Health Insurance (Variation of Fees and Medical Services) (No. 17) Regulations (Cth)

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Statutory Rules 1980 No. 3171

 

Health Insurance (Variation of Fees and Medical

Services) (No. 17) Regulations

I, THE GOVERNOR-GENERAL of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulation under the Health Insurance Act 1973.

Dated 29 October 1980.

ZELMAN COWEN

Governor-General

By His Excellency’s Command,

MICHAEL MACKELLAR

Minister of State for Health

Citation

 1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 17) Regulations.

Commencement

 2. These Regulations shall come into operation on 1 November 1980.

Repeal

 3. Statutory Rules 1979 Nos. 233 and 285, and Statutory Rules 1980 No. 166 are repealed.

Variation of table of medical services

 4. The table of medical services, including rules of interpretation for the interpretation of that table, in the Schedule is prescribed for the purposes of sub-section 4 (2) of the Health Insurance Act 1973.

 THE SCHEDULE Regulation 4

RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL SERVICES

1.

Where an item in Part 1, in Division 3 of Part 3 or in Part 4 of the table includes the symbol “(S)”, the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty.

2.

Where an item in Part 1, in Division 3 of Part 3 or in Part 4 of the table includes the symbol “(G)”, the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty.

3.

Where an item, other than an item in Part 1, in Division 3 of Part 3 or in Part 4 of the table, includes the symbol “(S)”, the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty to a patient who has been referred to him.

4.

Where an item, other than an item in Part 1, in Division 3 of Part 3 or in Part 4 of the table, includes the symbol “(G)”, the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty to a patient who has been referred to him.

5.

A reference in rule 3 or 4 or in Part 1 of the table to the referring of a patient to a specialist shall be read as a reference to a referring by a medical practitioner and—

  • (a)

    where the specialist concerned is an ophthalmologist—shall be read as including a reference to a referring by a registered optometrist or by a registered optician; and

  • (b)

    where a referring arises out of a dental service rendered to the person who has been referred—shall be read as including a reference to a referring by a dental practitioner.

6.

A reference in item 955 to venepuncture and the collection of blood for the performance by an approved pathology practitioner of a pathology service shall not be read as a reference to that procedure where—

  • (a)

    any of the blood collected is used in the rendering of a medical service specified in an item in Part 7 by a member of a group of medical practitioners of whom the medical practitioner who collected the blood is a member;

  • (b)

    the procedure is performed—

    • (i)

      in respect of a person who is, at the time the procedure is performed, an in‑patient of a private hospital or a recognized hospital; or

    • (ii)

      in the course of the provision of an out-patient service at a private hospital or a recognized hospital; or

  • (c)

    in the rendering of the procedure—

    • (i)

      any equipment of a private hospital, a recognized hospital or a prescribed establishment is used; or

    • (ii)

      any member of the staff of a private hospital, a recognized hospital or a prescribed establishment participates.

7.

(1)   In rule 6 and in item 955 “pathology service” means a medical service specified in an item in Part 7, not being item 1504, 1505, 1511, 1512, 1516 or 1517 or an item in Division 9 of that Part.

 (2)    In rule 6 “prescribed establishment” means—

  • (a)

    a laboratory or medical centre operated by the Commonwealth;

  • (b)

    a laboratory or medical centre operated by a State or an authority of a State;

  • (c)

    a laboratory or medical centre operated by the Northern Territory of Australia;

  • (d)

    a laboratory or medical centre operated by the Capital Territory Health Commission;

  • (e)

    a laboratory or medical centre operated by an Australian University; or

  • (f)

    a laboratory or medical centre (not being a laboratory or medical centre referred to in paragraphs (a) to (e) inclusive) operated on a non-profit basis.

8.

Where an item in Part 7 includes the symbol “(SP)”, the item shall be taken to relate to a pathology service to which paragraph 16A (1) (a) applies when rendered by or on behalf of an approved pathology practitioner who—

  • (a)

    is a recognized pathologist; or

  • (b)

    employs a recognized pathologist by whom, or under whose supervision, the service is rendered,

other than a pathology service—

  • (c)

    rendered in pursuance of a request made in the course of the provision of an out‑patient service at a recognized hospital;

  • (d)

    rendered in pursuance of a request made in respect of a person who was, at the time that the request was made, a private patient in a recognized hospital; or

  • (e)

    in the rendering of which—

    • (i)

      any pathology equipment of a recognized hospital or a laboratory included in a prescribed class of laboratories is used; or

    • (ii)

      any member of the staff of a recognized hospital or a laboratory included in a prescribed class of laboratories participates.

9.

In rule 8 “recognized pathologist” means a medical practitioner who, by reason of a determination under section 61, is to be recognized for the purposes of the Act as a specialist in the specialty of pathology.

10.

Where an item in Part 7 includes the symbol “(HP)”, the item shall be taken to relate to a pathology service—

  • (a)

    to which paragraph 16A (1) (a) or (b) applies when rendered—

    • (i)

      in the case of a service to which paragraph 16A (1) (a) applies—in pursuance of a request made in respect of a person who was, at the time that the request was made, a private patient in a recognized hospital; or

    • (ii)

      in the case of a service to which paragraph 16A (1) (b) applies—in respect of a patient who is a private patient in a recognized hospital; and

  • (b)

    in the rendering of which—

    • (i)

      any pathology equipment of a recognized hospital or a laboratory included in a prescribed class of laboratories is used; or

    • (ii)

      any member of the staff of a recognized hospital or a laboratory included in a prescribed class of laboratories participates.

11.

For the purposes of rules 8 and 10, each of the following classes of laboratories is a prescribed class of laboratories:

  • (a)

    laboratories operated by the Commonwealth;

  • (b)

    laboratories operated by a State or an authority of a State;

  • (c)

    laboratories operated by the Northern Territory of Australia;

  • (d)

    laboratories operated by the Capital Territory Health Commission;

  • (e)

    laboratories operated by an Australian University.

12.

Where an item in Part 7 includes the symbol “(OP)”, the item shall be taken to relate to—

  • (a)

    a pathology service to which paragraph 16A (1) (a) or (b) applies other than a service included in an item that includes the symbol “(SP)” or “(HP)”; or

  • (b)

    a pathology service rendered outside Australia.

13.

Each item in Division 9 of Part 7 shall be taken to relate to a pathology service to which paragraph 16A (1) (c) applies.

14.

Where an item in Part 9A includes the symbol “(HR)”, the item shall be taken to relate to the service specified in the item when rendered with the use of any computerized axial tomography equipment of a recognized hospital or a radiology unit included in a prescribed class of radiology units.

15.

Where an item in Part 9A includes the symbol “(OR)”, the item shall be taken to relate to the service specified in the item when rendered otherwise than with the use of any computerized axial tomography equipment of a recognized hospital or a radiology unit included in a prescribed class of radiology units.

16.

For the purposes of rules 14 and 15, each of the following classes of radiology units is a prescribed class of radiology units:

  • (a)

    radiology units operated by the Commonwealth;

  • (b)

    radiology units operated by a State or an authority of a State;

  • (c)

    radiology units operated by the Northern Territory of Australia;

  • (d)

    radiology units operated by the Capital Territory Health Commission;

  • (e)

    radiology units operated by an Australian University.

17.

Where an item includes the symbol “(D)”, the item shall be taken to relate to the service specified in the item when rendered in an operating theatre of a hospital in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of “professional service” in sub-section 3 (1).

18.

A reference in an item in Division 1 of Part 3 of the table to the administration of an anaesthetic shall be read as a reference to the administration of an anaesthetic in connection with a dental other than a specialist anaesthetist.

19.

A reference in an item in Division 2 of Part 3 of the table to the administration of an anaesthetic shall be read as a reference to the administration of an anaesthetic by a specialist anaesthetist.

20.

A reference in an item in Division 3 of Part 3 of the table to the administration of an anaesthetic shall be read as a reference to the administration of an anaesthetic in connection with a dental service other than a service that is a prescribed medical service for the purposes of paragraph (b) of the definition of “professional service” in sub-section 3 (1).

21.

A reference in item 180 to the proclaimed date shall be read as a reference to the date fixed for the purposes of section 10.

22

Where—

  • (a)

    a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed to apply in relation to one procedure) that includes the symbol “(SP)”;

  • (b)

    a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed to apply in relation to one procedure) that includes the symbol “(HP)”; or

  • (c)

    a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed to apply in relation to one procedure) that includes the symbol “(OP)”,

is rendered in respect of a person by or on behalf of an approved pathology practitioner in pursuance of a request, made on a day, addressed to that approved pathology practitioner (in this rule referred to as “the first-mentioned approved pathology practitioner”)—

  • (d)

    by the practitioner who determined that the procedure was necessary; or

  • (e)

    by another approved pathology practitioner who is not the practitioner who determined that the procedure was necessary,

being the only such request in respect of a procedure of that kind, or any other kind described in that item, made on that day in respect of that person to the first-mentioned approved pathology practitioner by that practitioner or that other approved pathology practitioner, that procedure shall be treated as one service consisting of that procedure.

23.

Where—

  • (a)

    2 or more procedures each of which is a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed, whether directly or indirectly, to apply to that number of procedures) that includes the symbol “(SP)”;

  • (b)

    2 or more procedures each of which is a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed, whether directly or indirectly, to apply to that number of procedures) that includes the symbol “(HP)”; or

  • (c)

    2 or more procedures each of which is a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed, whether directly or indirectly, to apply to that number of procedures) that includes the symbol “(OP)”,

are rendered in respect of a person by or on behalf of an approved pathology practitioner in pursuance of a request, or requests made on the one day, addressed to that approved pathology practitioner—

  • (d)

    by the practitioner who determined that the procedures were necessary; or

  • (e)

    by another approved pathology practitioner who is not the practitioner who determined that the procedures were necessary,

those procedures shall, unless the contrary intention appears, be treated as one service consisting of those procedures.

24.

Where—

  • (a)

    a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed to apply in relation to one procedure) that includes the symbol “(OP)” or “(HP)”, being a procedure determined on a day to be necessary by an approved pathology practitioner (being a medical practitioner) or by an employee (being a medical practitioner) of an approved pathology practitioner in the course of that employment, is rendered in respect of a person by or on behalf of that approved pathology practitioner; and

  • (b)

    that procedure is the only procedure of that kind, or any other kind described in that item, that was so determined on that day to be necessary in respect of that person by that approved pathology practitioner, that employee or any other employee (being a medical practitioner) of that approved pathology practitioner,

that procedure shall be treated as one service consisting of that procedure.

25.

Where 2 or more procedures each of which is a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed, whether directly or indirectly, to apply to that number of procedures) that includes the symbol “(OP)” or “(HP)” being procedures determined on the one day to be necessary by an approved pathology practitioner (being a medical practitioner) or by an employee (being a medical practitioner) of an approved pathology practitioner in the course of that employment, are rendered in respect of a person by or on behalf of that approved pathology practitioner, those procedures shall, unless the contrary intention appears, be treated as one service consisting of those procedures.

26.

