List of Medical Services and Fees

List of Medical
Services and Fees
1 November 2015

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List of Medical Services and Fees
1 November 2015
(No part of this publication may be reproduced by any means without the
written permission of the Australian Medical Association Limited)

Published by:
Australian Medical Association Limited
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This publication is copyright and is prepared for the information of members
of the Australian Medical Association Limited ABN 37 008 426 793 (“AMA”).
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© Australian Medical Association Limited ABN 37 008 426 793 2015
Printed by McPherson’s Printing Group

TABLE OF CONTENTS
Item No.
Page No.
SECTION 1
FOREWORD
x-xiii
NOTES FOR GUIDANCE
xiv-xxi
FEES FOR NON-MEDICARE FUNDED SERVICES
xxii-xxv
SECTION 2
CATEGORY 1 - PROFESSIONAL ATTENDANCES
1.1 PROFESSIONAL ATTENDANCES
1.1.1 General Practitioner - Urgent Attendances After Hours AA007 2
1.1.2 General Practitioner - Attendances AA010-AA320 2-7
1.1.3 Shared Health Summary AA340-AA343 7
1.1.4 Point-of-Care Testing AA350-AA365 7
1.1.5 Miscellaneous AA401-AA425 7-8
1.1.6 Health Assessments AA501-AA530 8-10
1.1.7 Multidisciplinary Care Plans AA545-AA583 10-11
1.1.8 Case Conferences AA584-AA670 11-12
1.1.9 Domiciliary Medication Management Review AA800 13
1.1.10 Residential Medication Management Review AA850 13
1.1.11 GP Mental Health Treatment AA900-AA910 13-14
1.1.12 Public Health Physician AB005-AB075 14-16
1.1.13 Specialist AC500-AC640 16-17
1.1.14 Sport and Exercise Medicine Specialist AD010-AD040 17
1.1.15 Rehabilitation Consultant Physician AE115-AE145 17-18
1.1.16 Pain Medicine Specialist AF010-AF050 18
1.1.17 Pain Medicine Specialist – Case Conferences AF070-AF180 18-20
1.1.18 Addiction Medicine Specialist AF185-AF192 20
1.1.19 Palliative Medicine Specialist AF200-AF240 21
1.1.20 Palliative Medicine Specialist – Case Conferences AF260-AF370 21-23
1.1.21 Sexual Health Medicine Specialist AF380-AF395 23
1.1.22 Consultant Occupational Physician AG005-AG035 23-24
1.1.23 Consultant Physician AJ010-AJ048 24-25
1.1.24 Consultant Physician - Case Conferences AJ051-AJ121 25-27
1.1.25 Consultant Physician in Geriatric or Rehabilitation Medicine - Case
Conference AJ200 27
1.1.26 Geriatric Medicine AJ300-AJ345 28-31
1.1.27 Emergency Physician Attendances AK010-AK050 32-33
1.1.28 Prolonged Professional Attendance - Emergency Physician AK060-AK110 33-34
1.1.29 Prolonged Professional Attendance AL010-AL050 34
1.1.30 Group Therapy (Other Than By Psychiatrist) AL500-AL520 34
1.1.31 Acupuncture AL900-AL923 35-36
1.1.32 Consultant Psychiatrist AM001-AM207 37-42
1.1.33 Consultant Psychiatrist - Case Conferences AM210-AM240 42-43
1.1.34 Contact Lenses AP010-AP020 43
1.1.35 Video Consultation AP040-AP042 44
1.1.36 Telehealth Items AP050-AP105 44-45
1 November 2015 Page iii

TABLE OF CONTENTS
CATEGORY 2 - DIAGNOSTIC PROCEDURES
2.1 DIAGNOSTIC PROCEDURES
2.1.1 Neurology AP300-AP410 48-49
2.1.2 Ophthalmology AQ010-AQ121 49-52
2.1.3 Otolaryngology AQ510-AQ660 52-53
2.1.4 Respiratory AR500-AR540 53-54
2.1.5 Vascular AT005-AT125 54-55
2.1.6 Cardiovascular AV100-AV235 55-58
2.1.7 Gastroenterology and Colorectal BB005-BB035 58-59
2.1.8 Genito/Urinary Physiological Investigations BB300-BB370 59-60
2.1.9 Allergy Testing BB700-BB750 60-61
2.1.10 Intensive Care Management and Procedures BD100-BD120 61
2.1.11 Other Diagnostic Procedures and Investigations BF005-BF095 61-66
2.2 NUCLEAR MEDICINE (NON-IMAGING) BF500-BF610 68
CATEGORY 3 - THERAPEUTIC PROCEDURES
3.1 THERAPEUTIC PROCEDURES
3.1.1 Dialysis BH500-BH540 70
3.1.2 Assisted Reproductive Services BH600-BH690 70-72
3.1.3 Paediatric and Neonatal BH700-BH755 72-73
3.1.4 Cardiovascular BJ050 73
3.1.5 Gastroenterology BJ100-BJ120 73
3.1.6 Perfusion BJ500-BJ510 73
3.1.7 Haematology BJ700-BJ760 73-74
3.1.8 Intensive Care and Cardiopulmonary Support BL600-BL690 74-75
3.1.9 Intensive Care Unit Management and Procedures BM005-BM065 75-76
3.1.10 Chemotherapeutic Procedures BM400-BM510 76-77
3.1.11 Dermatology BM700-BM786 77-78
3.1.12 Botulinum Toxin BM800-BM845 78-80
3.1.13 Other Therapeutic Procedures BM900-BN075 80-81
3.2 RADIATION ONCOLOGY
3.2.1 Superficial BP010-BP060 84
3.2.2 Orthovoltage BP250-BP300 84
3.2.3 Megavoltage BQ500-BQ672 84-86
3.2.4 Brachytherapy BQ760-BQ910 86-89
3.2.5 Computerised Planning BR500-BR630 89-93
3.2.6 Radiation Oncology Treatment Verification BR700-BR710 93
3.2.7 Brachytherapy Planning and Verification BR800-BR875 93
3.3 THERAPEUTIC NUCLEAR MEDICINE BR900-BR960 96
3.4 OBSTETRICS
3.4.1 Antenatal Attendances BT200-BT280 98
3.4.2 Management of Labour and Delivery BT500-BT540 99
3.4.3 Post-Partum BT800-BT870 99-100
3.4.4 Planning and Management of Pregnancy BU800 100
3.4.5 Interventional Techniques BV900-BV955 100-101
3.5 ANAESTHESIA
3.5.1 Consultations and Attendances CA002-CA045 114
3.5.2 Emergency Attendances CA051-CA070 114
3.5.3 Patient Transfer CA085-CA086 115
3.5.4 Head CA100-CA230 115-117
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TABLE OF CONTENTS
3.5 ANAESTHESIA (cont.)
3.5.5 Neck CB300-CB355 117
3.5.6 Thorax (Chest Wall/Shoulder Girdle) CC400-CC475 117-118
3.5.7 Intrathoracic CD500-CD584 118-119
3.5.8 Spine and Spinal Cord CE600-CE690 119-120
3.5.9 Upper Abdomen CF700-CF799 120-122
3.5.10 Lower Abdomen CG800-CG886 122-124
3.5.11 Perineum CH900-CH960 124-126
3.5.12 Pelvis - Except Hip CJ100-CJ170 126
3.5.13 Upper Leg - Except Knee CK195-CK280 126-127
3.5.14 Knee and Popliteal Area CL300-CL445 127-128
3.5.15 Lower Leg - Below Knee CM460-CM535 129-130
3.5.16 Shoulder and Axilla CN600-CN685 130-131
3.5.17 Upper Arm and Elbow CQ700-CQ790 131-132
3.5.18 Forearm, Wrist and Hand CR800-CR872 132
3.5.19 Burns CR878-CR887 133
3.5.20 Other Procedures CS906-CS990 133-135
3.5.21 Unlisted Anaesthetic Procedures CU999 135
3.5.22 Therapeutic and Diagnostic Services CV001-CV999 135-142
3.5.23 Assistance in the Administration CW020 143
3.6 SURGICAL OPERATIONS
3.6.1 General Surgery
3.6.1.1 General EA010-EB035 146-154
3.6.1.2 Endocrine Surgery EC500-EC640 154-155
3.6.1.3 Lymph Glands ED220-ED260 155
3.6.1.4 Upper Gastrointestinal Surgery EJ005-EK525 155-167
3.6.1.5 Hernia and Hydrocele EM200-EM260 167-168
3.6.1.6 Miscellaneous EM700-EO255 168-184
3.6.1.7 Breast Surgery EO500-EO566 185-187
3.6.2 Colorectal EP005-EP966 189-196
3.6.3 Vascular
3.6.3.1 Varicose Veins EQ005-EQ100 196-198
3.6.3.2 Bypass or Anastomosis for Occlusive Arterial Disease EQ400-EQ630 198-200
3.6.3.3 Bypass, Replacement, Ligation of Aneurysms ER005-ER325 200-202
3.6.3.4 Endarterectomy and Arterial Patch ET010-ET180 202-203
3.6.3.5 Embolectomy, Thrombectomy and Vascular Trauma ET500-ET670 203-204
3.6.3.6 Ligation, Excision, Elective Repair, Decompression EW005-EW255 204-206
of Vessels
3.6.3.7 Operations for Vascular Access EW600-EW740 206-207
3.6.3.8 Complex Venous Operations EX050-EX160 207-208
3.6.3.9 Sympathectomy FA100-FA140 208
3.6.3.10 Debridement and Amputations for Vascular Disease FA200-FA210 209
3.6.3.11 Miscellaneous Vascular Procedures FA300-FA310 209
3.6.3.12 Endovascular Interventional Procedures FA500-FA730 209-211
3.6.4 Interventional Radiology
3.6.4.1 Vertebroplasty GA005-GA010 211
3.6.4.2 Selective Internal Radiation Therapy GA100-GA110 212
3.6.4.3 Miscellaneous GA200-GA210 212
3.6.5 Gynaecological
3.6.5.1 General HA010-HA930 212-221
1 November 2015 Page v

TABLE OF CONTENTS
3.6.6 Urological
3.6.6.1 General HB200-HB700 221-227
3.6.6.2 Operations on Bladder (Closed) HC200-HC410 227-229
3.6.6.3 Operations on Bladder (Open) HC700-HC840 229-230
3.6.6.4 Operations on Prostate HE200-HE445 230-232
3.6.6.5 Operations on Urethra, Penis or Scrotum HE550-HE950 232-235
3.6.6.6 Operations on Testes, Vasa or Seminal Vesicles HF200-HF270 235-236
3.6.6.7 Paediatric Genitourinary Surgery HF400-HF580 236-238
3.6.7 Cardiovascular
3.6.7.1 Cardiology Procedures HG005-HG194 238-242
3.6.7.2 Catheter Based Arrhythmia Ablation HG200-HG220 242
3.6.7.3 Endovascular Interventional Procedures HG300-HG318 242-243
3.6.7.4 Miscellaneous Cardiac Procedures HG350-HG393 243-245
3.6.7.5 Thoracic Surgery HG460-HG720 245-247
3.6.7.6 Cardiac Surgery Procedures HH005-HH015 247
3.6.7.7 Valvular Procedures HH080-HH190 247-248
3.6.7.8 Surgery for Ischaemic Heart Disease HH300-HH380 248-249
3.6.7.9 Arrhythmia Surgery HH600-HH620 249-250
3.6.7.10 Procedures for Thoracic Aorta HJ200-HJ300 250
3.6.7.11 Techniques for Preservation of the Arrested Heart LA200 250
3.6.7.12 Circulatory Support Procedures LA500-LA600 250-251
3.6.7.13 Re-Operation LB200-LB210 251
3.6.7.14 Miscellaneous Cardiothoracic Surgical Procedures LE010-LE120 251-252
3.6.7.15 Cardiac Tumours LL050-LL080 252
3.6.7.16 Congenital Cardiac Surgery LL400-LL620 252-254
3.6.7.17 Miscellaneous Procedures on the Chest LL800-LL840 254
3.6.8 Neurosurgical
3.6.8.1 General LN005-LN065 254
3.6.8.2 Pain Relief LN410-LN600 255-256
3.6.8.3 Peripheral Nerves LN700-LN820 256-257
3.6.8.4 Cranial Nerves LP005-LP015 257
3.6.8.5 Cranio-Cerebral Injuries LP050-LP100 257-258
3.6.8.6 Skull Base Surgery LP130-LP220 258
3.6.8.7 Intra-Cranial Neoplasms LP300-LP370 259
3.6.8.8 Cerebrovascular Disease LR010-LR070 259
3.6.8.9 Infection LR400-LR420 260
3.6.8.10 Cerebrospinal Fluid Circulation Problems LR700-LR760 260
3.6.8.11 Congenital Disorders LR900-LR960 260-261
3.6.8.12 Spinal Disorders LT015-LT275 261-262
3.6.8.13 Skull Reconstruction LT600-LT620 262-263
3.6.8.14 Epilepsy LT700-LT740 263
3.6.8.15 Stereotactic Procedures LT800-LT862 263-264
3.6.8.16 Miscellaneous LT900-LT920 265
3.6.9 Ear, Nose and Throat MA005-MB425 265-275
3.6.10 Ophthalmology MB750-MD085 275-285
3.6.11 Operations for Osteomyelitis MD110-MD190 285
3.6.12 Paediatric
3.6.12.1 Neonatal Surgery MD250-MD520 286-287
3.6.12.2 Thoracic Surgery MD600-MD650 287-288
3.6.12.3 Abdominal Surgery ME200-ME480 288-290
3.6.12.4 Miscellaneous Surgery ME700-ME720 290
Page vi 1 November 2015

TABLE OF CONTENTS
3.6.13 Amputations MG005-MG155 290-291
3.6.14 Plastic and Reconstructive
3.6.14.1 General MG300-MG550 291-293
3.6.14.2 Skin Flap Surgery MH105-MH240 293-294
3.6.14.3 Free Grafts MH330-MH690 294-297
3.6.14.4 Other Grafts and Miscellaneous Procedures MJ005-MK115 297-308
3.6.14.5 Oral and Maxillofacial Surgery MK220-MK500 308-312
3.6.15 Hand Surgery ML005-ML865 312-318
3.6.16 Orthopaedic
3.6.16.1 Treatment of Dislocations MN010-MN250 318-319
3.6.16.2 Treatment of Fractures MP005-MQ635 324-334
3.6.16.3 General MR010-MR262 336-337
3.6.16.4 Bone Grafts MR500-MR640 337-338
3.6.16.5 Osteotomy and Osteectomy MS005-MS095 338-339
3.6.16.6 Epiphyseodesis MS605-MS645 339
3.6.16.7 Spine MT010-MT342 339-342
3.6.16.8 Shoulder MT600-MT800 342-344
3.6.16.9 Elbow MU035-MU105 344
3.6.16.10 Wrist MU400-MU520 344-345
3.6.16.11 Hip MU700-MU930 346-347
3.6.16.12 Knee MW005-MW245 347-349
3.6.16.13 Ankle MW480-MW580 349-350
3.6.16.14 Foot MX500-MX730 350-352
3.6.16.15 Other Joints MY005-MY115 352-353
3.6.16.16 Malignant Disease MY200-MY330 353-354
3.6.17 Paediatric Orthopaedics
3.6.17.1 Congenital Orthopaedic Surgery
3.6.17.1.1 Limb Lengthening and Deformity Correction MY600-MY750 354-355
3.6.17.1.2 Hip, Knee and Leg Procedures MZ005-MZ160 355-356
3.6.17.1.3 Shoulder, Arm and Forearm MZ300-MZ340 357
3.6.17.1.4 Amputations or Reconstructions for Congenital
Deformities MZ380-MZ420 357
3.6.17.1.5 Tumorous Conditions MZ430 357
3.6.17.2 Single Event Multilevel Surgery for Children with
Cerebral Palsy MZ450-MZ476 358-362
3.6.17.3 Treatment of Fractures in Paediatric Patients MZ550-MZ638 362-364
3.6.17.4 Spine Surgery for Scoliosis and Kyphosis in Paediatric
Patients MZ640-MZ682 364-365
3.6.17.5 Treatment of Hip Dysplasia or Dislocation in Paediatric
Patients MZ690-MZ698 365
3.6.18 Radiofrequency Ablation MZ700-MZ705 365
3.7 ASSISTANCE AT OPERATIONS MZ900-MZ920 368
CATEGORY 4 – ORAL AND MAXILLOFACIAL SURGERY 370-372
CATEGORY 5 - DIAGNOSTIC IMAGING SERVICES
5.1 ULTRASOUND
5.1.1 General OA005-OA305 374-376
5.1.2 Cardiac OA721-OA750 377-378
5.1.3 Vascular OB070-OB176 378-381
1 November 2015 Page vii

TABLE OF CONTENTS
5.1 ULTRASOUND (cont.)
5.1.4 Urological OB200-OB210 381-382
5.1.5 Obstetric and Gynaecological OC625-OC930 382-388
5.1.6 Musculoskeletal OC800-OC935 389-393
5.2 COMPUTED TOMOGRAPHY
5.2.1 Body Scanner
5.2.1.1 Head OD005-OD040 396
5.2.1.2 Neck OD105-OD110 396-397
5.2.1.3 Spine OD165-OD171 397
5.2.1.4 Chest and Upper Abdomen OD205-OD210 398
5.2.1.5 Upper Abdomen OD255-OD260 398
5.2.1.6 Pelvis OD305-OD310 398
5.2.1.7 Upper Abdomen and Pelvis OD355-OD378 398-399
5.2.1.8 Extremities OD405-OD410 399
5.2.1.9 Chest, Abdomen, Pelvis and Neck OD455-OD460 399
5.2.1.10 Brain, Chest and Upper Abdomen OD505-OD510 399
5.2.1.11 Pelvimetry OD555 400
5.2.1.12 Interventional Techniques OD605 400
5.2.1.13 Spiral Angiography OD655-OD665 400
5.3 DIAGNOSTIC RADIOLOGY
5.3.1 Radiographic Examination - Extremities OF004-OF032 402
5.3.2 Radiographic Examination - Shoulder or Pelvis OF052-OF076 402
5.3.3 Radiographic Examination - Head OF101-OF189 402-404
5.3.4 Radiographic Examination - Spine OF200-OF220 404
5.3.5 Bone Age Study and Skeletal Surveys OF252-OF256 404
5.3.6 Radiographic Examination - Thoracic Region OF264-OF288 404-405
5.3.7 Radiographic Examination - Urinary Tract OF300-OF320 405
5.3.8 Radiographic Examination - Alimentary Tract and Biliary System OF352-OF400 405-406
5.3.9 Radiographic Examination - Localisation of Foreign Bodies OF452 406
5.3.10 Radiographic Examination - Breasts OF460-OF484 406-407
5.3.11 Radiographic Examination in Connection with Pregnancy OF492 407
5.3.12 Radiographic Examination - With Opaque or Contrast Media OF500-OF560 407-408
5.3.13 Angiography
5.3.13.1 By Film or Other Technique and Report OF604-OF635 408
5.3.13.2 By Digital Subtraction Technique OF652-OF756 408-410
5.3.14 Tomography OF800 410
5.3.15 Fluoroscopic Examinations OF812-OF824 410
5.3.16 Examination Not Otherwise Covered OF836 410
5.3.17 Preparation for Radiological Procedure OF864-OF868 410
5.3.18 Interventional Techniques OF952 411
5.4 MAGNETIC RESONANCE IMAGING OP200-OP220 414
5.5 NUCLEAR MEDICINE IMAGING OS005-OS800 416-422
CATEGORY 6 – PATHOLOGY
6.1 PATHOLOGY
6.1.1 Haematology PA005-PA193 424-428
6.1.2 Chemical PB005-PB700 428-439
6.1.3 Microbiology PC005-PC327 439-446
6.1.4 Immunology PD005-PD330 446-451
6.1.5 Tissue Pathology PE005-PE080 451-454
6.1.6 Cytology PF005-PF061 459-460
6.1.7 Genetics PG005-PG067 460-464
Page viii 1 November 2015

TABLE OF CONTENTS
6.1 PATHOLOGY (cont.)
6.1.8 Infertility and Pregnancy Tests PH005-PH025 464-465
6.1.9 Simple Basic Pathology Tests PI005-PI055 465
6.1.10 Patient Episode Initiation PJ003-PJ046 465-468
6.1.11 Specimen Referred PK005 468
SECTION 3
Appendix A: Summary of Changes 469
Appendix B: Fee Escalation Table (%) 470
Appendix C: Fee Gaps Chart 471
Appendix D: GST Taxable and Non-Taxable Services 472-478
SECTION 4
General Index 479-545
1 November 2015 Page ix

FOREWORD
FAIR AND REASONABLE FEES
The Australian Medical Association (AMA) publishes this List of Medical Services and Fees (referred
to as "the List") for distribution in Australia.
The AMA, having regard to legal advice as to the operation of the Competition and Consumer Act
2010, emphasises the following points:
1. The List is provided for costing assistance and guidance only. As such, statements to the effect
that fees charged are AMA recommended fees should not be included in any accounts or
accompanying patient information sheets.
2. The amounts have been calculated by the AMA after careful study and investigation of practice
costs and other relevant and material circumstances as being, in its opinion, fair and reasonable
and appropriate for the services provided.
3. All members are, of course, and should at all times regard themselves as being free, and indeed
duty bound, to make their own judgment as to what fees they will charge for any service.
Members should satisfy themselves in each individual case as to a fair and reasonable fee having
regard to their own cost experience and the particular circumstances of the case and the patient.
FINANCIAL CONSENT
A financial obligation on the patient will arise where the fee charged for the service is more than
the combined (Medicare and private health insurance) benefits payable. The AMA advises
members that where such a financial obligation is likely, before the service is provided the
patient should be informed of the financial obligation that will be incurred, and if appropriate, any
particular reasons for the gap (see “Informed Financial Consent” in Notes for Guidance). The AMA
recognises that there will be circumstances where this may not be possible.
The AMA recommends that as a minimum requirement and wherever practicable, information
about fees and charges for proposed inpatient medical services should be provided to patients in
writing, and that the medical practitioner should obtain a signed acknowledgment of consent from
the patient. This is a legal requirement in relation to practitioners’ participation in health insurer’s
gap cover schemes but is also considered best practice in all cases.
Advice provided to patients about fees should also be as meaningful and detailed as possible.
Statements such as "AMA fees are charged in this practice" do little to inform patients of their costs
and are incorrect because the AMA does not set fees. It may be appropriate to remind patients that
Medicare benefit levels are fixed arbitrarily by the Federal Government and that benefit levels have
not kept pace with inflation thereby widening the gap between reasonable fees and benefits. (See
Chart at Appendix C on page 471).
Comprehensive information on informed financial consent can be found on the AMA website at
https://ama.com.au/article/ama-informed-financial-consent.
Page x 1 November 2015

FOREWORD
WITHDRAWAL OF PREVIOUS RECOMMENDATIONS
The AMA withdraws all recommendations in relation to fees published to members including any
recommendations made prior to the date of this List.
CONTRACTS IN RESPECT OF FEES OR MEDICAL SERVICES
Members should not use the List or the fees stated in this List in a contract, arrangement or
understanding with any other medical practitioner in respect of fees to be charged by them for
medical services or in respect of any limitation or restriction on medical services provided or to be
provided by them.
THE HISTORY OF THE LIST
The List has been published every year since 1973 (with the exception of 1983) and originates from
the establishment of the Gorton Government’s medical benefits scheme in 1970.
A full history of the AMA List is available on the AMA website at https://ama.com.au/article/historyama-list.
ADJUSTMENT TO FEE LEVELS IN 2015
In 2015, fees were adjusted in accordance with the AMA’s established indexation methodology. For
that purpose, fees are considered in terms of:
a) a Practice Cost Component, and
b) a Net Income Component.
The AMA Medical Fees Index (MFI) is a weighted average of the cost and wage indices detailed in
the following sections. Separate sets of weights are used for each of the nine major medical peer
groups in the AMA MFI, reflecting the different cost structures. The weights are based on the most
up-to-date information on practice costs that the AMA can obtain.
THE PRACTICE COST COMPONENT
The Practice Cost Component was subdivided into sub-components for:
i. Salaries and wages of staff employed;
ii. Other practice costs (including medical defence premium costs);
iii. Motor vehicle costs; and
iv. Principal’s superannuation costs (since 1991).
In 2015, these various components of practice costs were adjusted according to:
Salaries and wages: Changes in the ABS Wage Price Index (total hourly rates of pay excluding
bonuses) as per Labour Price Index Australia, ABS 6345.0. The Wage Price Index is recommended
by the Australian Bureau of Statistics as the best measure of changes in the price of labour in
Australia. Accordingly, from 2000, the Wage Price Index replaced Average Weekly Ordinary Time
Earnings as the cost index for wages and salaries.
1 November 2015 Page xi

FOREWORD
Other Practice Costs: Changes in the ABS Consumer Price Index 6401.0, all groups weighted
average for the eight capital cities.
Motor Vehicle Costs: Changes in the Private Motoring Component of the ABS Consumer Price
Index.
Principal’s Superannuation Costs: Changes in the ABS Wage Price Index (total hourly rates of pay
excluding bonuses) as per Labour Price Index Australia 6345.0.
THE NET INCOME COMPONENT
The Net Income Component of fees in the List has been adjusted according to changes in the ABS
Wage Price Index (total hourly rates of pay excluding bonuses) as per Wage Price Index Australia
6345.0.
Appendix B on page 470 shows the percentage by which AMA fees have been updated to reflect
changing economic circumstances for each year from 1983.
ADJUSTMENTS TO ITEMS
Because of the common origins of the AMA List and the Medicare Benefits Schedule (MBS), both
have, with some exceptions, contained the same items and item descriptions. As Government
policies on MBS funding have changed over time, items in the AMA List may not be aligned with
the items in the MBS where:
the Government withdraws Medicare funding for clinically relevant medical services by
removing items from the MBS;
the Government delays making and implementing decisions to fund medical services that
have been assessed as being clinically effective and cost effective by government processes,
such as by the Medical Services Advisory Committee;
the relevant medical craft groups review MBS items and propose changes to reflect current
clinical practice, and the government delays consideration and implementation of the changes;
the service does not reflect appropriate clinical practice;
the MBS service is required to be performed according to particular clinical guidelines;
the MBS service precludes the billing of a consultation on the same day;
the MBS service specifies the training, qualifications and/or competencies of the treating
medical practitioner;
the MBS service is restricted to particular requirements of other Government programs, such
as the Pharmaceutical Benefits Schedule;
the service is not listed on the MBS but is considered by the AMA as being a clinically relevant
service;
the MBS service is restricted by clinical indications or contraindications which have not been
identified by a formal assessment process, such as the Medical Services Advisory Committee.
Page xii 1 November 2015

FOREWORD
AMA Items
The AMA liaises regularly with specialty groups about alterations, amendments and additions to
the AMA List.
For changes to the AMA List, specialty groups are asked to forward their proposal together with
the clinical rationale for the change to the AMA Federal Office for consideration, and consultation
with other relevant craft groups.
Medicare Benefits Schedule Items
The Medical Services Advisory Committee (MSAC) undertakes systematic reviews of MBS items
and fees to ensure they refect contemporary evidence, improve health outcomes for patients and
represent value for money. Further information on MSAC is available at http://www.msac.gov.au.
GST
Almost all medical services provided as treatment for a patient (other than for cosmetic reasons) are
GST free. However, there are a range of services that many medical practitioners provide from time
to time that are taxable. A list of these services is included in the section “GST Taxable and Non-
Taxable Services” at Appendix D, pages 472 - 478.
References to GST in the text of this publication are intended as a prompt to alert practitioners to
consider the GST status of a particular service rather than as definitive advice. More detailed GST
advice is available from the Australian Taxation Office website at: http://www.ato.gov.au.
This is a complex area and if you are in any doubt about the GST status of a service, you should
seek advice from your own professional advisors to verify the GST status of any particular
services in its specific context.
1 November 2015 Page xiii

NOTES FOR GUIDANCE
STRUCTURE OF THE LIST
The Table of Contents at the front of the book and Index at the end outline the range of medical
services covered within the List.
Services are listed within 6 major categories by type of service (see the table of contents for the
categories) which generally follow the order of the Medicare Benefits Schedule (MBS) Book. Each
category is divided into sub-categories of associated services. For example, Category 3,
Therapeutic Procedures, contains sub-categories including Obstetrics, Anaesthesia and Surgical
Operations.
Where applicable, the corresponding MBS item number for a service is listed beside the AMA item.
It is provided for convenience of reference only. The AMA List does not include Medicare fees or
benefits.
A number of services which are frequently associated with and performed as a combined operation
have been included in the List as single items with a composite fee when rendered by the same
medical practitioner, in lieu of aggregated fees for the separate individual services.
BILLING
Fees
Each medical practitioner who participates in the care of a patient should be entitled to a fee from
the patient commensurate with the services rendered (i.e. taking into account the effort, skill and
resources associated with the provision of the service).
Goods and Services Tax (GST)
Members should be aware of those services they provide that may attract GST and, if their business
is registered for GST, ensure that GST is charged where appropriate. A list of GST taxable and nontaxable
services is at Appendix D on pages 472 - 478.
Medical Indemnity
In recent years the AMA has sought to assess the impact of medical indemnity in the context of
a rapidly changing medical indemnity climate, the variability in subsidies paid to and levies paid
by practitioners based on practice patterns, more extreme geographic differences and rapid
compositional change in medical indemnity products. The growing complexity of medical defence
has impeded a peer group level assessment in recent years. Since 2006, we have provided
members with a tool to assess the impact of medical indemnity on their own practices via the fees
indexation calculator (see next page).
Page xiv 1 November 2015

NOTES FOR GUIDANCE
Fees Indexation Calculator
The AMA has developed a fees indexation calculator that individual practitioners can use to
assess the impact of their costs (including medical indemnity costs) when making decisions on
their fees. The fees indexation calculator is an Excel spreadsheet. Members, after logging
in, can download the file from the AMA Website at https://ama.com.au/article/ama-feesindexation-calculator.
Informed Financial Consent
Medical charges
Where practicable, prior to the provision of the medical service, medical practitioners should provide
patients (or a financially responsible party such as a parent or guardian) with sufficient information
regarding his or her likely fees and any associated Medicare and/or private health insurance rebates
so that the patient is able to make an informed financial decision.
For in-hospital elective procedural services, the AMA has developed a pro-forma “estimate of fees”
form, which practitioners can use to provide patients with an estimate of the likely costs associated
with the service. A copy of the IFC Form can be downloaded from the AMA website at
https://ama.com.au/article/ama-informed-financial-consent or obtained directly from the AMA.
Doctors participating in an approved health insurer ‘Gap Cover Scheme’ should provide full financial
disclosure in writing, where practicable. Participating doctors are also required to disclose their
financial interests in the care of the patient such as Day Surgery ownership, etc.
Prostheses charges
Private health insurance covers listed surgically implanted prostheses and devices. While the
vast majority continue to attract full health insurance coverage, some may involve less than full
insurance cover with the patient required to pay a gap amount. Where the medical practitioner
believes it is clinically necessary to use a prosthesis or device, which involves a gap payment by
the patient, it is important that the reasons for this and the extent of the gap, where known, be
discussed with the patient.
1 November 2015 Page xv

NOTES FOR GUIDANCE
Consultations
When a procedural or diagnostic service (other than a service for which a fee is provided on an
attendance basis in the List) is rendered at the time of a consultation, a fee may be charged for the
procedural or diagnostic service in addition to the fee for the consultation in accordance with
generally accepted billing arrangements.
For a charge to be made by a general practitioner for a consultation, the physical attendance of the
medical practitioner upon the patient is necessary with the exception of items AA170 to AA210 and
the Telehealth items AP050 to AP105.
For consultant physicians, consultant psychiatrists and specialists, under certain circumstances a
discounted fee may be warranted for a telephone consultation, letters of advice and the issue of
repeat prescriptions when the patient is not in attendance or there is no physical attendance of the
medical practitioner upon the patient.
Consultant Physicians have a range of case conferencing items available to them for specific
purposes (AF070 to AF180, AF260 to AF370, AJ051 to AJ121 and AJ200) in the AMA List. A short
note preceding the item AJ051 explains the specialties and sub-specialties to which the items in the
AJ051 to AJ121 range apply. All these items, except AJ200, allow not only for face to face
conferences but also conferences via telephone or video link, or a combination of these.
The AMA List also includes a range of “Telehealth” items (AP050 to AP105). These items were
developed to assist members in determining fees when required to consider written, phoned, faxed
or emailed information, and/or examine electronically/digitally transmitted x-rays, photographs or
images.
Out-Of-Hours Attendances
Out-of-hours attendances are regarded as attendances rendered between 6.00pm and the following
8.00am on weekdays and the 24 hours between 8.00am and the following 8.00am on weekends
and public holidays.
The items apply to services rendered out-of-hours in response to requests received up to two hours
prior to, or during the same after hours period. (For example; it would not be appropriate to use the
items for services provided as an administrative convenience outside normal hours). Members are
advised to state the time at which an out-of-hours service commenced when an account for an outof-hours
charge is made.
Please refer to page 107 for “Anaesthesia for After Hours Emergencies” guidelines.
guidelines apply also to all other specialist or consultant physician consultations.
These
Page xvi 1 November 2015

NOTES FOR GUIDANCE
Travelling Charges
Travelling charges at a rate of $3.30 per kilometre one way beyond a radius of three kilometres may
be made at the discretion of the attending practitioner in appropriate circumstances.
Referral
Where appropriate and in recognition of the advantages of a correct referral procedure, the
description of items in the Professional Attendances section of the List includes the words "where
the patient is referred to him or her". However, in cases where the patient has not been referred,
recognised specialists, consultant physicians and consultant psychiatrists may still charge fees for
their services at the same level as their fees for referred patients, since the nature and value of the
services provided will not necessarily vary. The fee charged should reflect the value of the service
provided.
Anaesthesia
The AMA List adopts a relative value approach (the RVG) in determining suggested fees. The RVG
has been used in the MBS since 1 November 2001.
The pre-anaesthesia consultation by an anaesthetist for the assessment of a patient’s fitness for
anaesthesia is a consultation in its own right and a fee is appropriate under items CA002 - CA008.
Although pre-anaesthesia consultations are considered referred consultations, no written referral is
necessary.
The professional service for which an anaesthetic is administered may not in itself attract a fee,
because it is part of the aftercare of an operation. In such a case a fee may be charged for the
administration of the anaesthetic on the basis of the particular surgical procedure (or combination of
procedures), even though no fee is charged for the surgical procedures.
Attendances on referred patients by anaesthetists other than prior attendances specifically for the
pre-anaesthesia examination in preparation for the administration of an anaesthetic should be
charged under items CA002, CA004, CA006, CA008 and CA045. For Anaesthesia After Hours
Emergencies see either CA051 or page 107 for the after hours loading.
Assistance at Operations
Refer to page 368 for guidance on fees for assistance at operations. The predominant consideration
when using an assistant is patient safety, quality of care and overall efficiency. Discretion should be
used when engaging an assistant. Patients should also be informed of any out-of-pocket expenses
related to the services of the assistant prior to the service being provided.
The fair and reasonable fee for assistance at an operation is:
(i)
(ii)
the total amount to be charged regardless of whether the assistance is rendered by one or
more than one medical practitioner; and
charged only if the assistance is rendered by a medical practitioner other than the anaesthetist
or assistant anaesthetist.
1 November 2015 Page xvii

NOTES FOR GUIDANCE
Fees for Two or More Operations
Except as provided in the next paragraph below, the fees for two or more operations, other than
amputations, performed on a patient on the one occasion should be calculated using the following
rules:
1) For surgical procedures (other than orthopaedic procedures and some neurosurgical
procedures):
100 per cent for the item with the greatest fee; plus 50 per cent for the item with the next
greatest fee; plus 25 per cent for each other item.
2) For all orthopaedic procedures, except where the rules outlined in the notes for treatment of
dislocations and fractures (see page 320 - 323) override, and for those Neurosurgical
procedures LT045-LT275 and LT850-LT862:
100 per cent for the item with the greatest fee; plus 75 per cent of each other item.
Where a medical practitioner performs both surgical and orthopaedic services on the one occasion,
each rule applies in its entirety to the relevant items. This will result in two items with fees at 100%.
The rules outlined above do not apply to an operation that is one of two or more operations performed
under the one anaesthetic on the same patient, if the medical practitioner who performs the operation
did not perform or assist at the other operation or any of the other operations or administer the
anaesthetic. In such cases, the individual fees should be applied.
Where the operation comprises a combination of procedures, which are commonly performed
together and for which a specific combined item is provided in the List, it is recommended that it be
regarded as the one item of service in applying the multiple operation rule.
Aftercare
As a general rule, the fair and reasonable fee specified for each of the operations listed covers the
consequential aftercare customarily provided, as well as the operation itself, except where the item
specifically excludes aftercare. For additional information on aftercare, including aftercare for
treatment of dislocations and fractures, please refer to pages 320 - 323, and refer to page 335 for
general notes to the orthopaedic section.
Aftercare is deemed to include all post-operative treatment rendered by medical practitioners and
need not necessarily be limited to treatment given by the surgeon or to treatment given by any one
medical practitioner.
The amount and duration of aftercare consequent upon the above may vary between patients for
the same operation, as well as between different operations.
A charge may be made for attendances or services that do not form part of the normal aftercare. It
is recommended that such additional services be itemised on the doctor’s account with the words
"not normal aftercare" shown against those charges. Charges may also be made for professional
services for the treatment of an intercurrent condition or a complication arising from the operation.
Page xviii 1 November 2015

NOTES FOR GUIDANCE
Where hospitals do not provide out-patient clinics and patients treated as public patients in hospital
are required to see a doctor in their private rooms for aftercare, the AMA is of the view that if this
service is not part of the doctor’s employment contract then a charge may be levied against the
public hospital concerned. A Medicare benefit is payable only where the hospital concerned was
not providing aftercare free of charge to public patients prior to 1 July 1998. Members unsure of
what arrangements existed prior to 1 July 1998 should contact the State or Territory health
department.
Vascular Ultrasound Items—Fees for Multiple Site Scans
The fees for two or more vascular ultrasound items should be calculated using the following rule:
100% for the item with the greatest fee
plus 60% for the item with the next greatest fee
plus 50% for each other item.
This rule will apply to vascular items claimed on the same day of service and the service must be
performed by or on behalf of a medical practitioner.
Accounts for Medical Services
Attention is drawn to the fact that Medicare requires detailed accounts and receipts in support of
claims for Medicare benefits. In the interests of patients, doctors’ accounts or receipts should show
the following details for each service:
a) Patient’s name
b) Item number - Medicare
c) Date of service
d) Full description of service
e) The fee for each service
The full description of the service is important as it ensures correct identification of the service and
avoids the possibility of error in the processing and claiming of Medicare benefits.
Patients should receive a receipt for all payments made for medical services. If fees are collected
by an organised group through a simplified billing agency, the name of the doctor rendering the
service should be clearly shown on the account.
Only one original itemised account or receipt should be issued in respect of the same medical
service. Duplicate accounts or receipts should be clearly marked "duplicate" and should be issued
only when the original has been lost. Duplicates should not be issued as a routine system for
"accounts rendered".
Doctors who render medical services directly associated with the performance of an operation
should show on their accounts or receipts the name of the doctor who performed the operation and
the date of the service to avoid the possibility of error in processing of the Medicare benefits claim.
1 November 2015 Page xix

NOTES FOR GUIDANCE
Medical Services Which Qualify for Medicare Benefits
Attention is drawn to the provisions of the Health Insurance Act that to qualify for Medicare benefit,
a medical service must be rendered by or on behalf of a medical practitioner. Pathology, radiology
and other diagnostic services carried out on behalf of a medical practitioner may qualify for Medicare
benefit. Other services not actually rendered by, or directly on behalf of a medical practitioner, do
not. For instance, blood pressure measurement performed by a nurse does not qualify for Medicare
benefit even though they may be done on the advice of a medical practitioner.
Penalties Under the Health Insurance Act 1973
As accounts or receipts issued by doctors are the basis of claims for Medicare benefits, attention is
drawn to the provisions of the Health Insurance Act regarding penalties for persons who make false
statements, either orally or in writing, or issue or present false or misleading documents capable of
being used in connection with a claim for Medicare benefits. General practitioners may need to
exercise care when charging attendances both in-hours and out-of-hours. Consultant physicians
may also need to exercise care when charging for subsequent attendances as there are, in some
cases, major differences between the description of items in the AMA List and the MBS. MBS item
numbers are provided for ease of reference and only where there is an exact equivalent service.
Every attempt is made to ensure the accuracy of these items. The need for clear and unambiguous
descriptions of services is again emphasised.
Particular care should be exercised when using an item for the first time or where there is no item in
the MBS that fully matches the service to be provided or where the service to be provided could not
have been comprehended when the item was initially created. If unsure of the appropriate MBS
number to bill, members are advised to email Medicare Australia the specific query to
askmbs@humanservices.gov.au for MBS interpretation. The Provider Enquiry Line on 132 150
(medicare.prov@humanservices.gov.au) is still available for Medicare card, claiming and payment
enquires, and assistance completing Centrelink medical certificates and for technical assistance
including electronic claiming enquires.
Medical Records
It is a requirement under the Health Insurance Act that medical practices maintain adequate and
contemporaneous records for services for which a Medicare benefit is payable.
The standards which a record should meet to be “adequate and contemporaneous” are set out in a
regulation to the Health Insurance Act. Briefly, the standards are as follows:-
To be “adequate”, the record should be sufficient to contribute to the continuity and quality of
care provided to the patient; be sufficiently clear and detailed so that another practitioner can
safely and effectively undertake the ongoing care of the patient on the basis of the information
in the record; and identify the specific service provided or initiated.
To be “contemporaneous” the record should be completed at the time the service was provided
or as soon as practicable afterwards. Hospital in-patient records are usually kept by the
hospital and the practitioner could rely on these records to document in-patient care.
Page xx 1 November 2015

NOTES FOR GUIDANCE
Recognition as a Specialist, Consultant Physician or Consultant Psychiatrist
Some items, particularly Professional Attendances, refer to specialists, consultant physicians and
consultant psychiatrists. Attention is drawn to the provisions of the Health Insurance Act for the
recognition of such specialists and consultant physicians. Inquiries concerning such recognition
should be directed to the Australian Government Department of Health.
The fair and reasonable fees listed for specialists and consultant physicians apply to those medical
practitioners who have been recognised as specialists or consultant physicians under the Health
Insurance Act and are acting in their specialty.
The fair and reasonable fees listed for consultant psychiatrists apply to medical practitioners who
have been recognised as consultant physicians for purposes of the Health Insurance Act and who
confine their services exclusively to the practice of psychiatry.
MEDICAL SERVICES NOT LISTED
Instances may arise where a medical service rendered by a medical practitioner is not included in
the AMA List of Medical Services and Fees. Cases of this nature should be referred to:
Director Telephone No: 02 6270 5400
Medical Practice Facsimile No: 02 6270 5499
Policy Branch
Australian Medical Association
PO Box 6090
KINGSTON ACT 2604
1 November 2015 Page xxi

FEES FOR NON-MEDICARE FUNDED SERVICES
FEES FOR PROVIDING COPIES OF MEDICAL RECORDS
Doctors should be entitled to recover from the patient or from any other legally authorised person
or authority requesting the information, the reasonable cost of providing access to the information
contained in a medical record. In some jurisdictions, legislation determines the maximum amount
a doctor can charge.
Within the limits of any relevant legislation, the AMA encourages medical practitioners to establish
their own fees for providing copies of medical records. This would include an assessment of the
time taken for administrative staff to copy the records and the cost of each photocopy. Members
are encouraged to contact the AMA Office in their State or Territory for information about any
legislation that might apply in that jurisdiction that sets fees for the copying of medical records. In
States and Territories that do not regulate the fees for copying medical records, doctors might
find the information provided by law societies on the cost of photocopying in the legal sector a
useful reference.
FEES FOR MEDICAL ASSESSMENTS AND REPORTS FOR THIRD PARTIES
From time-to-time practitioners are asked to provide services for third parties, for example
undertaking medical assessments and preparing reports on a patient for court cases or for life
insurance policies. The List does not recommend fees for such work since the nature of the
service provided will vary considerably depending upon the level of information required and other
circumstances, such as the particular state or territory in which the work is undertaken.
The AMA strongly encourages medical practitioners to establish their own professional fees for
the provision of such services. This would include an assessment of the time, complexity and
expertise involved to undertake the work.
The following information is provided to assist members in setting appropriate fees for these
services. Members are encouraged to contact the AMA Office in their State or Territory about
any policies or agreements that they may have in relation to the charging of fees for such services.
State and Territory law societies may also provide information to assist with determining an
appropriate fee.
Services provided for the benefit of third parties generally attract GST (at the rate of 10%).
A full list of taxable and non-taxable services is at Appendix D on pages 472- 478.
Considerations in Setting Fees and Providing the Service
Where a medical practitioner is requested to assess persons on behalf of third parties, such as
insurance companies and employers, a traditional doctor/patient therapeutic relationship does
not arise. The role of the medical practitioner in these assessments is to provide an impartial
medical opinion. It is not to treat the person. The result of the assessment is a report to the
third party, not to the person or the person’s treating medical practitioner. The AMA Position
Statement, “Ethical Guidelines for Conducting Independent Medical Assessments” can be
downloaded from the AMA website at https://ama.com.au/position-statement/ethical-guidelinesconducting-independent-medical-assessments-2010.
Page xxii 1 November 2015

FEES FOR NON-MEDICARE FUNDED SERVICES
As far as practicable, the fee on a medical account should reflect the effort, skills and resources
associated with the provision of that service. Whether such a fee is to be rendered to a patient
or a third party will not change the factors under consideration. What is required is a fair and
reasonable assessment of the following factors:
1. In completing the services, what amount of income is forgone? (The opportunity cost of the
practitioner’s time could be measured as the number of consultations or the value of work,
which would otherwise be undertaken during that time).
2. Are other employees involved in the preparation and at what cost are their services to be
provided?
3. Are there any other costs directly associated with the service (e.g. photocopying, telephone
calls, etc)?
4. Is any out-of-hours loading considered appropriate? (The List uses loadings that range from
20% to 100% for the general practitioner out-of-hours suggested fees depending on the
complexity of the task and the location of its performance).
5. Members should be aware that agreeing to complete a standard form or write a report for a
third party places the practitioner under a contractual obligation to the third party. Before
agreeing to undertake an examination, complete a form or write a report, practitioners
should agree on the fee and a time frame for completion of the work (if applicable) with the
third party. Practitioners are also responsible for the professional opinions they express in
their reports.
If a practitioner is asked by a third party to complete or write a report about a patient they are or
have been treating, the confidentiality of the patient may be an issue. Information about a patient
(current or former) cannot be made available to third parties without the consent of the patient,
except where disclosure is ordered by a court. Before undertaking to write a report or complete
a form for a third party on a patient, practitioners should satisfy themselves that the patient has
consented to disclosure of personal medical information to that third party. If there is doubt about
the patient's consent to disclosure, the practitioner should ask the third party and the patient to
clarify the situation before disclosing any personal medical information.
Fees for Life Insurance Reports
The AMA advises its members to establish their own professional fees for the provision of life
insurance reports and examinations. Fees for life insurance reports attract a GST of 10%. In
circumstances where a practitioner is offered a fee by an insurance company which they consider
is inappropriate for the services requested, they should contact the insurer or underwriter
immediately to negotiate an appropriate fee. Similarly, where a practitioner believes that they will
be unable to complete a report within the time frame provided by an insurer, they should also
contact the insurer immediately to seek guidance on how to proceed.
1 November 2015 Page xxiii

FEES FOR NON-MEDICARE FUNDED SERVICES
Medical Factors in Life Insurance Reports. The underwriter at the life insurance company requires
certain information to assess the degree of risk of a ‘client’ (the patient) and to calculate the
premium appropriate to that risk. The more complete the medical information the more likely it is
that the insurer can accurately offer terms to the ‘client’. An insurer must manage its expenses
and therefore can only afford to buy a fixed amount of information from medical practitioners. This
is reflected in the use of different types of forms, each with their own average time commitment
and fees.
Medical Attendant’s Report Form. There are commonly two versions of the private medical
attendant’s report, the standard report and the extended report. Information is required about
medical diagnoses including the assessment of severity of relevant conditions, taken from the
patient’s medical history, but it does not require an examination. It is understood by the insurer
that any opinion offered on the basis of a medical history, which may be extensive, is necessarily
limited by the circumstances of the request. Doctors should ignore trivial complaints where there
have been no sequelae. It would be quite acceptable, for example, to refer to ‘20 consultations
between 1986 and 1995 for URTI’s, pap smears and contraception’ where there were no
abnormalities.
The Medical Examination. A medical examination and report is usually requested where the
applicant for insurance has an existing medical condition, is of an advanced age, or where the
sum insured is high. The medical examination and report consists of a personal statement (which
should be completed by the client/patient but requires the doctor to review and, where
appropriate, clarify the medical history) and a physical examination.
Fees for Medical-Legal Work
Members are advised to consult the “Ethical Guidelines for Doctors Acting as Medical Witnesses”
which can be downloaded from the AMA website at https://ama.com.au/positionstatement/ethical-guidelines-doctors-acting-medical-witnesses-2011.
The guidelines recommend that members assess the value of their time and skill. The AMA
recommends that all fees be discussed with the lawyer concerned at the outset, including
attendance to give evidence at court and compliance with subpoenas to produce documents (the
cost of copying documents, etc). Members should be aware that the lawyer is not always in a
position to agree to an amount that the member considers is reasonable for the work performed.
Statutory arrangements in each State and Territory may set maximum fees for services,
particularly in the areas of workers compensation and injuries arising from motor vehicle
accidents. Early communication may avoid disputes about fees once the services are performed.
Conduct monies paid to private medical practitioners for production of documents related to
legal proceedings attract GST of 10%. The following link on the AMA website at
https://ama.com.au/article/gst-conduct-monies-and-workers-compensation will lead you to further
worked examples on this matter.
Although the lawyer may contact you, as a matter of law it is the lawyer’s client who is responsible
for paying your fees. Members may wish to ask the lawyer for a written undertaking that the firm
will pay their fees. Medico-legal work attracts a GST of 10%, and a tax invoice should be
provided.
Page xxiv 1 November 2015

FEES FOR NON-MEDICARE FUNDED SERVICES
In relation to court appearances, members should make it clear from the outset when they are
available to attend court or how much notice they will need before attending court. However,
members are advised that the relevant court may dictate the timing of witness court appearances.
Members are advised to contact their State AMA for further guidance on fees for medico-legal
services.
Fees Paid for by Third Party Payers (excluding Medicare) – e.g. Workcover
Members are advised to contact their State AMA for advice on fees for services paid for by
insurers in relation to workers compensation and motor accident third party, since remuneration
for such services is subject to regulation by the relevant statutory authority in each State or
Territory.
GST Status of Workers Compensation Work
A fact sheet covering queries in relation to GST and medical services, including those that apply
to workers compensation is available at the following web address
http://www.ato.gov.au/Business/GST/In-detail/Your-industry/Health/GST-and-medical-services/.
Generally the provision of medical services directed at the treatment of a patient (i.e.
examination, taking of medical history, diagnosis, preparation of a treatment plan and ongoing
reviews of the patient’s medical progress as part of the treatment program) is not subject to GST
while the preparation of reports for the benefit of a third party payer (e.g. to allow them to
determine whether they will accept liability or the extent of their liability) is taxable (as also are
procedures undertaken for cosmetic reasons, tattoo removal, etc).
Fees For Anaesthesia Consultancy
The Australian Society of Anaesthetists Relative Value Guide includes the following item:
Item
CA080
4 + T
Descriptor
Anaesthesia consultancy for patient retrievals, hospital inspections, expert
opinions and medico-legal work, including review, preparation, attendance,
travelling time, writing of reports, etc. (no after hours loading applies to this
item) *.
NB: * any disbursements for medico-legal work e.g. accommodation and travel charges, are
separate from and additional to this item.
In some regions there is a separate suggested schedule for fees for court appearances. Members
should contact their State AMA for further information.
Please refer to anaesthesia notes on pages 105 for the basic units and time units.
1 November 2015 Page xxv

Professional
Attendances

PROFESSIONAL ATTENDANCES
AMA Number
Fee
Description of Medical Service
GENERAL PRACTITIONER - URGENT
ATTENDANCES AFTER HOURS
MBS
Number
GENERAL PRACTITIONER - URGENT ATTENDANCES AFTER HOURS
NOTE: The suggested AMA fee for AMA item AA007 for urgent attendance (MBS item 599) is
made on the basis that the consultation may take approximately one hour (or a Level C - D
consultation). MBS item 597 covers GP urgent attendance after hours (other than between
11pm and 7am), whereas the AMA has items AA050 - AA080 and AA130 - AA160.
AA007 PROFESSIONAL ATTENDANCE, being an attendance, by a general 599
$450.00 practitioner on not more than 1 patient on the 1 occasion - EACH
ATTENDANCE ON ANY DAY OF THE WEEK BETWEEN 11PM AND
7AM, where the attendance is initiated by or on behalf of the patient in,
or not more than 2 hours before the start of, the same unbroken after
hours period and where the patient's medical condition requires urgent
treatment, including where it is necessary for the doctor to return to, and
specially open, consulting rooms for the attendance
GENERAL PRACTITIONER - ATTENDANCES
AA010
$37.50
AA020
$76.00
AA030
$140.00
AA040
$215.00
GENERAL PRACTITIONER - MINOR SERVICE (LEVEL A) - AT
CONSULTING ROOMS - A service characterised by the straightforward
nature of the general practitioner's task. This service is for an obvious
problem that requires a short patient history and a limited (if any)
examination and management
GENERAL PRACTITIONER - SPECIFIC SERVICE (LEVEL B) - AT
CONSULTING ROOMS - involving, where clinically relevant:
a) taking a history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
GENERAL PRACTITIONER - EXTENDED SERVICE (LEVEL C) - AT
CONSULTING ROOMS - involving, where clinically relevant:
a) taking a detailed history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
GENERAL PRACTITIONER - COMPREHENSIVE SERVICE (LEVEL
D) - AT CONSULTING ROOMS - involving, where clinically relevant:
a) taking an extensive history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
Page 2 1 November 2015

PROFESSIONAL ATTENDANCES
GENERAL PRACTITIONER - ATTENDANCES
AMA Number
Fee
AA050
$57.00
AA060
$114.00
AA070
$210.00
AA080
$320.00
Description of Medical Service
GENERAL PRACTITIONER - MINOR SERVICE (LEVEL A) - AT
CONSULTING ROOMS - OUT-OF-HOURS - A service characterised by
the straightforward nature of the general practitioner's task. This service
is for an obvious problem that requires a short patient history and a
limited (if any) examination and management rendered between 6.00pm
and the following 8.00am on weekdays and the 24 hours between
8.00am and the following 8.00am on weekend days and public holidays
GENERAL PRACTITIONER - SPECIFIC SERVICE (LEVEL B) - AT
CONSULTING ROOMS - OUT-OF-HOURS - involving, where clinically
relevant:
a) taking a history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation.
Performed during a service rendered between 6.00pm and the following
8.00am on weekdays and the 24 hours between 8.00am and the
following 8.00am on weekend days and public holidays
GENERAL PRACTITIONER - EXTENDED SERVICE (LEVEL C) - AT
CONSULTING ROOMS - OUT-OF-HOURS - involving, where clinically
relevant:
a) taking a detailed history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation.
Performed during a service rendered between 6.00pm and the following
8.00am on weekdays and the 24 hours between 8.00am and the
following 8.00am on weekend days and public holidays
GENERAL PRACTITIONER - COMPREHENSIVE SERVICE (LEVEL
D) - AT CONSULTING ROOMS - OUT-OF-HOURS - involving, where
clinically relevant:
a) taking an extensive history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation.
Rendered between 6.00pm and the following 8.00am on weekdays and
the 24 hours between 8.00am and the following 8.00am on weekend
days and public holidays
MBS
Number
1 November 2015 Page 3

PROFESSIONAL ATTENDANCES
GENERAL PRACTITIONER - ATTENDANCES
AMA Number
Fee
AA090
$95.00
AA100
$130.00
AA110
$194.00
AA120
$270.00
AA130
$114.00
Description of Medical Service
GENERAL PRACTITIONER - MINOR SERVICE (LEVEL A) - AT A
PLACE OTHER THAN THE CONSULTING ROOMS - A service
characterised by the straightforward nature of the general practitioner's
task. This service is for an obvious problem that requires a short patient
history and a limited (if any) examination and management
GENERAL PRACTITIONER - SPECIFIC SERVICE (LEVEL B) - AT A
PLACE OTHER THAN THE CONSULTING ROOMS - involving, where
clinically relevant:
a) taking a history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
GENERAL PRACTITIONER - EXTENDED SERVICE (LEVEL C) - AT A
PLACE OTHER THAN THE CONSULTING ROOMS - involving, where
clinically relevant:
a) taking a detailed history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
GENERAL PRACTITIONER - COMPREHENSIVE SERVICE (LEVEL
D) - AT A PLACE OTHER THAN THE CONSULTING ROOMS -
involving, where clinically relevant:
a) taking an extensive history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
GENERAL PRACTITIONER - MINOR SERVICE (LEVEL A) - AT A
PLACE OTHER THAN THE CONSULTING ROOMS - OUT-OF-
HOURS - A service characterised by the straightforward nature of the
general practitioner's task. This service is for an obvious problem that
requires a short patient history and a limited (if any) examination and
management rendered between 6.00pm and the following 8.00am on
weekdays and the 24 hours between 8.00am and the following 8.00am
on weekend days and public holidays
MBS
Number
Page 4 1 November 2015

PROFESSIONAL ATTENDANCES
GENERAL PRACTITIONER - ATTENDANCES
AMA Number
Fee
AA140
$168.00
AA150
$260.00
AA160
$380.00
Description of Medical Service
GENERAL PRACTITIONER - SPECIFIC SERVICE (LEVEL B) - AT A
PLACE OTHER THAN THE CONSULTING ROOMS - OUT-OF-
HOURS - involving, where clinically relevant:
a) taking a history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation.
Rendered between 6.00pm and the following 8.00am on weekdays and
the 24 hours between 8.00am and the following 8.00am on weekend
days and public holidays
GENERAL PRACTITIONER - EXTENDED SERVICE (LEVEL C) - AT A
PLACE OTHER THAN THE CONSULTING ROOMS - OUT-OF-
HOURS - involving, where clinically relevant:
a) taking a detailed history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation.
Rendered between 6.00pm and the following 8.00am on weekdays and
the 24 hours between 8.00am and the following 8.00am on weekend
days and public holidays
GENERAL PRACTITIONER - COMPREHENSIVE SERVICE (LEVEL
D) - AT A PLACE OTHER THAN THE CONSULTING ROOMS - OUT-
OF-HOURS - involving, where clinically relevant:
a) taking an extensive history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation.
Rendered between 6.00pm and the following 8.00am on weekdays and
the 24 hours between 8.00am and the following 8.00am on weekend
days and public holidays
NOTE: Items AA170 - AA210 cover services where there is no physical attendance by the
medical practitioner on their patient, including telephone and email consultations.
AA170
$11.20
GENERAL PRACTITIONER - Professional service for the issuing of a
repeat prescription when the patient does not need, or request, to see
the prescribing medical practitioner
MBS
Number
1 November 2015 Page 5

PROFESSIONAL ATTENDANCES
GENERAL PRACTITIONER - ATTENDANCES
AMA Number
Fee
AA180
$25.50
AA190
$31.50
AA200
$66.00
AA210
$98.00
AA220
$45.00
Description of Medical Service
GENERAL PRACTITIONER - Professional service initiated by the patient
and rendered by the medical practitioner where there is no physical
attendance by the medical practitioner on the patient
- A service of more than five minutes duration but not more than 15
minutes duration
- A service of more than 15 minutes duration but not more than 30
minutes duration
- A service of more than 30 minutes duration
GENERAL PRACTITIONER - BRIEF CONSULTATION - AT
CONSULTING ROOMS
MBS
Number
NOTE: Practitioners are encouraged to use the content-based consultation items at the
beginning of this section. The following items, AA220 - AA280, provide indicative fees where it
is necessary to charge on the basis of time.
AA230
$59.00
AA240
$114.00
AA250
$172.00
AA260
$235.00
AA270
$260.00
AA280
$285.00
AA290
$84.00
AA300
$98.00
GENERAL PRACTITIONER - STANDARD CONSULTATION - AT
CONSULTING ROOMS - An attendance of more than five minutes
duration but not more than 15 minutes duration
- An attendance of more than 15 minutes duration but not more than 30
minutes duration
- An attendance of more than 30 minutes duration but not more than 45
minutes duration
- An attendance of more than 45 minutes duration but not more than 60
minutes duration
- An attendance of more than 60 minutes duration but not more than 75
minutes duration
- An attendance of more than 75 minutes duration
GENERAL PRACTITIONER - BRIEF CONSULTATION - AT
CONSULTING ROOMS - OUT-OF-HOURS - professional attendance
between 6.00pm and the following 8.00am on weekdays and the 24
hours between 8.00am and the following 8.00am on weekend days and
public holidays
- An attendance of more than five minutes duration but not more than 15
minutes duration between 6.00pm and the following 8.00am on
weekdays and the 24 hours between 8.00am and the following 8.00am
on weekend days and public holidays
Page 6 1 November 2015

PROFESSIONAL ATTENDANCES
GENERAL PRACTITIONER - ATTENDANCES
AMA Number
Fee
AA310
$152.00
AA320
$210.00
Description of Medical Service
- An attendance of more than 15 minutes duration but not more than 30
minutes duration between 6.00pm and the following 8.00am on
weekdays and the 24 hours between 8.00am and the following 8.00am
on weekend days and public holidays
- An attendance of more than 30 minutes duration between 6.00pm and
the following 8.00am on weekdays and the 24 hours between 8.00am
and the following 8.00am on weekend days and public holidays
SHARED HEALTH SUMMARY
AA340
$59.00
AA341
$114.00
AA342
$172.00
AA343
$235.00
Professional service initiated by the patient and rendered by a medical
practitioner to prepare and/or manage a Shared Health Summary for the
patient’s Personally Controlled Electronic Health Record - A service of
not more than 15 minutes duration
- A service of more than 15 minutes duration but not more than 30
minutes duration
- A service of more than 30 minutes duration but not more than 45
minutes duration
- A service of more than 45 minutes duration
POINT-OF-CARE TESTING
AA350
$35.00
AA355
$24.50
AA360
$43.00
AA365
$51.00
MISCELLANEOUS
AA401
$37.50
Point-of-Care Testing international normalised ration (INR), performed by
or on behalf of a medical practitioner at the time of a consultation
Point-of-Care Testing total cholesterol, triglyceride, glucose or lactate,
performed by or on behalf of a medical practitioner at the time of a
consultation
Point-of-Care Testing for HbA1c, urine albumin or albumin creatinine
ratio (ACR), performed by or on behalf of a medical practitioner at the
time of a consultation
Point-of-Care Testing troponin, performed by or on behalf of a medical
practitioner at the time of a consultation
SERVICE provided BY A PRACTICE NURSE or a registered Aboriginal
Health Worker, where ONE clinical task is performed on behalf of, and
under the supervision of, a medical practitioner; and IN THE
CONSULTING ROOMS OF A GENERAL PRACTICE, not being a
service to which item AA405, AA411, AA415, AA421 or AA425 applies
MBS
Number
1 November 2015 Page 7

PROFESSIONAL ATTENDANCES
MISCELLANEOUS
AMA Number
Fee
AA405
$56.00
AA411
$85.00
AA415
$56.00
AA421
$85.00
AA425
$126.00
Description of Medical Service
SERVICE provided BY A PRACTICE NURSE or a registered Aboriginal
Health Worker, where TWO clinical tasks are performed on behalf of,
and under the supervision of, a medical practitioner; and IN THE
CONSULTING ROOMS OF A GENERAL PRACTICE, not being a
service to which item AA401, AA411, AA415, AA421 or AA425 applies
SERVICE provided BY A PRACTICE NURSE or a registered Aboriginal
Health Worker, where THREE or more clinical tasks are performed on
behalf of, and under the supervision of, a medical practitioner; and IN
THE CONSULTING ROOMS OF A GENERAL PRACTICE, not being a
service to which item AA401, AA405, AA415, AA421 or AA425 applies
SERVICE provided BY A PRACTICE NURSE or registered Aboriginal
Health Worker, where ONE clinical task is performed on behalf of, and
under the supervision of, a medical practitioner; and AT A PLACE
OTHER THAN CONSULTING ROOMS BUT NOT IN A HOSPITAL OR
DAY-HOSPITAL FACILITY, not being a service to which item AA401,
AA405, AA411, AA421 or AA425 applies
SERVICE provided BY A PRACTICE NURSE or registered Aboriginal
Health Worker, where TWO clinical tasks are performed on behalf of,
and under the supervision of, a medical practitioner; and AT A PLACE
OTHER THAN CONSULTING ROOMS BUT NOT IN A HOSPITAL OR
DAY-HOSPITAL FACILITY, not being a service to which item AA401,
AA405, AA411, AA415 or AA425 applies
SERVICE provided BY A PRACTICE NURSE or registered Aboriginal
Health Worker, where THREE OR MORE clinical tasks are performed on
behalf of, and under the supervision of, a medical practitioner; and AT A
PLACE OTHER THAN CONSULTING ROOMS BUT NOT IN A
HOSPITAL OR DAY-HOSPITAL FACILITY, not being a service to which
item AA401, AA405, AA411, AA415 or AA421 applies
MBS
Number
HEALTH ASSESSMENTS
NOTE: AMA items AA501 - AA504 are not limited to particular patient cohorts. MBS items 701 -
707 are restricted to particular patients, and also have other claiming restrictions. For full
details please refer to Explanatory Notes A.25 in the MBS.
For the purposes of eligibility for payment of Medicare benefits, the following four items do not
apply to in-patients of a hospital or day hospital facility, except where a comprehensive medical
assessment is provided to a resident of an aged care facility.
AA501
$140.00
Attendance by a general practitioner to undertake a BRIEF HEALTH
CHECK, including:
a) relevant information collection, including taking a patient history;
b) a basic physical examination;
c) initiating interventions and/or referrals as indicated; and
d) providing preventive health advice and information to the patient
Page 8 1 November 2015

PROFESSIONAL ATTENDANCES
HEALTH ASSESSMENTS
AMA Number
Fee
AA502
$300.00
AA503
$365.00
AA504
$460.00
AA511
$225.00
AA512
$485.00
AA513
$585.00
Description of Medical Service
Attendance by a general practitioner to undertake a STANDARD
HEALTH CHECK, including:
a) relevant information collection, including taking a patient history;
b) an extensive physical examination;
c) initiating interventions and/or referrals as indicated; and
d) providing a strategy for preventive health care of the patient
Attendance by general practitioner to undertake a LONG HEALTH
CHECK, including:
a) comprehensive information collection, including taking a patient history;
b) an extensive examination of the patient’s medical condition and
physical function;
c) initiating interventions and/or referrals as indicated; and
d) providing a basic preventive health care management plan
Attendance by general practitioner to undertake a PROLONGED
HEALTH CHECK, including:
a) comprehensive information collection, including taking a patient history;
b) an extensive examination of the patient’s medical condition and
physical, psychological and social function;
c) initiating interventions and/or referrals as indicated; and
d) providing a comprehensive preventive health care management plan
Attendance by a general practitioner AT A PLACE OTHER THAN
CONSULTING ROOMS to undertake a BRIEF HEALTH CHECK,
including:
a) relevant information collection, including taking a patient history;
b) a basic physical examination;
c) initiating interventions and/or referrals as indicated; and
d) providing preventive health advice and information to the patient
Attendance by a general practitioner AT A PLACE OTHER THAN
CONSULTING ROOMS to undertake a STANDARD HEALTH CHECK,
including:
a) relevant information collection, including taking a patient history;
b) an extensive physical examination;
c) initiating interventions and/or referrals as indicated; and
d) providing a strategy for preventive health care of the patient
Attendance by a general practitioner AT A PLACE OTHER THAN
CONSULTING ROOMS to undertake a LONG HEALTH CHECK,
including:
a) comprehensive information collection, including taking a patient history;
b) an extensive examination of the patient’s medical condition and
physical function;
c) initiating interventions and/or referrals as indicated; and
d) providing a basic preventive health care management plan
MBS
Number
1 November 2015 Page 9

PROFESSIONAL ATTENDANCES
HEALTH ASSESSMENTS
AMA Number
Fee
AA514
$735.00
AA520
$350.00
AA530
$495.00
Description of Medical Service
Attendance by a general practitioner AT A PLACE OTHER THAN
CONSULTING ROOMS to undertake a PROLONGED HEALTH CHECK,
including:
a) comprehensive information collection, including taking a patient history;
b) an extensive examination of the patient’s medical condition and
physical, psychological and social function;
c) initiating interventions and/or referrals as indicated; and
d) providing a comprehensive preventive health care management plan
ATTENDANCE BY A MEDICAL PRACTITIONER (including a general
practitioner, but not including a specialist or consultant physician) AT
CONSULTING ROOMS for a HEALTH ASSESSMENT - of a patient who
is OF ABORIGINAL OR TORRES STRAIT ISLANDER DESCENT - not
being a health assessment of a patient in respect of whom, in the
preceeding 9 months, a payment has been made under this item or item
AA530
ATTENDANCE BY A MEDICAL PRACTITIONER (including a general
practitioner, but not including a specialist or consultant physician) NOT
BEING AN ATTENDANCE AT CONSULTING ROOMS, A HOSPITAL
OR A RESIDENTIAL AGED CARE FACILITY, for a HEALTH
ASSESSMENT - of a patient who is OF ABORIGINAL OR TORRES
STRAIT ISLANDER DESCENT - not being a health assessment of a
patient in respect of whom, in the preceeding 9 months, a payment has
been made under this item or item AA520
MBS
Number
MULTIDISCIPLINARY CARE PLANS
NOTE: For full details of criteria applicable to items AA545 - AA583 please refer to Explanatory
Note A.37 in the MBS.
AA545 PREPARATION by a medical practitioner (including a general
721
$255.00 practitioner, but not including a specialist or consultant physician) of a
GP MANAGEMENT PLAN for a patient (not being a service associated
with a service to which items AA584 to AA670 apply)
NOTE: Medicare benefits for team care arrangements and multidisciplinary care plans are
payable where at least 3 collaborating health or care providers, one of whom is a medical
practitioner, are involved.
AA555 Attendance by a medical practitioner (including a general practitioner, but 723
$220.00 not including a specialist or consultant physician), to COORDINATE the
development of TEAM CARE ARRANGEMENTS for a patient (not being
a service associated with a service to which items AA584 to AA670 apply)
Page 10 1 November 2015

PROFESSIONAL ATTENDANCES
MULTIDISCIPLINARY CARE PLANS
AMA Number
Fee
Description of Medical Service
MBS
Number
AA565 Attendance by a medical practitioner (including a general practitioner, but 732
$128.00 not including a specialist or consultant physician), to:
(a) REVIEW a GP MANAGEMENT PLAN prepared by that medical
practitioner (or an associated medical practitioner) to which item AA545
applies; or
(b) COORDINATE a REVIEW of a TEAM CARE ARRANGEMENTS
coordinated or prepared by that medical practitioner (or an associated
medical practitioner) to which item AA555 applies; (not being a service
associated with a service to which items AA584 to AA670 apply)
AA582 Attendance by a medical practitioner (including a general practitioner, but 729
$102.00 not including a specialist of consultant physician), to CONTRIBUTE to a
multidisciplinary care plan prepared by another provider or to a REVIEW
of a multidisciplinary care plan prepared by another provider; (not being a
service associated with a service to which items AA583 and AA584 to
AA670 apply)
AA583 Attendance by a medical practitioner (including a general practitioner, but 731
$102.00 not including a specialist or consultant physician), to CONTRIBUTE to:
(a) a multidisciplinary care plan for a patient in A RESIDENTIAL AGED
CARE FACILITY, prepared by that facility, or to a REVIEW of such a
plan prepared by such a facility; or
(b) a multidisciplinary care plan prepared for a resident by another
provider before the resident is discharged from a hospital or an approved
day-hospital facility, or to a review of such a plan prepared by another
provider; (not being a service associated with a service to which items
AA584 to AA670 apply)
CASE CONFERENCES
AA584
$142.00
ATTENDANCE BY A MEDICAL PRACTITIONER (including a general
practitioner, but not including a specialist or consultant physician), as a
member of a case conference team, TO ORGANISE AND CO-
ORDINATE A CASE CONFERENCE, where the conference time is at
least 5 minutes, but less than 15 minutes
AA586 ATTENDANCE BY A MEDICAL PRACTITIONER (including a general 735
$250.00 practitioner, but not including a specialist or consultant physician), as a
member of a case conference team, TO ORGANISE AND CO-
ORDINATE A CASE CONFERENCE, where the conference time is at
least 15 minutes, but less than 20 minutes
AA587 ATTENDANCE BY A MEDICAL PRACTITIONER (including a general 739
$350.00 practitioner, but not including a specialist or consultant physician), as a
member of a case conference team, TO ORGANISE AND CO-
ORDINATE A CASE CONFERENCE, where the conference time is at
least 20 minutes, but less than 40 minutes
1 November 2015 Page 11

PROFESSIONAL ATTENDANCES
CASE CONFERENCES
AMA Number
Fee
Description of Medical Service
MBS
Number
AA588 ATTENDANCE BY A MEDICAL PRACTITIONER (including a general 743
$450.00 practitioner, but not including a specialist or consultant physician), as a
member of a case conference team, TO ORGANISE AND CO-
ORDINATE A CASE CONFERENCE, where the conference time is at
least 40 minutes
AA649
$85.00
ATTENDANCE BY A MEDICAL PRACTITIONER (including a general
practitioner, but not including a specialist or consultant physician), as a
member of a case conference team, TO PARTICIPATE IN A CASE
CONFERENCE (OTHER THAN TO ORGANISE AND CO-ORDINATE
THE CONFERENCE), where the conference time is at least 5 minutes,
but less than 15 minutes
AA650 ATTENDANCE BY A MEDICAL PRACTITIONER (including a general 747
$150.00 practitioner, but not including a specialist or consultant physician), as a
member of a case conference team, TO PARTICIPATE IN A CASE
CONFERENCE (OTHER THAN TO ORGANISE AND CO-ORDINATE
THE CONFERENCE), where the conference time is at least 15 minutes,
but less than 20 minutes
AA660 ATTENDANCE BY A MEDICAL PRACTITIONER (including a general 750
$200.00 practitioner, but not including a specialist or consultant physician), as a
member of a case conference team, TO PARTICIPATE IN A CASE
CONFERENCE (OTHER THAN TO ORGANISE AND CO-ORDINATE
THE CONFERENCE), where the conference time is at least 20 minutes,
but less than 40 minutes
AA670 ATTENDANCE BY A MEDICAL PRACTITIONER (including a general 758
$250.00 practitioner, but not including a specialist or consultant physician), as a
member of a case conference team, TO PARTICIPATE IN A CASE
CONFERENCE (OTHER THAN TO ORGANISE AND CO-ORDINATE
THE CONFERENCE), where the conference time is at least 40 minutes
Page 12 1 November 2015

PROFESSIONAL ATTENDANCES
AMA Number
Fee
DOMICILIARY MEDICATION MANAGEMENT
REVIEW
Description of Medical Service
DOMICILIARY MEDICATION MANAGEMENT REVIEW
MBS
Number
AA800 Participation by a medical practitioner (including a general practitioner, 900
$365.00 but not including a specialist or consultant physician) in a DOMICILIARY
MEDICATION MANAGEMENT REVIEW (DMMR) for patients living in
the community setting, where the medical practitioner: - assesses a
patient's medication management needs, and following that assessment,
refers the patient to a community pharmacy or accredited pharmacist for
a DMMR, and provides relevant clinical information required for the
review, with the patient's consent; and - discusses with the reviewing
pharmacist the results of that review including suggested medication
management strategies; and - develops a written medication
management plan following discussion with the patient. Benefits under
this item are payable not more than once in each 12 month period,
except where there has been a significant change in the patient's
condition or medication regimen requiring a new DMMR
RESIDENTIAL MEDICATION MANAGEMENT REVIEW
AA850 Participation by a medical practitioner (including a general practitioner, 903
$365.00 but not including a specialist or consultant physician) in a collaborative
Residential Medication Management Review (RMMR) for a permanent
resident of a residential aged care facility, where the medical
practitioner: - discusses and seeks consent for an RMMR from the new
or existing resident; - collaborates with the reviewing pharmacist
regarding the pharmacy component of the review; - provides input from
the resident's Comprehensive Medical Assessment (CMA), or if a CMA
has not been undertaken, provides relevant clinical information for the
resident's RMMR; - discusses findings of the pharmacist review and
proposed medication management strategies with the reviewing
pharmacist (unless exceptions apply); - develops and/or revises a written
medication plan for the resident; and - consults with the resident to
discuss the medication management plan and its implementation.
Benefits under this item are payable for one RMMR service for new
residents on admission to a Residential Aged Care Facility and for
continuing residents on an as required basis, with a maximum of one
RMMR for a resident in any 12 month period, except where there has
been significant change in medical condition or medication regimen
requiring a new RMMR
GP MENTAL HEALTH TREATMENT
AA900
$310.00
PREPARATION by a medical practitioner (including a general
practitioner, but not including a specialist or consultant physician) of a
GP MENTAL HEALTH TREATMENT PLAN for a patient (not being a
service associated with a service to which items AA584 to AA670 apply)
1 November 2015 Page 13

PROFESSIONAL ATTENDANCES
GP MENTAL HEALTH TREATMENT
AMA Number
Fee
AA905
$210.00
AA910
$174.00
Description of Medical Service
Attendance by a medical practitioner (including a general practitioner, but
not including a specialist or consultant physician) to REVIEW a GP
MENTAL HEALTH TREATMENT PLAN prepared by that medical
practitioner (or an associated medical practitioner) to which item AA900
(treatment plan) applies (not being a service associated with a service to
which items AA584 to AA670 apply)
Professional ATTENDANCE by a medical practitioner (including a
general practitioner, but not including a specialist or consultant physician)
involving taking a relevant history, identifying presenting problem(s),
providing treatment, advice and/or referral for other services or
treatments and documenting the outcomes of the consultation, on a
patient in relation to mental disorder and lasting at least 20 minutes
PUBLIC HEALTH PHYSICIAN
MBS
Number
AB005 PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS by a
410
$37.50 PUBLIC HEALTH PHYSICIAN in the practice of his or her speciality of
PUBLIC HEALTH MEDICINE - attendance for an obvious problem
characterised by the straightforward nature of the task that requires a
short patient history and, if required, limited examination and
management
AB015 PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS by a
411
$76.00 PUBLIC HEALTH PHYSICIAN in the practice of his or her speciality of
PUBLIC HEALTH MEDICINE - attendance lasting less than 20 minutes,
involving, where clinically relevant:
a) taking a history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
AB025 PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS by a
412
$140.00 PUBLIC HEALTH PHYSICIAN in the practice of his or her speciality of
PUBLIC HEALTH MEDICINE - attendance lasting at least 20 minutes,
involving, where clinically relevant:
a) taking a detailed history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
Page 14 1 November 2015

PROFESSIONAL ATTENDANCES
PUBLIC HEALTH PHYSICIAN
AMA Number
Fee
Description of Medical Service
MBS
Number
AB035 PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS by a
413
$215.00 PUBLIC HEALTH PHYSICIAN in the practice of his or her speciality of
PUBLIC HEALTH MEDICINE - attendance lasting at least 40 minutes,
involving, where clinically relevant:
a) taking an extensive history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
AB045 PROFESSIONAL ATTENDANCE AT OTHER THAN CONSULTING 414
$79.00 ROOMS by a PUBLIC HEALTH PHYSICIAN in the practice of his or her
speciality of PUBLIC HEALTH MEDICINE - attendance for an obvious
problem characterised by the straightforward nature of the task that
requires a short patient history and, if required, limited examination and
management
AB055 PROFESSIONAL ATTENDANCE AT OTHER THAN CONSULTING 415
$112.00 ROOMS by a PUBLIC HEALTH PHYSICIAN in the practice of his or her
speciality of PUBLIC HEALTH MEDICINE - attendance lasting less than
20 minutes, involving, where clinically relevant:
a) taking a history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
AB065 PROFESSIONAL ATTENDANCE AT OTHER THAN CONSULTING 416
$168.00 ROOMS by a PUBLIC HEALTH PHYSICIAN in the practice of his or her
speciality of PUBLIC HEALTH MEDICINE - attendance lasting at least
20 minutes, involving, where clinically relevant:
a) taking a detailed history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
1 November 2015 Page 15

PROFESSIONAL ATTENDANCES
PUBLIC HEALTH PHYSICIAN
AMA Number
Fee
Description of Medical Service
MBS
Number
AB075 PROFESSIONAL ATTENDANCE AT OTHER THAN CONSULTING 417
$220.00 ROOMS by a PUBLIC HEALTH PHYSICIAN in the practice of his or her
speciality of PUBLIC HEALTH MEDICINE - attendance lasting at least
40 minutes, involving, where clinically relevant:
a) taking an extensive history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
SPECIALIST
AC500
$166.00
PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS OR
HOSPITAL BY A SPECIALIST in the practice of his or her specialty,
other than neurosurgery, where the patient is referred to him or her -
INITIAL attendance in a single course of treatment
AC510 - Each attendance SUBSEQUENT to the first in a single course of
105
$89.00 treatment
NOTE: Care must be exercised when using the above item for services where there are major
differences in the aftercare period between the AMA List and the MBS.
AC520 PROFESSIONAL ATTENDANCE AT A PLACE OTHER THAN
107
$225.00 CONSULTING ROOMS OR HOSPITAL BY A SPECIALIST in the
practice of his or her specialty where the patient is referred to him or
her - INITIAL attendance in a single course of treatment
AC530 - Each attendance SUBSEQUENT to the first in a single course of
108
$146.00 treatment
AC540 INITIAL SPECIALIST OPHTHALMOLOGIST PAEDIATRIC
109
$260.00 ATTENDANCE, where the patient is referred to him or her - in a single
course of treatment, being an attendance at which a comprehensive eye
examination, including pupil dilation, is performed on a child aged 9
years or under, or on a child aged 14 years or under with developmental
delay, not being a service to which item AC500 applies
AC600 PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS OR 6007
$255.00 HOSPITAL BY A SPECIALIST PRACTISING IN THE SPECIALTY OF
NEUROSURGERY, where the patient is referred to him or her - INITIAL
attendance in a single course of treatment
AC610 - Each MINOR attendance SUBSEQUENT to the first in a single course 6009
$89.00 of treatment. - An attendance of not more than 15 minutes duration
Page 16 1 November 2015

PROFESSIONAL ATTENDANCES
SPECIALIST
AMA Number
Fee
Description of Medical Service
MBS
Number
AC620 - Each attendance SUBSEQUENT to the first in a single course of 6011
$178.00 treatment being an attendance involving a detailed and comprehensive
examination, arranging or evaluating any necessary investigations in
relation to one or more complex problems. An attendance of more than
15 minutes duration but not more than 30 minutes duration
AC630 - Each attendance SUBSEQUENT to the first in a single course of 6013
$245.00 treatment being an attendance involving an extensive and
comprehensive examination, arranging or evaluating any necessary
investigations in relation to one or more complex problems. An
attendance of more than 30 minutes duration but not more than 45
minutes duration
AC640 - Each attendance SUBSEQUENT to the first in a single course of 6015
$315.00 treatment being an attendance involving an exhaustive and
comprehensive examination, arranging or evaluating any necessary
investigations in relation to one or more complex problems. An
attendance of more than 45 minutes duration
SPORT AND EXERCISE MEDICINE SPECIALIST
AD010
$315.00
AD020
$146.00
AD030
$375.00
AD040
$200.00
PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS OR
HOSPITAL by a SPORT AND EXERCISE MEDICINE SPECIALIST in
the practice of his or her specialty, where the patient is referred to him or
her by a medical practitioner - INITIAL attendance in a single course of
treatment
- Each attendance SUBSEQUENT to the first in a single course of
treatment
PROFESSIONAL ATTENDANCE AT A PLACE OTHER THAN
CONSULTING ROOMS OR HOSPITAL by a SPORT AND EXERCISE
MEDICINE SPECIALIST in the practice of his or her specialty, where the
patient is referred to him or her by a medical practitioner - INITIAL
attendance in a single course of treatment
- Each attendance SUBSEQUENT to the first in a single course of
treatment
REHABILITATION CONSULTANT PHYSICIAN
AE115
$315.00
AE125
$146.00
PHYSICIAN - INITIAL REFERRED CONSULTATION - SURGERY,
HOSPITAL OR NURSING HOME - Professional attendance by a
physician in the practice of the specialty of REHABILITATION
MEDICINE where the patient is referred by a medical practitioner -
INITIAL attendance in a single course of treatment where that
attendance is at consulting rooms, hospital or nursing home
- Each attendance SUBSEQUENT to the first in a single course of
treatment
1 November 2015 Page 17

PROFESSIONAL ATTENDANCES
REHABILITATION CONSULTANT PHYSICIAN
AMA Number
Fee
AE135
$375.00
AE145
$200.00
Description of Medical Service
PHYSICIAN - INITIAL REFERRED CONSULTATION - HOME VISIT -
Professional attendance by a physician in the practice of the specialty of
REHABILITATION MEDICINE where the patient is referred by a medical
practitioner - INITIAL attendance in a single course of treatment where
that attendance is at a place other than consulting rooms, hospital or
nursing home
- Each attendance SUBSEQUENT to the first in a single course of
treatment
PAIN MEDICINE SPECIALIST
MBS
Number
AF010 PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS OR 2801
$315.00 HOSPITAL BY A CONSULTANT PHYSICIAN OR SPECIALIST
PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, where the
patient was referred to him or her by a medical practitioner- INITIAL
attendance in a single course of treatment
AF020 - Each attendance SUBSEQUENT to the first in a single course of 2806
$146.00 treatment
AF040 PROFESSIONAL ATTENDANCE AT A PLACE OTHER THAN
2824
$375.00 CONSULTING ROOMS OR HOSPITAL BY A CONSULTANT
PHYSICIAN OR SPECIALIST PRACTISING IN THE SPECIALTY OF
PAIN MEDICINE, where the patient was referred to him or her by a
medical practitioner- INITIAL attendance in a single course of treatment
AF050 - Each attendance SUBSEQUENT to the first in a single course of 2832
$200.00 treatment
PAIN MEDICINE SPECIALIST - CASE CONFERENCES
AF070 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2946
$265.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to ORGANISE AND CO-ORDINATE A
COMMUNITY CASE CONFERENCE, where the conference time is at
least 15 minutes, but less than 30 minutes, with a multidisciplinary team
of at least three other formal care providers of different disciplines
AF080 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2949
$400.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to ORGANISE AND CO-ORDINATE A
COMMUNITY CASE CONFERENCE, where the conference time is at
least 30 minutes, but less than 45 minutes, with a multidisciplinary team
of at least three other formal care providers of different disciplines
Page 18 1 November 2015

PROFESSIONAL ATTENDANCES
AMA Number
Fee
Description of Medical Service
PAIN MEDICINE SPECIALIST - CASE
CONFERENCES
MBS
Number
AF090 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2954
$530.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to ORGANISE AND CO-ORDINATE A
COMMUNITY CASE CONFERENCE, where the conference time is at
least 45 minutes, with a multidisciplinary team of at least three other
formal care providers of different disciplines
AF100 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2958
$164.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to PARTICIPATE IN A COMMUNITY CASE
CONFERENCE, (other than to organise and to coordinate the
conference) where the conference time is at least 15 minutes, but less
than 30 minutes, with a multidisciplinary team of at least two other formal
care providers of different disciplines
AF110 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2972
$260.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to PARTICIPATE IN A COMMUNITY CASE
CONFERENCE, (other than to organise and to coordinate the
conference) where the conference time is at least 30 minutes, but less
than 45 minutes, with a multidisciplinary team of at least two other formal
care providers of different disciplines
AF120 ATTENDANCE A CONSULTANT PHYSICIAN OR SPECIALIST
2974
$360.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to PARTICIPATE IN A COMMUNITY CASE
CONFERENCE, (other than to organise and to coordinate the
conference) where the conference time is at least 45 minutes, with a
multidisciplinary team of at least two other formal care providers of
different disciplines
AF130 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2978
$265.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to ORGANISE AND CO-ORDINATE A
DISCHARGE CASE CONFERENCE, where the conference time is at
least 15 minutes but less than 30 minutes, with a multidisciplinary team
of at least three other formal care providers of different disciplines
AF140 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2984
$400.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to ORGANISE AND CO-ORDINATE A
DISCHARGE CASE CONFERENCE, where the conference time is at
least 30 minutes but less than 45 minutes, with a multidisciplinary team
of at least three other formal care providers of different disciplines
1 November 2015 Page 19

PROFESSIONAL ATTENDANCES
AMA Number
Fee
Description of Medical Service
PAIN MEDICINE SPECIALIST - CASE
CONFERENCES
MBS
Number
AF150 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2988
$530.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to ORGANISE AND CO-ORDINATE A
DISCHARGE CASE CONFERENCE, where the conference time is at
least 45 minutes, with a multidisciplinary team of at least three other
formal care providers of different disciplines
AF160 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2992
$164.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to PARTICIPATE IN A DISCHARGE CASE
CONFERENCE, where the conference time is at least 15 minutes but
less than 30 minutes, with a multidisciplinary team of at least two other
formal care providers of different disciplines
AF170 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 2996
$260.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to PARTICIPATE IN A DISCHARGE CASE
CONFERENCE, where the conference time is at least 30 minutes but
less than 45 minutes, with a multidisciplinary team of at least two other
formal care providers of different disciplines
AF180 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3000
$360.00 PRACTISING IN THE SPECIALTY OF PAIN MEDICINE, as a member
of a case conference team, to PARTICIPATE IN A DISCHARGE CASE
CONFERENCE, where the conference time is at least 45 minutes, with a
multidisciplinary team of at least two other formal care providers of
different disciplines
ADDICTION MEDICINE SPECIALIST
AF185
$315.00
AF187
$146.00
AF190
$375.00
AF192
$200.00
PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS OR
HOSPITAL by an ADDICTION MEDICINE SPECIALIST in the practice of
his or her specialty, where the patient is referred to him or her by a
medical practitioner - INITIAL attendance in a single course of treatment
- Each attendance SUBSEQUENT to the first in a single course of
treatment
PROFESSIONAL ATTENDANCE AT A PLACE OTHER THAN
CONSULTING ROOMS OR HOSPITAL by an ADDICTION MEDICINE
SPECIALIST in the practice of his or her specialty, where the patient is
referred to him or her by a medical practitioner - INITIAL attendance in a
single course of treatment
- Each attendance SUBSEQUENT to the first in a single course of
treatment
Page 20 1 November 2015

PROFESSIONAL ATTENDANCES
PALLIATIVE MEDICINE SPECIALIST
AMA Number
Fee
PALLIATIVE MEDICINE SPECIALIST
Description of Medical Service
MBS
Number
AF200 PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS OR 3005
$315.00 HOSPITAL BY A CONSULTANT PHYSICIAN OR SPECIALIST
PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, where
the patient was referred to him or her by a medical practitioner - INITIAL
attendance in a single course of treatment
AF210 - Each attendance SUBSEQUENT to the first in a single course of 3010
$146.00 treatment
AF230 PROFESSIONAL ATTENDANCE AT A PLACE OTHER THAN
3018
$375.00 CONSULTING ROOMS OR HOSPITAL BY A CONSULTANT
PHYSICIAN OR SPECIALIST PRACTISING IN THE SPECIALTY OF
PALLIATIVE MEDICINE, where the patient was referred to him or her by
a medical practitioner- INITIAL attendance in a single course of treatment
AF240 - Each attendance SUBSEQUENT to the first in a single course of 3023
$200.00 treatment
PALLIATIVE MEDICINE SPECIALIST - CASE CONFERENCES
AF260 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3032
$265.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to ORGANISE AND CO-
ORDINATE A COMMUNITY CASE CONFERENCE, where the
conference time is at least 15 minutes, but less than 30 minutes, with a
multidisciplinary team of at least three other formal care providers of
different disciplines
AF270 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3040
$400.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to ORGANISE AND CO-
ORDINATE A COMMUNITY CASE CONFERENCE, where the
conference time is at least 30 minutes, but less than 45 minutes, with a
multidisciplinary team of at least three other formal care providers of
different disciplines
AF280 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3044
$530.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to ORGANISE AND CO-
ORDINATE A COMMUNITY CASE CONFERENCE, where the
conference time is at least 45 minutes, with a multidisciplinary team of at
least three other formal care providers of different disciplines
1 November 2015 Page 21

PROFESSIONAL ATTENDANCES
AMA Number
Fee
PALLIATIVE MEDICINE SPECIALIST - CASE
CONFERENCES
Description of Medical Service
MBS
Number
AF290 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3051
$164.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to PARTICIPATE IN A
COMMUNITY CASE CONFERENCE, (other than to organise and to
coordinate the conference) where the conference time is at least 15
minutes, but less than 30 minutes, with a multidisciplinary team of at
least two other formal care providers of different disciplines
AF300 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3055
$260.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to PARTICIPATE IN A
COMMUNITY CASE CONFERENCE, (other than to organise and to
coordinate the conference) where the conference time is at least 30
minutes, but less than 45 minutes, with a multidisciplinary team of at
least two other formal care providers of different disciplines
AF310 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3062
$360.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to PARTICIPATE IN A
COMMUNITY CASE CONFERENCE, (other than to organise and to
coordinate the conference) where the conference time is at least 45
minutes, with a multidisciplinary team of at least two other formal care
providers of different disciplines
AF320 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3069
$265.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to ORGANISE AND CO-
ORDINATE A DISCHARGE CASE CONFERENCE, where the
conference time is at least 15 minutes but less than 30 minutes, with a
multidisciplinary team of at least three other formal care providers of
different disciplines
AF330 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3074
$400.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to ORGANISE AND CO-
ORDINATE A DISCHARGE CASE CONFERENCE, where the
conference time is at least 30 minutes but less than 45 minutes, with a
multidisciplinary team of at least three other formal care providers of
different disciplines
AF340 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3078
$530.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to ORGANISE AND CO-
ORDINATE A DISCHARGE CASE CONFERENCE, where the
conference time is at least 45 minutes, with a multidisciplinary team of at
least three other formal care providers of different disciplines
Page 22 1 November 2015

PROFESSIONAL ATTENDANCES
AMA Number
Fee
PALLIATIVE MEDICINE SPECIALIST - CASE
CONFERENCES
Description of Medical Service
MBS
Number
AF350 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3083
$164.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to PARTICIPATE IN A
DISCHARGE CASE CONFERENCE, where the conference time is at
least 15 minutes but less than 30 minutes, with a multidisciplinary team
of at least two other formal care providers of different disciplines
AF360 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3088
$260.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to PARTICIPATE IN A
DISCHARGE CASE CONFERENCE, where the conference time is at
least 30 minutes but less than 45 minutes, with a multidisciplinary team
of at least two other formal care providers of different disciplines
AF370 ATTENDANCE BY A CONSULTANT PHYSICIAN OR SPECIALIST 3093
$360.00 PRACTISING IN THE SPECIALTY OF PALLIATIVE MEDICINE, as a
member of a case conference team, to PARTICIPATE IN A
DISCHARGE CASE CONFERENCE, where the conference time is at
least 45 minutes, with a multidisciplinary team of at least two other formal
care providers of different disciplines
SEXUAL HEALTH MEDICINE SPECIALIST
AF380
$315.00
AF385
$146.00
AF390
$375.00
AF395
$200.00
PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS OR
HOSPITAL by a SEXUAL HEALTH MEDICINE SPECIALIST in the
practice of his or her specialty, where the patient is referred to him or her
by a medical practitioner - INITIAL attendance in a single course of
treatment
- Each attendance SUBSEQUENT to the first in a single course of
treatment
PROFESSIONAL ATTENDANCE AT A PLACE OTHER THAN
CONSULTING ROOMS OR HOSPITAL by a SEXUAL HEALTH
MEDICINE SPECIALIST in the practice of his or her specialty, where the
patient was referred to him or her by a medical practitioner - INITIAL
attendance in a single course of treatment
- Each attendance SUBSEQUENT to the first in a single course of
treatment
CONSULTANT OCCUPATIONAL PHYSICIAN
AG005 CONSULTANT OCCUPATIONAL PHYSICIAN - REFERRED
385
$315.00 CONSULTATION - SURGERY OR HOSPITAL - Professional attendance
at consulting rooms or hospital by a consultant occuational physician in
the practice of his or her specialty of OCCUPATIONAL MEDICINE where
the patient is referred to him or her by a medical practitioner - INITIAL
attendance in a single course of treatment
1 November 2015 Page 23

