Health Insurance (Variation of Fees and Medical Services) (No. 49) Regulations (Cth)

Case
No judgment structure available for this case.

Statutory Rules 1988 No. 1841

_______________

Health Insurance (Variation of Fees and Medical Services) (No. 49) Regulations

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

Dated 25 July 1988.

N. M. STEPHEN

Governor-General

By His Excellency's Command,

NEAL BLEWETT

Minister of State for Community Services

and Health

–––––––––––

Citation

1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 49) Regulations.

Commencement

2. These Regulations commence on 1 August 1988.

Repeal

3. Statutory Rules 1987 Nos. 160 and 309 are repealed.

Table of medical services

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

SCHEDULE Regulation 4

TABLE OF MEDICAL SERVICES AND RULES FOR INTERPRETATION OF THAT TABLE

1A. In this Schedule:

"item" means an item in the table of medical services;

"Division" means a Division of the table of medical services;

"Part" means a Part of the table of medical services;

"the Act" means the Health Insurance Act 1973.

1. Where an item in Part 1. in Division 3 of Part 3 or in Part 4 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 or her specialty.

2. Where an item in Part 1, in Division 3 of Part 3 or in Part 4 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 or her specialty.

3. Where an item, other than an item in Part 1, in Division 3 of Part 3 or in Part 4, 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 or her specialty:

(a) to a patient who has been referred to the specialist, where that service is the first service rendered to that patient by the specialist subsequent to his or her receipt of the referral;

(b) to a patient who has been referred to the specialist, where that service constitutes part of a single course of treatment rendered to that patient for the condition identified in the referral, or, if no condition was identified in the referral, for the condition identified by the specialist, and that service is rendered within the period of 12 months (or such lesser period, if any, specified by the medical practitioner who referred the patient) after the day on which the first service rendered pursuant to the referral was rendered;

(c) to a patient who has declared that a written referral was completed by a specified medical practitioner and that that referral has been lost, stolen or destroyed prior to the rendering of the service, where that service is the first service rendered by the specialist pursuant to that referral or where that service constitutes part of a single course of treatment rendered to that patient for the condition identified by the specialist when he or she rendered the first service rendered to that patient subsequent to the making of the declaration and that service is rendered within the period of 12 months after the day on which the first service rendered pursuant to the referral was rendered; or

(d) to a patient who has not been referred to the specialist, where the specialist was, at the time that that service was rendered, of the opinion that it was necessary that that service be rendered as quickly as possible.

4. Where an item, other than an item in Part 1, in Division 3 of Part 3 or in Part 4, 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 accordance with Rule 3.

5. A reference in Rule 3 or 4 or in Part 1 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.

5A. A reference in an item in Part 1 to an attendance by a specialist or consultant physician in the practice of his or her specialty where the patient is referred to him or her shall be read as including a reference to an attendance by a specialist or consultant physician in the practice of his or her specialty where:

(a) the patient has declared that a written referral was completed by a medical practitioner in respect of the patient, the name of the medical practitioner who completed that referral, and that that referral has been lost, stolen or destroyed prior to the attendance specified in the item; or

SCHEDULE—continued

(b) the patient has not been referred to the specialist or consultant physician and the specialist or consultant physician was, at the time of the attendance specified in the item, of the opinion that it was necessary that that service be rendered as quickly as possible;

but shall not be read as including a reference to an attendance by a specialist or consultant physician in the practice of his or her specialty where the service rendered forms part of a single course of treatment for which the first service was rendered on a day more than 12 months prior to the day on which that service was rendered, unless a subsequent referral has been made.

6. (1) In the items in Parts 1, 2, 6 and 10 to which this rule applies, "attendance" means a physical attendance on not more than one person on the one occasion, other than an attendance on a person in the course of a group session.

(2) This rule applies to each of the following items:

(a) items in Part 1, other than item 170, 171 or 172;

(b) items 190, 192, 198, 246, 247, 248 and 273 in Part 2;

(c) items 821, 824, 890, 893 and 980 in Part 6;

(d) items 5264, 6835, 6904, 7601, 7605, 7694, 7697, 7701, 7706, 7774, 7781 and 7785 in Part 10.

7. (1) A medical service specified in:

(a) an item in Part 2, 3, 4, 5, 9 or 10; or

(b) an item in Part 6 to which Rule 8 applies;

other than:

(c) item 290 in Part 2;

(d) item 887, 888 or 889 in Part 6;

(e) an item to which Rule 6 applies; or

(f) an item in Part 10 that includes the symbol "D";

shall be taken to be a medical service if, and only if, the medical service is performed physically by a medical practitioner on not more than one patient on the one occasion.

(2) A medical service specified in:

(a) item 170, 171 or 172 in Part 1; or

(b) item 887, 888 or 889 in Part 6;

shall be taken to be a medical service if, and only if, the medical service is performed physically by a medical practitioner.

8. (1) A medical service specified in:

(a) an item in Part 1, 2, 3, 4, 5, 9 or 10; or

(b) an item in Part 6 to which this rule applies;

other than:

(c) item 180, 182, 184 or 186 in Part 1; or

(d) an item in Part 10 that includes the symbol "D";

shall be taken to be a medical service for the purposes of the Act if, and only if, the medical service is rendered by a medical practitioner, being:

(e) a medical practitioner other than a medical practitioner employed by the proprietor of a hospital; or

(f) a medical practitioner who is employed by the proprietor of a hospital and renders that medical service otherwise than in the course of his or her employment by that proprietor;

whether or not essential assistance is provided, in accordance with accepted professional practice, to the medical practitioner rendering that medical service.

(2) This rule applies to each of the following items in Part 6, that is to say, items 770, 774, 777, 787, 790, 810, 811, 813, 814, 819, 821, 824, 831, 833, 836, 839, 851, 852, 856, 886, 887, 888, 889, 890, 893, 895, 897, 902, 904, 907, 916, 917, 918, 922, 923, 925, 931, 932, 934, 936, 938, 939, 940, 944, 947, 949, 950, 951, 953, 954, 956, 957, 960, 963, 968, 970, 974, 976, 977, 980, 987 and 989.

SCHEDULE—continued

9. A medical service specified in item 290 in Part 2 or in an item in Part 6, 7A, 8, 8A, 9A or 11, other than an item in Part 6 to which Rule 8 applies, shall be taken to be a medical service for the purposes of the Act whether the medical service is rendered by:

(a) a medical practitioner; or

(b) a person, other than a medical practitioner, who is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.

10. A medical service to which an item in Division 5 of Part 6 relates, other than item 862, 877, 878, 882, 883 or 884, shall be taken to be a medical service for the purposes of the Act if, and only if, it is rendered:

(a) in conditions that allow the establishment of determinate thresholds;

(b) in a sound attenuated environment with background noise conditions that comply with Australian Standard AS 1269-1983 of the Standards Association of Australia, being that Standard as in force or existing on 1 August 1987; and

(c) using calibrated equipment that complies with Australian Standard AS 2586-1983 of the Standards Association of Australia, being that standard as in force or existing on 1 August 1987.

11. In Part 1, "institution" means a place (not being a hospital, nursing home, aged persons accommodation attached to a nursing home or aged persons accommodation situated within a nursing home complex) at which residential accommodation or day care or both such accommodation and such care is made available to:

(a) disadvantaged children;

(b) juvenile offenders;

(c) aged persons;

(d) chronically ill psychiatric patients;

(e) homeless persons;

(f) unemployed persons;

(g) persons suffering from alcoholism;

(h) persons addicted to drugs; or

(i) physically or mentally handicapped persons.

12. 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 magnetic resonance imaging equipment of a recognised hospital or a radiology unit included in a prescribed class of radiology units.

14. For the purposes of Rule 12, 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 Australian Capital Territory Community and Health Service;

(e) radiology units operated by an Australian university.

15. 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 subsection 3 (1) of the Act.