Where—

  • (a)

    a procedure of one of the kinds of procedure described in item 2334 is rendered in respect of a person (in this rule referred to as “the first-mentioned person”) by or on behalf of a medical practitioner other than an approved pathology practitioner (in this rule referred to as “the first-mentioned practitioner”) and—

    • (i)

      the procedure was determined to be necessary by the first-mentioned practitioner; or

    • (ii)

      the procedure was rendered in pursuance of a request made by the person who determined that the procedure was necessary, being a medical practitioner (other than an approved pathology practitioner) who, at the time the request was made, was a member of a group of practitioners of which the first-mentioned practitioner was then a member; and

  • (b)

    that procedure is the only procedure of that kind, or any other kind included in that item, that, on the day on which the procedure was determined to be necessary or on which the request for the procedure was made, as the case may be, was—

    • (i)

      so determined to be necessary in respect of the first-mentioned person by the first-mentioned practitioner; or

    • (ii)

      so requested in respect of the first-mentioned person by a medical practitioner (other than an approved pathology practitioner) who, on that day, was a member of a group of practitioners of which the first-mentioned practitioner was then a member,

that procedure shall be treated as one service consisting of that procedure.

27.

Where—

  • (a)

    2 or more procedures each of which is a procedure of one of the kinds of procedure described in item 2335 or 2336 are rendered in respect of a person by or on behalf of a medical practitioner other than an approved pathology practitioner (in this rule referred to as “the first-mentioned practitioner”);

  • (b)

    each of the procedures was—

    • (i)

      determined to be necessary by the first-mentioned practitioner; or

    • (ii)

      rendered in pursuance of a request made by the person who determined that the procedure was necessary, being a medical practitioner (other than an approved pathology practitioner) who, at the time the request was made, was a member of a group of practitioners of which the first-mentioned practitioner was then a member; and

  • (c)

    each of the procedures was so determined to be necessary, or so requested, on the one day,

those procedures shall be treated as one service consisting of those procedures.

28.

In rules 22 to 27 (inclusive), “procedure” includes an assay, an estimation and a test.

29.

A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a radiographic examination of the kind referred to in the first-mentioned item and—

  • (a)

    in the case of item 2732—$12.00;

  • (b)

    in the case of item 2782—$13.00;

  • (c)

    in the case of item 2798—$7.60,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

30.

A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a course of radiotherapy treatment of the kind referred to in the first-mentioned item when given to one field only and-

  • (a)

    in the case of item 2863—$3.00 for each field separately treated in excess of one up to a maximum of 5 additional fields;

  • (b)

    in the case of item 2867 or 2877—$3.70 for each field separately treated in excess of one up to a maximum of 5 additional fields;

  • (c)

    in the case of item 2881—$4.30 for each field separately treated in excess of one up to a maximum of 5 additional fields;

  • (d)

    in the case of item 2889—$5.60 for each field separately treated in excess of one up to a maximum of 5 additional fields; or

  • (e)

    in the case of item 2893—$7.60 for each field separately treated in excess of one up to a maximum of 5 additional fields,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

31.

A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to treatment by a single dose of radiotherapy of the kind referred to in the first-mentioned item when given to one field only and—

  • (a)

    in the case of item 2871—$7.20 for each field separately treated in excess of one up to a maximum of 5 additional fields;

  • (b)

    in the case of item 2885—$9.40 for each field separately treated in excess of one up to a maximum of 5 additional fields; or

  • (c)

    in the case of item 2897—$13.00 for each field separately treated in excess of one up to a maximum of 5 additional fields,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

32.

A reference in a column in item 2955 to an amount under this rule shall be read as a reference to an amount equal to one-fifth of the fee or the aggregate of the fees in respect of which the medical benefit payable under the Act in relation to the operation or series or combination of operations for the professional services of the practitioner to whom the assistance was rendered is calculated and an amount equal to the amount so referred to shall be deemed to be set out in that column in the place of that reference.

33.

A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a dislocation or fracture of the kind treated and—

  • (a)

    in the case of item 7483, 7809, 7812, 7817 or 7818—one-half of that fee;

  • (b)

    in the case of item 7803, 7804, 7847 or 7849—one-third of that fee; or

  • (c)

    in the case of item 7823 or 7824—three-quarters of that fee,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

34.

A reference in a column in item 482 or 553 to an amount under this rule shall be read as a reference to an amount equal to the aggregate of—

  • (a)

    the fee set out in the column of the item relating to the administration of an anaesthetic that is referred to in the item relating to a dislocation of the kind treated (being an item relating to a dislocation that is included in items 7397 to 7472); and

  • (b)

    one-half of the fee referred to in paragraph (a),

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

35.

A reference in a column in item 484 or 556 to an amount under this rule shall be red as a reference to an amount equal to the aggregate of—

  • (a)

    the fee set out in the column of the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is included in items 7505 to 7798); and

  • (b)

    one-half of the fee referred to in paragraph (a),

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

36.

A reference in a column in item 483 or 554 to an amount under this rule shall be read as a reference to an amount equal to the aggregate of—

  • (a)

    the fee set out in the column of the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is included in items 7505 to 7798); and

  • (b)

    one-third of the fee referred to in paragraph (a),

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

37.

A reference in a column in item 485 or 557 to an amount under this rule shall be read as a reference to an amount equal to the aggregate of—

  • (a)

    the fee set out in the column of the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is included in items 7505 to 7798); and

  • (b)

    three-quarters of the fee referred to in paragraph (a),

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

38.

A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to—

  • (a)

    in the case of item 7828, 7831, 7834 or 7836—one-half of the fee set out in that column in the item that would, but for the first-mentioned item, relate to the reduction effected;

  • (b)

    in the case of item 7839 or 7841—the fee set out in that column in the item that would, but for that first-mentioned item, relate to the reduction effected; or

  • (c)

    in the case of item 7844—the fee set out in that column in the item that relates to a simple and uncomplicated fracture of the part treated,

and an amount equal to the amount so referred to shall be deemed to be set out in that column in the place of that reference.

39.

Where an item in Part 11 includes the symbol “(C)”, the item shall be taken to relate to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit that has computerized processing facilities capable of being used in the rendering of the service.

40.

Where an item in Part 11 includes the symbol “(NC)”, the item shall be taken to relate to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit other than a nuclear medicine unit that has computerized processing facilities capable of being used in the rendering of the service.

TABLE OF MEDICAL SERVICES

Fees

Item No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

PART 1—PROFESSIONAL ATTENDANCES NOT COVERED BY AN ITEM IN ANY OTHER PART OF THE SCHEDULE

3

Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 4—each attendance

8.10

7.70

7.70

7.70

7.70

7.70

4

Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

14.20

13.60

13.60

13.60

13.60

13.60

14

Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 19—each attendance

11.20

10.40

9.90

9.90

9.90

10.40

19

Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

17.00

16.00

15.80

15.80

15.80

16.00

25

Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 26—each attendance

21.00

19.80

19.00

19.00

19.00

19.80

26

Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

27.00

25.50

25.00

25.00

25.00

25.50

33

Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 35—each attendance

32.00

30.00

29.00

29.00

29.00

30.00

35

Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

38.50

36.00

35.50

35.50

35.50

36.00

43

Professional attendance at a place other than consulting rooms, hospital or nursing home of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 44—each attendance

12.40

11.40

11.40

11.40

11.40

11.40

44

Professional attendance at a place other than consulting rooms, hospital or nursing home of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

18.40

17.60

17.60

17.60

17.60

17.60

51

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 53—each attendance

16.20

15.40

15.20

15.20

15.20

15.40

53

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

23.00

21.00

21.00

21.00

21.00

21.00

57

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 59—each attendance

27.00

26.50

25.50

25.50

25.50

26.50

59

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

33.00

32.00

31.00

31.00

31.00

32.00

65

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 66—each attendance

38.50

36.00

36.00

36.00

36.00

36.00

66

Professional attendance at a place other than consulting rooms, hospital or nursing home of more than 45 minutes duration (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday

44.00

42.50

40.50

40.50

40.50

42.50

69

Professional attendance at a hospital or nursing home (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 71—each attendance when only one patient is seen

16.20

15.40

15.20

15.20

15.20

15.40

71

Professional attendance at a hospital or nursing home (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, when only one patient is seen

23.00

21.00

21.00

21.00

21.00

21.00

72

Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on two patients in the one hospital on the one occasion—at a time other than a time covered by item 74—each patient

11.20

10.40

9.90

9.90

9.90

10.40

74

Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on two patients in the one hospital on the one occasion—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday—each patient

15.80

14.80

14.40

14.40

14.40

14.80

75

Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on three or more patients in the one hospital on the one occasion—each patient

11.20

10.40

9.90

9.90

9.90

10.40

76

Professional attendance at a nursing home (not being an attendance covered by any other item in this Part)—an attendance on two patients in the one nursing home on the one occasion—each patient

9.60

9.00

8.80

8.80

8.80

9.00

78

Professional attendance at a nursing home (not being an attendance covered by any other item in this Part)—an attendance on three or more patients in the one nursing home on the one occasion—each patient

8.10

7.70

7.70

7.70

7.70

7.70

82

Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (G)

11.20

10.40

9.90

9.90

9.90

10.40

85

Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (S)

16.00

15.20

15.20

15.20

15.20

13.40

88

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home

32.00

30.00

30.00

30.00

30.00

26.50

94

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home

16.00

15.20

15.20

15.20

15.20

13.40

100

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home

46.50

44.00

44.00

44.00

44.00

40.00

103

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him—each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home

30.00

29.50

29.50

29.50

29.50

27.00

110

Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home

56.00

51.00

51.00

51.00

51.00

51.00

116

Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner—each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home

28.00

28.00

28.00

28.00

28.00

28.00

122

Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home

69.00

65.00

65.00

65.00

65.00

65.00

128

Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner—each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home

41.50

41.50

41.50

41.50

41.50

41.50

134

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at consulting rooms, hospital or nursing home

16.00

15.20

15.20

15.20

15.20

15.20

136

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—-an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at consulting rooms, hospital or nursing home

32.00

30.00

30.00

30.00

30.00

30.00

138

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at consulting rooms, hospital or nursing home

48.00

45.00

45.00

45.00

45.00

45.00

140

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home

65.00

60.00

60.00

60.00

60.00

60.00

142

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home

80.00

76.00

76.00

76.00

76.00

76.00

144

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home

30.00

29.50

29.50

29.50

29.50

29.50

146

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home

46.50

44.00

44.00

44.00

44.00

44.00

148

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home

64.00

59.00

59.00

59.00

59.00

59.00

150

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home

78.00

74.00

74.00

74.00

74.00

74.00

152

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home

94.00

90.00

90.00

90.00

90.00

90.00

160

Professional attendance for a period of not less than 1 hour but less than 2 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients

45.00

45.00

45.00

45.00

45.00

45.00

161

Professional attendance for a period of not less than 2 hours but less than 3 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients

73.00

73.00

73.00

73.00

73.00

73.00

162

Professional attendance for a period of not less than 3 hours but less than 4 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients

102.00

102.00

102.00

102.00

102.00

102.00

163

Professional attendance for a period of not less than 4 hours but less than 5 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients

130.00

130.00

130.00

130.00

130.00

130.00

164

Professional attendance for a period of 5 hours or more on a patient in a critical condition that requires constant attention to the exclusion of all other patients

156.00

156.00

156.00

156.00

156.00

156.00

Professional Attendances by Participating Optometrists

180

Professional attendance by a practicipating optometrist-an attendance that is the sole or first attendance in a single course of attention that commenced on or after the proclaimed date, being—

  • (a)

    the first or only course of attention of the patient by a participating optometrist since the proclaimed date; or

  • (b)

    the second or a subsequent course of attention of the patient by a participating optometrist since the proclaimed date, being a course of attention commencing not earlier than 12 months after the commencement of the preceding course of attention