PROFESSIONAL ATTENDANCES
CONSULTANT OCCUPATIONAL PHYSICIAN
AMA Number
Fee
Description of Medical Service
MBS
Number
AG015 - Each attendance SUBSEQUENT to the first in a single course of
386
$146.00 treatment
AG025 CONSULTANT OCCUPATIONAL PHYSICIAN - REFERRED
387
$375.00 CONSULTATION - AT A PLACE OTHER THAN CONSULTING ROOMS
OR HOSPITAL - Professional attendance at a place other than
consulting rooms or hospital by a physician in the practice of his or her
specialty of OCCUPATIONAL MEDICINE where the patient is referred to
him or her by a medical practitioner - INITIAL attendance in a single
course of treatment
AG035 - Each attendance SUBSEQUENT to the first in a single course of
388
$200.00 treatment
CONSULTANT PHYSICIAN
NOTE: Item AJ020 is the AMA equivalent of MBS items 116 and 119. Item AJ040 is the AMA
equivalent of MBS items 128 and 131. Items AJ046 and AJ047 are the AMA equivalents of MBS
items 132 and 133. For payment of Medicare benefits, practitioners should refer to the MBS on
the use of these items.
AJ010 PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS OR
110
$315.00 HOSPITAL 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
AJ020
$146.00
- Each attendance SUBSEQUENT to the first in a single course of
treatment
AJ030 PROFESSIONAL ATTENDANCE AT A PLACE OTHER THAN
122
$375.00 CONSULTING ROOMS OR HOSPITAL 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
AJ040
$200.00
AJ046
$545.00
AJ047
$275.00
- Each attendance SUBSEQUENT to the first in a single course of
treatment
PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS OR
HOSPITAL of at least 45 minutes duration by a consultant physician in
the practice of his or her speciality (other than psychiatry) for an INITIAL
ASSESSMENT of a patient with at least TWO MORBIDITIES where the
patient is referred by a medical practitioner
PROFESSIONAL ATTENDANCE at CONSULTING ROOMS OR
HOSPITAL of at least 20 minutes duration by a consultant physician in
the practice of his or her speciality (other than psychiatry) for a REVIEW
of a patient with at least TWO MORBIDITIES, where the patient is
referred by a medical practitioner
Page 24 1 November 2015

PROFESSIONAL ATTENDANCES
CONSULTANT PHYSICIAN
AMA Number
Fee
AJ048
$545.00
Description of Medical Service
NOTE: Item AJ048 is the AMA equivalent of MBS items 135, 137 and 139. For payment of
Medicare benefits, practitioners should refer to the MBS on the use of these items.
PROFESSIONAL ATTENDANCE of more than 45 minutes duration by a
medical practitioner in the practice of his or her specialty (other than
psychiatry), for assessment, diagnosis and the preparation of a treatment
and management plan for a patient aged under 13 years, with autism or
any other pervasive developmental disorder, who has been referred to
the consultant paediatrician by a medical practitioner, where the
consultant paediatrician: a) undertakes a comprehensive assessment of
the patient and forms a diagnosis (using the assistance of one or more
allied health providers where appropriate). b) develops a treatment and
management plan that contains: (i) the outcomes of the assessment; (ii)
the diagnosis or diagnoses; (iii) opinion on risk assessment; (iv)
treatment options and decisions; and (v) appropriate medication
recommendations, where necessary. c) provides a copy of the treatment
and management plan to the: (i) referring practitioner; and (ii) relevant
allied health providers (where appropriate). Not being an attendance on a
patient in respect of whom payment has previously been made under
this item or item AM003
MBS
Number
CONSULTANT PHYSICIAN - CASE CONFERENCES
Following are items covering Case Conferences for Consultant Physicians (both organisation
of, and participation in). For the purposes of these items, the following specialties/subspecialties
are included:-
Infectious diseases, Clinical Genetics, Internal Medicine, General Medicine, Immunology,
Cardiology, Clinical Haematology, Endocrinology, Gastroenterology, Renal Medicine,
Neurology, Nuclear Medicine, Paediatric Medicine, Rehabilitation Medicine, Rheumatology,
Thoracic Medicine, Clinical Pharmacology, Geriatrics, Medical Oncology, Intensive Care and
Psychiatry.
For information related to the use of these items (for payment of Medicare benefits purposes),
please refer to Explanatory Note A.41 in the MBS. An important feature of these case
conference items is that they may be conducted either face to face, by telephone or video link,
or by a combination of these.
AJ051 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 820
$265.00 or her specialty, as a member of a case conference team, to ORGANISE
AND COORDINATE A COMMUNITY CASE CONFERENCE OF AT
LEAST 15 MINUTES BUT LESS THAN 30 MINUTES, with a
multidisciplinary team of at least three other formal care providers of
different disciplines
1 November 2015 Page 25

PROFESSIONAL ATTENDANCES
AMA Number
Fee
Description of Medical Service
CONSULTANT PHYSICIAN - CASE
CONFERENCES
MBS
Number
AJ055 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 822
$400.00 or her specialty, as a Member of a case conference team, to ORGANISE
AND COORDINATE A COMMUNITY CASE CONFERENCE OF AT
LEAST 30 MINUTES BUT LESS THAN 45 MINUTES, with a
multidisciplinary team of at least three other formal care providers of
different disciplines
AJ061 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 823
$530.00 or her specialty, as a member of a case conference team, to ORGANISE
AND COORDINATE A COMMUNITY CASE CONFERENCE OF AT
LEAST 45 MINUTES, with a multidisciplinary team of at least three other
formal care providers of different disciplines
AJ071 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 825
$164.00 or her specialty, as a member of a case conference team, to
PARTICIPATE IN A COMMUNITY CASE CONFERENCE (OTHER
THAN TO ORGANISE AND TO COORDINATE THE CONFERENCE)
OF A LEAST 15 MINUTES BUT LESS THAN 30 MINUTES, with a
multidisciplinary team of at least two other formal care providers of
different disciplines
AJ075 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 826
$260.00 or her specialty, as a member of a case conference team, to
PARTICIPATE IN A COMMUNITY CASE CONFERENCE (OTHER
THAN TO ORGANISE AND TO COORDINATE THE CONFERENCE)
OF AT LEAST 30 MINUTES BUT LESS THAN 45 MINUTES, with a
multidisciplinary team of at least two other formal care providers of
different disciplines
AJ081 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 828
$360.00 or her specialty, as a member of a case conference team, to
PARTICIPATE IN A COMMUNITY CASE CONFERENCE (OTHER
THAN TO ORGANISE AND TO COORDINATE THE CONFERENCE)
OF AT LEAST 45 MINUTES, with a multidisciplinary team of at least two
other formal care providers of different disciplines
AJ091 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 830
$265.00 or her specialty, as a member of a case conference team, to ORGANISE
AND COORDINATE A DISCHARGE CASE CONFERENCE OF AT
LEAST 15 MINUTES BUT LESS THAN 30 MINUTES, with a
multidisciplinary team of at least three other formal care providers of
different disciplines
Page 26 1 November 2015

PROFESSIONAL ATTENDANCES
AMA Number
Fee
Description of Medical Service
CONSULTANT PHYSICIAN - CASE
CONFERENCES
MBS
Number
AJ095 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 832
$400.00 or her specialty, as a member of a case conference team, to ORGANISE
AND COORDINATE A DISCHARGE CASE CONFERENCE OF AT
LEAST 30 MINUTES BUT LESS THAN 45 MINUTES, with a
multidisciplinary team of at least three other formal care providers of
different disciplines
AJ101 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 834
$530.00 or her specialty, as a member of a case conference team, to ORGANISE
AND COORDINATE A DISCHARGE CASE CONFERENCE OF AT
LEAST 45 MINUTES, with a multidisciplinary team of at least three other
formal care providers of different disciplines
AJ111 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 835
$164.00 or her specialty, as a member of a case conference team, to
PARTICIPATE IN A DISCHARGE CASE CONFERENCE OF AT LEAST
15 MINUTES BUT LESS THAN 30 MINUTES, with a multidisciplinary
team of at least two other formal care providers of different disciplines
AJ115 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 837
$260.00 or her specialty, as a member of a case conference team, to
PARTICIPATE IN A DISCHARGE CASE CONFERENCE OF AT LEAST
30 MINUTES BUT LESS THAN 45 MINUTES, with a multidisciplinary
team of at least two other formal care providers of different disciplines
AJ121 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 838
$360.00 or her specialty, as a member of a case conference team, to
PARTICIPATE IN A DISCHARGE CASE CONFERENCE OF AT LEAST
45 MINUTES, with a multidisciplinary team of at least two other formal
care providers of different disciplines
CONSULTANT PHYSICIAN IN GERIATRIC OR REHABILITATION MEDICINE - CASE
CONFERENCE
‡
AJ200 Attendance by a specialist or consultant physician in the practice of his 880
$86.00 or her specialty of GERIATRIC OR REHABILITATION MEDICINE, as a
member of a case conference team, to COORDINATE A CASE
CONFERENCE ON AN ADMITTED HOSPITAL PATIENT of at least 10
minutes but less than 30 minutes, for any particular patient, one
attendance only in a 7 day period (other than attendance on the same
day as an attendance for which item AJ095, AJ101, AJ111, AJ115 or
AJ121 was applicable in relation to the patient)
1 November 2015 Page 27

PROFESSIONAL ATTENDANCES
GERIATRIC MEDICINE
AMA Number
Fee
GERIATRIC MEDICINE
Description of Medical Service
MBS
Number
AJ300 Professional attendance AT CONSULTING ROOMS OR HOSPITAL by a 141
$720.00 consultant physician or specialist in the practice of his or her specialty of
GERIATRIC MEDICINE, where the patient is at least 65 years old and
referred by a medical practitioner practising in general practice (including
a general practitioner, but not including a specialist or consultant
physician), where the attendance is initiated by the medical practitioner
for the provision of A COMPREHENSIVE ASSESSMENT AND
MANAGEMENT PLAN.
An attendance of more than 60 minutes at consulting rooms or hospital
during which: the medical, physical, psychological and social aspects of
the patient's health are evaluated in detail utilising appropriately validated
assessment tools where indicated (‘assessment’); the patient’s various
health problems and care needs are identified and prioritised
(‘formulation’); a detailed management plan is developed (‘management
plan’); the management plan is explained and discussed with the patient
and/or their family and carer(s) where appropriate; the management plan
is communicated in writing to the referring medical practitioner. The
management plan should include: the prioritised list of health problems
and care needs; short and longer term management goals;
recommended actions or intervention strategies to be undertaken by the
patient's general practitioner or other relevant health care providers that
are: likely to improve or maintain health status; readily available;
acceptable to the patient, their family and carer(s).
Not being an attendance on a patient in respect of whom, an attendance
under items AC500, AC510, AC520, AC530, AJ010 and AJ020 has been
received on the same day by the same practitioner.
Not being an attendance on a patient in respect of whom, in the
preceding 12 months, payment has been made under this item or item
AJ310 by the same practitioner
Page 28 1 November 2015

PROFESSIONAL ATTENDANCES
GERIATRIC MEDICINE
AMA Number
Fee
Description of Medical Service
MBS
Number
AJ305 Professional attendance AT CONSULTING ROOMS OR HOSPITAL by a 143
$480.00 consultant physician or specialist in the practice of his or her specialty of
GERIATRIC MEDICINE to REVIEW A MANAGEMENT PLAN previously
prepared by that consultant physician in geriatric medicine and claimed
under item AJ300 or AJ310, where the review is initiated by the referring
medical practitioner practicing in general practice.
An attendance of more than 30 minutes duration at consulting rooms or
hospital where that attendance follows item AJ300 or AJ310 and during
which: the patient’s health status is reassessed; a management plan
provided under items AJ300 or AJ310 is reviewed and revised; the
revised management plan is explained to the patient and/or their family
and carer(s) and communicated in writing to the referring medical
practitioner.
Not being an attendance on a patient in respect of whom, an attendance
under items AC500, AC510, AC520, AC530, AJ010 and AJ020 has been
received on the same day by the same practitioner.
Being an attendance on a patient in respect of whom, in the preceding
12 months, payment has been made under items AJ300 or AJ310 by the
same practitioner, payable no more than once in any 12 month period,
except for where there has been a significant change in the patient’s
clinical condition or care circumstances that requires a further review
1 November 2015 Page 29

PROFESSIONAL ATTENDANCES
GERIATRIC MEDICINE
AMA Number
Fee
Description of Medical Service
MBS
Number
AJ310 Professional attendance AT A PLACE OTHER THAN CONSULTING 145
$870.00 ROOMS OR HOSPITAL by a consultant physician or specialist in the
practice of his or her specialty of GERIATRIC MEDICINE, where the
patient is at least 65 years old and referred by a medical practitioner
practising in general practice (including a general practitioner, but not
including a specialist or consultant physician), where the attendance is
initiated by the medical practitioner for the provision of A
COMPREHENSIVE ASSESSMENT AND MANAGEMENT PLAN.
An attendance of more than 60 minutes at a place other than consulting
rooms or hospital during which: the medical, physical, psychological and
social aspects of the patient's health are evaluated in detail utilising
appropriately validated assessment tools where indicated (‘assessment’);
the patient’s various health problems and care needs are identified and
prioritised (‘formulation’); a detailed management plan is developed
(‘management plan’); the management plan is explained and discussed
with the patient and/or their family and carer(s) where appropriate; the
management plan is communicated in writing to the referring medical
practitioner.
The management plan should include: the prioritised list of health
problems and care needs; short and longer term management goals;
recommended actions or intervention strategies to be undertaken by the
patient's general practitioner or other relevant health care providers that
are: likely to improve or maintain health status; readily available;
acceptable to the patient, their family and carer(s).
Not being an attendance on a patient in respect of whom, an attendance
under items AC500, AC510, AC520, AC530, AJ010 and AJ020 has been
received on the same day by the same practitioner.
Not being an attendance on a patient in respect of whom, in the
preceding 12 months, payment has been made under this item or AJ300
by the same practitioner
Page 30 1 November 2015

PROFESSIONAL ATTENDANCES
GERIATRIC MEDICINE
AMA Number
Fee
Description of Medical Service
MBS
Number
AJ315 Professional attendance AT A PLACE OTHER THAN CONSULTING 147
$580.00 ROOMS OR HOSPITAL by a consultant physician or specialist in the
practice of his or her specialty of GERIATRIC MEDICINE to REVIEW A
MANAGEMENT PLAN previously prepared by that consultant physician
or specialist in geriatric medicine and claimed under items AJ300 or
AJ310, where the review is initiated by the referring medical practitioner
practicing in general practice.
An attendance of more than 30 minutes duration at a place other than
consulting rooms or hospital where that attendance follows items AJ300
or AJ310 and during which: the patient’s health status is reassessed; a
management plan provided under items AJ300 or AJ310 is reviewed and
revised; the revised management plan is explained to the patient and/or
their family and carer(s) and communicated in writing to the referring
medical practitioner.
Not being an attendance on a patient in respect of whom, an attendance
under items AC500, AC510, AC520, AC530, AJ010 and AJ020 has been
received on the same day by the same practitioner.
Being an attendance on a patient in respect of whom, in the preceding
12 months, payment has been made under items AJ300 or AJ310 by the
same practitioner, payable no more than once in any 12 month period,
except for where there has been a significant change in the patient’s
clinical condition or care circumstances that requires a further review
AJ340
$265.00
AJ345
$400.00
Attendance by consultant physician or specialist in the practice of his or
her speciality of GERIATRIC MEDICINE to ORGANISE AND
COORDINATE A FAMILY/CARER MEETING of at least 15 minutes but
less than 30 minutes, with a multidisciplinary team of at least two other
formal care providers of different disciplines, where the family/carer
meeting is at consulting rooms, hospital, home or residential care facility
Attendance by consultant physician in the practice of his or her speciality
of GERIATRIC MEDICINE to ORGANSIE AND COORDINATE A
FAMILY/CARER MEETING of at least 30 minutes, with a
multidisciplinary team of at least two other formal care providers of
different disciplines, where the family/carer meeting is at consulting
rooms, hospital, home or residential care facility
1 November 2015 Page 31

PROFESSIONAL ATTENDANCES
EMERGENCY PHYSICIAN ATTENDANCES
AMA Number
Fee
EMERGENCY PHYSICIAN ATTENDANCES
Description of Medical Service
MBS
Number
AK010 MEDICAL PRACTITIONER (EMERGENCY PHYSICIAN)
501
$71.00 ATTENDANCES EMERGENCY DEPARTMENT level 1 professional
attendance on a patient at a recognised emergency department of a
private hospital by a medical practitioner who is an emergency physician
in the practice of emergency medicine - attendance for the unscheduled
evaluation and management of a patient requiring the taking of a
problem focussed history, limited examination, diagnosis and initiation of
appropriate treatment interventions involving straightforward medical
decision making
AK020 MEDICAL PRACTITIONER (EMERGENCY PHYSICIAN)
503
$120.00 ATTENDANCES EMERGENCY DEPARTMENT level 2 professional
attendance on a patient at a recognised emergency department of a
private hospital by a medical practitioner who is an emergency medicine
physician in the practice of emergency medicine - attendance for the
unscheduled evaluation and management of a patient requiring the
taking of an expanded problem focussed history, expanded examination
of one or more systems and the formulation and documentation of a
diagnosis and management plan in relation to one or more problems,
and the initiation of appropriate treatment interventions involving medical
decision making of low complexity
AK030 MEDICAL PRACTITIONER (EMERGENCY PHYSICIAN)
507
$200.00 ATTENDANCES EMERGENCY DEPARTMENT level 3 professional
attendance on a patient at a recognised emergency department of a
private hospital by a medical practitioner who is an emergency physician
in the practice of emergency medicine - attendance for the unscheduled
evaluation and management of a patient requiring the taking of an
expanded problem focussed history, expanded examination of one or
more systems, ordering and evaluation of appropriate investigations, the
formulation and documentation of a diagnosis and management plan in
relation to one or more problems, and the initiation of appropriate
treatment interventions involving medical decision making of moderate
complexity
Page 32 1 November 2015

PROFESSIONAL ATTENDANCES
EMERGENCY PHYSICIAN ATTENDANCES
AMA Number
Fee
Description of Medical Service
MBS
Number
AK040 MEDICAL PRACTITIONER (EMERGENCY PHYSICIAN)
511
$285.00 ATTENDANCES EMERGENCY DEPARTMENT level 4 professional
attendance on a patient at a recognised emergency department of a
private hospital by a medical practitioner who is an emergency physician
in the practice of emergency medicine - attendance for the unscheduled
evaluation and management of a patient requiring the taking of a detailed
history, detailed examination of one or more systems, ordering and
evaluation of appropriate investigations, the formulation and
documentation of a diagnosis and management plan in relation to one or
more problems, the initiation of appropriate treatment interventions,
liaison with relevant health care professionals and discussion with the
patient, his/her agent/s and/or relatives, involving medical decision
making of moderate complexity
AK050 MEDICAL PRACTITIONER (EMERGENCY PHYSICIAN)
515
$445.00 ATTENDANCES EMERGENCY DEPARTMENT level 5 professional
attendance on a patient at a recognised emergency department of a
private hospital by a medical practitioner who is an emergency physician
in the practice of emergency medicine - attendance for the unscheduled
evaluation and management of a patient requiring the taking of a
comprehensive history, comprehensive examination of one or more
systems, ordering and evaluation of appropriate investigations, the
formulation and documentation of a diagnosis and management plan in
relation to one or more problems, the initiation of appropriate treatment
interventions, liaison with relevant health care professionals and
discussion with the patient, his/her agent/s and/or relatives, involving
medical decision making of high complexity
PROLONGED PROFESSIONAL ATTENDANCE - EMERGENCY PHYSICIAN
AK060 MEDICAL PRACTITIONER (EMERGENCY PHYSICIAN)
519
$330.00 ATTENDANCES EMERGENCY DEPARTMENT PROFESSIONAL
ATTENDANCE on a patient at a recognised emergency department of a
private hospital by a medical practitioner who is an emergency physician
in the practice of emergency medicine - attendance for emergency
evaluation of a critically ill patient with an immediately life threatening
problem requiring immediate and rapid assessment, initiation of
resuscitation and electronic vital signs monitoring, comprehensive history
and evaluation whilst undertaking resuscitative measures, ordering and
evaluation of appropriate investigations, transitional evaluation and
monitoring, the formulation and documentation of a diagnosis and
management plan in relation to one or more problems, the initiation of
appropriate treatment interventions, liaison with relevant health care
professionals and discussion with the patient, his/her agent/s and/or
relatives prior to admission to an in-patient hospital bed - for a period of
not less than 30 minutes but less than 1 hours of total physician time
spent with each patient
1 November 2015 Page 33

PROFESSIONAL ATTENDANCES
AMA Number
Fee
PROLONGED PROFESSIONAL
ATTENDANCE - EMERGENCY PHYSICIAN
Description of Medical Service
MBS
Number
AK070 - For a period of not less than 1 hour but less than 2 hours of total
520
$585.00 physician time spent with each patient
AK080 - For a period of not less than 2 hours but less than 3 hours of total 530
$960.00 physician time spent with each patient
AK090 - For a period of not less than 3 hours but less than 4 hours of total 532
$1,330.00 physician time spent with each patient
AK100 - For a period of not less than 4 hours but less than 5 hours of total 534
$1,705.00 physician time spent with each patient
AK110 - For a period of 5 hours or more of total physician time spent with each 536
$1,075.00 patient
PROLONGED PROFESSIONAL ATTENDANCE
AL010 PROFESSIONAL ATTENDANCE (not being a service to which another 160
$325.00 item in this Category applies) on a patient in imminent danger of death.
The time period relates to the total time spent with a single patient, even
if the time spent by the practitioner is not continuous. Attendance on one
patient at risk of imminent death may be provided by one or more
practitioners on the one occasion - for a period of not less than 1 hour
but less than 2 hours
AL020 - For a period of not less than 2 hours but less than 3 hours
161
$525.00
AL030 - For a period of not less than 3 hours but less than 4 hours
162
$715.00
AL040 - For a period of not less than 4 hours but less than 5 hours
163
$890.00
AL050 - For a period of 5 hours or more
164
$1,055.00
GROUP THERAPY (OTHER THAN BY PSYCHIATRIST)
AL500 FAMILY GROUP THERAPY - PROFESSIONAL ATTENDANCE for the 170
$280.00 purpose of GROUP THERAPY of not less than 1 hours 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 2 patients
AL510 - Each group of 3 patients
171
$290.00
AL520 - Each group of 4 or more patients
172
$365.00
Page 34 1 November 2015

PROFESSIONAL ATTENDANCES
ACUPUNCTURE
AMA Number
Fee
ACUPUNCTURE
AL900
$37.50
AL911
$76.00
AL912
$140.00
AL913
$215.00
AL920
$95.00
Description of Medical Service
ACUPUNCTURE performed by a medical practitioner by application of
stimuli on or through the surface of the skin by any means where a
LEVEL A consultation takes place - AT CONSULTING ROOMS
ACUPUNCTURE - AT CONSULTING ROOMS - performed by a medical
practitioner by application of stimuli on or through the surface of the skin
by any means, involving, where clinically relevant:
a) taking a history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
ACUPUNCTURE - AT CONSULTING ROOMS - performed by a medical
practitioner by application of stimuli on or through the surface of the skin
by any means, involving, where clinically relevant:
a) taking a detailed history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
ACUPUNCTURE - AT CONSULTING ROOMS - performed by a medical
practitioner by application of stimuli on or through the surface of the skin
by any means, involving, where clinically relevant:
a) taking an extensive history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
ACUPUNCTURE - AT A PLACE OTHER THAN THE CONSULTING
ROOMS - performed by a medical practitioner by application of stimuli on
or through the surface of the skin by any means where a LEVEL A
consultation takes place
MBS
Number
1 November 2015 Page 35

PROFESSIONAL ATTENDANCES
ACUPUNCTURE
AMA Number
Fee
AL921
$130.00
AL922
$194.00
AL923
$270.00
Description of Medical Service
ACUPUNCTURE - AT A PLACE OTHER THAN THE CONSULTING
ROOMS - performed by a medical practitioner by application of stimuli on
or through the surface of the skin by any means, involving, where
clinically relevant:
a) taking a history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
ACUPUNCTURE - AT A PLACE OTHER THAN THE CONSULTING
ROOMS - performed by a medical practitioner by application of stimuli on
or through the surface of the skin by any means, involving, where
clinically relevant:
a) taking a detailed history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
ACUPUNCTURE - AT A PLACE OTHER THAN THE CONSULTING
ROOMS - performed by a medical practitioner by application of stimuli on
or through the surface of the skin by any means, involving, where
clinically relevant:
a) taking an extensive history;
b) undertaking a clinical examination;
c) arranging any necessary investigation;
d) implementing a management plan;
e) providing appropriate preventive health care, in relation to one or more
health related issues, with appropriate documentation
MBS
Number
Page 36 1 November 2015

PROFESSIONAL ATTENDANCES
CONSULTANT PSYCHIATRIST
AMA Number
Fee
CONSULTANT PSYCHIATRIST
Description of Medical Service
MBS
Number
AM001 PROFESSIONAL ATTENDANCE BY A CONSULTANT PHYSICIAN in 291
$720.00 the practice of his or her specialty of PSYCHIATRY where the patient is
referred for the provision of an assessment and management plan by a
medical practitioner practising in general practice (including a general
practitioner, but not including a specialist or consultant physician) where
the attendance is initiated by that medical practitioner and where the
consultant psychiatrist provides the referring medical practitioner with an
assessment and management plan to be undertaken by that medical
practitioner in general practice for the patient, where clinically
appropriate. An attendance of more than 45 minutes duration at
consulting rooms during which: an outcome tool is used where clinically
appropriate; a mental state examination is conducted; a psychiatric
diagnosis is made; the consultant psychiatrist decides that the patient
can be appropriately managed by the referring medical practitioner
without the need for ongoing treatment by the psychiatrist; a 12 month
management plan, appropriate to the diagnosis, is provided to the
referring medical practitioner which must: a) comprehensively evaluate
biological, psychological and social issues; b) address diagnostic
psychiatric issues; c) make management recommendations addressing
biological, psychological and social issues; and d) be provided to the
medical practitioner within two weeks of completing the assessment of
the patient; the diagnosis and management plan is explained and
provided, unless clinically inappropriate, to the patient and/or the carer
(with the patient's agreement); the diagnosis and management plan is
communicated in writing to the referring medical practitioner. Not being
an attendance on a patient in respect of whom, in the preceding 12
months, payment has been made under this item
AM002 PROFESSIONAL ATTENDANCE BY A CONSULTANT PHYSICIAN in 293
$480.00 the practice of his or her specialty of PSYCHIATRY to review a
management plan previously prepared by that consultant psychiatrist for
a patient and claimed under item AM001, where the review is initiated by
the referring medical practitioner practising in general practice. An
attendance of more than 30 minutes but not more than 45 minutes
duration at consulting rooms where that attendance follows item AM001
and during which: an outcome tool is used where clinically appropriate; a
mental state examination is conducted; a psychiatric diagnosis is made;
a mangement plan provided under item AMA001 is reviewed and
revised; the reviewed management plan is explained and provided,
unless clinically inappropriate, to the patient and/or the carer (with the
patient's agreement); the reviewed management plan is communicated
in writing to the referring medical practitioner. Being an attendance on a
patient in respect of whom, in the preceding 12 months, payment has
been made under item AM001 and no payment has been made under
item AM206, payable no more than once in any 12 month period
1 November 2015 Page 37

PROFESSIONAL ATTENDANCES
CONSULTANT PSYCHIATRIST
AMA Number
Fee
Description of Medical Service
MBS
Number
AM003 PROFESSIONAL ATTENDANCE of more than 45 minutes duration by a 289
$545.00 consultant physician in his or her specialty of PSYCHIATRY, for
assessment, diagnosis and the preparation of a treatment and
management plan for a patient aged under 13 years, with autism or any
other pervasive developmental disorder, who has been referred to the
consultant psychiatrist by a medical practitioner, where the consultant
psychiatrist: a) undertakes a comprehensive assessment of the patient
and forms a diagnosis (using the assistance of one or more allied health
providers where appropriate). b) develops a treatment and management
plan that contains: (i) the outcomes of the assessment; (ii) the diagnosis
or diagnoses; (iii) opinion on risk assessment; (iv) treatment options and
decisions; and (v) appropriate medication recommendations, where
necessary. c) provides a copy of the treatment and management plan to
the: (i) referring practitioner; and (ii) relevant allied health providers
(where appropriate). Not being an attendance on a patient in respect of
whom payment has previously been made under this item or item AJ048
AM004 PROFESSIONAL ATTENDANCE of more than 45 minutes at
296
$390.00 CONSULTING ROOMS by a consultant physician in the practice of his or
her speciality of PSYCHIATRY where a patient is referred to him or her
by a medical practitioner, and where the patient:
- is a NEW PATIENT for this consultant psychiatrist; or
- is a patient who has not received a professional attendance from this
consultant psychiatrist in the preceding 24 months.
Not being an attendance on a patient in respect of whom payment has
been made under this item, items AM006 or AM009, or any of items
AM010 to AM145 or AM180 to AM205 or AM207 in the preceding 24
month period
AM006 PROFESSIONAL ATTENDANCE of more than 45 minutes at HOSPITAL 297
$390.00 by a consultant physician in the practice of his or her speciality of
PSYCHIATRY where a patient is referred to him or her by a medical
practitioner, and where the patient:
- is a NEW PATIENT for this consultant psychiatrist; or
- is a patient who has not received a professional attendance from this
consultant psychiatrist in the preceding 24 months.
Not being an attendance on a patient in respect of whom payment has
been made under this item, items AM004 or AM009 or any of items
AM010 to AM145 or AM180 to AM205 or AM207 in the preceding 24
month period
Page 38 1 November 2015

PROFESSIONAL ATTENDANCES
CONSULTANT PSYCHIATRIST
AMA Number
Fee
Description of Medical Service
MBS
Number
AM009 Professional attendance of more than 45 minutes AT A PLACE OTHER 299
$465.00 THAN CONSULTING ROOMS OR HOSPITAL by a consultant physician
in the practice of his or her speciality of PSYCHIATRY where a patient is
referred to him or her by a medical practitioner, and where the patient:
- is a NEW patient for this consultant psychiatrist; or
- is a patient who has not received a professional attendance from this
consultant psychiatrist in the preceding 24 months.
Not being an attendance on a patient in respect of whom payment has
been made under this item, items AM004 or AM006, or any of items
AM010 to AM145 or AM180 to AM205 or AM207 in the preceding 24
month period
NOTE: Users of the AMA List should note that there is a discrepancy between the AMA List and
the MBS. The MBS has "stepdowns" of benefits after a patient has seen a psychiatrist more
than a certain number of times in a calendar year. Psychiatrists should ensure that their
patients are appropriately informed about the discrepancy between the AMA List and the MBS,
and that their patients understand the discrepancy and its impact upon them.
AM010
$87.00
AM015
$174.00
AM025
$260.00
AM035
$350.00
AM045
$395.00
AM055
$440.00
PROFESSIONAL ATTENDANCE AT CONSULTING ROOMS 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
- An attendance of more than 15 minutes duration but not more than 30
minutes duration at consulting rooms
- An attendance of more than 30 minutes duration but not more than 45
minutes duration at consulting rooms
- An attendance of more than 45 minutes duration but not more than 60
minutes duration at consulting rooms
- An attendance of more than 60 minutes duration but not more than 75
minutes duration
- An attendance of more than 75 minutes duration at consulting rooms
AM065 PROFESSIONAL ATTENDANCE AT HOSPITAL BY A CONSULTANT 320
$88.00 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 at hospital
AM075 - An attendance of more than 15 minutes duration but not more than 30 322
$174.00 minutes duration at hospital
AM085 - An attendance of more than 30 minutes duration but not more than 45 324
$260.00 minutes duration at hospital
1 November 2015 Page 39

PROFESSIONAL ATTENDANCES
CONSULTANT PSYCHIATRIST
AMA Number
Fee
AM095
$350.00
AM100
$395.00
Description of Medical Service
- An attendance of more than 45 minutes duration but not more than 60
minutes duration at hospital
- An attendance of more than 60 minutes duration but not more than 75
minutes duration at hospital
MBS
Number
AM105 - An attendance of more than 75 minutes duration at hospital
328
$440.00
NOTE: The following home visit items now also incorporate visits to patients at residential
aged care facilities.
AM106 PROFESSIONAL ATTENDANCE BY A CONSULTANT PHYSICIAN 330
$144.00 FOR A HOME VISIT 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 or hospital
AM107 - An attendance of more than 15 minutes duration but not more than 30 332
$230.00 minutes duration where that attendance is at a place other than
consulting rooms or hospital
AM108 - An attendance of more than 30 minutes duration but not more than 45 334
$315.00 minutes duration where that attendance is at a place other than
consulting rooms or hospital
AM109
$405.00
AM110
$455.00
- An attendance of more than 45 minutes duration but not more than 60
minutes duration where that attendance is at a place other than
consulting rooms or hospital.
- An attendance of more than 60 minutes duration but not more than 75
minutes duration where that attendance is at a place other than
consulting rooms or hospital
AM111 - An attendance of more than 75 minutes duration where that attendance 338
$490.00 is at a place other than consulting rooms or hospital
AM125 CONSULTANT PSYCHIATRIST - GROUP PSYCHOTHERAPY
342
$108.00 (including any associated consultation with a patient taking place on the
same occasion and relating to the condition for which group therapy is
conducted) of not less than 1 hours duration given under the continuous
direct supervision of a consultant physician in the practice of his or her
specialty of psychiatry where the patients are referred to him or her by a
medical practitioner - GROUP PSYCHOTHERAPY on a group of 2 to 9
unrelated patients OR FAMILY GROUP PSYCHOTHERAPY of more
than 3 patients, EACH PATIENT
AM135 FAMILY GROUP PSYCHOTHERAPY on a group of 3 patients, EACH 344
$140.00 PATIENT
Page 40 1 November 2015

PROFESSIONAL ATTENDANCES
CONSULTANT PSYCHIATRIST
AMA Number
Fee
Description of Medical Service
MBS
Number
AM145 FAMILY GROUP PSYCHOTHERAPY on a group of 2 patients, EACH 346
$210.00 PATIENT
AM155 PROFESSIONAL ATTENDANCE by a consultant physician in the
348
$260.00 practice of his or her specialty of PSYCHIATRY, where the patient is
referred to him or her by a medical practitioner, involving an INTERVIEW
OF A PERSON OTHER THAN THE PATIENT- SURGERY, HOSPITAL
OR RESIDENTIAL AGED CARE FACILITY - an attendance of not less
than 20 minutes duration but less than 45 minutes duration, in the course
of initial diagnostic evaluation of a patient
AM165 - An attendance of not less than 45 minutes duration
350
$350.00
AM175 PROFESSIONAL ATTENDANCE by a consultant physician in the
352
$178.00 practice of his or her specialty of PSYCHIATRY, where the patient is
referred to him or her by a medical practitioner, involving an interview of
a PERSON OTHER THAN THE PATIENT of not less than 20 minutes
duration, in the course of continuing management of a patient - payable
not more than 4 times in any 12 month period
AM180
$104.00
AM185
$205.00
AM190
$300.00
AM195
$415.00
AM200
$460.00
AM205
$510.00
TELEPSYCHIATRY CONSULTATION by a consultant physician in the
practice of his or her speciality of PSYCHIATRY where the patient is
referred to him or her by a medical practitioner for assessment, diagnosis
and/or treatment - an attendance of not more than 15 minutes duration
- An attendance of more than 15 minutes duration but not more than 30
minutes duration
- An attendance of more than 30 minutes duration but not more than 45
minutes duration
- An attendance of more than 45 minutes duration but not more than 60
minutes duration
- An attendance of more than 60 minutes duration but not more than 75
minutes duration
- An attendance of more than 75 minutes duration
1 November 2015 Page 41

PROFESSIONAL ATTENDANCES
CONSULTANT PSYCHIATRIST
AMA Number
Fee
Description of Medical Service
MBS
Number
AM206 A telepsychiatry consultation of more than 30 minutes but not more than 359
$550.00 45 minutes duration by a consultant physician in the practice of his or her
specialty of PSYCHIATRY where:-the patient is located in a regional,
rural or remote area (RRMA 3-7); in the preceding 12 months, payment
has been made under item AM001; an outcome tool is used where
clinically appropriate; a mental state examination is conducted; a
psychiatric diagnosis is made; a management plan provided under Item
AM001 is reviewed and revised; the reviewed management plan is
explained and provided, unless clinically inappropriate, to the patient
and/or the carer (with the patient’s agreement); the reviewed
management plan is communicated in writing to the referring medical
practitioner. Not being an attendance on a patient in respect of whom
payment has been made under this item or item AM002 in the preceding
12 month period
AM207 A telepsychiatry consultation of more than 45 minutes by a consultant 361
$445.00 physician in the practice of his or her specialty of PSYCHIATRY where:
the patient is a NEW patient for this consultant psychiatrist, or a patient
who has not received a professional attendance from this consultant
psychiatrist in the preceding 24 months; the patient is located in a
regional, rural or remote area (RRMA3-7). Not being an attendance on a
patient in respect of whom payment has been made under this item,
items AM004-AM009, or any of items AM010 to AM145 or AM180 to
AM205 in the preceding 24 month period
CONSULTANT PSYCHIATRIST - CASE CONFERENCES
AM210 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 855
$245.00 or her speciality of PSYCHIATRY, as a member of a case conference
team, to ORGANISE AND CO-ORDINATE A COMMUNITY CASE
CONFERENCE of at least 15 minutes, but less than 30 minutes with a
multidisciplinary team of at least two other formal care providers of
different disciplines
AM215 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 857
$370.00 or her speciality of PSYCHIATRY, as a member of a case conference
team, to ORGANISE AND CO-ORDINATE A COMMUNITY CASE
CONFERENCE of at least 30 minutes, but less than 45 minutes with a
multidisciplinary team of at least two other formal care providers of
different disciplines
AM220 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 858
$495.00 or her speciality of PSYCHIATRY, as a member of a case conference
team, to ORGANISE AND CO-ORDINATE A COMMUNITY CASE
CONFERENCE of at least 45 minutes with a multidisciplinary team of at
least two other formal care providers of different disciplines
Page 42 1 November 2015

PROFESSIONAL ATTENDANCES
AMA Number
Fee
Description of Medical Service
CONSULTANT PSYCHIATRIST - CASE
CONFERENCES
MBS
Number
AM230 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 861
$245.00 or her speciality of PSYCHIATRY, as a member of a case conference
team, to ORGANISE AND CO-ORDINATE A DISCHARGE CASE
CONFERENCE of at least 15 minutes, but less than 30 minutes with a
multidisciplinary team of at least two other formal care providers of
different disciplines
AM235 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 864
$370.00 or her speciality of PSYCHIATRY, as a member of a case conference
team, to ORGANISE AND CO-ORDINATE A DISCHARGE CASE
CONFERENCE of at least 30 minutes, but less than 45 minutes with a
multidisciplinary team of at least two other formal care providers of
different disciplines
AM240 ATTENDANCE BY A CONSULTANT PHYSICIAN in the practice of his 866
$495.00 or her speciality of PSYCHIATRY, as a member of a case conference
team, to ORGANISE AND CO-ORDINATE A DISCHARGE CASE
CONFERENCE of at least 45 minutes with a multidisciplinary team of at
least two other formal care providers of different disciplines
CONTACT LENSES
AP010
$265.00
AP020
$14.20
INVESTIGATION and EVALUATION of a patient for the fitting of
CONTACT LENSES, with keratometry and testing with trial lenses and
the issue of a prescription - ONE SERVICE IN ANY PERIOD OF
THIRTY-SIX CONSECUTIVE MONTHS
REFITTING OF CONTACT LENSES with keratometry and testing with
trial lenses and the issue of a prescription being a subsequent fitting of
contact lenses within a period of thirty-six months of the initial fitting
which is covered by item AP010
1 November 2015 Page 43

PROFESSIONAL ATTENDANCES
VIDEO CONSULTATION
AMA Number
Fee
Description of Medical Service
MBS
Number
VIDEO CONSULTATION
NOTE: The AMA recognises that costs for providing video consultations can vary accordingly
to practice type, location and utilisation. The AMA has developed the Video Consultation Fees
Calculator to assist members in determining fees based on their own practice cost experience
and expected utilisation. Members can access the Video Consultation Fees Calculator at
https://ama.com.au/article/video-consultation-items-and-fees-calculator.
Where the treating medical practitioner considers it not necessary for the patient to be
supported by a medical practitioner, practice nurse or registered Aboriginal health worker, the
medical practice at the patient end should be entitled to charge the patient a facility fee to cover
the costs.
Where the patient does not attend, or cancels a video consultation at short notice, the medical
practice should be entitled to charge a fee to cover the costs of arranging the consultation.
This fee would be 50% of the fee that would have applied had the video consultation taken
place. Medical practitioners are encouraged to inform their patients of such fees prior to
booking the patient for video consultation.
AP040
$235.00
AP041
$235.00
AP042
$235.00
Provision of a video consultation by a medical practitioner, being a
service associated with the relevant attendance item
Professional attendance by a medical practitioner rendered to a patient
during a video consultation with another medical practitioner
Service provided by a practice nurse or a registered Aboriginal Health
Worker on behalf of, and under the supervision of, a medical practitioner,
to a patient during a video consultation with a medical practitioner
TELEHEALTH ITEMS
Following is a series of items and suggested fees which can be used as guidance for
practitioners in determining fees for "Telehealth". Please refer to the notes following this
section for an explanation of these items.
Any additional reports generated from these considerations, e.g. for insurance or medico-legal
purposes, should be considered in line with existing relevant guidelines.
AP050
$126.00
AP055
$168.00
AP060
$110.00
AP065
$142.00
CONSIDERATION OF WRITTEN, PHONED, FAXED, OR E-MAILED
INFORMATION and the furnishing of an opinion (with or without a short
written report) by similar means.
- simple: conducted by a recognised specialist or consultant physician
- complex: conducted by a recognised specialist or consultant physician
- simple: conducted by a medical practitioner other than a recognised
specialist or consultant physician
- complex: conducted by a medical practitioner other than a recognised
specialist or consultant physician
Page 44 1 November 2015

PROFESSIONAL ATTENDANCES
TELEHEALTH ITEMS
AMA Number
Fee
AP070
$152.00
AP075
$194.00
AP080
$126.00
AP085
$152.00
AP090
$152.00
AP095
$194.00
AP100
$126.00
AP105
$152.00
Description of Medical Service
CONSIDERATION OF WRITTEN, PHONED, FAXED OR E-MAILED
INFORMATION with examination of ELECTRONICALLY/DIGITALLY
TRANSMITTED X-RAYS and the furnishing of an opinion (with or without
a short written report) by similar means.
- simple: conducted by a recognised specialist or consultant physician
- complex: conducted by a recognised specialist or consultant physician
- simple: conducted by a medical practitioner other than a recognised
specialist or consultant physician
- complex: conducted by a medical practitioner other than a recognised
specialist or consultant physician
CONSIDERATION OF WRITTEN, PHONED, FAXED OR E-MAILED
INFORMATION with EXAMINATION OF
ELECTRONICALLY/DIGITALLY TRANSMITTED PHOTOGRAPHS OR
LIKE IMAGES and the furnishing of an opinion (with or without a short
written report) by similar means.
- simple: conducted by a recognised specialist or consultant physician
- complex: conducted by a recognised specialist or consultant physician
- simple: conducted by a medical practitioner other than a recognised
specialist or consultant physician
- complex: conducted by a medical practitioner other than a recognised
specialist or consultant physician
MBS
Number
1 November 2015 Page 45

TELEHEALTH
NOTES
The benefits of technological change have now extended to, and are continuing to extend further
into, professional health care services. The use of telehealth facilities is continuing to grow in
Australia with benefits which include the ability of a professional expert, remote from the patient,
to see for him/herself the clinical situation of his/her patient and to interact with that patient and
his/her attending medical practitioner. The greatest potential for benefit lies in the application of
technology to the needs of the less well-serviced rural and remote communities. An important
application of this is the examination of, and the provision of opinions and reports in respect of,
written, phoned, faxed or e-mailed information as well as electronically/digitally transmitted X-
rays, photographs and other images.
The preceding items (AP050 to AP105) are set out as a guide and the utilisation of such items
should have regard to appropriate standards of practice. Such practices should have the support
of the involved medical practitioner’s College, Society or Association. Given the rapid rate of
technological change in this area, these items will be reviewed each year, and amended if
necessary. The suggested fee includes any facility fee costs.
In undertaking usage of these items for telehealth the medical practitioner would be well advised
to have regard for the following issues:
i. Agreement on the roles and responsibilities between the local and distant practitioner.
ii.
iii.
iv.
Reliability of the electronic infrastructure as a suitable substitute for the face-to-face
equivalents.
Security of patient information transmitted across potentially insecure networks.
Problems of across border practice: e.g. dual registration, medical defence cover, etc.
v. Confidentiality, medical records and intellectual property issues.
vi.
vii.
viii.
Possible formulation of practice guidelines and protocols to ensure consistent, quality
practice.
Attention to agreements/contracts between persons/institutions involved in telehealth.
Understanding that telehealth techniques might raise, inadvertently, patients’ expectations
of care with increasing risk of litigation.
The risk of “new” legal issues provoked by the telehealth interaction might well depend on the
type of service and the extent that such interaction deviates from the accepted and more
conventional pattern of medical practice.
In addition to the preceding items, the case conferencing items for GPs (see AMA item numbers
AA584 to AA670), for Consultant Physicians (AJ051 to AJ121) and for Consultant Physicians or
Specialists practising in the speciality of pain or palliative medicine (AF070 to AF180 and AF260
to AF370) have a telehealth application. These items allow not only for face-to-face conferences,
but also conferences via telephone or video link, or a combination of these, provided that all
participants remain in communication with each other throughout the conference.
GST Status: As a general rule, medical services provided by one of the electronic health modes
outlined above will have the same GST status as non-telehealth delivered medical services. If in
doubt, members should seek professional advice.
Page 46 1 November 2015

Diagnostic
Procedures &
Investigations

DIAGNOSTIC PROCEDURES
NEUROLOGY
AMA Number
Fee
NEUROLOGY
Description of Medical Service
MBS
Number
AP300 ELECTROENCEPHALOGRAPHY, not being a service associated with a 11000
$345.00 service to which item AP310, AP340 or AP350 applies or a service
involving quantitative topographic mapping using neurometrics or similar
devices
AP310
$695.00
AP320
$1,540.00
AP325
$1,540.00
AP330
$1,415.00
AP335
$1,415.00
ELECTROENCEPHALOGRAPHY, prolonged recording 3-24 hours, not
being a service associated with a service to which item AP300, AP340 or
AP350 applies or a service involving quantitative topographic mapping
using neurometrics or similar devices
ELECTROENCEPHALOGRAPHY - ambulatory monitoring 3-24 hours on
first day of service, not being a service associated with a service
involving quantitative topographic mapping using neurometrics or similar
devices
ELECTROENCEPHALOGRAPHY - ambulatory monitoring 3-24 hours on
second and subsequent days of service, not being a service associated
with a service involving quantitative topographic mapping using
neurometrics or similar devices
ELECTROENCEPHALOGRAPHY - video monitoring (telemetry) 3-24
hours on first day of service, not being a service associated with a
service involving quantitative topographic mapping using neurometrics or
similar devices
ELECTROENCEPHALOGRAPHY - video monitoring (telemetry) 3-24
hours on second and subsequent days of service, not being a service
associated with a service involving quantitative topographic mapping
using neurometrics or similar devices
AP340 ELECTROENCEPHALOGRAPHY, temporosphenoidal, not being a 11006
$360.00 service involving quantitative topographic mapping using neurometrics or
similar devices
AP350 ELECTROCORTICOGRAPHY
11009
$480.00
AP360 NEUROMUSCULAR ELECTRODIAGNOSIS - conduction studies on 1 11012
$265.00 nerve OR ELECTROMYOGRAPHY of 1 or more muscles using
concentric needle electrodes OR both these examinations (not being a
service associated with a service to which item AP370 or AP380 applies)
AP370 NEUROMUSCULAR ELECTRODIAGNOSIS - conduction studies on 2 or 11015
$365.00 3 nerves with or without electromyography (not being a service
associated with a service to which item AP360 or AP380 applies)
Page 48 1 November 2015

DIAGNOSTIC PROCEDURES
NEUROLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
AP380 NEUROMUSCULAR ELECTRODIAGNOSIS - conduction studies on 4 or 11018
$530.00 more nerves WITH OR WITHOUT ELECTROMYOGRAPHY OR
recordings from single fibres of nerves and muscles OR both of these
examinations (not being a service associated with a service to which item
AP360 or AP370 applies)
AP390 NEUROMUSCULAR ELECTRODIAGNOSIS - repetitive stimulation for 11021
$365.00 study of neuromuscular conduction OR ELECTROMYOGRAPHY with
quantitative computerised analysis OR both of these examinations
NOTE: Medicare benefits are not payable for items AP400 and AP410 if used for Multifocal
Multichannel Objective Perimetry (MMOP).
AP400 CENTRAL NERVOUS SYSTEM EVOKED RESPONSES,
11024
$240.00 INVESTIGATION OF, by computerised averaging techniques - 1 or 2
studies, not being a service involving quantitative topographic mapping of
event-related potentials
AP410 CENTRAL NERVOUS SYSTEM EVOKED RESPONSES,
11027
$355.00 INVESTIGATION OF, by computerised averaging techniques - 3 or more
studies, not being a service involving quantitative topographic mapping of
event-related potentials
OPHTHALMOLOGY
AQ010
$45.50
REFRACTION when performed in association with an ophthalmological
examination
AQ020 PROVOCATIVE TEST OR TESTS FOR OPEN ANGLE GLAUCOMA, 11200
$86.00 including water drinking
NOTE: Current professional guidelines and standards for electroretinography,
electrooculography and pattern retinography are produced by the International Society for
Clinical Electrophysiology of Vision (ISCEV).
AQ038 ELECTRORETINOGRAPHY of one or both eyes by computerised 11204
$196.00 averaging techniques, including 3 or more studies performed according
to current professional guidelines or standards
AQ039 ELECTROOCULOGRAPHY of one or both eyes performed according to 11205
$196.00 current professional guidelines or standards
AQ041 PATTERN ELECTRORETINOGRAPHY of one or both eyes by
11210
$196.00 computerised averaging techniques, including 3 or more studies
performed according to current professional guidelines or standards
AQ042 DARK ADAPTOMETRY of one or both eyes with a quantitative (log 11211
$196.00 cd/m2) estimation of threshold in log lumens at 45 minutes of dark
adaptations
AQ050 ELECTRORETINOGRAPHY of 1 or both eyes AND ELECTRO-
11209
$340.00 OCULOGRAPHY of 1 or both eyes
1 November 2015 Page 49

DIAGNOSTIC PROCEDURES
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
AQ070 RETINAL PHOTOGRAPHY, multiple exposures, of 1 eye with
11215
$340.00 intravenous dye injection
AQ080 RETINAL PHOTOGRAPHY, multiple exposures of both eyes with 11218
$430.00 intravenous dye injection
AQ090 FULL QUANTITATIVE COMPUTERISED PERIMETRY - (automated 11221
$245.00 absolute static threshold) not being a service involving multifocal
multichannel objective perimetry, performed by or on behalf of a
specialist in the practice of his or her specialty, where indicated by the
presence of relevant ocular disease or suspected pathology of the visual
pathways or brain with assessment and report, bilateral - to a maximum
of 2 examinations (including examinations to which item AQ100 applies)
in any 12 month period
AQ095 FULL QUANTITATIVE COMPUTERISED PERIMETRY - (automated 11222
$245.00 absolute static threshold) not being a service involving multifocal
multichannel objective perimetry, performed by or on behalf of a
specialist in the practice of his or her specialty, with assessment and
report, bilateral - where it can be demonstrated that a further examination
is indicated in the same 12 month period to which item AQ090 applies,
due to presence of one of the following conditions:- established
glaucoma (where surgery may be required within a six month period)
where there has been a definite progression of damage over a 12 month
period; established neurologic disease which may be progressive and
where a visual field is necessary for the management of the patient; or
monitoring for ocular disease or disease of the visual pathways which
may be caused by systemic drug toxicity, where there may also be other
disease such as glaucoma or neurologic disease
AQ100 FULL QUANTITATIVE COMPUTERISED PERIMETRY - (automated 11224
$134.00 absolute static threshold) not being a service involving multifocal
multichannel objective perimetry, performed by or on behalf of a
specialist in the practice of his or her specialty, where indicated by the
presence of relevant ocular disease or suspected pathology of the visual
pathways or brain with assessment and report, unilateral - to a maximum
of 2 examinations (including examinations to which item AQ090 applies)
in any 12 month period
Page 50 1 November 2015

DIAGNOSTIC PROCEDURES
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
AQ105 FULL QUANTITATIVE COMPUTERISED PERIMETRY - (automated 11225
$134.00 absolute static threshold) not being a service involving multifocal
multichannel objective perimetry, performed by or on behalf of a
specialist in the practice of his or her specialty, with assessment and
report, unilateral, where it can be demonstrated that a further
examination is indicated in the same 12 month period to which item
AQ100 applies, due to presence of one of the following conditions:-
established glaucoma (where surgery may be required within a 6 month
period) where there has been definite progression of damage over a 12
month period; established neurologic disease which may be progressive
and where a visual field is necessary for the management of the patient;
or monitoring for ocular disease or disease of the visual pathways which
may be caused by systemic drug toxicity, where there may also be other
disease such as glaucoma or neurologic disease
AQ110 EXAMINATION OF THE EYE BY IMPRESSION CYTOLOGY OF 11235
$340.00 CORNEA for the investigation of ocular surface dysplasia, including the
collection of cells, processing and all cytological examinations and
preparation of report
AQ113 OCULAR CONTENTS, simultaneous ultrasonic echography by both 11237
$194.00 unidimensional and bidimensional techniques, for the diagnosis
monitoring or measurement of choroidal and ciliary body melanomas,
retinoblastoma or suspicious naevi or simulating lesions, one eye, not
being a service associated with a service to which items in the
Ultrasound Section apply
AQ115 ORBITAL CONTENTS, ultrasonic echography of, unidimensional, for the 11240
$194.00 measurment of one eye prior to lens surgery on that eye, not being a
service associated with a service to which items in the Ultrasound
Section apply
AQ116 ORBITAL CONTENTS, ultrasonic echography of, unidimensional, for 11241
$290.00 bilateral eye measurement prior to lens surgery on both eyes, not being a
service assiciated with a service to which items in Ultrasound Section
apply
AQ117 ORBITAL CONTENTS, ultrasonic echography of, unidimensional, for the 11242
$194.00 measurement of an eye previously measured and on which lens surgery
has been performed, and where further lens surgery is contemplated in
that eye, not being a service associated with a service to which items in
the Ultrasound Section apply
AQ118 ORBITAL CONTENTS, ultrasonic echography of, unidimensional, for the 11243
$194.00 measurement of a second eye where surgery for the first eye has
resulted in more than 1 dioptre of error or where more than 3 years have
elapsed since the surgery for the first eye, not being a service associated
with a service to which items in the Ultrasound Section apply
1 November 2015 Page 51

DIAGNOSTIC PROCEDURES
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
AQ119 ORBITAL CONTENTS, diagnostic B-scan of, by a specialist practising in 11244
$194.00 his or her speciality of ophthalmology, not being a service associated
with a service to which items in the Ultrasound Section apply
AQ120
$240.00
AQ121
$134.00
OTOLARYNGOLOGY
CORNEAL TOPOGRAPHY, computerised corneal mapping by a
dedicated machine, bilateral
CORNEAL TOPOGRAPHY, computerised corneal mapping by a
dedicated machine, unilateral
AQ510 BRAIN STEM EVOKED RESPONSE AUDIOMETRY
11300
$420.00
AQ520 ELECTROCOCHLEOGRAPHY, extratympanic method, 1 or both ears 11303
$415.00
AQ530 ELECTROCOCHLEOGRAPHY, transtympanic membrane insertion 11304
$680.00 technique, 1 or both ears
AQ540 Non-determinate AUDIOMETRY
11306
$46.50
AQ550 AUDIOGRAM, air conduction
11309
$55.00
AQ560 AUDIOGRAM, air and bone conduction or air conduction and speech 11312
$80.00 discrimination
AQ570 AUDIOGRAM, air and bone conduction and speech
11315
$104.00
AQ580 AUDIOGRAM, air and bone conduction and speech, with other Cochlear 11318
$132.00 tests
AQ590 GLYCEROL INDUCED COCHLEAR FUNCTION CHANGES assessed 11321
$245.00 by a minimum of 4 air conduction and speech discrimination tests
(Klockoff's test)
AQ600
$255.00
OTO-ACOUSTIC EMISSION AUDIOMETRY
AQ610 IMPEDANCE AUDIOGRAM involving tympanometry and measurement 11324
$80.00 of static compliance and acoustic reflex performed by, or on behalf of, a
specialist in the practice of his or her specialty, where the patient is
referred by a medical practitioner - not being a service associated with a
service to which item AQ550, AQ560, AQ570 or AQ580 applies
Page 52 1 November 2015

DIAGNOSTIC PROCEDURES
OTOLARYNGOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
AQ620 IMPEDANCE AUDIOGRAM involving tympanometry and measurement 11327
$50.00 of static compliance and acoustic reflex performed by, or on behalf of, a
specialist in the practice of his or her specialty, where the patient is
referred by a medical practitioner - being a service associated with a
service to which item AQ550, AQ560, AQ570 or AQ580 applies
AQ630 IMPEDANCE AUDIOGRAM where the patient is not referred by a 11330
$40.00 medical practitioner - 1 examination in any 4 week period
AQ640 CALORIC TEST OF LABYRINTH OR LABYRINTHS
11333
$91.00
AQ650 SIMULTANEOUS BITHERMAL CALORIC TEST OF LABYRINTHS 11336
$91.00
AQ660 ELECTRONYSTAGMOGRAPHY
11339
$91.00
RESPIRATORY
AR500 BRONCHOSPIROMETRY, including gas analysis
11500
$355.00
AR510 MEASUREMENT OF THE MECHANICAL OR GAS EXCHANGE 11503
$350.00 FUNCTION OF THE RESPIRATORY SYSTEM, OR OF RESPIRATORY
MUSCLE FUNCTION, OR OF VENTILATORY CONTROL
MECHANISMS, using measurements of various parameters including
pressures, volumes, flow, gas concentrations in inspired or expired air,
alveolar gas or blood, electrical activity of muscles (the tests being
performed under the supervision of a specialist or consultant physician or
in the respiratory laboratory of a hospital) - each occasion at which 1 or
more such tests are performed, not being a service associated with a
service to which item CV019 applies
AR520 MEASUREMENT OF RESPIRATORY FUNCTION involving a
11506
$44.00 permanently recorded tracing performed before and after inhalation of
bronchodilator - each occasion at which 1 or more such tests are
performed
AR530 MEASUREMENT OF RESPIRATORY FUNCTION involving a
11509
$88.00 permanently recorded tracing and written report, performed before and
after inhalation of bronchodilator, with continuous technician attendance
in a laboratory equipped to perform complex respiratory function tests
(the tests being performed under the supervision of a specialist or
consultant physician or in the respiratory laboratory of a hospital) - each
occasion at which 1 or more such tests are performed
1 November 2015 Page 53

DIAGNOSTIC PROCEDURES
RESPIRATORY
AMA Number
Fee
Description of Medical Service
MBS
Number
AR540 CONTINUOUS MEASUREMENT OF THE RELATIONSHIP BETWEEN 11512
$132.00 FLOW AND VOLUME DURING EXPIRATION OR INSPIRATION
involving a permanently recorded tracing and written report, performed
before and after inhalation of bronchodilator, with continuous technician
attendance in a laboratory equipped to perform complex lung function
tests (the tests being performed under the supervision of a specialist or
consultant physician or in the respiratory laboratory of a hospital) - each
occasion at which 1 or more such tests are performed
VASCULAR
AT005
$12.40
AT015
$45.50
VENEPUNCTURE AND THE COLLECTION OF BLOOD for forwarding
to an APPROVED PATHOLOGY PRACTITIONER for the performance
of a pathology service, where the referring medical practitioner is not a
member of a group of practitioners of which the approved pathology
practitioner is a member - one or more such procedures during the one
attendance
BLOOD SPECIMEN for pathology test, INTRAVENOUS COLLECTION
OF, for forwarding to another medical practitioner
AT025 BLOOD PRESSURE MONITORING (central venous, pulmonary arterial, 11600
$130.00 systemic arterial or cardiac intracavity), by indwelling catheter - each day
of monitoring for each pressure up to a maximum of 4 pressures (not
being a service to which item BM025 applies and where not performed in
association with the administration of anaesthesia)
AT030 INVESTIGATION OF VENOUS REFLUX OR OBSTRUCTION in one or 11602
$96.00 more limbs at rest by CW Doppler or pulsed Doppler involving
examination at multiple sites along the limb using intermittent limb
compression or Valsalva manouevres, or both, to detect prograde and
retrograde flow, other than a service associated with a service to which
item EQ005 or EQ006 applies - hard copy trace and written report, the
report component of which must be performed by a medical practitioner,
maximum of two examinations in a 12 month period, not to be used in
conjuction with sclerotherapy
AT040 INVESTIGATION OF CHRONIC VENOUS DISEASE in the upper and 11604
$96.00 lower extremities, one or more limbs, by plethysmography (excluding
photoplethysmography) - examination, hard copy trace and written
report, not being a service associated with a service to which item
EQ005 or EQ006 applies
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DIAGNOSTIC PROCEDURES
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
AT050 INVESTIGATION OF COMPLEX CHRONIC LOWER LIMB REFLUX OR 11605
$96.00 OBSTRUCTION, in one or more limbs, by infrared
photoplethysmography, during and following exercise to determine
surgical intervention or the conservative management of deep venous
thrombotic disease, hard copy trace, calculation of 90% recovery time
and written report, not being a service associated with a service to which
item EQ005 or EQ006 applies
AT060 MEASUREMENT OF ANKLE: BRACHIAL INDICES AND ARTERIAL 11610
$96.00 WAVEFORM ANALYSIS, measurement of posterior tibial and dorsalis
pedis (or toe) and brachial arterial pressures bilaterally using Doppler or
plethysmographic techniques, the calculation of ankle (or toe) brachial
systolic pressure indices and assessment of arterial waveforms for the
evaluation of lower extremity arterial disease, examination, hard copy
trace and report
AT070 MEASUREMENT OF WRIST: BRACHIAL INDICES AND ARTERIAL 11611
$96.00 WAVEFORM ANALYSIS, measurement of radial and ulnar (or finger)
and brachial arterial pressures bilaterally using Doppler or
plethysmographic techniques, the calculation of the wrist (or finger)
brachial systolic pressure indices and assessment of arterial waveforms
for the evaluation of upper extremity arterial disease, examination, hard
copy trace and report
AT075 EXERCISE STUDY FOR THE EVALUATION OF LOWER EXTREMITY 11612
$180.00 ARTERIAL DISEASE, measurement of posterior tibial and dorsalis pedis
(or toe) and brachial arterial pressures bilaterally using Doppler or
plethysmographic techniques, the calculation of ankle (or toe) brachial
systolic pressure indices for the evaluation of lower extremity arterial
disease at rest and following exercise using a treadmill or bicycle
ergometer or other such equipment where the exercise workload is
quantifiably documented, examination and report
AT080 TRANSCRANIAL DOPPLER, examination of the intracranial arterial 11614
$96.00 circulation using CW Doppler or pulsed Doppler with hard copy
recordings of waveforms, examination and report, not associated with a
service to which item OB152 applies
AT085 MEASUREMENT OF DIGITAL TEMPERATURE, 1 or more digits, 11615
$144.00 (unilateral or bilateral) and report, with hard copy recording of
temperature before and for 10 minutes or more after cold stress testing
AT125 PULMONARY ARTERY pressure monitoring during open heart surgery, 11627
$515.00 in a person under 12 years of age
CARDIOVASCULAR
AV100 TWELVE-LEAD ELECTROCARDIOGRAPHY, tracing and report 11700
$104.00
1 November 2015 Page 55

DIAGNOSTIC PROCEDURES
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
AV110 Twelve-lead electrocardiography, report only where the tracing has been 11701
$52.00 forwarded to another medical practitioner, not in association with a
consultation on the same occasion
AV120 TWELVE-LEAD ELECTROCARDIOGRAPHY, tracing only
11702
$52.00
AV140 CONTINUOUS ECG RECORDING of ambulatory patient for 12 or more 11708
$300.00 hours (including resting ECG and the recording of parameters), NOT IN
ASSOCIATION WITH AMBULATORY BLOOD PRESSURE
MONITORING, involving microprocessor based analysis equipment,
interpretation and report of recordings by a specialist physician or
consultant physician, not being a service to which item AV150 applies
AV150 CONTINUOUS ECG RECORDING (Holter) of ambulatory patient for 12 11709
$395.00 or more hours (including resting ECG and the recording of parameters),
NOT IN ASSOCIATION WITH AMBULATORY BLOOD PRESSURE
MONITORING, utilising a system capable of superimposition and full
disclosure printout of at least 12 hours of recorded ECG data,
microprocessor based scanning analysis, with interpretation and report
by a specialist physician or consultant physician
AV160 AMBULATORY ECG MONITORING, patient activated, single or multiple 11710
$110.00 event recording, utilising a looping memory recording device which is
connected continuously to the patient for 12 hours or more and is
capable of recording for at least 20 seconds prior to each activation and
for 15 seconds after each activation, including transmission, analysis,
interpretation and report - payable once in any 4 week period
AV170 AMBULATORY ECG MONITORING for 12 hours or more, patient 11711
$60.00 activated, single or multiple event recording, utilising a memory recording
device which is capable of recording for at least 30 seconds after each
activation, including transmission, analysis, interpretation and report -
payable once in any 4 week period
AV180 MULTI CHANNEL ECG MONITORING and recording during exercise 11712
$365.00 (motorised treadmill or cycle ergometer capable of quantifying external
workload in watts) or pharmacological stress, involving the continuous
attendance of a medical practitioner for not less than 20 minutes, WITH
RESTING ECG, and with or without continuous blood pressure
monitoring and the recording of other parameters, on premises equipped
with mechanical respirator and defibrillator
AV190 SIGNAL AVERAGED ECG RECORDING involving not more than 300 11713
$210.00 beats, using at least 3 leads with data acquisition at not less than
1000Hz of at least 100 QRS complexes, including analysis, interpretation
and report of recording by a specialist physician or consultant physician
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DIAGNOSTIC PROCEDURES
CARDIOVASCULAR
AMA Number
Fee
‡
†
†
‡
†
Description of Medical Service
MBS
Number
AV200 BLOOD DYE - DILUTION INDICATOR TEST
11715
$240.00
AV210 IMPLANTED PACEMAKER TESTING INVOLVING
11718
$104.00 ELECTROCARDIOGRAPHY, measurement of rate, width and amplitude
of stimulus, including reprogramming when required, not being a service
associated with a service to which item AV100, AV213, AV216, AV220,
AV233 or AV234 applies
AV213 IMPLANTED PACEMAKER (including Cardiac Resynchronisation 11719
$200.00 Pacemaker) REMOTE MONITORING involving reviews (without patient
attendance) of arrhythmias, lead and device parameters, if at least one
remote review is provided in a 12 month period. Payable once in any 12
month period
AV216 IMPLANTED PACEMAKER TESTING, with patient attendance, following 11720
$200.00 detection of abnormality by remote monitoring involving
electrocardiography, measurement of rate, width and amplitude of
stimulus including reprogramming when required, not being a service to
which item AV210 or AV220 applies
AV220 IMPLANTED PACEMAKER TESTING OF ATRIOVENTRICULAR (AV) 11721
$210.00 SEQUENTIAL, rate responsive, or antitachycardia pacemakers, including
reprogramming when required, not being a service associated with a
service to which item AV100, AV210, AV213, AV216, AV233 or AV234
applies
AV225 IMPLANTED ECG LOOP RECORDING, for investigation of recurrent 11722
$72.00 unexplained syncope, including reprogramming of device, retrieval of
stored data, analysis, interpretation and report, not in association with
item HG192
AV230 UP-RIGHT TILT TABLE TESTING for the investigation of syncope of 11724
$440.00 suspected cardiothoracic origin, including blood pressure monitoring,
continuous ECG monitoring and the recording of the parameters,
involving an established intravenous line and the continuous attendance
of a specialist or consultant physician - on premises equipped with a
mechanical respirator and defibrillator
AV233 IMPLANTED DEFIBRILLATOR (including Cardiac Resynchronisation 11725
$570.00 Defibrillator) REMOTE MONITORING involving reviews (without patient
attendance) of arrhythmias, lead and device parameters, if at least 2
remote reviews are provided in a 12 month period. Payable once in any
12 month period
1 November 2015 Page 57

DIAGNOSTIC PROCEDURES
CARDIOVASCULAR
AMA Number
Fee
†
‡
Description of Medical Service
MBS
Number
AV234 IMPLANTED DEFIBRILLATOR TESTING, with patient attendance, 11726
$285.00 following detection of abnormality by remote monitoring involving
electrocardiography, measurement of rate, width and amplitude of
stimulus, not being a service associated with a service to which item
AV235 applies
AV235 IMPLANTED DEFIBRILLATOR TESTING involving electrocardiography, 11727
$285.00 assessment of pacing and sensing thresholds for pacing and
defibrillation electrodes, download and interpretation of stored events
and electrograms, including programming when required, not being a
service associated with a service to which item AV100, AV210, AV213,
AV216, AV220, AV233 or AV234 applies
GASTROENTEROLOGY AND COLORECTAL
†
BB005 OESOPHAGEAL MOTILITY TEST, manometric
11800
$465.00
BB006 CLINICAL ASSESSMENT OF GASTRO-OESOPHAGEAL REFLUX 11801
$795.00 DISEASE that involves 48 hour catheter-free wireless ambulatory
oesophageal pH monitoring including administration of the device and
associated endoscopy procedure for placement, analysis and
interpretation of the data and all attendances for providing the service, if:
(a) a catheter-based ambulatory oesophageal pH-monitoring: (i) has
been attempted on the patient but failed due to clinical complications; or
(ii) is not clinically appropriate for the patient due to anatomical reasons
(nasopharyngeal anatomy) preventing the use of catheter-based pH
monitoring; and (b) the service is performed by a specialist or consultant
physician with endoscopic training that is recognised by The Conjoint
Committee for the Recognition of Training in Gastrointestinal Endoscopy.
Not in association with another item in this Subgroup
BB015 CLINICAL ASSESSMENT OF GASTRO-OESOPHAGEAL REFLUX 11810
$390.00 DISEASE involving 24 hour pH monitoring, including analysis,
interpretation and report and including any associated consultation
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DIAGNOSTIC PROCEDURES
GASTROENTEROLOGY AND COLORECTAL
AMA Number
Fee
BB020
$2,855.00
Description of Medical Service
CAPSULE ENDOSCOPY to investigate an episode of obscure
gastrointestinal bleeding, using a capsule endoscopy device (including
administration of the capsule, imaging, image reading and interpretation,
and all attendances for providing the service on the day the capsule is
administered) if: (a) the patient to whom the service is provided: (i) has
recurrent or persistent bleeding; and (ii) is anaemic or has active
bleeding; and (b) an upper gastrointestinal endoscopy and a
colonoscopy have been performed on the patient and have not identified
the cause of the bleeding; and (c) the service is performed by a specialist
or consultant physician with endoscopic training that is recognised by
The Conjoint Committee for the Recognition of Training in
Gastrointestinal Endoscopy; and (d) the service is not associated with
balloon enteroscopy
MBS
Number
NOTE: Items BB020 and BB023 are the AMA equivalents to MBS items 11820 and 11823.
Medicare Benefits are only payable twice in any 12 month period for item 11820 and once in any
two year period for item 11823.
BB023
$2,855.00
CAPSULE ENDOSCOPY to conduct small bowel surveillance of a
patient diagnosed with Peutz-Jeghers Syndrome, using a capsule
endoscopy device (including administration of the capsule, imaging,
image reading and interpretation, and all attendances for providing the
service on the day the capsule is administered) if: (a) the service is
performed by a specialist or consultant physician with endoscopic
training that is recognised by The Conjoint Committee for the
Recognition of Training in Gastrointestinal Endoscopy; and (b) the
service is not associated with balloon enteroscopy
BB025 DIAGNOSIS OF ABNORMALITIES OF THE PELVIC FLOOR involving 11830
$490.00 anal manometry or measurement of anorectal sensation or
measurement of the rectosphincteric reflex
BB035 DIAGNOSIS OF ABNORMALITIES OF THE PELVIC FLOOR AND 11833
$555.00 SPHINCTER MUSCLES involving electromyography or measurement of
pudendal and spinal nerve motor latency
GENITO/URINARY PHYSIOLOGICAL INVESTIGATIONS
BB300 URINE FLOW STUDY including peak urine flow measurement, not being 11900
$64.00 a service associated with a service to which item BB366 applies
BB310 CYSTOMETROGRAPHY, not being a service associated with a service 11903
$260.00 to which any of items AP360-AP410, BB340, BB350, BB366, BB370,
HC200 or any item in the Diagnostic Radiology section applies
BB320 URETHRAL PRESSURE PROFILOMETRY, not being a service
11906
$260.00 associated with a service to which any of items AP360-AP410, BB330,
BB366, BB370, HC200 or any item in the Diagnostic Radiology section
applies
1 November 2015 Page 59

DIAGNOSTIC PROCEDURES
AMA Number
Fee
Description of Medical Service
GENITO/URINARY PHYSIOLOGICAL
INVESTIGATIONS
MBS
Number
BB330 URETHRAL PRESSURE PROFILOMETRY with simultaneous
11909
$385.00 measurement of urethral sphincter electromyography, not being a service
associated with a service to which of item BB320, BB350, BB366,
HC200 or any item in the Diagnostic Radiology section applies
BB340 CYSTOMETROGRAPHY with simultaneous measurement of rectal 11912
$385.00 pressure, not being a service associated with a service to which any of
items AP360-AP410, BB310, BB350, BB366, BB370, HC200 or any item
in the Diagnostic Radiology section applies
BB350 CYSTOMETROGRAPHY with simultaneous measurement of urethral 11915
$385.00 sphincter electromyography, not being a service associated with a
service to which any of items AP360-AP410, BB310, BB330, BB340,
BB366, BB370, HC200 or any item in the Diagnostic Radiology section
applies
NOTE: Previously item BB360 included both imaging modalities. Each modality now has it's
own item - BB360 and BB366. Please carefully select the appropriate item for modality used.
BB360 CYSTOMETROGRAPHY IN CONJUNCTION WITH ULTRASOUND OF 11917
$985.00 1 OR MORE COMPONENTS OF THE URINARY TRACT, with
measurement of any 1 or more of urine flow rate, urethral pressure
profile, rectal pressure, urethral sphincter electromyography;including all
associated imaging, not being a service associated with a service to
which items AP360-AP410, BB300-BB350, BB366, BB370 and HC200
apply
BB366 CYSTOMETROGRAPHY IN CONJUNCTION WITH CONTRAST 11919
$985.00 MICTURATING CYSTOURETHROGRAPHY, with measurement of any
1 or more of urine flow rate, urethral pressure profile, rectal pressure,
urethral sphincter electromyography;including all associated imaging, not
being a service associated with a service to which items AP360-AP410,
BB300-BB360, BB370 and HC200 apply
BB370 BLADDER WASHOUT TEST for localisation of urinary infection - not 11921
$205.00 including bacterial counts for organisms in specimens
ALLERGY TESTING
NOTE: Epicutaneous Patch Testing refers to the European Standing Series or the International
Contact Research Group Standard Series.
BB700 SKIN SENSITIVITY TESTING for allergens, USING 1 TO 20
12000
$98.00 ALLERGENS, not being a service associated with a service to which
item BB720, BB730, BB740 or BB750 applies
BB710 SKIN SENSITIVITY TESTING for allergens, USING MORE THAN 20 12003
$150.00 ALLERGENS, not being a service associated with a service to which
item BB720, BB730, BB740 or BB750 applies
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DIAGNOSTIC PROCEDURES
ALLERGY TESTING
AMA Number
Fee
Description of Medical Service
MBS
Number
BB720 EPICUTANEOUS PATCH TESTING in the investigation of allergic 12012
$53.00 dermatitis using less than the number of allergens included in a standard
patch test battery
BB730 EPICUTANEOUS PATCH TESTING in the investigation of allergic 12015
$158.00 dermatitis using all of the allergens in a standard patch test battery
BB740 EPICUTANEOUS PATCH TESTING in the investigation of allergic 12018
$205.00 dermatitis using all of the allergens in a standard patch test battery and
additional allergens to a total of up to and including 50 allergens
BB750 EPICUTANEOUS PATCH TESTING in the investigation of allergic 12021
$300.00 dermatitis, performed by or on behalf of a specialist in the practice of his
or her specialty, using more than 50 allergens
INTENSIVE CARE MANAGEMENT AND PROCEDURES
BD100
$295.00
BD110
$1,145.00
BD120
$265.00
COUNTERPULSATION BY INTRA-AORTIC BALLOON - management
on each day subsequent to the first, including associated consultations
and monitoring of parameters
CIRCULATORY SUPPORT DEVICE, management of, on first day
CIRCULATORY SUPPORT DEVICE, management of, on each day
subsequent to the first
OTHER DIAGNOSTIC PROCEDURES AND INVESTIGATIONS
BF005 COLLECTION OF SPECIMEN OF SWEAT by iontophoresis
12200
$73.00
NOTE: Only one consult can be claimed in conjunction with item BF010. For further
information please refer to Explanatory Note D.1.17 in the MBS.
BF010 ADMINISTRATION, by a specialist or consultant physician in the practice 12201
$3,050.00 of his or her speciality, of THYROTROPIN ALFA-RCH (recombinant
human thyroid-stimulating hormone), and arranging services to which
both items OS405 and PB255 apply, for the detection of recurrent welldifferentiated
thyroid cancer in a patient who: a) has had a total
thyroidectomy and one ablative dose of radioactive iodine; and b) is
maintained on thyroid hormone therapy; and c) is at risk of recurrence;
and d) on at least one previous whole body scan or serum thyroglobulin
test when withdrawn from thyroid hormone therapy did not have
evidence of well differentiated thyroid cancer; and (i) withdrawal from
thyroid hormone therapy resulted in severe psychiatric disturbances
when hypothyroid; or (ii) withdrawal is medically contraindicated because
the patient has: unstable coronary artery disease; or hypopituitarism; or a
high risk of relapse or exacerbation of a previous severe psychiatric
illness payable one only in any twelve month period
1 November 2015 Page 61

DIAGNOSTIC PROCEDURES
AMA Number
Fee
BF015
$1,215.00
OTHER DIAGNOSTIC PROCEDURES AND
INVESTIGATIONS
Description of Medical Service
OVERNIGHT INVESTIGATION FOR SLEEP APNOEA for a period of at
least 8 hours duration for an adult aged 18 years and over, where: (a)
continuous monitoring of oxygen saturation and breathing using a multichannel
polygraph, and recordings of EEG, EOG, submental EMG,
anterior tibial EMG, respiratory movement, airflow, oxygen saturation and
ECG are performed; (b) a technician is in continuous attendance under
the supervision of a qualified sleep medicine practitioner; (c) the patient
is referred by a medical practitioner; (d) the necessity for the
investigation is determined by a qualified adult sleep medicine
practitioner prior to the investigation; (e) polygraphic records are
analysed (for assessment of sleep stage, arousals, respiratory events
and assessment of clinically significant alterations in heart rate and limb
movement) with manual scoring, or manual correction of computerised
scoring in epochs of not more than 1 minute, and stored for interpretation
and preparation of report; and (f) interpretation and report are provided
by a qualified adult sleep medicine practitioner based on reviewing the
direct original recording of polygraphic data from the patient
MBS
Number
NOTE: The terms "qualified adult sleep medicine practitioner" as described in BF015, "qualified
paediatric sleep medicine practitioner" as described in BF016, and "qualified sleep medicine
practitioner" as described in BF017 are outlined in Health Insurance (General Medical Services
Table) Regulations.
BF016
$1,455.00
OVERNIGHT PAEDIATRIC INVESTIGATION FOR SLEEP APNOEA for
a period of at least 8 hours duration for a child aged 0-12 years, where:
(a) continuous monitoring of oxygen saturation and breathing using a
multi-channel polygraph, and recording of EEG (minimum of 4 EEG
leads with facility to increase to 6 in selected investigations), EOG, EMG
submental +/- diaphragm, respiratory movement must include rib and
abdomen (+/- sum) airflow detection, measurement of CO2 either endtidal
or transcutaneous, oxygen saturation and ECG are performed; (b)
a technician or registered nurse with sleep technology training is in
continuous attendance under the supervision of a qualified paediatric
sleep medicine practitioner; (c) the patient is referred by a medical
practitioner; (d) the necessity for the investigation is determined by a
qualified paediatric sleep medicine practitioner prior to the investigation;
(e) polygraphic records are analysed (for assessment of sleep stage,
and maturation of sleep indices, arousals, respiratory events and
assessment of clinically significant alterations in heart rate and body
movement) with manual scoring, or manual correction of computerised
scoring in epochs of not more than 1 minute, and stored for interpretation
and preparation of report; and (f) the interpretation and report to be
provided by a qualified paediatric sleep medicine practitioner based on
reviewing the direct original recording of polygraphic data from the patient
Page 62 1 November 2015

DIAGNOSTIC PROCEDURES
AMA Number
Fee
BF017
$1,310.00
BF018
$695.00
OTHER DIAGNOSTIC PROCEDURES AND
INVESTIGATIONS
Description of Medical Service
OVERNIGHT PAEDIATRIC INVESTIGATION FOR SLEEP APNOEA for
a period of at least 8 hours duration for a child aged 12-18 years, where:
(a) continuous monitoring of oxygen saturation and breathing using a
multi-channel polygraph, and recording of EEG (minimum of 4 EEG
leads with facility to increase to 6 in selected investigations), EOG, EMG
submental +/- diaphragm, respiratory movement must include rib and
abdomen (+/- sum) airflow detection, measurement of CO2 either endtidal
or transcutaneous, oxygen saturation and ECG are performed; (b)
a technician or registered nurse with sleep technology training is in
continuous attendance under the supervision of a qualified sleep
medicine practitioner; (c) the patient is referred by a medical practitioner;
(d) the necessity for the investigation is determined by a qualified sleep
medicine practitioner prior to the investigation; (e) polygraphic records
are analysed (for assessment of sleep stage, and maturation of sleep
indices, arousals, respiratory events and assessment of clinically
significant alterations in heart rate and body movement) with manual
scoring, or manual correction of computerised scoring in epochs of not
more than 1 minute, and stored for interpretation and preparation of
report; and (f) the interpretation and report to be provided by a qualified
sleep medicine practitioner based on reviewing the direct original
recording of polygraphic data from the patient
OVERNIGHT INVESTIGATION FOR SLEEP APNOEA for a period of at
least 8 hours duration for a patient, if all of the following requirements are
met: (a) the patient has, before the overnight investigation, been referred
by a medical practitioner; and (b) the investigation takes place after the
qualified adult sleep medicine practitioner for patients 12 years and over
or a qualified paediatric sleep medicine practitioner for patients aged 0-
18 years has: (i) confirmed the necessity for the investigation; and (ii)
communicated this confirmation to the referring medical practitioner; and
(c) during a period of sleep, the investigation involves recording a
minimum of seven physiological parameters which must include: (i)
continuous electro-encephalogram (EEG); and (ii) continuous electrocardiogram
(ECG); and (iii) airflow; and (iv) thoraco-abdominal
movement; and (v) oxygen saturation; and (vi) 2 or more of the following:
(a) electro-oculogram (EOG); (b) chin electro-myogram (EMG); (c) body
position; and (d) in the report of the investigation, the qualified sleep
medicine practitioner uses the data specified in paragraph (c) to: (i)
analyse sleep stage, arousals and respiratory events; and (ii) assess
clinically significant alteration in heart rate; and (e) the qualified sleep
medicine practitioner: (i) before the investigation takes place, establishes
quality assurance procedures for data acquisition; and (ii) personally
analyses the data and writes the report on the results of the investigation
MBS
Number
1 November 2015 Page 63

DIAGNOSTIC PROCEDURES
AMA Number
Fee
OTHER DIAGNOSTIC PROCEDURES AND
INVESTIGATIONS
Description of Medical Service
MBS
Number
NOTE: Doctors should be aware that under the MBS there are certains restrictions in the use of
the items for Bone Densitometry. For the restrictions in relation to the payment of Medicare
benefits please refer to Explanatory Note D.1.19 in the MBS.
BF025 BONE DENSITOMETRY (performed by a specialist or consultant 12306
$245.00 physician where the patient is referred by another medical practitioner),
using dual energy X-ray absorptiometry, for the confimation of a
presumptive diagnosis of low bone mineral density made on the basis of
1 or more fractures occurring after minimal trauma or for the monitoring
of low bone mineral density proven by bone densitometry at least 12
months previously - measurement of 2 or more sites - 1 service only in a
period of 24 months - including interpretation and report; not being a
service associated with a service to which item BF035, BF045, BF055,
BF065, BF075 or BF085 applies
BF035 BONE DENSITOMETRY (performed by a specialist or consultant 12309
$245.00 physician where the patient is referred by another medical practitioner),
using quantitative computerised tomography, for the confimation of a
presumptive diagnosis of low bone mineral density made on the basis of
1 or more fractures occurring after minimal trauma or for the monitoring
of low bone mineral density proven by bone densitometry at least 12
months previously - measurement of 2 or more sites 1 service only in a
period of 24 months - including interpretation and report; not being a
service associated with a service to which item BF025, BF045, BF055,
BF065, BF075 or BF085 applies
BF045 BONE DENSITOMETRY (performed by a specialist or consultant 12312
$245.00 physician where the patient is referred by another medical practitioner),
using dual energy X-ray absorptiometry, for the diagnosis and monitoring
of bone loss associated with 1 or more of the following conditions -
prolonged glucocorticoid therapy, conditions associated with excess
glucocorticoid secretion, male hypogonadism, female hypogonadism
lasting more than 6 months before age of 45 - where the bone density
measurement will contribute to the management of a patient with any of
the above conditions - measurement of 2 or more sites - 1 service only in
a period of 12 consective months, payable once only for any patient -
including interpretation and report; not being a service associated with a
service to which item BF025, BF035, BF055, BF065, BF075 or BF085
applies
Page 64 1 November 2015

DIAGNOSTIC PROCEDURES
AMA Number
Fee
BF055
$245.00
OTHER DIAGNOSTIC PROCEDURES AND
INVESTIGATIONS
Description of Medical Service
BONE DENSITOMETRY (performed by a specialist or consultant
physician where the patient is referred by another medical practitioner),
using dual energy X-ray absorptiometry, for the diagnosis and monitoring
of bone loss associated with 1 or more of the following conditions -
primary hyperparathyroidism, chronic liver disease, chronic renal
disease, proven malabsorptive disorders, rheumatoid arthritis, or
conditions associated with thyroxine excess -where the bone density
measurement will contribute to the management of a patient with any of
the above conditions - measurement of 2 or more sites - 1 service only in
a period of 12 consecutive months - including interpretation and report;
not being a service associated with a service to which item BF025,
BF035, BF045, BF065, BF075 or BF085 applies
MBS
Number
BF065 BONE DENISTOMETRY ( by a specialist or physician where the patient 12318
$245.00 is referred by a medical practitioner), using quantitative computerised
tomography associated with 1 or more of the following conditions -
prolonged glucocorticoid therapy, conditions associated with excess
glucocorticoid secretion, male hypogonadism, female hypogonadism
lasting more than 6 months before age of 45, primary
hyperparathyroidism, chronic liver disease, chronic renal disease, proven
malabsorptive disorders, rheumatoid arthritis, or conditions with thyroxine
excess -where the bone density measurement will contribute to the
management of a patient with any of the above conditions -
measurement of 2 or more sites - 1 service only in 24 consecutive
months - including interpretation and report; not being a service
associated with a service to which BF025, BF035, BF045, BF055, BF075
or BF085 applies
BF075 BONE DENSITOMETRY (performed by a specialist or consultant 12321
$245.00 physician where the patient is referred by another medical practitioner),
using dual energy X-ray absorptiometry, for the measurement of bone
density 12 months following a significant change in therapy for
established low bone mineral density - measurement of 2 or more sites -
1 service only in a period of 12 consecutive months - including
interpretation and report; not being a service associated with a service to
which item BF025, BF035, BF045, BF055, BF065 or BF085 applies
BF085
$16.60
BONE DENSITOMETRY (performed by a specialist or consultant
physician where the patient is referred by another medical practitioner),
using dual energy X-ray absorptiometry or quantitative computerised
tomography, for the monitoring of bone loss associated with clinical
conditions not specified in items BF025, BF035, BF045, BF055, BF065
and BF075 or for an additional test in excess of that defined in the period
specified in items BF025, BF035, BF045, BF055, BF065 and BF075 -
measurement of 2 or more sites - including interpretation and report; not
being a service associated with a service to which item BF025, BF035,
BF045, BF055, BF065 or BF075 applies
1 November 2015 Page 65

DIAGNOSTIC PROCEDURES
AMA Number
Fee
OTHER DIAGNOSTIC PROCEDURES AND
INVESTIGATIONS
Description of Medical Service
MBS
Number
BF090 BONE DENSITOMETRY (performed by a specialist or consultant 12323
$245.00 physician where the patient is referred by another medical practioner),
using dual energy X-ray absorptiometry or quantitative computerised
tomography, for the measurement of bone mineral density, for a person
aged 70 years or over. Measurement of 2 or more sites - including
interpretation and report; not being a service associated with a service to
which item BF025, BF035, BF045, PF055, BF065 or BF075 applies
BF095
$245.00
BONE DENSITOMETRY, as an aid to decision making on treatment for
peri- and postmenopausal women where the decision on the use of
treatment rests entirely upon the risk or otherwise of postmenopausal
osteoporosis
Page 66 1 November 2015

Nuclear Medicine
(Non-imaging)

NUCLEAR MEDICINE (NON-IMAGING)
AMA Number
Fee
Description of Medical Service
MBS
Number
BF500 BLOOD VOLUME ESTIMATION
12500
$460.00
BF510 ERYTHROCYTE RADIOACTIVE UPTAKE SURVIVAL TIME TEST OR 12503
$845.00 IRON KINETIC TEST
BF520 GASTROINTESTINAL BLOOD LOSS ESTIMATION involving
12506
$610.00 examination of stool specimens
BF530 GASTROINTESTINAL PROTEIN LOSS
12509
$460.00
BF540 RADIOACTIVE B12 ABSORPTION TEST - 1 isotope
12512
$275.00
BF550 RADIOACTIVE B12 ABSORPTION TEST - 2 isotopes
12515
$475.00
BF560 THYROID UPTAKE (using probe)
12518
$275.00
BF570 PERCHLORATE DISCHARGE STUDY
12521
$310.00
BF580 RENAL FUNCTION TEST (without imaging procedure)
12524
$370.00
BF590 RENAL FUNCTION TEST (with imaging and at least 2 blood samples) 12527
$245.00
BF600 WHOLE BODY COUNT - not being a service associated with a service to 12530
$355.00 which another item applies
BF610 CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 12533
$220.00 urea, PERFORMED BY A SPECIALIST OR CONSULTANT PHYSICIAN
including the measurement of exhaled 13CO2 or 14CO2, for either: (a)
the confirmation of Helicobacter pylori colonisation, or (b) the monitoring
of the success of eradication of Helicobacter pylori, not being a service to
which PB700 applies
Page 68 1 November 2015

Therapeutic
Procedures

THERAPEUTIC PROCEDURES
DIALYSIS
AMA Number
Fee
DIALYSIS
Description of Medical Service
MBS
Number
BH500 SUPERVISION IN HOSPITAL by a medical specialist of haemodialysis, 13100
$385.00 haemofiltration, haemoperfusion or peritoneal dialysis, including all
professional attendances, where the total attendance time on the patient
by the supervising medical specialist exceeds 45 minutes in 1 day
BH510 SUPERVISION IN HOSPITAL by a medical specialist of haemodialysis, 13103
$205.00 haemofiltration, haemoperfusion or peritoneal dialysis, including all
professional attendances, where the total attendance time on the patient
by the supervising medical specialist does not exceed 45 minutes in 1
day
BH515 PLANNING AND MANAGEMENT OF HOME DIALYSIS (either
13104
$385.00 haemodialysis or peritoneal dialysis), by a consultant physician in the
practice of his or her specialty of renal medicine, for a patient with endstage
renal disease, and supervision of that patient on self-administered
dialysis, to a maximum of 12 claims per year
BH520 DECLOTTING OF AN ARTERIOVENOUS SHUNT
13106
$250.00
BH530 INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR 13109
$615.00 DIALYSIS - INSERTION AND FIXATION OF
BH535 TENCKHOFF PERITONEAL DIALYSIS CATHETER, REMOVAL OF 13110
$615.00 (including cathether cuffs)
BH540 PERITONEAL DIALYSIS, establishment of by abdominal puncture and 13112
$295.00 insertion of temporary catheter (including associated consultation)
ASSISTED REPRODUCTIVE SERVICES
BH600 ASSISTED REPRODUCTIVE TECHNOLOGIES SUPEROVULATED 13200
$5,100.00 TREATMENT CYCLE PROCEEDING TO OOCYTE RETRIEVAL,
involving the use of drugs to induce superovulation, and including
quantitative estimation of hormones, semen preparation, ultrasound
examinations, all treatment counselling and embryology laboratory
services but excluding artificial insemination or transfer of frozen
embryos or donated embryos or ova or a service to which item BH601,
BH602, BH605, BH610 or BH630 applies - being services rendered
during 1 treatment cycle - INITIAL cycle in a single calendar year
Page 70 1 November 2015

THERAPEUTIC PROCEDURES
ASSISTED REPRODUCTIVE SERVICES
AMA Number
Fee
‡
Description of Medical Service
MBS
Number
BH601 ASSISTED REPRODUCTIVE TECHNOLOGIES SUPEROVULATED 13201
$4,770.00 TREATMENT CYCLE PROCEEDING TO OOCYTE RETRIEVAL,
involving the use of drugs to induce superovulation, and including
quantitative estimation of hormones, semen preparation, ultrasound
examinations, all treatment counselling and embryology laboratory
services but excluding artificial insemination or transfer of frozen
embryos or donated embryos or ova or a service to which item BH600,
BH602, BH605, BH610 or BH630 applies - being services rendered
during 1 treatment cycle - each cycle SUBSEQUENT to the first in a
single calendar year
BH602 ASSISTED REPRODUCTIVE TECHNOLOGIES SUPEROVULATED 13202
$765.00 TREATMENT CYCLE THAT IS CANCELLED PRIOR TO OOCYTE
RETRIEVAL, involving the use of drugs to induce superovulation and
including quantitative estimation of hormones, semen preparation,
ultrasound examinations, but excluding artificial insemination or transfer
of frozen embryos or donated embryos or ova or a service to which item
BH600, BH601, BH605, BH610 or BH630 applies - being services
rendered during 1 treatment cycle
BH605 OVULATION MONITORING SERVICES, for artificial insemination - 13203
$1,275.00 including quantitative estimation of hormones and ultrasound
examinations, being services rendered during 1 treatment cycle but
excluding a service to which item BH600, BH601, BH602, BH610,
BH620, BH625 or BH630 applies
BH610 ASSISTED REPRODUCTIVE TECHNOLOGIES TREATMENT CYCLE, 13206
$2,185.00 using either the natural cycle or oral medication only to induce oocyte
growth and development, and including quantitative estimation of
hormones, semen preparation, ultrasound examinations, all treatment
counselling and embryology laboratory services but excluding artificial
insemination, frozen embryo transfer or donated embryos or ova or
treatment involving the use of injectable drugs to induce superovulation
being services rendered during 1 treatment cycle but only if rendered in
conjunction with a service to which item BH620 applies
BH615 PLANNING AND MANAGEMENT OF A REFERRED PATIENT by a 13209
$220.00 specialist for the purpose of treatment by assisted reproductive
technologies or for artificial insemination - payable once only during 1
treatment cycle
BH620 OOCYTE RETRIEVAL for the purposes of assisted reproductive
13212
$930.00 technologies - only if rendered in connection with a service to which item
BH600, BH601 or BH610 applies
1 November 2015 Page 71