16. A reference in an item in Division 1 of Part 3 to the administration of an anaesthetic is a reference to the administration of an anaesthetic by a medical practitioner other than a specialist anaesthetist.

17. A reference in an item in Division 2 of Part 3 to the administration of an anaesthetic is a reference to the administration of an anaesthetic by a specialist anaesthetist.

SCHEDULE—continued

18. A reference in an item in Division 3 of Part 3 to the administration of an anaesthetic is 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 subsection 3(1) of the Act.

19. In item 793 "group of practitioners" has the same meaning as in section 16A of the Act.

20. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is 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—$18.00;

(b) in the case of item 2782—$19.20; or

(c) in the case of item 2798—$11.40.

21. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is 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—$10.20 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(b) in the case of item 2877—$11.40 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(c) in the case of item 2881—$13.60 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(d) in the case of item 2889—$14.80 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(e) in the case of item 2893—$13.00 for each field separately treated in excess of one up to a maximum of 5 additional fields.

22. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is 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—$11.20 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(b) in the case of item 2885—$28.50 for each field separately treated in excess of one up to a maximum of 5 additional fields.

23. A reference in a column in item 2953 to an amount under this rule, being an amount payable for assistance at an operation, is a reference to an amount equal to one-fifth of the aggregate of the fees payable under the Act for the services at that operation of the practitioner to whom the assistance was rendered.

23A. (1) A reference in a column in item 2957 to an amount under this rule, being an amount payable for assistance at a series or combination of operations, is a reference to an amount equal to one-fifth of the aggregate of the fees payable under the Act for the services at those operations of the practitioner to whom the assistance was rendered.

(2) In subrule (1), the amount payable for the Caesarean section component of the operations shall be taken to be the fee applicable to item 210.

24. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is 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.

SCHEDULE—continued

25. A reference in a column in item 482 or 553 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in 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).

26. A reference in a column in item 484 or 556 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in 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).

27. A reference in a column in item 483 or 554 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in 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).

28. A reference in a column in item 485 or 557 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in 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).

29. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to:

(a) in the case of item 488 or 560—85% of the fee set out in that column in the item relating to the administration of an anaesthetic that is referred to in the item relating to an amputation of the kind performed (being an item relating to an amputation that is included in items 4927 to 5055); or

(b) in the case of item 5057—75% of the fee set out in the column of the item relating to an amputation of the kind performed (being an item relating to an amputation that is included in items 4927 to 5055).

30. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is 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.

31. 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 computerised processing facilities capable of being used in the rendering of the service.

32. 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 computerised processing facilities capable of being used in the rendering of the service.

33. Where an item in Part 12 includes the symbol "(AD)", the item shall be taken to relate to the service specified in the item when rendered by an accredited dental practitioner.

SCHEDULE—continued

34. (1) Where an item in Part 12 includes the symbol "(AO)", the item shall be taken to relate to the service specified in the item when rendered by a recognised orthodontist.

(2) For the purposes of subrule (1) and Division 2 of Part 12, a person shall be taken to be a recognised orthodontist if the person is an accredited dental practitioner and:

(a) the person is registered or licensed as an orthodontist under a relevant law; or

(b) in the case of a person who is not so registered or licensed—the person, by means of his or her qualifications or experience, demonstrates to the Committee his or her competence in the field of orthodontics applicable to the rendering of the services specified in Division 1 of Part 12.

(3) In subrule (2):

"Committee" means the Medical Benefits (Dental Practitioners) Advisory Committee established under section 136 of the National Health Act 1953;

"relevant law" means a law of the State or Territory in which the service is rendered that provides for the registration or licensing of dental practitioners or dentists as orthodontists.

35. Where an item in Part 12 includes the symbol "(AOS)", the item shall be taken to relate to the service specified in the item when rendered by an accredited dental practitioner who is a dental practitioner approved by the Minister for the purposes of the definition of "professional service" in subsection 3(1) of the Act.

36. A reference in items 8658, 8659, 8660, 8661, 8662, 8663, 8664, 8665, 8666, 8667, 8668 and 8669 to maxilla includes a reference to the zygoma.

37. A reference in a column in item 6931 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in the item relating to the squint operation performed (being an operation covered by item 6922, 6924 or 6930); and

(b) one-quarter of the fee referred to in paragraph (a).

38. A reference in a column in item 2455 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in the item relating to the service in association with which the service referred to in item 2455 is performed (being a service in Part 7A); and

(b) $92.00.

39. A medical service specified in item 851 shall be taken to be a medical service for the purposes of the Act if, and only if, the service is performed upon a patient in one of the following classes of patients:

(a) patients with myopia of greater than 4.0 dioptres (spherical equivalent) in the dominant eye;

(b) patients with manifest hyperopia of greater than 5.0 dioptres (spherical equivalent) in the dominant eye;

(c) patients with astigmatism of greater than 4.0 dioptres in the dominant eye;

(d) patients with astigmatism of greater than 3.0 dioptres in the dominant eye, requiring, for distance correction, a lens of plus power plus 3.0 dioptres or greater in one meridian;

(e) patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by Keratometric observation, where the maximum visual acuity obtainable with spectacle correction is less than 6/12 and where that corrected acuity would be improved by more than 10 per cent by the use of a contact lens;

(f) patients with anisometropia of greater than 4.0 dioptres (difference between spherical equivalents);

(g) patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system;

(h) patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by:

(i) pathological mydriasis;

SCHEDULE—continued

(ii) aniridia;

(iii) coloboma of the iris; or

(iv) pupillary malformation or distortion;

whether congenital, traumatic or surgical in origin;

(i) patients who, by reason of their physical deformity, are unable to wear spectacles and in respect of whom a medical practitioner has prescribed, or recommended the prescription of, contact lenses; and

(j) patients in respect of whom a medical practitioner has certified that the patient has an ocular or medical condition (other than a condition referred to in paragraphs (a) to (h) (inclusive)) requiring for correction the use of contact lenses.

40. In Parts 6 and 8 "report" means a report prepared by a medical practitioner.

41. A reference in item 194, 196, 198, 201, 204 or 205 to confinement includes a reference to:

(a) induction of labour by surgical or intravenous infusion methods;

(b) forceps or vacuum extraction;

(c) breech delivery;

(d) management of multiple deliveries;

(e) episiotomy;

(f) repair of tears;

(g) a medical service or services referred to in item 295 or 298 when performed at the time of delivery; or

(h) evacuation of the products of conception by manual removal;

but does not include a reference to a service or services referred to in an item in Division 2 of Part 2, other than item 295 or 298.

42. In Part 1, "attendance of a minor nature" means an attendance by a consultant physician on a person, being an attendance:

(a) that is a second or subsequent attendance (in this rule referred to as the "later attendance") in the course of a single course of treatment of that person by that consultant physician where it is not necessary for the consultant physician, in the course of the later attendance, to carry out a physical examination of the person; and

(b) that does not result in a substantial alteration to the treatment of that person.

43. (1) In Rules 3, 5A and 42 and items 88, 94, 100, 103, 110, 116, 119, 122, 128 and 131, a reference to a single course of treatment includes the initial attendance by a specialist or consultant physician and the continuing management or treatment up to and including the stage where the patient is referred back to the care of the referring practitioner and includes any subsequent review of the patient's condition by the specialist or consultant physician that may be necessary whether the review is initiated by either the referring practitioner or the specialist or consultant physician.

(2) For the purposes of subrule (1), occurrence in the patient of an unrelated illness, requiring referral of the patient to the specialist's or consultant physician's care, initiates a new course of treatment in which case a new referral is required.

(3) For the purposes of subrule (1), if:

(a) the referring practitioner considers it necessary for the patient's condition to be reviewed; and

(b) the patient is seen by the specialist or consultant physician outside the currency of the last referral; and

(c) the patient was last seen by the specialist or consultant physician more than 9 months before the attendance;

the attendance initiates a new course of treatment.