21.50

21.50

21.50

21.50

21.50

21.50

182

Professional attendance by a participating optometrist-an attendance (not being an attendance covered by item 186) that is the second attendance in a single course of attention in respect of which the first attendance is covered by item 180

10.80

10.80

10.80

10.80

10.80

10.80

184

Professional attendance by a participating optometrist-an attendance (not being an attendance covered by item 186) that is the third or a subsequent attendance in a single course of attention of a patient, who, in the professional opinion of the attending optometrist, has a need for that attendance, being a course of attention in respect of which the first attendance is covered by item 180

10.80

10.80

10.80

10.80

10.80

10.80

186

Professional attendance by a participating optometrist-all attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is covered by item 180

108.00

108.00

108.00

108.00

108.00

108.00

PART 2—OBSTETRICS

Division 1General

190

Antenatal care (not including any service or services covered by item 200 or 207 or by any item in Division 2) where the attendances do not exceed ten—each attendance

11.20

10.40

9.90

9.90

9.90

10.40

192

Antenatal care (not including any service or services covered by item 200 or 207 or by any item in Division 2) where the attendances exceed ten

112.00

104.00

99.00

99.00

99.00

104.00

194

Confinement and postnatal care for nine days (not including any service or services covered by item 200 or 207 or by any item in Division 2) where the medical practitioner has not given the antenatal care (G)

96.00

87.00

87.00

74.00

74.00

74.00

196

Confinement and postnatal care for nine days (not including any service or services covered by item 200 or 207 or by any item in Division 2) where the medical practitioner has not given the antenatal care (S)

142.00

108.00

108.00

96.00

96.00

96.00

198

Confinement as an independent procedure, including all related attendances (S)

96.00

87.00

87.00

87.00

87.00

87.00

200

Antenatal care, confinement and postnatal care for nine days (not including services covered by Division 2) (G)

162.00

148.00

142.00

130.00

130.00

130.00

207

Antenatal care, confinement and postnatal care for nine days (not including services covered by Division 2) (S)

215.00

184.00

162.00

184.00

162.00

148.00

208

Antenatal care, confinement and postnatal care for nine days with mid-cavity forceps or vacuum extraction, breech delivery or management of multiple delivery (including any service or services covered by item 295, 298 or 360 where performed at the timeof delivery but not including any other service or services covered by Division 2) (G)

230.00

205.00

190.00

186.00

176.00

174.00

209

Antenatal care, confinement and postnatal care for nine days with mid-cavity forceps or vacuum extraction, breech delivery or management of multiple delivery (including any service or services covered by item 295, 298 or 360 where performed at the time of delivery but not including any other service or services covered by Division 2) (S)

280.00

235.00

210.00

235.00

210.00

192.00

Division 2Special Services

211

Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (G)

187.00

173.00

167.00

155.00

155.00

155.00

213

Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (S)

240.00

209.00

187.00

209.00

187.00

173.00

216

Antenatal care, confinement and postnatal care for nine days with surgicalinduction of labour; including major regional or field block (G)

224.00

210.00

204.00

192.00

192.00

192.00

217

Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; including major regional or field block (S)

277.00

246.00

224.00

246.00

224.00

210.00

234

Caesarean section and postnatal care for nine days (G) (AU 10)

205.00

205.00

192.00

192.00

192.00

184.00

241

Caesarean section and postnatal care for nine days (S) (AU 10)

270.00

240.00

240.00

240.00

240.00

215.00

242

Treatment of habitual miscarriage by injection of hormones—each injection up to a maximum of twelve injections, where the injection is not administered during a routine antenatal attendance

8.10

7.70

7.70

7.70

7.70

7.70

246

Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance that is not a routine antenatal attendance

8.10

7.70

7.70

7.70

7.70

7.70

250

Cervix, purse string ligation of, for threatened miscarriage (G) (AU 6)

65.00

65.00

65.00

65.00

65.00

65.00

258

Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6)

87.00

87.00

87.00

87.00

87.00

87.00

267

Cervix, removal of purse string ligature of, under general anaesthesia (AU 5)

25.00

25.00

25.00

25.00

25.00

25.00

273

Pre-eclampsia, eclampsia or ante-partum haemorrhage, treatment of—each attendance that is not a routine antenatal attendance

8.10

7.70

7.70

7.70

7.70

7.70

274

Induction and management of second trimester labour (G)

95.00

95.00

95.00

95.00

95.00

95.00

275

Induction and management of second trimester labour (S)

118.00

118.00

118.00

118.00

118.00

118.00

278

Amnioscopy or amniocentesis

25.00

25.00

25.00

25.00

25.00

25.00

284

Amnioscopy with surgical induction of labour (AU 6)

35.00

35.00

35.00

35.00

35.00

35.00

295

Version, external, under general anaesthesia (AU 6)

25.00

25.00

25.00

25.00

25.00

25.00

298

Version, internal, under general anaesthesia (AU 6)

45.50

45.50

45.50

45.50

45.50

45.50

354

Surgical induction of labour (AU 5)

25.00

25.00

25.00

25.00

25.00

25.00

360

Decapitation, craniotomy, cleidotomy or evisceration of foetus or any two or more of those services (AU 8)

96.00

96.00

96.00

96.00

96.00

96.00

362

Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal or treatment of postpartum haemorrhage by special procedures such as packing of uterus (AU 7)

30.50

30.50

30.50

30.50

30.50

30.50

365

Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix (AU 8)

108.00

108.00

108.00

108.00

108.00

108.00

368

Manipulative correction of acute inversion of uterus, by abdominal approach, with or without incision of cervix (AU 9)

162.00

162.00

162.00

162.00

162.00

162.00

383

Third degree tear, repair of, involving anal sphincter muscles (AU 7)

50.00

50.00

50.00

50.00

50.00

50.00

PART 3—ANAESTHETICS

Division 1—Anaesthetics Administered by a Medical Practitioner other than a Specialist Anaesthetist

401

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1)

5.60

5.50

5.50

5.40

5.40

4.80

403

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2)

11.20

11.00

11.00

10.80

10.80

9.50

404

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3)

16.80

16.60

16.60

16.20

16.20

14.20

405

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4)

22.50

22.00

22.00

21.50

21.50

19.00

406

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 5)

28.00

27.50

27.50

27.00

27.00

24.00

407

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6)

33.50

33.00

33.00

32.50

32.50

28.50

408

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7)

39.50

38.50

38.50

38.00

38.00

33.50

409

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8)

45.00

44.00

44.00

43.50

43.50

38.00

443

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9)

51.00

49.50

49.50

48.50

48.50

43.00

450

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10)

56.00

55.00

55.00

54.00

54.00

47.50

453

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11)

62.00

61.00

61.00

60.00

60.00

52.00

454

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12)

67.00

66.00

66.00

65.00

65.00

57.00

457

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13)

73.00

72.00

72.00

70.00

70.00

62.00

458

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14)

79.00

77.00

77.00

76.00

76.00

67.00

459

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15)

84.00

83.00

83.00

81.00

81.00

71.00

460

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16)

90.00

88.00

88.00

87.00

87.00

76.00

461

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17)

96.00

94.00

94.00

92.00

92.00

81.00

462

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18)

102.00

99.00

99.00

97.00

97.00

86.00

463

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19)

106.00

104.00

104.00

102.00

102.00

90.00

464

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20)

112.00

110.00

110.00

108.00

108.00

95.00

465

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21)

118.00

116.00

116.00

114.00

114.00

100.00

466

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22)

124.00

122.00

122.00

120.00

120.00

104.00

467

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23)

130.00

128.00

128.00

124.00

124.00

110.00

468

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24)

134.00

132.00

132.00

130.00

130.00

114.00

469

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25)

140.00

138.00

138.00

136.00

136.00

118.00

470

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26)

146.00

144.00

144.00

140.00

140.00

124.00

471

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27)

152.00

150.00

150.00

146.00

146.00

128.00

472

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28)

158.00

154.00

154.00

152.00

152.00

134.00

473

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29)

164.00

160.00

160.00

158.00

158.00

138.00

474

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30)

168.00

166.00

166.00

162.00

162.00

142.00

475

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32)

180.00

176.00

176.00

174.00

174.00

152.00

476

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36)

200.00

198.00

198.00

194.00

194.00

172.00

477

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38)

215.00

210.00

210.00

205.00

205.00

180.00

478

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39)

220.00

215.00

215.00

210.00

210.00

186.00

479

Administration of an anaesthetic in connection with electroconvulsive therapy

14.00

13.80

13.80

13.60

13.60

11.80

480

Administration of an anaesthetic in connection with radio‑therapy

33.50

33.00

33.00

32.50

32.50

28.50

481

Administration of an anaesthetic in connection with a forceps delivery of a foetus

39.50

38.50

38.50

38.00

38.00

33.50

482

Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in items 7397 to 7472

Amount under rule 34

Amount under rule 34

Amount under rule 34

Amount under rule 34

Amount under rule 34

Amount under rule 34

483

Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in items 7505 to 7798

Amount under rule 36

Amount under rule 36

Amount under rule 36

Amount under rule 36

Amount under rule 36

Amount under rule 36

484

Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in items 7505 to 7798

Amount under rule 35

Amount under rule 35

Amount under rule 35

Amount under rule 35

Amount under rule 35

Amount under rule 35

485

Administration of an anaesthetic in connectionith the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in items 7505 to 7798

Amount under rule 37

Amount under rule 37

Amount under rule 37

Amount under rule 37

Amount under rule 37

Amount under rule 37

487

Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure

56.00

55.00

55.00

54.00

54.00

47.50

489

Administration of an anaesthetic in connection with computerised axial tomography-brain scan, plain study with or without contrast medium study

39.50

38.50

38.50

38.00

38.00

33.50

490

Administration of an anaesthetic in connection with computerised axial tomography-body scan, plain study with or without contrast medium study

45.00

44.00

44.00

43.50

43.50

38.00

Division 2—Anaesthetic Administered by a Specialist Anaesthetist

500

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1)

6.80

6.70

6.70

6.60

6.60

5.90

505

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2)

13.60

13.40

13.40

13.20

13.20

11.80

506

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3)

20.50

20.00

20.00

19.80

19.80

17.80

509

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4)

27.50

27.00

27.00

26.50

26.50

24.00

510

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 5)

34.00

33.50

33.50

33.00

33.00

29.50

513

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6)

41.00

40.00

40.00

39.50

39.50

35.50

514

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7)

47.50

47.00

47.00

46.00

46.00

41.50

517

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8)

55.00

54.00

54.00

53.00

53.00

47.50

518

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9)

61.00

60.00

60.00

59.00

59.00

53.00

521

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10)

68.00

67.00

67.00

66.00

66.00

59.00

522

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11)

75.00

74.00

74.00

73.00

73.00

65.00

523

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12)

82.00

80.00

80.00

79.00

79.00

71.00

524

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13)

89.00

87.00

87.00

86.00

86.00

77.00

525

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14)

95.00

94.00

94.00

92.00

92.00

83.00

526

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15)

102.00

100.00

100.00

99.00

99.00

89.00

527

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16)

110.00

108.00

108.00

106.00

106.00

95.00

528

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17)

116.00

114.00

114.00

112.00

112.00

100.00

529

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18)

122.00

120.00

120.00

118.00

118.00

106.00

531

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19)

130.00

128.00

128.00

126.00

126.00

112.00

533

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20)

136.00

134.00

134.00

132.00

132.00

118.00

535

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21)

144.00

140.00

140.00

138.00

138.00

124.00

537

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22)

150.00

148.00

148.00

146.00

146.00

130.00

538

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23)

