any method; other than a service associated with a service to which item30023 or 49881 applies—each incision (H) (Anaes.) (Assist.)
4989001.07.20213T81513SNYNNNNNNA01.07.202101.07.2021521.80391.35Y01.07.2021Revision of complete excision of one or more ganglia or bursae: (a) including excision of bony prominence or mucinous cyst of ankle, hindoot or midfoot joint and surrounding tissues; and (b) including any of the following (if performed): (i) arthrotomy; (ii) synovectomy; (iii) osteophyte resections; (iv) neurolysis; (v) capsular or ligament repair; (vi) skin closure, by any method; other than a service associated with a service to which item30023 or 49884 applies—each incision (H) (Anaes.) (Assist.)
5010701.07.20213T81511SNYNNNNNNA01.07.202101.07.2021489.75367.35Y01.07.2021Stabilisation of joint of hip, by open means, including any of the following (if performed): (a) repair of capsule; (b) labrum; (c) capsulorraphy; (d) repair of ligament; (e) internal fixation; other than a service associated with a service to which another item in this Group applies (H) (Anaes.) (Assist.)
5011201.12.19913T81515SNNYNYYNNA01.11.200401.07.2021375.70281.80Y01.07.2021Cicatricial flexion or extension contraction of joint, correction of, involving tissues deeper than skin and subcutaneous tissue, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.)
5011501.12.19913T81515SNNYNYYNNA01.05.201601.07.2021148.80111.60Y01.07.2021Manipulation of one or more joints, excluding spine, other than a service associated with a service to which another item in this Group applies (H) (Anaes.)
5011801.12.19913T81515SNNYNYYNNA01.11.200401.07.2021815.30611.50Y01.07.2021Arthrodesis of joint of hindfoot, by any method, with internal or external fixation by any method, including any of the following (if performed): (a) capsulotomy; (b) joint release; (c) synovectomy; (d) removal of osteophytes at joints; —one joint (H) (Anaes.) (Assist.)
5013001.07.19933T81515SNNYNYYNNA01.11.200401.07.2021324.95243.75Y01.07.2021Joint or joints, application of external fixator to, other than for treatment of fractures (H) (Anaes.) (Assist.)
5020001.12.19913T81516SNNYNYYNNC01.12.199101.07.2021195.80146.85166.45Y01.07.2021Core needle biopsy of aggressive or potentially malignant bone or soft tissue tumour, excluding aftercare (Anaes.)
5020101.11.20043T81516SNNYNYYNNC01.07.202101.07.2021342.80257.10291.40Y01.07.2021Incisional biopsy of aggressive or potentially malignant bone or soft tissue tumour, excluding aftercare (Anaes.) (Assist.)
5020301.12.19913T81516SNNYNYYNNC01.12.199101.07.2021431.05323.30366.40Y01.07.2021Intralesional or marginal excision of bone or soft tissue tumour (Anaes.) (Assist.)
5020601.12.19913T81516SNNYNYYNNA01.11.200401.07.2021636.75477.60Y01.07.2021Intralesional or marginal excision of bone tumour, with at least one of the following: (a) autograft; (b) allograft; (c) cementation (H) (Anaes.) (Assist.)
5020901.12.19913T81516SNNYNYYNNA01.11.200401.07.2021783.80587.85Y01.07.2021Intralesional or marginal excision of bone tumour, with at least 2 of the following: (a) autograft; (b) allograft; (c) cementation (H) (Anaes.) (Assist.)
5021201.12.19913T81516SNNYNYYNNA01.11.200401.07.20211714.301285.75Y01.07.2021Wide excision of malignant or aggressive bone or soft tissue tumour (or both), affecting a limb, trunk or scapula (H) (Anaes.) (Assist.)
5021501.12.19913T81516SNNYNYYNNA01.11.200401.07.20212155.101616.35Y01.07.2021Wide excision of malignant or aggressive bone or soft tissue tumour (or both), with intercalary reconstruction of bone by prosthesis, allograft or autograft (H) (Anaes.) (Assist.)
5021801.12.19913T81516SNNYNYYNNA01.11.200401.07.20212840.952130.75Y01.07.2021Wide excision of malignant or aggressive bone or soft tissue tumour (or both), with reconstruction, replacement or arthrodesis of adjacent joint, by prosthesis, allograft or autograft (H) (Anaes.) (Assist.)
5022101.12.19913T81516SNNYNYYNNA01.11.200401.07.20212644.851983.65Y01.07.2021Wide excision of malignant or aggressive bone or soft tissue tumour (or both) of pelvis, sacrum or spine, without reconstruction (H) (Anaes.) (Assist.)
5022401.12.19913T81516SNNYNYYNNC01.12.199101.07.20212938.802204.102854.10Y01.07.2021Wide excision of malignant or bone or soft tissue tumour (or both) of pelvis, sacrum or spine, with reconstruction of bone defect, or one or more joints, by any technique (Anaes.) (Assist.)
5023301.12.19913T81516SNNYNYYNNA01.11.200401.07.20212253.101689.85Y01.07.2021Treatment of malignant or aggressive bone or soft tissue tumour (or both) by hindquarter or forequarter amputation(H) (Anaes.) (Assist.)
5023601.12.19913T81516SNNYNYYNNA01.11.200401.07.20211763.301322.50Y01.07.2021Treatment of malignant or aggressive bone or soft tissue tumour (or both), by hip disarticulation, shoulder disarticulation or amputation through the proximal one third of the femur (H) (Anaes.) (Assist.)
5023901.12.19913T81516SNNYNYYNNA01.11.200401.07.20211175.40881.55Y01.07.2021Treatment of malignant or aggressive bone or soft tissue tumour (or both), by amputation, other than a service associated with a service to which item 50233 or 50236 applies (H) (Anaes.) (Assist.)
5024201.07.20213T81516SNYNNNNNNA01.07.202101.07.2021881.65661.25Y01.07.2021Revision of endoprosthetic replacement, if item 50218 or 50224, or an item that describes a service substantially similar to either of those items, applied to the initial procedure: (a) including any of the following: (i) rebushing; (ii) patella resurfacing; (iii) polyethylene exchange or similar; and (b) excluding removal of prosthetic from bone (H) (Anaes.) (Assist.)
5024501.07.20213T81517SNYNNNNNNA01.07.202101.07.20212645.051983.80Y01.07.2021Revision of reconstructive procedure, if item 50215, 50218 or 50224, or an item that describes a service substantially similar to any of those items, applied to the initial procedure, by any technique or combination of techniques (H) (Anaes.) (Assist.)
5030001.07.19953T81517SNNYNYYNNA01.11.200401.07.20211204.60903.45Y01.07.2021Gradual correction of joint deformity, with application of external fixator (H) (Anaes.) (Assist.)
5030301.07.19953T81517SNNYNYYNNA01.11.200401.07.20211644.651233.50Y01.07.2021Limb lengthening, by gradual distraction, with application of external fixator or intra-medullary device (H) (Anaes.) (Assist.)
5030601.07.19953T81517SNNYNYYNNA01.07.202101.07.20212567.901925.95Y01.07.2021Bipolar limb lengthening: (a) with application of external fixator or intra-medullary device; and (b) by any of the following: (i) gradual distraction; (ii) bone transport; (iii) fixator extension, to correct for an adjacent joint deformity (H) (Anaes.) (Assist.)
5030901.07.19953T81517SNNYNYYNNA01.11.200401.07.2021317.45238.10Y01.07.2021Ring fixator or similar device, adjustment of, with or without insertion or removal of fixation pins, performed under general anaesthesia, other than a service to which item50303 or 50306 applies (H) (Anaes.) (Assist.)
5031001.07.20213T81517SNYNNNNNNC01.07.202101.07.202145.4034.0538.6001.07.2021Major adjustment of ring fixator or similar device, other than a service associated with a service to which item 50303, 50306, or 50309 applies
5031201.07.19953T81517SNNYNYYNNA01.11.200401.07.2021782.70587.05Y01.07.2021Synovectomy or debridement, and microfracture, of ankle joint for osteochondral large defect greater than 1.5cm2, by arthroscopic or open means, including any of the following (if performed): (a) capsulotomy; (b) debridement or release of ligament; (c) debridement or release of tendon; other than a service associated with a service to which any of the following apply: (d) item49703; (e) another item in this Schedule if the service described in the other item is for the purpose of performing an arthroscopic procedure of the ankle (H) (Anaes.) (Assist.)
5032101.07.19953T81517SNNYNYYNNA01.11.200401.07.2021966.45724.85Y01.07.2021Release of soft tissue of talipes equinovarus, by open means (H) (Anaes.) (Assist.)
5032401.07.19953T81517SNNYNYYNNA01.11.200401.07.20211377.851033.40Y01.07.2021Revision of release of soft tissue of talipes equinovarus, by open means (H) (Anaes.) (Assist.)
5033001.07.19953T81517SNNYNYYNNA01.05.201601.07.2021237.95178.50Y01.07.2021Post‑operative manipulation, and change of plaster, of vertical, congenital talipes equinovarus or talus, other than a service to which item50321 or 50324 applies (H) (Anaes.)
5033301.07.19953T81517SNNYNYYNNA01.11.200401.07.2021641.80481.35Y01.07.2021Excision of tarsal coalition, with interposition of muscle, fat graft or similar graft, including any of the following (if performed): (a) capsulotomy; (b) synovectomy; (c) excision of osteophytes; —one coalition (H) (Anaes.) (Assist.)
5033501.07.20213T81517SNYNNNNNNA01.07.202101.07.2021641.80481.35Y01.07.2021Treatment of vertical, congenital talus, by percutaneous or open stabilisation of talonavicular joint and Achilles’ tenotomy (H) (Anaes.) (Assist.)
5033601.07.19953T81517SNNYNYYNNA01.11.200401.07.2021959.40719.55Y01.07.2021Talus, vertical, congenital, combined anterior and posterior reconstruction (H) (Anaes.) (Assist.)
5033901.07.19953T81517SNNYNYYNNA01.11.200401.07.2021614.40460.80Y01.07.2021Tibialis anterior or tibialis posterior tendon transfer (split or whole) (H) (Anaes.) (Assist.)
5034501.07.19953T81517SNNYNYYNNA01.11.200401.07.2021360.70270.55Y01.07.2021Hyperextension deformity of toe, release incorporating V‑Y plasty of skin, lengthening of extensor tendons and release of capsule contracture (H) (Anaes.) (Assist.)
5034801.07.19953T81517SNNYNYYNNA01.05.201601.07.2021237.95178.50Y01.07.2021Knee, deformity of, post‑operative manipulation and change of plaster, performed under general anaesthesia (H) (Anaes.)
5035101.07.19953T81517SNNYNYYNNA01.03.201301.07.20211661.951246.50Y01.07.2021Treatment of developmental dislocation of hip, by open reduction, including application of hip spica (H) (Anaes.) (Assist.)
5035201.05.20013T81517SNNYNYYNNC01.05.200101.07.202158.7544.1049.95Y01.07.2021Treatment of developmental dysplasia of hip, including supervision of initial application of splint, harness or cast, other than a service to which another item in this Group applies (Anaes.)
5035401.07.19953T81517SNNYNYYNNC01.07.199501.07.20211363.201022.401278.50Y01.07.2021Resection and fixation of congenital pseudarthrosis of tibia (Anaes.) (Assist.)
5035701.07.19953T81517SNNYNYYNNA01.11.200401.07.2021584.30438.25Y01.07.2021Transfer of tendon of rectus femoris or medial or lateral hamstring (H) (Anaes.) (Assist.)
5036001.07.19953T81517SNNYNYYNNA01.11.200401.07.2021678.05508.55Y01.07.2021Combined medial and lateral hamstring tendon transfer (H) (Anaes.) (Assist.)
5036901.07.19953T81517SNNYNYYNNA01.11.200401.07.2021678.05508.55Y01.07.2021Unilateral posterior release of knee contracture, with multiple tendon lengthening or tenotomies, including release of joint capsule (if performed), other than a service associated with a service to which another item of this Schedule applies if the service describedin the other item is for the purpose of knee replacement (H) (Anaes.) (Assist.)
5037201.07.19953T81517SNNYNYYNNA01.11.200401.07.20211190.15892.65Y01.07.2021Bilateral posterior release of knee contracture, with multiple tendon lengthening or tenotomies, including release of joint capsule (if performed), other than a service associated with a service to which another item of this Schedule applies if the service described in the other item is for the purpose of knee replacement (H) (Anaes.) (Assist.)
5037501.07.19953T81517SNNYNYYNNA01.11.200401.07.2021519.30389.50Y01.07.2021Unilateral medial release of hip contracture, with lengthening or division of the adductors and psoas, including division of obturator nerve (if performed) (H) (Anaes.) (Assist.)
5037801.07.19953T81517SNNYNYYNNA01.11.200401.07.2021908.85681.65Y01.07.2021Bilateral medial release of hip contracture, with lengthening or division of adductors and psoas, including division of obturator nerve (if performed) (H) (Anaes.) (Assist.)
5038101.07.19953T81517SNNYNYYNNA01.11.200401.07.2021678.05508.55Y01.07.2021Unilateral anterior release of hip contracture, with lengthening or division of hip flexors and psoas, including division of joint capsule (if performed) (H) (Anaes.) (Assist.)
5038401.07.19953T81517SNNYNYYNNA01.11.200401.07.20211190.15892.65Y01.07.2021Bilateral anterior release of hip contracture, with lengthening or division of hip flexors and psoas, including division of joint capsule (if performed) (H) (Anaes.) (Assist.)
5039001.07.19953T81517SNNYNYYNNA01.05.201601.07.2021237.95178.50Y01.07.2021Application of cast under general anaesthesia, for patient with perthes, cerebral palsy, or other neuromuscular conditions, affecting hips or knees (H) (Anaes.)
5039301.07.19953T81517SNNYNYYNNA01.11.200401.07.2021879.90659.95Y01.07.2021Acetabular shelf procedure, other than a service associated with a service to which another item of this Schedule applies if the service in the other item is for the purpose of performing arthroplasty on the hip (H) (Anaes.) (Assist.)
5039401.07.19983T81517SNNYNYYNNA01.11.200401.07.20212889.902167.45Y01.07.2021Multiple peri-acetabular osteotomy, including internal fixation (if performed) (H) (Anaes.) (Assist.)
5039501.07.20213T8155SNYNNNNNNA01.07.202101.07.2021950.25712.70Y01.07.2021Osteotomy and distillation of greater trochanter, with internal fixation (H) (Anaes.) (Assist.)
5039601.07.19953T81517SNNYNYYNNA01.11.200401.07.2021483.40362.55Y01.07.2021Amputation of congenital abnormalities or duplication of digits of the hand or foot, including any of the following (if performed): (a) splitting of phalanx or phalanges; (b) ligament reconstruction; (c) joint reconstruction (H) (Anaes.) (Assist.)
5039901.07.19953T81517SNNYNYYNNA01.11.200401.07.2021959.40719.55Y01.07.2021Forearm, radial aplasia or dysplasia (radial club hand), centralisation or radialisation of (H) (Anaes.) (Assist.)
5041101.07.19953T81517SNNYNYYNNC01.07.199501.07.20211363.201022.401278.50Y01.07.2021Lower limb deficiency, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion (Anaes.) (Assist.)
5041401.07.19953T81517SNNYNYYNNC01.07.199501.07.20211839.251379.451754.55Y01.07.2021Lower 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.)
5041701.07.19953T81517SNNYNYYNNC01.07.199501.07.20211363.201022.401278.50Y01.07.2021Lower 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.)
5042001.07.19953T81517SNNYNYYNNA01.11.200401.07.20211125.20843.90Y01.07.2021Patella, congenital dislocation of, reconstruction of the quadriceps (H) (Anaes.) (Assist.)
5042301.07.19953T81517SNNYNYYNNC01.07.199501.07.20211038.65779.00953.95Y01.07.2021Tibia, fibula or both, congenital deficiency of, transfer of the fibula to tibia, with internal fixation (Anaes.) (Assist.)
5042601.07.19953T81517SNNYNYYNNA01.11.200401.07.2021483.40362.55Y01.07.2021Removal of one or more lesions from bone, for osteochondroma occurring solitary or in association with hereditary multiple exotoses, with histological examination—one approach (H) (Anaes.) (Assist.)
5042801.07.20213T81517SNYNNNNNNA01.07.202101.07.2021807.05605.30Y01.07.2021Percutaneous drilling of osteochondritis dessicans or other osteochondral lesion, for a patient: (a) with open growth plates; or (b) less than 18 years of age (H) (Anaes.) (Assist.)
5045001.11.20063T81518SNNYNYYNNA01.11.200601.07.20211276.65957.50Y01.07.2021Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; (b) correction of muscle imbalance by transfer of a tendon or tendons; (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, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.)
5045101.11.20063T81518SNNYNYYNNA01.11.200601.07.20211276.65957.50Y01.07.2021Unilateral single event multilevel surgery, for a patient less than 18 years of age with hemiplegic cerebral palsy, comprising 3 or more of the following: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; (b) correction of muscle imbalance by transfer of a tendon or tendons; (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 (H) (Anaes.) (Assist.)
5045501.11.20063T81518SNNYNYYNNA01.11.200601.07.20211445.701084.30Y01.07.2021Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.)
5045601.11.20063T81518SNNYNYYNNA01.11.200601.07.20211445.701084.30Y01.07.2021Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.)
5046001.11.20063T81518SNNYNYYNNA01.11.200601.07.20212158.501618.90Y01.07.2021Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.)
5046101.11.20063T81518SNNYNYYNNA01.11.200601.07.20212158.501618.90Y01.07.2021Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery and bilateral femoral osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of torsional abnormality of the femur by rotational osteotomy and internal fixation; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.)
5046501.11.20063T81518SNNYNYYNNA01.11.200601.07.20213040.202280.15Y01.07.2021Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.)
5046601.11.20063T81518SNNYNYYNNA01.11.200601.07.20213040.202280.15Y01.07.2021Bilateral single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, that comprises bilateral soft tissue surgery, bilateral femoral osteotomies and bilateral tibial osteotomies, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.)
5047001.11.20063T81518SNNYNYYNNA01.11.200601.07.20213855.702891.80Y01.07.2021Bilateral single event multilevel surgery, for a patient 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, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and (e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.)
5047101.11.20063T81518SNNYNYYNNA01.11.200601.07.20213855.702891.80Y01.07.2021Bilateral single event multilevel surgery, for a patient 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, with: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of abnormal torsion of the femur by rotational osteotomy with internal fixation; and (d) correction of abnormal torsion of the tibia by rotational osteotomy with internal fixation; and (e) correction of bilateral pes valgus by os calcis lengthening or subtalar fusion; conjoint surgery, conjoint specialist surgeon, including fluoroscopy and excluding aftercare (H) (Anaes.) (Assist.)
5047501.11.20063T81518SNNYNYYNNA01.11.200601.07.20214449.103336.85Y01.07.2021Single event multilevel surgery, for a patient less than 18 years of age with diplegic cerebral palsy, for the correction of crouch gait, including: (a) lengthening of a contracted muscle tendon unit or units by tendon lengthening, muscle recession, fractional lengthening or intramuscular lengthening; and (b) correction of muscle imbalance by transfer of a tendon or tendons; and (c) correction of flexion deformity at the knee by extension osteotomy of the distal femur including internal fixation; and (d) correction of patella alta and quadriceps insufficiency by patella tendon shortening or reconstruction; and (e) correction of tibial torsion by rotational osteotomy of the tibia with internal fixation; and (f) correction of foot instability by os calcis lengthening or subtalar fusion; conjoint surgery, principal specialist surgeon, including fluoroscopy and aftercare (H) (Anaes.) (Assist.)
5047601.11.20063T81518SNNYNYYNNA01.11.200601.07.20214449.103336.85Y01.07.2021Singleeventmultilevelsurgery 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(H) (Anaes.) (Assist.)
5050801.11.20063T81519SNNYNYYNNC01.11.200601.07.2021411.20308.40349.55Y01.07.2021Treatment of fracture of distal end of radius or ulna (or both), by closed reduction, for a patient with open growth plates (Anaes.)
5051201.11.20063T81519SNNYNYYNNA01.11.200601.07.2021548.70411.55Y01.07.2021Treatment of fracture of distal end of radius or ulna (or both), by open or closed reduction, with internal fixation, for a patient with open growth plates (H) (Anaes.) (Assist.)
5052401.11.20063T81519SNNYNYYNNA01.05.201601.07.2021425.10318.85Y01.07.2021Radius 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 (H) (Anaes.) (Assist.)
5052801.11.20063T81519SNNYNYYNNA01.11.200601.07.2021685.70514.30Y01.07.2021Radius 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 (H) (Anaes.) (Assist.)
5053201.11.20063T81519SNNYNYYNNA01.11.200601.07.2021596.60447.45Y01.07.2021Treatment of fracture of shafts of radius or ulna (or both), by closed reduction, for a patient with open growth plate (H) (Anaes.)
5053601.11.20063T81519SNNYNYYNNA01.11.200601.07.2021795.40596.55Y01.07.2021Treatment of fracture of shafts of radius or ulna (or both), by open or closed reduction, with internal fixation, for a patient with open growth plate (H) (Anaes.) (Assist.)
5054001.11.20063T81519SNNYNYYNNA01.11.200601.07.2021548.70411.55Y01.07.2021Olecranon, with open growth plate, treatment of fracture of, by open reduction (H) (Anaes.) (Assist.)
5054401.11.20063T81519SNNYNYYNNC01.11.200601.07.2021274.25205.70233.15Y01.07.2021Radius, with open growth plate, treatment of fracture of head or neck of, by closed reduction of (Anaes.)
5054801.11.20063T81519SNNYNYYNNA01.11.200601.07.2021548.70411.55Y01.07.2021Radius, with open growth plate, treatment of fracture of head or neck of, by reduction with or without internal fixation by open or percutaneous means (H) (Anaes.) (Assist.)
5055201.11.20063T81519SNNYNYYNNA01.05.201601.07.2021473.20354.90Y01.07.2021Humerus, proximal, with open growth plate, treatment of fracture of, by closed reduction (H) (Anaes.)
5055601.11.20063T81519SNNYNYYNNA01.11.200601.07.2021630.80473.10Y01.07.2021Treatment of fracture of proximal humerus, by open or closed reduction, with internal fixation, for a patient with open growth plate (H) (Anaes.) (Assist.)
5056001.11.20063T81519SNNYNYYNNA01.11.200601.07.2021493.65370.25Y01.07.2021Humerus, shaft of, with open growth plate, treatment of fracture of, by closed reduction (H) (Anaes.)
5056401.11.20063T81519SNNYNYYNNA01.11.200601.07.2021658.25493.70Y01.07.2021Treatment of fracture of shaft of humerus, by open or closed reduction, with internal or external fixation, for a patient with open growth plate (H) (Anaes.) (Assist.)
5056801.11.20063T81519SNNYNYYNNA01.05.201601.07.2021576.05432.05Y01.07.2021Humerus, with open growth plate, supracondylar or condylar, treatment of fracture of, by closed reduction (H) (Anaes.)
5057201.11.20063T81519SNNYNYYNNA01.11.200601.07.2021768.00576.00Y01.07.2021Humerus, with open growth plate, supracondylar or condylar, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H) (Anaes.) (Assist.)
5057601.11.20063T81519SNNYNYYNNC01.11.200601.07.2021630.80473.10546.10Y01.07.2021Treatment of fracture of femur, by closed reduction or traction, including application of hip spica (if performed), for a patient with open growth plate (Anaes.) (Assist.)
5058001.11.20063T81519SNNYNYYNNA01.11.200601.07.2021658.25493.70Y01.07.2021Tibia, 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 (H) (Anaes.) (Assist.)
5058401.11.20063T81519SNNYNYYNNA01.11.200601.07.2021630.80473.10Y01.07.2021Tibia, distal, with open growth plate, treatment of fracture of, by reduction with or without internal fixation by open or percutaneous means (H) (Anaes.) (Assist.)
5058801.11.20063T81519SNNYNYYNNA01.11.200601.07.2021822.75617.10Y01.07.2021Tibia and fibula, with open growth plates, treatment of fracture of, by internal fixation (H) (Anaes.) (Assist.)
5059201.07.20213T81519SNYNNNNNNA01.07.202101.07.2021999.15749.40Y01.07.2021Treatment of fracture of shaft of femur, by open or closed reduction, with internal or external fixation, for a patient with open growth plate (H) (Anaes.) (Assist.)
5059601.07.20213T81519SNYNNNNNNA01.07.202101.07.2021312.35234.30Y01.07.2021Treatment of fracture of shaft of tibia, by open or closed reduction, including casting, for a patient with open growth plate (H) (Anaes.) (Assist.)
5060001.11.20063T81520SNNYNYYNNA01.05.201601.07.2021452.30339.25Y01.07.2021Scoliosis or kyphosis, in a child, manipulation of deformity and application of a localiser cast, under general anaesthesia, in a hospital (H) (Anaes.) (Assist.)
5060401.11.20063T81520SNNYNYYNNA01.11.200601.07.20211919.751439.85Y01.07.2021Scoliosis or kyphosis, in a child or adolescent, spinal fusion for (without instrumentation) (H) (Anaes.) (Assist.)
5060801.11.20063T81520SNNYNYYNNA01.11.200601.07.20213565.852674.40Y01.07.2021Scoliosis or kyphosis, in a child or adolescent, treatment by segmental instrumentation and fusion of the spine, other than a service to which any of items 51011 to 51171 apply (H) (Anaes.) (Assist.)
5061201.11.20063T81520SNNYNYYNNA01.11.200601.07.20215072.053804.05Y01.07.2021Scoliosis or kyphosis, in a child or adolescent, with spinal deformity, treatment by segmental instrumentation, utilising separate anterior and posterior approaches, other than a service to which any of items 51011 to 51171 apply (H) (Anaes.) (Assist.)
5061601.11.20063T81520SNNYNYYNNA01.11.200601.07.2021644.45483.35Y01.07.2021Scoliosis, in a child or adolescent, re-exploration for adjustment or removal of segmental instrumentation used for correction of spine deformity (H) (Anaes.) (Assist.)
5062001.11.20063T81520SNNYNYYNNA01.11.200601.07.20213565.852674.40Y01.07.2021Scoliosis, in a child or adolescent, revision of failed scoliosis surgery, involving more than one of osteotomy, fusion, removal of instrumentation or instrumentation, other than a service to which any of items 51011 to 51171 apply (H) (Anaes.) (Assist.)
5062401.11.20063T81520SNNYNYYNNA01.11.200601.07.20213565.852674.40Y01.07.2021Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - not more than 4 levels (H) (Anaes.) (Assist.)
5062801.11.20063T81520SNNYNYYNNA01.11.200601.07.20214404.753303.60Y01.07.2021Scoliosis, in a child or adolescent, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar)—more than 4 levels (H) (Anaes.) (Assist.)
5063201.11.20063T81520SNNYNYYNNA01.11.200601.07.20213702.902777.20Y01.07.2021Scoliosis or kyphosis, in a child or adolescent, requiring segmental instrumentation and fusion of the spine down to and including the pelvis or sacrum, other than a service to which any of items51011 to 51171 apply (H) (Anaes.) (Assist.)
5063601.11.20063T81520SNNYNYYNNA01.11.200601.07.20214114.303085.75Y01.07.2021Scoliosis, in a child or adolescent, requiring anterior decompression of the spinal cord with vertebral resection and instrumentation in the presence of spinal cord involvement, other than a service to which any of items51011 to 51171 apply (H) (Anaes.) (Assist.)
5064001.11.20063T81520SNNYNYYNNA01.11.200601.07.20212274.351705.80Y01.07.2021Scoliosis, in a child or adolescent, congenital, resection and fusion of abnormal vertebra via an anterior or posterior approach, other than a service to which any of items51011 to 51171 apply (H) (Anaes.) (Assist.)
5064401.11.20063T81520SNNYNYYNNA01.11.200601.07.20212194.401645.80Y01.07.2021Spine, bone graft to, for a child or adolescent, associated with surgery for correction of scoliosis or kyphosis or both (H) (Anaes.) (Assist.)
5065401.11.20063T81521SNNYNYYNNA01.11.200601.07.2021516.75387.60Y01.07.2021Treatment of hip dysplasia or dislocation, for a patient under the age of 18 years, by examination or closed reduction (or both), with or without arthrography of the hip under anaesthesia, and with application or reapplication of a hip spica (H) (Anaes.) (Assist.)
5095001.05.20043T816SNNYNYYNNC01.05.200401.07.2021850.20637.65765.50Y01.07.2021Unresectable primary malignant tumour of the liver, destruction of, by percutaneous ablation (including any associated imaging services), other than a service associated with a service to which item30419 or 50952 applies (Anaes.)
5095201.05.20043T816SNNYNYYNNC01.05.200401.07.2021850.20637.65765.50Y01.07.2021Unresectable primary malignant tumour of the liver, destruction of, by open or laparoscopic ablation (including any associated imaging services), if a multi‑disciplinary team has assessed that percutaneous ablation cannot be performed or is not practical because of one or more of the following clinical circumstances:(a) percutaneous access cannot be achieved;(b) vital organs or tissues are at risk of damage from the percutaneousablationprocedure;(c) resection of one part of the liver is possible, however there is at least one primary liver tumour in an unresectable portion of the liver that is suitable for ablation;other than a service associated with a service to which item30419 or 50950 applies (Anaes.)
5101101.11.20183T817SNNNNNYNNA01.11.201801.07.20211493.651120.25Y01.11.2018Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, one motion segment, not being a service associated with a service to which item 51012, 51013, 51014 or 51015 applies (Anaes.) (Assist.)
5101201.11.20183T817SNNNNNYNNA01.11.201801.07.20211991.301493.50Y01.11.2018Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, 2 motion segments, not being a service associated with a service to which item 51011, 51013, 51014 or 51015 applies (Anaes.) (Assist.)
5101301.11.20183T817SNNNNNYNNA01.11.201801.07.20212489.201866.90Y01.11.2018Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, 3 motion segments, not being a service associated with a service to which item 51011, 51012, 51014 or 51015 applies (Anaes.) (Assist.)
5101401.11.20183T817SNNNNNYNNA01.11.201801.07.20212987.052240.30Y01.11.2018Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, 4 motion segments, not being a service associated with a service to which item 51011, 51012, 51013 or 51015 applies (Anaes.) (Assist.)
5101501.11.20183T817SNNNNNYNNA01.11.201801.07.20213484.902613.70Y01.11.2018Spinal decompression or exposure via partial or total laminectomy, partial vertebrectomy or posterior spinal release, more than 4 motion segments, not being a service associated with a service to which item 51011, 51012, 51013 or 51014 applies (Anaes.) (Assist.)
5102001.11.20183T817SNNNNNYNNA01.11.201801.07.2021796.45597.35Y01.11.2018Simple fixation of part of one vertebra (not motion segment) including pars interarticularis, spinous process or pedicle, or simple interspinous wiring between 2 adjacent vertebral levels, not being a service associated with: (a) interspinous dynamic stabilisation devices; or (b) a service to which item51021, 51022, 51023, 51024, 51025 or 51026 applies (Anaes.) (Assist.)
5102101.11.20183T817SNNNNNYNNA01.11.201801.07.20211333.15999.90Y01.11.2018Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, one motion segment, not being a service associated with a service to which item 51020, 51022, 51023, 51024, 51025 or 51026 applies (Anaes.) (Assist.)
5102201.11.20183T817SNNNNNYNNA01.11.201801.07.20211658.301243.75Y01.11.2018Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 2 motion segments, not being a service associated with a service to which item 51020, 51021, 51023, 51024, 51025 or 51026 applies (Anaes.) (Assist.)
5102301.11.20183T817SNNNNNYNNA01.11.201801.07.20211973.451480.10Y01.11.2018Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 3 or 4 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51024, 51025 or 51026 applies (Anaes.) (Assist.)
5102401.11.20183T817SNNNNNYNNA01.11.201801.07.20212278.301708.75Y01.11.2018Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 5 or 6 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51025 or 51026 applies (Anaes.) (Assist.)
5102501.11.20183T817SNNNNNYNNA01.11.201801.07.20212662.901997.20Y01.11.2018Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, 7 to 12 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51024 or 51026 applies (Anaes.) (Assist.)
5102601.11.20183T817SNNNNNYNNA01.11.201801.07.20212915.452186.60Y01.11.2018Fixation of motion segment with vertebral body screw, pedicle screw or hook instrumentation including sublaminar tapes or wires, more than 12 motion segments, not being a service associated with a service to which item 51020, 51021, 51022, 51023, 51024 or 51025 applies (Anaes.) (Assist.)
5103101.11.20183T817SNNNNNYNNA01.11.201801.07.2021979.60734.70Y01.11.2018Spine, posterior and/or posterolateral bone graft to, one motion segment, not being a service associated with a service to which item 51032, 51033, 51034, 51035 or 51036 applies (Anaes.) (Assist.)
5103201.11.20183T817SNNNNNYNNA01.11.201801.07.20211175.55881.70Y01.11.2018Spine, posterior and/or posterolateral bone graft to, 2 motion segments, not being a service associated with a service to which item 51031, 51033, 51034, 51035 or 51036 applies (Anaes.) (Assist.)
5103301.11.20183T817SNNNNNYNNA01.11.201801.07.20211371.501028.65Y01.11.2018Spine, posterior and/or posterolateral bone graft to, 3 motion segments, not being a service associated with a service to which item 51031, 51032, 51034, 51035 or 51036 applies (Anaes.) (Assist.)
5103401.11.20183T817SNNNNNYNNA01.11.201801.07.20211469.401102.05Y01.11.2018Spine, posterior and/or posterolateral bone graft to, 4 to 7 motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51035 or 51036 applies (Anaes.) (Assist.)
5103501.11.20183T817SNNNNNYNNA01.11.201801.07.20211567.351175.55Y01.11.2018Spine, posterior and/or posterolateral bone graft to, 8 to 11 motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51034 or 51036 applies (Anaes.) (Assist.)
5103601.11.20183T817SNNNNNYNNA01.11.201801.07.20211665.351249.05Y01.11.2018Spine, posterior and/or posterolateral bone graft to, 12 or more motion segments, not being a service associated with a service to which item 51031, 51032, 51033, 51034 or 51035 applies (Anaes.) (Assist.)
5104101.11.20183T817SNNNNNYNNA01.11.201801.07.20211126.55844.95Y01.11.2018Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), one motion segment, not being a service associated with a service to which item 51042, 51043, 51044 or 51045 applies (Anaes.) (Assist.)
5104201.11.20183T817SNNNNNYNNA01.11.201801.07.20211577.201182.90Y01.11.2018Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 2 motion segments, not being a service associated with a service to which item 51041, 51043, 51044 or 51045 applies (Anaes.) (Assist.)
5104301.11.20183T817SNNNNNYNNA01.11.201801.07.20211971.551478.70Y01.11.2018Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 3 motion segments, not being a service associated with a service to which item 51041, 51042, 51044 or 51045 applies (Anaes.) (Assist.)
5104401.11.20183T817SNNNNNYNNA01.11.201801.07.20212140.501605.40Y01.11.2018Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 4 motion segments, not being a service associated with a service to which item 51041, 51042, 51043 or 51045 applies (Anaes.) (Assist.)
5104501.11.20183T817SNNNNNYNNA01.11.201801.07.20212253.151689.90Y01.11.2018Spinal fusion, anterior column (anterior, direct lateral or posterior interbody), 5 or more motion segments, not being a service associated with a service to which item 51041, 51042, 51043 or 51044 applies (Anaes.) (Assist.)
5105101.11.20183T817SNNNNNYNNA01.11.201801.07.20211924.951443.75Y01.11.2019Pedicle subtraction osteotomy, one vertebra, not being a service associated with a service to which item51052, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies (Anaes.) (Assist.)
5105201.11.20183T817SNNNNNYNNA01.11.201801.07.20212341.201755.90Y01.11.2019Pedicle subtraction osteotomy, 2 vertebrae, not being a service associated with a service to which item51051, 51053, 51054, 51055, 51056, 51057, 51058 or 51059 applies (Anaes.) (Assist.)
5105301.11.20183T817SNNNNNYNNA01.11.201801.07.20212663.701997.80Y01.11.2019Vertebral column resection osteotomy performed through single posterior approach, one vertebra, not being a service associated with a service to which item51051, 51052, 51054, 51055, 51056, 51057, 51058 or 51059 applies (Anaes.) (Assist.)
5105401.11.20183T817SNNNNNYNNA01.11.201801.07.20211420.301065.25Y01.11.2018Vertebral body, piecemeal or subtotal excision of (where piecemeal or subtotal excision is defined as removal of more than 50% of the vertebral body), one vertebra, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item51051, 51052, 51053, 51055, 51056, 51057, 51058 or 51059 applies (Anaes.) (Assist.)
5105501.11.20183T817SNNNNNYNNA01.11.201801.07.20212130.451597.85Y01.11.2018Vertebral body, piecemeal or subtotal excision of (where piecemeal or subtotal excision is defined as removal of more than 50% of the vertebral body), 2 vertebrae, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item51051, 51052, 51053, 51054, 51056, 51057, 51058 or 51059 applies (Anaes.) (Assist.)
5105601.11.20183T817SNNNNNYNNA01.11.201801.07.20212485.501864.15Y01.11.2018Vertebral body, piecemeal or subtotal excision of (where piecemeal or subtotal excision is defined as removal of more than 50% of the vertebral body), 3 or more vertebrae, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item51051, 51052, 51053, 51054, 51055, 51057, 51058 or 51059 applies (Anaes.) (Assist.)
5105701.11.20183T817SNNNNNYNNA01.11.201801.07.20212497.251872.95Y01.11.2018Vertebral body, en bloc excision of (complete spondylectomy), one vertebra, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item51051, 51052, 51053, 51054, 51055, 51056, 51058 or 51059 applies (Anaes.) (Assist.)
5105801.11.20183T817SNNNNNYNNA01.11.201801.07.20212809.902107.45Y01.11.2018Vertebral body, en bloc excision of (complete spondylectomy), 2 vertebrae, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item51051, 51052, 51053, 51054, 51055, 51056, 51057 or 51059 applies (Anaes.) (Assist.)
5105901.11.20183T817SNNNNNYNNA01.11.201801.07.20213433.752575.35Y01.11.2018Vertebral body, en bloc excision of (complete spondylectomy), 3 or more vertebrae, not being a service associated with: (a) anterior column fusion when at the same motion segment; or (b) a service to which item51051, 51052, 51053, 51054, 51055, 51056, 51057 or 51058 applies (Anaes.) (Assist.)
5106101.11.20183T817SNNNNNYNNA01.11.201801.07.20212949.502212.15Y01.11.2019Spinal fusion, anterior and posterior, including spinal instrumentation at one motion segment, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51062, 51063, 51064, 51065 or 51066 applies (Anaes.) (Assist.)
5106201.11.20183T817SNNNNNYNNA01.11.201801.07.20213823.252867.45Y01.11.2019Spinal fusion, anterior and posterior, including spinal instrumentation at 2 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51063, 51064, 51065 or 51066 applies (Anaes.) (Assist.)
5106301.11.20183T817SNNNNNYNNA01.11.201801.07.20214630.653473.00Y01.11.2019Spinal fusion, anterior and posterior, including spinal instrumentation at 3 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51064, 51065 or 51066 applies (Anaes.) (Assist.)
5106401.11.20183T817SNNNNNYNNA01.11.201801.07.20215153.553865.20Y01.11.2019Spinal fusion, anterior and posterior, including spinal instrumentation at 4 to 7 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51063, 51065 or 51066 applies (Anaes.) (Assist.)
5106501.11.20183T817SNNNNNYNNA01.11.201801.07.20215699.804274.85Y01.11.2019Spinal fusion, anterior and posterior, including spinal instrumentation at 8 to 11 motion segments, posterior and/or posterolateral bone graft, and anterior column fusion, not being a service associated with a service to which item 51061, 51062, 51063, 51064 or 51066 applies (Anaes.) (Assist.)
5106601.11.20183T817SNNNNNYNNA01.11.201801.07.20216001.254500.95Y01.11.2019Spinal fusion, anterior and posterior, including spinal instrumentation at 12 or more motion segments, posterior and/or posterolateral bone graft, and anterior column fusion not being a service associated with a service to which item 51061, 51062, 51063, 51064 or 51065 applies (Anaes.) (Assist.)
5107101.11.20183T817SNNNNNYNNA01.11.201801.07.20212601.301951.00Y01.11.2018Removal of intradural lesion, not being a service associated with a service to which item 51072 or 51073 applies (Anaes.) (Assist.)
5107201.11.20183T817SNNNNNYNNA01.11.201801.07.20212705.352029.05Y01.11.2018Craniocervical junction lesion, transoral approach for, not being a service associated with a service to which item 51071 or 51073 applies (Anaes.) (Assist.)
5107301.11.20183T817SNNNNNYNNA01.11.201801.07.20213433.752575.35Y01.11.2018Removal of intramedullary tumour or arteriovenous malformation, not being a service associated with a service to which item 51071 or 51072 applies (Anaes.) (Assist.)
5110201.11.20183T817SNNNNNYNNA01.11.201801.07.20211231.40923.55Y01.11.2018Thoracoplasty in combination with thoracic scoliosis correction—3 or more ribs (Anaes.) (Assist.)
5110301.11.20183T817SNNNNNYNNA01.11.201801.07.20212164.051623.05Y01.11.2018Odontoid screw fixation (Anaes.) (Assist.)
5111001.11.20183T817SNNNNNYNNC01.11.201801.07.2021783.80587.85699.10Y01.11.2018Spine, treatment of fracture, dislocation or fracture dislocation, with immobilisation by calipers or halo, not including application of skull tongs or calipers as part of operative positioning (Anaes.)
5111101.11.20183T817SNNNNNYNNA01.11.201801.07.2021333.10249.85Y01.11.2018Skull calipers or halo, insertion of, as an independent procedure (Anaes.)
5111201.11.20183T817SNNNNNYNNC01.11.201801.07.2021225.25168.95191.50Y01.11.2018Plaster jacket, application of, as an independent procedure (Anaes.)
5111301.11.20183T817SNNNNNYNNA01.11.201801.07.2021249.80187.35Y01.11.2018Halo, application of, in addition to spinal fusion for scoliosis, or other conditions (Anaes.)
5111401.11.20183T817SNNNNNYNNA01.11.201801.07.2021440.95330.75Y01.11.2018Halo thoracic orthosis—application of both halo and thoracic jacket (Anaes.)
5111501.11.20183T817SNNNNNYNNC01.11.201801.07.2021440.95330.75374.85Y01.11.2018Halo femoral traction, as an independent procedure (Anaes.)
5112001.11.20183T817SNNNNNYNNA01.11.201801.07.2021245.05183.80Y01.11.2018Bone graft, harvesting of autogenous graft, via separate incision or via subcutaneous approach, in conjunction with spinal fusion, other than for the purposes of bone graft obtained from the cervical, thoracic, lumbar or sacral spine (Anaes.)
5113001.11.20183T817SNNNNNYNNA01.11.201801.07.20211866.351399.80Y01.11.2018Lumbar artificial intervertebral total disc replacement, at one motion segment only, including removal of disc and marginal osteophytes: (a) for a patient who: (i) has not had prior spinal fusion surgery at the same lumbar level; and (ii) does not have vertebral osteoporosis; and (iii) has failed conservative therapy; and (b) not being a service associated with a service to which item51011, 51012, 51013, 51014 or 51015 applies (Anaes.) (Assist.)
5113101.11.20183T817SNNNNNYNNA01.11.201801.07.20211126.55844.95Y01.11.2018Cervical artificial intervertebral total disc replacement, at one motion segment only, including removal of disc and marginal osteophytes, 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 (Anaes.) (Assist.)
5114001.11.20183T817SNNNNNYNNA01.11.201801.07.2021460.40345.30Y01.11.2018Previous spinal fusion, re-exploration for, involving adjustment or removal of instrumentation up to 3 motion segments, not being a service associated with a service to which item 51141 applies (Anaes.) (Assist.)
5114101.11.20183T817SNNNNNYNNA01.11.201801.07.2021851.70638.80Y01.11.2018Previous spinal fusion, re-exploration for, involving adjustment or removal of instrumentation more than 3 motion segments, not being a service associated with a service to which item 51140 applies (Anaes.) (Assist.)
5114501.11.20183T817SNNNNNYNNA01.11.201801.07.2021460.40345.30Y01.11.2018Wound debridement or excision for post operative infection or haematoma following spinal surgery (Anaes.) (Assist.)
5115001.11.20183T817SNNNNNYNNA01.11.201801.07.2021463.50347.65Y01.11.2018Coccyx, excision of (Anaes.) (Assist.)
5116001.11.20183T817SNNNNNYNNA01.11.201801.07.20211196.60897.45Y01.11.2018Anterior exposure of thoracic or lumbar spine, one motion segment, not being a service to which item 51165 applies (Anaes.) (Assist.)
5116501.11.20183T817SNNNNNYNNA01.11.201801.07.20211508.751131.60Y01.11.2018Anterior exposure of thoracic or lumbar spine, more than one motion segment, not being a service to which item 51160 applies (Anaes.) (Assist.)
5117001.11.20183T817SNNNNNYNNA01.11.201801.07.20212273.151704.90Y01.11.2018Syringomyelia or hydromyelia, craniotomy for, with or without duraplasty, intradural dissection, plugging of obex or local cerebrospinal fluid shunt (Anaes.) (Assist.)
5117101.11.20183T817SNNNNNYNNA01.11.201801.07.2021954.60715.95Y01.11.2018Syringomyelia or hydromyelia, treatment by direct cerebrospinal fluid shunt (for example, syringosubarachnoid shunt, syringopleural shunt or syringoperitoneal shunt) (Anaes.) (Assist.)
5130001.12.19913T9SNNYNYYNNC01.12.199101.07.202189.8067.3576.3501.07.2021Assistance at any operation identified by the word "Assist." for which the fee does not exceed $580.95 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 $580.95
5130301.12.19913T9SDNYNYNNNC01.12.199101.11.1998one fifth of the established fee for the operation or combination of operations01.07.2021Assistance at any operation identified by the word "Assist." for which the fee exceeds $580.95 or at a series of operations identified by the word "Assist." for which the aggregate fee exceeds $580.95
5130601.12.19913T9SNNNNNYNNC01.12.199101.07.2021129.7097.30110.2501.11.2017Assistance at a birth involving Caesarean section
5130901.12.19913T9SDNNNNNNNC01.12.199101.11.1998one 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)01.11.2017Assistance at a series or combination of operations that include “(Assist.)” and assistance at a birth involving Caesarean section
5131201.07.19953T9SDNNNNNNNC01.07.199501.11.1998one fifth of the established fee for the procedure or combination of procedures01.11.2017Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615 and 16627
5131501.05.19973T9SNNNNNYNNC01.05.199701.07.2021283.45212.60240.9501.11.2012Assistance 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
5131801.05.19973T9SNNNNNYNNC01.05.199701.07.2021187.05140.30159.0001.05.1997Assistance 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
9185013.03.20203T41DNNNNNYNNB13.03.202001.07.202128.3524.1020.04.2020Antenatal telehealth service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner.
9185113.03.20203T41DNNNNNYNNB13.03.202001.07.202174.6063.4520.04.2020Postnatal telehealth attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item82140 applies is not provided. Applicable once for a pregnancy
9185213.03.20203T41DNNNNNYNNB13.03.202001.07.202155.5547.2520.04.2020Postnatal telehealth attendance (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item82130, 82135 or 82140 applies is not provided. Applicable once for a pregnancy
9185313.03.20203T41DNNNNNYNNB13.03.202001.07.202149.0541.7020.04.2020Antenatal telehealth attendance.
9185513.03.20203T42DNNNNNYNNB13.03.202001.07.202128.3524.1020.04.2020Antenatal phone service provided by a midwife, nurse or an Aboriginal and Torres Strait Islander health practitioner, to a maximum of 10 services per pregnancy, if: (a) the service is provided on behalf of, and under the supervision of, a medical practitioner; and (b) the service is provided at, or from, a practice location in a regional, rural or remote area; and (c) the service is not performed in conjunction with another antenatal attendance item in Group T4 for the same patient on the same day by the same practitioner.
9185613.03.20203T42DNNNNNYNNB13.03.202001.07.202174.6063.4520.04.2020Postnatal phone attendance by an obstetrician or general practitioner (other than a service to which any other item applies) if: (a) is between 4 and 8 weeks after the birth; and (b) lasts at least 20 minutes in duration; and (c) includes a mental health assessment (including screening for drug and alcohol use and domestic violence) of the patient; and (d) is for a pregnancy in relation to which a service to which item82140 applies is not provided. Applicable once for a pregnancy
9185713.03.20203T42DNNNNNYNNB13.03.202001.07.202155.5547.2520.04.2020Postnatal phone attendance other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which any other item applies) if: (a) the attendance is rendered by: (i) a midwife (on behalf of and under the supervision of the medical practitioner who attended the birth); or (ii) an obstetrician; or (iii) a general practitioner; and (b) is between 1 week and 4 weeks after the birth; and (c) lasts at least 20 minutes; and (d) is for a patient who was privately admitted for the birth; and (e) is for a pregnancy in relation to which a service to which item82130, 82135 or 82140 applies is not provided. Applicable once for a pregnancy
9185813.03.20203T42DNNNNNYNNB13.03.202001.07.202149.0541.7020.04.2020Antenatal phone attendance.
5170001.12.19914O1SNNNNNYNPC01.12.199101.07.202189.0066.7575.6501.01.2021500.00300.0001.11.2007APPROVED DENTAL PRACTITIONER, REFERRED CONSULTATION - SURGERY, HOSPITAL OR RESIDENTIAL AGED CARE FACILITY Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner, at consulting rooms, hospital or residential aged care facility where the patient is referred to him or her
5170301.12.19914O1SNNNNNYNPC01.12.199101.07.202144.7533.6038.0501.01.2021500.00300.0001.11.2007Professional attendance by an approved dental practitioner, each attendance subsequent to the first in a single course of treatment at consulting rooms, hospital or residential aged care facility where the patient is referred to him or her
5180001.12.19914O2SNNYNYYNNC01.12.199101.07.202189.8067.3576.3501.07.2021Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operationidentified by the word "Assist."for which the fee does not exceed$580.95 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 $580.95
5180301.12.19914O2SDNYNYNNNC01.12.199101.11.1998one fifth of the established fee for the operation or combination of operations01.07.2021Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation specified in an item that includes '(Assist.)' for which the fee exceeds $580.95 or at a series or combination of operations specified in items that include '(Assist)' if the aggregate fee exceeds $580.95
5190001.11.20004O3SNNNNNYNNC01.11.200001.07.2021339.25254.45288.40Y01.11.2007WOUND OF SOFT TISSUE, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed (Anaes.) (Assist.)
5190201.11.20004O3SNNNNNYNNC01.11.200001.07.202176.9557.7565.45Y01.11.2007WOUNDS, DRESSING OF, under general anaesthesia, with or without removal of sutures, not being a service associated with a service to which another item in Groups O3 to O9 applies (Anaes.)
5190401.11.20004O3SNNNNNYNNC01.11.200001.07.2021473.30355.00402.35Y01.11.2007LIPECTOMY - wedge excision of skin or fat - 1 EXCISION (Anaes.) (Assist.)
5190601.11.20004O3SNNNNNYNNC01.11.200001.07.2021719.75539.85635.05Y01.11.2007LIPECTOMY- wedge excision of skin or fat - 2 OR MORE EXCISIONS (Anaes.) (Assist.)
5200001.12.19914O3SNNNNNYNNC01.12.199101.07.202185.8064.3572.95Y01.12.1991SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial (Anaes.)
5200301.12.19914O3SNNNNNYNNC01.12.199101.07.2021122.3591.80104.00Y01.12.1991SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue (Anaes.)
5200601.12.19914O3SNNNNNYNNC01.12.199101.07.2021122.3591.80104.00Y01.12.1991SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), superficial (Anaes.)
5200901.12.19914O3SNNNNNYNNC01.12.199101.07.2021193.10144.85164.15Y01.12.1991SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue (Anaes.)
5201001.11.20004O3SNNNNNYNNC01.11.200001.07.2021264.25198.20224.65Y01.11.2000FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.)
5201201.12.19914O3SNNNNNYNNC01.12.199101.07.202124.4518.3520.80Y01.11.2007SUPERFICIAL FOREIGN BODY,removal of, as an independent procedure (Anaes.)
5201501.12.19914O3SNNNNNYNNC01.12.199101.07.2021114.3085.7597.20Y01.11.2007SUBCUTANEOUS FOREIGN BODY,removal of, requiring incision and suture, as an independent procedure (Anaes.)
5201801.12.19914O3SNNNNNYNNC01.12.199101.07.2021288.00216.00244.80Y01.11.2007FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE,removal of, as an independent procedure (Anaes.) (Assist.)
5202101.12.19914O3SNNNNNYNNC01.12.199101.07.202130.6022.9526.05Y01.12.1991ASPIRATION 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.)
5202401.12.19914O3SNNNNNYNNC01.12.199101.07.202154.3540.8046.20Y01.11.2007BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent procedure (Anaes.)
5202501.11.20004O3SNNNNNYNNC01.11.200001.07.2021191.35143.55162.65Y01.11.2000LYMPH NODE OF NECK, biopsy of (Anaes.)
5202701.12.19914O3SNNNNNYNNC01.12.199101.07.2021155.85116.90132.50Y01.11.2019BIOPSY OF LYMPH NODE, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure and not being a service to which item 52025 applies (Anaes.)
5203001.12.19914O3SNNNNNYNNC01.12.199101.07.202193.6570.2579.65Y01.11.2007SINUS, excision of, involving superficial tissue only (Anaes.)
5203301.12.19914O3SNNNNNYNNC01.12.199101.07.2021191.35143.55162.65Y01.11.2007SINUS, excision of, involving muscle and deep tissue (Anaes.)
5203401.05.19974O3SNNNNNYNNC01.05.199701.07.202144.7533.6038.0501.11.2000PREMALIGNANT LESIONS of the oral mucous, treatment by cryotherapy, diathermy or carbon dioxide laser
5203501.11.20004O3SNNNNNYNNC01.11.200001.07.2021495.35371.55421.05Y01.11.2001ENDOSCOPIC LASER THERAPY for neoplasia and benign vascular lesions of the oral cavity (Anaes.)
5203601.12.19914O3SNNNNNYNNC01.12.199101.07.2021132.1099.10112.30Y01.11.2007TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies (Anaes.)
5203901.12.19914O3SNNNNNYNNC01.12.199101.07.2021339.25254.45288.40Y01.11.2007TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions (Anaes.) (Assist.)
5204201.12.19914O3SNNNNNYNNC01.12.199101.07.2021179.50134.65152.60Y01.11.2007TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes.)
5204501.12.19914O3SNNNNNYNNC01.12.199101.07.2021256.50192.40218.05Y01.11.2007TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue (Anaes.)
5204801.12.19914O3SNNNNNYNNC01.12.199101.07.2021386.55289.95328.60Y01.11.2007TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.)
5205101.12.19914O3SNNNNNYNNC01.12.199101.07.2021522.60391.95444.25Y01.11.2007TUMOUR, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (Anaes.) (Assist.)
5205401.12.19914O3SNNNNNYNNC01.12.199101.07.2021611.40458.55526.70Y01.11.2007TUMOUR, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (Anaes.) (Assist.)
5205501.11.19924O3SNNNNNYNNC31.10.199201.07.202128.4521.3524.2001.11.2007HAEMATOMA, SMALL ABSCESS OR CELLULITIS, not requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding after care)
5205601.11.20004O3SNNNNNYNNC01.11.200001.07.202128.4521.3524.20Y01.11.2007HAEMATOMA, aspiration of (Anaes.)
5205701.12.19914O3SNNNNNYNNC01.12.199101.07.2021169.55127.20144.15Y01.11.2007LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion, requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding aftercare) (Anaes.)
5205801.11.20004O3SNNNNNYNNC01.11.200001.07.2021247.20185.40210.15Y01.11.2007PERCUTANEOUS DRAINAGE OF DEEP ABSCESS, usinginterventional imaging techniques - but not including imaging (Anaes.)
5205901.11.20004O3SNNNNNYNNC01.11.200001.07.2021278.55208.95236.80Y01.11.2007ABSCESS, DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging (Anaes.)
5206001.12.19914O3SNNNNNYNNC01.12.199101.07.2021197.10147.85167.55Y01.11.2007MUSCLE, excision of (Anaes.)
5206101.11.20004O3SNNNNNYNNC01.11.200001.07.2021232.70174.55197.80Y01.11.2007MUSCLE, RUPTURED, repair of (limited), not associated with external wound (Anaes.)
5206201.11.20004O3SNNNNNYNNC01.11.200001.07.2021307.70230.80261.55Y01.11.2007MUSCLE, RUPTURED, repair of (extensive), not associated with external wound (Anaes.) (Assist.)
5206301.12.19914O3SNNNNNYNNC01.12.199101.07.2021370.80278.10315.20Y01.11.2007BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.)
5206401.11.20004O3SNNNNNYNNC01.11.200001.07.2021176.35132.30149.90Y01.11.2007BONE CYST, injection into or aspiration of (Anaes.)
5206601.12.19914O3SNNNNNYNNC01.12.199101.07.2021463.50347.65394.00Y01.12.1991SUBMANDIBULAR GLAND, extirpation of (Anaes.) (Assist.)
5206901.12.19914O3SNNNNNYNNC01.12.199101.07.2021206.60154.95175.65Y01.12.1991SUBLINGUAL GLAND, extirpation of (Anaes.)
5207201.12.19914O3SNNNNNYNNC01.12.199101.07.202161.2045.9052.05Y01.12.1991SALIVARY GLAND, DILATATION OR DIATHERMY of duct (Anaes.)
5207301.11.20004O3SNNNNNYNNC01.11.200001.07.2021155.85116.90132.50Y01.11.2000SALIVARY GLAND, repair of CUTANEOUS FISTULA OF (Anaes.)
5207501.12.19914O3SNNNNNYNNC01.12.199101.07.2021155.85116.90132.50Y01.12.1991SALIVARY GLAND, removal of CALCULUS from duct or meatotomy or marsupialisation, 1 or more such procedures (Anaes.)
5207801.12.19914O3SNNNNNYNNC01.12.199101.07.2021307.70230.80261.55Y01.12.1991TONGUE, partial excision of (Anaes.) (Assist.)
5208101.12.19914O3SNNNNNYNNC01.12.199101.07.202148.4036.3041.15Y01.12.1991TONGUE TIE, division or excision of frenulum (Anaes.)
5208401.12.19914O3SNNYNYYNNC01.12.199101.07.2021124.3093.25105.70Y01.07.2021TONGUE TIE, MANDIBULAR FRENULUM OR MAXILLARY FRENULUM, division or excision of frenulum, in a patient aged not less than 2 years (Anaes.)
5208701.12.19914O3SNNNNNYNNC01.12.199101.07.2021213.00159.75181.05Y01.12.1991RANULA OR MUCOUS CYST OF MOUTH, removal of (Anaes.)
5209001.12.19914O3SNNNNNYNNC01.12.199101.07.2021370.80278.10315.20Y01.11.2000OPERATION ON MANDIBLE OR MAXILLA (other than alveolar margins) for chronic osteomyelitis - 1 bone or in combination with adjoining bones (Anaes.) (Assist.)
5209201.11.19924O3SNNNNNYNNC31.10.199201.07.2021483.35362.55410.85Y01.11.1992OPERATION on SKULL for OSTEOMYELITIS (Anaes.) (Assist.)
5209401.11.20004O3SNNNNNYNNC01.11.200001.07.2021611.35458.55526.65Y01.11.2007OPERATION ON ANY COMBINATION OF ADJOINING BONES, being bones referred to in item 52092 (Anaes.) (Assist.)
5209501.11.20004O3SNNNNNYNNC01.11.200001.07.2021396.25297.20336.85Y01.11.2007BONE GROWTH STIMULATOR, insertion of (Anaes.) (Assist.)
5209601.12.19914O3SNNNNNYNNC01.12.199101.07.2021117.4088.0599.80Y01.12.1991ORTHOPAEDIC PIN OR WIRE, insertion of, into maxilla or mandible or zygoma, as an independent procedure (Anaes.)
5209701.11.20004O3SNNNNNYNNA01.05.201601.07.2021166.55124.95Y01.11.2007EXTERNAL FIXATION, removal of, in the operating theatre of a hospital (Anaes.)
5209801.11.20004O3SNNNNNYNNC01.11.200001.07.2021195.80146.85166.45Y01.11.2007EXTERNAL FIXATION, removal of, in conjunction with operations involving internal fixation or bone grafting or both (Anaes.)