(4) In subrule (3), "currency", in relation to the referral of a patient to a specialist, means the period of 12 months, or lesser period, applicable under paragraph (b) or (c) of Rule 3 to that referral.

44. For the purposes of sections 15 and 16 of the Act, each operation referred to in items 204, 205, 210, 362, 363, 365 or 383 is a single operation.

SCHEDULE—continued

Item No.

Fees

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 SCHEDULE I OR SCHEDULE 1A OF THE ACT

1

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 2 - each attendance...........................................

13.20

13.20

13.20

13.20

13.20

13.20

2

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...........

13.20

13.20

13.20

13.20

13.20

13.20

5

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 6 - each attendance

18.60

18.60

18.60

18.60

18.60

18.60

6

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...................................................................

18.60

18.60

18.60

18.60

18.60

18.60

7

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 8 - each attendance 

33.50

33.50

33.50

33.50

33.50

33.50

8

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...................................................................

33.50

33.50

33.50

33.50

33.50

33.50

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

9

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 10 - each attendance

53.00

53.00

53.00

53.00

53.00

53.00

10

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..........

53.00

53.00

53.00

53.00

53.00

53.00

11

Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, 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 12 - each attendance........

22.00

22.00

22.00

22.00

22.00

22.00

12

Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, 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 

22.00

22.00

22.00

22.00

22.00

22.00

15

Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, 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 16 - each attendance..................................................

27.50

27.50

27.50

27.50

27.50

27.50

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

16

Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, 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..........................

27.50

27.50

27.50

27.50

27.50

27.50

17

Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, 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 18 - each attendance..................................................

44.50

44.50

44.50

44.50

44.50

44.50

18

Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, 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..........................

44.50

44.50

44.50

44.50

44.50

44.50

21

Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, 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 22 - each attendance.....................

64.00

64.00

64.00

64.00

64.00

64.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

22

Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, 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 

64.00

64.00

64.00

64.00

64.00

64.00

27

Professional attendance at a hospital (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 28 - each attendance where only one in-patient is seen......

27.50

27.50

27.50

27.50

27.50

27.50

28

Professional attendance at a hospital (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, where only one in-patient is seen....................................................

27.50

27.50

27.50

27.50

27.50

27.50

29

Professional attendance at a hospital (not being an attendance covered by any other item in this Part) - an attendance on each of two in-patients in the one hospital on the one occasion at a time other than a time covered by item 30 - each patient who is not a nursing-home type patient................................................

18.60

18.60

18.60

18.60

18.60

18.60

30

Professional attendance at a hospital (not being an attendance covered by any other item in this Part) - an attendance on each of two in-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 who is not a nursing-home type patient 

18.60

18.60

18.60

18.60

18.60

18.60

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

31

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

18.60

18.60

18.60

18.60

18.60

18.60

32

Professional attendance at a hospital (not being an attendance covered by any other item in this Part) - an attendance on each of two in-patients in the one hospital on the one occasion where at least one of those in-patients is a nursing-home type patient - each nursing-home type patient..........................

15.80

15.80

15.80

15.80

15.80

15.80

34

Professional attendance at a hospital (not being an attendance covered by any other item in this Part) - an attendance on each of three or more in-patients in the one hospital on the one occasion where at least one of those in-patients is a nursing-home type patient - each nursing-home type patient...

13.20

13.20

13.20

13.20

13.20

13.20

41

Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) -each in hours attendance where only one patient is seen.

27.50

27.50

27.50

27.50

27.50

27.50

42

Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) -each after hours attendance where only one patient is seen

27.50

27.50

27.50

27.50

27.50

27.50

45

Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) - an attendance on two patients in the one nursing home or aged persons' accommodation on the one occasion - each patient...................................................................

15.80

15.80

15.80

15.80

15.80

15.80

46

Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) - an attendance on three or more patients in the one nursing home or aged persons' accommodation on the one occasion - each patient................................................

13.20

13.20

13.20

13.20

13.20

13.20

55

Professional attendance at an institution 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 56 - an attendance on each of two or more patients at the one institution on the one occasion - each patient

13.20

13.20

13.20

13.20

13.20

13.20

56

Professional attendance at an institution of not more than 5 minutes duration (not being an attendance

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

covered by any other item in this Part) - an attendance on each of two or more patients at the one institution on the one occasion 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................................................

13.20

13.20

13.20

13.20

13.20

13.20

61

Professional attendance at an institution 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 62 - an attendance on each of two or more patients at the one institution on the one occasion - each patient........................................................

18.60

18.60

18.60

18.60

18.60

18.60

62

Professional attendance at an institution 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) - an attendance on each of two or more patients at the one institution on the one occasion 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.................

18.60

18.60

18.60

18.60

18.60

18.60

63

Professional attendance at an institution 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 64 - an attendance on each of two or more patients at the one institution on the one occasion - each patient........................................................

33.50

33.50

33.50

33.50

33.50

33.50

64

Professional attendance at an institution 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) - an attendance on each of two or more patients at the one institution on the one occasion on a public holiday, on a Sunday, before

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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..................

33.50

33.50

33.50

33.50

33.50

33.50

67

Professional attendance at an institution 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 68 - an attendance on each of two or more patients at the one institution on the one occasion - each patient................................

53.00

53.00

53.00

53.00

53.00

53.00

68

Professional attendance at an institution of more than 45 minutes duration (not being an attendance covered by any other item in this Part) - an attendance on each of two or more patients at the one institution on the one occasion 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.....

53.00

53.00

53.00

53.00

53.00

53.00

70

Professional attendance, being an attendance at other than consulting rooms, on not more than one patient on the one occasion - each attendance on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment 

38.50

38.50

38.50

38.50

38.50

38.50

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)

18.60

18.60

18.60

18.60

18.60

18.60

85

Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

attendance other than that at which the anaesthetic is administered (S)........................................

26.00

26.00

26.00

26.00

26.00

26.00

88

Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her - 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..............

52.00

52.00

52.00

52.00

52.00

52.00

94

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

26.00

26.00

26.00

26.00

26.00

26.00

100

Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her - 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 

75.00

75.00

75.00

75.00

75.00

75.00

103

Professional attendance by a specialist in the practice of his or her specialty where the patient is referred to him or her - 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..........................

47.50

47.50

47.50

47.50

47.50

47.50

110

Professional attendance at consulting rooms, hospital or nursing-home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner - initial attendance in a single course of treatment

91.00

91.00

91.00

91.00

91.00

91.00

116

Professional attendance at consulting rooms, hospital or nursing-home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner - each attendance (other than an attendance covered by item 119) subsequent to the first in a single course of treatment..........................

45.50

45.50

45.50

45.50

45.50

45.50

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

119

Professional attendance at consulting rooms, hospital or nursing-home by a consultant physician in the practice of his or her specialty (other than psychiatry) where the patient is referred to him or her by a medical practitioner - each minor attendance subsequent to the first in a single course of treatment 

26.00

26.00

26.00

26.00

26.00

26.00

122

Professional attendance at a place other than consulting rooms, hospital or nursing-home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner -initial attendance in a single course of treatment

110.00

110.00

110.00

110.00

110.00

110.00

128

Professional attendance at a place other than consulting rooms, hospital or nursing-home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner -each attendance (other than an attendance covered by item 131) subsequent to the first in a single course of treatment 

66.00

66.00

66.00

66.00

66.00

66.00

131

Professional attendance at a place other than consulting rooms, hospital or nursing-home by a consultant physician in the practice of his or her specialty (other than in psychiatry) where the patient is referred to him or her by a medical practitioner -each minor attendance subsequent to the first in a single course of treatment..............................................

48.00

48.00

48.00

48.00

48.00

48.00

134

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

26.00

26.00

26.00

26.00

26.00

26.00

136

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her 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

52.00

52.00

52.00

52.00

52.00

52.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

138

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her 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 

76.00

76.00

76.00

76.00

76.00

76.00

140

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her 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 

106.00

106.00

106.00

106.00

106.00

106.00

142

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

128.00

128.00

128.00

128.00

128.00

128.00

144

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her 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.....................