156.00

154.00

154.00

152.00

152.00

136.00

539

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24)

164.00

160.00

160.00

158.00

158.00

142.00

540

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25)

170.00

168.00

168.00

164.00

164.00

148.00

541

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26)

178.00

174.00

174.00

172.00

172.00

154.00

542

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27)

184.00

182.00

182.00

178.00

178.00

160.00

543

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28)

190.00

188.00

188.00

184.00

184.00

166.00

544

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29)

198.00

194.00

194.00

192.00

192.00

172.00

545

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30)

205.00

200.00

200.00

198.00

198.00

178.00

546

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32)

220.00

215.00

215.00

210.00

210.00

190.00

547

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36)

245.00

240.00

240.00

235.00

235.00

215.00

548

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38)

260.00

255.00

255.00

250.00

250.00

225.00

549

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39)

265.00

260.00

260.00

255.00

255.00

230.00

550

Administration of an anaesthetic in connection with electroconvulsive therapy

17.00

16.80

16.80

16.40

16.40

14.80

551

Administration of an anaesthetic in connection with radio-therapy

41.00

40.00

40.00

39.50

39.50

35.50

552

Administration of an anaesthetic in connection with a forceps delivery of a foetus

47.50

47.00

47.00

46.00

46.00

41.50

553

Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in items 7397 to 7472

Amount under rule 34

Amount under rule 34

Amount under rule 34

Amount under rule 34

Amount under rule 34

Amount under rule 34

554

Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in items 7505 to 7798

Amount under rule 36

Amount under rule 36

Amount under rule 36

Amount under rule 36

Amount under rule 36

Amount under rule 36

556

Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in items 7505 to 7798

Amount under rule 35

Amount under rule 35

Amount under rule 35

Amount under rule 35

Amount under rule 35

Amount under rule 35

557

Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in items 7505 to 7798

Amount under rule 37

Amount under rule 37

Amount under rule 37

Amount under rule 37

Amount under rule 37

Amount under rule 37

559

Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure

68.00

67.00

67.00

66.00

66.00

59.00

561

Administration of an anaesthetic in connection with computerised axial tomography-brain scan, plain study with or without contrast medium study

47.50

47.00

47.00

46.00

46.00

41.50

562

Administration of an anaesthetic in connection with computerised axial tomography-body scan, plain study with or without contrast medium study

55.00

54.00

54.00

53.00

53.00

47.50

Division 3—Dental Anaesthetics

566

Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (G)

22.50

22.00

22.00

21.50

21.50

19.00

567

Administration by a medical practitioner of an anaesthetc, other than an endotracheal anaesthetic, in connection with a dental operation (S)

27.50

27.00

27.00

26.50

26.50

24.00

568

Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by item 570 (G)

33.50

33.00

33.00

32.50

32.50

28.50

569

Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by item 571 (S)

41.00

40.00

40.00

39.50

39.50

35.50

570

Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (G)

45.00

44.00

44.00

43.50

43.50

38.00

571

Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (S)

55.00

54.00

54.00

53.00

53.00

47.50

572

Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (G)

33.50

33.00

33.00

32.50

32.50

28.50

573

Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (S)

41.00

40.00

40.00

39.50

39.50

35.50

574

Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (G)

56.00

55.00

55.00

54.00

54.00

47.50

575

Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (S)

68.00

67.00

67.00

66.00

66.00

59.00

PART 4—REGIONAL NERVE OR FIELD BLOCK

748

Initial major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus (not including the uterine cervix); epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal

37.00

37.00

37.00

37.00

37.00

37.00

752

Subsequent major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus (not including the uterine cervix); epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal

27.00

27.00

27.00

27.00

27.00

27.00

755

Nerve block with local anaesthetic agent of the coeliac plexus, the lumbar sympathetic chain, the thoracic sympathetic chain, the glossopharyngeal nerve or the obturator nerve, with or without X-ray control

55.00

54.00

54.00

53.00

53.00

47.50

756

Nerve block with alcohol, phenol or other neurolytic agent of the coeliac plexus, the splanchnic nerves, the lumbar sympathetic chain, the thoracic sympathetic chain or a cranial nerve (other than the trigeminal nerve) or an epidural or cauda block with or without X-ray control, localization by electrical stimulator or preliminary block with local anaesthetic

61.00

60.00

60.00

59.00

59.00

54.00

760

Intravenous regional anaesthesia of limb by retrograde perfusion (G)

27.50

27.50

27.50

27.50

27.50

27.50

764

Intravenous regional anaesthesia of limb by retrograde perfusion (S)

35.00

35.00

35.00

35.00

35.00

35.00

PART 5—ASSISTANCE IN ADMINISTRATION OF AN ANAESTHETIC

767

Assistance in the administration of an anaesthetic where the administration of the anaesthetic is in connection with a medical service which contains the reference (AU 21), (AU 22), (AU 23), (AU 24), (AU 25), (AU 26), (AU 27), (AU 28), (AU 29), (AU 30), (AU 32), (AU 36), (AU 38) or (AU 39)

54.00

54.00

54.00

54.00

54.00

54.00

PART 6—MISCELLANEOUS PROCEDURES

Division 1

770

Blood pressure recording by intravascular cannula (AU 4)

27.00

27.00

27.00

25.50

25.50

24.00

774

Hyperbaric oxygen therapy where the medical practitioner is not in the chamber

54.00

54.00

54.00

54.00

54.00

54.00

777

Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber

88.00

88.00

88.00

88.00

88.00

88.00

787

Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is not confined in the chamber

74.00

74.00

74.00

74.00

74.00

74.00

790

Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber

108.00

108.00

108.00

108.00

108.00

108.00

Division 2

792

Ultrasonic echography by simple linear array or mechanical sector real-time scanning, not associated with item 794, 797 or 913 with a maximum of two scans during any one pregnancy

19.00

19.00

19.00

19.00

19.00

19.00

794

Ultrasonic echography, unidimensional, not associated with item 792, 797 or 913

33.50

33.50

33.50

33.50

33.50

33.50

797

Ultrasonic cross-sectional echo-graphy, bidimensional (excluding real-time scanning covered by item 792), not associated with item 792, 794 or 913

73.00

73.00

73.00

73.00

73.00

73.00

803

Electroencephalography, not covered by item 794, 797, 806 or 809 (AU 6)

53.00

53.00

53.00

53.00

53.00

53.00

806

Electroencephalography, temporo-sphenoidal

66.00

66.00

66.00

66.00

66.00

66.00

809

Electrocorticography

91.00

91.00

91.00

91.00

91.00

91.00

810

Neuromuscular electrodiagnosis—conduction studies on one nerve or electromyography of one or more muscles using concentric needle electrodes or both these examinations (not associated with item 811 or 813)

44.00

44.00

44.00

44.00

44.00

44.00

811

Neuromuscular electrodiagnosis—conduction studies on two or three nerves with or without electromyography (not associated with item 810 or 813)

60.00

60.00

60.00

60.00

60.00

60.00

813

Neuromuscular electrodiagnosis—conduction studies on four or more nerves with or without electromyography or recordings from single fibres of nerves and muscles or both of these examinations (not associated with item 810 or 811)

88.00

88.00

88.00

88.00

88.00

88.00

814

Neuromuscular electrodiagnosis-repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations

60.00

60.00

60.00

60.00

60.00

60.00

816

Investigation of cortical evoked responses—1 or 2 studies

45.50

45.50

45.50

45.50

45.50

45.50

817

Investigation of cortical evoked responses—3 or more studies

67.00

67.00

67.00

67.00

67.00

67.00

Division 3

818

Haemodialysis in hospital (where prolonged and constant specialist medical supervision for the duration of the dialysis is required)

154.00

154.00

154.00

154.00

154.00

154.00

821

Haemodialysis in hospital (where intermittent specialist medical supervision of the dialysis is required)

77.00

77.00

77.00

77.00

77.00

77.00

824

Haemodialysis in hospital (stabilised maintenance dialysis for chronic renal failure where a separate account for an attendance is not rendered under Part 1)

28.00

28.00

28.00

28.00

28.00

28.00

831

Declotting of an arteriovenous shunt

48.50

48.50

48.50

48.50

48.50

48.50

833

Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis-insertion and fixation of

91.00

91.00

91.00

91.00

91.00

91.00

836

Peritoneal dialysis, establishment of by adbominal puncture and insertion of temporary catheter (including associated consultation)

53.00

53.00

53.00

53.00

53.00

53.00

839

Bladder washout test for localization of urinary infection not including bacterial counts for organisms in specimens

30.00

30.00

30.00

30.00

30.00

30.00

841

Urinary flow study

11.20

11.20

11.20

11.20

11.20

11.20

843

Cystometrography

30.00

30.00

30.00

30.00

30.00

30.00

Division 4

844

Tonography—in the investigation or management of glaucoma

27.00

22.50

27.00

27.00

22.50

22.50

849

Provocative test or tests for glaucoma, including water drinking

16.00

16.00

16.00

16.00

16.00

16.00

853

Electroretinography

43.50

43.50

43.50

43.50

43.50

43.50

856

Optic fundi, examination of following intravenous dye injection

27.50

27.50

27.50

27.50

27.50

27.50

859

Retinal photography, multiple exposures, of one eye with intravenous dye injection

53.00

53.00

53.00

53.00

53.00

53.00

860

Retinal photography, multiple exposures of both eyes with intravenous dye injection

67.00

67.00

67.00

67.00

67.00

67.00

Division 5

863

Audiogram, air conduction

10.20

10.20

10.20

10.20

10.20

10.20

865

Audiogram, air and bone conduction

14.60

14.60

14.60

14.60

14.60

14.60

870

Audiogram, air and bone conduction and speech

19.80

19.80

19.80

19.80

19.80

19.80

874

Audiogram, air and bone conduction and speech, with other cochlear tests

24.50

24.50

24.50

24.50

24.50

24.50

877

Impedance audiogram

14.60

14.60

14.60

14.60

14.60

14.60

879

Impedance audiogram with either air conduction audiogram or air and bone conduction audiogram

21.50

21.50

21.50

21.50

21.50

21.50

882

Caloric test of labyrinth or labyrinths

17.40

17.40

17.40

17.40

17.40

17.40

884

Electronystagmography

17.40

17.40

17.40

17.40

17.40

17.40

Division 6

886

Electroconvulsive therapy, including associated consultation

22.50

22.50

22.50

22.50

22.50

22.50

887

Group psychotherapy (including associated consultations) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his specialty of psychiatry, involving a group of 2-9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient

19.80

19.80

19.80

19.80

19.80

19.80

888

Group psychotherapy (including associated consultations) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient

25.50

25.50

25.50

25.50

25.50

25.50

889

Group psychotherapy (including associated consultations) of not less than 1 hour’s duration given under the continuous direct supervision of a consultant physician in the practice of his specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient

38.50

38.50

38.50

38.50

38.50

38.50

890

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration in the course of initial diagnostic evaluation of the patient, where that interview is at consulting rooms, hospital or nursing home

21.00

19.40

19.40

19.40

19.40

19.40

893

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner, involving an interview of a person other than the patient of not less than 45 minutes duration in the course of initial diagnostic evaluation of the patient, where that interview is at consulting rooms, hospital or nursing home

46.50

42.00

42.00

42.00

42.00

42.00

Division 7

895

Umbilical or scalp vein catheterisation with or without infusion

22.50

22.50

22.50

22.50

22.50

22.50

897

Umbilical artery catheterisation with or without infusion

33.50

33.50

33.50

33.50

33.50

33.50

902

Blood tranfusion with venesection and complete replacement of blood, including collection from donor