5209901.12.19914O3SNNNNNYNNC01.12.199101.07.2021146.95110.25124.95Y01.12.1991BURIED WIRE, PIN or SCREW, 1 or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not being a service associated with a service to which item 52102 or 52105 applies (Anaes.)
5210201.12.19914O3SNNNNNYNNC01.12.199101.07.2021146.95110.25124.95Y01.11.2007BURIED WIRE, PIN or SCREW, 1 or more, which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, where undertaken in the operating theatre of a hospital, per bone (Anaes.)
5210501.12.19914O3SNNNNNYNNC01.12.199101.07.2021274.25205.70233.15Y01.12.1991PLATE, 1 or more of, and associated screw and wire which were inserted for internal fixation purposes into maxilla or mandible or zygoma, removal of, requiring anaesthesia, incision, dissection and suturing, per bone, not being a service associated with a service to which item 52099 or 52102 applies (Anaes.) (Assist.)
5210601.05.19974O3SNNNNNYNNA01.05.201601.07.2021113.3085.00Y01.11.2007ARCH 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.)
5210801.12.19914O3SNNNNNYNNC01.12.199101.07.2021339.25254.45288.40Y01.12.1991LIP, full thickness wedge excision of, with repair by direct sutures (Anaes.) (Assist.)
5211101.12.19914O3SNNNNNYNNC01.12.199101.07.2021339.25254.45288.40Y01.12.1991VERMILIONECTOMY (Anaes.) (Assist.)
5211401.12.19914O3SNNNNNYNNC01.12.199101.07.2021611.40458.55526.70Y01.12.1991MANDIBLE or MAXILLA, segmental resection of, for tumours or cysts (Anaes.) (Assist.)
5211701.12.19914O3SNNNNNYNNC01.12.199101.07.2021727.80545.85643.10Y01.12.1991MANDIBLE, including lower border, or MAXILLA, sub-total resection of (Anaes.) (Assist.)
5212001.12.19914O3SNNNNNYNNC01.12.199101.07.2021860.85645.65776.15Y01.12.1991MANDIBLE, hemimandiblectomy of, including condylectomy where performed (Anaes.) (Assist.)
5212201.11.19924O3SNNNNNYNNC31.10.199201.07.2021860.85645.65776.15Y01.05.1997MANDIBLE, hemi-mandibular reconstruction of, OR MAXILLA, reconstruction of, with BONE GRAFT, PLATE, TRAY OR ALLOPLAST, not being a service associated with a service to which item 52123 applies (Anaes.) (Assist.)
5212301.12.19914O3SNNNNNYNNC01.12.199101.07.2021974.50730.90889.80Y01.12.1991MANDIBLE, total resection of both sides, including condylectomies where performed (Anaes.) (Assist.)
5212601.12.19914O3SNNNNNYNNC01.12.199101.07.2021936.90702.70852.20Y01.12.1991MAXILLA, total resection of (Anaes.) (Assist.)
5212901.12.19914O3SNNNNNYNNC01.12.199101.07.20211254.25940.701169.55Y01.12.1991MAXILLA, total resection of both maxillae (Anaes.) (Assist.)
5213001.11.20004O3SNNNNNYNNC01.11.200001.07.2021460.40345.30391.35Y01.11.2007BONE GRAFT, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.)
5213101.11.20004O3SNNNNNYNNC01.11.200001.07.2021636.75477.60552.05Y01.11.2008BONE GRAFT WITH INTERNAL FIXATION, not being a service to which an item in the range (a)51900 to 52186; or (b)52303 to 53460 applies (Anaes.) (Assist.)
5213201.12.19914O3SNNNNNYNNC01.12.199101.07.2021259.05194.30220.20Y01.12.1991TRACHEOSTOMY (Anaes.)
5213301.11.20004O3SNNNNNYNNC01.11.200001.07.202194.7571.1080.55Y01.11.2000CRICOTHYROSTOMY by direct stab or Seldinger technique, using Minitrach or similar device (Anaes.)
5213501.12.19914O3SNNNNNYNNA01.05.201601.07.2021150.20112.65Y01.11.2007POST-OPERATIVE or POST-NASAL HAEMORRHAGE, or both, control of, where undertaken in the operating theatre of a hospital (Anaes.)
5213801.12.19914O3SNNNNNYNNC01.12.199101.07.2021466.75350.10396.75Y01.12.1991MAXILLARY ARTERY, ligation of (Anaes.) (Assist.)
5214101.12.19914O3SNNNNNYNNC01.12.199101.07.2021461.65346.25392.45Y01.12.1991FACIAL, MANDIBULAR or LINGUAL ARTERY or VEIN or ARTERY and VEIN, ligation of, not being a service to which item 52138 applies (Anaes.) (Assist.)
5214401.12.19914O3SNNNNNYNNC01.12.199101.07.2021430.30322.75365.80Y01.11.2007FOREIGN BODY, deep, removal of using interventional imaging techniques (Anaes.) (Assist.)
5214701.12.19914O3SNNNNNYNNC01.12.199101.07.2021406.05304.55345.15Y01.12.1991DUCT OF MAJOR SALIVARY GLAND, transposition of (Anaes.) (Assist.)
5214801.11.19924O3SNNNNNYNNC31.10.199201.07.2021717.75538.35633.05Y01.11.1992PAROTID DUCT, repair of, using micro-surgical techniques (Anaes.) (Assist.)
5215801.11.20004O3SNNNNNYNNC01.11.200001.07.20211155.65866.751070.95Y01.11.2000SUBMANDIBULAR DUCTS, relocation of, for surgical control of drooling (Anaes.) (Assist.)
5218001.11.20004O3SNNNNNYNNC01.11.200001.07.2021195.80146.85166.45Y01.11.2007MALIGNANT DISEASE AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT TISSUE TUMOUR, biopsy of (not including aftercare) (Anaes.)
5218201.11.20004O3SNNNNNYNNC01.11.200001.07.2021431.05323.30366.40Y01.11.2007BONE OR MALIGNANT DEEP SOFT TISSUE TUMOUR, lesional or marginal excision of (Anaes.) (Assist.)
5218401.11.20004O3SNNNNNYNNC01.11.200001.07.2021636.75477.60552.05Y01.11.2007BONE TUMOUR, lesional or marginal excision of, combined with any 1 of: liquid nitrogen freezing, autograft, allograft or cementation (Anaes.) (Assist.)
5218601.11.20004O3SNNNNNYNNC01.11.200001.07.2021783.80587.85699.10Y01.11.2007BONE TUMOUR, lesional or marginal excision of, combined with any 2 or more of: liquid nitrogen freezing, autograft, allograft or cementation (Anaes.) (Assist.)
5230001.12.19914O4SNNNNNYNNC01.12.199101.07.2021295.90221.95251.55Y01.11.2007SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, with skin or mucosa (Anaes.) (Assist.)
5230301.12.19914O4SNNNNNYNNC01.12.199101.07.2021422.50316.90359.15Y01.11.2007SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, with buccal pad of fat (Anaes.) (Assist.)
5230601.12.19914O4SNNNNNYNNC01.12.199101.07.2021626.90470.20542.20Y01.11.2007SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, using temporalis muscle (Anaes.) (Assist.)
5230901.12.19914O4SNNNNNYNNC01.12.199101.07.2021213.00159.75181.05Y01.11.2007FREE GRAFTING (mucosa or split skin) of a granulating area (Anaes.)
5231201.12.19914O4SNNNNNYNNC01.12.199101.07.2021295.90221.95251.55Y01.11.2007FREE GRAFTING (mucosa, split skin or connective tissue) to 1 defect, including elective dissection (Anaes.) (Assist.)
5231501.12.19914O4SNNNNNYNNC01.12.199101.07.2021492.95369.75419.05Y01.11.2007FREE GRAFTING, FULL THICKNESS, to 1 defect (mucosa or skin) (Anaes.) (Assist.)
5231801.12.19914O4SNNNNNYNNC01.12.199101.07.2021146.95110.25124.95Y01.04.1992BONE GRAFT, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies - Autogenous - small quantity (Anaes.)
5231901.04.19924O4SNNNNNYNNC01.04.199201.07.2021245.05183.80208.30Y01.04.1992BONE GRAFT, harvesting of, via separate incision, being a service associated with a service to which another item in Groups O3 to O9 applies - Autogenous - large quantity (Anaes.)
5232101.12.19914O4SNNNNNYNNC01.12.199101.07.2021492.95369.75419.05Y01.11.2007FOREIGN IMPLANT (NON-BIOLOGICAL), insertion of, for CONTOUR RECONSTRUCTION of pathological deformity, not being a service associated with a service to which item 52624 applies (Anaes.) (Assist.)
5232401.12.19914O4SNNNNNYNNC01.12.199101.07.2021492.95369.75419.05Y01.12.1991DIRECT FLAP REPAIR, using tongue, first stage (Anaes.) (Assist.)
5232701.12.19914O4SNNNNNYNNC01.12.199101.07.2021244.60183.45207.95Y01.12.1991DIRECT FLAP REPAIR, using tongue, second stage (Anaes.)
5233001.12.19914O4SNNNNNYNNC01.12.199101.07.2021813.60610.20728.90Y01.12.1991PALATAL DEFECT (oro-nasal fistula), plastic closure of, including services to which item 52300, 52303, 52306 or 52324 applies (Anaes.) (Assist.)
5233301.12.19914O4SNNNNNYNNC01.12.199101.07.2021813.60610.20728.90Y01.12.1991CLEFT PALATE, primary repair (Anaes.) (Assist.)
5233601.12.19914O4SNNNNNYNNC01.12.199101.07.2021508.55381.45432.30Y01.12.1991CLEFT PALATE, secondary repair, closure of fistula using local flaps (Anaes.) (Assist.)
5233701.05.19974O4SNNNNNYNNC01.05.199701.07.20211112.40834.301027.70Y01.05.1997ALVEOLAR CLEFT (congenital) unilateral, grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation (Anaes.) (Assist.)
5233901.12.19914O4SNNNNNYNNC01.12.199101.07.2021579.15434.40494.45Y01.12.1991CLEFT PALATE, secondary repair, lengthening procedure (Anaes.) (Assist.)
5234201.12.19914O4SNNNNNYNNA01.03.201301.07.20211005.95754.50Y01.12.1991MANDIBLE or MAXILLA, unilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
5234501.12.19914O4SNNNNNYNNA01.03.201301.07.20211134.50850.90Y01.11.2000MANDIBLE 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 (Anaes.) (Assist.)
5234801.12.19914O4SNNNNNYNNA01.03.201301.07.20211282.00961.50Y01.12.1991MANDIBLE or MAXILLA, bilateral osteotomy or osteectomy of, including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
5235101.12.19914O4SNNNNNYNNA01.03.201301.07.20211439.751079.85Y01.11.2000MANDIBLE or MAXILLA, bilateral osteotomy of 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 (Anaes.) (Assist.)
5235401.12.19914O4SNNNNNYNNA01.03.201301.07.20211459.551094.70Y01.12.1991MANDIBLE 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 (Anaes.) (Assist.)
5235701.12.19914O4SNNNNNYNNA01.03.201301.07.20211643.151232.40Y01.11.2000MANDIBLE 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 (Anaes.) (Assist.)
5236001.12.19914O4SNNNNNYNNA01.03.201301.07.20211676.351257.30Y01.07.1998MANDIBLE 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 (Anaes.) (Assist.)
5236301.12.19914O4SNNNNNYNNA01.03.201301.07.20211885.801414.35Y01.11.2000MANDIBLE 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 (Anaes.) (Assist.)
5236601.12.19914O4SNNNNNYNNA01.03.201301.07.20211844.101383.10Y01.07.1998MANDIBLE 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 (Anaes.) (Assist.)
5236901.12.19914O4SNNNNNYNNA01.03.201301.07.20212073.451555.10Y01.11.2000MANDIBLE 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 (Anaes.) (Assist.)
5237201.12.19914O4SNNNNNYNNA01.03.201301.07.20212011.901508.95Y01.07.1998MANDIBLE 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 (Anaes.) (Assist.)
5237501.12.19914O4SNNNNNYNNA01.03.201301.07.20212253.501690.15Y01.01.2015MANDIBLE 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 (H) (Anaes.) (Assist.)
5237801.12.19914O4SNNNNNYNNC01.12.199101.07.2021779.00584.25694.30Y01.12.1991GENIOPLASTY including transposition of nerves and vessels and bone grafts taken from the same site (Anaes.) (Assist.)
5237901.11.19924O4SNNNNNYNNC31.10.199201.07.20211331.25998.451246.55Y01.11.1992FACE, contour reconstruction of 1 region, using autogenous bone or cartilage graft (Anaes.) (Assist.)
5238001.11.19924O4SNNNNNYNNC31.10.199201.07.20212266.851700.152182.15Y01.11.1992MIDFACIAL 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.)
5238201.11.19924O4SNNNNNYNNC31.10.199201.07.20212717.452038.102632.75Y01.11.2000MIDFACIAL 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.)
5242001.11.19924O4SNNNNNYNNC31.10.199201.07.2021250.90188.20213.3001.11.1992MANDIBLE, fixation by intermaxillary wiring, excluding wiring for obesity
5242401.11.20004O4SNNNNNYNNC01.11.200001.07.2021492.85369.65418.95Y01.11.2007DERMIS, DERMOFAT OR FASCIA GRAFT (excluding transfer of fat by injection) (Anaes.) (Assist.)
5243001.11.20004O4SNNNNNYNNC01.11.200001.07.20211134.50850.901049.80Y01.11.2007MICROVASCULAR REPAIR OF, using microsurgical techniques, with restoration of continuity of artery or vein of distal extremity or digit (Anaes.) (Assist.)
5244001.11.20004O4SNNNNNYNNC01.11.200001.07.2021563.25422.45478.80Y01.11.2000CLEFT LIP, unilateral - primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)
5244201.11.20004O4SNNNNNYNNC01.11.200001.07.2021704.25528.20619.55Y01.11.2000CLEFT LIP, unilateral - primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)
5244401.11.20004O4SNNNNNYNNC01.11.200001.07.2021782.35586.80697.65Y01.11.2000CLEFT LIP, bilateral - primary repair, 1 stage, without anterior palate repair (Anaes.) (Assist.)
5244601.11.20004O4SNNNNNYNNC01.11.200001.07.2021923.50692.65838.80Y01.11.2000CLEFT LIP, bilateral - primary repair, 1 stage, with anterior palate repair (Anaes.) (Assist.)
5245001.11.20004O4SNNNNNYNNC01.11.200001.07.2021312.95234.75266.05Y01.11.2000CLEFT LIP, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (Anaes.)
5245201.11.20004O4SNNNNNYNNC01.11.200001.07.2021508.55381.45432.30Y01.11.2000CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.)
5245601.11.20004O4SNNNNNYNNC01.11.200001.07.2021860.85645.65776.15Y01.11.2000CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)
5245801.11.20004O4SNNNNNYNNC01.11.200001.07.2021312.95234.75266.05Y01.11.2000CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), second stage (Anaes.)
5246001.11.20004O4SNNNNNYNNC01.11.200001.07.2021813.60610.20728.90Y01.11.2000VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for (Anaes.)
5248001.11.20004O4SNNNNNYNNC01.11.200001.07.2021522.60391.95444.25Y01.11.2000COMPOSITE GRAFT (Chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid (Anaes.) (Assist.)
5248201.11.20004O4SNNNNNYNNC01.11.200001.07.2021502.85377.15427.45Y01.11.2000MACROCHEILIA or macroglossia, operation for (Anaes.) (Assist.)
5248401.11.20004O4SNNNNNYNNC01.11.200001.07.2021598.60448.95513.90Y01.11.2000MACROSTOMIA, operation for (Anaes.) (Assist.)
5260001.12.19914O5SNNNNNYNNC01.12.199101.07.2021352.05264.05299.25Y01.12.1991MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.)
5260301.12.19914O5SNNNNNYNNC01.12.199101.07.2021336.50252.40286.05Y01.12.1991MYLOHYOID RIDGE, reduction of (Anaes.) (Assist.)
5260601.12.19914O5SNNNNNYNNC01.12.199101.07.2021256.70192.55218.20Y01.12.1991MAXILLARY TUBEROSITY, reduction of (Anaes.)
5260901.12.19914O5SNNNNNYNNC01.12.199101.07.2021336.50252.40286.05Y01.12.1991PAPILLARY HYPERPLASIA OF THE PALATE, removal of - less than 5 lesions (Anaes.) (Assist.)
5261201.12.19914O5SNNNNNYNNC01.12.199101.07.2021422.50316.90359.15Y01.12.1991PAPILLARY HYPERPLASIA OF THE PALATE, removal of - 5 to 20 lesions (Anaes.) (Assist.)
5261501.12.19914O5SNNNNNYNNC01.12.199101.07.2021524.30393.25445.70Y01.12.1991PAPILLARY HYPERPLASIA OF THE PALATE, removal of - more than 20 lesions (Anaes.) (Assist.)
5261801.12.19914O5SNNNNNYNNC01.12.199101.07.2021610.30457.75525.60Y01.12.1991VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.)
5262101.12.19914O5SNNNNNYNNC01.12.199101.07.2021610.30457.75525.60Y01.12.1991FLOOR OF MOUTH LOWERING (Obwegeser or similar procedure), including excision of muscle and skin or mucosal graft when performed - unilateral (Anaes.) (Assist.)
5262401.12.19914O5SNNNNNYNNC01.12.199101.07.2021492.85369.65418.95Y01.12.1991ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.)
5262601.11.19924O5SNNNNNYNNC31.10.199201.07.2021302.30226.75257.00Y01.11.1992ALVEOLAR RIDGE AUGMENTATION - unilateral, insertion of tissue expanding device into maxillary or mandibular alveolar ridge region for (Anaes.) (Assist.)
5262701.12.19914O5SNNNNNYNNC01.12.199101.07.2021524.30393.25445.70Y01.05.2001OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, extra oral implantation of titanium fixture (Anaes.) (Assist.)
5263001.12.19914O5SNNNNNYNNC01.12.199101.07.2021194.10145.60165.00Y01.05.2001OSSEO-INTEGRATION PROCEDURE - in the practice of oral and maxillofacial surgery, fixation of transcutaneous abutment (Anaes.)
5263301.05.19974O5SNNNNNYNNC01.05.199701.07.2021524.30393.25445.70Y01.05.1997OSSEO-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.)
5263601.05.19974O5SNNNNNYNNC01.05.199701.07.2021194.10145.60165.00Y01.05.1997OSSEO-INTEGRATION PROCEDURE - fixation of transmucosal abutment to fixtures placed following resection of part of the maxilla or mandible for benign or malignant tumours (Anaes.)
5280001.12.19914O6SNNNNNYNNC01.12.199101.07.2021288.00216.00244.80Y01.11.2007NEUROLYSIS BY OPEN OPERATION, without transposition, not being a service associated with a service to which item 52803 applies (Anaes.) (Assist.)
5280301.12.19914O6SNNNNNYNNC01.12.199101.07.2021414.70311.05352.50Y01.11.2007NERVE TRUNK, internal (interfascicular), NEUROLYSIS of, using microsurgical techniques (Anaes.) (Assist.)
5280601.12.19914O6SNNNNNYNNC01.12.199101.07.2021288.00216.00244.80Y01.11.2007NEURECTOMY, NEUROTOMY or REMOVAL OF TUMOUR from superficial peripheral nerve (Anaes.) (Assist.)
5280901.12.19914O6SNNNNNYNNC01.12.199101.07.2021492.95369.75419.05Y01.11.2007NEURECTOMY, NEUROTOMY or REMOVAL OF TUMOUR from deep peripheral nerve (Anaes.) (Assist.)
5281201.12.19914O6SNNNNNYNNC01.12.199101.07.2021704.25528.20619.55Y01.11.2007NERVE TRUNK, PRIMARY repair of, using microsurgical techniques (Anaes.) (Assist.)
5281501.12.19914O6SNNNNNYNNC01.12.199101.07.2021743.35557.55658.65Y01.11.2007NERVE TRUNK, SECONDARY repair of, using microsurgical techniques (Anaes.) (Assist.)
5281801.12.19914O6SNNNNNYNNC01.12.199101.07.2021492.95369.75419.05Y01.11.2007NERVE, TRANSPOSITION OF (Anaes.) (Assist.)
5282101.12.19914O6SNNNNNYNNC01.12.199101.07.20211071.95804.00987.25Y01.11.2007NERVE GRAFT TO NERVE TRUNK, (cable graft) including harvesting of nerve graft using microsurgical techniques (Anaes.) (Assist.)
5282401.12.19914O6SNNNNNYNNC01.12.199101.07.2021461.65346.25392.45Y01.12.1991PERIPHERAL BRANCHES OF THE TRIGEMINAL NERVE, cryosurgery of, for pain relief (Anaes.) (Assist.)
5282601.11.20004O6SNNNNNYNNC01.11.200001.07.2021247.20185.40210.15Y01.11.2000INJECTION OF PRIMARY BRANCH OF TRIGEMINAL NERVE with alcohol, cortisone, phenol, or similar substance (Anaes.)
5282801.11.20004O6SNNNNNYNNC01.11.200001.07.2021367.70275.80312.55Y01.11.2007CUTANEOUS NERVE,primary repair of, using microsurgical techniques (Anaes.) (Assist.)
5283001.11.20004O6SNNNNNYNNC01.11.200001.07.2021485.00363.75412.25Y01.11.2007CUTANEOUS NERVE,secondary repair of, using microsurgical techniques (Anaes.) (Assist.)
5283201.11.20004O6SNNNNNYNNC01.11.200001.07.2021665.15498.90580.45Y01.11.2007CUTANEOUS NERVE, nerve graft to, using microsurgical techniques (Anaes.) (Assist.)
5300001.12.19914O7SNNNNNYNNC01.12.199101.07.202133.8525.4028.80Y01.12.1991MAXILLARY ANTRUM, PROOF PUNCTURE AND LAVAGE OF (Anaes.)
5300301.12.19914O7SNNNNNYNNC01.12.199101.07.202195.6071.7081.30Y01.11.2000MAXILLARY 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 Groups O3 to O9 applies (Anaes.)
5300401.11.20004O7SNNNNNYNNC01.11.200001.07.202137.0527.8031.50Y01.11.2000MAXILLARY ANTRUM, LAVAGE OF - each attendance at which the procedure is performed, including any associated consultation (Anaes.)
5300601.12.19914O7SNNNNNYNNC01.12.199101.07.2021542.40406.80461.05Y01.12.1991ANTROSTOMY (RADICAL) (Anaes.) (Assist.)
5300901.12.19914O7SNNNNNYNNC01.12.199101.07.2021307.70230.80261.55Y01.12.1991ANTRUM, intranasal operation on, or removal of foreign body from (Anaes.) (Assist.)
5301201.12.19914O7SNNNNNYNNC01.12.199101.07.2021122.3591.80104.00Y01.12.1991ANTRUM, drainage of, through tooth socket (Anaes.)
5301501.12.19914O7SNNNNNYNNC01.12.199101.07.2021611.40458.55526.70Y01.12.1991ORO-ANTRAL FISTULA, plastic closure of (Anaes.) (Assist.)
5301601.05.19974O7SNNNNNYNNC01.05.199701.07.2021502.85377.15427.45Y01.05.1997NASAL SEPTUM, septoplasty, submucous resection or closure of septal perforation (Anaes.) (Assist.)
5301701.11.20004O7SNNNNNYNNC01.11.200001.07.2021627.30470.50542.60Y01.11.2000NASAL SEPTUM, reconstruction of (Anaes.) (Assist.)
5301901.11.19924O7SNNNNNYNNC31.10.199201.07.2021604.45453.35519.75Y01.11.1992MAXILLARY SINUS, BONE GRAFT to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), (unilateral) (Anaes.) (Assist.)
5305201.11.20004O7SNNNNNYNNC01.11.200001.07.2021127.8095.85108.65Y01.11.2000POST-NASAL SPACE, direct examination of, with or without biopsy (Anaes.)
5305401.11.20004O7SNNNNNYNNC01.11.200001.07.2021127.8095.85108.65Y01.11.2001NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of NASOPHARYNX one or more of these procedures (Anaes.)
5305601.11.20004O7SNNNNNYNNC01.11.200001.07.202174.8556.1563.65Y01.11.2000EXAMINATION OF NASAL CAVITY or POST-NASAL SPACE, or NASAL CAVITY AND POST-NASAL SPACE, UNDER GENERAL ANAESTHESIA, not being a service associated with a service to which another item in this Group applies (Anaes.)
5305801.11.20004O7SNNNNNYNNC01.11.200001.07.2021127.8095.85108.65Y01.11.2000NASAL HAEMORRHAGE, POSTERIOR, ARREST OF, with posterior nasal packing with or without cauterisation and with or without anterior pack (excluding aftercare) (Anaes.)
5306001.11.20004O7SNNNNNYNNC01.11.200001.07.2021104.6078.4588.95Y01.11.2001CAUTERISATION (other than by chemical means) OR CAUTERISATION by chemical means when performed under general anaesthesia OR DIATHERMY OF SEPTUM, TURBINATES FOR OBSTRUCTION OR HAEMORRHAGE SECONDARY TO SURGERY (OR TRAUMA) - 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.)
5306201.11.20004O7SNNNNNYNNC01.11.200001.07.202193.6570.2579.65Y01.11.2000POST SURGICAL NASAL HAEMORRHAGE, arrest of during an episode of epistaxis by cauterisation or nasal cavity packing or both (Anaes.)
5306401.11.20004O7SNNNNNYNNC01.11.200001.07.2021169.55127.20144.15Y01.11.2000CRYOTHERAPY TO NOSE in the treatment of nasal haemorrhage (Anaes.)
5306801.11.20004O7SNNNNNYNNC01.11.200001.07.2021142.05106.55120.75Y01.11.2000TURBINECTOMY or TURBINECTOMIES, partial or total, unilateral (Anaes.)
5307001.11.20004O7SNNNNNYNNC01.11.200001.07.2021185.25138.95157.50Y01.11.2000TURBINATES, submucous resection of, unilateral (Anaes.)
5320001.12.19914O8SNNNNNYNNC01.12.199101.07.202173.5555.2062.55Y01.12.1991MANDIBLE, treatment of a dislocation of, not requiring open reduction (Anaes.)
5320301.12.19914O8SNNNNNYNNC01.12.199101.07.2021123.5092.65105.00Y01.12.1991MANDIBLE, treatment of a dislocation of, requiring open reduction (Anaes.)
5320601.12.19914O8SNNNNNYNNA01.05.201601.07.2021148.80111.60Y01.11.2007TEMPOROMANDIBULAR JOINT, manipulation of, performed in the operating theatre of a hospital, not being a service associated with a service to which another item in Groups O3 to O9 applies (Anaes.)
5320901.12.19914O8SNNNNNYNNC01.12.199101.07.20211715.951287.001631.25Y01.12.1991GLENOID FOSSA, ZYGOMATIC ARCH and TEMPORAL BONE, reconstruction of (Obwegeser technique) (Anaes.) (Assist.)
5321201.12.19914O8SNNNNNYNNC01.12.199101.07.2021926.95695.25842.25Y01.12.1991ABSENT CONDYLE and ASCENDING RAMUS in hemifacial microsomia, construction of, not including harvesting of graft material (Anaes.) (Assist.)
5321501.12.19914O8SNNNNNYNNC01.12.199101.07.2021425.30319.00361.55Y01.12.1991TEMPOROMANDIBULAR JOINT, arthroscopy of, with or without biopsy, not being a service associated with any other arthroscopic procedure of that joint (Anaes.) (Assist.)
5321801.12.19914O8SNNNNNYNNC01.12.199101.07.2021680.25510.20595.55Y01.12.1991TEMPOROMANDIBULAR JOINT, arthroscopy of, removal of loose bodies, debridement, or treatment of adhesions - 1 or more such procedures (Anaes.) (Assist.)
5322001.11.20004O8SNNNNNYNNC01.11.200001.07.2021342.90257.20291.50Y01.11.2000TEMPOROMANDIBULAR JOINT, arthrotomy of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
5322101.12.19914O8SNNNNNYNNC01.12.199101.07.2021907.65680.75822.95Y01.12.1991TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without microsurgical techniques (Anaes.) (Assist.)
5322401.12.19914O8SNNNNNYNNC01.12.199101.07.20211006.15754.65921.45Y01.12.1991TEMPOROMANDIBULAR JOINT, open surgical exploration of, with condylectomy or condylotomy, with or without microsurgical techniques (Anaes.) (Assist.)
5322501.11.19924O8SNNNNNYNNC31.10.199201.07.2021302.30226.75257.00Y01.11.1992ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.)
5322601.11.20004O8SNNNNNYNNC01.11.200001.07.2021324.95243.75276.25Y01.11.2000TEMPOROMANDIBULAR JOINT, synovectomy of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
5322701.12.19914O8SNNNNNYNNC01.12.199101.07.20211236.35927.301151.65Y01.12.1991TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or without meniscus or capsular surgery, including meniscectomy when performed, with or without microsurgical techniques (Anaes.) (Assist.)
5323001.12.19914O8SNNNNNYNNC01.12.199101.07.20211392.651044.501307.95Y01.12.1991TEMPOROMANDIBULAR JOINT, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (Anaes.) (Assist.)
5323301.12.19914O8SNNNNNYNNC01.12.199101.07.20211564.951173.751480.25Y01.11.2000TEMPOROMANDIBULAR JOINT, surgery of, involving procedures to which items 53224, 53226, 53227 and 53230 apply and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (Anaes.) (Assist.)
5323601.11.20004O8SNNNNNYNNC01.11.200001.07.2021489.75367.35416.30Y01.11.2000TEMPOROMANDIBULAR 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.)
5323901.11.20004O8SNNNNNYNNC01.11.200001.07.2021489.75367.35416.30Y01.11.2000TEMPOROMANDIBULAR JOINT, arthrodesis of, not being a service to which another item in this Group applies (Anaes.) (Assist.)
5324201.11.20004O8SNNNNNYNNC01.11.200001.07.2021324.95243.75276.25Y01.11.2000TEMPOROMANDIBULAR JOINT OR JOINTS, application of external fixator to, other than for treatment of fractures (Anaes.) (Assist.)
5340001.12.19914O9SNNNNNYNNC01.12.199101.07.2021134.40100.80114.2501.12.1991MAXILLA, unilateral or bilateral, treatment of fracture of, not requiring splinting
5340301.12.19914O9SNNNNNYNNC01.12.199101.07.2021164.25123.20139.6501.12.1991MANDIBLE, treatment of fracture of, not requiring splinting
5340601.12.19914O9SNNNNNYNNC01.12.199101.07.2021423.10317.35359.65Y01.12.1991MAXILLA, treatment of fracture of, requiring splinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.)
5340901.12.19914O9SNNNNNYNNC01.12.199101.07.2021423.10317.35359.65Y01.12.1991MANDIBLE, treatment of fracture of, requiringsplinting, wiring of teeth, circumosseous fixation or external fixation (Anaes.) (Assist.)
5341001.12.19914O9SNNNNNYNNC01.12.199101.07.202189.1066.8575.7501.12.1991ZYGOMATIC BONE, treatment of fracture of, not requiring surgical reduction
5341101.12.19914O9SNNNNNYNNC01.12.199101.07.2021248.45186.35211.20Y01.12.1991ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction by a temporal, intra-oral or other approach (Anaes.)
5341201.12.19914O9SNNNNNYNNC01.12.199101.07.2021408.00306.00346.80Y01.12.1991ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation at 1 site (Anaes.) (Assist.)
5341301.12.19914O9SNNNNNYNNC01.12.199101.07.2021499.80374.85424.85Y01.12.1991ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 2 sites (Anaes.) (Assist.)
5341401.12.19914O9SNNNNNYNNC01.12.199101.07.2021574.20430.65489.50Y01.12.1991ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction and involving internal or external fixation or both at 3 sites (Anaes.) (Assist.)
5341501.12.19914O9SNNNNNYNNC01.12.199101.07.2021453.30340.00385.35Y01.04.1992MAXILLA, treatment of fracture of, requiring open reduction (Anaes.) (Assist.)
5341601.12.19914O9SNNNNNYNNC01.12.199101.07.2021453.30340.00385.35Y01.12.1991MANDIBLE, treatment of fracture of, requiring open reduction (Anaes.) (Assist.)
5341801.12.19914O9SNNNNNYNNC01.12.199101.07.2021589.30442.00504.60Y01.04.1992MAXILLA, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.)
5341901.12.19914O9SNNNNNYNNC01.12.199101.07.2021589.30442.00504.60Y01.04.1992MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation not involving plate(s) (Anaes.) (Assist.)
5342201.12.19914O9SNNNNNYNNC01.12.199101.07.2021747.85560.90663.15Y01.04.1992MAXILLA, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.)
5342301.12.19914O9SNNNNNYNNC01.12.199101.07.2021747.85560.90663.15Y01.04.1992MANDIBLE, treatment of fracture of, requiring open reduction and internal fixation involving plate(s) (Anaes.) (Assist.)
5342401.12.19914O9SNNNNNYNNC01.12.199101.07.2021641.60481.20556.90Y01.12.1991MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.)
5342501.12.19914O9SNNNNNYNNC01.12.199101.07.2021641.60481.20556.90Y01.12.1991MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving plate(s) (Anaes.) (Assist.)
5342701.12.19914O9SNNNNNYNNC01.12.199101.07.2021876.40657.30791.70Y01.12.1991MAXILLA, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Anaes.) (Assist.)
5342901.12.19914O9SNNNNNYNNC01.12.199101.07.2021876.40657.30791.70Y01.12.1991MANDIBLE, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of plate(s) (Anaes.) (Assist.)
5343901.12.19914O9SNNNNNYNNC01.12.199101.07.2021248.45186.35211.20Y01.12.1991MANDIBLE, treatment of a closed fracture of, involving a joint surface (Anaes.)
5345301.11.19924O9SNNNNNYNNC31.10.199201.07.2021502.85377.15427.45Y01.11.1992ORBITAL CAVITY, reconstruction of a wall or floor with or without foreign implant (Anaes.) (Assist.)
5345501.11.19924O9SNNNNNYNNC31.10.199201.07.2021590.65443.00505.95Y01.11.1992ORBITAL CAVITY, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Anaes.) (Assist.)
5345801.05.19974O9SNNNNNYNNC01.05.199701.07.202144.8033.6038.1001.05.1997NASAL BONES, treatment of fracture of, not being a service to which item 53459 or 53460 applies
5345901.05.19974O9SNNNNNYNNC01.05.199701.07.2021245.05183.80208.30Y01.05.1997NASAL BONES, treatment of fracture of, by reduction (Anaes.)
5346001.05.19974O9SNNNNNYNNC01.05.199701.07.2021499.80374.85424.85Y01.05.1997NASAL BONES, treatment of fractures of, by open reduction involving osteotomies (Anaes.) (Assist.)
5370001.11.20004O11SNNNNNYNNC01.11.200001.07.2021129.9097.45110.4501.11.2000(Note. Where an anaesthetic combines a regional nerve block with a general anaesthetic for an operative procedure, benefits will be paid only under the anaesthetic item relevant to the operation. The items in this Group are to be used in the practice of oral and maxillofacial surgery and are not to be used for dental procedures (eg. restorative dentistry or dental extraction.)) TRIGEMINAL NERVE, primary division of, injection of an anaesthetic agent
5370201.11.20004O11SNNNNNYNNC01.11.200001.07.202165.0548.8055.3001.11.2000TRIGEMINAL NERVE, peripheral branch of, injection of an anaesthetic agent
5370401.11.20004O11SNNNNNYNNC01.11.200001.07.202139.1529.4033.3001.11.2000FACIAL NERVE, injection of an anaesthetic agent
5370601.11.20004O11SNNNNNYNNC01.11.200001.07.2021129.9097.45110.4501.11.2007NERVE BRANCH, destruction by a neurolytic agent, not being a service to which any other item in this Group applies
5400122.05.20204O11DNNNNNYNPB22.05.202001.07.202189.0075.6501.01.2021500.00300.0022.05.2020Telehealth attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner
5400222.05.20204O11DNNNNNYNPB22.05.202001.07.202144.7538.0501.01.2021500.00300.0022.05.2020Telehealth attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner
5400322.05.20204O12DNNNNNYNPB22.05.202001.07.202189.0075.6501.01.2021500.00300.0022.05.2020Phone attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner
5400422.05.20204O12DNNNNNYNPB22.05.202001.07.202144.7538.0501.01.2021500.00300.0022.05.2020Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner
5502801.07.19935I11SNNNNNYNNC01.07.199301.07.2021111.7583.8595.0001.05.2020Head, ultrasound scan of (R)
5502901.07.19935I11SNNNNNYNNC01.07.199301.07.202138.7529.1032.9501.05.2020Head, ultrasound scan of (NR)
5503001.07.19935I11SNNNNNYNNC01.07.199301.07.2021111.7583.8595.0001.05.2020Orbital contents, ultrasound scan of (R)
5503101.07.19935I11SNNNNNYNNC01.07.199301.07.202138.7529.1032.9501.05.2020Orbital contents, ultrasound scan of (NR)
5503201.07.19935I11SNNNNNYNNC01.07.199301.07.2021111.7583.8595.0001.05.2020Neck, one or more structures of, ultrasound scan of (R)
5503301.07.19935I11SNNNNNYNNC01.07.199301.07.202138.7529.1032.9501.05.2020Neck, one or more structures of, ultrasound scan of (NR)
5503601.07.19935I11SNNNNNYNNC01.07.199301.07.2021113.9585.5096.9001.05.2020Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra; and(b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R)
5503701.07.19935I11SNNNNNYNNC01.07.199301.07.202138.7529.1032.9501.05.2020Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR)
5503801.07.19935I11SNNNNNYNNC01.07.199301.07.2021111.7583.8595.0001.05.2020Urinary tract, ultrasound scan of, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following: (i) prostate gland; (ii) bladder base; (iii) urethra; and (b) within 24 hours of the service, a service mentioned in item55036 or 55065 is not performed on the same patient by the providing practitioner (R)
5503901.07.19935I11SNNNNNYNNC01.07.199301.07.202138.7529.1032.9501.05.2020Urinary tract, ultrasound scan of, if the service is not solely a transrectal ultrasonic examination of any of the following: (a) prostate gland; (b) bladder base; (c) urethra (NR)
5504801.07.19935I11SNNNNNYNNC01.07.199301.07.2021112.1584.1595.3501.05.2020Scrotum, ultrasound scan of (R)
5504901.07.19935I11SNNNNNYNNC01.07.199301.07.202138.7529.1032.9501.05.2020Scrotum, ultrasound scan of (NR)
5505401.07.19935I11SNNNNNYNPC01.07.199301.07.2021111.7583.8595.0001.11.201280.0001.05.2020Ultrasonic cross-sectional echography, in conjunction with a surgical procedure (other than a procedure to which item 55848 or 55850 applies) using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R)
5506501.07.20145I11SNNNNNYNNC01.07.201401.07.2021100.6075.4585.5501.05.2020Pelvis, ultrasound scan of, by any or all approaches, if:(a) the service is not solely: (i) a service to which an item in Subgroup 5 of this Group applies, or (ii) a transrectal ultrasonic examination of the prostate gland, bladder base and urethra, or any of those organs; and(b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R)
5506601.05.20205I11SNNNNNYNNC01.05.202001.07.2021223.45167.60189.9501.05.2020Breasts, both, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound guided breast intervention be performed; and(b) the service is not performed in conjunction with any other item in this Group (R)
5506801.07.20145I11SNNNNNYNNC01.07.201401.07.202135.8026.8530.4501.05.2020Pelvis, ultrasound scan of, by any or all approaches, if the service is not solely a service to which an item in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR)
5507001.02.20005I11SNNNNNYNNC01.02.200001.07.2021100.6075.4585.5501.05.2020Breast, one, ultrasound scan of (R)
5507101.05.20205I11SNNNNNYNNC01.05.202001.07.2021212.35159.30180.5001.05.2020Breast, one, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound guided breast intervention be performed; and(b) the service is not performed in conjunction with any other item in this group (R)
5507301.02.20005I11SNNNNNYNNC01.02.200001.07.202134.8526.1529.6501.05.2020Breast, one, ultrasound scan of (NR)
5507601.02.20005I11SNNNNNYNNC01.02.200001.07.2021111.7583.8595.0001.05.2020Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (R)
5507901.02.20005I11SNNNNNYNNC01.02.200001.07.202138.7529.1032.9501.05.2020Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (NR)
5508401.05.20045I11SNNNNNYNNC01.05.200401.07.2021100.6075.4585.5501.05.2020Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55036, 55038, 55065, 55600 or 55603 is not performed on the same patient by the providing practitioner (R)
5508501.05.20045I11SNNNNNYNNC01.05.200401.07.202134.8526.1529.6501.05.2020Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55037, 55039, 55068, 55600 or 55603 is not performed on the same patient by the providing practitioner (NR)
5511801.11.19925I12SNNYNYYNNC31.10.199201.07.2021282.15211.65239.85Y01.07.2021Heart, two-dimensional or three-dimensional real time transoesophageal examination of, from at least 2 levels, and in more than one plane at each level, if: (a) the service includes: (i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and (ii) recordings on digital media; and (b) the service is not an intra-operative service; and (c) not being a service associated with a service to which an item in Subgroup 3 applies.(R) (Anaes.)
5512601.08.20205I17SNNNNNYNNC01.08.202001.07.2021236.25177.20200.8501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Initial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of any of the following: (i) symptoms or signs of cardiac failure; (ii) suspected or known ventricular hypertrophy or dysfunction; (iii) pulmonary hypertension; (iv) valvular, aortic, pericardial, thrombotic or embolic disease; (v) heart tumour; (vi) symptoms or signs of congenital heart disease; (vii) other rare indications; and (b) is not associated with a service to which: (i) another item in this Subgroup applies (except items55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items55118 and 55130); or (iii) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R)
5512701.08.20205I17SNNNNNYNNC01.08.202001.07.2021236.25177.20200.8501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of known valvular dysfunction; and (b) is requested by a specialist or consultant physician; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items55118 and 55130); or (iii) an item in Subgroup 3 applies (R)
5512801.08.20205I17SNNNNNYNNC01.08.202001.07.2021236.25177.20200.8501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of known valvular dysfunction; and (b) is requested by a medical practitioner (other than a specialist or consultant physician) at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items55118 and 55130); or (iii) an item in Subgroup 3 applies (R)
5512901.08.20205I17SNNNNNYNNC01.08.202001.07.2021236.25177.20200.8501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if: (a) valvular dysfunction is not the primary issue for the patient (although it may be a secondary issue); and (b) the service is for the investigation of any of the following: (i) symptoms or signs of cardiac failure; (ii) suspected or known ventricular hypertrophy or dysfunction; (iii) pulmonary hypertension; (iv) aortic, thrombotic, embolic disease or pericardial disease (excluding isolated pericardial effusion or pericarditis); (v) heart tumour; (vi) structural heart disease; (vii) other rare indications; and (c) the service is requested by a specialist or consultant physician; and (d) the service is not associated with a service to which: (i) another item in this Subgroup applies (except items55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items55118 and 55130); or (iii) an item in Subgroup 3 applies (R)
5513001.11.19925I12SNNYNYYNNC31.10.199201.07.2021174.10130.60148.00Y01.07.2021Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography, if the service: (a) includes Doppler techniques with colour flow mapping and recordings on digital media; and (b) is performed during cardiac surgery; and (c) incorporates sequential assessment of cardiac function before and after the surgical procedure; and (d) is not associated with a service to which item 55135, or an item in Subgroup 3, applies (R) (Anaes.)
5513201.08.20205I17SNNNNNYNNC01.08.202001.07.2021236.25177.20200.8501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of a patient who: (i) is under 17 years of age; or (ii) has complex congenital heart disease; and (b) is performed by a specialist or consultant physician practising in the speciality of cardiology; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items55118 and 55130); or (iii) an item in Subgroup 3 applies (R)
5513301.08.20205I17SNNNNNYNNC01.08.202001.07.2021212.65159.50180.8001.03.2021Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2 Frequent repetition serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of a patient who: (i) has an isolated pericardial effusion or pericarditis; or (ii) has a normal baseline study, and has commenced medication for non‑cardiac purposes that has cardiotoxic side effects and is a pharmaceutical benefit (within the meaning of PartVII of the National Health Act 1953) for the writing of a prescription for the supply of which under that Part an echocardiogram is required; and (b) is not associated with a service to which: (i) another item in this Subgroup applies (except items55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items55118 and 55130); or (iii) an item in Subgroup 3 applies (R)
5513401.08.20205I17SNNNNNYNNC01.08.202001.07.2021236.25177.20200.8501.03.2021Note: the service only applies if the patient meets one or more of the following and the requirements of Note: IR.1.2 Repeat real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, for the investigation of rare cardiac pathologies, if the service: (a) is requested by a specialist or consultant physician; and (b) is not associated with a service to which: (i) another item in this Subgroup applies (except items55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items55118 and 55130); or (iii) an item in Subgroup 3 applies (R)
5513501.05.20045I12SNNYNYYNNC01.05.200401.07.2021362.15271.65307.85Y01.07.2021Intraoperative two-dimensional or three-dimensional real time transoesophageal echocardiography, if the service: (a) is provided on the same day as a service to which item 38477, 38484, 38499, 38516 or 38517 applies; and (b) includes Doppler techniques with colour flow mapping and recordings on digital media; and (c) is performed during cardiac valve surgery (replacement or repair); and (d) incorporates sequential assessment of cardiac function and valve competence before and after the surgical procedure; and (e) is not associated with a service to which item 55130, or an item in Subgroup 3, applies (R) (Anaes.)
5513701.08.20205I17SNNYNYYNNC01.08.202001.07.2021236.25177.20200.8501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 4 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of a fetus with suspected or confirmed: (i) complex congenital heart disease; or (ii) functional heart disease; or (iii) fetal cardiac arrhythmia; or (iv) cardiac structural abnormality requiring confirmation; and (b) is performed by a specialist or consultant physician practising in the speciality of cardiology with advanced training and expertise in fetal cardiac imaging; and (c) is not associated with a service to which: (i) an item in Subgroup 2 applies (except items55118 and 55130); or (ii) an item in Subgroup 3 applies (R)
5514101.08.20205I17SNNNNNYNNC01.08.202001.07.2021421.20315.90358.0501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2 Exercise stress echocardiography focused study, other than a service associated with a service to which: (a) item11704, 11705, 11707, 11714, 11729 or 11730 applies; or (b) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R)
5514301.08.20205I17SNNYNYYNNC01.08.202001.07.2021421.20315.90358.0501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1, IR.1.1 and IR.1.2 Repeat pharmacological or exercise stress echocardiography if: (a) a service to which item 55141, 55145, 55146, or this item, applies has been performed on the patient in the previous 24 months; and (b) the patient has symptoms of ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which: (i) item11704, 11705, 11707, 11714, 11729 or 11730 applies; or (ii) an item in Subgroup 3 applies Applicable not more than once in a 12 month period (R)
5514501.08.20205I17SNNNNNYNNC01.08.202001.07.2021488.20366.15415.0001.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2 Pharmacological stress echocardiography, other than a service associated with a service to which: (a) item11704, 11705, 11707, 11714, 11729 or 11730 applies; or (b) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R) Note: this item does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item55141, 55143 or 55146 applies has been provided to the patient.
5514601.08.20205I17SNNNNNYNNC01.08.202001.07.2021488.20366.15415.0001.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.0.1 and IR.1.2 Pharmacological stress echocardiography if: (a) a service to which item55141 applies has been performed on the patient in the previous 4 weeks, and the test has failed due to an inadequate heart rate response; and (b) the service is not associated with a service to which: (i) item11704, 11705, 11707, 11714, 11729 or 11730 applies; or (ii) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R) Note: this item does not apply to a service provided to a patient if, in the previous 24 months, a service associated with a service to which item55143 or 55145 applies has been provided to the patient.
5523801.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.05.2020Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the lower limb or of arteries and bypass grafts in the lower limb, below the inguinal ligament, not being a service associated with any of the following:(a) a service to which an item in Subgroup 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R)
5524401.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.05.2020Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for acute venous thrombosis, not being a service associated with any of the following:(a) a service to which item 55246 applies;(b) a service to which an item in Subgroup 4 applies;(c) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R)
5524601.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.05.2020Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the lower limb, below the inguinal ligament, for chronic venous disease, not being a service associated with any of the following:(a) a service to which item 55244 applies;(b) a service to which an item in Subgroup 4 applies;(c) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R)
5524801.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.11.2020Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or bypass grafts in the upper limb or of arteries and bypass grafts in the upper limb, not being a service associated with a service to which an item in Subgroup 4 applies (R)
5525201.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.11.2020Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of veins in the upper limb, not being a service associatedwith a service to which an item in Subgroup 4 applies (R).
5527401.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.11.2020Duplex scanning, bilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of extra cranial bilateral carotid and vertebral vessels, with or without subclavian and innominate vessels, with or without oculoplethysmography or peri orbital Doppler examination, not being a service associated witha service to which an item in Subgroup 4 applies (R).
5527601.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.11.2020Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra‑abdominal, aorta and iliac arteries or inferior vena cava and iliac veins or of intra‑abdominal, aorta and iliac arteries and inferior vena cava and iliac veins, excluding pregnancy related studies, not being a service associated witha service to which an item in Subgroup 4 applies (R)
5527801.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.11.2020Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of renal or visceral vessels or of renal and visceral vessels, including aorta, inferior vena cava and iliac vessels as required excluding pregnancy related studies, not being a service associated witha service to which an item in Subgroup 4 applies (R)
5528001.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.11.2020Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of intra cranial vessels, not being a service associated witha service to which an item in Subgroup 4 applies (R)
5528201.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.11.2020Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:(a) by spectral analysis of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent; and(b) performed during the period of pharmacological activity of the injected agent, to confirm a diagnosis of vascular aetiology for impotence; and(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 4 applies (R)
5528401.11.19975I13SNNNNNYNNC01.11.199701.07.2021173.60130.20147.6001.11.2020Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements:(a) by spectral analysis of cavernosal tissue of the penis to confirm a diagnosis; and(b) if indicated, assess the progress and management of:(i) priapism; or(ii) fibrosis of any type; or(iii) fracture of the tunica; or(iv) arteriovenous malformations; and(c) if a specialist in diagnostic radiology, nuclear medicine, urology, general surgery (sub specialising in vascular surgery) or a consultant physician in nuclear medicine attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and(d) if the specialist or consultant physician interprets the results and prepares a report, not being a service associated with a service to which an item in Subgroup 4 applies (R)
5529201.11.20015I13SNNNNNYNNC01.11.200101.07.2021173.60130.20147.6001.11.2020Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of surgically created arteriovenous fistula or surgically created arteriovenous access grafts in the upper or lower limbs, not being a service associated with a service to which an item in Subgroup 4 applies (R)
5529401.11.20015I13SNNNNNYNNC01.11.200101.07.2021173.60130.20147.6001.05.2020Duplex scanning involving B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of arteries or veins, or both, including any associated skin marking, for mapping of bypass conduit before vascular surgery, not being a service associated with any of the following:(a) a service to which an item in Subgroup 3 or 4 applies; (b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R)
5529601.11.20015I13SNNNNNYNNC01.11.200101.07.2021113.7085.3096.6501.05.2020Duplex scanning, unilateral, involving B mode ultrasound imaging and integrated Doppler flow spectral analysis and marking of veins in the lower limbs below the inguinal ligament before varicose vein surgery, including any associated skin marking, not being a service associated with any of the following:(a) a service to which an item in Subgroup 3 or 4 applies;(b) a service to which item 55880, 55881, 55882, 55883, 55884, 55885, 55886, 55887, 55888, 55889, 55890, 55891, 55892, 55893, 55894 or 55895 applies (R)
5560001.11.19985I14SNNNNNYNNC01.11.199801.07.2021111.7583.8595.0001.05.2020Prostate, bladder base and urethra, ultrasound scan of, if performed:(a) personally by a medical practitioner (not being the medical practitioner who assessed the patient as specified in paragraph (c)) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and(b) after a digital rectal examination of the prostate by that medical practitioner; and(c) on a patient who has been assessed by:(i) a specialist in urology, radiation oncology or medical oncology; or(ii) a consultant physician in medical oncology; who has:(iii) examined the patient in the 60 days before the scan; and(iv) recommended the scan for the management of the patient’s current prostatic disease(R)
5560301.11.19985I14SNNNNNYNNC01.11.199801.07.2021111.7583.8595.0001.05.2020Prostate, bladder base and urethra, ultrasound scan of, if performed:(a) personally by a medical practitioner who made the assessment mentioned in paragraph (c) using one or more transducer probes that can obtain both axial and sagittal scans in 2 planes at right angles; and(b) after a digital rectal examination of the prostate by that medical practitioner; and(c) on a patient who has been assessed by:(i) a specialist in urology, radiation oncology or medical oncology; or(ii) a consultant physician in medical oncology; who has:(iii) examined the patient in the 60 days before the scan; and(iv) recommended the scan for the management of the patient’s current prostatic disease(R)
5570001.02.20005I15SNNNNNYNFC01.02.200001.07.202161.4546.1052.2501.01.201033.2001.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, for determining the gestation, location, viability or number of foetuses, if the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation (R)
5570301.02.20005I15SNNNNNYNFC01.02.200001.07.202135.8026.8530.4501.01.201016.6501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, for determining the gestation, location, viability or number of foetuses, if the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation (NR)
5570401.02.20005I15SNNNNNYNFC01.02.200001.07.202171.7053.8060.9501.01.201038.7501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of foetuses, if the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation (R)
5570501.02.20005I15SNNNNNYNFC01.02.200001.07.202135.8026.8530.4501.01.201016.6501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, for determining the structure, gestation, location, viability or number of foetuses, if the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation (NR)
5570601.02.20005I15SNNNNNYNFC01.02.200001.07.2021102.4076.8087.0501.01.201055.3001.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(b) the service is not performed in the same pregnancy as item 55709 (R)
5570701.11.20055I15SNNNNNYNFC01.11.200501.07.202171.7053.8060.9501.01.201038.7501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the pregnancy (as confirmed by ultrasound) is dated by a fetal crown rump length of 45 to 84 mm; and(b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and(c) the service is not performed with item 55700, 55703, 55704 or 55705 on the same patient within 24 hours (R)
5570801.11.20055I15SNNNNNYNFC01.11.200501.07.202135.8026.8530.4501.01.201016.6501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the pregnancy (as confirmed by ultrasound) is dated by a crown rump length of 45 to 84 mm; and(b) nuchal translucency measurement is performed to assess the risk of fetal abnormality; and(c) the service is not performed with item 55700, 55703, 55704 or 55705, on the same patient within 24 hours (NR)
5570901.02.20005I15SNNNNNYNFC01.02.200001.07.202138.9029.2033.1001.01.201022.1501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(b the service is not performed in the same pregnancy as item 55706 (NR)
5571201.02.20005I15SNNNNNYNFC01.02.200001.07.2021117.7588.35100.1001.01.201066.3501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) the service is requested by a medical practitioner who:(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(c) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709 (R)
5571501.02.20005I15SNNNNNYNFC01.02.200001.07.202140.9530.7534.8501.01.201022.1501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(b) further examination is clinically indicated after performance, in the same pregnancy, of a scan mentioned in item 55706 or 55709 (NR)
5571801.02.20005I15SNNNNNYNFC01.02.200001.07.2021102.4076.8087.0501.01.201055.3001.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) the service is not performed in the same pregnancy as item 55723 (R)
5572101.02.20005I15SNNNNNYNFC01.02.200001.07.2021117.7588.35100.1001.01.201066.3501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the service is requested by a medical practitioner who:(i) is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as being equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and(b) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(d) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (R)
5572301.02.20005I15SNNNNNYNFC01.02.200001.07.202138.9029.2033.1001.01.201022.1501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) the service is not performed in the same pregnancy as item 55718 (NR)
5572501.02.20005I15SNNNNNYNFC01.02.200001.07.202140.9530.7534.8501.01.201022.1501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:(a) the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (NR)
5572901.11.20005I15SNNNNNYNFC01.11.200001.07.202127.9020.9523.7501.01.201016.6501.05.2020Duplex scanning, if:(a) the service involves:(i) B mode ultrasound imaging and integrated Doppler flow measurements by spectral analysis of the umbilical artery; and(ii) measured assessment of amniotic fluid volume after the 24th week of gestation; and(b) there is reason to suspect intrauterine growth retardation or a significant risk of fetal death;—examination and report (R)
5573601.02.20005I15SNNNNNYNNC01.02.200001.07.2021130.0597.55110.5501.05.2020Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R)
5573901.02.20005I15SNNNNNYNNC01.02.200001.07.202158.3543.8049.6001.05.2020Pelvis, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, if a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR)
5575901.11.20005I15SNNNNNYNNC01.11.200001.07.2021153.60115.20130.6001.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) ultrasound of the same pregnancy confirms a multiple pregnancy; and(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and(c) the service mentioned in item 55706, 55709, 55712, 55715 or 55762 is not performed in conjunction with the scan during the same pregnancy (R)
5576201.11.20005I15SNNNNNYNFC01.11.200001.07.202161.4546.1052.2501.01.201033.2001.05.2020Pelvis or abdomen, pregnancy‑related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if: (a) ultrasound of the same pregnancy confirms a multiple pregnancy; and (b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and (c) the service mentioned in item55706, 55709, 55712, 55715 or 55759 is not performed in conjunction with the scan during the same pregnancy (NR)
5576401.11.20005I15SNNNNNYNFC01.11.200001.07.2021163.85122.90139.3001.01.201088.4501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, if:(a) the service is requested by a medical practitioner who:(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and(b) ultrasound of the same pregnancy confirms a multiple pregnancy; and(c) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks gestation; and(d) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and(e) the service mentioned in item 55706, 55709, 55712 or 55715 is not performed in conjunction with the scan during the same pregnancy (R)
5576601.11.20005I15SNNNNNYNFC01.11.200001.07.202166.5549.9556.6001.01.201033.2001.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, who is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:(a) ultrasound of the same pregnancy confirms a multiple pregnancy; and(b) the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and(c) further examination is clinically indicated in the same pregnancy in which item 55759 or 55762 has been performed; and(d) the service mentioned in item 55706, 55709, 55712 or 55715, is not performed in conjunction with the scan during the same pregnancy (NR)
5576801.11.20005I15SNNNNNYNFC01.11.200001.07.2021153.60115.20130.6001.01.201083.0001.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) the ultrasound confirms a multiple pregnancy; and(c) the service is not performed in the same pregnancy as item 55770; and(d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the scan during the same pregnancy (R)
5577001.11.20005I15SNNNNNYNFC01.11.200001.07.202161.4546.1052.2501.01.201033.2001.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and(b) the ultrasound confirms a multiple pregnancy; and(c) the service is not performed in the same pregnancy as item 55768; and(d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the scan during the same pregnancy (NR)
5577201.11.20005I15SNNNNNYNFC01.11.200001.07.2021163.85122.90139.3001.01.201088.4501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, if:(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and(b) the service is requested by a medical practitioner who:(i) is a Member or Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists; or(ii) has a Diploma of Obstetrics; or(iii) has a qualification recognised by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists as equivalent to a Diploma of Obstetrics; or(iv) has obstetric privileges at a non metropolitan hospital; and(c) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and(d) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and(e) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the scan during the same pregnancy (R)
5577401.11.20005I15SNNNNNYNFC01.11.200001.07.202166.5549.9556.6001.01.201038.7501.05.2020Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, if:(a) dating of the pregnancy as confirmed by ultrasound is after 22 weeks of gestation; and(b) further examination is clinically indicated in the same pregnancy to which item 55768 or 55770 has been performed; and(c) the pregnancy as confirmed by ultrasound is a multiple pregnancy; and(d) the service mentioned in item 55718, 55721, 55723 or 55725 is not performed in conjunction with the scan during the same pregnancy (NR)
5581201.11.20005I16SNNNNNYNNC01.11.200001.07.2021111.7583.8595.0001.05.2020Chest or abdominal wall, one or more areas, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55070, 55073, 55076 or 55079 (R)
5581401.11.20005I16SNNNNNYNNC01.11.200001.07.202138.7529.1032.9501.05.2020Chest or abdominal wall, one or more areas, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55070, 55073, 55076 or 55079 (NR)
5584401.11.20005I16SNNNNNYNNC01.11.200001.07.202189.4567.1076.0501.05.2020Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of (R)
5584601.11.20005I16SNNNNNYNNC01.11.200001.07.202138.7529.1032.9501.05.2020Assessment of a mass associated with the skin or subcutaneous structures, not being a part of the musculoskeletal system, one or more areas, ultrasound scan of (NR)
5584801.11.20005I16SNNNNNYNNC01.11.200001.07.2021139.90104.95118.9501.05.2020Musculoskeletal ultrasound, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which any other item in this group applies, and not performed in conjunction with a service mentioned in item 55054 (R)
5585001.11.20005I16SNNNNNYNNC01.11.200001.07.2021184.70138.55157.0001.05.2020Musculoskeletal ultrasound, in conjunction with a surgical procedure using interventional techniques, inclusive of a diagnostic musculoskeletal ultrasound service, if:(a) the medical practitioner or nurse practitioner has indicated on a request for a musculoskeletal ultrasound that an ultrasound guided intervention be performed if clinically indicated; and(b) the service is not performed in conjunction with a service mentioned in item 55054 or any other item in this Subgroup (R)
5585201.05.20015I16SNNNNNYNNC01.05.200101.07.2021111.7583.8595.0001.05.2020Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of (R)
5585401.05.20015I16SNNNNNYNNC01.05.200101.07.202138.7529.1032.9501.05.2020Paediatric spine, spinal cord and overlying subcutaneous tissues, ultrasound scan of (NR)
5585601.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Hand or wrist or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55858 (R)
5585701.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Hand or wrist, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55859 (NR)
5585801.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Hand or wrist, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55856 (R)
5585901.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Hand or wrist, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55857 (NR)
5586001.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Forearm or elbow, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55862 (R)
5586101.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Forearm or elbow, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55863 (NR)
5586201.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Forearm or elbow, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55860 (R)
5586301.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Forearm or elbow, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55861 (NR)
5586401.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Shoulder or upper arm, or both, left or right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55866 (R)
5586501.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Shoulder or upper arm, or both, left or right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55867 (NR)
5586601.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Shoulder or upper arm, or both, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55864 (R)
5586701.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Shoulder or upper arm, or both, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) an injury to a muscle, tendon or muscle/tendon junction;(ii) rotator cuff tear, calcification or tendinosis (biceps, subscapular, supraspinatus or infraspinatus);(iii) biceps subluxation;(iv) capsulitis and bursitis;(v) a mass, including a ganglion;(vi) an occult fracture;(vii) acromioclavicular joint pathology; and(b) the service is not performed in conjunction with a service mentioned in item 55865 (NR)
5586801.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Hip or groin, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55870 (R)
5586901.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Hip or groin, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55871 (NR)
5587001.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Hip or groin, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55868 (R)
5587101.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Hip or groin, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with a service mentioned in item 55869 (NR)
5587201.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Paediatric hip examination for dysplasia, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55874 (R)
5587301.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Paediatric hip examination for dysplasia, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55875 (NR)
5587401.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Paediatric hip examination for dysplasia, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55872 (R)
5587501.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Paediatric hip examination for dysplasia, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55873 (NR)
5587601.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Buttock or thigh, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55878 (R)
5587701.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Buttock or thigh or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55879 (NR)
5587801.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Buttock or thigh, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55876 (R)
5587901.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Buttock or thigh, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55877 (NR)
5588001.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Knee, left or right, ultrasound scan of, if: (a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) abnormality of tendons or bursae about the knee;(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;(iii) a nerve entrapment or a nerve or nerve sheath tumour;(iv) an injury of collateral ligaments; and (b) the service is not performed in conjunction with item 55882 (R)
5588101.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Knee, left or right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions: (i) abnormality of tendons or bursae about the knee;(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;(iii) a nerve entrapment or a nerve or nerve sheath tumour;(iv) an injury of collateral ligaments; and(b) the service is not performed in conjunction with item 55883 (NR)
5588201.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Knee, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions:(i) abnormality of tendons or bursae about the knee;(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;(iii) a nerve entrapment or a nerve or nerve sheath tumour;(iv) an injury of collateral ligaments; and(b) the service is not performed in conjunction with a service mentioned in item 55880 (R)
5588301.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Knee, left and right, ultrasound scan of, if:(a) the service is used for the assessment of one or more of the following suspected or known conditions: (i) abnormality of tendons or bursae about the knee;(ii) a meniscal cyst, popliteal fossa cyst, mass or pseudomass;(iii) a nerve entrapment or a nerve or nerve sheath tumour;(iv) an injury of collateral ligaments; and(b) the service is not performed in conjunction with item 55881 (NR)
5588401.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Lower leg, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55886 (R)
5588501.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Lower leg, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55887 (NR)
5588601.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Lower leg, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55884 (R)
5588701.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Lower leg, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55885 (NR)
5588801.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Ankle or hind foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55890 (R)
5588901.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Ankle or hind foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55891 (NR)
5589001.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Ankle or hind foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55888 (R)
5589101.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Ankle or hind foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55889 (NR)
5589201.05.20205I16SNNNNNYNNC01.05.202001.07.2021111.7583.8595.0001.05.2020Mid foot or fore foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55894 (R)
5589301.05.20205I16SNNNNNYNNC01.05.202001.07.202138.7529.1032.9501.05.2020Mid foot or fore foot, or both, left or right, ultrasound scan of, if the service is not performed in conjunction with item 55895 (NR)
5589401.05.20205I16SNNNNNYNNC01.05.202001.07.2021124.0093.00105.4001.05.2020Mid foot or fore foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55892 (R)
5589501.05.20205I16SNNNNNYNNC01.05.202001.07.202143.0532.3036.6001.05.2020Mid foot or fore foot, or both, left and right, ultrasound scan of, if the service is not performed in conjunction with item 55893 (NR)
5600101.11.19965I21SNNNNNYNNC01.11.199601.07.2021199.80149.85169.8501.05.2020Computed tomography—scan of brain without intravenous contrast medium, not being a service to which item 57001 applies (R) (Anaes.)