47.50

47.50

47.50

47.50

47.50

47.50

146

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her 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....................................................

75.00

75.00

75.00

75.00

75.00

75.00

148

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her by a medical practitioner - an attendance of more than 30 minutes

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing-home..................................

104.00

104.00

104.00

104.00

104.00

104.00

150

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her 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 

126.00

126.00

126.00

126.00

126.00

126.00

152

Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry where the patient is referred to him or her 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............................................................

150.00

150.00

150.00

150.00

150.00

150.00

160

Professional attendance for a period of not less than 1 hour but less than 2 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients..............................

74.00

74.00

74.00

74.00

74.00

74.00

161

Professional attendance for a period of not less than 2 hours but less than 3 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients..............................

120.00

120.00

120.00

120.00

120.00

120.00

162

Professional attendance for a period of not less than 3 hours but less than 4 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients..............................

168.00

168.00

168.00

168.00

168.00

168.00

163

Professional attendance for a period of not less than 4 hours but less than 5 hours (not being an attendance covered by any other item in this

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients.......................................

215.00

215.00

215.00

215.00

215.00

215.00

164

Professional attendance for a period of 5 hours or more (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients.......................................

260.00

260.00

260.00

260.00

260.00

260.00

170

Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family - each group of two patients...........................

78.00

78.00

78.00

78.00

78.00

78.00

171

Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family - each group of three patients.........................

83.00

83.00

83.00

83.00

83.00

83.00

172

Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his or her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family - each group of four or more patients............

100.00

100.00

100.00

100.00

100.00

100.00

Professional Attendances by Participating Optometrists

180

Professional attendance by a participating optometrist that is the sole or first attendance in a single course of attention of a patient. The Medicare benefit is payable only once in a period of twenty-four consecutive

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

months unless the examining optometrist has certified that, in his or her professional opinion, the patient had an ocular condition which necessitated a further course of attention being commenced within twenty-four months of the previous initial consultation..................................

41.50

41.50

41.50

41.50

41.50

41.50

182

Professional attendance by a participating optometrist (not being an attendance relating to the prescription and fitting of contact lenses) that is the second attendance in a single course of attention in respect of which the first attendance is covered by item 180..................................................

20.50

20.50

20.50

20.50

20.50

20.50

184

Professional attendance by a participating optometrist (not being an attendance relating to the prescription and fitting of contact lenses) that is the third or a subsequent attendance in a single course of attention of a patient in respect of whom the attending optometrist has certified on the patient's account that, in his or her professional opinion, there is a need for that attendance, being a course of attention in respect of which the first attendance is covered by item 180..

20.50

20.50

20.50

20.50

20.50

20.50

186

Professional attendances by a participating optometrist 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. The Medicare benefit is payable only once in a period of thirty-six consecutive months unless the examining optometrist has certified on the patient's account that, in his or her professional opinion, the patient had an ocular condition which necessitated a further course of attention being commenced within thirty-six months of the previous initial consultation 

104.00

104.00

104.00

104.00

104.00

104.00

PART 2—OBSTETRICS

Division 1General

190

Antenatal care (not including any service or services covered by item 204 or 205) where the attendances do not exceed ten - each attendance.......................................

18.60

18.60

18.60

18.60

18.60

18.60

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

S

192

Antenatal care (not including any service or services covered by item 204 or 205) where the attendances exceed ten...........................................................

186.00

186.00

186.00

186.00

186.00

186.00

194

Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (G)...........................................................

144.00

144.00

144.00

144.00

144.00

144.00

196

Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (S)...........................................................

245.00

245.00

245.00

245.00

245.00

245.00

198

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

210.00

210.00

210.00

210.00

210.00

210.00

201

Confinement, incomplete, with or without postnatal care for nine days where the patient is referred to a specialist in the practice of his or her specialty or the patient's care is transferred to another medical practitioner for completion of the delivery....................................

68.00

68.00

68.00

68.00

68.00

68.00

204

Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (G).............................................

290.00

290.00

290.00

290.00

290.00

290.00

205

Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (S)..............................................

425.00

425.00

425.00

425.00

425.00

425.00

210

Caesarean section and postnatal care for nine days where the patient has been referred to a specialist in the practice of his or her specialty or the patient's care has been transferred to another medical practitioner for management of the confinement and the practitioner who performed the Caesarean section did not provide the antenatal care.....................................

375.00

375.00

375.00

375.00

375.00

375.00

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...........................

13.20

13.20

13.20

13.20

13.20

13.20

246

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

13.20

13.20

13.20

13.20

13.20

13.20

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

247

Polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital - each attendance that is not a routine antenatal attendance, to a maximum of two attendances in any seven day period............................

13.20

13.20

13.20

13.20

13.20

13.20

248

Pregnancy complicated by acute intercurrent infection, intrauterine growth retardation, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital - each attendance that is not a routine antenatal attendance, to a maximum of one visit per day 

13.20

13.20

13.20

13.20

13.20

13.20

250

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

99.00

99.00

99.00

99.00

99.00

99.00

258

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

132.00

132.00

132.00

132.00

132.00

132.00

267

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

38.00

38.00

38.00

38.00

38.00

38.00

273

Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of -each attendance that is not a routine antenatal attendance.............................................

13.20

13.20

13.20

13.20

13.20

13.20

274

Induction and management of second trimester labour (G) 

144.00

144.00

144.00

144.00

144.00

144.00

275

Induction and management of second trimester labour (S) 

178.00

178.00

178.00

178.00

178.00

178.00

278

Amnioscopy or amniocentesis.................

38.00

38.00

38.00

38.00

38.00

38.00

280

Chorionic villus sampling.......................

154.00

154.00

154.00

154.00

154.00

154.00

290

Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement) 

22.00

22.00

22.00

22.00

22.00

22.00

295

Version, external, under general anaesthesia (AU 6) 

38.00

38.00

38.00

38.00

38.00

38.00

298

Version, internal, under general anaesthesia (AU 6) 

68.00

68.00

68.00

68.00

68.00

68.00

362

Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances..........................

104.00

104.00

104.00

104.00

104.00

104.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

363

Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances..............................

104.00

104.00

104.00

104.00

104.00

104.00

365

Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances

210.00

210.00

210.00

210.00

210.00

210.00

383

Third degree tear, repair of, involving anal sphincter muscles as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances................................................................

156.00

156.00

156.00

156.00

156.00

156.00

PART 3—ANAESTHETICS

Division 1Anaesthetics 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).............................................................

9.90

9.90

9.90

9.90

9.90

9.90

403

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

19.80

19.80

19.80

19.80

19.80

19.80

404

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

29.50

29.50

29.50

29.50

29.50

29.50

405

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

39.50

39.50

39.50

39.50

39.50

39.50

406

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

49.50

49.50

49.50

49.50

49.50

49.50

407

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

59.00

59.00

59.00

59.00

59.00

59.00

408

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

69.00

69.00

69.00

69.00

69.00

69.00

409

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

79.00

79.00

79.00

79.00

79.00

79.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

443

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

89.00

89.00

89.00

89.00

89.00

89.00

450

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

99.00

99.00

99.00

99.00

99.00

99.00

453

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

108.00

108.00

108.00

108.00

108.00

108.00

454

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

118.00

118.00

118.00

118.00

118.00

118.00

457

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

128.00

128.00

128.00

128.00

128.00

128.00

458

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

138.00

138.00

138.00

138.00

138.00

138.00

459

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

148.00

148.00

148.00

148.00

148.00

148.00

460

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

158.00

158.00

158.00

158.00

158.00

158.00

461

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

168.00

168.00

168.00

168.00

168.00

168.00

462

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

178.00

178.00

178.00

178.00

178.00

178.00

463

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

188.00

188.00

188.00

188.00

188.00

188.00

464

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

198.00

198.00

198.00

198.00

198.00

198.00

465

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

205.00

205.00

205.00

205.00

205.00

205.00

466

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

215.00

215.00

215.00

215.00

215.00

215.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

467

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

225.00

225.00

225.00

225.00

225.00

225.00

468

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

235.00

235.00

235.00

235.00

235.00

235.00

469

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

245.00

245.00

245.00

245.00

245.00

245.00

470

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

255.00

255.00

255.00

255.00

255.00

255.00

471

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

265.00

265.00

265.00

265.00

265.00

265.00

472

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

275.00

275.00

275.00

275.00

275.00

275.00

473

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

285.00

285.00

285.00

285.00

285.00

285.00

474

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

295.00

295.00

295.00

295.00

295.00

295.00

475

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

315.00

315.00

315.00

315.00

315.00

315.00

476

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

355.00

355.00

355.00

355.00

355.00

355.00

477

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

375.00

375.00

375.00

375.00

375.00

375.00

478

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

385.00

385.00

385.00

385.00

385.00

385.00

479

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 40).......................