THERAPEUTIC PROCEDURES
ASSISTED REPRODUCTIVE SERVICES
AMA Number
Fee
‡
‡
Description of Medical Service
MBS
Number
BH625 TRANSFER of EMBRYOS or both ova and sperm to the uterus or 13215
$290.00 fallopian tubes, excluding artificial insemination - only if rendered in
connection with a service to which item BH600, BH601, BH610 or BH630
applies, being services rendered in 1 treatment cycle
BH630 PREPARATION of FROZEN OR DONATED EMBRYOS or donated 13218
$2,185.00 oocytes for transfer to the uterus or fallopian tubes, by any means and
including quantitative estimation of hormones and all treatment
counselling but excluding artificial insemination services rendered in 1
treatment cycle and excluding a service to which item BH600, BH601,
BH602, BH605, BH610 or BH620 applies
BH635 PREPARATION OF SEMEN for the purposes of artificial insemination - 13221
$132.00 only if rendered in connection with a service to which item BH605 applies
BH661 INTRACYTOPLASMIC SPERM INJECTION for the purposes of assisted 13251
$1,095.00 reproductive technologies, for male factor infertility, excluding a service
to which item BH605 or BH630 applies
BH685 SEMEN, COLLECTION OF, from a patient with spinal injuries or
13290
$520.00 medically induced impotence, for the purposes of analysis, storage or
assisted reproduction, by a medical practitioner using a vibrator or
electro-ejaculation device including catheterisation and drainage of
bladder where required
BH690 SEMEN, COLLECTION OF, from a patient with spinal injuries or
13292
$1,040.00 medically induced impotence, for the purposes of analysis, storage or
assisted reproduction, by a medical practitioner using a vibrator or
electro-ejaculation device including catheterisation and drainage of
bladder where required, under general anaesthetic, in a hospital or
approved day-hospital facility
PAEDIATRIC AND NEONATAL
BH700 UMBILICAL OR SCALP VEIN CATHETERISATION in a NEONATE with 13300
$134.00 or without infusion; or cannulation of a vein
BH710 UMBILICAL ARTERY CATHETERISATION with or without infusion 13303
$200.00
BH720 BLOOD TRANSFUSION with venesection and complete replacement of 13306
$980.00 blood, including collection from donor
BH730 BLOOD TRANSFUSION with venesection and complete replacement of 13309
$760.00 blood, using blood already collected
BH740 BLOOD for pathology test, collection of, BY FEMORAL OR EXTERNAL 13312
$86.00 JUGULAR VEIN PUNCTURE IN INFANTS
Page 72 1 November 2015

THERAPEUTIC PROCEDURES
PAEDIATRIC AND NEONATAL
AMA Number
Fee
Description of Medical Service
MBS
Number
BH750 CENTRAL VEIN CATHETERISATION by open exposure, in a person 13318
$560.00 under 12 years of age
BH755 CENTRAL VEIN CATHETERISATION in a neonate via peripheral vein 13319
$500.00
CARDIOVASCULAR
BJ050 RESTORATION OF CARDIAC RHYTHM by electrical stimulation 13400
$220.00 (cardioversion), other than in the course of cardiac surgery
GASTROENTEROLOGY
BJ100 GASTRIC HYPOTHERMIA by closed circuit circulation of refrigerant IN 13500
$390.00 THE ABSENCE OF GASTROINTESTINAL HAEMORRHAGE
BJ110 GASTRIC HYPOTHERMIA by closed circuit circulation of refrigerant 13503
$770.00 FOR UPPER GASTROINTESTINAL HAEMORRHAGE
BJ120 GASTRO-OESOPHAGEAL balloon intubation, for control of bleeding 13506
$395.00 from gastric oesophageal varices
PERFUSION
BJ500
$78.00
BJ510
$128.00
HAEMATOLOGY
‡
‡
FLUIDS, intravenous drip infusion of - PERCUTANEOUS
FLUIDS, intravenous drip infusion of - BY OPEN EXPOSURE
BJ700 HARVESTING OF HOMOLOGOUS (including allogeneic) or
13700
$715.00 AUTOLOGOUS bone marrow for the purpose of transplantation
BJ710 TRANSFUSION OF BLOOD including collection from donor
13703
$260.00
BJ720 TRANSFUSION OF BLOOD or bone marrow already collected
13706
$176.00
BJ730 COLLECTION OF BLOOD for autologous transfusion or when
13709
$106.00 homologous blood is required for immediate transfusion in emergency
situation
BJ740 THERAPEUTIC HAEMAPHERESIS for the removal of plasma or cellular 13750
$295.00 (or both) elements of blood, utilising continuous or intermittent flow
techniques; including morphological tests for cell counts and viability
studies, if performed; continuous monitoring of vital signs, fluid balance,
blood volume and other parameters with continuous registered nurse
attendance under the supervision of a consultant physician, not being a
service associated with a service to which item BJ750 applies - each day
1 November 2015 Page 73

THERAPEUTIC PROCEDURES
HAEMATOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
BJ750 DONOR HAEMAPHERISIS for the collection of blood products for 13755
$295.00 transfusion, utilising continuous or intermittent flow techniques; including
morphological tests for cell counts and viability studies; continuous
monitoring of vital signs, fluid balance, blood volume and other
parameters; with continuous registered nurse attendance under the
supervision of a consultant physician; not being a service associated with
a service to which item BJ740 applies - each day
BJ755 THERAPEUTIC VENESECTION for the management of
13757
$158.00 haemochromatosis, polycythemia vera or porphyria cutanea tarda
BJ760 In vitro processing (and cryopreservation) of bone marrow or peripheral 13760
$1,645.00 blood for autologous stem cell transplantation as an adjunct to high dose
chemotherapy for: chemosensitive intermediate or high grade non-
Hodgkin's lymphoma at high risk of relapse following first line
chemotherapy; Hodgkin's disease which has relapsed following, or is
refractory to, chemotherapy; acute myelogenous leukaemia in first
remission, where suitable genotypically matched sibling donor is not
available for allogenic bone marrow transplant; multiple myeloma in
remission (complete or partial) following standard dose chemotherapy;
small round cell sarcomas; primitive neuroectodermal tumour; germ cell
tumours which have relapsed following, or are refractory to,
chemotherapy; or germ cell tumours which have had an incomplete
response to first line therapy. - performed under the supervision of a
consultant physician - each day
INTENSIVE CARE AND CARDIOPULMONARY SUPPORT
BL600 CENTRAL VEIN CATHETERISATION by percutaneous or open
13815
$186.00 exposure not being a service to which item BH750 applies
BL610 RIGHT HEART BALLOON CATHETER, insertion of, including pulmonary 13818
$515.00 wedge pressure and cardiac output measurement
BL620 INTRACRANIAL PRESSURE, monitoring of, by intraventricular or 13830
$160.00 subdural catheter, subarachnoid bolt or similar, by a specialist or
consultant physician - each day
BL630 ARTERIAL PUNCTURE and collection of blood for diagnostic purposes 13839
$69.00
BL640 INTRA-ARTERIAL CANNULISATION for the purpose of taking multiple 13842
$146.00 arterial blood samples for blood gas analysis
BL655 COUNTERPULSATION BY INTRA-AORTIC BALLOON - management 13847
$395.00 on the first day, including initial and subsequent consultations and
monitoring of parameters
Page 74 1 November 2015

THERAPEUTIC PROCEDURES
AMA Number
Fee
Description of Medical Service
INTENSIVE CARE AND
CARDIOPULMONARY SUPPORT
MBS
Number
BL660 COUNTERPULSATION BY INTRA-AORTIC BALLOON - management 13848
$300.00 on each day subsequent to the first, including associated consultations
and monitoring of parameters
BL670 CIRCULATORY SUPPORT DEVICE, management of, on first day 13851
$1,160.00
BL680 CIRCULATORY SUPPORT DEVICE, management of, on each day 13854
$270.00 subsequent to the first
BL690 AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF
13857
$330.00 MECHANICAL VENTILATION (other than initiation of ventilation in the
context of an anaesthetic for surgery), outside of an Intensive Care Unit,
for the purpose of subsequent ventilatory support in an Intensive Care
Unit
INTENSIVE CARE UNIT MANAGEMENT AND PROCEDURES
BM005 MANAGEMENT of a patient in an Intensive Care Unit by a specialist or 13870
$845.00 consultant physician who is immediately available and exclusively
rostered for intensive care - including initial and subsequent attendances,
electrocardiographic monitoring, arterial sampling and bladder
catheterisation - management on the first day
BM015 MANAGEMENT of a patient in an Intensive Care Unit by a specialist or 13873
$625.00 consultant physician who is immediately available and exclusively
rostered for intensive care - including all attendances,
electrocardiographic monitoring, arterial sampling and bladder
catheterisation - management on each day subsequent to the first day
BM025 CENTRAL VENOUS PRESSURE, pulmonary arterial pressure, systemic 13876
$180.00 arterial pressure or cardiac intracavity pressure, continuous monitoring
by indwelling catheter in an intensive care unit by a specialist or
consultant physician who is immediately available and exclusively
rostered for intensive care - each day of monitoring for each pressure up
to a maximum of 4 pressures
BM040 AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF
13881
$340.00 MECHANICAL VENTILATION, in an intensive care unit, not in
association with any anaesthetic service, by a specialist or consultant
physician, for the purpose of subsequent ventilatory support
BM045 VENTILATORY SUPPORT in an Intensive Care Unit, management of, 13882
$270.00 by invasive means, or by non-invasive means where the only alternative
to non-invasive ventilatory support would be invasive ventilatory support,
by a specialist or consultant physician who is immediately available and
exclusively rostered for intensive care, each day
1 November 2015 Page 75

THERAPEUTIC PROCEDURES
AMA Number
Fee
INTENSIVE CARE UNIT MANAGEMENT AND
PROCEDURES
Description of Medical Service
MBS
Number
BM055 CONTINUOUS ARTERIO VENOUS OR VENO VENOUS
13885
$385.00 HAEMOFILTRATION, in an intensive care unit, management by a
specialist or consultant physician who is immediately available and
exclusively rostered for intensive care - on the first day
BM065 CONTINUOUS ARTERIO VENOUS OR VENO VENOUS
13888
$205.00 HAEMOFILTRATION, in an intensive care unit, management by a
specialist or consultant physician who is immediately available and
exclusively rostered for intensive care - on each day subsequent to the
first day
CHEMOTHERAPEUTIC PROCEDURES
BM400 CYTOTOXIC CHEMOTHERAPY, administration of, either by intravenous 13915
$152.00 push technique (directly into a vein, or a butterfly needle, or the side-arm
of an infusion) or by intravenous infusion of not more than 1 hours
duration - payable once only on the same day, not being a service
associated with photodynamic therapy with verteporfin, or with
microwave (UHF radiowave) cancer therapy alone
BM410 CYTOTOXIC CHEMOTHERAPY, administration of, by intravenous 13918
$210.00 infusion of more than 1 hours duration but not more than 6 hours
duration - payable once only on the same day
BM420 CYTOTOXIC CHEMOTHERAPY, administration of, by intravenous 13921
$240.00 infusion of more than 6 hours duration - for the first day of treatment
BM430 CYTOTOXIC CHEMOTHERAPY, administration of, by intravenous 13924
$140.00 infusion of more than 6 hours duration - on each day subsequent to the
first in the same continuous treatment episode
BM440 CYTOTOXIC CHEMOTHERAPY, administration of, either by intraarterial
13927
$184.00
push technique (directly into an artery, a butterfly needle or the
side-arm of an infusion) or by intra-arterial infusion of not more than 1
hours duration - payable once only on the same day
BM450 CYTOTOXIC CHEMOTHERAPY, administration of, by intra-arterial 13930
$255.00 infusion of more than 1 hours duration but not more than 6 hours
duration - payable once only on the same day
BM460 CYTOTOXIC CHEMOTHERAPY, administration of, by intra-arterial 13933
$280.00 infusion of more than 6 hours duration - for the first day of treatment
BM470 CYTOTOXIC CHEMOTHERAPY, administration of, by intra-arterial 13936
$184.00 infusion of more than 6 hours duration - on each day subsequent to the
first in the same continuous treatment episode
BM480 IMPLANTED PUMP OR RESERVOIR, loading of, with a cytotoxic agent 13939
$210.00 or agents, not being a service associated with a service to which item
BM400, BM410, BM420, BM430, BM440, BM450, BM460, BM470 or
BM500 applies
Page 76 1 November 2015

THERAPEUTIC PROCEDURES
CHEMOTHERAPEUTIC PROCEDURES
AMA Number
Fee
Description of Medical Service
MBS
Number
BM490 AMBULATORY DRUG DELIVERY DEVICE, loading of, with a cytotoxic 13942
$140.00 agent or agents for the infusion of the agent or agents via the
intravenous, intra- arterial or spinal routes, not being a service
associated with a service to which item BM400, BM410, BM420, BM430,
BM440, BM450, BM460, BM470 or BM500 applies
BM500 LONG-TERM IMPLANTED DRUG DELIVERY DEVICE for cytotoxic 13945
$114.00 chemotherapy, accessing of
BM510 CYTOTOXIC AGENT, instillation of, into a body cavity
13948
$140.00
DERMATOLOGY
BM700 PUVA THERAPY or UVB THERAPY administered in whole body cabinet 14050
$130.00 (not being a service associated with a service to which item BM710
applies) including associated consultations other than an initial
consultation
BM710 PUVA THERAPY or UVB THERAPY administered to localised body 14053
$130.00 areas in a hand and foot cabinet (not being a service associated with a
service to which item BM700 applies) including associated consultations
other than an initial consultation
BM720 LASER PHOTOCOAGULATION using laser light within the wave length 14100
$630.00 of 510-1064nm in the treatment of severely disfiguring vascular lesions
of the head or neck where abnormality is visible from 3 metres, including
any associated consultation, up to a maximum of 6 sessions (including
any sessions to which items BM720 to BM780 and EA735 apply) in any
12 month period
BM740 LASER PHOTOCOAGULATION using laser light within the wave length 14106
$630.00 of 510-1064nm in the treatment of port wine stains and haemangiomas
of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), where the abnormality is visible from 3 metres,
including any associated consultation, up to a maximum of 6 sessions
(including any sessions to which items BM720 to BM780 and EA725
apply) in any 12 month period - area of treatment up to 50cm2
BM750 LASER PHOTOCOAGULATION using laser light within the WAVE length 14109
$770.00 of 510-1064nm in the treatment of port wine stains and haemangiomas
of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), including any associated consultation, up to a
maximum of 6 sessions (including any sessions to which items BM720 to
BM780 and EA725 apply) in any 12 month period - area of treatment
more than 50cm2 and up to 100cm2
1 November 2015 Page 77

THERAPEUTIC PROCEDURES
DERMATOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
BM760 LASER PHOTOCOAGULATION using laser light within the wave length 14112
$915.00 of 510-1064nm in the treatment of port wine stains and haemangiomas
of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), including any associated consultation, up to a
maximum of 6 sessions (including any sessions to which items BM720 to
BM780 and EA725 apply) in any 12 month period - area of treatment
more than 100cm2 and up to 150cm2
BM770 LASER PHOTOCOAGULATION using laser light within the wave length 14115
$1,060.00 of 510-1064nm in the treatment of port wine stains and haemangiomas
of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), including any associated consultation, up to a
maximum of 6 sessions (including any sessions to which items BM720 to
BM780 and EA725 apply) in any 12 month period - area of treatment
more than 150cm2 and up to 250cm2
BM780 LASER PHOTOCOAGULATION using laser light within the wave length 14118
$1,345.00 of 510-1064nm in the treatment of port wine stains and haemangiomas
of infancy, cafe-au-lait macules and naevi of Ota, other than melanocytic
naevi (common moles), including any associated consultation, up to a
maximum of 6 sessions (including any sessions to which items BM720 to
BM780 and EA725 apply) in any 12 month period - area of treatment
more than 250cm2
BM786 LASER PHOTOCOAGULATION using laser light within the wavelength 14124
$630.00 of 510-1064nm in the treatment of haemangiomas of infancy, including
any associated consultation - where a 7th or subsequent session
(including any sessions to which items BM720 to BM780 and EA735
apply) is indicated in a 12 month period
BOTULINUM TOXIN
NOTE: MBS items 18350 - 18379 contain restrictions on the practitioners who can bill them and
the clinical circumstances, both of which align with the Pharmaceutical Benefits Scheme.
‡ BM800 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or
18350
$295.00 Clostridium Botulinum Toxin Type A Toxin-Haemagglutin Complex
(Dysport), injection of, for the treatment of hemifacial spasm, including all
injections on any one day
18351
‡
BM802 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or
18353
$585.00 Clostridium Botulinum Type A Toxin-Haemagglutin Complex (Dysport) or
IncobotulinumtoxinA (Xeomin), injection of, for the treatment of cervical
dystonia (spasmodic torticollis), including all injections on any one day
Page 78 1 November 2015

THERAPEUTIC PROCEDURES
BOTULINUM TOXIN
AMA Number
Fee
‡
‡
‡
‡
‡
‡
‡
Description of Medical Service
MBS
Number
BM804 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or
18354
$295.00 Clostridium Botulinum Type A Toxin-Haemagglutin Complex (Dysport),
injection of, for the treatment of dynamic equinus foot deformity
(including equinovarus and equinovalgus) due to spasticity in an
ambulant cerebral palsy patient, including all injections for all or any of
the muscles subserving one functional activity, supplied by one motor
nerve, with a maximum of 4 treatments per patient on any one day (2 per
limb)
BM810 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection 18360
$295.00 of, for the treatment of focal spasticity, including all injections for all or
any of the muscles subserving one functional activity, supplied by one
motor nerve, with a maximum of 4 treatments per patient on any one day
(2 per limb)
BM811 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection 18361
$295.00 of, for the treatment of moderate to severe upper limb spasticity due to
cerebral palsy, including all injections for all or any of the muscles
subserving one functional activity, supplied by one motor nerve, with a
maximum of four treatments per patient on any one day (2 per limb)
BM812 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection 18362
$580.00 of, for the treatment of severe primary axillary hyperhidrosis, including all
injections on any one day
BM814 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or
18365
$295.00 Clostridium Botulinum Type A Toxin-Haemagglutin Complex (Dysport) or
IncobotulinumtoxinA (Xeomin), injection of, for treatment of spasticity of
the upper limb following a stroke, including all injections for all or any of
the muscles subserving one functional activity, supplied by one motor
nerve, with a maximum of 4 treatments per patient on any one day (2 per
limb)
BM816 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection 18366
$380.00 of, for the treatment of strabismus including all injections on any one day
and associated electromyography
BM818 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection 18368
$635.00 of, for the treatment of spasmodic dysphonia, including all injections on
any one day
NOTE: Item BM820 is the AMA equivalent of MBS items 18369 and 18370.
‡ BM820
$106.00
Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or
Clostridium Botulinum Type A Toxin-Haemagglutin Complex (Dysport) or
IncobotulinumtoxinA (Xeomin), injection of, for the treatment of unilateral
blepharospasm, including all injections on any one day
1 November 2015 Page 79

THERAPEUTIC PROCEDURES
BOTULINUM TOXIN
AMA Number
Fee
Description of Medical Service
NOTE: Item BM830 is the AMA equivalent of MBS items 18372 and 18374.
‡ BM830
$295.00
Botulinum Toxin Type A Purified Neurotoxin Complex (Botox) or
Clostridium Botulinum Type A Toxin-Haemagglutin Complex (Dysport) or
IncobotulinumtoxinA (Xeomin), injection of, for the treatment of bilateral
blepharospasm, including all injections on any one day
‡
†
‡
MBS
Number
BM840 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox),
18375
$545.00 intravesical injection of, with cystoscopy, for the treatment of urinary
incontinence due to neurogenic detrusor overactivity, including all
injections on any one day
BM842 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox),
18379
$545.00 intravesical injection of, with cystoscopy, for the treatment of urinary
incontinence due to idiopathic overactive bladder, including all injections
on any one day
BM845 Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection 18377
$440.00 of, for the treatment of chronic migraine, including all injections on any
one day
OTHER THERAPEUTIC PROCEDURES
BM900 GASTRIC LAVAGE in the treatment of ingested poison
14200
$130.00
BM910 HORMONE OR LIVING TISSUE IMPLANTATION, by direct implantation 14203
$114.00 involving incision and suture
BM920 HORMONE OR LIVING TISSUE IMPLANTATION - by cannula
14206
$72.00
BM930 INTRA-ARTERIAL INFUSION or retrograde intravenous perfusion of a 14209
$198.00 sympatholytic agent
BM940 INTUSSUSCEPTION, management of fluid or gas reduction for
14212
$460.00
NOTE: Item BM950 is the AMA equivalent of MBS item 31587. Members should not that this
MBS item contains restrictions on its use that have not been included in the AMA item.
BM950
$220.00
LONG-TERM IMPLANTED RESERVOIR associated with the adjustable
gastric band, accessing of to add or remove fluid
BM960 IMPLANTED INFUSION PUMP REFILLING OF RESERVOIR, with a 14218
$225.00 therapeutic agent or agents, for infusion to the subarachnoid or epidural
space, with or without re-programming of a programmable pump, for the
management of chronic intractable pain
BM970 LONG-TERM IMPLANTED DEVICE for delivery of therapeutic agents, 14221
$122.00 accessing of, not being a service associated with a service to which item
BM500 applies
Page 80 1 November 2015

THERAPEUTIC PROCEDURES
OTHER THERAPEUTIC PROCEDURES
AMA Number
Fee
Description of Medical Service
MBS
Number
BM980 ATTENDANCE FOR ELECTROCONVULSIVE THERAPY, with or 14224
$146.00 without the use of stimulus dosing techniques, including any
electroencephalographic monitoring and associated consultation
BN010 IMPLANTED INFUSION PUMP, refilling of reservoir, with baclofen, for 14227
$225.00 infusion to the subarachnoid or epidural space, with or without reprogramming
of a programmable pump, for the management of severe
chronic spasticity
BN020 INTRATHECAL OR EPIDURAL SPINAL CATHETER INSERTION OR 14230
$690.00 REPLACEMENT OF, for connection to a subcutaneous implanted
infusion pump, for the management of severe chronic spasticity with
baclofen
BN030 INFUSION PUMP, subcutaneous implantation or replacement of, and 14233
$835.00 connection to intrathecal or epidural catheter, and loading of reservoir
with baclofen, with or without programming of the pump, for the
management of severe chronic spasticity
BN040 INFUSION PUMP, subcutaneous implantation of, AND intrathecal or 14236
$1,525.00 epidural SPINAL CATHETER insertion, and connection of pump to
catheter and loading of reservoir with baclofen, with or without
programming of the pump, for the management of severe chronic
spasticity
BN050 REMOVAL OF SUBCUTANEOUSLY IMPLANTED INFUSION PUMP, or 14239
$370.00 removal or repositioning of intrathecal or epidural spinal catheter, for the
management of severe chronic spasticity
BN060 Subcutaneous reservoir and spinal catheter, insertion of, for the
14242
$1,095.00 management of severe chronic spasticity
NOTE: Item BN065 is subject to Section 100 of the PBS. Please refer to Explanatory Note T.1.20
in the MBS before using this item.
BN065 IMMUNOMODULATING AGENT, administration of, by intravenous 14245
$265.00 infusion for at least 2 hours duration - payable once only on the same day
BN075
$555.00
THERAPEUTIC AGENT, administration of, by one or more injections -
on the same day
1 November 2015 Page 81

Radiation
Oncology

RADIATION ONCOLOGY
SUPERFICIAL
AMA Number
Fee
SUPERFICIAL
BP010
$63.00
Description of Medical Service
Supervisory visit during a course of superficial x-ray therapy
MBS
Number
BP020 RADIOTHERAPY, SUPERFICIAL (including treatment with x-rays, 15000
$100.00 radium rays or other radioactive substances), not being a service to
which another item in this Group applies - each attendance at which
fractionated treatment is given - 1 field
BP030
$59.00
- each additional field up to a maximum of five additional fields
BP040 RADIOTHERAPY, SUPERFICIAL - attendance at which a single dose 15006
$275.00 technique is applied - 1 field
BP050
$166.00
- each additional field up to a maximum of five additional fields
BP060 RADIOTHERAPY, SUPERFICIAL - each attendance at which treatment 15012
$148.00 is given to an eye
ORTHOVOLTAGE
BP250 RADIOTHERAPY, DEEP OR ORTHOVOLTAGE - each attendance at 15100
$138.00 which fractionated treatment is given at 3 or more treatments per week -
1 field
BP260
$83.00
- each additional field up to a maximum of five additional fields (rotational
therapy being three fields)
BP270 RADIOTHERAPY, DEEP OR ORTHOVOLTAGE - each attendance at 15106
$160.00 which fractionated treatment is given at 2 treatments per week or less
frequently - 1 field
BP280
$96.00
- each additional field up to a maximum of five additional fields (rotational
therapy being three fields)
BP290 RADIOTHERAPY, DEEP OR ORTHOVOLTAGE - attendance at which a 15112
$355.00 single dose technique is applied - 1 field
BP300
$215.00
MEGAVOLTAGE
BQ500
$63.00
- each additional field up to a maximum of five additional fields (rotational
therapy being three fields)
Supervisory visit during a course of deep or megavoltage x-ray therapy
or treatment with an internal radioactive source
BQ550 RADIATION ONCOLOGY TREATMENT, using cobalt unit or caesium 15211
$116.00 teletherapy unit - each attendance at which treatment is given - 1 field
Page 84 1 November 2015

RADIATION ONCOLOGY
MEGAVOLTAGE
AMA Number
Fee
BQ560
$49.50
Description of Medical Service
- Each additional field up to a maximum of 5 additional fields (rotational
therapy being 3 fields)
MBS
Number
BQ615 RADIATION ONCOLOGY TREATMENT, using a single photon energy 15215
$154.00 linear accelerator with or without electron facilities - each attendance at
which treatment is given - 1 field - treatment delivered to primary site
(lung)
BQ618 RADIATION ONCOLOGY TREATMENT, using a single photon energy 15218
$154.00 linear accelerator with or without electron facilities - each attendance at
which treatment is given - 1 field - treatment delivered to primary site
(prostate)
BQ621 RADIATION ONCOLOGY TREATMENT, using a single photon energy 15221
$154.00 linear accelerator with or without electron facilities - each attendance at
which treatment is given - 1 field - treatment delivered to primary site
(breast)
BQ624 RADIATION ONCOLOGY TREATMENT, using a single photon energy 15224
$154.00 linear accelerator with or without electron facilities - each attendance at
which treatment is given - 1 field - treatment delivered to primary site for
diseases and conditions not covered by items BQ615, BQ618 and BQ621
BQ627 RADIATION ONCOLOGY TREATMENT, using a single photon energy 15227
$154.00 linear accelerator with or without electron facilities - each attendance at
which treatment is given - 1 field - treatment delivered to secondary site
BQ630
$60.00
BQ633
$60.00
BQ636
$60.00
BQ639
$60.00
BQ642
$60.00
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to primary site (lung)
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to primary site (prostate)
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to primary site (breast)
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to primary site for diseases
or conditions not covered by items BQ630, BQ633 or BQ636
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to secondary site
BQ645 RADIATION ONCOLOGY TREATMENT, using a dual photon energy 15245
$200.00 linear accelerator with a minimum higher energy of 10mv photons or
greater, with electron facilities - each attendance at which treatment is
given - 1 field - treatment delivered to primary site (lung)
1 November 2015 Page 85

RADIATION ONCOLOGY
MEGAVOLTAGE
AMA Number
Fee
Description of Medical Service
MBS
Number
BQ648 RADIATION ONCOLOGY TREATMENT, using a dual photon energy 15248
$200.00 linear accelerator with a minimum higher energy of 10mv photons or
greater, with electron facilities - each attendance at which treatment is
given - 1 field - treatment delivered to primary site (prostate)
BQ651 RADIATION ONCOLOGY TREATMENT, using a dual photon energy 15251
$200.00 linear accelerator with a minimum higher energy of 10mv photons or
greater, with electron facilities - each attendance at which treatment is
given - 1 field - treatment delivered to primary site (breast)
BQ654 RADIATION ONCOLOGY TREATMENT, using a dual photon energy 15254
$200.00 linear accelerator with a minimum higher energy of 10mv photons or
greater, with electron facilities - each attendance at which treatment is
given - 1 field - treatment delivered to primary site for diseases and
conditions not covered by items BQ645, BQ648 or BQ651
BQ657 RADIATION ONCOLOGY TREATMENT, using a dual photon energy 15257
$200.00 linear accelerator with a minimum higher energy of 10mv photons or
greater, with electron facilities - each attendance at which treatment is
given - 1 field - treatment delivered to secondary site
BQ660
$65.00
BQ663
$65.00
BQ666
$65.00
BQ669
$65.00
BQ672
$65.00
BRACHYTHERAPY
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to primary site (lung)
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to primary site (prostate)
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to primary site (breast)
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to primary site for diseases
and conditions not covered by items BQ660, BQ663 or BQ666
- each additional field - up to a maximum of 5 additional fields (rotational
therapy being 3 fields) - treatment delivered to secondary site
BQ760 INTRAUTERINE TREATMENT ALONE using radioactive sealed sources 15303
$800.00 having a half-life greater than 115 days using MANUAL
AFTERLOADING TECHNIQUES
BQ765 INTRAUTERINE TREATMENT ALONE using radioactive sealed sources 15304
$800.00 having a half life greater than 115 days using AUTOMATIC
AFTERLOADING TECHNIQUES
BQ770 INTRAUTERINE TREATMENT ALONE using radioactive sealed sources 15307
$1,515.00 having a half-life of less than 115 days including iodine, gold, iridium or
tantalum using MANUAL AFTERLOADING TECHNIQUES
Page 86 1 November 2015

RADIATION ONCOLOGY
BRACHYTHERAPY
AMA Number
Fee
Description of Medical Service
MBS
Number
BQ775 INTRAUTERINE TREATMENT ALONE using radioactive sealed sources 15308
$1,620.00 having a half life of less than 115 days including iodine, gold, iridium or
tantalum using AUTOMATIC AFTERLOADING TECHNIQUES
BQ780 INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources 15311
$750.00 having a half-life greater than 115 days using MANUAL
AFTERLOADING TECHNIQUES
BQ785 INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources 15312
$750.00 having a half-life greater than 115 days using AUTOMATIC
AFTERLOADING TECHNIQUES
BQ790 INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources 15315
$1,465.00 having a half-life of less than 115 days including iodine, gold, iridium or
tantalum using MANUAL AFTERLOADING TECHNIQUES
BQ795 INTRAVAGINAL TREATMENT ALONE using radioactive sealed sources 15316
$1,560.00 having a half-life of less than 115 days including iodine, gold, iridium or
tantalum using AUTOMATIC AFTERLOADING TECHNIQUES
BQ800 COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using 15319
$910.00 radioactive sealed sources having a half-life greater than 115 days using
MANUAL AFTERLOADING TECHNIQUES
BQ805 COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using 15320
$910.00 radioactive sealed sources having a half-life greater than 115 days using
AUTOMATIC AFTERLOADING TECHNIQUES
BQ810 COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using 15323
$1,625.00 radioactive sealed sources having a half-life of less than 115 days
including iodine, gold, iridium or tantalum using MANUAL
AFTERLOADING TECHNIQUES
BQ815 COMBINED INTRAUTERINE AND INTRAVAGINAL TREATMENT using 15324
$1,720.00 radioactive sealed sources having a half-life of less than 115 days
including iodine, gold, iridium, or tantalum using AUTOMATIC
AFTERLOADING TECHNIQUES
BQ820 IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a halflife
15327
$1,765.00
of less than 115 days including iodine, gold, iridium or tantalum) to a
region, under general anaesthesia, or epidural or spinal (intrathecal)
nerve block, requiring surgical exposure and using MANUAL
AFTERLOADING TECHNIQUES
BQ825 IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a halflife
15328
$1,865.00
of less than 115 days including iodine, gold, iridium or tantalum) to a
region, under general anaesthesia, or epidural or spinal (intrathecal)
nerve block, requiring surgical exposure and using AUTOMATIC
AFTERLOADING TECHNIQUES
1 November 2015 Page 87

RADIATION ONCOLOGY
BRACHYTHERAPY
AMA Number
Fee
Description of Medical Service
MBS
Number
BQ830 IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a halflife
15331
$1,675.00
of less than 115 days including iodine, gold, iridium or tantalum) to a
site (including the tongue, mouth, salivary gland, axilla, subcutaneous
sites), where the volume treated involves multiple planes but does not
require surgical exposure and using MANUAL AFTERLOADING
TECHNIQUES
BQ835 IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a halflife
15332
$1,780.00
of less than 115 days including iodine, gold, iridium or tantalum) to a
site (including the tongue, mouth, salivary gland, axilla, subcutaneous
sites), where the volume treated involves multiple planes but does not
require surgical exposure and using AUTOMATIC AFTERLOADING
TECHNIQUES
BQ840 IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a halflife
15335
$1,515.00
of less than 115 days including iodine, gold, iridium or tantalum) to a
site where the volume treated involves only a single plane but does not
require surgical exposure and using MANUAL AFTERLOADING
TECHNIQUES
BQ845 IMPLANTATION OF A SEALED RADIOACTIVE SOURCE (having a halflife
15336
$1,620.00
of less than 115 days including iodine, gold, iridium or tantalum) to a
site where the volume treated involves only a single plane but does not
require surgical exposure and using AUTOMATIC AFTERLOADING
TECHNIQUES
BQ849 PROSTATE, RADIOACTIVE SEED IMPLANTATION of, radiation 15338
$1,875.00 oncology component, using transrectal ultrasound guidance, for localised
prostatic malignancy at clinical stages T1 (clinically inapparent tumour
not palpable or visible by imaging) or T2 (tumour confined within
prostate), with a Gleason score of less than or equal to 7 and a prostate
specific antigen (PSA) of less than or equal to 10ng/ml at the time of
diagnosis. The procedure must be performed at an approved site and in
association with an urologist
BQ850 REMOVAL OF A SEALED RADIOACTIVE SOURCE under general 15339
$172.00 anaesthesia, or under epidural or spinal nerve block
BQ860 CONSTRUCTION AND APPLICATION OF A RADIOACTIVE MOULD 15342
$430.00 using a sealed source having a half-life of greater than 115 days, to treat
intracavity, intraoral or intranasal site
BQ870 CONSTRUCTION AND APPLICATION OF A RADIOACTIVE MOULD 15345
$1,140.00 using a sealed source having a half-life of less than 115 days including
iodine, gold, iridium or tantalum to treat intracavity, intraoral or intranasal
sites
BQ880 SUBSEQUENT APPLICATIONS OF RADIOACTIVE MOULD referred to 15348
$130.00 in item BQ860 or BQ870 - each attendance
Page 88 1 November 2015

RADIATION ONCOLOGY
BRACHYTHERAPY
AMA Number
Fee
Description of Medical Service
MBS
Number
BQ890 CONSTRUCTION WITH OR WITHOUT INITIAL APPLICATION OF A 15351
$345.00 RADIOACTIVE MOULD not exceeding 5 cm in diameter to an external
surface
BQ900 CONSTRUCTION AND FIRST APPLICATION OF A RADIOACTIVE 15354
$400.00 MOULD more than 5 cm in diameter to an external surface
BQ910 Attendance upon a patient to apply a radioactive mould constructed for 15357
$114.00 application to an external surface of the patient other than an attendance
which is the first attendance to apply the mould - each attendance
COMPUTERISED PLANNING
BR500 RADIATION FIELD SETTING using a simulator or isocentric x-ray or 15500
$485.00 megavoltage machine or CT of a single area for treatment by a single
field or parallel opposed fields (not being a service associated with a
service to which item BR530 applies)
BR510 RADIATION FIELD SETTING using a simulator or isocentric x-ray or 15503
$660.00 megavoltage machine or CT of a single area, where views in more than 1
plane are required for treatment by multiple fields, or of 2 areas (not
being a service associated with a service to which item BR540 applies)
BR520 RADIATION FIELD SETTING using a simulator or isocentric x-ray or 15506
$1,045.00 megavoltage machine or CT of 3 or more areas, or of total body or half
body irradiation, or of mantle therapy or inverted Y fields, or of irregularly
shaped fields using multiple blocks, or of off-axis fields or several joined
fields (not being a service associated with a service to which item BR550
applies)
BR530 RADIATION FIELD SETTING using a diagnostic x-ray unit of a single 15509
$415.00 area for treatment by a single field or parallel opposed fields (not being a
service associated with a service to which item BR500 applies)
BR540 RADIATION FIELD SETTING using a diagnostic x-ray unit of a single 15512
$385.00 area, where views in more than 1 plane are required for treatment by
multiple fields, or of 2 areas (not being a service associated with a
service to which item BR510 applies)
BR541 RADIATION SOURCE LOCALISATION using a simulator or x-ray 15513
$660.00 machine or CT of a single area, where views in more than 1 plane are
required, for brachytherapy treatment planning for I125 seed implantation
of localised prostate cancer, in association with item BQ849
BR550 RADIATION FIELD SETTING using a diagnostic x-ray unit of 3 or more 15515
$620.00 areas, or of total body or half body irradiation, or of mantle therapy or
inverted Y fields, or of irregularly shaped fields using multiple blocks, or
of off-axis fields or several joined fields (not being a service associated
with a service to which item BR520 applies)
1 November 2015 Page 89

RADIATION ONCOLOGY
COMPUTERISED PLANNING
AMA Number
Fee
Description of Medical Service
MBS
Number
BR560 RADIATION DOSIMETRY by a CT interfacing planning computer for 15518
$435.00 megavoltage or teletherapy radiotherapy by a single field or parallel
opposed fields to 1 area with up to 2 shielding blocks
BR570 RADIATION DOSIMETRY by a CT interfacing planning computer for 15521
$865.00 megavoltage or teletherapy radiotherapy to a single area by 3 or more
fields, or by a single field or parallel opposed fields to 2 areas, or where
wedges are used
BR580 RADIATION DOSIMETRY by a CT interfacing planning computer for 15524
$1,710.00 megavoltage or teletherapy radiotherapy to 3 or more areas, or by
mantle fields or inverted Y fields or tangential fields or irregularly shaped
fields using multiple blocks, or off-axis fields, or several joined fields
BR590 RADIATION DOSIMETRY by a non-CT interfacing planning computer for 15527
$420.00 megavoltage or teletherapy radiotherapy by a single field or parallel
opposed fields to 1 area with up to 2 shielding blocks
BR600 RADIATION DOSIMETRY by a non-CT interfacing planning computer for 15530
$685.00 megavoltage or teletherapy radiotherapy to a single area by 3 or more
fields, or by a single field or parallel opposed fields to 2 areas, or where
wedges are used
BR610 RADIATION DOSIMETRY by a non-CT interfacing planning computer for 15533
$1,350.00 megavoltage or teletherapy radiotherapy to 3 or more areas, or by
mantle fields or inverted Y fields, or tangential fields or irregularly shaped
fields using multiple blocks, or off-axis fields, or several joined fields
BR620 BRACHYTHERAPY PLANNING, computerised radiation dosimetry 15536
$865.00
BR623 BRACHYTHERAPY PLANNING, computerised radiation dosimetry for 15539
$1,710.00 I125 seed implantation of localised prstate cancer, in association with
item BQ849
BR625 SIMULATION FOR THREE DIMENSIONAL CONFORMAL
15550
$1,010.00 RADIOTHERAPY without intravenous contrast medium, where: (a)
treatment set up and technique specifications are in preparations for
three dimensional conformal radiotherapy dose planning; and (b) patient
set up and immobilisation techniques are suitable for reliable CT image
volume data acquisition and three dimensional conformal radiotherapy
treatment; and (c) a high-quality CT-image volume dataset must be
acquired for the relevant region of interest to be planned and treated;
and (d) the image set must be suitable for the generation of quality
digitally reconstructed radiographic images
Page 90 1 November 2015

RADIATION ONCOLOGY
COMPUTERISED PLANNING
AMA Number
Fee
Description of Medical Service
MBS
Number
BR626 SIMULATION FOR THREE DIMENSIONAL CONFORMAL
15553
$1,090.00 RADIOTHERAPY pre and post intravenous contrast medium, where: (a)
treatment set up and technique specifications are in preparation for three
dimensional conformal radiotherapy dose planning; and (b) patient set up
and immobilisation techniques are suitable for reliable CT image volume
data acquisition and three dimensional conformal radiotherapy treatment;
and (c) a high-quality CT-image volume dataset must be acquired for the
relevant region of interest to be planned and treated; and (d) the image
set must be suitable for the generation of quality digitally reconstructed
radiographic images
BR627 DOSIMETRY FOR THREE DIMENSIONAL CONFORMAL
15556
$1,095.00 RADIOTHERAPY OF LEVEL 1 COMPLEXITY where: (a) dosimetry for a
single phase three dimensional conformal treatment plan using CT
image volume dataset and having a single treatment target volume and
organ at risk; and (b) one gross tumour volume or clinical target volume,
plus one planning target volume plus at least one relevant organ at risk
as defined in the prescription must be rendered as volumes; and (c) the
organ at risk must be nominated as a planning dose goal or constraint
and the prescription must specify the organ at risk dose goal or
constraint; and (d) dose volume histograms must be generated,
approved and recorded with the plan; and (e) a CT image volume
dataset must be used for the relevant region to be planned and treated;
and (f) the CT images must be suitable for the generation of quality
digitally reconstructed radiographic images
1 November 2015 Page 91

RADIATION ONCOLOGY
COMPUTERISED PLANNING
AMA Number
Fee
Description of Medical Service
MBS
Number
BR628 DOSIMETRY FOR THREE DIMENSIONAL CONFORMAL
15559
$1,330.00 RADIOTHERAPY OF LEVEL 2 COMPLEXITY where: (a) dosimetry for a
two phase three dimensional conformal treatment plan using CT image
volume dataset(s), with a least one gross tumour volume, two planning
target volumes and one organ at risk defined in the prescription; or (b)
dosimetry for a one phase three dimensional conformal treatment plan
using CT image volume datasets with a least one gross tumour volume,
one planning target volume and two organ at risk dose goals or
constraints defined in the prescription; or (c) image fusion with a
seondary image (CT, MRI or PET) volume dataset used to define target
and organ at risk volumes in conjunction with and as specified in
dosimetry for three dimensional conformal radiotherapy of level 1
complexity. All gross tumour targets, clinical targets, planning targets
and organs at risk as defined in the prescription must be rendered as
volumes. The organs at risk must be nominated as planning dose goals
or constraints and the prescription must specify the organs at risk as
dose goals or constraints. Dose volume histograms must be generated,
approved and recorded with the plan. A CT image volume dataset must
be used for the relevant region to be planned and treated. The CT
images must be suitable for the generation of quality digitally
reconstructed radiographic images
BR629 DOSIMETRY FOR THREE DIMENSIONAL CONFORMAL
15562
$1,850.00 RADIOTHERAPY OF LEVEL 3 COMPLEXITY where: (a) dosimetry for a
three or more phase three dimensional conformal treatment plan using
CT image volume dataset(s), with a least one gross tumour volume,
three planning target volumes and one organ at risk defined in the
prescription; or (b) dosimetry for a two phase three dimensional
conformal treatment plan using CT image volume datasets with a least
one gross tumour volume and (i) two planning target volumes or (ii) two
organ at risk dose goals or constraints defined in the prescription; or (c)
dosimetry for a one phase three dimensional conformal treatment plan
using CT image volume datasets with at least one gross tumour volume,
one planning target volume and three organ at risk does goals or
constraints defined in the prescription; (d) image fusion with a secondary
image (CT, MRI or PET) volume dataset used to define target and organ
at risk volumes in conjunction with and as specified in dosimetry for three
dimensional conformal radiotherapy of level 2 complexity. All gross
tumour targets, clinical targets, planning targets and organs at risk as
defined in the prescription must be rendered as volumes. The organs at
risk must be nominated as planning dose goals or constraints and the
prescription must specify the organs at risk as dose goals or constraints.
Dose volume histograms must be generated, approved and recorded
with the plan. A CT image volume dataset must be used for the relevant
region to be planned and treated. The CT images must be suitable for
the generation of quality digitally reconstructed radiographic images
Page 92 1 November 2015

RADIATION ONCOLOGY
COMPUTERISED PLANNING
AMA Number
Fee
Description of Medical Service
MBS
Number
BR630 STEREOTACTIC RADIOSURGERY, including all radiation oncology 15600
$4,200.00 consultations, planning, simulation, dosimetry and treatment
RADIATION ONCOLOGY TREATMENT VERIFICATION
BR700 RADIATION ONCOLOGY TREATMENT VERIFICATION - single 15700
$140.00 projection (with single or double exposures), when prescribed and
reviewed by a radiation oncologist and not associated with item BR705
or BR710 - each attendance at which treatment is verified (i.e. maximum
one per attendance)
BR705 RADIATION ONCOLOGY TREATMENT VERIFICATION - multiple 15705
$235.00 projection or volumetric acquisition, when prescribed and reviewed by a
radiation oncologist and not associated with item BR700 or BR710 -
each attendance at which treatment is verified (i.e. maximum one per
attendance)
BR710 RADIATION ONCOLOGY TREATMENT VERIFICATION - volumetric 15710
$235.00 acquisition, when prescribed and reviewed by a radiation oncologist and
not associated with item BR700 or BR705 - each attendance at which
treatment involving three fields or more is verified (i.e. maximum one per
attendance)
BRACHYTHERAPY PLANNING AND VERIFICATION
†
BR800 BRACHYTHERAPY TREATMENT VERIFICATION - maximum of one 15800
$245.00 only for each attendance
BR850 RADIATION SOURCE LOCALISATION using a simulator, x-ray
15850
$505.00 machine, CT or ultrasound of a single area, where views in more than
one plane are required, for brachytherapy treatment planning, not being
a service to which item BR541 applies
BR875 BREAST, MALIGNANT TUMOUR, targeted intraoperative radiotherapy, 15900
$630.00 using an intrabeam® device, delivered at the time of breast-conserving
surgery (partial mastectomy or lumpectomy) for a patient who: (a) is 45
years of age or more; and (b) has a t1 or small t2 (less than or equal to
3cm in diameter) primary tumour; and (c) has an histologic grade 1 or 2
tumour; and (d) has an oestrogen-receptor positive tumour; and (e) has a
node negative malignancy; and (f) is suitable for wide local excision of a
primary invasive ductal carcinoma that was diagnosed as unifocal on
conventional examination and imaging; and (g) has no contraindications
to breast irradiation
1 November 2015 Page 93

Therapeutic
Nuclear Medicine

THERAPEUTIC NUCLEAR MEDICINE
AMA Number
Fee
BR900
$120.00
Description of Medical Service
ADMINISTRATION OF A THERAPEUTIC DOSE OF A
RADIOISOTOPE - not being a service to which another item in this
Group applies
MBS
Number
NOTE: Medicare benefits are not payable for corresponding AMA item BR910 if used for SIRT
for hepatic mestastases. Please refer to Explanatory Note T.3.1 in the MBS.
BR910 INTRA-CAVITY ADMINISTRATION OF A THERAPEUTIC DOSE OF 16003
$1,485.00 YTTRIUM 90 (not including preliminary paracentesis) and not being a
service associated with selective internal radiation therapy or to which
item GA005, GA010 or GA020 applies
BR920 ADMINISTRATION OF A THERAPEUTIC DOSE OF IODINE 131 for 16006
$1,140.00 thyroid cancer by single dose technique
BR930 ADMINISTRATION OF A THERAPEUTIC DOSE OF IODINE 131 for 16009
$775.00 thyrotoxicosis by single dose technique
BR940 INTRAVENOUS ADMINISTRATION OF A THERAPEUTIC DOSE OF 16012
$675.00 PHOSPHOROUS 32
BR950 ADMINISTRATION OF STRONTIUM 89 for painful bony metastases 16015
$6,785.00 from carcinoma of the prostate where hormone therapy has failed and
either:(i) the disease is poorly controlled by conventional radiotherapy; or
(ii) conventional radiotherapy is inappropriate, due to the wide distribution
of sites of bone pain
BR960 Administration of 153 SM-LEXIDRONAM for the relief of bone pain due 16018
$4,070.00 to skeletal metastases (as indicated by a positive bone scan) where
hormonal therapy and/or chemotherapy have failed and either the
disease is poorly controlled by conventional radiotherapy or conventional
radiotherapy is inappropriate, due to the wide distribution of sites of bone
pain
Page 96 1 November 2015

Obstetrics

OBSTETRICS
ANTENATAL ATTENDANCES
AMA Number
Fee
ANTENATAL ATTENDANCES
Description of Medical Service
MBS
Number
BT200 ANTENATAL ATTENDANCE
16500
$102.00
BT201
$295.00
FIRST CONSULTATION, for a complicated labour, by a medical
practitioner, at the request of the medical practitioner who is conducting
the labour, where the former does not take over the care of the patient
but remains available for further consultation
BT205 EXTERNAL CEPHALIC VERSION for BREECH PRESENTATION, after 16501
$420.00 36 weeks where no contraindication exists, in a Unit with facilities for
Caesarean Section, including pre- and post version CTG, with or without
tocolysis, not being a service to which items OC665 to OC680 and
OC770 to OC785 apply - chargeable whether or not the version is
successful and limited to a maximum of 2 ECV's per pregnancy
BT210 POLYHYDRAMNIOS, UNSTABLE LIE, MULTIPLE PREGNANCY, 16502
$102.00 PREGNANCY COMPLICATED BY DIABETES OR ANAEMIA,
THREATENED PREMATURE LABOUR treated by bed rest only or oral
medication, requiring admission to hospital - each attendance that is not
a routine antenatal attendance, to a maximum of 1 visit per day
BT220 TREATMENT OF HABITUAL MISCARRIAGE by injection of hormones - 16504
$102.00 each injection up to a maximum of 12 injections, where the injection is
not administered during a routine antenatal attendance
BT230 THREATENED ABORTION, THREATENED MISCARRIAGE OR 16505
$102.00 HYPEREMESIS GRAVIDARUM, requiring admission to hospital,
treatment of - each attendance that is not a routine antenatal attendance
BT240 PREGNANCY COMPLICATED by acute intercurrent infection, intrauterine
16508
$102.00
growth retardation, threatened premature labour with ruptured
membranes or threatened premature labour treated by intravenous
therapy, requiring admission to hospital - each attendance that is not a
routine antenatal attendance, to a maximum of 1 visit per day
BT250 PRE-ECLAMPSIA, ECLAMPSIA OR ANTEPARTUM HAEMORRHAGE, 16509
$102.00 treatment of - each attendance that is not a routine antenatal attendance
BT260 CERVIX, purse string ligation of
16511
$685.00
BT270 CERVIX, removal of purse string ligature of
16512
$196.00
BT280 ANTENATAL CARDIOTOCOGRAPHY in the management of high risk 16514
$106.00 pregnancy (not during the course of the confinement)
Page 98 1 November 2015

OBSTETRICS
MANAGEMENT OF LABOUR AND DELIVERY
AMA Number
Fee
Description of Medical Service
MBS
Number
MANAGEMENT OF LABOUR AND DELIVERY
NOTE: Items BT500, BT510 and BT520 include the following (where indicated) - surgical and/or
intravenous infusion induction of labour, forceps or vacuum extraction, breech delivery,
management of multiple delivery, episiotomy or repair of tears.
BT500 MANAGEMENT OF VAGINAL DELIVERY AS AN INDEPENDENT 16515
$2,950.00 PROCEDURE where the patient's care has been transferred by another
medical practitioner for management of the delivery and the attending
medical practitioner has not provided antenatal care to the patient,
including all attendances related to the delivery
BT510 MANAGEMENT OF LABOUR, incomplete, where the patient's care has 16518
$1,475.00 been transferred to another medical practitioner for completion of the
delivery
BT520 MANAGEMENT OF LABOUR AND DELIVERY by any means (including 16519
$2,955.00 Caesarean section) including post-partum care for 5 days
BT530 CAESAREAN SECTION and POST-OPERATIVE CARE for 7 days 16520
$2,955.00 where the patient's care has been transferred by another medical
practitioner for management of the confinement and the attending
medical practitioner has not provided any of the antenatal care
NOTE: Item BT535 is the AMA equivalent of MBS item 16522, however the AMA descriptor does
not include the list of conditions shown in that MBS item. For use of this item and payment of
benefits under the MBS, practitioners should refer to the item descriptor for 16522 in the MBS.
BT535
$4,170.00
MANAGEMENT OF COMPLICATED LABOUR AND DELIVERY, or
complicated delivery alone, (including Caesarean section), including
postnatal care for 7 days.
BT540 MANAGEMENT OF SECOND TRIMESTER LABOUR, with or without 16525
$1,580.00 induction, for intrauterine fetal death, gross fetal abnormality or life
threatening maternal disease, not being a service to which item HA580
applies
POST-PARTUM
BT800 EVACUATION OF RETAINED PRODUCTS OF CONCEPTION
16564
$610.00 (placenta, membranes or mole) as a complication of confinement, with or
without curettage of the uterus, as an independent procedure
BT810 MANAGEMENT OF POSTPARTUM HAEMORRHAGE by special 16567
$890.00 measures such as packing of the uterus, as an independent procedure
BT820 ACUTE INVERSION OF THE UTERUS , vaginal correction of, as an 16570
$1,160.00 independent procedure
BT830 CERVIX, REPAIR of extensive laceration or lacerations
16571
$890.00
1 November 2015 Page 99

OBSTETRICS
POST-PARTUM
AMA Number
Fee
Description of Medical Service
MBS
Number
BT840 THIRD DEGREE TEAR, including anal sphincter muscles and rectal 16573
$690.00 mucosa, repair of, as an independent procedure
BT850
$102.00
BT860
$116.00
BT870
$116.00
POSTNATAL ATTENDANCE, by a medical practitioner, to a maximum
of 5 attendances, each attendance not being a post-operative
attendance
EXAMINATION OF THE WELL NEONATE
CARE OF THE NEWBORN, during the first 9 days, for a condition
requiring medical treatment, not where there has been a referral to
another medical practitioner, each attendance
PLANNING AND MANAGEMENT OF PREGNANCY
BU800 Planning and management of a pregnancy by the doctor primarily 16590
$365.00 responsible for the management of the pregnancy and subsequent
delivery of the patient, not including any amount for the management of
the in hospital labour and/or delivery - payable once only for any
pregnancy that has progressed beyond 20 weeks
NOTE: The practitioner primarily responsible for the delivery of the patient may not always be
present at the birth but will have been involved in planning and making arrangements for the
delivery. Where shared care arrangements exist it is the responsibility of the practitioners
involved to determine who will be charging this item. Practitioners claiming this item should
have clinical privileges in obstetrics and be recognised as being on the hospital roster for
obstetric care.
INTERVENTIONAL TECHNIQUES
NOTE: The following fees DO NOT include a consultation fee or any component to cover
associated imaging being performed either in conjunction with the procedure or on a separate
occasion. It would be considered appropriate to include additional fees to cover these items.
BV900 AMNIOCENTESIS, diagnostic
16600
$405.00
BV905 CHORIONIC VILLUS SAMPLING, by any route
16603
$435.00
BV910 FETAL BLOOD SAMPLING, using interventional techniques from 16606
$920.00 umbilical cord or fetus, including fetal neuromuscular blockade and
amniocentesis
BV915 FETAL INTRAVASCULAR BLOOD TRANSFUSION, using blood already 16609
$2,100.00 collected, including neuromuscular blockade, amniocentesis and fetal
blood sampling
BV920 FETAL INTRAPERITONEAL BLOOD TRANSFUSION, using blood 16612
$1,625.00 already collected, including neuromuscular blockade, amniocentesis and
fetal blood sampling, not in conjunction with item BV915
Page 100 1 November 2015

OBSTETRICS
INTERVENTIONAL TECHNIQUES
AMA Number
Fee
Description of Medical Service
MBS
Number
BV925 FETAL INTRAPERITONEAL BLOOD TRANSFUSION, using blood 16615
$730.00 already collected, including neuromuscular blockade, amniocentesis and
fetal blood sampling, when performed in conjunction with item BV915
BV930 AMNIOCENTESIS, THERAPEUTIC, when indicated because of
16618
$730.00 polyhydramnios with at least 500ml being aspirated
BV935 AMNIOINFUSION, for diagnostic or therapeutic purposes in the
16621
$730.00 presence of severe oligohydramnios
BV940 FETAL FLUID FILLED CAVITY, drainage of
16624
$1,015.00
BV945 FETO-AMNIOTIC SHUNT, insertion of, into fetal fluid filled cavity, 16627
$2,080.00 including neuromuscular blockade and amniocentesis
BV950 PROCEDURE ON MULTIPLE PREGNANCIES relating to items BV910, 16633
$0.00 BV915, BV920, BV925, and BV945 - DERIVED FEE: 50% of the fee for
the first fetus for any additional fetus tested
BV955 PROCEDURE ON MULTIPLE PREGNANCIES relating to items BV900, 16636
$0.00 BV905, BV930, BV935, and BV940: 50% for the first fetus for any
additional fetus tested
NOTE: See Assistance at Operations section, item MZ920, for assistance fee at interventional
obstetrics procedures for items BV910, BV915, BV920, BV925, BV945 and BV950.
1 November 2015 Page 101

Anaesthesia

ANAESTHESIA
NOTES
FOREWORD
The services provided by a specialist anaesthetist may include the following:
A) The management of a patient to render him or her insensible to pain and emotional stress
during surgical, obstetric and medical procedures.
B) The support of life functions under the stress of anaesthetic and surgical manipulations.
C) The clinical management of an unconscious patient.
D) The management of pain relief.
E) The management of cardiac and respiratory resuscitation.
F) The application and management of respiratory therapy.
G) The clinical management of fluid, electrolyte and metabolic disturbances.
H) Professional attendances and consultations in relation to all of the above services.
GUIDELINES FOR DERIVING ANAESTHESIA FEES
The Australian Medical Association (AMA) has adopted, with advice from the Australian Society
of Anaesthetists (ASA), a Relative Value Guide (RVG). This RVG relates anaesthesia services,
one to the other, on the basis of anaesthesia complexity and time. IT IS NOT A FEE SCHEDULE
but is a system expressing relativities in terms of units. It is designed to assist anaesthetists to
develop their own fee schedules in a logical and consistent manner.
For the purpose of allocating units, the RVG does not distinguish between the use of general,
regional, field or local anaesthesia, and the supplementation of local anaesthesia. The RVG gives
equal acknowledgment to whichever method is considered most suitable for the provision of
anaesthesia for a particular procedure.
Factors such as costs of drugs, materials, instruments, equipment and disposable items are not
factors in determining RVG units. These are items that are ordinarily chargeable by the facility
(hospital, day surgery unit or other) and not by the anaesthetist. They do not affect the RVG unit
value or the number of units.
VALUES
The relative value of a particular anaesthetic procedure has three main components:
1) A basic unit allocation;
2) Time units – applicable if “T” appears next to the descriptor; and
3) Modifying units – applicable if “PM” appears next to the descriptor.
Additional units may be added for anaesthesia consultations, specialised forms of invasive
catheterisation and monitoring, perioperative nerve blocks performed as adjuncts to provide postoperative
analgesia and for special procedures such as blood transfusions, autologous blood
collection, double lumen endobronchial intubation and awake fibreoptic intubation.
These components, when added together, give the “total relative value” for the service.
Page 104 1 November 2015

ANAESTHESIA
NOTES
1. Basic Units
A number of basic units is allocated to each procedure. This number relates to degree of
difficulty, itself generally dependent on the anatomical site of surgery and the impact that
the nature of a particular operation has on a patient’s physiology. The basic unit allocation
includes the administration of fluids and also basic universal monitoring.
When multiple surgical procedures are performed during a single anaesthetic, the basic
item to be allocated to the anaesthetic is that with the highest value for the surgical
procedures performed.
Whenever the word “radical” appears in an item descriptor, it refers to an extensive surgical
procedure performed for the treatment of malignancy. It usually denotes extensive block
dissection, not only of the malignant tissue, but also of surrounding tissue, particularly fat
and lymphatic drainage systems.
With regard to item CC474 “extensive” refers to major reconstructive surgery such as
pectus excavatum repair or similar.
With regard to item CA192 an “extensive” procedure denotes major facial bone surgery or
reconstruction including major resection, or osteotomies or osteectomies of mandibles
and/or maxillae, surgery for prognathism, or surgery for Le Fort II or III fractures.
A service which is rarely provided, unusual or new may require special consideration for
an appropriate unit allocation and should be referred to the ASA for advice.
2. Time Units
For the first 2 hours, each 15 minutes (or part thereof) of anaesthesia time constitutes 1
time unit. After 2 hours, time units are calculated at 1 unit per 10 minutes (or part thereof).
After 4 hours, time units are calculated at 1 unit per 5 minutes (or part thereof), but note
that in the Medicare Benefits Schedule (MBS) they remain allocated at 1 unit per 10
minutes.
Anaesthesia time begins when the anaesthetist starts preparing the patient for anaesthesia
care in the operating room or an equivalent area. Anaesthesia time ends when the
anaesthetist is no longer in personal attendance; that is, when the patient may be safely
placed under the supervision of other personnel.
In the case of medical practitioner management of cardio-pulmonary bypass, time for the
perfusionist begins with the induction of anaesthesia and finishes with the closure of the
chest.
Time units are only applicable if “T” appears with the item code.
1 November 2015 Page 105

ANAESTHESIA
NOTES
3. Modifying Units
Many anaesthesia services are provided under particularly difficult circumstances that
contribute special risks to such services. Factors such as the medical condition of the
patient, the age of the patient and the requirement for emergency surgery significantly
influence the provision of anaesthesia. Physical status and other modifiers may therefore
apply.
Modifying units are only applicable if “PM” appears with the item code. This section
tabulates these items, their item numbers, their descriptors and the number of units
applicable.
(a)
Physical Status Modifiers:
CODE DESCRIPTION UNITS
P1 A normal healthy patient 0
P2 A patient with mild systemic disease 0
P3 A patient with severe systemic disease 1
P4 A patient with a severe systemic disease that is 4
a constant threat to life
P5 A moribund patient who is not expected to 6
survive for 24 hours with or without the
operation
P6 A patient who is morbidly obese - body mass 2
index (BMI*) of more than 35
P7 A patient who is in the 3 rd trimester of pregnancy 2
(this applies to items CG850, CH946 and
CH954)
P8 A patient declared brain-dead whose organs
are being removed for donor purposes
0
(b)
Other Modifiers:
CODE DESCRIPTION UNITS
M1 Where the patient is less than 12 months of age 1
or 70 years or greater
M2 Emergency surgery ** 2
M3 Anaesthesia in the prone position (not 3
applicable to item CG810)
M4 After hours emergency ** +50%
* BMI is calculated as {weight in Kg}/{height in metres} squared.
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ANAESTHESIA
NOTES
** Emergency is defined as existing when undue delay in treatment of the patient
would lead to a significantly increased threat to life or body part. The MBS defines
an emergency as “where the patient requires immediate treatment without which
there would be significant threat to life or body part”.
TOTAL RELATIVE VALUE
The total relative value of the service is expressed in units and is obtained by adding together the
basic, time, modifying and any of the specified additional units.
ANAESTHESIA FOR AFTER HOURS EMERGENCIES
A 50% loading applies to emergency after hours anaesthesia (modifier M4). It is calculated using
the total relative value. The M4 modifier does not apply to AMA RVG consultation items CA002
to CA008, or to items CA070 (call back of an anaesthetist) or CA051 (after hours emergency
consultation; this item already carries appropriate loading).
In the MBS the emergency loading does not apply to consultations, nor to any item allocated a
specific MBS Fee rather than a number of units. It applies to anaesthesia for surgery, medical
perfusion, physical status modifiers, and anaesthesia assistance items.
The M4 and M2 modifiers should not be used together.
Obstetric epidurals do not attract an emergency loading. There are however specific items for
after hours epidurals (CV123 and CV124).
DEFINITION OF “AFTER HOURS”
“After hours” is defined as that period between 6.00pm and the following 8.00am on weekdays
and all day on weekends and public holidays. In the MBS RVG the after hours period does not
commence until 8.00pm on weekdays.
Over half the anaesthesia time must be in the after hours period in order to generate the 50%
loading. For example, a weekday case with start time of 5.00pm and a finish time of 6.30 pm
does not qualify, whereas a case with a start time of 5.00pm and a finish time of 7.10pm does.
(The MBS rebate would not attract a 50% loading for either case as the MBS defines “after hours”
as after 8.00pm).
While there is no corresponding MBS item number for AMA RVG item CA051 (a fter hours
emergency consultation), MBS items 598 and 600 may be used for after hours emergency
attendances in some circumstances. If the after hours attendance is between 11.00pm and
7.00pm, item 600 applies. If the after hours attendance falls outside these hours, item 598
applies. Thus item 598 applies during the following hours:
Weekdays: 7.00am to 8.00am and 6.00pm to 11.00pm;
Saturday: 7.00am to 8.00am and 12.00pm to 11.00pm; and
Sunday and public holidays: 7.00am to 11.00pm.
1 November 2015 Page 107

ANAESTHESIA
NOTES
DERIVATION OF FEES FOR ANAESTHESIA SERVICES
Fees are derived by multiplying the total relative value units by a monetary value. Each individual
anaesthetist must choose this monetary value independently. This is an important requirement
of the Competition and Consumer Act 2010, breaches of which invite heavy financial penalties.
Compliance with the Act is overseen by the Australian Competition and Consumer Commission.
The monetary value chosen would, naturally, depend on the financial parameters of an
individual’s practice.
The AMA publishes a fees “Ready Reckoner” (see below) which is compiled using a suggested
maximum monetary value that could be allocated to each RVG unit. This suggested maximum
monetary value is adjusted annually using the AMA’s Medical Fees Index and is considered to be
the reasonable maximum value that could be used under normal circumstances.
The AMA also strongly recommends that, in order to fulfil the requirements of informed financial
consent, each medical practitioner discuss his or her fees with patients prior to the admission to
hospital or the provision of services, where practical. It is recognised, however, that some urgent
circumstances make such a discussion either impractical or impossible.
Ready Reckoner
Total RVG Fee
Total RVG Fee
Total RVG Fee
units $
units $
units $
1 81 11 891 21 1701
2 162 12 972 22 1782
3 243 13 1053 23 1863
4 324 14 1134 24 1944
5 405 15 1215 25 2025
6 486 16 1296 26 2106
7 567 17 1377 27 2187
8 648 18 1458 28 2268
9 729 19 1539 29 2349
10 810 20 1620 30 2430
ITEMS OF SPECIAL NOTE
i. When it is necessary to have a second attending anaesthetist to assist with the provision
of an anaesthetic the circumstances should be documented. Such services will be covered
by item CW020.
ii.
For call-backs at any time from home, office or other distant location, the item CA070 is
applicable. This item provides a travel allowance. This is additional to any other service
provided, including consultations. This item has no equivalent in the MBS.
Page 108 1 November 2015

ANAESTHESIA
NOTES
iii.
iv.
For epidural analgesia in labour, items CV120, CV122, CV123, CV124, CV125 or CV126
are appropriate. Item CA070 and appropriate consultation items may also be used, when
applicable. It is only appropriate to charge for a consultation when a formal consultation is
actually performed. This, of course, may take place at the same time as the attendance
for the epidural.
Perioperative nerve blocks performed for the provision of post-operative analgesia are
entitled to an additional charge using items CV081 and CV082, or item CV083 if a catheter
is placed. Only one of these items should be used per case. However, there is no
entitlement to an additional item, if such blocks are performed as the primary form of
anaesthesia for the surgical procedure. The MBS does not allow a claim for nerve blocks
performed either as the primary anaesthetic technique, or as a method of post-operative
analgesia, except in certain circumstances. The item for the anaesthesia itself is
considered to cover such blocks. There are several exceptions to this. MBS item numbers
are applicable to some blocks used for analgesia, in certain situations:
Femoral and/or sciatic nerve blocks (MBS items 22040 and 22045);
Brachial plexus blocks (MBS item 22050); and
Intrathecal or epidural drug administration (MBS items 22031 and 22036).
(Refer to the descriptors for these MBS items).
v. Nerve block items in the range CV200 to CV330 are intended for blocks performed as
independent procedures, not in association with anaesthesia for surgical procedures.
They are not intended for use in conjunction with items in the anaesthesia section of the
RVG, including items CV081, CV082 and CV083.
vi.
vii.
viii.
Item CV009 is not intended for routine use. It applies to the monitoring of a processed
electroencephalogram signal for the avoidance of awareness, in situations in which the
anaesthetist considers the risk of awareness to be higher than usual. Such clinical
situations may include cardiac surgery, trauma surgery, the medically unwell patient, a
previous history of awareness, Caesarean section under general anaesthesia, or the use
of total intravenous anaesthesia.
Item CA080 is intended to cover anaesthesia consultancy, e.g. for patient retrievals,
expert opinions or medicolegal work. In some regions there is a separate suggested
schedule for fees for court appearance. Members should contact their state AMA branch
for further information. Please refer to page xxv for CA080 item descriptors.
Item CA085 is intended to cover services such as the retrieval of a critically ill patient
from a distant location. It can be used in addition to items for diagnostic and therapeutic
services, should procedures such as endotracheal intubation, vascular cannulation or
invasive pressure monitoring be required. Time units do not apply until the anaesthetist is
actually in the presence of the patient. However, the use of item CA080 to cover
preparation for the transfer, and travel time to the patient's location is appropriate.
1 November 2015 Page 109

ANAESTHESIA
NOTES
ix.
Item CA086 is intended to cover services such as the transfer of a critically ill or
anaesthetised patient between different locations in the same hospital (other than routine
transfer e.g. from theatre to recovery). Again, additional items for diagnostic and
therapeutic procedures may apply.
x. Item CV740 for intra-operative trans-oesophageal echocardiography, matches the
descriptor for MBS item 55130. However, the Department of Health has advised that
Medicare benefits for this service by anaesthetists are not payable under item 55130, but
rather item 22051. Benefits remain payable for MBS item 55135 (echocardiography in
association with cardiac valve surgery), provided the terms of the Diagnostic Imaging
Accreditation Scheme are met. MBS item 22051 does not have this requirement.
xi.
Training in the Private Sector. Members will be aware of the fact that there may be an
increasing use of private health care facilities to provide training opportunities for specialist
trainees. A result of this is that certain services and procedures will now attract Medicare
rebates where a trainee performs the service under the supervision of a specialist. Please
refer to Explanatory Note T.1.21 in the MBS for further information.
Consultations
The AMA RVG items for consultations are time based with two units for every 15 minutes (or part
thereof) of consultation. The MBS items are also time based (15 minute intervals) and complexity
based. Both time and complexity criteria must be met to qualify for MBS benefits.
The AMA RVG items apply to all anaesthesia consultations. The MBS has specific items for preanaesthesia
consultations, and another group of “referred consultation” items for post-operative
and other consultations applicable for specialist anaesthetists.
Time
(minutes)
AMA RVG
Item
MBS Item
Pre-anaesthesia
≥15 CA002 17610* 17640*
16-30 CA004 17615* 17645*
31-45 CA006 17620* 17650*
>45 CA008 17625* 17655*
MBS Item
Referred Consultations
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ANAESTHESIA
NOTES
There are additional MBS consultation items that may apply to anaesthesia practice:
Emergency attendances may be covered by MBS items 598, 600 or 160 to 164.
Item 17609 provides an additional rebate if consultations are provided by video
conference. This item adds 50% to the MBS rebate for consultations in the range 17610
to 17655 (additional criteria apply, please refer to Explanatory Note T.6.4 in the MBS).
For equivalent AMA item please refer to video consultation items on page 44.
Item 17680 which covers consultations prior to regional blockade in labour; and
Item 17690 which provides a supplementary rebate for some “in-rooms” consultations.
It is important to note that MBS items 17690 and 17609 cannot be used together.
Additional complexity criteria apply, further information is available under Explanatory
Notes T.6.1 - T.6.3 in the MBS.
There is a group of AMA RVG items that have no MBS equivalent:
Item CA045 covering post anaesthesia care following a day procedure;
Items CA085 and CA086 covering patient transfer;
Item CA070 covering call back of an anaesthetist from a distant location; and
Item CA080 covering court appearances, etc.
AMA RVG item CA060 applies to attendances on a patient in imminent danger of death. An RVG
time item applies in addition to this item. The MBS has a series of time based items for this type
of attendance. MBS item 160 applies if the attendance is of one to two hours duration, and MBS
items 161 to 164 apply for longer attendances, with each subsequent item being for the next
hourly period (a dditional criteria apply, please refer to Explanatory Note A.16 in the MBS for
further details).
A separate range of consultation items apply to the practice of pain medicine (MBS items 2801 -
3000). Members who are Fellows of the Faculty of Pain Medicine, Australian and New Zealand
College of Anaesthetists, should refer to the MBS for details.
ACUTE PAIN MANAGEMENT
A medical practitioner may refer a patient to an anaesthetist to manage acute post-operative pain.
This should be charged on an attendance basis utilising the appropriate anaesthesia consultation
item in the range CA002 to CA008 (MBS items 17640 to 17655). If a therapeutic procedure is
also performed then the relevant item may be charged as well.
Where continuous infusions or subsequent injections of a therapeutic substance are used to
control pain, attendances should be charged under the appropriate item (CV125 or CV126). In
that circumstance it is not appropriate to charge a separate anaesthesia consultation item unless
a formal separate consultation actually occurs.
Where intrathecal, epidural and perioperative nerve blocks are performed for the provision of
post-operative analgesia an additional charge using items CV081, CV082, CV083, CV085 or
1 November 2015 Page 111

ANAESTHESIA
NOTES
CV086 may be levied. Note, however the restrictions on the use of MBS nerve block items by
the anaesthetist involved in the actual operation (above).
EXAMPLE OF POSSIBLE ANAESTHESIA ACCOUNT FORMAT
The following example (see next page) illustrates how a typical account for anaesthesia services
might be compiled: (patient, referring practitioner and hospital details need to be a dded). For
private patients receiving Medicare benefits, it is recommended to include MBS item numbers
where applicable so as to simplify patients’ rebates and account processing. Although all of the
examples below display the number of units it is NOT necessary to do so.
For Workers Compensation, Third Party Traffic Accident, Active Service Personnel and Police
patients, AMA RVG item codes are preferred in many states.
For private patients entitled to Medicare benefits, Medicare Australia requires the items to be in
the following order:
The pre-anaesthesia consultation;
The basic anaesthesia item;
The anaesthesia item for time, then any modifiers and therapeutic or diagnostic
services if applicable;
The emergency after hours (or in hours) modifier if applicable; and
Any items relating to post-operative care.
It is essential that, should the after-hours emergency item apply, it is the final RVG item listed, so
as to ensure the 50% loading is attracted by all the relevant items. If an MBS after hours
emergency modifier (items 25025, 25030 or 25050) is used the anaesthesia start and finish times
should be included on the account.
Page 112 1 November 2015

ANAESTHESIA
NOTES
DATE ITEM DESCRIPTION UNITS
20/06/2015 CA051* After hours anaesthetist consultation 6
9.45 pm
20/06/2015 CA070* Call-back for emergency services 4
Pre-anaesthesia Subtotal
20/06/2015 CG841 Anaesthesia for resection of
perforated bowel
10 units
20/06/2015 Time 4 hours 30 minutes 26**
20/06/2015 CV020 Central vein catheterisation
3
(percutaneous via jugular vein)
20/06/2015 CV024 Central venous pressure monitoring 3
20/06/2015 P3 Physical status 1
20/06/2015 M1 Age 70 years or greater 1
Anaesthesia Subtotal
20/06/2015 M4*** After hours loading 50% (applied to
intraoperative items)
TOTAL UNITS
8
42 units
21 units
73 units
Fee = Unit $ value x 73
NB: * No after hours loading applies to AMA RVG items CA051 or CA070;
Item CV020 generates 3 units in the AMA RVG whereas the equivalent item in the
MBS (22020) generates 4 units;
** After 2 hours each unit of time becomes 10 minutes; and after 4 hours each unit of
time becomes 5 minutes; and
*** “After hours” rates applicable (e.g. 10.00pm) so no M2 modifier.
1 November 2015 Page 113

ANAESTHESIA
CONSULTATIONS AND ATTENDANCES
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CONSULTATIONS AND ATTENDANCES
As a result of the introduction of the RVG into the Government's MBS effective 1 November
2001, the AMA has reviewed the following section which constitutes the AMA's Anaesthetics
RVG. That review has resulted in an up-to-date AMA RVG, which closely matches the MBS
RVG. In most cases, AMA items have been "linked" to their equivalent MBS item, and will show
a corresponding MBS item number to the right of the description. Care should be exercised
when billing as the descriptors for some MBS items are more restrictive than their AMA
equivalent.
Particular attention is drawn to the modifiers in the AMA's RVG (see Modifying Units in the
Anaesthetics Notes preceding these items). Some MBS RVG items are not included in the
AMA's RVG as they are adequately covered by the use of an alternative item in conjunction with
the relevant modifier. Please contact the AMA if you have any questions in regard to this, or
any other matter relating to these items.
CA002 ANAESTHETIST CONSULTATION, professional attendance by an
2 - - anaesthetist in the practice of ANAESTHESIA
- an attendance of 15 minutes or less duration
CA004
4 - -
CA006
6 - -
CA008
8 - -
CA045
2 - -
- an attendance of more than 15 minutes but not more than 30 minutes
duration
- an attendance of more than 30 minutes but not more than 45 minutes
duration
- an attendance of more than 45 minutes
POST ANAESTHESIA PATIENT CARE following a DAY PROCEDURE
EMERGENCY ATTENDANCES
CA051
6 - -
AFTER HOURS, professional attendance where the patient's medical
condition requires immediate attendance in the after hours period being
the period after 6pm and before 8am on any weekday, or at any time on
a Saturday, a Sunday or a public holiday
NOTE: No after hours loading applies to the above item.
CA060
6 - +T
CA070
4 - -
PROFESSIONAL ATTENDANCE ON A PATIENT IN IMMINENT
DANGER OF DEATH requiring continuous life saving emergency
treatment by an anaesthetist to the exclusion of all other patients
CALL BACK from home, office or other distant location of an
anaesthetist for the provision of emergency services. This item is
separate from and additional to any service provided by the anaesthetist
including consultations
Page 114 1 November 2015

ANAESTHESIA
PATIENT TRANSFER
AMA Number
BV/Mod/Tim
PATIENT TRANSFER
CA085
10 +PM +T
CA086
6 +PM +T
HEAD
Description of Medical Service
PATIENT TRANSFER, excluding intra-hospital transfer, where
continuous specialist attendance is required
PATIENT TRANSFER, intra-hospital, where continuous specialist
attendance is required
MBS
Number
CA100 ANAESTHESIA for all procedures on the skin, subcutaneous tissue, 20100
5 +PM +T muscles, salivary glands and superficial vessels of the head including
biopsy unless otherwise specified
CA102 - plastic repair of cleft lip
20102
6 +PM +T
CA104 ANAESTHESIA for electroconvulsive therapy
20104
4 +PM +T
CA120 ANAESTHESIA for all procedures on external, middle or inner ear, 20120
5 +PM +T including biopsy unless otherwise specified
CA124 - otoscopy
20124
4 +PM +T
CA140 ANAESTHESIA for all procedures on eye unless otherwise specified 20140
5 +PM +T
CA142 - lens surgery
20142
6 +PM +T
CA143 - retinal surgery
20143
8 +PM +T
CA144 - corneal transplant
20144
8 +PM +T
CA145 - vitrectomy
20145
8 +PM +T
CA146 - biopsy of conjunctiva
20146
5 +PM +T
CA147 ANAESTHESIA for squint repair or other operation intrinsically involving 20147
6 +PM +T extraocular muscles
CA148 - ophthalmoscopy
20148
4 +PM +T
1 November 2015 Page 115

ANAESTHESIA
HEAD
AMA Number
BV/Mod/Tim
CA149
6 - -
CA150
9 - -
CA152
6 - -
CA156
10 - -
Description of Medical Service
ANAESTHESIA for glaucoma surgery
ANAESTHESIA for repair of open eye injury, excluding magnetic
removal of foreign body but including non-magnetic removal of DEEP
foreign body
ANAESTHESIA for enucleation or evisceration of the eye, or orbital
exenteration
ANAESTHESIA for radical surgery involving both the eye and/or its
muscles and orbital bone
MBS
Number
CA160 ANAESTHESIA for all procedures on nose and accessory sinuses 20160
6 +PM +T unless otherwise specified
CA162 - radical surgery
20162
7 +PM +T
CA164 - biopsy, soft tissue
20164
4 +PM +T
CA170 ANAESTHESIA for all intraoral procedures, including biopsy unless 20170
6 +PM +T otherwise specified
CA172 - repair of cleft palate
20172
7 +PM +T
CA174 - excision of retropharyngeal tumour
20174
9 +PM +T
CA176 - radical intraoral surgery
20176
10 +PM +T
CA190 ANAESTHESIA for all procedures on facial bones unless otherwise 20190
5 +PM +T specified
NOTE: For a definition of extensive, please refer to page 105.
CA192 - extensive surgery on facial bones (including prognathism and extensive 20192
10 +PM +T facial bone reconstruction)
CA210 ANAESTHESIA for all intracranial procedures unless otherwise specified 20210
15 +PM +T
CA212 - subdural taps
20212
5 +PM +T
Page 116 1 November 2015

ANAESTHESIA
HEAD
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CA214 - burr holes
20214
9 +PM +T
CA216 - intracranial vascular procedures including those for aneurysms and 20216
20 +PM +T arterio-venous abnormalities
CA220 - spinal fluid shunt procedures
20220
10 +PM +T
CA222 - ablation of intracranial nerve
20222
6 +PM +T
CA225 ANAESTHESIA for all cranial bone procedures
20225
12 +PM +T
CA230 ANAESTHESIA for microvascular free tissue flap surgery involving the 20230
12 +PM +T head or face
NECK
CB300 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 20300
5 +PM +T the neck unless otherwise specified
CB305 ANAESTHESIA for incision and drainage of large haematoma, large 20305
15 +PM +T abscess, cellulitis, or similar lesion causing life threatening airway
obstruction
CB320 ANAESTHESIA for all procedures on oesophagus, thyroid, larynx, 20320
6 +PM +T trachea and lymphatic system muscles, nerves or other deep tissues of
the neck unless otherwise specified
CB321 - for laryngectomy, hemi laryngectomy, laryngopharyngectomy or 20321
10 +PM +T pharyngectomy
CB330 ANAESTHESIA for laser surgery to the airway
20330
8 +PM +T
CB350 ANAESTHESIA for all procedures on major vessels of neck unless 20350
10 +PM +T otherwise specified
CB352 - simple ligation
20352
5 +PM +T
CB355 ANAESTHESIA for microvascular free tissue flap surgery involving the 20355
12 +PM +T neck
THORAX (CHEST WALL/SHOULDER GIRDLE)
CC400 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 20400
3 +PM +T the chest unless otherwise specified
1 November 2015 Page 117

ANAESTHESIA
AMA Number
BV/Mod/Tim
Description of Medical Service
THORAX (CHEST WALL/SHOULDER
GIRDLE)
MBS
Number
CC401 ANAESTHESIA for all procedures on the breast unless otherwise 20401
4 +PM +T specified
CC402 - reconstructive procedures on the breast (eg. reduction or augmentation 20402
5 +PM +T mammoplasty)
CC403 - removal of breast lump or for breast segmentectomy where axillary 20403
5 +PM +T node dissection is performed
CC404 - mastectomy
20404
6 +PM +T
CC405 - reconstructive procedures on the breast using myocutaneous flaps 20405
8 +PM +T
CC406 - radical or modified radical procedures on breast with internal mammary 20406
13 +PM +T node dissection
CC410 - electrical conversion of arrhythmias
20410
5 +PM +T
CC440 ANAESTHESIA for percutaneous bone marrow biopsy of the sternum 20440
4 +PM +T
CC450 ANAESTHESIA for all procedures on the clavicle, scapula or sternum 20450
5 +PM +T unless otherwise specified
CC452 - radical surgery
20452
6 +PM +T
CC470 ANAESTHESIA for partial rib resection unless otherwise specified 20470
6 +PM +T
CC472 - thoracoplasty
20472
10 +PM +T
CC474 - extensive procedures (e.g. pectus excavatum)
20474
13 +PM +T
CC475 ANAESTHESIA for microvascular free tissue flap surgery involving the 20475
12 +PM +T anterior or posterior thorax
INTRATHORACIC
CD500 ANAESTHESIA for open procedures on the oesophagus
20500
15 +PM +T
CD520 ANAESTHESIA for all closed chest procedures (including rigid
20520
6 +PM +T oesophagoscopy or bronchoscopy) unless otherwise specified
Page 118 1 November 2015

ANAESTHESIA
INTRATHORACIC
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CD522 - needle biopsy of pleura
20522
4 +PM +T
CD524 - pneumocentesis
20524
4 +PM +T
CD526 - thoracoscopy
20526
10 +PM +T
CD528 - mediastinoscopy
20528
8 +PM +T
CD540 ANAESTHESIA for all thoracotomy procedures involving lungs, pleura, 20540
13 +PM +T diaphragm, and mediastinum unless otherwise specified
CD542 - pulmonary decortication
20542
15 +PM +T
CD546 - pulmonary resection with thoracoplasty
20546
15 +PM +T
CD548 - intrathoracic repair of trauma to trachea and bronchi
20548
15 +PM +T
CD560 ANAESTHESIA for all open procedures on the heart, pericardium, and 20560
20 +PM +T great vessels of the chest
CD565
15 +PM +T
CD575
15 +PM +T
CD580
20 +PM +T
CD582
20 +PM +T
CD584
8 +PM +T
Anaesthesia for percutaneous surgical procedures performed on the
thoracic aorta
Anaesthesia for percutaneous replacement of a heart valve
ANAESTHESIA for heart transplant
ANAESTHESIA for heart and lung transplant
CADAVER HARVESTING of heart and/or lungs
SPINE AND SPINAL CORD
CE600 ANAESTHESIA for all procedures on the cervical spine and/or cord 20600
10 +PM +T unless otherwise specified (for myelography and discography see items
CS908 and CS914)
1 November 2015 Page 119

ANAESTHESIA
SPINE AND SPINAL CORD
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CE604 - posterior cervical laminectomy in sitting position
20604
13 +PM +T
CE620 ANAESTHESIA for all procedures on the thoracic spine and/or cord 20620
10 +PM +T unless otherwise specified
CE622 - thoracolumbar sympathectomy
20622
13 +PM +T
CE630 ANAESTHESIA for all procedures in the lumbar region unless otherwise 20630
8 +PM +T specified
CE632 - lumbar sympathectomy
20632
7 +PM +T
CE634 - chemonucleolysis
20634
10 +PM +T
CE670 ANAESTHESIA for extensive spine and spinal cord procedures
20670
13 +PM +T
CE680
3 +PM +T
ANAESTHESIA for manipulation of spine
CE690 ANAESTHESIA for percutaneous spinal procedures
20690
5 +PM +T
UPPER ABDOMEN
CF700 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 20700
3 +PM +T the upper abdominal wall unless otherwise specified
CF703
4 +PM +T
ANAESTHESIA for all procedures on the nerves, muscles, tendons and
fascia of the upper abdominal wall
CF704 ANAESTHESIA for microvascular free tissue flap surgery involving the 20704
12 PM T anterior or posterior upper abdomen
CF705 ANAESTHESIA for diagnostic laparoscopy
20705
6 +PM +T
CF706 ANAESTHESIA for laparoscopic procedures unless otherwise specified 20706
7 +PM +T
CF715
6 +PM +T
ANAESTHESIA for extracorporeal shock wave lithotripsy
CF740 ANAESTHESIA for upper gastrointestinal endoscopic procedures 20740
5 +PM +T
Page 120 1 November 2015

ANAESTHESIA
UPPER ABDOMEN
AMA Number
BV/Mod/Tim
CF742
6 PM T
CF743
7 +PM +T
Description of Medical Service
ANAESTHESIA for upper gastrointestinal endoscopic procedures in
association with imaging techniques including fluoroscopy and ultrasound
INITIATION OF MANAGEMENT OF ANAESTHESIA for surgical
procedures on structures or organs lying outside of the lumen of the
gastrointestinal tract, performed via gastrointestinal endoscopy
MBS
Number
CF745 ANAESTHESIA for upper gastrointestinal endoscopic procedures in 20745
6 +PM +T association with acute gastrointestinal haemorrhage
CF750 ANAESTHESIA for all hernia repairs in the upper abdomen unless 20750
4 +PM +T otherwise specified
CF752 - repair of incisional hernia and/or wound dehiscence
20752
6 +PM +T
CF754 - repair of omphalocele
20754
7 +PM +T
CF756 - transabdominal repair of diaphragmatic hernia
20756
9 +PM +T
CF770 ANAESTHESIA for all procedures on major abdominal blood vessels 20770
15 +PM +T
CF790
8 +PM +T
ANAESTHESIA for all procedures within the peritoneal cavity in upper
abdomen including cholecystectomy, gastrectomy, laparoscopic
nephrectomy, bowel shunts and cadaver harvesting of organs unless
otherwise specified
CF791 ANAESTHESIA for bariatric surgery in a patient with clinically severe 20791
10 +PM +T obesity
CF792 ANAESTHESIA for partial hepatectomy (excluding liver biopsy)
20792
13 +PM +T
CF793 ANAESTHESIA for extended or trisegmental hepatectomy
20793
15 +PM +T
CF794 ANAESTHESIA for pancreatectomy, partial or total (e.g. Whipple 20794
12 +PM +T procedure)
CF796
30 +PM +T
ANAESTHESIA for liver transplant (recipient)
CF798 ANAESTHESIA for neuro endocrine tumour removal eg carcinoid 20798
10 +PM +T
1 November 2015 Page 121

ANAESTHESIA
UPPER ABDOMEN
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CF799 ANAESTHESIA for percutaneous procedures on an intra-abdominal 20799
6 +PM +T organ in the upper abdomen
LOWER ABDOMEN
CG800 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 20800
3 +PM +T the lower abdominal wall unless otherwise specified
CG802 - lipectomy
20802
5 +PM +T
CG803
4 +PM +T
ANAESTHESIA for all procedures on the nerves, muscles, tendons and
fascia of the lower abdominal wall (with the exception of abdominal
lipectomy)
CG804 ANAESTHESIA for microvascular free tissue flap surgery involving the 20804
12 +PM +T anterior or posterior lower abdomen
CG805 ANAESTHESIA for diagnostic laparoscopy
20805
6 +PM +T
CG806 ANAESTHESIA for laparoscopic procedures
20806
7 +PM +T
CG810 ANAESTHESIA for all lower intestinal endoscopic procedures (modifier 20810
4 +PM +T for prone position is not applicable)
CG815 ANAESTHESIA for extracorporeal shock wave lithotripsy
20815
6 +PM +T
CG830 ANAESTHESIA for all hernia repairs in lower abdomen unless otherwise 20830
4 +PM +T specified
CG832 - repair of incisional hernia and/or wound dehiscence
20832
6 +PM +T
CG840 ANAESTHESIA for all procedures within the peritoneal cavity in the lower 20840
6 +PM +T abdomen (including appendicectomy) unless otherwise specified
CG841 ANAESTHESIA for bowel resection, including laparoscopic bowel 20841
8 +PM +T resection, unless otherwise specified
CG842 ANAESTHESIA for amniocentesis
20842
4 +PM +T
CG844 ANAESTHESIA for abdominoperineal resection, including pull through 20844
10 +PM +T procedures, ultra low anterior resection and formation of bowel reservoir
Page 122 1 November 2015

ANAESTHESIA
LOWER ABDOMEN
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CG845 ANAESTHESIA for radical prostatectomy
20845
10 +PM +T
CG846 ANAESTHESIA for radical hysterectomy
20846
10 +PM +T
CG847
10 +PM +T
ANAESTHESIA for radical ovarian surgery
NOTE: For the above item the word "radical" denotes surgery for malignancy.
CG848 ANAESTHESIA for pelvic exenteration
20848
10 +PM +T
CG850 ANAESTHESIA for Caesarean section
20850
10 +PM +T
CG855 ANAESTHESIA for Caesarean hysterectomy or hysterectomy within 24 20855
15 +PM +T hours of delivery
CG860 ANAESTHESIA for all extraperitoneal procedures in lower abdomen, 20860
6 +PM +T including urinary tract unless otherwise specified
CG862 - renal procedures, including upper 1/3 or ureter
20862
7 +PM +T
CG863 - nephrectomy
20863
10 +PM +T
CG864 - total cystectomy
20864
10 +PM +T
CG866 - adrenalectomy
20866
10 +PM +T
CG867 - neuro endocrine tumour removal, eg. carcinoid
20867
10 +PM +T
CG868 - renal transplant (donor or recipient)
20868
10 +PM +T
CG880 ANAESTHESIA for all procedures on major lower abdominal vessels 20880
15 +PM +T unless otherwise specified
CG882 - inferior vena cava ligation
20882
10 +PM +T
CG884 - percutaneous umbrella insertion
20884
5 +PM +T
1 November 2015 Page 123

ANAESTHESIA
LOWER ABDOMEN
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CG886 ANAESTHESIA for percutaneous procedures on an intra-abdominal 20886
6 +PM +T organ in the lower abdomen
PERINEUM
CH900 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 20900
3 +PM +T the perineum, unless otherwise specified
CH902 - anorectal procedure (including endoscopy and/or biopsy)
20902
4 +PM +T
CH904 - radical perineal procedure including radical perineal prostatectomy or 20904
7 +PM +T radical vulvectomy
CH906 - vulvectomy
20906
4 +PM +T
CH910 ANAESTHESIA for all transurethral procedures (including
20910
4 +PM +T urethrocystoscopy) unless otherwise specified
CH911 ANAESTHESIA for endoscopic ureteroscopic surgery including laser 20911
5 +PM +T procedures
CH912 - transurethral resection of bladder tumour(s)
20912
5 +PM +T
CH914 - transurethral resection of prostate
20914
7 +PM +T
CH916 - post-transurethral resection bleeding
20916
7 +PM +T
CH920 ANAESTHESIA for all procedures on external genitalia unless otherwise 20920
4 +PM +T specified
CH924 - undescended testis, unilateral or bilateral
20924
4 +PM +T
CH925
4 +PM +T
ANAESTHESIA for procedures on the cord and/or testes unless
otherwise specified
CH926 - radical orchidectomy, inguinal approach
20926
4 +PM +T
CH928 - radical orchidectomy, abdominal approach
20928
6 +PM +T
CH930 - orchiopexy, unilateral and bilateral
20930
4 +PM +T
Page 124 1 November 2015

ANAESTHESIA
PERINEUM
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CH932 - complete amputation of the penis
20932
4 +PM +T
CH934 - complete amputation of the penis with bilateral inguinal
20934
6 +PM +T lymphadenectomy
CH936 - complete amputation of the penis with bilateral inguinal and iliac 20936
8 +PM +T lymphadenectomy
CH938 - insertion of penile prosthesis (perianal approach)
20938
4 +PM +T
CH940 ANAESTHESIA for per vagina and vaginal procedures (including biopsy 20940
4 +PM +T of vagina, cervix or endometrium) unless otherwise specified
CH942 - for vaginal repair and urinary incontinence (perineal) procedures 20942
5 +PM +T
CH943 - transvaginal assisted reproductive services
20943
4 +PM +T
CH944 - vaginal hysterectomy
20944
6 +PM +T
CH946 - vaginal delivery
20946
6 +PM +T
CH948 - purse string ligation of cervix
20948
4 +PM +T
CH950 - culdoscopy
20950
5 +PM +T
CH952 - hysteroscopy
20952
4 +PM +T
CH953 ANAESTHESIA for endometrial ablation or resection in association with 20953
5 +PM +T hysteroscopy
CH954 -correction of inverted uterus
20954
8 +PM +T
CH956 ANAESTHESIA for evacuation of retained products of conception, as a 20956
4 +PM +T complication of confinement
CH958 ANAESTHESIA for manual removal of retained placenta or for repair of 20958
5 +PM +T vaginal or perineal tear following delivery
1 November 2015 Page 125

ANAESTHESIA
PERINEUM
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CH960 ANAESTHESIA for vaginal procedures in the management of post 20960
7 +PM +T partum haemorrhage (blood loss > 500mls)
PELVIS - EXCEPT HIP
CJ100
3 +PM +T
ANAESTHESIA for all procedures on the skin and subcutaneous tissue
of the pelvic region except external genitalia
CJ112 ANAESTHESIA for percutaneous bone marrow biopsy of the anterior 21112
4 +PM +T iliac crest
CJ114 ANAESTHESIA for percutaneous bone marrow biopsy of the posterior 21114
5 +PM +T iliac crest
CJ116 ANAESTHESIA for percutaneous bone marrow harvesting from the pelvis 21116
6 +PM +T
CJ120 ANAESTHESIA for procedures on bony pelvis
21120
6 +PM +T
CJ130
3 +PM +T
ANAESTHESIA for body cast application or revision
CJ140 ANAESTHESIA for interpelviabdominal (hind quarter) amputation 21140
15 +PM +T
CJ150 ANAESTHESIA for radical procedures for tumour of the pelvis, except 21150
10 +PM +T hind quarter amputation
CJ155 ANAESTHESIA for microvascular free tissue flap surgery involving the 21155
12 +PM +T anterior or posterior pelvis
CJ160 ANAESTHESIA for closed procedures involving the symphysis pubis or 21160
4 +PM +T sacroiliac joint
CJ170 ANAESTHESIA for open procedures involving the symphysis pubis or 21170
8 +PM +T the sacroiliac joint
UPPER LEG - EXCEPT KNEE
CK195 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 21195
3 +PM +T the upper leg
CK199 ANAESTHESIA for all procedures on the nerves, muscles, tendons, 21199
4 +PM +T fascia, or bursae of the upper leg
CK200 ANAESTHESIA for all closed procedures involving the hip joint
21200
4 +PM +T
Page 126 1 November 2015