5600701.11.19965I21SNNNNNYNNC01.11.199601.07.2021256.05192.05217.6501.05.2020Computed tomography—scan of brain with intravenous contrast medium and with any scans of the brain before intravenous contrast injection, when performed, not being a service to which item 57007 applies (R) (Anaes.)
5601001.11.19965I21SNNNNNYNNC01.11.199601.07.2021258.20193.65219.5001.05.2020Computed tomography—scan of pituitary fossa with or without intravenous contrast medium and with or without brain scan when performed (R) (Anaes.)
5601301.11.19965I21SNNNNNYNNC01.11.199601.07.2021256.05192.05217.6501.05.2020COMPUTED TOMOGRAPHY - scan of orbits with or without intravenous contrast medium and with or without brain scan when undertaken (R) (Anaes.)
5601601.11.19965I21SNNNNNYNNC01.11.199601.07.2021297.00222.75252.4501.05.2020Computed tomography—scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R) (Anaes.)
5602201.11.19965I21SNNNNNYNNC01.11.199601.07.2021230.40172.80195.8501.05.2020Computed tomography—scan of facial bones, para nasal sinuses or both without intravenous contrast medium (R) (Anaes.)
5602801.11.19965I21SNNNNNYNNC01.11.199601.07.2021344.95258.75293.2501.05.2020Computed tomography—scan of facial bones, para nasal sinuses or both with intravenous contrast medium and with any scans of the facial bones, para nasal sinuses or both before intravenous contrast injection, when performed (R) (Anaes.)
5603001.02.20005I21SNNNNNYNNC01.02.200001.07.2021230.40172.80195.8501.05.2020Computed tomography—scan of facial bones, para nasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (Anaes.)
5603601.02.20005I21SNNNNNYNNC01.02.200001.07.2021344.95258.75293.2501.05.2020Computed tomography—scan of facial bones, para nasal sinuses or both, with scan of brain, with intravenous contrast medium, if:(a) a scan without intravenous contrast medium has been performed; and(b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (Anaes.)
5610101.11.19965I22SNNNNNYNNC01.11.199601.07.2021235.55176.70200.2501.05.2020Computed tomography—scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) without intravenous contrast medium, not being a service to which item 56801 applies (R) (Anaes.)
5610701.11.19965I22SNNNNNYNNC01.11.199601.07.2021348.20261.15296.0001.05.2020Computed tomography—scan of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine)—with intravenous contrast medium and with any scans of soft tissues of neck, including larynx, pharynx, upper oesophagus and salivary glands (not associated with cervical spine) before intravenous contrast injection, when undertaken, not being a service associated with a service to which item 56807 applies (R) (Anaes.)
5621901.11.19965I23SNNNNNYNNC01.11.199601.07.2021334.10250.60284.0001.05.2020Computed tomography—scan of spine, one or more regions with intrathecal contrast medium, including the preparation for intrathecal injection of contrast medium and any associated plain X rays, not being a service to which item 59724 or 59275 applies (R) (Anaes.)
5622001.11.20015I23SNNNNNYNNC01.11.200101.07.2021245.80184.35208.9501.05.2020Computed tomography—scan of spine, cervical region, without intravenous contrast medium (R) (Anaes.)
5622101.11.20015I23SNNNNNYNNC01.11.200101.07.2021245.80184.35208.9501.05.2020Computed tomography—scan of spine, thoracic region, without intravenous contrast medium (R) (Anaes.)
5622301.11.20015I23SNNNNNYNNC01.11.200101.07.2021245.80184.35208.9501.05.2020Computed tomography—scan of spine, lumbosacral region, without intravenous contrast medium (R) (Anaes.)
5622401.11.20015I23SNNNNNYNNC01.11.200101.07.2021359.85269.90305.9001.05.2020Computed tomography—scan of spine, cervical region, with intravenous contrast medium and with any scans of the cervical region of the spine before intravenous contrast injection when undertaken (R) (Anaes.)
5622501.11.20015I23SNNNNNYNNC01.11.200101.07.2021359.85269.90305.9001.05.2020Computed tomography—scan of spine, thoracic region, with intravenous contrast medium and with any scans of the thoracic region of the spine before intravenous contrast injection when undertaken (R) (Anaes.)
5622601.11.20015I23SNNNNNYNNC01.11.200101.07.2021359.85269.90305.9001.05.2020Computed tomography—scan of spine, lumbosacral region, with intravenous contrast medium and with any scans of the lumbosacral region of the spine prior to intravenous contrast injection when undertaken (R) (Anaes.)
5623301.11.20015I23SNNNNNYNNC01.11.200101.07.2021245.80184.35208.9501.05.2020NOTE:An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Computed tomography—scan of spine, 2 examinations of the kind referred to in items 56220, 56221 and 56223, without intravenous contrast medium (R) (Anaes.)
5623401.11.20015I23SNNNNNYNNC01.11.200101.07.2021359.85269.90305.9001.05.2020NOTE:An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Computed tomography—scan of spine, 2 examinations of the kind referred to in items 56224, 56225 and 56226, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (Anaes.)
5623701.11.20015I23SNNNNNYNNC01.11.200101.07.2021245.80184.35208.9501.05.2020Computed tomography—scan of spine, 3 regions cervical, thoracic and lumbosacral, without intravenous contrast medium (R) (Anaes.)
5623801.11.20015I23SNNNNNYNNC01.11.200101.07.2021359.85269.90305.9001.05.2020Computed tomography—scan of spine, 3 regions, cervical, thoracic and lumbosacral, with intravenous contrast medium and with any scans of these regions of the spine before intravenous contrast injection when undertaken (R) (Anaes.)
5630101.11.19965I24SNNNNNYNNC01.11.199601.07.2021302.10226.60256.8001.05.2020Computed tomography—scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, without intravenous contrast medium, not being a service to which item 56801 or 57001 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.)
5630701.11.19965I24SNNNNNYNNC01.11.199601.07.2021409.65307.25348.2501.05.2020Computed tomography—scan of chest, including lungs, mediastinum, chest wall and pleura, with or without scans of the upper abdomen, with intravenous contrast medium and with any scans of the chest, including lungs, mediastinum, chest wall or pleura and upper abdomen before intravenous contrast injection, when undertaken, not being a service to which item 56807 or 57007 applies and not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.)
5640101.11.19965I25SNNNNNYNNC01.11.199601.07.2021256.05192.05217.6501.05.2020Computed tomography—scan of upper abdomen only (diaphragm to iliac crest) without intravenous contrast medium, not being a service to which item 56301, 56501, 56801 or 57001 applies (R) (Anaes.)
5640701.11.19965I25SNNNNNYNNC01.11.199601.07.2021368.70276.55313.4001.05.2020Computed tomography—scan of upper abdomen only (diaphragm to iliac crest), with intravenous contrast medium, and with any scans of upper abdomen (diaphragm to iliac crest) before intravenous contrast injection, when undertaken, not being a service to which item 56307, 56507, 56807 or 57007 applies (R) (Anaes.)
5640901.12.19915I25SNNNNNYNNC01.11.199601.07.2021256.05192.05217.6501.05.2020Computed tomography—scan of pelvis only (iliac crest to pubic symphysis) without intravenous contrast medium not being a service associated with a service to which item 56401 applies (R) (Anaes.)
5641201.11.19965I25SNNNNNYNNC01.11.199601.07.2021368.70276.55313.4001.05.2020Computed tomography—scan of pelvis only (iliac crest to pubic symphysis), with intravenous contrast medium and with any scans of pelvis (iliac crest to pubic symphysis) before intravenous contrast injection, when undertaken, not being a service to which item 56407 applies (R) (Anaes.)
5650101.11.19965I26SNNNNNYNNC01.11.199601.07.2021394.25295.70335.1501.05.2020Computed tomography—scan of upper abdomen and pelvis without intravenous contrast medium, not for the purposes of virtual colonoscopy and not being a service to which item 56801 or 57001 applies(R) (Anaes.)
5650701.11.19965I26SNNNNNYNNC01.11.199601.07.2021491.65368.75417.9501.05.2020Computed tomography—scan of upper abdomen and pelvis with intravenous contrast medium and with any scans of upper abdomen and pelvis before intravenous contrast injection, when performed, not for the purposes of virtual colonoscopy and not being a service to which item 56807 or 57007 applies (R) (Anaes.)
5655301.09.20155I26SNNNNNYNNC01.09.201501.07.2021532.55399.45452.7001.05.2020Computed tomography—scan of colon for exclusion or diagnosis of colorectal neoplasia in a symptomatic or high risk patient if:(a) one or more of the following applies:(i) the patient has had an incomplete colonoscopy in the 3 months before the scan;(ii) there is a high grade colonic obstruction;(iii) the service is requested by a specialist or consultant physician who performs colonoscopies in the practice of the specialist’s or consultant physician’s speciality; and(b) the service is not a service to which item 56301, 56307, 56401, 56407, 56409, 56412, 56501, 56507, 56801, 56807 or 57001 applies; and(c) the service has not been performed on the patient in the 36 months before the scan (R) (Anaes.)
5662001.11.20185I27SNNNNNYNNC01.11.201801.07.2021225.30169.00191.5501.05.2020Computed tomography—scan of knee, without intravenous contrast medium, not being a service to which item 56622 or 56629 applies (R) (Anaes.)
5662201.05.20205I27SNNNNNYNNC01.05.202001.07.2021225.30169.00191.55Y01.05.2020Computed tomography—scan of lower limb, left or right or both, one region (other than knee), or more than one region (which may include knee), without intravenous contrast medium, not being a service to which item 56620 applies (R) (Anaes.) (Anaes.)
5662301.05.20205I27SNNNNNYNNC01.05.202001.07.2021342.70257.05291.30Y01.05.2020Computed tomography—scan of lower limb, left or right or both, one region (other than knee), or more than one region (which may include knee), with intravenous contrast medium and with any scans of the lower limb before intravenous contrast injection, when performed, not being a service to which item 56626 applies (R) (Anaes.) (Anaes.)
5662601.11.20185I27SNNNNNYNNC01.11.201801.07.2021342.70257.05291.3001.05.2020Computed tomography—scan of knee, with intravenous contrast medium and with any scans of the knee before intravenous contrast injection, when performed, not being a service to which items 56623 or 56630 apply (R) (Anaes.)
5662701.05.20205I27SNNNNNYNNC01.05.202001.07.2021225.30169.00191.55Y01.05.2020Computed tomography—scan of upper limb, left or right or both, any one region, or more than one region, without intravenous contrast medium (R) (Anaes.) (Anaes.)
5662801.05.20205I27SNNNNNYNNC01.05.202001.07.2021342.70257.05291.30Y01.05.2020Computed tomography—scan of upper limb, left or right or both, any one region, or more than one region, with intravenous contrast medium and with any scans of the upper limb before intravenous contrast injection, when performed (R) (Anaes.) (Anaes.)
5662901.05.20205I27SNNNNNYNNC01.05.202001.07.2021225.30169.00191.55Y01.05.2020Computed tomography—scan of upper limb and lower limb, left or right or both, any one region (other than knee), or more than one region (which may include knee) without intravenous contrast medium not being a service to which item 56620 applies (R) (Anaes.) (Anaes.)
5663001.05.20205I27SNNNNNYNNC01.05.202001.07.2021342.70257.05291.30Y01.05.2020Computed tomography—scan of upper limb and lower limb, left or right or both, any one region (other than knee), or more than one region (which may include knee) with intravenous contrast medium with any scans of the limbs before intravenous contrast injection, when performed, not being a service to which item 56626 applies (R) (Anaes.)
5680101.11.19965I28SNNNNNYNNC01.11.199601.07.2021477.80358.35406.1501.05.2020Computed tomography—scan of chest, abdomen and pelvis with or without scans of soft tissues of neck without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.)
5680701.11.19965I28SNNNNNYNNC01.11.199601.07.2021573.50430.15488.8001.05.2020Computed tomography—scan of chest, abdomen and pelvis with or without scans of soft tissues of neck with intravenous contrast medium and with any scans of chest, abdomen and pelvis with or without scans of soft tissue of neck before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.)
5700101.11.19965I29SNNNNNYNNC01.11.199601.07.2021477.90358.45406.2501.05.2020Computed tomography—scan of brain and chest with or without scans of upper abdomen without intravenous contrast medium, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.)
5700701.11.19965I29SNNNNNYNNC01.11.199601.07.2021581.45436.10496.7501.05.2020Computed tomography—scan of brain and chest with or without scans of upper abdomen with intravenous contrast medium and with any scans of brain and chest and upper abdomen before intravenous contrast injection, when performed, not including a study performed to exclude coronary artery calcification or image the coronary arteries (R) (Anaes.)
5720101.11.19965I210SNNNNNYNNC01.11.199601.07.2021158.95119.25135.1501.05.2020Computed tomography—pelvimetry (R) (Anaes.)
5734101.11.19965I211SNNNNNYNNC01.11.199601.07.2021481.35361.05409.1501.05.2020Computed tomography, in conjunction with a surgical procedure using interventional techniques (R) (Anaes.)
5735101.11.20015I212SNNYNYYNNC01.11.200101.07.2021522.30391.75444.00Y01.07.2021Computed tomography—angiography with intravenous contrast medium, including any scans performed before intravenous contrast injection—one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (a) the service is not a service to which another item in this group applies; and (b) the service is performed for the exclusion of acute or recurrent pulmonary embolism, acute symptomatic arterial occlusion, post‑operative complication of arterial surgery, acute ruptured aneurysm, or acute dissection of the aorta, carotid or vertebral artery; and (c) a service to which item57352, 57353,57354 or 57357applies has been performed on the same patient within the previous 12 months; and (d) the service is not a study performed to image the coronary arteries (R) (Anaes.)
5735201.05.20205I212SNNNNNYNNC01.05.202001.07.2021522.30391.75444.00Y01.03.2021Computed tomography—angiography with intravenous contrast medium of any or all, or any part, of: (a) the arch of the aorta; or (b) the carotid arteries; or (c) the vertebral arteries and their branches (head and neck); including any scans performed before intravenous contrast injection—one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (d) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a medical practitioner (other than a specialist or consultant physician) and the request indicates that the patient’s case has been discussed with a specialist or consultant physician; and (e) the service is not a service to which another item in this group applies; and (f) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (g) the service is not a study performed to image the coronary arteries (R) (Anaes.)
5735301.05.20205I212SNNNNNYNNC01.05.202001.07.2021522.30391.75444.00Y01.03.2021Computed tomography—angiography with intravenous contrast medium of any or all, or any part, of: (a) the ascending and descending aorta; or (b) the common iliac and abdominal branches including upper limbs (chest, abdomen and upper limbs); including any scans performed before intravenous contrast injection—one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (c) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a medical practitioner (other than a specialist or consultant physician) and the request indicates that the patient’s case has been discussed with a specialist or consultant physician; and (d) the service is not a service to which another item in this group applies; and (e) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (f) the service is not a study performed to image the coronary arteries (R) (Anaes.)
5735401.05.20205I212SNNNNNYNNC01.05.202001.07.2021522.30391.75444.00Y01.03.2021Computed tomography—angiography with intravenous contrast medium of any or all, or any part, of: (a) the descending aorta; or (b) the pelvic vessels (aorto‑iliac segment) and lower limbs; including any scans performed before intravenous contrast injection—one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: (c) either: (i) the service is requested by a specialist or consultant physician; or (ii) the service is requested by a medical practitioner (other than a specialist or consultant physician) and the request indicates that the patient’s case has been discussed with a specialist or consultant physician; and (d) the service is not a service to which another item in this group applies; and (e) the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and (f) the service is not a study performed to image the coronary arteries (R) (Anaes.)
5735701.11.20205I212SNNNNNYNNC01.12.202001.07.2021522.30391.75444.00Y01.11.2020Computed tomography—angiography with intravenous contrast medium of any or all, or any part, of the pulmonary arteries and their branches, including any scans performed before intravenous contrast injection—one or more data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy or digital recording of multiple projections, if: the service is not a service to which another item in this group applies; and the service is not a study performed to image the coronary arteries; and the service is:(i) performed for the exclusion of pulmonary arterial stenosis, occlusion, aneurysm or embolism and is requested by a specialist or consultant physician; or(ii) performed for the exclusion of pulmonary arterial stenosis, occlusion or aneurysm and is requested by a medical practitioner (other than a specialist or consultant physician) and the request indicates that the patient’s case has been discussed with a specialist or consultant physician; or (iii) for the exclusion of pulmonary embolism and is requested be a medical practitioner (other than a specialist or consultant physician) (R) (Anaes.)
5736001.07.20115I212SNNYNYYNNC01.07.202101.07.2021716.90537.70632.20Y01.07.2021Computed tomography of the coronary arteries performed on a minimum of a 64 slice (or equivalent) scanner if: (a) the request is made by a specialist or consultant physician; and (b) for a patient not known to have coronary artery disease who: (i) has stable or acute symptoms consistent with coronary ischaemia; and (ii) is at low to intermediate risk of an acute coronary event, including having no significant cardiac biomarker elevation and no electrocardiogram changes indicating acute ischaema Applicable not more than once in a 5 year period (R) (Anaes.)
5736201.11.20145I213SNNNNNYNNC01.11.201401.07.2021115.9086.9598.5501.05.2020Cone beam computed tomography—dental and temporo mandibular joint imaging (without contrast medium) for diagnosis and management of any of the following:(a) mandibular and dento alveolar fractures;(b) dental implant planning;(c) orthodontics;(d) endodontic conditions;(e) periodontal conditions;(f) temporo mandibular joint conditionsApplicable once per patient per day, not being for a service to which any of items 57960 to 57969 apply, and not being a service associated with another service in Group I2 (R) (Anaes.)
5736401.07.20215I212SNYNNNNNNC01.07.202101.07.2021716.90537.70632.20Y01.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: TR.8.3 (item 38247), TR.8.2 (item 38249) or item 38252if subclause (iv) applies. Computed tomography of the coronary arteries performed on a minimum of a 64 slice (or equivalent) scanner, if: (a) the service is requested by a specialist or consultant physician; and (b) at least one of the following apply to the patient: (i) the patient has stable symptoms and newly recognised left ventricular systolic dysfunction of unknown aetiology; (ii) the patient requires exclusion of coronary artery anomaly or fistula; (iii) the patient will be undergoing non-coronary cardiac surgery; (iv) the patient meets the criteria to be eligible for a service to which item 38247, 38249 or 38252 applies, but as an alternative to selective coronary angiography will require an assessment of the patency of one or more bypass grafts (R) (Anaes.)
5750601.12.19915I31SNNNNNYNNC01.12.199101.07.202130.4522.8525.9001.05.2020Hand, wrist, forearm, elbow or humerus (NR)
5750901.12.19915I31SNNNNNYNNC01.12.199101.07.202140.7030.5534.6001.05.2020Hand, wrist, forearm, elbow or humerus (R)
5751201.12.19915I31SNNNNNYNNC01.12.199101.07.202141.4531.1035.2501.05.2020Hand and wrist, or hand, wrist and forearm, or forearm and elbow, or elbow and humerus (NR)
5751501.12.19915I31SNNNNNYNNC01.12.199101.07.202155.3041.5047.0501.05.2020Hand and wrist, or hand, wrist and forearm, or forearm and elbow, or elbow and humerus (R)
5751801.12.19915I31SNNNNNYNNC01.12.199101.07.202133.3025.0028.3501.05.2020Foot, ankle, leg or femur (NR)
5752101.12.19915I31SNNNNNYNNC01.12.199101.07.202144.4533.3537.8001.05.2020Foot, ankle, leg or femur (R)
5752201.11.20185I31SNNNNNYNNC01.11.201801.07.202133.3025.0028.3501.05.2020Knee (NR)
5752301.11.20185I31SNNNNNYNNC01.11.201801.07.202144.4533.3537.8001.05.2020Knee (R)
5752401.12.19915I31SNNNNNYNNC01.12.199101.07.202150.6037.9543.0501.05.2020Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (NR)
5752701.12.19915I31SNNNNNYNNC01.12.199101.07.202167.3550.5557.2501.05.2020Foot and ankle, or ankle and leg, or leg and knee, or knee and femur (R)
5754101.11.20195I318SNNYNYYNNC01.11.201901.07.202175.4056.5564.1001.07.2021Fee for a service rendered using first eligible x-ray procedure carried out during attendance at residential aged care facility, where the service has been requested by a medical practitioner who has attended the patient in person and the request identifies one or more of the following indications: the patient has experienced a fall and one or more of the following items apply to the service 57509, 57515, 57521, 57527,57703, 57709,57712, 57715, 58521, 58524, 58527; or pneumonia or heart failure is suspected and item 58503 applies to the service; or acute abdomen or bowel obstruction is suspected and item 58903applies to the service. This call-out fee can be claimed once only per visit at a residential aged care facility irrespective of the number of patients attended. NOTE: If the service is bulked billed 95% of the fee is payable. The multiple services rule does not apply to this item. (R)
5770001.12.19915I32SNNNNNYNNC01.12.199101.07.202141.4531.1035.2501.05.2020Shoulder or scapula (NR)
5770301.12.19915I32SNNNNNYNNC01.12.199101.07.202155.3041.5047.0501.05.2020Shoulder or scapula (R)
5770601.12.19915I32SNNNNNYNNC01.12.199101.07.202133.3025.0028.3501.05.2020Clavicle (NR)
5770901.12.19915I32SNNNNNYNNC01.12.199101.07.202144.4533.3537.8001.05.2020Clavicle (R)
5771201.12.19915I32SNNNNNYNNC01.12.199101.07.202148.3036.2541.1001.05.2020Hip joint (R)
5771501.12.19915I32SNNNNNYNNC01.12.199101.07.202162.3546.8053.0001.05.2020Pelvic girdle (R)
5772101.12.19915I32SNNNNNYNNC01.12.199101.07.2021101.6576.2586.4501.05.2020Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture (R)
5790101.11.19985I33SNNNNNYNNC01.11.199801.07.202166.0549.5556.1501.05.2020Skull, not in association with item 57902 (R)
5790201.11.19985I33SNNNNNYNNC01.11.199801.07.202166.0549.5556.1501.05.2020Cephalometry, not in association with item 57901 (R)
5790501.05.20205I33SNNNNNYNNC01.05.202001.07.202166.0549.5556.1501.05.2020Mastoids or petrous temporal bones (R)
5790701.05.20205I33SNNNNNYNNC01.05.202001.07.202148.4536.3541.2001.05.2020Sinuses or facial bones – orbit, maxilla or malar, any or all (R)
5791501.12.19915I33SNNNNNYNNC01.12.199101.07.202148.3036.2541.1001.05.2020Mandible, not by orthopantomography technique (R)
5791801.12.19915I33SNNNNNYNNC01.12.199101.07.202148.3036.2541.1001.05.2020Salivary calculus (R)
5792101.12.19915I33SNNNNNYNNC01.12.199101.07.202148.3036.2541.1001.05.2020Nose (R)
5792401.12.19915I33SNNNNNYNNC01.12.199101.07.202148.3036.2541.1001.05.2020Eye (R)
5792701.12.19915I33SNNNNNYNNC01.12.199101.07.202150.8538.1543.2501.05.2020Temporo mandibular joints (R)
5793001.12.19915I33SNNNNNYNNC01.12.199101.07.202133.7025.3028.6501.05.2020Teeth—single area (R)
5793301.12.19915I33SNNNNNYNNC01.12.199101.07.202180.1060.1068.1001.05.2020Teeth - full mouth(R)
5793901.12.19915I33SNNNNNYNNC01.12.199101.07.202166.0549.5556.1501.05.2020Palato pharyngeal studies with fluoroscopic screening (R)
5794201.12.19915I33SNNNNNYNNC01.12.199101.07.202150.8538.1543.2501.05.2020Palato pharyngeal studies without fluoroscopic screening (R)
5794501.12.19915I33SNNNNNYNNC01.12.199101.07.202144.4533.3537.8001.05.2020Larynx, lateral airways and soft tissues of the neck, not being a service associated with a service to which item 57939 or 57942 applies (R)
5796001.11.20025I33SNNNNNYNNC01.11.200201.07.202148.5536.4541.3001.05.2020Orthopantomography for diagnosis or management (or both) of trauma, infection, tumour or a congenital or surgical condition of the teeth or maxillofacial region (R)
5796301.11.20025I33SNNNNNYNNC01.11.200201.07.202148.5536.4541.3001.05.2020Orthopantomography for diagnosis or management (or both) of any of the following conditions, if the signs and symptoms of the condition is present:(a) impacted teeth;(b) caries;(c) periodontal pathology;(d) periapical pathology (R)
5796601.11.20025I33SNNNNNYNNC01.11.200201.07.202148.5536.4541.3001.05.2020Orthopantomography for diagnosis or management (or both) of missing or crowded teeth, or developmental anomalies of the teeth or jaws (R)
5796901.11.20025I33SNNNNNYNNC01.11.200201.07.202148.5536.4541.3001.05.2020Orthopantomography for diagnosis or management (or both) of temporo mandibular joint arthroses or dysfunction (R)
5810001.12.19915I34SNNNNNYNNC01.12.199101.07.202168.7551.6058.4501.05.2020Spine—cervical (R)
5810301.12.19915I34SNNNNNYNNC01.12.199101.07.202156.4542.3548.0001.05.2020Spine—thoracic (R)
5810601.12.19915I34SNNNNNYNNC01.12.199101.07.202178.8559.1567.0501.05.2020Spine—lumbosacral (R)
5810801.11.20015I34SNNNNNYNNC01.11.200101.07.2021112.6584.5095.8001.05.2020Spine—4 regions, cervical, thoracic, lumbosacral and sacrococcygeal (R)
5810901.12.19915I34SNNNNNYNNC01.12.199101.07.202148.1536.1540.9501.05.2020Spine—sacrococcygeal (R)
5811201.12.19915I34SNNNNNYNNC01.12.199101.07.202199.6074.7084.7001.05.2020NOTE:An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine—2 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R)
5811501.12.19915I34SNNNNNYNNC01.12.199101.07.2021112.6584.5095.8001.05.2020NOTE:An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine—3 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109 (R)
5812001.01.20105I34SNNNNNYNNC01.01.201001.07.2021112.6584.5095.8001.05.2020Spine—4 regions, cervical, thoracic, lumbosacral and sacrococcygeal, if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year (R)
5812101.01.20105I34SNNNNNYNNC01.01.201001.07.2021112.6584.5095.8001.05.2020NOTE:An account issued or a patient assignment form must show the item numbers of the examinations performed under this item Spine—3 examinations of the kind mentioned in items 58100, 58103, 58106 and 58109, if the service to which item 58120 or 58121 applies has not been performed on the same patient within the same calendar year (R)
5830001.12.19915I35SNNNNNYNNC01.12.199101.07.202141.0530.8034.9001.05.2020Bone age study (R)
5830601.12.19915I35SNNNNNYNNC01.12.199101.07.202191.5568.7077.8501.05.2020Skeletal survey (R)
5850001.12.19915I36SNNNNNYNNC01.12.199101.07.202136.2027.1530.8001.05.2020Chest (lung fields) by direct radiography (NR)
5850301.12.19915I36SNNNNNYNNC01.12.199101.07.202148.3036.2541.1001.05.2020Chest (lung fields) by direct radiography (R)
5850601.12.19915I36SNNNNNYNNC01.12.199101.07.202162.2046.6552.9001.05.2020Chest (lung fields) by direct radiography with fluoroscopic screening (R)
5850901.12.19915I36SNNNNNYNNC01.12.199101.07.202140.7030.5534.6001.05.2020Thoracic inlet or trachea (R)
5852101.12.19915I36SNNNNNYNNC01.12.199101.07.202144.4533.3537.8001.05.2020Left ribs, right ribs or sternum (R)
5852401.12.19915I36SNNNNNYNNC01.12.199101.07.202157.8543.4049.2001.05.2020Left and right ribs, left ribs and sternum, or right ribs and sternum (R)
5852701.12.19915I36SNNNNNYNNC01.12.199101.07.202171.1053.3560.4501.05.2020Left ribs, right ribs and sternum (R)
5870001.12.19915I37SNNNNNYNNC01.12.199101.07.202147.1535.4040.1001.05.2020Plain renal only (R)
5870601.12.19915I37SNNNNNYNNC01.12.199101.07.2021161.70121.30137.4501.05.2020Intravenous pyelography, with or without preliminary plain films and with or without tomography (R)
5871501.12.19915I37SNNNNNYNNC01.12.199101.07.2021155.20116.40131.9501.05.2020Antegrade or retrograde pyelography with or without preliminary plain films and with preparation and contrast injection, one side (R)
5871801.12.19915I37SNNNNNYNNC01.12.199101.07.2021129.1596.90109.80Y01.05.2020Retrograde cystography or retrograde urethrography with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.)
5872101.12.19915I37SNNNNNYNNC01.12.199101.07.2021141.55106.20120.35Y01.05.2020Retrograde micturating cysto urethrography, with preparation and contrast injection (R) (Anaes.)
5890001.12.19915I38SNNNNNYNNC01.12.199101.07.202136.6027.4531.1501.05.2020Plain abdominal only, not being a service associated with a service to which item 58909, 58912 or 58915 applies (NR)
5890301.12.19915I38SNNNNNYNNC01.12.199101.07.202148.7536.6041.4501.05.2020Plain abdominal only, not being a service associated with a service to which item 58909, 58912 or 58915 applies (R)
5890901.12.19915I38SNNNNNYNNC01.12.199101.07.202192.1069.1078.3001.05.2020Barium or other opaque meal of one or more of pharynx, oesophagus, stomach or duodenum, with or without preliminary plain films of pharynx, chest or duodenum, not being a service associated with a service to which item 57939, 57942 or 57945 applies (R)
5891201.12.19915I38SNNNNNYNNC01.12.199101.07.2021112.9084.7096.0001.05.2020Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest and with or without preliminary plain film (R)
5891501.12.19915I38SNNNNNYNNC01.12.199101.07.202180.8560.6568.7501.05.2020Barium or other opaque meal, small bowel series only, with or without preliminary plain film (R)
5891601.11.19975I38SNNNNNYNNC01.11.199701.07.2021141.85106.40120.60Y01.05.2020Small bowel enema, barium or other opaque study of the small bowel, including duodenal intubation, with or without preliminary plain films, not being a service associated with a service to which item 30488 applies (R) (Anaes.)
5892101.12.19915I38SNNNNNYNNC01.12.199101.07.2021138.55103.95117.8001.05.2020Opaque enema, with or without air contrast study and with or without preliminary plain films (R)
5892701.12.19915I38SNNNNNYNNC01.12.199101.07.202178.3058.7566.6001.05.2020Cholegraphy direct, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 30439 applies (R)
5893301.12.19915I38SNNNNNYNNC01.12.199101.07.2021210.60157.95179.0501.05.2020Cholegraphy, percutaneous transhepatic, with or without preliminary plain films and with preparation and contrast injection (R)
5893601.12.19915I38SNNNNNYNNC01.12.199101.07.2021200.70150.55170.6001.05.2020Cholegraphy, drip infusion, with or without preliminary plain films, with preparation and contrast injection and with or without tomography (R)
5893901.11.19965I38SNNNNNYNNC01.11.199601.07.2021142.65107.00121.3001.05.2020Defaecogram (R)
5910301.12.19915I39SNNNNNYNNC01.11.200901.07.202121.8016.3518.5501.11.2009Localisation of foreign body, if provided in conjunction with a service described in Subgroups 1 to 12 of Group I3 (R)
5930001.12.19915I310SNNNNNYNNC01.12.199101.07.202191.6568.7577.9501.05.2020Mammography of both breasts if there is reason to suspect the presence of malignancy because of:(a) the past occurrence of breast malignancy in the patient; or(b) significant history of breast or ovarian malignancy in the patient’s family; or(c) symptoms or indications of breast disease found on examination of the patient by a medical practitioner (R) (Note: These items are intended for use in the investigation of a clinical abnormality of the breast/s and NOT for individual, group or opportunistic screening of asymptomatic patients)
5930201.11.20185I310DNNNNNYNNC01.11.201801.07.2021206.90155.20175.9001.05.2020Three dimensional tomosynthesis of both breasts, if there is reason to suspect the presence of malignancy because of: a) the past occurrence of breast malignancy in the patient; or b) significant history of breast or ovarian malignancy in the patient’s family; or c) symptoms or indications of breast disease found on examination of the patient by a medical practitioner Not being a service to which item 59300 applies (R)
5930301.12.19915I310SNNNNNYNNC01.12.199101.07.202155.2541.4547.0001.05.2020Mammography of one breast if: (a) the service is specifically requested for a unilateral mammogram; and(b) there is reason to suspect the presence of malignancy because of:(i) the past occurrence of breast malignancy in the patient; or(ii) significant history of breast or ovarian malignancy in the patient’s family; or(iii) symptoms or indications of breast disease found on examination of the patient by a medical practitioner (R)
5930501.11.20185I310DNNNNNYNNC01.11.201801.07.2021116.7587.6099.2501.05.2020Three dimensional tomosynthesis of one breast, if there is reason to suspect the presence of malignancy because of: a) the past occurrence of breast malignancy in the patient; or b) significant history of breast or ovarian malignancy in the patient’s family; or c) symptoms or indications of breast disease found on examination of the patient by a medical practitioner Not being a service to which item 59303 applies (R)
5931201.11.19975I310SNNNNNYNNC01.11.199701.07.202189.1066.8575.7501.05.2020Radiographic examination of both breasts, in conjunction with a surgical procedure on each breast, using interventional techniques (R)
5931401.11.19975I310SNNNNNYNNC01.11.199701.07.202153.8040.3545.7501.05.2020Radiographic examination of one breast, in conjunction with a surgical procedure using interventional techniques (R)
5931801.11.19975I310SNNNNNYNNC01.11.199701.07.202148.2036.1541.0001.05.2020Radiographic examination of excised breast tissue to confirm satisfactory excision of one or more lesions in one breast or both following pre-operative localisation in conjunction with a service under item 31536 (R)
5970001.12.19915I312SNNNNNYNNC01.12.199101.07.202198.9074.2084.10Y01.05.2020Discography, each disc, with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.) (Anaes.)
5970301.12.19915I312SNNNNNYNNC01.12.199101.07.202177.7558.3566.1001.05.2020Dacryocystography, one side, with or without preliminary plain film and with preparation and contrast injection (R)
5971201.12.19915I312SNNNNNYNNC01.12.199101.07.2021116.4587.3599.00Y01.05.2020Hysterosalpingography, with or without preliminary plain films and with preparation and contrast injection (R)(Anaes.) (Anaes.)
5971501.12.19915I312SNNNNNYNNC01.11.199701.07.2021147.00110.25124.95Y01.05.2020Bronchography, one side, with or without preliminary plain films and with preparation and contrast injection, on a person under 16 years of age (R) (Anaes.) (Anaes.)
5971801.12.19915I312SNNNNNYNNC01.12.199101.07.2021137.90103.45117.25Y01.05.2020Phlebography, one side, with or without preliminary plain films and with preparation and contrast injection (R) (Anaes.) (Anaes.)
5972401.12.19915I312SNNNNNYNNC01.12.199101.07.2021231.90173.95197.15Y01.05.2020Myelography, one or more regions, with or without preliminary plain films and with preparation and contrast injection, not being a service associated with a service to which item 56219 applies (R)(Anaes.) (Anaes.)
5973301.12.19915I312SNNNNNYNNC01.12.199101.07.2021110.3082.7593.8001.05.2020Sialography, one side, with preparation and contrast injection, not being a service associated with a service to which item 57918 applies (R)
5973901.12.19915I312SNNNNNYNNC01.11.199701.07.202175.5056.6564.2001.05.2020Sinogram or fistulogram, one or more regions, with or without preliminary plain films and with preparation and contrast injection (R)
5975101.12.19915I312SNNNNNYNNC01.12.199101.07.2021142.50106.90121.1501.05.2020Arthrography, each joint, excluding the facet (zygapophyseal) joints of the spine, single or double contrast study, with or without preliminary plain films and with preparation and contrast injection (R)
5975401.12.19915I312SNNNNNYNNC01.12.199101.07.2021224.65168.50191.0001.05.2020Lymphangiography, one or both sides, with preliminary plain films and follow-up radiography and with preparation and contrast injection (R)
5976301.11.19965I312SNNNNNYNNC01.11.199601.07.2021137.10102.85116.5501.05.2020Air insufflation during video—fluoroscopic imaging including associated consultation (R)
5997001.11.19965I313SNNNNNYNNC01.11.199601.07.2021172.35129.30146.5001.05.2020Angiography or digital subtraction angiography, or both, with fluoroscopy and image acquisition, using a mobile image intensifier, including any preliminary plain films, preparation and contrast injection—one or more regions (R) (Anaes.)
6000001.11.19925I313SNNNNNYNNC31.10.199201.07.2021577.60433.20492.9001.05.2020Digital subtraction angiography, examination of head and neck with or without arch aortography—1 to 3 data acquisition runs (R) (Anaes.)
6000301.11.19925I313SNNNNNYNNC31.10.199201.07.2021847.05635.30762.3501.05.2020Digital subtraction angiography, examination of head and neck with or without arch aortography—4 to 6 data acquisition runs (R) (Anaes.)
6000601.11.19925I313SNNNNNYNNC31.10.199201.07.20211204.50903.401119.8001.05.2020Digital subtraction angiography, examination of head and neck with or without arch aortography—7 to 9 data acquisition runs (R) (Anaes.)
6000901.11.19925I313SNNNNNYNNC31.10.199201.07.20211409.501057.151324.8001.05.2020Digital subtraction angiography, examination of head and neck with or without arch aortography—10 or more data acquisition runs (R) (Anaes.)
6001201.11.19925I313SNNNNNYNNC31.10.199201.07.2021577.60433.20492.9001.05.2020Digital subtraction angiography, examination of thorax—1 to 3 data acquisition runs (R) (Anaes.)
6001501.11.19925I313SNNNNNYNNC31.10.199201.07.2021847.05635.30762.3501.05.2020Digital subtraction angiography, examination of thorax—4 to 6 data acquisition runs (R) (Anaes.)
6001801.11.19925I313SNNNNNYNNC31.10.199201.07.20211204.50903.401119.8001.05.2020Digital subtraction angiography, examination of thorax—7 to 9 data acquisition runs (R) (Anaes.)
6002101.11.19925I313SNNNNNYNNC31.10.199201.07.20211409.501057.151324.8001.05.2020Digital subtraction angiography, examination of thorax—10 or more data acquisition runs (R) (Anaes.)
6002401.11.19925I313SNNNNNYNNC31.10.199201.07.2021577.60433.20492.9001.05.2020Digital subtraction angiography, examination of abdomen—1 to 3 data acquisition runs (R) (Anaes.)
6002701.11.19925I313SNNNNNYNNC31.10.199201.07.2021847.05635.30762.3501.05.2020Digital subtraction angiography, examination of abdomen—4 to 6 data acquisition runs (R) (Anaes.)
6003001.11.19925I313SNNNNNYNNC31.10.199201.07.20211204.50903.401119.8001.05.2020Digital subtraction angiography, examination of abdomen—7 to 9 data acquisition runs (R) (Anaes.)
6003301.11.19925I313SNNNNNYNNC31.10.199201.07.20211409.501057.151324.8001.05.2020Digital subtraction angiography, examination of abdomen—10 or more data acquisition runs (R) (Anaes.)
6003601.11.19925I313SNNNNNYNNC31.10.199201.07.2021577.60433.20492.9001.05.2020Digital subtraction angiography, examination of upper limb or limbs—1 to 3 data acquisition runs (R) (Anaes.)
6003901.11.19925I313SNNNNNYNNC31.10.199201.07.2021847.05635.30762.3501.05.2020Digital subtraction angiography, examination of upper limb or limbs—4 to 6 data acquisition runs (R) (Anaes.)
6004201.11.19925I313SNNNNNYNNC31.10.199201.07.20211204.50903.401119.8001.05.2020Digital subtraction angiography, examination of upper limb or limbs—7 to 9 data acquisition runs (R) (Anaes.)
6004501.11.19925I313SNNNNNYNNC31.10.199201.07.20211409.501057.151324.8001.05.2020Digital subtraction angiography, examination of upper limb or limbs—10 or more data acquisition runs (R) (Anaes.)
6004801.11.19925I313SNNNNNYNNC31.10.199201.07.2021577.60433.20492.9001.05.2020Digital subtraction angiography, examination of lower limb or limbs—1 to 3 data acquisition runs (R) (Anaes.)
6005101.11.19925I313SNNNNNYNNC31.10.199201.07.2021847.05635.30762.3501.05.2020Digital subtraction angiography, examination of lower limb or limbs—4 to 6 data acquisition runs (R) (Anaes.)
6005401.11.19925I313SNNNNNYNNC31.10.199201.07.20211204.50903.401119.8001.05.2020Digital subtraction angiography, examination of lower limb or limbs—7 to 9 data acquisition runs (R) (Anaes.)
6005701.11.19925I313SNNNNNYNNC31.10.199201.07.20211409.501057.151324.8001.05.2020Digital subtraction angiography, examination of lower limb or limbs—10 or more data acquisition runs (R) (Anaes.)
6006001.11.19925I313SNNNNNYNNC31.10.199201.07.2021577.60433.20492.9001.05.2020Digital subtraction angiography, examination of aorta and lower limb or limbs—1 to 3 data acquisition runs (R) (Anaes.)
6006301.11.19925I313SNNNNNYNNC31.10.199201.07.2021847.05635.30762.3501.05.2020Digital subtraction angiography, examination of aorta and lower limb or limbs—4 to 6 data acquisition runs (R) (Anaes.)
6006601.11.19925I313SNNNNNYNNC31.10.199201.07.20211204.50903.401119.8001.05.2020Digital subtraction angiography, examination of aorta and lower limb or limbs—7 to 9 data acquisition runs (R) (Anaes.)
6006901.11.19925I313SNNNNNYNNC31.10.199201.07.20211409.501057.151324.8001.05.2020Digital subtraction angiography, examination of aorta and lower limb or limbs—10 or more data acquisition runs (R) (Anaes.)
6007201.11.19925I313SNNNNNYNNC31.10.199201.07.202149.2536.9541.9001.05.2020Selective arteriography or selective venography by digital subtraction angiography technique—one vessel (NR) (Anaes.)
6007501.11.19925I313SNNNNNYNNC31.10.199201.07.202198.4573.8583.7001.05.2020Selective arteriography or selective venography by digital subtraction angiography technique—2 vessels (NR) (Anaes.)
6007801.11.19925I313SNNNNNYNNC31.10.199201.07.2021147.70110.80125.5501.05.2020Selective arteriography or selective venography by digital subtraction angiography technique—3 or more vessels (NR) (Anaes.)
6050001.12.19915I315SNNNNNYNNC01.12.199101.07.202144.4533.3537.80Y01.05.2020Fluoroscopy, with general anaesthesia (not being a service associated with a radiographic examination) (R) (Anaes.)
6050301.12.19915I315SNNNNNYNNC01.12.199101.07.202130.4522.8525.9001.05.2020Fluoroscopy, without general anaesthesia (not being a service associated with a radiographic examination) (R)
6050601.11.19925I315SNNNNNYNNC31.10.199201.07.202165.3049.0055.5501.05.2020Fluoroscopy using a mobile image intensifier, in conjunction with a surgical procedure lasting less than 1 hour, not being a service associated with a service to which another item in this Group applies (R)
6050901.11.19925I315SNNNNNYNNC31.10.199201.07.2021101.3076.0086.1501.05.2020Fluoroscopy using a mobile image intensifier, in conjunction with a surgical procedure lasting 1 hour or more, not being a service associated with a service to which another item in this Group applies (R)
6091801.12.19915I316SNNYNYYNNC01.12.199101.07.202148.3036.2541.10Y01.07.2021Arteriography (peripheral) or phlebography—one vessel, when used in association with a service to which item59970 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) (Anaes.)
6092701.12.19915I316SNNYNYYNNC01.12.199101.07.202138.9529.2533.15Y01.07.2021Selective arteriogram or phlebogram, when used in association with a service to which item 59970 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR) (Anaes.)
6110901.11.19925I317SNNNNNYNNC31.10.199201.07.2021265.15198.90225.4001.05.2020Fluoroscopy in an angiography suite with image intensification, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this Group applies (R)
6131001.11.19965I41SNNNNNNNNC01.11.199601.11.2006367.30275.50312.2501.05.2020Myocardial infarct avid study (R)
6131114.09.20195I41DNNNNNNNNC14.09.201901.12.2020653.05489.80568.3501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with PET if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; the patient has had a failed stress echocardiography provided in a service to which item55141, 55143, 55145 or 55146 applies; and (c) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording ofother parameters (including heart rate); and (d) the service is not associated with a service to which item11704, 11705, 11707, 11714, 11729, 11730, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61394, 61398, 61380, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) Item 61311 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6131301.11.19965I41SNNNNNNNNC01.11.199601.11.2006303.35227.55257.8501.05.2020Gated cardiac blood pool study, (equilibrium) (R)
6131401.11.19965I41SNNNNNNNNC01.11.199601.11.2006420.00315.00357.0001.05.2020Gated cardiac blood pool study, with or without intervention, and first pass blood flow or cardiac shunt study (R)
6132101.08.20205I41SNNYNYNNNC01.08.202001.08.2020329.00246.75279.6501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non‑viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses a single rest technetium‑99m (Tc‑99m) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61325, 61329, 61332, 61345, 61380, 61398, 61406 or 61422 applies; and (e) if the patient is 17 years or older—a service to which this item, or item 61325, 61329, 61332, 61345, 61380, 61398, 61406 or 61422, applies has not been provided to the patient in the previous 24 months (R)
6132401.08.20205I41SNNYNYNNNC01.08.202001.08.2020653.05489.80568.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item55141, 55143, 55145 or 55146 applies; and (c) the service includes resting ECG, continuous ECG monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a specialist or consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61325, 61329, 61332, 61377, 61345, 61357, 61380, 61394, 61398, 61406, 61414 or 61422 applies; and (f) if the patient is 17 years or older—a service to which this item, or item 61311, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R)
6132501.08.20205I41SNNYNYNNNC01.08.202001.08.2020329.00246.75279.6501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non‑viable myocardium, with single photon emission tomography, with or without planar imaging, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) the service uses: (i) an initial rest study followed by a redistribution study on the same day; and (ii) a thallous chloride‑201 (Tl‑201) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61321, 61329, 61332, 61345, 61380, 61398, 61406 or 61422 applies; and (e) if the patient is 17 years or older: (i) a service to which item 61321, 61329, 61332, 61345, 61380, 61398, 61406 or 61442, applies has not been provided to the patient in the previous 24 months; and (ii) the service is applicable only twice each 24 months (R)
6132801.11.19965I41SNNNNNNNNC01.11.199601.11.2006227.65170.75193.5501.05.2020Lung perfusion study (R)
6132901.08.20205I41SNNYNYNNNC01.08.202001.08.2020982.05736.55897.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422 applies; and (f) if the patient is 17 years or older—a service to which this item, or item 61311, 61321, 61324, 61325, 61332, 61345, 61357, 61380, 61394, 61398, 61406, 61414 or 61422, applies has not been provided to the patient in the previous 24 months (R)
6133214.09.20195I41DNNNNNNNNC14.09.201901.12.2020982.05736.55897.3501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with PET, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; the patient has had a failed stress echocardiography provided in a service to which item55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is not associated with a service to which item11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61345, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) Item 61332 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6133314.09.20195I41DNNNNNNNNC14.09.201914.09.2019443.35332.55376.8501.03.2021Lung perfusion study and lung ventilation study using galligas or 68Ga-MAA, with PET (R) Item 61333 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6133614.09.20195I41DNNNNNNNNC14.09.201914.09.2019605.05453.80520.3501.03.2021Cerebral perfusion study, with PET (R) Item 61336 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6133714.09.20195I41DNNNNNNNNC14.09.201914.09.2019479.80359.85407.8501.03.2021Bone study—whole body, with PET, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) Item 61337 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6134001.11.19965I41SNNNNNNNNC01.11.199601.11.2006253.00189.75215.0501.05.2020Lung ventilation study using aerosol, technegas or xenon gas (R)
6134114.09.20195I41DNNNNNNNNC14.09.201914.09.2019600.70450.55516.0001.03.2021Bone study—whole body and PET, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R) Item 61341 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6134414.09.20195I41DNNNNNNNNC14.09.201914.09.2019100.0075.0085.0001.03.2021Computed tomography performed at the same time and covering the same body area as positron emission tomography covered by items 61311, 61332, 61333, 61336, 61337and 61341, for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued (R) Item 61344 was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6134501.08.20205I41SNNYNYNNNC01.08.202001.08.2020982.05736.55897.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a specialist or consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422 applies (R); and (f) if the patient is 17 years or older—a service to which this item, or item 61311, 61321, 61324, 61325, 61329, 61332, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422, applies has not been provided to the patient in the previous 24 months (R)
6134801.11.19965I41SNNNNNNNNC01.11.199601.11.2006443.35332.55376.8501.05.2020Lung perfusion study and lung ventilation study using aerosol, technegas or xenon gas (R)
6134901.08.20205I41SNNYNYNNNC01.08.202001.08.2020982.05736.55897.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) both: (i) a service has been provided to the patient in the previous 24 months to which this item, or item 61311, 61324, 61329, 61332, 61337, 61345, 61357, 61365, 61380, 61394, 61398, 61406, 61410, 61414 or 61418, applies; and (ii) the patient has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which item55141, 55143, 55145 or 55146 applies; and (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61365, 61410 or 61418 applies; and (f) if the patient is 17 years or older—a service to which this item, or item 61365, 61410 or 61418, applies has not been provided to the patient in the previous 12 months (R)
6135301.11.19965I41SNNNNNNNNC01.11.199601.11.2006386.60289.95328.6501.05.2020Liver and spleen study (colloid) (R)
6135601.11.19965I41SNNNNNNNNC01.11.199601.11.2006392.80294.60333.9001.05.2020Red blood cell spleen or liver study (R)
6135701.08.20205I41SNNYNYNNNC01.08.202001.08.2020653.05489.80568.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) at least one of the following applies: (i) the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; (ii) the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; (iii) the patient has had a failed stress echocardiography provided in a service to which items55141, 55143, 55145 or 55146 applies; and (c) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (d) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61377, 61380, 61394, 61398, 61406, 61414 or 61422 applies; and (f) if the patient is 17 years or older—a service to which this item, or item 61311, 61324, 61329, 61332, 61345, 61377, 61380, 61394, 61398, 61406, or 61414, applies has not been provided to the patient in the previous 24 months (R)
6136001.11.19965I41SNNNNNNNNC01.11.199601.11.2006403.35302.55342.8501.05.2020Hepatobiliary study, including morphine administration or pre-treatment with a cholagogue when performed (R)
6136101.11.19965I41SNNNNNNNNC01.11.199601.11.2006461.40346.05392.2001.05.2020Hepatobiliary study with formal quantification following baseline imaging, using a cholagogue (R)
6136401.11.19965I41SNNNNNNNNC01.11.199601.11.2006496.95372.75422.4501.05.2020Bowel haemorrhage study (R)
6136501.12.20205I41DNNNNNNNNC01.12.202001.12.2020982.05736.55897.3501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with PET, if: (a) in the previous 24 months, the patient has had a service performed to which item61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414 applies and has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) at least one of the following applies: the patient has body habitus or other physical conditions (including heart rhythm disturbance) to the extent that a stress echocardiography would not provide adequate information; the patient is unable to exercise to the extent required for a stress echocardiography to provide adequate information; the patient has had a failed stress echocardiography provided in a service to which item55141, 55143, 55145 or 55146 applies; and (d) the service is requested by a specialist or a consultant physician; and (e) the service is not associated with a service to which item11704, 11705, 11707, 11714, 11729, 11730, 61349, 61410 or 61418 applies Applicable not more than once in 12 months (R) Item 61365was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6136801.11.19965I41SNNNNNNNNC01.11.199601.11.2006223.10167.35189.6501.05.2020Meckel’s diverticulum study (R)
6136901.11.19995I41SNNNNNNNNC01.11.200401.11.20062015.751511.851931.0501.05.2020Indium-labelled octreotide study (including single photon emission tomography when undertaken), if:(a) a gastro-entero-pancreatic endocrine tumour is suspected on the basis of biochemical evidence with negative or equivocal conventional imaging; or(b) both:(i) a surgically amenable gastro-entero-pancreatic endocrine tumour has been identified on the basis of conventional techniques; and(ii) the study is to exclude additional disease sites (R)
6137201.11.19965I41SNNNNNNNNC01.11.199601.11.2006223.10167.35189.6501.05.2020Salivary study (R)
6137301.11.19965I41SNNNNNNNNC01.11.199601.11.2006489.70367.30416.2501.05.2020Gastro-oesophageal reflux study, including delayed imaging on a separate occasion when performed (R)
6137601.11.19965I41SNNNNNNNNC01.11.199601.11.2006143.35107.55121.8501.05.2020Oesophageal clearance study (R)
6137701.12.20205I41DNNNNNNNNC01.12.202001.12.2020653.05489.80568.3501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with PET, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is not associated with a service to which item11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61380, 61394, 61398, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) Item 61377was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6138001.12.20205I41DNNNNNNNNC01.12.202001.12.2020982.05736.55897.3501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with PET, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the services is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is not associated with a service to which item11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61394, 61398, 61406, 61414 or 61422 applies Applicable not more than once in 24 months (R) Item 61380was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6138101.11.19965I41SNNNNNNNNC01.11.199601.11.2006574.35430.80489.6501.05.2020Gastric emptying study, using single tracer (R)
6138301.11.19965I41SNNNNNNNNC01.11.199601.11.2006624.95468.75540.2501.05.2020Combined solid and liquid gastric emptying study using dual isotope technique or the same isotope on separate days (R)
6138401.11.19965I41SNNNNNNNNC01.11.199601.11.2006687.70515.80603.0001.05.2020Radionuclide colonic transit study (R)
6138601.11.19965I41SNNNNNNNNC01.11.199601.11.2006332.50249.40282.6501.05.2020Renal study, including perfusion and renogram images and computer analysis or cortical study with planar imaging (R)
6138701.11.19965I41SNNNNNNNNC01.11.199601.11.2006430.75323.10366.1501.05.2020Renal cortical study, with single photon emission tomography and planar quantification (R)
6138901.11.19965I41SNNNNNNNNC01.11.199601.11.2006370.55277.95315.0001.05.2020Single renal study with pre-procedural administration of a diuretic or angiotensin converting enzyme (ACE) inhibitor (R)
6139001.11.19965I41SNNNNNNNNC01.11.199601.11.2006409.95307.50348.5001.05.2020Renal study with diuretic administration after a baseline study (R)
6139301.11.19965I41SNNNNNNNNC01.11.199601.11.2006605.50454.15520.8001.05.2020Combined examination involving a renal study following angiotensin converting enzyme (ACE) inhibitor provocation and a baseline study, in either order and related to a single referral episode (R)
6139415.09.20205I41SNNYNYNNNC15.09.202015.09.2020653.05489.80568.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61398, 61406, 61414 or 61422 applies; and (g) if the patient is 17 years or older—a service to which this item, or item 61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61398, 61406 or 61414, applies has not been provided to the patient in the previous 24 months (R)
6139701.11.19965I41SNNNNNNNNC01.11.199601.11.2006246.85185.15209.8501.05.2020Cystoureterogram (R)
6139815.09.20205I41SNNYNYNNNC15.09.202015.09.2020982.05736.55897.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the services is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61406, 61414 or 61422 applies; and (g) if the patient is 17 years or older—a service to which this item, or item 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61406, 61414 or 61422, applies has not been provided to the patient in the previous 24 months (R)
6140201.11.19965I41SNNNNNNNNC01.11.199601.11.2006605.05453.80520.3501.05.2020Cerebral perfusion study, with single photon emission tomography and with planar imaging when performed (R)
6140615.09.20205I41SNNYNYNNNC15.09.202015.09.2020982.05736.55897.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a specialist or consultant physician; and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61377, 61345, 61357, 61380, 61394, 61398, 61414 or 61422 applies; and (g) if the patient is 17 years or older—a service to which this item, or item 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61414 or 61422, applies has not been provided to the patient in the previous 24 months (R)
6140901.11.19965I41SNNNNNNNNC01.11.199601.11.2006873.50655.15788.8001.05.2020Cerebro spinal fluid transport study, with imaging on 2 or more separate occasions (R)
6141015.09.20205I41SNNYNYNNNC15.09.202015.09.2020982.05736.55897.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with single photon emission tomography, with or without planar imaging, if: (a) both: (i) a service has been provided to the patient in the previous 24 months to which this item, or item 61311, 61324, 61329, 61332, 61345, 61349, 61357, 61365, 61377, 61380, 61394, 61398, 61406, 61414 or 61418, applies; and (ii) the patient has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (d) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (e) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730 or 61418 applies; and (f) if the patient is 17 years or older—a service to which item 61349, 61365 or 61418 applies has not been provided to the patient in the previous 12 months
6141301.11.19965I41SNNNNNNNNC01.11.199601.11.2006225.95169.50192.1001.05.2020Cerebro spinal fluid shunt patency study (R)
6141415.09.20205I41SNNYNYNNNC15.09.202015.09.2020653.05489.80568.3501.07.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Single stress myocardial perfusion study, with single photon emission tomography, with or without planar imaging, if: (a) the patient has symptoms of cardiac ischaemia; and (b) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (c) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (d) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (e) the service is requested by a medical practitioner (other than a specialist or consultant physician); and (f) the service is not associated with a service to which item 11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61422 applies; and (g) if the patient is 17 years or older—a service to which this item, or item 61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61398 or 61406, applies has not been provided to the patient in the previous 24 months (R)
6141801.12.20205I41DNNNNNNNNC01.12.202001.12.2020982.05736.55897.3501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.1 Repeat combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion, with PET, if: (a) in the previous 24 months, the patient has had a service performed to which item61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414 applies, and has subsequently undergone a revascularisation procedure; and (b) the patient has one or more symptoms of cardiac ischaemia that have evolved and are not adequately controlled with optimal medical therapy; and (c) the service is provided at, or from, a practice located in a Modified Monash 3, 4, 5, 6 or 7 area; and (d) a stress echocardiography service is not available in the Modified Monash area where the service is provided; and (e) the service includes resting electrocardiograph, continuous electrocardiograph monitoring during exercise (with recording), blood pressure monitoring and the recording of other parameters (including heart rate); and (f) the service is not associated with a service to which item11704, 11705, 11707, 11714, 11729, 11730, 61349, 61365 or 61410 applies Applicable not more than once in 12 months (R) Item 61418was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6142101.11.19965I41SNNNNNNNNC01.11.199601.11.2006479.80359.85407.8501.05.2020Bone study—whole body, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)
6142201.12.20205I41DNNNNNNNNC01.12.202001.12.2020329.00246.75279.6501.03.2021Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.4.2 Single rest myocardial perfusion study for the assessment of the extent and severity of viable and non‑viable myocardium, with PET, if: (a) the patient has left ventricular systolic dysfunction and probable or confirmed coronary artery disease; and (b) technetium is not available and the service uses an equivalent protocol to the single rest technetium‑99m (Tc‑99m) protocol; and (c) the service is requested by a specialist or a consultant physician; and (d) the service is not associated with a service to which item11704, 11705, 11707, 11714, 11729, 11730, 61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414 applies Applicable not more than once in 24 months (R) Item 61422was available from 1 December 2020 until 28 February 2021, during a national shortage of technetium. See the Health Insurance (Section 3C Diagnostic Imaging - Nuclear Medicine Services) Determination 2019 on the Federal Register of Legislation for further information.