395.00

395.00

395.00

395.00

395.00

395.00

480

Administration of an anaesthetic in connection with radio-therapy.............................................

59.00

59.00

59.00

59.00

59.00

59.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

481

Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, delivery of second twin by manipulation, rotation of head followed by delivery - where an epidural needle or catheter has not been inserted earlier in labour................

69.00

69.00

69.00

69.00

69.00

69.00

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 25

Amount Under Rule 25

Amount Under Rule 25

Amount Under Rule 25

Amount Under Rule 25

Amount Under Rule 25

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 27

Amount Under Rule 27

Amount Under Rule 27

Amount Under Rule 27

Amount Under Rule 27

Amount Under Rule 27

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 26

Amount Under Rule 26

Amount Under Rule 26

Amount Under Rule 26

Amount Under Rule 26

Amount Under Rule 26

485

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 28

Amount Under Rule 28

Amount Under Rule 28

Amount Under Rule 28

Amount Under Rule 28

Amount Under Rule 28

486

Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units.....................................................

9.90

9.90

9.90

9.90

9.90

9.90

487

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

99.00

99.00

99.00

99.00

99.00

99.00

488

Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 5057.............................................

Amount Under Rule 29

Amount Under Rule 29

Amount Under Rule 29

Amount Under Rule 29

Amount Under Rule 29

Amount Under Rule 29

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

489

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

79.00

79.00

79.00

79.00

79.00

79.00

490

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

79.00

79.00

79.00

79.00

79.00

79.00

492

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 34)................................................

335.00

335.00

335.00

335.00

335.00

335.00

493

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 35)................................................

345.00

345.00

345.00

345.00

345.00

345.00

497

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 47)................................................

465.00

465.00

465.00

465.00

465.00

465.00

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)..................................................

11.00

11.00

11.00

11.00

11.00

11.00

505

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

22.00

22.00

22.00

22.00

22.00

22.00

506

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

33.00

33.00

33.00

33.00

33.00

33.00

509

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

44.00

44.00.

44.00

44.00

44.00

44.00

510

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

55.00

55.00

55.00

55.00

55.00

55.00

513

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

66.00

66.00

66.00

66.00

66.00

66.00

514

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

77.00

77.00

77.00

77.00

77.00

77.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

517

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

88.00

88.00

88.00

88.00

88.00

88.00

518

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

99.00

99.00

99.00

99.00

99.00

99.00

521

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

110.00

110.00

110.00

110.00

110.00

110.00

522

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

120.00

120.00

120.00

120.00

120.00

120.00

523

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

132.00

132.00

132.00

132.00

132.00

132.00

524

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

142.00

142.00

142.00

142.00

142.00

142.00

525

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

154.00

154.00

154.00

154.00

154.00

154.00

526

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

164.00

164.00

164.00

164.00

164.00

164.00

527

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

176.00

176.00

176.00

176.00

176.00

176.00

528

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

186.00

186.00

186.00

186.00

186.00

186.00

529

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

198.00

198.00

198.00

198.00

198.00

198.00

531

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

210.00

210.00

210.00

210.00

210.00

210.00

533

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

220.00

220.00

220.00

158.00

158.00

8492

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

71.00

71.00

71.00

71.00

71.00

71.00

8494

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

265.00

265.00

265.00

265.00

265.00

265.00

8496

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

142.00

142.00

142.00

142.00

142.00

142.00

8498

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

285.00

285.00

285.00

285.00

285.00

285.00

8500

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

225.00

225.00

225.00

225.00

225.00

225.00

8502

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

158.00

158.00

158.00

158.00

158.00

158.00

Free Grafts

8504

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

122.00

122.00

122.00

122.00

122.00

122.00

8506

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

122.00

122.00

122.00

122.00

122.00

122.00

8508

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

245.00

245.00

245.00

245.00

245.00

245.00

8509

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

180.00

180.00

180.00

180.00

180.00

180.00

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)...............................

420.00

420.00

420.00

420.00

420.00

420.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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)

380.00

380.00

380.00

380.00

380.00

380.00

8512

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

170.00

170.00

170.00

170.00

170.00

170.00

8514

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

170.00

170.00

170.00

170.00

170.00

170.00

8516

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

355.00

355.00

355.00

355.00

355.00

355.00

8518

Free full thickness grafts, excluding grafts for male pattern baldness (AU 9)...............................

285.00

285.00

285.00

285.00

285.00

285.00

8520

Free full thickness grafts (D) (AU 9)....

285.00

285.00

285.00

285.00

285.00

285.00

Other Grafts and Miscellaneous Procedures

8522

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

132.00

132.00

132.00

132.00

132.00

132.00

8524

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

178.00

178.00

178.00

178.00

178.00

178.00

8528

Mammaplasty, reduction (unilateral), with or without repositioning of nipple (AU 10)........

540.00

540.00

540.00

540.00

540.00

540.00

8530

Augmentation mammaplasty for significant breast asymmetry where the augmentation is limited to one breast (AU 10).................................

445.00

445.00

445.00

445.00

445.00

445.00

8531

Augmentation mammaplasty following mastectomy - unilateral (AU 9)..............................

445.00

445.00

445.00

445.00

445.00

445.00

8532

Breast reconstruction using a latissimus dorsi or other large myocutaneous flap, including repair of secondary skin defect (AU 20).................................

660.00

660.00

660.00

660.00

660.00

660.00

8533

Breast reconstruction using breast sharing technique (first stage) including breast reduction, transfer of complex skin and breast tissue flap, split skin graft to pedicle of flap or other similar procedure (AU 15).......

745.00

745.00

745.00

745.00

745.00

745.00

8534

Breast reconstruction using breast sharing technique (second stage) including division of pedicle, insetting of breast flap, with closure of donor site or other similar procedure (AU 12)...........................................

275.00

275.00

275.00

275.00

275.00

275.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8535

Hair transplantation for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not covered by any other item in this Part (AU 11).....................................

285.00

285.00

285.00

285.00

285.00

285.00

8536

Breast reconstruction using tissue expansion - insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 9)..............

645.00

645.00

645.00

645.00

645.00

645.00

8537

Breast reconstruction using tissue expansion - removal of tissue expansion unit and insertion of permanent prosthesis (AU 9)..............................................

370.00

370.00

370.00

370.00

370.00

370.00

8538

Nipple or areola or both, reconstruction of by any technique (AU 10)............................................

375.00

375.00

375.00

375.00

375.00

375.00

8540

Digit, transplantation of - complete procedure (AU 16).........................................................

775.00

775.00

775.00

775.00

775.00

775.00

8542

Neurovascular island flap, or free transfer of tissue with vascular or neurovascular pedicle, including repair of secondary defect excluding flap for male pattern baldness (AU 15)............................................

660.00

660.00

660.00

660.00

660.00

660.00

8543

Tissue expansion not covered by items 8536/8537 - insertion of tissue expansion unit and all attendances for subsequent expansion injections (AU 10)............