ANAESTHESIA
UPPER LEG - EXCEPT KNEE
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CK202 ANAESTHESIA for arthroscopic procedures of the hip joint
21202
4 +PM +T
CK210 ANAESTHESIA for all open procedures involving the hip joint unless 21210
6 +PM +T otherwise specified
CK212 - hip disarticulation
21212
10 +PM +T
CK214 - total hip replacement or revision
21214
10 +PM +T
CK216 ANAESTHESIA for bilateral total hip replacement
21216
14 +PM +T
CK220 ANAESTHESIA for all closed procedures involving the upper 2/3 of femur 21220
4 +PM +T
CK230 ANAESTHESIA for all open procedures involving the upper 2/3 of femur 21230
6 +PM +T unless otherwise specified
CK232 - amputation
21232
5 +PM +T
CK234 - radical resection
21234
8 +PM +T
CK260 ANAESTHESIA for all procedures involving the veins of the upper leg, 21260
4 +PM +T including exploration
CK270 ANAESTHESIA for all procedures involving the arteries of the upper leg, 21270
8 +PM +T including bypass graft unless otherwise specified
CK272 - femoral artery ligation
21272
4 +PM +T
CK274 - femoral artery embolectomy (for grafts involving intra-abdominal 21274
6 +PM +T vessels see item CG880)
CK275 ANAESTHESIA for microvascular free tissue flap surgery involving the 21275
12 +PM +T upper leg
CK280 - for microsurgical reimplantation of the upper leg
21280
15 +PM +T
KNEE AND POPLITEAL AREA
CL300 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 21300
3 +PM +T the knee and/or popliteal area
1 November 2015 Page 127

ANAESTHESIA
KNEE AND POPLITEAL AREA
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CL321 ANAESTHESIA for all procedures on the nerves, muscles, tendons, 21321
4 +PM +T fascia and bursae of the knee and/or popliteal area
CL340
4 +PM +T
ANAESTHESIA for all closed procedures on the lower 1/3 of the femur
CL360 ANAESTHESIA for all open procedures on the lower 1/3 of the femur 21360
5 +PM +T
CL380
3 +PM +T
ANAESTHESIA for all closed procedures on the knee joint
CL382 ANAESTHESIA for arthroscopic procedures of the knee joint
21382
4 +PM +T
CL390
3 +PM +T
ANAESTHESIA for all closed procedures on the upper ends of the tibia
and fibula, and/or patella
CL392 ANAESTHESIA for all open procedures on the upper ends of the tibia 21392
4 +PM +T and fibula and/or patella
CL400 ANAESTHESIA for open procedures on the knee joint unless otherwise 21400
4 +PM +T specified
CL402 - knee replacement
21402
7 +PM +T
CL403 - bilateral knee replacement
21403
10 +PM +T
CL404 - disarticulation of the knee
21404
5 +PM +T
CL420
3 +PM +T
ANAESTHESIA for all cast applications, removal, or repair involving the
knee joint
CL430 ANAESTHESIA for all procedures on the veins of the knee and popliteal 21430
4 +PM +T area unless otherwise specified
CL432 - repair of arteriovenous fistula
21432
5 +PM +T
CL440 ANAESTHESIA for all procedures on the arteries of the knee and 21440
8 +PM +T popliteal area unless otherwise specified
CL445 ANAESTHESIA for microvascular free tissue flap surgery involving the 21445
12 +PM +T knee and/or popliteal area
Page 128 1 November 2015

ANAESTHESIA
LOWER LEG - BELOW KNEE
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
LOWER LEG - BELOW KNEE
NOTE: Includes ankle and foot.
CM460 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 21460
3 +PM +T the lower leg, ankle, and foot
CM461 ANAESTHESIA for all procedures on the nerves, muscles, tendons, and 21461
4 +PM +T fascia of the lower leg, ankle, and foot unless otherwise specified
CM462 ANAESTHESIA for all closed procedures on the lower leg, ankle, and foot 21462
3 +PM +T
CM464 ANAESTHESIA for arthroscopic procedure of the ankle joint
21464
4 +PM +T
CM474 - gastrocnemius recession
21474
5 +PM +T
CM480 ANAESTHESIA for all open procedures on the bones of the lower leg, 21480
4 +PM +T ankle, and foot, including amputation, unless otherwise specified
CM482 - radical resection
21482
5 +PM +T
CM484 - osteotomy or osteoplasty of the tibia and fibula
21484
5 +PM +T
CM486 - total ankle replacement
21486
7 +PM +T
CM490
3 +PM +T
ANAESTHESIA for lower leg cast application, removal or repair
CM500 Anaesthesia for all procedures on the arteries of the lower leg, including 21500
8 +PM +T bypass graft unless otherwise specified
CM502 - embolectomy
21502
6 +PM +T
CM520 ANAESTHESIA for all procedures on the veins of the lower leg unless 21520
4 +PM +T otherwise specified
CM522 - venous thrombectomy
21522
5 +PM +T
CM530 - for microsurgical reimplantation of the lower leg, ankle or foot
21530
15 +PM +T
1 November 2015 Page 129

ANAESTHESIA
LOWER LEG - BELOW KNEE
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CM532 - for microsurgical reimplantation of a toe
21532
8 +PM +T
CM535 ANAESTHESIA for microvascular free tissue flap surgery involving the 21535
12 +PM +T lower leg
SHOULDER AND AXILLA
NOTE: Includes humeral head and neck, sternoclavicular joint, acromioclavicular joint and
shoulder joint.
CN600 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 21600
3 +PM +T the shoulder and axilla
CN610 ANAESTHESIA for all procedures on the nerves, muscles, tendons, 21610
5 +PM +T fascia and bursae of the shoulder or axilla, including axillary dissection
CN620
4 +PM +T
ANAESTHESIA for all closed procedures on the humeral head and neck,
sternoclavicular joint, acromioclavicular joint or the shoulder joint
CN622 ANAESTHESIA for all arthroscopic procedures of the shoulder joint 21622
5 +PM +T
CN630 ANAESTHESIA for all open procedures on the humeral head and neck, 21630
5 +PM +T sternoclavicular joint, acromioclavicular joint or the shoulder joint unless
otherwise specified
CN632 - radical resection
21632
6 +PM +T
CN634 - shoulder disarticulation
21634
9 +PM +T
CN636 - interthoracoscapular (forequarter) amputation
21636
15 +PM +T
CN638 - total shoulder replacement
21638
10 +PM +T
CN650 ANAESTHESIA for all procedures on the arteries of the shoulder or axilla 21650
8 +PM +T unless otherwise specified
CN652 - axillary-brachial aneurysm
21652
10 +PM +T
CN654 - bypass graft
21654
8 +PM +T
CN656 - axillary-femoral bypass graft
21656
10 +PM +T
Page 130 1 November 2015

ANAESTHESIA
SHOULDER AND AXILLA
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CN670 ANAESTHESIA for all procedures on the veins of the shoulder and axilla 21670
4 +PM +T
CN680
3 +PM +T
ANAESTHESIA for all shoulder cast application, removal or repair unless
otherwise specified
CN682 - shoulder spica
21682
4 +PM +T
CN685 ANAESTHESIA for microvascular free tissue flap surgery involving the 21685
12 +PM +T shoulder or the axilla
UPPER ARM AND ELBOW
CQ700 ANAESTHESIA for all procedures on the the skin or subcutaneous tissue 21700
3 +PM +T of the upper arm and elbow
CQ710 ANAESTHESIA for all procedures on the nerves, muscles, tendons, 21710
4 +PM +T fascia, and bursae of the upper arm and elbow unless otherwise specified
CQ712 - tenotomy, elbow to shoulder, open
21712
5 +PM +T
CQ714 - tenoplasty, elbow to shoulder
21714
5 +PM +T
CQ716 - tenodesis, rupture of long tendon of biceps
21716
5 +PM +T
CQ730
3 +PM +T
ANAESTHESIA for all closed procedures on the humerus and elbow
CQ732 ANAESTHESIA for arthroscopic procedures of the elbow joint
21732
4 +PM +T
CQ740 ANAESTHESIA for open procedures on the humerus and elbow unless 21740
5 +PM +T otherwise specified
CQ756 - radical procedures
21756
6 +PM +T
CQ760 - total elbow replacement
21760
7 +PM +T
CQ770 ANAESTHESIA for all procedures on the arteries of the upper arm 21770
8 +PM +T unless otherwise specified
CQ772 - embolectomy
21772
6 +PM +T
1 November 2015 Page 131

ANAESTHESIA
UPPER ARM AND ELBOW
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CQ780 ANAESTHESIA for all procedures on the veins of the upper arm unless 21780
4 +PM +T otherwise specified
CQ785 ANAESTHESIA for microvascular free tissue flap surgery involving the 21785
12 +PM +T upper arm or elbow
CQ790 - for microsurgical reimplantation of the upper arm
21790
15 +PM +T
FOREARM, WRIST AND HAND
CR800 ANAESTHESIA for all procedures on the skin or subcutaneous tissue of 21800
3 +PM +T the forearm, wrist and hand
CR810 ANAESTHESIA for all procedures on the nerves, muscles, tendons, 21810
4 +PM +T fascia, and bursae of the forearm, wrist and hand
CR820
3 +PM +T
ANAESTHESIA for all closed procedures on the radius, ulna, wrist, or
hand bones
CR830 ANAESTHESIA for all open procedures on the radius, ulna, wrist, or 21830
4 +PM +T hand bones unless otherwise specified
CR832 - total wrist replacement
21832
7 +PM +T
CR834 ANAESTHESIA for arthroscopic procedures of the wrist joint
21834
4 +PM +T
CR840 ANAESTHESIA for all procedures on the arteries of the forearm, wrist, or 21840
8 +PM +T hand unless otherwise specified
CR842 - embolectomy
21842
6 +PM +T
CR850 ANAESTHESIA for all procedures on the veins of the forearm, wrist or 21850
4 +PM +T hand unless otherwise specified
CR860
3 +PM +T
ANAESTHESIA for forearm, wrist, or hand cast application, removal, or
repair
CR865 ANAESTHESIA for microvascular free tissue flap surgery involving the 21865
12 +PM +T forearm, wrist or hand
CR870 - for microsurgical reimplantation of the forearm, wrist or hand
21870
15 +PM +T
CR872 - for microsurgical reimplantation of a finger
21872
8 +PM +T
Page 132 1 November 2015

ANAESTHESIA
BURNS
AMA Number
BV/Mod/Tim
BURNS
Description of Medical Service
MBS
Number
CR878 ANAESTHESIA for excision or debridement of burns, with or without skin 21878
3 +PM +T grafting - where the burnt area involves not more than 3% of total body
surface
CR879 - where the burnt area involves more than 3% but less than 10% of total 21879
5 +PM +T body surface
CR880 - where the burnt area involves 10% or more but less than 20% of total 21880
7 +PM +T body surface
CR881 - where the burnt area involves 20% or more but less than 30% of total 21881
9 +PM +T body surface
CR882 - where the burnt area involves 30% or more but less than 40% of total 21882
11 +PM +T body surface
CR883 - where the burnt area involves 40% or more but less than 50% of total 21883
13 +PM +T body surface
CR884 - where the burnt area involves 50% or more but less than 60% of total 21884
15 +PM +T body surface
CR885 - where the burnt area involves 60% or more but less than 70% of total 21885
17 +PM +T body surface
CR886 - where the burnt area involves 70% or more but less than 80% of total 21886
19 +PM +T body surface
CR887 - where the burnt area involves 80% or more of total body surface 21887
21 +PM +T
OTHER PROCEDURES
CS906 ANAESTHESIA for injection procedure for myelography: lumbar or 21906
5 +PM +T thoracic
CS908 - cervical
21908
6 +PM +T
CS910 - posterior fossa
21910
9 +PM +T
CS912 ANAESTHESIA for injection procedure for discography; lumbar or 21912
5 +PM +T thoracic
CS914 - cervical
21914
6 +PM +T
1 November 2015 Page 133

ANAESTHESIA
OTHER PROCEDURES
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CS915 ANAESTHESIA for peripheral arteriogram
21915
5 +PM +T
CS916 ANAESTHESIA for arteriogram: cerebral, carotid or vertebral
21916
5 +PM +T
CS918 - retrograde, brachial or femoral
21918
5 +PM +T
CS922 ANAESTHESIA for computerised axial tomography scanning, magnetic 21922
7 +PM +T resonance scanning, ultrasound scanning or digital subtraction
angiography scanning
CS923
4 +PM +T
ANAESTHESIA for radiology unless otherwise specified
CS925 ANAESTHESIA for retrograde cystography, retrograde urethrography or 21925
4 +PM +T retrograde cystourethrography
CS926 ANAESTHESIA for fluoroscopy
21926
5 +PM +T
CS927 ANAESTHESIA for small bowel enema, barium or other opaque study of 21927
5 +PM +T the small bowel
CS930 ANAESTHESIA for bronchography
21930
6 +PM +T
CS935 ANAESTHESIA for phlebography
21935
5 +PM +T
CS936 ANAESTHESIA for heart, 2 dimensional real time transoesophageal 21936
6 +PM +T examination
CS939 ANAESTHESIA for peripheral venous cannulation
21939
3 +PM +T
CS941 ANAESTHESIA for cardiac catheterisation including coronary
21941
7 +PM +T arteriography, ventriculography, cardiac mapping, insertion of automatic
defibrillator or transvenous pacemaker
CS942 ANAESTHESIA for cardiac electrophysiological procedures including 21942
10 +PM +T radio frequency ablation
CS943 ANAESTHESIA for central vein catheterisation or insertion of right heart 21943
5 +PM +T balloon catheter (via jugular, subclavian or femoral vein) by
percutaneous or open exposure
Page 134 1 November 2015

ANAESTHESIA
OTHER PROCEDURES
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CS945 ANAESTHESIA for lumbar puncture, cisternal puncture, or epidural 21945
5 +PM +T injection
CS949 ANAESTHESIA for harvesting of bone marrow for the purpose of 21949
5 +PM +T transplantation
CS952 ANAESTHESIA for muscle biopsy for malignant hyperpyrexia
21952
10 +PM +T
CS955 ANAESTHESIA for electroencephalography
21955
5 +PM +T
CS959 ANAESTHESIA for brain stem evoked audiometry
21959
5 +PM +T
CS962 ANAESTHESIA for electrocochleography by extratympanic method or 21962
5 +PM +T transtympanic membrane insertion method
CS965 ANAESTHESIA for a therapeutic procedure where it can be
21965
5 +PM +T demonstrated that there is a clinical need for anaesthesia
CS969 ANAESTHESIA during hyperbaric therapy where the medical practitioner 21969
8 +PM +T is not confined in the chamber (including the administration of oxygen)
CS970 ANAESTHESIA during hyperbaric therapy where the medical practitioner 21970
15 +PM +T is confined in the chamber (including the administration of oxygen)
CS973 ANAESTHESIA for brachytherapy using radioactive sealed sources 21973
5 +PM +T
CS976 ANAESTHESIA for therapeutic nuclear medicine
21976
5 +PM +T
CS980 ANAESTHESIA for radiotherapy
21980
7 +PM +T
CS990 ANAESTHESIA when no procedure ensues
21990
3 +PM +T
UNLISTED ANAESTHETIC PROCEDURES
CU999
0 - -
UNLISTED ANAESTHESIA PROCEDURE(S) The AMA recognise that in
determining the number of units applicable, the anaesthetist shall have
regard to equivalent procedures
THERAPEUTIC AND DIAGNOSTIC SERVICES
CV001
3 - -
COLLECTION OF BLOOD FOR AUTOLOGOUS TRANSFUSION or
when homologous blood is required for immediate transfusion in an
emergency situation
1 November 2015 Page 135

ANAESTHESIA
THERAPEUTIC AND DIAGNOSTIC SERVICES
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CV002 ADMINISTRATION OF BLOOD or bone marrow already collected when 22002
4 - - performed in association with the administration of anaesthesia
CV003
5 - -
CV004
8 - -
VENOUS CANNULATION and BLOOD TRANSFUSION (or blood
products) not associated with anaesthesia
ADMINISTRATION OF MASSIVE BLOOD TRANSFUSION in
association with the administration of anaesthesia
NOTE: "Massive" is defined as being the replacement of at least one whole blood volume of the
patient within a 24 hour period.
CV005
15 +PM +T
CV006
4 +PM +T
INTUBATION, ENDOTRACHEAL, emergency procedure, when the
patient's airway is unsecured and at high risk of occlusion (eg epiglottitis
or haematoma post thyroidectomy) not associated with surgery. If
associated with surgery refer to item CB305
INTUBATION, ENDOTRACHEAL, not associated with anaesthesia,
when subsequent management is not in an intensive care unit
CV007 ENDOTRACHEAL INTUBATION with flexible fibreoptic scope,
22007
4 - - associated with difficult airway, when performed in association with the
administration of anaesthesia
CV008 DOUBLE LUMEN ENDOBRONCHIAL TUBE or BRONCHIAL
22008
4 - - BLOCKER, insertion of, when performed in association with the
administration of anaesthesia
CV009
3 - -
CV010
3 - -
CV011
5 - -
CV013
2 - -
CV015
7 - -
CV016
3 - -
CV017
3 - -
MONITORING OF DEPTH OF ANAESTHESIA, incorporating continuous
measurement of the EEG during anaesthesia for the diagnosis of
awareness, in situations with a higher than baseline risk of awareness
VENOUS CANNULATION and commencement of intravenous infusion,
under age three years not associated with anaesthesia
VENOUS CANNULATION, cutdown
VENOUS CANNULATION and commencement of intravenous infusion
not associated with anaesthesia
RIGHT HEART BALLOON CATHETER, insertion of, including pulmonary
wedge pressure and cardiac output measurement
PULMONARY ARTERY PRESSURE MONITORING
LEFT ATRIAL PRESSURE MONITORING VIA LEFT ATRIAL
CATHETER
Page 136 1 November 2015

ANAESTHESIA
THERAPEUTIC AND DIAGNOSTIC SERVICES
AMA Number
BV/Mod/Tim
CV018
3 - -
Description of Medical Service
INVASIVE PRESSURE MONITORING, not otherwise listed
MBS
Number
CV019 MEASUREMENT OF THE MECHANICAL OR GAS EXCHANGE 22018
7 - - FUNCTION OF THE RESPIRATORY SYSTEM, OR OF RESPIRATORY
MUSCLE FUNCTION, OR OF VENTILATORY CONTROL
MECHANISMS, using measurements of parameters including pressures,
volumes, flow, gas concentrations in inspired or expired air, alveolar gas
or blood and incorporating serial arterial blood gas analysis and a written
record of the results, when performed in association with the
administration of anaesthesia, not being a service associated with a
service to which item AR510 applies
CV020
3 - -
CV022
5 - -
CV024
3 - -
CENTRAL VEIN CATHETERISATION, percutaneous
CENTRAL VEIN CATHETERISATION by cutdown
CENTRAL VENOUS PRESSURE MONITORING
CV025 ARTERIAL CANNULATION, percutaneous
22025
3 - -
CV026
1 - -
CV027
5 - -
CV028
3 - -
CV029
5 - -
CV032
4 - -
CV035
5 - -
CV036
5 - -
ARTERIAL PUNCTURE, withdrawal of blood for diagnosis
ARTERIAL CANNULATION by cutdown
INTRA ARTERIAL PRESSURE MONITORING
CATHETERISATION, UMBILICAL ARTERY, newborn, for diagnosis or
therapy
INTRA-ARTERIAL INFUSION or retrograde intravenous perfusion of a
sympatholytic agent
Placement of a PERIPHERALLY INSERTED CENTRAL CATHETER for
the purpose of long term vascular access, including up to one hour of
procedure time
Placement of a PERIPHERALLY INSERTED CENTRAL CATHETER for
the purpose of long term vascular access, where the procedure time
exceeds one hour - 5 units plus 1 unit for each 15 minutes or part thereof
after one hour
1 November 2015 Page 137

ANAESTHESIA
THERAPEUTIC AND DIAGNOSTIC SERVICES
AMA Number
BV/Mod/Tim
CV052
4 - -
Description of Medical Service
INTRAVENOUS REGIONAL ANAESTHESIA OF LIMB BY
RETROGRADE PERFUSION
MBS
Number
CV055 PERFUSION OF LIMB OR ORGAN
22055
12 - -
CV060 MEDICAL MANAGEMENT of CARDIO-PULMONARY BYPASS
22060
20 +PM +T perfusion using heart/lung machine
CV065 HYPOTHERMIA, total body
22065
5 - -
CV070 CARDIOPLEGIA, BLOOD OR CRYSTALLOID, administration by any 22070
10 - - route
CV075 DEEP HYPOTHERMIA to a core temperature of less than 22 degrees in 22075
15 - - association with circulatory arrest
CV076
5 +T
CV081
4 - -
CV082
2 - -
CV083
5 - -
STANDBY MEDICAL MANAGEMENT of CARDIO PULMONARY
BYPASS perfusion using heart/lung machine
MAJOR NERVE BLOCK (proximal to the elbow or knee), including
intercostal nerve block(s) or plexus block (specify type) to provide postoperative
pain relief
MINOR NERVE BLOCK (specify type) to provide post-operative pain
relief (this does not include subcutaneous infiltration)
MAJOR PERIPHERAL NERVE BLOCK, performed peri-operatively, with
the introduction of a catheter to allow continuous nerve blockade to
provide post-operative pain relief
CV085 INTRATHECAL or EPIDURAL INJECTION (initial) of a therapeutic 22031
5 - - substance or substances, with or without insertion of a catheter, in
association with anaesthesia and surgery, for post-operative pain
management, not being a service to which CV086 applies
CV086 INTRATHECAL or EPIDURAL INJECTION (subsequent) of a therapeutic 22036
3 - - substance or substance, using an in-situ catheter, in association with
anaesthesia and surgery, for post-operative pain management, not being
a service associated with a service to which CF085 applies
CV100
5 - -
CV105
8 - -
SUBARACHNOID PUNCTURE, lumbar, diagnostic
INSERTION OF SUBARACHNOID DRAIN
Page 138 1 November 2015

ANAESTHESIA
THERAPEUTIC AND DIAGNOSTIC SERVICES
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CV120 INTRATHECAL or EPIDURAL INJECTION (initial, or commencement of 18216
8 - - infusion) of a therapeutic substance, including up to one hour of
continuous attendance by the medical practitioner
CV122 INTRATHECAL OR EPIDURAL INJECTION (initial, or commencement 18219
0 - - of infusion) of a therapeutic substance, where continuous attendance by
the medical practitioner extends beyond the first hour. DERIVED FEE
being eight units for the first hour (as for item CV120) plus one unit for
each additional 15 minutes or part thereof
CV123 INTRATHECAL OR EPIDURAL INJECTION (initial, or commencement 18226
15 - - of infusion) of a therapeutic substance including up to one hour of
continuous attendance by the medical practitioner AFTER HOURS for a
patient in labour
CV124 INTRATHECAL OR EPIDURAL INJECTION (initial, or commencement 18227
0 - - of infusion) of a therapeutic substance where continuous AFTER
HOURS attendance by the medical practitioner extends beyond the first
hour for a patient in labour. DERIVED FEE being 15 units for the first
hour (as for item CV123) plus one unit for each additional 15 minutes or
part thereof
CV125 SUBSEQUENT INJECTION (or revision of infusion) of a therapeutic 18222
3 - - substance to maintain regional anaesthesia or analgesia where the
period of continuous medical practitioner attendance is 15 minutes or
less
CV126 SUBSEQUENT INJECTION (or revision of infusion) of a therapeutic 18225
4 - - substance to maintain regional anaesthesia or analgesia where the
period of continuous medical practitioner attendance is more than 15
minutes
CV128 INTERPLEURAL BLOCK, initial injection or commencement of infusion 18228
5 - - of a therapeutic substance
CV130 INTRATHECAL, EPIDURAL OR CAUDAL INJECTION of neurolytic 18230
20 - - substance
CV140 INTRATHECAL, EPIDURAL OR CAUDAL, injection of substance other 18232
8 - - than anaesthetic, contrast or neurolytic solutions, not being a service to
which another item in this Group applies
CV145 EPIDURAL INJECTION of blood for blood patch
18233
8 - -
NOTE: Please refer to Explanatory Note T.7.5 in the MBS before using items CV200 - CV330 for
the treatment of carpel tunnel or similar compression syndromes.
CV200 INJECTION OF AN ANAESTHETIC AGENT, trigeminal nerve, primary 18234
10 - - division of
1 November 2015 Page 139

ANAESTHESIA
THERAPEUTIC AND DIAGNOSTIC SERVICES
AMA Number
BV/Mod/Tim
‡
Description of Medical Service
MBS
Number
CV201 - trigeminal nerve, peripheral branch of
18236
5 - -
CV202 - facial nerve
18238
3 - -
CV204 - retrobulbar or peribulbar
18240
5 - -
CV205 - greater occipital nerve
18242
3 - -
CV208 - vagus nerve
18244
8 - -
CV209 - glossopharyngeal nerve
18246
8 - -
CV210 - phrenic nerve
18248
7 - -
CV212 - spinal accessory nerve
18250
5 - -
CV213 - cervical plexus
18252
8 - -
CV215 - brachial plexus
18254
8 - -
CV218 - suprascapular nerve
18256
5 - -
CV220 - intercostal nerve, single
18258
5 - -
CV221 - intercostal nerves, multiple
18260
7 - -
CV225 - ilioinguinal, iliohypogastric or genito femoral nerves, one or more of 18262
5 - -
CV230 - pudendal nerve and or dorsal nerve
18264
8 - -
CV233 - ulnar, radial or median nerve of main trunk, one or more of, not being 18266
5 - - associated with a brachial plexus block
Page 140 1 November 2015

ANAESTHESIA
THERAPEUTIC AND DIAGNOSTIC SERVICES
AMA Number
BV/Mod/Tim
CV235
5 - -
- paracervical (uterine) nerve
Description of Medical Service
MBS
Number
CV237 - obturator nerve
18268
7 - -
CV238 - femoral nerve
18270
7 - -
CV239 - saphenous, sural, popliteal or posterior tibial nerve of main trunk, one 18272
5 - - or more of
CV240 - paravertebral, cervical, thoracic, lumbar, sacral or coccygeal nerves, 18274
7 - - single vertebral level
CV241 - paravertebral nerves, multiple levels
18276
10 - -
CV245 - sciatic nerve
18278
7 - -
CV250
5 - -
- other peripheral nerve or branch
CV305 - sphenopalatine ganglion
18280
10 - -
CV308 - carotid sinus, as an independent percutaneous procedure
18282
8 - -
CV310 - stellate ganglion (cervical sympathetic block)
18284
8 - -
CV320 - lumbar or thoracic nerves (paravertebral sympathetic block)
18286
8 - -
CV330 - coeliac plexus or splanchnic nerves
18288
10 - -
CV415 CRANIAL NERVE OTHER THAN TRIGEMINAL, destruction by a 18290
20 - - neurolytic agent, not being a service associated with the injection of
botulinum toxin
CV420 NERVE BRANCH, not covered by any other item in this Group,
18292
10 - - destruction by a neurolytic agent, not being a service associated with the
injection of botulinum toxin except those services to which item BM804
applies
1 November 2015 Page 141

ANAESTHESIA
THERAPEUTIC AND DIAGNOSTIC SERVICES
AMA Number
BV/Mod/Tim
Description of Medical Service
MBS
Number
CV430 COELIAC PLEXUS OR SPLANCHNIC NERVES, destruction by a 18294
20 - - neurolytic agent
CV440 LUMBAR SYMPATHETIC CHAIN, destruction by a neurolytic agent 18296
15 - -
CV450 CERVICAL OR THORACIC SYMPATHETIC CHAIN, destruction by a 18298
20 - - neurolytic agent
CV500
4 - -
CV700
15 +PM +T
CV710
8 +PM +T
CV730
10 - -
CV740
14 - -
CARDIOVERSION, elective, electrical conversion of arrhythmia, external
HYPERBARIC OXYGEN TREATMENT when the specialist is inside the
chamber
HYPERBARIC OXYGEN TREATMENT when the specialist is outside the
chamber
HEART, 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL
EXAMINATION of, at least 2 oesophageal windows performed using a
mechanical sector scanner or phased array transducer with (a)
measurement of bloodflow velocities across the cardiac valves using
pulsed wave and continuous Doppler techniques: (b) real time colour
flow mapping from at least 2 oesophageal windows and (c) recording on
video tape
INTRA-OPERATIVE 2 DIMENSIONAL REAL TIME
TRANSOESOPHAGEAL ECHOCARDIOGRAPHY incorporating Doppler
techniques with colour flow mapping and recording onto video tape,
performed during cardiac surgery incorporating sequential assessment of
cardiac function before and after the surgical procedure
NOTE: Item CV800 may be used in addition to the item for vascular catheterisation CV020.
CV800 The use of two-dimensional imaging ULTRASOUND GUIDANCE to
3 - - assist percutaneous major vascular access (including arterial access and
the insertion of peripherally inserted central catheter lines)
CV805
3 - -
The use of two-dimensional imaging ULTRASOUND GUIDANCE to
assist percutaneous neural blockade
NOTE: Item CV805 may be used in addition to the relevant nerve block item.
CV981
4 - +T
CV999
0 - -
SKIN TESTING for ALLERGY to ANAESTHETIC AGENTS
Unlisted special service - please see CU999
Page 142 1 November 2015

ANAESTHESIA
ASSISTANCE IN THE ADMINISTRATION
AMA Number
BV/Mod/Tim
Description of Medical Service
ASSISTANCE IN THE ADMINISTRATION
CW020 Assistance in the administration of an anaesthetic
5 +PM +T
MBS
Number
1 November 2015 Page 143

Surgical
Operations

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
GENERAL SURGERY
GENERAL
Description of Medical Service
MBS
Number
EA010 Operative procedure, not being a service to which any other item in this 30001
$0.00 Group applies, being a service to which an item in this Group would have
applied had the procedure not been discontinued on medical grounds.
DERIVED FEE: 50% of the fee which would have applied had the
procedure not been discontinued
EA015 LOCALISED BURNS, dressing of, (not involving grafting) - each
30003
$69.00 attendance at which the procedure is performed, including any
associated consultation
EA025 EXTENSIVE BURNS, dressing of, without anaesthesia (not involving 30006
$120.00 grafting) - each attendance at which the procedure is performed,
including any associated consultation
EA035 LOCALISED BURNS, DRESSING OF, under general anaesthesia (not 30009
$196.00 involving grafting)
30010
EA045 EXTENSIVE BURNS, dressing of, under general anaesthesia (not 30013
$410.00 involving grafting)
30014
EA055 BURNS, excision of, under general anaesthesia, involving not more than 30017
$835.00 10% of body surface, where grafting is not carried out during the same
operation
EA065 BURNS, excision of, under general anaesthesia, of involving more than 30020
$1,655.00 10% of body surface, where grafting is not carried out during the same
operation
EA075 WOUND OF SOFT TISSUE, traumatic, deep or extensively
30023
$835.00 contaminated, debridement of, under general anaesthesia or regional or
field nerve block, including suturing of that wound when performed
EA080 WOUND OF SOFT TISSUE, debridement of extensively infected postsurgical
30024
$835.00
incision or Fournier's Gangrene, under general anaesthesia or
regional or field nerve block, including suturing of that wound when
performed
EA085 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, 30026
$142.00 REPAIR OF WOUND OF, other than wound closure at time of surgery,
not on face or neck, small (NOT MORE THAN 7CM IN LENGTH),
superficial, not being a service to which another item in Group 3.4 applies
EA095 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, 30029
$215.00 REPAIR OF WOUND OF, other than wound closure at time of surgery,
not on face or neck, small (NOT MORE THAN 7CM IN LENGTH),
involving deeper tissue, not being a service to which another item in
Group 3.4 applies
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EA105 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, 30032
$190.00 REPAIR OF WOUND OF, other than wound closure at time of surgery,
on face or neck, small (NOT MORE THAN 7CM IN LENGTH), superficial
EA115 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, 30035
$285.00 REPAIR OF WOUND OF, other than wound closure at time of surgery,
on face or neck, small (NOT MORE THAN 7CM IN LENGTH), involving
deeper tissue
EA125 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, 30038
$215.00 REPAIR OF WOUND OF, other than wound closure at time of surgery,
not on face or neck, large (MORE THAN 7CM IN LENGTH), superficial,
not being a service to which another item in Group 3.4 applies
EA135 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, 30041
$475.00 REPAIR OF WOUND OF, other than wound closure at time of surgery,
not on face or neck, large (MORE THAN 7CM IN LENGTH), involving
deeper tissue, not being a service to which another item in Group 3.4
applies
30042
EA145 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, 30045
$285.00 REPAIR OF WOUND OF, other than wound closure at time of surgery,
on face or neck, large (MORE THAN 7CM IN LENGTH), superficial
EA155 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, 30048
$490.00 REPAIR OF WOUND OF, other than wound closure at time of surgery,
on face or neck, large (MORE THAN 7CM IN LENGTH), involving deeper
tissue
30049
EA165 FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, 30052
$665.00 REPAIR OF, with accurate apposition of each layer of tissue
EA175 WOUNDS, DRESSING OF, under general anaesthesia, with or without 30055
$196.00 removal of sutures, not being a service associated with a service to
which another item in this Group applies
EA185 POST-OPERATIVE HAEMORRHAGE, control of, under general
30058
$370.00 anaesthesia as an independent procedure
EA195 SUPERFICIAL FOREIGN BODY, REMOVAL OF, (including from cornea 30061
$57.00 or sclera) as an independent procedure
EA196
$154.00
ETONOGESTREL SUBCUTANEOUS IMPLANT, removal of, as an
independent procedure, except when item HA020 applies
EA205 SUBCUTANEOUS FOREIGN BODY, REMOVAL OF, requiring incision 30064
$255.00 and exploration, including closure of wound if performed, as an
independent procedure
1 November 2015 Page 147

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
‡
Description of Medical Service
MBS
Number
EA215 FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, 30067
$715.00 removal of, as an independent procedure
30068
EA225 BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent 30071
$178.00 procedure, where the biopsy specimen is sent for pathological
examination
EA235 BIOPSY OF LYMPH GLAND, MUSCLE OR OTHER DEEP TISSUE OR 30074
$455.00 ORGAN, as an independent procedure, where the biopsy specimen is 30075
sent for pathological examination
EA245 DRILL BIOPSY OF LYMPH GLAND, DEEP TISSUE OR ORGAN, as an 30078
$116.00 independent procedure, where the biopsy specimen is sent for
pathological examination
EA255 BIOPSY OF BONE MARROW by trephine using an open approach, 30081
$255.00 where the biopsy specimen is sent for pathological examination
EA265 BIOPSY OF BONE MARROW by trephine using percutaneous approach 30084
$142.00 where the biopsy is sent for pathological examination
EA275 BIOPSY OF BONE MARROW by aspiration or PUNCH BIOPSY OF 30087
$71.00 SYNOVIAL MEMBRANE, where the biopsy specimen is sent for
pathological examination
EA285 BIOPSY OF PLEURA, PERCUTANEOUS - 1 or more biopsies on any 1 30090
$310.00 occasion, where the biopsy specimen is sent for pathological examination
EA295 NEEDLE BIOPSY OF VERTEBRA, where the biopsy specimen is sent 30093
$315.00 for pathological examination
EA305 PERCUTANEOUS ASPIRATION BIOPSY of deep organ using
30094
$490.00 interventional techniques - but not including imaging, where the biopsy
specimen is sent for pathological examination
EA315 DIAGNOSTIC SCALENE NODE BIOPSY, by open procedure, where the 30096
$480.00 specimen excised is sent for pathological examination
EA320 Personal performance of SYNACTHEN STIMULATION TEST, including 30097
$240.00 associated consultation; by a medical practitioner with resuscitation
training and access to facilities where life support procedures can be
implemented
EA325 SINUS, excision of, involving superficial tissue only
30099
$215.00
EA335 SINUS, excision of, involving muscle and deep tissue
30102
$480.00
30103
EA345 PRE-AURICULAR SINUS, excision of, on a person 10 years of age or 30104
$290.00 over
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
†
Description of Medical Service
MBS
Number
EA346 PRE-AURICULAR SINUS, excision of, on a person under 10 years of age 30105
$370.00
EA355 GANGLION OR SMALL BURSA, excision of, not being a service 30106
$510.00 associated with a service to which an item in this Group applies
30107
EA365 BURSA (LARGE), INCLUDING OLECRANON, CALCANEUM OR 30110
$835.00 PATELLA, excision of
30111
EA375 BURSA, SEMIMEMBRANOSUS (Baker's cyst), excision of
30114
$965.00
EA525 LIPECTOMY transverse wedge excision of abdominal apron, not being a 30165
$1,060.00 service performed within 12 months after the end of a pregnancy and
not being a service associated with a service to which item MJ250,
MJ252 or MJ135 applies
EA535 LIPECTOMY - wedge excision of skin and fat, not in association with 30168
$1,060.00 items MJ250 or MJ252 or MJ135 not being a service to which Item
EA525 applies - 1 EXCISION
EA545 LIPECTOMY - wedge excision of skin and fat, not in association with 30171
$1,590.00 MJ250 or MJ252 or MJ135 not being a service to which Item EA525
applies - 2 OR MORE EXCISIONS
EA555 LIPECTOMY - subumbilical excision with undermining of skin edges and 30174
$1,590.00 strengthening of musculoaponeurotic wall, not in association with items
MJ250 or MJ252 or MJ135
EA565 LIPECTOMY radical abdominoplasty (Pitanguy type or similar), with 30177
$2,390.00 excision of skin and subcutaneous tissue, repair of musculoaponeurotic
layer and transposition of umbilicus, not being a service performed within
12 months after the end of a pregnancy and not being a service
associated with a service to which item MJ250, MJ252 or MJ135 applies
EA575 AXILLARY HYPERHIDROSIS, partial excision for
30180
$320.00
EA585 AXILLARY HYPERHIDROSIS, total excision of sweat gland bearing area 30183
$645.00
NOTE: For the purpose of item EA590, ablative techniques include cryotherapy or chemical
removal.
EA590 PALMAR or PLANTAR WART (10 or more), definitive removal of, 30185
$450.00 excluding ablative methods alone, not being a service to which EA595 of
EA605 applies
EA595 PALMAR or PLANTAR WARTS (less than 10), removal of, excluding 30186
$116.00 ablative methods alone, not covered by Item EA590 or EA605 applies
1 November 2015 Page 149

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EA605 PALMAR OR PLANTAR WARTS, removal of, by carbon dioxide laser or 30187
$580.00 erbium laser, requiring admission to a hospital or day-hospital facility, or
when performed by a specialist in the practice of his/her specialty, (5 or
more warts)
EA615 WARTS or MOLLUSCUM CONTAGIOSUM (one or more), removal of, 30189
$335.00 by any method (other than by chemical means), where undertaken in the
operating theatre of a hospital or approved day hospital facility, not being
a service associated with a service to which another item in this Group
applies
EA625 ANGIOFIBROMAS, TRICHOEPITHELIOMAS OR OTHER SEVERELY 30190
$895.00 DISFIGURING TUMOURS SUITABLE FOR LASER EXCISION as
confirmed by specialist opinion, of the face or neck, removal of, by
carbon dioxide laser or erbium laser excision-ablation including
associated resurfacing (10 or more tumours)
NOTE: For the purpose of item EA635, ablative techniques include cryotherapy or chemical
removal.
EA635 PREMALIGNANT SKIN LESIONS (including solar keratoses), treatment 30192
$89.00 of, by ablative technique (10 or more lesions)
EA645 BENIGN NEOPLASM OF SKIN, other than viral verrucae (common 30195
$142.00 warts), seborrheic keratoses, cysts and skin tags, treatment by
electrosurgical destruction, simple curettage or shave excision, or laser
photocoagulation, not being a service associated with a service to which
Item EA655, EA665, EA675, EA685 or EA695 applies - (1 or more
lesions)
EA655 MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE proven 30196
$285.00 by histopathology or confirmed by specialist opinion, removal of, BY
SERIAL CURETTAGE OR CARBON DIOXIDE LASER OR ERBIUM
LASER EXCISION-ABLATION, including any associated cryotherapy, or
diathermy, not being a service to which item EA665 applies
EA665 MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE, proven 30197
$990.00 by histopathology or confirmed by specialist opinion, removal of, by serial
curettage or carbon dioxide laser excision-ablation, including any
associated cryotherapy, or diathermy (10 or more lesions)
EA675
$108.00
EA685
$380.00
MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE,
removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat
freeze-thaw cycles, not being a service associated with a service to
which Item EA685 applies
MALIGNANT NEOPLASM OF SKIN OR MUCOUS MEMBRANE,
removal of, BY LIQUID NITROGEN CRYOTHERAPY using repeat
freeze-thaw cycles (10 or more lesions)
Page 150 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EA695 MALIGNANT NEOPLASM OF SKIN proven by histopathology, removal 30205
$285.00 of, BY LIQUID NITROGEN CRYOTHERAPY using repeat freeze-thaw
cycles WHERE THE MALIGNANT NEOPLASM EXTENDS INTO
CARTILAGE
EA705 SKIN LESIONS, multiple injections with hydrocortisone or similar 30207
$98.00 preparations
EA715 KELOID and other SKIN LESIONS, EXTENSIVE, MULTIPLE
30210
$385.00 INJECTIONS OF HYDROCORTISONE or similar preparations where
undertaken in the operating theatre of a hospital or approved dayhospital
facility
EA725 TELANGIECTASES OR STARBURST VESSELS ON THE HEAD OR 30213
$275.00 NECK where lesions are visible from 4 metres, diathermy or sclerosant
injection of, including associated consultation - limited to a maximum of 6
sessions (including any sessions to which items BM720 to BM780 and
EA725 apply) in any 12 month period - for a session of at least 20
minutes duration
EA730 TELANGIECTASES OR STARBURST VESSELS ON THE HEAD OR 30214
$275.00 NECK where lesions are visible from 4 metres, diathermy or sclerosant
injection of, including associated consultation - session of at least 20
minutes duration - where it can be demonstrated that a 7th or
subsequent session (including any sessions to which items BM720 to
BM780 and EA725 apply) is indicated in a 12 month period
EA735 HAEMATOMA, aspiration of
30216
$60.00
EA745 HAEMATOMA, FURUNCLE, SMALL ABSCESS OR SIMILAR LESION 30219
$60.00 not requiring admission to a hospital or day-hospital facility, INCISION
WITH DRAINAGE OF (excluding aftercare)
EA755 LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS 30223
$385.00 OR SIMILAR LESION, requiring admission to a hospital or day-hospital
facility, INCISION WITH DRAINAGE OF (excluding aftercare)
EA765 PERCUTANEOUS DRAINAGE OF DEEP ABSCESS using
30224
$620.00 interventional techniques - but not including imaging
EA775 ABSCESS DRAINAGE TUBE, exchange of using interventional
30225
$695.00 techniques - but not including imaging
EA785 MUSCLE, excision of (LIMITED) or fasciotomy
30226
$395.00
EA795 MUSCLE, excision of (EXTENSIVE)
30229
$700.00
1 November 2015 Page 151

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EA805 MUSCLE, RUPTURED, repair of (limited), not associated with external 30232
$575.00 wound
EA815 MUSCLE, RUPTURED, repair of (extensive), not associated with 30235
$775.00 external wound
EA825 FASCIA, DEEP, repair of, FOR HERNIATED MUSCLE
30238
$395.00
EA835 BONE TUMOUR, INNOCENT, excision of, not being a service to which 30241
$835.00 another item in this Group applies
EA845 STYLOID PROCESS OF TEMPORAL BONE, removal of
30244
$835.00
EA850 PAROTID DUCT, repair of, using micro-surgical techniques
30246
$1,835.00
EA855 PAROTID GLAND, total extirpation of
30247
$1,965.00
EA865 PAROTID GLAND, total extirpation of with preservation of facial nerve 30250
$3,215.00
EA870 RECURRENT PAROTID TUMOUR, excision of, with preservation of 30251
$4,720.00 facial nerve
EA875 PAROTID GLAND, SUPERFICIAL LOBECTOMY OF, with exposure of 30253
$2,145.00 facial nerve
EA880 SUBMANDIBULAR DUCTS, relocation of, for surgical control of drooling 30255
$2,850.00
EA885 SUBMANDIBULAR GLAND, extirpation of
30256
$900.00
EA895 SUBLINGUAL GLAND, extirpation of
30259
$510.00
EA905 SALIVARY GLAND, DILATATION OR DIATHERMY of duct
30262
$154.00
EA915 SALIVARY GLAND, removal of CALCULUS from duct or meatotomy or 30265
$385.00 marsupialisation, 1 or more such procedures
30266
EA925 SALIVARY GLAND, repair of CUTANEOUS FISTULA OF
30269
$395.00
EA935 TONGUE, partial excision of
30272
$775.00
Page 152 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EA945 RADICAL EXCISION OF INTRA-ORAL TUMOUR INVOLVING
30275
$4,525.00 RESECTION OF MANDIBLE AND LYMPH GLANDS OF NECK
(commando-type operation)
EA955 TONGUE TIE, repair of, not being a service to which another item in this 30278
$120.00 Group applies
EA965 TONGUE TIE, MANDIBULAR FRENULUM or MAXILLARY FRENULUM, 30281
$300.00 repair of, in a person aged not less than 2 years, under general
anaesthesia
EA975 RANULA OR MUCOUS CYST OF MOUTH, removal of
30282
$510.00
30283
‡ EA985 BRANCHIAL CYST, removal of, on a person 10 years of age or over 30286
$1,035.00
† EA986 BRANCHIAL CYST, removal of, on a person under 10 years of age 30287
$1,345.00
‡ EA995 BRANCHIAL FISTULA, removal of, on a person 10 years of age or over 30289
$1,310.00
† EA996 BRANCHIAL FISTULA, removal of, on a person under 10 years of age 43832
$1,705.00
EB005 CERVICAL OESOPHAGOSTOMY; or CLOSURE OF CERVICAL 30293
$1,155.00 OESOPHAGOSTOMY with or without plastic repair
EB015 CERVICAL OESOPHAGECTOMY with tracheostomy and
30294
$4,525.00 oesophagostomy, with or without plastic reconstruction; or
LARYNGOPHARYNGECTOMY with tracheostomy and plastic
reconstruction
NOTE: For items EB020 and EB025 both lymposcintigraphy and lymphotropic dye injection
must be used unless the patient has a known or suspected allergy to lymphotrophic dye.
EB020 SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, 30299
$1,645.00 involving dissection in level 1 axilla, using preoperative
lymphoscintigraphy and lymphotropic dye injection, not being a service in
association with EB025, EB030 or EB035
EB025 SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, 30300
$1,975.00 involving dissection in level II/III axilla, using preoperative
lymphoscintigraphy and lymphotropic dye injection, not being a service in
association with EB020, EB030 or EB035
EB030 SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, 30302
$1,320.00 involving dissection in level 1 axilla, using lymphotropic dye, not being a
service in association with EB020, EB025 or EB035
1 November 2015 Page 153

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EB035 SENTINEL LYMPH NODE BIOPSY OR BIOPSIES for breast cancer, 30303
$1,580.00 involving dissection in level II/III axilla, using lymphotropic dye, not being
a service in association with EB020, EB025 or 30300
ENDOCRINE SURGERY
EC500 THYROIDECTOMY, total
30296
$2,635.00
EC510 THYROIDECTOMY following previous thyroid surgery
30297
$2,635.00
EC520 TOTAL HEMITHYROIDECTOMY
30306
$2,105.00
EC530 BILATERAL SUBTOTAL THYROIDECTOMY
30308
$2,055.00
EC540 THYROIDECTOMY, SUBTOTAL for THYROTOXICOSIS
30309
$2,675.00
EC550 THYROID, unilateral sub-total thyroidectomy or equivalent partial 30310
$1,310.00 thyroidectomy
EC560 THYROGLOSSAL CYST, removal of
30313
$1,025.00
‡ EC570 THYROGLOSSAL CYST OR FISTULA OR BOTH, radical removal of, 30314
$1,485.00 including thyroglossal duct and portion of hyoid bone, on a person 10
years of age or over
† EC571 THYROGLOSSAL CYST OR FISTULA OR BOTH, radical removal of, 30326
$1,935.00 including thyroglossal duct and portion of hyoid bone, on a person under
10 years of age
EC580 PARATHYROID OPERATION FOR HYPERPARATHYROIDISM
30315
$3,215.00
EC590 CERVICAL RE-EXPLORATION for recurrent or persistent
30317
$3,510.00 hyperparathyroidism
EC600 MEDIASTINUM, exploration of, via the cervical route, for
30318
$2,335.00 hyperparathyroidism (including thymectomy)
EC610 MEDIASTINUM, exploration of, via mediastinotomy, for
30320
$3,510.00 hyperparathyroidism (including thymectomy)
EC620 RETROPERITONEAL NEUROENDOCRINE TUMOUR, removal of 30321
$2,335.00
Page 154 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EC630 RETROPERITONEAL NEUROENDOCRINE TUMOUR, removal of, 30323
$3,510.00 requiring complex and extensive dissection
EC640 ADRENAL GLAND TUMOUR, excision of
30324
$3,510.00
LYMPH GLANDS
NOTE: Items covering Lymph Nodes of Neck, EO030 - EO060, are listed on pages 183 - 184.
ED220 LYMPH GLANDS OF GROIN, limited excision of
30329
$635.00
ED230 LYMPH GLANDS OF GROIN, radical excision of
30330
$1,850.00
ED240 LYMPH GLANDS OF AXILLA, limited excision of
30332
$685.00
ED255 LYMPH NODES OF AXILLA, complete excision of, to level I
30335
$1,830.00
ED260 LYMPH NODES OF AXILLA, complete excision of, to level II or level III 30336
$2,200.00
UPPER GASTROINTESTINAL SURGERY
EJ005 LAPAROTOMY (exploratory), including associated biopsies, where no 30373
$1,250.00 other intra-abdominal procedure is performed
‡ EJ015 Caecostomy, Enterostomy, Colostomy, Enterotomy, Colotomy,
30375
$1,425.00 Cholecystostomy, Gastrostomy, Gastrotomy, reduction of
intussusception, removal of Meckel's diverticulum, suture of perforated
peptic ulcer, simple repair of ruptured viscus, reduction of volvulus,
pyloroplasty (adult) or drainage of pancreas, on a person 10 years of age
or over
† EJ016 Caecostomy, Enterostomy, Colostomy, Enterotomy, Colotomy,
30622
$1,855.00 Cholecystostomy, Gastrostomy, Gastrotomy, reduction of
intussusception, removal of Meckel's diverticulum, suture of perforated
peptic ulcer, simple repair of ruptured viscus, reduction of volvulus,
pyloroplasty or drainage of pancreas, on a person under 10 years of age
‡ EJ025 LAPAROTOMY INVOLVING DIVISION OF PERITONEAL ADHESIONS 30376
$1,425.00 (where no other intra-abdominal procedure is performed), on a person 10
years of age or over
† EJ026 LAPAROTOMY INVOLVING DIVISION OF PERITONEAL ADHESIONS 30623
$1,845.00 (where no other intra-abdominal procedure is performed), on a person
under 10 years of age
1 November 2015 Page 155

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
‡ EJ035 LAPAROTOMY INVOLVING DIVISION OF ADHESIONS in conjunction 30378
$1,425.00 with another intra-abdominal procedure where the time taken to divide
the adhesions is between 45 minutes and 2 hours, on a person 10 years
of age or over
† EJ036 LAPAROTOMY INVOLVING DIVISION OF ADHESIONS in conjunction 30626
$1,845.00 with another intra-abdominal procedure where the time taken to divide
the adhesions is between 45 minutes and 2 hours, on a person under 10
years of age
EJ045 LAPAROTOMY WITH DIVISION OF EXTENSIVE ADHESIONS
30379
$2,390.00 (duration greater than 2 hours) with or without insertion of long intestinal
tube
EJ055 ENTEROCUTANEOUS FISTULA, radical repair of involving extensive 30382
$3,360.00 dissection and resection of bowel
EJ065 LAPAROTOMY FOR GRADING OF LYMPHOMA, including
30384
$2,855.00 splenectomy, liver biopsies, lymph node biopsies and oophoropexy
EJ075 LAPAROTOMY FOR CONTROL OF POST-OPERATIVE
30385
$1,455.00 HAEMORRHAGE, where no other procedure is performed
EJ085 LAPAROTOMY INVOLVING OPERATION ON ABDOMINAL VISCERA 30387
$1,665.00 (including pelvic viscera), not being a service to which another item in
this Group applies
EJ095 LAPAROTOMY FOR TRAUMA involving 3 or more organs
30388
$4,110.00
NOTE: Items EJ105 and EJ106 are the AMA equivalents of MBS items 30390 and 30627.
Members should note these MBS items contain restrictions on their use that have not been
included in the AMA items.
‡ EJ105 LAPAROSCOPY, diagnostic, on a person 10 years of age or over
$570.00
†
EJ106
$735.00
LAPAROSCOPY, diagnostic, on a person under 10 years of age
EJ115 LAPAROSCOPY, with biopsy
30391
$730.00
EJ116 RADICAL OR DEBULKING OPERATION for advanced intra-abdominal 30392
$1,505.00 malignancy, with or without omentectomy, as an independent procedure
EJ120 LAPROSCOPIC DIVISION OF ADHESIONS in association with another 30393
$1,890.00 intra-abdominal procedure where the time taken to divide the adhesions
exceeds 45 minutes
Page 156 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EJ125 LAPAROTOMY for drainage of subphrenic abscess, pelvic abscess, 30394
$1,285.00 appendiceal abscess, ruptured appendix or for peritonitis from any
cause, with or without appendicectomy
EJ135 LAPAROTOMY for gross intra peritoneal sepsis requiring debridement of 30396
$2,615.00 fibrin, with or without removal of foreign material or enteric contents, with
lavage of the entire peritoneal cavity via a major abdominal incision with
or without closure of abdomen and with or without mesh or zipper
insertion
EJ145 LAPAROSTOMY, via wound previously made and left open or closed 30397
$600.00 with zipper, involving change of dressings or packs, and with or without
drainage of loculated collections
EJ155 LAPAROSTOMY, final closure of wound made at previous operation, 30399
$820.00 after removal of dressings or packs and removal of mesh or zipper if
previously inserted
EJ165 LAPAROTOMY WITH INSERTION OF PORTACATH for administration 30400
$1,625.00 of cytotoxic therapy including placement of reservoir
EJ175 RETROPERITONEAL ABSCESS, drainage of, not involving laparotomy 30402
$1,195.00
EJ185 VENTRAL, INCISIONAL, OR RECURRENT HERNIA OR BURST 30403
$1,430.00 ABDOMEN, repair of with or without mesh
EJ195 VENTRAL, OR INCISIONAL HERNIA, (excluding recurrent inguinal or 30405
$2,355.00 femoral hernia) repair of, requiring muscle transposition, mesh
hernioplasty or resection of strangulated bowel
EJ205 PARACENTESIS ABDOMINIS
30406
$142.00
EJ215 PERITONEO VENOUS (LEVEEN) SHUNT, insertion of
30408
$1,010.00
EJ225 LIVER BIOPSY, percutaneous
30409
$505.00
EJ235 LIVER BIOPSY by wedge excision when performed in association with 30411
$230.00 another intra-abdominal procedure
EJ245 LIVER BIOPSY BY CORE NEEDLE, when performed in conjunction with 30412
$134.00 another intra-abdominal procedure
EJ255 LIVER, subsegmental resection of, (local excision), other than for trauma 30414
$1,775.00
EJ265 LIVER, segmental resection of, other than for trauma
30415
$3,550.00
1 November 2015 Page 157

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EJ266 LIVER CYST, LAPAROSCOPIC MARSUPIALISATION OF, where the 30416
$1,930.00 size of the cyst is greater than 5cm in diameter
EJ267 LIVER CYSTS, LAPAROSCOPIC MARSUPIALISATION OF 5 OR 30417
$2,890.00 MORE, including any cyst greater than 5cm in diameter
EJ275 LIVER, lobectomy of, other than for trauma
30418
$4,110.00
EJ280 LIVER TUMOURS, destruction of, by hepatic cryotherapy, not being a 30419
$2,095.00 service associated with a service to which Item MZ700 or MZ705 applies
EJ285 LIVER, tri-segmental resection (extended lobectomy) of, other than for 30421
$5,135.00 trauma
EJ295 LIVER, repair of superficial laceration of, for trauma
30422
$1,735.00
EJ305 LIVER, repair of deep multiple lacerations of, or requiring debridement, 30425
$3,360.00 for trauma
EJ315 LIVER, segmental resection of, for trauma
30427
$4,015.00
EJ325 LIVER, lobectomy of, for trauma
30428
$4,295.00
EJ335 LIVER, extended lobectomy (tri-segmental resection) of, for trauma 30430
$5,975.00
EJ345 LIVER ABSCESS, open abdominal drainage of
30431
$1,430.00
EJ355 LIVER ABSCESS (multiple), open abdominal drainage of
30433
$1,865.00
EJ365 HYDATID CYST OF LIVER, PERITONEUM OR VISCUS, complete 30434
$1,515.00 removal of contents of, with or without suture of biliary radicles
EJ375 HYDATID CYST OF LIVER, PERITONEUM OR VISCUS, complete 30436
$1,680.00 removal of contents of, with or without suture of biliary radicles, with
omentoplasty or myeloplasty
EJ380 HYDATID CYST OF LIVER, EXCISION OF, with drainage and excision 30438
$2,960.00 of liver tissue
EJ385 HYDATID CYST OF LIVER, total excision of, by cysto pericystectomy 30437
$2,090.00 (membrane plus fibrous wall)
Page 158 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EJ395 OPERATIVE CHOLANGIOGRAPHY OR OPERATIVE
30439
$480.00 PANCREATOGRAPHY or intra operative ultrasound of the biliary tract
(including 1 or more examinations performed during the 1 operation)
EJ405 CHOLANGIOGRAM, percutaneous transhepatic, and insertion of biliary 30440
$1,360.00 drainage tube, using interventional imaging techniques - but not including
imaging, not being a service associated with a service to which item
EJ475 applies
EJ406 INTRA OPERATIVE ULTRASOUND for staging of intra abdominal 30441
$350.00 tumours
EJ415 CHOLEDOCHOSCOPY in conjunction with another procedure
30442
$480.00
EJ425 CHOLECYSTECTOMY
30443
$1,905.00
EJ435 LAPAROSCOPIC CHOLECYSTECTOMY
30445
$2,105.00
EJ445 LAPAROSCOPIC CHOLECYSTECTOMY when procedure is completed 30446
$2,090.00 by laparotomy
EJ455 LAPAROSCOPIC CHOLECYSTECTOMY, involving removal of common 30448
$2,500.00 duct calculi via the cystic duct
EJ465 LAPAROSCOPIC CHOLECYSTECTOMY with removal of common duct 30449
$2,780.00 calculi via laparoscopic choledochotomy
EJ466 CALCULUS OF BILIARY OR RENAL TRACT, EXTRACTION OF, using 30450
$1,350.00 interventional imaging techniques - not being a service associated with a
service to which items HB590, HB600, HB650 or HB660 applies
EJ475 BILIARY DRAINAGE TUBE, exchange of, using interventional imaging 30451
$695.00 techniques - but not including imaging, not being a service associated
with a service to which item EJ405 applies
EJ485 CHOLEDOCHOSCOPY with balloon dilatation of a stricture or passage 30452
$970.00 of stent or extraction of calculi
EJ495 CHOLEDOCHOTOMY (WITH OR WITHOUT CHOLECYSTECTOMY), 30454
$2,380.00 with or without removal of calculi
EJ505 CHOLEDOCHOTOMY (WITH OR WITHOUT CHOLECYSTECTOMY), 30455
$2,640.00 with removal of calculi including biliary intestinal anastomosis
EJ515 CHOLEDOCHOTOMY, intrahepatic, involving removal of intrahepatic 30457
$3,550.00 bile duct calculi
1 November 2015 Page 159

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EJ525 TRANSDUODENAL OPERATION ON SPHINCTER OF ODDI, involving 30458
$2,640.00 1 or more of, removal of calculi, sphincterotomy, sphincteroplasty,
biopsy, local excision of peri-ampullary or duodenal tumour,
sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with
or without choledochotomy
EJ535 CHOLECYSTODUODENOSTOMY, CHOLECYSTOENTEROSTOMY, 30460
$2,220.00 CHOLEDOCHOJEJUNOSTOMY OR ROUX-EN-Y as a bypass
procedure when no prior biliary surgery performed
EJ545 RADICAL RESECTION OF PORTA HEPATIS with biliary-enteric 30461
$3,870.00 anastomoses, not being a service associated with a service to which item
EJ425, EJ495, EJ505, EJ525 or EJ535 applies
EJ555 RADICAL RESECTION OF COMMON HEPATIC DUCT AND RIGHT 30463
$4,670.00 AND LEFT HEPATIC DUCTS, with 2 duct anastomoses
EJ565 RADICAL RESECTION OF COMMON HEPATIC DUCT AND RIGHT 30464
$5,600.00 AND LEFT HEPATIC DUCTS involving more than 2 anastomoses or
resection of segment or major portion of segment of liver
EJ575 INTRAHEPATIC BILIARY BYPASS of left hepatic ductal system by Rouxen-Y
30466
$3,230.00
loop to peripheral ductal
system
EJ585 INTRAHEPTIC BYPASS of right hepatic ductal system by Roux-en-Y 30467
$3,995.00 loop to peripheral ductal system
EJ595 BILIARY STRICTURE, repair of, after one or more operations on the 30469
$4,425.00 biliary tree
EJ615 HEPATIC OR COMMON BILE DUCT, repair of, as the primary
30472
$2,390.00 procedure subsequent to partial or total transection of bile duct or ducts
EJ625 OESOPHAGOSCOPY (not being a service to which Item MB095 or 30473
$570.00 MB115 applies), GASTROSCOPY, DUODENOSCOPY or
PANENDOSCOPY (1 or more such procedures), with or without biopsy,
not being a service associated with a service to which Item EJ645 or
EJ655 applies
EJ635 ENDOSCOPY with balloon dilatation of gastric or gastroduodenal 30475
$925.00 stricture
EJ645 OESOPHAGOSCOPY (not being a service to which Item MB095 or 30476
$700.00 MB115 applies), GASTROSCOPY, DUODENOSCOPY or
PANENDOSCOPY (1 or more such procedures), with endoscopic
sclerosing injection or banding of oesophageal or gastric varices, not
being a service associated with a service to which Item EJ625 or EJ655
applies
Page 160 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
‡
†
Description of Medical Service
MBS
Number
EJ655 OESOPHAGOSCOPY (not being a service to which Item MB095, MB115 30478
$840.00 or MB125 applies), GASTROSCOPY, DUODENOSCOPY or
PANENDOSCOPY (1 or more such procedures), with 1 or more of the
following endoscopic procedures - polypectomy, removal of foreign body,
diathermy, heater probe or laser coagulation, or sclerosing injection of
bleeding upper gastrointestinal lesions, not being a service associated
with a service to which Item EJ625 or EJ645 applies
EJ665 ENDOSCOPY with LASER THERAPY or ARGON PLASMA
30479
$1,235.00 COAGULATION, for the treatment of neoplasia, benign vascular lesions,
strictures of the gastrointestinal tract, tumorous overgrowth through or
over oesophageal stents, peptic ulcers, angiodysplasia, gastric antral
vascular ectasia (GAVE) or post-polypectomy bleeding, 1 or more of
EJ675 PERCUTANEOUS GASTROSTOMY (initial procedure), including any 30481
$915.00 associated imaging services
EJ685 PERCUTANEOUS GASTROSTOMY (repeat procedure), including any 30482
$650.00 associated imaging services
EJ686 GASTROSTOMY BUTTON, caecostomy antegrade enema device (chait 30483
$455.00 etc) and/or stomal indwelling device, non-endoscopic insertion of, or nonendoscopic
replacement of, on a person 10 years of age or over
EJ687 GASTROSTOMY BUTTON, caecostomy antegrade enema device (chait 30636
$595.00 etc) and/or stomal indwelling device, non-endoscopic insertion of, or nonendoscopic
replacement of, on a person under 10 years of age
EJ695 ENDOSCOPIC RETROGRADE CHOLANGIO-PANCREATOGRAPHY 30484
$935.00
EJ705 ENDOSCOPIC SPHINCTEROTOMY with or without extraction of stones 30485
$1,455.00 from common bile duct
EJ715 SMALL BOWEL INTUBATION with biopsy, as an independent procedure 30487
$465.00
EJ725 SMALL BOWEL INTUBATION - as an independent procedure
30488
$230.00
EJ735 OESOPHAGEAL PROSTHESIS, insertion of, including endoscopy and 30490
$1,345.00 dilatation
EJ745 BILE DUCT, ENDOSCOPIC STENTING OF (including endoscopy and 30491
$1,420.00 dilatation)
EJ750 BILE DUCT, PERCUTANEOUS STENTING of (including dilation when 30492
$2,085.00 performed), using interventional imaging techniques - but not including
imaging
1 November 2015 Page 161

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EJ755 BILIARY MANOMETRY
30493
$860.00
EJ760 PERCUTANEOUS BILIARY DILATION for biliary stricture, using
30495
$2,085.00 interventional imaging techniques - but not including imaging
EJ765 ENDOSCOPIC BILIARY DILATATION
30494
$1,085.00
EJ775 VAGOTOMY, TRUNCAL OR SELECTIVE, with or without pyloroplasty or 30496
$1,550.00 gastroenterostomy
EJ785 VAGOTOMY AND ANTRECTOMY
30497
$1,810.00
EJ795 VAGOTOMY, HIGHLY SELECTIVE
30499
$2,200.00
EJ805 VAGOTOMY, highly selective with duodenoplasty for peptic stricture 30500
$2,295.00
EJ815 VAGOTOMY, HIGHLY SELECTIVE, with dilatation of pylorus
30502
$2,555.00
EJ825 VAGOTOMY OR ANTRECTOMY, or both, for peptic ulcer following 30503
$2,840.00 previous operation for peptic ulcer
EJ835 BLEEDING PEPTIC ULCER, control of, involving suture of bleeding 30505
$1,420.00 point or wedge excision
EJ845 BLEEDING PEPTIC ULCER, control of, involving suture of bleeding 30506
$2,485.00 point or wedge excision, and vagotomy and pyloroplasty or
gastroenterostomy
EJ855 BLEEDING PEPTIC ULCER, control of, involving suture of bleeding 30508
$2,615.00 point or wedge excision, and highly selective vagotomy
EJ865 BLEEDING PEPTIC ULCER, control of, involving gastric resection (other 30509
$2,615.00 than wedge resection)
NOTE: Item EJ875 is the AMA equivalent of MBS items 31569, 31575 and 31578. Item EJ885 is
the AMA equivalent of MBS items 31572 and 31581. Members should note these MBS items
contain restrictions on their use that have not been included in the AMA items.
EJ875
$2,260.00
EJ885
$3,125.00
CLINICALLY SEVERE OBESITY, gastric reduction or gastroplasty for,
by any method
CLINCIALLY SEVERE OBESITY, gastric bypass for, by any method
including anastomosis
Page 162 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
EJ895
$3,960.00
Description of Medical Service
CLINCIALLY SEVERE OBESITY, surgical reversal by any method of
procedure to which Item EJ875 or EJ885 applies
MBS
Number
NOTE: Items EJ895, EJ905 and EJ925 are the AMA equivalent of MBS items 31584, 30515 and
30518, respectively. Members should note these MBS items contain restrictions on their use
that have not been included in the AMA items.
EJ905
$1,810.00
GASTROENTEROSTOMY (including gastroduodenostomy) or
ENTEROCOLOSTOMY or ENTEROENTEROSTOMY
EJ915 GASTROENTEROSTOMY, PYLOROPLASTY OR
30517
$2,295.00 GASTRODUODENOSTOMY, reconstruction of
EJ925
$2,560.00
PARTIAL GASTRECTOMY
EJ935 GASTRIC TUMOUR, removal of, by local excision, not being a service to 30520
$1,735.00 which Item EJ925 applies
EJ945 GASTRECTOMY, total, for benign disease
30521
$3,215.00
EJ955 GASTRECTOMY, SUB-TOTAL RADICAL, for carcinoma, (including 30523
$3,215.00 splenectomy when performed)
EJ965 GASTRECTOMY, TOTAL RADICAL, for carcinoma (including extended 30524
$3,870.00 node dissection and distal pancreatectomy and splenectomy when
performed)
EJ975 GASTRECTOMY, TOTAL, and including lower oesophagus, performed 30526
$5,545.00 by left thoraco-abdominal incision or opening of diaphragmatic hiatus
(including splenectomy when performed)
EJ985 ANTIREFLUX OPERATION by FUNDOPLASTY, via abdominal or 30527
$2,315.00 thoracic approach, with or without closure of the diaphragmatic hiatus -
not being a service to which Item EK485 applies
EJ995 ANTIREFLUX OPERATION by fundoplasty, with oesophagoplasty for 30529
$3,360.00 stricture or short oesophagus
EK005 ANTIREFLUX OPERATION by cardioplexy, with or without fundoplasty 30530
$2,015.00
EK006
$2,505.00
EK007
$2,800.00
ANTIREFLUX OPERATION by partial fundoplasty by laparoscopic
technique
ANTIREFLUX OPERATION by complete fundoplasty with division of
short gastric vessels and closure of hiatus by laparoscopic technique
1 November 2015 Page 163

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EK015 OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal 30532
$2,340.00 or thoracic approach, with or without closure of the diaphragmatic hiatus,
by laparoscopy or open operation
EK025 OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal 30533
$2,775.00 or thoracic approach, WITH FUNDOPLASTY, with or without closure of
the diaphragmatic hiatus, by laparoscopy or open operation
EK035 OESOPHAGECTOMY with gastric reconstruction by abdominal
30535
$4,375.00 mobilisation and thoracotomy
EK045 OESOPHAGECTOMY involving gastric reconstruction by abdominal 30536
$4,425.00 mobilisation, thoracotomy and anastomosis in the neck or chest - 1
surgeon
EK055 OESOPHAGECTOMY involving gastric reconstruction by abdominal 30538
$3,070.00 mobilisation, thoracotomy and anastomosis in the neck or chest -
conjoint surgery, principal surgeon (including aftercare)
EK065 OESOPHAGECTOMY involving gastric reconstruction by abdominal 30539
$2,245.00 mobilisation, thoracotomy and anastomosis in the neck or chest -
conjoint surgery, co-surgeon
EK075 OESOPHAGECTOMY, by trans-hiatal oesophagectomy (cervical and 30541
$3,905.00 abdominal mobilisation, anastomosis) with posterior or anterior
mediastinal placement - 1 surgeon
EK085 OESOPHAGECTOMY, by trans-hiatal oesophagectomy (cervical and 30542
$2,650.00 abdominal mobilisation, anastomosis) with posterior or anterior
mediastinal placement - conjoint surgery, principal surgeon (including
aftercare)
EK095 OESOPHAGECTOMY, by trans-hiatal oesophagectomy (cervical and 30544
$1,940.00 abdominal mobilisation, anastomosis) with posterior or anterior
mediastinal placement - conjoint surgery, co-surgeon
EK105 OESOPHAGECTOMY with colon or jejunal anastomosis, (abdominal 30545
$4,725.00 and thoracic mobilisation with thoracic anastomosis) - 1 surgeon
EK115 OESOPHAGECTOMY with colon or jejunal anastomosis, (abdominal 30547
$3,250.00 and thoracic mobilisation with thoracic anastomosis) - conjoint surgery,
principal surgeon (including aftercare)
EK125 OESOPHAGECTOMY with colon or jejunal anastomosis, (abdominal 30548
$2,430.00 and thoracic mobilisation with thoracic anastomosis) - conjoint surgery,
co-surgeon
EK135 OESOPHAGECTOMY with colon or jejunal replacement (abdominal and 30550
$5,305.00 thoracic mobilisation with anastomosis of pedicle in the neck) - 1 surgeon
Page 164 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EK145 OESOPHAGECTOMY with colon or jejunal replacement (abdominal and 30551
$3,660.00 thoracic mobilisation with anastomosis of pedicle in the neck) - conjoint
surgery, principal surgeon (including aftercare)
EK155 OESOPHAGECTOMY with colon or jejunal replacement (abdominal and 30553
$2,710.00 thoracic mobilisation with anastomosis of pedicle in the neck) - conjoint
surgery, co-surgeon
EK165 OESOPHAGECTOMY with reconstruction by free jejunal graft - 1 30554
$5,900.00 surgeon
EK175 OESOPHAGECTOMY with reconstruction by free jejunal graft - conjoint 30556
$4,070.00 surgery, principal surgeon (including aftercare)
EK185 OESOPHAGECTOMY with reconstruction by free jejunal graft - conjoint 30557
$3,005.00 surgery, co-surgeon
EK195 OESOPHAGUS, local excision for tumour of
30559
$2,185.00
EK205 OESOPHAGEAL PERFORATION, repair of, by thoracotomy
30560
$2,430.00
‡ EK215 ENTEROSTOMY or COLOSTOMY, closure of (not involving resection of 30562
$1,530.00 bowel), on a person 10 years of age or over
† EK216 ENTEROSTOMY or COLOSTOMY, closure of (not involving resection of 30637
$1,990.00 bowel), on a person under 10 years of age
‡ EK225 COLOSTOMY or ILEOSTOMY, refashioning of, on a person 10 years of 30563
$1,530.00 age or over
† EK226 COLOSTOMY or ILEOSTOMY, refashioning of, on a person under 10 30639
$1,990.00 years of age
EK235 SMALL BOWEL STRICTUROPLASTY for chronic inflammatory bowel 30564
$2,015.00 disease
EK245 SMALL INTESTINE, resection of, without anastomosis (including 30565
$2,240.00 formation of stoma)
‡ EK255 SMALL INTESTINE, resection of, with anastomosis, on a person 10 30566
$2,485.00 years of age or over
† EK256 SMALL INTESTINE, resection of, with anastomosis, on a person under 30608
$3,235.00 10 years of age
EK265 INTRAOPERATIVE ENTEROTOMY for visualisation of the small 30568
$1,865.00 intestine by endoscopy
1 November 2015 Page 165

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EK275 ENDOSCOPIC EXAMINATION OF SMALL BOWEL with flexible
30569
$950.00 endoscope passed at laparotomy, with or without biopsies
‡ EK285 APPENDICECTOMY, not being a service to which item EK305 applies, 30571
$1,140.00 on a person 10 years of age or over
† EK286 APPENDICECTOMY, not being a service to which item EK305 applies, 30645
$1,475.00 on a person under 10 years of age
‡ EK295 LAPAROSCOPIC APPENDICECTOMY, on a person 10 years of age or 30572
$1,230.00 over
† EK296 LAPAROSCOPIC APPENDICECTOMY, on a person under 10 years of 30646
$1,605.00 age
EK305 APPENDICECTOMY, when performed in conjunction with any other intraabdominal
30574
$320.00
procedure through the same
incision
EK315 PANCREATIC ABSCESS, laparotomy and external drainage of, not 30575
$1,335.00 requiring retro-pancreatic dissection
EK325 PANCREATIC NECROSECTOMY for pancreatic necrosis or abscess 30577
$2,800.00 formation requiring major pancreatic or retro pancreatic dissection,
excluding aftercare
EK335 ENDOCRINE TUMOUR, exploration of pancreas or duodenum, followed 30578
$2,950.00 by local excision of pancreatic tumour
EK345 ENDOCRINE TUMOUR, exploration of pancreas or duodenum, followed 30580
$2,690.00 by local excision of duodenal tumour
EK355 ENDOCRINE TUMOUR, exploration of pancreas or duodenum for, but 30581
$1,960.00 no tumour found
EK365 DISTAL PANCREATECTOMY
30583
$3,065.00
EK375 PANCREATICO-DUODENECTOMY, WHIPPLE'S OPERATION, with or 30584
$4,540.00 without preservation of pylorus
EK385 PANCREATIC CYST - ANASTOMOSIS TO STOMACH OR
30586
$1,810.00 DUODENUM - by open or endoscopic means
EK395 PANCREATIC CYST, anastomosis to Roux loop of jejunum
30587
$1,865.00
EK405 PANCREATICO-JEJUNOSTOMY for pancreatitis or trauma
30589
$3,215.00
EK415 PANCREATICO-JEJUNOSTOMY following previous pancreatic surgery 30590
$3,550.00
Page 166 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EK425 PANCREATECTOMY, near total or total (including duodenum), with or 30593
$4,855.00 without splenectomy
EK435 PANCREATECTOMY for pancreatitis following previously attempted 30594
$5,600.00 drainage procedure or partial resection
EK445 SPLENORRHAPHY OR PARTIAL SPLENECTOMY
30596
$2,315.00
EK455 SPLENECTOMY
30597
$1,850.00
EK465 SPLENECTOMY, for massive spleen (weighing more than 1500 grams) 30599
$3,360.00 or involving thoraco-abdominal incision
EK475 DIAPHRAGMATIC HERNIA, TRAUMATIC, repair of
30600
$2,025.00
NOTE: Items EK485 and EK486 are the AMA equivalents of MBS items 30601 and 43838.
Members should note that these MBS items contain restrictions on their use that have not been
included in the AMA items.
‡
†
EK485
$2,465.00
EK486
$3,200.00
DIAPHRAGMATIC HERNIA, CONGENITAL, repair of, by thoracic or
abdominal approach, on a person 10 years of age or over
DIAPHRAGMATIC HERNIA, CONGENITAL, repair of, by thoracic or
abdominal approach, on a person under 10 years of age
EK495 PORTAL HYPERTENSION, porto-caval shunt for
30602
$3,995.00
EK505 PORTAL HYPERTENSION, meso-caval shunt for
30603
$4,220.00
EK515 PORTAL HYPERTENSION, selective spleno-renal shunt for
30605
$4,800.00
EK525 PORTAL HYPERTENSION, oesophageal transection via stapler or 30606
$2,855.00 oversew of gastric varices with or without devascularisation
HERNIA AND HYDROCELE
EM200 FEMORAL OR INGUINAL HERNIA, laparoscopic repair of, not being a 30609
$1,195.00 service associated with a service to which item EM210 applies
‡ EM210 FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, 30614
$1,095.00 repair of, not being a service to which Item EJ185 or EM220 applies, on
a person 10 years of age or over
† EM211 FEMORAL OR INGUINAL HERNIA OR INFANTILE HYDROCELE, 43841
$1,415.00 repair of, not being a service to which item EJ185 or EM220 applies, on
a person under 10 years of age
1 November 2015 Page 167

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
‡ EM220 STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, 30615
$1,430.00 repair of, without bowel resection, on a person 10 years of age or over
† EM221 STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, 43835
$1,860.00 repair of, without bowel resection, on a person under 10 years of age
EM230 UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, on a 43805
$835.00 person under 10 years of age
EM240 UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, in a 30620
$965.00 person 10 years of age or over
30621
EM250 HYDROCELE, tapping of
30628
$83.00
EM260 HYDROCELE, REMOVAL OF, not being a service associated with a 30631
$555.00 service to which items EM710 and EM720 apply
MISCELLANEOUS
EM700 VARICOCELE, surgical correction of, not being a service associated with 30634
$775.00 a service to which Items EM710 and EM720 apply, 1 procedure
30635
EM710 ORCHIDECTOMY, simple or subcapsular, unilateral with or without 30638
$965.00 insertion of testicular prosthesis
30641
‡ EM720 EXPLORATION OF SPERMATIC CORD, inguinal approach, with or 30644
$1,430.00 without testicular biopsy and with or without excision of spermatic cord
and testis, on a person 10 years of age or over
† EM721 EXPLORATION OF SPERMATIC CORD, inguinal approach, with or 30643
$1,860.00 without testicular biopsy and with or without excision of spermatic cord
and testis, on a person under 10 years of age
‡
†
EM730 CIRCUMCISION of the penis, on a person UNDER 6 MONTHS of age 30653
$120.00
EM740 CIRCUMCISION of the penis, on a person UNDER 10 YEARS of age but 30656
$255.00 not less than 6 months of age
EM750 CIRCUMCISION of the penis, on a person 10 YEARS OF AGE OR 30659
$490.00 OVER
30660
EM760 HAEMORRHAGE, arrest of, following circumcision requiring general 30663
$375.00 anaesthesia, on a person 10 years of age or over
EM761 HAEMORRHAGE, arrest of, following circumcision requiring general 30649
$485.00 anaesthesia, on a person under 10 years of age
Page 168 1 November 2015

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
‡
Description of Medical Service
MBS
Number
EM770 PARAPHIMOSIS or PHIMOSIS, reduction of, under general
30666
$120.00 anaesthesia, with or without dorsal incision, not being a service
associated with a service to which another item in this Group applies
EM780 COCCYX, excision of
30672
$1,010.00
EM790 PILONIDAL SINUS OR CYST, OR SACRAL SINUS OR CYST, excision 30675
$990.00 of
30676
EM800 PILONIDAL SINUS, injection of sclerosant fluid under anaesthesia 30679
$230.00
EM810
$1,390.00
EM820
$1,740.00
EM830
$2,090.00
MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin
tumour utilising horizontal frozen sections with mapping of all excised
tissue, and histological examination of all excised tissue - 6 or fewer
sections
MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin
tumour utilising horizontal frozen sections with mapping of all excised
tissue, and histological examination of all excised tissue -7 to 12 sections
MICROGRAPHICALLY CONTROLLED SERIAL EXCISION of skin
tumour utilising frozen sections with mapping of all excised tissue, and
histological examination of all excised tissue - 13 or more sections
NOTE: For items EM900 - EM915 the patient to whom the service is provided must: (i) have
recurrent or persistent bleeding; (ii) be anaemic or have active bleeding; and (iii) have had an
upper gastrointestinal endoscopy and a colonoscopy performed which did not identify the
cause of the bleeding.
EM900 BALLOON ENTEROSCOPY, examination of the small bowel (oral 30680
$3,075.00 approach), with or without biopsy, WITHOUT intraprocedural therapy, for
diagnosis of patients with obscure gastrointestinal bleeding, not in
association with another item in this Subgroup (with the exception of item
EM905 or EM915)
EM905 BALLOON ENTEROSCOPY, examination of the small bowel (anal 30682
$3,075.00 approach), with or without biopsy, WITHOUT intraprocedural therapy, for
diagnosis of patients with obscure gastrointestinal bleeding, not in
association with another item in this Subgroup (with the exception of item
EM900 or EM910)
EM910 BALLOON ENTEROSCOPY, examination of the small bowel (oral 30684
$3,785.00 approach), with or without biopsy, WITH 1 or more of the following
procedures (snare polypectomy, removal of foreign body, diathermy,
heater probe, laser coagulation or argon plasma coagulation), for
diagnosis and management of patients with obscure gastrointestinal
bleeding, not in association with another item in this Subgroup (with the
exception of item EM905 or EM915)
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EM915 BALLOON ENTEROSCOPY, examination of the small bowel (anal 30686
$3,785.00 approach), with or without biopsy, WITH 1 or more of the following
procedures (snare polypectomy, removal of foreign body, diathermy,
heater probe, laser coagulation or argon plasma coagulation), for
diagnosis and management of patients with obscure gastrointestinal
bleeding, not in association with another item in this Subgroup (with the
exception of item EM900 or EM910)
EM917 ENDOSCOPY with RADIOFREQUENCY ABLATION of mucosal
30687
$1,235.00 metaplasia for the treatment of Barrett's oesophagus in a single course
of treatment, following diagnosis of high grade dysplasia confirmed by
histological examination
EM920 ENDOSCOPIC ULTRASOUND (endoscopy with ultasound imaging), 30688
$960.00 with or without biopsy, for the staging of 1 or more of oesophageal,
gastric or pancreatic cancer, not in association with another item in this
Subgroup and not being a service associated with the routine monitoring
of chronic pancreatitis
EM925 ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), 30690
$1,480.00 with or without biopsy, WITH FINE NEEDLE ASPIRATION, including
aspiration of the locoregional lymph nodes if performed, for the staging
of 1 or more oesophageal, gastric or pancreatic cancer, not in
association with another item in this Subgroup and not being a service
associated with the routine monitoring of chronic pancreatitis
EM930 ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), 30692
$960.00 with or without biopsy, for the diagnosis of 1 or more of pancreatic, biliary
or gastric submucosal tumours, not in association with another item in
this Subgroup and not being a service associated with the routine
monitoring of chronic pancreatitis
EM935 ENDOSCOPIC ULTRASOUND (endoscopy with ultrasound imaging), 30694
$1,480.00 with or without biopsy, WITH FINE NEEDLE ASPIRATION, for the
diagnosis of 1 or more of pancreatic, biliary or gastric submucosal
tumours, not in association with another item in this Subgroup and not
being a service associated with the routine monitoring of chronic
pancreatitis
NOTE: For items EM940 and EM960, the corresponding MBS items 30696 and 30710 include
associated diagnostic imaging. Practitioners wishing to use these items should first refer to
the MBS.
EM940
$1,480.00
ENDOSCOPIC ULTRASOUND guided FINE NEEDLE ASPIRATION
biopsy(s) (endoscopy with ultrasound imaging) to obtain one or more
specimens from either: (a) mediastinal mass(es) or (b) locoregional
nodes to stage non-small cell lung carcinoma, not being a service
associated with another item in this Subgroup
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
EM960
$1,480.00
Description of Medical Service
ENDOBRONCHIAL ULTRASOUND guided biopsy(s) (bronchoscopy with
ultrasound imaging, with or without associated fluoroscopic imaging) to
obtain one or more specimens by either: (a) transbronchial biopsy(s) of
peripheral lung lesions; or (b) fine needle aspiration(s) of a mediastinal
mass(es); or (c) fine needle aspiration(s) of locoregional nodes to stage
non-small cell lung carcinoma, not being a service associated with
another item in this Subgroup or to which items MB355 and MB375
MBS
Number
EN005 TUMOUR (other than viral verrucae [common warts] and seborrheic 31200
$76.00 keratoses) CYST, ULCER OR SCAR (other than a scar removed during
the surgical approach to an operation), removal by surgical excision
(other than shave excision) and suture from cutaneous or subcutaneous
tissue or from mucous membrane, not being a service to which item
MH105, MH115 or MH125 applies and not being a service to which
another item in this Group applies
EN010 TUMOUR, (other than viral verrucae [common warts] and seborrheic 31205
$220.00 keratoses) CYST, ULCER OR SCAR (other than a scar removed during
the surgical approach at an operation), LESION SIZE UP TO AND
INCLUDING 10MM IN DIAMETER, removal by surgical excision (other
than by shave excision) and suture from cutaneous or subcutaneous
tissue or from mucous membrane, including excision to establish the
diagnosis of tumours covered by items EN105 to EN140, where
specimen excised is sent for histological examination (not being a
service to which item EA645 applies)
EN015 TUMOUR, (other than viral verrucae [common warts] and seborrheic 31210
$330.00 keratoses) CYST, ULCER OR SCAR (other than a scar removed during
the surgical approach at an operation), LESION SIZE MORE THAN
10MM AND UP TO AND INCLUDING 20MM IN DIAMETER, removal by
surgical excision (other than by shave excision) and suture from
cutaneous or subcutaneous tissue or from mucous membrane, including
excision to establish the diagnosis of tumours covered by items EN105
to EN140, where specimen excised is sent for histological examination
(not being a service to which item EA645 applies)
EN020 TUMOUR, (other than viral verrucae [common warts] and seborrheic 31215
$385.00 keratoses) CYST, ULCER OR SCAR (other than a scar removed during
the surgical approach at an operation), LESION SIZE MORE THAN
20MM IN DIAMETER, removal by surgical excision (other than by shave
excision) and suture from cutaneous or subcutaneous tissue or from
mucous membrane, including excision to establish the diagnosis of
tumours covered by items EN105 to EN140, where specimen excised is
sent for histological examination (not being a service to which item
EA645 applies)
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN025 TUMOURS, (other than viral verrucae [common warts] and seborrheic 31220
$495.00 keratoses),CYSTS, ULCERS OR SCARS (other than scars removed
during the surgical approach at an operation), LESION SIZE UP TO AND
INCLUDING 10MM IN DIAMETER, removal of 4 to 10 lesions by surgical
excision (other than by shave excision) and suture from cutaneous or
subcutaneous tissue or from mucous membrane, including excision to
establish the diagnosis of tumours covered by items EN105 to EN140,
where the specimens excised are sent for histological examination (not
being a service to which item EA645 applies)
EN030 TUMOURS, (other than viral verrucae [common warts] and seborrheic 31225
$875.00 keratoses), CYSTS, ULCERS OR SCARS (other than scars removed
during the surgical approach at an operation), LESION SIZE UP TO AND
INCLUDING 10MM IN DIAMETER, removal of more than 10 lesions by
surgical excision (other than by shave excision) and suture from
cutaneous or subcutaneous tissue or from mucous membrane, including
excision to establish the diagnosis of tumours covered by items EN105
to EN140 - where the specimens excised are sent for histological
examination (not being a service to which item EA645 applies)
EN035 TUMOUR, (other than viral verrucae [common warts] and seborrheic 31230
$450.00 keratoses), CYST, ULCER OR SCAR (other than a scar removed during
the surgical approach at an operation), removal by surgical excision
(other than by shave excision) and suture from NOSE, EYELID, LIP,
EAR, DIGIT OR GENITALIA, including excision to establish the
diagnosis of tumours covered by items EN105 to EN140 - where
specimen excised is sent for histological examination (not being a
service to which item EA645 applies)
EN040 TUMOUR, (other than viral verrucae [common warts] and seborrheic 31235
$385.00 keratoses), CYST, ULCER OR SCAR (other than a scar removed during
the surgical approach at an operation), removal by surgical excision
(other than by shave excision) and suture from FACE, NECK
(ANTERIOR TO THE STERNOMASTOID MUSCLES) OR LOWER LEG
(MID CALF TO ANKLE), including excision to establish the diagnosis of
tumours covered by items EN105 to EN140, LESION SIZE UP TO AND
INCLUDING 10MM IN DIAMETER - where specimen excised is sent for
histological examination (not being a service to which item EA645
applies)
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN045 TUMOUR, (other than viral verrucae [common warts] and seborrheic 31240
$450.00 keratoses), CYST, ULCER OR SCAR (other than a scar removed during
the surgical approach at an operation), REMOVAL by surgical excision
(other than by shave excision) and suture from FACE, NECK
(ANTERIOR TO THE STERNOMASTOID MUSCLES) OR LOWER LEG
(MID CALF TO ANKLE), including excision to establish the diagnosis of
tumours covered by items EN105 to EN140, LESION SIZE MORE THAN
10MM IN DIAMETER - where specimen excised is sent for histological
examination (not being a service to which item EA645 applies)
EN050 SKIN AND SUBCUTANEOUS TISSUE, EXTENSIVE EXCISION OF, IN 31245
$985.00 THE TREATMENT OF SUPPURATIVE HYDRADENITIS (excision from
axilla, groin or natal cleft) or SYCOSIS BARBAE OR NUCHAE (excision
from face or neck)
EN055 GIANT HAIRY OR COMPOUND NAEVUS, excision of an area at least 1 31250
$985.00 percent of body surface where the specimen excised is sent for
histological confirmation of diagnosis
EN060 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA 31255
$590.00 (including keratocanthoma), REMOVAL FROM NOSE, EYELID, LIP,
EAR, DIGIT OR GENITALIA, TUMOUR SIZE UP TO AND INCLUDING
10MM IN DIAMETER - where removal is by therapeutic surgical excision
(other than by shave excision) and suture, where the initial specimen
removed is sent for histological examination and malignancy confirmed
and any subsequently excised specimen is sent for histological
examination
EN061 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, 31256
$590.00 RESIDUAL, REMOVAL FROM NOSE, EYELID, LIP, EAR, DIGIT OR
GENITALIA, where previous excision was performed by the same
practitioner, where the ORIGINAL TUMOUR SIZE WAS UP TO AND
INCLUDING 10MM IN DIAMETER - where removal is by surgical
excision (other than by shave excision) and suture, where the specimen
excised is sent for histological examination
EN062 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, 31257
$590.00 RESIDUAL, REMOVAL FROM NOSE, EYELID, LIP, EAR, DIGIT OR
GENITALIA, where performed by a practitioner other than the
practitioner who provided the previous treatment, where the ORIGINAL
TUMOUR SIZE WAS UP TO AND INCLUDING 10MM IN DIAMETER -
where removal is by surgical excision (other than by shave excision) and
suture, where the specimen excised is sent for histological examination
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN063 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, 31258
$590.00 RECURRENT, REMOVAL FROM NOSE, EYELID, LIP, EAR, DIGIT OR
GENITALIA, whether previous excision was performed by the same
practitioner OR performed by a practitioner other than the practitioner
who provided the previous treatment, where the TUMOUR SIZE IS UP
TO AND INCLUDING 10MM IN DIAMETER - where removal is by
surgical excision (other than by shave excision) and suture, where the
specimen excised is sent for histological examination and confirmation of
malignancy has been obtained - not being a service to which item EN100
applies
EN065 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA 31260
$845.00 (including keratocanthoma), REMOVAL FROM NOSE, EYELID, LIP,
EAR, DIGIT OR GENITALIA, TUMOUR SIZE MORE THAN 10MM IN
DIAMETER - where removal is by therapeutic surgical excision (other
than by shave excision) and suture, where the initial specimen removed
is sent for histological examination and malignancy confirmed and any
subsequently excised specimen is sent for histological examination
EN066 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31261
$845.00 RESIDUAL, REMOVAL FROM NOSE, EYELID, LIP, EAR, DIGIT OR
GENITALIA, where previous excision was performed by the same
practitioner, where the ORIGINAL TUMOUR SIZE WAS MORE THAN
10MM IN DIAMETER - where removal is by surgical excision (other than
by shave excision) and suture, where the specimen excised is sent for
histological examination
EN067 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, 31262
$845.00 RESIDUAL, REMOVAL FROM NOSE, EYELID, LIP, EAR, DIGIT OR
GENITALIA, where performed by a practitioner other than the
practitioner who provided the previous treatment, where the ORIGINAL
TUMOUR SIZE WAS MORE THAN 10MM IN DIAMETER - where
removal is by surgical excision (other than by shave excision) and suture,
where the specimen excised is sent for histological examination
EN068 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, 31263
$845.00 RECURRENT, REMOVAL FROM NOSE, EYELID, LIP, EAR, DIGIT OR
GENITALIA, whether previous excision was performed by the same
practitioner OR performed by a practitioner other than the practitioner
who provided the previous treatment, where the TUMOUR SIZE IS
MORE THAN 10MM IN DIAMETER - where removal is by surgical
excision (other than by shave excision) and suture, where the specimen
excised is sent for histological examination and confirmation of
malignancy has been obtained - not being a service to which item EN100
applies
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN070 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA 31265
$495.00 (including keratocanthoma), REMOVAL FROM FACE, NECK
(ANTERIOR TO STERNOMASTOID MUSCLES) OR LOWER LEG (MID
CALF TO ANKLE), TUMOUR SIZE UP TO AND INCLUDING 10MM IN
DIAMETER - where removal is by therapeutic surgical excision (other
than by shave excision) and suture, where the initial specimen removed
is sent for histological examination and malignancy confirmed and any
subsequently excised specimen is sent for histological examination
EN071 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31266
$495.00 RESIDUAL, REMOVAL FROM FACE, NECK (ANTERIOR TO
STERNOMASTOID MUSCLES) OR LOWER LEG (MID CALF TO
ANKLE), where previous excision was performed by the same
practitioner, where the ORIGINAL TUMOUR SIZE WAS UP TO AND
INCLUDING 10MM IN DIAMETER - where removal is by surgical
excision (other than by shave excision) and suture, where the specimen
excised is sent for histological examination
EN072 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31267
$495.00 RESIDUAL, REMOVAL FROM FACE, NECK (ANTERIOR TO
STERNOMASTOID MUSCLES) OR LOWER LEG (MID CALF TO
ANKLE), where performed by a practitioner other than the practitioner
who provided the previous treatment, where the ORIGINAL TUMOUR
SIZE WAS UP TO AND INCLUDING 10MM IN DIAMETER - where
removal is by surgical excision (other than by shave excision) and suture,
where the specimen excised is sent for histological examination
EN073 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, 31268
$495.00 RECURRENT, REMOVAL FROM FACE, NECK (ANTERIOR TO
STERNOMASTOID MUSCLES) OR LOWER LEG (MID CALF TO
ANKLE), whether previous excision was performed by the same
practitioner OR performed by a practitioner other than the practitioner
who provided the previous treatment, where the TUMOUR SIZE IS UP
TO AND INCLUDING 10MM IN DIAMETER - where removal is by
surgical excision (other than by shave excision) and suture, where the
specimen excised is sent for histological examination and confirmation of
malignancy has been obtained, not being a service to which EN100
applies
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN075 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA 31270
$690.00 (including keratocanthoma), REMOVAL FROM FACE, NECK
(ANTERIOR TO THE STERNOMASTOID MUSCLES) OR LOWER LEG
(MID CALF TO ANKLE), TUMOUR SIZE MORE 10MM AND UP TO
AND INCLUDING 20MM IN DIAMETER - where removal is by
therapeutic surgical excision (other than by shave excision) and suture,
where the initial specimen removed is sent for histological examination
and malignancy confirmed and any subsequently excised specimen is
sent for histological examination
EN076 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31271
$690.00 RESIDUAL, REMOVAL FROM FACE, NECK (ANTERIOR TO THE
STERNOMASTOID MUSCLES) OR LOWER LEG (MID CALF TO
ANKLE), where previous excision was performed by the same
practitioner, where the ORIGINAL TUMOUR SIZE WAS MORE THAN
10MM AND UP TO AND INCLUDING 20MM IN DIAMETER - where
removal is by surgical excision (other than by shave excision) and suture,
where the specimen excised is sent for histological examination
EN077 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31272
$690.00 RESIDUAL, REMOVAL FROM FACE, NECK (ANTERIOR TO THE
STERNOMASTOID MUSCLES) OR LOWER LEG (MID CALF TO
ANKLE), where performed by practitioner other than the practitioner who
provided the previous treatment, where the ORIGINAL TUMOUR SIZE
WAS MORE THAN 10MM AND UP TO AND INCLUDING 20MM IN
DIAMETER - where removal is by surgical excision (other than by shave
excision) and suture, where the specimen excised is sent for histological
examination
EN078 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, 31273
$690.00 RECURRENT, REMOVAL FROM FACE, NECK (ANTERIOR TO
STERNOMASTOID MUSCLES) OR LOWER LEG (MID CALF TO
ANKLE), whether previous excision was performed by the same
practitioner OR performed by a practitioner other than the practitioner
who provided the previous treatment, where the TUMOUR SIZE IS
MORE THAN 10 MM AND UP TO AND INCLUDING 20MM IN
DIAMETER - where removal is by surgical excision (other than by shave
excision) and suture, where the specimen excised is sent for histological
examination and confirmation of malignancy has been obtained, not
being a service to which EN100 applies
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN080 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA 31275
$800.00 (including karatocanthoma), REMOVAL FROM FACE, NECK
(ANTERIOR TO THE STERNOMASTOID MUSCLES) OR LOWER LEG
(MID CALF TO ANKLE), TUMOUR SIZE MORE THAN 20MM IN
DIAMETER - where removal is by therapeutic surgical excision (other
than by shave excision) and suture, where the initial specimen removed
is sent for histological examination and malignancy confirmed and any
subsequently excised specimen is sent for histological examination
EN081 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31276
$800.00 RESIDUAL, REMOVAL FROM FACE, NECK (ANTERIOR TO THE
STERNOMASTOID MUSCLES) OR LOWER LEG (MID CALF TO
ANKLE), where previous excision was performed by the same
practitioner, where the ORIGINAL TUMOUR SIZE WAS MORE THAN
20MM IN DIAMETER - where removal is by surgical excision (other than
by shave excision) and suture, where the specimen excised is sent for
histological examination
EN082 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31277
$800.00 RESIDUAL, REMOVAL FROM FACE, NECK (ANTERIOR TO THE
STERNOMASTOID MUSCLES) OR LOWER LEG (MID CALF TO
ANKLE), where previous excision was performed by a practitioner other
than the practitioner who provided the previous treatment, where the
ORIGINAL TUMOUR SIZE WAS MORE THAN 20MM IN DIAMETER -
where removal is by surgical excision (other than by shave excision) and
suture, where the specimen excised is sent for histological examination
EN083 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, 31278
$800.00 RECURRENT, REMOVAL FROM FACE, NECK (ANTERIOR TO
STERNOMASTOID MUSCLES) OR LOWER LEG (MID CALF TO
ANKLE), whether previous excision was performed by the same
practitioner OR performed by a practitioner other than the practitioner
who provided the previous treatment, where the TUMOUR SIZE IS
MORE THAN 20 MM IN DIAMETER - where removal is by surgical
excision (other than by shave excision) and suture, where the specimen
excised is sent for histological examination and confirmation of
malignancy has been obtained, not being a service to which EN100
applies
EN085 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA 31280
$415.00 (including keratocanthoma), REMOVAL FROM AREAS OF THE BODY
not covered by items EN060 and EN070,TUMOUR SIZE UP TO AND
INCLUDING 10MM IN DIAMETER - where removal is by therapeutic
surgical excision (other than by shave excision) and suture, where the
initial specimen removed is sent for histological examination and
malignancy confirmed and any subsequently excised specimen is sent
for histological examination
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN086 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31281
$415.00 RESIDUAL, REMOVAL FROM AREAS OF THE BODY not covered by
items EN060 and EN070, where previous excision was performed by the
same practitioner, where the ORIGINAL TUMOUR SIZE WAS UP TO
AND INCLUDING 10MM IN DIAMETER - where removal is by surgical
excision (other than by shave excision) and suture, where the specimen
excised is sent for histological examination
EN087 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31282
$415.00 RESIDUAL, REMOVAL FROM AREAS OF THE BODY not covered by
items EN060 and EN070, performed by a practitioner other than the
practitioner who provided the previous treatment, where the ORIGINAL
TUMOUR SIZE WAS UP TO AND INCLUDING 10MM IN DIAMETER -
where removal is by surgical excision (other than by shave excision) and
suture, where the specimen excised is sent for histological examination
EN088 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31283
$415.00 RECURRENT, REMOVAL FROM AREAS OF THE BODY not covered
by items EN060 and EN070, whether previous excision was performed
by the same practitioner OR performed by a practitioner other than the
practitioner who provided the previous treatment, where the TUMOUR
SIZE WAS UP TO AND INCLUDING 10MM IN DIAMETER - where
removal is by surgical excision (other than by shave excision) and suture,
where the specimen excised is sent for histological examination and
confirmation of malignancy has been obtained
EN090 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA 31285
$570.00 (including keratocanthoma), REMOVAL FROM AREAS OF THE BODY
not covered by items EN065 and EN075, TUMOUR SIZE MORE THAN
10MM AND UP TO AND INCLUDING 20MM IN DIAMETER - where
removal is by therapeutic surgical excision (other than by shave excision)
and suture, where the initial specimen removed is sent for histological
examination and malignancy confirmed and any subsequently excised
specimen is sent for histological examination
EN091 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31286
$570.00 RESIDUAL, REMOVAL FROM AREAS OF THE BODY not covered by
items EN065 and EN075, where previous excision was performed by the
same practitioner, where the ORIGINAL TUMOUR SIZE WAS MORE
THAN 10MM AND UP TO AND INCLUDING 20MM IN DIAMETER -
where removal is by surgical excision (other than by shave excision) and
suture, where the initial specimen removed is sent for histological
examination
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN092 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31287
$570.00 RESIDUAL, REMOVAL FROM AREAS OF THE BODY not covered by
items EN065 and EN075, performed by a practitioner other than the
practitioner who provided the previous treatment, where the ORIGINAL
TUMOUR SIZE WAS MORE THAN 10MM AND UP TO AND
INCLUDING 20MM IN DIAMETER - where removal is by surgical
excision (other than by shave excision) and suture, where the initial
specimen removed is sent for histological examination
EN093 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31288
$570.00 RECURRENT, REMOVAL FROM AREAS OF THE BODY not covered
by items EN065 and EN075, where previous excision was performed by
the same practitioner OR performed by a practitioner other than the
practitioner who provided the previous treatment, where the TUMOUR
SIZE IS MORE THAN 10MM AND UP TO AND INCLUDING 20MM IN
DIAMETER - where removal is by surgical excision (other than by shave
excision) and suture, where the specimen excised is sent for histological
examination and confirmation of malignancy has been obtained
EN095 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA 31290
$660.00 (including keratocanthoma), REMOVAL FROM AREAS OF THE BODY
not covered by items EN065 and EN075, TUMOUR SIZE MORE THAN
20MM IN DIAMETER - where removal is by therapeutic surgical excision
(other than by shave excision) and suture, where the initial specimen
removed is sent for histological examination and malignancy confirmed
and any subsequently excised specimen is sent for histological
examination
EN096 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31291
$660.00 RESIDUAL, REMOVAL FROM AREAS OF THE BODY not covered by
items EN065 and EN075, where previous excision was performed by the
same practitioner, where the ORIGINAL TUMOUR SIZE WAS MORE
THAN 20MM IN DIAMETER - where removal is by surgical excision
(other than by shave excision) and suture, where the specimen excised
is sent for histological examination
EN097 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31292
$660.00 RESIDUAL, REMOVAL FROM AREAS OF THE BODY not covered by
items EN065 and EN075, performed by a practitioner other than the
practitioner who provided the previous treatment, where the ORIGINAL
TUMOUR SIZE WAS MORE THAN 20MM IN DIAMETER - where
removal is by surgical excision (other than by shave excision) and suture,
where the specimen excised is sent for histological examination
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN098 BASAL CELL CARCINOMA or SQUAMOUS CELL CARCINOMA, 31293
$660.00 RECURRENT, REMOVAL FROM AREAS OF THE BODY not covered
by items EN065 and EN075, whether previous excision was performed
by the same practitioner OR performed by a practitioner other than the
practitioner who provided the previous treatment, where the TUMOUR
SIZE IS MORE THAN 20MM IN DIAMETER - where removal is by
surgical excision (other than by shave excision) and suture, where the
specimen excised is sent for histological examination and confirmation of
malignancy has been obtained
EN100 BASAL CELL CARCINOMA OR SQUAMOUS CELL CARCINOMA, 31295
$755.00 RECURRENT, (where lesion treated by previous surgery, serial cautery
and curettage, radiotherapy or two prolonged freeze/thaw cycles of liquid
nitrogen therapy) performed by a specialist in the practice of his or her
specialty or by a practitioner other than the practitioner who provided the
previous treatment, REMOVAL FROM HEAD AND NECK (ANTERIOR
TO THE STERNOMASTOID MUSCLES) where removal is by surgical
excision and suture, where the specimen excised is sent for histological
examination and confirmation of malignancy has been obtained
Note: For items EN105 - EN140 definitive surgical excision is defined as "surgical removal with
an adequate margin and, as a result, no further surgery is indicated at that site of excision".
EN105 MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA,
31300
$860.00 MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL
CARCINOMA OF SKIN OR HUTCHINSON'S MELANOTIC FRECKLE -
REMOVAL FROM NOSE, EYELID, LIP, EAR, DIGIT OR GENITALIA,
TUMOUR SIZE UP TO AND INCLUDING 10 MM IN DIAMETER where
removal is by definitive surgical excision and suture, where the specimen
excised is sent for histological examination and confirmation of
malignancy has been obtained
EN110 MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA,
31305
$1,055.00 MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL
CARCINOMA OF SKIN OR HUTCHINSON'S MALANOTIC FRECKLE -
REMOVAL FROM NOSE, EYELID, LIP, EAR, DIGIT OR GENITALIA,
TUMOUR SIZE MORE THAN 10MM IN DIAMETER - where removal is
by definitive surgical excision and suture, where the specimen excised is
sent for histological examination and confirmation of malignancy has
been obtained
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN115 MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA,
31310
$745.00 MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL
CARCINOMA OF SKIN OR HUTCHINSON'S MALANOTIC FRECKLE -
REMOVAL FROM FACE, NECK (ANTERIOR TO STERNOMASTOID
MUSCLES) OR LOWER LEG (CALF TO ANKLE), TUMOUR SIZE UP
TO AND INCLUDING 10MM IN DIAMETER- where removal is by
definitive surgical excision and suture, where the specimen excised is
sent for histological examination and confirmation of malignancy has
been obtained
EN120 MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA,
31315
$945.00 MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL
CARCINOMA OF SKIN OR HUTCHINSON'S MALANOTIC FRECKLE -
REMOVAL FROM FACE, NECK (ANTERIOR TO STERNOMASTOID
MUSCLES) OR LOWER LEG (CALF TO ANKLE), TUMOUR SIZE
MORE THAN 10MM AND UP TO AND INCLUDING 20 MM IN
DIAMETER - where removal is by definitive surgical excision and suture,
where the specimen excised is sent for histological examination and
confirmation of malignancy has been obtained
EN125 MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA,
31320
$1,055.00 MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL
CARCINOMA OF SKIN OR HUTCHINSON'S MALANOTIC FRECKLE -
REMOVAL FROM FACE, NECK (ANTERIOR TO STERNOMASTOID
MUSCLES) OR LOWER LEG (CALF TO ANKLE), TUMOUR SIZE
MORE THAN 20 MM IN DIAMETER - where removal is by definitive
surgical excision and suture, where the specimen excised is sent for
histological examination and confirmation of malignancy has been
obtained
EN130 MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA,
31325
$725.00 MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL
CARCINOMA OF SKIN OR HUTCHINSON'S MALANOTIC FRECKLE -
removal from areas of the body not covered by items EN105 and
EN110 - TUMOUR SIZE UP TO AND INCLUDING 10MM IN
DIAMETER - where removal is by definitive surgical excision and suture,
where the specimen excised is sent for histological examination and
confirmation of malignancy has been obtained
EN135 MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA,
31330
$855.00 MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL
CARCINOMA OF SKIN OR HUTCHINSON'S MALANOTIC FRECKLE -
removal from areas of the body not covered by items EN105 and EN105 -
TUMOUR SIZE MORE THAN 10MM AND UP TO AND INCLUDING
20MM IN DIAMETER - where removal is by definitive surgical excision
and suture, where the specimen excised is sent for histological
examination and confirmation of malignancy has been obtained
1 November 2015 Page 181