132.00

132.00

132.00

132.00

132.00

132.00

904

Blood tranfusion with venesection and complete replacement of blood, using blood already collected

112.00

112.00

112.00

112.00

112.00

112.00

907

Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants

11.20

11.20

11.20

11.20

11.20

11.20

Division 8

908

Electrocardiography, tracing and report, with or without implanted pacemaker testing

19.20

19.20

19.20

19.20

19.20

19.20

909

Electrocardiography, tracing or report only

9.60

9.60

9.60

9.60

9.60

9.60

912

Phonocardiography

28.50

28.50

28.50

28.50

28.50

28.50

913

Echocardiography, not covered by item 792

48.00

48.00

48.00

48.00

48.00

48.00

914

Exercise electrocardiography, without monitoring (Master’s test)-including resting electrocardiography

47.50

47.50

47.50

47.50

47.50

47.50

915

Electrocardiographic monitoring (continuous) of ambulatory patient including resting electrocardiography and the recording of other parameters

73.00

73.00

73.00

73.00

73.00

73.00

916

Electrocardiographic monitoring during exercise with apparatus such as bicycle ergometer or treadmill including resting electrocardiography and the recording of other parameters

67.00

67.00

67.00

67.00

67.00

67.00

917

Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (AU 4)

38.50

38.50

38.50

38.50

38.50

38.50

918

Bronchospirometry, including gas analysis

66.00

66.00

66.00

66.00

66.00

66.00

920

Estimation of respiratory function requiring complicated techniques-each attendance at which one or more tests are performed

54.00

54.00

54.00

54.00

54.00

54.00

921

Estimation of respiratory function (including the making of a graphic record), performed before and after inhalation of a bronchodilator, a cholinergic substance of a sensitising agent, or before and after exercise-each attendance at which one or more tests are performed

16.20

16.20

16.20

16.20

16.20

16.20

922

Perfusion of limb or organ using heart-lung machine or equivalent

176.00

176.00

176.00

176.00

176.00

176.00

923

Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent

250.00

250.00

250.00

250.00

250.00

250.00

925

Induced controlled hypothermia-total body

44.00

44.00

44.00

44.00

44.00

44.00

927

Fluids, intravenous infusion of-percutaneous

14.20

14.20

14.20

14.20

14.20

14.20

929

Fluids, intravenous infusion of-by open exposure

24.00

24.00

24.00

24.00

24.00

24.00

932

Intravenous infusion or injection of a substance incorporating a cytotoxic agent

24.00

24.00

24.00

24.00

24.00

24.00

934

Intra-arterial infusion or injection of a substance incorporating a cytotoxic agent, preparation for

33.50

33.50

33.50

33.50

33.50

33.50

936

Intralymphatic infusion or injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium

51.00

51.00

51.00

51.00

51.00

51.00

938

Intralymphatic insertion of needle or cannula for the introduction of radio-active material

51.00

51.00

51.00

51.00

51.00

51.00

940

Administration of blood including collection from donor

47.50

47.50

47.50

47.50

47.50

47.50

944

Administration of blood already collected

33.00

33.00

33.00

33.00

33.00

33.00

947

Intra-uterine foetal blood transfusion using blood already collected, including necessary amniocentesis

91.00

91.00

91.00

91.00

91.00

91.00

949

Collection of blood for purposes of transfusion

19.20

19.20

19.20

19.20

19.20

19.20

950

Central vein cathetherisation (via jugular or subclavian vein) by open exposure for parenteral alimentation in a person under twelve years of age (AU 12)

91.00

91.00

91.00

91.00

91.00

91.00

951

Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure for parenteral alimentation not covered by item 950 (AU 6)

34.00

34.00

34.00

34.00

34.00

34.00

952

Blood dye-dilution indicator test

45.50

45.50

45.50

45.50

45.50

45.50

955

Venepuncture and the collection of blood for the performance by an approved pathology practitioner of a pathology service-one or more such procedures during the one attendance

2.40

2.40

2.40

2.40

2.40

2.40

956

Arterial puncture and collection of blood for diagnostic purposes

8.80

8.80

8.80

8.80

8.80

8.80

958

Collection of specimen of sweat by iontophoresis

14.00

14.00

14.00

14.00

14.00

14.00

960

Hormone or living tissue implantation-by incision

20.50

20.50

20.50

20.50

20.50

20.50

963

Hormone or living tissue implantation-by cannula

13.40

13.40

13.40

13.40

13.40

13.40

966

Oesophageal motility test, manometric

37.00

37.00

37.00

37.00

37.00

37.00

968

Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage

71.00

71.00

71.00

71.00

71.00

71.00

970

Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage

142.00

142.00

142.00

142.00

142.00

142.00

974

Gastric lavage in the treatment of ingested poison

24.00

24.00

24.00

24.00

24.00

24.00

976

Counterpulsation by intra-aortic balloon-management on the first day, including initial and subsequent consultations and monitoring of parameters

215.00

215.00

215.00

215.00

215.00

215.00

977

Counterpulsation by intra-aortic balloon-management on each day subsequent to the first, including associated consultations and monitoring of parameters

51.00

51.00

51.00

51.00

51.00

51.00

Division 9

987

Skin sensitivity testing for allergens, using one to twenty allergens

15.40

15.40

15.40

15.40

15.40

15.40

989

Skin sensitivity testing for allergens, using more than twenty allergens

23.50

23.50

23.50

23.50

23.50

23.50

Division 10

994

Multiphasic health screening service involving the performance of ten or more medical services specified in items in Parts 6, 7 and 8 (including any associated consultation)

110.00

110.00

110.00

110.00

110.00

110.00

PART 7—PATHOLOGY SERVICES

Division 1—Haematology

1006

Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haematocrit estimation, haemoglobin estimation, platelet count or leucocyte count—one procedure (SP)

4.00

4.00

4.00

4.00

4.00

4.00

1007

Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haematocrit estimation, haemoglobin estimation, platelet count or leucocyte count—one procedure (excluding blood count consisting of haemoglobin estimation or erythrocyte sedimentation rate when not referred by another medical practitioner) (OP)

3.00

3.00

3.00

3.00

3.00

3.00

1008

Two procedures to which item 1006 applies (SP)

6.40

6.40

6.40

6.40

6.40

6.40

1009

Two procedures to which item 1007 applies (OP)

4.80

4.80

4.80

4.80

4.80

4.80

1010

Blood count consisting of erythrocyte count, erythrocyte sedimentation rate, haematocrit estimation, haemoglobin estimation, platelet count or leucocyte count—2 procedures (excluding blood count consisting of haemoglobin estimation or erythrocyte sedimentation rate when not referred by another medical practitioner) (HP)

360.00

360.00

360.00

360.00

360.00

8022

Finger or other small joint—arthrodesis, arthrectomy, or arthroplasty (AU 5)

130.00

130.00

108.00

99.00

99.00

99.00

8026

Small joint—arthrotomy (AU 5)

36.00

36.00

36.00

36.00

36.00

36.00

8028

Zygapophyseal joints, arthrectomy (AU 8)

188.00

188.00

188.00

188.00

188.00

188.00

8032

Sacro-iliac joint—arthrodesis (AU 12)

210.00

210.00

210.00

210.00

210.00

210.00

8036

Other large joint—arthrodesis, arthrectomy, arthroplasty or total synovectomy of (AU 10)

188.00

188.00

188.00

188.00

188.00

188.00

8040

Other large joint—arthrotomy (AU 8)

134.00

134.00

134.00

134.00

134.00

134.00

8044

Hip—arthrodesis (AU 15)

475.00

475.00

475.00

475.00

475.00

475.00

8048

Hip—arthrectomy (AU 15)

330.00

330.00

330.00

330.00

330.00

330.00

8053

Hip—arthroplasty (Austin Moore, Girdlestone or similar procedure) (AU 10)

330.00

330.00

330.00

330.00

330.00

330.00

8061

Hip—arthroplasty, cup or mould (Smith-Petersen or similar procedure) (AU 10)

405.00

405.00

405.00

405.00

405.00

405.00

8069

Joint—arthroplasty, total replacement of hip (McKee-Farrer, Charnley or similar procedure), knee, elbow, shoulder or ankle (AU 17)

610.00

610.00

610.00

610.00

610.00

610.00

8074

Hip—arthrotomy including removal of prosthesis (AU 9)

245.00

245.00

245.00

245.00

245.00

245.00

8079

Knee—arthrodesis, arthrectomy, arthroplasty or total synovectomy of (AU 9)

330.00

330.00

330.00

330.00

330.00

330.00

8081

Knee—arthrotomy (AU 6)

162.00

162.00

162.00

162.00

162.00

162.00

8084

Knee—diagnostic arthroscopy of, not associated with a procedure performed through the arthroscope (AU 5)

88.00

88.00

88.00

88.00

88.00

88.00

8087

Knee—operation for internal derangement or reconstruction of capsular ligaments (AU 7)

192.00

192.00

192.00

192.00

192.00

192.00

8089

Knee—reconstruction of cruciate ligaments (AU 9)

245.00

245.00

245.00

245.00

245.00

245.00

8095

Knee—excision of patella (G) (AU 7)

180.00

180.00

180.00

180.00

180.00

180.00

8097

Knee—excision of patella (S) (AU 7)

225.00

225.00

225.00

225.00

225.00

225.00

8100

Knee—operation for recurrent dislocation of patella (AU 9)

270.00

270.00

270.00

270.00

270.00

270.00

8105

Joint or other synovial cavity—aspiration of, injection into, or both of these procedures (AU 5)

12.80

12.80

12.80

12.80

12.80

12.80

8113

Joint, repair of capsule or ligament of, or internal fixation of to stabilize joint (AU 7)

162.00

162.00

162.00

162.00

162.00

162.00

8116

Foot or ankle region—triple arthrodesis (AU 9)

245.00

270.00

245.00

245.00

245.00

245.00

8120

Calcanean spur, removal of (AU 6)

144.00

144.00

144.00

144.00

144.00

144.00

8131

Hallux valgus or rigidus, correction of, with osteotomy or osteectomy of phalanx or metatarsal (Keller’s arthroplasty); or total replacement of the first metatarsophalangeal joint (AU 7)

205.00

205.00

184.00

184.00

184.00

184.00

8135

Hallux valgus, correction of, with osteotomy or osteectomy of phalanx or metatarsal and transplantation of adductor hallucis tendon (AU 8)

270.00

250.00

235.00

235.00

235.00

235.00

8151

Hammer toe, correction of (G) (AU 6)

88.00

88.00

88.00

88.00

88.00

88.00

8153

Hammer toe, correction of (S) (AU 6)

108.00

108.00

108.00

108.00

108.00

108.00

8158

Cervical rib, removal of (AU 11)

245.00

245.00

245.00

245.00

245.00

245.00

8161

Scalenotomy (AU 8)

190.00

190.00

190.00

190.00

190.00

190.00

8166

Acromion or coraco-acromion ligament, removal of (AU 7)

144.00

144.00

144.00

144.00

144.00

144.00

8169

Excision of exostosis of small bone including simple removal of bunion (G) (AU 6)

88.00

88.00

88.00

88.00

88.00

88.00

8173

Excision of exostosis of small bone including simple removal of bunion (S) (AU 6)

108.00

108.00

108.00

108.00

108.00

108.00

8175

Excision of exostosis of small bone (D) (AU 6)