645.00

645.00

645.00

645.00

645.00

645.00

8544

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

198.00

198.00

198.00

198.00

198.00

198.00

8546

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

430.00

430.00

430.00

430.00

430.00

430.00

8548

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

500.00

500.00

500.00

500.00

500.00

500.00

8551

Meloplasty for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to one side of the face (AU 14)....................

535.00

535.00

535.00

535.00

535.00

535.00

8552

Orbital cavity, reconstruction of walls or floor or both walls and floor with or without foreign implant (AU 12)

290.00

290.00

290.00

290.00

290.00

290.00

8553

Orbital cavity, bone or cartilage graft to orbital walls or floor or both walls and floor including reduction of prolapsed or entrapped orbital contents (AU 14)

340.00

340.00

340.00

340.00

340.00

340.00

8554

Maxilla, resection of (AU 17)...............

540.00

540.00

540.00

540.00

540.00

540.00

8556

Mandible, resection of (AU 15)............

420.00

420.00

420.00

420.00

420.00

420.00

8558

Mandible, resection of (D) (AU 15)......

420.00

420.00

420.00

420.00

420.00

420.00

8560

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

355.00

355.00

355.00

355.00

355.00

355.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8562

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

355.00

355.00

355.00

355.00

355.00

355.00

8568

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

495.00

495.00

495.00

495.00

495.00

495.00

8570

Mandible, condylectomy (AU 11).........

285.00

285.00

285.00

285.00

285.00

285.00

8572

Mandible, condylectomy (D) (AU 11)..

285.00

285.00

285.00

285.00

285.00

285.00

8582

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

355.00

355.00

355.00

355.00

355.00

355.00

8584

Reduction of upper eyelid for skin redundancy obscuring vision, herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral upper eyelid (AU 7)......

142.00

142.00

142.00

142.00

142.00

142.00

8585

Reduction of lower eyelid for herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral lower eyelid (AU 8)

196.00

196.00

196.00

196.00

196.00

196.00

8586

Correction of ptosis (unilateral) (AU 12)

465.00

465.00

465.00

465.00

465.00

465.00

8588

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

196.00

196.00

196.00

196.00

196.00

196.00

8592

Symblepharon, grafting for (AU 8).......

285.00

285.00

285.00

285.00

285.00

285.00

8594

Rhinoplasty, correction of lateral or alar cartilages or columella, one or more (AU 10)........

305.00

305.00

305.00

305.00

305.00

305.00

8596

Rhinoplasty, correction of bony vault only (AU 10) 

355.00

355.00

355.00

355.00

355.00

355.00

8598

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

610.00

610.00

610.00

610.00

610.00

610.00

8600

Rhinoplasty involving autogenous bone or cartilage graft (excluding nasal or septal cartilage) (AU 13) 

770.00

770.00

770.00

770.00

770.00

770.00

8601

Contour restoration of one region of face using autogenous bone or cartilage graft (not covered by item 8600) (AU 18).........................................................

770.00

770.00

770.00

770.00

770.00

770.00

8602

Rhinoplasty, secondary revision of (AU 10) 

89.00

89.00

89.00

89.00

89.00

89.00

8604

Rhinophyma, correction of (AU 9)........

215.00

215.00

215.00

215.00

215.00

215.00

8606

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

300.00

300.00

300.00

300.00

300.00

300.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8608

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

315.00

315.00

315.00

315.00

315.00

315.00

8612

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

420.00

420.00

420.00

420.00

420.00

420.00

8614

Full thickness wedge excision of lip or eyelid, with repair by direct sutures (AU 8)..........................

196.00

196.00

196.00

196.00

196.00

196.00

8616

Vermilionectomy (AU 8).......................

196.00

196.00

196.00

196.00

196.00

196.00

8618

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

500.00

500.00

500.00

500.00

500.00

500.00

8620

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

146.00

146.00

146.00

146.00

146.00

146.00

8622

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

380.00

380.00

380.00

380.00

380.00

380.00

8624

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

520.00

520.00

520.00

520.00

520.00

520.00

8628

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

164.00

164.00

164.00

164.00

164.00

164.00

8630

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

305.00

305.00

305.00

305.00

305.00

305.00

8632

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

715.00

715.00

715.00

715.00

715.00

715.00

8634

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

215.00

215.00

215.00

215.00

215.00

215.00

8636

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

380.00

380.00

380.00

380.00

380.00

380.00

8638

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

380.00

380.00

380.00

380.00

380.00

380.00

8640

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

495.00

495.00

495.00

495.00

495.00

495.00

8642

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

495.00

495.00

495.00

495.00

495.00

495.00

8644

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

245.00

245.00

245.00

245.00

245.00

245.00

8646

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

245.00

245.00

245.00

245.00

245.00

245.00

8648

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

355.00

355.00

355.00

355.00

355.00

355.00

8650

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

355.00

355.00

355.00

355.00

355.00

355.00

8652

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

355.00

355.00

355.00

355.00

355.00

355.00

8654

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

355.00

355.00

355.00

355.00

355.00

355.00

8656

Pharyngeal flap or pharyngoplasty, with or without tonsillectomy (AU 15)........................

445.00

445.00

445.00

445.00

445.00

445.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8658

Unilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (AU 14)

580.00

580.00

580.00

580.00

580.00

580.00

8659

Unilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 14) 

580.00

580.00

580.00

580.00

580.00

580.00

8660

Bilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (AU 18)

740.00

740.00

740.00

740.00

740.00

740.00

8661

Bilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 18) 

740.00

740.00

740.00

740.00

740.00

740.00

8662

Osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (AU 22)

840.00

840.00

840.00

840.00

840.00

840.00

8663

Osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 22) 

840.00

840.00

840.00

840.00

840.00

840.00

8664

Bilateral osteotomies or osteectomies of mandible or maxilla involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (AU 26)...............

965.00

965.00

965.00

965.00

965.00

965.00

8665

Bilateral osteotomies or osteectomies of mandible or maxilla involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 26)........

965.00

965.00

965.00

965.00

965.00

965.00

8666

Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 32)...................................................

1065.00

1065.00

1065.00

1065.00

1065.00

1065.00

8667

Complex bilateral osteotomies or osteectomies of mandible or maxilla,

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 32)

1065.00

1065.00

1065.00

1065.00

1065.00

1065.00

8668

Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 34)..............

1160.00

1160.00

1160.00

1160.00

1160.00

1160.00

8669

Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 34)........

1160.00

1160.00

1160.00

1160.00

1160.00

1160.00

8670

Genioplasty not associated with item 8658, 8660, 8662, 8664, 8666, or 8668 including transposition of nerves and vessels and bone grafts taken from the site (AU 10)........................................................

450.00

450.00

450.00

450.00

450.00

450.00

8671

Genioplasty not associated with item 8659, 8661, 8663, 8665, 8667 or 8669 including transposition of nerves and vessels and bone grafts taken from the site (D) (AU 10)........................................................

450.00

450.00

450.00

450.00

450.00

450.00

8672

Genioplasty associated with item 8658, 8660, 8662 or 8664 (AU 8).............................................

260.00

260.00

260.00

260.00

260.00

260.00

8673

Genioplasty associated with item 8659, 8661, 8663 or 8665 (D) (AU 8).......................................

260.00

260.00

260.00

260.00

260.00

260.00

8675

Hypertelorism, correction of, intracranial (AU 47) 

1515.00

1515.00

1515.00

1515.00

1515.00

1515.00

8676

Hypertelorism, correction of, sub-cranial (AU 26) 

1155.00

1155.00

1155.00

1155.00

1155.00

1155.00

8677

Peri-orbital correction of Treacher Collins Syndrome, with rib and iliac bone grafts (AU 30)......

1050.00

1050.00

1050.00

1050.00

1050.00

1050.00

8678

Correction of unilateral orbital dystopia - total repositioning of one orbit intra-cranial (AU 35).....