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EN140 MALIGNANT MELANOMA, APPENDAGEAL CARCINOMA,
31335
$985.00 MALIGNANT FIBROUS TUMOUR OF SKIN, MERKEL CELL
CARCINOMA OF SKIN OR HUTCHINSON'S MALANOTIC FRECKLE -
removal from areas of the body not covered by items EN105 and EN110 -
TUMOUR SIZE MORE THAN 20MM IN DIAMETER - where removal is
by definitive surgical excision and suture, where the specimen excised is
sent for histological examination and confirmation of malignancy has
been obtained
EN145 MUSCLE, BONE OR CARTILAGE, EXCISION OF ONE OR MORE OF, 31340
$0.00 where clinically indicated, where specimen excised is sent for histological
confirmation, performed in association WITH EXCISION OF
MALIGNANT TUMOUR OR SKIN covered by item EN060, EN061,
EN062, EN063, EN065, EN066, EN067, EN068, EN070, EN071, EN072,
EN073, EN075, EN076, EN077, EN078, EN080,EN081, EN082, EN083,
EN085, EN086, EN087, EN088, EN090, EN091, EN092, EN093, EN095,
EN096, EN097, EN098, EN100, EN105, EN110, EN115, EN120, EN125,
EN130, EN135, EN140 (Derived fee: 75% of the fee for excision of
malignant tumour)
EN150 LIPOMA, removal of by surgical excision or liposuction, where lesion is 31345
$545.00 SUBCUTANEOUS and 50 MM OR MORE IN DIAMETER, or is SUB-
FASCIAL, where specimen is sent for histological confirmation of
diagnosis
EN151 LIPOSUCTION (suction assisted lipolysis) to 1 regional area for
31346
$545.00 treatment of contour problems of abdominal or upper arm or thigh fat due
to repeated insulin injections, where the lesion is SUBCUTANEOUS and
greater than 50MM OR MORE in diameter
‡ EN155 BENIGN TUMOUR of SOFT TISSUE, excluding tumours of skin, 31350
$1,120.00 cartilage, and bone, simple lipomas covered by item EN150 and
lipomata, removal of by surgical excision, where specimen excised is
sent for histological confirmation of diagnosis, on a person 10 years of
age or over, not being a service to which another item in this Group
applies
† EN156 BENIGN TUMOUR of SOFT TISSUE, excluding tumours of skin, 30611
$1,455.00 cartilage, and bone, simple lipomas covered by item EN150 and
lipomata, removal of by surgical excision, where the specimen excised is
sent for histological confirmation of diagnosis, on a person under 10
years of age, not being a service to which another item in this Group
applies
EN160 MALIGNANT TUMOUR of SOFT TISSUE, excluding tumours of skin, 31355
$1,845.00 cartilage and bone, removal of by surgical excision, where histological
proof of malignancy has been obtained, not being a service to which
another item in this Group applies
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EO005 MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR UP TO AND 31400
$715.00 INCLUDING 20MM IN DIAMETER (excluding tumour of the lip), excision
of, where histological confirmation of malignancy has been obtained
EO010 MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR MORE 31403
$825.00 THAN 20MM AND UP TO AND INCLUDING 40MM IN DIAMETER
(excluding tumour of the lip), excision of, where histological confirmation
of malignancy has been obtained
EO015 MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR GREATER 31406
$1,370.00 THAN 40MM IN DIAMETER (excluding tumour of the lip), excision of,
where histological confirmation of malignancy has been obtained
EO020 PARAPHARYNGEAL TUMOUR, excision of, by cervical approach 31409
$4,155.00
EO025 RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, 31412
$4,720.00 excision of, by cervical approach
EO030 LYMPH NODE OF NECK, biopsy of
31420
$490.00
NOTE: See page 188 for an explanation of the lymph node levels referred to in the following
items, EO035 - EO060.
‡ EO035 LYMPH NODES OF NECK, selective dissection of 1 or 2 lymph node 31423
$1,070.00 levels involving removal of soft tissue and lymph nodes from one side of
the neck, on a person 10 years of age or over
† EO036 LYMPH NODES OF NECK, selective dissection of 1 or 2 lymph node 30618
$1,390.00 levels involving removal of soft tissue and lymph nodes from one side of
the neck, on a person under 10 years of age
EO040 LYMPH NODES OF NECK, selective dissection of 3 lymph node levels 31426
$2,140.00 involving removal of soft tissue and lymph nodes from one side of the
neck
EO045 LYMPH NODES OF NECK, selective dissection of 4 lymph node levels 31429
$3,335.00 on one side of the neck with preservation of one or more of: internal
jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve
EO050 LYMPH NODES OF NECK, bilateral selective dissection of levels I, II 31432
$3,565.00 and III (bilateral supraomohyoid dissections)
EO055 LYMPH NODES OF NECK, comprehensive dissection of all 5 lymph 31435
$2,620.00 node levels on one side of the neck
EO060 LYMPH NODES OF NECK, comprehensive dissection of all 5 lymph 31438
$3,835.00 node levels on one side of the neck with preservation of one or more of:
internal jugular vein, sternocleido-mastoid muscle, or spinal accessory
nerve
1 November 2015 Page 183

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EO065 LONG-TERM IMPLANTED RESERVOIR associated with the adjustable 31590
$670.00 gastric band, repair, revision or replacement of
EO200 LAPAROSCOPIC DIVISION OF ADHESIONS, as an independent 31450
$1,090.00 procedure, where the time taken is 1 hour or less
EO205 LAPAROSCOPIC DIVISION OF ADHESIONS, as an independent 31452
$2,000.00 procedure, where the time taken is more than 1 hour
EO210 LAPAROSCOPY with DRAINAGE OF PUS, BILE OR BLOOD, as an 31454
$1,490.00 independent procedure
EO215 GASTROSCOPY and INSERTION OF NASOGASTRIC OR
31456
$650.00 NASOENTERAL FEEDING TUBE, where blind insertion of the feeding
tube has failed or is inappropriate due to the patient's medical condition
EO220 GASTROSCOPY and INSERTION OF NASOGASTRIC OR
31458
$780.00 NASOENTERAL FEEDING TUBE, where blind insertion of the feeding
tube has failed or is inappropriate due to the patient's medical condition,
and where the use of IMAGING INTENSIFICATION is clinically indicated
EO225 PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, 31460
$945.00 including any associated imaging services
EO230 OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with 31462
$1,375.00 major upper gastro-intestinal resection
EO235 ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or 31464
$2,300.00 thoracic approach, with or without closure of the diaphragmatic hiatus, by
laparoscopic technique - not being a service to which item EK485 applies
EO240 ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or 31466
$3,455.00 thoracic approach, with or without closure of the diaphragmatic hiatus -
revision procedure, by laparoscopy or open operation
EO245 PARA-OESOPHAGEAL HIATUS HERNIA, repair of, with complete 31468
$3,795.00 reduction of hernia, resection of sac and repair of hiatus, with or without
fundoplication
‡ EO250 LAPAROSCOPIC SPLENECTOMY, on a person 10 years of age or over 31470
$1,905.00
† EO251 LAPAROSCOPIC SPLENECTOMY, on a person under 10 years of age 30619
$2,475.00
EO255 CHOLECYSTODUODENOSTOMY, CHOLECYSTOENTEROSTOMY, 31472
$3,090.00 CHOLEDOCHOJEJUNOSTOMY or Roux-en-Y as a bypass procedure
where prior biliary surgery has been performed
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
BREAST SURGERY
NOTE: Medicare benefits are not payable if corresponding AMA items EO500 - EO515 are
claimed either singularly or in combination with an Advanced Breast Biopsy Instrumentation
(ABBI) procedure. Please refer to Explanatory Note T.8.25 in the MBS.
EO500 BREAST, BENIGN LESION up to and including 50mm in diameter, 31500
$550.00 including simple cyst, fibroadenoma or fibrocystic disease, OPEN
SURGICAL BIOPSY OR EXCISION OF, with or without frozen section
histology
EO503 BREAST, BENIGN LESION more than 50mm in diameter, EXCISION OF 31503
$735.00
EO506 BREAST, ABNORMALITY detected by mammography or ultrasound 31506
$825.00 where guidewire or other localisation procedure is performed, EXCISION
BIOPSY OF
EO509 BREAST, MALIGNANT TUMOUR, OPEN SURGICAL BIOPSY OF, with 31509
$685.00 or without frozen section histology
EO512 BREAST, MALIGNANT TUMOUR, COMPLETE LOCAL EXCISION OF, 31512
$1,290.00 with or without frozen section histology
EO515 BREAST, TUMOUR SITE, RE-EXCISION OF following open biopsy or 31515
$865.00 incomplete excision of malignant tumour
† EO516 BREAST, MALIGNANT TUMOUR, complete local excision of, with or 31516
$1,725.00 without frozen section histology when targeted intraoperative
radiotherapy (using an Intrabeam® device) is performed concurrently, if
the requirements of item BR875 are met for the patient
NOTE: There is only one MBS item 31525 for gynaecomastia.
EO518 BREAST, TOTAL MASTECTOMY
31519
$1,360.00
EO521
$860.00
BREAST, TOTAL MASTECTOMY FOR GYNAECOMASTIA, with or
without liposuction (suction assisted lipolysis), not being a service to
which item MJ306 applies
EO524 BREAST, SUBCUTANEOUS MASTECTOMY
31524
$1,925.00
EO527
$1,100.00
BREAST, SUBCUTANEOUS MASTECTOMY FOR GYNAECOMASTIA,
with or without liposuction (suction assisted lipolysis), not being a service
to which item MJ306 applies
1 November 2015 Page 185

SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EO530 BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using a 31530
$1,200.00 vacuum-assisted breast biopsy device under imaging guidance, for
histological examination, where imaging has demonstrated:- (a)
microcalcification of lesion; or (b) impalpable lesion less than 1cm in
diameter - including pre-operative localisation of lesion where
performed,not being a service to which items EO539, EO545 or EO548
apply
EO533 FINE NEEDLE ASPIRATION of an IMPALPABLE BREAST LESION 31533
$290.00 detected by mammography or ultrasound, imaging guided - but not
including imaging
EO536 BREAST, preoperative localisation of lesion of, by hookwire or similar 31536
$490.00 device, using interventional imaging techniques - but not including
imaging, not being a service to which item EO539, EO542 or EO545
applies
NOTE: Items EO539 and EO545 include the cost of the cannula.
EO539 BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using a boreenbloc
31539
$2,275.00
stereotactic biopsy, for histological examination, when conducted
by a surgeon as determined by the Royal Australasian College of
Surgeons, and where imaging has demonstrated an impalpable lesion of
less than 15mm in diameter, not being a service to which item EO530,
EO536 or EO548 applies
EO542 BREAST, initial guidewire localisation of lesion, by hookwire or similar 31542
$415.00 device, when conducted by a radiologist as determined by the Royal
Australian and New Zealand College of Radiologists, using interventional
imaging techniques prior to using a bore-enbloc stereotactic biopsy,
including imaging not being a service to which item EO536 applies
EO545 BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using a boreenbloc
31545
$2,690.00
stereotactic biopsy, for histological examination, when conducted
by a surgeon as determined by the Royal Australasian College of
Surgeons, and where imagining has demonstrated an impalpable lesion
of less than 15mm in diameter, including initial guidewire localisation of
lesion, by hookwire or similar device, using interventional imaging
techniques and including imaging not being a service to which item
EO530, EO536 or EO548 applies
EO548 BREAST, BIOPSY OF SOLID TUMOUR OR TISSUE OF, using
31548
$355.00 mechanical biopsy device, for histological examination, not being a
service to which items EO530, EO539, or EO545 apply
EO551 BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION 31551
$430.00 including abscess, granulomatous mastitis or similar, EXPLORATION
AND DRAINAGE OF when undertaken in the operating theatre of a
hospital or day-hospital facility, excluding aftercare
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SURGICAL OPERATIONS
GENERAL SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
EO554 BREAST, microdochotomy of, for benign or malignant condition
31554
$915.00
EO557 BREAST CENTRAL DUCTS, excision of, for benign condition
31557
$685.00
EO560 ACCESSORY BREAST TISSUE, excision of
31560
$735.00
EO563 INVERTED NIPPLE, surgical eversion of
31563
$430.00
EO566 ACCESSORY NIPPLE, excision of
31566
$325.00
1 November 2015 Page 187

SURGICAL OPERATIONS
GENERAL SURGERY
NOTES: DISSECTION OF LYMPH NODES OF NECK
To be read in association with items EO035 to EO060.
1. The lymph node levels referred to in items EO035 to EO060 are as follows:
Level I
Level II
Level III
Level IV
Level V
Submandibular and submental lymph nodes.
Lymph nodes of the upper aspect of the neck including the jugulodigastric
node, upper jugular chain nodes and upper spinal accessory nodes.
Lymph nodes deep to the middle third of the sternomastoid muscle consisting
of mid jugular chain nodes, the lower most of which is the jugulo-omohyoid
node, lying at the level where the omohyoid muscle crosses the internal
jugular vein.
Lower jugular chain nodes, including those nodes overlying the scalenus
anterior muscle.
Posterior triangle nodes, which are usually distributed along the spinal
accessory nerve in the posterior triangle.
2. Comprehensive dissection involves all 5 neck levels while selective dissection
involves the removal of only certain lymph node groups.
Page 188 1 November 2015

SURGICAL OPERATIONS
COLORECTAL
AMA Number
Fee
COLORECTAL
Description of Medical Service
MBS
Number
EP005 LARGE INTESTINE, resection of, without anastomosis, including right 32000
$2,525.00 hemicolectomy (including formation of stoma)
EP015 LARGE INTESTINE, resection of, with anastomosis, including right 32003
$2,640.00 hemicolectomy
EP025 LARGE INTESTINE, SUBTOTAL COLECTOMY (resection of right colon, 32004
$2,895.00 transverse colon and splenic flexure) without anastomosis, not being a
service associated with a service to which Item EP005, EP015, EP035 or
EP045 applies
EP035 LARGE INTESTINE, SUBTOTAL COLECTOMY (resection of right colon, 32005
$3,280.00 transverse colon and splenic flexure) with anastomosis, not being a
service associated with a service to which Item EP005, EP015, EP025 or
EP045 applies
EP045 LEFT HEMICOLECTOMY, including the descending and sigmoid colon 32006
$2,895.00 (including formation of stoma)
EP055 TOTAL COLECTOMY AND ILEOSTOMY
32009
$3,335.00
EP065 TOTAL COLECTOMY AND ILEO-RECTAL ANASTOMOSIS
32012
$3,685.00
EP075 TOTAL COLECTOMY WITH EXCISION OF RECTUM AND
32015
$4,350.00 ILEOSTOMY - 1 surgeon
EP085 TOTAL COLECTOMY WITH EXCISION OF RECTUM AND
32018
$3,850.00 ILEOSTOMY, COMBINED SYNCHRONOUS OPERATION;
ABDOMINAL RESECTION (including aftercare)
EP095 TOTAL COLECTOMY WITH EXCISION OF RECTUM AND
32021
$1,370.00 ILEOSTOMY, COMBINED SYNCHRONOUS OPERATION; PERINEAL
RESECTION
EP102 Endoscopic insertion of stent or stents for large bowel obstruction, 32023
$1,420.00 stricture or stenosis, including colonoscopy and any image
intensification, where the obstruction is due to: a) a pre-diagnosed
colorectal cancer, or cancer of an organ adjacent to the bowel; or b) an
unknown diagnosis
EP105 RECTUM, HIGH RESTORATIVE ANTERIOR RESECTION WITH 32024
$3,335.00 INTRAPERITONEAL ANASTOMOSIS (of the rectum) greater than 10cm
from the anal verge - excluding resection of sigmoid colon alone not
being a service associated with a service to which Item EP438, EP440 or
EP450 applies
1 November 2015 Page 189

SURGICAL OPERATIONS
COLORECTAL
AMA Number
Fee
Description of Medical Service
MBS
Number
EP115 RECTUM, LOW RESTORATIVE ANTERIOR RESECTION WITH 32025
$4,520.00 EXTRAPERITONEAL ANASTOMOSIS (of the rectum) less than 10cm
from the anal verge, with or without covering stoma not being a service
associated with a service to which Item EP438, EP440 or EP450 applies
EP125 RECTUM, ULTRA LOW RESTORATIVE RESECTION, with or without 32026
$4,865.00 covering stoma, where the anastomosis is sited in the anorectal region
and is 6cm or less from the anal verge
EP135 RECTUM, LOW OR ULTRA LOW RESTORATIVE RESECTION, with 32028
$5,215.00 peranal sutured coloanal anastomosis, with or without covering stoma
EP145 COLONIC RESERVOIR, construction of, being a service associated with 32029
$1,045.00 a service to which any other item in this Subgroup applies
EP155 RECTOSIGMOIDECTOMY - (Hartmann's operation)
32030
$2,600.00
EP165 RESTORATION OF BOWEL following Hartmann's or similar operation, 32033
$3,810.00 including dismantling of the stoma
EP175 SACROCOCCYGEAL AND PRESACRAL TUMOUR - excision of 32036
$4,685.00
EP185 RECTUM AND ANUS, ABDOMINO-PERINEAL RESECTION OF - 1 32039
$3,685.00 surgeon
EP195 RECTUM AND ANUS, ABDOMINO-PERINEAL RESECTION OF, 32042
$3,170.00 COMBINED SYNCHRONOUS OPERATION, abdominal resection
EP205 RECTUM AND ANUS, ABDOMINO-PERINEAL RESECTION OF, 32045
$1,190.00 COMBINED SYNCHRONOUS OPERATION - perineal resection
EP215 RECTUM AND ANUS, ABDOMINO-PERINEAL RESECTION OF, 32046
$1,885.00 combined synchronous operation - perineal resection where the perineal
surgeon also provides assistance to the abdominal surgeon
EP225 PERINEAL PROCTECTOMY
32047
$2,200.00
EP235
$4,685.00
ABDOMINO-PERINEAL PULL THROUGH RESECTION with colo-anal
anastomosis (1 or 2 stages), including associated colostomy
EP245 TOTAL COLECTOMY WITH EXCISION OF RECTUM and ileoanal 32051
$5,665.00 anastomosis with formation of ileal reservoir, with or without creation of
temporary ileostomy - 1 surgeon
EP255 TOTAL COLECTOMY WITH EXCISION OF RECTUM and ileoanal 32054
$5,195.00 anastomosis with formation of ileal reservoir, with or without creation of
temporary ileostomy - conjoint surgery, abdominal surgeon (including
aftercare)
Page 190 1 November 2015

SURGICAL OPERATIONS
COLORECTAL
AMA Number
Fee
Description of Medical Service
MBS
Number
EP265 TOTAL COLECTOMY WITH EXCISION OF RECTUM and ileoanal 32057
$1,370.00 anastomosis with formation of ileal reservoir - conjoint surgery, perineal
surgeon
EP275 ILEOSTOMY CLOSURE with rectal resection and mucosectomy and 32060
$5,665.00 ileoanal anastomosis with formation of ileal reservoir, with or without
temporary loop ileostomy - 1 surgeon
EP285 ILEOSTOMY CLOSURE with rectal resection and mucosectomy and 32063
$5,195.00 ileoanal anastomosis with formation of ileal reservoir, with or without
temporary loop ileostomy - conjoint surgery, abdominal surgeon
(including aftercare)
EP295 ILEOSTOMY CLOSURE with rectal resection and mucosectomy and 32066
$1,370.00 ileoanal anastomosis with formation of ileal reservoir, with or without
temporary loop ileostomy - conjoint surgery, perineal surgeon
EP305 ILEOSTOMY RESERVOIR, continent type, creation of, including 32069
$4,190.00 conversion of existing ileostomy where appropriate
EP315 SIGMOIDOSCOPIC EXAMINATION (with rigid sigmoidoscope), with or 32072
$140.00 without biopsy
EP325 SIGMOIDOSCOPIC EXAMINATION (with rigid sigmoidoscope), UNDER 32075
$250.00 GENERAL ANAESTHESIA, with or without biopsy, not being a service
associated with a service to which another item in this Group applies
EP335 SIGMOIDOSCOPIC EXAMINATION with diathermy OR resection of 1 or 32078
$460.00 more polyps where the time taken is less than or equal to 45 minutes
EP345 SIGMOIDOSCOPIC EXAMINATION with diathermy OR resection of 1 or 32081
$625.00 more polyps where the time taken is greater than 45 minutes
EP355 FLEXIBLE FIBREOPTIC SIGMOIDOSCOPY or FIBREOPTIC
32084
$305.00 COLONOSCOPY up to the hepatic flexure, WITH or WITHOUT BIOPSY
EP365 Endoscopic examination of the colon up to the hepatic flexure by 32087
$560.00 FLEXIBLE FIBREOPTIC SIGMOIDOSCOPY or FIBREOPTIC
COLONOSCOPY for the REMOVAL OF 1 OR MORE POLYPS or the
treatment of radiation proctitis, angiodysplasia or post-polypectomy
bleeding by ARGON PLASMA COAGULATION, 1 or more of - not being
a service to which Item EP335 applies
EP375 FIBREOPTIC COLONOSCOPY - examination of colon beyond the 32090
$905.00 hepatic flexure WITH or WITHOUT BIOPSY
1 November 2015 Page 191

SURGICAL OPERATIONS
COLORECTAL
AMA Number
Fee
Description of Medical Service
MBS
Number
EP385 Endoscopic examination of the colon beyond the hepatic flexure by 32093
$1,275.00 FIBREOPTIC COLONOSCOPY for the REMOVAL OF 1 OR MORE
POLYPS, or the treatment of radiation proctitis, angiodysplasia or postpolypectomy
bleeding by ARGON PLASMA COAGULATION, 1 or more
of
EP395 ENDOSCOPIC DILATATION OF COLORECTAL STRICTURES
32094
$1,390.00 including colonoscopy
EP405 ENDOSCOPIC EXAMINATION OF SMALL BOWEL with flexible
32095
$320.00 endoscope passed by stoma, with or without biopsies
EP415 RECTAL BIOPSY, full thickness, under general anaesthesia, or under 32096
$625.00 epidural or spinal (intrathecal) nerve block where undertaken in a
hospital or approved day-hospital facility
EP425 RECTAL TUMOUR of 5cm or less in diameter, per anal submucosal 32099
$845.00 excision of
EP435 RECTAL TUMOUR of greater than 5cm in diameter, indicated by 32102
$1,595.00 pathological examination, per anal submucosal excision of
EP438 RECTAL TUMOUR, of less than 4cm in diameter, per anal excision of, 32103
$1,910.00 using rectoscopy incorporating either 3 dimensional or 2 dimensional
optic viewing systems, if removal is unable to be performed during
colonoscopy or by local excision, other than a service associated with a
service to which item EP105, EP115, EP440 or EP450 applies
EP440 RECTAL TUMOUR, of 4cm or greater in diameter, per anal excision of, 32104
$2,450.00 using rectoscopy incorporating either 3 dimensional or 2 dimensional
optic viewing systems, if removal is unable to be performed during
colonoscopy or by local excision, other than a service associated with a
service to which item EP105, EP115, EP438 or EP450 applies
EP445 ANORECTAL CARCINOMA - per anal full thickness excision of
32105
$1,190.00
EP450 ANTEROLATERAL INTRAPERITONEAL RECTAL TUMOUR, per anal 32106
$3,335.00 excision of, using rectoscopy incorporating either 3 dimensional or 2
dimensional optic viewing systems, if removal is unable to be performed
during colonoscopy and if removal requires dissection within the
peritoneal cavity, other than a service associated with a service to which
item EP105, EP115, EP438 or EP440 applies
EP455 RECTAL TUMOUR, trans-sphincteric excision of (Kraske or similar 32108
$2,450.00 operation)
EP465 RECTAL PROLAPSE, Delorme procedure for
32111
$1,550.00
Page 192 1 November 2015

SURGICAL OPERATIONS
COLORECTAL
AMA Number
Fee
Description of Medical Service
MBS
Number
EP475 RECTAL PROLAPSE, perineal recto-sigmoidectomy for
32112
$1,910.00
EP485 RECTAL STRICTURE, per anal release of
32114
$425.00
EP490 RECTAL STRICTURE, dilatation of
32115
$320.00
EP495 RECTAL PROLAPSE, abdominal rectopexy of
32117
$2,450.00
EP505 RECTAL PROLAPSE, perineal repair of
32120
$625.00
EP515 ANAL STRICTURE, anoplasty for
32123
$820.00
EP525 ANAL INCONTINENCE, Parks' intersphincteric procedure for
32126
$1,335.00
EP535 ANAL SPHINCTER, direct repair of
32129
$1,550.00
EP545 RECTOCELE, transanal repair of rectocele
32131
$1,320.00
EP555 HAEMORRHOIDS OR RECTAL PROLAPSE - sclerotherapy for
32132
$110.00
EP565 HAEMORRHOIDS OR RECTAL PROLAPSE - rubber band ligation of, 32135
$164.00 with or without sclerotherapy, cryosurgery or infra red therapy for
EP575 HAEMORRHOIDECTOMY including excision of anal skin tags when 32138
$995.00 performed
EP580 HAEMORRHOIDECTOMY involving third or fourth degree haemorrhoids, 32139
$995.00 including excision of anal skin tags when performed
EP585 ANAL SKIN TAGS OR ANAL POLYPS, excision of 1 or more of
32142
$170.00
EP595 ANAL SKIN TAGS OR ANAL POLYPS, excision of 1 or more of,
32145
$340.00 undertaken in the operating theatre of a hospital or approved dayhospital
facility
EP605 PERIANAL THROMBOSIS, incision of
32147
$110.00
EP615 OPERATION FOR FISSURE-IN-ANO, including excision or
32150
$700.00 sphincterotomy but excluding dilatation only
1 November 2015 Page 193

SURGICAL OPERATIONS
COLORECTAL
AMA Number
Fee
Description of Medical Service
MBS
Number
EP625 ANUS, DILATATION OF, under general anaesthesia, with or without 32153
$164.00 disimpaction of faeces, not being a service associated with a service to
which another item in this Group applies
EP635 FISTULA-IN-ANO, SUBCUTANEOUS, excision of
32156
$415.00
EP645 ANAL FISTULA, treatment of, by excision or by insertion of a Seton, or 32159
$1,015.00 by a combination of both procedures, involving the lower half of the anal
sphincter mechanism
EP655 ANAL FISTULA, treatment of, by excision or by insertion of a Seton, or 32162
$1,190.00 by a combination of both procedures, involving the upper half of the anal
sphincter mechanism
EP665 ANAL FISTULA, repair of by mucosal flap advancement
32165
$1,550.00
EP675 ANAL FISTULA - readjustment of Seton
32166
$520.00
EP685 FISTULA WOUND, review of, under general or regional anaesthetic, as 32168
$335.00 an independent procedure
EP695 ANORECTAL EXAMINATION, with or without biopsy, under general 32171
$220.00 anaesthetic, not being a service associated with a service to which
another item in this Group applies
EP705 INTRA-ANAL, perianal or ischio-rectal abscess, drainage of (excluding 32174
$220.00 aftercare)
EP715 INTRA-ANAL, PERIANAL OR ISCHIO-RECTAL ABSCESS, draining of, 32175
$410.00 undertaken in the operating theatre of a hospital or approved dayhospital
facility (excluding aftercare)
EP725 ANAL WARTS, removal of, under general anaesthesia, or under regional 32177
$425.00 or field nerve block (excluding pudendal block) requiring admission to a
hospital or approved day-hospital facility, where the time taken is less
than or equal to 45 minutes - not being a service associated with a
service to which Item HA040 or HA050 applies
EP735 ANAL WARTS, removal of, under general anaesthesia, or under regional 32180
$620.00 or field nerve block (excluding pudendal block) requiring admission to a
hospital or approved day-hospital facility, where the time taken is greater
than 45 minutes - not being a service associated with a service to which
Item HA040 or HA050 applies
EP745 INTESTINAL SLING PROCEDURE prior to radiotherapy
32183
$1,390.00
Page 194 1 November 2015

SURGICAL OPERATIONS
COLORECTAL
AMA Number
Fee
Description of Medical Service
MBS
Number
EP755 COLONIC LAVAGE, total, intra-operative
32186
$1,390.00
EP900 DISTAL MUSCLE, devascularisation of
32200
$745.00
EP910 ANAL OR PERINEAL GRACILOPLASTY
32203
$1,600.00
EP920 STIMULATOR AND ELECTRODES, insertion of, following previous 32206
$1,445.00 graciloplasty
EP930 ANAL OR PERINEAL GRACILOPLASTY with insertion of stimulator and 32209
$2,320.00 electrodes
EP940
$345.00
ANO-RECTAL APPLICATION OF FORMALIN in the treatment of
radiation proctitis excluding aftercare
EP950 GRACILIS NEOSPHINCTER PACEMAKER, replacement of
32210
$645.00
EP953 SACRAL NERVE LEAD(S), placement of, percutaneous using
32213
$1,705.00 fluoroscopic guidance, or open, and intraoperative test stimulation, for
the management of faecal incontinence in a patient who has an
anatomically intact but functionally deficient anal sphincter with faecal
incontinence refractory to at least 12 months of conservative nonsurgical
treatment
EP954 NEUROSTIMULATOR or RECEIVER, subcutaneous placement of, and 32214
$860.00 placement and connection of extension wire(s) to sacral nerve
electrode(s), for the management of faecal incontinence in a patient who
has an anatomically intact but functionally deficient anal sphincter with
faecal incontinence refractory to at least 12 months of conservative nonsurgical
treatment, using fluoroscopic guidance
EP955 SACRAL NERVE ELECTRODE(S), management, adjustment, and 32215
$325.00 electronic programming of neurostimulator by a medical practitioner, for
the management of faecal incontinence - each day
EP956 SACRAL NERVE LEAD(S), inserted for the management of faecal 32216
$1,530.00 incontinence in a patient who has an anatomically intact but functionally
deficient anal sphincter with faecal incontinence refractory to at least 12
months of conservative non-surgical treatment, surgical repositioning of,
percutaneous using fluoroscopic guidance, or open, to correct
displacement or unsatisfactory positioning, and intraoperative test
stimulation, not being a service to which item EP953 applies
1 November 2015 Page 195

SURGICAL OPERATIONS
COLORECTAL
AMA Number
Fee
Description of Medical Service
MBS
Number
EP957 NEUROSTIMULATOR OR RECEIVER, inserted for the management of 32217
$405.00 faecal incontinence in a patient who had an anatomically intact but
functionally deficient anal sphincter with faecal incontinence refractory to
at least 12 months of conservative non-surgical treatment, removal of
EP958 SACRAL NERVE LEAD(S), inserted for the management of faecal 32218
$405.00 incontinence in a patient who had an anatomically intact but functionally
deficient anal sphincter with faecal incontinence refractory to at least 12
months of conservative non-surgical treatment, removal of
EP965 INSERTION OF AN ARTIFICIAL BOWEL SPHINCTER for severe faecal 32220
$2,275.00 incontinence in the treatment of a patient for whom conservative and
other less invasive forms of treatment are contraindicated or have failed
EP966 REMOVAL OR REVISION OF AN ARTIFICIAL BOWEL SPHINCTER 32221
$2,275.00 (with or without replacement) for severe faecal incontinence in the
treatment of a patient for whom conservative and other less invasive
forms of treatment are contraindicated or have failed
VASCULAR
VARICOSE VEINS
EQ005 VARICOSE VEINS where varicosity measures 2.5mm or greater in 32500
$290.00 diameter, multiple injections of sclerosant using continuous compression
techniques, including associated consultation - 1 or both legs - not being
a service associated with any other varicose vein operation on the same
leg (excluding aftercare) - to a maximum of 6 treatments in a 12 month
period
EQ006 VARICOSE VEINS where varicosity measures 2.5mm or greater in 32501
$290.00 diameter, multiple injections of sclerosant using continuous compression
techniques, including associated consultation - 1 or both legs - not being
a service associated with any other varicose vein operation on the same
leg (excluding aftercare) and providing that truncal reflux in the long or
short saphenous veins has been excluded by duplex examination -
where it can be demonstrated that a 7th or subsequent treatment
(including any treatments to which Item EQ005 applies) is indicated in a
12 month period
EQ015 VARICOSE VEINS, multiple excision of tributaries, with or without 32504
$715.00 division of 1 or more perforating veins - 1 LEG - not being a service
associated with a service to which Item EQ025, EQ035, EQ045, EQ055
or EQ065 applies on the same leg
EQ030 VARICOSE VEINS, sub-fascial surgical exploration of one or more 32507
$1,430.00 incompetent perforating veins - 1 LEG - not being a service associated
with a service to which item EQ035, EQ045, EQ055 or EQ065 applies on
the same leg
Page 196 1 November 2015

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
EQ035 VARICOSE VEINS, complete dissection at the sapheno-femoral OR 32508
$1,430.00 sapheno-popliteal junction - 1 LEG - with or without either ligation or
stripping, or both, of the long or short saphenous veins, for the first time
on the same leg, including excision or injection of either tributaries or
incompetent perforating veins, or both
EQ045 VARICOSE VEINS, complete dissection at the sapheno-femoral AND 32511
$2,125.00 sapheno-popliteal junction - 1 LEG - with or without either ligation or
stripping, or both, of the long or short saphenous veins, for the first time
on the same leg, including excision or injection of either tributaries or
incompetent perforating veins, or both
EQ055 VARICOSE VEINS, ligation of the long or short saphenous vein on the 32514
$2,480.00 same leg, with or without stripping, by re-operation for recurrent veins in
the same territory - 1 LEG - including excision or injection of either
tributaries or incompetent perforating veins, or both
EQ065 VARICOSE VEINS, ligation of the long and short saphenous vein on the 32517
$3,195.00 same leg, with or without stripping, by re-operation for recurrent veins in
either territory - 1 LEG - including excision or injection of either tributaries
or incompetent perforating veins, or both
EQ075
$1,430.00
EQ085
$2,125.00
VARICOSE VEINS, abolition of venous reflux by occlusion of a primary
or recurrent great (long) or small (short) saphenous vein of one leg (and
major tributaries of saphenous veins as necessary), using a laser probe
introduced by an endovenous catheter, including excision or injection of
either tributaries or incompetent perforating veins, or both, but not
including radiofrequency diathermy or radiofrequency ablation, not
provided on the same occasion as a service described in items EQ005,
EQ006, EQ015 or EQ030
VARICOSE VEINS, abolition of venous reflux by occlusion of a primary
or recurrent great (long) and small (short) saphenous vein of one leg
(and major tributaries of saphenous veins as necessary), using a laser
probe introduced by an endovenous catheter, including excision or
injection of either tributaries or incompetent perforating veins, or both,
but not including radiofrequency diathermy or radiofrequency ablation,
not provided on the same occasion as a service described in items
EQ005, EQ006, EQ015 or EQ030
1 November 2015 Page 197

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
EQ095 VARICOSE VEINS, abolition of venous reflux by occlusion of a primary 32523
$1,430.00 or recurrent great (long) or small (short) saphenous vein of one leg (and
major tributaries of saphenous veins as necessary), using a
radiofrequency catheter introduced by an endovenous catheter, where it
is documented by duplex ultrasound that the great or small saphenous
vein (whichever is to be treated) demonstrates reflux of 0.5 seconds or
longer, including excision or injection of either tributaries or incompetent
perforating veins, or both, but not including endovenous laser therapy,
and not provided on the same occasion as a service described in any of
items EQ005, EQ006, EQ015 or EQ030
EQ100 VARICOSE VEINS, abolition of venous reflux by occlusion of a primary 32526
$2,125.00 or recurrent great (long) and small (short) saphenous vein of one leg
(and major tributaries of saphenous veins as necessary), using a
radiofrequency catheter introduced by an endovenous catheter, where it
is documented by duplex ultrasound that the great and small saphenous
veins demonstrate reflux of 0.5 seconds or longer, including excision or
injection of either tributaries or incompetent perforating veins, or both,
but not including endovenous laser therapy, and not provided on the
same occasion as a service described in any of items EQ005, EQ006,
EQ015 or EQ030
BYPASS OR ANASTOMOSIS FOR OCCLUSIVE ARTERIAL DISEASE
EQ400 ARTERY OF NECK, bypass using vein or synthetic material
32700
$3,860.00
EQ410 INTERNAL CAROTID ARTERY, transection and reanastomosis of, or 32703
$3,305.00 resection of small length and reanastomosis of - with or without
endarterectomy
EQ420 AORTIC BYPASS for occlusive disease using a straight non-bifurcated 32708
$3,905.00 graft
EQ430 AORTIC BYPASS for occlusive disease using a bifurcated graft with 1 or 32710
$4,335.00 both anastomoses to the iliac arteries
EQ440 AORTIC BYPASS for occlusive disease using a bifurcated graft with 1 or 32711
$4,770.00 both anastomoses to the common femoral or profunda femoris arteries
EQ450 ILIO-FEMORAL BYPASS GRAFTING
32712
$3,385.00
EQ460 AXILLARY or SUBCLAVIAN TO FEMORAL BYPASS GRAFTING to 1 or 32715
$3,385.00 both FEMORAL ARTERIES
EQ470 FEMORO-FEMORAL OR ILIO-FEMORAL CROSS-OVER BYPASS 32718
$3,195.00 GRAFTING
Page 198 1 November 2015

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
EQ480 RENAL ARTERY, bypass grafting to
32721
$5,070.00
EQ490 RENAL ARTERIES (both), bypass grafting to
32724
$5,765.00
EQ500 MESENTERIC VESSEL (single), bypass grafting to
32730
$4,370.00
EQ510 MESENTERIC VESSELS (multiple), bypass grafting to
32733
$5,070.00
EQ520 INFERIOR MESENTERIC ARTERY, operation on, when performed in 32736
$1,120.00 conjunction with another intra-abdominal vascular operation
EQ530 FEMORAL ARTERY BYPASS GRAFTING using vein, including
32739
$3,475.00 harvesting of vein (when it is the ipsilateral long saphenous vein) with
above knee anastomosis
EQ540 FEMORAL ARTERY BYPASS GRAFTING using vein, including
32742
$3,995.00 harvesting of vein (when it is the ipsilateral long saphenous vein) with
distal anastomosis to below knee popliteal artery
EQ550 FEMORAL ARTERY BYPASS GRAFTING using vein, including
32745
$4,555.00 harvesting of vein (when it is the ipsilateral long saphenous vein) with
distal anastomosis to tibio peroneal trunk or tibial or peroneal artery
EQ560 FEMORAL ARTERY BYPASS GRAFTING using vein, including
32748
$4,925.00 harvesting of vein (when it is the ipsilateral long saphenous vein) with
distal anastomosis within 5cms of the ankle joint
EQ570 FEMORAL ARTERY BYPASS GRAFTING using synthetic graft, with 32751
$3,195.00 lower anastomosis above or below the knee
EQ580 FEMORAL ARTERY BYPASS GRAFTING, using a composite graft 32754
$3,995.00 (synthetic material and vein) with lower anastomosis above or below the
knee, including use of a cuff or sleeve of vein at 1 or both anastomoses
EQ590 FEMORAL ARTERY SEQUENTIAL BYPASS GRAFTING (using a vein 32757
$1,120.00 or synthetic material) where an additional anastomosis is made to
separately revascularise more than 1 artery - each additional artery
revascularised beyond a femoral bypass
EQ600 VEIN, HARVESTING OF, FROM LEG OR ARM for bypass or
32760
$1,120.00 replacement graft when not performed on the limb which is the subject of
the bypass or graft - each vein
EQ610 ARTERIAL BYPASS GRAFTING, using vein or synthetic material, not 32763
$3,195.00 being a service to which another item in this Subgroup applies
1 November 2015 Page 199

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
EQ620 ARTERIAL OR VENOUS ANASTOMOSIS, not being a service to which 32766
$3,625.00 another item in this Subgroup applies, as an independent procedure
EQ630 ARTERIAL OR VENOUS ANASTOMOSIS not being a service to which 32769
$730.00 another item in this Subgroup applies, when performed in combination
with another vascular operation (including graft to graft anastomosis)
BYPASS, REPLACEMENT, LIGATION OF ANEURYSMS
ER005 BYPASS GRAFTING to replace a popliteal aneurysm using vein, 33050
$3,935.00 including harvesting vein (when it is the ipsilateral long saphenous vein)
ER015 BYPASS GRAFTING to replace a popliteal aneurysm using a synthetic 33055
$3,155.00 graft
ER025 ANEURYSM IN THE EXTREMITIES, ligation, suture closure or excision 33070
$2,275.00 of, without bypass grafting
ER035 ANEURYSM IN THE NECK, ligation, suture closure or excision of, 33075
$2,895.00 without bypass grafting
ER045 INTRA-ABDOMINAL OR PELVIC ANEURYSM, ligation, suture closure 33080
$3,535.00 or excision of, without bypass grafting
ER055 ANEURYSM OF COMMON OR INTERNAL CAROTID ARTERY, OR 33100
$3,860.00 BOTH, replacement by graft of vein or synthetic material
ER065 THORACIC ANEURYSM, replacement by graft
33103
$5,420.00
ER085 THORACO-ABDOMINAL ANEURYSM, replacement by graft including reimplantation
33109
$6,560.00
of
arteries
ER095 SUPRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by 33112
$5,675.00 graft including re-implantation of arteries
ER105 INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube 33115
$3,840.00 graft not being a service associated with a service to which item ER110
applies
ER110 INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by tube 33116
$3,840.00 graft using endovascular repair procedure, excluding associated
radiological services
ER115 INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by 33118
$4,270.00 bifurcation graft to iliac arteries (with or without excision of common iliac
aneurysms) not being a service associated with a service to which item
ER120 applies
Page 200 1 November 2015

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
ER120 INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by 33119
$4,270.00 bifurcation graft to one or both iliac arteries using endovascular repair
procedure, excluding associated radiological services
ER125 INFRARENAL ABDOMINAL AORTIC ANEURYSM, replacement by 33121
$4,695.00 bifurcation graft to 1 or both femoral arteries (with or without excision or
bypass of common iliac aneurysms)
ER135 ANEURYSM OF ILIAC ARTERY (common, external or internal),
33124
$3,245.00 replacement by graft - unilateral
ER145 ANEURYSMS OF ILIAC ARTERIES (common, external or internal), 33127
$4,275.00 replacement by graft - bilateral
ER155 ANEURYSM OF VISCERAL ARTERY, excision and repair by direct 33130
$3,715.00 anastomosis or replacement by graft
ER165 ANEURYSM OF VISCERAL ARTERY, dissection and ligation of arteries 33133
$2,780.00 without restoration of continuity
ER175 FALSE ANEURYSM, repair of, at aortic anastomosis following previous 33136
$7,040.00 aortic surgery
ER185 FALSE ANEURYSM, repair of, in iliac artery and restoration of arterial 33139
$4,275.00 continuity
ER195 FALSE ANEURYSM, repair of, in femoral artery and restoration of 33142
$3,995.00 arterial continuity
ER205 RUPTURED THORACIC AORTIC ANEURYSM, replacement by graft 33145
$6,830.00
ER215 RUPTURED THORACO-ABDOMINAL AORTIC ANEURYSM,
33148
$8,505.00 replacement by graft
ER225 RUPTURED SUPRARENAL ABDOMINAL AORTIC ANEURYSM, 33151
$8,085.00 replacement by graft
ER235 RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, 33154
$5,990.00 replacement by tube graft
ER245 RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, 33157
$6,690.00 replacement by bifurcation graft to iliac arteries (with or without excision
or bypass of common iliac aneurysms)
ER255 RUPTURED INFRARENAL ABDOMINAL AORTIC ANEURYSM, 33160
$7,040.00 replacement by bifurcation graft to 1 or both femoral arteries
ER265 RUPTURED ILIAC ARTERY ANEURYSM, replacement by graft
33163
$5,640.00
1 November 2015 Page 201

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
ER275 RUPTURED ANEURYSM OF VISCERAL ARTERY, replacement by 33166
$5,640.00 anastomosis or graft
ER285 RUPTURED ANEURYSM OF VISCERAL ARTERY, simple ligation of 33169
$4,410.00
ER295 ANEURYSM OF MAJOR ARTERY, replacement by graft, not being a 33172
$3,430.00 service to which another item in this Subgroup applies
ER305 RUPTURED ANEURYSM IN THE EXTREMITIES, ligation, suture 33175
$3,185.00 closure or excision of, without bypass grafting
ER315 RUPTURED ANEURYSM IN THE NECK, ligation, suture closure or 33178
$4,050.00 excision of, without bypass grafting
ER325 RUPTURED INTRA-ABDOMINAL OR PELVIC ANEURYSM, ligation, 33181
$4,950.00 suture closure or excision of, without bypass grafting
ENDARTERECTOMY AND ARTERIAL PATCH
ET010 ARTERY OR ARTERIES OF NECK, endarterectomy of, including 33500
$2,745.00 closure by suture (where endarterectomy of 1 or more arteries is
undertaken through 1 arteriotomy incision)
ET020 INNOMINATE OR SUBCLAVIAN ARTERY, endarterectomy of, including 33506
$3,400.00 closure by suture
ET030 AORTIC ENDARTERECTOMY, including closure by suture, not being a 33509
$3,680.00 service associated with another procedure on the aorta
ET040 AORTO-ILIAC ENDARTERECTOMY (1 or both iliac arteries), including 33512
$4,090.00 closure by suture not being a service associated with a service to which
Item ET050 applies
ET050 AORTO-FEMORAL ENDARTERECTOMY (1 or both femoral arteries) or 33515
$4,495.00 BILATERAL ILIO-FEMORAL ENDARTERECTOMY, including closure by
suture, not being a service associated with a service to which Item
ET040 applies
ET060 ILIAC ENDARTERECTOMY, including closure by suture, not being a 33518
$3,400.00 service associated with another procedure on the iliac artery
ET070 ILIO-FEMORAL ENDARTERECTOMY (1 side), including closure by 33521
$3,680.00 suture
ET080 RENAL ARTERY, endarterectomy of
33524
$4,370.00
ET090 RENAL ARTERIES (both), endarterectomy of
33527
$5,070.00
Page 202 1 November 2015

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
ET100 COELIAC OR SUPERIOR MESENTERIC ARTERY, endarterectomy of 33530
$4,370.00
ET110 COELIAC AND SUPERIOR MESENTERIC ARTERY, endarterectomy of 33533
$4,930.00
ET120 INFERIOR MESENTERIC ARTERY, endarterectomy of, not being a 33536
$3,625.00 service associated with a service to which another item in this Subgroup
applies
ET130 ARTERY OF EXTREMITIES, endarterectomy of, including closure by 33539
$2,590.00 suture
ET140 EXTENDED DEEP FEMORAL ENDARTERECTOMY where the
33542
$3,710.00 endarterectomy is at least 7cms long
ET150 ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or 33545
$745.00 synthetic material where patch is less than 3cm long
ET160 ARTERY, VEIN OR BYPASS GRAFT, patch grafting to by vein or 33548
$1,500.00 synthetic material where patch is 3cm long or greater
ET170 VEIN, harvesting of from leg or arm for patch when not performed 33551
$740.00 through same incision as operation
ET180 ENDARTERECTOMY, in conjunction with an arterial bypass operation to 33554
$705.00 prepare the site for anastomosis - each site
EMBOLECTOMY, THROMBECTOMY AND VASCULAR TRAUMA
ET500 EMBOLUS, removal of, from artery of neck
33800
$3,165.00
ET510 EMBOLECTOMY or THROMBECTOMY, by abdominal approach, of an 33803
$3,010.00 artery or bypass graft of trunk
ET520 EMBOLECTOMY OR THROMBECTOMY, including the infusion of 33806
$2,185.00 thombolytic or other agents, from an artery or bypass graft of extremities,
or embolectomy of abdominal artery via the femoral artery
ET530 INFERIOR VENA CAVA OR ILIAC VEIN, closed thrombectomy by 33810
$1,535.00 catheter via the femoral vein
ET540 INFERIOR VENA CAVA OR ILIAC VEIN, open removal of thrombus or 33811
$4,590.00 tumour
ET550 THROMBUS, removal of, from femoral or other similar large vein 33812
$2,500.00
ET560 MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with 33815
$2,155.00 restoration of continuity, by lateral suture
1 November 2015 Page 203

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
ET570 MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with 33818
$2,515.00 restoration of continuity, by direct anastomosis
ET580 MAJOR ARTERY OR VEIN OF EXTREMITY, repair of wound of, with 33821
$2,875.00 restoration of continuity, by interposition graft of synthetic material or vein
ET590 MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with
33824
$2,745.00 restoration of continuity, by lateral suture
ET600 MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with
33827
$3,010.00 restoration of continuity, by direct anastomosis
ET610 MAJOR ARTERY OR VEIN OF NECK, repair of wound of, with
33830
$3,690.00 restoration of continuity, by interposition graft of synthetic material or vein
ET620 MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with 33833
$3,575.00 restoration of continuity by lateral suture
ET630 MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with 33836
$4,275.00 restoration of continuity by direct anastomosis
ET640 MAJOR ARTERY OR VEIN OF ABDOMEN, repair of wound of, with 33839
$4,975.00 restoration of continuity by means of interposition graft
ET650 ARTERY OF NECK, re-operation for bleeding or thrombosis after carotid 33842
$2,465.00 or vertebral artery surgery
ET660 LAPAROTOMY for control of post-operative bleeding or thrombosis after 33845
$1,720.00 intra-abdominal vascular procedure, where no other procedure is
performed
ET670 EXTREMITY, re-operation on, for control of bleeding or thrombosis after 33848
$1,720.00 vascular procedure, where no other procedure is performed
LIGATION, EXCISION, ELECTIVE REPAIR, DECOMPRESSION OF VESSELS
EW005 MAJOR ARTERY OF NECK, elective ligation or exploration of, not being 34100
$1,905.00 a service associated with any other vascular procedure
EW015 GREAT ARTERY OR GREAT VEIN (including subclavian, axillary, iliac, 34103
$1,125.00 femoral or popliteal), ligation of, or exploration of, not being a service
associated with any other vascular procedure except those services to
which items EQ035, EQ045, EQ055 or EQ065 apply
EW025 ARTERY OR VEIN (including brachial, radial, ulnar or tibial), ligation of, 34106
$780.00 by elective operation, or exploration of, not being a service associated
with any other vascular procedure except those services to which items
EQ035, EQ045, EQ055 or EQ065 apply
EW035 TEMPORAL ARTERY, biopsy of
34109
$840.00
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SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
EW045 ARTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and 34112
$2,305.00 ligation
EW055 ARTERIO-VENOUS FISTULA OF THE NECK, dissection and ligation 34115
$2,585.00
EW065 ARTERIO-VENOUS FISTULA OF THE ABDOMEN, dissection and 34118
$3,715.00 ligation
EW075 ANTERIO-VENOUS FISTULA OF AN EXTREMITY, dissection and 34121
$2,975.00 repair of, with restoration of continuity
EW085 ARTERIO-VENOUS FISTULA OF THE NECK, dissection and repair of, 34124
$3,255.00 with restoration of continuity
EW095 ARTERIO-VENOUS FISTULA OF THE ABDOMEN, dissection and 34127
$4,275.00 repair of, with restoration of continuity
EW105 SURGICALLY CREATED ARTERIO-VENOUS FISTULA OF AN
34130
$1,340.00 EXTREMITY, closure of
EW115 SCALENOTOMY
34133
$1,500.00
EW125 FIRST RIB, resection of portion of
34136
$2,400.00
EW135 CERVICAL RIB, removal of, or other operation for removal of thoracic 34139
$2,400.00 outlet compression, not being a service to which another item in this
Subgroup applies
EW145 COELIAC ARTERY, decompression of, for coeliac artery compression 34142
$2,745.00 syndrome, as an independent procedure
EW155 POPLITEAL ARTERY, exploration of, for popliteal entrapment, with or 34145
$2,150.00 without division of fibrous tissue and muscle
EW165 CAROTID ASSOCIATED TUMOUR, resection of, with or without repair 34148
$3,860.00 or reconstruction of internal or common carotid arteries, when tumour is
less than 4cm in maximum diameter
EW175 CAROTID ASSOCIATED TUMOUR, resection of, with or without repair 34151
$5,260.00 or reconstruction of internal or common carotid arteries, when tumour is
greater than 4cm in maximum diameter
EW185 RECURRENT CAROTID ASSOCIATED TUMOUR, resection of, with or 34154
$6,310.00 without repair or replacement of portion of internal or common carotid
arteries
EW195 NECK, excision of infected bypass graft, including closure of vessel or 34157
$3,200.00 vessels
1 November 2015 Page 205

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
EW205 AORTO-DUODENAL FISTULA, repair of, by suture of aorta and repair of 34160
$5,990.00 duodenum
EW215 AORTO-DUODENAL FISTULA, repair of, by insertion of aortic graft and 34163
$7,665.00 repair of duodenum
EW225 AORTO-DUODENAL FISTULA, repair of, by oversewing of abdominal 34166
$7,665.00 aorta, repair of duodenum and axillo bifemoral grafting
EW235 INFECTED BYPASS GRAFT FROM TRUNK, excision of, including 34169
$4,280.00 closure of arteries
EW245 INFECTED AXILLO-FEMORAL OR FEMORO-FEMORAL GRAFT, 34172
$3,485.00 excision of, including closure of arteries
EW255 INFECTED BYPASS GRAFT FROM EXTREMITIES, excision of
34175
$3,200.00 including closure of arteries
OPERATIONS FOR VASCULAR ACCESS
EW600 ARTERIOVENOUS SHUNT, EXTERNAL, insertion of
34500
$840.00
EW610 ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, in 34503
$1,105.00 conjunction with another venous or arterial operation
EW620 ARTERIOVENOUS SHUNT, EXTERNAL, removal of
34506
$560.00
EW630 ARTERIOVENOUS ANASTOMOSIS OF UPPER OR LOWER LIMB, not 34509
$2,615.00 in conjunction with another venous or arterial operation
EW640 ARTERIOVENOUS ACCESS DEVICE, insertion of
34512
$2,895.00
EW650 ARTERIOVENOUS ACCESS DEVICE, thrombectomy of
34515
$2,060.00
EW660 STENOSIS OF ARTERIOVENOUS FISTULA OR PROSTHETIC 34518
$3,455.00 ARTERIOVENOUS ACCESS DEVICE, correction of
EW670 INTRA-ABDOMINAL ARTERY OR VEIN, cannulation of for infusion 34521
$2,045.00 chemotherapy, by open operation (excluding aftercare)
EW680 ARTERIAL CANNULATION for infusion chemotherapy by open
34524
$1,120.00 operation, not being a service to which Item EW670 applies (excluding
aftercare)
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SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
‡ EW690 CENTRAL VEIN CATHETERISATION by open technique, using
34527
$1,430.00 subcutaneous tunnel with pump or access port as with central venous
line catheter or other chemotherapy delivery device, including any
associated percutaneous central vein catheterisation, on a person 10
years of age or over
† EW691 CENTRAL VEIN CATHETERISATION by open technique, using
34529
$1,860.00 subcutaneous tunnel with pump or access port as with central venous
line catheter or other chemotherapy delivery device, including any
associated percutaneous central vein catheterisation, on a person under
10 years of age
‡
†
‡
†
EW700 CENTRAL VEIN CATHETERISATION by percutaneous technique, using 34528
$715.00 subcutaneous tunnel with pump or access port as with central venous
line catheter or other chemotherapy delivery device, on a person 10
years of age or over
EW701 CENTRAL VEIN CATHETERISATION by percutaneous technique, using 34534
$930.00 subcutaneous tunnel with pump or access port as with central venous
line catheter or other chemotherapy delivery device, on a person under
10 years of age
EW710 CENTRAL VENOUS LINE, OR OTHER CHEMOTHERAPY DEVICE, 34530
$530.00 removal of, by open surgical procedure in the operating theatre of a
hospital or approved day hospital, on a person 10 years of age or over
EW711 CENTRAL VENOUS LINE, OR OTHER CHEMOTHERAPY DEVICE, 34540
$690.00 removal of, by open surgical procedure in the operating theatre of a
hospital or approved day hospital, on a person under 10 years of age
EW720 ISOLATED LIMB PERFUSION, including cannulation of artery and vein 34533
$3,325.00 at commencement of procedure, regional perfusion for chemotherapy, or
other therapy, repair of arteriotomy and venotomy at conclusion of
procedure (excluding aftercare)
EW730 CENTRAL VEIN CATHETERISATION by percuatneous technique, using 34538
$740.00 subcutaneous tunnelled cuffed catheter or similar device, for the
administration of haemodialysis or parenteral nutrition
EW740 TUNNELLED CUFFED CATHETER, OR SIMILAR DEVICE, removal of, 34539
$525.00 by open surgical procedure in the operating theatre of a hospital or
approved day-hospital facility
COMPLEX VENOUS OPERATIONS
EX050 INFERIOR VENA CAVA, plication, ligation, or application of caval clip 34800
$2,185.00
EX060 INFERIOR VENA CAVA, reconstruction of or bypass by vein or synthetic 34803
$4,835.00 material
1 November 2015 Page 207

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
EX070 CROSS LEG BYPASS GRAFTING, saphenous to iliac or femoral vein 34806
$2,590.00
EX080 SAPHENOUS VEIN ANASTOMOSIS to femoral or popliteal vein for 34809
$2,590.00 femoral vein bypass
EX090 VENOUS STENOSIS OR OCCLUSION, vein bypass for, using vein or 34812
$3,150.00 synthetic material, not being a service associated with a service to which
Item EX070 or EX080 applies
EX100 VEIN STENOSIS, patch angioplasty for, (excluding vein graft stenosis) - 34815
$2,590.00 using vein or synthetic material
EX110 VENOUS VALVE, plication or repair to restore valve competency 34818
$2,875.00
EX120 VEIN TRANSPLANT to restore valvular function
34821
$3,900.00
EX130 EXTERNAL STENT, application of, to restore venous valve competency 34824
$1,340.00 to superficial vein - 1 stent
EX140 EXTERNAL STENTS, application of, to restore venous valve
34827
$1,620.00 competency to superficial vein or veins - more than 1 stent
EX150 EXTERNAL STENT, application of, to restore venous valve competency 34830
$1,905.00 to deep vein (1 stent)
EX160 EXTERNAL STENTS, application of, to restore venous valve
34833
$2,465.00 competency to deep vein or veins (more than 1 stent)
SYMPATHECTOMY
FA100 LUMBAR SYMPATHECTOMY
35000
$1,905.00
FA110 CERVICAL OR UPPER THORACIC SYMPATHECTOMY by any surgical 35003
$2,465.00 approach
FA120 CERVICAL OR UPPER THORACIC SYMPATHECTOMY, where 35006
$2,890.00 operation is a reoperation for previous incomplete sympathectomy by
any surgical approach
FA130 LUMBAR SYMPATHECTOMY, where operation is following chemical 35009
$2,400.00 sympathectomy or for previous incomplete surgical sympathectomy
FA140 SACRAL OR PRE-SACRAL SYMPATHECTOMY
35012
$1,865.00
Page 208 1 November 2015

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
DEBRIDEMENT AND AMPUTATIONS FOR VASCULAR DISEASE
MBS
Number
FA200 ISCHAEMIC LIMB, debridement of necrotic material, gangrenous tissue, 35100
$915.00 or slough in, in the operating theatre of a hospital, when debridement
includes muscle, tendon or bone
FA210 ISCHAEMIC LIMB, debridement of necrotic material, gangrenous tissue, 35103
$585.00 or slough in, in the operating theatre of a hospital, superficial tissue only
MISCELLANEOUS VASCULAR PROCEDURES
FA300 OPERATIVE ARTERIOGRAPHY OR VENOGRAPHY, 1 or more of, 35200
$490.00 performed during the course of an operative procedure on an artery or
vein, 1 site
FA310 MAJOR ARTERIES OR VEINS IN THE NECK, ABDOMEN OR
35202
$2,325.00 EXTREMITIES, access to, as part of RE-OPERATION after prior surgery
on these vessels
ENDOVASCULAR INTERVENTIONAL PROCEDURES
FA500 TRANSLUMINAL BALLOON ANGIOPLASTY of 1 peripheral artery or 35300
$1,370.00 vein of 1 limb, percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding aftercare
FA510 TRANSLUMINAL BALLOON ANGIOPLASTY of aortic arch branches, 35303
$1,760.00 aortic visceral branches, or more than 1 peripheral artery or vein of 1
limb, percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding aftercare
FA540 TRANSLUMINAL STENT INSERTION including associated balloon 35306
$1,770.00 dilatation for 1 peripheral artery or vein of 1 limb, percutaneous or by
open exposure, excluding associated radiological services or
preparation, and excluding aftercare
FA545 TRANSLUMINAL STENT INSERTION, 1 or more stents (not drugeluting),
35307
$3,135.00
with or without associated balloon dilatation, for 1 carotid artery,
percutaneous (not direct), with or without the use of an embolic
protection device, in patients who: meet the indications for carotid
endarterectomy; and have medical or surgical comorbidities that would
make them at high risk of perioperative complications from carotid
endarterectomy, excluding associated radiological services or
preparation, and excluding aftercare
FA550 TRANSLUMINAL STENT INSERTION including associated balloon 35309
$2,025.00 dilatation for visceral arteries or veins, or more than 1 peripheral artery or
vein of 1 limb, percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding aftercare
FA570 PERIPHERAL ARTERIAL ATHERECTOMY including associated balloon 35312
$2,305.00 dilatation of 1 limb, percutaneous or by open exposure, excluding
associated radiological services or preparation, and excluding aftercare
1 November 2015 Page 209

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
FA580 PERIPHERAL LASER ANGIOPLASTY including associated balloon 35315
$2,305.00 dilatation of 1 limb, percutaneous or by open exposure, excluding
associated radiological services or preparation, and excluding aftercare
FA590 PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with 35317
$955.00 administration of thrombolytic or chemotherapeutic agents, BY
CONTINUOUS INFUSION, using percutaneous approach, excluding
associated radiological services or preparation, and excluding aftercare
(not being a service associated with a service to which another item in
Subgroup 11 of Group T1 or items FA600 or FA620 applies and not
being a service associated with photodynamic therapy with verteporfin)
FA600 PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with 35319
$1,715.00 administration of thrombolytic or chemotherapeutic agents, by pulse
spray technique, using percutaneous approach, excluding associated
radiological services or preparation, and excluding aftercare (not being a
service associated with a service to which another item in Subgroup 11
of Group T1 or items FA590 or FA610 applies and not being a service
associated with photodynamic therapy with verteporfin)
FA610 PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION with 35320
$2,305.00 administration of thrombolytic or chemotherapeutic agents,BY OPEN
EXPOSURE, excluding associated radiological services or preparation,
and excluding aftercare (not being a service associated with a service to
which another item in Subgroup 11 of Group T1 or items FA590 or
FA600 applies and not being a service associated with photodynamic
therapy with verteporfin)
FA620 PERIPHERAL ARTERIAL OR VENOUS CATHETERISATION to 35321
$2,160.00 administer agents to occlude arteries, veins or arterio-venous fistulae or
to arrest haemorrhage, (but not for the treatment of uterine fibroids or
varicose veins) percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding aftercare, not being a
service associated with photodynamic therapy with verteporfin
FA630 ANGIOSCOPY not combined with any other procedure, excluding 35324
$810.00 associated radiological services or preparation, and excluding aftercare
FA640 ANGIOSCOPY combined with any other procedure, excluding
35327
$1,055.00 associated radiological services or preparation, and excluding aftercare
FA650 INSERTION of INFERIOR VENA CAVAL FILTER, percutaneous or by 35330
$2,060.00 open exposure, excluding associated radiological services or
preparation, and excluding aftercare
FA655 RETRIEVAL OF INFERIOR VENA CAVAL FILTER, percutaneous or by 35331
$1,570.00 open exposure, excluding associated radiological services or
preparation, and not including aftercare
Page 210 1 November 2015

SURGICAL OPERATIONS
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
FA700 Retrieval of foreign body in PULMONARY ARTERY, percutaneous or by 35360
$2,195.00 open exposure, not including associated radiological services or
preparation, and not including aftercare (foreign body does not include
an instrument inserted for the purpose of a service being rendered)
FA710 Retrieval of foreign body in RIGHT ATRIUM, percutaneous or by open 35361
$1,880.00 exposure, not including associated radiological services or preparation,
and not including aftercare (foreign body does not include an instrument
inserted for the purpose of a service being rendered)
FA720 Retrieval of foreign body in inferior VENA CAVA or AORTA,
35362
$1,570.00 percutaneous or by open exposure, not including associated radiological
services or preparation, and not including aftercare (foreign body does
not include an instrument inserted for the purpose of a service being
rendered)
FA730 Retrieval of foreign body in PERIPHERAL VEIN or PERIPHERAL 35363
$1,255.00 ARTERY, percutaneous or by open exposure, not including associated
radiological services or preparation, and not including aftercare (foreign
body does not include an instrument inserted for the purpose of a service
being rendered)
INTERVENTIONAL RADIOLOGY
VERTEBROPLASTY
GA005
$1,910.00
GA010
$1,910.00
VERTEBROPLASTY, percutaneously via transpedicular or parapedicular
route, for the treatment of a painful osteoporotic vertebral
compression fracture, where: (a) the patient to whom the service is
provided has not had the pain arising from the vertebral compression
fracture adequately controlled by conservative medical therapy; (b)
confirmation that vertebroplasty will be of benefit has been obtained by
either MRI or bone scan; and (c) no other prosthesis other than bone
cement is placed into the vertebral bone; in association with item OF952,
performed in a hospital or day hospital facility
VERTEBROPLASTY, percutaneously via transpedicular or parapedicular
route, for the treatment of a painful metastatic deposit or
multiple myeloma in a vertebral body, where no prosthesis other than
bone cement is placed in the vertebral bone; in association with item
OF952, performed in a hospital or day hospital facility
1 November 2015 Page 211

SURGICAL OPERATIONS
INTERVENTIONAL RADIOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
SELECTIVE INTERNAL RADIATION THERAPY
NOTE: The procedure described in GA100 must be performed by a specialist or consultant
physician recognised in the specialties of nuclear medicine or radiation oncology on an
admitted patient in a hospital. To be claimed once in the patient’s lifetime only.
GA100 Dosimetry, handling and injection of SIR-Spheres for selective internal 35404
$950.00 radiation therapy of hepatic metastases which are secondary to
colorectal cancer and are not suitable for resection or ablation, used in
combination with systemic chemotherapy using 5-fluorouracil (5FU) and
leucovorin, not being a service to which item FA590, FA600, FA610 or
FA620 applies
GA110 Trans-femoral catheterisation of the hepatic artery to administer SIR- 35406
$2,230.00 Spheres to embolise the microvasculature of hepatic metastases which
are secondary to colorectal cancer and are not suitable for resection or
ablation, for selective internal radiation therapy used in combination with
systemic chemotherapy using 5-fluorouracil (5FU) and leucovorin, not
being a service to which item FA590, FA600, FA610 or FA620 applies,
excluding associated radiological services or preparation, and excluding
aftercare
MISCELLANEOUS
GA200 UTERINE ARTERY CATHETERISATION with percutaneous
35410
$2,240.00 adminstration of occlusive agents, for the treatment of symptomatic
uterine fibroids in a patient who has been referred for uterine artery
embolisation by a specialist gynaecologist, excluding associated
radiological services or preparation, and excluding aftercare
GA210 INTRACRANIAL ANEURYSM, ruptured or unruptured,
35412
$7,865.00 ENDOVASCULAR OCCLUSION WITH DETACHABLE COILS, and
assisted coiling if performed, with parent artery preservation, not for use
with liquid embolics only, including intra-operative imaging, but in
association with pre-operative diagnostic imaging items OF664 and
either OF748, OF752 or OF756, including aftercare
GYNAECOLOGICAL
GENERAL
HA010 GYNAECOLOGICAL EXAMINATION UNDER ANAESTHESIA, not being 35500
$198.00 a service associated with a service to which another item in this Group
applies
HA015 INTRAUTERINE DEVICE, INTRODUCTION OF, for the control of 35502
$198.00 IDIOPATHIC MENORRHAGIA, and endometrial biopsy to exclude
endometrial pathology, not being a service associated with a service to
which another item in this Group applies
HA020
$132.00
INTRA-UTERINE CONTRACEPTIVE DEVICE, INTRODUCTION OF, not
being a service associated with a service to which another item in this
Group applies, except when item EA196 applies.
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SURGICAL OPERATIONS
GYNAECOLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HA030 INTRA-UTERINE CONTRACEPTIVE DEVICE, REMOVAL OF UNDER 35506
$132.00 GENERAL ANAESTHESIA, not being a service associated with a service
to which another item in this Group applies
HA040 VULVAL OR VAGINAL WARTS, removal of under general anaesthesia, 35507
$465.00 or under regional or field nerve block (excluding pudendal block)
requiring admission to a hospital or approved day hospital facility, where
the time taken is less than or equal to 45 minutes - not being a service
associated with a service to which Item EP725 or EP735 applies
HA050 VULVAL OR VAGINAL WARTS, removal of under general anaesthesia, 35508
$700.00 or under regional or field nerve block (excluding pudendal block)
requiring admission to a hospital or approved day hospital facility, where
the time taken is greater than 45 minutes - not being a service
associated with a service to which Item EP725 or EP735 applies
HA060 HYMENECTOMY
35509
$215.00
HA070 BARTHOLIN'S CYST, excision of
35512
$560.00
35513
HA080 BARTHOLIN'S CYST OR GLAND, marsupialisation of
35516
$370.00
35517
NOTE: Item HA090 there is no component in the fee for associated ultrasound.
HA090 OVARIAN CYST ASPIRATION, for cysts of at least 4cm diameter in a 35518
$690.00 premenopausal person and at least 2cm in a postmenopausal person, by
abdominal or vaginal route, using interventional imaging techniques and
not associated with services provided for assisted reproductive
techniques
‡
HA100 BARTHOLIN'S ABSCESS, incision of
35520
$144.00
HA110 URETHRA OR URETHRAL CARUNCLE, cauterisation of
35523
$144.00
HA120 URETHRAL CARUNCLE, excision of
35526
$365.00
35527
HA130 CLITORIS, amputation of, where medically indicated
35530
$660.00
HA140 VULVOPLASTY or LABIOPLASTY, for repair of: (a) female genital 35533
$865.00 mutilation; or (b) anomalies associated with major congenital anomalies
of the uro-gynaecological tract, other than a service associated with a
service to which item HA150, HC830, HF520, HF540, HF570 and MD520
applies
1 November 2015 Page 213

SURGICAL OPERATIONS
GYNAECOLOGICAL
AMA Number
Fee
†
Description of Medical Service
MBS
Number
HA142 VULVOPLASTY or LABIOPLASTY, for localised gigantism if it can be 35534
$865.00 demonstrated that: (a) the structural abnormality is causing significant
functional impairment; and (b) non-surgical treatments have failed
HA150 VULVA, wide local excision of suspected malignancy or hemivulvectomy, 35536
$935.00 1 or both procedures
HA160 COLPOSCOPICALLY DIRECTED CO2 LASER THERAPY for previously 35539
$735.00 confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva,
urethra or anal canal, including any associated biopsies - 1 anatomical
site
HA170 COLPOSCOPICALLY DIRECTED CO2 LASER THERAPY for previously 35542
$865.00 confirmed intraepithelial neoplastic changes of the cervix, vagina, vulva,
urethra or anal canal, including any associated biopsies - 2 or more
anatomical sites
HA180 COLPOSCOPICALLY DIRECTED CO2 LASER THERAPY for
35545
$435.00 condylomata, unsuccessfully treated by other methods
HA190 VULVECTOMY, radical, for malignancy
35548
$2,245.00
HA200 PELVIC LYMPH GLANDS, excision of (radical)
35551
$1,720.00
HA210 VAGINA, DILATATION OF, as an independent procedure including any 35554
$108.00 associated consultation
HA220 VAGINA, removal of simple tumour - (including Gartner duct cyst) 35557
$540.00
HA230 VAGINA, partial or complete removal of
35560
$1,980.00
HA240 VAGINECTOMY, radical, for proven invasive malignancy - 1 surgeon 35561
$3,720.00
HA250 VAGINECTOMY, radical, for proven invasive malignancy, conjoint 35562
$3,055.00 surgery - abdominal surgeon (including aftercare)
HA260 VAGINECTOMY, radical, for proven invasive malignancy, conjoint 35564
$1,400.00 surgery - perineal surgeon
HA270 VAGINAL RECONSTRUCTION for congenital absence, gynatresia or 35565
$1,820.00 urogenital sinus
HA280 VAGINAL SEPTUM, excision of, for correction of double vagina
35566
$1,000.00
Page 214 1 November 2015

SURGICAL OPERATIONS
GYNAECOLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HA295 SACROSPINOUS COLPOPEXY FOR MANAGEMENT OF UPPER 35568
$1,655.00 VAGINAL PROLAPSE
HA300 PLASTIC REPAIR TO ENLARGE VAGINAL ORIFICE
35569
$420.00
HA303 ANTERIOR VAGINAL COMPARTMENT REPAIR by vaginal approach 35570
$1,465.00 (involving repair of urethrocele and cystocele) with or without mesh, not
being a service associated with a servcie to which item HA315, HA323 or
HA327 applies
HA307 POSTERIOR VAGINAL COMPARTMENT REPAIR by vaginal approach 35571
$1,465.00 (involving one or more of the following repair of perineum, rectocoele or
enterocele) with or without mesh, not being a service associated with a
servcie to which item HA315, HA323 or HA327 applies
HA310 COLPOTOMY, not being a service to which another item in this Group 35572
$350.00 applies
HA315 ANTERIOR AND POSTERIOR VAGINAL COMPARTMENT REPAIR by 35573
$2,200.00 vaginal approach (involving both anterior and posterior compartment
defects) with or without mesh, not being a service associated with a
service to which item HA323 or HA327 applies
HA323 MANCESTER (DONALD FOTHERGILL) OPERATION) for genital 35577
$1,785.00 prolapse, with or without mesh
HA327 LE FORT OPERATION for genital prolapse, not being a service
35578
$1,785.00 associated with a service to which another item in this Subgroup applies
HA375 LAPAROSCOPIC OR ABDOMINAL PELVIC FLOOR REPAIR
35595
$2,700.00 INCORPORATING THE FIXATION OF THE UTEROSACRAL AND
CARDINAL LIGAMENTS TO RECTOVAGINAL AND PUBOCERVICAL
FASCIA for symptomatic upper vaginal vault prolapse
HA380 FISTULA BETWEEN GENITAL AND URINARY OR ALIMENTARY 35596
$1,720.00 TRACTS, repair of, not being a service to which Item HC780, HE650 or
HE660 applies
HA385 SACRAL COLPOPEXY, laparoscopic or open procedure where graft or 35597
$3,900.00 mesh secured to vault, anterior and posterior compartment and to
sacrum for correction symptomatic upper vaginal vault prolapse.
HA390 STRESS INCONTINENCE, sling operation for, with or without mesh, not 35599
$1,680.00 being a service associated with a service to which Item EJ195 applies
HA400 STRESS INCONTINENCE, combined synchronous ABDOMINO- 35602
$1,670.00 VAGINAL operation for; abdominal procedure, with or without mesh,
(including aftercare), not being a service associated with a service to
which Item EJ195 applies
1 November 2015 Page 215

SURGICAL OPERATIONS
GYNAECOLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HA410 STRESS INCONTINENCE, combined synchronous ABDOMINO- 35605
$925.00 VAGINAL operation for; vaginal procedure, with or without mesh,
(including aftercare), not being a service associated with a service to
which Item EJ195 applies
HA420 CERVIX, cauterisation (other than by chemical means), ionisation, 35608
$156.00 diathermy or biopsy of, with or without dilatation of cervix
HA430 CERVIX, removal of polyp or polypi, with or without dilatation of cervix, 35611
$156.00 not being a service associated with a service to which Item HA420
applies
HA432 CERVIX, RESIDUAL STUMP, removal of, by abdominal approach 35612
$1,365.00
HA434 CERVIX, RESIDUAL STUMP, removal of, by vaginal approach
35613
$1,095.00
HA440 EXAMINATION OF LOWER GENITAL TRACT by a Hinselmann-type 35614
$198.00 colposcope in a patient with a previous abnormal cervical smear or a
history of maternal ingestion of oestrogen or where a patient, because of
suspicious signs of cancer, has been referred by another medical
practitioner
HA450 VULVA, biopsy of, when performed in conjunction with a service to which 35615
$144.00 Item HA440 applies
HA455 ENDOMETRIUM, endoscopic examination of and ablation of, by
35616
$1,225.00 microwave or thermal balloon or radiofrequency electrosurgery, for
chronic refractory menorrhagia including any hysteroscopy performed on
the same day, with or without uterine curettage
HA460 CERVIX, cone biopsy, amputation or repair of, not being a service to 35617
$590.00 which Item HA323 or HA327 applies
35618
HA470 ENDOMETRIAL BIOPSY where malignancy is suspected in patients with 35620
$150.00 abnormal uterine bleeding or post menopausal bleeding
HA480 ENDOMETRIUM, endoscopic ablation of, by laser or diathermy, for 35622
$1,665.00 chronic refractory menorrhagia including any hysteroscopy performed on
the same day, with or without uterine curettage, not being a service
associated with a service to which Item EJ105 applies
HA490 HYSTEROSCOPIC RESECTION OF MYOMA, or MYOMA AND
35623
$2,135.00 UTERINE SEPTUM RESECTION (where both are performed), followed
by endometrial ablation by laser or diathermy
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SURGICAL OPERATIONS
GYNAECOLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HA500 HYSTEROSCOPY, including biopsy, performed by a specialist in the 35626
$220.00 practice of his or her specialty where the patient is referred to him or her
for the investigation of suspected intrauterine pathology (with or without
local anaesthetic), not being a service associated with a service to which
Item HA510 or HA520 applies
HA510 HYSTEROSCOPY with dilatation of the cervix performed in the operating 35627
$300.00 theatre of a hospital or approved day hospital facility - not being a service
associated with a service to which Item HA500 or HA520 applies
HA520 HYSTEROSCOPY, with endometrial biopsy, performed in the operating 35630
$500.00 theatre of a hospital or approved day hospital facility - not being a service
associated with a service to which Item HA500 or HA510 applies
HA530 HYSTEROSCOPY with uterine adhesiolysis or polypectomy or tubal 35633
$615.00 catheterisation (including for insertion of device for sterilisation) or
removal of IUD which cannot be removed by other means, 1 or more of
HA535 HYSTEROSCOPIC RESECTION OF UTERINE SEPTUM followed by 35634
$2,005.00 endometrial ablation by laser or diathermy
HA537 HYSTEROSCOPY involving RESECTION OF THE UTERINE SEPTUM 35635
$1,075.00
HA540 HYSTEROSCOPY, involving resection of myoma, or resection of myoma 35636
$1,225.00 and uterine septum (where both are performed)
HA550 LAPAROSCOPY, involving puncture of cysts, diathermy of
35637
$1,090.00 endometriosis, ventrosuspension, division of adhesions or similar
procedure - 1 or more procedures with or without biopsy - not being a
service associated with any other laparoscopic procedure or
hysterectomy
HA560 COMPLICATED OPERATIVE LAPAROSCOPY, including use of laser 35638
$2,000.00 when required, for 1 or more of the following procedures; oophorectomy,
ovarian cystectomy, myomectomy, salpingectomy or salpingostomy,
ablation of moderate or severe endometriosis requiring more than 1
hours operating time, or division of utero-sacral ligaments for significant
dysmenorrhoea - not being a service associated with any other
intraperitoneal procedure or retroperitoneal procedure except item EJ120
HA570 UTERUS, CURETTAGE OF, with or without dilatation (including
35639
$500.00 curettage for incomplete miscarriage) under general anaesthesia or
under epidural or spinal (intrathecal) nerve block where undertaken in a
hospital or approved day-hospital facility, including procedures to which
Item HA500, HA510 or HA520 applies, where performed
35640
1 November 2015 Page 217

SURGICAL OPERATIONS
GYNAECOLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HA575 ENDOMETRIOSIS LEVEL 4 OR 5, laparoscopic resection of, involving 35641
$4,025.00 any two of the following procedures, resection of the pelvic side wall
including dissection of endometriosis or scar tissue from the ureter,
resection of the Pouch of Douglas, resection of an ovarian
endometrioma greater than 2 cms in diameter, dissection of bowel from
uterus from the level of the endocervical junction or above: where the
operating time exceeds 90 minutes
HA580 EVACUATION OF THE CONTENTS OF THE GRAVID UTERUS BY 35643
$590.00 CURETTAGE OR SUCTION CURETTAGE not being a service to which
Item HA570 applies, including procedures to which Item HA500, HA510
or HA520 applies, where performed
HA590 CERVIX, electrocoagulation diathermy with colposcopy, for previously 35644
$555.00 confirmed intraepithelial neoplastic changes of the cervix, including any
local anaesthesia and biopsies, not being a service associated with a
service to which Item HA570 or HA620 applies
HA600 CERVIX, electrocoagulation diathermy with colposcopy, for previously 35645
$865.00 confirmed intraepithelial neoplastic changes of the cervix, including any
local anaesthesia and biopsies, in association with ablative therapy of
additional areas of intraepithelial change in 1 or more sites of vagina,
vulva, urethra or anus, not being a service associated with a service to
which Item HA630 applies
HA610 CERVIX, colposcopy with radical diathermy of, with or without cervical 35646
$550.00 biopsy, for previously confirmed intraepithelial neoplastic changes of the
cervix, where performed in the operating theatre of a hospital or
approved day-hospital facility
HA620 CERVIX, large loop excision of transformation zone together with 35647
$550.00 colposcopy for previously confirmed intraepithelial neoplastic changes of
the cervix, including any local anaesthesia and biopsies, not being a
service associated with a service to which Item HA590 applies
HA630 CERVIX, large loop excision diathermy for previously confirmed
35648
$865.00 intraepithelial neoplastic changes of the cervix, including any local
anaesthesia and biopsies, in conjunction with ablative treatment of
additional areas of intraepithelial change of 1 or more sites of vagina,
vulva, urethra or anus, not being a service associated with a service to
which Item HA600 applies
HA640 HYSTEROTOMY or UTERINE MYOMECTOMY, abdominal
35649
$1,205.00
HA650 HYSTERECTOMY, ABDOMINAL, SUB TOTAL or TOTAL, with or 35653
$1,780.00 without removal of uterine adnexae
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SURGICAL OPERATIONS
GYNAECOLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
NOTE: Items HA660, HA780, HA790 and HF270 are subject to legal requirements which apply in
relation to sterilisation procedures on minors. Medicare benefits are not payable for services
not rendered in accordance with relevant Commonwealth and State and Territory law. Please
refer to Explanatory Note T.8.47 in the MBS before submitting a claim.
HA660 HYSTERECTOMY, VAGINAL, with or without uterine curettage, not 35657
$1,780.00 being a service to which Item HA720 applies
HA670 UTERUS (at least equivalent in size to a 10 week gravid uterus),
35658
$1,095.00 DEBULKING OF, prior to vaginal removal at hysterectomy
HA680 HYSTERECTOMY, ABDOMINAL, requiring extensive retroperitoneal 35661
$2,390.00 dissection, with or without exposure of 1 or both ureters, for the
management of severe endometriosis, pelvic inflammatory disease or
benign pelvic tumours, with or without conservation of ovaries
HA690 RADICAL HYSTERECTOMY with radical excision of pelvic lymph glands 35664
$3,945.00 (with or without excision of uterine adnexae) for proven malignancy
including excision of any 1 or more of parametrium, paracolpos, upper
vagina or contiguous pelvic peritoneum and involving ureterolysis where
performed
HA700 RADICAL HYSTERECTOMY without gland dissection (with or without 35667
$3,335.00 excision of uterine adnexae) for proven malignancy including excision of
any 1 or more of parametrium, paracolpos, upper vagina or contiguous
pelvic peritoneum and involving ureterolysis where performed
HA710 HYSTERECTOMY, abdominal, with radical excision of pelvic lymph 35670
$2,910.00 glands, with or without removal of uterine adnexae
HA720 HYSTERECTOMY, VAGINAL, (with or without uterine curettage) with 35673
$1,925.00 salpingectomy, oophorectomy or excision of ovarian cyst, 1 or more, 1 or
both sides
NOTE: Item HA720 there is no component in the fee for associated ultrasound.
HA730 ULTRASOUND GUIDED NEEDLING and injection of ectopic pregnancy 35674
$690.00
HA740 ECTOPIC PREGNANCY, removal of
35676
$1,325.00
35677
HA750 ECTOPIC PREGNANCY, laparoscopic removal of
35678
$1,735.00
HA760 BICORNUATE UTERUS, plastic reconstruction for
35680
$1,445.00
HA770 UTERUS, SUSPENSION OR FIXATION OF, as an independent
35683
$900.00 procedure
35684
1 November 2015 Page 219