6142501.11.19965I41SNNNNNNNNC01.11.199601.11.2006600.70450.55516.0001.05.2020Bone study—whole body and single photon emission tomography, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)
6142601.11.19965I41SNNNNNNNNC01.11.199601.11.2006554.80416.10471.6001.05.2020Whole body study using iodine (R)
6142901.11.19965I41SNNNNNNNNC01.11.199601.11.2006543.00407.25461.5501.05.2020Whole body study using gallium (R)
6143001.11.19965I41SNNNNNNNNC01.11.199601.11.2006659.45494.60574.7501.05.2020Whole body study using gallium, with single photon emission tomography (R)
6143301.11.19965I41SNNNNNNNNC01.11.199601.11.2006496.95372.75422.4501.05.2020Whole body study using cells labelled with technetium (R)
6143401.11.19965I41SNNNNNNNNC01.11.199601.11.2006615.40461.55530.7001.05.2020Whole body study using cells labelled with technetium, with single photon emission tomography (R)
6143801.11.19965I41SNNNNNNNNC01.11.199601.11.2006672.95504.75588.2501.05.2020Whole body study using thallium (R)
6144101.11.19965I41SNNNNNNNNC01.11.199601.11.2006489.70367.30416.2501.05.2020Bone marrow study—whole body using technetium labelled bone marrow agents (R)
6144201.11.19975I41SNNNNNNNNC01.11.199701.11.2006752.35564.30667.6501.05.2020Whole body study, using gallium—with single photon emission tomography of 2 or more body regions acquired separately (R)
6144501.11.19995I41SNNNNNNNNC01.11.199901.11.2006286.80215.10243.8001.05.2020Bone marrow study—localised using technetium labelled agent (R)
6144601.11.19965I41SNNNNNNNNC01.11.199601.11.2006333.55250.20283.5501.05.2020Regional scintigraphic study, using an approved bone scanning agent,including when undertaken, blood flow imaging, blood pool imagingand repeat imaging on a separate occasion (R)
6144901.11.19965I41SNNNNNNNNC01.11.199601.11.2006456.20342.15387.8001.05.2020Regional scintigraphic study, using an approved bone scanning agentand single photon emission tomography, including when undertaken, blood flow imaging, blood pool imagingand repeat imaging on a separate occasion (R)
6145001.11.19965I41SNNNNNNNNC01.11.199601.11.2006397.55298.20337.9501.05.2020Localised study using gallium (R)
6145301.11.19965I41SNNNNNNNNC01.11.199601.11.2006514.70386.05437.5001.05.2020Localised study using gallium, with single photon emission tomography (R)
6145401.11.19965I41SNNNNNNNNC01.11.199601.11.2006348.10261.10295.9001.05.2020Localised study using cells labelled with technetium (R)
6145701.11.19965I41SNNNNNNNNC01.11.199601.11.2006470.45352.85399.9001.05.2020Localised study using cells labelled with technetium, with single photon emission tomography (R)
6146101.11.19965I41SNNNNNNNNC01.11.199601.11.2006527.85395.90448.7001.05.2020Localised study using thallium (R)
6146201.11.19965I41SNNNNNNNNC01.11.199601.05.2007129.0096.75109.6501.05.2020Repeat planar and single photon emission tomography imaging, or repeat planar imaging or single photon emission tomography imaging on an occasion subsequent to the performance of item 61364, 61426, 61429, 61430, 61442, 61450, 61453, 61469 or 61485, if there is no additional administration of radiopharmaceutical and if the previous radionuclide scan was abnormal or equivocal (R)
6146901.11.19965I41SNNNNNNNNC01.11.199601.11.2006348.10261.10295.9001.05.2020Lymphoscintigraphy (R)
6147301.11.19965I41SNNNNNNNNC01.11.199601.11.2006175.40131.55149.1001.05.2020Thyroid study (R)
6148001.11.19965I41SNNNNNNNNC01.11.199601.11.2006386.85290.15328.8501.05.2020Parathyroid study (R)
6148501.11.19965I41SNNNNNNNNC01.11.199601.11.2006999.20749.40914.5001.05.2020Adrenal study, with single photon emission tomography (R)
6149501.11.19965I41SNNNNNNNNC01.11.199601.11.2006223.10167.35189.6501.05.2020Tear duct study (R)
6149901.11.19965I41SNNNNNNNNC01.11.199601.11.2006253.00189.75215.0501.05.2020Particle perfusion study (infra arterial) or Le Veen shunt study (R)
6150501.05.20075I43SNNNNNNNNC01.05.200701.05.2007100.0075.0085.0001.03.2021CT scan performed at the same time and covering the same body area as single photon emission tomography or positron emission tomography for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued and performed in association with a service to which an item in Subgroup 1 or 2 of Group I4 applies (R)
6152301.10.20015I42SNNNNNNNNC01.10.200101.10.2001953.00714.75868.3022.12.2005Whole body FDG PET study, performed for evaluation of a solitary pulmonary nodule where the lesion is considered unsuitable for transthoracic fine needle aspiration biopsy, or for which an attempt at pathological characterisation has failed.(R)
6152401.11.20195I42SNNNNNNNNC01.11.201901.11.2019953.00714.75868.30Y01.11.2019Whole body FDG PET study, performed for the staging of locally advanced (Stage III) breast cancer, for a patient who is considered suitable for active therapy (R) (Anaes.)
6152501.11.20195I42SNNNNNNNNC01.11.201901.11.2019953.00714.75868.30Y01.11.2019Whole body FDG PET study, performed for the evaluation of suspected metastatic or suspected locally or regionally recurrent breast carcinoma, for a patient who is considered suitable for active therapy (R) (Anaes.)
6152901.10.20015I42SNNNNNNNNC01.10.200101.10.2001953.00714.75868.3022.12.2005Whole body FDG PET study, performed for the staging of proven non-small cell lung cancer, where curative surgery or radiotherapy is planned (R)
6153801.10.20015I42SNNNNNNNNC01.10.200101.10.2001901.00675.75816.3001.07.2011FDG PET study of the brain for evaluation of suspected residual or recurrent malignant brain tumour based on anatomical imaging findings, after definitive therapy (or during ongoing chemotherapy) in patients who are considered suitable for further active therapy. (R)
6154101.10.20015I42SNNNNNNNNC01.10.200101.10.2001953.00714.75868.3001.07.2011Whole body FDG PET study, following initial therapy, for the evaluation of suspected residual, metastatic or recurrent colorectal carcinoma in patients considered suitable for active therapy (R)
6155301.10.20015I42SNNNNNNNNC01.10.200101.10.2001999.00749.25914.3001.07.2011Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected metastatic or recurrent malignant melanoma in patients considered suitable for active therapy (R)
6155901.10.20015I42SNNNNNNNNC01.10.200101.10.2001918.00688.50833.3022.12.2005FDG PET study of the brain, performed for the evaluation of refractory epilepsy which is being evaluated for surgery (R)
6156501.10.20015I42SNNNNNNNNC01.10.200101.10.2001953.00714.75868.3001.07.2011Whole body FDG PET study, following initial therapy, performed for the evaluation of suspected residual, metastatic or recurrent ovarian carcinoma in patients considered suitable for active therapy. (R)
6157101.10.20015I42SNNNNNNNNC01.10.200101.10.2001953.00714.75868.3001.07.2011Whole body FDG PET study, for the further primary staging ofpatients with histologically proven carcinoma of the uterine cervix, at FIGO stage IB2 or greater by conventional staging, prior to planned radical radiation therapy or combined modality therapy with curative intent. (R)
6157501.07.20115I42SNNNNNNNNC01.07.201101.07.2011953.00714.75868.3001.07.2011Whole body FDG PET study, for the further staging of patients with confirmed local recurrence of carcinoma of the uterine cervix considered suitable for salvage pelvic chemoradiotherapy or pelvic exenteration with curative intent. (R)
6157701.10.20015I42SNNNNNNNNC01.10.200101.10.2001953.00714.75868.3001.09.2009Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ carcinoma, in patients considered suitable for active therapy (R).
6159814.01.20025I42SNNNNNNNNC14.01.200214.01.2002953.00714.75868.3001.09.2009Whole body FDG PET study performed for the staging of biopsy-proven newly diagnosed or recurrent head and neck cancer (R).
6160414.01.20025I42SNNNNNNNNC14.01.200214.01.2002953.00714.75868.3001.09.2009Whole body FDG PET study performed for the evaluation of patients with suspected residual head and neck cancer after definitive treatment, and who are suitable for active therapy (R).
6161014.01.20025I42SNNNNNNNNC14.01.200214.01.2002953.00714.75868.3001.09.2009Whole body FDG PET study performed for the evaluation of metastatic squamous cell carcinoma of unknown primary site involving cervical nodes (R).
6162001.07.20115I42SNNNNNNNNC01.07.201101.07.2011953.00714.75868.3001.11.2017Whole body FDG PET study for the initial staging of newly diagnosed or previously untreated Hodgkin or non-Hodgkin lymphoma (R)
6162214.01.20025I42SNNNNNNNNC14.01.200214.01.2002953.00714.75868.3001.11.2017Whole body FDG PET study to assess response to first line therapy either during treatment or within three months of completing definitive first line treatment for Hodgkin or non-Hodgkin lymphoma (R)
6162814.01.20025I42SNNNNNNNNC14.01.200214.01.2002953.00714.75868.3001.11.2017Whole body FDG PET study for restaging following confirmation of recurrence of Hodgkin or non-Hodgkin lymphoma (R)
6163201.07.20115I42SNNNNNNNNC01.07.201101.07.2011953.00714.75868.3001.11.2017Whole body FDG PET study to assess response to second-line chemotherapy ifhaemopoietic stem cell transplantation is being considered for Hodgkin or non-Hodgkin lymphoma (R)
6164014.01.20025I42SNNNNNNNNC14.01.200214.01.2002999.00749.25914.3001.07.2011Whole body FDG PET study for initial staging of patients with biopsy-proven bone or soft tissue sarcoma (excluding gastrointestinal stromal tumour) considered by conventional staging to be potentially curable. (R)
6164614.01.20025I42SNNNNNNNNC14.01.200214.01.2002999.00749.25914.3001.07.2011Whole body FDG PET study for the evaluation of patients with suspected residual or recurrent sarcoma (excluding gastrointestinal stromal tumour) after the initial course of definitive therapy to determine suitability for subsequent therapy with curative intent. (R)
6164701.05.20185I42SNNNNNNNNC01.05.201801.05.2020953.00714.75868.3001.05.2020Whole body 68Ga DOTA peptide PET study, if:(a) a gastro entero pancreatic neuroendocrine tumour is suspected on the basis of biochemical evidence with negative or equivocal conventional imaging; or(b) both:(i) a surgically amenable gastro entero pancreatic neuroendocrine tumour has been identified on the basis of conventional techniques; and(ii) the study is for excluding additional disease sites (R)
6165001.06.20045I41SNNNNNNNNC01.06.200401.11.2006878.70659.05794.0001.05.2020LeukoScan study of the long bones and feet for suspected osteomyelitis, if:(a) the patient does not have access to ex vivo white blood cell scanning; and(b) the patient is not being investigated for other sites of infection (R)
6300101.08.20045I51SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for tumour of the brain or meninges (R) (Anaes.) (Contrast) (Anaes.)
6300401.08.20045I51SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for inflammation of brain or meninges (R) (Anaes.) (Contrast) (Anaes.)
6300701.08.20045I51SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for skull base or orbital tumour (R) (Anaes.) (Contrast) (Anaes.)
6301001.08.20045I51SNNNNNNNNC01.08.200401.08.2004336.00252.00285.60Y01.05.2020MRI—scan of head (including MRA, if performed) for stereotactic scan of brain, with fiducials in place, for the sole purpose of allowing planning for stereotactic neurosurgery (R) (Anaes.) (Contrast) (Anaes.)
6304001.08.20045I52SNNNNNNNNC01.08.200401.08.2004336.00252.00285.60Y01.05.2020MRI—scan of head (including MRA, if performed) for acoustic neuroma (R) (Anaes.) (Contrast) (Anaes.)
6304301.08.20045I52SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of head (including MRA, if performed) for pituitary tumour (R) (Anaes.) (Contrast) (Anaes.)
6304601.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for toxic or metabolic or ischaemic encephalopathy (R) (Anaes.) (Contrast) (Anaes.)
6304901.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for demyelinating disease of the brain (R) (Anaes.) (Contrast) (Anaes.)
6305201.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for congenital malformation of the brain or meninges (R) (Anaes.) (Contrast) (Anaes.)
6305501.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for venous sinus thrombosis (R) (Anaes.) (Contrast) (Anaes.)
6305801.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for head trauma (R) (Anaes.) (Contrast) (Anaes.)
6306101.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for epilepsy (R) (Anaes.) (Contrast) (Anaes.)
6306401.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for stroke (R) (Anaes.) (Contrast) (Anaes.)
6306701.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for carotid or vertebral artery dissection (R) (Anaes.) (Contrast) (Anaes.)
6307001.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for intracranial aneurysm (R) (Anaes.) (Contrast) (Anaes.)
6307301.08.20045I52SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of head (including MRA, if performed) for intracranial arteriovenous malformation (R) (Anaes.) (Contrast) (Anaes.)
6310101.08.20045I53SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI and MRA of extracranial or intracranial circulation (or both)—scan of head and neck vessels for stroke (R) (Anaes.) (Contrast) (Anaes.)
6311101.08.20045I54SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI—scan of head and cervical spine (including MRA, if performed) for tumour of the central nervous system or meninges (R) (Anaes.) (Contrast) (Anaes.)
6311401.08.20045I54SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI—scan of head and cervical spine (including MRA, if performed) for inflammation of the central nervous system or meninges (R) (Anaes.) (Contrast) (Anaes.)
6312501.08.20045I55SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI—scan of head and cervical spine (including MRA, if performed) for demyelinating disease of the central nervous system (R) (Anaes.) (Contrast) (Anaes.)
6312801.08.20045I55SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI—scan of head and cervical spine (including MRA, if performed) for congenital malformation of the central nervous system or meninges (R) (Anaes.) (Contrast) (Anaes.)
6313101.08.20045I55SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI—scan of head and cervical spine (including MRA, if performed) for syrinx (congenital or acquired) (R) (Anaes.) (Contrast) (Anaes.)
6315101.08.20045I56SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for infection (R) (Anaes.) (Contrast) (Anaes.)
6315401.08.20045I56SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for tumour (R) (Anaes.) (Contrast) (Anaes.)
6316101.08.20045I57SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for demyelinating disease (R) (Anaes.) (Contrast) (Anaes.)
6316401.08.20045I57SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) (Contrast) (Anaes.)
6316701.08.20045I57SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for myelopathy (R) (Anaes.) (Contrast) (Anaes.)
6317001.08.20045I57SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for syrinx (congenital or acquired) (R) (Anaes.) (Contrast) (Anaes.)
6317301.08.20045I57SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for cervical radiculopathy (R) (Anaes.) (Contrast) (Anaes.)
6317601.08.20045I57SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for sciatica (R) (Anaes.) (Contrast) (Anaes.)
6317901.08.20045I57SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for spinal canal stenosis (R) (Anaes.) (Contrast) (Anaes.)
6318201.08.20045I57SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for previous spinal surgery (R) (Anaes.) (Contrast) (Anaes.)
6318501.08.20045I57SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of one region or 2 contiguous regions of the spine for trauma (R) (Anaes.) (Anaes.)
6320101.08.20045I58SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for infection (R) (Anaes.) (Contrast) (Anaes.)
6320401.08.20045I58SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for tumour (R) (Anaes.) (Contrast) (Anaes.)
6321901.08.20045I59SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for demyelinating disease (R) (Anaes.) (Contrast) (Anaes.)
6322201.08.20045I59SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for congenital malformation of the spinal cord or the cauda equina or the meninges (R) (Anaes.) (Contrast) (Anaes.)
6322501.08.20045I59SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for myelopathy (R) (Anaes.) (Contrast) (Anaes.)
6322801.08.20045I59SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for syrinx (congenital or acquired) (R) (Anaes.) (Contrast) (Anaes.)
6323101.08.20045I59SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for cervical radiculopathy (R) (Anaes.) (Contrast) (Anaes.)
6323401.08.20045I59SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for sciatica (R) (Anaes.) (Contrast) (Anaes.)
6323701.08.20045I59SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for spinal canal stenosis (R) (Anaes.) (Contrast) (Anaes.)
6324001.08.20045I59SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for previous spinal surgery (R) (Anaes.) (Contrast) (Anaes.)
6324301.08.20045I59SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of 3 contiguous or 2 non contiguous regions of the spine for trauma (R) (Anaes.) (Anaes.)
6327101.08.20045I510SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI—scan of cervical spine and brachial plexus for tumour (R) (Anaes.) (Contrast) (Anaes.)
6327401.08.20045I510SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI—scan of cervical spine and brachial plexus for trauma (R) (Anaes.) (Contrast) (Anaes.)
6327701.08.20045I510SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI—scan of cervical spine and brachial plexus for cervical radiculopathy (R) (Anaes.) (Contrast) (Anaes.)
6328001.08.20045I510SNNNNNNNNC01.08.200401.08.2004492.80369.60418.90Y01.05.2020MRI—scan of cervical spine and brachial plexus for previous surgery (R) (Anaes.) (Contrast) (Anaes.)
6330101.08.20045I511SNNNNNNNNC01.08.200401.08.2004380.80285.60323.70Y01.05.2020MRI—scan of musculoskeletal system for tumour arising in bone or musculoskeletal system, excluding tumours arising in breast, prostate or rectum (R) (Anaes.) (Contrast) (Anaes.)
6330401.08.20045I511SNNNNNNNNC01.08.200401.08.2004380.80285.60323.70Y01.05.2020MRI—scan of musculoskeletal system for infection arising in bone or musculoskeletal system, excluding infection arising in breast, prostate or rectum (R) (Anaes.) (Contrast) (Anaes.)
6330701.08.20045I511SNNNNNNNNC01.08.200401.08.2004380.80285.60323.70Y01.05.2020MRI—scan of musculoskeletal system for osteonecrosis (R) (Anaes.) (Contrast) (Anaes.)
6332201.08.20045I512SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of musculoskeletal system for derangement of hip or its supporting structures (R) (Anaes.) (Contrast) (Anaes.)
6332501.08.20045I512SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of musculoskeletal system for derangement of shoulder or its supporting structures (R) (Anaes.) (Contrast) (Anaes.)
6332801.08.20045I512SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of musculoskeletal system for derangement of knee or its supporting structures (R) (Anaes.) (Contrast) (Anaes.)
6333101.08.20045I512SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of musculoskeletal system for derangement of ankle or foot (or both) or its supporting structures (R) (Anaes.) (Contrast) (Anaes.)
6333401.08.20045I512SNNNNNNNNC01.08.200401.08.2004336.00252.00285.60Y01.05.2020MRI—scan of musculoskeletal system for derangement of one or both temporomandibular joints or their supporting structures (R) (Anaes.) (Contrast) (Anaes.)
6333701.08.20045I512SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of musculoskeletal system for derangement of wrist or hand (or both) or its supporting structures (R) (Anaes.) (Contrast) (Anaes.)
6334001.08.20045I512SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of musculoskeletal system for derangement of elbow or its supporting structures (R) (Anaes.) (Contrast) (Anaes.)
6336101.08.20045I513SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of musculoskeletal system for Gaucher disease (R) (Anaes.) (Anaes.)
6338501.08.20045I514SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of cardiovascular system for congenital disease of the heart or a great vessel (R) (Anaes.) (Contrast) (Anaes.)
6338801.08.20045I514SNNNNNNNNC01.08.200401.08.2004448.00336.00380.80Y01.05.2020MRI—scan of cardiovascular system for tumour of the heart or a great vessel (R) (Anaes.) (Contrast) (Anaes.)
6339101.08.20045I514SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of cardiovascular system for abnormality of thoracic aorta (R) (Anaes.) (Contrast) (Anaes.)
6339501.05.20185I514SNNNNNNNNC01.05.201801.05.2018855.20641.40770.50Y01.05.2020MRI—scan of cardiovascular system for assessment of myocardial structure and function involving:(a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that:(d) the patient presented with symptoms consistent with arrhythmogenic right ventricular cardiomyopathy (ARVC); or(e) investigative findings in relation to the patient are consistent with ARVC(R) (Contrast) (Anaes.)
6339701.05.20185I514SNNNNNNNNC01.05.201801.05.2018855.20641.40770.50Y01.05.2020MRI—scan of cardiovascular system for assessment of myocardial structure and function involving: (a) dedicated right ventricular views; and(b) 3D volumetric assessment of the right ventricle; and(c) reporting of end diastolic and end systolic volumes, ejection fraction and BSA indexed values;if the request for the scan indicates that the patient:(d) is asymptomatic; and(e) has one or more first degree relatives diagnosed with confirmed arrhythmogenic right ventricular cardiomyopathy (ARVC)(R) (Contrast) (Anaes.)
6340101.08.20045I515SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for vascular abnormality in a patient with a previous anaphylactic reaction to an iodinated contrast medium (R) (Contrast) (Anaes.)
6340401.08.20045I515SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRA—if the request for the scan specifically identifies the clinical indication for the scan—scan of cardiovascular system for obstruction of the superior vena cava, inferior vena cava or a major pelvic vein (R) (Contrast) (Anaes.)
6341601.08.20045I516SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRA—scan of person under the age of 16 for the vasculature of limbs prior to limb or digit transfer surgery in congenital limb deficiency syndrome (R) (Contrast) (Anaes.)
6342501.08.20045I517SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of person under the age of 16 for post inflammatory or post traumatic physeal fusion (R) (Anaes.)
6342801.08.20045I517SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of person under the age of 16 for Gaucher disease (R) (Anaes.)
6344001.08.20045I518SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of person under the age of 16 for pelvic or abdominal mass (R) (Contrast) (Anaes.)
6344301.08.20045I518SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of person under the age of 16 for mediastinal mass (R) (Contrast) (Anaes.)
6344601.08.20045I518SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of person under the age of 16 for congenital uterine or anorectal abnormality (R) (Contrast) (Anaes.)
6345401.05.20195I520DNNYNYNNNC01.05.201901.05.20191200.00900.001115.30Y01.07.2021MRI – scan of the pelvis or abdomen, for a patient who is pregnant, if: (a) the pregnancy is at, or after, 18 weeks gestation; and(b) fetal central nervous system abnormality is suspected; and(c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and(d) the diagnosis is indeterminate or requires further examination; and(e) the service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.)
6346101.08.20045I519SNNNNNNNNC01.08.200401.08.2004358.40268.80304.65Y01.05.2020MRI—scan of the body for adrenal mass in a patient with a malignancy that is otherwise resectable (R) (Anaes.)
6346401.02.20095I519SNNNNNNNNC01.02.200901.02.2009690.00517.50605.30Y01.05.2020MRI—scan of both breasts for the detection of cancer, if a dedicated breast coil is used, the request for the scan identifies that the person is asymptomatic and is younger than 50 years of age, and the request for the scan identifies: (a) that the patient is at high risk of developing breast cancer, due to one of the following:(i) 3 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer;(ii) 2 or more first or second degree relatives on the same side of the family diagnosed with breast or ovarian cancer, if any of the relatives has been diagnosed with bilateral breast cancer, had onset of breast cancer before the age of 40 years, had onset of ovarian cancer before the age of 50 years, has been diagnosed with breast and ovarian cancer (at the same time or at different times), has Ashkenazi Jewish ancestry or is a male relative who has been diagnosed with breast cancer;(iii) one first or second degree relative diagnosed with breast cancer at age 45 years or younger, and another first or second degree relative on the same side of the family with bone or soft tissue sarcoma at age 45 years or younger; or(b) that genetic testing has identified the presence of a high risk breast cancer gene mutation (R) (Anaes.)
6346701.02.20095I519SNNNNNNNNC01.02.200901.02.2009690.00517.50605.30Y01.05.2020MRI—scan of both breasts for the detection of cancer, if:(a) a dedicated breast coil is used; and(b) the person has had an abnormality detected as a result of a service mentioned in item 63464 performed in the previous 12 months (R) (Anaes.)
6347001.08.20045I520SNNNNNNNNC01.08.200401.08.2004403.20302.40342.75Y01.05.2020MRI—scan of the pelvis for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.)
6347301.08.20045I520SNNNNNNNNC01.08.200401.08.2004627.20470.40542.50Y01.05.2020MRI—scan of the pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stage 1B or greater, if the request for the scan identifies that: (a) a histological diagnosis of carcinoma of the cervix has been made; and(b) the patient has been diagnosed with cervical cancer at FIGO stage 1B or greater (R) (Contrast) (Anaes.)
6347601.07.20095I520SNNNNNNNNC01.07.200901.07.2009403.20302.40342.75Y01.05.2020MRI—scan of the pelvis for the initial staging of rectal cancer, if: (a) a phased array body coil is used; and(b) the request for the scan identifies that the indication is for the initial staging of rectal cancer (including cancer of the rectosigmoid and anorectum) (R) (Contrast) (Anaes.)
6348201.01.20065I521SNNNNNNNNC01.01.200601.01.2006403.20302.40342.75Y01.05.2020MRI—scan of pancreas and biliary tree for suspected biliary or pancreatic pathology (R) (Anaes.)
6348701.11.20165I519SNNNNNNNNC01.11.201601.11.2016690.00517.50605.3001.05.2020MRI—scan of both breasts, if:(a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with metastatic cancer restricted to the regional lymph nodes; and(ii) clinical examination and conventional imaging have failed to identify the primary cancer (R) (Anaes.)
6348901.11.20165I519SNNNNNNNNC01.11.201601.11.20161440.001080.001355.3001.05.2020MRI—guided biopsy, if:(a) the request for the scan identifies that the patient has a suspicious lesion seen on MRI but not on conventional imaging; and(b) an ultrasound scan of the affected breast, performed immediately before the biopsy, confirms that the lesion is not amenable to biopsy guided by conventional imaging; and(c) a dedicated breast coil is used (R) (Anaes.)
6349101.08.20045I522SNNNNNNNNC01.08.200401.08.200444.8033.6038.1001.05.2020NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the item for the service includes in its description ‘(Contrast)’; and(c) the service is performed using a contrast agent
6349401.08.20045I522SNNNNNNNNC01.08.200401.08.200444.8033.6038.1001.05.2020MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed using intravenous or intra muscular sedation
6349601.05.20195I522SNNNNNNNNC01.05.201901.05.2019250.00187.50212.5001.05.2020NOTE: Benefits in Subgroup 22 are only payable for modifying items where claimed simultaneously with MRI services. Modifiers for sedation and anaesthesia may not be claimed for the same service. MRI service to which item 63545 or 63546 applies if: (a) the service is performed on a person under the supervision of an eligible provider; and(b) the service is performed using an hepatobiliary specific contrast agent
6349701.08.20045I522SNNNNNNNNC01.08.200401.08.2004156.80117.60133.3001.05.2020MRI or MRA service to which an item in this Group (other than an item in this Subgroup) applies if: (a) the service is performed on a person in accordance with clause 2.5.1; and(b) the service is performed under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic
6349812.03.20125I522SNNNNNNNNC12.03.201212.03.201244.8033.6038.1012.03.2012MRI service to which item 63501, 63502, 63504 or 63505 applies if: (a) the service is performed in accordance with the determination; and (b) the service is performed on a person using intravenous or intra muscular sedation
6349912.03.20125I522SNNNNNNNNC12.03.201212.03.2012156.80117.60133.3012.03.2012MRI service to which item 63501, 63502, 63504 or 63505 applies if: (a) the service is performed in accordance with the determination; and (b) the service is performed on a person under anaesthetic in the presence of a medical practitioner who is qualified to perform an anaesthetic.
6350112.03.20125I532DNNNNNNNNC12.03.201212.03.2012500.00375.00425.0001.05.2020MRI – scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and(ii) the result of the scan confirms a loss of integrity of the implant. (R) Note: Benefits are payable on one occasion only in any 24 Month Period
6350212.03.20125I532DNNNNNNNNC12.03.201212.03.2012500.00375.00425.0001.05.2020MRI - scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) the result of the scan does not demonstrate a loss of integrity of the implant (R) Note: Benefits are payable on one occasion only in any 24Month Period
6350412.03.20125I532SNNNNNNNNC12.03.201212.03.2012500.00375.00425.0012.03.2012MRI - scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan confirms a loss of integrity of the implant (R)
6350512.03.20125I532SNNNNNNNNC12.03.201212.03.2012500.00375.00425.0012.03.2012MRI - scan of one or both breasts for the evaluation of implant integrity where: (a) a dedicated breast coil is used; and (b) the request for the scan identifies that the patient: (i) has or is suspected of having a silicone breast implant manufactured by Poly Implant Prosthese (PIP); and (ii) presents with symptoms where implant rupture is suspected; and (iii) the result of the scan does not demonstrate a loss of integrity of the implant (R)
6350701.11.20125I533SNNNNNNNNC01.11.201201.11.2012403.20302.40342.75Y01.05.2020MRI—scan of head for a patient under 16 years if the service is for:(a) an unexplained seizure; or(b) an unexplained headache if significant pathology is suspected; or(c) paranasal sinus pathology that has not responded to conservative therapy (R) (Contrast) (Anaes.)
6351001.11.20125I533SNNNNNNNNC01.11.201201.11.2012448.00336.00380.80Y01.05.2020MRI—scan of spine following radiographic examination for a patient under 16 years if the service is for: (a) significant trauma; or(b) unexplained neck or back pain with associated neurological signs; or(c) unexplained back pain if significant pathology is suspected (R) (Contrast) (Anaes.)
6351301.11.20125I533SNNNNNNNNC01.11.201201.11.2012403.20302.40342.75Y01.05.2020MRI—scan of knee for internal joint derangement for a patient under 16 years (R) (Contrast) (Anaes.)
6351601.11.20125I533SNNNNNNNNC01.11.201201.11.2012403.20302.40342.75Y01.05.2020MRI—scan of hip following radiographic examination for a patient under 16 years if any of the following is suspected: (a) septic arthritis;(b) slipped capital femoral epiphysis;(c) Perthes disease (R) (Contrast) (Anaes.)
6351901.11.20125I533SNNNNNNNNC01.11.201201.11.2012403.20302.40342.75Y01.05.2020MRI—scan of elbow following radiographic examination for a patient under 16 years if a significant fracture or avulsion injury, which would change the way in which the patient is managed, is suspected (R) (Contrast) (Anaes.)
6352201.11.20125I533SNNNNNNNNC01.11.201201.11.2012448.00336.00380.80Y01.05.2020MRI—scan of wrist following radiographic examination for a patient under 16 years if a scaphoid fracture is suspected (R) (Contrast) (Anaes.)
6353101.11.20195I519SNNNNNNNNC01.11.201901.11.2019690.00517.50605.30Y01.05.2020MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast lesion; and(ii) the results of conventional imaging are inconclusive for the presence of breast cancer; and(iii) biopsy has not been possible (R) (Contrast) (Anaes.)
6353301.11.20195I519SNNNNNNNNC01.11.201901.11.2019690.00517.50605.30Y01.05.2020MRI—scan of both breasts, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has been diagnosed with a breast cancer; and(ii) there is a discrepancy between the clinical assessment and the conventional imaging assessment of the extent of the malignancy; and(c) the results of breast MRI imaging may alter treatment planning (R) (Contrast) (Anaes.)
6354101.07.20185I519SNNNNNNNNC01.07.201801.07.2018450.00337.50382.50Y01.07.2020Multiparametric Magnetic Resonance Imaging scan of the prostate for the detection of cancer, if the patient is referred by an urologist, radiation oncologist, or medical oncologist and the request for the scan identifies: that the patient is suspected of developing prostate cancer, due to one of the following: (i) a digital rectal examination which is suspicious for prostate cancer; or (ii) in a person under 70 years, at least two prostate specific antigen (PSA) tests performed within an interval of 1- 3 months are greater than 3.0 ng/ml, and the free/total PSA ratio is less than 25% or the repeat PSA exceeds 5.5 ng/ml; or (iii) in a person under 70 years, whose risk of developing prostate cancer based on relevant family history is at least double the average risk, at least two PSA tests performed within an interval of 1- 3 months are greater than 2.0 ng/ml, and the free/total PSA ratio is less than 25%; or (iv) in a person 70 years or older, at least two PSA tests performed within an interval of 1- 3 months are greater than 5.5ng/ml and the free/total PSA ratio is less than 25%.using a standardised image acquisition protocol involving T2 Weighted Imaging, Diffusion Weighted Imaging, and Dynamic Contrast Enhancement (unless contraindicated) (R) Note: Benefits are payable on one occasion only in any 12 month period. Relevant family history is a first degree relative with prostate cancer, or suspected of carrying a BRCA 1 or BRCA 2 mutation. (Anaes.)
6354301.07.20185I519SNNNNNNNNC01.07.201801.07.2018450.00337.50382.50Y01.07.2020Multiparametric Magnetic Resonance Imaging scan of the prostate for the assessment of cancer, if the patient is referred by an urologist, radiation oncologist, or medical oncologist and: the request for the scan identifies: (i) the patient is under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and (ii) the patient is not planning or undergoing treatment for prostate cancer. using a standardised image acquisition protocol involving T2 Weighted Imaging, Diffusion Weighted Imaging, and Dynamic Contrast Enhancement (unless contraindicated)(R) Note: Benefits are payable at the time of diagnosis of prostate cancer, 12 months following diagnosis and then every 3rd year thereafter or at any time, if there is a clinical concern, including PSA progression. This item is not to be used for the purposes of treatment planning or for monitoring after treatment. (Anaes.)
6354501.05.20195I521SNNNNNNNNC01.05.201901.05.2019550.00412.50467.50Y01.05.2020MRI – multiphase scans of liver (including delayed imaging, if performed) with a contrast agent, for characterisation or intervention planning, if:(a) the patient has: (i) known colorectal carcinoma; and(ii) known, suspected, or possible liver metastasis; and(b) computed tomography, or ultrasound imaging, has identified a mass lesion in patient’s liver.For any particular patient—applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
6354601.05.20195I521SNNNNNNNNC01.05.201901.05.2019550.00412.50467.50Y01.05.2020MRI – multiphase scans of the liver (including delayed imaging, if performed) with a contrast agent, for diagnosis or staging, if: (a) the patient has:(i) known or suspected hepatocellular carcinoma; and(ii) chronic liver disease that has been confirmed by a specialist or consultant physician; and(b) the patient’s liver function has been identified as Child Pugh class A or B; and(c) the patient has an identified hepatic lesion over 10 mm in diameter.For any particular patient—applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
6354701.05.20185I519SNNNNNNNNC01.05.201801.05.2018690.00517.50605.30Y01.05.2020MRI—scan of both breasts for the detection of cancer, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast implant in situ; and(ii) anaplastic large cell lymphoma has been diagnosed(R) (Contrast) (Anaes.)
6355101.11.20135I534SNNNNNNNNC01.11.201301.11.2013403.20302.40342.75Y01.07.2020MRI - scan of head for a patient 16 years or older, after a request by a medical practitioner (other than a specialist or consultant physician), for any of the following: (a) unexplained seizure(s);(b) unexplained chronic headache with suspected intracranial pathology (R) (Contrast) (Anaes.)
6355401.11.20135I534SNNNNNNNNC01.11.201301.11.2013358.40268.80304.65Y01.07.2020MRI - scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical radiculopathy (R) (Contrast) (Anaes.)
6355701.11.20135I534SNNNNNNNNC01.11.201301.11.2013492.80369.60418.90Y01.07.2020MRI - scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical spinal trauma (R) (Contrast) (Anaes.)
6356001.11.20135I534SNNNNNNNNC01.11.201301.11.2013403.20302.40342.75Y01.07.2020MRI - scan of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient 16 to 49 years with: (a) inability to extend the knee suggesting the possibility of acute meniscal tear; or(b) clinical findings suggesting acute anterior cruciate ligament tear (R) (Contrast) (Anaes.)
6374001.11.20145I520SNNNNNNNNC01.11.201401.11.2014457.20342.90388.6501.05.2020MRI—scan to evaluate small bowel Crohn’s disease if the service is provided to a patient for: (a) evaluation of disease extent at time of initial diagnosis of Crohn’s disease; or(b) evaluation of exacerbation, or suspected complications, of known Crohn’s disease; or(c) evaluation of known or suspected Crohn’s disease in pregnancy; or(d) assessment of change to therapy in a patient with small bowel Crohn’s disease (R) (Contrast)
6374101.11.20145I520SNNNNNNNNC01.11.201401.11.2014265.25198.95225.5001.05.2020MRI—scan with enteroclysis for Crohn’s disease if the service is related to item 63740 (R)
6374301.11.20145I520SNNNNNNNNC01.11.201401.11.2014403.20302.40342.7501.05.2020MRI—scan for fistulising perianal Crohn’s disease if the service is provided to a patient for:(a) evaluation of pelvic sepsis and fistulas associated with established or suspected Crohn’s disease; or(b) assessment of change to therapy of pelvis sepsis and fistulas from Crohn’s disease (R) (Contrast)
6499001.02.20045I6SNNNNNYNNB01.11.200401.07.20217.206.1501.02.2004A diagnostic imaging service to which an item in this table (other than this item or item 64991) applies if: (a)the service is an unreferred service; and (b)the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii)the other item in this table applying to the service
6499101.05.20045I6SNNNNNYNNB01.11.200401.07.202110.909.3001.01.2020A diagnostic imaging service to which an item in this table (other than this item or item 64990) applies if: (a)the service is an unreferred service; and (b)the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii)the other item in this table applying to the service; and (e)the service is provided at, or from, a practice location within Modified Monash areas 2 to 7.
6506001.11.19986P1SNNNNNNNNC01.11.199801.01.20137.855.906.7001.11.1998Haemoglobin, erythrocyte sedimentation rate, blood viscosity - 1 or more tests
6506601.11.19986P1SNNNNNNNNC01.11.199801.01.201310.407.808.8501.11.1998Examination of: (a)a blood film by special stains to demonstrate Heinz bodies, parasites or iron; or (b)a blood film by enzyme cytochemistry for neutrophil alkaline phosphatase, alpha-naphthyl acetate esterase or chloroacetate esterase; or (c)a blood film using any other special staining methods including periodic acid Schiff and Sudan Black; or (d)a urinary sediment for haemosiderin including a service described in item 65072
6507001.11.20006P1SNNNNNNNNC01.11.200001.01.201316.9512.7514.4501.07.2020Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and manual or instrument generated differential count - not being a service where haemoglobin only is requested - one or more instrument generated sets of results from a single sample; and (if performed) (a) a morphological assessment of a blood film; (b) any service in item 65060 or 65072
6507201.11.19986P1SNNNNNNNNC01.11.199801.01.201310.207.658.7001.05.2005Examination for reticulocytes including a reticulocyte count by any method - 1 or more tests
6507501.11.19986P1SNNNNNNNNC01.11.199801.01.201351.9539.0044.2001.11.1998Haemolysis or metabolic enzymes - assessment by: (a)erythrocyte autohaemolysis test; or (b)erythrocyte osmotic fragility test; or (c)sugar water test; or (d)G-6-P D (qualitative or quantitative) test; or (e)pyruvate kinase (qualitative or quantitative) test; or (f)acid haemolysis test; or (g) quantitation of muramidase in serum or urine; or (h) Donath Landsteiner antibody test; or (i) other erythrocyte metabolic enzyme tests 1 or more tests
6507801.11.19986P1SNNNNNNNNC01.11.199801.01.201390.2067.6576.7001.05.2008Tests for the diagnosis of thalassaemia consisting of haemoglobin electrophoresis or chromatography and at least 2 of: (a)examination for HbH; or (b)quantitation of HbA2; or (c)quantitation of HbF; including (if performed) any service described in item 65060 or 65070
6507901.05.20076P1SNNNNNNNNC01.05.200701.01.201390.2067.6576.7001.05.2007Tests described in item 65078 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6508101.11.19986P1SNNNNNNNNC01.11.199801.01.201396.6072.4582.1501.05.2008Tests for the investigation of haemoglobinopathy consisting of haemoglobin electrophoresis or chromatography and at least 1 of: (a)heat denaturation test; or (b)isopropanol precipitation test; or (c)tests for the presence of haemoglobin S; or (d)quantitation of any haemoglobin fraction (including S, C, D, E); including (if performed) any service described in item 65060, 65070 or 65078
6508201.05.20076P1SNNNNNNNNC01.05.200701.01.201396.6072.4582.1501.05.2007Tests described in item 65081 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6508401.11.19986P1SNNNNNNNNC01.11.199801.01.2013165.85124.40141.0001.05.2008Bone marrow trephine biopsy - histopathological examination of sections of bone marrow and examination of aspirated material (including clot sections where necessary), including (if performed): any test described in item 65060, 65066 or 65070
6508701.11.19986P1SNNNNNNNNC01.11.199801.01.201383.1062.3570.6501.05.2008Bone marrow - examination of aspirated material (including clot sections where necessary), including (if performed): any test described in item 65060, 65066 or 65070
6509001.11.19986P1SNNNNNNNNC01.11.199801.01.201311.158.409.5001.11.1998Blood grouping (including back-grouping if performed) - ABO and Rh (D antigen)
6509301.11.19986P1SNNNNNNNNC01.11.199801.01.201322.0016.5018.7001.11.1998Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - 1 or more systems, including item 65090 (if performed)
6509601.11.19986P1SNNNNNNNNC01.11.199801.01.201341.0030.7534.8501.11.1998Blood grouping (including back-grouping if performed), and examination of serum for Rh and other blood group antibodies, including: (a)identification and quantitation of any antibodies detected; and (b)(if performed) any test described in item 65060 or 65070
6509901.11.19986P1SNNNNNNNNC01.11.199801.01.2013108.9081.7092.6001.07.2020Compatibility tests by crossmatch - all tests performed on any1 day for up to 6 units, including: (a)direct testing of donor red cells from each unit against the serum of the patient by one or more accepted crossmatching techniques; and (b) all grouping checks of the patient and donor; and (c)examination for antibodies, and if necessary identification of any antibodies detected; and (d)(if performed) any tests described in item 65060, 65070, 65090 or 65096 (Item is subject to rule 5)
6510201.11.19986P1SNNNNNNNNC01.11.199801.01.2013164.60123.45139.9501.07.2020Compatibility tests by crossmatch - all tests performed on any1 day in excess of 6 units, including: (a) direct testing of donor red cells from each unit against serum of the patient by one or more accepted crossmatching techniques; and (b) all grouping checks of the patient and donor; and (c)examination for antibodies, and if necessary identification of any antibodies detected; and (d)(if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105 (Item is subject to rule 5)
6510501.11.19986P1SNNNNNNNNC01.11.199801.01.2013108.9081.7092.6001.11.1999Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion - all tests performed on any one day for up to 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies and, if necessary, identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090 or 65096 (Item is subject to rule 5)
6510801.11.19986P1SNNNNNNNNC01.11.199801.01.2013164.60123.45139.9501.11.1998Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion - all tests performed on any one day in excess of 6 units, including: (a)all grouping checks of the patient and donor; and (b)examination for antibodies and, if necessary, identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105 (Item is subject to rule 5)
6510901.05.20076P1SNNNNNNNNC01.05.200701.01.201312.909.7011.0001.05.2007Release of fresh frozen plasma or cryoprecipitate for the use in a patient for the correction of a coagulopathy - 1 release.
6511001.05.20076P1SNNNNNNNNC01.05.200701.01.201312.909.7011.0001.05.2007Release of compatible fresh platelets for the use in a patient for platelet support as prophylaxis to minimize bleeding or during active bleeding - 1 release.
6511101.11.19986P1SNNNNNNNNC01.11.199801.01.201323.2017.4019.7501.11.1998Examination of serum for blood group antibodies (including identification and, if necessary, quantitation of any antibodies detected)
6511401.11.19986P1SNNNNNNNNC01.11.199801.01.20139.106.857.7501.11.19981 or more of the following tests: (a)direct Coombs (antiglobulin) test; (b)qualitative or quantitative test for cold agglutinins or heterophil antibodies
6511701.11.19986P1SNNNNNNNNC01.11.199801.01.201320.2515.2017.2501.05.20031 or more of the following tests: (a)Spectroscopic examination of blood for chemically altered haemoglobins; (b)detection of methaemalbumin (Schumm's test)
6512001.11.19986P1SNNNNNNNNC01.11.199801.01.201313.7010.3011.6501.11.1998Prothrombin time (including INR where appropriate), activated partial thromboplastin time, thrombin time (including test for the presence of heparin), test for factor XIII deficiency (qualitative), Echis test, Stypven test, reptilase time, fibrinogen, or 1 of fibrinogen degradation products, fibrin monomer or D-dimer - 1 test
6512301.11.19986P1SNNNNNNNNC01.11.199801.01.201320.3515.3017.3001.11.19982 tests described in item 65120
6512601.11.19986P1SNNNNNNNNC01.11.199801.01.201327.8520.9023.7001.11.19983 tests described in item 65120
6512901.11.19986P1SNNNNNNNNC01.11.199801.01.201335.5026.6530.2001.11.19984 or more tests described in item 65120
6513701.05.20006P1SNNNNNNNNC01.05.200001.01.201325.3519.0521.5501.11.2007Test for the presence of lupus anticoagulant not being a service associated with any service to which items 65175, 65176, 65177, 65178 and 65179 apply
6514201.05.20006P1SNNNNNNNNC01.05.200001.01.201325.3519.0521.5501.11.2007Confirmation or clarification of an abnormal or indeterminate result from a test described in item 65175, by testing a specimen collected on a different day - 1 or more tests
6514401.11.19986P1SNNNNNNNNC01.11.199801.01.201356.5542.4548.1001.11.1998Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or other substances; or heparin, low molecular weight heparins, heparinoid or other drugs - 1 or more tests
6514701.11.19986P1SNNNNNNNNC01.11.199801.01.201337.9028.4532.2501.11.1998Quantitation of anti-Xa activity when monitoring is required for a patient receiving a low molecular weight heparin or heparinoid - 1 test
6515001.11.19986P1SNNNNNNNNC01.11.199801.01.201370.9053.2060.3001.05.2007Quantitation of von Willebrand factor antigen, von Willebrand factor activity (ristocetin cofactor assay), von Willebrand factor collagen binding activity, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, circulating coagulation factor inhibitors other than by Bethesda assay - 1 test (Item is subject to rule 6 )
6515301.11.19986P1SNNNNNNNNC01.11.199801.01.2013141.85106.40120.6001.05.20072 tests described in item 65150 (Item is subject to rule 6 )
6515601.11.19986P1SNNNNNNNNC01.11.199801.01.2013212.75159.60180.8501.05.20073 or more tests described in item 65150 (Item is subject to rule 6 )
6515701.05.20076P1SNNNNNNNNC01.05.200701.01.201370.9053.2060.3001.05.2007A test described in item 65150, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18)
6515801.05.20076P1SNNNNNNNNC01.05.200701.01.201370.9053.2060.3001.05.2007Tests described in item 65150, other than that described in 65157, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18)
6515901.11.19986P1SNNNNNNNNC01.11.199801.01.201370.9053.2060.3001.11.1998Quantitation of circulating coagulation factor inhibitors by Bethesda assay - 1 test
6516201.11.19986P1SNNNNNNNNC01.11.199801.01.201310.457.858.9001.11.1998Examination of a maternal blood film for the presence of fetal red blood cells (Kleihauer test)
6516501.11.19986P1SNNNNNNNNC01.11.199801.01.201334.4525.8529.3001.11.2003Detection and quantitation of fetal red blood cells in the maternal circulation by detection of red cell antigens using flow cytometric methods including (if performed) any test described in item 65070 or 65162
6516601.05.20076P1SNNNNNNNNC01.05.200701.01.201334.4525.8529.3001.05.2007A test described in item 65165 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6517101.05.20006P1SNNNNNNNNC01.05.200001.01.201325.3519.0521.5501.05.2000Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency or activated protein C resistance in a first degree relative of a person who has a proven defect of any of the above - 1 or more tests
6517501.05.20076P1SNNNNNNNNC01.05.200701.01.201325.3519.0521.5501.05.2007Test for the presence of antithrombin III deficiency, protein C deficiency, protein S deficiency, lupus anticoagulant, activated protein C resistance - where the request for the test(s) specifically identifies that the patient has a history of venous thromboembolism - quantitation by 1 or more techniques - 1 test (Item is subject to Rule 6)
6517601.05.20076P1SNNNNNNNNC01.05.200701.01.201348.6536.5041.4001.05.20072 tests described in item 65175 (Item is subject to rule 6)
6517701.05.20076P1SNNNNNNNNC01.05.200701.01.201371.9554.0061.2001.05.20073 tests described in item 65175 (Item is subject to rule 6)
6517801.05.20076P1SNNNNNNNNC01.05.200701.01.201395.2071.4080.9501.05.20074 tests described in item 65175 (Item is subject to rule 6)
6517901.05.20076P1SNNNNNNNNC01.05.200701.01.2013118.5088.90100.7501.05.20075 tests described in item 65175 (Item is subject to rule 6)
6518001.05.20076P1SNNNNNNNNC01.05.200701.01.201325.3519.0521.5501.05.2007A test described in item 65175, if rendered by a receiving APA, where no tests in the item have been rendered by the referring APA - 1 test (Item is subject to rule6 and 18)
6518101.05.20076P1SNNNNNNNNC01.05.200701.01.201323.3017.5019.8501.07.2020A test described in item65175, if rendered by a receiving APP, if one or more tests described in the item have been rendered by the referring APP - one test (Item is subject to rule 6 and 18)
6650001.11.19986P2SNNNNNNNNC01.11.199801.01.20139.707.308.2501.11.2008Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid), by any method except reagent tablet or reagent strip (with or without reflectance meter) of: acid phosphatase, alanine aminotransferase, albumin, alkaline phosphatase, ammonia, amylase, aspartate aminotransferase, bicarbonate, bilirubin (total), bilirubin (any fractions), C-reactive protein, calcium (total or corrected for albumin), chloride, creatine kinase, creatinine, gamma glutamyl transferase, globulin, glucose, lactate dehydrogenase, lipase, magnesium, phosphate, potassium, sodium, total protein, total cholesterol, triglycerides, urate or urea - 1 test
6650301.11.19986P2SNNNNNNNNC01.11.199801.01.201311.658.759.9501.11.19982 tests described in item 66500
6650601.11.19986P2SNNNNNNNNC01.11.199801.01.201313.6510.2511.6501.11.19983 tests described in item 66500
6650901.11.19986P2SNNNNNNNNC01.11.199801.01.201315.6511.7513.3501.11.19984 tests described in item 66500
6651201.11.19986P2SNNNNNNNNC01.11.199801.01.201317.7013.3015.0501.07.20085 or more tests described in item 66500
6651701.11.20076P2SNNNNNNNNC01.11.200701.01.201319.6514.7516.7501.07.2020Quantitation of bile acids in blood in pregnancy. Applicable not more than 3 times in a pregnancy.