1050.00

1050.00

1050.00

1050.00

1050.00

1050.00

8679

Correction of unilateral orbital dystopia - sub-total repositioning of one orbit, extra-cranial (AU 18) 

775.00

775.00

775.00

775.00

775.00

775.00

8680

Unilateral fronto-orbital advancement (AU 19) 

590.00

590.00

590.00

590.00

590.00

590.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

S

8681

Cranial vault reconstruction for oxycephaly, brachycephaly, turricephaly or similar condition - (bilateral frontoorbital advancement) (AU 39).....................

1000.00

1000.00

1000.00

1000.00

1000.00

1000.00

8682

Reconstruction of glenoid fossa, zygomatic arch and temporal bone (Obwegeser technique) (AU 19) 

990.00

990.00

990.00

990.00

990.00

990.00

8683

Construction of absent condyle and ascending ramus in hemifacial microsomia (AU 15).......

535.00

535.00

535.00

535.00

535.00

535.00

i

PART 11—NUCLEAR MEDICINE

8700

Erythrocyte radioactive uptake survival time test 

80.00

80.00

80.00

80.00

80.00

80.00

8702

Blood volume estimation using radioactive chromium........................................................

31.50

31.50

31.50

31.50

31.50

31.50

8704

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

63.00

63.00

63.00

63.00

63.00

63.00

8706

Radioiodine, urinary estimation...........

21.50

21.50

21.50

21.50

21.50

21.50

8708

Protein bound radioactive iodine test...

31.50

31.50

31.50

31.50

31.50

31.50

8710

Radioactive B12 absorption test (Schilling test) - one isotope........................................................

34.50

34.50

34.50

34.50

34.50

34.50

8711

Radioactive B12 absorption test (Schilling test) - two isotopes...........................................

52.00

52.00

52.00

52.00

52.00

52.00

8712

Thallium myocardial study or thallium myocardial redistribution study (C)....................

142.00

142.00

142.00

142.00

142.00

142.00

8713

Thallium myocardial study or thallium myocardial redistribution study (NC)

126.00

126.00

126.00

126.00

126.00

126.00

8716

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

110.00

110.00

110.00

110.00

110.00

110.00

8717

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

95.00

95.00

95.00

95.00

95.00

95.00

8720

Gated cardiac blood pool (equilibrium) study (C) 

178.00

178.00

178.00

178.00

178.00

178.00

8721

Gated cardiac blood pool (equilibrium) study (NC) 

95.00

95.00

95.00

95.00

95.00

95.00

8723

Gated cardiac blood pool study with intervention (C)........................................................

215.00

215.00

215.00

215.00

215.00

215.00

8724

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

110.00

110.00

110.00

110.00

110.00

110.00

8730

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

110.00

110.00

110.00

110.00

110.00

110.00

8731

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

95.00

95.00

95.00

95.00

95.00

95.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8736

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

144.00

144.00

144.00

144.00

144.00

144.00

8737

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

130.00

130.00

130.00

130.00

130.00

130.00

8738

Spleen study, red blood cell spleen study, pancreas study, gastroesophageal reflux study, salivary study or bowel haemorrhage study (C).....................

112.00

112.00

112.00

112.00

112.00

112.00

8739

Spleen study, red blood cell spleen study, pancreas study, gastroesophageal reflux study, salivary study or bowel haemorrhage study (NC)..................

98.00

98.00

98.00

98.00

98.00

98.00

8742

Liver and lung study (C)......................

215.00

215.00

215.00

215.00

215.00

215.00

8743

Liver and lung study (NC)...................

186.00

186.00

186.00

186.00

186.00

186.00

8746

Le Veen shunt study (C)......................

74.00

74.00

74.00

74.00

74.00

74.00

8747

Le Veen shunt study (NC)...................

66.00

66.00

66.00

66.00

66.00

66.00

8750

Gastric emptying study........................

112.00

112.00

112.00

112.00

112.00

112.00

8755

Renal study (static) or placental study (C)

112.00

112.00

112.00

112.00

112.00

112.00

8756

Renal study (static) or placental study (NC) 

98.00

98.00

98.00

98.00

98.00

98.00

8759

Cystoureterogram or quantitative renogram (C) 

144.00

144.00

144.00

144.00

144.00

144.00

8760

Cystoureterogram or quantitative renogram (NC) 

130.00

130.00

130.00

130.00

130.00

130.00

8763

Testicular study (C).............................

76.00

76.00

76.00

76.00

76.00

76.00

8764

Testicular study (NC)..........................

67.00

67.00

67.00

67.00

67.00

67.00

8769

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

146.00

146.00

146.00

146.00

146.00

146.00

8770

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

130.00

130.00

130.00

130.00

130.00

130.00

8773

Shunt patency study (C).......................

112.00

112.00

112.00

112.00

112.00

112.00

8774

Shunt patency study (NC)....................

99.00

99.00

99.00

99.00

99.00

99.00

8779

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

42.50

42.50

42.50

42.50

42.50

42.50

8780

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

38.00

38.00

38.00

38.00

38.00

38.00

8783

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

144.00

144.00

144.00

144.00

144.00

144.00

8784

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

130.00

130.00

130.00

130.00

130.00

130.00

8787

Peripheral perfusion study (C).............

110.00

110.00

110.00

110.00

110.00

110.00

8788

Peripheral perfusion study (NC)..........

95.00

95.00

95.00

95.00

95.00

95.00

8793

Bone study - 4 or more areas (C)..........

290.00

290.00

290.00

290.00

290.00

290.00

8794

Bone study - 4 or more areas (NC).......

255.00

255.00

255.00

255.00

255.00

255.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8797

Bone study - less than 4 areas (C)........

146.00

146.00

146.00

146.00

146.00

146.00

8798

Bone study - less than 4 areas (NC)......

130.00

130.00

130.00

130.00

130.00

130.00

8799

Joint study of two or more joints (C)....

146.00

146.00

146.00

146.00

146.00

146.00

8800

Joint study of two or more joints (NC).

130.00

130.00

130.00

130.00

130.00

130.00

8803

Tumour seeking study - 3 or more areas (C) 

290.00

290.00

290.00

290.00

290.00

290.00

8804

Tumour seeking study - 3 or more areas (NC) 

255.00

255.00

255.00

255.00

255.00

255.00

8807

Tumour seeking study - less than 3 areas (C) 

146.00

146.00

146.00

146.00

146.00

146.00

8808

Tumour seeking study - less than 3 areas (NC) 

130.00

130.00

130.00

130.00

130.00

130.00

8813

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

73.00

73.00

73.00

73.00

73.00

73.00

8814

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

65.00

65.00

65.00

65.00

65.00

65.00

8817 8818

Thyroid uptake study (C) Thyroid uptake study (NC)........................................................

38.00 33.50

38.00 33.50

38.00 33.50

38.00 33.50

38.00 33.50

38.00 33.50

8821

Parathyroid study................................

110.00

110.00

110.00

110.00

110.00

110.00

8824

Adrenal study (C)................................

114.00

114.00

114.00

114.00

114.00

114.00

8825

Adrenal study (NC).............................

100.00

100.00

100.00

100.00

100.00

100.00

8828

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

110.00

110.00

110.00

110.00

110.00

110.00

8829

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

95.00

95.00

95.00

95.00

95.00

95.00

8850

Procedural service associated with the administration of a radionuclide in relation to a service covered by an item in Part 8 A or Part 11...........................

1.90

1.90

190

1.90

1.90

1.90

PART 12-SERVICES FOR THE TREATMENT OF CLEFT LIP AND CLEFT PALATE CONDITIONS

Division 1-Orthodontic Services

8901

Professional attendance not covered by item 8902 (AO)........................................................

24.50

24.50

2450

24.50

24.50

24.50

8902

Professional attendance and treatment-planning where treatment is deferred (AO)................