SURGICAL OPERATIONS
GYNAECOLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
NOTE: For items HA780 and HA790 please refer to the note prior to item HA660 on page 219.
HA780 STERILISATION BY TRANSECTION OR RESECTION OF FALLOPIAN 35687
$1,000.00 TUBES, via abdominal or vaginal routes or via laparoscopy using
diathermy or any other method
35688
HA790 STERILISATION BY INTERRUPTION OF FALLOPIAN TUBES when 35691
$455.00 performed in conjunction with Caesarean section
HA800 TUBOPLASTY (salpingostomy, salpingolysis or tubal implantation into 35694
$1,590.00 uterus), UNILATERAL or BILATERAL, 1 or more procedures
HA810 MICROSURGICAL TUBOPLASTY (salpingostomy, salpingolysis or tubal 35697
$2,370.00 implantation into uterus), UNILATERAL or BILATERAL, 1 or more
procedures
HA820 FALLOPIAN TUBES, unilateral microsurgical anastomosis of, using 35700
$1,800.00 operating microscope
HA830 HYDROTUBATION OF FALLOPIAN TUBES as a non-repetitive
35703
$168.00 procedure, not being a service associated with a service to which
another item in this Subgroup applies
HA840 RUBIN TEST FOR PATENCY OF FALLOPIAN TUBES
35706
$168.00
HA850 FALLOPIAN TUBES, hydrotubation of, as a repetitive post-operative 35709
$106.00 procedure
HA855 FALLOPOSCOPY, unilateral or bilateral, including hysteroscopy and 35710
$1,250.00 tubal catheterisation
HA860 LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, 35712
$1,145.00 SALPINGO-OOPHORECTOMY, removal of OVARIAN, PAROVARIAN,
FIMBRIAL or BROAD LIGAMENT CYST - 1 such procedure, not being a
service associated with hysterectomy
35713
HA870 LAPAROTOMY, involving OOPHORECTOMY, SALPINGECTOMY, 35716
$1,385.00 SALPINGO-OOPHORECTOMY, removal of OVARIAN, PAROVARIAN,
FIMBRIAL or BROAD LIGAMENT CYST - 2 or more such procedures,
unilateral or bilateral, not being a service associated with hysterectomy
35717
HA880 RADICAL OR DEBULKING OPERATION for advanced gynaecological 35720
$1,505.00 malignancy, with or without omentectomy
HA890 RETRO-PERITONEAL LYMPH NODE BIOPSIES from above the level 35723
$1,195.00 of the aortic bifurcation, for staging or restaging of gynaecological
malignancy
HA900 INFRA-COLIC OMENTECTOMY with multiple peritoneal biopsies for 35726
$1,195.00 staging or restaging of gynaecological malignancy
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SURGICAL OPERATIONS
GYNAECOLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HA910 OVARIAN TRANSPOSITION out of the pelvis, in conjunction with radical 35729
$590.00 hysterectomy for invasive malignancy
HA913 LAPAROSCOPICALLY ASSISTED HYSTERECTOMY, including any 35750
$2,120.00 associated laparoscopy
HA915 LAPAROSCOPICALLY ASSISTED HYSTERECTOMY with one or more 35753
$2,345.00 of the following procedures: salpingectomy, oophorectomy, excision of
ovarian cyst or treatment of moderate endometriosis, one or both sides,
including any associated laparoscopy
HA920 LAPAROSCOPICALLY ASSISTED HYSTERECTOMY which requires 35754
$2,915.00 dissection of endometriosis, or other pathology, from the ureter, one or
both sides, including any associated laparoscopy, including when
performed with one or more of the following procedures: salpingectomy,
oophorectomy, excision of ovarian cyst, or treatment of endometriosis,
not being a service to which item HA575 applies
HA925 LAPAROSCOPICALLY ASSISTED HYSTERECTOMY, when procedure 35756
$2,120.00 is completed by open hysterectomy, including any associated
laparoscopy
HA930 PROCEDURE FOR THE CONTROL OF POST-OPERATIVE
35759
$1,485.00 HAEMORRHAGE following GYNAECOLOGICAL SURGERY, under
general anaesthesia, utilising a vaginal or abdominal and vaginal
approach where no other procedure is performed
UROLOGICAL
GENERAL
HB200 ADRENAL GLAND, excision of - partial or total
36500
$2,180.00
HB205 PELVIC LYMPHADENECTOMY, open or laparoscopic, or both,
36502
$1,685.00 unilateral or bilateral
HB210 RENAL TRANSPLANT, not being a service to which Item HB220 or 36503
$3,270.00 HB230 applies
HB220 RENAL TRANSPLANT, performed by vascular surgeon and urologist 36506
$2,180.00 operating together - vascular anastomosis, including aftercare
HB230 RENAL TRANSPLANT, performed by vascular surgeon and urologist 36509
$1,855.00 operating together - ureterovesical anastomosis, including aftercare
HB240
$1,855.00
DONOR NEPHRECTOMY (cadaver) one or both kidneys
HB250 NEPHRECTOMY, complete
36516
$2,180.00
1 November 2015 Page 221

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HB260 NEPHRECTOMY, complete, complicated by previous surgery on the 36519
$3,050.00 same kidney
HB270 NEPHRECTOMY, partial
36522
$2,615.00
HB280 NEPHRECTOMY, partial, complicated by previous surgery on the same 36525
$3,705.00 kidney
NOTE: For items HB290 and HB295 the corresponding MBS items differentiate between
malignancy which is confirmed by histopathology (36528 and 36529) and malignancy which is
clinically suspected but not confirmed by histopathology (36526 and 36527).
HB290 NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or 36526
$3,050.00 without adrenalectomy, for a tumour less than 10 cms in diameter 36528
HB295 NEPHRECTOMY, radical with en bloc dissection of lymph nodes, with or 36527
$3,755.00 without adrenalectomy, for a tumour 10 cms or more in diameter, or
complicated by previous open or laparoscopic surgery on the same
kidney
36529
HB300 NEPHRO-URETERECTOMY, complete, including associated bladder 36531
$2,725.00 repair and any associated endoscopic procedure
HB305 NEPHRO-URETERECTOMY, for tumour, with or without en bloc 36532
$3,915.00 dissection of lymph nodes, including associated bladder repair and any
associated endoscopic procedures
HB307 NEPHRO-URETERECTOMY, for tumour, with or without en bloc 36533
$4,625.00 dissection of lymph nodes, including associated bladder repair and any
associated endoscopic procedures, complicated by previous open or
laparoscopic surgery on the same kidney or ureter
HB310 KIDNEY OR PERINEPHRIC AREA, EXPLORATION OF, with or without 36537
$1,635.00 drainage of, by open exposure, not being a service to which another item
in this Subgroup applies
HB320 NEPHROLITHOTOMY OR PYELOLITHOTOMY, or both, through the 36540
$2,615.00 same skin incision, for 1 or 2 stones
HB330 NEPHROLITHOTOMY OR PYELOLITHOTOMY, or both, extended, for 36543
$3,050.00 staghorn stone or 3 or more stones, including 1 or more of the following:
nephrostomy, pyelostomy, pedicle control with or without freezing,
calyorrhaphy or pyeloplasty
HB340 EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) to urinary 36546
$1,635.00 tract and post-treatment care for 3 days, including pre-treatment
consultations, unilateral
HB350 URETEROLITHOTOMY
36549
$1,960.00
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SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HB360 NEPHROSTOMY or pyelostomy, open, as an independent procedure 36552
$1,745.00
HB370 RENAL CYST OR CYSTS, excision or unroofing of
36558
$1,525.00
HB380 RENAL BIOPSY (closed)
36561
$395.00
HB390 PYELOPLASTY, (plastic reconstruction of the pelvi-ereteric junction) by 36564
$2,180.00 open exposure, laparoscopy or laparoscopic assisted techniques
HB400 PYELOPLASTY in a kidney that is congenitally abnormal in addition to 36567
$2,400.00 the presence of PUJ obstruction, or in a solitary kidney, by open exposure
HB410 PYELOPLASTY, complicated by previous surgery on the same kidney, 36570
$3,050.00 by open exposure
HB420 DIVIDED URETER, repair of
36573
$2,180.00
HB430 KIDNEY, exposure and exploration of, including repair or nephrectomy, 36576
$2,725.00 for trauma, not being a service associated with any other procedure
performed on the kidney, renal pelvis or renal pedicle
HB440 URETERECTOMY, COMPLETE OR PARTIAL, with or without
36579
$1,745.00 associated bladder repair, not being a service associated with a service
to which Item HC700 applies
HB450 URETER, transplantation of, into skin
36585
$1,745.00
HB460 URETER, reimplantation into bladder
36588
$2,180.00
HB470 URETER, reimplantation into bladder with psoas hitch or Boari flap or 36591
$2,615.00 both
HB480 URETER, transplantation of, into intestine
36594
$2,180.00
HB490 URETER, transplantation of, into another ureter
36597
$2,180.00
HB500 URETER, transplantation of, into isolated intestinal segment, unilateral 36600
$2,615.00
HB510 URETERS, transplantation of, into isolated intestinal segment, bilateral 36603
$3,050.00
1 November 2015 Page 223

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HB515 URETER STENT, passage of through percutaneous nephrostomy tube, 36604
$635.00 using interventional imaging techniques
HB517 URETERIC STENT insertion with removal of calculus from the
36605
$1,850.00 pelvicalyceal system and/or ureter, through a nephrostomy tube that was
inserted on a previous day, using interventional imaging techniques
HB520 INTESTINAL URINARY RESERVOIR, continent, formation of, including 36606
$5,450.00 formation of non-return valves and implantation of ureters (1 or both) into
reservoir
HB525 URETERIC STENT insertion with balloon dilation of the pelvicalyceal 36607
$1,850.00 system and/or ureter, through a nephrostomy tube that was inserted on a
previous day, using interventional imaging techniques
HB527 URETERIC STENT, exchange of, percutaneously through either the ileal 36608
$715.00 conduit or bladder, using interventional imaging techniques, not being a
service associated with a service to which items HC235 to HC380 apply
HB530 INTESTINAL URINARY CONDUIT OR URETEROSTOMY, revision of 36609
$1,745.00
HB540 URETER, exploration of, with or without drainage of, as an independent 36612
$1,525.00 procedure
HB550 URETEROLYSIS, with or without repositioning of the ureter, for
36615
$1,745.00 obstruction of the ureter, evident either radiologically or by proximal
ureteric dilatation at operation, secondary to retroperitoneal fibrosis, or
similar condition
HB560 REDUCTION URETEROPLASTY
36618
$1,525.00
HB570 CLOSURE OF CUTANEOUS URETEROSTOMY
36621
$1,090.00
HB580 NEPHROSTOMY, percutaneous, using interventional imaging
36624
$1,310.00 techniques
HB590 NEPHROSCOPY, percutaneous, with or without any 1 or more of; stone 36627
$1,635.00 extraction, biopsy or diathermy, not being a service to which item HB630,
HB640, HB650 or HB660 applies
HB600 NEPHROSCOPY, BEING A SERVICE TO WHICH ITEM HB590
36630
$805.00 APPLIES, WHERE, after a substantial portion of the procedure has been
performed, IT IS NECESSARY TO DISCONTINUE THE OPERATION
DUE TO BLEEDING
Page 224 1 November 2015

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HB610 NEPHROSCOPY, percutaneous, with incision of any 1 or more of; renal 36633
$1,745.00 pelvis, calyx or calyces or ureter and including antegrade insertion of
ureteric stent, not being a service associated with a service to which Item
HB590, HB630, HB640, HB650 or HB660 applies
HB620 NEPHROSCOPY, percutaneous, with incision of any 1 or more of; renal 36636
$935.00 pelvis, calyx or calyces or ureter and including antegrade insertion of
ureteric stent, being a service associated with a service to which Item
HB590, HB630, HB640, HB650 or HB660 applies
HB630 NEPHROSCOPY, percutaneous, with destruction and extraction of 1 or 2 36639
$1,960.00 stones using ultrasound or electrohydraulic shock waves or lasers (not
being a service to which Item HB650 or HB660 applies)
HB640 NEPHROSCOPY, BEING A SERVICE TO WHICH ITEM HB630
36642
$980.00 APPLIES, WHERE, after a substantial portion of the procedure has been
performed, IT IS NECESSARY TO DISCONTINUE THE OPERATION
DUE TO BLEEDING
HB650 NEPHROSCOPY, percutaneous, with removal or destruction of a stone 36645
$2,505.00 greater than 3 cm in any dimension, or for 3 or more stones
HB660 NEPHROSCOPY, BEING A SERVICE TO WHICH ITEM HB650
36648
$2,235.00 APPLIES, WHERE, after a substantial portion of the procedure has been
performed, IT IS NECESSARY TO DISCONTINUE THE OPERATION
HB670 NEPHROSTOMY DRAINAGE TUBE, exchange of - but not including 36649
$635.00 imaging
HB672 NEPHROSTOMY TUBE, removal of, where the ureter has been stented 36650
$400.00 with a double J ureteric stent and where the stent is left insitu, using
interventional imaging techniques
HB675 PYELOSCOPY, retrograde, of one collecting system, with or without any 36652
$1,530.00 one or more of, cystoscopy, ureteric meatotomy, ureteric dilatation, not
being a service associated with a service to which item HC210, HC240
or HC280 applies
HB680 PYELOSCOPY, retrograde, of one collecting system, being a service to 36654
$1,960.00 which item HB675 applies, plus 1 or more of extraction of stone from the
renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or
calyces, not being a service associated with a service to which item
HB685 applies to a procedure performed in the same collecting system
1 November 2015 Page 225

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HB685 PYELOSCOPY, retrograde, of one collecting system, being a service to 36656
$2,510.00 which item HB675 applies, plus extraction of 2 or more stones in the
renal pelvis or calyces or destruction of stone with ultrasound,
electrohydraulic or kinetic lithotripsy, or laser in the renal pelvis or
calyces, with or without extraction of fragments, not being a service
associated with a service to which item HB680 applies to a procedure
performed in the same collecting system
HB695
$1,570.00
HB696
$1,410.00
HB697
$300.00
HB698
$795.00
HB699
$370.00
SACRAL NERVE LEAD(S), percutaneous placement using fluoroscopic
guidance (or open placement) and intraoperative test stimulation, to
manage detrusor overactivity or non obstructive urinary retention, or
overactive bladder or urinary retention where urethral obstruction has
been urodynamically excluded, that has been refractory to at least 12
months medical and/or conservative non-surgical treatment in a patient
18 years of age or older
SACRAL NERVE LEAD(S), percutaneous surgical repositioning of, using
fluoroscopic guidance (or open surgical repositioning of) and
intraoperative test stimulation, to correct displacement or unsatisfactory
positioning, if inserted for the management of detrusor overactivity or non
obstructive urinary retention, or overactive bladder or urinary retention
where urethral obstruction has been urodynamically excluded, that has
been refractory to at least 12 months medical and/or conservative nonsurgical
treatment in a patient 18 years of age or older, not being a
service associated with a service to which item HB695 applies
SACRAL NERVE electrode or electrodes, management and adjustment
of the pulse generator by a medical practitioner, to manage detrusor
overactivity or non obstructive urinary retention, or overactive bladder or
urinary retention where urethral obstruction has been urodynamically
excluded - each day
PULSE GENERATOR, subcutaneous placement of, and placement and
connection of extension wire(s) to sacral nerve electrode(s), for the
management of detrusor overactivity or non obstructive urinary retention,
or overactive bladder or urinary retention where urethral obstruction has
been urodynamically excluded, that has been refractory to at least l2
months medical and/or conservative non-surgical treatment in a patient
18 years of age or older
SACRAL NERVE LEAD(S), removal of, if the lead was inserted to
manage detrusor overactivity or non obstructive urinary retention, or
overactive bladder or urinary retention where urethral obstruction has
been urodynamically excluded, that has been refractory to at least 12
months medical and/or conservative non-surgical treatment in a patient
18 years of age or older
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SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
HB700
$370.00
Description of Medical Service
PULSE GENERATOR, removal of, if the pulse generator was inserted to
manage detrusor overactivity or non obstructive urinary retention, or
overactive bladder or urinary retention where urethral obstruction has
been urodynamically excluded, that has been refractory to at least 12
months medical and/or conservative non-surgical treatment in a patient
18 years of age or older
OPERATIONS ON BLADDER (CLOSED)
MBS
Number
HC200 BLADDER, catheterisation of, where no other procedure is performed 36800
$65.00
HC210 URETEROSCOPY, of one ureter, with or without any one or more of; 36803
$1,090.00 cystoscopy, ureteric meatotomy or ureteric dilatation, not being a service
associated with a service to which item HB675, HB680, HB685, HC220,
HC230, HC240, HC280, HC360 or HC390 applies
HC220 URETEROSCOPY, of one ureter, with or without any one or more of, 36806
$1,525.00 cystoscopy, ureteric meatotomy or ureteric dilatation, plus one or more of
extraction of stone from the ureter, or biopsy or diathermy of the ureter,
not being a service associated with a service to which item HC210 or
HC240 applies, or a service associated with a service to which item
HC230, HC280, HC360 or HC390 applies to a procedure performed on
the same ureter
HC230 URETEROSCOPY, of one ureter, with or without any one or more of, 36809
$1,960.00 cystoscopy, ureteric meatotomy or ureteric dilatation, plus destruction of
stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy,
or laser, with or without extraction of fragments, not being a service
associated with a service to which item HC210 or HC240 applies, or a
service associated with a service to which item HC220, HC280, HC360
or HC390 applies to a procedure performed on the same ureter
HC235 CYSTOSCOPY with insertion of urethral prosthesis
36811
$760.00
HC240 CYSTOSCOPY with urethroscopy, with or without urethral dilatation, not 36812
$390.00 being a service associated with any other urological endoscopic
procedure on the lower urinary tract except a service to which Item
HE630 applies
HC250 CYSTOSCOPY, with or without urethroscopy, for the treatment of penile 36815
$555.00 warts or urethral warts, not being a service associated with a service to
which Item EA615 applies
HC260 CYSTOSCOPY, with ureteric catheterisation including fluoroscopic 36818
$650.00 imaging of the upper urinary tract, unilateral or bilateral, not being a
service associated with a service to which Item HC280 or HC300 applies
1 November 2015 Page 227

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
‡
Description of Medical Service
MBS
Number
HC270 CYSTOSCOPY with 1 or more of; ureteric dilatation, insertion of ureteric 36821
$765.00 stent, or brush biopsy of ureter or of renal pelvis, unilateral, not being a
service associated with a service to which Item HC280 or HC300 applies
HC280 CYSTOSCOPY with ureteric catheterisation, unilateral or bilateral, not 36824
$500.00 being a service associated with a service to which Item HC260 or HC270
applies
HC285 CYSTOSCOPY, with endoscopic incision of pelviureteric junction or 36825
$1,470.00 ureteric stricture, including removal or replacement of ureteric stent, not
being a service associated with a service to which item HC260, HC270,
HC280, HC300 or HC310 applies
HC290 CYSTOSCOPY, with controlled hydro-dilatation of the bladder
36827
$545.00
HC300 CYSTOSCOPY, with ureteric meatotomy
36830
$480.00
HC310 CYSTOSCOPY with removal of ureteric stent or other foreign body 36833
$655.00
HC320 CYSTOSCOPY with biopsy of bladder, not being a service associated 36836
$545.00 with a service to which Item HC240, HC300, HC331, HC350, HC360,
HC380, HE210, HE220 or HE270 applies
HC331 CYSTOSCOPY, with resection, diathermy or visual laser destruction of 36840
$765.00 bladder tumour or other lesion of the bladder, not being a service to
which item HC350 applies
HC340 CYSTOSCOPY, with lavage of blood clots from bladder including any 36842
$765.00 associated diathermy of prostate or bladder and not being a service
associated with a service to which Item HC240, HC290 to HC410,
HE210 or HE220 apply
HC350 CYSTOSCOPY with diathermy, resection or visual laser destruction of 36845
$1,635.00 multiple bladder tumours in more than 2 quadrants of the bladder or
solitary tumour greater than 2 cm in diameter
HC360 CYSTOSCOPY with resection of ureterocele
36848
$545.00
HC370 CYSTOSCOPY with injection into bladder wall, not being a service to 36851
$545.00 which item BM840 or BM842 applies
HC380 CYSTOSCOPY with endoscopic incision or resection of external
36854
$1,090.00 sphincter, bladder neck or both
HC390 ENDOSCOPIC MANIPULATION OR EXTRACTION of ureteric calculus 36857
$870.00
Page 228 1 November 2015

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HC400 ENDOSCOPIC EXAMINATION of intestinal conduit or reservoir
36860
$390.00
HC410 LITHOLAPAXY, with or without cystoscopy
36863
$1,090.00
OPERATIONS ON BLADDER (OPEN)
HC700 BLADDER, partial excision of
37000
$1,745.00
HC710 BLADDER, repair of rupture
37004
$1,525.00
HC720 CYSTOSTOMY OR CYSTOTOMY, suprapubic, not being a service to 37008
$980.00 which Item HC730 applies and not being a service associated with other
open bladder procedure
HC730 SUPRAPUBIC STAB CYSTOTOMY, not being a service associated with 37011
$220.00 Items HE200 to HE300
HC740 BLADDER, total excision of
37014
$2,505.00
HC750 BLADDER DIVERTICULUM, excision or obliteration of
37020
$1,745.00
HC760 VESICAL FISTULA, cutaneous, operation for
37023
$980.00
HC770 CUTANEOUS VESICOSTOMY, establishment of
37026
$980.00
HC780 VESICO-VAGINAL FISTULA, closure of by abdominal approach
37029
$2,180.00
HC790 VESICO-INTESTINAL FISTULA, closure of, excluding bowel resection 37038
$1,635.00
HC800 BLADDER ASPIRATION, by needle
37041
$110.00
HC805 BLADDER STRESS INCONTINENCE, sling procedure for, using 37042
$2,145.00 autologous fascial sling, including harvesting of sling, with or without
mesh, not being a service to which item EJ195 or HA390 applies
HC807 BLADDER STRESS INCONTINENCE, Stamey or similar type needle 37043
$1,590.00 colposuspension, with or without mesh, not being a service to which item
EJ195 or HA390 applies
1 November 2015 Page 229

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HC810 BLADDER STRESS INCONTINENCE, suprapubic procedure for, e.g. 37044
$1,635.00 Burch colposuspension, with or without mesh, not being a service to
which item EJ195 or HA390 applies
‡ HC815 CONTINENT CATHETERISATION BLADDER STOMAS (e.g.
37045
$3,365.00 Mitrofanoff), formation of
HC820 BLADDER ENLARGEMENT using intestine
37047
$3,925.00
HC830 BLADDER EXSTROPHY CLOSURE, not involving sphincter
37050
$1,745.00 reconstruction
HC840 BLADDER TRANSECTION AND RE-ANASTOMOSIS TO TRIGONE 37053
$1,965.00
OPERATIONS ON PROSTATE
HE200 PROSTATECTOMY, open
37200
$2,400.00
HE203 PROSTATE, transurethral radio-frequency needle ablation of the, with or 37201
$1,945.00 without cystoscopy and with or without urethroscopy, in patients with
moderate to severe lower urinary tract symptons who are not medially fit
for transurethral resection of the prostate (that is, prostatectomy using
diathermy or cold punch) and including services to which items HC380,
HE210, HE220, HE230, HE240, HE445, HE560, HE610, or HE620
applies
HE207 PROSTATE, transurethral radio-frequency needle ablation of the, with or 37202
$975.00 without cystoscopy and with or without urethroscopy, in patients with
moderate to severe lower urinary tract symptons who are not medially fit
for transurethral resection of the prostate (that is, prostatectomy using
diathermy or cold punch) and including services to which items HC380,
HE445, HE560, HE610, or HE620 applies, continuation of, within 10
days of the procedure described by item HE210, HE230, HE203 which
had to be discontinued for medical reasons
HE210 PROSTATECTOMY (endoscopic, using diathermy or cold punch), with or 37203
$2,725.00 without cystoscopy and with or without urethroscopy, and including
services to which item HC380, HE203, HE207, HE230, HE240, HE445,
HE560, HE610 or HE620 applies
HE220 PROSTATECTOMY (endoscopic, using diathermy or cold punch), with 37206
$1,310.00 or without cystoscopy and with or without urethroscopy, and including
services to which item HC380, HE560, HE610 or HE620 applies,
continuation of, within 10 days of the procedure described by item
HE203, HE210, HE230 or HE445 which had to be discontinued for
medical reasons
Page 230 1 November 2015

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HE230 PROSTATE, endoscopic non-contact (side firing) visual laser ablation, 37207
$2,030.00 with or without cystoscopy and with or without urethroscopy, and
including services to which items HE380, HE203, HE207, HE210,
HE220, HE445, HE610 or HE620 applies
HE240 PROSTATE, endoscopic non-contact (side firing) visual laser ablation, 37208
$975.00 with or without cystoscopy and with or without urethroscopy, and
including services to which items HC380, HE210, HE610 or HE620
applies, continuation of, within 10 days of the procedure described by
item HE203, HE210, HE230 or HE445 which had to be discontinued for
medical reasons
HE250 PROSTATE, and/or seminal vesicle/ampulla of vas, unilateral or
37209
$3,050.00 bilateral, total excision of, not being a service associated with a service to
which item number HE255 or HE256 applies
HE255 PROSTATECTOMY, radical, involving total excision of the prostate, 37210
$3,750.00 sparing of nerves around the bladder and bladder neck reconstruction,
not being a service associated with a service to which item HA200,
HB205 or HE750 applies
HE256 PROSTATECTOMY, radical, involving total excision of the prostate, 37211
$4,555.00 sparing of nerves around the bladder and bladder neck reconstruction,
with pelvic lymphadenectomy, not being a service associated with a
service to which item HA200, HB205 or HE750 applies
HE260 PROSTATE, open perineal biopsy or open drainage of abscess
37212
$655.00
HE270 PROSTATE, biopsy of, endoscopic, with or without cystoscopy
37215
$980.00
HE275 PROSTATE, implantation of radio-opaque fiducial markers into the 37217
$325.00 prostate gland or prostate surgical bed
HE280 PROSTATE, needle biopsy of, or injection into, excluding for insertion of 37218
$325.00 radio-opaque markers
HE290 PROSTATE, needle biopsy of, using prostatic ultrasound techniques and 37219
$660.00 obtaining 1 or more prostatic specimens, being a service associated with
a service to which Item OB200 or OB210 applies
1 November 2015 Page 231

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HE291 PROSTATE, radioactive seed implantation of, urological component, 37220
$2,500.00 using transrectal ultrasound guidance, for localised prostatic malignancy
at clinical stages T1 (clinically inapparent tumour not palpable or visible
by imaging) or T2 (tumour confined within prostate), with a Gleason
score of less than or equal to 7 and a prostate specific antigen (PSA) of
less than or equal to 10ng/ml at the time of diagnosis. The procedure
must be performed by an urologist at an approved site in association with
a radiation oncologist, and be associated with a service to which item
OB210 applies
HE300 PROSTATIC ABSCESS, endoscopic drainage of
37221
$1,090.00
HE305 PROSTATIC COIL, insertion of, under ultrasound control
37223
$470.00
HE310 PROSTATE, diathermy or visual laser destruction of lesion of, not being 37224
$765.00 a service associated with a service to which item HE203, HE207, HE210,
HE220, HE230, HE240 or HE270 applies
HE315 PROSTATE, transperineal insertion of catheters for high dose rate 37227
$2,500.00 brachytherapy using ultrasound guidance including any associated
cystoscopy. The procedure must be performed by a urologist at an
approved site in association with a radiation oncologist, and be
associated with a service to which item BQ820 or BQ825 applies
HE320 PROSTATE, high-energy transurethral microwave thermotherapy of, with 37230
$2,725.00 or without cystoscopy and with or without urethroscopy and including
services to which item HC380, HE210, HE220, HE230, HE240, HE560,
HE610 or HE620 applies
HE330 PROSTATE, high-energy transurethral microwave thermotherapy of, with 37233
$1,310.00 or without cystoscopy and with or without urethroscopy and including
services to which item HC380, HE560, HE610 or HE620 applies,
continuation of, within 10 days of the procedure described by item
HE210, HE230, HE203, HE320 which had to be discontinued for medical
reasons
HE445 PROSTATE, endoscopic enucleation of, using high powered
37245
$3,125.00 Holmium:YAG laser and an end-firing, non-contact fibre, with or without
tissue morcellation, cystoscopy or urethroscopy, for the treatment of
benign prostatic hyperplasia, and other than a service associated with a
service to which item HC380, HE203, HE207, HE210, HE220, HE230,
HE240, HE560, HE610, or HE620 applies
OPERATIONS ON URETHRA, PENIS OR SCROTUM
HE550 URETHRAL SOUNDS, passage of, as an independent procedure 37300
$110.00
Page 232 1 November 2015

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
‡
Description of Medical Service
MBS
Number
HE560 URETHRAL STRICTURE, dilatation of
37303
$174.00
HE570 URETHRA, repair of rupture of distal section
37306
$1,525.00
HE580 URETHRA, repair of rupture of prostatic or membranous segment 37309
$2,180.00
HE590 URETHROSCOPY, as an independent procedure
37315
$325.00
HE600 URETHROSCOPY, with any 1 or more of - biopsy, visual laser
37318
$655.00 destruction of stone or removal of foreign body or stone
HE610 URETHRAL MEATOTOMY, EXTERNAL
37321
$220.00
HE620 URETHROTOMY OR URETHROSTOMY, internal or external
37324
$545.00
HE630 URETHROTOMY, optical, for urethral stricture
37327
$765.00
HE640 URETHRECTOMY, partial or complete, for removal of tumour
37330
$1,525.00
HE650 URETHRO-VAGINAL FISTULA, closure of
37333
$1,310.00
HE660 URETHRO-RECTAL FISTULA, closure of
37336
$1,745.00
HE670 PERI-URETHRAL OR TRANSURETHRAL INJECTION of materials for 37339
$565.00 the treatment of urinary incontinence, including cystoscopy and
urethroscopy, not being a service to which item BM840 or BM842 applies
HE675 URETHRAL SLING, division or removal of, for urethral obstruction or 37340
$1,000.00 erosion, following previous surgery for urinary incontinence, vaginal
approach, not being a service associated with a service to which item
number 37341 applies
HE677 URETHRAL SLING, division or removal of, for urethral obstruction or 37341
$2,145.00 erosion, following previous surgery for urinary incontinence, suprapubic
or combined suprapubic/vaginal approach, not being a service
associated with a service to which item number HE675 applies
HE680 URETHROPLASTY - single stage operation
37342
$1,960.00
1 November 2015 Page 233

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HE685 URETHROPLASTY, single stage operation, transpubic approach via 37343
$3,275.00 separate incisions above and below the symphysis pubis, excluding
laparotomy, symphysectomy and suprapubic cystotomy, with or without
re-routing of the urethra around the crura
HE690 URETHROPLASTY - 2 stage operation - first stage
37345
$1,635.00
HE700 URETHROPLASTY - 2 stage operation - second stage
37348
$1,635.00
HE710 URETHROPLASTY, not being a service to which another item in this 37351
$655.00 Group applies
HE720 HYPOSPADIAS, meatotomy and hemi-circumcision
37354
$765.00
HE730 URETHRA, excision of prolapse of
37369
$435.00
HE740 URETHRAL DIVERTICULUM, excision of
37372
$1,090.00
HE750 URETHRAL SPHINCTER, reconstruction by bladder tubularisation 37375
$2,725.00 technique or similar procedure
HE760 ARTIFICIAL URINARY SPHINCTER, insertion of cuff, perineal approach 37381
$1,745.00
HE770 ARTIFICIAL URINARY SPHINCTER, insertion of cuff, abdominal 37384
$2,725.00 approach
HE780 ARTIFICIAL URINARY SPHINCTER, insertion of pressure regulating 37387
$765.00 balloon and pump
HE790 ARTIFICIAL URINARY SPHINCTER, revision or removal of, with or 37390
$2,180.00 without replacement
HE800 PRIAPISM, decompression by glanular stab cavernoso-spongiosum 37393
$550.00 shunt or penile aspiration with or without lavage
HE810 PRIAPISM, shunt operation for, not being a service to which Item HE800 37396
$1,745.00 applies
HE820 PENIS, partial amputation of
37402
$1,090.00
HE830 PENIS, complete or radical amputation of
37405
$2,180.00
Page 234 1 November 2015

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HE840 PENIS, repair of laceration of cavernous tissue, or fracture involving 37408
$1,090.00 cavernous tissue
HE850 PENIS, repair of avulsion
37411
$2,180.00
HE860 PENIS, injection of, for the investigation and treatment of impotence - 37415
$110.00 (Note - MBS restriction on usage - 2 services only in a period of 36
consecutive months)
HE870 PENIS, correction of chordee, with or without excision of fibrous plaque 37417
$1,310.00 or plaques and with or without grafting
HE875 PENIS, correction of chordee, with or without excision of fibrous plaque 37418
$1,745.00 or plaques and with or without grafting, involving mobilization of the
urethra
HE880 PENIS, surgery to inhibit rapid penile drainage causing impotence, by 37420
$870.00 ligation of veins deep to Buck's fascia including 1 or more deep
cavernosal veins, with or without pharmacological erection test
HE890 PENIS, lengthening by translocation of corpora
37423
$2,180.00
HE900 PENIS, artificial erection device, insertion of, into 1 or both corpora 37426
$2,290.00
HE910 PENIS, artificial erection device, insertion of pump and pressure
37429
$765.00 regulating reservoir
HE920 PENIS, artificial erection device, complete or partial revision or removal 37432
$2,180.00 of components, with or without replacement
HE930 PENIS, frenuloplasty as an independent procedure
37435
$220.00
HE940 SCROTUM, partial excision of
37438
$655.00
HE950 URETEROLITHOTOMY COMPLICATED BY PREVIOUS SURGERY at 37444
$2,315.00 the same site of the same ureter
OPERATIONS ON TESTES, VASA OR SEMINAL VESICLES
HF200 SPERMATOCELE OR EPIDIDYMAL CYST, excision of, 1 or more of, on 37601
$655.00 1 side
HF205
$445.00
TESTICLE, EPIDIDYMIS OR VAS, sperm retrieval from, unilateral, for
the purpose of assisted reproduction, by percutaneous needle aspiration
or biopsy, not being a service associated with a service to which HF210
applies
1 November 2015 Page 235

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
HF210 EXPLORATION OF SCROTAL CONTENTS, with or without fixation and 37604
$650.00 with or without biopsy, unilateral
HF211 TRANSCUTANEOUS SPERM RETRIEVAL, unilateral, from either the 37605
$1,020.00 testis or the epididymis, for the purposes of INTRACYTOPLASMIC
SPERM INJECTION for male factor infertility, excluding a service to
which item BH630 applies
HF212 OPEN SURGICAL SPERM RETRIEVAL, unilateral, including the 37606
$1,515.00 exploration of scrotal contents, with or without biopsy, for the purposes of
INTRACYTOPLASMIC SPERM INJECTION for male factor infertility,
performed in a hospital or approved day hospital facility, excluding a
service to which item BH630 or HF210 applies
HF220 RETROPERITONEAL LYMPH NODE DISSECTION, unilateral, not 37607
$2,180.00 being a service associated with a service to which Item HB290 applies
HF230 RETROPERITONEAL LYMPH NODE DISSECTION, unilateral, not 37610
$3,265.00 being a service associated with a service to which Item HB290 applies,
following previous similar retroperitoneal dissection, retroperitoneal
irradiation or chemotherapy
HF240 EPIDIDYMECTOMY
37613
$655.00
HF250
$1,635.00
HF260
$655.00
VASO-VASOSTOMY or VASO-EPIDIDYMOSTOMY, unilateral, using the
operating microscope
VASO-VASOSTOMY or VASO-EPIDIDYMOSTOMY, unilateral
NOTE: For item HF270 please refer to the note prior to item HA660 on page 219.
HF270 VASOTOMY OR VASECTOMY, unilateral or bilateral
37622
$545.00
37623
PAEDIATRIC GENITOURINARY SURGERY
‡ HF400 PATENT URACHUS, excision of, on a person 10 years of age or over 37800
$1,225.00
† HF401 PATENT URACHUS, excision of, when performed on a person under 10 37801
$1,595.00 years of age
‡ HF410 UNDESCENDED TESTIS, orchidopexy for, not being a service to which 37803
$1,225.00 item HF420 applies, on a person 10 years of age or over
† HF411 UNDESCENDED TESTIS, orchidopexy for, not being a service to which 37804
$1,595.00 item HF420 applies, on a person under 10 years of age
Page 236 1 November 2015

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
‡ HF420 UNDESCENDED TESTIS IN INGUINAL CANAL close to deep inguinal 37806
$1,420.00 ring or within abdominal cavity, orchidopexy for, on a person 10 years of
age or over
† HF421 UNDESCENDED TESTIS IN INGUINAL CANAL close to deep inguinal 37807
$1,845.00 ring or within abdominal cavity, orchidopexy for, on a person under 10
years of age
‡ HF430 UNDESCENDED TESTIS, revision orchidopexy for, on a person 10 37809
$1,420.00 years of age or over
† HF431 UNDESCENDED TESTIS, revision orchidopexy for, on a person under 37810
$1,845.00 10 years of age
‡ HF440 IMPALPABLE TESTIS, exploration of groin for, not being a service 37812
$1,310.00 associated with a service to which items HF410 to HF430 applies, on a
person 10 years of age or over
† HF441 IMPALPABLE TESTIS, exploration of groin for, not being a service 37813
$1,705.00 associated with a service to which items HF410 to HF430 applies, on a
person under 10 years of age
‡
†
HF450 HYPOSPADIAS, examination under anaesthesia with erection test, on a 37815
$220.00 person 10 years of age or over
HF451 HYPOSPADIAS, examination under anaesthesia with erection test, on a 37816
$285.00 person under 10 years of age
‡ HF460 HYPOSPADIAS, glanuloplasty incorporating meatal advancement, on a 37818
$1,165.00 person 10 years of age or over
† HF461 HYPOSPADIAS, glanuloplasty incorporating meatal advancement, on a 37819
$1,510.00 person under 10 years of age
‡ HF470 HYPOSPADIAS, distal, 1 stage repair, on a person 10 years of age or 37821
$1,960.00 over
† HF471 HYPOSPADIAS, distal, 1 stage repair, on a person under 10 years of age 37822
$2,550.00
‡ HF480 HYPOSPADIAS, proximal, 1 stage repair, on a person 10 years of age or 37824
$2,725.00 over
† HF481 HYPOSPADIAS, proximal, 1 stage repair, on a person under 10 years of 37825
$3,550.00 age
‡ HF490 HYPOSPADIAS, staged repair, first stage, on a person 10 years of age 37827
$1,265.00 or over
† HF491 HYPOSPADIAS, staged repair, first stage, on a person under 10 years of 37828
$1,640.00 age
1 November 2015 Page 237

SURGICAL OPERATIONS
UROLOGICAL
AMA Number
Fee
‡
Description of Medical Service
MBS
Number
HF500 HYPOSPADIAS, staged repair, second stage
37830
$1,635.00
HF510 HYPOSPADIAS, repair of post-operative urethral fistula, on a person 10 37833
$780.00 years of age or over
† HF511 HYPOSPADIAS, repair of post operative urethral fistula, on a person 37834
$1,015.00 under 10 years of age
HF520 EPISPADIAS, staged repair, first stage
37836
$1,635.00
HF530 EPISPADIAS, staged repair, second stage
37839
$1,855.00
HF540 EXSTROPHY OF BLADDER OR EPISPADIAS, secondary repair with 37842
$3,600.00 bladder neck tightening, with or without ureteric reimplantation
HF550 AMBIGUOUS GENITALIA WITH UROGENITAL SINUS, reduction 37845
$1,635.00 clitoroplasty, with or without endoscopy
HF560 AMBIGUOUS GENITALIA WITH UROGENITAL SINUS, reduction 37848
$2,945.00 clitoroplasty, with endoscopy and vaginoplasty
HF570 CONGENITAL ADRENAL HYPERPLASIA, mixed gonadal dysgenesis or 37851
$2,180.00 similar condition, vaginoplasty for, with or without endoscopy
HF580 URETHRAL VALVE, destruction of, including cystoscopy and
37854
$870.00 urethroscopy
CARDIOVASCULAR
CARDIOLOGY PROCEDURES
HG005 RIGHT HEART CATHETERISATION, with any one or more of the 38200
$935.00 following: fluoroscopy, oximetry, dye dilution curves, cardiac output
measurement by any method, shunt detection or exercise stress test
HG015 LEFT HEART CATHETERISATION by percutaneous arterial puncture, 38203
$1,170.00 arteriotomy or percutaneous left ventricular puncture - with any one or
more of the following: fluoroscopy, oximetry, dye dilution curves, cardiac
output measurements by any method, shunt detection or exercise stress
test
HG025 RIGHT HEART CATHETERISATION WITH LEFT HEART
38206
$1,415.00 CATHETERISATION via the right heart or by any other procedure - with
any one or more of the following: fluoroscopy, oximetry, dye dilution
curves, cardiac output measurements by any method, shunt detection or
exercise stress test
Page 238 1 November 2015

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HG035 CARDIAC ELECTROPHYSIOLOGICAL STUDY - up to and including 3 38209
$1,590.00 catheter investigation of any 1 or more of - syncope, atrio-ventricular
conduction, sinus node function or simple ventricular tachycardia studies,
not being a service associated with a service to which item HG045 or
HG050 applies
HG045 CARDIAC ELECTROPHYSIOLOGICAL STUDY - 4 or more catheter 38212
$2,500.00 supraventricular tachycardia investigation; or complex ventricular
tachycardia investigation involving multiple ventricular tachycardia
inductions, or multiple catheter mapping, or acute intravenous antiarrhythmic
drug testing with pre and post drug inductions; or catheter
ablation to intentionally induce complete AV block; or intra-operative
mapping; or electrophysiological services during defibrillator implantation
or testing - not being a service associated with a service to which item
HG035 or HG050 applies
HG050 CARDIAC ELECTROPHYSIOLOGICAL STUDY,FOR FOLLOW UP 38213
$1,590.00 TESTING of implanted defibrillator - not being a service associated with
a service to which item HG035 or HG045 applies
HG055 SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and 38215
$935.00 injection of opaque material into the native coronary arteries, not being a
service associated with a service to which item HG065, HG067, HG069,
HG072, HG076, HG078, HG081, HG084, HG087 or HG093 applies
HG065 SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and 38218
$1,400.00 injection of opaque material with right or left heart catheterisation or both,
or aortography, not being a service associated with a service to which
item HG055, HG067, HG069, HG072, HG076, HG078, HG081, HG084,
HG087 or HG093 applies
HG067 SELECTIVE CORONARY GRAFT ANGIOGRAPHY placement of 38220
$465.00 catheter(s) and injection of opaque material into free coronary graft(s)
attached to the aorta (irrespective of the number of grafts), not being a
service associated with a service to which item HG055, HG065, HG069,
HG072, HG076, HG078, HG081, HG084, HG087 or HG093 applies
HG069 SELECTIVE CORONARY GRAFT ANGIOGRAPHY, placement of 38222
$935.00 catheter(s) and injection of opaque material into direct internal mammary
artery graft(s) to one or more coronary arteries (irrespective of the
number of grafts), not being a service associated with a service to which
item HG055, HG065, HG067, HG072, HG076, HG078, HG081, HG084,
HG087 or HG093 applies
1 November 2015 Page 239

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HG072 SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and 38225
$1,400.00 injection of opaque material into the native coronary arteries and
placement of catheter(s) and injection of opaque material into free
coronary graft(s) attached to the aorta (irrespective of the number of
grafts), not being a service associated with a service to which item
HG055, HG065, HG067, HG069, HG076, HG078, HG081, HG084,
HG087 or HG093 applies
HG076 SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and 38228
$1,870.00 injection of opaque material into the native coronary arteries and
placement of catheter(s) and injection of opaque material into direct
internal mammary artery graft(s) to one or more coronary arteries
(irrespective of the number of grafts), not being a service associated with
a service to which item HG055, HG065, HG067, HG069, HG072,
HG078, HG081, HG084, HG087 or HG093 applies
HG078 SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and 38231
$2,335.00 injection of opaque material into the native coronary arteries and
placement of catheter(s) and injection of opaque material into the free
coronary graft(s) attached to the aorta (irrespective of the number of
grafts), and placement of catheter(s) and injection of opaque material
into direct internal mammary artery graft(s) to one or more coronary
arteries (irrespective of the number of grafts), not being a service
associated with a service to which item HG055, HG065, HG067, HG069,
HG072, HG076, HG081, HG084, HG087 or HG093 applies
HG081 SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and 38234
$1,870.00 injection of opaque material with right or left heart catheterisation or both,
or aortography and placement of catheter(s) and injection of opaque
material into free coronary graft(s) attached to the aorta (irrespective of
the number of grafts), not being a service associated with a service with
a service to which item HG055, HG065, HG067, HG069, HG072,
HG076, HG078, HG084, HG087 or HG093 applies
HG084 SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and 38237
$2,335.00 injection of opaque material with right or left heart catheterisation or both,
or aortography and placement of catheter(s) and injection of opaque
material into direct internal mammary artery graft(s) to one or more
coronary arteries (irrespective of the number of grafts), not being a
service associated with a service to which item HG055, HG065, HG067,
HG069, HG072, HG076, HG078, HG081, HG087 or HG093 applies
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SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HG087 SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and 38240
$2,805.00 injection of opaque material with right or left heart catheterisation or both,
or aortography and placement of catheter(s) and injection of opaque
material into free coronary graft(s) attached to the aorta (irrespective of
the number of grafts) and placement of catheter(s) and injection of
opaque material into direct internal mammary artery graft(s) to one or
more coronary arteries (irrespective of the number of grafts), not being a
service associated with a service to which item HG055, HG065, HG067,
HG069, HG072, HG076, HG078, HG081, HG084 or HG093 applies
HG088 USE OF A CORONARY PRESSURE WIRE during selective coronary 38241
$1,010.00 angiography to measure fractional flow reserve (FFR) and coronary flow
reserve (CFR) in one or more intermediate native coronary artery or graft
lesions (stenosis of 30-70%), to determine whether revascularisation
should be performed where previous stress testing has either not been
performed or the results are inconclusive
HG090 PLACEMENT OF CATHETER(S) and injection of opaque material into 38243
$935.00 any coronary vessel(s) or graft(s) prior to any coronary interventional
procedure, not being a service associated with a service to which item
HG093 applies
HG093 SELECTIVE CORONARY ANGIOGRAPHY, placement of catheters and 38246
$2,335.00 injection of opaque material with right or left heart catheterisation or both,
or aortography followed by placement of catheters prior to any coronary
interventional procedure, not being a service associated with a service to
which item HG055, HG065, HG067, HG069, HG072, HG076, HG078,
HG081, HG084, HG087 or HG090 applies
HG095 TEMPORARY TRANSVENOUS PACEMAKING ELECTRODE, insertion 38256
$550.00 of
HG150 BALLOON VALVULOPLASTY OR ISOLATED ATRIAL SEPTOSTOMY, 38270
$2,020.00 including cardiac catheterisations before and after balloon dilatation
HG155 ATRIAL SEPTAL DEFECT closure, with septal occluder or other similar 38272
$2,020.00 device, by transcatheter approach
HG156 PATENT DUCTUS ARTERIOSUS, transcatheter closure of, including 38273
$2,020.00 cardiac catheterisation and any imaging associated with the service
HG157 VENTRICULAR SEPTAL DEFECT, transcatheter closure of, with 38274
$2,020.00 imaging and cardiac catheterisation
HG160 MYOCARDIAL BIOPSY, by cardiac catheterisation
38275
$660.00
1 November 2015 Page 241

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HG192 IMPLANTABLE ECG LOOP RECORDER, insertion of, for diagnosis of 38285
$320.00 primary disorder in patients with recurrent unexplained syncope where: a
diagnosis has not been achieved through all other available cardiac
investigations; and a neurogenic cause is not suspected; and it has been
determined that the patient either does not have a structural heart defect
or is at low risk of sudden cardiac death; and external loop monitoring is
not appropriate or has failed to achieve diagnosis, including initial
programming and testing, as an admitted patient in an approved hospital
or day-hospital facility
HG194 IMPLANTABLE ECG LOOP RECORDER, removal of, as an admitted 38286
$285.00 patient in an approved hospital or day-hospital facility
CATHETER BASED ARRHYTHMIA ABLATION
HG200 ABLATION OF ARRHYTHMIA CIRCUIT OR FOCUS or isolation
38287
$4,955.00 procedure involving 1 atrial chamber
HG210 ABLATION OF ARRHYTHMIA CIRCUITS OR FOCI, or isolation
38290
$6,310.00 procedure involving both atrial chambers and including curative
procedures for atrial fibrillation
HG220 VENTRICULAR ARRHYTHMIA with mapping and ablation, including all 38293
$6,770.00 associated electrophysiological studies performed on the same day
ENDOVASCULAR INTERVENTIONAL PROCEDURES
HG300 TRANSLUMINAL BALLOON ANGIOPLASTY OF 1 CORONARY 38300
$1,395.00 ARTERY, percutaneous or by open exposure, excluding associated
radiological services or preparation, and excluding aftercare
HG303 TRANSLUMINAL BALLOON ANGIOPLASTY OF MORE THAN 1 38303
$1,790.00 CORONARY ARTERY, percutaneous or by open exposure, excluding
associated radiological services or preparation, and excluding aftercare
HG306 TRANSLUMINAL INSERTION OF STENT OR STENTS into 1
38306
$2,065.00 occlusional site, including associated balloon dilatation for coronary
artery, percutaneous or by open exposure, excluding associated
radiological services and preparation, and excluding aftercare
NOTE: For items HG309 - HG318 please refer to Explanatory Note T.8.42 in the MBS.
HG309 PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 38309
$2,475.00 1 coronary artery, including balloon angioplasty with no stent insertion
where:
- no lesion of the coronary artery has been stented; and
- each lesion of the coronary artery is complex and heavily calcified; and
- balloon angioplasty with or without stenting is not suitable, excluding
associated radiological services or preparation, and excluding aftercare
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SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HG312 PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 38312
$3,170.00 1 coronary artery, including balloon angioplasty with insertion of 1 or
more stents, where:
- no lesion of the coronary artery has been stented; and
- each lesion of the coronary artery is complex and heavily calcified; and
- balloon angioplasty with or without stenting is not suitable; excluding
associated radiological services or preparation, and excluding aftercare
HG315 PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 38315
$3,400.00 more than 1 coronary artery, including balloon angioplasty with no stent
insertion where:
- no lesion of the coronary arteries has been stented; and
- each lesion of the coronary arteries is complex and heavily calcified; and
- balloon angioplasty with or without stenting is not suitable; excluding
associated radiological services or preparation, and excluding aftercare
HG318 PERCUTANEOUS TRANSLUMINAL ROTATIONAL ATHERECTOMY of 38318
$4,440.00 more than 1 coronary artery, including balloon angioplasty, with insertion
of 1 or more stents, where:
- no lesion of the coronary arteries has been stented; and
- each lesion of the coronary arteries is complex and heavily calcified; and
- balloon angioplasty with or without stenting is not suitable,excluding
associated radiological services or preparation, and excluding aftercare
MISCELLANEOUS CARDIAC PROCEDURES
HG350 SINGLE CHAMBER PERMANENT TRANSVENOUS ELECTRODE, 38350
$1,320.00 including cardiac electrophysiological services if used for pacemaker
implantation, insertion, removal or replacement of
HG353 PERMANENT CARDIAC PACEMAKER, including cardiac
38353
$525.00 electrophysiological services if used for pacemaker implantation,
insertion, removal or replacement of, not for cardiac resynchronisation
HG356 DUAL CHAMBER PERMANENT TRANSVENOUS ELECTRODES, 38356
$1,730.00 including cardiac electrophysiological services if used for pacemaker
implantation, insertion, removal or replacement of
HG358 Extraction of CHRONICALLY IMPLANTED TRANSVENOUS PACING 38358
$6,525.00 OR DEFIBRILLATOR LEAD OR LEADS, by percutaneous method
where the leads have been in situ for greater than six months and require
removal with locking stylets, snares and/or extraction sheaths in a facility
where cardiac surgery is available, in association with item OF952 or
OF824
HG359 PERICARDIUM, paracentesis of (excluding aftercare)
38359
$350.00
HG362 INTRA-AORTIC BALLOON PUMP, percutaneous insertion of
38362
$910.00
1 November 2015 Page 243

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HG365 PERMANENT CARDIAC SYNCHRONISATION DEVICE (including a 38365
$680.00 cardiac synchronisation device that is capable of defibrillation), insertion,
removal or replacement of, for a patient who: (a) has: (i) moderate to
severe chronic heart failure (New York Heart Association (NYHA) class
III or IV) despite optimised medical therapy; and (ii) sinus rhythm; and (iii)
a left ventricular ejection fraction of less than or equal to 35%; and (iv) a
QRS duration greater than or equal to 120 ms; or (b) satisfied the
requirements mentioned in paragraph (a) immediately before the
insertion of a cardiac resynchronisation therapy device and transvenous
left ventricle electrode
HG368 PERMANENT TRANSVENOUS LEFT VENTRICULAR ELECTRODE, 38368
$3,980.00 insertion, removal or replacement of through the coronary sinus, for a
patient who: (a) has: (i) moderate to severe chronic heart failure (New
York Heart Association (NYHA) class III or IV) despite optimised medical
therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction
of less than or equal to 35%; and (iv) a QRS duration greater than or
equal to 120ms; or (b) has: (i) mild chronic heart failure (NYHA class II)
despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left
ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS
duration greater than or equal to 150ms; or (c) satisfied the requirements
mentioned in paragraph (a) or (b) immediately before the insertion of a
cardiac resynchronisation therapy device and transvenous left ventricle
electrode. Where the service includes right heart catheterisation and any
associated venogram of left ventricular veins. Not in association with
items FA300 and HG005
HG371 PERMANENT CARDIAC SYNCRONISATION DEVICE CAPABLE OF 38371
$680.00 DEFIBRILLATION, insertion, removal or replacement of, for a patient
who: (a) has: (i) moderate to severe chronic heart failure (New York
Heart Association (NYHA) class III or IV) despite optimised medical
therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction
of less than or equal to 35%; and (iv) a QRS duration greater than or
equal to 120ms; or (b) has: (i) mild chronic heart failure (NYHA class II)
despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left
ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS
duration greater than or equal to 150ms
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SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HG384 AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of 38384
$2,485.00 transvenous endocardial defibrillation electrodes for, primary prevention
of sudden cardiac death in: ·
- patients with a left ventricular ejection fraction of less than or equal to
30% at least one month after a myocardial infarct when the patient has
received optimised medical therapy; or
- patients with chronic heart failure associated with mild to moderate
symptoms (NYHA II and III) and a left ventricular ejection fraction less
than or equal to 35% when the patient has received optimised medical
therapy.
Not being a service associated with a service to which item HG050
applies
HG387 AUTOMATIC DEFIBRILLATION GENERATOR, insertion or replacement 38387
$680.00 of for, primary prevention of sudden cardiac death in:·
- patients with a left ventricular ejection fraction of less than or equal to
30% at least one month after a myocardial infarct when the patient has
received optimised medical therapy; or·
- patients with chronic heart failure associated with mild to moderate
symptoms (NYHA II and III) and a left ventricular ejection fraction less
than or equal to 35% when the patient has received optimised medical
therapy.
Not being a service associated with a service to which item HG050
applies, not for defibrillators capable of cardiac resynchronisation therapy
HG390 AUTOMATIC DEFIBRILLATOR, insertion of patches for, or insertion of 38390
$2,490.00 transvenous endocardial defibrillation electrodes for - not for patients
with heart failure or as primary prevention for tachycardia arrhythmias -
not being a service associated with a service to which item HG050
applies
HG393 AUTOMATIC DEFIBRILLATION GENERATOR, insertion or replacement 38393
$680.00 of for - not for patients with heart failure or as primary prevention for
tachycardia arrhythmias - not being a service associated with a service to
which item HG050 applies
THORACIC SURGERY
HG460 EMPYEMA, radical operation for, involving resection of rib
38415
$1,015.00
HG470 THORACOTOMY, exploratory, with or without biopsy
38418
$2,265.00
HG480 THORACOTOMY, with pulmonary decortication
38421
$3,620.00
HG490 THORACOTOMY, with pleurectomy or pleurodesis, OR ENUCLEATION 38424
$2,265.00 OF HYDATID cysts
1 November 2015 Page 245

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HG500 THORACOPLASTY (COMPLETE) - 3 or more ribs
38427
$2,980.00
HG510 THORACOPLASTY (IN STAGES) - each stage
38430
$1,555.00
HG520 THORACOSCOPY, with or without division of pleural adhesions, 38436
$605.00 including insertion of intercostal catheter where necessary, with or
without biopsy
HG530 PNEUMONECTOMY OR LOBECTOMY OR SEGMENTECTOMY not 38438
$3,620.00 being a service associated with a service to which Item HG470 applies
HG540 LUNG, wedge resection of
38440
$2,710.00
HG550 RADICAL LOBECTOMY OR PNEUMONECTOMY including resection of 38441
$4,290.00 chest wall, diaphragm, pericardium, or formal mediastinal node
dissection
HG560 THORACOTOMY OR STERNOTOMY, for removal of thymus or
38446
$2,795.00 mediastinal tumour
HG570 PERICARDIECTOMY via sternotomy or anterolateral thoracotomy 38447
$3,750.00 without cardiopulmonary bypass
HG580 MEDIASTINUM, cervical exploration of, with or without biopsy
38448
$900.00
HG590 PERICARDIECTOMY via sternotomy or anterolateral thoracotomy with 38449
$5,240.00 cardiopulmonary bypass
HG600 PERICARDIUM, TRANSTHORACIC OPEN SURGICAL DRAINAGE OF 38450
$2,160.00
HG610 PERICARDIUM, SUB-XYPHOID DRAINAGE OF
38452
$1,355.00
HG620 TRACHEAL EXCISION AND REPAIR without cardiopulmonary bypass 38453
$4,065.00
HG630 TRACHEAL EXCISION AND REPAIR OF, with cardiopulmonary bypass 38455
$5,690.00
HG640 INTRATHORACIC OPERATION on heart, lungs, great vessels, bronchial 38456
$3,750.00 tree, oesophagus or mediastinum, or on more than 1 of those organs,
not being a service to which another item in this Group applies
HG650 PECTUS EXCAVATUM or PECTUS CARINATUM, repair or radical 38457
$3,505.00 correction of
Page 246 1 November 2015

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HG660 PECTUS EXCAVATUM, repair of, with implantation of subcutaneous 38458
$1,855.00 prosthesis
HG670 STERNAL WIRE OR WIRES, removal of
38460
$675.00
HG680 STERNOTOMY WOUND, debridement of, not involving reopening of the 38462
$800.00 mediastinum
HG690 STERNOTOMY WOUND, debridement of, involving curettage of infected 38464
$870.00 bone with or without removal of wires but not involving reopening of the
mediastinum
HG700 STERNUM, reoperation on for dehiscence or infection involving
38466
$2,340.00 reopening of the mediastinum, with or without rewiring
HG710 STERNUM AND MEDIASTINUM, reoperation for infection of, involving 38468
$3,610.00 muscle advancement flaps or greater omentum
HG720 STERNUM AND MEDIASTINUM, reoperation for infection of, involving 38469
$4,200.00 muscle advancement flaps and greater omentum
CARDIAC SURGERY PROCEDURES
NOTE: For cardiac surgery procedures MBS items 38470 - 38766 are only to be performed by
open exposure or minimally invasive surgery unless otherwise stated in the item descriptor and
Health Insurance (General Medical Services Table) Regulations.
HH005 PERMANENT MYOCARDIAL ELECTRODE, insertion of, by
38470
$2,630.00 thoracotomy or sternotomy
HH015 PERMANENT PACEMAKER ELECTRODE, insertion by open surgical 38473
$1,355.00 approach
VALVULAR PROCEDURES
HH080 VALVE ANNULOPLASTY without insertion of ring, not associated with 38475
$2,205.00 items HH110 or HH120
HH090 VALVE ANNULOPLASTY with insertion of ring not covered by item 38477
$5,315.00 HH100
HH100 VALVE ANNUPLASTY with insertion of ring performed in conjunction 38478
$2,570.00 with items HH110 and HH120
HH110 VALVE REPAIR, 1 leaflet
38480
$5,310.00
HH120 VALVE REPAIR, 2 or more leaflets
38481
$5,950.00
1 November 2015 Page 247

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HH130 AORTIC VALVE LEAFLET OR LEAFLETS, decalcification of, not being 38483
$4,565.00 a service to which item HH080, HH090, HH110, HH120, HH160 or
HH170 applies
HH140 MITRAL ANNULUS, reconstruction of, after decalcification, when 38485
$2,165.00 performed in association with valve surgery
HH150 MITRAL VALVE, open valvotomy of
38487
$4,565.00
HH160 VALVE REPLACEMENT with BIOPROSTHESIS or MECHANICAL 38488
$5,065.00 PROSTHESIS
HH170 VALVE REPLACEMENT with ALLOGRAFT (subcoronary or cylindrical 38489
$5,185.00 implant), or unstented xenograft
HH180 SUB-VALVULAR STRUCTURES, reconstruction and re-implantation of, 38490
$1,470.00 associated with mitral and tricuspid valve replacement
HH190 OPERATIVE MANAGEMENT of acute infective endocarditis, in
38493
$4,795.00 association with heart valve surgery
SURGERY FOR ISCHAEMIC HEART DISEASE
HH300 ARTERY HARVESTING (other than internal mammary), for coronary 38496
$1,475.00 artery bypass
HH310 CORONARY ARTERY BYPASS with cardipulmonary bypass, using 38497
$4,840.00 saphenous vein graft or grafts only, including harvesting of vein graft
material where performed, not being a service associated with a service
to which items HH315, HH320, HH325, HH330 or HH335 apply
HH315 CORONARY ARTERY BYPASS with the aid of tissue stabilisers, 38498
$4,840.00 performed without cardiopulmonary bypass, using saphenous vein graft
or grafts only, including harvesting of vein graft material where
performed, either via a median sternotomy or other minimally invasive
technique and where a stand-by perfusionist is present, not being a
service associated with a service to which items HH310, HH320, HH325,
HH330, HH335 or LA500 apply
HH320 CORONARY ARTERY BYPASS with cardiopulmonary bypass, using 38500
$5,200.00 single arterial graft, with or without vein graft or grafts, including
harvesting of internal mammary artery or vein graft material where
performed, not being a service associated with a service to which items
HH310, HH315, HH325, HH330 or HH335 apply
Page 248 1 November 2015

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HH325 CORONARY ARTERY BYPASS with the aid of tissue stabilisers, 38501
$5,200.00 performed without cardiopulmonary bypass, using single arterial graft,
with or without vein graft or grafts, including harvesting of internal
mammary artery or vein graft material where performed, either via a
median sternotomy or other minimally invasive technique and where a
stand-by perfusionist is present, not being a service associated with a
service to which items HH310, HH315, HH320, HH330, HH335 or LA500
apply
HH330 CORONARY ARTERY BYPASS with cardio pulmonary bypass, using 2 38503
$5,645.00 or more arterial grafts, with or without vein graft or grafts, including
harvesting of internal mammary artery or vein graft material where
performed, not being a service associated with a service to which items
HH310, HH315, HH320, HH325 or HH335 apply
HH335 CORONARY ARTERY BYPASS with the aid of tissue stabilisers, 38504
$5,645.00 performed without cardiopulmonary bypass, using 2 or more arterial
grafts, with or without vein graft or grafts, including harvesting of internal
mammary artery or vein graft material where performed, either via a
median sternotomy or other minimally invasive technique and where a
stand-by perfusionist is present, not being a service associated with a
service to which items HH310, HH315, HH320, HH325, HH330 or LA500
apply
HH340 CORONARY ENDARTERECTOMY, by open operation, including repair 38505
$655.00 with one or more patch grafts, each vessel
HH350 LEFT VENTRICULAR ANEURYSM PLICATION
38506
$4,205.00
HH360 LEFT VENTRICULAR ANEURYSM RESECTION WITH PRIMARY 38507
$4,510.00 REPAIR
HH370 LEFT VENTRICULAR ANEURYSM RESECTION with patch
38508
$5,645.00 reconstruction of the left ventricle
HH380 ISCHAEMIC VENTRICULAR SEPTAL RUPTURE, repair of
38509
$5,645.00
ARRHYTHMIA SURGERY
HH600 DIVISION OF ACCESSORY PATHWAY, isolation procedure, procedure 38512
$4,960.00 on atrioventricular node or perinodal tissues involving 1 atrial chamber
only
HH610 DIVISION OF ACCESSORY PATHWAY, isolation procedure, procedure 38515
$6,315.00 on atrioventricular node or perinodal tissues involving both atrial
chambers and including curative surgery for atrial fibrillation
1 November 2015 Page 249

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
HH620 VENTRICULAR ARRHYTHMIA with mapping and muscle ablation, with 38518
$6,775.00 or without aneurysmeotomy
PROCEDURES FOR THORACIC AORTA
HJ200 ASCENDING THORACIC AORTA, repair or replacement of, not
38550
$5,180.00 involving valve replacement or repair or coronary artery implantation
HJ210 ASCENDING THORACIC AORTA, repair or replacement of, with aortic 38553
$6,565.00 valve replacement or repair, without implantation of coronary arteries
HJ220 ASCENDING THORACIC AORTA, repair or replacement of, with aortic 38556
$7,490.00 valve replacement or repair, and implantation of coronary arteries
HJ230 AORTIC ARCH AND ASCENDING THORACIC AORTA, repair or 38559
$6,110.00 replacement of, not involving valve replacement or repair or coronary
artery implantation
HJ240 AORTIC ARCH AND ASCENDING THORACIC AORTA, repair or 38562
$7,490.00 replacement of, with aortic valve replacement or repair, without
implantation of coronary arteries
HJ250 AORTIC ARCH AND ASCENDING THORACIC AORTA, repair or 38565
$8,405.00 replacement of, with aortic valve replacement or repair, and implantation
of coronary arteries
HJ260 DESCENDING THORACIC AORTA, repair or replacement of, without 38568
$4,495.00 shunt or cardiopulmonary bypass, by open exposure, percutaneous or
endovascular means
HJ270 DESCENDING THORACIC AORTA, repair or replacement of, using 38571
$4,950.00 shunt or cardiopulmonary bypass
HJ280 OPERATIVE MANAGEMENT OF ACUTE RUPTURE OR DISSECTION, 38572
$4,700.00 in conjunction with procedures on the thoracic aorta
HJ300 CANNULATION FOR AND SUPERVISION AND MONITORING of, the 38577
$1,310.00 administration of retrograde cerebral perfusion during deep hypothermic
arrest
TECHNIQUES FOR PRESERVATION OF THE ARRESTED HEART
LA200 CANNULATION OF THE CORONARY SINUS, AND SUPERVISION OF, 38588
$1,310.00 for the retrograde administration of blood or crystalloid for cardioplegia,
including pressure minitoring
CIRCULATORY SUPPORT PROCEDURES
LA500 CENTRAL CANNULATION for cardiopulmonary bypass excluding postoperative
38600
$3,620.00
management, not being a service associated with a service to
which another item in this Subgroup applies
Page 250 1 November 2015

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
LA510 PERIPHERAL CANNULATION for cardiopulmonary bypass excluding 38603
$2,265.00 post-operative management
LA530 INTRA-AORTIC BALLOON PUMP, insertion of, by arteriotomy
38609
$1,140.00
LA540 INTRA-AORTIC BALLOON PUMP, removal of, with closure of artery by 38612
$1,275.00 direct suture
LA550 INTRA-AORTIC BALLOON PUMP, removal of, with closure of artery by 38613
$1,590.00 patch graft
LA560 LEFT OR RIGHT VENTRICULAR ASSIST DEVICE, insertion of
38615
$3,620.00
LA570 LEFT AND RIGHT VENTRICULAR ASSIST DEVICE, insertion of 38618
$4,510.00
LA580 LEFT OR RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an 38621
$1,800.00 independent procedure
LA590 LEFT AND RIGHT VENTRICULAR ASSIST DEVICE, removal of, as an 38624
$2,025.00 independent procedure
LA600 EXTRA-CORPOREAL MEMBRANE OXYGENATION, BYPASS OR 38627
$1,615.00 VENTRICULAR ASSIST DEVICE CANNULAE, adjustment and repositioning
of, by open operation, in patients supported by these devices
RE-OPERATION
LB200 DISSECTION, DISCONNECTION AND OVERSEWING of patient 38637
$1,310.00 diseased coronary artery bypass vein graft or grafts
LB210 RE-OPERATION VIA MEDIAN STERNOTOMY, for any procedure, 38640
$2,265.00 including any divisions of adhesions where the time taken to divide the
adhesions is 45 minutes or less
MISCELLANEOUS CARDIOTHORACIC SURGICAL PROCEDURES
LE010 RE-OPERATION VIA MEDIAN STERNOTOMY, for any procedure, 38643
$2,520.00 including any divisions of adhesions where the time taken to divide the
adhesions exceeds 45 minutes
LE020 THORACOTOMY OR STERNOTOMY involving division of extensive 38647
$5,045.00 adhesions where the time taken to divide the adhesions exceeds 2 hours
LE100 MYOMECTOMY OR MYOTOMY for hypertrophic obstructive
38650
$4,510.00 cardiomyopathy
LE110 OPEN HEART SURGERY, not being a service to which another item in 38653
$4,510.00 this Group applies
1 November 2015 Page 251

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
LE115 PERMANENT TRANSVENOUS LEFT VENTRICULAR ELECTRODE, 38654
$3,980.00 insertion, removal or replacement of via open thoracotomy, for a patient
who: (a) has: (i) moderate to severe chronic heart failure (New York
Heart Association (NYHA) class III or IV) despite optimised medical
therapy; and (ii) sinus rhythm; and (iii) a left ventricular ejection fraction
of less than or equal to 35%; and (iv) a QRS duration greater than or
equal to 120ms; or (b) has: (i) mild chronic heart failure (NYHA class II)
despite optimised medical therapy; and (ii) sinus rhythm; and (iii) a left
ventricular ejection fraction of less than or equal to 35%; and (iv) a QRS
duration greater than or equal to 150ms; or (c) satisfied the requirements
mentioned in paragraph (a) or (b) immediately before the insertion of a
cardiac resynchronisation therapy device and transvenous left ventricle
electrode
LE120 THORACOTOMY or median sternotomy for post-operative bleeding 38656
$2,265.00
CARDIAC TUMOURS
LL050 CARDIAC TUMOUR, excision of, involving the wall of the atrium or interatrial
38670
$4,510.00
septum, without patch or conduit
reconstruction
LL060 CARDIAC TUMOUR, excision of, involving the wall of the atrium or interatrial
38673
$5,080.00
septum, requiring reconstruction with patch or
conduit
LL070 CARDIAC TUMOUR arising from ventricular myocardium - partial 38677
$4,750.00 thickness excision
LL080 CARDIAC TUMOUR arising from ventricular myocardium - full thickness 38680
$5,635.00 excision, including repair or reconstruction
CONGENITAL CARDIAC SURGERY
LL400 PATENT DUCTUS ARTERIOSUS, SHUNT, COLLATERAL or OTHER 38700
$2,525.00 SINGLE LARGE VESSEL, division or ligation of, without
cardiopulmonary bypass, for congenital heart disease
LL410 PATENT DUCTUS ARTERIOSUS, SHUNT, COLLATERAL or OTHER 38703
$4,545.00 SINGLE LARGE VESSEL, division or ligation of, with cardiopulmonary
bypass, for congenital heart disease
LL420 AORTA, ANASTOMOSIS OR REPAIR OF, without cardiopulmonary 38706
$4,300.00 bypass, for congenital heart disease
LL430 AORTA, ANASTOMOSIS OR REPAIR OF, with cardiopulmonary 38709
$5,045.00 bypass, for congenital heart disease
LL440 AORTIC INTERRUPTION, repair of, for congenital heart disease 38712
$6,055.00
Page 252 1 November 2015

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
LL450 MAIN PULMONARY ARTERY, banding, debanding or repair of, without 38715
$4,030.00 cardiopulmonary bypass, for congenital heart disease
LL460 MAIN PULMONARY ARTERY, banding, debanding or repair of, with 38718
$5,045.00 cardiopulmonary bypass, for congenital heart disease
LL470 VENA CAVA, ANASTOMOSIS OR REPAIR OF, without
38721
$3,535.00 cardiopulmonary bypass, for congenital heart disease
LL480 VENA CAVA, ANASTOMOSIS OR REPAIR OF, with cardiopulmonary 38724
$5,045.00 bypass, for congenital heart disease
LL490 INTRATHORACIC VESSELS, ANASTOMOSIS OR REPAIR OF, without 38727
$3,540.00 cardiopulmonary bypass, not covered by Items LL400, LL410, LL420,
LL430, LL440, LL450, LL460, LL470 or LL480, for congenital heart
disease
LL500 INTRATHORACIC VESSELS, ANASTOMOSIS OR REPAIR OF, with 38730
$5,045.00 cardiopulmonary bypass, not being a service to which Item LL400,
LL410, LL420, LL430, LL440, LL450, LL460, LL470 or LL480 applies, for
congenital heart disease
LL510 SYSTEMIC PULMONARY OR CAVO-PULMONARY SHUNT, creation 38733
$3,535.00 of, without cardiopulmonary bypass, for congenital heart disease
LL520 SYSTEMIC PULMONARY OR CAVO-PULMONARY SHUNT, creation 38736
$5,045.00 of, with cardiopulmonary bypass, for congenital heart disease
LL530 ATRIAL SEPTECTOMY, with or without cardiopulmonary bypass, for 38739
$4,545.00 congenital heart disease
LL540 ATRIAL SEPTAL DEFECT, closure by open exposure direct suture or 38742
$4,545.00 patch, for congenital heart disease
LL550 INTRA-ATRIAL BAFFLE, insertion of, for congenital heart disease 38745
$5,045.00
LL560 VENTRICULAR SEPTECTOMY, for congenital heart disease
38748
$5,045.00
LL570 VENTRICULAR SEPTAL DEFECT, closure by direct suture or patch 38751
$5,045.00
LL580 INTRAVENTRICULAR BAFFLE OR CONDUIT, insertion of, for
38754
$6,315.00 congenital heart disease
LL590 EXTRACARDIAC CONDUIT, insertion of, for congenital heart disease 38757
$5,045.00
1 November 2015 Page 253

SURGICAL OPERATIONS
CARDIOVASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
LL600 EXTRACARDIAC CONDUIT, replacement of, for congenital heart 38760
$5,045.00 disease
LL610 VENTRICULAR MYECTOMY, for relief of ventricular obstruction, right or 38763
$5,045.00 left, for congenital heart disease
LL620 VENTRICULAR AUGMENTATION, right or left, for congenital heart 38766
$5,045.00 disease
MISCELLANEOUS PROCEDURES ON THE CHEST
LL800 THORACIC CAVITY, aspiration of, for diagnostic purposes, not being a 38800
$102.00 service associated with a service to which Item HG410 applies
LL810 THORACIC CAVITY, aspiration of, with therapeutic drainage
38803
$182.00 (paracentesis), with or without diagnostic sample
LL820 INTERCOSTAL DRAIN, insertion of, not involving resection of rib 38806
$350.00 (excluding aftercare)
LL830 INTERCOSTAL DRAIN, insertion of, with pleurodesis and not involving 38809
$405.00 resection of rib (excluding aftercare)
LL840 PERCUTANEOUS NEEDLE BIOPSY of lung
38812
$535.00
NEUROSURGICAL
GENERAL
LN005 CISTERNAL PUNCTURE
39003
$280.00
LN015 VENTRICULAR PUNCTURE (not including burr-hole)
39006
$460.00
LN025 SUBDURAL HAEMORRHAGE, tap for, each tap
39009
$186.00
LN035 BURR-HOLE, single, preparatory to ventricular puncture or for inspection 39012
$700.00 purpose - not being a service to which another item applies
LN045 INJECTION UNDER IMAGE INTENSIFICATION with 1 or more of 39013
$290.00 contrast media, local anaesthetic or corticosteroid into 1 or more zygoapophyseal
or costo-transverse joints or 1 or more primary posterior rami
of spinal nerves
LN055 VENTRICULAR RESERVOIR, EXTERNAL VENTRICULAR DRAIN or 39015
$1,000.00 INTRACRANIAL PRESSURE MONITORING DEVICE, insertion of -
including burr-hole (excluding aftercare)
LN065 CEREBROSPINAL FLUID reservoir, insertion of
39018
$925.00
Page 254 1 November 2015

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
PAIN RELIEF
Description of Medical Service
MBS
Number
LN410 INJECTION OF PRIMARY BRANCH OF TRIGEMINAL NERVE with 39100
$700.00 alcohol, cortisone, phenol, or similar substance
LN420
$820.00
INTRATHECAL INJECTION of alcohol or phenol
LN430 NEURECTOMY, INTRACRANIAL, for trigeminal neuralgia
39106
$3,720.00
LN440 TRIGEMINAL GANGLIOTOMY by radiofrequency, balloon or glycerol 39109
$1,395.00
LN450 CRANIAL NERVE, intracranial decompression of, using microsurgical 39112
$3,720.00 techniques
LN460 PERCUTANEOUS NEUROTOMY of posterior divisions (or rami) of 39115
$215.00 spinal nerves by any method, including any associated spinal, epidural or
regional nerve block (payable once only in a 30 day period)
LN470 PERCUTANEOUS NEUROTOMY for facet joint denervation by radiofrequency
39118
$850.00
probe or cryoprobe using radiological imaging
control
LN480 PERCUTANEOUS CORDOTOMY
39121
$2,095.00
LN490 CORDOTOMY OR MYELOTOMY, partial or total laminectomy for, or 39124
$4,300.00 operation for dorsal root entry zone (Drez) lesion
LN500 Intrathecal or epidural SPINAL CATHETER, insertion or replacement of - 39125
$875.00 and connection to a subcutaneous implanted infusion pump, for the
management of chronic intractable pain
LN510 INFUSION PUMP, subcutaneous implantation or replacement of, and 39126
$1,060.00 connection of the pump to an intrathecal or epidural catheter, and filling
of reservoir with a therapeutic agent or agents, with or without
programming the pump, for the management of chronic intractable pain
LN520 SUBCUTANEOUS RESERVOIR AND SPINAL CATHETER, insertion of, 39127
$1,745.00 for the management of chronic intractable pain
LN530 INFUSION PUMP, subcutaneous implantation of, AND intrathecal or 39128
$1,935.00 epidural SPINAL CATHETER insertion of, and connection of pump to
catheter and filling of reservoir with a therapeutic agent or agents, with or
without programming of the pump, for the management of chronic
intractable pain
LN540 EPIDURAL LEAD, percutaneous placement of, including intraoperative 39130
$1,785.00 test stimulation, for the management of chronic intractable neuropathic
pain from refractory angina pectoris, to a maximum of 4 leads
1 November 2015 Page 255

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
LN550 ELECTRODES, epidural or peripheral nerve, management of patient and 39131
$375.00 adjustment or reprogramming of neurostimulator by a medical
practitioner, for the management of chronic intractable neuropathic pain
or pain from refractory angina pectoris - each day
LN560 REMOVAL of subcutaneously IMPLANTED INFUSION PUMP OR 39133
$460.00 REMOVAL OR REPOSITIONING of intrathecal or epidural SPINAL
CATHETER for the management of chronic intractable pain
LN570 NEUROSTIMULATOR or RECEIVER, subcutaneous placement of, 39134
$1,000.00 including placement and connection of extension wires to epidural or
peripheral nerve electrodes, for the management of chronic intractable
neuropathic pain or pain from refractory angina pectoris
LN575 NEUROSTIMULATOR or RECEIVER, removal of
39135
$460.00
LN580 LEAD, epidural or peripheral nerve that was inserted for the
39136
$465.00 management of chronic intractable neuropathic pain or pain from
refractory angina pectoris, removal of, performed in the operating theatre
of a hospital or approved day hospital facility
LN583 LEAD, epidural or peripheral nerve that was inserted for the
39137
$1,775.00 management of chronic intractable neuropathic pain from refactory
angina pectoris, surgical repositioning to correct displacement or
unsatisfactory positioning, including intraoperative test stimulation, not
being a service to which item LN540, LN587 or LN590 applies
LN587 PERIPHERAL NERVE LEAD, surgical placement of, including
39138
$1,785.00 intraoperative test stimulation, for the management of chronic intractable
neuropathic pain or pain from refractory angina pectoris, to a maximum
of 4 leads
LN590 EPIDURAL LEAD, surgical placement of one or more by partial or total 39139
$3,160.00 laminectomy, including intraoperative test stimulation, for the
management of chronic intractable neuropathic pain or pain from
refractory angina pectoris
LN600 EPIDURAL CATHETER, INSERTION OF, under imaging control, with 39140
$870.00 epidurogram and epidural therapeutic injection for lysis of adhesions
PERIPHERAL NERVES
LN700 CUTANEOUS NERVE (including digital nerve), primary repair of, using 39300
$925.00 microsurgical techniques
LN710 CUTANEOUS NERVE (including digital nerve), secondary repair of, 39303
$1,275.00 using microsurgical techniques
LN720 NERVE TRUNK, primary repair of, using microsurgical techniques 39306
$1,975.00
Page 256 1 November 2015

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
LN730 NERVE TRUNK, secondary repair of, using microsurgical techniques 39309
$2,095.00
LN740 NERVE TRUNK, internal (interfascicular), neurolysis of, using
39312
$1,155.00 microsurgical techniques
LN750 NERVE TRUNK, nerve graft to, (cable graft) including harvesting of 39315
$3,020.00 nerve graft using microsurgical techniques
LN760 CUTANEOUS NERVE (including digital nerve), nerve graft to, using 39318
$1,855.00 microsurgical techniques
LN770 NERVE, transposition of
39321
$1,395.00
LN780 PERCUTANEOUS NEUROTOMY by cryotherapy or radiofrequency 39323
$795.00 lesion generator, not being a service to which another item applies
LN790 NEURECTOMY, NEUROTOMY or removal of tumour from superficial 39324
$820.00 peripheral nerve, by open operation
LN800 NEURECTOMY, NEUROTOMY or removal of tumour from deep
39327
$1,395.00 peripheral nerve, by open operation
LN810 NEUROLYSIS by open operation without transposition, not being a 39330
$820.00 service associated with a service to which Item LN740 applies
NOTE: The AMA items for MBS item 39331 (carpal tunnel release) appear in Surgical
Operations - Orthopaedic - Wrist. There are two AMA items for this MBS item - one for an open
procedure (MU400) and one for an endoscopic procedure (MU410).
LN820 BRACHIAL PLEXUS, exploration of, not being a service to which another 39333
$1,155.00 item in this Group applies
CRANIAL NERVES
LP005 VESTIBULAR NERVE, section of, via posterior fossa
39500
$3,720.00
LP015 FACIO-HYPOGLOSSAL nerve or FACIO-ACCESSORY nerve,
39503
$2,795.00 anastomosis of
CRANIO-CEREBRAL INJURIES
LP050 INTRACRANIAL HAEMORRHAGE, burr-hole craniotomy for - including 39600
$1,395.00 burr holes
LP060 INTRACRANIAL HAEMORRHAGE, osteoplastic craniotomy or extensive 39603
$3,480.00 craniectomy and removal of haematoma
LP070 FRACTURED SKULL, depressed or comminuted, operation for
39606
$2,325.00
1 November 2015 Page 257

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
LP080 FRACTURED SKULL, compound, without dural penetration, operation 39609
$3,020.00 for
LP090 FRACTURED SKULL, compound, depressed or complicated, with dural 39612
$3,480.00 penetration and brain laceration, operation for
LP100 FRACTURED SKULL with rhinorrhoea or otorrhoea, cranioplasty and 39615
$3,480.00 repair of
SKULL BASE SURGERY
LP130 TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, 39640
$8,935.00 involving craniotomy, radical excision of the skull base, and dural repair
LP140 TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, 39642
$9,335.00 involving frontal craniotomy with lateral rhinotomy for clearance of
paranasal sinus extension, (intracranial procedure)
LP150 TUMOUR INVOLVING ANTERIOR CRANIAL FOSSA, removal of, 39646
$10,700.00 involving frontal craniotomy with lateral rhinotomy and radical clearance
of paranasal sinus and orbital fossa extensions, with intracranial
decompression of the optic nerve (intracranial procedure)
LP160 TUMOUR INVOLVING MIDDLE CRANIAL FOSSA AND INFRA-
39650
$7,750.00 TEMPORAL FOSSA, removal of, craniotomy and radical or subtotal
radical excision, with division and reconstruction of zygomatic arch
(intracranial procedure)
LP170 PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and 39653
$12,695.00 infratentorial approaches for radical or subtotal radical excision
(intracranial procedure), not being a service to which item LP180 and
LP190 applies
LP180 PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and 39654
$10,015.00 infratentorial approaches for radical or subtotal radical excision
(intracranial procedure), conjoint surgery, principal surgeon
LP190 PETRO-CLIVAL AND CLIVAL TUMOUR, removal of, by supra and 39656
$7,510.00 infratentorial approaches for radical or subtotal radical excision,
(intracranial procedure) conjoint surgery, co-surgeon
LP200 TUMOUR INVOLVING THE CLIVUS, radical or sub-total radical excision 39658
$8,875.00 of, involving transoral or transmaxillary approach
LP210 TUMOUR OR VASCULAR LESION OF CAVERNOUS SINUS, radical 39660
$8,875.00 excision of, involving craniotomy with or without intracranial carotid artery
exposure
LP220 TUMOUR OR VASCULAR LESION OF FORAMEN MAGNUM, radical 39662
$8,875.00 excision of, via transcondylar or far lateral suboccipital approach
Page 258 1 November 2015

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
INTRA-CRANIAL NEOPLASMS
Description of Medical Service
MBS
Number
LP300 SKULL TUMOUR, benign or malignant, excision of, excluding
39700
$1,855.00 cranioplasty
LP310 INTRACRANIAL TUMOUR, cyst or other brain tissue, burr-hole and 39703
$1,515.00 biopsy of, or drainage of, or both
LP320 INTRACRANIAL tumour, biopsy or decompression of via osteoplastic 39706
$3,250.00 flap OR biopsy and decompression of via osteoplastic flap
LP330 CRANIOTOMY FOR REMOVAL OF GLIOMA, metastatic carcinoma or 39709
$4,650.00 any other tumour in cerebrum, cerebellum or brain stem - not being a
service to which another item in this Subgroup applies
LP340 CRANIOTOMY FOR REMOVAL OF MENINGIOMA, pinealoma, craniopharyngioma,
39712
$5,805.00
intraventricular tumour or any other intracranial tumour, not
being a service to which another item in this Subgroup applies
LP350 PITUITARY TUMOUR, removal of, by transcranial or transphenoidal 39715
$5,805.00 approach
LP360 ARACHNOIDAL CYST, craniotomy for
39718
$2,550.00
LP370 CRANIOTOMY, involving osteoplastic flap, for re opening postoperatively
39721
$2,325.00
for haemorrhage, swelling,
etc
CEREBROVASCULAR DISEASE
LR010 ANEURYSM, clipping or reinforcement of sac
39800
$6,275.00
LR020 INTRACRANIAL ARTERIOVENOUS MALFORMATION, excision of 39803
$6,620.00
LR030 ANEURYSM, or arteriovenous malformation, intracranial proximal artery 39806
$4,180.00 clipping of
LR040 INTRACRANIAL ANEURYSM or arteriovenous fistula, ligation of cervical 39812
$2,095.00 vessel or vessels
LR050 CAROTID-CAVERNOUS FISTULA, obliteration of - combined cervical 39815
$5,345.00 and intracranial procedure
LR060 EXTRACRANIAL TO INTRACRANIAL bypass using superficial temporal 39818
$5,345.00 artery
LR070 EXTRACRANIAL TO INTRACRANIAL bypass using saphenous vein 39821
$6,295.00 graft
1 November 2015 Page 259

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
INFECTION
Description of Medical Service
MBS
Number
LR400 INTRACRANIAL INFECTION, drainage of, via burr-hole - including burrhole
39900
$1,505.00
LR410 INTRACRANIAL ABSCESS, excision of
39903
$4,650.00
LR420 OSTEOMYELITIS OF SKULL or removal of infected bone flap,
39906
$2,325.00 craniectomy for
CEREBROSPINAL FLUID CIRCULATION PROBLEMS
LR700 VENTRICULO-CISTERNOSTOMY (Torkildsen's operation)
40000
$2,325.00
LR710 CRANIAL OR CISTERNAL SHUNT DIVERSION, insertion of
40003
$2,325.00
LR720 LUMBAR SHUNT DIVERSION, insertion of
40006
$1,855.00
LR730 CRANIAL, CISTERNAL OR LUMBAR SHUNT, revision or removal of 40009
$1,395.00
LR740 THIRD VENTRICULOSTOMY (open or endoscopic) with or without 40012
$3,020.00 endoscopic septum pellucidotomy
LR750 SUBTEMPORAL DECOMPRESSION
40015
$1,720.00
LR760 LUMBAR CEREBROSPINAL FLUID DRAIN, insertion of
40018
$460.00
CONGENITAL DISORDERS
LR900 MENINGOCELE, excision and closure of
40100
$1,680.00
LR910 MYELOMENINGOCELE, excision and closure of, including skin flaps or 40103
$2,510.00 Z plasty where performed
LR920 ARNOLD-CHIARI MALFORMATION, decompression of
40106
$3,020.00
LR930 ENCEPHALOCOELE, excision and closure of
40109
$3,250.00
LR940 TETHERED CORD, release of, including lipomeningocele or
40112
$4,180.00 diastematomyelia
LR950 CRANIOSTENOSIS, operation for - single suture
40115
$1,855.00
Page 260 1 November 2015

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
LR960 CRANIOSTENOSIS, operation for - more than 1 suture
40118
$2,795.00
SPINAL DISORDERS
LT015
$2,605.00
LT025
$3,285.00
LT035
$2,325.00
CERVICAL SYMPATHECTOMY, first operation
CERVICAL SYMPATHECTOMY, where operation is reoperation for
previous incomplete sympathectomy
SYMPATHECTOMY (thoracic, sacral or presacral)
LT045 INTERVERTEBRAL DISC OR DISCS, partial or total laminectomy for 40300
$2,325.00 removal of
LT055 INTERVERTEBRAL DISC OR DISCS, microsurgical partial or total 40301
$2,330.00 discectomy of
LT065 RECURRENT DISC LESION OR SPINAL STENOSIS, or both, partial or 40303
$2,420.00 total laminectomy for - 1 level
LT075 SPINAL STENOSIS, partial or total laminectomy for, involving more than 40306
$3,480.00 1 vertebral interspace (disc level)
LT085 EXTRADURAL TUMOUR OR ABSCESS, partial or total laminectomy for 40309
$3,480.00
LT095 INTRADURAL LESION, partial or total laminectomy for, not being a 40312
$4,300.00 service to which another item in this Group applies
LT105 CRANIOCERVICAL JUNCTION LESION, transoral approach for
40315
$4,650.00
LT115 ODONTOID SCREW FIXATION
40316
$6,090.00
LT125 INTRAMEDULLARY TUMOUR OR ARTERIOVENOUS
40318
$5,805.00 MALFORMATION, partial or total laminectomy and radical excision of
LT135 POSTERIOR SPINAL FUSION, not being a service to which Items 40321
$2,795.00 LT145 and LT155 apply
LT145 PARTIAL OR TOTAL LAMINECTOMY FOLLOWED BY POSTERIOR 40324
$1,855.00 FUSION, performed by neurosurgeon and orthopaedic surgeon
operating together - laminectomy, including aftercare
LT155 PARTIAL OR TOTAL LAMINECTOMY FOLLOWED BY POSTERIOR 40327
$1,855.00 FUSION, performed by neurosurgeon and orthopaedic surgeon
operating together - posterior fusion, including aftercare
1 November 2015 Page 261

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
LT165 SPINAL RHIZOLYSIS involving exposure of spinal nerve roots, for lateral 40330
$3,720.00 recess or exit foraminal stenosis or adhesive radiculopathy or extensive
epidural fibrosis at 1 or more levels, with or without partial or total
laminectomy
LT175 CERVICAL DECOMPRESSION of spinal cord with or without
40331
$2,795.00 involvement of nerve roots, without fusion, 1 level, by any approach, not
being a service to which item LT165 applies
LT185 CERVICAL DECOMPRESSION of spinal cord with or without
40332
$4,560.00 involvement of nerve roots, including anterior fusion, 1 level, not being a
service to which item LT165 applies
LT195 CERVICAL PARTIAL OR TOTAL DISCECTOMY (ANTERIOR), without 40333
$2,325.00 fusion
LT205 CERVICAL DECOMPRESSION of spinal cord with or without
40334
$3,090.00 involvement of nerve roots, without fusion, more than 1 level, by any
approach, not being a service to which item LT165 applies
LT215 CERVICAL DECOMPRESSION of spinal cord with or without
40335
$5,665.00 involvement of nerve roots, including anterior fusion, more than 1 level,
by any approach, not being a service to which item LT165 applies
LT225 INTRADISCAL INJECTION OF CHYMOPAPAIN (DISCASE) - 1 disc 40336
$925.00
LT235 HYDROMYELIA, plugging of obex for, with or without duroplasty
40339
$4,650.00
LT245 HYDROMYELIA, craniotomy and partial or total laminectomy for, with 40342
$4,300.00 cavity packing and CSF shunt
LT255 THORACIC DECOMPRESSION of spinal cord with or without
40345
$3,990.00 involvement of nerve roots, via pedicle or costotransversectomy
LT265 THORACIC DECOMPRESSION of spinal cord via thoracotomy with 40348
$5,070.00 vertebrectomy, not including stabilisation procedure
LT275 THORACO-LUMBAR or high lumbar anterior decompression of spinal 40351
$5,070.00 cord, not including stabilisation procedure
SKULL RECONSTRUCTION
LT600
$2,380.00
LT610
$4,030.00
FRONTO-ORBITAL ADVANCEMENT, unilateral
CRANIAL VAULT RECONSTRUCTION for oxycephaly, brachycephaly,
turricephaly or similar condition - (bilateral fronto-orbital advancement)
Page 262 1 November 2015

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
LT620 CRANIOPLASTY, reconstructive
40600
$2,795.00
EPILEPSY
LT700 CORPUS CALLOSUM, anterior section of, for epilepsy
40700
$5,120.00
LT710 CORTICECTOMY, TOPECTOMY or PARTIAL LOBECTOMY for 40703
$4,300.00 epilepsy
LT720 HEMISPHERECTOMY for intractable epilepsy
40706
$6,275.00
LT730 BURR-HOLE PLACEMENT of intracranial depth or surface electrodes 40709
$1,505.00
LT740 INTRACRANIAL ELECTRODE PLACEMENT via craniotomy
40712
$3,050.00
STEREOTACTIC PROCEDURES
LT800 STEREOTACTIC ANATOMICAL LOCALISATION, as an independent 40800
$1,865.00 procedure
LT810 FUNCTIONAL STEREOTACTIC procedure including computer assisted 40801
$5,100.00 anatomical localisation, physiological localisation and lesion production in
the basal ganglia, brain stem or deep white matter tracts, not being a
service associated with deep brain stimulation for Parkinson's disease,
essential tremor or dystonia
LT820 INTRACRANIAL STEREOTACTIC PROCEDURE BY ANY METHOD, 40803
$3,480.00 not being a service to which Item LT800 or LT810 applies
LT850 DEEP BRAIN STIMULATION (unilateral) functional stereotactic
40850
$6,585.00 procedure including computer assisted anatomical localisation,
physiological localisation including twist drill, burr hole craniotomy or
craniectomy and insertion of electrodes for the treatment of: Parkinson's
disease where the patient’s response to medical therapy is not sustained
and is accompanied by unacceptable motor fluctuations; or essential
tremor or dystonia where the patient's symptoms cause severe disability
LT851 DEEP BRAIN STIMULATION (bilateral) functional stereotactic procedure 40851
$11,525.00 including computer assisted anatomical localisation, physiological
localisation including twist drill, burr hole craniotomy or craniectomy and
insertion of electrodes for the treatment of: Parkinson's disease where
the patient’s response to medical therapy is not sustained and is
accompanied by unacceptable motor fluctuations; or essential tremor or
dystonia where the patient's symptoms cause severe disability
1 November 2015 Page 263