6651801.11.19986P2SNNNNNNNNC01.11.199801.01.201320.0515.0517.0501.05.2005Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 1 specimen in a 24 hour period
6651901.11.20016P2SNNNNNNNNC01.11.200101.01.201340.1530.1534.1501.05.2005Investigation of cardiac or skeletal muscle damage by quantitative measurement of creatine kinase isoenzymes, troponin or myoglobin in blood - testing on 2 or more specimens in a 24 hour period
6653601.11.19986P2SNNNNNNNNC01.11.199801.01.201311.058.309.4001.11.2001Quantitation of HDL cholesterol
6653901.11.19986P2SNNNNNNNNC01.11.199801.01.201330.6022.9526.0501.05.2007Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cholesterol is >6.5 mmol/L and triglyceride >4.0 mmol/L or in the diagnosis of types III and IV hyperlipidaemia - (Item is subject to rule 25)
6654201.11.19986P2SNNNNNNNNC01.11.199801.01.201318.9514.2516.1501.05.2000Oral glucose tolerance test for the diagnosis of diabetes mellitus that includes: (a)administration of glucose; and (b)at least 2 measurements of blood glucose; and (c)(if performed) any test described in item 66695
6654501.11.19986P2SNNNNNNNNC01.11.199801.01.201315.8011.8513.4501.11.1999Oral glucose challenge test in pregnancy for the detection of gestational diabetes that includes: (a)administration of glucose; and (b)1 or 2 measurements of blood glucose; and (c)(if performed) any test in item 66695
6654801.11.19986P2SNNNNNNNNC01.11.199801.01.201319.9014.9516.9501.11.2001Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabetes that includes: (a)administration of glucose; and (b)at least 3 measurements of blood glucose; and (c)any test in item 66695 (if performed)
6655101.11.19986P2SNNNNNNNNC01.11.199801.01.201316.8012.6014.3001.11.2014Quantitation of glycated haemoglobin performed in the management of established diabetes - (Item is subject to rule 25)
6655401.11.19986P2SNNNNNNNNC01.11.199801.01.201316.8012.6014.3001.11.2014Quantitation of glycated haemoglobin performed in the management of pre-existing diabetes where the patient is pregnant - including a service in item 66551 (if performed) - (Item is subject to rule 25)
6655701.11.19986P2SNNNNNNNNC01.11.199801.01.20139.707.308.2501.11.1998Quantitation of fructosamine performed in the management of established diabetes - each test to a maximum of 4 tests in a 12 month period
6656001.11.19986P2SNNNNNNNNC01.11.199801.01.201320.1015.1017.1001.11.2000Microalbumin - quantitation in urine
6656301.11.19986P2SNNNNNNNNC01.11.199801.01.201324.7018.5521.0001.11.1998Osmolality, estimation by osmometer, in serum or in urine - 1 or more tests
6656601.11.19986P2SNNNNNNNNC01.11.199801.01.201333.7025.3028.6501.11.2008Quantitation of: (a)blood gases (including pO2, oxygen saturation and pCO2) ; and (b)bicarbonate and pH; including any other measurement (eg. haemoglobin, lactate, potassium or ionised calcium) or calculation performed on the same specimen - 1 or more tests on 1 specimen
6656901.11.19986P2SNNNNNNNNC01.11.199801.01.201342.6031.9536.2501.11.1998Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 2 specimens performed within any 1 day
6657201.11.19986P2SNNNNNNNNC01.11.199801.01.201351.5538.7043.8501.11.1998Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 3 specimens performed within any 1 day
6657501.11.19986P2SNNNNNNNNC01.11.199801.01.201360.4545.3551.4001.11.1998Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 4 specimens performed within any 1 day
6657801.11.19986P2SNNNNNNNNC01.11.199801.01.201369.3552.0558.9501.11.1998Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 5 specimens performed within any 1 day
6658101.11.19986P2SNNNNNNNNC01.11.199801.01.201378.2558.7066.5501.11.1998Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 6 or more specimens performed within any 1 day
6658401.11.19986P2SNNNNNNNNC01.11.199801.01.20139.707.308.2501.11.1998Quantitation of ionised calcium (except if performed as part of item 66566) - 1 test
6658701.11.19986P2SNNNNNNNNC01.11.199801.01.201347.5535.7040.4501.11.1998Urine acidification test for the diagnosis of renal tubular acidosis including the administration of an acid load, and pH measurements on 4 or more urine specimens and at least 1 blood specimen
6659001.11.19986P2SNNNNNNNNC01.11.199801.01.201330.6022.9526.0501.11.1998Calculus, analysis of 1 or more
6659301.11.19986P2SNNNNNNNNC01.11.199801.01.201318.0013.5015.3001.11.1998Ferritin - quantitation, except if requested as part of iron studies
6659601.11.19986P2SNNNNNNNNC01.11.199801.01.201332.5524.4527.7001.11.1998Iron studies, consisting of quantitation of: (a)serum iron; and (b)transferrin or iron binding capacity; and (c)ferritin
6660501.11.19986P2SNNNNNNNNC01.11.199801.01.201330.6022.9526.0501.07.2011Vitamins - quantitation of vitamins B1, B2, B3, B6 or Cin blood, urine or other body fluid - 1 or more tests
6660601.05.20076P2SNNNNNNNNC01.05.200701.01.201330.6022.9526.0501.05.2007A test described in item 66605 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18 and 25)
6660701.05.20096P2SNNNNNNNNC01.05.200901.01.201375.7556.8564.4001.07.2011Vitamins - quantitation of vitamins A or E in blood, urine or other body fluid - 1 or more tests within a 6 month period
6661001.07.20116P2SNNNNNNNNC01.07.201101.01.201375.7556.8564.4001.07.2011A test described in item 66607 if rendered by a receiving APP - 1 or more tests
6662301.11.19986P2SNNNNNNNNC01.11.199801.01.201341.5031.1535.3001.11.2003All qualitative and quantitative tests on blood, urine or other body fluid for: (a)a drug or drugs of abuse (including illegal drugs and legally available drugs taken other than in appropriate dosage); or (b)ingested or absorbed toxic chemicals; including a service described in item 66800, 66803, 66806, 66812 or 66815 (if performed), but excluding: (c)the surveillance of sports people and athletes for performance improving substances; and (d)the monitoring of patients participating in a drug abuse treatment program
6662601.11.19986P2SNNNNNNNNC01.11.199801.01.201324.1018.1020.5001.05.2007Detection or quantitation or both (not including the detection of nicotine and metabolites in smoking withdrawal programs) of a drug, or drugs, of abuse or a therapeutic drug, on a sample collected from a patient participating in a drug abuse treatment program; but excluding the surveillance of sports people and athletes for performance improving substances; including all tests on blood, urine or other body fluid (Item is subject to rule 25)
6662901.11.19986P2SNNNNNNNNC01.11.199801.01.201320.1015.1017.1001.11.1998Beta-2-microglobulin - quantitation in serum, urine or other body fluids - 1 or more tests
6663201.11.19986P2SNNNNNNNNC01.11.199801.01.201320.1015.1017.1001.11.1998Caeruloplasmin, haptoglobins, or prealbumin - quantitation in serum, urine or other body fluids - 1 or more tests
6663501.11.19986P2SNNNNNNNNC01.11.199801.01.201320.1015.1017.1001.11.1998Alpha-1-antitrypsin - quantitation in serum, urine or other body fluid - 1 or more tests
6663801.11.19986P2SNNNNNNNNC01.11.199801.01.201349.0536.8041.7001.11.1998Isoelectric focussing or similar methods for determination of alpha-1-antitrypsin phenotype in serum - 1 or more tests
6663901.05.20076P2SNNNNNNNNC01.05.200701.01.201329.2021.9024.8501.05.2007A test described in item 66638 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6664101.11.19986P2SNNNNNNNNC01.11.199801.01.201329.2021.9024.8501.11.1998Electrophoresis of serum or other body fluid to demonstrate: (a)the isoenzymes of lactate dehydrogenase; or (b)the isoenzymes of alkaline phosphatase; including the preliminary quantitation of total relevant enzyme activity - 1 or more tests
6664201.05.20076P2SNNNNNNNNC01.05.200701.01.201329.2021.9024.8501.05.2007A test described in item 66641 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6664401.11.19986P2SNNNNNNNNC01.11.199801.01.201320.1515.1517.1501.11.1998C-1 esterase inhibitor - quantitation
6664701.11.19986P2SNNNNNNNNC01.11.199801.01.201345.1033.8538.3501.11.1998C-1 esterase inhibitor - functional assay
6665001.11.19986P2SNNNNNNNNC01.11.199801.01.201324.3518.3020.7001.11.2008Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), CA-19.9 antigen (CA19.9), cancer associated serum antigen (CASA), carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG), neuron specific enolase (NSE), thyroglobulin in serum or other body fluid, in the monitoring of malignancy or in the detection or monitoring of hepatic tumours, gestational trophoblastic disease or germ cell tumour - quantitation - 1 test (Item is subject to rule 6)
6665101.05.20076P2SNNNNNNNNC01.05.200701.01.201324.3518.3020.7001.05.2007A test described in item 66650 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18)
6665201.05.20076P2SNNNNNNNNC01.05.200701.01.201320.3015.2517.3001.05.2007A test described in item 66650 if rendered by a receiving APP - other than that described in 66651, if rendered by a receiving APP, 1 test (Item is subject to rule 6 and 18)
6665301.11.19986P2SNNNNNNNNC01.11.199801.01.201344.6033.4537.9501.05.20072 or more tests described in item 66650 (Item is subject to rule 6)
6665501.05.20016P2SNNNNNNNNC01.05.200101.01.201320.1515.1517.1501.05.2007Prostate specific antigen - quantitation - 1 of this item in a 12 month period (Item is subject to rule 25)
6665601.11.19986P2SNNNNNNNNC01.11.199801.01.201320.1515.1517.1501.11.2002Prostate specific antigen - quantitation in the monitoring of previously diagnosed prostatic disease (including a test described in item 66655)
6665901.11.19986P2SNNNNNNNNC01.11.199801.01.201337.3028.0031.7501.07.2009Prostate specific antigen - quantitation of 2 or more fractions of PSA and any derived index including (if performed) a test described in item 66656, in the follow up of a PSA result that lies at or above the age related median but below the age related, method specific 97.5% reference limit - 1 of this item in a 12 month period (Item is subject to rule 25)
6666001.05.20096P2SNNNNNNNNC01.05.200901.01.201337.3028.0031.7501.07.2009Prostate specific antigen - quantitation of 2 or more fractions of PSA and any derived index including (if performed) a test described in item 66656, in the follow up of a PSA result that lies at or above the age related, method specific 97.5% reference limit, but below a value of 10 ug/L - 4 of this item in a 12 month period. (Item is subject to rule 25)
6666201.11.19986P2SNNNNNNNNC01.11.199801.01.201379.9560.0068.0001.11.1998Quantitation of hormone receptors on proven primary breast or ovarian carcinoma or a metastasis from a breast or ovarian carcinoma or a subsequent lesion in the breast - 1 or more tests
6666301.05.20076P2SNNNNNNNNC01.05.200701.01.201379.9560.0068.0001.05.2007A test described in item 66662 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6666501.11.19986P2SNNNNNNNNC01.11.199801.01.201330.6022.9526.0501.11.1998Lead quantitation in blood or urine (other than for occupational health screening purposes) to a maximum of 3 tests in a 6 month period - each test
6666601.05.20076P2SNNNNNNNNC01.05.200701.01.201330.6022.9526.0501.05.2007A test described in item 66665 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6666701.11.20006P2SNNNNNNNNC01.11.200001.01.201330.6022.9526.0501.11.2000Quantitation of serum zinc in a patient receiving intravenous alimentation - each test
6667101.11.19986P2SNNNNNNNNC01.11.199801.01.201336.9027.7031.4001.11.1998Quantitation of serum aluminium in a patient in a renal dialysis program - each test
6667401.11.19986P2SNNNNNNNNC01.11.199801.01.201339.9530.0034.0001.11.1998Quantitation of: (a)faecal fat; or (b)breath hydrogen in response to loading with disaccharides; 1 or more tests within a 28 day period
6667701.11.19986P2SNNNNNNNNC01.11.199801.01.201311.158.409.5001.11.1998Test for tryptic activity in faeces in the investigation of diarrhoea of longer than 4 weeks duration in children under 6 years old
6668001.11.19986P2SNNNNNNNNC01.11.199801.01.201374.4555.8563.3001.11.1998Quantitation of disaccharidases and other enzymes in intestinal tissue - 1 or more tests
6668301.11.19986P2SNNNNNNNNC01.11.199801.01.201374.4555.8563.3001.11.1998Enzymes - quantitation in solid tissue or tissues other than blood elements or intestinal tissue - 1 or more tests
6668601.11.19986P2SNNNNNNNNC01.11.199801.01.201350.6538.0043.1001.11.1998Performance of 1 or more of the following procedures: (a)growth hormone suppression by glucose loading; (b)growth hormone stimulation by exercise; (c)dexamethasone suppression test; (d)sweat collection by iontophoresis for chloride analysis; (e)pharmacological stimulation of growth hormone
6669501.11.19986P2SNNNNNNNNC01.11.199801.01.201330.5022.9025.9501.11.2008Quantitation in blood or urine of hormones and hormone binding proteins - ACTH, aldosterone, androstenedione, C-peptide, calcitonin, cortisol, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin, glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol, oestrone, progesterone, prolactin, PTH, renin, sex hormone binding globulin, somatomedin C(IGF-1), free or total testosterone, urine steroid fraction or fractions, vasoactive intestinal peptide,- 1 test (Item is subject to rule 6)
6669601.05.20076P2SNNNNNNNNC01.05.200701.01.201330.5022.9025.9501.05.2007A test described in item 66695, if rendered by a receiving APP - where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18)
6669701.05.20076P2SNNNNNNNNC01.05.200701.01.201313.209.9011.2501.11.2008Tests described in item 66695, other than that described in 66696, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6 and 18)
6669801.11.19986P2SNNNNNNNNC01.11.199801.01.201343.7032.8037.1501.11.19982 tests described in item 66695 (Item is subject to rule 6)
6670101.11.19986P2SNNNNNNNNC01.11.199801.01.201356.9042.7048.4001.11.19983 tests described in item 66695 (Item is subject to rule 6)
6670401.11.19986P2SNNNNNNNNC01.11.199801.01.201370.1552.6559.6501.11.19984 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 tests specified on the request form or performs 4 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
6670701.11.19986P2SNNNNNNNNC01.11.199801.01.201383.3562.5570.8501.07.20085 or more tests described in item 66695 (Item is subject to rule 6)
6671101.11.20056P2SNNNNNNNNC01.11.200501.01.201330.1522.6525.6501.05.2007Quantitation in saliva of cortisol in: (a)the investigation of Cushing's syndrome; or (b)the management of children with congenital adrenal hyperplasia (Item is subject to rule 6)
6671201.11.20056P2SNNNNNNNNC01.11.200501.01.201343.0532.3036.6001.05.2007Two tests described in item 66711 (Item is subject to rule 6)
6671401.05.20076P2SNNNNNNNNC01.05.200701.01.201330.1522.6525.6501.05.2007A test described in item 66711, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP (Item is subject to rule 6 and 18)
6671501.05.20076P2SNNNNNNNNC01.05.200701.01.201312.859.6510.9501.05.2007Tests described in item 66711, other than that described in 66714, if rendered by a receiving APP, each test to a maximum of 1 test (Item is subject to rule 6 and 18)
6671601.11.19986P2SNNNNNNNNC01.11.199801.01.201325.0518.8021.3001.11.1998TSH quantitation
6671901.11.19986P2SNNNNNNNNC01.11.199801.01.201334.8026.1029.6001.07.2020Thyroid function tests (comprising the service described in item 66716 and either or bothof a test for free thyroxine and a test for free T3) for a patient, if: (a)the patient has a level of TSH that is outside the normal reference range for the particular method of assay used to determine the level; or (b)the request from the requesting medical practitioner indicates that the tests are performed: (i)for the purpose of monitoring thyroid disease in the patient; or (ii)to investigate the sick euthyroid syndrome if the patient is an admitted patient; or (iii)to investigate dementia or psychiatric illness of the patient; or (iv)to investigate amenorrhoea or infertility of the patient; or (c)the request from the requesting medical practitioner indicates that themedical practitionersuspects the patient has a pituitary dysfunction; or (d)the request from the requesting medical practitioner indicates that thepatient is on drugs that interfere with thyroid hormone metabolism or function
6672201.11.19986P2SNNNNNNNNC01.11.199801.01.201337.9028.4532.2501.11.1998TSH quantitation described in item 66716 and 1 test described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
6672301.05.20076P2SNNNNNNNNC01.05.200701.01.201337.9028.4532.2501.05.2007Tests described in item 66722, that is, TSH quantitation and 1 test described in 66695, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18)
6672401.05.20076P2SNNNNNNNNC01.05.200701.01.201313.159.9011.2001.05.2007Tests described in item 66722, if rendered by a receiving APP, other than that described in 66723. It is to include a quantitation of TSH - each test to a maximum of 4 tests described in item 66695 (Item is subject to rule 6 and 18)
6672501.11.19986P2SNNNNNNNNC01.11.199801.01.201351.0538.3043.4001.11.1998TSH quantitation described in item 66716 and 2 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 tests specified on the request form or performs 3 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
6672801.11.19986P2SNNNNNNNNC01.11.199801.01.201364.2048.1554.6001.11.1998TSH quantitation described in item 66716 and 3 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 tests specified on the request form or performs 4 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
6673101.11.19986P2SNNNNNNNNC01.11.199801.01.201377.4058.0565.8001.11.1998TSH quantitation described in item 66716 and 4 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 tests specified on the request form or performs 5 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
6673401.11.19986P2SNNNNNNNNC01.11.199801.01.201390.5567.9577.0001.11.1998TSH quantitation described in item 66716 and 5 tests described in item 66695 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs 6 or more tests specified on the request form) (Item is subject to rule 6)
6674301.11.19986P2SNNNNNNNNC01.11.199801.01.201320.1015.1017.1001.05.2003Quantitation of alpha-fetoprotein in serum or other body fluids during pregnancy except if requested as part of items 66750 or 66751
6674901.11.19986P2SNNNNNNNNC01.11.199801.01.201332.9524.7528.0501.11.1998Amniotic fluid, spectrophotometric examination of, and quantitation of: (a)lecithin/sphingomyelin ratio; or (b)palmitic acid, phosphatidylglycerol or lamellar body phospholipid; or (c)bilirubin, including correction for haemoglobin 1 or more tests
6675001.05.20036P2SNNNNNNNNC01.05.200301.01.201339.7529.8533.8001.07.2020Quantitation, in pregnancy, of any2 of the following to detect foetal abnormality- total human chorionic gonadotrophin (total HCG), free alpha human chorionic gonadotrophin (free alpha HCG), free beta human chorionic gonadotrophin (free beta HCG), pregnancy associated plasma protein A (PAPP-A), unconjugated oestriol (uE3), alpha-fetoprotein (AFP) - including (if performed) a service described initem 73527or 73529 - Applicable not more than once in a pregnancy
6675101.05.20036P2SNNNNNNNNC01.05.200301.01.201355.2541.4547.0001.05.2007Quantitation, in pregnancy, of any three or more tests described in 66750 (Item is subject to rule 25)
6675201.11.19986P2SNNNNNNNNC01.11.199801.01.201324.7018.5521.0001.11.2008Quantitation of acetoacetate, beta-hydroxybutyrate, citrate, oxalate, total free fatty acids, cysteine, homocysteine, cystine, lactate, pyruvate or other amino acids and hydroxyproline (except if performed as part of item 66773 or 66776) - 1 test
6675501.11.19986P2SNNNNNNNNC01.11.199801.01.201338.8529.1533.0501.11.19982 or more tests described in item 66752
6675601.05.20076P2SNNNNNNNNC01.05.200701.01.201398.3073.7583.6001.05.2007Quantitation of 10 or more amino acids for the diagnosis of inborn errors of metabolism - up to 4 tests in a 12 month period on specimens of plasma, CSF and urine.
6675701.05.20076P2SNNNNNNNNC01.05.200701.01.201398.3073.7583.6001.05.2007Quantitation of 10 or more amino acids for monitoring of previously diagnosed inborn errors of metabolism in 1 tissue type.
6675801.11.19986P2SNNNNNNNNC01.11.199801.01.201324.7018.5521.0001.11.1998Quantitation of angiotensin converting enzyme, or cholinesterase - 1 or more tests
6676101.11.19986P2SNNNNNNNNC01.11.199801.01.201313.159.9011.2001.11.1998Test for reducing substances in faeces by any method (except reagent strip or dipstick)
6676401.11.19986P2SNNNNNNNNC01.11.199801.01.20138.906.707.6001.11.2008Examination for faecal occult blood (including tests for haemoglobin and its derivatives in the faeces except by reagent strip or dip stick methods) with a maximum of 3 examinations on specimens collected on separate days in a 28 day period
6676701.11.19986P2SNNNNNNNNC01.11.199801.01.201317.8513.4015.2001.11.20082 examinations described in item 66764 performed on separately collected and identified specimens
6677001.11.19986P2SNNNNNNNNC01.11.199801.01.201326.7020.0522.7001.11.20083 examinations described in item 66764 performed on separately collected and identified specimens
6677301.11.19986P2SNNNNNNNNC01.11.199801.01.201324.6518.5021.0001.11.2007Quantitation of products of collagen breakdown or formation for the monitoring of patients with proven low bone mineral density, and if performed, a service described in item 66752 - 1 or more tests (Low bone densitometry is defined in the explanatory notes to Category 2 - Diagnostic Procedures and Investigations of the Medicare Benefits Schedule)
6677601.11.19986P2SNNNNNNNNC01.11.199801.01.201324.6518.5021.0001.11.2007Quantitation of products of collagen breakdown or formation for the monitoring of patients with metabolic bone disease or Paget's disease of bone, and if performed, a service described in item 66752 - 1 or more tests
6677901.11.19986P2SNNNNNNNNC01.11.199801.01.201339.9530.0034.0001.11.1998Adrenaline, noradrenaline, dopamine, histamine, hydroxyindoleacetic acid (5HIAA), hydroxymethoxymandelic acid (HMMA), homovanillic acid (HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG), phenylacetic acid (PAA) or serotoninquantitation - 1 or more tests
6678001.05.20076P2SNNNNNNNNC01.05.200701.01.201339.9530.0034.0001.05.2007A test described in item 66779 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6678201.11.19986P2SNNNNNNNNC01.11.199801.01.201313.159.9011.2001.11.1998Porphyrins or porphyrins precursors - detection in plasma, red cells, urine or faeces - 1 or more tests
6678301.05.20076P2SNNNNNNNNC01.05.200701.01.201313.159.9011.2001.05.2007A test described in item 66782 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6678501.11.19986P2SNNNNNNNNC01.11.199801.01.201339.9530.0034.0001.05.2007Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 1 test (Item is subject to rule 6)
6678801.11.19986P2SNNNNNNNNC01.11.199801.01.201365.8549.4056.0001.05.2007Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine or faeces - 2 or more tests (Item is subject to rule 6)
6678901.05.20076P2SNNNNNNNNC01.05.200701.01.201339.9530.0034.0001.05.2007A test described in item 66785 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18)
6679001.05.20076P2SNNNNNNNNC01.05.200701.01.201325.9019.4522.0501.05.2007A test described in item 66785 other than that described in 66789, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18)
6679101.11.19986P2SNNNNNNNNC01.11.199801.01.201374.4555.8563.3001.11.1998Porphyrin biosynthetic enzymes - measurement of activity in blood cells or other tissues - 1 or more tests
6679201.05.20076P2SNNNNNNNNC01.05.200701.01.201374.4555.8563.3001.05.2007A test described in item 66791 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6680001.11.20036P2SNNNNNNNNC01.11.200301.01.201318.1513.6515.4501.11.2003Quantitation in blood, urine or other body fluid by any method (except reagent tablet or reagent strip) of any of the following being used therapeutically by the patient from whom the specimen was taken: amikacin, carbamazepine, digoxin, disopyramide, ethanol, ethosuximide, gentamicin, lithium, lignocaine, netilmicin, paracetamol, phenobarbitone, primidone, phenytoin, procainamide, quinidine, salicylate, theophylline, tobramycin, valproate or vancomycin - 1 test (Item to be subject to rule 6)
6680301.11.20036P2SNNNNNNNNC01.11.200301.01.201330.5022.9025.9501.11.20032 tests described in item 66800 (Item is subject to rule 6)
6680401.05.20076P2SNNNNNNNNC01.05.200701.01.201318.1513.6515.4501.05.2007A test described in item 66800 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18)
6680501.05.20076P2SNNNNNNNNC01.05.200701.01.201312.359.3010.5001.05.2007A test described in item 66800 other than that described in 66804, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18)
6680601.11.20036P2SNNNNNNNNC01.11.200301.01.201341.8531.4035.6001.11.20033 tests described in item 66800 (Item is subject to rule 6)
6681201.11.20036P2SNNNNNNNNC01.11.200301.01.201334.8026.1029.6001.11.2003Quantitation, not elsewhere described in this Table by any method or methods, in blood, urine or other body fluid, of a drug being used therapeutically by the patient from whom the specimen was taken - 1 test (This fee applies where 1 laboratory performs the only test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
6681501.11.20036P2SNNNNNNNNC01.11.200301.01.201359.5544.7050.6501.11.20032 tests described in item 66812 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 tests specified on the request form or performs 2 tests and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
6681601.05.20076P2SNNNNNNNNC01.05.200701.01.201334.8026.1029.6001.05.2007A test described in item 66812 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18)
6681701.05.20076P2SNNNNNNNNC01.05.200701.01.201324.7518.6021.0501.05.2007A test described in item 66812, other than that described in 66816, if rendered by a receiving APP - to a maximum of 1 test (Item is subject to rule 6 and 18)
6681901.05.20076P2SNNNNNNNNC01.05.200701.01.201330.6022.9526.0501.11.2008Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 1 test. (Item is subject to rule 6, 22 and 25)
6682001.05.20076P2SNNNNNNNNC01.05.200701.01.201330.6022.9526.0501.05.2007A test described in item 66819 if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18, 22 and 25)
6682101.05.20076P2SNNNNNNNNC01.05.200701.01.201321.8016.3518.5501.05.2007A test described in item 66819 other than that described in 66820 if rendered by a receiving APP to a maximum of 1 test (Item is subject to rule 6, 18,22 and 25)
6682201.05.20076P2SNNNNNNNNC01.05.200701.01.201352.4539.3544.6001.11.2008Quantitation of copper, manganese, selenium, or zinc (except if item 66667 applies), in blood, urine or other body fluid - 2 or more tests. (Item is subject to rule 6, 22 and 25)
6682501.05.20076P2SNNNNNNNNC01.05.200701.01.201330.6022.9526.0501.05.2007Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 1 test. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25)
6682601.05.20076P2SNNNNNNNNC01.05.200701.01.201330.6022.9526.0501.05.2007A test described in item 66825 if rendered by a receiving APP where no tests have been rendered by the referring APP - 1 test (Item is subject to rules 6, 18, 22 and 25 )
6682701.05.20076P2SNNNNNNNNC01.05.200701.01.201321.8016.3518.5501.05.2007A test described in item 66825, other than that described in 66826, if rendered by a receiving APP to a maximum of 1 test (Item is subject to rules 6, 18, 22 and 25)
6682801.05.20076P2SNNNNNNNNC01.05.200701.01.201352.4539.3544.6001.05.2007Quantitation of aluminium (except if item 66671 applies), arsenic, beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in blood, urine or other body fluid or tissue - 2 or more tests. To a maximum of 3 of this item in a 6 month period (Item is subject to rule 6, 22 and 25)
6683001.07.20086P2SNNNNNNNNC01.07.200801.01.201358.5043.9049.7501.07.2008Quantitation of BNP or NT-proBNP for the diagnosis of heart failure in patients presenting with dyspnoea to a hospital Emergency Department (Item is subject to rule 25)
6683101.11.20086P2SNNNNNNNNC01.11.200801.01.201330.9523.2526.3501.11.2008Quantitation of copper or iron in liver tissue biopsy
6683201.11.20086P2SNNNNNNNNC01.11.200801.01.201330.9523.2526.3501.11.2008A test described in item 66831 if rendered by a receiving APP (Item is subject to rule 18A and 22)
6683301.11.20146P2SNNNNNNNNC01.11.201401.11.201430.0522.5525.5501.11.201425-hydroxyvitamin D, quantification in serum, for the investigation of a patient who: (a)has signs or symptoms of osteoporosis or osteomalacia; or (b)has increased alkaline phosphatase and otherwise normal liver function tests; or (c)has hyperparathyroidism, hypo- or hypercalcaemia, or hypophosphataemia; or (d)is suffering from malabsorption (for example, because the patient has cystic fibrosis, short bowel syndrome, inflammatory bowel disease or untreated coeliac disease, or has had bariatric surgery); or (e) has deeply pigmented skin, or chronic and severe lack of sun exposure for cultural, medical, occupational or residential reasons; or (f)is taking medication known to decrease 25OH-D levels (for example, anticonvulsants); or (g)has chronic renal failure or is a renal transplant recipient; or (h)is less than 16 years of age and has signs or symptoms of rickets; or (i)is an infant whose mother has established vitamin D deficiency; or (j)is a exclusively breastfed baby and has at least one other risk factor mentioned in a paragraph in this item; or (k)has a sibling who is less than 16 years of age and has vitamin D deficiency
6683401.11.20146P2SNNNNNNNNC01.11.201401.11.201430.0522.5525.5501.11.2014A test described in item 66833 if rendered by a receiving APP (Item is subject to Rule 18)
6683501.11.20146P2SNNNNNNNNC01.11.201401.11.201439.0529.3033.2001.11.20141, 25-dihydroxyvitamin D - quantification in serum, if the request for the test is made by, or on advice of, the specialist or consultant physician managing the treatment of the patient
6683601.11.20146P2SNNNNNNNNC01.11.201401.11.201439.0529.3033.2001.11.20141, 25-dihydroxyvitamin D-quantification in serum, if: (a)the patient has hypercalcaemia; and (b)the request for the test is made by a general practitioner managing the treatment of the patient
6683701.11.20146P2SNNNNNNNNC01.11.201401.11.201439.0529.3033.2001.11.2014A test described in item 66835 or 66836 if rendered by a receiving APP (Item is subject to Rule 18)
6683801.11.20146P2SNNNNNNNNC01.11.201401.11.201423.6017.7020.1001.11.2014Serum vitamin B12 test (Item is subject to Rule 25)
6683901.11.20146P2SNNNNNNNNC01.11.201401.11.201442.9532.2536.5501.11.2014Quantification of vitamin B12 markers such as holoTranscobalamin or methylmalonic acid, where initial serum vitamin B12 result is low or equivocal
6684001.11.20146P2SNNNNNNNNC01.11.201401.11.201423.6017.7020.1001.11.2014Serum folate test and, if required, red cell folate test for a patient at risk of folate deficiency, including patients with malabsorption conditions, macrocytic anaemia or coeliac disease
6684101.11.20146P2SNNNNNNNNC01.11.201401.11.201416.8012.6014.3001.11.2014Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk.(Item is subject to rule 25)
6690001.05.20096P2SNNNNNNNNC01.05.200901.01.201377.6558.2566.0501.05.2009CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, including the measurement of exhaled 13CO2 or 14CO2 (except if item 12533 applies) for either:- (a)the confirmation of Helicobacter pylori colonisation OR (b)the monitoring of the success of eradication of Helicobacter pylori.
6930001.11.19986P3SNNNNNNNNC01.11.199801.01.201312.509.4010.6501.11.1998Microscopy of wet film material other than blood, from 1 or more sites, obtained directly from a patient (not cultures) including: (a)differential cell count (if performed); or (b)examination for dermatophytes; or (c)dark ground illumination; or (d)stained preparation or preparations using any relevant stain or stains; 1 or more tests
6930301.11.19986P3SNNNNNNNNC01.11.199801.01.201322.0016.5018.7001.11.2005Culture and (if performed) microscopy to detect pathogenic micro-organisms from nasal swabs, throat swabs, eye swabs and ear swabs (excluding swabs taken for epidemiological surveillance), including (if performed): (a)pathogen identification and antibiotic susceptibility testing; or (b)a service described in item 69300; specimens from 1 or more sites
6930601.11.19986P3SNNNNNNNNC01.11.199801.01.201333.7525.3528.7001.11.2005Microscopy and culture to detect pathogenic micro-organisms from skin or other superficial sites, including (if performed): (a)pathogen identification and antibiotic susceptibility testing; or (b)a service described in items 69300, 69303, 69312, 69318; 1 or more tests on 1 or more specimens
6930901.11.19986P3SNNNNNNNNC01.11.199801.01.201348.1536.1540.9501.07.2020Microscopy and culture to detect dermatophytes and other fungi causing cutaneous disease from skin scrapings, skin biopsies, hair and nails (excluding swab specimens) and including (if performed): (a)the detection of antigens not elsewhere specified in this Schedule; or (b)a service described in items 69300, 69303, 69306, 69312, 69318; 1 or more tests on 1 or more specimens
6931201.11.19986P3SNNNNNNNNC01.11.199801.01.201333.7525.3528.7001.11.2005Microscopy and culture to detect pathogenic micro-organisms from urethra, vagina, cervix or rectum (except for faecal pathogens), including (if performed): (a)pathogen identification and antibiotic susceptibility testing; or (b) a service described in items 69300, 69303, 69306 and 69318; 1 or more tests on 1 or more specimens
6931601.05.20076P3SNNNNNNNNC01.05.200701.01.201328.6521.5024.4001.05.2007Detection of Chlamydia trachomatis by any method - 1 test (Item is subject to rule 26)
6931701.05.20076P3SNNNNNNNNC01.05.200701.01.201335.8526.9030.5001.05.20071 test described in item 69494 and a test described in 69316.(Item is subject to rule 26)
6931801.11.19986P3SNNNNNNNNC01.11.199801.01.201333.7525.3528.7001.11.2005Microscopy and culture to detect pathogenic micro-organisms from specimens of sputum (except when part of items 69324, 69327 and 69330), including (if performed): (a) pathogen identification and antibiotic susceptibility testing; or (b)a service described in items 69300, 69303, 69306 and 69312; 1 or more tests on 1 or more specimens
6931901.05.20076P3SNNNNNNNNC01.05.200701.01.201342.9532.2536.5501.05.20072 tests described in item 69494 and a test described in 69316. (Item is subject to rule 26)
6932101.11.19986P3SNNNNNNNNC01.11.199801.01.201348.1536.1540.9501.11.2005Microscopy and culture of post-operative wounds, aspirates of body cavities, synovial fluid, CSF or operative or biopsy specimens, for the presence of pathogenic micro-organisms involving aerobic and anaerobic cultures and the use of different culture media, and including (if performed): (a)pathogen identification and antibiotic susceptibility testing; or (b)a service described in item 69300, 69303, 69306, 69312 or 69318; specimens from 1 or more sites
6932401.11.19986P3SNNNNNNNNC01.11.199801.01.201343.0032.2536.5501.07.2020Microscopy (with appropriate stains) and culture for mycobacteria - 1 specimen of sputum, urine, or other body fluid or 1 operative or biopsy specimen, including (if performed): (a)microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b)pathogen identification and antibiotic susceptibility testing; including a service described in item 69300
6932501.05.20076P3SNNNNNNNNC01.05.200701.01.201343.0032.2536.5501.05.2007A test described in item 69324 if rendered by a receiving APP (Item is subject to rule 18)
6932701.11.19986P3SNNNNNNNNC01.11.199801.01.201385.0063.7572.2501.11.2000Microscopy (with appropriate stains) and culture for mycobacteria - 2 specimens of sputum, urine, or other body fluid or 2 operative or biopsy specimens, including (if performed): (a)microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b)pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300
6932801.05.20076P3SNNNNNNNNC01.05.200701.01.201385.0063.7572.2501.05.2007A test described in item 69327 if rendered by a receiving APP (Item is subject to rule 18)
6933001.11.19986P3SNNNNNNNNC01.11.199801.01.2013128.0096.00108.8001.11.2000Microscopy (with appropriate stains) and culture for mycobacteria - 3 specimens of sputum, urine, or other body fluid or 3 operative or biopsy specimens, including (if performed): (a)microscopy and culture of other bacterial pathogens isolated as a result of this procedure; or (b)pathogen identification and antibiotic susceptibility testing; including a service mentioned in item 69300
6933101.05.20076P3SNNNNNNNNC01.05.200701.01.2013128.0096.00108.8001.05.2007A test described in item 69330 if rendered by a receiving APP (Item is subject to rule 18)
6933301.11.19986P3SNNNNNNNNC01.11.199801.01.201320.5515.4517.5001.07.2020Urine examination (including serial examinations) by any means other than simple culture by dip slide, including: (a)cell count; and (b)culture; and (c)colony count; and (d)(if performed) stained preparations; and (e)(if performed) identification of cultured pathogens; and (f)(if performed) antibiotic susceptibility testing; and (g)(if performed) examination for pH, specific gravity, blood, protein, urobilinogen, sugar, acetone or bile salts
6933601.11.19986P3SNNNNNNNNC01.11.199801.01.201333.4525.1028.4501.07.2020Microscopy of faeces for ova, cysts and parasites that must include a concentration technique, and the use of fixed stains or antigen detection for cryptosporidia and giardia - including (if performed) a service described in item 69300 - 1 of this item in any 7 day period
6933901.11.19986P3SNNNNNNNNC01.11.199801.01.201319.1014.3516.2501.05.2003Microscopy of faeces for ova, cysts and parasites using concentration techniques examined subsequent to item 69336 on a separately collected and identified specimen collected within 7 days of the examination described in 69336 - 1 examination in any 7 day period
6934501.11.19986P3SNNNNNNNNC01.11.199801.01.201352.9039.7045.0001.05.2003Culture and (if performed) microscopy without concentration techniques of faeces for faecal pathogens, using at least 2 selective or enrichment media and culture in at least 2 different atmospheres including (if performed): (a)pathogen identification and antibiotic susceptibility testing; and (b)the detection of clostridial toxins; and (c)a service described in item 69300; - 1 examination in any 7 day period
6935401.11.19986P3SNNNNNNNNC01.11.199801.01.201330.7523.1026.1501.11.1998Blood culture for pathogenic micro-organisms (other than viruses), including sub-cultures and (if performed): (a)identification of any cultured pathogen;and (b)necessary antibiotic susceptibility testing; to a maximum of 3 sets of cultures - 1 set of cultures
6935701.11.19986P3SNNNNNNNNC01.11.199801.01.201361.4546.1052.2501.11.19982 sets of cultures described in item 69354
6936001.11.19986P3SNNNNNNNNC01.11.199801.01.201392.2069.1578.4001.11.19983 sets of cultures described in item 69354
6936301.11.19986P3SNNNNNNNNC01.11.199801.01.201328.6521.5024.4001.11.2014Detection of Clostridium difficile or Clostridium difficile toxin (except if a service described in item 69345 has been performed) - one or more tests
6937801.11.19986P3SNNNNNNNNC01.11.199801.01.2013180.25135.20153.2501.05.2008Quantitation of HIV viral RNA load in plasma or serum in the monitoring of a HIV sero-positive patient not on antiretroviral therapy - 1 or more tests
6937901.05.20076P3SNNNNNNNNC01.05.200701.01.2013180.25135.20153.2501.05.2007A test described in item 69378 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
6938001.07.20116P3SNNNNNNNNC01.07.201101.01.2013770.30577.75685.6001.07.2011Genotypic testing for HIV antiretroviral resistance in a patient with confirmed HIV infection if the patient's viral load is greater than 1,000 copies per ml at any of the following times: (a)at presentation; or (b)before antiretroviral therapy: or (c)when treatment with combination antiretroviral agents fails; maximum of 2 tests in a 12 month period
6938101.11.19986P3SNNNNNNNNC01.11.199801.01.2013180.25135.20153.2501.05.2005Quantitation of HIV viral RNA load in plasma or serum in the monitoring of antiretroviral therapy in a HIV sero-positive patient - 1 or more tests on 1 or more specimens
6938201.03.19996P3SNNNNNNNNC01.03.199901.01.2013180.25135.20153.2501.05.2005Quantitation of HIV viral RNA load in cerebrospinal fluid in a HIV sero-positive patient - 1 or more tests on 1 or more specimens
6938301.05.20076P3SNNNNNNNNC01.05.200701.01.2013180.25135.20153.2501.05.2007A test described in item 69381 if rendered by a receiving APP - 1 or more tests on 1 or more specimens (Item is subject to rule 18)
6938401.11.19986P3SNNNNNNNNC01.11.199801.01.201315.6511.7513.3501.11.2007Quantitation of 1 antibody to microbial antigens not elsewhere described in the Schedule - 1 test (This fee applies where a laboratory performs the only antibody test specified on the request form or performs 1 test and refers the rest to the laboratory of a separate APA) (Item is subject to rule 6)
6938701.11.19986P3SNNNNNNNNC01.11.199801.01.201329.0021.7524.6501.11.19982 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 2 estimations specified on the request form or performs 2 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
6939001.11.19986P3SNNNNNNNNC01.11.199801.01.201342.3531.8036.0001.11.19983 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 3 estimations specified on the request form or performs 3 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
6939301.11.19986P3SNNNNNNNNC01.11.199801.01.201355.7041.8047.3501.11.19984 tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 4 estimations specified on the request form or performs 4 of the antibody estimations specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
6939601.11.19986P3SNNNNNNNNC01.11.199801.01.201369.1051.8558.7501.07.20085 or more tests described in item 69384 (This fee applies where 1 laboratory, or more than 1 laboratory belonging to the same APA, performs the only 5 estimations specified on the request form or performs 5 of the antibody tests specified on the request form and refers the remainder to the laboratory of a separate APA) (Item is subject to rule 6)
6940001.05.20076P3SNNNNNNNNC01.05.200701.01.201315.6511.7513.3501.05.2007A test described in item 69384, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rules 6 and 18)
6940101.05.20076P3SNNNNNNNNC01.05.200701.01.201313.3510.0511.3501.11.2008A test described in item 69384, other than that described in 69400, if rendered by a receiving APP - each test to a maximum of 4 tests (Item is subject to rule 6, 18 and 18A)
6940501.11.19986P3SNNNNNNNNC01.11.199801.01.201315.6511.7513.3501.11.2005Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a)the determination of 1 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b)(if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
6940801.11.19986P3SNNNNNNNNC01.11.199801.01.201329.0021.7524.6501.11.2005Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a)the determination of 2 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b)(if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
6941101.11.19986P3SNNNNNNNNC01.11.199801.01.201342.3531.8036.0001.11.2005Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a)the determination of 3 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b)(if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
6941301.11.20036P3SNNNNNNNNC01.11.200301.01.201355.7041.8047.3501.11.2005Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a)the determination of 4 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b)(if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
6941501.11.20056P3SNNNNNNNNC16.08.200501.01.201369.1051.8558.7501.05.2008Microbiological serology during a pregnancy (except in the investigation of a clinically apparent intercurrent microbial illness or close contact with a patient suffering from parvovirus infection or varicella during that pregnancy) including: (a)the determination of all 5 of the following - rubella immune status, specific syphilis serology, carriage of Hepatitis B, Hepatitis C antibody, HIV antibody and (b)(if performed) a service described in 1 or more of items 69384, 69475, 69478 and 69481
6944501.11.20006P3SNNNNNNNNC01.11.200001.01.201392.2069.1578.4001.11.2007Detection of Hepatitis C viral RNA in a patient undertaking antiviral therapy for chronic HCV hepatitis (including a service described in item 69499) - 1 test. To a maximum of 4 of this item in a 12 month period (Item is subject to rule 25)
6945101.05.20076P3SNNNNNNNNC01.05.200701.01.201392.2069.1578.4001.05.2007A test described in item 69445 if rendered by a receiving APP - 1 test. (Item is subject to rule 18 and 25)
6947101.11.19986P3SNNNNNNNNC01.11.199801.01.201334.9026.2029.7001.05.2017Test of cell‑mediated immune response in blood for the detection of latent tuberculosis by interferon gamma release assay (IGRA) in the following people: (a) a person who has been exposed to a confirmed case of active tuberculosis; (b) a person who is infected with human immunodeficiency virus; (c) a person who is to commence, or has commenced, tumour necrosis factor (TNF) inhibitor therapy; (d) a person who is to commence, or has commenced, renal dialysis; (e) a person with silicosis; (f) a person who is, or is about to become, immunosuppressed because of a disease, or a medical treatment, not mentioned in paragraphs(a) to (e)
6947201.11.20016P3SNNNNNNNNC01.11.200101.01.201315.6511.7513.3501.11.2001Detection of antibodies to Epstein Barr Virus using specific serology - 1 test
6947401.11.20016P3SNNNNNNNNC01.11.200101.01.201328.6521.5024.4001.11.2001Detection of antibodies to Epstein Barr Virus using specific serology - 2 or more tests
6947501.11.20026P3SNNNNNNNNC01.11.200201.01.201315.6511.7513.3501.05.2008One test for hepatitis antigen or antibodies to determine immune status or viral carriage following exposure or vaccination to Hepatitis A, Hepatitis B, Hepatitis C or Hepatitis D (Item subject to rule 11)
6947801.11.20026P3SNNNNNNNNC01.11.200201.01.201329.2521.9524.9001.05.20082 tests described in 69475 (Item subject to rule 11)
6947901.04.20206P3DNNNNNNNNC01.04.202001.04.202050.0037.5042.5019.05.2020Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory as described in 4.1 of the Pathology Services Table Where the service is bulk-billed.
6948001.04.20206P3DNNNNNNNNC01.04.202001.04.2020100.0075.0085.0001.04.2020Detection of a SARS-CoV-2 nucleic acid 1 or more tests if: (a) the service is not covered by item 69479 Where the service is bulk billed
6948101.11.20026P3SNNNNNNNNC01.11.200201.01.201340.5530.4534.5001.05.2008Investigation of infectious causes of acute or chronic hepatitis - 3 tests for hepatitis antibodies or antigens, (Item subject to rule 11)
6948201.07.20086P3SNNNNNNNNC01.07.200801.01.2013152.10114.10129.3001.07.2008Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and have chronic hepatitis B, but are not receiving antiviral therapy - 1 test (Item is subject to rule 25)
6948301.07.20086P3SNNNNNNNNC01.07.200801.01.2013152.10114.10129.3001.07.2008Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface antigen positive and who have chronic hepatitis B and are receiving antiviral therapy - 1 test (Item is subject to rule 25)
6948401.11.20026P3SNNNNNNNNC01.11.200201.01.201317.1012.8514.5501.05.2008Supplementary testing for Hepatitis B surface antigen or Hepatitis C antibody using a different assay on the specimen which yielded a reactive result on initial testing (Item is subject to rule 18)
6948801.05.20076P3SNNNNNNNNC01.05.200701.01.2013180.25135.20153.2501.12.2017Quantitation of HCV RNA load in plasma or serum in: (a) the pre-treatment evaluation,of a patient with chronic HCV hepatitis, for antiviral therapy;or (b) the assessment of efficacy of antiviral therapy for such a patient (including a service in item 69499 or 69445) (Item is subject to rule 18 and 25)
6948901.05.20076P3SNNNNNNNNC01.05.200701.01.2013180.25135.20153.2501.05.2007A test described in item 69488 if rendered by a receiving APP (Item is subject to rule 18 and 25)
6949101.05.20076P3SNNNNNNNNC01.05.200701.01.2013204.80153.60174.1001.12.2017Nucleic acid amplification and determination of Hepatitis C virus (HCV) genotype if the patient is HCV RNA positive and is being evaluated for antiviral therapy of chronic HCV hepatitis. To a maximum of 1 of this item in a 12 month period
6949201.05.20076P3SNNNNNNNNC01.05.200701.01.2013204.80153.60174.1001.05.2007A test described in item 69491 if rendered by a receiving APP - 1 test(Item is subject to rule 18 and 25)
6949401.05.20076P3SNNNNNNNNC01.05.200701.01.201328.6521.5024.4001.05.2007Detection of a virus or microbial antigen or microbial nucleic acid (not elsewhere specified) 1 test (Item is subject to rule 6 and 26)
6949501.05.20076P3SNNNNNNNNC01.05.200701.01.201335.8526.9030.5001.05.20072 tests described in 69494 (Item is subject to rule 6 and 26)
6949601.05.20076P3SNNNNNNNNC01.05.200701.01.201343.0532.3036.6001.05.20073 or more tests described in 69494 (Item is subject to rule 6 and 26)
6949701.05.20076P3SNNNNNNNNC01.05.200701.01.201328.6521.5024.4001.05.2007A test described in item 69494, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6, 18 and 26)
6949801.05.20076P3SNNNNNNNNC01.05.200701.01.20137.205.406.1501.05.2007A test described in item 69494, other than that described in 69497, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6, 18 and 26)
6949901.05.20076P3SNNNNNNNNC01.05.200701.01.201392.2069.1578.4001.05.2007Detection of Hepatitis C viral RNA if at least 1 of the following criteria is satisfied: (a)the patient is Hepatitis C seropositive; (b)the patient's serological status is uncertain after testing; (c)the test is performed for the purpose of: (i)determining the Hepatitis C status of an immunosuppressed or immunocompromised patient; or (ii)the detection of acute Hepatitis C prior to seroconversion where considered necessary for the clinical management of the patient; To a maximum of 1 of this item in a 12 month period (Item is subject to rule 19 and 25)
6950001.05.20076P3SNNNNNNNNC01.05.200701.01.201392.2069.1578.4001.05.2007A test described in item 69499 if rendered by a receiving APP - 1 test (Item is subject to rule 18,19 and 25)
6950128.07.20206P3DNNNNNNNNB28.07.202028.07.2020110.0093.5022.09.2020Detection of a SARS‑CoV‑2 nucleic acid 1 or more tests if: (a) the person is employed, hired, retained or contracted; (i) by an approved provider, or works in an aged care service, in Victoria; or (ii) to travel interstate as a driver of a heavy vehicle;or (iii) to travel interstate as a rail crew member; and (b) the person is informed of the results of the tests within 24 hours of receipt of the specimen at an accredited pathology laboratory; and (c) the results of the test are reported in adherence with the applicable State or Territory reporting requirements within 24 hours of receipt of the specimen at an accredited pathology laboratory; and (d) the person is not a private patient in a recognised hospital; and (e) the person is not an admitted patient of a hospital; and (f) the service is not performed in a prescribed laboratory as described in 4.1 of the pathology services table Other than a service to which item 69476, 69477, 69479 or 69480 applies, or an item in the pathology services tables applies. Where the service is bulk billed.
7105701.11.19986P4SNNNNNNNNC01.11.199801.01.201332.9024.7028.0001.11.1998Electrophoresis, quantitative and qualitative, of serum, urine or other body fluid all collected within a 28 day period, to demonstrate: (a)protein classes; or (b)presence and amount of paraprotein; including the preliminary quantitation of total protein, albumin and globulin - 1 specimen type
7105801.11.19986P4SNNNNNNNNC01.11.199801.01.201350.5037.9042.9501.11.1998Examination as described in item 71057 of 2 or more specimen types
7105901.11.19986P4SNNNNNNNNC01.11.199801.01.201335.6526.7530.3501.07.2011Immunofixation or immunoelectrophoresis or isoelectric focusing of: (a)urine for detection of Bence Jones proteins; or (b)serum, plasma or other body fluid; and characterisation of a paraprotein or cryoglobulin- examination of 1 specimen type (eg. serum, urine or CSF)
7106001.11.19986P4SNNNNNNNNC01.11.199801.01.201344.0533.0537.4501.11.1998Examination as described in item 71059 of 2 or more specimen types
7106201.11.19986P4SNNNNNNNNC01.11.199801.01.201344.0533.0537.4501.11.1998Electrophoresis and immunofixation or immunoelectrophoresis or isoelectric focussing of CSF for the detection of oligoclonal bands and including if required electrophoresis of the patient's serum for comparison purposes - 1 or more tests
7106401.11.19986P4SNNNNNNNNC01.11.199801.01.201320.7515.6017.6501.11.1998Detection and quantitation of cryoglobulins or cryofibrinogen - 1 or more tests
7106601.11.20026P4SNNNNNNNNC01.11.200201.01.201314.5510.9512.4001.11.2002Quantitation of total immunoglobulin A by any method in serum, urine or other body fluid - 1 test
7106801.11.20026P4SNNNNNNNNC01.11.200201.01.201314.5510.9512.4001.11.2002Quantitation of total immunoglobulin G by any method in serum, urine or other body fluid - 1 test
7106901.09.19926P4SNNNNNNNNC01.09.199201.01.201322.7517.1019.3501.11.20022 tests described in items 71066, 71068, 71072 or 71074
7107101.09.19926P4SNNNNNNNNC01.09.199201.01.201330.9523.2526.3501.11.20023 or more tests described in items 71066, 71068, 71072 or 71074
7107201.11.20026P4SNNNNNNNNC01.11.200201.01.201314.5510.9512.4001.11.2002Quantitation of total immunoglobulin M by any method in serum, urine or other body fluid - 1 test
7107301.09.19926P4SNNNNNNNNC01.09.199201.01.2013106.1579.6590.2501.05.2005Quantitation of all 4 immunoglobulin G subclasses
7107401.11.20026P4SNNNNNNNNC01.11.200201.01.201314.5510.9512.4001.11.2002Quantitation of total immunoglobulin D by any method in serum, urine or other body fluid - 1 test
7107501.09.19926P4SNNNNNNNNC01.09.199201.01.201323.0017.2519.5501.05.2007Quantitation of immunoglobulin E (total), 1 test. (Item is subject to rule 25)
7107601.05.20076P4SNNNNNNNNC01.05.200701.01.2013106.1579.6590.2501.05.2007A test described in item 71073 if rendered by a receiving APP - 1 test (Item is subject to rule 18)
7107701.09.19926P4SNNNNNNNNC01.09.199201.01.201327.0520.3023.0001.05.2007Quantitation of immunoglobulin E (total) in the follow up of a patient with proven immunoglobulin-E-secreting myeloma, proven congenital immunodeficiency or proven allergic bronchopulmonary aspergillosis, 1 test. (Item is subject to rule 25)
7107901.09.19926P4SNNNNNNNNC01.09.199201.01.201326.8020.1022.8001.11.2007Detection of specific immunoglobulin E antibodies to single or multiple potential allergens, 1 test (Item is subject to rule 25)
7108101.09.19926P4SNNNNNNNNC01.09.199201.01.201340.5530.4534.5001.07.1994Quantitation of total haemolytic complement
7108301.09.19926P4SNNNNNNNNC01.09.199201.01.201320.1515.1517.1501.07.1994Quantitation of complement components C3 and C4 or properdin factor B - 1 test
7108501.09.19926P4SNNNNNNNNC01.09.199201.01.201328.9521.7524.6501.07.19942 tests described in item 71083
7108701.09.19926P4SNNNNNNNNC01.09.199201.01.201337.7028.3032.0501.07.19943 or more tests described in item 71083
7108901.09.19926P4SNNNNNNNNC01.09.199201.01.201329.1521.9024.8001.05.2007Quantitation of complement components or breakdown products of complement proteins not elsewhere described in an item in this Schedule - 1 test (Item is subject to rule 6)
7109001.05.20076P4SNNNNNNNNC01.05.200701.01.201329.1521.9024.8001.05.2007A test described in item 71089, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18)
7109101.09.19926P4SNNNNNNNNC01.09.199201.01.201352.8539.6544.9501.05.20072 tests described in item 71089 (Item is subject to rule 6)
7109201.05.20076P4SNNNNNNNNC01.05.200701.01.201323.7017.8020.1501.05.2007Tests described in item 71089, other than that described in 71090, if rendered by a receiving APP - each test to a maximum of 2 tests (Item is subject to rule 6 and 18)
7109301.09.19926P4SNNNNNNNNC01.09.199201.01.201376.4557.3565.0001.05.20073 or more tests described in item 71089 (Item is subject to rule 6)
7109501.11.19976P4SNNNNNNNNC01.11.199701.01.201340.5530.4534.5001.11.1997Quantitation of serum or plasma eosinophil cationic protein, or both, to a maximum of 3 assays in 1 year, for monitoring the response to therapy in corticosteroid treated asthma, in a child aged less than 12 years
7109601.05.20076P4SNNNNNNNNC01.05.200701.01.201340.5530.4534.5001.05.2007A test described in item 71095 if rendered by a receiving APP. (Item is subject to rule 18)
7109701.09.19926P4SNNNNNNNNC01.09.199201.01.201324.4518.3520.8001.07.1994Antinuclear antibodies - detection in serum or other body fluids, including quantitation if required
7109901.09.19926P4SNNNNNNNNC01.09.199201.01.201326.5019.9022.5501.07.1994Double-stranded DNA antibodies - quantitation by 1 or more methods other than the Crithidia method
7110101.09.19926P4SNNNNNNNNC01.09.199201.01.201317.4013.0514.8001.07.1994Antibodies to 1 or more extractable nuclear antigens - detection in serum or other body fluids
7110301.09.19926P4SNNNNNNNNC01.09.199201.01.201352.0539.0544.2501.07.1994Characterisation of an antibody detected in a service described in item 71101 (including that service)
7110601.07.19946P4SNNNNNNNNC01.07.199401.01.201311.308.509.6501.07.1994Rheumatoid factor - detection by any technique in serum or other body fluids, including quantitation if required
7111901.09.19926P4SNNNNNNNNC01.09.199201.01.201317.3513.0514.7501.07.1994Antibodies to tissue antigens not elsewhere specified in this Table - detection, including quantitation if required, of 1 antibody
7112101.09.19926P4SNNNNNNNNC01.09.199201.01.201320.8015.6017.7001.07.1994Detection of 2 antibodies specified in item 71119
7112301.09.19926P4SNNNNNNNNC01.09.199201.01.201324.2518.2020.6501.07.1994Detection of 3 antibodies specified in item 71119
7112501.09.19926P4SNNNNNNNNC01.09.199201.01.201327.6520.7523.5501.07.1994Detection of 4 or more antibodies specified in item 71119
7112701.09.19926P4SNNNNNNNNC01.09.199201.01.2013176.35132.30149.9001.05.2005Functional tests for lymphocytes - quantitation other than by microscopy of: (a)proliferation induced by 1 or more mitogens; or (b)proliferation induced by 1 or more antigens; or (c)estimation of 1 or more mixed lymphocyte reactions; including a test described in item 65066 or 65070 (if performed), 1 of this item to a maximum of 2 in a 12 month period
7112901.09.19926P4SNNNNNNNNC01.09.199201.01.2013217.85163.40185.2001.07.19942 tests described in item 71127
7113101.09.19926P4SNNNNNNNNC01.09.199201.01.2013259.35194.55220.4501.07.19943 or more tests described in item 71127
7113301.11.20026P4SNNNNNNNNC01.11.200201.01.201310.407.808.8501.11.2002Investigation of recurrent infection by qualitative assessment for the presence of defects in oxidative pathways in neutrophils by the nitroblue tetrazolium (NBT) reduction test
7113401.11.20026P4SNNNNNNNNC01.11.200201.01.2013104.0578.0588.4501.11.2002Investigation of recurrent infection by quantitative assessment of oxidative pathways by flow cytometric techniques, including a test described in 71133 (if performed)
7113501.09.19926P4SNNNNNNNNC01.09.199201.01.2013207.95156.00176.8001.05.2005Quantitation of neutrophil function, comprising at least 2 of the following: (a)chemotaxis; (b)phagocytosis; (c)oxidative metabolism; (d)bactericidal activity; including any test described in items 65066, 65070, 71133 or 71134 (if performed), 1 of this item to a maximum of 2 in a 12 month period
7113701.09.19926P4SNNNNNNNNC01.09.199201.01.201330.2522.7025.7501.05.2005Quantitation of cell-mediated immunity by multiple antigen delayed type hypersensitivity intradermal skin testing using a minimum of 7 antigens, 1 of this item to a maximum of 2 in a 12 month period
7113901.09.19926P4SNNNNNNNNC01.09.199201.01.2013104.0578.0588.4501.05.2004Characterisation of 3 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations, including a total lymphocyte count or total leucocyte count by any method, on 1 or more specimens of blood, CSF or serous fluid
7114101.09.19926P4SNNNNNNNNC01.09.199201.01.2013197.35148.05167.7501.09.1992Characterisation of 3 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations on 1 or more disaggregated tissue specimens
7114301.09.19926P4SNNNNNNNNC01.09.199201.01.2013260.00195.00221.0001.11.1999Characterisation of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations for the diagnosis(but not monitoring) of an immunological or haematological malignancy, including a service described in 1 or both of items 71139 and 71141 (if performed), on a specimen of blood, CSF, serous fluid or disaggregated tissue
7114501.09.19926P4SNNNNNNNNC01.09.199201.01.2013424.50318.40360.8501.11.1999Characterisation of 6 or more leucocyte surface antigens by immunofluorescence or immunoenzyme techniques to assess lymphoid or myeloid cell populations for the diagnosis (but not monitoring) of an immunological or haematological malignancy, including a service described in 1 or more of items 71139, 71141 and 71143 (if performed), on 2 or more specimens of disaggregated tissues or 1 specimen of disaggregated tissue and 1 or more specimens of blood, CSF or serous fluid
7114601.05.20046P4SNNNNNNNNC01.05.200401.01.2013104.0578.0588.4501.05.2006Enumeration of CD34+ cells, only for the purposes of autologous or directed allogeneic haemopoietic stem cell transplantation, including a total white cell count on the pherisis collection
7114701.09.19926P4SNNNNNNNNC01.09.199201.01.201340.5530.4534.5001.05.2007HLA-B27 typing (Item is subject to rule 27)
7114801.05.20076P4SNNNNNNNNC01.05.200701.01.201340.5530.4534.5001.05.2007A test described in item 71147 if rendered by a receiving APP. (Item is subject to rule 18 and 27)
7114901.09.19926P4SNNNNNNNNC01.09.199201.01.2013108.2581.2092.0501.07.1994Complete tissue typing for 4 HLA-A and HLA-B Class I antigens (including any separation of leucocytes), including (if performed) a service described in item 71147
7115101.09.19926P4SNNNNNNNNC01.09.199201.01.2013118.8589.15101.0501.09.1992Tissue typing for HLA-DR, HLA-DP and HLA-DQ Class II antigens (including any separation of leucocytes) - phenotyping or genotyping of 2 or more antigens
7115301.05.20016P4SNNNNNNNNC01.05.200101.01.201334.5525.9529.4001.05.2007Investigations in the assessment or diagnosis of systemic inflammatory disease or vasculitis - antineutrophil cytoplasmic antibody immunofluorescence (ANCA test), antineutrophil proteinase 3 antibody (PR-3 ANCA test), antimyeloperoxidase antibody (MPO ANCA test) or antiglomerular basement membrane antibody (GBM test) - detection of 1 antibody (Item is subject to rule 6 and 23)
7115401.05.20076P4SNNNNNNNNC01.05.200701.01.201334.5525.9529.4001.05.2007A test described in item 71153, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test. (Item is subject to rule 6, 18 and 23)
7115501.05.20016P4SNNNNNNNNC01.05.200101.01.201347.4535.6040.3501.05.2007Detection of 2 antibodies described in item 71153 (Item is subject to rule 6 and 23)
7115601.05.20076P4SNNNNNNNNC01.05.200701.01.201312.859.6510.9501.05.2007Tests described in item 71153, other than that described in 71154, if rendered by a receiving APP - each test to a maximum of 3 tests (Item is subject to rule 6, 18 and 23)
7115701.05.20016P4SNNNNNNNNC01.05.200101.01.201360.3045.2551.3001.05.2007Detection of 3 antibodies described in item 71153 (Item is subject to rule 6 and 23)
7115901.05.20016P4SNNNNNNNNC01.05.200101.01.201373.1554.9062.2001.05.2007Detection of 4 or more antibodies described in item 71153 (Item is subject to rule 6 and 23)
7116301.11.20036P4SNNNNNNNNC01.11.200301.01.201324.7518.6021.0501.11.2003Detection of one of the following antibodies (of 1 or more class or isotype) in the assessment or diagnosis of coeliac disease or other gluten hypersensitivity syndromes and including a service described in item 71066 (if performed): a)Antibodies to gliadin; or b)Antibodies to endomysium; or c)Antibodies to tissue transglutaminase; - 1 test
7116401.11.20036P4SNNNNNNNNC01.11.200301.01.201339.9029.9533.9501.11.2003Two or more tests described in 71163 and including a service described in 71066 (if performed)
7116501.05.20076P4SNNNNNNNNC01.05.200701.01.201334.5525.9529.4001.11.2007Antibodies to tissue antigens (acetylcholine receptor, adrenal cortex, heart, histone, insulin, insulin receptor, intrinsic factor, islet cell, lymphocyte, neuron, ovary, parathyroid, platelet, salivary gland, skeletal muscle, skin basement membrane and intercellular substance, thyroglobulin, thyroid microsome or thyroid stimulating hormone receptor) - detection, including quantitation if required, of 1 antibody (Item is subject to rule 6)
7116601.05.20076P4SNNNNNNNNC01.05.200701.01.201347.4535.6040.3501.05.2007Detection of 2 antibodies described in item 71165 (Item is subject to rule 6)
7116701.05.20076P4SNNNNNNNNC01.05.200701.01.201360.3045.2551.3001.05.2007Detection of 3 antibodies described in item 71165 (Item is subject to rule 6)
7116801.05.20076P4SNNNNNNNNC01.05.200701.01.201373.1554.9062.2001.05.2007Detection of 4 or more antibodies described in item 71165 (Item is subject to rule 6)
7116901.05.20076P4SNNNNNNNNC01.05.200701.01.201334.5525.9529.4001.05.2007A test described in item 71165, if rendered by a receiving APP, where no tests in the item have been rendered by the referring APP - 1 test (Item is subject to rule 6 and 18)
7117001.05.20076P4SNNNNNNNNC01.05.200701.01.201312.859.6510.9501.05.2007Tests described in item 71165, other than that described in 71169, if rendered by a receiving APP - each test to a maximum of 3 tests (Item is subject to rule 6 and 18)
7118001.11.20076P4SNNNNNNNNC01.11.200701.01.201334.5525.9529.4001.11.2007Antibody to cardiolipin or beta-2 glycoprotein I - detection, including quantitation if required; one antibody specificity (IgG or IgM)
7118301.11.20076P4SNNNNNNNNC01.11.200701.01.201347.4535.6040.3501.11.2007Detection of two antibodies described in item 71180
7118601.11.20076P4SNNNNNNNNC01.11.200701.01.201360.3045.2551.3001.11.2007Detection of three or more antibodies described in item 71180
7118901.11.20076P4SNNNNNNNNC01.11.200701.01.201315.5011.6513.2001.11.2007Detection of specific IgG antibodies to 1 or more respiratory disease allergens not elsewhere specified.