108.00

108.00

108.00

108.00

108.00

108.00

8179

Excision of exostosis of large bone (G) (AU 6)

106.00

106.00

106.00

106.00

106.00

106.00

8182

Excision of exostosis of large bone (S) (AU 6)

134.00

134.00

134.00

134.00

134.00

134.00

8185

Osteotomy or osteectomy of phalanx, metacarpal or metatarsal (AU 6)

112.00

112.00

102.00

102.00

112.00

102.00

8187

Osteotomy of phalanx, metacarpal or metatarsal, with internal fixation (AU 6)

120.00

120.00

120.00

120.00

120.00

120.00

8190

Osteotomy or osteectomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus (AU 7)

120.00

120.00

120.00

120.00

120.00

120.00

8193

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, with internal fixation (AU 7)

144.00

144.00

144.00

144.00

144.00

144.00

8195

Osteotomy or osteectomy of tibia or humerus (AU 7)

162.00

162.00

162.00

162.00

162.00

162.00

8198

Osteotomy or osteectomy of femur or pelvic bone (AU 8)

270.00

270.00

270.00

270.00

270.00

270.00

8201

Osteotomy of tibia, humerus, femur or pelvic bone, with internal fixation (AU 11)

390.00

390.00

390.00

390.00

390.00

390.00

8206

Osteotomy of femur—subtrochanteric (AU 11)

270.00

270.00

270.00

270.00

270.00

270.00

8209

Osteectomy of vertebral bodies (AU 10)

250.00

250.00

250.00

250.00

250.00

250.00

8211

Osteotomy and distraction for lengthening of limb (AU 8)

270.00

270.00

270.00

270.00

270.00

270.00

8214

Removal of distracting apparatus from limb, without internal fixation (AU 6)

66.00

66.00

66.00

66.00

66.00

66.00

8217

Removal of distracting apparatus from limb, with internal fixation (AU 7)

134.00

134.00

134.00

134.00

134.00

134.00

8219

Flexor tendon of hand, primary suture of (G) (AU 8)

114.00

114.00

114.00

114.00

114.00

114.00

8222

Flexor tendon of hand, primary suture of (S) (AU 8)

144.00

144.00

144.00

144.00

144.00

144.00

8225

Flexor tendon of hand, secondary suture of (AU 9)

162.00

162.00

162.00

162.00

162.00

162.00

8227

Extensor tendon of hand, primary suture of (G) (AU 8)

60.00

60.00

60.00

60.00

60.00

60.00

8230

Extensor tendon of hand, primary suture of (S) (AU 8)

72.00

72.00

72.00

72.00

72.00

72.00

8233

Extensor tendon of hand, secondary suture of (AU 9)

112.00

112.00

112.00

112.00

112.00

112.00

8235

Achilles tendon or other large tendon, suture of (G) (AU 9)

142.00

142.00

142.00

142.00

142.00

142.00

8238

Achilles tendon or other large tendon, suture of (S) (AU 9)

180.00

180.00

180.00

180.00

180.00

180.00

8241

Tendon of foot, primary suture of (AU 8)

49.50

49.50

49.50

49.50

49.50

49.50

8243

Tendon of foot, secondary suture of (AU 8)

72.00

72.00

72.00

72.00

72.00

72.00

8246

Tenotomy, subcutaneous, one or more tendons (AU 4)

45.00

45.00

45.00

45.00

45.00

45.00

8249

Tenotomy, open, with or without tenoplasty (AU 7)

108.00

108.00

108.00

108.00

108.00

108.00

8251

Tendon or ligament transplantation, not covered by any other item in this Part (AU 8)

200.00

200.00

200.00

200.00

200.00

200.00

8257

Tendon graft (AU 8)

270.00

270.00

270.00

270.00

270.00

270.00

8259

Insertion of artificial tendon prosthesis in preparation for tendon grafting (AU 10)

205.00

205.00

205.00

205.00

205.00

205.00

8262

Achilles tendon or other large tendon—operation for lengthening (AU 9)

120.00

120.00

120.00

120.00

120.00

120.00

8267

Tendon sheath, incision of, or open operation for stenosing tendovaginitis (AU 6)

88.00

88.00

88.00

88.00

88.00

88.00

8275

Tenolysis of flexor tendon following tendon injury, repair or graft (AU 8)

128.00

128.00

128.00

128.00

128.00

128.00

8279

Tenolysis of extensor tendon following tendon injury, repair or graft (AU 7)

73.00

73.00

73.00

73.00

73.00

73.00

8282

Tendon sheath of finger or thumb, synovectomy of (AU 8)

99.00

99.00

99.00

99.00

99.00

99.00

8283

Synovectomy of metacarpophalangeal joint (AU 8)

128.00

128.00

128.00

128.00

128.00

128.00

8287

Synovectomy of interphalangeal joint (AU 8)

90.00

90.00

90.00

90.00

90.00

90.00

8290

Synovectomy of wrist, extensor or flexor tendon of wrist, carpometacarpal joint or inferior radio ulnar joint (AU 11)

215.00

215.00

215.00

215.00

215.00

215.00

8294

Cicatricial flexion contracture of joint, correction of, involving tissues deeper than skin and subcutaneous tissue (AU 9)

144.00

144.00

144.00

144.00

144.00

144.00

8296

Dupuytren’s contracture, subcutaneous fasciotomy (AU 8)

72.00

72.00

72.00

72.00

72.00

72.00

8298

Dupuytren’s contracture, radical operation for (AU 9)

180.00

180.00

180.00

180.00

180.00

180.00

8302

Fragmentation and rodding in fragilitas ossium—humerus, radius or ulna (AU 11)

270.00

270.00

270.00

270.00

270.00

270.00

8304

Fragmentation and rodding in fragilitas ossium—tibia (AU 10)

330.00

330.00

330.00

330.00

330.00

330.00

8306

Fragmentation and rodding in fragilitas ossium—femur (AU 12)

440.00

440.00

440.00

440.00

440.00

440.00

8310

Epiphyseodesis—femur (AU 7)

162.00

162.00

162.00

162.00

162.00

162.00

8312

Epiphyseodesis—tibia and fibula (AU 7)

162.00

162.00

162.00

162.00

162.00

162.00

8314

Epiphyseodesis—femur, tibia and fibula (AU 10)

225.00

225.00

225.00

225.00

225.00

225.00

8316

Staple arrest of hemi-epiphysis (AU 7)

225.00

225.00

225.00

225.00

225.00

225.00

8320

Radical plantar fasciotomy (Steindler’s operation) (AU 7)

210.00

210.00

210.00

210.00

210.00

210.00

8322

Talipes equinovarus—posterior release procedure (AU 7)

198.00

198.00

198.00

198.00

198.00

198.00

8324

Talipes equinovarus—medial release procedure (AU 7)

225.00

225.00

225.00

225.00

225.00

225.00

8326

Subtalar arthrodesis (extra-articular) (AU 10)

225.00

225.00

225.00

225.00

225.00

225.00

8328

Calcaneal osteotomy (AU 8)

162.00

162.00

162.00

162.00

162.00

162.00

8330

Calcaneal osteotomy with bone graft (AU 10)

225.00

225.00

225.00

225.00

225.00

225.00

8332

Congenital dislocation of hip—manipulation and plaster (one hip) (AU 6)

78.00

57.00

57.00

57.00

57.00

57.00

8334

Talipes equinovarus, calcaneus valgus, pes planus, metatarsus varus, genu varum or genu valgum—manipulation under general anaesthesia (AU 5)

19.20

19.20

19.20

19.20

19.20

19.20

8336

Talipes equinovarus, calcaneus valgus, pes planus, metatarsus varus, genu varum or genu valgum—manipulation and plaster under general anaesthesia (AU 6)

24.50

24.50

24.50

24.50

24.50

24.50

8349

Epiphysitis (Perthes’ Calve’s or Scheuermann’s) plaster for (AU 5)

39.00

39.00

39.00

39.00

39.00

39.00

8351

Epiphysitis (Sever’s, Kohler’s, Keinbock’s or Schlatter’s) plaster for (AU 5)

24.50

24.50

24.50

24.50

24.50

24.50

8352

Contractures, manipulation under general anaesthesia, not covered by any other item in this Part (AU 5)

19.20

19.20

19.20

19.20

19.20

19.20

8354

Contractures, manipulation and plaster under general anaesthesia, not covered by any other item in this Part (AU 5)

29.50

29.50

29.50

29.50

29.50

29.50

8356

Spastic paralysis—manipulation and plaster (one limb) (AU 5)

29.50

29.50

29.50

29.50

29.50

29.50

Division 12—Paediatric

Operations for Correction of Congenital Abnormalities

8378

Hypertelorism, correction of (AU 14)

360.00

360.00

360.00

360.00

360.00

360.00

8380

Choanal atresia, plastic repair of (AU 16)

355.00

355.00

355.00

355.00

355.00

355.00

8382

Choanal atresia, repair of by puncture and dilatation (AU 11)

88.00

88.00

88.00

88.00

88.00

88.00

8384

Macrocheilia, macroglossia or macrostomia, operation for (AU 13)

190.00

190.00

190.00

190.00

190.00

190.00

8386

Torticollis, operation for (AU 7)

144.00

144.00

144.00

144.00

144.00

144.00

8388

Oesophagus, correction of congenital stenosis by oesophagectomy and anastomosis (AU 21)

440.00

440.00

440.00

440.00

440.00

440.00

8390

Tracheo-oesophageal fistula (with or without atresia), ligation and division of (AU 20)

440.00

440.00

440.00

440.00

440.00

440.00

8392

Oesophageal atresia, with or without fistula, correction of (AU 23)

540.00

540.00

540.00

540.00

540.00

540.00

8394

Neonatal alimentary, obstruction, laparotomy for, with or without resection, including reduction of volvulus (AU 15)

380.00

380.00

380.00

380.00

380.00

380.00

8398

Hirschsprung’s disease, rectosigmoidectomy for (AU 22)

495.00

495.00

495.00

495.00

495.00

495.00

8400

Exomphalos or gastroschisis, operation for (AU 13)

435.00

435.00

435.00

435.00

435.00

435.00

8402

Exomphalos or gastroschisis, operation for, by plastic flap (AU 14)

480.00

480.00

480.00

480.00

480.00

480.00

8406

Ano-rectal malformation, perineal anoplasty, primary or secondary repair (AU 10)

160.00

160.00

160.00

160.00

160.00

160.00

8408

Ano-rectal malformation, rectoplasty, primary or secondary repair, not covered by item 8406 (AU 18)

465.00

465.00

465.00

465.00

465.00

465.00

8410

Contracted bladder neck (congenital), wedge excision or perurethral resection of (AU 11)

245.00

245.00

245.00

245.00

245.00

245.00

8412

Urachal fistula, operation for (AU 11)

210.00

210.00

210.00

210.00

210.00

210.00

8414

Sphincter reconstruction for ectopia vesicae, ectopia cloacae or congenital incontinence (AU 12)

475.00

475.00

475.00

475.00

475.00

475.00

8418

Urethral valves or urethral membrane, open removal of (AU 12)

285.00

285.00

285.00

285.00

285.00

285.00

8422

Lymphangiectasis of limb (Milroy’s disease) — limited excision of (AU 14)

146.00

146.00

146.00

146.00

146.00

146.00

8424

Lymphangiectasis of limb (Milroy’s disease) — radical excision of (AU 18)