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
LT852 DEEP BRAIN STIMULATION (unilateral) subcutaneous placement of 40852
$990.00 neurostimulator receiver or pulse generator for the treatment of:
Parkinson's disease where the patient’s response to medical therapy is
not sustained and is accompanied by unacceptable motor fluctuations; or
essential tremor or dystonia where the patient's symptoms cause severe
disability
LT854
$5,055.00
LT855
$1,530.00
DEEP BRAIN STIMULATION (unilateral) revision of brain electrode for
the treatment of: Parkinson's disease where the patient’s response to
medical therapy is not sustained and is accompanied by unacceptable
motor fluctuations; or essential tremor or dystonia where the patient's
symptoms cause severe disability
DEEP BRAIN STIMULATION (unilateral) removal of brain electrode for
the treatment of: Parkinson's disease where the patient’s response to
medical therapy is not sustained and is accompanied by unacceptable
motor fluctuations; or essential tremor or dystonia where the patient's
symptoms cause severe disability
LT856 DEEP BRAIN STIMULATION (unilateral) removal or replacement of 40856
$745.00 neurostimulator receiver or pulse generator for the treatment of:
Parkinson's disease where the patient’s response to medical therapy is
not sustained and is accompanied by unacceptable motor fluctuations; or
essential tremor or dystonia where the patient's symptoms cause severe
disability
LT858
$1,530.00
DEEP BRAIN STIMULATION (unilateral) removal or replacement of
extension lead for for the treatment of: Parkinson's disease where the
patient’s response to medical therapy is not sustained and is
accompanied by unacceptable motor fluctuations; or essential tremor or
dystonia where the patient's symptoms cause severe disability
LT860 DEEP BRAIN STIMULATION (unilateral) target localisation incorporating 40860
$5,880.00 anatomical and physiological techniques, including intra-operative clinical
evaluation, for the insertion of a single neurostimulation wire for the
treatment of: Parkinson's disease where the patient’s response to
medical therapy is not sustained and is accompanied by unacceptable
motor fluctuations; or essential tremor or dystonia where the patient's
symptoms cause severe disability
LT862 DEEP BRAIN STIMULATION electronic analysis and programming of 40862
$550.00 neaurostimulator pulse generator for the treatment of: Parkinson's
disease where the patient’s response to medical therapy is not sustained
and is accompanied by unacceptable motor fluctuations; or essential
tremor or dystonia where the patient's symptoms cause severe disability
Page 264 1 November 2015

SURGICAL OPERATIONS
NEUROSURGICAL
AMA Number
Fee
MISCELLANEOUS
LT900
$1,600.00
Description of Medical Service
ASSISTANCE AT OPERATION by a second neurosurgeon for complex
tumour or vascular anomaly covered only by Items LP340, LR010 and
LR020
MBS
Number
LT910 NEUROENDOSCOPY, for inspection of an intraventricular lesion, with or 40903
$1,625.00 without biopsy including burr hole
LT920 CRANIOTOMY, performed in association with items MK015, MK045, 40905
$1,740.00 MK065 and MK075 for the correction of craniofacial abnormalities
EAR, NOSE AND THROAT
MA005 EAR, foreign body (other than ventilating tube) in, removal of, other than 41500
$182.00 by simple syringing
MA015 EAR, removal of foreign body in, involving incision of external auditory 41503
$555.00 canal
MA025 AURAL POLYP, removal of
41506
$370.00
MA035 EXTERNAL AUDITORY MEATUS, surgical removal of keratosis
41509
$380.00 obturans from, not being a service to which another item in this Group
applies
MA045 MEATOPLASTY involving removal of cartilage or bone or both cartilage 41512
$1,380.00 and bone, not being a service to which Item MA055 applies
MA055 MEATOPLASTY involving removal of cartilage or bone or both cartilage 41515
$900.00 and bone, being a service associated with a service to which Item
MA105, MA165, MA195, MA205 or MA215 applies
MA065 EXTERNAL AUDITORY MEATUS, removal of EXOSTOSES IN
41518
$2,195.00
MA075 Correction of AUDITORY CANAL STENOSIS, including meatoplasty, 41521
$2,310.00 with or without grafting
MA085 RECONSTRUCTION OF EXTERNAL AUDITORY CANAL, being a 41524
$670.00 service associated with a service to which Items MA195, MA205 and
MA215 apply
MA095 MYRINGOPLASTY, trans-canal approach (Rosen incision)
41527
$1,345.00
MA105 MYRINGOPLASTY, post-aural or endaural approach with or without 41530
$2,220.00 mastoid inspection
MA115 ATTICOTOMY without reconstruction of the bony defect, with or without 41533
$2,675.00 myringoplasty
1 November 2015 Page 265

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MA125 ATTICOTOMY with reconstruction of the bony defect, with or without 41536
$2,995.00 myringoplasty
MA135 OSSICULAR CHAIN RECONSTRUCTION
41539
$2,455.00
MA145 OSSICULAR CHAIN RECONSTRUCTION AND MYRINGOPLASTY 41542
$2,685.00
MA155 MASTOIDECTOMY (CORTICAL)
41545
$1,285.00
MA165 OBLITERATION OF THE MASTOID CAVITY
41548
$1,520.00
MA175 MASTOIDECTOMY, intact wall technique, with myringoplasty
41551
$3,725.00
MA185 MASTOIDECTOMY, intact wall technique, with myringoplasty and 41554
$4,390.00 ossicular chain reconstruction
MA195 MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL)
41557
$2,455.00
MA205 MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL) AND
41560
$2,685.00 MYRINGOPLASTY
MA215 MASTOIDECTOMY (RADICAL OR MODIFIED RADICAL),
41563
$3,390.00 MYRINGOPLASTY AND OSSICULAR CHAIN RECONSTRUCTION
MA216 MASTOIDECTOMY (radical or modified radical), obliteration of the 41564
$4,525.00 mastoid cavity, blind sac closure of external auditory canal and
obliteration of eustachian tube
MA225 REVISION OF MASTOIDECTOMY (radical, modified radical or intact 41566
$2,550.00 wall), including myringoplasty
MA235 DECOMPRESSION OF FACIAL NERVE in its mastoid portion
41569
$2,685.00
MA245 LABYRINTHOTOMY OR DESTRUCTION OF LABYRINTH
41572
$2,455.00
MA255 CEREBELLO-PONTINE ANGLE TUMOUR, removal of by 2 surgeons 41575
$5,550.00 operating conjointly, by transmastoid, translabyrinthine or retromastoid
approach - transmastoid, translabyrinthine or retromastoid procedure
(including aftercare)
Page 266 1 November 2015

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MA265 CEREBELLO-PONTINE ANGLE TUMOUR, removal of, by transmastoid, 41576
$8,325.00 translabarythine or retromastoid approach - intracranial procedure
(including aftercare) not being a service to which Item MA275 and
MA285 applies
MA275 CEREBELLO-PONTINE ANGLE TUMOUR, removal of, by transmastoid, 41578
$5,550.00 translabyrinthine or retromastoid approach, (intracranial procedure),
conjoint surgery, principal surgeon
MA285 CEREBELLO-PONTINE ANGLE TUMOUR, removal of, by transmastoid 41579
$4,165.00 or translabyrinthine or retromastoid approach, (intracranial procedure)
conjoint surgery, co-surgeon
MA295 TUMOUR INVOLVING INFRA-TEMPORAL FOSSA, removal of,
41581
$6,385.00 involving craniotomy and radical excision of
MA305 PARTIAL TEMPORAL BONE RESECTION for removal of tumour 41584
$4,380.00 involving mastoidectomy with or without decompression of facial nerve
MA315 TOTAL TEMPORAL BONE RESECTION for removal of tumour
41587
$5,970.00
MA325 ENDOLYMPHATIC SAC, TRANSMASTOID DECOMPRESSION with or 41590
$2,685.00 without drainage of
MA335 TRANSLABYRINTHINE VESTIBULAR NERVE SECTION
41593
$3,545.00
MA345 RETROLABYRINTHINE VESTIBULAR NERVE SECTION OR
41596
$3,965.00 COCHLEAR NERVE SECTION, OR BOTH
MA355 INTERNAL AUDITORY MEATUS, exploration by middle cranial fossa 41599
$3,965.00 approach with cranial nerve decompression
MA360 OSSEO-INTEGRATION PROCEDURE implantation of titanium fixture 41603
$1,440.00 for use with implantable bone conduction hearing system device, in
patients:
- With a permanent or long term hearing loss; and
- Unable to utilise conventional air or bone conduction hearing aid for
medical or audiological reasons; and·
- With bone conduction thresholds that accord to recognised criteria for
the implantable bone conduction hearing device being inserted.
Not being a service associated with a service to which items MA185,
MK105 or MK115
1 November 2015 Page 267

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MA364 OSSEO-INTEGRATION PROCEDURE fixation of transcutaneous 41604
$540.00 abutment implantation of titanium fixture for use with implantable bone
conduction hearing system device, in patients:
- With a permanent or long term hearing loss; and·
- Unable to utilise conventional air or bone conduction hearing aid for
medical or audiological reasons; and
- With bone conduction thresholds that accord to recognised criteria for
the implantable bone conduction hearing device being inserted.
Not being a service associated with a service to which items MA185,
MK105 or MK115
MA385 STAPEDECTOMY
41608
$2,455.00
MA395 STAPES MOBILISATION
41611
$1,635.00
MA405 ROUND WINDOW SURGERY including repair of cochleotomy
41614
$2,350.00
MA415 OVAL WINDOW SURGERY, including repair of fistula, not being a 41615
$2,560.00 service associated with a service to which any other item in this Group
applies
MA425 COCHLEAR IMPLANT, insertion of, including mastoidectomy
41617
$4,430.00
MA435 GLOMUS TUMOUR, transtympanic removal of
41620
$1,870.00
MA445 GLOMUS TUMOUR, transmastoid removal of, including mastoidectomy 41623
$2,685.00
MA455 ABSCESS OR INFLAMMATION OF MIDDLE EAR, operation for 41626
$360.00 (excluding aftercare)
MA465 MIDDLE EAR, EXPLORATION OF
41629
$1,170.00
MA475 MIDDLE EAR, insertion of tube for DRAINAGE OF (including
41632
$555.00 myringotomy)
MA485 CLEARANCE OF MIDDLE EAR FOR GRANULOMA,
41635
$2,675.00 CHOLESTEATOMA and POLYP, 1 or more, with or without
myringoplasty
MA495 CLEARANCE OF MIDDLE EAR FOR GRANULOMA,
41638
$3,340.00 CHOLESTEATOMA and POLYP, 1 or more, with or without
myringoplasty with ossicular chain reconstruction
Page 268 1 November 2015

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MA505 PERFORATION OF TYMPANUM, cauterisation or diathermy of
41641
$110.00
MA515 EXCISION OF RIM OF EARDRUM PERFORATION, not being a service 41644
$335.00 associated with myringoplasty
MA525 EAR TOILET requiring use of operating microscope and microinspection 41647
$250.00 of tympanic membrane with or without general anaesthesia
MA535 TYMPANIC MEMBRANE, microinspection of 1 or both ears under 41650
$250.00 general anaesthesia, not being a service associated with a service to
which another item in this Group applies
MA545 EXAMINATION OF NASAL CAVITY OR POST-NASAL SPACE or 41653
$186.00 NASAL CAVITY AND POST-NASAL SPACE, UNDER GENERAL
ANAESTHESIA, not being a service associated with a service to which
another item in this Group applies
MA555 NASAL HAEMORRHAGE, POSTERIOR, ARREST OF, with posterior 41656
$310.00 nasal packing with or without cauterisation and with or without anterior
pack (excluding aftercare)
MA565 NOSE, removal of FOREIGN BODY IN, other than by simple probing 41659
$182.00
MA575 NASAL POLYP OR POLYPI (SIMPLE), removal of
41662
$186.00
MA585 NASAL POLYP OR POLYPI (requiring admission to hospital), removal of 41665
$555.00
41668
MA595 NASAL SEPTUM, SEPTOPLASTY, SUBMUCOUS RESECTION or 41671
$1,110.00 closure of septal perforation
MA596 NASAL SEPTUM, reconstruction of
41672
$1,430.00
MA605 CAUTERISATION (other than by chemical means) OR
41674
$310.00 CAUTERISATION by chemical means when performed under general
anaesthesia OR DIATHERMY OF SEPTUM, TURBINATES OR
PHARYNX - 1 or more of these procedures (including any consultation
on the same occasion) not being a service associated with any other
operation on the nose
MA615 NASAL HAEMORRHAGE, arrest of during an episode of epistaxis by 41677
$235.00 cauterisation or nasal cavity packing or both
MA625 CRYOTHERAPY TO NOSE in the treatment of nasal haemorrhage 41680
$380.00
1 November 2015 Page 269

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MA635 DIVISION OF NASAL ADHESIONS, with or without stenting, not being a 41683
$275.00 service associated with any other operation on the nose and not
performed during the post-operative period of a nasal operation
MA645 DISLOCATION OF TURBINATE OR TURBINATES, 1 or both sides, not 41686
$186.00 being a service associated with a service to which another item in this
Group applies
MA655 TURBINECTOMY or turbinectomies, partial or total, unilateral
41689
$305.00
MA665 TURBINATES, submucous resection of, unilateral
41692
$415.00
MA675 NASAL TURBINATES, cryotherapy to
41695
$235.00
MA685 MAXILLARY ANTRUM, PROOF PUNCTURE AND LAVAGE OF
41698
$75.00
MA695 MAXILLARY ANTRUM, PROOF PUNCTURE AND LAVAGE OF - under 41701
$235.00 general anaesthesia (requiring admission to hospital), not being a service
associated with a service to which another item in this Group applies
MA705 MAXILLARY ANTRUM, LAVAGE OF - each attendance at which the 41704
$68.00 procedure is performed, including any associated consultation
MA715 MAXILLARY ARTERY, transantral ligation of
41707
$980.00
MA725 ANTROSTOMY (RADICAL)
41710
$1,225.00
MA735 ANTROSTOMY (RADICAL) with transantral ethmoidectomy or
41713
$1,520.00 transantral vidian neurectomy
MA745 ANTRUM, intranasal operation on or removal of foreign body from 41716
$640.00
MA755 ANTRUM, drainage of, through tooth socket
41719
$275.00
MA765 ORO-ANTRAL FISTULA, plastic closure of
41722
$1,380.00
MA775 ETHMOIDAL ARTERY OR ARTERIES, transorbital ligation of (unilateral) 41725
$1,050.00
MA785 LATERAL RHINOTOMY with removal of tumour
41728
$2,100.00
Page 270 1 November 2015

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MA795 DERMOID OF NOSE, excision of, with intranasal extension
41729
$1,335.00
MA805 FRONTO-NASAL ETHMOIDECTOMY by external approach with or 41731
$1,985.00 without sphenoidectomy
MA815 RADICAL FRONTO-ETHMOIDECTOMY with osteoplastic flap
41734
$2,630.00
MA825 FRONTAL SINUS, OR ETHMOIDAL SINUSES ON THE ONE SIDE, 41737
$1,050.00 intranasal operation on
MA835 FRONTAL SINUS, catheterisation of
41740
$140.00
MA845 FRONTAL SINUS, trephine of
41743
$865.00
MA855 FRONTAL SINUS, radical obliteration of
41746
$1,985.00
MA865 ETHMOIDAL SINUSES, external operation on
41749
$1,450.00
MA875 SPHENOIDAL SINUS, intranasal operation on
41752
$690.00
MA885 EUSTACHIAN TUBE, catheterisation of
41755
$102.00
MA895 DIVISION OF PHARYNGEAL ADHESIONS
41758
$275.00
MA905 POST NASAL SPACE, direct examination of, with or without biopsy 41761
$315.00
MA915 NASENDOSCOPY or SINOSCOPY or FIBREOPTIC EXAMINATION of 41764
$285.00 NASOPHARYNX and LARYNX, 1 or more of these procedures,
unilateral or bilateral examination of
MA925 NASOPHARYNGEAL ANGIOFIBROMA, removal of
41767
$1,715.00
MA935 PHARYNGEAL POUCH, removal of, with or without cricopharyngeal 41770
$1,635.00 myotomy
MA945 PHARYNGEAL POUCH, ENDOSCOPIC RESECTION OF (Dohlman's 41773
$1,345.00 operation)
MA955 CRICOPHARYNGEAL MYOTOMY with or without inversion of
41776
$1,380.00 pharyngeal pouch
1 November 2015 Page 271

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MA965 PHARYNGOTOMY (lateral), with or without total excision of tongue 41779
$1,635.00
MA975 PARTIAL PHARYNGECTOMY via PHARYNGOTOMY
41782
$2,225.00
MA985 PARTIAL PHARYNGECTOMY via PHARYNGOTOMY with partial or 41785
$2,760.00 total glossectomy
MA995 UVULOPALATOPHARYNGOPLASTY, with or without tonsillectomy, by 41786
$1,810.00 any means
MB005 UVULECTOMY AND PARTIAL PALATECTOMY WITH LASER
41787
$1,335.00 INCISION OF THE PALATE, with or without tonsillectomy, one or more
stages, including any revision procedures within 12 months
MB015 TONSILS OR TONSILS AND ADENOIDS, removal of, in a person aged 41788
$680.00 LESS THAN 12 YEARS
41789
MB025 TONSILS OR TONSILS AND ADENOIDS, removal of, in a person 12 41792
$865.00 YEARS OF AGE OR OVER
41793
MB035 TONSILS OR TONSILS AND ADENOIDS, ARREST OF
41796
$370.00 HAEMORRHAGE requiring general anaesthesia, following removal of 41797
MB045 ADENOIDS, removal of
41800
$370.00
41801
MB055 LINGUAL TONSIL OR LATERAL PHARYNGEAL BANDS, removal of 41804
$205.00
MB065 PERITONSILLAR ABSCESS (quinsy), incision of
41807
$164.00
MB075 UVULOTOMY or UVULECTOMY
41810
$82.00
MB085 VALLECULAR OR PHARYNGEAL CYSTS, removal of
41813
$820.00
MB095 OESOPHAGOSCOPY (with rigid oesophagoscope)
41816
$440.00
MB105 DILATATION OF STRICTURE OF UPPER GASTRO- INTESTINAL 41819
$855.00 TRACT using bougie or balloon over endoscopically inserted guidewire,
including endoscopy with flexible or rigid endoscope
MB110 DILATATION OF STRICTURE OF UPPER GASTRO- INTESTINAL 41820
$1,100.00 TRACT using bougie or balloon over endoscopically inserted guidewire,
including endoscopy with flexible or rigid endoscope, where the use of
imaging intensification is clinically indicated
Page 272 1 November 2015

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MB115 OESOPHAGOSCOPY (with rigid oesophagoscope) with biopsy
41822
$500.00
MB125 OESOPHAGOSCOPY (with rigid oesophagoscope) with removal of 41825
$820.00 foreign body
MB135 OESOPHAGEAL STRICTURE, dilatation of, without oesophagoscopy 41828
$128.00
MB145 OESOPHAGUS, endoscopic pneumatic dilatation of
41831
$875.00
MB146 OESOPHAGUS, balloon dilatation of, using interventional imaging 41832
$540.00 techniques
MB155 LARYNGECTOMY (TOTAL)
41834
$3,270.00
MB165 VERTICAL HEMI-LARYNGECTOMY including tracheostomy
41837
$2,890.00
MB175 SUPRAGLOTTIC LARYNGECTOMY including tracheostomy
41840
$3,555.00
MB185 LARYNGOPHARYNGECTOMY or PRIMARY RESTORATION OF 41843
$3,270.00 ALIMENTARY CONTINUITY after laryngopharyngectomy USING
STOMACH OR BOWEL
MB195 LARYNX, direct examination of the supraglottic, glottic and subglottic 41846
$440.00 regions, not being a service associated with any other procedure on the
larynx or with the administration of a general anaesthetic
MB205 LARYNX, direct examination of, with biopsy
41849
$620.00
MB215 LARYNX, direct examination of, WITH REMOVAL OF TUMOUR
41852
$735.00
MB225 MICROLARYNGOSCOPY
41855
$735.00
MB235 MICROLARYNGOSCOPY with removal of juvenile papillomata
41858
$1,155.00
MB245 MICROLARYNGOSCOPY with removal of benign lesions of the larynx 41861
$1,415.00 by laser surgery
MB255 MICROLARYNGOSCOPYwith removal of tumour
41864
$980.00
1 November 2015 Page 273

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MB265 MICROLARYNGOSCOPY with arytenoidectomy
41867
$1,435.00
MB266 LARYNGEAL WEB, division of, using microlarygoscopic techniques 41868
$920.00
MB275 TEFLON INJECTION INTO VOCAL CORD
41870
$1,040.00
MB285 LARYNX, FRACTURED, operation for
41873
$1,380.00
MB295 LARYNX, external operation on, OR LARYNGOFISSURE, with or without 41876
$1,380.00 cordectomy
MB305 LARYNGOPLASTY or TRACHEOPLASTY, including tracheostomy 41879
$2,225.00
MB307 TRACHEOSTOMY by a percutaneous technique using sequential 41880
$610.00 dilatation or partial splitting method to allow insertion of a cuffed
tracheostomy tube
MB310 TRACHEOSTOMY by open exposure of the trachea, including
41881
$970.00 separation of the strap muscles or division of the thyroid isthmus, where
performed
MB325 CRICOTHYROSTOMY by direct stab or Seldinger technique, using mini 41884
$215.00 tracheostomy device
MB330 TRACHE-OESOPHAGEAL FISTULA, formation of, as a secondary 41885
$695.00 procedure following laryngectomy, including associated endoscopic
procedures
MB335 TRACHEA, removal of foreign body in
41886
$415.00
MB345 BRONCHOSCOPY, as an independent procedure
41889
$415.00
MB355 BRONCHOSCOPY with 1 or more endobronchial biopsies or other 41892
$555.00 diagnostic or therapeutic procedures
MB365 BRONCHUS, removal of foreign body in
41895
$805.00
MB375 FIBREOPTIC BRONCHOSCOPY with 1 or more transbronchial lung 41898
$610.00 biopsies, with or without bronchial or broncho-alveolar lavage, with or
without the use of interventional imaging
MB385 ENDOSCOPIC LASER RESECTION OF ENDOBRONCHIAL TUMOURS 41901
$1,445.00 for relief of obstruction including any associated endoscopic procedures
Page 274 1 November 2015

SURGICAL OPERATIONS
EAR, NOSE AND THROAT
AMA Number
Fee
Description of Medical Service
MBS
Number
MB395 BRONCHOSCOPY with dilatation of tracheal stricture
41904
$535.00
NOTE: Endoscopic laser resection of tracheal or bronchial tumour is covered by AMA item
MB385.
MB405 TRACHEA OR BRONCHUS, dilitation of stricture and endoscopic 41905
$985.00 insertion of stent
MB415 NASAL SEPTUM BUTTON, insertion of
41907
$285.00
MB425 DUCT OF MAJOR SALIVARY GLAND, transposition of
41910
$915.00
OPHTHALMOLOGY
MB750
$995.00
MB760
$3,365.00
CANALICULAR INTUBATION, by close method, with dwelling silicone
tubes
EPIKERATOPHAKIA and similar operations, for refractive surgery
MB770 OPHTHALMOLOGICAL EXAMINATION under general anaesthesia, not 42503
$270.00 being a service associated with a service to which another item in this
Group applies
MB780 EYE, ENUCLEATION OF, with or without sphere implant
42506
$1,225.00
MB790 EYE, ENUCLEATION OF, with insertion of integrated implant
42509
$1,520.00
MB800 EYE, ENUCLEATION OF, with insertion of hydroxy apatite implant or 42510
$1,695.00 similar coralline implant
MB810 GLOBE, EVISCERATION OF
42512
$1,225.00
MB820 GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL 42515
$1,345.00 BALL OR CARTILAGE
MB830 ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL 42518
$865.00 IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM
SOCKET, or replacement of a motility integrating peg by drilling into an
existing orbital implant
MB840 ANOPHTHALMIC SOCKET, treatment of, by insertion of a wired-in 42521
$2,775.00 conformer, integrated implant or dermofat graft, as a secondary
procedure
1 November 2015 Page 275

SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
MB850 ORBIT, SKIN GRAFT TO, as a delayed procedure
42524
$535.00
MB860 CONTRACTED SOCKET, reconstruction including mucous membrane 42527
$1,075.00 grafting and stent mould
MB870 ORBIT, EXPLORATION with or without biopsy, requiring REMOVAL OF 42530
$1,520.00 BONE
MB880 ORBIT, EXPLORATION OF, with drainage or biopsy not requiring 42533
$910.00 removal of bone
MB890 ORBIT, EXENTERATION OF, with or without skin graft and with or 42536
$2,160.00 without temporalis muscle transplant
MB900 ORBIT, EXPLORATION OF, with removal of tumour or foreign body, 42539
$3,090.00 requiring removal of bone
MB910 ORBIT, EXPLORATION OF ANTERIOR ASPECT with removal of 42542
$1,285.00 tumour or foreign body
MB915 ORBIT, EXPLORATION OF RETROBULBAR ASPECT with removal of 42543
$2,250.00 tumour or foreign body
MB920 ORBIT, DECOMPRESSION OF, for dysthyroid eye disease, by
42545
$2,880.00 fenestration of 2 or more walls, or by the removal of intraorbital
peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye
MB930 OPTIC NERVE MENINGES, incision of
42548
$2,590.00
MB940 EYE PENETRATING WOUND or RUPTURE OF, not involving
42551
$1,635.00 intraocular structures - repair involving suture of cornea or sclera, or
both, not being a service to which item MC250 applies
MB950 EYE PENETRATING WOUND or RUPTURE OF, with incarceration or 42554
$1,925.00 prolapse of uveal tissue - repair
MB960 EYE PENETRATING WOUND or RUPTURE OF, with incarceration of 42557
$2,685.00 lens or vitreous - repair
MB980 INTRAOCULAR FOREIGN BODY, removal from anterior segment 42563
$1,400.00
MC000 INTRAOCULAR FOREIGN BODY, removal from posterior segment 42569
$2,685.00
MC010 ORBITAL ABSCESS OR CYST, drainage of
42572
$255.00
Page 276 1 November 2015

SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
‡
†
Description of Medical Service
MBS
Number
MC020 DERMOID, periorbital, excision of, on a person 10 years of age or over 42573
$550.00
MC021 DERMOID, periorbital, excision of, on a person under 10 years of age 42576
$715.00
MC030 DERMOID, orbital, excision of
42574
$1,165.00
MC040 TARSAL CYST, extirpation of
42575
$215.00
MC060 ECTROPION OR ENTROPION, tarsal cauterisation of
42581
$270.00
MC070 TARSORRHAPHY
42584
$700.00
MC080 TRICHIASIS, treatment of by cryotherapy, laser or electrolysis - each 42587
$118.00 eyelid
MC090 CANTHOPLASTY, medial or lateral
42590
$865.00
MC100 LACRIMAL GLAND, excision of palpebral lobe
42593
$535.00
MC110 LACRIMAL SAC, excision of, or operation on
42596
$1,285.00
MC120 LACRIMAL CANALICULAR SYSTEM, establishment of patency by 42599
$1,385.00 closed operation using silicone tubes or similar, 1 eye
MC130 LACRIMAL CANALICULAR SYSTEM, establishment of patency by open 42602
$1,635.00 operation, 1 eye
MC140 LACRIMAL CANALICULUS, immediate repair of
42605
$1,170.00
MC150 LACRIMAL DRAINAGE by insertion of glass tube, as an independent 42608
$700.00 procedure
MC160 NASOLACRIMAL TUBE (unilateral), removal or replacement of, or 42610
$230.00 LACRIMAL PASSAGES, probing for obstruction, unilateral, with or
without lavage - under general anaesthesia
MC170 NASOLACRIMAL TUBE (bilateral), removal or replacement of, or 42611
$375.00 lacrimal passages, probing for obstruction, bilateral, with or without
lavage - under general anaesthesia
1 November 2015 Page 277

SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
MC180 NASOLACRIMAL TUBE (unilateral), removal or replacement of, or 42614
$122.00 LACRIMAL PASSAGES, probing to establish patency of the lacrimal
passage and/or site of obstruction, unilateral, including lavage, not being
a service associated with a service to which item MC160 applies
(excluding aftercare)
MC190 NASOLACRIMAL TUBE (bilateral), removal or replacement of, or 42615
$174.00 LACRIMAL PASSAGES, probing to establish patency of the lacrimal
passage and/or site of obstruction, bilateral, including lavage, not being a
service associated with a service to which item MC170 applies (excluding
aftercare)
MC200 PUNCTUM SNIP operation
42617
$280.00
MC210 PUNCTUM, occlusion of, by use of a plug
42620
$196.00
MC212 PUNCTUM, permanent occlusion of, by use of electrical cautery
42622
$200.00
MC220 DACRYOCYSTORHINOSTOMY
42623
$2,245.00
MC230 DACRYOCYSTORHINOSTOMY where a previous
42626
$2,555.00 dacryocystorhinostomy has been performed
MC240 CONJUNCTIVORHINOSTOMY including dacryocystorhinostomy and 42629
$2,370.00 fashioning of conjunctival flaps
MC250 CONJUNCTIVAL PERITOMY OR REPAIR OF CORNEAL LACERATION 42632
$255.00 by conjunctival flap
MC260 CORNEAL PERFORATIONS, sealing of, with tissue adhesive
42635
$1,495.00
MC270 CONJUNCTIVAL GRAFT OVER CORNEA
42638
$970.00
MC280 AUTOCONJUNCTIVAL TRANSPLANT, or mucous membrane graft 42641
$1,035.00
MC290
$186.00
CORNEA OR SCLERA, complete removal of embedded foreign body
from (excluding aftercare)
MC300 CORNEAL SCARS, removal of, by partial keratectomy, not being a 42647
$535.00 service associated with a service to which Item MC430 applies
MC310 CORNEA, epithelial debridement for corneal ulcer or corneal erosion 42650
$186.00 (excluding aftercare)
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SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
MC315 CORNEA, epithelial debridement for eliminating band keratopathy 42651
$410.00
MC320 CORNEA, transplantation of
42653
$3,210.00
MC330 CORNEA, transplantation of, second and subsequent procedures 42656
$3,560.00
MC350 SCLERA, transplantation of, full thickness, including collection of donor 42662
$1,845.00 material
MC360 SCLERA, transplantation of, superficial or lamellar, including collection of 42665
$1,385.00 donor material
MC369 RUNNING CORNEAL SUTURE, manipulation of, performed within 4 42667
$355.00 months of corneal grafting, to reduce astigmatism where a reduction of 2
dioptres of astigmatism is obtained, including any associated consultation
MC370 CORNEAL SUTURES, removal of, not earlier than 6 weeks after 42668
$186.00 operation requiring use of slit lamp or operating microscope
NOTE: The description of items MC381 and MC385 refers to two sets of calculations, one
performed some time prior to the operation, the other during the course of the operation. Both
of these measurements are included in items MC381 and MC385.
MC381 CORNEAL INCISIONS, to correct astigmatism of more than 1.5 diopters 42672
$1,925.00 following anterior segment surgery, INCLUDING APPROPRIATE
MEASUREMENTS AND CALCULATIONS, performed as an
independent procedure
MC385 ADDITIONAL CORNEAL INCISIONS, to correct corneal astigmatism of 42673
$1,050.00 more than 1.5 diopters, INCLUDING APPROPRIATE MEASUREMENTS
AND CALCULATIONS, performed in conjunction with other anterior
segment surgery
MC399 CONJUNCTIVA, BIOPSY OF, as an independent procedure
42676
$290.00
MC400 CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF
42677
$134.00 PANNUS - each attendance at which treatment is given including any
associated consultation
MC410 CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using 42680
$700.00 CO2 or N20
MC420 CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or 42683
$285.00 approved day hospital facility
MC430 PTERYGIUM, removal of
42686
$640.00
1 November 2015 Page 279

SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
MC440 PINGUECULA, removal of, not being a service associated with the fitting 42689
$270.00 of contact lenses
MC450 LIMBIC TUMOUR, removal of, excluding Pterygium
42692
$700.00
MC460 LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, 42695
$1,070.00 excluding Pterygium
NOTE: Items MC470, MC480, MC490 and MC510 are the AMA equivalents for MBS items 42698,
42701, 42702 and 42707. The AMA descriptors differ slightly from the MBS descriptors which
restrict use of the items (and payment of Medicare benefits for those items) to surgery which is
not solely for the correction of refractive error, except for anisometropia greater than 3 dioptres
following the removal of cataract in the first eye.
MC470 LENS EXTRACTION
$2,960.00
MC480
$1,635.00
MC490
$3,775.00
INTRAOCULAR LENS, insertion of
LENS EXTRACTION and INSERTION OF INTRAOCULAR LENS
MC492 INTRAOCULAR LENS, or IRIS PROSTHESIS insertion of, into the 42703
$1,225.00 posterior chamber with fixation to the iris or sclera
MC500 INTRAOCULAR LENS, REMOVAL or REPOSITIONING of by open 42704
$995.00 operation - not being a service associated with a service to which item
MC480 applies
MC510
$1,725.00
INTRAOCULAR LENS, REMOVAL of and REPLACEMENT with a
different lens
MC520 INTRAOCULAR LENS, removal of, and replacement with a lens inserted 42710
$1,935.00 into the posterior chamber and fixated to the iris or sclera
MC530 IRIS SUTURING, McCannell technique or similar, for fixation of
42713
$810.00 intraocular lens or repair of iris defect
MC540 CATARACT, JUVENILE, removal of, including subsequent needlings 42716
$2,980.00
MC550 REMOVAL OF VITREOUS, and/or CAPSULAR or LENS MATERIAL, via 42719
$1,345.00 a limbal approach, not being a service associated with a service to which
item MC470, MC490, MC540, MC570 or MC590 applies
MC570 VITRECTOMY via pars plana sclerotomies including the removal of 42725
$3,210.00 vitreous, division of bands or removal of epiretinal membranes
Page 280 1 November 2015

SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
MC590 LIMBAL or PARS PLANA LENSECTOMY, combined with vitrectomy, not 42731
$3,635.00 being a service associated with items MC470, MC490,MC550 or MC570
MC600 CAPSULOTOMY, other than by laser
42734
$805.00
MC618 PARACENTESIS OF ANTERIOR CHAMBER OR VITREOUS CAVITY, 42738
$810.00 or both, for the injection of therapeutic substances, or the removal of
aqueous or vitreous humours for diagnostic or therapeutic purposes, 1 or
more of, as an independent procedure
42739
MC620 INTRAVITREAL INJECTION OF THERAPEUTIC SUBSTANCES, or the 42740
$810.00 removal of vitreous humour for diagnostic purposes, 1 or more of, as a
procedure associated with other intraocular surgery
MC625 POSTERIOR JUXTASCLERAL DEPOT INJECTION of a therapeutic 42741
$810.00 substance, for the treatment of subfoveal choroidal neovascularisation
due to age-related macular degeneration, 1 or more of
MC630 ANTERIOR CHAMBER, IRRIGATION OF BLOOD FROM, as an
42743
$1,635.00 independent procedure
MC635 NEEDLE REVISION of glaucoma filtration bleb, following glaucoma 42744
$730.00 filtering procedure
MC640 GLAUCOMA, filtering operation for, where conservative therapies have 42746
$2,395.00 failed, are likely to fail, or are contraindicated
MC650 GLAUCOMA, filtering operation for, where previous filtering operation 42749
$2,970.00 has been performed
MC660 GLAUCOMA, insertion of drainage device incorporating an extraocular 42752
$3,320.00 reservoir for, such as a Molteno device
MC670 GLAUCOMA, removal of drainage device incorporating an extraocular 42755
$415.00 reservoir for, such as a Molteno device
MC680 GONIOTOMY
42758
$1,750.00
MC690 DIVISION OF ANTERIOR OR POSTERIOR SYNECHIAE, as an
42761
$1,345.00 independent procedure, other than by laser
MC700 IRIDECTOMY (including excision of tumour of iris) OR IRIDOTOMY, as 42764
$1,170.00 an independent procedure, other than by laser
MC710 TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, 42767
$2,685.00 excision of
MC720
$700.00
CYCLODIATHERMY OR CYCLOCRYOTHERAPY
1 November 2015 Page 281

SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
MC721
$735.00
Description of Medical Service
CYCLODESTRUCTIVE PROCEDURES for the treatment of intractable
glaucoma, treatment to one eye
MBS
Number
MC730 DETACHED RETINA, pneumatic retinopexy for, not being a service 42773
$1,925.00 associated with a service to which item MC740 applies
MC740 DETACHED RETINA, buckling or resection operation for
42776
$2,920.00
MC750 DETACHED RETINA, revision of sclera buckling, operation for
42779
$2,925.00
MC760 LASER TRABECULOPLASTY, for the treatment of glaucoma. Each 42782
$970.00 treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year
period
MC761 LASER TRABECULOPLASTY, for the treatment of glaucoma. Each 42783
$970.00 treatment to 1 eye - where it can be demonstrated that a 5th or
subsequent treatment to that eye (including any treatments to which item
MC760 applies) is indicated in a 2 year period
MC770 LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 42785
$765.00 2 treatments to that eye in a 2 year period
MC771 LASER IRIDOTOMY - each treatment episode to 1 eye - where it can be 42786
$765.00 demonstrated that a 3rd or subsequent treatment to that eye (including
any treatments to which Item MC770 applies) is indicated in a 2 year
period
MC780 LASER CAPSULOTOMY - each treatment episode to 1 eye, to a 42788
$765.00 maximum of 2 treatments to that eye in a 2 year period
MC781 LASER CAPSULOTOMY - each treatment episode to 1 eye - where it 42789
$765.00 can be demonstrated that a 3rd or subsequent treatment to that eye
(including any treatments to which Item MC780 applies) is indicated in a
2 year period
MC790 LASER VITREOLYSIS OR CORTICOLYSIS OF LENS MATERIAL OR 42791
$765.00 FIBRINOLYSIS - each treatment to 1 eye, to a maximum of 2 treatments
to that eye in a 2 year period
MC791 LASER VITREOLYSIS OR CORTICOLYSIS OF LENS MATERIAL OR 42792
$765.00 FIBRINOLYSES - each treatment to 1 eye - where it can be
demonstrated that a 3rd or subsequest treatment to that eye (including
any treatments to which Item MC790 applies) is indicated in a 2 year
period.
MC800 DIVISION OF SUTURE BY LASER following glaucoma filtration surgery, 42794
$142.00 each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2
year period
Page 282 1 November 2015

SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
MC831 EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), 42801
$2,560.00 for the treatment of choroidal melanomas, insertion of
MC832 EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), 42802
$1,280.00 for the treatment of choroidal melanomas, removal of
MC839 TANTALUM MARKERS, surgical insertion to the sclera to localise the 42805
$1,430.00 tumour base to assist in planning of radiotherapy of choroidal
melanomas, 1 or more
MC840 IRIS TUMOUR, laser photocoagulation of
42806
$765.00
MC841 PHOTOMYDRIASIS, laser
42807
$885.00
MC842 LASER PERIPHERAL IRIDOPLASTY
42808
$885.00
MC850 RETINA, photocoagulation of, not being a service associated with 42809
$1,050.00 photodynamic therapy with verteporfin
MC851 PHOTOTHERAPEUTIC KERATECTOMY, by laser, for corneal scarring 42810
$1,375.00 or disease, excluding surgery for refractive error
MC852 TRANSPUPILLARY THERMOTHERAPY, for treatment of choroidal and 42811
$1,100.00 retinal tumours or vascular malformations
MC860 Removal of sclera buckling material, from an eye having undergone 42812
$430.00 previous scleral buckling surgery
MC870 VITREOUS CAVITY, removal of silicone oil or other liquid vitreous 42815
$1,395.00 substitutes from, during a procedure other than that in which the vitreous
substitute is inserted
MC880 RETINA, CRYOTHERAPY TO, as an independent procedure, or when 42818
$1,285.00 performed in conjunction with item MC721 or MC850
MC890 OCULAR TRANSILLUMINATION, for the diagnosis and measurement of 42821
$215.00 intraocular tumours
MC900 RETROBULBAR INJECTION OF ALCOHOL OR OTHER DRUG, as an 42824
$164.00 independent procedure
MC930 SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation 42833
$1,520.00 involving a total of 1 OR 2 MUSCLES on a patient aged 15 years or over
1 November 2015 Page 283

SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
MC940 SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation 42836
$1,790.00 involving a total of 1 OR 2 MUSCLES, on a patient aged 14 years or
under, or where the patient has had previous squint, retinal or extra
ocular operations on the eye or eyes, or on a patient with concurrent
thyroid eye disease
MC950 SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation 42839
$1,750.00 involving a total of 3 OR MORE MUSCLES on a patient aged 15 years or
over
MC960 SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation 42842
$2,140.00 involving a total of 3 OR MORE MUSCLES on a patient aged 14 years or
under, or where the patient has had previous squint, retinal or extra
ocular operations on the eye or eyes, or on a patient with concurrent
thyroid eye disease
MC970 READJUSTMENT OF ADJUSTABLE SUTURES, 1 or both eyes, as an 42845
$450.00 independent procedure following an operation for correction of squint
MC980 SQUINT, muscle transplant for (Hummelsheim type, or similar operation) 42848
$1,750.00 on a patient aged 15 years or over
MC990 SQUINT, muscle transplant for (Hummelsheim type, or similar operation) 42851
$1,750.00 on a patient aged 14 years or under, or where the patient has had
previous squint, retinal or extra ocular operations on the eye or eyes, or
on a patient with concurrent thyroid eye disease
MD010 RUPTURED MEDIAL PALPEBRAL LIGAMENT or ruptured EXTRA- 42854
$875.00 OCULAR MUSCLE, repair of
MD020 RESUTURING OF WOUND FOLLOWING INTRAOCULAR
42857
$970.00 PROCEDURES with or without excision of prolapsed iris
MD030 EYELID (upper or lower), scleral or Goretex or other non-autogenous 42860
$2,075.00 graft to, with recession of the lid retractors
MD040 EYELID, recession of
42863
$1,965.00
MD050 ENTROPION or TARSAL ECTROPION, repair of, by tightening,
42866
$1,745.00 shortening or repair of inferior retractors by open operation across the
entire width of the eyelid
MD060 EYELID closure in facial nerve paralysis, insertion of foreign implant for 42869
$1,225.00
MD070 EYEBROW, elevation of, for paretic states
42872
$590.00
Page 284 1 November 2015

SURGICAL OPERATIONS
OPHTHALMOLOGY
AMA Number
Fee
MD075
$1,625.00
MD080
$1,785.00
MD085
$445.00
Description of Medical Service
PHOTODYNAMIC THERAPY, treatment of one eye, (including the
infusion of verteporfin continuously through a peripheral vein) using a
non-thermal laser at a wavelength of 689nm, for the treatment of
choroidal neovascularisation
PHOTODYNAMIC THERAPY, treatment of both eyes, (including the
infusion of verteporfin continuously through a peripheral vein) using a
non-thermal laser at a wavelength of 689nm, for the treatment of
choroidal neovascularisation
INFUSION of verteporfin for discontinued photodynamic therapy, where
a session of therapy which would have been provided under item MD075
or MD080 has been discontinued on medical grounds
OPERATIONS FOR OSTEOMYELITIS
MBS
Number
MD110 OPERATION ON PHALANX (for acute osteomyelitis)
43500
$285.00
MD120 OPERATION ON STERNUM, CLAVICLE, RIB, ULNA, RADIUS,
43503
$490.00 CARPUS, TIBIA, FIBULA, TARSUS, SKULL, MANDIBLE OR MAXILLA
(other than alveolar margins) (for acute osteomyelitis) - 1 BONE
MD130 OPERATION ON HUMERUS OR FEMUR (for acute osteomyelitis) - 1 43506
$820.00 BONE
MD140 OPERATION ON SPINE OR PELVIC BONES (for acute osteomyelitis) - 43509
$820.00 1 BONE
MD150 OPERATION ON SCAPULA, STERNUM, CLAVICLE, RIB, ULNA, 43512
$820.00 RADIUS, METACARPUS, CARPUS, PHALANX, TIBIA, FIBULA,
METATARSUS, TARSUS, MANDIBLE OR MAXILLA (other than alveolar
margins) (for chronic osteomyelitis) - 1 BONE or ANY COMBINATION
OF ADJOINING BONES
MD160 OPERATION ON HUMERUS OR FEMUR (for chronic osteomyelitis) - 1 43515
$820.00 BONE
MD170 OPERATION ON SPINE OR PELVIC BONES (for chronic
43518
$1,380.00 osteomyelitis) - 1 BONE
MD180 OPERATION ON SKULL (for chronic osteomyelitis)
43521
$1,065.00
MD190 OPERATION ON ANY COMBINATION OF ADJOINING BONES, being 43524
$1,380.00 bones referred to in Item MD160, MD170 or MD180 (for chronic
osteomyelitis)
1 November 2015 Page 285

SURGICAL OPERATIONS
PAEDIATRIC
AMA Number
Fee
PAEDIATRIC
NEONATAL SURGERY
Description of Medical Service
MBS
Number
MD250 INTESTINAL MALROTATION with or without volvulus, laparotomy for, 43801
$2,230.00 not involving bowel resection
MD260 INTESTINAL MALROTATION with or without volvulus, laparotomy for, 43804
$2,375.00 with bowel resection and anastomosis, with or without formation of stoma
MD270 DUODENAL ATRESIA OR STENOSIS, duodenoduodenostomy or 43807
$2,590.00 duodenojejunostomy for
MD280 JEJUNAL ATRESIA, bowel resection and anastomosis for, with or 43810
$3,025.00 without tapering
MD290 MECONIUM ILEUS, laparotomy for, complicated by 1 or more of 43813
$3,025.00 associated volvulus, atresia, intestinal perforation with or without
meconium peritonitis
MD300 ILEAL ATRESIA, colonic atresia or meconium ileus not being a service 43816
$2,810.00 associated with a service to which Item MD290 applies, laparotomy for
‡ MD310 AGANGLIOSIS COLI, laparotomy for, with or without frozen section 43819
$2,270.00 biopsies and formation of stoma
MD320 ANORECTAL MALFORMATION, laparotomy and colostomy for
43822
$2,270.00
MD330 NEONATAL ALIMENTARY OBSTRUCTION, laparotomy for, not being a 43825
$2,590.00 service to which any other item in this Subgroup applies
MD340 ACUTE NEONATAL NECROTISING ENTEROCOLITIS, laparotomy for, 43828
$2,865.00 with resection, including any anastomoses or stoma formation
MD350 ACUTE NEONATAL NECROTISING ENTEROCOLITIS where no 43831
$2,230.00 definitive procedure is possible, laparotomy for
MD360 BOWEL RESECTION FOR NECROTISING ENTEROCOLITIS
43834
$2,590.00 STRICTURE OR STRICTURES, including any anastomoses or stoma
formation
MD370 CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or 43837
$3,240.00 abdominal approach, with diagnosis confirmed in the first 24 hours of life
MD380 CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or 43840
$2,810.00 abdominal approach, diagnosed after the first day of life and before 20
days of age
MD390 OESOPHAGEAL ATRESIA (with or without repair of tracheooesophageal
43843
$4,320.00
fistula), complete correction of, not covered by Item MD400
applies
Page 286 1 November 2015

SURGICAL OPERATIONS
PAEDIATRIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MD400 OESOPHAGEAL ATRESIA (with or without repair of tracheooesophageal
43846
$4,645.00
fistula), complete correction of, in infant of birth weight less
than 1500 grams
MD410 OESOPHAGEAL ATRESIA, gastrostomy for
43849
$1,190.00
MD420 OESOPHAGEAL ATRESIA, thoracotomy for, and division of tracheooesophageal
43852
$3,780.00
fistula without
anastomosis
MD430 OESOPHAGEAL ATRESIA, delayed primary anastomosis for
43855
$3,995.00
MD440 OESOPHAGEAL ATRESIA, cervical oesophagostomy for
43858
$1,405.00
MD450 CONGENITAL CYSTADENOMATOID MALFORMATION or congenital 43861
$3,890.00 lobar emphysema, thoracotomy and lung resection for
MD460 GASTROSCHISIS, operation for
43864
$2,915.00
‡ MD470 GASTROSCHISIS or EXOMPHALOS, secondary operation for, with 43867
$1,620.00 removal of silo
MD480 EXOMPHALOS CONTAINING SMALL BOWEL ONLY, operation for 43870
$2,270.00
MD490 EXOMPHALOS CONTAINING SMALL BOWEL and other viscera, 43873
$3,025.00 operation for
MD500 SACROCOCCYGEAL TERATOMA, excision of, by posterior approach 43876
$2,590.00
MD510 SACROCOCCYGEAL TERATOMA, excision of, by combined posterior 43879
$3,025.00 and abdominal approach
MD520 CLOACAL EXSTROPHY, operation for
43882
$3,890.00
THORACIC SURGERY
MD600 TRACHEO-OESOPHAGEAL FISTULA without atresia, division and 43900
$2,560.00 repair of
MD610 OESOPHAGEAL ATRESIA OR CORROSIVE OESOPHAGEAL
43903
$4,265.00 STRICTURE, oesophageal replacement for, utilizing gastric tube,
jejunum or colon
MD620 OESOPHAGUS, resection of congenital, anastomic or corrosive stricture 43906
$3,730.00 and anastomosis, not being a service to which Item MD610 applies
1 November 2015 Page 287

SURGICAL OPERATIONS
PAEDIATRIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MD630 TRACHEOMALACIA, aortopexy for
43909
$3,730.00
MD640 THORACOTOMY and excision of 1 or more of bronchogenic or
43912
$3,525.00 enterogenous cyst or mediastinal teratoma
MD650 EVENTRATION, plication of diaphragm for
43915
$2,665.00
ABDOMINAL SURGERY
ME200 HYPERTROPHIC PYLORIC STENOSIS, pyloromyotomy for
43930
$1,145.00
ME210 IDIOPATHIC INTUSSUSCEPTION, laparotomy and manipulative 43933
$1,210.00 reduction of
ME220 INTUSSUSCEPTION, laparotomy and resection with anastomosis 43936
$2,255.00
ME230 VENTRAL HERNIA following neonatal closure of exomphalos or
43939
$1,715.00 gastroschisis, repair of
ME240 ABDOMINAL WALL VITELLO INTESTINAL REMNANT, excision of 43942
$535.00
ME250 PATENT VITELLO INTESTINAL DUCT, excision of
43945
$2,255.00
ME260 UMBILICAL GRANULOMA, excision of, under general anaesthesia 43948
$320.00
ME270 GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, 43951
$2,020.00 laparotomy and fundoplication for, without gastrostomy
ME280 GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, 43954
$2,470.00 laparotomy and fundoplication for, with gastrostomy
ME290 GASTRO-OESOPHAGEAL REFLUX, laparotomy and fundoplication for, 43957
$2,685.00 with or without hiatus hernia, in child with neurological disease, with
gastrostomy
ME300 ANORECTAL MALFORMATION, perineal anoplasty of
43960
$945.00
ME310 ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of 43963
$3,755.00
ME320 ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of, 43966
$4,295.00 with laparotomy
Page 288 1 November 2015

SURGICAL OPERATIONS
PAEDIATRIC
AMA Number
Fee
Description of Medical Service
MBS
Number
ME330 PERSISTENT CLOACA, total correction of, with genital repair using 43969
$5,900.00 posterior sagittal approach, with or without laparotomy
ME340 CHOLEDOCHAL CYST, resection of, with 1 duct anastomosis
43972
$4,295.00
ME350 CHOLEDOCHAL CYST, resection of, with 2 duct anastomoses
43975
$5,045.00
ME360 BILIARY ATRESIA, portoenterostomy for
43978
$4,295.00
ME370 NEPHROBLASTOMA, NEUROBLASTOMA or other malignant tumour, 43981
$1,180.00 laparotomy (exploratory), including associated biopsies, where no other
intra-abdominal procedure is performed
ME380 NEPHROBLASTOMA, radical nephrectomy for
43984
$3,005.00
ME390 NEUROBLASTOMA, radical excision of
43987
$3,325.00
‡ ME400 AGANGLIONOSIS COLI, definitive resection with pull-through
43990
$4,080.00 anastomosis, with or without frozen section biopsies, when aganglionic
segment extends to sigmoid colon
‡ ME410 AGANGLIONOSIS COLI, definitive resection with pull-through
43993
$4,400.00 anastomosis, with or without frozen section biopsies, when aganglionic
segment extends into descending or transverse colon with or without
resiting of stoma
‡ ME420 AGANGLIONOSIS COLI, total colectomy for total colonic aganglionosis 43996
$4,935.00 with ileoanal pull-through, with or without side to side ileocolic
anastomosis
‡
‡
†
‡
†
ME430 AGANGLIONOSIS COLI, anal sphincterotomy as an independent 43999
$615.00 procedure for
ME440 RECTUM, examination of, on a person 2 years of age or over, under 44102
$595.00 general anaesthesia with full thickness biopsy or removal of polyp or
similar lesion
ME441 RECTUM, examination of, on a person under 2 years of age, under 44101
$775.00 general anaesthesia with full thickness biopsy or removal of polyp or
similar lesion
ME450 RECTAL PROLAPSE, submucosal or perirectal injection for, on a person 44105
$104.00 2 years of age or over, under general anaesthesia
ME451 RECTAL PROLAPSE, submucosal or perirectal injection for, on a person 44104
$136.00 under 2 years of age, under general anaesthesia
1 November 2015 Page 289

SURGICAL OPERATIONS
PAEDIATRIC
AMA Number
Fee
Description of Medical Service
MBS
Number
‡ ME460 INGUINAL HERNIA REPAIR at age less than 12 months
44108
$1,140.00
‡ ME470 OBSTRUCTED OR STRANGULATED INGUINAL HERNIA, repair, at 44111
$1,335.00 age less than 12 months, including orchidopexy when performed
‡ ME480 INGUINAL HERNIA REPAIR at age less than 12 months when
44114
$1,335.00 orchidopexy also required
MISCELLANEOUS SURGERY
ME700 LYMPHADENECTOMY, for atypical mycobacterial infection or other 44130
$1,075.00 granulomatous disease
ME710 TORTICOLLIS, open division of sternomastoid muscle for
44133
$850.00
ME720 INGROWN TOE NAIL, operation for, under general anaesthesia
44136
$390.00
AMPUTATIONS
MG005 HAND, MIDCARPAL OR TRANSMETACARPAL, amputation of
44325
$700.00
MG015 HAND, FOREARM OR THROUGH ARM, amputation of
44328
$820.00
MG025 AMPUTATION AT SHOULDER
44331
$1,380.00
MG035 INTERSCAPULOTHORACIC amputation
44334
$2,745.00
MG045 1 DIGIT OF FOOT, amputation of
44338
$375.00
MG055 2 DIGITS OF 1 FOOT, amputation of
44342
$560.00
MG065 3 DIGITS OF 1 FOOT, amputation of
44346
$750.00
MG075 4 DIGITS OF 1 FOOT, amputation of
44350
$935.00
MG085 5 DIGITS OF 1 FOOT, amputation of
44354
$1,120.00
MG095 TOE, INCLUDING METATARSAL OR PART OF METATARSAL - each 44358
$465.00 toe, amputation of
Page 290 1 November 2015

SURGICAL OPERATIONS
AMPUTATIONS
AMA Number
Fee
Description of Medical Service
MBS
Number
MG100 ONE OR MORE TOES OF ONE FOOT, amputation of, including if 44359
$765.00 performed, excision of 1 or more metatarsal bones of the foot, performed
for diabetic or other microvascular disease, excluding aftercare
MG105 FOOT AT ANKLE (Syme, Pirogoff types), amputation of
44361
$820.00
MG115 FOOT, MIDTARSAL OR TRANSMETATARSAL, amputation of
44364
$700.00
MG125 AMPUTATION THROUGH THIGH, AT KNEE OR BELOW KNEE 44367
$1,205.00
MG135 Amputation at hip
44370
$1,695.00
MG145 HINDQUARTER, amputation of
44373
$3,445.00
MG155 AMPUTATION STUMP, reamputation of, to provide adequate skin and 44376
$0.00 muscle cover (Derived fee - 75% of the original amputation fee)
PLASTIC AND RECONSTRUCTIVE
GENERAL
MG300
$260.00
MG310
$515.00
MG320
$1,155.00
MG330
$3,225.00
HAIR TRANSPLANTS, multiple punch or similar technique, involving
NOT MORE THAN 40 PUNCH GRAFTS
HAIR TRANSPLANTS, multiple punch or similar technique, involving
MORE THAN 40 BUT NOT MORE THAN 100 PUNCH GRAFTS
HAIR TRANSPLANTS, multiple punch or similar technique, involving
MORE THAN 100 PUNCH GRAFTS
MELONOPLASTY
MG340 SINGLE STAGE LOCAL MUSCLE FLAP REPAIR, on eyelid, nose, lip, 45000
$1,510.00 neck, hand, thumb, finger or genitals
MG350 SINGLE STAGE LOCAL MYOCUTANEOUS FLAP REPAIR to 1 defect, 45003
$1,680.00 simple and small
MG360 SINGLE STAGE LARGE MYOCUTANEOUS FLAP REPAIR to 1 defect, 45006
$2,895.00 (pectoralis major, latissimus dorsi, or similar large muscle)
MG370 SINGLE STAGE LOCAL muscle flap repair to 1 defect, simple and small 45009
$915.00
MG380 SINGLE STAGE LARGE MUSCLE FLAP REPAIR to 1 defect, (pectoralis 45012
$1,545.00 major, gastrocnemius, gracilis or similar large muscle)
1 November 2015 Page 291

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MG390 MUSCLE OR MYOCUTANEOUS FLAP, delay of
45015
$840.00
MG400 DERMIS, DERMOFAT OR FASCIA GRAFT (excluding transfer of fat by 45018
$1,435.00 injection)
MG402 FULL FACE CHEMICAL PEEL for severely sun-damaged skin, where it 45019
$1,070.00 can be demonstrated that the damage affects 75% of the facial skin
surface area involving photodamage (dermatoheliosis) typically
consisting of solar keratoses, solar lentigines, freckling, yellowing and
leathering of the skin, where at least medium depth peeling agents are
used, performed in the operating threatre of a hospital or approved dayhospital
facility by a specialist in the practice of his or her specialty - 1
session only in a 12 month period
MG404 FULL FACE CHEMICAL PEEL for severe chloasma or melasma
45020
$1,070.00 refractory to all other treatments, where it can be demonstrated that the
chloasma or melasma affects 75% of the facial skin surface area
involving diffuse pigmentation visible at a distance of 4 metres, where at
least medium depth peeling agents are used, performed in the operating
theatre of a hospital or approved day-hospital facility by a specialist in
the practice of his or her specialty - 1 session only in a 12 month period
MG410 ABRASIVE THERAPY for severely disfiguring scarring resulting from 45021
$430.00 trauma, burns or acne - limited to 1 aesthetic area
MG420 ABRASIVE THERAPY for severely disfiguring scarring resulting from 45024
$1,075.00 trauma, burns or acne - more than 1 aesthetic area
MG430 CARBON DIOXIDE LASER or ERBIUM LASER RESURFACING of the 45025
$430.00 face or neck for severely disfiguring scarring resulting from trauma, burns
or acne - limited to 1 aesthetic area
MG440 CARBON DIOXIDE LASER or ERBIUM LASER RESURFACING of the 45026
$965.00 face or neck for severely disfiguring scarring resulting from trauma, burns
or acne - more than 1 aesthetic area
MG450 ANGIOMA, cauterisation of or injection into, where undertaken in the 45027
$335.00 operating theatre of a hospital or approved day-hospital facility
MG460 ANGIOMA (HAEMANGIOMA OR LYMPHANGIOMA OR BOTH) OF 45030
$320.00 SKIN and subcutaneous tissue (excluding facial muscle or breast) or
mucous surface, small, excision and suture of
MG470 ANGIOMA (HAEMANGIOMA OR LYMPHANGIOMA OR BOTH), large or 45033
$670.00 involving deeper tissue including facial muscle or breast, excision and
suture of
MG480 ANGIOMA (HAEMANGIOMA OR LYMPHANGIOMA OR BOTH), large 45035
$1,885.00 and deep, involving muscles or nerves, excision of
Page 292 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MG490 ANGIOMA (HAEMANGIOMA OR LYMPHANGIOMA OR BOTH) of neck, 45036
$3,145.00 deep, excision of
MG500 ARTERIOVENOUS MALFORMATION (3 cms or less) of superficial 45039
$670.00 tissue, excision of
MG510 ARTERIOVENOUS MALFORMATION, (greater than 3 cms), excision of 45042
$860.00
MG520 ARTERIOVENOUS MALFORMATION on eyelid, nose, lip, ear, neck, 45045
$860.00 hand, thumb, finger or genitals, excision of
MG530 LYMPHOEDEMATOUS TISSUE OR LYMPHANGIECTASIS, of lower leg 45048
$2,080.00 and foot, or thigh, or upper arm, or forearm and hand, major excision of
MG540 CONTOUR RECONSTRUCTION for pathological deformity, insertion of 45051
$1,280.00 foreign implant (non biological but excluding injection of liquid or
semisolid material) by open operation
MG550 LIMB OR CHEST, decompression escharotomy of (including all
45054
$585.00 incisions), for acute compartment syndrome secondary to burn
SKIN FLAP SURGERY
MH105 SINGLE STAGE LOCAL FLAP, where indicated to repair 1 defect, 45200
$750.00 simple and small, excluding flap for male pattern baldness and excluding
H-flap or double advancement flap
MH115 SINGLE STAGE LOCAL FLAP, where indicated to repair 1 defect, 45203
$1,130.00 complicated or large, and excluding flap for male pattern baldness and
excluding H-flap or double advancement flap
MH125 SINGLE STAGE LOCAL FLAP where indicated to repair 1 defect, on 45206
$1,070.00 eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excluding H-
flap or double advancement flap
MH130 H-FLAP OR DOUBLE ADVANCEMENT FLAP where indicated to repair 45207
$1,065.00 1 defect, on eyelid, eyebrow or forehead
MH135 DIRECT FLAP REPAIR (cross arm, abdominal or similar), first stage 45209
$1,435.00
MH145 DIRECT FLAP REPAIR (cross arm, abdominal or similar), second stage 45212
$710.00
MH155 DIRECT FLAP REPAIR, cross leg, first stage
45215
$3,115.00
MH165 DIRECT FLAP REPAIR, cross leg, second stage
45218
$1,395.00
1 November 2015 Page 293

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MH175 DIRECT FLAP REPAIR, small (cross finger or similar), first stage 45221
$780.00
MH185 DIRECT FLAP REPAIR, small (cross finger or similar), second stage 45224
$350.00
MH195 INDIRECT FLAP OR TUBED PEDICLE, formation of
45227
$1,370.00
MH205 DIRECT OR INDIRECT FLAP OR TUBED PEDICLE, delay of
45230
$750.00
MH215 INDIRECT FLAP OR TUBED PEDICLE, preparation of intermediate or 45233
$1,505.00 final site and attachment to the site
MH225 INDIRECT FLAP OR TUBED PEDICLE, spreading of pedicle, as a 45236
$1,140.00 separate procedure
MH235 DIRECT, INDIRECT OR LOCAL FLAP, revision of, by incision and 45239
$700.00 suture, not being a service to which item MH240 applies
MH240 DIRECT, INDIRECT OR LOCAL FLAP, revision of, by liposuction, not 45240
$700.00 being a service to which item MH235, MJ019, MJ021 or MJ023 applies
FREE GRAFTS
NOTE: In respect to the items below, please note that split skin refers to the application of
allograft or xenograft or dermal replacement or skin substitute or cultured epithelial autografts.
MH330 FREE GRAFTING (split skin) of a granulating area, small
45400
$565.00
45894
MH340 FREE GRAFTING (split skin) of a granulating area, extensive
45403
$1,130.00
MH350 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45406
$1,260.00 involving not more than 3% of total body surface
MH360 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45409
$1,835.00 involving 3% or more but less than 6% of total body surface
MH370 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45412
$2,805.00 involving 6% or more but less than 9% of total body surface
MH380 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45415
$3,365.00 involving 9% or more but less than 12% of total body surface
MH390 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45418
$3,975.00 involving 12% or more but less than 15 per cent of total body surface
MH460 FREE GRAFTING (split skin) to 1 defect, including elective dissection, 45439
$750.00 small
Page 294 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MH470 FREE GRAFTING (split skin) to 1 defect, including elective dissection, 45442
$1,610.00 extensive
MH480 FREE GRAFTING (split skin) as inlay graft to 1 defect including elective 45445
$1,570.00 dissection using a mould (including insertion of and removal of mould)
MH490 FREE GRAFTING (split skin) to 1 defect, including elective dissection on 45448
$1,050.00 eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, not being a
service to which Item MH470 or MH480 applies
MH500 FREE GRAFTING (full thickness) to 1 defect, excluding grafts for male 45451
$1,265.00 pattern baldness
MH505 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45460
$3,825.00 involving 15 PERCENT OR MORE BUT LESS THAN 20 PERCENT of
total body surface - ONE SURGEON
MH510 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45461
$2,725.00 involving 15 PERCENT OR MORE BUT LESS THAN 20 PERCENT of
total body surface - CONJOINT SURGERY, PRINCIPAL SURGEON
MH515 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45462
$1,970.00 involving 15 PERCENT OR MORE BUT LESS THAN 20 PERCENT of
total body surface - CONJOINT SURGERY, CO-SURGEON
MH520 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45464
$5,840.00 involving 20 PERCENT OR MORE BUT LESS THAN 30 PERCENT of
total body surface - ONE SURGEON
MH525 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45465
$4,160.00 involving 20 PERCENT OR MORE BUT LESS THAN 30 PERCENT of
total body surface - conjoint surgery, PRINCIPAL SURGEON
MH530 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45466
$3,000.00 involving 20 PERCENT OR MORE BUT LESS THAN 30 PERCENT of
total body surface - CONJOINT SURGERY, CO-SURGEON
MH535 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45468
$5,840.00 involving 30 PERCENT OR MORE BUT LESS THAN 40 PERCENT of
total body surface - CONJOINT SURGERY, PRINCIPAL SURGEON
MH540 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45469
$3,885.00 involving 30 PERCENT OR MORE BUT LESS THAN 40 PERCENT of
total body surface - CONJOINT SURGERY, CO-SURGEON
MH545 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45471
$7,340.00 involving 40 PERCENT OR MORE BUT LESS THAN 50 PERCENT of
total body surface - CONJOINT SURGERY, PRINCIPAL SURGEON
1 November 2015 Page 295

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MH550 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45472
$5,535.00 involving 40 PERCENT OR MORE BUT LESS THAN 50 PERCENT of
total body surface - CONJOINT SURGERY, CO-SURGEON
MH555 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45474
$8,835.00 involving 50 PERCENT OR MORE BUT LESS THAN 60 PERCENT of
total body surface - CONJOINT SURGERY, PRINCIPAL SURGEON
MH560 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45475
$6,665.00 involving 50 PERCENT OR MORE BUT LESS THAN 60 PERCENT of
total body surface - CONJOINT SURGERY, CO-SURGEON
MH565 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45477
$10,760.00 involving 60 PERCENT OR MORE BUT LESS THAN 70 PERCENT of
total body surface - CONJOINT SURGERY, PRINCIPAL SURGEON
MH570 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45478
$8,115.00 involving 60 PERCENT OR MORE BUT LESS THAN 70 PERCENT of
total body surface - CONJOINT SURGERY, CO-SURGEON
MH575 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45480
$12,320.00 involving 70 PERCENT OR MORE BUT LESS THAN 80 PERCENT of
total body surface - CONJOINT SURGERY, PRINCIPAL SURGEON
MH580 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45481
$9,295.00 involving 70 PERCENT OR MORE BUT LESS THAN 80 PERCENT of
total body surface - CONJOINT SURGERY, CO-SURGEON
MH585 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45483
$14,035.00 involving 80 PERCENT OR MORE OF TOTAL BODY SURFACE -
CONJOINT SURGERY, PRINCIPAL SURGEON
MH590 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45484
$10,590.00 involving 80 PERCENT OR MORE of total body surface - CONJOINT
SURGERY, CO-SURGEON
MH600 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45485
$2,325.00 upper eyelid, nose, lip, ear or palm of the hand
MH610 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45486
$1,680.00 forehead, cheek, anterior aspect of the neck, chin, plantar aspect of the
foot, heel or genitalia
MH620 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45487
$1,100.00 whole of toe
MH630 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45488
$1,530.00 the whole of 1 digit of the hand
MH640 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45489
$2,295.00 the whole of 2 digits of the hand
Page 296 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MH650 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45490
$3,060.00 the whole of 3 digits of the hand
MH660 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45491
$4,590.00 the whole of 4 digits of the hand
MH670 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45492
$5,505.00 the whole of 5 digits of the hand
MH680 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45493
$1,100.00 portion of digit of hand
MH690 FREE GRAFTING (split skin) to burns, including excision of burnt tissue - 45494
$7,270.00 whole of face (excluding ears)
OTHER GRAFTS AND MISCELLANEOUS PROCEDURES
MJ005
$565.00
MJ015
$780.00
REDUCTION OF UPPER EYELID of one eye
REDUCTION OF LOWER EYELID of one eye
MJ017 FLAP, FREE TISSUE TRANSFER using microvascular techniques - 45496
$1,105.00 REVISION OF, by open operation
MJ019 FLAP, FREE TISSUE TRANSFER using microvascular techniques, or 45497
$865.00 any autogenous breast reconstruction - COMPLETE REVISION OF, by
liposuction
MJ021 FLAP, FREE TISSUE TRANSFER using microvascular techniques, or 45498
$695.00 any autogenous breast reconstruction - STAGED REVISION OF, by
liposuction - first stage
MJ023 FLAP, FREE TISSUE TRANSFER using microvascular techniques, or 45499
$520.00 any autogenous breast reconstruction - STAGED REVISION OF, by
liposuction - second stage
MJ025 MICROVASCULAR REPAIR using microsurgical techniques, with 45500
$2,835.00 restoration of continuity of artery or vein of distal extremity or digit
MJ030 MICROVASCULAR ANASTOMOSIS of artery using microsurgical 45501
$4,550.00 techniques, for re-implantation of limb or digit
MJ035 MICROVASCULAR ANASTOMOSIS of vein using microsurgical
45502
$4,555.00 techniques, for re-implantation of limb or digit
MJ045 MICRO-ARTERIAL OR MICRO-VENOUS GRAFT using microsurgical 45503
$4,810.00 techniques
1 November 2015 Page 297

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ050 MICROVASCULAR ANASTOMOSIS of artery using microsurgical 45504
$4,550.00 techniques, for free transfer of tissue including setting in of free flap
MJ052 MICROVASCULAR ANASTOMOSIS of vein using microsurgical
45505
$4,550.00 techniques, for free transfer of tissue including setting in of free flap
MJ055 SCAR, of face or neck, NOT MORE THAN 3 CM IN LENGTH, revision 45506
$565.00 of, where undertaken in the operating theatre of a hospital or approved
day-hospital facility, or where performed by a specialist in the practice of
his or her specialty
MJ065 SCAR, of face or neck, MORE THAN 3 CM IN LENGTH, revision of, 45512
$765.00 where undertaken in the operating theatre of a hospital or approved dayhospital
facility, or where performed by a specialist in the practice of his
or her specialty
MJ075 SCAR, other than on face or neck, NOT MORE THAN 7 CMS IN 45515
$525.00 LENGTH, revision of, as an independent procedure, where undertaken in
the operating theatre of a hospital or approved day-hospital facility, or
where performed by a specialist in the practice of his or her specialty
MJ085 SCAR, other than on face or neck, MORE THAN 7 CMS IN LENGTH, 45518
$630.00 revision of, as an independent procedure, where undertaken in the
operating theatre of a hospital or approved day-hospital facility, or where
performed by a specialist in the practice of his or her speciality
MJ090 EXTENSIVE BURN SCARS OF SKIN (more than 1 percent of body 45519
$1,190.00 surface area), excision of, for correction of scar contracture
MJ092 REDUCTION MAMMAPLASTY (unilateral) with surgical repositioning of 45520
$2,505.00 nipple
MJ100 REDUCTION MAMMAPLASTY (unilateral) without surgical repositioning 45522
$1,755.00 of nipple, excluding the treatment of gynaecomastia
MJ105
$1,825.00
MAMMAPLASTY, AUGMENTATION, prosthetic (unilateral)
MJ115 MAMMAPLASTY, AUGMENTATION, for significant breast asymmetry 45524
$1,825.00 where the augmentation is limited to 1 breast
MJ125 MAMMAPLASTY, AUGMENTATION, (unilateral), following mastectomy 45527
$1,830.00
MJ126 MAMMAPLASTY, AUGMENTATION, bilateral, not being a service to 45528
$2,745.00 which item MJ125 applies, where it can be demonstrated that surgery is
indicated because of malformation, disease or trauma of the breast (but
not as a result of previous elective cosmetic surgery)
Page 298 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ135 BREAST RECONSTRUCTION (unilateral) using a latissimus dorsi or 45530
$2,700.00 other large muscle or myocutaneous flap, including repair of secondary
skin defect, if required, excluding repair of muscular aponeurotic layer
not being a service associated with a service to which items EA525,
EA535, EA545, EA555, or EA565 applies
MJ145 BREAST RECONSTRUCTION using breast sharing technique (first 45533
$3,065.00 stage) including breast reduction, transfer of complex skin and breast
tissue flap, split skin graft to pedicle of flap or other similar procedure
MJ155 BREAST RECONSTRUCTION using breast sharing technique (second 45536
$1,130.00 stage) including division of pedicle, insetting of breast flap, with closure
of donor site or other similar procedure
MJ165 BREAST RECONSTRUCTION (unilateral), following mastectomy, using 45539
$2,635.00 tissue expansion - insertion of tissue expansion unit and all attendances
for subsequent expansion injections
MJ175 BREAST RECONSTRUCTION (unilateral), following mastectomy, using 45542
$1,505.00 tissue expansion - removal of tissue expansion unit and insertion of
permanent prosthesis
MJ185 NIPPLE OR AREOLA or both, reconstruction of, by any surgical
45545
$1,755.00 technique
MJ190 NIPPLE OR AREOLA or both, intradermal colouration of, following 45546
$555.00 breast reconstruction after mastectomy or for congenital absence of
nipple
MJ195 BREAST PROSTHESIS, removal of, as an independent procedure 45548
$775.00
MJ205 BREAST PROSTHESIS, removal of, with excision of fibrous capsule 45551
$1,235.00
MJ215 BREAST PROSTHESIS, removal of, with excision of fibrous capsule and 45552
$1,640.00 replacement of prosthesis
MJ220 BREAST PROSTHESIS, removal and replacement with another
45553
$1,640.00 prosthesis, following medical complications (such as rupture, migration of
prosthetic material, or capsule formation
MJ225 BREAST PROSTHESIS, removal and replacement with another
45554
$1,950.00 prosthesis, following medical complications (such as rupture, migration of
prosthetic material, or capsule formation), where new pocket is formed,
including excision of fibrous capsule
MJ226 SILICONE BREAST PROSTHESIS, removal of and replacement with 45555
$1,640.00 prosthesis other than silicone gel prosthesis
1 November 2015 Page 299

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ227 BREAST PTOSIS, correction of (unilateral), to match the position of the 45556
$2,130.00 contralateral breast
MJ228 BREAST PTOSIS, correction of by mastopexy by any means (unilateral), 45557
$2,130.00 following pregnancy and lactation, when performed not less than 1 year,
and not more than 7 years after the end of the most recent pregnancy,
and where it can be demonstrated that the nipple is inferior to the inframammary
groove, not being a service associated with a service to which
item MJ100 applies
MJ229 BREAST PTOSIS, correction of by mastopexy by any means (bilateral), 45558
$3,195.00 following pregnancy and lactation, when performed not less than 1 year,
and not more than 7 years, after the end of the most recent pregnancy,
and where it can be demonstrated that the nipple is inferior to the inframammary
groove, not being a service associated with a service to which
item MJ100 applies
MJ230 TUBEROUS, TUBULAR OR CONSTRICTED BREAST, where it can be 45559
$3,150.00 demonstrated, correction of by simultaneous mastopexy and
augmentation of (unilateral)
MJ235 HAIR TRANSPLANTATION for the treatment of alopecia of congenital or 45560
$1,265.00 traumatic origin or due to disease, excluding male pattern baldness, not
being a service to which another item in this Group applies
MJ236 MICROVASCULAR ANASTOMOSIS of artery or vein using
45561
$4,660.00 microvascular techniques, for supercharging of pedicle flaps
MJ240 FREE TRANSFER OF TISSUE involving raising of tissue on vascular or 45562
$3,050.00 neurovascular pedicle, including direct repair of secondary cutaneous
defect if performed, excluding flap for male pattern baldness
MJ245 NEUROVASCULAR ISLAND FLAP, including direct repair of secondary 45563
$3,050.00 cutaneous defect if performed, excluding flap for male pattern baldness
MJ250 FREE TRANSFER OF TISSUE reconstructive surgery for the repair of 45564
$7,075.00 major tissue defect due to congenital deformity, surgery or trauma,
involving anastomoses of up to 2 vessels using microvascular techniques
and including raising of tissue on a vascular or neurovascular pedicle,
preparation of recipient vessels, transfer of tissue, insetting of tissue at
recipient site and direct repair of secondary cutaneous defect if
performed, not being a service associated with a service to which item
EA525, EA353, EA545, EA555, EA565, MJ030, MJ035, MJ050, MJ052,
MJ240 or MJ252 applies - conjoint surgery, principal specialist surgeon
Page 300 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ252 FREE TRANSFER OF TISSUE reconstructive surgery for the repair of 45565
$5,305.00 major tissue defect due to congenital deformity, surgery or trauma,
involving anastomoses of up to 2 vessels using microvascular techniques
and including raising of tissue on a vascular or neurovascular pedicle,
preparation of recipient vessels, transfer of tissue, insetting of tissue at
recipient site and direct repair of secondary cutaneous defect if
performed, not being a service associated with a service to which item
EA525, EA353, EA545, EA555, EA565, MJ030, MJ035, MJ050, MJ052,
MJ240 or MJ250 applies - conjoint surgery, conjoint specialist surgeon
MJ255 TISSUE EXPANSION not being a service to which Item MJ165 or MJ175 45566
$2,635.00 applies - insertion of tissue expansion unit and all attendances for
subsequent expansion injections
MJ260 TISSUE EXPANDER, removal of one, with complete excision of fibrous 45568
$1,235.00 capsule
MJ262 CLOSURE OF ABDOMEN WITH RECONSTRUCTION OF UMBILICUS, 45569
$1,630.00 with or without lipectomy, being a service associated with items MJ240,
MJ250, MJ252 or MJ135
MJ263 CLOSURE OF ABDOMEN, repair of musculoaponeurotic layer, being a 45570
$2,155.00 service associated with item MJ262
MJ265 INTRA-OPERATIVE TISSUE EXPANSION performed during an
45572
$820.00 operation when combined with a service to which another item in
Surgical Operations applies including expansion injections and excluding
treatment of male pattern baldness
MJ275 FACIAL NERVE PARALYSIS, free fascia graft for
45575
$1,950.00
MJ285 FACIAL NERVE PARALYSIS, muscle transfer for
45578
$2,270.00
MJ295 FACIAL NERVE PALSY, excision of tissue for
45581
$775.00
MJ305 LIPOSUCTION (suction assisted lipolysis) to 1 regional area (thigh, 45584
$1,760.00 buttock, or similar), for treatment of post-traumatic pseudolipoma
MJ306 LIPOSUCTION (suction assisted lipolysis) to 1 regional area, not being a 45585
$1,760.00 service associated with a service to which item EO521 or EO527 applies,
where it can be demonstrated that the treatment is for Barraquer-Simon's
Syndrome (pathological lipodystrophy of hips, buttocks, thighs, knees or
lower legs), lymphoedema or macrodystrophia lipomatosa
1 November 2015 Page 301

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ310 LIPOSUCTION (suction assisted lipolysis) for reduction of a buffalo 45586
$1,760.00 hump, where it can be demonstrated that the buffalo hump is secondary
to an endocrine disorder or pharmacological treatment of a medical
condition
MJ315 MELOPLASTY for correction of facial asymmetry due to soft tissue 45587
$2,120.00 abnormality where the meloplasty is limited to 1 side of the face
MJ316 MELOPLASTY, (excluding browlifts and chinlift platysmaplasties), 45588
$3,175.00 bilateral where it can be demonstrated that surgery is indicated because
of congenital conditions, disease or trauma (other than trauma resulting
from previous elective cosmetic surgery)
MJ325 ORBITAL CAVITY, reconstruction of a wall or floor, with or without 45590
$1,155.00 foreign implant
MJ335 ORBITAL CAVITY, bone or cartilage graft to orbital wall or floor including 45593
$1,355.00 reduction of prolapsed or entrapped orbital contents
MJ345 MAXILLA, total resection of
45596
$2,230.00
MJ355 MAXILLA, total resection of both maxillae
45597
$3,025.00
MJ365 MANDIBLE, total resection of both sides, including condylectomies 45599
$1,760.00 where performed
MJ375 MANDIBLE, including lower border, OR MAXILLA, sub total resection of 45602
$1,825.00
MJ385 MANDIBLE OR MAXILLA, segmental resection of, for tumours or cysts 45605
$1,505.00
MJ395 MANDIBLE, hemi-mandibular reconstruction with bone graft, not being a 45608
$2,015.00 service associated with a service to which Item MJ365 applies
MJ405 MANDIBLE, condylectomy
45611
$1,435.00
MJ415 EYELID, WHOLE THICKNESS RECONSTRUCTION OF, other than by 45614
$1,450.00 direct suture only
MJ425 UPPER EYELID, REDUCTION OF, for skin redundancy obscuring vision 45617
$565.00 (as evidenced by upper eyelid skin resting on lashes on straight ahead
gaze), herniation of orbital fat in exophthalmos, facial nerve palsy or posttraumatic
scarring, or the restoration of symmetry of contralateral upper
eyelid in respect of 1 of these conditions
Page 302 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ435 LOWER EYELID, REDUCTION OF, for herniation of orbital fat in 45620
$780.00 exophthalmos, facial nerve palsy or post-traumatic scarring, or, in
respect of 1 of these conditions, the restoration of symmetry of the
contralateral lower eyelid
MJ445 PTOSIS of eyelid (unilateral), correction of
45623
$2,080.00
MJ448 PTOSIS of eyelid, correction of, where previous ptosis surgery has been 45624
$2,515.00 performed on that side
MJ452 PTOSIS of eyelid, correction of eyelid height by revision of levator 45625
$705.00 sutures within one week of primary repair by levator resection or
advancement, performed in the operating theatre of a hospital or
approved day hospital facility
MJ455 ECTROPION OR ENTROPION, correction of (unilateral)
45626
$780.00
MJ465 SYMBLEPHARON, grafting for
45629
$1,265.00
‡ MJ475 RHINOPLASTY, correction of lateral or alar cartilages for correction of 45632
$1,385.00 nasal obstruction
NOTE: MBS items 45635, 45641, 45644 and 45650 contain restrictions on their use that have not
been included in the AMA equivalent items MJ485, MJ505, MJ515 and MJ555.
‡ MJ485 RHINOPLASTY, correction of vault only, for correction of nasal
45635
$1,640.00 obstruction or post-traumatic deformity, or both
MJ495 RHINOPLASTY, TOTAL, including correction of all bony and
45638
$2,835.00 cartilaginous elements of the external nose, for correction of nasal
obstruction or post-traumatic deformity (but not as a result of previous
elective cosmetic surgery), or both
MJ500 RHINOPLASTY, TOTAL, including correction of all bony and
45639
$2,830.00 cartilaginous elements of the external nose, where it can be
demonstrated that there is a need for correction of significant
developmental deformity
‡ MJ505 RHINOPLASTY involving nasal or septal cartilage graft, or nasal bone 45641
$2,900.00 graft, or nasal bone and nasal cartilage graft, for correction of nasal
obstruction or post-traumatic deformity, or both
‡ MJ515 RHINOPLASTY, TOTAL, including correction of all bony and
45644
$3,400.00 cartilaginous elements of the external nose involving autogenous bone or
cartilage graft obtained from distant donor site, including obtaining of
graft, for correction of nasal obstruction or post-traumatic deformity, or
both
1 November 2015 Page 303

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ525 CHOANAL ATRESIA, repair of by puncture and dilatation
45645
$570.00
MJ535 CHOANAL ATRESIA, correction by open operation with bone removal 45646
$2,305.00
MJ545 FACE, contour restoration of 1 region, using autogenous bone or 45647
$3,400.00 cartilage graft (not being a service to which Item MJ515 applies)
NOTE: For the purpose of item MJ545, a region in relation to the face is defined as either being
upper left or right, mid left or right, or lower left or right. Accounts should be annotated with
region/s to which the service applies.
‡
MJ555 RHINOPLASTY, secondary revision of, for correction of nasal
45650
$375.00 obstruction, post-traumatic deformity or significant developmental
deformity
MJ565 RHINOPHYMA, carbon dioxide laser or erbium laser excision-ablation of 45652
$850.00
MJ575 RHINOPHYMA, shaving of
45653
$850.00
NOTE: The fee relativity for AMA item MJ585 does not correspond to the relativity of the
equivalent MBS benefit. When claiming multiple flaps/grafts, practitioners should be aware that
while the AMA fee for this item is higher than other flap/graft items, the MBS benefit is lower.
MJ585 COMPOSITE GRAFT (Chondro-cutaneous or chondro-mucosal) to nose, 45656
$1,825.00 ear or eyelid
MJ595 LOP EAR, BAT EAR OR SIMILAR DEFORMITY, correction of
45659
$1,305.00
MJ600 EXTERNAL EAR, COMPLEX TOTAL RECONSTRUCTION OF, using 45660
$7,455.00 MULTIPLE COSTAL CARTILAGE GRAFTS to form a framework,
including the harvesting and sculpturing of the cartilage and its insertion,
for congenital absence, microtia or post- traumatic loss of entire or
substantial portion of pinna (first stage) - performed by a specialist in the
practice of his or her specialty
MJ602 EXTERNAL EAR, COMPLEX TOTAL RECONSTRUCTION OF,
45661
$3,315.00 ELEVATION OF COSTAL CARTILAGE FRAMEWORK using cartilage
previously stored in abdominal wall, including the use of local skin and
fascia flaps and full thickness skin graft to cover cartilage (second
stage) - performed by a specialist in the practice of his or her specialty
MJ605 CONGENITAL ATRESIA, reconstruction of external auditory canal 45662
$1,895.00
MJ615 LIP, EYELID OR EAR, FULL THICKNESS WEDGE EXCISION OF, with 45665
$890.00 repair by direct sutures
Page 304 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ625 VERMILIONECTOMY, by surgical excision
45668
$885.00
MJ635 VERMILIONECTOMY, using carbon dioxide laser or erbium laser 45669
$885.00 excision-ablation
MJ645 LIP OR EYELID RECONSTRUCTION using full thickness flap (Abbe or 45671
$2,595.00 similar), first stage
MJ655 LIP OR EYELID RECONSTRUCTION using full thickness flap (Abbe or 45674
$780.00 similar), second stage
MJ665 MACROCHEILIA OR MACROGLOSSIA, operation for
45675
$1,235.00
MJ675 MACROSTOMIA, operation for
45676
$1,470.00
MJ685 CLEFT LIP, unilateral - primary repair, 1 stage, without anterior palate 45677
$1,545.00 repair
MJ695 CLEFT LIP, unilateral - primary repair, 1 stage, with anterior palate repair 45680
$1,765.00
MJ705 CLEFT LIP, bilateral - primary repair, 1 stage, without anterior palate 45683
$2,080.00 repair
MJ715 CLEFT LIP, bilateral - primary repair, 1 stage, with anterior palate repair 45686
$2,310.00
MJ725 CLEFT LIP, lip adhesion procedure, unilateral or bilateral
45689
$680.00
MJ735 CLEFT LIP, partial revision, including minor flap revision alignment and 45692
$645.00 adjustment, including revision of minor whistle deformity if performed
MJ745 CLEFT LIP, total revision, including major flap revision, muscle
45695
$1,220.00 reconstruction and revision of major whistle deformity
MJ755 CLEFT LIP, primary columella lengthening procedure, bilateral
45698
$1,195.00
MJ765 CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or 45701
$2,740.00 similar), first stage
MJ775 CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or 45704
$785.00 similar), second stage
MJ785 CLEFT PALATE, primary repair
45707
$1,880.00
1 November 2015 Page 305

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ795 CLEFT PALATE, secondary repair, closure of fistula using local flaps 45710
$1,130.00
MJ805 CLEFT PALATE, secondary repair, lengthening procedure
45713
$1,425.00
MJ815 ORO-NASAL FISTULA, plastic closure of, including services to which 45714
$2,000.00 item MH105, MH115 or MH235 applies
MJ825 VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or
45716
$2,015.00 pharyngoplasty for
NOTE: MBS items 45720 - 45752 preclude the payment of Medicare benefits with MBS items
47933 or 47936.
MJ830 MANDIBLE OR MAXILLA, UNILATERAL OSTEOTOMY OR
45720
$2,335.00 OSTEECTOMY of, including transposition of nerves and vessels and
bone grafts taken from the same site
MJ840 MANDIBLE OR MAXILLA, UNILATERAL OSTEOTOMY OR
45723
$2,840.00 OSTEECTOMY of, including transposition of nerves and vessels and
bone grafts taken from the same site and stabilisation with fixation by
wires, screws, plates or pins, or any combination
MJ850 MANDIBLE OR MAXILLA, BILATERAL OSTEOTOMY OR
45726
$2,980.00 OSTEECTOMY of, including transposition of nerves and vessels and
bone grafts taken from the same site
MJ860 MANDIBLE OR MAXILLA, BILATERAL OSTEOTOMY OR
45729
$3,605.00 OSTEECTOMY of, including transposition of nerves and vessels and
bone grafts taken from the same site and stabilisation with fixation by
wires, screws, plates or pins, or any combination
MJ875 MANDIBLE or MAXILLA, OSTEOTOMIES or OSTEECTOMIES of, 45731
$3,370.00 involving 3 or more such procedures on the 1 JAW, including
transposition of nerves and vessels and bone grafts taken from the same
site
MJ880 MANDIBLE OR MAXILLA, OSTEOTOMIES OR OSTEECTOMIES of, 45732
$4,115.00 involving 3 or more such procedures on the 1 jaw, including transposition
of nerves and vessels and bone grafts taken from the same site and
stabilisation with fixation by wires, screws, plates or pins, or any
combination
MJ890 MANDIBLE AND MAXILLA, OSTEOTOMIES OR OSTEECTOMIES of, 45735
$3,895.00 involving 2 such procedures of EACH JAW, including transposition of
nerves and vessels and bone grafts taken from the same site
Page 306 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ900 MANDIBLE AND MAXILLA, OSTEOTOMIES OR OSTEECTOMIES of, 45738
$4,725.00 involving 2 SUCH PROCEDURES of EACH JAW, including transposition
of nerves and vessels and bone grafts taken from the same site and
stabilisation with fixation by wires, screws, plates or pins, or any
combination
MJ910 MANDIBLE AND MAXILLA, COMPLEX BILATERAL OSTEOTOMIES or 45741
$4,270.00 OSTEECTOMIES of, involving 3 OR MORE such procedures of 1 JAW
and 2 such procedures of the OTHER JAW, INCLUDING
GENIOPLASTY when performed and transposition of nerves and
vessels and bone grafts taken from the same site
MJ920 MANDIBLE AND MAXILLA, COMPLEX BILATERAL OSTEOTOMIES 45744
$5,195.00 OR OSTEECTOMIES of, involving 3 OR MORE such procedures of 1
JAW and 2 SUCH PROCEDURES of the OTHER JAW, INCLUDING
GENIOPLASTY when performed and transposition of nerves and
vessels and bone grafts taken from the same site and stabilisation with
fixation by wires, screws, plates or pins, or any combination
MJ930 MANDIBLE AND MAXILLA, COMPLEX BILATERAL OSTEOTOMIES 45747
$4,675.00 OR OSTEECTOMIES of, involving 3 or more such procedures of EACH
JAW, INCLUDING GENIOPLASTY (when performed) and transposition
of nerves and vessels and bone grafts taken from the same site
MJ945 MANDIBLE AND MAXILLA, COMPLEX BILATERAL OSTEOTOMIES 45752
$5,645.00 OR OSTEECTOMIES of, involving 3 OR MORE such procedures of
EACH JAW, INCLUDING GENIOPLASTY when performed and
transposition of nerves and vessels and bone grafts taken from the same
site and stabilisation with fixation by wires, screws, plates or pins, or any
combination
MJ955 MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III
45753
$5,595.00 (Nasomalar), Modified Le Fort III (Malar Maxillary), Le Fort III involving 3
or more osteotomies of the midface including transposition of nerves and
vessels and bone grafts taken from the same site
MJ965 MIDFACIAL OSTEOTOMIES - Le Fort II, Modified Le Fort III
45754
$6,705.00 (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III involving 3
or more osteotomies of the midface including transposition of nerves and
vessels and bone grafts taken from the same site and stabilisation with
fixation by wires, screws, plates or pins, or any combination
MJ975 TEMPORO-MANDIBULAR PARTIAL OR TOTAL MENISCECTOMY 45755
$1,085.00
MJ985 TEMPORO-MANDIBULAR JOINT, arthroplasty
45758
$1,905.00
1 November 2015 Page 307

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MJ995 GENIOPLASTY, including transposition of nerves and vessels and bone 45761
$1,800.00 grafts taken from the same site
MK015 HYPERTELORISM, correction of, intra-cranial
45767
$6,085.00
MK025 HYPERTELORISM, correction of, sub-cranial
45770
$4,635.00
MK035 TREACHER COLLINS SYNDROME, periorbital correction of, with rib 45773
$4,230.00 and iliac bone grafts
MK045 ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total 45776
$4,230.00 repositioning of 1 orbit, intra-cranial
MK055 ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total 45779
$3,115.00 repositioning of 1 orbit, extra-cranial
MK065 FRONTO-ORBITAL ADVANCEMENT, UNILATERAL
45782
$2,380.00
MK075 CRANIAL VAULT RECONSTRUCTION for oxycephaly, brachycephaly, 45785
$4,030.00 turricephaly or similar condition - (bilateral fronto-orbital advancement)
MK085 GLENOID FOSSA, ZYGOMATIC ARCH AND TEMPORAL BONE, 45788
$3,975.00 RECONSTRUCTION OF, (Obwegeser technique)
MK095 ABSENT CONDYLE AND ASCENDING RAMUS in hemifacial
45791
$2,165.00 microsomia, CONSTRUCTION OF, not including harvesting of graft
material
MK105 OSSEO-INTEGRATION PROCEDURE - extra-oral, implantation of 45794
$1,405.00 titanium fixture, not for implantable bone conduction hearing system
device
MK115 OSSEO-INTEGRATION PROCEDURE, fixation of transcutaneous 45797
$525.00 abutment, not for implantable bone conduction hearing system device
ORAL AND MAXILLOFACIAL SURGERY
MK220 ASPIRATION BIOPSY OF 1 OR MORE JAW CYSTS as an independent 45799
$82.00 procedure to obtain material for diagnostic purposes and not being a
service associated with an operative procedure on the same day
MK225 TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during 45801
$350.00 the surgical approach at an operation),in the oral and maxillofacial
region, up to 3 cm in diameter, removal from cutaneous or subcutaneous
tissue or from mucous membrane, where the removal is by surgical
excision and suture, not being a service to which item MK230 applies
Page 308 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MK230 TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed 45803
$905.00 during the surgical approach at an operation), in the oral and
maxillofacial region, up to 3 cm in diameter, removal from cutaneous or
subcutaneous tissue or from mucous membrane, where the removal is
by surgical excision and suture, and the procedure is performed on more
than 3 but not more than 10 lesions
MK235 TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during 45805
$480.00 the surgical approach at an operation), in the oral and maxillofacial
region, more than 3 cm in diameter, removal from cutaneous or
subcutaneous tissue or from mucous membrane
MK240 TUMOUR, CYST (other than a cyst associated with a tooth or tooth 45807
$685.00 fragment unless it has been established by radiological examination that
there is a minimum of 5mm separation between the cyst lining and tooth
structure or where a tumour or cyst has been proven by positive
histopathology), ulcer or scar (other than a scar removed during the
surgical approach at an operation), in the oral and maxillofacial region,
removal of, not being a service to which another item in this Subgroup
applies, involving muscle, bone, or other deep tissue
MK245 TUMOUR OR DEEP CYST (other than a cyst associated with a tooth or 45809
$1,030.00 tooth fragment unless it has been established by radiological
examination that there is a minimum of 5mm separation between the
cyst lining and tooth structure or where a tumour or cyst has been proven
by positive histopathology), in the oral and maxillofacial region, removal
of, requiring wide excision, not being a service to which another item in
this Subgroup applies
MK250 TUMOUR, in the oral and maxillofacial region, removal of, from soft 45811
$1,390.00 tissue (including muscle, fascia and connective tissue), extensive
excision of, without skin or mucosal graft
MK255 TUMOUR, in the oral and maxillofacial region, removal of, from soft 45813
$1,630.00 tissue (including muscle, fascia and connective tissue), extensive
excision of, with skin or mucosal graft
MK280 ARCH BARS, 1 or more, which were inserted for dental fixation purposes 45823
$300.00 to the maxilla or mandible, removal of, requiring general anaesthesia
where undertaken in the operating theatre of a hospital or approved dayhospital
facility
MK285 MANDIBULAR OR PALATAL EXOSTOSIS, excision of
45825
$940.00
45903
MK290 MYLOHYOID RIDGE, reduction of
45827
$895.00
45906
1 November 2015 Page 309