7119201.11.20076P4SNNNNNNNNC01.11.200701.01.201328.3521.3024.1001.11.20072 items described in item 71189.
7119501.11.20076P4SNNNNNNNNC01.11.200701.01.201340.0530.0534.0501.11.20073 or more items described in item 71189.
7119801.11.20076P4SNNNNNNNNC01.11.200701.01.201340.5530.4534.5001.11.2007Estimation of serum tryptase for the evaluation of unexplained acute hypotension or suspected anaphylactic event, assessment of risk in stinging insect anaphylaxis, exclusion of mastocytosis, monitoring of known mastocytosis.
7120001.11.20076P4SNNNNNNNNC01.11.200701.01.201359.6044.7050.7001.05.2009Detection and quantitation, if present, of free kappa and lambda light chains in serum for the diagnosis or monitoring of amyloidosis, myeloma or plasma cell dyscrasias.
7120301.11.20076P4SNNNNNNNNC01.11.200701.01.201340.5530.4534.5001.11.2007Determination of HLAB5701 status by flow cytometry or cytotoxity assay prior to the initiation of Abacavir therapy including item 73323 if performed.
7281320.03.19976P5SNNNNNNNNC20.03.199701.01.201371.5053.6560.8020.03.1997Examination of complexity level 2 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens (Item is subject to rule 13)
7281401.11.20186P5SNNNNNNNNC01.11.201801.11.201874.5055.9063.3501.11.2018Immunohistochemical examination by immunoperoxidase or other labelled antibody techniques using the programmed cell death ligand 1 (PD-L1) antibody of tumour material from a patient diagnosed with non-small cell lung cancer, to determine if the requirements relating to PD-L1 status for access to pembrolizumab under the Pharmaceutical Benefits Scheme are fulfilled.
7281620.03.19976P5SNNNNNNNNC20.03.199701.01.201386.3564.8073.4020.03.1997Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 separately identified specimen (Item is subject to rule 13)
7281720.03.19976P5SNNNNNNNNC20.03.199701.01.201396.8072.6082.3001.11.2002Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 2 to 4 separately identified specimens (Item is subject to rule 13)
7281801.11.20026P5SNNNNNNNNC01.11.200201.01.2013107.0580.3091.0001.11.2002Examination of complexity level 3 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 5 or more separately identified specimens (Item is subject to rule 13)
7282320.03.19976P5SNNNNNNNNC20.03.199701.01.201397.1572.9082.6020.03.1997Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 separately identified specimen (Item is subject to rule 13)
7282420.03.19976P5SNNNNNNNNC20.03.199701.01.2013141.35106.05120.1520.03.1997Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 2 to 4 separately identified specimens (Item is subject to rule 13)
7282520.03.19976P5SNNNNNNNNC20.03.199701.01.2013180.25135.20153.2501.11.2002Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 5 to 7 separately identified specimens (Item is subject to rule 13)
7282601.11.20026P5SNNNNNNNNC01.11.200201.01.2013194.60145.95165.4501.11.2008Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 8 to 11 separately identified specimens (Item is subject to rule 13)
7282701.11.20086P5SNNNNNNNNC01.11.200801.01.2013208.95156.75177.6501.11.2008Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 12 to 17 separately identified specimens (Item is subject to Rule 13)
7282801.11.20086P5SNNNNNNNNC01.11.200801.01.2013223.30167.50189.8501.11.2008Examination of complexity level 4 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions -18 or more separately identified specimens (Item is subject to Rule 13)
7283020.03.19976P5SNNNNNNNNC20.03.199701.01.2013274.15205.65233.0520.03.1997Examination of complexity level 5 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens (Item is subject to rule 13)
7283620.03.19976P5SNNNNNNNNC20.03.199701.01.2013417.20312.90354.6520.03.1997Examination of complexity level 6 biopsy material with 1 or more tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens (Item is subject to rule 13)
7283801.11.20076P5SNNNNNNNNC01.11.200701.01.2013466.85350.15396.8501.11.2007Examination of complexicity level 7 biopsy material with multiple tissue blocks, including specimen dissection, all tissue processing, staining, light microscopy and professional opinion or opinions - 1 or more separately identified specimens. (Item is subject to rule 13)
7284401.11.19986P5SNNNNNNNNC01.11.199801.01.201330.7523.1026.1501.11.1998Enzyme histochemistry of skeletal muscle for investigation of primary degenerative or metabolic muscle diseases or of muscle abnormalities secondary to disease of the central or peripheral nervous system - 1 or more tests
7284620.03.19976P5SNNNNNNNNC20.03.199701.01.201359.6044.7050.7001.11.2003Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies except those listed in 72848 (Item is subject to rule 13)
7284720.03.19976P5SNNNNNNNNC20.03.199701.01.201389.4067.0576.0001.07.2009Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4-6 antibodies (Item is subject to rule 13)
7284801.11.20036P5SNNNNNNNNC01.11.200301.01.201374.5055.9063.3501.11.2003Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 of the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2) (Item is subject to rule 13)
7284901.11.20086P5SNNNNNNNNC01.11.200801.01.2013104.3078.2588.7001.11.2008Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 7-10 antibodies (Item is subject to rule 13)
7285001.11.20086P5SNNNNNNNNC01.11.200801.01.2013119.2089.40101.3501.11.2008Immunohistochemical examination of biopsy material by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 11 or more antibodies (Item is subject to rule 13)
7285120.03.19976P5SNNNNNNNNC20.03.199701.11.2018565.00423.75480.3020.03.1997Electron microscopic examination of biopsy material - 1 separately identified specimen (Item is subject to rule 13)
7285220.03.19976P5SNNNNNNNNC20.03.199701.11.2018753.00564.75668.3020.03.1997Electron microscopic examination of biopsy material - 2 or more separately identified specimens (Item is subject to rule 13)
7285520.03.19976P5SNNNNNNNNC20.03.199701.01.2013184.35138.30156.7001.11.2001Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 1 separately identified specimen (Item is subject to rule 13)
7285620.03.19976P5SNNNNNNNNC20.03.199701.01.2013245.80184.35208.9501.11.2003Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 2 to 4 separately identified specimens (Item is subject to rule 13)
7285701.11.20036P5SNNNNNNNNC01.11.200301.01.2013286.75215.10243.7501.11.2003Intraoperative consultation and examination of biopsy material by frozen section or tissue imprint or smear - 5 or more separately identified specimens (Item is subject to rule 13)
7285801.11.20156P5SNNNNNNNNC01.11.201501.11.2015180.00135.00153.0001.11.2015A second opinion, provided in a written report, where the opinion and report together require no more than 30 minutes to complete, on a patient specimen, requested by a treating practitioner, where further information is needed for accurate diagnosis and appropriate patient management.
7285901.11.20156P5SNNNNNNNNC01.11.201501.11.2015370.00277.50314.5001.11.2015A second opinion, provided in a written report, where the opinion and report together require more than 30 minutes to complete, on a patient specimen, requested by a treating practitioner, where further information is needed for accurate diagnosis and appropriate patient management.
7286001.05.20196P5SNNNNNNNNC01.05.201901.05.201985.0063.7572.2501.03.2021Retrieval and review of one or more archived formalin fixed paraffin embedded blocks to determine the appropriate samples for the purpose of conducting genetic testing, other than: (a) a service associated with a service to which item72858 or 72859 applies; or (b) a service associated with, and rendered in the same patient episode as, a service to which an item in Group P5, P6, P10 or P11 applies Applicable not more than once in a patient episode
7304301.12.19916P6SNNNNNNNNC01.02.199201.01.201322.8517.1519.4501.07.1994Cytology (including serial examinations) of nipple discharge or smears from skin, lip, mouth, nose or anus for detection of precancerous or cancerous changes1 or more tests
7304501.12.19916P6SNNNNNNNNC01.02.199201.01.201348.6036.4541.3501.12.2017Cytology (including serial examinations) for malignancy (other than an examination mentioned in item 73076); and including any Group P5 service, if performed on: (a)specimens resulting from washings or brushings from sites not specified in item 73043; or (b)a single specimen of sputum or urine; or (c)1 or more specimens of other body fluids; 1 or more tests
7304701.12.19916P6SNNNNNNNNC01.02.199201.01.201394.7071.0580.5001.07.1994Cytology of a series of 3 sputum or urine specimens for malignant cells
7304901.12.19916P6SNNNNNNNNC01.02.199201.01.201368.1551.1557.9501.05.2009Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues - 1 identified site
7305101.12.19916P6SNNNNNNNNC01.02.199201.01.2013170.35127.80144.8001.07.2011Cytology of material obtained directly from a patient at one identified site by fine needle aspiration of solid tissue or tissues if a recognized pathologist: (a)performs the aspiration; or (b)attends the aspiration and performs cytological examination during the attendance
7305901.11.19976P6SNNNNNNNNC01.11.199701.01.201343.0032.2536.5501.01.2014Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 antibodies except those listed in 73061 (Item is subject to rule 13)
7306001.11.19976P6SNNNNNNNNC01.11.199701.01.201357.3543.0548.7501.01.2014Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 4 to 6antibodies (Item is subject to rule 13)
7306101.11.20036P6SNNNNNNNNC01.11.200301.01.201351.2038.4043.5501.01.2014Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 1 to 3 of the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2) (Item is subject to rule 13)
7306201.05.20096P6SNNNNNNNNC01.05.200901.01.201389.0066.7575.6501.05.2009Cytology of material obtained directly from a patient by fine needle aspiration of solid tissue or tissues - 2 or more separately identified sites.
7306301.05.20096P6SNNNNNNNNC01.05.200901.01.201399.3574.5584.4501.07.2011Cytology of material obtained directly from a patient at one identified site by fine needle aspiration of solid tissue or tissues if an employee of an approved pathology authority attends the aspiration for confirmation of sample adequacy
7306401.05.20096P6SNNNNNNNNC01.05.200901.01.201371.7053.8060.9501.01.2014Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 7 to 10 antibodies (Item is subject to rule 13)
7306501.05.20096P6SNNNNNNNNC01.05.200901.01.201486.0064.5073.1001.01.2014Immunocytochemical examination of material obtained by procedures described in items 73045, 73047, 73049, 73051, 73062, 73063, 73066 and 73067 for the characterisation of a malignancy by immunofluorescence, immunoperoxidase or other labelled antibody techniques with multiple antigenic specificities per specimen - 11 or more antibodies (Item is subject to rule 13)
7306601.07.20116P6SNNNNNNNNC01.07.201101.01.2013221.45166.10188.2501.07.2011Cytology of material obtained directly from a patient at 2 or more separately identified sites by fine needle aspiration of solid tissue or tissues if a recognized pathologist: (a)performs the aspiration; or (b) attends the aspiration and performs cytological examination during the attendance
7306701.07.20116P6SNNNNNNNNC01.07.201101.01.2013129.1596.90109.8001.07.2011Cytology of material obtained directly from a patient at 2 or more separately identified sites by fine needle aspiration of solid tissue or tissues if an employee of an approved pathology authority attends the aspiration for confirmation of sample adequacy
7307001.12.20176P6SNNNNNNNNC01.12.201701.12.201735.0026.2529.7501.12.201773070 A test, including partial genotyping, for oncogenic human papillomavirus that may be associated with cervical pre‑cancer or cancer: (a) performed on a liquid based cervical specimen; and (b) for an asymptomatic patient who is at least 24 years and 9 months of age For any particular patient, once only in a 57 month period
7307101.12.20176P6SNNNNNNNNC01.12.201701.12.201735.0026.2529.7501.12.201773071 A test, including partial genotyping, for oncogenic human papillomavirus that may be associated with cervical pre‑cancer or cancer: (a) performed on a self‑collected vaginal specimen; and (b) for an asymptomatic patient who is at least 30 years of age For any particular patient, once only in a 7 year period
7307201.12.20176P6SNNNNNNNNC01.12.201701.12.201735.0026.2529.7501.12.2017A test, including partial genotyping, for oncogenic human papillomavirus, performed on a liquid based cervical specimen: (a) for the investigation of a patient in a specific population that appears to have a higher risk of cervical pre‑cancer or cancer; or (b) for the follow‑up management of a patient with a previously detected oncogenic human papillomavirus infection or cervical pre‑cancer or cancer; or (c) for the investigation of a patient with symptoms suggestive of cervical cancer; or (d) for the follow‑up management of a patient after treatment of high grade squamous intraepithelial lesions or adenocarcinoma in situ of the cervix; or (e) for the follow‑up management of a patient with glandular abnormalities; or (f) for the follow‑up management of a patient exposed to diethylstilboestrol in utero
7307301.12.20176P6SNNNNNNNNC01.12.201701.12.201735.0026.2529.7501.12.2017A test, including partial genotyping, for oncogenic human papillomavirus: (a) performed on a self‑collected vaginal specimen; and (b) for the follow‑up management of a patient with oncogenic human papillomavirus infection or cervical pre‑cancer or cancer that was detected by a test to which item73071 applies For any particular patient, once only in a 21 month period
7307401.12.20176P6SNNNNNNNNC01.12.201701.12.201735.0026.2529.7501.12.2017A test, including partial genotyping, for oncogenic human papillomavirus: (a) performed on a liquid based vaginal vault specimen; and (b) for the investigation of a patient following a total hysterectomy
7307501.12.20176P6SNNNNNNNNC01.12.201701.12.201735.0026.2529.7501.12.2017A test, including partial genotyping, for oncogenic human papillomavirus, if: (a) the test is a repeat of a test to which item73070, 73071, 73072, 73073, 73074 or this item applies; and (b) the specimen collected for the previous test is unsatisfactory
7307601.12.20176P6SNNNNNNNNC01.12.201701.12.201746.0034.5039.1001.12.2017Cytology of a liquid‑based cervical or vaginal vault specimen, where the stained cells are examined microscopically or by automated image analysis by or on behalf of a pathologist, if: (a) the cytology is associated with the detection of oncogenic human papillomavirus infection by: (i) a test to which item73070, 73071, 73073, 73074 or 73075 applies; or (ii) a test to which item73072 applies for a patient mentioned in paragraph(a) or (b) of that item; or (b) the cytology is associated with a test to which item73072 applies for a patient mentioned in paragraph(c), (d), (e) or (f) of that item; or (c) the cytology is associated with a test to which item73074 applies; or (d) the test is a repeat of a test to which this item applies, if the specimen collected for the previous test is unsatisfactory; or (e) the cytology is for the follow‑up management of a patient treated for endometrial adenocarcinoma
7328701.07.19936P7SNNNNNNNNC01.07.199301.01.2013394.55295.95335.4001.05.2010The study of the whole of every chromosome by cytogenetic or other techniques, performed on 1 or more of any tissue or fluid except blood (including a service mentioned in item 73293, if performed) - 1 or more tests
7328901.07.19936P7SNNNNNNNNC01.07.199301.01.2013358.95269.25305.1501.05.2010The study of the whole of every chromosome by cytogenetic or other techniques, performed on blood (including a service mentioned in item 73293, if performed) - 1 or more tests
7329001.05.20106P7SNNNNNNNNC01.05.201001.01.2013394.55295.95335.4001.05.2010The study of the whole of each chromosome by cytogenetic or other techniques, performed on blood or bone marrow, in the diagnosis and monitoringof haematological malignancy (including a service in items 73287 or 73289, if performed). - 1 or more tests.
7329101.05.20106P7SNNNNNNNNC01.05.201001.01.2013230.95173.25196.3501.05.2010Analysis of one or more chromosome regions for specific constitutional genetic abnormalities of blood or fresh tissue in a)diagnostic studies of a person with developmental delay, intellectual disability, autism, or at least two congenital abnormalities, in whom cytogenetic studies (item 73287 or 73289) are either normal or have not been performed; or b)studies of a relative for an abnormality previously identified in such an affected person. - 1 or more tests.
7329201.05.20106P7SNNNNNNNNC01.05.201001.01.2013589.90442.45505.2001.05.2010Analysis of chromosomes by genome-wide micro-array including targeted assessment of specific regions for constitutional genetic abnormalities in diagnostic studies of a person with developmental delay, intellectual disability, autism, or at least two congenital abnormalities (including a service in items 73287, 73289 or 73291, if performed) - 1 or more tests.
7329301.05.20106P7SNNNNNNNNC01.05.201001.01.2013230.95173.25196.3501.05.2010Analysis of one or more regions on all chromosomes for specific constitutional genetic abnormalities of fresh tissue in diagnostic studies of the products of conception, including exclusion of maternal cell contamination. - 1 or more tests.
7329401.05.20106P7SNNNNNNNNC01.05.201001.01.2013230.95173.25196.3501.05.2010Analysis of the PMP22 gene for constitutional genetic abnormalities causing peripheral neuropathy, either as: a)diagnostic studies of an affected person; or b)studies of a relative for an abnormality previously identified in an affected person - 1 or more tests.
7329501.02.20176P7SNNNNNNNNC01.02.201701.02.20171200.00900.001115.3001.08.2020Detection of germline BRCA1 or BRCA2 pathogenic or likely pathogenic gene variants, in a patient with advanced (FIGO III-IV) high-grade serous or high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer for whom testing of tumour tissue is not feasible, requested by a specialist or consultant physician, to determine eligibility for olaparib under the Pharmaceutical Benefits Scheme (PBS) Maximum of one test per patient’s lifetime
7329601.11.20176P7SNNNNNNNNC01.11.201701.11.20171200.00900.001115.3001.03.2021Characterisation of germline gene variants: (a) including copy number variation in: (i) BRCA1 genes; and (ii) BRCA2 genes; and (iii) one or more of the genes STK11, PTEN, CDH1, PALB2 and TP53; and (b) in a patient: (i) with breast, ovarian, fallopian tube or primary peritoneal cancer; and (ii) for whom clinical and family history criteria (as assessed, by the specialist or consultant physician who requests the service, using a quantitative algorithm) place the patient at greater than 10% risk of having a pathogenic or likely pathogenic gene variation identified in one or more of the genes specified in subparagraphs(a)(i), (ii) and (iii); requested by a specialist or consultant physician
7329701.11.20176P7SNNNNNNNNC01.11.201701.11.2017400.00300.00340.0001.03.2021Characterisation of germline gene variations: (a) including copy number variation in: (i) BRCA1 genes; and (ii) BRCA2 genes; and (iii) one or more of the genes STK11, PTEN, CDH1, PALB2 and TP53; and (b) in a patient who: (i) is a biological relative of a patient who has had a pathogenic or likely pathogenic gene variation identified in one or more of the genes mentioned in subparagraphs(a)(i), (ii) and (iii); and (ii) has not previously received a service to which item73295, 73296 or 73297 applies; requested by a specialist or consultant physician
7329801.05.20196P7SNNNNNNNNC01.05.201901.05.20191200.00900.001115.3001.05.2019Characterisation of germline gene variants in the following genes: (a) COL4A3; and (b) COL4A4; and (c) COL4A5; in a patient for whom clinical and relevant family history criteria have been assessed by a specialist or consultant physician, who requests the service to be strongly suggestive of Alport syndrome.
7329901.05.20196P7SNNNNNNNNC01.05.201901.05.2019400.00300.00340.0001.05.2019Characterisation of germline gene variants: (a) in the following genes: (i) COL4A3; and (ii) COL4A4; and (iii) COL4A5; (b) in a patient who: (i) is a first degree biological relative of a patient who has had a pathogenic mutation identified in one or more of the genes mentioned insubparagraphs(a)(i), (ii) and (iii); and (ii) has not previously received a service which item 73298 applies; requested by a specialist or consultant physician.
7330001.05.20036P7SNNNNNNNNC01.05.200301.01.2013101.3076.0086.1501.05.2009Detection of mutation of the FMR1 gene where: (a) the patient exhibits intellectual disability, ataxia, neurodegeneration, or premature ovarian failure consistent with an FMRI mutation; or (b) the patient has a relative with a FMR1 mutation 1 or more tests
7330101.08.20206P7DNNNNNNNNC01.08.202001.08.20201200.00900.001115.3001.08.2020A test of tumour tissue from a patient with advanced (FIGO III-IV), high-grade serous or high-grade epithelial ovarian, fallopian tube or primary peritoneal cancer, requested by a specialist or consultant physician, to determine eligibility relating to BRCA status for access to olaparib under the Pharmaceutical Benefits Scheme (PBS). Applicable once per primary tumour diagnosis
7330201.08.20206P7DNNNNNNNNC01.08.202001.08.2020400.00300.00340.0001.08.2020Characterisation of germline gene variants including copy number variants, in BRCA1 or BRCA2 genes, in a patient who has had a pathogenic or likely pathogenic variant identified in either gene by tumour testing and who has not previously received a service to which items 73295, 73296 or 73297 applies, requested by a specialist or consultant physician. Applicable once per primary tumour diagnosis
7330501.05.20036P7SNNNNNNNNC01.05.200301.01.2013202.65152.00172.3001.11.2008Detection of mutation of the FMR1 gene by Southern Blot analysis where the results in item 73300 are inconclusive
7330801.05.20066P7SNNNNNNNNC01.05.200601.01.201336.4527.3531.0001.05.2006Characterisation of the genotype of a patient for Factor V Leiden gene mutation, or detection of the other relevant mutations in the investigation of proven venous thrombosis or pulmonary embolism - 1 or more tests
7330901.05.20076P7SNNNNNNNNC01.05.200701.01.201336.4527.3531.0001.05.2007A test described in item 73308, if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
7331101.05.20066P7SNNNNNNNNC01.05.200601.01.201336.4527.3531.0001.05.2006Characterisation of the genotype of a person who is a first degree relative of a person who has proven to have 1 or more abnormal genotypes under item 73308 - 1 or more tests
7331201.05.20076P7SNNNNNNNNC01.05.200701.01.201336.4527.3531.0001.05.2007A test described in item 73311, if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
7331401.05.20066P7SNNNNNNNNC01.05.200601.01.2013230.95173.25196.3501.05.2009Characterisation of gene rearrangement or the identification of mutations within a known gene rearrangement, in the diagnosis and monitoring of patients with laboratory evidence of: (a)acute myeloid leukaemia; or (b)acute promyelocytic leukaemia; or (c)acute lymphoid leukaemia; or (d)chronic myeloid leukaemia;
7331501.05.20076P7SNNNNNNNNC01.05.200701.01.2013230.95173.25196.3501.05.2009A test described in item 73314, if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
7331701.05.20066P7SNNNNNNNNC01.05.200601.01.201336.4527.3531.0001.05.2006Detection of the C282Y genetic mutation of the HFE gene and, if performed, detection of other mutations for haemochromatosis where: (a)the patient has an elevated transferrin saturation or elevated serum ferritin on testing of repeated specimens; or (b)the patient has a first degree relative with haemochromatosis; or (c)the patient has a first degree relative with homozygosity for the C282Y genetic mutation, or with compound heterozygosity for recognised genetic mutations for haemochromatosis (Item is subject to rule 20)
7331801.05.20076P7SNNNNNNNNC01.05.200701.01.201336.4527.3531.0001.05.2007A test described in item 73317, if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18 and 20)
7332001.05.20066P7SNNNNNNNNC01.05.200601.01.201340.5530.4534.5001.11.2006Detection of HLA-B27 by nucleic acid amplification includes a service described in 71147 unless the service in item 73320 is rendered as a pathologist determinable service. (Item is subject to rule 27)
7332101.05.20076P7SNNNNNNNNC01.05.200701.01.201340.5530.4534.5001.05.2007A test described in item 73320, if rendered by a receiving APP - 1 or more tests. (Item is subject to rule 18 and 27)
7332301.11.20076P7SNNNNNNNNC01.11.200701.01.201340.5530.4534.5001.11.2008Determination of HLAB5701 status by molecular techniques prior to the initiation of Abacavir therapy including item 71203 if performed.
7332401.11.20086P7SNNNNNNNNC01.11.200801.01.201340.9530.7534.8501.11.2008A test described in item 73323 if rendered by a receiving APP 1 or more tests (Item is subject to Rule 18)
7332501.07.20116P7SNNNNNNNNC01.07.201101.01.201374.5055.9063.3501.07.2011Characterisation of mutations in: (a) the JAK2 gene; or (b) the MPL gene; or (c) both genes; in the diagnostic work-up, by, or on behalf of, the specialist or consultant physician, of a patient with clinical and laboratory evidence of: a)polycythaemia vera; or b)essential thrombocythaemia; 1 or more tests
7332601.07.20116P7SNNNNNNNNC01.07.201101.01.2013230.95173.25196.3501.07.2011Characterisation of the gene rearrangement FIP1L1-PDGFRA in the diagnostic work-up and management of a patient with laboratory evidence of: a)mast cell disease; or b)idiopathic hypereosinophilic syndrome; or c)chronic eosinophilic leukaemia;. 1 or more tests
7332701.07.20116P7SNNNNNNNNC01.07.201101.01.201351.9539.0044.2001.07.2011Detection of genetic polymorphisms in the Thiopurine S-methyltransferase gene for the prevention of dose-related toxicity during treatment with thiopurine drugs; including (if performed) any service described in item 65075. 1 or more tests
7333201.05.20126P7SNNNNNNNNC01.05.201201.01.2013315.40236.55268.1001.12.2012An in situ hybridization (ISH) test of tumour tissue from a patient with breast cancer requested by, or on the advice of, a specialist or consultant physician who manages the treatment of the patient to determine if the requirements relating to human epidermal growth factor receptor 2 (HER2) gene amplification for access to trastuzumab under the Pharmaceutical Benefits Scheme (PBS) or the Herceptin Program are fulfilled.
7333301.11.20126P7SNNNNNNNNC01.11.201201.11.2012600.00450.00515.3001.11.2012Detection of germline mutations of the von Hippel-Lindau (VHL) gene: (a)in a patient who has a clinical diagnosis of VHL syndrome and: (i)a family history of VHL syndrome and one of the following: (A) haemangioblastoma (retinal or central nervous system); (B) phaeochromocytoma; (C) renal cell carcinoma; or (i)2 or more haemangioblastomas; or (ii)one haemangioblastoma and a tumour or a cyst of: (A) the adrenal gland; or (B) the kidney; or (C)the pancreas; or (D) the epididymis; or (E) a broad ligament (other than epididymal and single renal cysts, which are common in the general population); or (a)in a patient presenting with one or more of the following clinical features suggestive of VHL syndrome: (i)haemangioblastomas of the brain, spinal cord, or retina; (ii)phaeochromocytoma; (iii)functional extra-adrenal paraganglioma
7333401.11.20126P7SNNNNNNNNC01.11.201201.11.2012340.00255.00289.0001.11.2012Detection of germline mutations of the von Hippel-Lindau (VHL) gene in biological relatives of a patient with a known mutation in the VHL gene
7333501.11.20126P7SNNNNNNNNC01.11.201201.11.2012470.00352.50399.5001.11.2012Detection of somatic mutations of the von Hippel-Lindau (VHL) gene in a patient with: (a)2 or more tumours comprising: (i)2 or more haemangioblastomas, or (ii)one haemangioblastoma and a tumour of: (A)the adrenal gland; or (B)the kidney; or (C)the pancreas; or (D)the epididymis; and (b)no germline mutations of the VHL gene identified by genetic testing
7333601.12.20136P7SNNNNNNNNC01.01.201401.12.2013230.95173.25196.3501.04.2020A test of tumour tissue from a patient withstage III or stage IV metastatic cutaneous melanoma, requested by, or on behalf of, a specialist or consultant physician, to determine if the requirements relating to BRAF V600 mutation status for access to dabrafenib,vemurafenib or encorafenibunder the Pharmaceutical Benefits Scheme are fulfilled.
7333701.01.20146P7SNNNNNNNNC01.01.201401.01.2014397.35298.05337.7501.01.2021A test of tumour tissue from a patient diagnosed with non-small cell lung cancer, shown to have non-squamous histology or histology not otherwise specified, requested by, or on behalf of, a specialist or consultant physician, to determine if the requirements relating to epidermal growth factor receptor (EGFR) gene status for access toan EGFR tyrosine kinase inhibitor listedunder the Pharmaceutical Benefits Scheme (PBS) are fulfilled.
7333801.04.20146P7SNNNNNNNNC01.04.201422.08.2016362.60271.95308.2501.01.2015A test of tumour tissue from a patient with metastatic colorectal cancer (stage IV), requested by a specialist or consultant physician, to determine if the requirements relating to rat sarcoma oncogene (RAS) gene mutation status for access to cetuximab or panitumumab under the Pharmaceutical Benefits Scheme (PBS) are fulfilled, if: (a) the test is conducted for all clinically relevant mutations on KRAS exons 2, 3 and 4 and NRAS exons 2, 3, and 4; or (b) a RAS mutation is found.
7333901.11.20146P7SNNNNNNNNC01.11.201401.11.2014400.00300.00340.0001.11.2014Detection of germline mutations in the RET gene in patients with a suspected clinical diagnosis of multiple endocrine neoplasia type 2 (MEN2) requested by a specialist or consultant physician who manages the treatment of the patient. One test.(Item issubject to rule 25)
7334001.11.20146P7SNNNNNNNNC01.11.201401.11.2014200.00150.00170.0001.11.2014Detection of a known mutation in the RET gene in an asymptomatic relative of a patient with a documented pathogenic germline RET mutation requested by a specialist or consultant physician who manages the treatment of the patient. One test.(Item is subject to rule 25)
7334101.07.20156P7DNNNNNNNNC01.07.201501.07.2015400.00300.00340.0001.05.2020Fluorescence in situ hybridisation (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small cell lung cancer, which is of non-squamous histology or histology not otherwise specified, with documented evidence of anaplastic lymphoma kinase (ALK) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score > 0, and with documented absence of activating mutations of the epidermal growth factor receptor (EGFR) gene, requested by a specialist or consultant physician to determine if requirements relating to ALK gene rearrangement status for access to an anaplastic lymphoma kinase inhibitor under the Pharmaceutical Benefits Scheme (PBS) are fulfilled
7334201.01.20166P7DNNNNNNNNC01.01.201601.01.2016315.40236.55268.1001.01.2016An in situ hybridisation (ISH) test of tumour tissue from a patient with metastatic adenocarcinoma of the stomach or gastro-oesophageal junction, with documented evidence of human epidermal growth factor receptor 2 (HER2) overexpression by immunohistochemical (IHC) examination giving a staining intensity score of 2+ or 3+ on the same tumour tissue sample, requested by, or on the advice of, a specialist or consultant physician who manages the treatment of the patient to determine if the requirements relating to HER2 gene amplification for access to trastuzumab under the Pharmaceutical Benefits Scheme are fulfilled.
7334301.09.20176P7DNNNNNNNND01.09.202001.09.2017230.95173.25230.9501.09.2020Detection of 17p chromosomal deletions by fluorescence in situ hybridisation, in a patient with relapsed or refractory chronic lymphocytic leukaemia or small lymphocytic lymphoma, on a peripheral blood or bone marrow sample, requested by a specialist or consultant physician, to determine if the requirements for access to idelalisib, ibrutinib, venetoclaxor acalabrutinib on the Pharmaceutical Benefits Scheme are fulfilled.
7334401.01.20196P7DNNNNNNNNC01.01.201901.01.2019400.00300.00340.0001.08.2020Fluorescence in situ hybridization (FISH) test of tumour tissue from a patient with locally advanced or metastatic non-small-cell lung cancer (NSCLC), which is of non-squamous histology or histology not otherwise specified, with documented evidence of ROS proto-oncogene 1 (ROS1) immunoreactivity by immunohistochemical (IHC) examination giving a staining intensity score of 2+ or 3+; and with documented absence of both activating mutations of the epidermal growth factor receptor (EGFR) gene and anaplastic lymphoma kinase (ALK) immunoreactivity by IHC, requested by a specialist or consultant physician to determine if requirements relating to ROS1 gene rearrangement status for access to crizotinib or entrectinib under the Pharmaceutical Benefits Scheme are fulfilled.
7334501.07.20186P7SNNNNNNNNC01.07.201801.07.2018500.00375.00425.0001.07.2018Testing of a patient for pathogenic cystic fibrosis transmembrane conductance regulator variants for the purpose of investigating, making or excluding a diagnosis of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder when requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73347, 73348, or 73349 applies. The patient must have clinical or laboratory findings suggesting there is a high probability suggestive of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder.
7334601.07.20186P7SNNNNNNNNC01.07.201801.07.2018500.00375.00425.0001.07.2018Testing of a pregnant patient whose carrier status for pathogenic cystic fibrosis transmembrane conductance regulator variants, as well as their reproductive partner carrier status is unknown, for the purpose of determining whether pathogenic cystic fibrosis transmembrane conductance regulator variants are present in the fetus, in order to make or exclude a diagnosis of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder in the fetus when requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73350 applies. The fetus must have ultrasonic findings of echogenic gut, with unknown familial cystic fibrosis transmembrane conductance regulator variants.
7334701.07.20186P7SNNNNNNNNC01.07.201801.07.2018500.00375.00425.0001.07.2018Testing of a prospective parent for pathogenic cystic fibrosis transmembrane conductance regulator variants for the purpose of determining the risk of their fetus having pathogenic cystic fibrosis transmembrane conductance regulator variants. This is indicated when the fetus has ultrasonic evidence of echogenic gut when requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73345, 73348, or 73349 applies.
7334801.07.20186P7SNNNNNNNNC01.07.201801.07.2018250.00187.50212.5001.01.2020Testing of a patient with a laboratory-established family history of pathogenic cystic fibrosis transmembrane conductance regulator variants, for the purpose of determining whether the patient is an asymptomatic genetic carrier of the pathogenic cystic fibrosis transmembrane conductance regulator variants that have been laboratory established in the family history, not being a service associated with a service to which item 73345, 73347, or 73349 applies. The patient must have a positive family history, confirmed by laboratory findings of pathogenic cystic fibrosis transmembrane conductance regulator variants, with a personal risk of being a heterozygous genetic carrier of at least 6%. (This includes family relatedness of: parents, children, full-siblings, half-siblings, grand-parents, grandchildren, aunts, uncles, first cousins, and first cousins once-removed, but excludes relatedness of second cousins or more distant relationships).
7334901.07.20186P7SNNNNNNNNC01.07.201801.07.2018500.00375.00425.0001.07.2018Testing of a patient for pathogenic cystic fibrosis transmembrane conductance regulator variants for the purpose of determining the reproductive risk of the patient with their reproductive partner because their reproductive partner is already known to have pathogenic cystic fibrosis transmembrane conductance regulator variants requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73345, 73347, or 73348 applies.
7335001.07.20186P7SNNNNNNNNC01.07.201801.07.2018250.00187.50212.5001.07.2018Testing of a pregnant patient, where one or both prospective parents are known to be a genetic carrier of pathogenic cystic fibrosis transmembrane conductance regulator variants for the purpose of determining whether pathogenic cystic fibrosis transmembrane conductance regulator variants are present in the fetus in order to make or exclude a diagnosis of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder in the fetus, when requested by a specialist or consultant physician who manages the treatment of the patient, not being a service associated with a service to which item 73346 applies. The fetus must be at 25% or more risk of cystic fibrosis or a cystic fibrosis transmembrane conductance regulator related disorder because of known familial cystic fibrosis transmembrane conductance regulator variants.
7335101.02.20196P7SNNNNNNNNC01.02.201901.02.2019397.35298.05337.7501.02.2019A test of tumour tissue that is derived from a new sample from a patient with locally advanced (Stage IIIb) or metastatic (Stage IV) non-small cell lung cancer (NSCLC), who has progressed on or after treatment with an epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI). The test is to be requested by a specialist or consultant physician, to determine if the requirements relating to EGFR T790M gene status for access to osimertinib under the Pharmaceutical Benefits Scheme are fulfilled.
7335201.05.20206P7SNNNNNNNNC01.05.202001.05.20201200.00900.001115.3001.05.2020Characterisation of germline variants causing familial hypercholesterolaemia (which must include the LDLR, PCSK9 and APOB genes), requested by a specialist or consultant physician, for a patient: (a) for whom no familial mutation has been identified; and (b) who has any of the following: (i) a Dutch Lipid Clinic Network score of at least 6; (ii) an LDL-cholesterol level of at least 6.5 mmol/L in the absence of secondary causes; (iii) an LDL-cholesterol level of between 5.0 and 6.5 mmol/L with signs of premature or accelerated atherogenesis Applicable only once per lifetime
7335301.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Detection of a familial mutation for a patient who has a first- or second-degree relative with a documented pathogenic germline gene variant for familial hypercholesterolaemia Applicable only once per lifetime
7335401.05.20206P7SNNNNNNNNC01.05.202001.05.20201200.00900.001115.3001.05.2020Characterisation of germline gene variants, including copy number variation, in the MLH1, MSH2, MSH6, PMS2 and EPCAM genes, requested by a specialist or consultant physician, for:(a) a patient with suspected Lynch syndrome following immunohistochemical examination of neoplastic tissue that has demonstrated loss of expression of one or more mismatch repair proteins; or (b) a patient: (i) who has endometrial cancer; and (ii) who is assessed by the specialist or consultant physician as being at a risk of more than 10% of having Lynch syndrome, on the basis of clinical and family history criteria
7335501.05.20206P7SNNNNNNNNC01.05.202001.05.20201200.00900.001115.3001.05.2020Characterisation of germline gene variants, including copy number variation, in the APC and MUTYH genes, requested by a specialist or consultant physician, for a patient: (a) who has adenomatous polyposis; and (b) who is assessed by the specialist or consultant physician as being at a risk of more than 10% of having either of the following, on the basis of clinical and family history criteria: (i) familial adenomatous polyposis; (ii) MUTYH-associated polyposis
7335601.05.20206P7SNNNNNNNNC01.05.202001.05.20201200.00900.001115.3001.05.2020Characterisation of germline gene variants, including copy number variation, in the SMAD4, BMPR1A, STK11 and GREM1 genes, requested by a specialist or consultant physician, for a patient: (a) who has non-adenomatous polyposis; and (b) who is assessed by the specialist or consultant physician as being at a risk of more than 10% of having any of the following, on the basis of clinical and family history criteria: (i) juvenile polyposis syndrome; (ii) Peutz-Jeghers syndrome; (iii) hereditary mixed polyposis syndrome
7335701.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.03.2021Characterisation of germline gene variants, including copy number variation, in the genes mentioned in item 73354, 73355 or 73356, requested by a specialist or consultant physician, for a patient: (a) who has abiological relative with a pathogenic mutation identified in one or more of those genes; and (b) who has not previously received a service to which any of items 73354, 73355 and 73356 apply
7335801.05.20206P7SNNNNNNNNC01.05.202001.05.20202100.001575.002015.3001.05.2020Characterisation, via whole exome or genome sequencing and analysis, of germline variants known to cause monogenic disorders, if: (a) the characterisation is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the patient is aged 10 years or younger and is strongly suspected of having a monogenic condition, based on the presence of: (i) dysmorphic facial appearance and one or more major structural congenital anomalies; or (ii) intellectual disability or global developmental delay of at least moderate severity, as determined by a specialist paediatrician; and (c) the characterisation is performed following the performance for the patient of a service to which item 73292 applies for which the results were non-informative; and (d) the characterisation is not performed in conjunction with a service to which item 73359 applies Applicable only once per lifetime
7335901.05.20206P7SNNNNNNNNC01.05.202001.05.20202900.002175.002815.3001.05.2020Characterisation, via whole exome or genome sequencing and analysis, of germline variants known to cause monogenic disorders, if: (a) the characterisation is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the request for the characterisation states that singleton testing is inappropriate; and (c) the patient is aged 10 years or younger and is strongly suspected of having a monogenic condition, based on the presence of: (i) dysmorphic facial appearance and one or more major structural congenital anomalies; or (ii) intellectual disability or global developmental delay of at least moderate severity, as determined by a specialist paediatrician; and (d) the characterisation is performed following the performance for the patient of a service to which item 73292 applies for which the results were non-informative; and (e) the characterisation is performed using a sample from the patient and a sample from each of the patient’s biological parents; and (f) the characterisation is not performed in conjunction with a service to which item 73358 applies Applicable only once per lifetime
7336001.05.20206P7SNNNNNNNNC01.05.202001.05.2020500.00375.00425.0001.05.2020Re-analysis of whole exome or genome data obtained in performing a service to which item 73358 or 73359 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if: (a) the re-analysis is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the patient is aged 15 years or younger and is strongly suspected of having a monogenic condition; and (c) the re-analysis is performed at least 18 months after: (i) a service to which item 73358 or 73359 applies; or (ii) a service to which this item applies Applicable only twice per lifetime
7336101.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Detection of a single gene variant for diagnostic purposes, if: (a) the detection is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the patient has a biological sibling with a known monogenic condition; and (c) a service to which item 73358, 73359 or 73360 applies has identified the causative variant for the sibling’s condition; and (d) the results of the testing performed for the sibling are made available for the purpose of providing the detection for the patient; and (e) the detection is not performed in conjunction with a service to which item 73362 or 73363 applies Applicable only once per variant per lifetime
7336201.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Detection of a single gene variant for the purpose of reproductive decision making, if: (a) the detection is requested by a consultant physician or specialist; and (b) the patient has a first-degree relative with a known monogenic condition; and (c) a service to which item 73358, 73359 or 73360 applies has identified the causative variant for the relative; and (d) the results of the testing performed for the relative are made available for the purpose of providing the detection for the patient; and (e) the detection is not performed in conjunction with item 73361 or 73363 Applicable only once per variant per lifetime
7336301.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Detection of a single gene variant for segregation purposes in relation to a person, if: (a) the detection is: (i) requested by a consultant physician practising as a clinical geneticist; or (ii) requested by a consultant physician practising as a specialist paediatrician, following consultation with a clinical geneticist; and (b) the patient: (i) is a biological parent or other biological relative of the person and has a known phenotype of the person; or (ii) is a biological parent of the person and has a suspected monogenic condition; and (c) a sample has not previously been tested for the patient for a service to which item 73359 applies; and (d) a service to which item 73358, 73359 or 73360 applies has identified a potentially causative variant for the person; and (e) the results of the testing performed for the patient are made available for the purpose of providing the detection for the person; and (f) the detection is not performed in conjunction with item 73361 or 73362 Applicable only once per variant per lifetime
7336401.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for: (i) the characterisation of MYC gene rearrangement; and (ii) if the results of the characterisation mentioned in subparagraph (i) are positive—the characterisation of either or both of BCL2 gene rearrangement and BCL6 gene rearrangement; and (b) is for a patient: (i) for whom MYC immunohistochemistry is non-negative; and (ii) with clinical or laboratory evidence, including morphological features, of diffuse large B-cell lymphoma or high grade B-cell lymphoma; and (c) is not performed in conjunction with item 73365 Applicable only once per lifetime
7336501.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of MYC gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of Burkitt lymphoma; and (c) is not performed in conjunction with item 73364 Applicable only once per lifetime
7336601.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of either or both of the following: (i) CCND1 gene rearrangement; (ii) CCND2 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of mantle cell lymphoma Applicable only once per lifetime
7336701.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the presence of isochromosome 7q; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of hepatosplenic T‑cell lymphoma Applicable only once per lifetime
7336801.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of either or both of the following: (i) DUSP22 gene rearrangement; (ii) TP63 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of ALK negative anaplastic large cell lymphoma Applicable only once per lifetime
7336901.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Analysis of blood or bone marrow, requested by a specialist or consultant physician, that: (a) is for the characterisation of either or both of the following: (i) TCL1A gene rearrangement; (ii) MTCP1 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of T‑cell prolymphocytic leukaemia Applicable only once per lifetime
7337001.05.20206P7SNNNNNNNNC01.05.202001.05.2020500.00375.00425.0001.05.2020Analysis of blood or bone marrow, requested by a specialist or consultant physician, that: (a) is for the characterisation of the following: (i) chromosome translocations t(4;14), t(14;16), t(14;20); (ii) 1q gain; (iii) 17p deletion; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of plasma cell myeloma Applicable only once per lifetime
7337101.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the detection of chromosome 1p/19q co‑deletion; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of glial neoplasm with probable oligodendroglial component Applicable only once per lifetime
7337201.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the identification of IDH1/2 pathological variant status; and (b) is for a patient with: (i) negative IDH1 (R132H) immunohistochemistry; and (ii) clinical or laboratory evidence, including morphological features, of glial neoplasm Applicable only once per lifetime
7337301.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of MGMT promoter methylation status; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of glioblastoma Applicable only once per lifetime
7337401.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of copy number changes, gene rearrangements, or other molecular changes in one of the following genes: (i) MDM2 CNV; (ii) FUS; (iii) DDIT3; (iv) EWSR1; (v) ETV6; (vi) NTRK1; (vii) NTRK3; (viii) COL1A1; (ix) PDGFB; (x) STAT6; (xi) PAX3; (xii) PAX7; (xiii) SS18; (xiv) BCOR; (xv) CIC; (xvi) HEY1; (xvii) ALK; (xviii) USP6; (xix) NR4A3; (xx) NCOA2; (xxi) FOXO1; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of sarcoma Applicable only once per lifetime
7337501.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of copy number changes, gene rearrangements, or other molecular changes, in 2 or 3 of the genes mentioned in item 73374; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of sarcoma Applicable only once per lifetime
7337601.05.20206P7SNNNNNNNNC01.05.202001.05.2020800.00600.00715.3001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of copy number changes, gene rearrangements, or other molecular changes, in 4 or more of the genes mentioned in item 73374; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of sarcoma Applicable only once per lifetime
7337701.05.20206P7SNNNNNNNNC01.05.202001.05.2020250.00187.50212.5001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the detection of FOXL2.402C>G status; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of granulosa cell ovarian tumour Applicable only once per lifetime
7337801.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of NUTM1 gene status at 15q14; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of midline NUT carcinoma Applicable only once per lifetime
7337901.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of ETV6‑NTRK3 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of secretory carcinoma of the breast Applicable only once per lifetime
7338001.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of MAML2 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of mucoepidermoid carcinoma Applicable only once per lifetime
7338101.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of ETV6‑NTRK3 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of mammary analogue secretory carcinoma of the salivary gland Applicable only once per lifetime
7338201.05.20206P7SNNNNNNNNC01.05.202001.05.2020340.00255.00289.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of EWSR1 gene rearrangement, with or without PLAG1 gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of hyalinising clear cell carcinoma of the salivary gland Applicable only once per lifetime
7338301.05.20206P7SNNNNNNNNC01.05.202001.05.2020400.00300.00340.0001.05.2020Analysis of tumour tissue, requested by a specialist or consultant physician, that: (a) is for the characterisation of either or both of the following: (i) TFE3 gene rearrangement; (ii) TFEB gene rearrangement; and (b) is for a patient with clinical or laboratory evidence, including morphological features, of renal cell carcinoma Applicable only once per lifetime
7352101.12.19916P8SNNNNNNNNC01.02.199201.01.20139.707.308.2501.12.1991Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test)
7352301.12.19916P8SNNNNNNNNC01.02.199201.01.201341.7531.3535.5001.05.2007Semen examination (other than post-vasectomy semen examination), including: (a)measurement of volume, sperm count and motility; and (b)examination of stained preparations; and (c)morphology; and (if performed) (d)differential count and 1 or more chemical tests; (Item is subject to rule 25)
7352501.12.19916P8SNNNNNNNNC01.02.199201.01.201328.3521.3024.1001.07.1994Sperm antibodies - sperm-penetrating ability - 1 or more tests
7352701.12.19916P8SNNNNNNNNC01.02.199201.01.201310.007.508.5001.05.2002Human chorionic gonadotrophin (HCG) - detection in serum or urine by 1 or more methods for diagnosis of pregnancy - 1 or more tests
7352901.12.19916P8SNNNNNNNNC01.02.199201.01.201328.6521.5024.4001.11.1999Human chorionic gonadotrophin (HCG), quantitation in serum by 1 or more methods (except by latex, membrane, strip or other pregnancy test kit) for diagnosis of threatened abortion, or follow up of abortion or diagnosis of ectopic pregnancy, including any services performed in item 73527 - 1 test
7380101.12.19916P9SNNNNNNNNC01.02.199201.01.20136.905.205.9001.07.1994Semen examination for presence of spermatozoa
7380201.12.19916P9SNNNNNNNNC01.02.199201.01.20134.553.453.9001.07.1994Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count - 1 test
7380301.12.19916P9SNNNNNNNNC01.02.199201.01.20136.354.805.4001.07.19942 tests described in item 73802
7380401.12.19916P9SNNNNNNNNC01.02.199201.01.20138.156.156.9501.07.19943 or more tests described in item 73802
7380501.12.19916P9SNNNNNNNNC01.02.199201.01.20134.553.453.9001.11.2018Microscopy of urine, excluding dipstick testing.
7380601.12.19916P9SNNNNNNNNC01.02.199201.01.201310.157.658.6501.07.1994Pregnancy test by 1 or more immunochemical methods
7380701.12.19916P9SNNNNNNNNC01.02.199201.01.20136.905.205.9001.07.1994Microscopy for wet film other than urine, including any relevant stain
7380801.12.19916P9SNNNNNNNNC01.02.199201.01.20138.656.507.4001.07.1994Microscopy of Gram-stained film, including (if performed) a service described in item 73805 or 73807
7380901.12.19916P9SNNNNNNNNC01.02.199201.01.20132.351.802.0001.12.1991Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method
7381001.12.19916P9SNNNNNNNNC01.02.199201.01.20136.905.205.9001.07.1994Microscopy for fungi in skin, hair or nails - 1 or more sites
7381101.12.19916P9SNNNNNNNNC01.02.199201.01.201311.208.409.5501.02.1992Mantoux test
7382801.11.20116P9DNNNNNNNNB01.11.201101.01.20136.905.9001.11.2011Semen examination for presence of spermatozoa by a participating nurse practitioner
7382901.11.20116P9DNNNNNNNNB01.11.201101.01.20134.553.9001.11.2011Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count by a participating nurse practitioner- 1 test
7383001.11.20116P9DNNNNNNNNB01.11.201101.01.20136.355.4001.11.20112 tests described in item 73829 by a participating nurse practitioner
7383101.11.20116P9DNNNNNNNNB01.11.201101.01.20138.156.9501.11.20113 or more tests described in item 73829 by a participating nurse practitioner
7383201.11.20116P9DNNNNNNNNB01.11.201101.01.20134.553.9001.11.2019Microscopy of urine,excluding dipstick testingby a participating nurse practitioner.
7383301.11.20116P9DNNNNNNNNB01.11.201101.01.201310.158.6501.11.2011Pregnancy test by 1 or more immunochemical methods by a participating nurse practitioner
7383401.11.20116P9DNNNNNNNNB01.11.201101.01.20136.905.9001.11.2011Microscopy for wet film other than urine, including any relevant stain by a participating nurse practitioner
7383501.11.20116P9DNNNNNNNNB01.11.201101.01.20138.657.4001.11.2011Microscopy of Gram-stained film, including (if performed) a service described in item 73832 or 73834 by a participating nurse practitioner
7383601.11.20116P9DNNNNNNNNB01.11.201101.01.20132.352.0001.11.2011Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method by a participating nurse practitioner
7383701.11.20116P9DNNNNNNNNB01.11.201101.01.20136.905.9001.11.2011Microscopy for fungi in skin, hair or nails by a participating nurse practitioner- 1 or more sites
7383901.12.20156P9DNNNNNNNNC01.12.201501.12.201516.8012.6014.3016.03.2018Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period. (Item is subject to restrictions in rulePR.9.1 of explanatory notes to this category)
7384001.12.20006P9DNNNNNNNNC01.12.200001.01.201317.0012.7514.4516.03.2018Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period. (Item is subject to restrictions in rulePR.9.1 of explanatory notes to this category)
7384401.01.20066P9DNNNNNNNNC01.01.200601.01.201320.3515.3017.3016.03.2018Quantitation of urinary microalbumin as determined by urine albumin excretion on a timed overnight urine sample or urine albumin/creatinine ratio as determined on a first morning urine sample in the management of established diabetes. (Item is subject to restrictions in rulePR.9.1 of explanatory notes to this category)
7389901.11.20156P10SNNNNNNNNC01.11.201501.11.20155.954.505.1001.11.2015Initiation of a patient episode that consists of a service described in item 72858 or 72859 in circumstances other than those mentioned in item 73900
7390001.11.20156P10SNNNNNNNNC01.11.201501.11.20152.401.802.0501.11.2015Initiation of a patient episode that consists of a service described in item 72858 or 72859 if the service is rendered in a prescribed laboratory.
7392001.07.20086P10SNNNNNNNNC01.07.200801.01.20132.401.802.0501.07.2008Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre that the APA operates in the same premises as it operates a category GX or GY pathology laboratory
7392201.05.20076P10SNNNNNNNNC01.05.200701.01.20138.206.157.0001.12.2017Initiation of a patient episode that consists of a service described in item 73070, 73071, 73072, 73073, 73074, 73075 or 73076(in circumstances other than those described in item 73923).
7392301.05.20076P10SNNNNNNNNC01.05.200701.01.20132.401.802.0501.12.2017Initiation of a patient episode that consists of a service described in items 73070, 73071, 73072, 73073, 73074, 73075 or 73076 if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory
7392401.05.20076P10SNNNNNNNNC01.05.200701.01.201314.6511.0012.5001.05.2012Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73925) from a person who is an in-patient of a hospital.
7392501.05.20076P10SNNNNNNNNC01.05.200701.01.20132.401.802.0501.05.2012Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 if the person is: (a)a private patient of a recognised hospital;or (b) a private patient of a hospital who receives the service or services from a prescribed laboratory.
7392601.05.20076P10SNNNNNNNNC01.05.200701.01.20138.206.157.0001.05.2012Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73927) from a person who is not a patient of a hospital.
7392701.05.20076P10SNNNNNNNNC01.05.200701.01.20132.401.802.0501.05.2012Initiation of a patient episode by a prescribed laboratory that consists of 1 or more services described in items, 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 from a person who is not a patient of a hospital.
7392801.05.20076P10SNNNNNNNNC01.05.200701.01.20135.954.505.1001.07.2008Initiation of a patient episode by collection of a specimen for 1 or moreservices (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre. Unless item 73920 or 73929 applies
7392901.05.20076P10SNNNNNNNNC01.05.200701.01.20132.401.802.0501.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services(other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, if the specimen is collected in an approved pathology collection centre
7393001.05.20076P10SNNNNNNNNC01.05.200701.01.20135.954.505.1001.05.2007Initiation of a patient episode by collection of a specimen for a service for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person who is an in-patient of a hospital other than a recognised hospital. Unless item 73931 applies
7393101.05.20076P10SNNNNNNNNC01.05.200701.01.20132.401.802.0501.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services(other than those services described in items 73922, 73924 or 73926) if: ()the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, from a person who is a private patient in a hospital or () the person is a private patient in a recognised hospital and the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority
7393201.05.20076P10SNNNNNNNNC01.05.200701.01.201310.257.708.7501.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in the place where the person was residing. Unless item 73933 applies
7393301.05.20076P10SNNNNNNNNC01.05.200701.01.20132.401.802.0501.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services(other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, from a person in the place where the person is residing
7393401.05.20076P10SNNNNNNNNC01.05.200701.01.201317.6013.2015.0001.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 and 73926) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person in a residential aged care home or institution. Unless 73935 applies
7393501.05.20076P10SNNNNNNNNC01.05.200701.01.20132.401.802.0501.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services(other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner or by an employee of an approved pathology authority, who conducts a prescribed laboratory, from a person in a residential aged care home or institution
7393601.05.20076P10SNNNNNNNNC01.05.200701.01.20135.954.505.1001.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected from the person by the person.
7393701.05.20076P10SNNNNNNNNC01.05.200701.01.20132.401.802.0501.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services(other than those services described in items 73922, 73924 or 73926), if the specimen is collected from the person by the person and if: ()the service is performed in a prescribed laboratory or ()the person is a private patient in a recognised hospital
7393801.05.20076P10SNNNNNNNNC01.05.200701.01.20137.956.006.8001.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by or on behalf of the treating practitioner. Unless item 73939 applies
7393901.05.20076P10SNNNNNNNNC01.05.200701.01.20132.401.802.0501.05.2007Initiation of a patient episode by collection of a specimen for 1 or more services(other than those services described in items 73922, 73924 or 73926), if the specimen is collected by or on behalf of the treating practitioner and if: ()the service is performed in a prescribed laboratory or ()the person is a private patient in a recognised hospital
7394001.05.20076P11SNNNNNNNNC01.05.200701.01.201310.257.708.7501.05.2007Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of a different approved pathology authority or another approved pathology authority (Item is subject to rules 14, 15 and 16)
7499001.02.20046P12SNNNNNYNNB01.11.200401.07.20217.206.1501.02.2004A pathology service to which an item in this table (other than this item or item 74991) applies if: (a)the service is an unreferred service; and (b)the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder;and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii)the other item in this table applying to the service
7499101.05.20046P12SNNNNNYNNB01.11.200401.07.202110.909.3001.01.2020A pathology service to which an item in this table (other than this item or item 74990) applies if: (a)the service is an unreferred service; and (b)the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c)the person is not an admitted patient of a hospital; and (d)the service is bulk-billed in respect of the fees for: (i)this item; and (ii)the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location within Modified Monash areas 2 to 7.
7499201.11.20096P13SNNNNNNNNC01.11.200901.11.20091.601.201.4001.11.2009A payment when the episode is bulk billed and includes item 73920.
7499301.11.20096P13SNNNNNNNNC01.11.200901.11.20093.752.853.2001.05.2012A payment when the episode is bulk billed and includes item 73922 or 73926.
7499401.11.20096P13SNNNNNNNNC01.11.200901.11.20093.252.452.8001.05.2012A payment when the episode is bulk billed and includes item 73924.
7499501.11.20096P13SNNNNNNNNC01.11.200901.11.20094.003.003.4001.11.2015A payment when the episode is bulk billed and includes item 73899, 73900, 73928, 73930 or 73936.
7499601.11.20096P13SNNNNNNNNC01.11.200901.11.20093.702.803.1501.11.2009A payment when the episode is bulk billed and includes item 73932 or 73940.
7499701.11.20096P13SNNNNNNNNC01.11.200901.11.20093.302.502.8501.11.2009A payment when the episode is bulk billed and includes item 73934.
7499801.11.20096P13SNNNNNNNNC01.11.200901.11.20092.001.501.7001.11.2009A payment when the episode is bulk billed and includes item 73938.
7499901.11.20096P13SNNNNNNNNC01.11.200901.11.20091.601.201.4001.05.2012A payment when the episode is bulk billed and includes item 73923, 73925, 73927, 73929, 73931, 73933, 73935, 73937 or 73939.