325.00

325.00

325.00

325.00

325.00

325.00

Division 12—Paediatric

Operations for Correction of Congenital Abnormalities

8428

Extra digit, ligation of pedicle (AU 4)

19.00

19.00

19.00

19.00

19.00

19.00

8430

Extra digit, amputation of (AU 6)

49.50

49.50

49.50

49.50

49.50

49.50

8432

Dermoid, periorbital or superficial nasal, excision of (G) (AU 8)

70.00

70.00

70.00

70.00

70.00

70.00

8434

Dermoid, periorbital or superficial nasal, excision of (S) (AU 8)

90.00

90.00

90.00

90.00

90.00

90.00

8436

Dermoid, orbital, excision of (AU 8)

190.00

190.00

190.00

190.00

190.00

190.00

8440

Dermoid of nose, excision of, with intranasal extension (AU 8)

225.00

225.00

225.00

225.00

225.00

225.00

8442

Myelomeningocele—excision of sac (AU 13)

270.00

270.00

270.00

270.00

270.00

270.00

8444

Myelomeningocele, extensive, requiring formal repair with skin flaps or Z plasty (AU 15)

400.00

400.00

400.00

400.00

400.00

400.00

Division 13—Plastic and Reconstruction

Meticulous Plastic Repair Designed to Obtain Maximal Functional or Cosmetic

Results Including the Preparation of the Defect Requiring Repair

8450

Dermo-fat or fascia graft (including transplant or muscle flap) (AU 12)

186.00

186.00

186.00

186.00

186.00

186.00

8452

Abrasive therapy, limited area (AU 6)

70.00

70.00

70.00

70.00

70.00

70.00

8454

Abrasive therapy, extensive area (AU 7)

156.00

156.00

156.00

156.00

156.00

156.00

8458

Angioma, cauterisation of or injection into, under general anaesthetic (AU 7)

36.50

36.50

36.50

36.50

36.50

36.50

8460

Angioma, cauterisation of or injection into, under general anaesthetic (D) (AU 7)

36.50

36.50

36.50

36.50

36.50

36.50

8462

Angioma of skin, and subcutaneous tissue or mucous surface, small, excision and repair of (AU 7)

53.00

53.00

43.50

43.50

43.50

36.50

8464

Angioma of skin and subcutaneous tissue or mucous surface, small, excision and repair of (D) (AU 7)

53.00

53.00

43.50

43.50

43.50

36.50

8466

Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of (AU 9)

64.00

64.00

64.00

64.00

64.00

64.00

8468

Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of (D) (AU 9)

64.00

64.00

64.00

64.00

64.00

64.00

8470

Angioma, involving deeper tissue, small, excision and repair of (AU 9)

87.00

87.00

87.00

87.00

87.00

87.00

8472

Angioma, involving deeper tissue, large, excision and repair of (AU 10)

128.00

128.00

128.00

128.00

128.00

128.00

8474

Haemangioma of neck, deep-seated, excision of (AU 10)

225.00

225.00

225.00

225.00

225.00

225.00

8476

Major excision and grafting for lymphoedema (AU 15)

310.00

310.00

310.00

310.00

310.00

310.00

8478

Foreign implants for contour reconstruction (AU 10)

186.00

186.00

186.00

186.00

186.00

186.00

8479

Foreign implants for contour reconstruction (D) (AU 10)

186.00

186.00

186.00

186.00

186.00

186.00

Skin Flap Surgery

8480

Single stage local flap repair, simple, small (AU 7)

112.00

112.00

112.00

112.00

112.00

112.00

8482

Single stage local flap repair, simple, small (D) (AU 7)

112.00

112.00

112.00

112.00

112.00

112.00

8484

Single stage local flap repair, complicated or large (AU 10)

162.00

162.00

162.00

162.00

162.00

162.00

8485

Direct flap repair (cross arm, abdominal or similar), first stage (AU 11)

186.00

186.00

186.00

186.00

186.00

186.00

8486

Direct flap repair (cross arm, abdominal or similar), second stage (AU 9)

93.00

93.00

93.00

93.00

93.00

93.00

8487

Direct flap repair, cross leg, first stage (AU 13)

400.00

400.00

400.00

400.00

400.00

400.00

8488

Direct flap repair, cross leg, second stage (AU 10)

180.00

180.00

180.00

180.00

180.00

180.00

8490

Direct flap repair, small (cross finger or similar), first stage (AU 7)

102.00

102.00

102.00

102.00

102.00

102.00

8492

Direct flap repair, small (cross finger or similar), second stage (AU 7)

47.00

47.00

47.00

47.00

47.00

47.00

8494

Indirect flap or tubed pedicle, formation of (AU 10)

176.00

176.00

176.00

176.00

176.00

176.00

8496

Indirect flap or tubed pedicle, delay of (AU 8)

93.00

93.00

93.00

93.00

93.00

93.00

8498

Indirect flap or tubed pedicle, preparation of intermediate or final site and attachment to the site (AU 10)

186.00

186.00

186.00

186.00

186.00

186.00

8500

Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure (AU 8)

146.00

146.00

146.00

146.00

146.00

146.00

8502

Direct, indirect or local flap repair, revision of graft (AU 7)

102.00

102.00

102.00

102.00

102.00

102.00

Free Grafts

8504

Free grafts (split skin or pinch grafts) on granulating areas, small (AU 7)

81.00

81.00

81.00

81.00

81.00

81.00

8506

Free grafts (split skin or pinch grafts) on granulating areas, small (D) (AU 7)

81.00

81.00

81.00

81.00

81.00

81.00

8508

Free grafts (split skin) on granulating areas, extensive (AU 11)

162.00

162.00

162.00

162.00

162.00

162.00

8509

Free grafts (split skin) to burns, including excision or burned tissue—involving not more than 2.5 per centum of total body surface (AU 8)

120.00

120.00

120.00

120.00

120.00

120.00

8510

Free grafts (split skin) to burns, including excision of burned tissue—involving more than 2.5 per centum of total body surface (AU 14)

275.00

275.00

275.00

275.00

275.00

275.00

8511

Free grafts (homograft split skin) to burns, including excision of burned tissue—involving more than 2.5 per centum of total body surface (AU 13)

250.00

250.00

250.00

250.00

250.00

250.00

8512

Free grafts (split skin) including elective dissection, small (AU 8)

112.00

112.00

112.00

112.00

112.00

112.00

8514

Free grafts (split skin) including elective dissection, small (D) (AU 8)

112.00

112.00

112.00

112.00

112.00

112.00

8516

Free grafts (split skin) including elective dissection, extensive; or inlay graft using a mould, insertion of and removal of mould (AU 11)

235.00

235.00

235.00

235.00

235.00

235.00

8518

Free full thickness grafts (AU 9)

186.00

186.00

186.00

186.00

186.00

186.00

8520

Free full thickness grafts (D) (AU 9)

186.00

186.00

186.00

186.00

186.00

186.00

Other Grafts and Miscellaneous Procedures

8522

Revision under general anaesthesia of facial or neck scar not more than 3 cm. in length (AU 8)

87.00

87.00

87.00

87.00

87.00

87.00

8524

Revision under general anaesthesia of facial or neck scar more than 3 cm. in length (AU 9)

118.00

118.00

118.00

118.00

118.00

118.00

8528

Mammaplasty, reduction or repositioning (unilateral) (AU 10)

355.00

355.00

355.00

355.00

355.00

355.00

8530

Mammaplasty, augmentation, prosthetic (unilateral) (AU 10)

295.00

295.00

295.00

295.00

295.00

295.00

8532

Mammaplasty, dermo-fat (unilateral) (AU 11)

355.00

355.00

355.00

355.00

355.00

355.00

8534

Hair transplants, multiple punch or similar technique, involving not more than 40 punch grafts (AU 7)

43.50

43.50

43.50

43.50

43.50

43.50

8536

Hair transplants, multiple punch or similar technique, involving more than 40 but not more than 100 punch grafts (AU 8)

87.00

87.00

87.00

87.00

87.00

87.00

8538

Hair transplants, multiple punch or similar technique, involving more than 100 punch grafts (AU 10)

190.00

190.00

190.00

190.00

190.00

190.00

8540

Digit, transplantation of—complete procedure (AU 16)

510.00

510.00

510.00

510.00

510.00

510.00

8542

Neurovascular island flap, including repair of secondary defect (AU 15)

440.00

440.00

440.00

440.00

440.00

440.00

8544

Macrodactyly, plastic reduction of, each finger (AU 8)

130.00

130.00

130.00

130.00

130.00

130.00

8546

Facial nerve paralysis, free fascia graft for (AU 12)

285.00

285.00

285.00

285.00

285.00

285.00

8548

Facial nerve paralysis, muscle transfer or graft for (AU 13)

330.00

330.00

330.00

330.00

330.00

330.00

8550

Melonoplasty (AU 17)

530.00

530.00

530.00

530.00

530.00

530.00

8552

Orbital cavity, reconstruction of floor or roof of (AU 12)

190.00

190.00

190.00

190.00

190.00

190.00

8554

Maxilla, resection of (AU 17)

355.00

355.00

355.00

355.00

355.00

355.00

8556

Mandible, resection of (AU 15)

275.00

275.00

275.00

275.00

275.00

275.00

8558

Mandible, resection of (D) (AU 15)

275.00

275.00

275.00

275.00

275.00

275.00

8560

Mandible, segmental resection of, for tumours (AU 13)

235.00

235.00

235.00

235.00

235.00

235.00

8562

Mandible, segmental resection of, for tumours (D) (AU 13)

235.00

235.00

235.00

235.00

235.00

235.00

8564

Mandible, section-fixation for prognathism or retrognathism (AU 14)

235.00

235.00

235.00

235.00

235.00

235.00

8566

Mandible, section-fixation for prognathism or retrognathism (D) (AU 14)

235.00

235.00

235.00

235.00

235.00

235.00

8568

Mandible, hemi-mandibular reconstruction with bone graft, not associated with item 8556 (AU 15)

325.00

325.00

325.00

325.00

325.00

325.00

8570

Mandible, condylectomy (AU 11)

186.00

186.00

186.00

186.00

186.00

186.00

8572

Mandible, condylectomy (D) (AU 11)

186.00

186.00

186.00

186.00

186.00

186.00

8574

Osetotomy or osteectomy of mandible (other than alveolar margins) for congenital or post-traumatic malformation, not covered by any other item in this Part (AU 11)

205.00

205.00

205.00

205.00

205.00

205.00

8576

Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital or post-traumatic malformation, not covered by any other item in this Part (D) (AU 11)

205.00

205.00

205.00

205.00

205.00

205.00

8578

Osteotomy or osteectomy of maxilla (other than alveolar margins) or zygoma or both for congenital or post-traumatic malformation, not covered by any other item in this Part (AU 11)

235.00

235.00

235.00

235.00

235.00

235.00

8580

Osteotomy or osteectomy of maxilla (other than alveolar margins) or zygoma or both for congenital or post-traumatic malformation, not covered by any other item in this Part (D) (AU 11)

235.00

235.00

235.00

235.00

235.00

235.00

8582

Whole thickness reconstruction of eyelid other than by direct suture only (AU 10)

235.00

235.00

235.00

235.00

235.00

235.00

8586

Correction of ptosis (unilateral) (AU 12)

310.00

270.00

270.00

270.00

270.00

270.00

8588

Ectropion or entropion, correction of (unilateral) (AU 9)

128.00

128.00

128.00

128.00

128.00

128.00

8589

Reduction of lower eyelid of one eye (AU 8)

