Middle Ear Implants

New Medicare Benefits Schedule (MBS) Item 41618: Middle Ear Implants for the Treatment of Sensorineural Hearing Loss

Page last updated: 21 June 2017

Middle Ear Implants 41618 (PDF 213 KB)
Middle Ear Implants 41618 (Word 506 KB)


What does the new procedure involve?

MBS item 41618 is for the surgical insertion of a partially implantable active middle ear implants via mastoidectomy in patients with mild to severe sensorineural hearing loss (SNHL). The service is restricted to patients who, for a range of medical reasons, cannot wear conventional hearing aids. These patients have considerable unmet clinical need for the service as they are not suitable for cochlear and bone conduction implants.


What are the patient eligibility requirements?

Before receiving the service, patients will require audiometry tests demonstrating that they meet the eligibility criteria. The procedure is for patients with the following indications:


    stable SNHL

    outer ear pathology that prevents the use of a conventional hearing aid

    a pure tone average (PTA at 0.5, 1.0, 2.0 and 4.0kHz)4 of less than 80 decibels hearing level (dBHL)

    bilateral, symmetrical hearing loss with PTA thresholds in both ears within 20 dBHL (0.54kHz) of each other

    speech perception discrimination of at least 65% correct for word lists with appropriately amplified sound

    normal middle ear

    normal tympanometry

    on audiometry, an airbone gap of less than 10dBHL (0.54kHz) across all frequencies

    no other inner ear disorders.


Fee: $1876.95; MBS benefit: 75% = $1407.75

This item can be claimed with items from Group T9 Assistance at Operations and Group T10 Relative Value Guide for Anaesthesia.


Where can the procedure take place?

The procedure can be performed only in hospital.


Relevant organisations


    Audiology Australia

    Australian College of Audiology

    Australian College of Rural and Remote Medicine

    Australian Hearing

    Australian Medical Association

    Australian Society of Otolaryngology Head and Neck Surgery

    Royal Australasian College of Surgeons

    Royal Australian College of General Practitioners


Find out more

For details of the 1 May 2017 MBS changes, please refer to Health Insurance Legislation Amendment (2017 Measures No. 1) Regulations 2017 (click on the ‘Explanatory Statement’ tab) or visit MBS Online. See the Medical Services Advisory Committee’s website for more information about the committee’s recommendation to list the service.