7500101.07.19957C1SNNNNNYNPC01.07.199501.07.202189.0066.7575.6501.01.2021500.00300.0001.11.2012Note: In this Group, benefit is only payable where the service has been rendered to a patient by a dental practitioner who is registered in the specialty of orthodontics, except for the services covered by Items 75009-75023 which may also be rendered by a medical practitioner who is a specialist in the practice of his or her specialty of oral and maxillofacial surgery. CONSULTATIONS INITIAL PROFESSIONAL ATTENDANCE in a single course of treatment by an eligible orthodontist (AO)
7500401.07.19957C1SNNNNNYNPC01.07.199501.07.202144.7533.6038.0501.01.2021500.00300.0001.11.2012PROFESSIONAL ATTENDANCE by an eligible orthodontist subsequent to the first professional attendance by the orthodontist in a single course of treatment (AO)
7500601.12.19917C1SNAONNNNYNNC01.12.199101.07.202179.3059.5067.4501.07.1995PRODUCTION OF DENTAL STUDY MODELS (not being a service associated with a service to which item 75004 applies) prior to provision of a service to which: (a)item 75030, 75033, 75034, 75036, 75037, 75039, 75045 or 75051 applies; or (b)an item in Group T8 or Groups 03 to 09 applies; in a single course of treatment
7500901.12.19917C1SNAONNNNYNNC01.12.199101.07.202170.9553.2560.3501.07.1995RADIOGRAPHY ORTHODONTIC RADIOGRAPHY orthopantomography (panoramic radiography), including any consultation on the same occasion
7501201.12.19917C1SNAONNNNYNNC01.12.199101.07.2021112.4584.3595.6001.07.1995ORTHODONTIC RADIOGRAPHYANTEROPOSTERIOR CEPHALOMETRIC RADIOGRAPHY with cephalometric tracings OR LATERAL CEPHALOMETRIC RADIOGRAPHY with cephalometric tracings including any consultation on the same occasion
7501501.12.19917C1SNAONNNNYNNC01.12.199101.07.2021154.60115.95131.4501.07.1995ORTHODONTIC RADIOGRAPHYANTEROPOSTERIOR AND LATERAL CEPHALOMETRIC RADIOGRAPHY, with cephalometric tracings including any consultation on the same occasion
7501801.12.19917C1SNAONNNNYNNC01.12.199101.07.2021196.95147.75167.4501.07.1995ORTHODONTIC RADIOGRAPHYANTEROPOSTERIOR AND LATERAL CEPHALOMETRIC RADIOGRAPHY, with cephalometric tracings and orthopantomography including any consultation on the same occasion
7502101.12.19917C1SNAOSNNNNYNNC01.12.199101.07.2021241.45181.10205.2501.07.1995ORTHODONTIC RADIOGRAPHYhand-wrist studies (including growth prediction) including any consultation on the same occasion
7502301.07.19957C1SNAOSNNNNYNNC01.07.199501.07.202148.3536.3041.1001.07.1995INTRAORAL RADIOGRAPHY - single area, periapical or bitewing film
7502401.12.19917C1SNAONNNNYNNC01.12.199101.07.2021624.40468.30539.7001.07.1995PRESURGICAL INFANT MAXILLARY ARCH REPOSITIONING PRESURGICAL INFANT MAXILLARY ARCH REPOSITIONING including supply of appliances and all adjustments of appliances and supervision - WHERE 1 APPLIANCE IS USED
7502701.12.19917C1SNAONNNNYNNC01.12.199101.07.2021856.25642.20771.5501.07.1995PRESURGICAL INFANT MAXILLARY ARCH REPOSITIONING including supply of appliances and all adjustments of appliances and supervisionWHERE 2 APPLIANCES ARE USED
7503001.12.19917C1SNAONNNNYNNC01.12.199101.07.2021762.35571.80677.6501.07.1995DENTITION TREATMENT MAXILLARY ARCH EXPANSION not being a service associated with a service to which item 75039, 75042, 75045 or 75048 applies, including supply of appliances, all adjustments of the appliances, removal of the appliances and retention
7503301.12.19917C1SNAONNNNYNNC01.12.199101.07.20211249.60937.201164.9001.07.1995MIXED DENTITION TREATMENT - incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of the appliances and retention
7503401.07.19957C1SNAONNNNYNNC01.07.199501.07.2021636.00477.00551.3001.07.1995MIXED DENTITION TREATMENT - incisor alignment with or without lateral arch expansion using a removable appliance in the maxillary arch, including supply of appliances, associated adjustments and retention
7503601.12.19917C1SNAONNNNYNNC01.12.199101.07.20211726.001294.501641.3001.07.1995MIXED DENTITION TREATMENT - lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of appliances and retention
7503701.07.19957C1SNNNNNYNNC01.07.199501.07.20212173.851630.402089.1501.07.1995MIXED DENTITION TREATMENT - lateral arch expansion and incisor correction - 2 arch (maxillary and mandibular) using fixed appliances in both maxillary and mandibular arches, including supply of appliances, all adjustments of appliances, removal of appliances and retention
7503901.12.19917C1SNAONNNNYNNC01.12.199101.07.2021577.75433.35493.0501.07.1995PERMANENT DENTITION TREATMENTSINGLE ARCH (mandibular or maxillary) TREATMENT (correction and alignment) using fixed appliances, including supply of appliances - initial 3 months of active treatment
7504201.12.19917C1SNAONNNNYNNC01.12.199101.07.2021215.95162.00183.6001.07.1995PERMANENT DENTITION TREATMENT - SINGLE ARCH (mandibular or maxillary) TREATMENT (correction and alignment) using fixed appliances, including supply of appliances - each 3 months of active treatment (including all adjustments and maintenance and removal of the appliances) after the first for a maximum of a further 33 months
7504501.12.19917C1SNAONNNNYNNC01.12.199101.07.20211156.60867.451071.9001.07.1995PERMANENT DENTITION TREATMENT2 ARCH (mandibular and maxillary) TREATMENT (correction and alignment) using fixed appliances, including supply of appliances - initial 3 months of active treatment
7504801.12.19917C1SNAONNNNYNNC01.12.199101.07.2021296.60222.45252.1501.07.1995PERMANENT DENTITION TREATMENT - 2 ARCH (mandibular and maxillary) TREATMENT (correction and alignment) using fixed appliances, including supply of appliances - each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the first for a maximum of a further 33 months
7504901.07.19957C1SNAONNNNYNNC01.07.199501.07.2021347.15260.40295.1001.07.1995RETENTION, FIXED OR REMOVABLE, single arch (mandibular or maxillary) - supply of retainer and supervision of retention
7505001.07.19957C1SNAONNNNYNNC01.07.199501.07.2021670.15502.65585.4501.07.1995RETENTION, FIXED OR REMOVABLE, 2-arch (mandibular and maxillary) - supply of retainers and supervision of retention
7505101.12.19917C1SNAONNNNYNNC01.12.199101.07.20211028.70771.55944.0001.07.1995JAW GROWTH GUIDANCE JAW GROWTH guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances
7515001.07.19957C2SNAOSNNNNYNPC01.07.199501.07.202189.0066.7575.6501.01.2021500.00300.0001.11.2012Note:(i) In this Group, benefit is only payable where the service has been rendered to a patient who has been referred by an eligibleorthodontist. (ii)While benefit is payable for simple extractions performed by a registered dental practitioner, benefit is only payable for surgical extractions and other surgical procedures where the service is rendered by amedical practitioner who is a specialist in the practice of his or her speciality of oral and maxillofacial surgery. CONSULTATIONS INITIAL PROFESSIONAL attendance in a single course of treatment by an eligible oral and maxillofacial surgeon where the patient is referred to the surgeon by an eligible orthodontist (AOS)
7515301.07.19957C2SNAOSNNNNYNPC01.07.199501.07.202144.7533.6038.0501.01.2021500.00300.0001.11.2012PROFESSIONAL ATTENDANCE by an eligible oral and maxillofacial surgeon subsequent to the first professional attendance by the surgeon in a single course of treatment where the patient is referred to the surgeon by an eligible orthodontist
7515601.07.19957C2SNAOSNNNNYNNC01.07.199501.07.202179.3059.5067.4501.11.2012PRODUCTION OF DENTAL STUDY MODELS (not being a service associated with a service to which item 75153 applies) prior to provision of a service: (a)to which item 52321, 53212 or 75618 applies; or (b)to which an item in the series 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 applies; in a single course of treatment if the patient is referred by an eligible orthodontist (AOS)
7520001.12.19917C2SNADNNNNYNNC01.12.199101.07.202157.1542.9048.6001.11.2012SIMPLE EXTRACTIONS Removal of tooth or tooth fragment (other than treatment to which item 75400, 75403, 75406, 75409, 75412 or 75415 applies), if the patient is referred by an eligible orthodontist (AD)
7520301.12.19917C2SNAOSNNNNYNNC01.12.199101.07.202185.7564.3572.9001.11.2012REMOVAL OF TOOTH OR TOOTH FRAGMENT under general anaesthesia, if the patient is referred by an eligible orthodontist (AD)
7520601.12.19917C2SNAOSNNNNYNNC01.12.199101.07.202128.4521.3524.2001.11.2012Removal of each additional tooth or tooth fragment at the same attendance at which a service to which item 75200 or 75203 applies is rendered, if the patient is referred by an eligible orthodontist (AD)
7540001.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021171.45128.60145.7501.11.2012SURGICAL EXTRACTIONS Surgical removal of erupted tooth, if the patient is referred by an eligible orthodontist (AOS)
7540301.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021196.95147.75167.4501.11.2012Surgical removal of tooth with soft tissue impaction, if the patient is referred by an eligible orthodontist (AOS)
7540601.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021224.40168.30190.7501.11.2012Surgical removal of tooth with partial bone impaction, if the patient is referred by an eligible orthodontist (AOS)
7540901.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021254.10190.60216.0001.11.2012Surgical removal of tooth with complete bone impaction, if the patient is referred by an eligible orthodontist (AOS)
7541201.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021141.95106.50120.7001.11.2012Surgical removal of tooth fragment requiring incision of soft tissue only, if the patient is referred by an eligible orthodontist (AOS)
7541501.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021171.45128.60145.7501.11.2012Surgical removal of tooth fragment requiring removal of bone, if the patient is referred by an eligible orthodontist (AOS)
7560001.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021241.45181.10205.2501.11.2012OTHER SURGICAL PROCEDURES Surgical exposure, stimulation and packing of unerupted tooth, if the patient is referred by an eligible orthodontist (AOS)
7560301.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021283.80212.85241.2501.11.2012Surgical exposure of unerupted tooth for the purpose of fitting a traction device, if the patient is referred by an eligible orthodontist (AOS)
7560601.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021283.80212.85241.2501.11.2012Surgical repositioning of unerupted tooth, if the patient is referred by an eligible orthodontist (AOS)
7560901.12.19917C2SNAOSNNNNYNNC01.12.199101.07.2021423.65317.75360.1501.11.2012Transplantation of tooth bud, if the patient is referred by an eligible orthodontist (AOS)
7561201.07.19957C2SNAOSNNNNYNNC01.07.199501.07.2021524.30393.25445.7001.11.2012Surgical procedure for intra oral implantation of osseointegrated fixture (first stage), if the patient is referred by an eligible orthodontist (AOS)
7561501.07.19957C2SNAOSNNNNYNNC01.07.199501.07.2021194.10145.60165.0001.11.2012Surgical procedure for fixation of trans mucosal abutment (second stage of osseointegrated implant), if the patient is referred by an eligible orthodontist (AOS)
7561801.07.19957C2SNAOSNNNNYNNC01.07.199501.07.2021241.00180.75204.8501.11.2012Provision and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome, if the patient is referred by an eligible orthodontist (AOS)
7562101.07.19957C2SNAOSNNNNYNNC01.07.199501.07.2021241.00180.75204.8501.11.2012The provision and fitting of surgical template in conjunction with orthognathic surgical procedures in association with: (a)an item in the series: (i)45720 to 45754; or (ii)52342 to 52375; or (b)item 52380 or 52382; if the patient is referred by an eligible orthodontist (AOS)
7580001.12.19917C3SNADNNNNYNNC01.12.199101.07.202185.7564.3572.9001.11.2012Note:Benefit is payable for services listed in this Group where they are rendered by a registered dental practitioner CONSULTATIONS ATTENDANCE BY AN ELIGIBLE DENTAL PRACTITIONER involving consultation, preventive treatment and prophylaxis, of not less than 30 minutes' durationeach attendance to a maximum of 3 attendances in any period of 12 months
7580301.12.19917C3SNADNNNNYNNC01.12.199101.07.2021343.15257.40291.7001.12.1991PROSTHODONTIC PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers1 TOOTH
7580601.12.19917C3SNADNNNNYNNC01.12.199101.07.2021402.45301.85342.1001.11.2010PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers 2 TEETH
7580901.12.19917C3SNADNNNNYNNC01.12.199101.07.2021476.55357.45405.1001.11.2010PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE. including retainers 3 TEETH
7581201.12.19917C3SNADNNNNYNNC01.12.199101.07.2021529.45397.10450.0501.11.2010PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers 4 TEETH
7581501.12.19917C3SNADNNNNYNNC01.12.199101.07.2021646.05484.55561.3501.11.2010PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers 5 TO 9 TEETH
7581801.12.19917C3SNADNNNNYNNC01.12.199101.07.2021762.35571.80677.6501.11.2010PROVISION AND FITTING OF ACRYLIC BASE PARTIAL DENTURE, including retainers 10 TO 12 TEETH
7582101.12.19917C3SNADNNNNYNNC01.12.199101.07.2021614.10460.60529.4001.12.1991PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 1 TOOTH
7582401.12.19917C3SNADNNNNYNNC01.12.199101.07.2021709.45532.10624.7501.11.2010PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers2 TEETH
7582701.12.19917C3SNADNNNNYNNC01.12.199101.07.2021815.50611.65730.8001.11.2010PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 3 TEETH
7583001.12.19917C3SNADNNNNYNNC01.12.199101.07.2021900.20675.15815.5001.11.2010PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 4 TEETH
7583301.12.19917C3SNADNNNNYNNC01.12.199101.07.20211101.25825.951016.5501.11.2010PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 5 TO 9 TEETH
7583601.12.19917C3SNADNNNNYNNC01.12.199101.07.20211260.15945.151175.4501.11.2010PROVISION AND FITTING OF CAST METAL BASE (cobalt chromium alloy) PARTIAL DENTURE including casting and retainers 10 TO 12 TEETH
7583901.12.19917C3SNADNNNNYNNC01.12.199101.07.202128.4521.3524.2001.12.1991PROVISION AND FITTING OF RETAINERS not being a service associated with a service to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applieseach retainer
7584201.12.19917C3SNADNNNNYNNC01.12.199101.07.202142.4031.8036.0501.12.1991ADJUSTMENT OF PARTIAL DENTURE not being a service associated with a service to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies
7584501.12.19917C3SNADNNNNYNNC01.12.199101.07.2021211.90158.95180.1501.12.1991RELINING OF PARTIAL DENTURE by laboratory process and associated fitting
7584801.12.19917C3SNADNNNNYNNC01.12.199101.07.2021254.10190.60216.0001.12.1991REMODELLING AND FITTING OF PARTIAL DENTURE of more than 4 teeth
7585101.12.19917C3SNADNNNNYNNC01.12.199101.07.2021127.1095.35108.0501.12.1991REPAIR TO CAST METAL BASE OF PARTIAL DENTURE1 or more points
7585401.12.19917C3SNADNNNNYNNC01.12.199101.07.2021127.1095.35108.0501.12.1991ADDITION OF A TOOTH OR TEETH to a partial denture to replace extracted tooth or teeth including taking of necessary impression
1095001.07.20048M3DNNNNNYNPB01.11.200501.07.202164.8055.1001.11.2012500.00300.0010.12.2020ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE Aboriginal or Torres Strait Islander health service provided to a person by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1095101.11.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020DIABETES EDUCATION SERVICE Diabetes education health service provided to a person by an eligible diabetes educator if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum of five services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1095201.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020AUDIOLOGY Audiology health service provided to a person by an eligible audiologist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared can plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible audiologist gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1095301.01.20068M3DNNNNNYNPB01.01.200601.07.202164.8055.1001.11.2012500.00300.0010.12.2020EXERCISE PHYSIOLOGY Exercise physiology service provided to a person by an eligible exercise physiologist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or underboth a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1095401.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020DIETETICS SERVICES Dietetics health service provided to a person by an eligible dietician if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible dietician by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible dietician gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1095601.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020MENTAL HEALTH SERVICE Mental health service provided to a person by an eligible mental health worker if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible mental health worker by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible mental health worker gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1095801.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020OCCUPATIONAL THERAPY Occupational therapy health service provided to a person by an eligible occupational therapist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible occupational therapist gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1096001.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020PHYSIOTHERAPY Physiotherapy health service provided to a person by an eligible physiotherapist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care planas part of the management of the person's chronic condition andcomplex care needs; and (c)the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible physiotherapist gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1096201.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020PODIATRY Podiatry health service provided to a person by an eligible podiatrist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements,multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible podiatrist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible podiatrist gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1096401.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020CHIROPRACTIC SERVICE Chiropractic health service provided to a person by an eligible chiropractor if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or underboth a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible chiropractor by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible chiropractor gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1096601.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020OSTEOPATHY Osteopathy health service provided to a person by an eligible osteopath if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible osteopath by the medical practitioner using a referral form that has been issued by the Departmentor a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible osteopath gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1096801.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020PSYCHOLOGY Psychology health service provided to a person by an eligible psychologist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements,multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible psychologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible psychologist gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1097001.07.20048M3DNNNNNYNPB01.11.200401.07.202164.8055.1001.11.2012500.00300.0010.12.2020SPEECH PATHOLOGY Speech pathology health service provided to a person by an eligible speech pathologist if: (a)the service is provided to a person who has: a chronic condition; and complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person's medical practitioner has contributed to a multidisciplinary care plan; and (b)the service is recommended in the person's Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person's chronic condition and complex care needs; and (c)the person is referred to the eligible speech pathologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 20 minutes duration; and (g)after the service, the eligible speech pathologist gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of - in relation to those matters; and (h)for a service for which a private health insurance benefit is payable - the person who incurred the medical expenses for the service has elected to claim the Medicare benefit for the service, and not the private health insurance benefit; - to a maximum offive services (including any services to which items 10950 to 10970, 93000, 93013, 93501 to 93513 and 93524 to 93538apply) in a calendar year
1098301.07.20118M121SNNNNNYNPE01.07.201101.07.202133.7033.7001.11.2012500.00300.0001.11.2012Attendance by a practice nurse, an Aboriginal health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of, and under the supervision of, a medical practitioner, to provide clinical support to a patient who: (a)is participating in a video conferencing consultation with a specialist, consultant physician or psychiatrist; and (b)is not an admitted patient; and (c)either: (i) is located both: (A) within a telehealth eligible area; and (B) at the time of the attendance-at least 15 kms by road from the specialist, physician or psychiatrist mentioned in paragraph (a); or (ii) 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
1098401.07.20118M122SNNNNNYNPE01.07.201101.07.202133.7033.7001.11.2012500.00300.0001.07.2012Service by a practice nurse or Aboriginal health worker or Aboriginal and Torres Strait Islander health practitioner provided on behalf of, and under the supervision of, a medical practitioner that requires the provision of clinical support to a patient who is: a)a care recipient receiving care in a residential aged care service (other than a self-contained unit); or b)at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service (excluding accommodation in a self-contained unit); and who is participating in a video consultation with a specialist or consultant physician.
1098701.11.20088M123SNNNNNYNPE01.11.200801.07.202124.9524.9501.11.2012500.00300.0001.07.2012Follow up service provided by a practice nurse or Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health assessment if: a)The service is provided on behalf of and under the supervision of a medical practitioner; and b)the person is not an admitted patient of a hospital; and c)the service is consistent with the needs identified through the health assessment; -to a maximum of 10 services per patient in a calendar year
1098801.05.20068M123SNNNNNYNPE01.05.200601.07.202112.5012.5001.11.2012500.00300.0001.07.2012Immunisation provided to a person by an Aboriginal and Torres Strait Islander health practitioner if: (a)the immunisation is provided on behalf of, and under the supervision of, a medical practitioner; and (b)the person is not an admitted patient of a hospital.
1098901.05.20068M123SNNNNNYNPE01.05.200601.07.202112.5012.5001.11.2012500.00300.0001.07.2012Treatment of a person's wound (other than normal aftercare) provided by an Aboriginal and Torres Strait Islander health practitioner if: (a)the treatment is provided on behalf of, and under the supervision of, a medical practitioner; and (b)the person is not an admitted patient of a hospital.
1099001.02.20048M1SNNYNYYNNB01.11.200401.07.20217.656.5501.07.2021A medical service to which an item in this Schedule (other than this item or item10991 or 10992) applies if: (a) the service is an unreferred service; and (b) the service is provided to a patient who is under the age of 16 or is a concessional beneficiary; and (c) the patient is not an admitted patient of a hospital; and (d) the service is bulk‑billed in relation to the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service
1099101.05.20048M1SNNYNYYNNB01.11.200401.07.202111.609.9001.07.2021A medical service to which an item in this Schedule (other than this item or item10990 or 10992) applies if: (a) the service is an unreferred service; and (b) the service is provided to a patient who is under the age of 16 or is a concessional beneficiary; and (c) the patient is not an admitted patient of a hospital; and (d) the service is bulk‑billed in relation to the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a Modified Monash 2 area; or (ii) a Modified Monash 3 area; or (iii) a Modified Monash 4 area; or (iv) a Modified Monash 5 area; or (v) a Modified Monash 6 area; or (vi) a Modified Monash 7 area
1099201.01.20058M1SNNYNYYNNB01.01.200501.07.202111.609.9001.07.2021A medical service to which: (a) item585, 588, 591, 594, 599, 600, 5003, 5010, 5023, 5028, 5043, 5049, 5063, 5067, 5220, 5223, 5227, 5228, 5260, 5263, 5265 or 5267 applies; or (b) item761, 763, 766, 769, 772, 776, 788 or 789 of a Schedule (within the meaning of the Health Insurance (Section3C General Medical Services – Other Medical Practitioner) Determination2018) applies; if: (c) the service is an unreferred service; and (d) the service is provided to a patient who is under the age of 16 or is a concessional beneficiary; and (e) the patient is not an admitted patient of a hospital; and (f) the service is not provided in consulting rooms; and (g) the service is provided in a designated area; and (h) the service is provided by, or on behalf of, a medical practitioner whose practice location is not in a designated area; and (i) the service is bulk‑billed in relation to the fees for: (i) this item; and (ii) the other item mentioned in paragraph(a) or (b) applying to the service
1099701.07.20078M123SNNNNNYNPE01.07.200701.07.202112.5012.5001.11.2012500.00300.0001.07.2012Service provided to a person with a chronic disease by a practice 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; and (b) the person is not an admitted patient of a hospital; and (c) the person has a GP Management Plan, Team Care Arrangements or Multidisciplinary Care Plan in place; and (d) the service is consistent with the GP Management Plan, Team Care Arrangements or Multidisciplinary Care Plan to a maximum of 5 services per patient in a calendar year
8000001.11.20068M6DNNNNNYNPB01.11.200601.07.2021103.8088.2501.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms)
8000101.11.20178M6SNNNNNYNPB01.11.201701.07.2021103.8088.2501.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist. Psychological therapy services delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Psychological therapy services delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.
8000501.11.20068M6DNNNNNYNPB01.11.200601.07.2021129.70110.2501.11.2012500.00300.0001.11.2006Professional attendance at a place other than consulting rooms. As per the service requirements outlined for item 80000.
8001001.11.20068M6DNNNNNYNPB01.11.200601.07.2021152.40129.5501.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms)
8001101.11.20178M6SNNNNNYNPB01.11.201701.07.2021152.40129.5501.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes, where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance , at least 15 kilometres by road from the clinical psychologist. Psychological therapy services delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Psychological therapy services delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.
8001501.11.20068M6DNNNNNYNPB01.11.200601.07.2021178.30151.6001.11.2012500.00300.0001.11.2006Professional attendance at a place other than consulting rooms As per the service requirements outlined for item 80010.
8002001.11.20068M6DNNNNNYNPB01.11.200601.07.202138.7032.9001.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT
8002101.11.20178M6SNNNNNYNPB01.11.201701.07.202138.7032.9001.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist. Group psychological therapy services delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply). Group psychological therapy services delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. - GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT
8010001.11.20068M7DNNNNNYNPB01.11.200601.07.202173.5562.5501.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms)
8010101.11.20178M7SNNNNNYNPB01.11.201701.07.202173.5562.5501.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.
8010501.11.20068M7DNNNNNYNPB01.11.200601.07.2021100.0585.0501.11.2012500.00300.0001.11.2006Professional attendance at a place other than consulting rooms. As per the psychologist service requirements outlined for item 80100.
8011001.11.20068M7DNNNNNYNPB01.11.200601.07.2021103.8088.2501.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms)
8011101.11.20178M7SNNNNNYNPB01.11.201701.07.2021103.8088.2501.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.
8011501.11.20068M7DNNNNNYNPB01.11.200601.07.2021130.35110.8001.11.2012500.00300.0001.11.2006Professional attendance at a place other than consulting rooms. As per the psychologist service requirements outlined for item 80110.
8012001.11.20068M7DNNNNNYNPB01.11.200601.07.202126.5022.5501.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT
8012101.11.20178M7SNNNNNYNPB01.11.201701.07.202126.5022.5501.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist. Group focussed psychological strategies delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply). Group focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT
8012501.11.20068M7DNNNNNYNPB01.11.200601.07.202164.8055.1001.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional services at consulting rooms)
8012601.11.20178M7SNNNNNYNPB01.11.201701.07.202164.8055.1001.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.
8013001.11.20068M7DNNNNNYNPB01.11.200601.07.202191.2577.6001.11.2012500.00300.0001.11.2006Professional attendance at a place other than consulting rooms. As per the occupational therapist service requirements outlined for item 80125.
8013501.11.20068M7DNNNNNYNPB01.11.200601.07.202191.5077.8001.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms)
8013601.11.20178M7SNNNNNYNPB01.11.201701.07.202191.5077.8001.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.
8014001.11.20068M7DNNNNNYNPB01.11.200601.07.2021117.95100.3001.11.2012500.00300.0001.11.2006Professional attendance at a place other than consulting rooms. As per the occupational therapist service requirements outlined for item 80135.
8014501.11.20068M7DNNNNNYNPB01.11.200601.07.202123.2519.8001.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT
8014601.11.20178M7SNNNNNYNPB01.11.201701.07.202123.2519.8001.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the occupational therapist. Group focussed psychological strategies delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply). Group focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT
8015001.11.20068M7DNNNNNYNPB01.11.200601.07.202164.8055.1001.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms)
8015101.11.20178M7SNNNNNYNPB01.11.201701.07.202164.8055.1001.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.
8015501.11.20068M7DNNNNNYNPB01.11.200601.07.202191.2577.6001.11.2012500.00300.0001.11.2006Professional attendance at a place other than consulting rooms. As per the social worker service requirements outlined for item 80150.
8016001.11.20068M7DNNNNNYNPB01.11.200601.07.202191.5077.8001.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply). (Professional attendance at consulting rooms)
8016101.11.20178M7SNNNNNYNPB01.11.201701.07.202191.5077.8001.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes - where the patient is referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker. Focussed psychological strategies delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80001, 80011, 80101, 80111, 80126, 80136, 80151 and 80161 apply). Focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 283 to 287; 2721 to 2727; 80000 to 80015; 80100 to 80115; 80125 to 80140; 80150 to 80165 apply.
8016501.11.20068M7DNNNNNYNPB01.11.200601.07.2021117.95100.3001.11.2012500.00300.0001.11.2006Professional attendance at a place other than consulting rooms. As per the social worker service requirements outlined for item 80160.
8017001.11.20068M7DNNNNNYNPB01.11.200601.07.202123.2519.8001.11.2012500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics. These therapies are time limited, being deliverable in up to ten planned sessions in a calendar year (including services to which items 80020, 80021, 80120, 80121, 80145, 80146, 80170 and 80171 apply). GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT
8017101.11.20178M7SNNNNNYNPB01.11.201701.07.202123.2519.8001.11.2017500.00300.0001.09.2018Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a social worker registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration where the patients are referred by a medical practitioner, as part of a GP Mental Health Treatment Plan or as part of a shared care plan; or referred by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) who is managing the patient under a referred psychiatrist assessment and management plan; or referred by a specialist or consultant physician in the practice of his or her field of psychiatry or paediatrics if: the attendance is by video conference; and the patient is not an admitted patient; and the patient is located within a telehealth eligible area; and the patient is, at the time of the attendance, at least 15 kilometres by road from the social worker. Group focussed psychological strategies delivered by video conference are time limited, being deliverable in up toten planned sessions in a calendar year (including services to which items 80021, 80121, 80146 and 80171 apply). Group focussed psychological strategies delivered by video conference time limits include the maximum ten planned sessions in a calendar year services to which items 80020, 80120, 80145 and 80170 apply. GROUP THERAPY with a group of 6 to 10 patients, EACH PATIENT
8100001.11.20068M8DNNNNNYNPB01.11.200601.07.202176.1064.7001.11.2012500.00300.0001.01.2014Provision of a non-directive pregnancy support counselling service to a person who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible psychologist, where the patient is referred to the psychologist by a medical practitioner (including a general practitioner, but not a specialist or consultant physician), and lasting at least 30 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may be provided by a psychologist who is registered with Medicare Australia as meeting the credentialling requirements for provision of this service.It may not be provided by a psychologist who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of three non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items -81000, 81005, 81010 and 4001
8100501.11.20068M8DNNNNNYNPB01.11.200601.07.202176.1064.7001.11.2012500.00300.0001.01.2014Provision of a non-directive pregnancy support counselling service to a person who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible social worker, where the patient is referred to the social worker by a medical practitioner (including a general practitioner, but not a specialist or consultant physician), and lasting at least 30 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may be provided by a social worker who is registered with Medicare Australia as meeting the credentialling requirements for provision of this service.It may not be provided by a social worker who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of three non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items -81000, 81005, 81010 and 4001
8101001.11.20068M8DNNNNNYNPB01.11.200601.07.202176.1064.7001.11.2012500.00300.0001.01.2014Provision of a non-directive pregnancy support counselling service to a person who is currently pregnant or who has been pregnant in the preceding 12 months, by an eligible mental health nurse, where the patient is referred to the mental health nurse by a medical practitioner (including a general practitioner, but not a specialist or consultant physician), and lasting at least 30 minutes. The service may be used to address any pregnancy related issues for which non-directive counselling is appropriate. This service may be provided by a mental health nurse who is registered with Medicare Australia as meeting the credentialling requirements for provision of this service.It may not be provided by a mental health nurse who has a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination. To a maximum of three non-directive pregnancy support counselling services per patient, per pregnancy from any of the following items - 81000, 81005, 81010 and 4001
8110001.05.20078M9DNNNNNYNPB01.05.200701.07.202183.1070.6501.11.2012500.00300.0010.12.2020DIABETES EDUCATION SERVICE - ASSESSMENT FOR GROUP SERVICES Diabetes education health service provided to a person by an eligible diabetes educator for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a)the service is provided to a person who has type 2 diabetes; and (b)the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Planor, if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan; and (c)the person is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 45 minutes duration; and (g)after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h)in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110,81120, 93284, 93286, 93606, 93607 and 93608apply).
8110501.05.20078M9DNNNNNYNPB01.05.200701.07.202120.7017.6001.11.2012500.00300.0010.12.2020DIABETES EDUCATION SERVICE - GROUP SERVICE Diabetes education health service provided to a person by an eligible diabetes educator, as a GROUP SERVICE for the management of type 2 diabetes if: (a)the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110,81120, 93284,93286, 93606, 93607 or 93608; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients inclusive; and (c)the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible diabetes educator; and (e) the service is of at least 60 minutes duration; and (f)after the last service in the group services program provided to the person under items 81105, 81115, 81125,93285, 93613, 93614 or 93615the eligible diabetes educator prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible diabetes educator; and (h)in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eightGROUP SERVICES (including services to which items81105,81115,81125,93285, 93613, 93614 and 93615apply) in a calendar year.
8111001.05.20078M9DNNNNNYNPB01.05.200701.07.202183.1070.6501.11.2012500.00300.0010.12.2020EXERCISE PHYSIOLOGY SERVICE - ASSESSMENT FOR GROUPSERVICES Exercise physiology health service provided to a person by an eligible exercise physiologist for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a)the service is provided to a person who has type 2 diabetes; and (b)the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Planor, if the person is a resident of an aged care facility, theirmedical practitioner has contributed to a multidisciplinary care plan; and (c)the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all the components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 45 minutes duration; and (g)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h)in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110,81120, 93284, 93286, 93606, 93607 and 93608 apply).
8111501.05.20078M9DNNNNNYNPB01.05.200701.07.202120.7017.6001.11.2012500.00300.0010.12.2020EXERCISE PHYSIOLOGY SERVICE - GROUP SERVICE Exercise physiology health service provided to a person by an eligible exercise physiologist, as a GROUP SERVICE for the management of type 2 diabetes if: (a)the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110,81120, 93284, 93286, 93606, 93607 or 93608; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients inclusive; and (c)the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible exercise physiologist; and (e) the service is of at least 60 minutes duration; and (f)after the last service in the group services program provided to the person under items 81105, 81115,81125, 93285, 93613, 93614 or93615, the eligible exercise physiologist prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible exercise physiologist; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eightGROUP SERVICES (including services to which items 81105, 81115,81125, 93285, 93613, 93614 and 93615apply) in a calendar year.
8112001.05.20078M9DNNNNNYNPB01.05.200701.07.202183.1070.6501.11.2012500.00300.0010.12.2020DIETETICS SERVICE - ASSESSMENT FOR GROUP SERVICES Dietetics health service provided to a person by an eligible dietitian for the purposes of ASSESSING a person's suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient's needs, and preparing the person for the group services, if: (a)the service is provided to a person who has type 2 diabetes; and (b)the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP Management Planor, if the person is a resident of an aged care facility, their medical practitioner has contributed to a multidisciplinary care plan; and (c)the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department of Health, or a referral form that contains all components of the form issued by the Department; and (d)the person is not an admitted patient of a hospital; and (e)the service is provided to the person individually and in person; and (f)the service is of at least 45 minutes duration; and (g)after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); and (h)in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit. Benefits are payable once only in a calendar year for this or any other Assessment for Group Services item (including services to which items 81100, 81110,81120, 93284, 93286, 93606, 93607 and 93608 apply).
8112501.05.20078M9DNNNNNYNPB01.05.200701.07.202120.7017.6001.11.2012500.00300.0010.12.2020DIETETICS SERVICE - GROUP SERVICE Dietetics health service provided to a person by an eligible dietitian, as a GROUP SERVICE for the management of type 2 diabetes if: (a)the person has been assessed as suitable for a type 2 diabetes group service under assessment item 81100, 81110,81120, 93284, 93286,93606, 93607 or 93608; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients inclusive; and (c)the person is not an admitted patient of a hospital; and (d) the service is provided to a person involving the personal attendance by an eligible dietitian; and (e) the service is of at least 60 minutes duration; and (f)after the last service in the group services program provided to the person under items 81105, 81115,81125, 93285, 93613, 93614 or93615, the eligible dietitian prepares, or contribute to, a written report to be provided to the referring medical practitioner; and (g) an attendance record for the group is maintained by the eligible dietitian; and (h) in the case of a service in respect of which a private health insurance benefit is payable - the person who incurred the medical expenses in respect of the service has elected to claim the Medicare benefit in respect of the service, and not the private health insurance benefit; - to a maximum of eight GROUP SERVICES (including services to which items 81105, 81115,81125, 93285, 93613, 93614 and 93615 apply) in a calendar year.
8130001.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH SERVICE provided to a person who is of Aboriginal and Torres Strait Islander descent by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061,93546 to 93558 and 93579 to 93593inclusive apply) in a calendar year
8130501.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020DIABETES EDUCATION HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible diabetes educator if: (a)either: a medical practitioner has identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible diabetes educator by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible diabetes educator gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8131001.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020AUDIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible audiologist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible audiologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medicalpractitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8131501.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.01.2013500.00300.0010.12.2020EXERCISE PHYSIOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible exercise physiologist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible exercise physiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters; - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8132001.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020DIETETICS HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible dietitian if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible dietitian by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8132501.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020MENTAL HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible mental health worker if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible mental health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible mental health worker gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8133001.11.20088M11DNNNNNYNPD10.12.202001.07.202164.8048.6064.8001.11.2012500.00300.0010.12.2020OCCUPATIONAL THERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible occupational therapist if (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible occupational therapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible occupational therapist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8133501.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020PHYSIOTHERAPY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible physiotherapist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person's shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible physiotherapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible physiotherapist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593inclusive apply) in a calendar year
8134001.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020PODIATRY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible podiatrist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible podiatrist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible podiatrist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8134501.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020CHIROPRACTIC HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible chiropractor if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible chiropractor by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible chiropractor gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medicalpractitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8135001.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020OSTEOPATHY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible osteopath if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible osteopath by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible osteopath gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8135501.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020PSYCHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible psychologist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible psychologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible psychologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8136001.11.20088M11DNNNNNYNPB01.11.200801.07.202164.8055.1001.11.2012500.00300.0010.12.2020SPEECH PATHOLOGY HEALTH SERVICE provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible speech pathologist if: (a)either: a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or the person’s shared care plan identifies the need for follow-up allied health services; and (b)the person is referred to the eligible speech pathologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that substantially complies with the form issued by the Department; and (c)the person is not an admitted patient of a hospital; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 20 minutes duration; and (f)after the service, the eligible speech pathologist gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral - in relation to that service; or (ii) if the service is the first or the last service under the referral - in relation to the service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably be expected to be informed of - in relation to those matters - to a maximum offive services (including services to which items 81300 to 81360, 93048, 93061, 93546 to 93558 and 93579 to 93593 inclusive apply) in a calendar year
8200001.07.20088M10DNNNNNYNPB01.07.200801.07.2021103.8088.2501.11.2012500.00300.0001.01.2013PSYCHOLOGY Psychology health service provided to a child, aged under 13 years, by an eligible psychologist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (d) the psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items ─ 82000, 82005, 82010 and 82030
8200501.07.20088M10DNNNNNYNPB01.07.200801.07.202191.5077.8001.11.2012500.00300.0001.01.2013SPEECH PATHOLOGY Speech pathology health service provided to a child, aged under 13 years, by an eligible speech pathologist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner: and (d) the speech pathologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items ─ 82000, 82005, 82010 and 82030
8201001.07.20088M10DNNNNNYNPB01.07.200801.07.202191.5077.8001.11.2012500.00300.0001.01.2013OCCUPATIONAL THERAPY Occupational therapy health service provided to a child, aged under 13 years, by an eligible occupational therapist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (d) the occupational therapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items ─ 82000, 82005, 82010 and 82030
8201501.07.20088M10DNNNNNYNPB01.07.200801.07.2021103.8088.2501.11.2012500.00300.0001.01.2013PSYCHOLOGY Psychology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible psychologist where: (a) the child has been diagnosed with PDD or an eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items ─ 82015, 82020, 82025 and 82035
8202001.07.20088M10DNNNNNYNPB01.07.200801.07.202191.5077.8001.11.2012500.00300.0001.01.2013SPEECH PATHOLOGY Speech pathology health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible speech pathologist where: (a) the child has been diagnosed with PDD or an eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the speech pathologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items ─ 82015, 82020, 82025 and 82035
8202501.07.20088M10DNNNNNYNPB01.07.200801.07.202191.5077.8001.11.2012500.00300.0001.01.2013OCCUPATIONAL THERAPY Occupational therapy health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or an eligible disability by an eligible occupational therapist where: (a) the child has been diagnosed with PDD or an eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD or disability treatment plan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the occupational therapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items ─ 82015, 82020, 82025 and 82035
8203001.07.20118M10DNNNNNYNPB01.07.201101.07.202191.5077.8001.11.2012500.00300.0001.01.2013AUDIOLOGY, OPTOMETRY, ORTHOPTIC OR PHYSIOTHERAPY Audiology, optometry, orthoptic or physiotherapy health service provided to a child, aged under 13 years, by an eligible audiologist, optometrist, orthoptist or physiotherapist where: (a) the child is referred by an eligible practitioner for the purpose of assisting the practitioner with their diagnosis of the child; or (b) the child is referred by an eligible practitioner for the purpose of contributing to the child's pervasive developmental disorder (PDD) or disability treatment plan, developed by the practitioner; and (c) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (d) the audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (e) the child is not an admitted patient of a hospital; and (f) the service is provided to the child individually and in person; and (g) the service lasts at least 50 minutes in duration. These items are limited to a maximum of four services per patient, consisting of any combination of the following items - 82000, 82005, 82010 and 82030
8203501.07.20118M10DNNNNNYNPB01.07.201101.07.202191.5077.8001.11.2012500.00300.0001.01.2013AUDIOLOGY, OPTOMETRY, ORTHOPTIC OR PHYSIOTHERAPY Audiology, optometry, orthoptic or physiotherapy health service provided to a child, aged under 15 years, for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible audiologist, optometrist, orthoptist or physiotherapist where: (a) the child has been diagnosed with PDD or eligible disability; and (b) the child has received a PDD or disability treatment plan (while aged under 13 years) as prepared by an eligible practitioner; and (c) the child has been referred by an eligible practitioner for the provision of services that are consistent with the PDD ordisability treatmentplan; and (d) for a child with PDD, the eligible practitioner is a consultant physician in the practice of his or her field of psychiatry or paediatrics; or for a child with disability, the eligible practitioner is a specialist, consultant physician or general practitioner; and (e) the audiologist, optometrist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for provision of these services; and (f) the child is not an admitted patient of a hospital; and (g) the service is provided to the child individually and in person; and (h) the service lasts at least 30 minutes in duration. These items are limited to a maximum of 20 services per patient, consisting of any combination of items - 82015, 82020, 82025 and 82035
8210001.11.20108M131DNNNNNYNFB01.11.201001.07.202155.5547.2501.11.201022.2001.11.2018Initial antenatal professional attendance by a participating midwife, lasting at least 40 minutes, including all of the following: (a)taking a detailed patient history; (b)performing a comprehensive examination; (c)performing a risk assessment; (d)based on the risk assessment - arranging referral or transfer of the patient's care to an obstetrician; (e)requesting pathology and diagnostic imaging services, when necessary; (f)discussing with the patient the collaborative arrangements for her maternity care and recording the arrangements in the midwife's written records in accordance with section 6 of the Health Insurance Regulations 2018. Payable once only for any pregnancy.
8210501.11.20108M131DNNNNNYNFC01.11.201001.07.202133.6025.2028.6001.11.201016.6501.11.2010Short antenatal professional attendance by a participating midwife, lasting up to 40 minutes.
8211001.11.20108M131DNNNNNYNFC01.11.201001.07.202155.5541.7047.2501.11.201022.2001.11.2010Long antenatal professional attendance by a participating midwife, lasting at least 40 minutes.
8211501.11.20108M131DNNNNNYNFB01.11.201001.07.2021331.90282.1501.11.201055.3501.11.2010Professional attendance by a participating midwife, lasting at least 90 minutes, for assessment and preparation of a maternity care plan for a patient whose pregnancy has progressed beyond 20 weeks, if: (a)the patient is not an admitted patient of a hospital; and (b)the participating midwife undertakes a comprehensive assessment of the patient; and (c) the participating midwife develops a written maternity care plan that contains: ·outcomes of the assessment; and ·details of agreed expectations for care during pregnancy, labour and delivery; and ·details of any health problems or care needs; and ·details of collaborative arrangements that apply for the patient; and ·details of any medication taken by the patient during the pregnancy, and any additional medication that may be required by the patient; and ·details of any referrals or requests for pathology services or diagnostic imaging services for the patient during the pregnancy, and any additional referrals or requests that may be required for the patient; and (d) the maternity care plan is explained and agreed with the patient; and (e) the fee does not include any amount for the management of the labour and delivery. (Includes any antenatal attendance provided on the same occasion). Payable once only for any pregnancy.
8212001.11.20108M131DNNNNNYNPA01.11.201001.07.2021783.85587.9001.01.201330.04.2020500.00300.0001.11.2010Management of confinement for up to 12 hours, including delivery (if undertaken), if: (a) the patient is an admitted patient of a hospital; and (b) the attendance is by a participating midwife who: (i)provided the patient's antenatal care; or (ii) is a member of a practice that provided the patient's antenatal care. (Includes all attendances related to the confinement by the participating midwife) Payable once only for any pregnancy
8212501.11.20108M131DNNNNNYNPA01.11.201001.07.2021783.85587.9001.01.201330.04.2020500.00300.0001.11.2010Management of confinement, including delivery (if undertaken) when care is transferred from 1 participating midwife to another participating midwife (the second participating midwife), if:(a) the patient is an admitted patient of a hospital; and (b) the patient's confinement is for longer than 12 hours; (c) the second participating midwife: (i) has provided the patient's antenatal care; or (ii) is a member of a practice that has provided the patient's antenatal care. (Includes all attendances related to the confinement by the second participating midwife) Payable one only for any pregnancy.
8213001.11.20108M131DNNNNNYNFC01.11.201001.07.202155.5541.7047.2501.01.201316.6501.11.2010Short Postnatal Attendance Short postnatal professional attendance by a participating midwife, lasting up to 40 minutes, within 6 weeks after delivery.
8213501.11.20108M131DNNNNNYNFC01.11.201001.07.202181.7061.3069.4501.01.201322.2001.11.2010Long Postnatal Attendance Long postnatal professional attendance by a participating midwife, lasting at least 40 minutes, within 6 weeks after delivery.
8214001.11.20108M131DNNNNNYNFB01.11.201001.07.202155.5547.2501.11.201016.6501.11.2010Six Week Postnatal Attendance Postnatal professional attendance by a participating midwife on a patient not less than 6 weeks but not more than 7 weeks after delivery of a baby, including: (a)a comprehensive examination of patient and baby to ensure normal postnatal recovery; and (b)referral of the patient to a general practitioner for the ongoing care of the patient and baby Payable once only for any pregnancy.
8215001.07.20118M132DNNNNNYNPB01.07.201101.07.202129.4525.0501.11.2012500.00300.0001.01.2013A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient 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.
8215101.07.20118M132DNNNNNYNPB01.07.201101.07.202155.8547.5001.11.2012500.00300.0001.01.2013A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient 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.
8215201.07.20118M132DNNNNNYNPB01.07.201101.07.202182.1569.8501.11.2012500.00300.0001.01.2013A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating midwife that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist practising in his or her speciality of obstetrics or a specialist or consultant physician practising in his or her speciality of paediatrics; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient 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.
8220001.11.20108M141DNNNNNYNPB01.11.201001.07.202110.008.5001.11.2012500.00300.0001.11.2010Professional attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management.
8220501.11.20108M141DNNNNNYNPB01.11.201001.07.202121.8018.5501.11.2012500.00300.0001.11.2010Professional attendance by a participating nurse practitioner lasting less than 20 minutes and including any of the following: a)taking a history; b)undertaking clinical examination; c)arranging any necessary investigation; d)implementing a management plan; e)providing appropriate preventive health care, for 1 or more health related issues, with appropriate documentation.
8221001.11.20108M141DNNNNNYNPB01.11.201001.07.202141.3535.1501.11.2012500.00300.0001.11.2010Professional attendance by a participating nurse practitioner lasting at least 20 minutes and including any of the following: a)taking a detailed history; b)undertaking clinical examination; c)arranging any necessary investigation; d)implementing a management plan; e)providing appropriate preventive health care, for 1 or more health related issues, with appropriate documentation.
8221501.11.20108M141DNNNNNYNPB01.11.201001.07.202160.9551.8501.01.2013500.00300.0001.11.2010Professional attendance by a participating nurse practitioner lasting at least 40 minutes and including any of the following: a)taking an extensive history; b)undertaking clinical examination; c)arranging any necessary investigation; d)implementing a management plan; e)providing appropriate preventive health care, for 1 or more health related issues, with appropriate documentation.
8222001.07.20118M142DNNNNNYNPB01.07.201101.07.202129.4525.0501.11.2012500.00300.0001.01.2013A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient 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.
8222101.07.20118M142DNNNNNYNPB01.07.201101.07.202155.8547.5001.11.2012500.00300.0001.01.2013A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient 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.
8222201.07.20118M142DNNNNNYNPB01.07.201101.07.202182.1569.8501.11.2012500.00300.0001.01.2013A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) is not an admitted patient; and c) is located: (i) both: (A) within a telehealth eligible area; and (B) at the time of the attendance - at least 15 kms by road from the specialist or consultant physician mentioned in paragraph (a); or (ii) in Australia if the patient 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.
8222301.07.20118M143DNNNNNYNPB01.07.201101.07.202129.4525.0501.11.2012500.00300.0001.11.2012A professional attendance lasting less than 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) either: (i)is a care recipient receiving care in a residential care service; or (ii)is at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service; and c) the professional attendance is not provided at a self-contained unit.
8222401.07.20118M143DNNNNNYNPB01.07.201101.07.202155.8547.5001.11.2012500.00300.0001.11.2012A professional attendance lasting at least 20 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) either: (i)is a care recipient receiving care in a residential care service; or (ii)is at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service; and c) the professional attendance is not provided at a self-contained unit
8222501.07.20118M143DNNNNNYNPB01.07.201101.07.202182.1569.8501.11.2012500.00300.0001.11.2012A professional attendance lasting at least 40 minutes (whether or not continuous) by a participating nurse practitioner that requires the provision of clinical support to a patient who: a) is participating in a video consultation with a specialist or consultant physician; and b) either: (i)is a care recipient receiving care in a residential care service; or (ii)is at consulting rooms situated within such a complex if the patient is a care recipient receiving care in a residential aged care service; and c) the professional attendance is not provided at a self-contained unit
8230001.11.20128M15DNNNNNYNPB01.11.201201.07.2021160.20136.2001.05.2013500.00300.0001.11.2012Audiology health service, consisting of BRAIN STEM EVOKED RESPONSE AUDIOMETRY, performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is a specialist in the specialty of otolaryngology head and neck surgery; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11300 applies has not been performed on the person on the same day.
8230601.11.20128M15DNNNNNYNPB01.11.201201.07.202118.2015.5001.05.2013500.00300.0001.11.2012Audiology health service, consisting of NON-DETERMINATE AUDIOMETRY performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is a specialist in the specialty of otolaryngology head and neck surgery; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11306 applies has not been performed on the person on the same day.
8230901.11.20128M15DNNNNNYNPB01.11.201201.07.202121.9018.6501.05.2013500.00300.0001.11.2012Audiology health service, consisting of an AIR CONDUCTION AUDIOGRAM performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i)a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11309 applies has not been performed on the person on the same day.
8231201.11.20128M15DNNNNNYNPB01.11.201201.07.202130.9526.3501.05.2013500.00300.0001.11.2012Audiology health service, consisting of an AIR AND BONE CONDUCTION AUDIOGRAM OR AIR CONDUCTION AND SPEECH DISCRIMINATION AUDIOGRAM performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i)a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11312 applies has not been performed on the person on the same day.
8231501.11.20128M15DNNNNNYNPB01.11.201201.07.202140.9534.8501.05.2013500.00300.0001.11.2012Audiology health service, consisting of an AIR AND BONE CONDUCTION AND SPEECH DISCRIMINATION AUDIOGRAM performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitionerto assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i)a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11315 applies has not been performed on the person on the same day.
8231801.11.20128M15DNNNNNYNPB01.11.201201.07.202150.6043.0501.05.2013500.00300.0001.11.2012Audiology health service, consisting of an AIR AND BONE CONDUCTION AND SPEECH DISCRIMINATION AUDIOGRAM WITH OTHER COCHLEAR TESTS performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i)a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11318 applies has not been performed on the person on the same day.
8232401.11.20128M15DNNNNNYNPB01.11.201201.07.202127.3523.2501.05.2013500.00300.0001.11.2012Audiology health service, consisting of an IMPEDANCE AUDIOGRAM involving tympanometry and measurement of static compliance and acoustic reflex performed on a person by an eligible audiologist (not being a service associated with a service to which item 82309, 82312, 82315 or 82318 applies) if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11324 applies has not been performed on the person on the same day.
8232701.11.20128M15DNNNNNYNPB01.11.201201.07.202116.4514.0001.05.2013500.00300.0001.11.2012Audiology health service, consisting of an IMPEDANCE AUDIOGRAM involving tympanometry and measurement of static compliance and acoustic reflex performed on a person by an eligible audiologist (being a service associated with a service to which item 82309, 82312, 82315 or 82318 applies) if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i)a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11327 applies has not been performed on the person on the same day.
8233201.11.20128M15DNNNNNYNPB01.11.201201.07.202148.7541.4501.05.2013500.00300.0001.11.2012Audiology health service, consisting of an OTO-ACOUSTIC EMISSION AUDIOMETRY for the detection of permanent congenital hearing impairment, performed by an eligible audiologist on an infant or child in circumstances in which: (a) the service is performed pursuant to a written request made by an eligible practitioner who is: (i)a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (b) the infant or child is at risk due to 1 or more of the following factors: (i) admission to a neonatal intensive care unit; (ii) family history of hearing impairment; (iii) intra-uterine or perinatal infection (either suspected or confirmed); (iv) birthweight less than 1.5kg; (v) craniofacial deformity; (vi) birth asphyxia; (vii) chromosomal abnormality, including Down Syndrome; (viii) exchange transfusion; and (c) middle ear pathology has been excluded by specialist opinion; and (d) the infant or child is not an admitted patient of a hospital; and (e) the service is performed on the infant or child individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11332 applies has not been performed on the infant or child on the same day.
8235001.11.20198M161SNNNNNYNPB01.11.201901.07.202164.8055.1001.11.2019500.00300.0001.11.2019Dietetics health service provided to an eligible patient by an eligible dietitian if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is of at least 20 minutes in duration
8235101.11.20198M161SNNNNNYNPB01.11.201901.07.202164.8055.1001.11.2019500.00300.0001.11.2019Dietetics health service provided to an eligible patient by an eligible dietitian if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the dietitian; and (f) the service is of at least 20 minutes duration
8235201.11.20198M162SNNNNNYNPB01.11.201901.07.2021103.8088.2501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 30 minutes but less than 50 minutes in duration.
8235301.11.20198M162SNNNNNYNPB01.11.201901.07.2021103.8088.2501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 30 minutes but less than 50 minutes in duration.
8235401.11.20198M162SNNNNNYNPB01.11.201901.07.2021129.70110.2501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and the service is at least 30 minutes but less than 50 minutes in duration.
8235501.11.20198M162SNNNNNYNPB01.11.201901.07.2021152.40129.5501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration.
8235601.11.20198M162SNNNNNYNPB01.11.201901.07.2021152.40129.5501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 50 minutes in duration.
8235701.11.20198M162SNNNNNYNPB01.11.201901.07.2021178.30151.6001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration.
8235801.11.20198M162SNNNNNYNPB01.11.201901.07.202138.7032.9001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided in person; and (d) the service is at least 60 minutes in duration.
8235901.11.20198M162SNNNNNYNPB01.11.201901.07.202138.7032.9001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 60 minutes in duration.
8236001.11.20198M163SNNNNNYNPB01.11.201901.07.202173.5562.5501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration.
8236101.11.20198M163SNNNNNYNPB01.11.201901.07.202173.5562.5501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 20 minutes but less than 50 minutes in duration.
8236201.11.20198M163SNNNNNYNPB01.11.201901.07.2021100.0585.0501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration.
8236301.11.20198M163SNNNNNYNPB01.11.201901.07.2021103.8088.2501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration.
8236401.11.20198M163SNNNNNYNPB01.11.201901.07.2021103.8088.2501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 50 minutes in duration.
8236501.11.20198M163SNNNNNYNPB01.11.201901.07.2021130.35110.8001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration.
8236601.11.20198M163SNNNNNYNPB01.11.201901.07.202126.5022.5501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided in person; and (d) the service is at least 60 minutes in duration.
8236701.11.20198M163SNNNNNYNPB01.11.201901.07.202126.5022.5501.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 60 minutes in duration.
8236801.11.20198M164SNNNNNYNPB01.11.201901.07.202164.8055.1001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration.
8236901.11.20198M164SNNNNNYNPB01.11.201901.07.202164.8055.1001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 20 minutes but less than 50 minutes in duration.
8237001.11.20198M164SNNNNNYNPB01.11.201901.07.202191.2577.6001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration.
8237101.11.20198M164SNNNNNYNPB01.11.201901.07.202191.5077.8001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration.
8237201.11.20198M164SNNNNNYNPB01.11.201901.07.202191.5077.8001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 50 minutes in duration.
8237301.11.20198M164SNNNNNYNPB01.11.201901.07.2021117.95100.3001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration.
8237401.11.20198M164SNNNNNYNPB01.11.201901.07.202123.2519.8001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided in person; and (d) the service is at least 60 minutes in duration
8237501.11.20198M164SNNNNNYNPB01.11.201901.07.202123.2519.8001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient as part of a group of 6 to 10 patients by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 60 minutes in duration.
8237601.11.20198M165SNNNNNYNPB01.11.201901.07.202164.8055.1001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration
8237701.11.20198M165SNNNNNYNPB01.11.201901.07.202164.8055.1001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 20 minutes but less than 50 minutes in duration
8237801.11.20198M165SNNNNNYNPB01.11.201901.07.202191.2577.6001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 20 minutes but less than 50 minutes in duration.
8237901.11.20198M165SNNNNNYNPB01.11.201901.07.202191.5077.8001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient in consulting rooms by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d)the service is at least 50 minutes in duration.
8238001.11.20198M165SNNNNNYNPB01.11.201901.07.202191.5077.8001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the psychologist; and (f) the service is at least 50 minutes in duration.
8238101.11.20198M165SNNNNNYNPB01.11.201901.07.2021117.95100.3001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to an eligible patient at a place other than consulting rooms by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided to the person individually and in person; and (d) the service is at least 50 minutes in duration
8238201.11.20198M165SNNNNNYNPB01.11.201901.07.202123.2519.8001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the service is provided in person; and (d) the service is at least 60 minutes in duration.
8238301.11.20198M165SNNNNNYNPB01.11.201901.07.202123.2519.8001.11.2019500.00300.0001.11.2019Eating disorder psychological treatment service provided to a person as part of a group of 6 to 10 patients (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the person is not an admitted patient of a hospital; and (c) the attendance is by video conference; and (d) the patient is located within a telehealth eligible area; and (e) the patient is, at the time of the attendance, at least 15 kilometres by road from the clinical psychologist; and (f) the service is at least 60 minutes in duration.
9000310.12.20208M32SNNNNNYNNB10.12.202001.07.202147.4540.3510.12.2020A flag fall service to which item 93312, 93313, 93316, 93319, 93322, 93323, 93326, 93327, 93375, 93376, 93381, 93382, 93383, 93384, 93385and 93386 applies. For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on.
9000410.12.20208M32SNNNNNYNNB10.12.202001.07.202148.9541.6510.12.2020A flag fall service to which any item in the following groups apply: Group M29 (other than 93537 and 93538) Group M30 (other than 93592 and 93593) Group M31 For the initial attendance at one residential aged care facility on one occasion, applicable to a maximum of one patient attended on.