128.00

128.00

128.00

128.00

128.00

128.00

8591

Reduction of upper eyelid of one eye (AU 7)

94.00

94.00

94.00

94.00

94.00

94.00

8592

Symblepharon, grafting for (AU 8)

186.00

186.00

186.00

186.00

186.00

186.00

8594

Rhinoplasty, correction of lateral or alar cartilages or both (AU 10)

205.00

205.00

205.00

205.00

205.00

205.00

8596

Rhinoplasty, correction of bony vault only (AU 10)

235.00

235.00

235.00

235.00

235.00

235.00

8598

Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose (AU 12)

400.00

400.00

400.00

400.00

400.00

400.00

8600

Rhinoplasty or similar contour restoration of the face, involving autogenous bone or costal cartilage graft (AU 13)

505.00

505.00

505.00

505.00

505.00

505.00

8602

Rhinoplasty, secondary revision of (AU 10)

59.00

59.00

59.00

59.00

59.00

59.00

8604

Rhinophyma, correction of (AU 9)

140.00

140.00

140.00

140.00

140.00

140.00

8606

Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear or eyelid (AU 11)

200.00

200.00

200.00

200.00

200.00

200.00

8608

Lop ear, bat ear or similar deformity, correction of (AU 8)

210.00

210.00

210.00

210.00

210.00

210.00

8612

Congenital atresia, reconstruction of external auditory canal (AU 11)

275.00

275.00

275.00

275.00

275.00

275.00

8614

Full thickness wedge excision of lip with repair by direct sutures (AU 8)

128.00

128.00

128.00

128.00

128.00

128.00

8616

Vermilionectomy (AU 8)

128.00

128.00

128.00

128.00

128.00

128.00

8618

Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage (AU 11)

330.00

330.00

330.00

330.00

330.00

330.00

8620

Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage (AU 4)

97.00

97.00

97.00

97.00

97.00

97.00

8622

Cleft lip, unilateral—primary repair, (AU 12)

250.00

250.00

250.00

250.00

250.00

250.00

8624

Cleft lip, complete primary repair, one stage, bilateral (AU 14)

345.00

345.00

345.00

345.00

345.00

345.00

8628

Cleft lip, secondary correction, partial or incomplete (AU 10)

106.00

106.00

106.00

106.00

106.00

106.00

8630

Cleft lip, secondary correction, complete revision (AU 12)

205.00

205.00

205.00

205.00

205.00

205.00

8632

Cleft lip, secondary correction, Abbe flap (AU 12)

470.00

470.00

470.00

470.00

470.00

470.00

8634

Cleft lip, secondary correction of nostril or nasal tip (AU 10)

140.00

140.00

140.00

140.00

140.00

140.00

8636

Cleft palate, primary repair, partial cleft (AU 13)

250.00

250.00

250.00

250.00

250.00

250.00

8638

Cleft palate, primary repair, partial cleft (D) (AU 13)

250.00

250.00

250.00

250.00

250.00

250.00

8640

Cleft palate, primary repair, complete cleft or cleft requiring major repair (AU 14)

325.00

325.00

325.00

325.00

325.00

325.00

8642

Cleft palate, primary repair, complete cleft or cleft requiring major repair (D) (AU 14)

325.00

325.00

325.00

325.00

325.00

325.00

8644

Cleft palate, secondary repair, closure of fistula (AU 13)

162.00

162.00

162.00

162.00

162.00

162.00

8646

Cleft palate, secondary repair, closure of fistula (D) (AU 13)

162.00

162.00

162.00

162.00

162.00

162.00

8648

Cleft palate, secondary repair, lengthening procedure (AU 12)

235.00

235.00

235.00

235.00

235.00

235.00

8650

Cleft palate, secondary repair, lengthening procedure (D) (AU 12)

235.00

235.00

235.00

235.00

235.00

235.00

8652

Cleft palate, partial repair, complex cleft (AU 13)

235.00

235.00

235.00

235.00

235.00

235.00

8654

Cleft palate, partial repair, complex cleft (D) (AU 13)

235.00

235.00

235.00

235.00

235.00

235.00

8656

Pharyngeal flap or pharyngoplasty (AU 15)

295.00

295.00

295.00

295.00

295.00

295.00

PART 11—NUCLEAR MEDICINE

8700

Erythrocyte radioactive uptake survival time test

52.00

52.00

52.00

52.00

52.00

52.00

8702

Blood volume estimation using radioactive chromium

21.00

21.00

21.00

21.00

21.00

21.00

8704

Gastrointestinal blood loss estimation with radioactive chromium involving serial examinations of stool specimens

41.50

41.50

41.50

41.50

41.50

41.50

8706

Radioiodine, urinary estimation

14.20

14.20

14.20

14.20

14.20

14.20

8708

Protein bound radioactive iodine test

21.00

21.00

21.00

21.00

21.00

21.00

8710

Radioactive B12 absorption test (Schilling test)

23.00

23.00

23.00

23.00

23.00

23.00

8712

Thallium myocardial study or thallium myocardial redistribution study (C)

94.00

94.00

94.00

94.00

94.00

94.00

8713

Thallium myocardial study or thallium myocardial redistribution study (NC)

82.00

82.00

82.00

82.00

82.00

82.00

8716

Myocardial infarct avid imaging study, cardiac blood pool study or cardiac output estimation (C)

72.00

72.00

72.00

72.00

72.00

72.00

8717

Myocardial infarct avid imaging study, cardiac blood pool study or cardiac output estimation (NC)

63.00

63.00

63.00

63.00

63.00

63.00

8720

Gated cardiac blood pool (equilibrium) study (C)

118.00

118.00

118.00

118.00

118.00

118.00

8721

Gated cardiac blood pool (equilibrium) study (NC)

63.00

63.00

63.00

63.00

63.00

63.00

8723

Gated cardiac blood pool study with intervention (C)

142.00

142.00

142.00

142.00

142.00

142.00

8724

Cardiac first pass blood flow study (gated or ungated) or cardiac shunt study (C)

72.00

72.00

72.00

72.00

72.00

72.00

8730

Lung perfusion study, lung ventilation study or lung aerosol study (C)

72.00

72.00

72.00

72.00

72.00

72.00

8731

Lung perfusion study, lung ventilation study or lung aerosol study (NC)

63.00

63.00

63.00

63.00

63.00

63.00

8736

Liver and spleen study, hepato biliary study or Meckel’s diverticulum study (C)

96.00

96.00

96.00

96.00

96.00

96.00

8737

Liver and spleen study, hepato biliary study or Meckel’s diverticulum study (NC)

85.00

85.00

85.00

85.00

85.00

85.00

8738

Spleen study, red blood cell spleen study, pancreas study, gastro-oesophageal reflux study, salivary study or bowel haemorrhage study (C)

73.00

73.00

73.00

73.00

73.00

73.00

8739

Spleen study, red blood cell spleen study, pancreas study, gastro-oesophageal reflux study, salivary study or bowel haemorrhage study (NC)

64.00

64.00

64.00

64.00

64.00

64.00

8742

Liver and lung study (C)

142.00

142.00

142.00

142.00

142.00

142.00

8743

Liver and lung study (NC)

124.00

124.00

124.00

124.00

124.00

124.00

8746

Le Veen shunt study (C)

49.50

49.50

49.50

49.50

49.50

49.50

8747

Le Veen shunt study (NC)

43.50

43.50

43.50

43.50

43.50

43.50

8750

Gastric emptying study

73.00

73.00

73.00

73.00

73.00

73.00

8755

Renal study (static) or placental study (C)

73.00

73.00

73.00

73.00

73.00

73.00

8756

Renal study (static) or placental study (NC)

64.00

64.00

64.00

64.00

64.00

64.00

8759

Cystoureterogram or quantitative renogram (C)

96.00

96.00

96.00

96.00

96.00

96.00

8760

Cystoureterogram or quantitative renogram (NC)

84.00

84.00

84.00

84.00

84.00

84.00

8763

Testicular study (C)

50.00

50.00

50.00

50.00

50.00

50.00

8764

Testicular study (NC)

44.50

44.50

44.50

44.50

44.50

44.50

8769

Brain study (static) or cerebro spinal fluid study (static) (C)

97.00

97.00

97.00

97.00

97.00

97.00

8770

Brain study (static) or cerebro spinal fluid study (static) (NC)

86.00

86.00

86.00

86.00

86.00

86.00

8773

Shunt patency study (C)

73.00

73.00

73.00

73.00

73.00

73.00

8774

Shunt patency study (NC)

65.00

65.00

65.00

65.00

65.00

65.00

8779

Dynamic flow study or regional blood volume quantitative study (C)

28.00

28.00

28.00

28.00

28.00

28.00

8780

Dynamic flow study or regional blood volume quantitative study (NC)

25.00

25.00

25.00

25.00

25.00

25.00

8783

Venography, lymphoscintigraphy, labelled platelets thrombus study or labelled white cell study (C)

96.00

96.00

96.00

96.00

96.00

96.00

8784

Venography, lymphoscintigraphy, labelled platelets thrombus study or labelled white cell study (NC)

84.00

84.00

84.00

84.00

84.00

84.00

8787

Peripheral perfusion study (C)

72.00

72.00

72.00

72.00

72.00

72.00

8788

Peripheral perfusion study (NC)

63.00

63.00

63.00

63.00

63.00

63.00

8793

Bone study—4 or more areas (C)

190.00

190.00

190.00

190.00

190.00

190.00

8794

Bone study—4 or more areas (NC)

166.00

166.00

166.00

166.00

166.00

166.00

8797

Bone study—-less than 4 areas (C)

98.00

98.00

98.00

98.00

98.00

98.00

8798

Bone study—less than 4 areas (NC)

86.00

86.00

86.00

86.00

86.00

86.00

8799

Joint study of 2 or more joints (C)

98.00

98.00

98.00

98.00

98.00

98.00

8800

Joint study of 2 or more joints (NC)

86.00

86.00

86.00

86.00

86.00

86.00

8803

Tumour seeking study—3 or more areas (C)

190.00

190.00

190.00

190.00

190.00

190.00

8804

Tumour seeking study—3 or more areas (NC)

166.00

166.00

166.00

166.00

166.00

166.00

8807

Tumour seeking study—less than 3 areas (C)

98.00

98.00

98.00

98.00

98.00

98.00

8808

Tumour seeking study—less than 3 areas (NC)

86.00

86.00

86.00

86.00

86.00

86.00

8813

Thyroid study (using technetium, iodine or caesium) or perchlorate discharge study (C)

49.00

49.00

49.00

49.00

49.00

49.00

8814

Thyroid study (using technetium, iodine or caesium) or perchlorate discharge study (NC)

43.00

43.00

43.00

43.00

43.00

43.00

8817

Thyroid uptake study (C)

25.00

25.00

25.00

25.00

25.00

25.00

8818

Thyroid uptake study (NC)

22.00

22.00

22.00

22.00

22.00

22.00

8821

Parathyroid study

72.00

72.00

72.00

72.00

72.00

72.00

8824

Adrenal study (C)

75.00

75.00

75.00

75.00

75.00

75.00

8825

Adrenal study (NC)

66.00

66.00

66.00

66.00

66.00

66.00

8828

Study of region or organ not covered by any other item in this Part (C)

72.00

72.00

72.00

72.00

72.00

72.00

8829

Study of region or organ not covered by any other item in this Part (NC)

63.00

63.00

63.00

63.00

63.00

63.00

NOTE

1 Notified in the Commonwealth of Australia Gazette

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