49.50

49.50

49 50

49.50

49.50

49.50

8903

Production of dental study models not associated with item 8902 or with a service covered by item 8914, 8915, 8917, 8918, 8919, 8922, 8923, 8924, 8925, or 8928 (AO)........................................................

24.50

24.50

24.50

24.50

24.50

24.50

8905

Orthodontic radiography - orthopantomography (AO)........................................................

41.00

41.00

41.00

41.00

41.00

41.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8906

Orthodontic radiography - anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings (AO)

65.00

65.00

65.00

65.00

65.00

65.00

8907

Orthodontic radiography - anteroposterior and lateral cephalometric radiography, with cephalometric tracings (AO)............................................................

89.00

89.00

89.00

89.00

89.00

89.00

8908

Orthodontic radiography - anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography (AO)...................

114.00

114.00

114.00

114.00

114.00

114.00

8909

Orthodontic radiography - anteroposterior and lateral cephalometric radiography, with cephalometric tracings, orthopantomography and hand-wrist studies (including growth prediction) (AO)...................................

140.00

140.00

140.00

140.00

140.00

140.00

8914

Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations - where one appliance is used (AO)...................

330.00

330.00

330.00

330.00

330.00

330.00

8915

Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations - where two appliances are used (AO)...............

390.00

390.00

390.00

390.00

390.00

390.00

8917

Deciduous dentition treatment - maxillary arch expansion, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment (AO)...........................

440.00

440.00

440.00

440.00

440.00

440.00

8918

Deciduous and permanent dentition treatment-incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment (AO)....................................................

720.00

720.00

720.00

720.00

720.00

720,00

8919

Deciduous and permanent dentition treatment (not being treatment associated with treatment covered by item 8918) - lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated attendances, treatment-planning and retention services beyond the period of active treatment (AO)............................................................

995.00

995.00

995.00

995.00

995.00

995.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8922

Permanent dentition treatment (not being treatment associated with treatment covered by item 8924 or 8925) - single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment - initial three months of active treatment (AO) 

330.00

330.00

330.00

330.00

330.00

330.00

8923

Permanent dentition treatment (not being . treatment associated with treatment covered by item 8924 or 8925) - single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment - each three months of active treatment after the first for a maximum of a further 33 months (AO)

124.00

124.00

124.00

124.00

124.00

124.00

8924

Permanent dentition treatment (not being treatment associated with treatment covered by item 8922 or 8923) - two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment - initial three months of active treatment (AO) 

645.00

645.00

645.00

645.00

645.00

645.00

8925

Permanent dentition treatment (not being treatment associated with treatment covered by item 8922 or 8923) - two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment - each three months of active treatment after the first for a maximum of a further 33 months (AO) 

172.00

172.00

172.00

172.00

172.00

172.00

8928

Pre-surgical or post-surgical jaw growth guidance using removable appliances, including supply of appliances and all associated consultations and treatment-planning (AO) 

440.00

440.00

440.00

440.00

440.00

440.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

Division 2—Oral Surgical Services

8931

Removal of tooth or tooth fragment (not being treatment covered by item 8936, 8937, 8938, 8939, 8940 or 8941), where the patient is referred by a recognized orthodontist (AD)................................................

33.00

33.00

33.00

33.00

33.00

33.00

8932

Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by a recognized orthodontist (AD).............................

49.50

49.50

49.50

49.50

49.50

49.50

8933

Removal of each additional tooth or tooth fragment at the same attendance at which a service referred to in item 8931 or 8932 is rendered (AD)..................

16.40

16.40

16.40

16.40

16.40

16.40

Surgical Extractions

8936

Surgical removal of erupted tooth, where the patient is referred by a recognized orthodontist (AOS) 

99.00

99.00

99.00

99.00

99.00

99.00

8937

Surgical removal of tooth with soft tissue impaction, where the patient is referred by a recognized orthodontist (AOS)........................................................

114.00

114.00

114.00

114.00

114.00

114.00

8938

Surgical removal of tooth with partial bone impaction, where the patient is referred by a recognized orthodontist (AOS)........................................................

130.00

130.00

130.00

130.00

130.00

130.00

8939

Surgical removal of tooth with complete bone impaction, where the patient is referred by a recognized orthodontist (AOS)..............................................

146.00

146.00

146.00

146.00

146.00

146.00

8940

Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by a recognized orthodontist (AOS)...........................

82.00

82.00

82.00

82.00

82.00

82.00

8941

Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by a recognized orthodontist (AOS)...........................

99.00

99.00

99.00

99.00

99.00

99.00

Other Surgical Procedures

8945

Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS)...........................

140.00

140.00

140.00

140.00

140.00

140.00

8946

Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by a recognized orthodontist (AOS).........

164.00

164.00

164.00

164.00

164.00

164.00

8947

Surgical repositioning of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS) 

164.00

164.00

164.00

164.00

164.00

164.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8948

Transplantation of tooth bud, where the patient is referred by a recognized orthodontist (AOS)...............

245.00

245.00

245.00

245.00

245.00

245.00

Division 3-General and Prosthodontic Services

8960

Attendance comprising consultation, preventive treatment and prophylaxis, of not less than thirty minutes duration - each attendance to a maximum of three attendances in any period of twelve months (AD)..............................

49.50

49.50

49.50

49.50

49.50

49.50

8961

Provision and fitting of acrylic base partial denture, including retainers -one tooth (AD).......................

198.00

198.00

198.00

198.00

198.00

198.00

8962

Provision and fitting of acrylic base partial denture, including retainers -two teeth (AD)........................

230.00

230.00

230.00

230.00

230.00

230.00

8963

Provision and fitting of acrylic base partial denture, including retainers -three teeth (AD)......................

275.00

275.00

275.00

275.00

275.00

275.00

8964

Provision and fitting of acrylic base partial denture, including retainers -four teeth (AD).......................

305.00

305.00

305.00

305.00

305.00

305.00

8965

Provision and fitting of acrylic base partial denture, including retainers -five to nine teeth (AD)............

375.00

375.00

375.00

375.00

375.00

375.00

8966

Provision and fitting of acrylic base partial denture, including retainers -ten to twelve teeth (AD)..........

440.00

440.00

440.00

440.00

440.00

440.00

8971

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers - one tooth (AD)..............................................................

355.00

355.00

355.00

355.00

355.00

355.00

8972

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers - two teeth (AD)..............................................................

410.00

410.00

410.00

410.00

410.00

410.00

8973

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers - three teeth (AD)..............................................................

470.00

470.00

470.00

470.00

470.00

470.00

8974

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers - four teeth (AD)..............................................................

520.00

520.00

520.00

520.00

520.00

520.00

8975

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers - five to nine teeth (AD)......................................................

635.00

635.00

635.00

635.00

635.00

635.00

8976

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers - ten to twelve teeth (AD).............................................

725.00

725.00

725.00

725.00

725.00

725.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8980

Provision and fitting of retainers (not being treatment associated with treatment covered by item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976) - each retainer (AD)................

16.40

16.40

16.40

16.40

16.40

16.40

8982

Adjustment of partial denture (not being treatment associated with treatment covered by item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976) (AD) 

24.50

24.50

24.50

24.50

24.50

24.50

8984

Reclining of partial denture by laboratory process and associated fitting (AD) 

122.00

122.00

122.00

122.00

122.00

122.00

8986

Remodelling and fitting of partial denture of more than four teeth (AD) 

146.00

146.00

146.00

146.00

146.00

146.00

8988

Repair to cast metal base of partial denture - one or more points (AD) 

73.00

73.00

73.00

73.00

73.00

73.00

8990

Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD)...........

73.00

73.00

73.00

73.00

73.00

73.00

NOTE

1. Notified in the Commonwealth of Australia Gazette

Actions
Download as PDF Download as Word Document


Cases Citing This Decision

0

Cases Cited

0

Statutory Material Cited

0