9100017.01.20208M17SNNNNNYNPB17.01.202001.07.2021103.8088.2501.01.2021500.00300.0017.01.2020Psychological therapy health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c) the service is at least 30 minutes but less than 50 minutes duration
9100117.01.20208M17SNNNNNYNPB17.01.202001.07.2021103.8088.2501.01.2021500.00300.0017.01.2020Psychological therapy health service provided to a patient (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the patient is affected by bushfire; and (b)the service is provided to the patient individually; and (c)the attendance is by video conference; and (d)the patient is not an admitted patient; and (e)the service is at least 30 minutes but less than 50 minutes duration
9100517.01.20208M17SNNNNNYNPB17.01.202001.07.2021129.70110.2501.01.2021500.00300.0017.01.2020Psychological therapy health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist in accordance with the requirements of item 91000
9101017.01.20208M17SNNNNNYNPB17.01.202001.07.2021152.40129.5501.01.2021500.00300.0017.01.2020Psychological therapy health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a) the patient is affected by bushfire; and (b) the service is provided to the patient individually and in person; and (c)the service is at least 50 minutes duration
9101117.01.20208M17SNNNNNYNPB17.01.202001.07.2021152.40129.5501.01.2021500.00300.0017.01.2020Psychological therapy health service provided to a patient (but not as an admitted patient of a hospital) by an eligible clinical psychologist if: (a)the patient is affected by bushfire; and (b)the service is provided to the patient individually; and (c) the attendance is by video conference; and (d)the patient is not an admitted patient; and (e)the service is at least 50 minutes duration
9101517.01.20208M17SNNNNNYNPB17.01.202001.07.2021178.30151.6001.01.2021500.00300.0017.01.2020Psychological therapy health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible clinical psychologist in accordance with the requirements of item 91010
9110017.01.20208M17SNNNNNYNPB17.01.202001.07.202173.5562.5501.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if: (a)the patient is affected by bushfire; and (b)the service is provided to the patient individually and in person; and (c)the service is at least 20 minutes but less than 50 minutes duration
9110117.01.20208M17SNNNNNYNPB17.01.202001.07.202173.5562.5501.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible psychologist if: (a)the patient is affected by bushfire; and (b)the service is provided to the patient individually; and (c)the attendance is by video conference; and (d)the patient is not an admitted patient; and (e)the service is at least 20 minutes but less than 50 minutes duration
9110517.01.20208M17SNNNNNYNPB17.01.202001.07.2021100.0585.0501.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist in accordance with the requirements of item 91100
9111017.01.20208M17SNNNNNYNPB17.01.202001.07.2021103.8088.2501.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if: (a)the patient is affected by bushfire; and (b)the service is provided to the patient individually and in person; and (c)the service is at least 50 minutes duration
9111117.01.20208M17SNNNNNYNPB17.01.202001.07.2021103.8088.2501.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the patient is affected by bushfire; and (b)the service is provided to the patient individually; and (c)the attendance is by video conference; and (d) the patient is not an admitted patient; and (e)the service is at least 50 minutes duration
9111517.01.20208M17SNNNNNYNPB17.01.202001.07.2021130.35110.8001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist in accordance with the requirements of item 91110
9112517.01.20208M17SNNNNNYNPB17.01.202001.07.202164.8055.1001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a)the patient is affected by bushfire; and (b)the service is provided to the patient individually and in person; and (c) the service is at least 20 minutes but less than 50 minutes duration
9112617.01.20208M17SNNNNNYNPB17.01.202001.07.202164.8055.1001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a)the patient is affected by bushfire; and (b) the service is provided to the patient individually; and (c)the attendance is by video conference; and (d)the patient is not an admitted patient; and (e)the service is at least 20 minutes but less than 50 minutes duration
9113017.01.20208M17SNNNNNYNPB17.01.202001.07.202191.2577.6001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist in accordance with the requirements of item 91125
9113517.01.20208M17SNNNNNYNPB17.01.202001.07.202191.5077.8001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the patient is affected by bushfire; and (b)the service is provided to the patient individually and in person; and (c)the service is at least 50 minutes duration
9113617.01.20208M17SNNNNNYNPB17.01.202001.07.202191.5077.8001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a)the patient is affected by bushfire; and (b)the service is provided to the patient individually; and (c)the attendance is by video conference; and (d)the patient is not an admitted patient; and (e)the service is at least 50 minutes duration
9114017.01.20208M17SNNNNNYNPB17.01.202001.07.2021117.95100.3001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist in accordance with the requirements of item 91135
9115017.01.20208M17SNNNNNYNPB17.01.202001.07.202164.8055.1001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (a)the patient is affected by bushfire; and (b)the service is provided to the patient individually and in person; and (c)the service is at least 20 minutes but less than 50 minutes duration
9115117.01.20208M17SNNNNNYNPB17.01.202001.07.202164.8055.1001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible social worker if: (a)the patient is affected by bushfire; and (b)the service is provided to the patient individually; and (c) the attendance is by video conference; and (d)the patient is not an admitted patient; and (e)the service is at least 20 minutes but less than 50 minutes duration
9115517.01.20208M17SNNNNNYNPB17.01.202001.07.202191.2577.6001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker in accordance with the requirements of item 91150
9116017.01.20208M17SNNNNNYNPB17.01.202001.07.202191.5077.8001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the patient is affected by bushfire; and (b)the service is provided to the patient individually and in person; and (c) the service is at least 50 minutes duration
9116117.01.20208M17SNNNNNYNPB17.01.202001.07.202191.5077.8001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the patient is affected by bushfire; and (b)the service is provided to the patient individually; and (c)the attendance is by video conference; and (d)the patient is not an admitted patient; and (e)the service is at least 50 minutes duration
9116517.01.20208M17SNNNNNYNPB17.01.202001.07.2021117.95100.3001.01.2021500.00300.0017.01.2020Focussed psychological strategies health service provided to a patient at a place other than consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker in accordance with the requirements of item 91160
9116613.03.20208M181DNNNNNYNPB13.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 30 minutes but less than 50 minutes duration.
9116713.03.20208M181DNNNNNYNPB13.03.202001.07.2021152.40129.5501.01.2021500.00300.0020.04.2020Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 50 minutes duration.
9116913.03.20208M182DNNNNNYNPB13.03.202001.07.202173.5562.5501.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration.
9117013.03.20208M182DNNNNNYNPB13.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 50 minutes duration.
9117213.03.20208M183DNNNNNYNPB13.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration.
9117313.03.20208M183DNNNNNYNPB13.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 50 minutes in duration.
9117513.03.20208M184DNNNNNYNPB13.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration.
9117613.03.20208M184DNNNNNYNPB13.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 50 minutes duration.
9117813.03.20208M185DNNNNNYNPB13.03.202001.07.202121.8018.5501.01.2021500.00300.0020.04.2020Telehealth attendance by a participating nurse practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.
9117913.03.20208M185DNNNNNYNPB13.03.202001.07.202141.3535.1501.01.2021500.00300.0020.04.2020Telehealth attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.
9118013.03.20208M185DNNNNNYNPB13.03.202001.07.202160.9551.8501.01.2021500.00300.0020.04.2020Telehealth attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.
9118113.03.20208M186DNNNNNYNPB13.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 30 minutes but less than 50 minutes duration.
9118213.03.20208M186DNNNNNYNPB13.03.202001.07.2021152.40129.5501.01.2021500.00300.0020.04.2020Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 50 minutes duration.
9118313.03.20208M187DNNNNNYNPB13.03.202001.07.202173.5562.5501.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration.
9118413.03.20208M187DNNNNNYNPB13.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 50 minutes duration.
9118513.03.20208M188DNNNNNYNPB13.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration.
9118613.03.20208M188DNNNNNYNPB13.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 50 minutes in duration.
9118713.03.20208M189DNNNNNYNPB13.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration.
9118813.03.20208M189DNNNNNYNPB13.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (a) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan, or as part of a shared care plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; or (iii) a specialist or consultant physician specialising in the practice of his or her field of paediatrics; and (b) the service is provided to the person individually; and (c) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (e) the service is at least 50 minutes duration.
9118913.03.20208M1810DNNNNNYNPB13.03.202001.07.202121.8018.5501.01.2021500.00300.0020.04.2020Phone attendance by a participating nurse practitioner lasting less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.
9119013.03.20208M1810DNNNNNYNPB13.03.202001.07.202141.3535.1501.01.2021500.00300.0020.04.2020Phone attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.
9119113.03.20208M1810DNNNNNYNPB13.03.202001.07.202160.9551.8501.01.2021500.00300.0020.04.2020Phone attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care.
9119213.03.20208M185DNNNNNYNPB13.03.202001.07.202110.008.5001.01.2021500.00300.0020.04.2020Telehealth attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.
9119313.03.20208M1810DNNNNNYNPB13.03.202001.07.202110.008.5001.01.2021500.00300.0020.04.2020Phone attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited management.
9121113.03.20208M191DNNNNNYNPB13.03.202001.07.202133.6028.6001.01.2021500.00300.0020.04.2020Short antenatal telehealth attendance by a participating midwife, lasting up to 40 minutes.
9121213.03.20208M191DNNNNNYNPB13.03.202001.07.202155.5547.2501.01.2021500.00300.0020.04.2020Long antenatal telehealth attendance by a participating midwife, lasting at least 40 minutes.
9121413.03.20208M191DNNNNNYNPB13.03.202001.07.202155.5547.2501.01.2021500.00300.0020.04.2020Short postnatal telehealth attendance by a participating midwife, lasting up to 40 minutes.
9121513.03.20208M191DNNNNNYNPC01.01.202101.07.202181.7061.3069.4501.01.2021500.00300.0020.04.2020Long postnatal telehealth attendance by a participating midwife, lasting at least 40 minutes.
9121813.03.20208M192DNNNNNYNPB13.03.202001.07.202133.6028.6001.01.2021500.00300.0020.04.2020Short antenatal phone attendance by a participating midwife, lasting up to 40 minutes.
9121913.03.20208M192DNNNNNYNPC01.01.202101.07.202155.5541.7047.2501.01.2021500.00300.0020.04.2020Long antenatal phone attendance by a participating midwife, lasting at least 40 minutes.
9122113.03.20208M192DNNNNNYNPB13.03.202001.07.202155.5547.2501.01.2021500.00300.0020.04.2020Short postnatal phone attendance by a participating midwife, lasting up to 40 minutes.
9122213.03.20208M192DNNNNNYNPB13.03.202001.07.202181.7069.4501.01.2021500.00300.0020.04.2020Long postnatal phone attendance by a participating midwife, lasting at least 40 minutes.
9300030.03.20208M1811DNNNNNYNPB30.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Telehealth attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii)complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person’s Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person’s chronic condition and complex care needs; and (c)the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of —in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93013 or any item in Part 1 of the Schedule to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year.
9301330.03.20208M1812DNNNNNYNPB30.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Phone attendance by an eligible allied health practitioner if: (a) the service is provided to a person who has: (i) a chronic condition; and (ii)complex care needs being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or under both a GP Management Plan and Team Care Arrangements or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and (b) the service is recommended in the person’s Team Care Arrangements, multidisciplinary care plan or shared care plan as part of the management of the person’s chronic condition and complex care needs; and (c) the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 20 minutes duration; and (f) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (c): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of —in relation to those matters; to a maximum of 5 services (including any services to which this item, item 93000 or any item in Part 1 of the Schedule to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year.
9302630.03.20208M1813DNNNNNYNPB30.03.202001.07.202176.1064.7001.01.2021500.00300.0020.04.2020Non‑directive pregnancy support counselling health service provided to a person who is currently pregnant or who has been pregnant in the preceding 12 months, (but not as an admitted patient of a hospital) by an eligible psychologist, eligible social worker or eligible mental health nurse as a telehealth attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (c) the service is provided to the person individually; and (d) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (e) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items81000, 81005, 81010 in the Health Insurance (Allied Health Services) Determination 2014 and 4001 and item 93029 apply) for each pregnancy The service may be used to address any pregnancy related issues for which non‑directive counselling is appropriate
9302930.03.20208M1814DNNNNNYNPB30.03.202001.07.202176.1064.7001.01.2021500.00300.0020.04.2020Non‑directive pregnancy support counselling health service provided to a person, who is currently pregnant or who has been pregnant in the preceding 12 months, (but not as an admitted patient of a hospital) by an eligible psychologist, eligible social worker or eligible mental health nurse as a phone attendance if: (a) the person is concerned about a current pregnancy or a pregnancy that occurred in the 12 months preceding the provision of the first service; and (b) the person is referred by a medical practitioner who is not a specialist or consultant physician; and (ba) the service is provided to the person individually; and (c) the eligible psychologist, eligible social worker or eligible mental health nurse does not have a direct pecuniary interest in a health service that has as its primary purpose the provision of services for pregnancy termination; and (d) the service is at least 30 minutes duration; to a maximum of 3 services (including services to which items81000, 81005, 81010 in the Health Insurance (Allied Health Services) Determination 2014 and 4001 and item 93026 apply) for each pregnancy The service may be used to address any pregnancy related issues for which non‑directive counselling is appropriate
9303230.03.20208M1815DNNNNNYNPB30.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Psychology health service provided by telehealth attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child’s PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i)for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii)for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93033, 93040 and 93041 or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day
9303330.03.20208M1815DNNNNNYNPB30.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child’s PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93040 or 93041, or items 82000, 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day
9303530.03.20208M1815DNNNNNYNPB30.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Psychology health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child’s PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child’s condition; and (g) the eligible practitioner is:(i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93036, 93043 and 93044, or items 82015, 82020, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day
9303630.03.20208M1815DNNNNNYNPB30.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by telehealth attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child’s PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child’s condition; and (g) the service is provided to the child individually; and (h) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, item 93035, 93043 and 93044, or items 82015, 82020 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply)
9304030.03.20208M1816DNNNNNYNPB30.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Psychology health service provided by phone attendance to a child aged under 13 years by an eligible psychologist if: (a) the child was referred to the eligible psychologist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child’s PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c)the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93032, 93033 and 93041, or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day
9304130.03.20208M1816DNNNNNYNPB30.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 13 years by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child was referred to the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist by an eligible practitioner: (i) to assist with the diagnosis of the child by the practitioner; or (ii) to contribute to the child’s PDD or disability treatment and management plan, developed by the practitioner; and (b) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; or (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (c) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of that service; and (d) the service is provided to the child individually; and (e) the service is at least 50 minutes duration; to a maximum of 4 services (including services to which this item, items 93932, 93033 and 93040 or items 82005, 82010 and 82030 in the Health Insurance (Allied Health Services) Determination 2014 apply) Up to 4 services may be provided to the same child on the same day
9304330.03.20208M1816DNNNNNYNPB30.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Psychology health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible psychologist, if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child’s PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her field of specialty, or a general practitioner; and (e) the eligible psychologist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child’s condition; and (g) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (h) the service is provided to the child individually; and (i) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93044, 93036, 93035 and 93932 or items 82020, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply)
9304430.03.20208M1816DNNNNNYNPB30.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Speech pathology, occupational therapy, audiology, optometry, orthoptic or physiotherapy health service provided by phone attendance to a child aged under 15 years for treatment of a pervasive developmental disorder (PDD) or eligible disability by an eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist if: (a) the child has been diagnosed with a PDD or an eligible disability; and (b) the child, while aged under 13 years, received a PDD or disability treatment and management plan as prepared by the eligible practitioner; and (c) the child was referred by an eligible practitioner for services consistent with the child’s PDD or disability treatment and management plan; and (d) the eligible practitioner is: (i) for a child with PDD, a consultant physician specialising in the practice of his or her field of psychiatry or paediatrics; (ii) for a child with disability, a specialist or consultant physician practising in his or her specialty, or a general practitioner; and (e) the eligible speech pathologist, occupational therapist, audiologist, orthoptist or physiotherapist attending the child is registered with the Department of Human Services as meeting the credentialing requirements for the provision of those services; and (f) on the completion of the course of treatment, the eligible speech pathologist gives a written report to the referring eligible practitioner on assessments carried out, treatment provided and recommendations on future management of the child’s condition; and (g) the service is provided to the child individually; and (h) the service is at least 30 minutes duration; to a maximum of 20 services (including services to which this item, items 93935, 93036 and 93043 or items 82015, 82025 and 82035 in the Health Insurance (Allied Health Services) Determination 2014 apply)
9304830.03.20208M1817DNNNNNYNPC01.01.202101.07.202164.8048.6055.1001.01.2021500.00300.0020.04.2020Telehealth attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) either: (i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (ii)the person’s shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d) the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or the last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters; to a maximum of 5 services (including any services to which this item or 93061 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014 applies) in a calendar year
9306130.03.20208M1818DNNNNNYNPB30.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Phone attendance provided to a person who is of Aboriginal or Torres Strait Islander descent by an eligible allied health practitioner if: (a) either: (i) a medical practitioner has undertaken a health assessment and identified a need for follow-up allied health services; or (ii) the person’s shared care plan identifies the need for follow-up allied health services; and (b) the person is referred to the eligible allied health practitioner by a medical practitioner using a referral form issued by the Department or a referral form that contains all the components of the form issued by the Department; and (c) the service is provided to the person individually; and (d)the service is of at least 20 minutes duration; and (e) after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner mentioned in paragraph (b): (i) if the service is the only service under the referral—in relation to that service; or (ii) if the service is the first or the last service under the referral—in relation to that service; or (iii) if neither subparagraph (i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters; to a maximum of 5 services (including any services to which this item or item 93060 or any item in Part 6 of Schedule 2 to the Health Insurance (Allied Health Services) Determination 2014applies) in a calendar year
9307430.03.20208M1819DNNNNNYNPB30.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Dietetics health service provided by telehealth attendance to an eligible patient by an eligible dietitian: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is of at least 20 minutes in duration.
9307630.03.20208M1820SNNNNNYNPB30.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes but less than 50 minutes in duration.
9307930.03.20208M1820DNNNNNYNPB30.03.202001.07.2021152.40129.5501.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration.
9308430.03.20208M1820DNNNNNYNPB30.03.202001.07.202173.5562.5501.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration.
9308730.03.20208M1820DNNNNNYNPB30.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration.
9309230.03.20208M1820DNNNNNYNPB30.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually person; and (c) the service is at least 20 minutes but less than 50 minutes in duration.
9309530.03.20208M1820DNNNNNYNPB30.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration.
9310030.03.20208M1820DNNNNNYNPB30.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration.
9310330.03.20208M1820DNNNNNYNPB30.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by telehealth attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration.
9310830.03.20208M1821DNNNNNYNPB30.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Dietetics health service provided by phone attendance to an eligible patient by an eligible dietitian: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is of at least 20 minutes in duration.
9311030.03.20208M1822DNNNNNYNPB30.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 30 minutes but less than 50 minutes in duration.
9311330.03.20208M1822DNNNNNYNPB30.03.202001.07.2021152.40129.5501.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible clinical psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration.
9311830.03.20208M1822DNNNNNYNPB30.03.202001.07.202173.5562.5501.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration.
9312130.03.20208M1822DNNNNNYNPB30.03.202001.07.2021103.8088.2501.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible psychologist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration.
9312630.03.20208M1822DNNNNNYNPB30.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually person; and (c) the service is at least 20 minutes but less than 50 minutes in duration.
9312930.03.20208M1822DNNNNNYNPB30.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible occupational therapist if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration.
9313430.03.20208M1822DNNNNNYNPB30.03.202001.07.202164.8055.1001.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 20 minutes but less than 50 minutes in duration.
9313730.03.20208M1822DNNNNNYNPB30.03.202001.07.202191.5077.8001.01.2021500.00300.0020.04.2020Eating disorder psychological treatment service provided by phone attendance to an eligible patient by an eligible social worker if: (a) the service is recommended in the patient’s eating disorder treatment and management plan; and (b) the service is provided to the patient individually; and (c) the service is at least 50 minutes in duration.
9320020.04.20208M1823DNNNNNYNPB20.04.202001.07.202129.3524.9501.01.2021500.00300.0020.04.2020Follow‑up telehealth attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the service is consistent with the needs identified through the health assessment.
9320120.04.20208M1823DNNNNNYNPB20.04.202001.07.202114.7012.5001.01.2021500.00300.0020.04.2020Telehealth attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic disease if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person has a GP management plan, team care arrangements or multidisciplinary care plan in place and the service is consistent with the plan or arrangements.
9320220.04.20208M1824DNNNNNYNPB20.04.202001.07.202129.3524.9501.01.2021500.00300.0020.04.2020Follow‑up phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner, on behalf of a medical practitioner, for an Indigenous person who has received a health check if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the service is consistent with the needs identified through the health assessment.
9320320.04.20208M1824DNNNNNYNPB20.04.202001.07.202114.7012.5001.01.2021500.00300.0020.04.2020Phone attendance provided by a practice nurse or an Aboriginal and Torres Strait Islander health practitioner to a person with a chronic disease if: (a) the service is provided on behalf of and under the supervision of a medical practitioner; and (b) the person has a GP management plan, team care arrangements or multidisciplinary care plan in place and the service is consistent with the plan or arrangements.
9328422.05.20208M1825DNNNNNYNPB22.05.202001.07.202183.1070.6501.01.2021500.00300.0022.05.2020Telehealth attendance by an eligible dietitian to provide a dietetics health service to a person for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if: (a) the person has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP management plan or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); payable once in a calendar year for this or any other assessment for group services item (including services to which this item, item 92386, or items 81100, 81110 and 81120 of the Allied Health Determination apply)
9328522.05.20208M1825DNNNNNYNPB22.05.202001.07.202120.7017.6001.01.2021500.00300.0022.05.2020Telehealth attendance by an eligible dietitian to provide a dietetics health service, as a group service for the management of type 2 diabetes if: (a) the person has been assessed as suitable for a type 2 diabetes group service under assessment items 81100, 81110 or 81120 of the Allied Health Determination or items 93284 or 93286; and (b) the service is provided to a person who is part of a group of between 2 and 12 patients; and (c) the service is of at least 60 minutes duration; and (d) after the last service in the group services program provided to the person under this item or items 81105, 81115 or 81125 of the Allied Health Determination, the eligible dietitian prepares, or contributes to, a written report to be provided to the referring medical practitioner; and (e) an attendance record for the group is maintained by the eligible dietitian; to a maximum of 8 group services in a calendar year (including services to which this item or items 81105, 81115 and 81125 of the Allied Health Determination apply)
9328622.05.20208M1826DNNNNNYNPB22.05.202001.07.202183.1070.6501.01.2021500.00300.0022.05.2020Phone attendance by an eligible dietitian to provide a dietetics health service to a person for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if: (a) the person has type 2 diabetes; and (b) the person is being managed by a medical practitioner (including a general practitioner, but not a specialist or consultant physician) under a shared care plan or a GP management plan or, if the person is a resident of an aged care facility, the person’s medical practitioner has contributed to a multidisciplinary care plan; and (c) the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d) the service is provided to the person individually; and (e) the service is of at least 45 minutes duration; and (f) after the service, the eligible dietitian gives a written report to the referring medical practitioner mentioned in paragraph (c); payable once in a calendar year for this or any other assessment for group services item (including services to which this item, item 92384, or in items 81100, 81110 and 81120 of the Allied Health Determination apply)
9331210.12.20208M25SNNNNNYNNB10.12.202001.07.2021103.8088.2510.12.2020Psychological therapy health service provided to a person (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 30 minutes but less than 50 minutes duration
9331310.12.20208M25SNNNNNYNNB10.12.202001.07.2021152.40129.5510.12.2020Psychological therapy health service provided to a person (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9331610.12.20208M261SNNNNNYNNB10.12.202001.07.202173.5562.5510.12.2020Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9331910.12.20208M262SNNNNNYNNB10.12.202001.07.2021103.8088.2510.12.2020Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital), by an eligible psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9332210.12.20208M263SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Focussed psychological strategies health service provided to a person(but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9332310.12.20208M263SNNNNNYNNB10.12.202001.07.202191.5077.8010.12.2020Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9332610.12.20208M264SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9332710.12.20208M264SNNNNNYNNB10.12.202001.07.202191.5077.8010.12.2020Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9333007.08.20208M25DNNNNNYNNB07.08.202001.07.2021103.8088.2509.10.2020Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 30 minutes but less than 50 minutes duration
9333107.08.20208M25DNNNNNYNNB07.08.202001.07.2021103.8088.2509.10.2020Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 30 minutes but less than 50 minutes duration
9333207.08.20208M25DNNNNNYNNB07.08.202001.07.2021103.8088.2509.10.2020Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 30 minutes but less than 50 minutes duration
9333307.08.20208M25DNNNNNYNNB07.08.202001.07.2021152.40129.5509.10.2020Psychological therapy health service provided to a person in consulting rooms (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9333407.08.20208M25DNNNNNYNNB07.08.202001.07.2021152.40129.5509.10.2020Psychological therapy health service provided by telehealth attendance by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9333507.08.20208M25DNNNNNYNNB07.08.202001.07.2021152.40129.5509.10.2020Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9335007.08.20208M261DNNNNNYNNB07.08.202001.07.202173.5562.5509.10.2020Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f)the service is at least 20 minutes but less than 50 minutes duration
9335107.08.20208M261DNNNNNYNNB07.08.202001.07.202173.5562.5509.10.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9335207.08.20208M261DNNNNNYNNB07.08.202001.07.202173.5562.5509.10.2020Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9335307.08.20208M262DNNNNNYNNB07.08.202001.07.2021103.8088.2509.10.2020Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital), by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9335407.08.20208M262DNNNNNYNNB07.08.202001.07.2021103.8088.2509.10.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9335507.08.20208M262DNNNNNYNNB07.08.202001.07.2021103.8088.2509.10.2020Focussed psychological strategies health service provided by phone attendance by an eligible psychologist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9335607.08.20208M263DNNNNNYNNB07.08.202001.07.202164.8055.1009.10.2020Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9335707.08.20208M263DNNNNNYNNB07.08.202001.07.202164.8055.1009.10.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9335807.08.20208M263DNNNNNYNNB07.08.202001.07.202164.8055.1009.10.2020Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9335907.08.20208M263DNNNNNYNNB07.08.202001.07.202191.5077.8009.10.2020Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9336007.08.20208M263DNNNNNYNNB07.08.202001.07.202191.5077.8009.10.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes in duration
9336107.08.20208M263DNNNNNYNNB07.08.202001.07.202191.5077.8009.10.2020Focussed psychological strategies health service provided by phone attendance by an eligible occupational therapist if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes in duration
9336207.08.20208M264DNNNNNYNNB07.08.202001.07.202164.8055.1009.10.2020Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9336307.08.20208M264DNNNNNYNNB07.08.202001.07.202164.8055.1009.10.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9336407.08.20208M264DNNNNNYNNB07.08.202001.07.202164.8055.1009.10.2020Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9336507.08.20208M264SNNNNNYNNB07.08.202001.07.202191.5077.8009.10.2020Focussed psychological strategies health service provided to a person in consulting rooms (but not as an admitted patient of a hospital) by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9336607.08.20208M264DNNNNNYNNB07.08.202001.07.202191.5077.8009.10.2020Focussed psychological strategies health service provided by telehealth attendance by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9336707.08.20208M264DNNNNNYNNB07.08.202001.07.202191.5077.8009.10.2020Focussed psychological strategies health service provided by phone attendance by an eligible social worker if: (b) the person is referred by a medical practitioner working in general practice, a psychiatrist or a paediatrician who makes a written record of the need for additional mental health treatment services; and (c) the service is provided to the person individually; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9337510.12.20208M27SNNNNNYNNB10.12.202001.07.2021103.8088.2510.12.2020Psychological therapy health service provided to a person (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 30 minutes but less than 50 minutes duration
9337610.12.20208M27SNNNNNYNNB10.12.202001.07.2021152.40129.5510.12.2020Psychological therapy health service provided to a person (but not as an admitted patient of a hospital), by an eligible clinical psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9338110.12.20208M28SNNNNNYNNB10.12.202001.07.202173.5562.5510.12.2020Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9338210.12.20208M28SNNNNNYNNB10.12.202001.07.2021103.8088.2510.12.2020Focussed psychological strategies health service provided to a person(but not as an admitted patient of a hospital), by an eligible psychologist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9338310.12.20208M28SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Focussed psychological strategies health service provided to a person(but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9338410.12.20208M28SNNNNNYNNB10.12.202001.07.202191.5077.8010.12.2020Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible occupational therapist if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9338510.12.20208M28SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 20 minutes but less than 50 minutes duration
9338610.12.20208M28SNNNNNYNNB10.12.202001.07.202191.5077.8010.12.2020Focussed psychological strategies health service provided to a person (but not as an admitted patient of a hospital) by an eligible social worker if: (a) the person is a care recipient in a residential aged care facility; and (b) the person is referred by: (i) a medical practitioner, either as part of a GP Mental Health Treatment Plan or as part of a psychiatrist assessment and management plan; or (ii) a specialist or consultant physician specialising in the practice of his or her field of psychiatry; and (c) the service is provided to the person individually and in person; and (d) at the completion of a course of treatment, the referring medical practitioner reviews the need for a further course of treatment; and (e) on the completion of the course of treatment, the eligible social worker gives a written report to the referring medical practitioner on assessments carried out, treatment provided and recommendations on future management of the person’s condition; and (f) the service is at least 50 minutes duration
9350110.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Aboriginal and Torres Strait Islander health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply: (a) the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;(b) the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner not more than once in a calendar year
9350210.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Diabetes education health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible diabetes educator if all of the following apply: (a) the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii) a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible diabetes educator gives a written report to the referring medical practitioner not more than once in a calendar year
9350310.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Audiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible audiologist if all of the following apply: (a) the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c) the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d) the service is provided to the person individually and in person; and (e) the service is at least 30 minutes in duration; and (f) after the service, the eligible audiologist gives a written report to the referring medical practitioner not more than once in a calendar year
9350410.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Exercise physiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs;(b) the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner not more than once in a calendar year
9350510.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Dietetics health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible dietitian if all of the following apply: (a)the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible dietitian by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible dietitian gives a written report to the referring medical practitioner not more than once in a calendar year
9350610.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Mental health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible mental health worker if all of the following apply: (a)the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible mental health worker by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible mental health worker gives a written report to the referring medical practitioner not more than once in a calendar year
9350710.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Occupational therapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a)the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible occupational therapist gives a written report to the referring medical practitioner not more than once in a calendar year
9350810.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Physiotherapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a)the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible physiotherapist gives a written report to the referring medical practitioner not more than once in a calendar year
9350910.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Podiatry health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible podiatrist if all of the following apply: (a)the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible podiatrist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible podiatrist gives a written report to the referring medical practitioner not more than once in a calendar year
9351010.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Chiropractic health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible chiropractor if all of the following apply: (a)the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible chiropractor by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible chiropractor gives a written report to the referring medical practitioner not more than once in a calendar year
9351110.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Osteopathy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible osteopath if all of the following apply: (a)the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible osteopath by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible osteopath gives a written report to the referring medical practitioner not more than once in a calendar year
9351210.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Psychology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible psychologist if all of the following apply: (a)the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible psychologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible psychologist gives a written report to the referring medical practitioner not more than once in a calendar year
9351310.12.20208M291SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Speech pathology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible speech pathologist if all of the following apply: (a)the person’s chronic or complex care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (b)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (c)the person is referred to the eligible speech pathologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible speech pathologist gives a written report to the referring medical practitioner not more than once in a calendar year
9351810.12.20208M292SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Additional exercise physiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M29 or Group M3 applied (in total for all items), in that calendar year; (b)the person’s chronic or complex care needs are assessed as requiring additional exercise physiology therapy services in a calendar year; (c)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (d)the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (e)the service is provided to the person individually and in person; and (f)the service is at least 20 minutes in duration; and (g)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9351910.12.20208M292SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Additional occupational therapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M29 or Group M3 applied (in total for all items), in that calendar year; (b)the person’s chronic or complex care needs are assessed as requiring additional occupational therapy services in a calendar year; (c)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (d)the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (e)the service is provided to the person individually and in person; and (f)the service is at least 20 minutes in duration; and (g)after the service, the eligible occupational therapist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9352010.12.20208M292SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Additional physiotherapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M29 or Group M3 applied (in total for all items), in that calendar year; (b)the person’s chronic or complex care needs are assessed as requiring additional physiotherapy services in a calendar year; (c)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (d)the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (e)the service is provided to the person individually and in person; and (f)the service is at least 20 minutes in duration; and (g)after the service, the eligible physiotherapist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9352410.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Aboriginal and Torres Strait Islander health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9352510.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Diabetes education health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible diabetes educator if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii) a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible diabetes educator gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9352610.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Audiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible audiologist if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible audiologist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9352710.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Exercise physiology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the service is provided to a person whose chronic or complex care needs is being managed under: (i) a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9352810.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Dietetics health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible dietitian if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible dietitian by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible dietitian gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9352910.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Mental health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible mental health worker if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible mental health worker by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible mental health worker gives a written report to the referring medical practitioner: (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9353010.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Occupational therapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible occupational therapist gives a written report to the referring medical practitioner: (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9353110.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Physiotherapy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible physiotherapist gives a written report to the referring medical practitioner: (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9353210.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Podiatry health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible podiatrist if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible podiatrist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible podiatrist gives a written report to the referring medical practitioner: (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9353310.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Chiropractic health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible chiropractor if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible chiropractor by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible chiropractor gives a written report to the referring medical practitioner: (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9353410.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Osteopathy health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible osteopath if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible osteopath by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible osteopath gives a written report to the referring medical practitioner: (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9353510.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Psychology health service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible psychologist if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible psychologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible psychologist gives a written report to the referring medical practitioner: (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9353610.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Speech pathology service provided to a care recipient in a residential aged care facility, at a residential aged care facility, by an eligible speech pathologist if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible speech pathologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible speech pathologist gives a written report to the referring medical practitioner: (i) if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9353710.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Telehealth attendance provided to a care recipient in a residential aged care facility, by an eligible allied health practitioner, if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner: (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9353810.12.20208M293SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Phone attendance provided to a care recipient in a residential aged care facility, by an eligible allied health practitioner, if all of the following apply: (a)the service is provided to a person whose chronic or complex care needs is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; (b)the person is referred to the eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible allied health practitioner gives a written report to the referring medical practitioner: (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9354610.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Aboriginal and Torres Strait Islander health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner not more than once in a calendar year
9354710.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Diabetes education health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible diabetes educator if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible diabetes educator by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible diabetes educator gives a written report to the referring medical practitioner not more than once in a calendar year
9354810.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Audiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible audiologist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible audiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible audiologist gives a written report to the referring medical practitioner not more than once in a calendar year
9354910.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Exercise physiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible exercise physiologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner not more than once in a calendar year
9355010.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Dietetics health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible dietitian if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible dietitian by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible dietitian gives a written report to the referring medical practitioner not more than once in a calendar year
9355110.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Mental health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible mental health worker if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible mental health worker by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible mental health worker gives a written report to the referring medical practitioner not more than once in a calendar year
9355210.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Occupational therapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible occupational therapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible occupational therapist gives a written report to the referring medical practitioner not more than once in a calendar year
9355310.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Physiotherapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible physiotherapist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible physiotherapist gives a written report to the referring medical practitioner not more than once in a calendar year
9355410.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Podiatry health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible podiatrist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible podiatrist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible podiatrist gives a written report to the referring medical practitioner not more than once in a calendar year
9355510.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Chiropractic health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible chiropractor if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible chiropractor by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible chiropractor gives a written report to the referring medical practitioner not more than once in a calendar year
9355610.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Osteopathy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible osteopath if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible osteopath by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible osteopath gives a written report to the referring medical practitioner not more than once in a calendar year
9355710.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Psychology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible psychologist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible psychologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible psychologist gives a written report to the referring medical practitioner not more than once in a calendar year
9355810.12.20208M301SNNNNNYNNB10.12.202001.07.202197.1582.6010.12.2020Speech pathology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible speech pathologist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person’s health care needs are assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; (c)the person is referred to the eligible speech pathologist by a medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 30 minutes in duration; and (f)after the service, the eligible speech pathologist gives a written report to the referring medical practitioner not more than once in a calendar year
9357110.12.20208M302SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Additional exercise physiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M30 or Group M11 applied (in total for all items), in that calendar year; (b)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (c)the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 20 minutes in duration; and (f)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9357210.12.20208M302SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Additional occupational therapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M30 or Group M11 applied (in total for all items), in that calendar year; (b)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (c)the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 20 minutes in duration; and (f)after the service, the eligible occupational therapist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9357310.12.20208M302SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Additional physiotherapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a) the person has received 5 services, to which an item in subgroup 1 or 3 of Group M30 or Group M11 applied (in total for all items), in that calendar year; (b)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (c)the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (d)the service is provided to the person individually and in person; and (e)the service is at least 20 minutes in duration; and (f)after the service, the eligible physiotherapist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9357910.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Aboriginal and Torres Strait Islander health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible Aboriginal health worker or eligible Aboriginal and Torres Strait Islander health practitioner gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358010.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Diabetes education health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible diabetes educator if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible diabetes educator gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358110.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Audiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible audiologist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible audiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible audiologist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358210.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Exercise physiology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible exercise physiologist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358310.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Dietetics health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible dietitian if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible dietitian by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d) the service is at least 20 minutes in duration; and (e)after the service, the eligible dietitian gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358410.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Mental health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible mental health worker if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible mental health worker by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e) after the service, the eligible mental health worker gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358510.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Occupational therapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible occupational therapist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible occupational therapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible occupational therapist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358610.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Physiotherapy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible physiotherapist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible physiotherapist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible physiotherapist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358710.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Podiatry health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible podiatrist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible podiatrist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible podiatrist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358810.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Chiropractic health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible chiropractor if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible chiropractor by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible chiropractor gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9358910.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Osteopathy health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible osteopath if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible osteopath by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible osteopath gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9359010.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Psychology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an eligible psychologist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the eligible psychologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the eligible psychologist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9359110.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Speech pathology health service provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an speech pathologist if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the speech pathologist by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the speech pathologist gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9359210.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Telehealth attendance provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an by an eligible allied health practitioner if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the by an eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c)the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the by an eligible allied health practitioner gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9359310.12.20208M303SNNNNNYNNB10.12.202001.07.202164.8055.1010.12.2020Phone attendance provided to a care recipient in a residential aged care facility of Aboriginal or Torres Strait Islander descent, at a residential aged care facility, by an by an eligible allied health practitioner if all of the following apply: (a)the service is provided to a person whose need for allied health treatment services has been identified by: (i)a health assessment service to which items 228, 715, 92004, 92011, 92016, 92023, 93470 or 93479 applies; or (ii)a shared care plan; or (b)the person is referred to the by an eligible allied health practitioner by the medical practitioner using a referral form that has been issued by the Department or a referral form that contains all the components of the form issued by the Department; (c) the service is provided to the person individually and in person; and (d)the service is at least 20 minutes in duration; and (e)after the service, the by an eligible allied health practitioner gives a written report to the referring medical practitioner (i)if the service is the only service under the referral—in relation to that service; or (ii)if the service is the first or last service under the referral—in relation to that service; or (iii)if neither subparagraph(i) nor (ii) applies but the service involves matters that the referring medical practitioner would reasonably expect to be informed of—in relation to those matters
9360610.12.20208M311SNNNNNNNNB10.12.202010.12.202096.3081.9010.12.2020Diabetes education health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible diabetes educator for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if: (a)the person’s type 2 diabetes is assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; and (b)the service is provided to a person whose type 2 diabetes is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; and (c)the person is referred to an eligible diabetes educator by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 45 minutes duration; and (f)after the service, the eligible diabetes educator gives a written report to the referring medical practitioner
9360710.12.20208M311SNNNNNNNNB10.12.202010.12.202096.3081.9010.12.2020Exercise physiology health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible exercise physiologist for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if: (a)the person’s type 2 diabetes is assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; and (b)the service is provided to a person whose type 2 diabetes is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; and (c)the person is referred to an eligible exercise physiologist by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 45 minutes duration; and (f)after the service, the eligible exercise physiologist gives a written report to the referring medical practitioner not more than once in a calendar year
9360810.12.20208M311SNNNNNNNNB10.12.202010.12.202096.3081.9010.12.2020Dietetics health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible dietitian for assessing the person’s suitability for group services for the management of type 2 diabetes, including taking a comprehensive patient history, identifying an appropriate group services program based on the patient’s needs and preparing the person for the group services if: (a)the person’s type 2 diabetes is assessed, including taking a comprehensive patient history and identifying an appropriate treatment program based on the person’s needs; and (b)the service is provided to a person whose type 2 diabetes is being managed under: (i)a multidisciplinary care plan for a residential aged care recipient to which items 232, 731, 92027, 92058, 92071, 92102, 93469 or 93475 applies; or (ii)a shared care plan; or (iii)a GP Management Plan and Team Care Arrangements, where the chronic or complex condition was being treated prior to the person receiving residential care; and (c)the person is referred to an eligible dietitian by the medical practitioner using a referral form that has been issued by the Department, or a referral form that contains all the components of the form issued by the Department; and (d)the service is provided to the person individually and in person; and (e)the service is of at least 45 minutes duration; and (f)after the service, the eligible dietitian gives a written report to the referring medical practitioner
9361310.12.20208M312SNNNNNYNNB10.12.202001.07.202120.7017.6010.12.2020Diabetes education health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible diabetes educator as a group service for the management of type 2 diabetes if: (a)the person has been assessed as suitable for a type 2 diabetes group service under assessment item81100, 81110, 81120,93284, 93286, 93606, 93607 or 93608; and (b)the service is provided to a person who is part of a group of between 2 and 12 patients; and (c)the service is provided in person; and (d)the service is of at least 60 minutes duration; and (e)after the last service in the group services program provided to the person under item 81105, 81115, 81125, 93285, 93613, 93614, 93615 the eligible diabetes educator prepares, or contributes to, a written report to be provided to the referring medical practitioner
9361410.12.20208M312SNNNNNYNNB10.12.202001.07.202120.7017.6010.12.2020Exercise physiology health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible exercise physiologist as a group service for the management of type 2 diabetes if: (a)the person has been assessed as suitable for a type 2 diabetes group service under assessment item81100, 81110, 81120,93284, 93286, 93606, 93607 or 93608; and (b)the service is provided to a person who is part of a group of between 2 and 12 patients; and (c)the service is provided in person; and (d)the service is of at least 60 minutes duration; and (e)after the last service in the group services program provided to the person under item 81105, 81115, 81125, 93285, 93613, 93614, 93615 the eligible exercise physiologist prepares, or contributes to, a written report to be provided to the referring medical practitioner
9361510.12.20208M312SNNNNNYNNB10.12.202001.07.202120.7017.6010.12.2020Dietetics health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible dietitian as a group service for the management of type 2 diabetes if: (a)the person has been assessed as suitable for a type 2 diabetes group service under assessment item81100, 81110, 81120,93284, 93286, 93606, 93607 or 93608; and (b)the service is provided to a person who is part of a group of between 2 and 12 patients; and (c)the service is provided in person; and (d)the service is of at least 60 minutes duration; and (e)after the last service in the group services program provided to the person under item 81105, 81115, 81125, 93285, 93613, 93614, 93615 the eligible dietitian prepares, or contributes to, a written report to be provided to the referring medical practitioner
9362010.12.20208M313SNNNNNYNNB10.12.202001.07.202120.7017.6010.12.2020Additional exercise physiology health service provided to a care recipient in a residential aged care facility with type 2 diabetes, at a residential aged care facility, by an eligible exercise physiologist as a group service for the management of type 2 diabetes if: (a)the person has been assessed as suitable for a type 2 diabetes group service under assessment item81100, 81110, 81120,93284, 93286, 93606, 93607 or 93608; and (b)the person has received 8 services, to which an item in subgroup 2 of Group M31 or 81105, 81115, 81125 applied (in total for all items), in that calendar year. (c)the service is provided to a person who is part of a group of between 2 and 12 patients; and (d)the service is provided in person; and (e)the service is of at least 60 minutes duration; and (f)after the last service to which this item applies was provided to a person in a calendar year, the eligible exercise physiologist gives a written report to the referring medical practitioner
8801101.01.201410U01DNNNNNNNNE01.01.201401.01.202153.3553.3501.01.2014Comprehensive oral examination Evaluation of all teeth, their supporting tissues and the oral tissues in order to record the condition of these structures. This evaluation includes recording an appropriate medical history and any other relevant information.
8801201.01.201410U01DNNNNNNNNE01.01.201401.01.202144.3044.3001.01.2014Periodic oral examination An evaluation performed on a patient of record to determine any changes in the patient's dental and medical health status since a previous comprehensive or periodic examination.
8801301.01.201410U01DNNNNNNNNE01.01.201401.01.202127.8527.8501.01.2014Oral examination - limited A limited oral problem-focussed evaluation carried out immediately prior to required treatment. This evaluation includes recording an appropriate medical history and any other relevant information.
8802201.01.201410U02DNNNNNNNNE01.01.201401.01.202130.8530.8501.01.2014Intraoral periapical or bitewing radiograph - per exposure Taking and interpreting a radiograph made with the film inside the mouth.
8802501.01.201410U02DNNNNNNNNE01.01.201401.01.202162.3562.3501.01.2014Intraoral radiograph - occlusal, maxillary, mandibular - per exposure Taking and interpreting an occlusal, maxillary or mandibular intraoral radiograph. This radiograph shows a more extensive view of teeth and maxillary or mandibular bone.
8811101.01.201410U11DNNNNNNNNE01.01.201401.01.202154.5054.5001.01.2018Removal of plaque and/or stain Removal of dental plaque and/or stain from the surfaces of all teeth and/or implants.
8811401.01.201410U11DNNNNNNNNE01.01.201401.01.202190.8590.8501.01.2014Removal of calculus - first visit Removal of calculus from the surfaces of teeth.
8811501.01.201410U11DNNNNNNNNE01.01.201401.01.202159.1059.1001.01.2014Removal of calculus - subsequent visit This item describes procedures in item 88114 when, because of the extent or degree of calculus, an additional visit(s) is required to remove deposits from the teeth.
8812101.01.201410U12DNNNNNNNNE01.01.201401.01.202135.0035.0001.01.2014Topical application of remineralisation and/or cariostatic agents, one treatment Application of remineralisation and/or cariostatic agents to the surfaces of the teeth. This may include activation of the agent. Not to be used as an intrinsic part of the restoration.
8816101.01.201410U13DNNNNNNNNE01.01.201401.01.202146.6546.6501.01.2015Fissure and/or tooth surface sealing - per tooth (first four services on a day) Sealing of non-carious pits, fissures, smooth surfaces or cracks in a tooth with an adhesive material. Any preparation prior to application of the sealant is included in this item number.
8816201.01.201410U13DNNNNNNNNE01.01.201401.01.202123.3523.3501.01.2014Fissure and/or tooth surface sealing - per tooth (subsequent services) Sealing of non-carious pits, fissures, smooth surfaces or cracks in a tooth with an adhesive material. Any preparation prior to application of the sealant is included in this item number.
8821301.01.201410U2DNNNNNNNNE01.01.201401.01.202170.6070.6001.01.2014Treatment of acute periodontal infection - per visit This item describes the treatment of acute periodontal infection(s). It may include establishing drainage and the removal of calculus from the affected tooth (teeth). Inclusive of the insertion of sutures, normal post-operative care and suture removal.
8822101.01.201410U2DNNNNNNNNE01.01.201401.01.202153.6553.6501.01.2014Clinical periodontal analysis and recording This is a special examination performed as part of the diagnosis and management of periodontal disease. The procedure consists of assessing and recording a patient's periodontal condition. All teeth and six sites per tooth must be recorded. Written documentation of these measurements must be retained.
8831101.01.201410U31DNNNNNNNNE01.01.201401.01.2021133.00133.0001.01.2014Removal of a tooth or part(s) thereof - first tooth extracted on a day A procedure consisting of the removal of a tooth or part(s) thereof. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
8831401.01.201410U31DNNNNNNNNE01.01.201401.01.2021170.00170.0001.01.2014Sectional removal of a tooth or part(s) thereof - first tooth extracted on a day The removal of a tooth or part(s) thereof in sections. Bone removal may be necessary. Inclusive of the insertion of sutures, normal postoperative care and suture removal.
8831601.01.201410U31DNNNNNNNNE01.01.201401.01.202183.8583.8501.01.2014Additional extraction requiring removal of a tooth or part(s) thereof, or sectional removal of a tooth. Additional extraction provided on the same day as a service described in item 88311 or 88314 is provided to the patient.
8832201.01.201410U32DNNNNNNNNE01.01.201401.01.2021215.85215.8501.01.2014Surgical removal of a tooth or tooth fragment not requiring removal of bone or tooth division - first tooth extracted on a day Removal of a tooth or tooth fragment where an incision and the raising of a mucoperiosteal flap is required, but where removal of bone or sectioning of the tooth is not necessary to remove the tooth. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
8832301.01.201410U32DNNNNNNNNE01.01.201401.01.2021246.50246.5001.01.2014Surgical removal of a tooth or tooth fragment requiring removal of bone - first tooth extracted on a day Removal of a tooth or tooth fragment where removal of bone is required after an incision and a mucoperiosteal flap raised. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
8832401.01.201410U32DNNNNNNNNE01.01.201401.01.2021331.60331.6001.01.2014Surgical removal of a tooth or tooth fragment requiring both removal of bone and tooth division - first tooth extracted on a day Removal of a tooth or tooth fragment where both removal of bone and sectioning of the tooth are required after an incision and a mucoperiosteal flap raised. The tooth will be removed in portions. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
8832601.01.201410U32DNNNNNNNNE01.01.201401.01.2021176.60176.6001.01.2014Additional extraction requiring surgical removal of a tooth or tooth fragment Additional surgical extraction provided on the same day as a service described in item 88322, 88323 or 88324 is provided to the patient.
8835101.01.201410U35DNNNNNNNNE01.01.201401.01.2021162.05162.0501.01.2014Repair of skin and subcutaneous tissue or mucous membrane The surgical cleaning and repair of a facial skin wound in the region of the mouth or jaws, or the repair of oral mucous membrane, where the wounds involve the subcutaneous tissues. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
8838401.01.201410U38DNNNNNNNNE01.01.201401.01.2021193.35193.3501.01.2014Repositioning of displaced tooth/teeth - per tooth A procedure following trauma where the position of the displaced tooth/teeth is corrected by manipulation. Stabilising procedures are itemised separately. Inclusive of the insertion of sutures, normal postoperative care and suture removal.
8838601.01.201410U38DNNNNNNNNE01.01.201401.01.2021199.45199.4501.01.2014Splinting of displaced tooth/teeth - per tooth A procedure following trauma where the position of the displaced tooth/teeth may be stabilized by splinting. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
8838701.01.201410U38DNNNNNNNNE01.01.201401.01.2021390.55390.5501.01.2014Replantation and splinting of a tooth Replantation of a tooth which has been avulsed or intentionally removed. It may be held in the correct position by splinting. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
8839201.01.201410U38DNNNNNNNNE01.01.201401.01.202198.1098.1001.01.2014Drainage of abscess Drainage and/or irrigation of an abscess other than through a root canal or at the time of extraction. The drainage may be through an incision or inserted tube. Inclusive of the insertion of sutures, normal post-operative care and suture removal.
8841101.01.201410U41DNNNNNNNNE01.01.201401.01.202135.3035.3001.01.2014Direct pulp capping A procedure where an exposed pulp is directly covered with a protective dressing or cement.
8841201.01.201510U41DNNNNNNNNE01.01.201501.01.2021120.95120.9501.01.2015Incomplete endodontic therapy (tooth not suitable for further treatment) A procedure where in assessing the suitability of a tooth for endodontic treatment a decision is made that the tooth is not suitable for restoration.
8841401.01.201410U41DNNNNNNNNE01.01.201401.01.202177.0577.0501.01.2014Pulpotomy Amputation within the pulp chamber of part of the vital pulp of a tooth. The pulp remaining in the canal(s) is then covered with a protective dressing or cement.
8841501.01.201410U41DNNNNNNNNE01.01.201401.01.2021216.95216.9501.01.2014Complete chemo-mechanical preparation of root canal - one canal Complete chemo-mechanical preparation including removal of pulp or necrotic debris from a canal.
8841601.01.201410U41DNNNNNNNNE01.01.201401.01.2021103.35103.3501.01.2014Complete chemo-mechanical preparation of root canal - each additional canal Complete chemo-mechanical preparation including removal of pulp or necrotic debris from each additional canal of a tooth with multiple canals.
8841701.01.201410U41DNNNNNNNNE01.01.201401.01.2021211.30211.3001.01.2014Root canal obturation - one canal The filling of a root canal, following chemo-mechanical preparation.
8841801.01.201410U41DNNNNNNNNE01.01.201401.01.202198.8098.8001.01.2014Root canal obturation - each additional canal The filling, following chemo-mechanical preparation, of each additional canal in a tooth with multiple canals.
8841901.01.201410U41DNNNNNNNNE01.01.201401.01.2021139.70139.7001.01.2014Extirpation of pulp or debridement of root canal(s) - emergency or palliative The partial or thorough removal of pulp and/or debris from the root canal system of a tooth. This is an emergency or palliative procedure distinct from visits for scheduled endodontic treatment.
8842101.01.201410U41DNNNNNNNNE01.01.201401.01.2021120.95120.9501.01.2014Resorbable root canal filling - primary tooth The placement of resorbable root canal filling material in a primary tooth.
8845501.01.201410U44DNNNNNNNNE01.01.201401.01.2021107.05107.0501.01.2014Additional visit for irrigation and/or dressing of the root canal system - per tooth Additional debridement irrigation and short-term dressing required where evidence of infection or inflammation persists following prior opening of the root canal and removal of its contents.
8845801.01.201410U44DNNNNNNNNE01.01.201401.01.2021142.80142.8001.01.2014Interim therapeutic root filling - per tooth A procedure consisting of the insertion of a long-term provisional (temporary) root canal filling with therapeutic properties which facilitates healing/development of the root and periradicular tissues over an extended time.
8851101.01.201410U51DNNNNNNNNE01.01.201401.01.2021105.60105.6001.01.2014Metallic restoration - one surface - direct Direct metallic restoration involving one surface of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8851201.01.201410U51DNNNNNNNNE01.01.201401.01.2021129.45129.4501.01.2014Metallic restoration - two surfaces - direct Direct metallic restoration involving two surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8851301.01.201410U51DNNNNNNNNE01.01.201401.01.2021154.50154.5001.01.2014Metallic restoration - three surfaces - direct Direct metallic restoration involving three surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8851401.01.201410U51DNNNNNNNNE01.01.201401.01.2021176.10176.1001.01.2014Metallic restoration - four surfaces - direct Direct metallic restoration involving four surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8851501.01.201410U51DNNNNNNNNE01.01.201401.01.2021201.05201.0501.01.2014Metallic restoration - five surfaces - direct Direct metallic restoration involving five surfaces of a tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8852101.01.201410U52DNNNNNNNNE01.01.201401.01.2021116.95116.9501.01.2014Adhesive restoration - one surface - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8852201.01.201410U52DNNNNNNNNE01.01.201401.01.2021141.95141.9501.01.2014Adhesive restoration - two surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8852301.01.201410U52DNNNNNNNNE01.01.201401.01.2021168.15168.1501.01.2014Adhesive restoration - three surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8852401.01.201410U52DNNNNNNNNE01.01.201401.01.2021194.35194.3501.01.2014Adhesive restoration - four surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8852501.01.201410U52DNNNNNNNNE01.01.201401.01.2021228.40228.4001.01.2014Adhesive restoration - five surfaces - anterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an anterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8853101.01.201410U53DNNNNNNNNE01.01.201401.01.2021124.90124.9001.01.2014Adhesive restoration - one surface - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving one surface of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8853201.01.201410U53DNNNNNNNNE01.01.201401.01.2021156.80156.8001.01.2014Adhesive restoration - two surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving two surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8853301.01.201410U53DNNNNNNNNE01.01.201401.01.2021188.50188.5001.01.2014Adhesive restoration - three surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving three surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8853401.01.201410U53DNNNNNNNNE01.01.201401.01.2021212.45212.4501.01.2014Adhesive restoration - four surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving four surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8853501.01.201410U53DNNNNNNNNE01.01.201401.01.2021245.35245.3501.01.2014Adhesive restoration - five surfaces - posterior tooth - direct Direct restoration, using an adhesive technique and a tooth-coloured material, involving five surfaces of an posterior tooth. Inclusive of the preparation of the tooth, placement of a lining, contouring of the adjacent and opposing teeth, placement of the restoration and normal post-operative care.
8857201.01.201410U57DNNNNNNNNE01.01.201401.01.202149.4049.4001.01.2014Provisional (intermediate/temporary) restoration - per tooth The provisional (intermediate) restoration of a tooth designed to last until the definitive restoration can be constructed or the tooth is removed. This item should only be used where the provisional (intermediate) restoration is not an intrinsic part of treatment. It does not include provisional (temporary) sealing of the access cavity during endodontic treatment or during construction of indirect restorations.
8857401.01.201410U57DNNNNNNNNE01.01.201401.01.202141.6041.6001.01.2014Metal band The cementation of a metal band for diagnostic, protective purposes or for the placement of a provisional (intermediate) restoration.
8857501.01.201410U57DNNNNNNNNE01.01.201401.01.202128.4028.4001.01.2014Pin retention - per pin Use of a pin to aid the retention and support of direct or indirect restorations in a tooth.
8857901.01.201410U57DNNNNNNNNE01.01.201401.01.202198.1098.1001.01.2014Bonding of tooth fragment The direct bonding of a tooth fragment as an alternative to placing a restoration.
8858601.01.201810U57DNNNNNNNNE01.01.201801.01.2021260.40260.4001.01.2018Crown-metallic-with tooth preparation-preformed Placing a preformed metallic crown as a coronal restoration for a tooth.
8858701.01.201810U57DNNNNNNNNE01.01.201801.01.2021154.50154.5001.01.2018Crown-metallic-minimal tooth preparation-preformed Placing a preformed metallic crown as a coronal restoration for a tooth and where minimal or no restoration of the tooth is required. Commonly referred to as a 'Hall' crown.
8859701.01.201410U57DNNNNNNNNE01.01.201401.01.202189.3089.3001.01.2014Post - direct Insertion of a post into a prepared root canal to provide an anchor for an artificial crown or other restoration.
8872101.01.201410U71DNNNNNNNNE01.01.201401.01.2021442.30442.3001.01.2014Partial maxillary denture - resin, base only Provision of a resin base for a removable dental prosthesis for the maxilla where some natural teeth remain.
8872201.01.201410U71DNNNNNNNNE01.01.201401.01.2021442.30442.3001.01.2014Partial mandibular denture - resin, base only Provision of a resin base for a removable dental prosthesis for the mandible where some natural teeth remain.
8872301.01.201810U71DNNNNNNNNE01.01.201801.01.2021331.70331.7001.01.2018Provisional partial maxillary denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the maxilla which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88721.
8872401.01.201810U71DNNNNNNNNE01.01.201801.01.2021331.70331.7001.01.2018Provisional partial mandibular denture Provision of a patient removable partial dental prosthesis replacing the natural teeth and adjacent tissues in the mandible which is designed to last until the definitive prosthesis can be constructed. This item should only be used where a provisional denture is not an intrinsic part of item 88722.
8873101.01.201410U71DNNNNNNNNE01.01.201401.01.202144.6044.6001.01.2014Retainer - per tooth A retainer or attachment fitted to a tooth to aid retention of a partial denture. The number of retainers should be indicated.
8873301.01.201410U71DNNNNNNNNE01.01.201401.01.202136.6036.6001.01.2014Tooth/teeth (partial denture) An item to describe each tooth added to the base of a new partial denture. The number of teeth should be indicated.
8873601.01.201410U71DNNNNNNNNE01.01.201401.01.20219.209.2001.01.2014Immediate tooth replacement - per tooth Provision within a denture to allow immediate replacement of an extracted tooth. The number of teeth so replaced should be indicated.
8874101.01.201410U74DNNNNNNNNE01.01.201401.01.202153.2053.2001.01.2014Adjustment of a denture Adjustment of a denture to improve comfort, function or aesthetics. This item does not apply to routine adjustments following the insertion of a new denture or the maintenance or repair of an existing denture.
8876101.01.201410U76DNNNNNNNNE01.01.201401.01.2021146.05146.0501.01.2014Reattaching pre-existing clasp to denture Repair, insertion and adjustment of a denture involving re-attachment of a pre-existing clasp.
8876201.01.201410U76DNNNNNNNNE01.01.201401.01.2021152.60152.6001.01.2014Replacing/adding clasp to denture - per clasp Repair, insertion and adjustment of a denture involving replacement or addition of a new clasp or clasps.
8876401.01.201410U76DNNNNNNNNE01.01.201401.01.2021146.05146.0501.01.2014Repairing broken base of a partial denture Repair, insertion and adjustment of a broken resin partial denture base.
8876501.01.201410U76DNNNNNNNNE01.01.201401.01.2021152.60152.6001.01.2014Replacing/adding new tooth on denture - per tooth Repair, insertion and adjustment of a denture involving replacement with or addition of a new tooth or teeth to a previously existing denture.
8876601.01.201410U76DNNNNNNNNE01.01.201401.01.2021146.05146.0501.01.2014Reattaching existing tooth on denture - per tooth Repair, insertion and adjustment of a denture involving reattachment of a pre-existing denture tooth or teeth.
8876801.01.201410U76DNNNNNNNNE01.01.201401.01.2021154.50154.5001.01.2014Adding tooth to partial denture to replace an extracted ordecoronated tooth - per tooth Modification, insertion and adjustment of a partial denture involving an addition to accommodate the loss of a natural tooth or its coronal section.
8877601.01.201410U77DNNNNNNNNE01.01.201401.01.202146.6546.6501.01.2014Impression - dental appliance repair/modification An item to describe taking an impression where required for the repair or modification of a dental appliance.
8891101.01.201410U91DNNNNNNNNE01.01.201401.01.202169.2569.2501.01.2014Palliative care An item to describe interim care to relieve pain, infection, bleeding or other problems not associated with other treatment.
8894201.01.201410U94DNNNNNNNNE01.01.201401.01.2021135.75135.7501.01.2014Sedation - intravenous Sedative drug(s) administered intravenously, usually in increments.The incremental administration may continue while dental treatment is being provided.
8894301.01.201410U94DNNNNNNNNE01.01.201401.01.202167.8567.8501.01.2014Sedation - inhalation Nitrous oxide gas mixed with oxygen is inhaled by the patient while dental treatment is being provided.