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MK295 MAXILLARY TUBEROSITY, reduction of
45829
$685.00
45909
MK300 PAPILLARY HYPERPLASIA OF THE PALATE, removal of - less than 5 45831
$895.00 lesions
45912
MK305 PAPILLARY HYPERPLASIA OF THE PALATE, removal of - 5 to 20 45833
$1,125.00 lesions
45915
MK310 PAPILLARY HYPERPLASIA OF THE PALATE, removal of - more than 45835
$1,395.00 20 lesions
45918
MK315 VESTIBULOPLASTY, submucosal or open, including excision of muscle 45837
$1,625.00 and skin or mucosal graft when performed - unilateral or bilateral 45921
MK320 FLOOR OF MOUTH LOWERING (Obwegeser or similar procedure), 45839
$1,625.00 including excision of muscle and skin or mucosal graft when performed - 45924
unilateral
MK325 ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - 45841
$1,315.00 unilateral
MK330 ALVEOLAR RIDGE AUGMENTATION - unilateral, insertion of tissue 45843
$805.00 expanding device into maxillary or mandibular alveolar ridge region for
MK335 OSSEO-INTEGRATION PROCEDURE - intra-oral implantation of 45845
$1,405.00 titanium fixture to facilitate restoration of the dentition following resection
of part of the maxilla or mandible for benign or malignant tumours
MK345 MAXILLARY SINUS, bone graft to floor of maxillary sinus following 45849
$1,610.00 elevation of mucosal lining (sinus lift procedure), (unilateral)
MK350 TEMPOROMANDIBULAR JOINT, manipulation of, performed in the 45851
$395.00 operating theatre of a hospital or approved day-hospital facility, not being
a service associated with a service to which another item in this
Subgroup applies
MK360 TEMPOROMANDIBULAR JOINT, arthroscopy of, with or without biopsy, 45855
$1,135.00 not being a service associated with any other arthroscopic procedure of
that joint
MK365 TEMPOROMANDIBULAR JOINT, arthroscopy of, removal of loose 45857
$1,810.00 bodies, debridement, or treatment of adhesions - 1 or more such
procedures
MK370 TEMPOROMANDIBULAR JOINT, arthrotomy of, not being a service to 45859
$940.00 which another item in this Subgroup applies
MK375 TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or 45861
$2,420.00 without microsurgical techniques
Page 310 1 November 2015

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MK380 TEMPOROMANDIBULAR JOINT, open surgical exploration of, with 45863
$2,680.00 condylectomy or condylotomy, with or without microsurgical techniques
MK385 ARTHROCENTESIS, irrigation of temporomandibular joint after insertion 45865
$805.00 of 2 cannuli into the appropriate joint space(s)
MK390 TEMPOROMANDIBULAR JOINT, synovectomy of, not being a service to 45867
$885.00 which another item in this Subgroup applies
MK395 TEMPOROMANDIBULAR JOINT, open surgical exploration of, with or 45869
$3,295.00 without meniscus or capsular surgery, including partial or total
meniscectomy when performed, with or without microsurgical techniques
MK400 TEMPOROMANDIBULAR JOINT, open surgical exploration of, with 45871
$3,710.00 meniscus, capsular and condylar head surgery, with or without
microsurgical techniques
MK405 TEMPOROMANDIBULAR JOINT, surgery of, involving procedures to 45873
$4,170.00 which items MK380, MK390, MK395 and MK400 apply and also involving
the use of tissue flaps, or cartilage graft, or allograft implants, with or
without microsurgical techniques
MK410 TEMPOROMANDIBULAR JOINT, stabilisation of, involving 1 or more of: 45875
$1,345.00 repair of capsule, repair of ligament or internal fixation, not being a
service to which another item in this Subgroup applies
MK415 TEMPOROMANDIBULAR JOINT, arthrodesis of, not being a service to 45877
$1,345.00 which another item in this Subgroup applies
MK420 TEMPOROMANDIBULAR JOINT OR JOINTS, application of external 45879
$885.00 fixator to, other than for treatment of fractures
MK425 PREMALIGNANT LESIONS of the oral mucous, treatment by
45882
$95.00 cryotherapy, diathermy or carbon dioxide laser
MK430 FACIAL, MANDIBULAR or LINGUAL ARTERY or VEIN or ARTERY and 45885
$950.00 VEIN, ligation of, not being a service to which item MA715 applies
MK435 FOREIGN BODY, deep, removal of using interventional imaging
45888
$705.00 techniques
MK440 SINGLE-STAGE LOCAL FLAP, where indicated, repair to 1 defect, using 45891
$1,675.00 temporalis muscle
MK445 ALVEOLAR CLEFT (congenital) unilateral, grafting of, including plastic 45897
$3,130.00 closure of associated oro-nasal fistulae and ridge augmentation
MK450 MANDIBLE, fixation by intermaxillary wiring, excluding wiring for obesity 45900
$670.00
1 November 2015 Page 311

SURGICAL OPERATIONS
PLASTIC AND RECONSTRUCTIVE
AMA Number
Fee
Description of Medical Service
MBS
Number
MK455 PERIPHERAL BRANCHES OF THE TRIGEMINAL NERVE, cryosurgery 45939
$950.00 of, for pain relief
MK460 MANDIBLE, treatment of a dislocation of, requiring open reduction 45945
$265.00
MK465 MAXILLA, unilateral or bilateral, treatment of fracture of, not requiring 45975
$370.00 splinting
MK470 MANDIBLE, treatment of fracture of, not requiring splinting
45978
$450.00
MK475 ZYGOMATIC BONE, treatment of fracture of, not requiring surgical 45981
$245.00 reduction
MK480 MAXILLA, treatment of a complicated fracture of, involving viscera, blood 45984
$1,755.00 vessels or nerves requiring open reduction not involving plate(s)
MK485 MANDIBLE, treatment of a complicated fracture of, involving viscera, 45987
$1,755.00 blood vessels or nerves, requiring open reduction not involving plate(s)
MK490 MAXILLA, treatment of a complicated fracture of, involving viscera, blood 45990
$2,400.00 vessels or nerves requiring open reduction involving the use of plate(s)
MK495 MANDIBLE, treatment of a complicated fracture of, involving viscera, 45993
$2,400.00 blood vessels or nerves, requiring open reduction involving the use of
plate(s)
MK500 MANDIBLE, treatment of a closed fracture of, involving a joint surface 45996
$680.00
HAND SURGERY
ML005 INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46300
$995.00 arthrodesis of, with synovectomy if performed
ML015 CARPOMETACARPAL JOINT, arthrodesis of, with synovectomy if 46303
$1,095.00 performed
ML025 INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46306
$1,670.00 interposition arthroplasty of and including tendon transfers or realignment
on the 1 ray
ML035 INTERPHALANGEAL JOINT or METACARPOPHALANGEAL JOINT - 46307
$1,565.00 volar plate arthroplasty for traumatic deformity including tendon transfers
or realignment on the 1 ray
ML045 INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46309
$1,565.00 total replacement arthroplasty or hemiarthroplasty of, including
associated synovectomy, tendon transfer or realignment - 1 joint
Page 312 1 November 2015

SURGICAL OPERATIONS
HAND SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
ML055 INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46312
$1,945.00 total replacement arthroplasty or hemiarthroplasty of, including
associated synovectomy, tendon transfer or realignment - 2 joints
ML065 INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46315
$2,590.00 total replacement arthroplasty or hemiarthroplasty of, including
associated synovectomy, tendon transfer or realignment - 3 joints
ML075 INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46318
$3,240.00 total replacement arthroplasty or hemiarthroplasty of, including
associated synovectomy, tendon transfer or realignment - 4 joints
ML085 INTER-PHALANGEAL JOINT OR METACARPOPHALANGEAL JOINT, 46321
$3,890.00 total replacement arthroplasty or hemiarthroplasty of, including
associated synovectomy, tendon transfer or realignment - 5 or more joints
ML095 CARPAL BONE replacement arthroplasty or resection arthroplasty 46324
$2,400.00 including associated tendon transfer or realignment when performed
ML105 CARPAL BONE replacement or resection arthroplasty using adjacent 46325
$2,505.00 tendon or other soft tissue including associated tendon transfer or
realignment when performed
ML115 INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46327
$625.00 arthrotomy of
ML125 INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46330
$1,030.00 ligamentous or capsular repair with or without arthrotomy
ML135 INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46333
$1,680.00 ligamentous repair of, using free tissue graft or implant
ML145 INTER-PHALANGEAL JOINT or METACARPOPHALANGEAL JOINT, 46336
$785.00 synovectomy, capsulectomy or debridement of, not being a service
associated with any other procedure related to that joint
ML155 EXTENSOR TENDONS or FLEXOR TENDONS of hand or wrist, 46339
$1,375.00 synovectomy of
ML165 DISTAL RADIOULNAR JOINT or CARPOMETACARPAL JOINT OR 46342
$1,375.00 JOINTS, synovectomy of
ML175 DISTAL RADIOULNAR JOINT, reconstruction or stabilisation of,
46345
$1,680.00 including fusion, or ligamentous arthroplasty and excision of distal ulna,
when performed
ML185 DIGIT, synovectomy of flexor tendon or tendons - 1 digit
46348
$750.00
ML195 DIGIT, synovectomy of flexor tendon or tendons - 2 digits
46351
$1,120.00
1 November 2015 Page 313

SURGICAL OPERATIONS
HAND SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
ML205 DIGIT, synovectomy of flexor tendon or tendons - 3 digits
46354
$1,495.00
ML215 DIGIT, synovectomy of flexor tendon or tendons - 4 digits
46357
$1,870.00
ML225 DIGIT, synovectomy of flexor tendon or tendons - 5 digits
46360
$2,245.00
ML235 TENDON SHEATH of hand or wrist, open operation on, for STENOSING 46363
$625.00 TENOVAGINITIS
NOTE: Z plasties for operations for Dupuytren's Contracture should be itemised separately
using item ML305 and the multiple operation rule.
ML245 DUPUYTREN'S CONTRACTURE, subcutaneous fasciotomy for - each 46366
$380.00 band
ML255 DUPUYTREN'S CONTRACTURE, palmar fasciectomy for - 1 hand 46369
$625.00
ML265 DUPUYTREN'S CONTRACTURE, fasciectomy for, from 1 ray, including 46372
$1,265.00 dissection of nerves - 1 hand
ML275 DUPUYTREN'S CONTRACTURE, fasciectomy for, from 2 rays, including 46375
$1,505.00 dissection of nerves - 1 hand
ML285 DUPUYTREN'S CONTRACTURE, fasciectomy for, from 3 or more rays, 46378
$2,000.00 including dissection of nerves - 1 hand
ML295 INTER-PHALANGEAL JOINT, joint capsule release when performed in 46381
$885.00 conjunction with operation for Dupuytren's Contracture - each procedure
ML305 Z-PLASTY (or similar local flap procedure) when performed in
46384
$885.00 conjunction with operation for Dupuytren's Contracture - 1 such
procedure
ML315 DUPUYTREN'S CONTRACTURE, fasciectomy for, from 1 ray, including 46387
$1,825.00 dissection of nerves - operation for recurrence in that ray
ML325 DUPUYTREN'S CONTRACTURE, fasciectomy for, from 2 rays, including 46390
$2,455.00 dissection of nerves - operation for recurrence in those rays
ML335 DUPUYTREN'S CONTRACTURE, fasciectomy for, from 3 or more rays, 46393
$2,840.00 including dissection of nerves - operation for recurrence in those rays
ML345 PHALANX or METACARPAL of the hand, osteotomy or osteectomy of, 46396
$980.00 excluding services to which item MR130 or MR140 apply
ML355 PHALANX or METACARPAL of the hand, osteotomy of, with internal 46399
$1,540.00 fixation
Page 314 1 November 2015

SURGICAL OPERATIONS
HAND SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
ML365 PHALANX or METACARPAL, bone grafting of, for pseudarthrosis (nonunion),
46402
$1,540.00
including obtaining of graft
material
ML375 PHALANX or METACARPAL, bone grafting of, for pseudarthrosis (nonunion),
46405
$1,880.00
involving internal fixation and including obtaining of graft
material
ML385 TENDON, reconstruction of, by tendon graft
46408
$2,060.00
ML395 FLEXOR TENDON PULLEY, reconstruction of, by graft
46411
$1,245.00
ML405 ARTIFICIAL TENDON PROSTHESIS, INSERTION OF in preparation for 46414
$1,565.00 tendon grafting
ML415 TENDON transfer for restoration of hand function, each transfer
46417
$1,495.00
ML425 EXTENSOR TENDON OF HAND OR WRIST, primary repair of, each 46420
$625.00 tendon
ML435 EXTENSOR TENDON OF HAND OR WRIST, secondary repair of, each 46423
$995.00 tendon
ML445 FLEXOR TENDON OF HAND OR WRIST, primary repair of, proximal to 46426
$1,005.00 A1 pulley, each tendon
ML455 FLEXOR TENDON OF HAND OR WRIST, secondary repair of, proximal 46429
$1,245.00 to A1 pulley, each tendon
ML465 FLEXOR TENDON OF HAND, primary repair of, distal to A1 pulley, each 46432
$1,270.00 tendon
ML475 FLEXOR TENDON OF HAND, secondary repair of, distal to A1 pulley, 46435
$1,495.00 each tendon
ML485 MALLET FINGER, closed pin fixation of
46438
$405.00
ML495 MALLET FINGER, open repair of, including pin fixation when performed 46441
$995.00
ML505 MALLET FINGER with intra-articular fracture involving more than one 46442
$835.00 third of base of terminal phalanx - open reduction
ML515 BOUTONNIERE DEFORMITY without joint contracture, reconstruction of 46444
$1,440.00
ML525 BOUTONNIERE DEFORMITY with joint contracture, reconstruction of 46447
$1,800.00
1 November 2015 Page 315

SURGICAL OPERATIONS
HAND SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
ML535 EXTENSOR TENDON, TENOLYSIS OF, following tendon injury, repair 46450
$625.00 or graft
ML545 FLEXOR TENDON, TENOLYSIS OF, following tendon injury, repair or 46453
$1,120.00 graft
ML555 FINGER, percutaneous tenotomy of
46456
$300.00
ML565 OPERATION for OSTEOMYELITIS on distal phalanx
46459
$555.00
ML575 OPERATION for OSTEOMYELITIS on middle or proximal phalanx, 46462
$885.00 metacarpal or carpus
ML585 AMPUTATION OF A SUPERNUMERARY COMPLETE DIGIT
46464
$670.00
ML595 AMPUTATION of SINGLE DIGIT, proximal to nail bed, involving section 46465
$665.00 of bone or joint and requiring soft tissue cover
ML605 AMPUTATION of 2 DIGITS, proximal to nail bed, involving section of 46468
$1,155.00 bone or joint and requiring soft tissue cover
ML615 AMPUTATION of 3 DIGITS, proximal to nail bed, involving section of 46471
$1,680.00 bone or joint and requiring soft tissue cover
ML625 AMPUTATION of 4 DIGITS, proximal to nail bed, involving section of 46474
$2,175.00 bone or joint and requiring soft tissue cover
ML635 AMPUTATION of 5 DIGITS, proximal to nail bed, involving section of 46477
$2,665.00 bone or joint and requiring soft tissue cover
ML645 AMPUTATION of SINGLE DIGIT, proximal to nail bed, involving section 46480
$1,115.00 of bone or joint and requiring soft tissue cover, including metacarpal
ML655 REVISION of AMPUTATION STUMP to provide adequate soft tissue 46483
$885.00 cover
ML665 NAIL BED, accurate reconstruction of nail bed laceration using
46486
$665.00 magnification, undertaken in the operating theatre of a hospital or
approved day hospital facility
ML675 NAIL BED, secondary exploration and accurate repair of nail bed 46489
$785.00 deformity using magnification, undertaken in the operating theatre of a
hospital or approved day hospital facility
ML685 CONTRACTURE of DIGITS OF HAND, flexor or extensor, correction of, 46492
$1,075.00 involving tissues deeper than skin and subcutaneous tissue
Page 316 1 November 2015

SURGICAL OPERATIONS
HAND SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
ML695 GANGLION OF HAND, excision of, not being a service associated with a 46494
$540.00 service to which an item in this Group applies
ML705 GANGLION OR MUCOUS CYST OF DISTAL DIGIT, excision of, not 46495
$600.00 being a service associated with a service to which Item EA355 applies
ML715 GANGLION OF FLEXOR TENDON SHEATH, excision of, not being a 46498
$655.00 service associated with a service to which Item EA355 applies
ML725 GANGLION OF DORSAL WRIST JOINT, excision of, not being a service 46500
$785.00 associated with a service to which Item EA355 applies
ML735 GANGLION OF VOLAR WRIST JOINT, excision of, not being a service 46501
$980.00 associated with a service to which Item EA355 applies
ML745 RECURRENT GANGLION OF DORSAL WRIST JOINT, excision of, not 46502
$900.00 being a service associated with a service to which Item EA355 applies
ML755 RECURRENT GANGLION OF VOLAR WRIST JOINT, excision of, not 46503
$1,125.00 being a service associated with a service to which Item EA355 applies
ML765 NEUROVASCULAR ISLAND FLAP, for pulp innervation
46504
$3,265.00
ML775 DIGIT or RAY, transposition or transfer of, on vascular pedicle, complete 46507
$3,825.00 procedure
ML785 MACRODACTYLY, surgical reduction of enlarged elements - each digit 46510
$1,045.00
ML795 DIGITAL NAIL OF FINGER OR THUMB, removal of, not being a service 46513
$168.00 to which Item ML805 applies
ML805 DIGITAL NAIL OF FINGER OR THUMB, removal of, in the operating 46516
$335.00 theatre of a hospital or approved day hospital facility
ML815 MIDDLE PALMAR, THENAR OR HYPOTHENAR SPACES OF HAND, 46519
$420.00 drainage of (excluding aftercare)
ML825 FLEXOR TENDON SHEATH OF FINGER OR THUMB - open operation 46522
$1,255.00 and drainage for infection
ML835 PULP SPACE INFECTION, paronychia of hand, incision for, when 46525
$168.00 performed in an operating theatre of a hospital or approved day hospital
facility, not being a service to which another item in this Group applies
(excluding aftercare)
ML845 INGROWING NAIL OF FINGER OR THUMB, wedge resection for, 46528
$505.00 including removal of segment of nail, ungual fold and portion of the nail
bed
1 November 2015 Page 317

SURGICAL OPERATIONS
HAND SURGERY
AMA Number
Fee
Description of Medical Service
MBS
Number
ML855 INGROWING NAIL OF FINGER OR THUMB, partial resection of nail, 46531
$255.00 including phenolisation but not including excision of nail bed
ML865 NAIL PLATE INJURY OR DEFORMITY, radical excision of nail germinal 46534
$700.00 matrix
ORTHOPAEDIC
TREATMENT OF DISLOCATIONS
NOTE: See page 320 for NOTES ON TREATMENT OF DISLOCATIONS.
MN010 MANDIBLE, treatment of dislocation of, by closed reduction
47000
$134.00
MN020 CLAVICLE, treatment of dislocation of, by closed reduction
47003
$160.00
MN030 CLAVICLE, treatment of dislocation of, by open reduction
47006
$320.00
MN040 SHOULDER, treatment of dislocation of, requiring general anaesthesia, 47009
$320.00 not being a service to which Item MN050 applies
MN050 SHOULDER, treatment of dislocation of, requiring general anaesthesia, 47012
$640.00 open reduction
MN060 SHOULDER, treatment of dislocation of, not requiring general
47015
$160.00 anaesthesia
MN070 ELBOW, treatment of dislocation of, by closed reduction
47018
$375.00
MN080 ELBOW, treatment of dislocation of, by open reduction
47021
$500.00
MN090 RADIOULNAR JOINT, DISTAL or PROXIMAL, treatment of dislocation 47024
$375.00 of, by closed reduction, not being a service associated with fracture or
dislocation in the same region
MN100 RADIOULNAR JOINT, DISTAL or PROXIMAL, treatment of dislocation 47027
$500.00 of, by open reduction, not being a service associated with fracture or
dislocation in the same region
MN110 CARPUS, or CARPUS on RADIUS and ULNA, or
47030
$375.00 CARPOMETACARPAL JOINT, treatment of dislocation of, by closed
reduction
MN120 CARPUS, or CARPUS on RADIUS and ULNA, or
47033
$500.00 CARPOMETACARPAL JOINT, treatment of dislocation of, by open
reduction
Page 318 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MN130 INTERPHALANGEAL JOINT, treatment of dislocation of, by closed 47036
$162.00 reduction
MN140 INTERPHALANGEAL JOINT, treatment of dislocation of, by open 47039
$215.00 reduction
MN150 METACARPOPHALANGEAL JOINT, treatment of dislocation of, by 47042
$215.00 closed reduction
MN160 METACARPOPHALANGEAL JOINT, treatment of dislocation of, by open 47045
$285.00 reduction
MN170 HIP, treatment of dislocation of, by closed reduction
47048
$620.00
MN180 HIP, treatment of dislocation of, by open reduction
47051
$830.00
MN190 KNEE, treatment of dislocation of, by closed reduction
47054
$620.00
MN200 PATELLA, treatment of dislocation of, by closed reduction
47057
$240.00
MN210 PATELLA, treatment of dislocation of, by open reduction
47060
$320.00
MN220 ANKLE or TARSUS, treatment of dislocation of, by closed reduction 47063
$485.00
MN230 ANKLE or TARSUS, treatment of dislocation of, by open reduction 47066
$645.00
MN240 TOE, treatment of dislocation of, by closed reduction
47069
$134.00
MN250 TOE, treatment of dislocation of, by open reduction
47072
$180.00
1 November 2015 Page 319

SURGICAL OPERATIONS
ORTHOPAEDIC
NOTES: TREATMENT OF DISLOCATIONS
1. For multiple dislocations requiring an operative or manipulative procedure, the fee for each
dislocation shall be 100% of the fee listed.
2. For multiple dislocations where the second or subsequent conditions do not require
operative or manipulative treatment, the fee for the second and each subsequent procedure
shall be 75% of the fee listed.
3. For repeat procedures for dislocations, 100% of the fee listed may be charged for the final
procedure including aftercare, whereas 75% of the fee listed shall be charged for each of
the previous procedures.
4. When a patient is transferred to another doctor for the aftercare of dislocations, the doctor
providing the initial care shall claim 75% of the fee listed. Visit fees are to be charged by
the second doctor unless a repeat procedure is required. The onus for reducing the fee to
75% rests with the doctor providing the initial treatment.
5. The suggested aftercare period for dislocations is 4 weeks.
6. Except where otherwise specified in the AMA List of Medical Services and Fees, the
aftercare period for elective procedures shall be 14 days or the hospital stay period,
whichever is the longer; and thereafter includes one routine follow-up visit at the consulting
rooms.
7. The fee for management of spinal cord damage in association with dislocations shall consist
of the fee for the dislocation plus, from two weeks post-operatively, visit charges.
8. For dislocations:
(a)
(b)
CLOSED REDUCTION means non-operative reduction of the dislocation.
OPEN REDUCTION means treatment by open operation, including any form of
fixation required to provide stabilisation.
9. When injuries are associated with a compound (open) wound, an additional fee of 50% of
the fee listed shall apply.
10. Except where otherwise specified in the AMA List of Medical Services and Fees, the fee for
a FRACTURE-DISLOCATION shall be the fee for the fracture or dislocation, whichever is
the greater, plus 50% of the fee for the lesser procedure.
11. The cost of splints, braces, casting materials or bandages, etc. is NOT included in the fee
listed.
Page 320 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
NOTES: TREATMENT OF FRACTURES
1. For multiple fractures requiring an operative or manipulative procedure, the fee for each
fracture shall be 100% of the fee listed.
2. For multiple fractures where the second or subsequent conditions do not require
operative or manipulative treatment, the fee for the second and each subsequent
procedure shall be 75% of the fee listed.
3. For repeat procedures for fractures, 100% of the fee listed may be charged for the final
procedure including aftercare, whereas 75% of the fee listed shall be charged for each
of the previous procedures.
4. When a patient is transferred to another doctor for the after care of fractures, the doctor
providing the initial care shall claim 75% of the fee listed. Visit fees are to be charged
by the second doctor unless a repeat procedure is required. The onus for reducing the
fee to 75% rests with the doctor providing the initial treatment.
5. The suggested aftercare period for adults with fractures is outlined on the next two
pages.
6. The aftercare period for children, whilst the growth-plates are still open, shall be 50% of
the equivalent adult period.
7. Except where otherwise specified in the AMA List of Medical Services and Fees, the
aftercare period for elective procedures shall be 14 days or the hospital stay period,
whichever is the longer; and thereafter includes one routine follow-up visit at the
consulting rooms.
8. The fee for management of spinal cord damage in association with fractures shall
consist of the fee for the fracture plus, from two weeks post-operatively, visit charges.
9. For fractures:
(a)
(b)
CLOSED REDUCTION means non-operative reduction of the fracture, and
includes percutaneous fixation and/or external splintage by cast or splint.
OPEN REDUCTION means treatment by either closed reduction and intramedullary
fixation or external fixation, or treatment by operative exposure of the
fracture including internal or external fixation.
10. When injuries are associated with a compound (open) wound, an additional fee of 50%
of the fee listed shall apply
11. Except where otherwise specified in the AMA List of Medical Services and Fees, the fee
for a FRACTURE-DISLOCATION shall be the fee for the fracture or dislocation,
whichever is the greater, plus 50% of the fee for the lesser procedure
1 November 2015 Page 321

SURGICAL OPERATIONS
ORTHOPAEDIC
12. Where prophylactic internal fixation of a bone is performed in order to prevent fracture
where there is a pathological lesion in the bone, the fee shall be that which would be
appropriate to that internal fixation had a fracture occurred.
13. Bone graft: except where otherwise specified in the AMA List of Medical Services and
Fees, refer to items MQ465, MQ475 and MQ485.
14. The cost of splints, braces, casting materials or bandages, etc. is NOT included in the
fees listed.
NOTES: AFTERCARE PERIOD FOR TREATMENT OF FRACTURES
Treatment of fractures
Aftercare Period
(a) Terminal phalanx of finger or thumb 6 weeks
(b) Proximal phalanx of finger or thumb 6 weeks
(c) Middle phalanx of finger 6 weeks
(d) One or more metacarpals not involving base of first 6 weeks
carpometacarpal joint
(e) First metacarpal involving carpometacarpal joint 6 weeks
(Bennett's fracture)
(f) Carpus (excluding navicular) 6 weeks
(g) Navicular or carpal scaphoid 3 months
(h) Colles' fracture of wrist 6 weeks
(i) Distal end of radius or ulna, involving wrist 8 weeks
(j) Radius 8 weeks
(k) Ulna 8 weeks
(l) Both shafts of forearm or humerus 8 weeks
(m) Clavicle or sternum 4 weeks
(n) Scapula 6 weeks
(o) Pelvis (excluding symphysis pubis) or sacrum 8 weeks
(p) Symphysis pubis 8 weeks
Page 322 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
Treatment of fractures
Aftercare Period
(q) Femur 4 months
(r) Fibula or tarsus (excepting os calcis or os talus) 8 weeks
(s) Tibia or patella 8 weeks
(t) Both shafts of leg, ankle (Potts fracture) with or without 8 weeks
dislocation, os calcis (calcaneus) or os talus
(u) Metatarsals - one or more 6 weeks
(v) Phalanx of toe (other than great toe) 6 weeks
(w) More than one phalanx of toe (other than great toe) 6 weeks
(x) Distal phalanx of great toe 6 weeks
(y) Proximal phalanx of great toe 6 weeks
(z) Nasal bones, requiring reduction 4 weeks
(aa) Nasal bones, requiring reduction and involving osteotomies 4 weeks
(bb) Maxilla or mandible, circumosseous fixation of 3 months
(cc) Maxilla or mandible, external skeletal fixation of 3 months
(dd) Maxilla or mandible, requiring splinting or wiring of teeth 3 months
(ee) Maxilla or mandible, unilateral or bilateral, not 6 weeks
requiring splinting
(ff) Zygoma 6 weeks
(gg) Spine (excluding sacrum), transverse process or bone 3 months
other than vertebral body requiring immobilisation in
plaster or traction by skull calipers
(hh) Spine (excluding sacrum), vertebral body, without 3 months
involvement of cord, requiring immobilisation in
plaster or traction by skull calipers
(ii) Spine (excluding sacrum), vertebral body, with 3 months
involvement of cord
1 November 2015 Page 323

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
TREATMENT OF FRACTURES
NOTE: See pages 321 - 323 for NOTES ON TREATMENT OF FRACTURES (including suggested
aftercare periods for the treatment of fractures).
MP005 DISTAL PHALANX of FINGER or THUMB, treatment of fracture of, by 47300
$240.00 closed reduction, including percutaneous fixation where used
MP015 DISTAL PHALANX of FINGER or THUMB, treatment of intra-articular 47303
$280.00 fracture of, by closed reduction
MP025 DISTAL PHALANX of FINGER or THUMB, treatment of fracture of, by 47306
$325.00 open reduction
MP035 DISTAL PHALANX of FINGER or THUMB, treatment of intra-articular 47309
$400.00 fracture of, by open reduction
MP045 MIDDLE PHALANX of FINGER, treatment of fracture of, by closed 47312
$365.00 reduction
MP055 MIDDLE PHALANX of FINGER, treatment of intra articular fracture of, by 47315
$415.00 closed reduction
MP065 MIDDLE PHALANX OF FINGER, treatment of fracture of, by open 47318
$480.00 reduction
MP075 MIDDLE PHALANX OF FINGER, treatment of intra articular fracture of, 47321
$605.00 by open reduction
MP085 PROXIMAL PHALANX OF FINGER OR THUMB, treatment of fracture 47324
$480.00 of, by closed reduction
MP095 PROXIMAL PHALANX OF FINGER OR THUMB, treatment of intraarticular
47327
$565.00
fracture of, by closed
reduction
MP105 PROXIMAL PHALANX OF FINGER OR THUMB, treatment of fracture 47330
$645.00 of, by open reduction
MP115 PROXIMAL PHALANX OF FINGER OR THUMB, treatment of intraarticular
47333
$805.00
fracture of, by open
reduction
MP125 METACARPAL, treatment of fracture of, by closed reduction
47336
$480.00
MP135 METACARPAL, treatment of intra-articular fracture of, by closed
47339
$565.00 reduction
MP145 METACARPAL, treatment of fracture of, by open reduction
47342
$645.00
MP155 METACARPAL, treatment of intra-articular fracture of, by open reduction 47345
$805.00
Page 324 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MP165 CARPUS (excluding scaphoid), treatment of fracture of, not being a 47348
$270.00 service to which item MP175 applies
MP175 CARPUS (excluding scaphoid), treatment of fracture of, by open
47351
$670.00 reduction
MP185 CARPAL SCAPHOID, treatment of fracture of, not being a service to 47354
$480.00 which item MP195 applies
MP195 CARPAL SCAPHOID, treatment of fracture of, by open reduction 47357
$1,075.00
MP205 RADIUS OR ULNA, distal end of, treatment of fracture of, by cast 47360
$375.00 immobilisation, not being a service to which item MP215 or MP225
applies
MP215 RADIUS OR ULNA, distal end of, treatment of fracture of, by closed 47363
$565.00 reduction
MP225 RADIUS OR ULNA, distal end of, treatment of fracture of, by open 47366
$755.00 reduction
MP235 RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture 47369
$485.00 of, by cast immobilisation, not being a service to which item MP245 or
MP255 applies
MP245 RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture, 47372
$805.00 by closed reduction
MP255 RADIUS, distal end of, treatment of Colles', Smith's or Barton's fracture, 47375
$1,075.00 by open reduction
MP265 RADIUS OR ULNA, shaft of, treatment of fracture of, by cast
47378
$485.00 immobilisation, not being a service to which item MP275, MP285, MP295
or MP305 applies
MP275 RADIUS OR ULNA, shaft of, treatment of fracture of, by closed reduction 47381
$730.00 undertaken in the operating theatre of a hospital or approved day
hospital facility
MP285 RADIUS OR ULNA, shaft of, treatment of fracture of, by open reduction 47384
$975.00
MP295 RADIUS OR ULNA, shaft of, treatment of fracture of, in conjunction with 47385
$830.00 dislocation of distal radio-ulnar joint or proximal radio-humeral joint
(Galeazzi or Monteggia injury), by closed reduction undertaken in the
operating theatre of a hospital or approved day hospital facility
MP305 RADIUS OR ULNA, shaft of, treatment of fracture of, in conjunction with 47386
$1,345.00 dislocation of distal radio-ulnar joint or proximal radio-humeral joint
(Galeazzi or Monteggia injury), by open reduction or internal fixation
1 November 2015 Page 325

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MP315 RADIUS AND ULNA, shafts of, treatment of fracture of, by cast
47387
$780.00 immobilisation, not being a service to which item MP325 or MP335
applies
MP325 RADIUS AND ULNA, shafts of, treatment of fracture of, by closed 47390
$1,160.00 reduction, undertaken in the operating theatre of a hospital or approved
day hospital facility
MP335 RADIUS AND ULNA, shafts of, treatment of fracture of, by open
47393
$1,550.00 reduction
MP345 OLECRANON, treatment of fracture of, not being a service to which item 47396
$540.00 MP355 applies
MP355 OLECRANON, treatment of fracture of, by open reduction
47399
$1,075.00
MP365 OLECRANON, treatment of fracture of, involving excision of olecranon 47402
$805.00 fragment and reimplantation of tendon
MP375 RADIUS, treatment of fracture of head or neck of, closed reduction of 47405
$540.00
MP385 RADIUS, treatment of fracture of head or neck of, open reduction of, 47408
$1,075.00 including internal fixation and excision where performed
MP395 HUMERUS, treatment of fracture of tuberosity of, not being a service to 47411
$325.00 which Item MP415 applies
MP405 HUMERUS, treatment of fracture of tuberosity of, by open reduction 47414
$645.00
MP415 HUMERUS, treatment of fracture of tuberosity of, and associated 47417
$755.00 dislocation of shoulder, by closed reduction
MP425 HUMERUS, treatment of fracture of tuberosity of, and associated 47420
$1,470.00 dislocation of shoulder, by open reduction
MP435 HUMERUS, proximal, treatment of fracture of, not being a service to 47423
$620.00 which item MP445, MP455 or MP465 applies
MP445 HUMERUS, proximal, treatment of fracture of, by closed reduction, 47426
$930.00 undertaken in the operating theatre of a hospital or approved day
hospital facility
MP455 HUMERUS, proximal, treatment of fracture of, by open reduction 47429
$1,240.00
MP465 HUMERUS, proximal, treatment of intra-articular fracture of, by open 47432
$1,550.00 reduction
Page 326 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MP475 HUMERUS, proximal, treatment of fracture of, and associated dislocation 47435
$1,180.00 of shoulder, by closed reduction
MP485 HUMERUS, proximal, treatment of fracture of, and associated dislocation 47438
$1,885.00 of shoulder, by open reduction
MP495 HUMERUS, proximal, treatment of intra-articular fracture of, and
47441
$2,340.00 associated dislocation of shoulder, by open reduction
MP505 HUMERUS, shaft of, treatment of fracture of, not being a service to 47444
$645.00 which item MP515 or MP525 applies
MP515 HUMERUS, shaft of, treatment of fracture of, by closed reduction, 47447
$975.00 undertaken in the operating theatre of a hospital or approved day
hospital facility
MP525 HUMERUS, shaft of, treatment of fracture of, by internal or external 47450
$1,285.00 fixation
MP530 HUMERUS, shaft of, treatment of fracture of, by intramedullary fixation 47451
$1,555.00
MP535 HUMERUS, distal, (supracondylar or condylar), treatment of fracture of, 47453
$750.00 not being a service to which item MP545 or MP555 applies
MP545 HUMERUS, distal (supracondylar or condylar), treatment of fracture of, 47456
$1,120.00 by closed reduction, undertaken in the operating theatre of a hospital or
approved day hospital facility
MP555 HUMERUS, distal (supracondylar or condylar), treatment of fracture of, 47459
$1,510.00 by open reduction, undertaken in the operating theatre of a hospital or
approved day hospital facility
MP565 CLAVICLE, treatment of fracture of, not being a service to which Item 47462
$320.00 MP575 applies
MP575 CLAVICLE, treatment of fracture of, by open reduction
47465
$645.00
MP585 STERNUM, treatment of fracture of, not being a service to which item 47466
$320.00 MP595 applies
MP595 STERNUM, treatment of fracture of, by open reduction
47467
$645.00
MP605 SCAPULA, neck or glenoid region of, treatment of fracture of, by open 47468
$1,240.00 reduction
MP615 RIBS (1 or more), treatment of fracture of - each attendance
47471
$122.00
1 November 2015 Page 327

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MP625 PELVIC RING, treatment of fracture of, not involving disruption of pelvic 47474
$535.00 ring or acetabulum
MP635 PELVIC RING, treatment of fracture of, with disruption of pelvic ring or 47477
$670.00 acetabulum
MP645 PELVIC RING, treatment of fracture of, requiring traction
47480
$1,345.00
MP655 PELVIC RING, treatment of fracture of, requiring control by external 47483
$1,610.00 fixation
MP665 PELVIC RING, treatment of fracture of, by open reduction and involving 47486
$2,685.00 internal fixation of anterior segment, including diastasis of pubic
symphysis
MP675 PELVIC RING, treatment of fracture of, by open reduction and involving 47489
$4,030.00 internal fixation of posterior segment (including sacro-iliac joint), with or
without fixation of anterior segment
MP685 ACETABULUM, treatment of fracture of, and associated dislocation of 47492
$670.00 hip
MP695 ACETABULUM, treatment of fracture of, and associated dislocation of 47495
$1,345.00 hip, requiring traction
MP705 ACETABULUM, treatment of fracture of, and associated dislocation of 47498
$2,005.00 hip, requiring internal fixation, with or without traction
MP715 ACETABULUM, treatment of single column fracture of, by open
47501
$2,685.00 reduction and internal fixation, including any osteotomy, osteectomy or
capsulotomy required for exposure and subsequent repair, excluding
services to which item MR130 or MR140 apply
MP725 ACETABULUM, treatment of T-shape fracture of, by open reduction and 47504
$4,030.00 internal fixation, including any osteotomy, osteectomy or capsulotomy
required for exposure and subsequent repair, excluding services to which
item MR130 or MR140 apply
MP735 ACETABULUM, treatment of transverse fracture of, by open reduction 47507
$4,030.00 and internal fixation, including any osteotomy, osteectomy or
capsulotomy required for exposure and subsequent repair, excluding
services to which item MR130 or MR140 apply
MP745 ACETABULUM, treatment of double column fracture of, by open
47510
$4,030.00 reduction and internal fixation, including any osteotomy, osteectomy or
capsulotomy required for exposure and subsequent repair, excluding
services to which item MR130 or MR140 apply
Page 328 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MP755 SACRO-ILIAC JOINT DISRUPTION, treatment of, requiring internal 47513
$1,075.00 fixation, being a service associated with a service to which items MP715
to MP745 apply. Add 50% of the appropriate fee.
MP765 FEMUR, treatment of fracture of, by closed reduction or traction
47516
$1,235.00
MP775 FEMUR, treatment of trochanteric or subcapital fracture of, by internal 47519
$2,470.00 fixation
MP785 FEMUR, treatment of subcapital fracture of, by hemi arthroplasty 47522
$2,150.00
MP795 FEMUR, treatment of fracture of, for slipped capital femoral epiphysis 47525
$2,470.00
MP805 FEMUR, treatment of fracture of, by internal fixation or external fixation 47528
$2,150.00
MP815 FEMUR, treatment of fracture of shaft, by intramedullary fixation and 47531
$2,740.00 cross fixation
MP825 FEMUR, condylar region of, treatment of intra articular (T-shaped 47534
$3,090.00 condylar) fracture of, requiring internal fixation, with or without internal
fixation of 1 or more osteochondral fragments
MP835 FEMUR, condylar region of, treatment of fracture of, requiring internal 47537
$1,235.00 fixation of 1 or more osteochondral fragments, not being a service
associated with a service to which item MP825 applies
MP845 HIP SPICA OR SHOULDER SPICA, application of, as an independent 47540
$620.00 procedure
MP855 TIBIA, plateau of, treatment of medial or lateral fracture of, not being a 47543
$645.00 service to which item MP865 or MP875 applies
MP865 TIBIA, plateau of, treatment of medial or lateral fracture of, by closed 47546
$975.00 reduction
MP875 TIBIA, plateau of, treatment of medial or lateral fracture of, by open 47549
$1,285.00 reduction
MP885 TIBIA, plateau of, treatment of both medial and lateral fractures of, not 47552
$1,075.00 being a service to which item MP895 or MP905 applies
MP895 TIBIA, plateau of, treatment of both medial and lateral fractures of, by 47555
$1,615.00 closed reduction
MP905 TIBIA, plateau of, treatment of both medial and lateral fractures of, by 47558
$2,150.00 open reduction
1 November 2015 Page 329

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MP915 TIBIA, shaft of, treatment of fracture of, by cast immobilisation, not being 47561
$780.00 a service to which item MP925, MP955, MP965 or MP975 applies
MP925 TIBIA, shaft of, treatment of fracture of, by closed reduction, with or 47564
$1,160.00 without treatment of fibular fracture
MP935 TIBIA, shaft of, treatment of fracture of, by internal fixation or external 47565
$2,030.00 fixation
MP945 TIBIA, shaft of, treatment of fracture of, by intramedullary fixation and 47566
$2,590.00 cross fixation
MP955 TIBIA, shaft of, treatment of intra-articular fracture of, by closed
47567
$1,345.00 reduction, with or without treatment of fibular fracture
MP965 TIBIA, shaft of, treatment of fracture of, by open reduction, with or 47570
$1,550.00 without treatment of fibular fracture
MP975 TIBIA, shaft of, treatment of intra-articular fracture of, by open reduction, 47573
$1,945.00 with or without treatment of fibular fracture
MP985 FIBULA, treatment of fracture of
47576
$320.00
MP995 PATELLA, treatment of fracture of, not being a service to which item 47579
$455.00 MQ005 or MQ015 applies
MQ005 PATELLA, treatment of fracture of, by excision of patella or pole with 47582
$940.00 reattachment of tendon
MQ015 PATELLA, treatment of fracture of, by internal fixation
47585
$1,210.00
MQ025 KNEE JOINT, treatment of fracture of, by internal fixation of intraarticular
47588
$3,760.00
fractures of femoral condylar or tibial articular surfaces and
requiring repair or reconstruction of 1 or more ligaments
MQ035 KNEE JOINT, treatment of fracture of, by internal fixation of intraarticular
47591
$4,565.00
fractures of femoral condylar and tibial articular surfaces and
requiring repair or reconstruction of 1 or more ligaments
MQ045 ANKLE JOINT, treatment of fracture of, not being a service to which item 47594
$620.00 MQ055 applies
MQ055 ANKLE JOINT, treatment of fracture of, by closed reduction
47597
$930.00
MQ065 ANKLE JOINT, treatment of fracture of, by internal fixation of 1 of 47600
$1,235.00 malleolus, fibula or diastasis
Page 330 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MQ075 ANKLE JOINT, treatment of fracture of, by internal fixation of more than 47603
$1,610.00 1 of malleolus, fibula or diastasis
MQ085 CALCANEUM OR TALUS, treatment of fracture of, not being a service to 47606
$670.00 which item MQ095, MQ105, MQ115 or MQ125 applies, with or without
dislocation
MQ095 CALCANEUM OR TALUS, treatment of fracture of, by closed reduction, 47609
$1,015.00 with or without dislocation
MQ105 CALCANEUM OR TALUS, treatment of intra-articular fracture of, by 47612
$1,160.00 closed reduction, with or without dislocation
MQ115 CALCANEUM OR TALUS, treatment of fracture of, by open reduction, 47615
$1,345.00 with or without dislocation
MQ125 CALCANEUM OR TALUS, treatment of intra-articular fracture of, by 47618
$1,675.00 open reduction, with or without dislocation
MQ135 TARSO-METATARSAL, treatment of intra-articular fracture of, by closed 47621
$1,160.00 reduction, with or without dislocation
MQ145 TARSO-METATARSAL, treatment of fracture of, by open reduction, with 47624
$1,615.00 or without dislocation
MQ155 TARSUS (excluding calcaneum or talus), treatment of fracture of 47627
$455.00
MQ165 TARSUS (excluding calcaneum or talus), treatment of fracture of, by 47630
$975.00 open reduction, with or without dislocation
MQ175 METATARSAL, 1 of, treatment of fracture of
47633
$320.00
MQ185 METATARSAL, 1 of, treatment of fracture of, by closed reduction 47636
$480.00
MQ195 METATARSAL, 1 of, treatment of fracture of, by open reduction
47639
$645.00
MQ205 METATARSALS, 2 of, treatment of fracture of
47642
$430.00
MQ215 METATARSALS, 2 of, treatment of fracture of, by closed reduction 47645
$645.00
MQ225 METATARSALS, 2 of, treatment of fracture of, by open reduction 47648
$850.00
MQ235 METATARSALS, 3 or more of, treatment of fracture of
47651
$670.00
1 November 2015 Page 331

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MQ245 METATARSALS, 3 or more of, treatment of fracture of, by closed 47654
$1,015.00 reduction
MQ255 METATARSALS, 3 or more of, treatment of fracture of, by open
47657
$1,345.00 reduction
MQ265 PHALANX OF GREAT TOE, treatment of fracture of, by closed reduction 47663
$400.00
MQ275 PHALANX OF GREAT TOE, treatment of fracture of, by open reduction 47666
$670.00
MQ285 PHALANX OF TOE (other than great toe), 1 of, treatment of fracture of, 47672
$325.00 by open reduction
MQ295 PHALANX OF TOE (other than great toe), more than 1 of, treatment of 47678
$480.00 fracture of, by open reduction
MQ305 SPINE (excluding sacrum), treatment of fracture of transverse process, 47681
$122.00 vertebral body, or posterior elements - each attendance
NOTE: Care should be taken when billing items MQ315 - MQ345 as the corresponding MBS
items 47684 - 47693 require immobilisation by halo or calipers.
MQ315 SPINE, treatment of fracture, dislocation or fracture-dislocation, without 47684
$2,150.00 spinal cord involvement, with immobilisation by calipers or halo
MQ325 SPINE, treatment of fracture, dislocation or fracture-dislocation, with 47687
$3,765.00 spinal cord involvement, with immobilisation by calipers or halo, and
including up to 14 days post-operative care
MQ335 SPINE, treatment of fracture, dislocation or fracture-dislocation, without 47690
$2,955.00 cord involvement, with immobilisation by calipers or halo, requiring
reduction by closed manipulation
MQ345 SPINE, treatment of fracture, dislocation or fracture-dislocation, with cord 47693
$3,765.00 involvement, with immobilisation by calipers or halo, requiring reduction
by closed manipulation, including up to 14 days post-operative care
MQ355 SPINE, reduction of fracture or dislocation of, without cord involvement, 47696
$1,075.00 undertaken in the operating theatre of a hospital or approved dayhospital
facility
MQ365 SPINE, treatment of fracture, dislocation or fracture-dislocation, without 47699
$4,300.00 cord involvement, requiring open reduction with or without internal
fixation
MQ375 SPINE, treatment of fracture, dislocation or fracture-dislocation, with cord 47702
$5,360.00 involvement, requiring open reduction with or without internal fixation,
including up to 14 days post-operative care
Page 332 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MQ385 SKULL, treatment of fracture of, each attendance
47703
$122.00
MQ395 SKULL CALIPERS, insertion of, as an independent procedure
47705
$805.00
MQ405 PLASTER JACKET, application of, as an independent procedure 47708
$620.00
MQ415 HALO, application of, as an independent procedure
47711
$915.00
MQ425 HALO, application of, in addition to spinal fusion for scoliosis, or other 47714
$685.00 conditions
MQ435 HALO-THORACIC TRACTION - application of both halo and thoracic 47717
$1,210.00 jacket
MQ445 HALO-FEMORAL TRACTION, as an independent procedure
47720
$1,210.00
MQ455 HALO-FEMORAL TRACTION, in conjunction with a major spine
47723
$1,200.00 operation (50% rule applies)
MQ465 BONE GRAFT, harvesting of, via separate incision, in conjunction with 47726
$405.00 another service - AUTOGENOUS - small quantity
MQ475 BONE GRAFT, harvesting of, via separate incision, in conjunction with 47729
$670.00 another service - AUTOGENOUS - large quantity
MQ485 VASCULARISED PEDICLE BONE GRAFT, harvesting of, in conjunction 47732
$1,075.00 with another service
MQ495
$645.00
MQ505
$970.00
NASAL BONES, treatment of fracture of, by manipulation with
anaesthesia
NASAL BONES, treatment of fracture of, by open reduction
MQ515 NASAL BONES, treatment of fracture of, by open reduction involving 47741
$1,325.00 osteotomies
MQ525 MAXILLA, treatment of fracture of, requiring splinting, wiring of teeth, 47753
$1,160.00 circumosseous fixation or external fixation
MQ535 MANDIBLE, treatment of fracture of, requiring splinting, wiring of teeth, 47756
$1,160.00 circumosseous fixation or external fixation
MQ545 ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction 47762
$680.00 by a temporal, intra-oral or other approach
1 November 2015 Page 333

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MQ555 ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction 47765
$1,120.00 and involving internal or external fixation at 1 site
MQ565 ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction 47768
$1,365.00 and involving internal or external fixation or both at 2 sites
MQ575 ZYGOMATIC BONE, treatment of fracture of, requiring surgical reduction 47771
$1,575.00 and involving internal or external fixation or both at 3 sites
MQ585 MAXILLA, treatment of fracture of, requiring open operation
47774
$1,240.00
MQ595 MANDIBLE, treatment of fracture of, requiring open reduction
47777
$1,240.00
MQ605 MAXILLA, treatment of fracture of, requiring open reduction and internal 47780
$1,615.00 fixation not involving plate(s)
MQ615 MANDIBLE, treatment of fracture of, requiring open reduction and 47783
$1,615.00 internal fixation not involving plate(s)
MQ625 MAXILLA, treatment of fracture of, requiring open reduction and internal 47786
$2,050.00 fixation involving plate(s)
MQ635 MANDIBLE, treatment of fracture of, requiring open reduction and 47789
$2,050.00 internal fixation involving plate(s)
Page 334 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
NOTES: GENERAL NOTES TO ORTHOPAEDIC SECTION
1. Except where otherwise specified in the AMA List of Medical Services and Fees, the
aftercare period for elective procedures shall be 14 days or the hospital stay period,
whichever is the longer; and thereafter includes one routine follow-up visit at the consulting
rooms.
2. BONE GRAFT: except where otherwise specified in the AMA List of Medical Services and
Fees, refer to Items MQ465, MQ475 and MQ485.
3. Except where otherwise specified in the AMA List of Medical Services and Fees, corrective
osteotomy or osteotomy for malunion or nonunion, with or without internal fixation, the fee
shall be as for treatment in Note 10 on page 320.
4. Except where otherwise specified in the AMA List of Medical Services and Fees, corrective
osteotomy or osteotomy for malunion or nonunion, with or without internal fixation plus
BONE GRAFT, the fee shall be as for treatment in Notes 10 and 13 on pages 321 - 322.
5. Except where otherwise specified in the AMA List of Medical Services and Fees, in multiple
elective orthopaedic operations, the first procedure attracts the fee listed, the second and
any subsequent procedure attracts 75% of the fee listed.
6. The cost of splints, braces, casting materials or bandages, etc. is NOT included in the fee
listed.
1 November 2015 Page 335

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
GENERAL
Description of Medical Service
MBS
Number
MR010 BONE CYST, injection into or aspiration of
47900
$510.00
MR020 EPICONDYLITIS, open operation for
47903
$710.00
MR030 DIGITAL NAIL OF TOE, removal of, not being a service to which Item 47904
$170.00 MR040 applies
MR040 DIGITAL NAIL OF TOE, removal of, in the operating theatre of a hospital 47906
$340.00 or approved day hospital facility
MR050 PULP SPACE INFECTION, PARONYCHIA of FOOT, incision for, not 47912
$170.00 being a service to which another item in this Group applies (excluding
aftercare)
MR060 INGROWING NAIL OF TOE, wedge resection for, with removal of 47915
$515.00 segment of nail, ungual fold and portion of the nail bed
MR070 INGROWING NAIL OF TOE, partial resection of nail, with destruction of 47916
$255.00 nail matrix by phenolisation, electrocautery, laser, sodium hydroxide or
acid but not including excision of nail bed
MR080 INGROWING TOENAIL, radical excision of nailbed
47918
$710.00
MR088 BONE GROWTH STIMULATOR, insertion of
47920
$1,130.00
MR090 ORTHOPAEDIC PIN OR WIRE, insertion of, as an independent
47921
$340.00 procedure
MR100 BURIED WIRE, PIN OR SCREW, 1 or more of, which were inserted for 47924
$114.00 internal fixation purposes, removal of requiring incision and suture, not
being a service to which Item MR110 or MR120 applies - per bone
MR110 BURIED WIRE, PIN OR SCREW, 1 or more of, which were inserted for 47927
$425.00 internal fixation purposes, removal of, in the operating theatre of a
hospital or approved day hospital facility - per bone
MR120 PLATE, ROD OR NAIL AND ASSOCIATED WIRES, PINS OR
47930
$795.00 SCREWS, 1 or more of, all of which were inserted for internal fixation
purposes, removal of, not being a service associated with a service to
which Item MR100 or MR110 applies - per bone
MR130 EXOSTOSIS OF SMALL BONE (not more than 20mm of growth above 47933
$625.00 bone), excision of, or simple removal of bunion and any associated
bursa, not being a service associated with a service for removal of bursa
Page 336 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MR140 EXOSTOSIS OF LARGE BONE (greater than 20mm of growth above 47936
$765.00 bone), excision of
MR150 EXTERNAL FIXATION, removal of, in the operating theatre of a hospital 47948
$480.00 or approved day hospital facility
MR160 EXTERNAL FIXATION, removal of, in conjunction with operations 47951
$360.00 involving internal fixation or bone grafting or both
MR170 TENDON, repair of, as an independent procedure
47954
$1,145.00
MR180 TENDON, large, lengthening of, as an independent procedure
47957
$870.00
MR190 TENOTOMY, SUBCUTANEOUS, not being a service to which another 47960
$400.00 item in this Group applies
MR200 TENOTOMY, OPEN, with or without tenoplasty, not being a service to 47963
$655.00 which another item in this Group applies
MR210 TENDON OR LIGAMENT TRANSFER, not being a service to which 47966
$1,315.00 another item in this Group applies
MR220 TENOSYNOVECTOMY, not being a service to which another item in this 47969
$795.00 Group applies
MR230 TENDON SHEATH, open operation for teno-vaginitis, not being a service 47972
$635.00 to which another item in this Group applies
MR240 FOREARM OR CALF, decompression fasciotomy of, for acute
47975
$1,115.00 compartment syndrome, requiring excision of muscle and deep tissue
MR250 FOREARM OR CALF, decompression fasciotomy of, for chronic
47978
$675.00 compartment syndrome, requiring excision of muscle and deep tissue
MR260 FOREARM, CALF OR INTEROSSEOUS MUSCLE SPACE OF HAND, 47981
$455.00 decompression fasciotomy of, not being a service to which another item
applies
MR262 FORAGE (Drill decompression), of neck or head of femur, or both 47982
$1,085.00
BONE GRAFTS
MR500 FEMUR, bone graft to
48200
$2,150.00
MR510 FEMUR, bone graft to, with internal fixation
48203
$2,605.00
1 November 2015 Page 337

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MR520 TIBIA, bone graft to
48206
$1,610.00
MR530 TIBIA, bone graft to, with internal fixation
48209
$2,070.00
MR540 HUMERUS, bone graft to
48212
$1,610.00
MR550 HUMERUS, bone graft to, with internal fixation
48215
$2,070.00
MR560 RADIUS AND ULNA, bone graft to
48218
$1,610.00
MR570 RADIUS AND ULNA, bone graft to, with internal fixation of 1 or both 48221
$2,150.00 bones
MR580 RADIUS OR ULNA, bone graft to
48224
$1,075.00
MR590 RADIUS OR ULNA, bone graft to, with internal fixation of 1 or both bones 48227
$1,395.00
MR600 SCAPHOID, bone graft to, for non-union
48230
$1,210.00
MR610 SCAPHOID, bone graft to, for non-union, with internal fixation
48233
$1,745.00
MR620 SCAPHOID, bone graft to, for mal-union, including osteotomy, bone graft 48236
$2,285.00 and internal fixation
MR630 BONE GRAFT, not being a service to which another item in this Group 48239
$1,265.00 applies
MR640 BONE GRAFT, with internal fixation, not being a service to which another 48242
$1,745.00 item in this Group applies
OSTEOTOMY AND OSTEECTOMY
MS005 PHALANX, METATARSAL, ACCESSORY BONE OR SESAMOID 48400
$940.00 BONE, osteotomy or osteectomy of, excluding services to which items
MX660, MX670, MR130 or MR140 applies
MS015 PHALANX OR METATARSAL, osteotomy or osteectomy of, with internal 48403
$1,480.00 fixation, excluding services to which items MR130 or MR140 apply
MS025 FIBULA, RADIUS, ULNA, CLAVICLE, SCAPULA (other than acromion), 48406
$940.00 RIB, TARSUS OR CARPUS, osteotomy or osteectomy of, excluding
services to which items MR130 or MR140 apply
Page 338 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MS035 FIBULA, RADIUS, ULNA, CLAVICLE, SCAPULA (other than acromion), 48409
$1,480.00 RIB, TARSUS OR CARPUS, osteotomy or osteectomy, with internal
fixation, excluding services to which items MR130 or MR140 apply
MS045 HUMERUS, osteotomy or osteectomy of, excluding services to which 48412
$1,800.00 items MR130 or MR140 apply
MS055 HUMERUS, osteotomy or osteectomy of, with internal fixation, excluding 48415
$2,285.00 services to which items MR130 or MR140 apply
MS065 TIBIA, osteotomy or osteectomy of, excluding services to which items 48418
$1,800.00 MR130 or MR140 apply
MS075 TIBIA, osteotomy or osteectomy of, with internal fixation, excluding 48421
$2,285.00 services to which items MR130 or MR140 apply
MS085 FEMUR OR PELVIS, osteotomy or osteectomy of, excluding services to 48424
$2,150.00 which items MR130 or MR140 apply
MS095 FEMUR OR PELVIS, osteotomy or osteectomy of, with internal fixation, 48427
$2,605.00 excluding services to which items MR130 or MR140 apply
EPIPHYSEODESIS
MS605 FEMUR, epiphysiodesis of
48500
$940.00
MS615 TIBIA AND FIBULA, epiphysiodesis of
48503
$940.00
MS625 FEMUR, TIBIA AND FIBULA, epiphysiodesis of
48506
$1,395.00
MS635 EPIPHYSIODESIS, staple arrest of hemi-epiphysis
48509
$670.00
MS645 EPIPHYSIOLYSIS, operation to prevent closure of plate
48512
$2,550.00
SPINE
MT010 SPINE, MANIPULATION OF, performed in the operating theatre of a 48600
$270.00 hospital or approved day hospital facility
MT020 SPINE, MANIPULATION OF, under epidural anaesthesia, with or without 48603
$405.00 steroid injection, where the manipulation and the administration of the
epidural anaesthetic are performed by the same medical practitioner in
the operating theatre of a hospital or approved day hospital facility, not
being a service associated with a service to which Item MT010 or MY065
applies
1 November 2015 Page 339

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MT030 SCOLIOSIS or KYPHOSIS, spinal fusion for (without instrumentation) 48606
$3,760.00
MT050 SCOLIOSIS, spinal fusion for, using segmental instrumentation (C D, 48612
$6,985.00 Zielke, Luque, or similar)
MT055 SCOLIOSIS OR KYPHOSIS, spinal fusion for, using segmental
48613
$9,955.00 instrumentation, reconstruction using separate anterior and posterior
approaches
MT060 SCOLIOSIS, re-exploration for, involving adjustment or removal of 48615
$1,265.00 instrumentation or simple bone grafting procedure
MT070 SCOLIOSIS, revision of failed scoliosis surgery, involving more than 1 of 48618
$6,985.00 multiple osteotomy, fusion or instrumentation
MT080 SCOLIOSIS, anterior correction of, with fusion and segmental fixation 48621
$4,565.00 (Dwyer, Zielke, or similar) - not more than 4 levels
MT090 SCOLIOSIS, anterior correction of, with fusion and segmental fixation 48624
$5,640.00 (Dwyer, Zielke or similar) - more than 4 levels
MT100 SCOLIOSIS, spinal fusion for, combined with segmental instrumentation 48627
$7,255.00 (C D, Zielke or similar) down to and including pelvis
MT110 SCOLIOSIS, requiring anterior decompression of spinal cord with 48630
$8,060.00 resection of vertebrae including bone graft and instrumentation in the
presence of spinal cord involvement
MT120 SCOLIOSIS, congenital, vertebral resection and fusion for
48632
$4,450.00
MT130 PERCUTANEOUS LUMBAR PARTIAL OR TOTAL DISCECTOMY, 1 or 48636
$2,310.00 more levels not being a service associated with intradiscal electrothermal
annuloplasty
MT140 VERTEBRAL BODY, total or sub-total excision of, including bone 48639
$5,120.00 grafting or other form of fixation
MT145 VERTEBRAL BODY, disease of, excision and spinal fusion for, using 48640
$9,955.00 segmental instrumentation, reconstruction utilising separate anterior and
posterior approaches
MT150 SPINE, posterior, bone graft to, not being a service to which item MT170 48642
$2,285.00 or MT180 applies - 1 or 2 levels
MT160 SPINE, posterior, bone graft to, not being a service to which item MT170 48645
$3,090.00 or MT180 applies - more than 2 levels
MT170 SPINE, bone graft to, (postero-lateral fusion) - 1 or 2 levels
48648
$3,090.00
Page 340 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MT180 SPINE, bone graft to, (postero-lateral fusion) - more than 2 levels 48651
$4,300.00
MT190 SPINAL FUSION (posterior interbody), with partial or total laminectomy, 48654
$3,090.00 1 level
MT200 SPINAL FUSION (posterior interbody), with partial or total laminectomy, 48657
$4,165.00 more than 1 level
MT210 SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar 48660
$3,090.00 regions - 1 level
MT220 SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar 48663
$2,310.00 regions - 1 level - principal surgeon
MT230 SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar 48666
$1,395.00 regions - 1 level - assisting surgeon
MT240 SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar 48669
$4,165.00 regions - more than 1 level
MT250 SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar 48672
$3,115.00 regions - more than 1 level - principal surgeon
MT260 SPINAL FUSION (anterior interbody) to cervical, thoracic or lumbar 48675
$1,880.00 regions - more than 1 level - assisting surgeon
MT270 SPINE, simple internal fixation of, involving 1 or more of facetal screw, 48678
$1,610.00 wire loop or similar, being a service associated with a service to which
items MT150 to MT260 apply
MT280 SPINE, non-segmental internal fixation of (Harrington or similar), other 48681
$2,685.00 than for scoliosis, being a service associated with a service to which any
one of items MT150 to MT260 applies
MT290 SPINE, segmental internal fixation of, other than for scoliosis, being a 48684
$2,685.00 service associated with a service to which any one of items MT150 to
MT260 applies - 1 or 2 levels
MT300 SPINE, segmental internal fixation of, other than for scoliosis, being a 48687
$3,760.00 service associated with a service to which items MT150 to MT260 apply -
3 or 4 levels
MT310 SPINE, segmental internal fixation of, other than for scoliosis, being a 48690
$4,300.00 service associated with a service to which items MT150 to MT260 apply -
more than 4 levels
1 November 2015 Page 341

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MT320 LUMBAR ARTIFICIAL INTERVERTEBRAL TOTAL DISC
48691
$5,260.00 REPLACEMENT, at one level only, including removal of disc, for a
patient who: (a) has not had prior spinal fusion surgery at the same
lumbar level; and (b) does not have vertebral osteoporosis; and (c) has
failed conservative therapy; other than a service associated with item
LT045 or LT055
MT330 LUMBAR ARTIFICIAL INTERVERTEBRAL TOTAL DISC
48692
$3,545.00 REPLACEMENT, at one level only, including removal of disc, for a
patient who: (a) has not had prior spinal fusion surgery at the same
lumbar level; and (b) does not have vertebral osteoporosis; and (c) has
failed conservative therapy; other than a service associated with item
LT045 or LT055 - principal surgeon
MT340 LUMBAR ARTIFICIAL INTERVERTEBRAL TOTAL DISC
48693
$1,715.00 REPLACEMENT, at one level only, including removal of disc, for a
patient who: (a) has not had prior spinal fusion surgery at the same
lumbar level; and (b) does not have vertebral osteoporosis; and (c) has
failed conservative therapy; other than a service associated with item
LT045 or LT055 - assisting surgeon
MT342 CERVICAL ARTIFICIAL INTERVERTEBRAL TOTAL DISC
48694
$5,260.00 REPLACEMENT, at one level only, including removal of disc, for a
patient who: (a) has not had prior spinal surgery at the same cervical
level; and (b) is skeletally mature; and (c) has symptomatic degenerative
disc disease with radiculopathy; and (d) does not have vertebral
osteoporosis; and (e) has failed conservative therapy; not being a service
to which items LT045 or LT055 apply
SHOULDER
MT600 SHOULDER, excision of coraco-acromial ligament or removal of calcium 48900
$805.00 deposit from cuff or both
MT610 SHOULDER, decompression of subacromial space by acromioplasty, 48903
$1,610.00 excision of coraco-acromial ligament and distal clavicle, or any other
combination
MT620 SHOULDER, repair of rotator cuff, including excision of coraco-acromial 48906
$1,610.00 ligament or removal of calcium deposit from cuff, or both - not being a
service associated with a service to which Item MT600 applies
MT630 SHOULDER, repair of rotator cuff, including decompression of
48909
$2,150.00 subacromial space by acromioplasty, excision of coraco-acromial
ligament and distal clavicle, or any combination, not being a service
associated with a service to which item MT610 applies
MT640 SHOULDER, arthrotomy of
48912
$940.00
Page 342 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MT650 SHOULDER, hemi-arthroplasty of
48915
$2,150.00
MT660 SHOULDER, total replacement arthroplasty of, including any associated 48918
$4,300.00 rotator cuff repair
MT665
$5,060.00
SHOULDER, total replacement of, requiring major bone graft, including
obtaining of graft and rotator cuff repair when performed
MT670 SHOULDER, total replacement arthroplasty, revision of
48921
$4,435.00
MT680 SHOULDER, total replacement arthroplasty, revision of, requiring bone 48924
$5,105.00 graft to scapula or humerus, or both
MT690 SHOULDER, prosthesis, removal of
48927
$1,050.00
MT700 SHOULDER, stabilisation procedure for recurrent anterior or posterior 48930
$2,150.00 dislocation
MT710 SHOULDER, stabilisation procedure for multi directional instability, 48933
$2,820.00 including anterior or posterior (or both) repair when performed
MT720 SHOULDER, synovectomy of, as an independent procedure
48936
$2,150.00
MT730 SHOULDER, arthrodesis of, with synovectomy if performed
48939
$3,090.00
MT740 SHOULDER, arthrodesis of, with synovectomy if performed, with removal 48942
$4,030.00 of prosthesis, requiring bone grafting or internal fixation
MT750 SHOULDER, diagnostic arthroscopy of (including biopsy) - not being a 48945
$780.00 service associated with any other arthroscopic procedure of the shoulder
region
MT760 SHOULDER, arthroscopic surgery of, involving any 1 or more of: removal 48948
$1,745.00 of loose bodies;decompression of calcium deposit; debridement of
labrum, synovium or rotator cuff; or chondroplasty - not being a service
associated with any other arthroscopic procedure of the shoulder region
MT770 SHOULDER, arthroscopic division of coraco-acromial ligament including 48951
$2,550.00 acromionplasty - not being a service associated with any other
arthroscopic procedure of the shoulder region
MT780 SHOULDER, arthroscopic total synovectomy of, including release of 48954
$2,685.00 contracture when performed - not being a service associated with any
other arthroscopic procedure of the shoulder region
1 November 2015 Page 343

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MT790 SHOULDER, arthroscopic stabilisation of, for recurrent instability 48957
$3,090.00 including labral repair or reattachment when performed - not being a
service associated with any other arthroscopic procedure of the shoulder
region
MT800 SHOULDER, reconstruction or repair of, including repair of rotator cuff by 48960
$2,685.00 arthroscopic, arthroscopic assisted or mini open means; arthroscopic
acromioplasty; or resection of acromioclavicular joint by separate
approach when performed- not being a service associated with any other
procedure of the shoulder region
ELBOW
MU035 ELBOW, arthrotomy of, involving 1 or more of lavage, removal of loose 49100
$940.00 body or division of contracture
MU045 ELBOW, ligamentous stabilisation of
49103
$2,015.00
MU055 ELBOW, arthrodesis of, with synovectomy if performed
49106
$2,685.00
MU065 ELBOW, total synovectomy of
49109
$2,015.00
MU075 ELBOW, silastic or other replacement of radial head
49112
$2,015.00
MU085 ELBOW, total joint replacement of
49115
$3,225.00
MU086 ELBOW, total replacement arthroplasty of, revision procedure, including 49116
$4,250.00 removal of prosthesis
MU087 ELBOW, total replacement arthroplasty of, revision procedure, requiring 49117
$5,100.00 bone grafting, including removal of prosthesis
MU095 ELBOW, diagnostic arthroscopy of, including biopsy and lavage, not 49118
$780.00 being a service associated with any other arthroscopic procedure of the
elbow
MU105 ELBOW, arthroscopic surgery involving any 1 or more of drilling of 49121
$1,745.00 defect, removal of loose body, release of contracture or adhesions;
chondroplasty; or osteoplasty - not being a service associated with any
other arthroscopic procedure of the elbow
WRIST
MU400
$820.00
WRIST, carpal tunnel release (division of transverse carpal ligament), by
open procedure
Page 344 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
MU410
$1,230.00
MU420
$1,395.00
Description of Medical Service
WRIST, carpal tunnel release (division of transverse carpal ligament), by
endoscopic procedure
WRIST, synovectomy; capsulectomy; or debridement of - one or more of
MBS
Number
MU430 WRIST, arthrodesis of, with synovectomy if performed, with or without 49200
$2,335.00 bone graft and internal fixation of the radiocarpal joint
MU440 WRIST, limited arthrodesis of the intercarpal joint, with synovectomy if 49203
$1,745.00 performed, with or without bone graft
MU450 WRIST, proximal carpectomy of, including styloidectomy when performed 49206
$1,610.00
MU460 WRIST, total replacement arthroplasty of
49209
$2,150.00
MU462 WRIST, total replacement arthroplasty of, revision procedure, including 49210
$2,835.00 removal of prosthesis
MU464 WRIST, total replacement arthroplasty of, revision procedure, requiring 49211
$3,400.00 bone grafting, including removal of prosthesis
MU470 WRIST, arthrotomy of
49212
$670.00
MU480 WRIST, reconstruction of, including repair of single or multiple ligaments 49215
$1,855.00 or capsules, including associated arthrotomy
MU490 WRIST, diagnostic arthroscopy of, including radiocarpal or midcarpal 49218
$780.00 joints, or both (including biopsy) - not being a service associated with any
other arthroscopic procedure of the wrist joint
MU500 WRIST, arthroscopic surgery of, involving any 1 or more of: drilling of 49221
$1,745.00 defect, removal of loose body, release of adhesions, local synovectomy
or debridement of one area - not being a service associated with any
other arthroscopic procedure of the wrist joint
MU510 WRIST, arthroscopic debridement of 2 or more distinct areas; or
49224
$2,015.00 osteoplasty including excision of the distal ulna; or total synovectomy -
not being a service associated with any other arthroscopic procedure of
the wrist
MU520 WRIST, arthroscopic pinning of osteochondral fragment or stabilisation 49227
$2,015.00 procedure for ligamentous disruption - not being a service associated
with any other arthroscopic procedure of the wrist joint
1 November 2015 Page 345

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
HIP
Description of Medical Service
MBS
Number
MU700 SACRO-ILIAC JOINT - arthrodesis of
49300
$1,480.00
MU710 HIP, arthrotomy of, including lavage, drainage or biopsy when performed 49303
$1,560.00
MU720 HIP, arthrodesis of, with synovectomy if performed
49306
$3,090.00
MU730 HIP, arthrectomy or excision arthroplasty of, including removal of 49309
$2,150.00 prosthesis (Austin Moore or similar (non cement))
MU740 HIP, arthrectomy or excision arthroplasty of, including removal of 49312
$2,685.00 prosthesis (cemented, porous coated or similar)
MU750 HIP, arthroplasty of, unipolar or bipolar
49315
$2,420.00
MU760 HIP, total replacement arthroplasty of, including minor bone grafting 49318
$3,760.00
MU761 HIP, total replacement arthroplasty of, including associated minor 49319
$6,570.00 grafting, if performed - bilateral
MU770 HIP, total replacement arthroplasty of, including major bone grafting, 49321
$4,565.00 including obtaining of graft
MU780 HIP, total replacement arthroplasty of, revision procedure including 49324
$5,375.00 removal of prosthesis
MU790 HIP, total replacement arthroplasty of, revision procedure requiring bone 49327
$6,180.00 grafting to acetabulum, including obtaining of graft
MU800 HIP, total replacement arthroplasty of, revision procedure requiring bone 49330
$6,180.00 grafting to femur, including obtaining of graft
MU810 HIP, total replacement arthroplasty of, revision procedure requiring bone 49333
$6,985.00 grafting to both acetabulum and femur, including obtaining of graft
MU820 HIP, treatment of a fracture of the femur where revision total hip
49336
$670.00 replacement is required as part of the treatment of the fracture (not
including intra operative fracture), being a service associated with a
service to which items MU780 to MU810 apply
MU830 HIP, revision total replacement of, requiring anatomic specific allograft of 49339
$7,925.00 proximal femur greater than 5cm in length
MU840 HIP, revision total replacement of, requiring anatomic specific allograft of 49342
$7,925.00 acetabulum
Page 346 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MU850 HIP, revision total replacement of, requiring anatomic specific allograft of 49345
$9,405.00 both femur and acetabulum
MU860 HIP, revision arthroplasty with replacement of acetabular liner or ceramic 49346
$2,415.00 head, not requiring removal of femoral component or acetabular shell
MU910 HIP, diagnostic arthroscopy of, not being a service associated with any 49360
$980.00 other arthroscopic procedure of the hip
MU920 HIP, diagnostic arthroscopy of, with synovial biopsy, not being a service 49363
$1,180.00 associated with any other arthroscopic procedure of the hip
MU930 HIP, arthroscopic surgery of, not being a service associated with any 49366
$1,745.00 other arthroscopic procedure of the hip
KNEE
MW005 KNEE, arthrotomy of, involving 1 or more of; capsular release, biopsy or 49500
$1,075.00 lavage, or removal of loose body or foreign body
Note: For items MW015 and MW025 where "any other single procedure" is performed and is
counted in the minimum number of procedures for the item, no Medicare benefit is payable.
MW015
$1,400.00
MW025
$2,120.00
KNEE, partial or total meniscectomy of, repair of collateral or cruciate
ligament, patellectomy of, chondroplasty of, osteoplasty of, patellofemoral
stabilisation or single transfer of ligament or tendon or any other
single procedure (not being a service to which another item in this Group
applies) - any 1 procedure
KNEE, partial or total meniscectomy of, repair of collateral or cruciate
ligament, patellectomy of, chondroplasty of, osteoplasty of, patellofemoral
stabilisation or single transfer of ligament or tendon or any other
single procedure (not being a service to which another item in this Group
applies) - any 2 or more procedures
MW035 KNEE, total synovectomy or arthrodesis
49509
$2,150.00
MW045 KNEE, arthrodesis of, with synovectomy if performed, with removal of 49512
$3,090.00 prosthesis
MW055 KNEE, removal of prosthesis, cemented or uncemented, including 49515
$2,420.00 associated cement, as the first stage of a 2 stage procedure
MW065 KNEE, hemiarthroplasty of
49517
$3,450.00
MW075 KNEE, total replacement arthroplasty of
49518
$3,760.00
MW076 KNEE, total replacement arthroplasty of, including associated minor 49519
$6,570.00 grafting, if performed - bilateral
1 November 2015 Page 347

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MW085 KNEE, total replacement arthroplasty of, requiring major bone grafting to 49521
$4,565.00 femur or tibia, including obtaining of graft
MW095 KNEE, total replacement arthroplasty of, requiring major bone grafting to 49524
$5,375.00 femur and tibia, including obtaining of graft
MW105 KNEE, total replacement arthroplasty of, revision procedure, including 49527
$4,565.00 removal of prosthesis
MW115 KNEE, total replacement arthroplasty of, revision procedure, requiring 49530
$5,640.00 bone grafting to femur or tibia, including obtaining of graft and including
removal of prosthesis
MW125 KNEE, total replacement arthroplasty of, revision procedure, requiring 49533
$6,450.00 bone grafting to both femur and tibia, including obtaining of graft and
including removal of prosthesis
MW126 KNEE, patellofemoral joint of, total replacement arthroplasty as a primary 49534
$1,295.00 procedure
MW135 KNEE, repair or reconstruction of, for chronic instability (open or
49536
$2,685.00 arthroscopic, or both) involving either cruciate or collateral ligaments,
including notchplasty when performed, not being a service associated
with any other arthroscopic procedure of the knee
MW145 KNEE, reconstructive surgery of cruciate ligament or ligaments (open or 49539
$2,685.00 arthroscopic, or both), including notchplasty when performed and surgery
to other internal derangements, not being a service to which another item
in this Group applies or a service associated with any other arthroscopic
procedure of the knee
MW155 KNEE, reconstructive surgery of cruciate ligament or ligaments (open or 49542
$3,760.00 arthroscopic, or both), including notchplasty, meniscus repair,
extracapsular procedure and debridement when performed, not being a
service associated with any other arthroscopic procedure of the knee
MW165 KNEE, revision arthrodesis of, with synovectomy if performed
49545
$2,150.00
MW175 KNEE, revision of patello-femoral stabilisation
49548
$2,730.00
MW185 KNEE, revision of procedures to which item MW135, MW145 or MW155 49551
$3,815.00 applies
MW195 KNEE, revision of total replacement of, by anatomic specific allograft of 49554
$5,375.00 tibia or femur
Page 348 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
MW205
$780.00
Description of Medical Service
KNEE, diagnostic arthroscopy of (including biopsy, simple trimming of
meniscal margin or plica) - not being a service associated with any other
arthroscopic procedure of the knee region
MBS
Number
MW206 KNEE, arthroscopic surgery of, involving one or more of: debridement, 49558
$780.00 osteoplasty or chrondroplasty - not associated with any other
arthroscopic procedure of the knee region
MW209 KNEE, arthroscopic surgery of, involving chrondroplasty requiring 49559
$1,295.00 multiple drilling or carbon fibre (or similar) implant; including any
associated debridement or oestoplasty - not associated with any other
arthroscopic procedure of the knee region
MW215 KNEE, arthroscopic surgery of, involving one or more of: partial or total 49560
$1,745.00 meniscectomy, removal of loose body or lateral release - not being a
service associated with any other arthroscopic procedure of the knee
region
MW218 KNEE, arthroscopic surgery of, involving 1 or more of: partial or total 49561
$2,135.00 meniscectomy, removal of loose body or lateral release; where the
procedure includes associated debridement, osteoplasty or
chrondoplasty - not associated with any other arthroscopic procedure of
the knee region
MW220 KNEE, arthroscopic surgery of, involving 1 or more of: partial or total 49562
$2,330.00 meniscectomy, removal of loose body or lateral release; where the
procedure includes chondroplasty requiring multiple drilling or carbon
fibre (or similar) implant and associated debridement or osteoplasty - not
associated with any other arthroscopic procedure of the knee region
MW225
$2,550.00
KNEE, arthroscopic surgery of, involving 1 or more of; meniscus repair,
osteochondral graft; or chondral graft - not associated with any other
arthroscopic procedure of the knee region
MW230 KNEE, patello-femoral stabilisation of, combined arthroscopic and open 49564
$2,645.00 procedure, including lateral release, medial capsulorrhaphy and tendon
transfer, not being a service associated with any other arthroscopic
procedure of the knee
MW235 KNEE, arthroscopic total synovectomy of, not being a service associated 49566
$2,820.00 with any other arthroscopic procedure of the knee
MW245 KNEE, mobilisation for post-traumatic stiffness, by multiple muscle or 49569
$2,155.00 tendon release (quadricepsplasty)
ANKLE
MW480 ANKLE, diagnostic arthroscopy of, including biopsy
49700
$780.00
1 November 2015 Page 349

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MW490 ANKLE, arthroscopic surgery of, not being a service associated with any 49703
$1,745.00 other arthroscopic procedure of the ankle
MW500 ANKLE, arthrotomy of, involving 1 or more of: lavage, removal of loose 49706
$940.00 body or division of contracture
MW510 ANKLE, ligamentous stabilisation of
49709
$2,015.00
MW520 ANKLE, arthrodesis of, with synovectomy if performed
49712
$2,150.00
MW530 ANKLE, total joint replacement of
49715
$3,225.00
MW532 ANKLE, total replacement arthroplasty of, revision procedure, including 49716
$4,250.00 removal of prosthesis
MW534 ANKLE, total replacement arthroplasty of, revision procedure, requiring 49717
$5,100.00 bone grafting, including removal of prosthesis
MW540 ANKLE, Achilles' tendon or other major tendon, repair of
49718
$1,075.00
MW550 ANKLE, Achilles' tendon rupture managed by non operative treatment 49721
$670.00
MW560 ANKLE, Achilles' tendon, secondary repair or reconstruction of
49724
$1,880.00
MW570 ANKLE, Achilles' tendon, operation for lengthening
49727
$805.00
MW580 ANKLE, lengthening of the gastrocnemius apononeurosis and soleus 49728
$1,525.00 fascia, for the correction of equinus deformity in children with Cerebral
Palsy
FOOT
MX500 FOOT, flexor or extensor tendon, primary repair of
49800
$375.00
MX510 FOOT, flexor or extensor tendon, secondary repair of
49803
$485.00
MX520 FOOT, subcutaneous tenotomy of, 1 or more tendons
49806
$375.00
MX530 FOOT, open tenotomy of, with or without tenoplasty
49809
$620.00
Page 350 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MX540 FOOT, tendon or ligament transplantation of, not being a service to 49812
$1,235.00 which another item in this Group applies
MX550 FOOT, triple arthrodesis of, with synovectomy if performed
49815
$2,150.00
MX560 FOOT, excision of calcaneal spur
49818
$780.00
MX570 FOOT, correction of hallux valgus or hallux rigidus by excision
49821
$1,235.00 arthroplasty (Keller's or similar procedure) - unilateral
MX580 FOOT, correction of hallux valgus or hallux rigidus by excision
49824
$2,165.00 arthroplasty (Keller's or similar procedure) - bilateral
MX590 FOOT, correction of hallux valgus by transfer of adductor hallucis 49827
$1,345.00 tendon - unilateral
MX600 FOOT, correction of hallux valgus by transfer of adductor hallucis 49830
$2,350.00 tendon - bilateral
MX610 FOOT, correction of hallux valgus by osteotomy of first metatarsal with or 49833
$1,480.00 without internal fixation and with or without excision of exostoses
associated with the first metatarsophalangeal joint - unilateral
MX620 FOOT, correction of hallux valgus by osteotomy of first metatarsal with or 49836
$2,550.00 without internal fixation and with or without excision of exostoses
associated with the first metatarsophalangeal joint - bilateral
MX625 FOOT, correction of hallux valgus by osteotomy of first metatarsal and 49837
$1,865.00 transfer of adductor hallicus tendon, with or without internal fixation and
with or without excision of exostoses associated with the first
metatarsophalangeal joint - unilateral
MX627 FOOT, correction of hallux valgus by osteotomy of first metatarsal and 49838
$3,215.00 transfer of adductor hallicus tendon, with or without internal fixation and
with or without excision of exostoses associated with the first
metatarsophalangeal joint - bilateral
MX630 FOOT, correction of hallux rigidus or hallux valgus by prosthetic
49839
$1,480.00 arthroplasty - unilateral
MX640 FOOT, correction of hallux rigidus or hallux valgus by prosthetic
49842
$2,550.00 arthroplasty - bilateral
MX650 FOOT, arthrodesis of, first metatarso- phalangeal joint, with synovectomy 49845
$1,345.00 if performed
MX660 FOOT, correction of claw or hammer toe
49848
$455.00
1 November 2015 Page 351

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MX670 FOOT, correction of claw or hammer toe with internal fixation
49851
$590.00
MX680 FOOT, radical plantar fasciotomy or fasciectomy of
49854
$1,075.00
MX690 FOOT, metatarso-phalangeal joint replacement
49857
$995.00
MX700 FOOT, synovectomy of metatarso-phalangeal joint, single joint
49860
$805.00
MX710 FOOT, synovectomy of metatarso-phalangeal joint, 2 or more joints 49863
$1,210.00
MX720 FOOT, neurectomy for plantar or digital neuritis (Morton's or Bett's 49866
$860.00 syndrome)
MX730 TALIPES EQUINOVARUS, calcaneo valgus or metatarsus varus, 49878
$162.00 treatment by cast, splint or manipulation - each attendance
OTHER JOINTS
MY005 JOINT, diagnostic arthroscopy of (including biopsy) not being a service to 50100
$780.00 which another item in this Group applies and not being a service
associated with any other arthroscopic procedure
MY010 JOINT, arthroscopic surgery of, not being a service to which another item 50102
$1,735.00 in this Group applies
MY015 JOINT, arthrotomy of, not being a service to which another item in this 50103
$940.00 Group applies
MY025 JOINT, synovectomy of, not being a service to which another item in this 50104
$885.00 Group applies
MY035 JOINT, stabilisation of, involving 1 or more of: repair of capsule, repair of 50106
$1,345.00 ligament or internal fixation, not being a service to which another item in
this Group applies
MY045 JOINT, arthrodesis of, with synovectomy if performed, not being a 50109
$1,345.00 service to which another item in this Group applies
MY055 CICATRICIAL FLEXION or EXTENSION CONTRACTION of JOINT, 50112
$1,025.00 correction of, involving tissues deeper than skin and subcutaneous
tissue, not being a service to which another item in this Group applies
MY065 JOINT or JOINTS, manipulation of, performed in the operating theatre of 50115
$400.00 a hospital or approved day hospital facility, not being a service
associated with a service to which another item in this Group applies
Page 352 1 November 2015

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MY075 SUBTALAR JOINT, arthrodesis of, with synovectomy if performed 50118
$1,235.00
MY085 GREATER TROCHANTER, transplantation of ileopsoas tendon to 50121
$2,420.00
MY095
$78.00
JOINT or other SYNOVIAL CAVITY, aspiration of, injection into, or both
of these procedures
MY105 JOINT OR JOINTS, arthroplasty of, by any technique not being a service 50127
$1,995.00 to which another item applies
MY115 JOINT OR JOINTS, application of external fixator to, other than for 50130
$885.00 treatment of fractures
MALIGNANT DISEASE
MY200 AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT 50200
$535.00 TISSUE TUMOUR, biopsy of (not including aftercare)
MY205 AGGRESSIVE OR POTENTIALLY MALIGNANT BONE OR DEEP SOFT 50201
$1,365.00 TISSUE TUMOUR involving neurovascular structures, open biopsy of
(not including aftercare)
MY210 BONE OR MALIGNANT DEEP SOFT TISSUE TUMOUR, lesional or 50203
$1,180.00 marginal excision of
MY220 BONE TUMOUR, lesional or marginal excision of, combined with any 1 50206
$1,745.00 of: liquid nitrogen freezing, autograft, allograft or cementation
MY230 BONE TUMOUR, lesional or marginal excision of, combined with any 2 50209
$2,150.00 or more of: liquid nitrogen freezing, autograft, allograft or cementation
MY240 MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR affecting the 50212
$3,895.00 long bones of leg or arm, enbloc resection of, with compartmental or
wide excision of soft tissue, without reconstruction
MY250 MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR affecting the 50215
$5,105.00 long bones of leg or arm, enbloc resection of, with compartmental or
wide excision of soft tissue, with intercalary reconstruction (prosthesis,
allograft or autograft)
MY260 MALIGNANT TUMOUR of LONG BONE, enbloc resection of, with 50218
$6,635.00 replacement or arthrodesis of adjacent joint, with synovectomy if
performed
MY270 MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR of PELVIS, 50221
$5,910.00 SACRUM or SPINE; or SCAPULA and SHOULDER, enbloc resection of
1 November 2015 Page 353

SURGICAL OPERATIONS
ORTHOPAEDIC
AMA Number
Fee
Description of Medical Service
MBS
Number
MY280 MALIGNANT or AGGRESSIVE SOFT TISSUE TUMOUR of PELVIS, 50224
$6,985.00 SACRUM or SPINE; or SCAPULA and SHOULDER, enbloc resection of,
with reconstruction by prosthesis, allograft or autograft
MY290 MALIGNANT BONE TUMOUR, enbloc resection of, with massive 50227
$7,925.00 anatomic specific allograft or autograft, with or without prosthetic
replacement
MY300 BENIGN TUMOUR, resection of, requiring anatomic specific allograft, 50230
$4,030.00 with or without internal fixation
MY310 MALIGNANT TUMOUR, amputation for, hemipelvectomy or interscapulothoracic
50233
$5,375.00
MY320 MALIGNANT TUMOUR, amputation for, hip disarticulation, shoulder 50236
$4,030.00 disarticulation or proximal third femur
MY330 MALIGNANT TUMOUR, amputation for, not being a service to which 50239
$2,685.00 another item in this Group applies
PAEDIATRIC ORTHOPAEDICS
CONGENITAL ORTHOPAEDIC SURGERY
LIMB LENGTHENING AND DEFORMITY CORRECTION
MY600 JOINT DEFORMITY, slow correction of, using ring fixator or similar 50300
$3,115.00 device, including all associated attendances, payable once in any 12
month period
MY610 LIMB LENGTHENING, 5cm or less, by gradual distraction, with
50303
$4,255.00 application of an external fixator or intra-medullary device, in the
operating theatre of a hospital or approved day- hospital facility, -
payable only once per limb in any 12 month period
MY620 LIMB LENGTHENING, where the lengthening is bipolar, or bone
50306
$6,645.00 transport is performed or where the fixator is extended to correct an
adjacent joint deformity, or where the lengthening is greater than 5cm.
MY630 RING FIXATOR OR SIMILAR DEVICE, adjustment of, with or without 50309
$820.00 insertion or removal of fixation pins, performed under general
anaesthesia in the operating theatre of a hospital or approved day care
facility, not being a service to which item MY610 or MY620 applies
MY640 ANKLE, synovectomy of, by arthroscopic or open means, not associated 50312
$1,885.00 with any other arthroscopic procedure of the ankle
MY650 TALIPES EQUINOVARUS, posterior release of
50315
$1,865.00
MY660 TALIPES EQUINOVARUS, medial release of
50318
$1,865.00
Page 354 1 November 2015

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
MBS
Number
MY670 TALIPES EQUINOVARUS, combined postero-medial release of
50321
$2,500.00
MY680 TALIPES EQUINOVARUS, combined postero-medial release of, revision 50324
$3,715.00 procedure
MY690 TALIPES EQUINOVARUS, bilateral procedures
50327
$4,350.00
MY700 TALIPES EQUINOVARUS, or congenital vertical talus, post-operative 50330
$615.00 manipulation and change of plaster, performed under general
anaesthesia in the operating theatre of a hospital or approved day
hospital facility, not being a service to which item MY650, MY660,
MY670, MY680 or MY690 applies
MY710 TARSAL COALITION, excision of, with interposition of muscle, fat graft 50333
$1,660.00 or similar
MY720 TALUS, VERTICAL, CONGENITAL, combined anterior and posterior 50336
$2,485.00 reconstruction
MY730 FOOT AND ANKLE, tibialis anterior tendon (split or whole) transfer to 50339
$1,510.00 lateral column
MY740 FOOT AND ANKLE, tibialis or tibialis posterior tendon transfer, through 50342
$1,755.00 the interosseous membrane to anterior or posterior aspect of foot
MY750 HYPEREXTENSION DEFORMITY OF TOE, release incorporating V-Y 50345
$935.00 plasty of skin, lengthening of extensor tendons and release of capsule
contracture
HIP, KNEE AND LEG PROCEDURES
MZ005 KNEE, deformity of, post-operative manipulation and change of plaster, 50348
$615.00 performed under general anaesthesia in the operating theatre of a
hospital or approved day hospital facility
MZ010 HIP, CONGENITAL DISLOCATION OF, treatment of, by closed reduction 50349
$905.00
MZ015 HIP, developmental dislocation of, open reduction of
50351
$4,305.00
MZ020 HIP, congenital dislocation of, treatment of, involving supervision of 50352
$162.00 splint, harness or cast - each attendance
MZ023 HIP SPICA, initial application of, for congenital dislocation of hip
50353
$1,010.00 (excluding aftercare)
MZ025 TIBIA, pseudarthrosis of, congenital, resection and internal fixation 50354
$3,530.00
1 November 2015 Page 355

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
MBS
Number
MZ035 KNEE, LEG OR THIGH, rectus femoris tendon transfer or medial or 50357
$1,510.00 lateral hamstring tendon transfer
MZ045 KNEE, LEG OR THIGH, combined medial and lateral hamstring tendon 50360
$1,755.00 transfer
MZ055 KNEE, contracture of, posterior release involving multiple tendon 50363
$1,345.00 lengthening or tenotomies, unilateral
MZ065 KNEE, contracture of, posterior release involving multiple tendon 50366
$2,350.00 lengthening or tenotomies, bilateral
MZ075 KNEE, contracture of, posterior release involving multiple tendon 50369
$1,755.00 lengthening with or without tenotomies and release of joint capsule with
or without cruciate ligaments, unilateral
MZ085 KNEE, contracture of, posterior release involving multiple tendon 50372
$3,080.00 lengthening with or without tenotomies and release of joint capsule with
or without cruciate ligaments, bilateral
MZ095 HIP, contracture of, medial release, involving lengthening of, or division 50375
$1,345.00 of the adductors and psoas with or without division of the obturator
nerve, unilateral
MZ105 HIP, contracture of, medial release, involving lengthening of, or division 50378
$2,350.00 of the adductors and psoas with or without division of the obturator
nerve, bilateral
MZ115 HIP, contracture of, anterior release, involving lengthening of, or division 50381
$1,755.00 of the hip flexors and psoas with or without division of the joint capsule,
unilateral
MZ125 HIP, contracture of, anterior release, involving lengthening of, or division 50384
$3,080.00 of the hip flexors and psoas with or without division of the joint capsule,
bilateral
MZ135 HIP, iliopsoas tendon transfer to greater trochanter, or transfer of 50387
$1,755.00 abdominal musculature to greater trochanter, or transfer or adductors to
ischium
MZ145 PERTHES, CEREBRAL PALSY, or other neuromuscular conditions, 50390
$615.00 affecting hips or knees, application of cast under general anaesthesia,
performed in the operating theatre of a hospital or approved day hospital
facility
MZ155 PELVIS, bone graft or shelf procedures for acetabular dysplasia
50393
$2,275.00
MZ160 ACETABULAR DYSPLASIA, treatment of, by multiple peri-acetabular 50394
$7,480.00 osteotomy, including internal fixation where performed
Page 356 1 November 2015

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
SHOULDER, ARM AND FOREARM PROCEDURES
MBS
Number
MZ300 HAND, congenital abnormalities or duplication of digits, amputation or 50396
$1,250.00 splitting of phalanx or phalanges, with ligament or joint reconstruction
MZ310 FOREARM, RADIAL APLASIA, DYSPLASIA (radial club hand),
50399
$2,485.00 centralisation, radialisation
MZ320 TORTICOLLIS, bipolar release of sternocleidomastoid muscle and 50402
$1,140.00 associated soft tissue
MZ330 ELBOW, flexorplasty, or tendon transfer to restore elbow function 50405
$1,550.00
MZ340 SHOULDER, congenital or developmental dislocation, open reduction of 50408
$2,690.00
AMPUTATIONS OR RECONSTRUCTIONS FOR CONGENITAL DEFORMITIES
MZ380 LOWER LIMB DEFICIENCY, treatment of congenital deficiency of the 50411
$3,530.00 femur by resection of the distal femur and proximal tibia followed by knee
fusion
MZ390 LOWER LIMB DEFICIENCY, treatment of congenital deficiency of the 50414
$4,760.00 femur by resection of the distal femur and proximal tibia followed by knee
fusion and rotationplasty
MZ400 LOWER LIMB DEFICIENCY, treatment of congenital deficiency of the 50417
$3,530.00 tibia by reconstruction of the knee, involving transfer of fibula or tibia,
repair of quadriceps mechanism
MZ410 PATELLA, congenital dislocation of, reconstruction of the quadriceps 50420
$2,910.00
MZ420 TIBIA OR FIBULA OR BOTH, congenital deficiency of, transfer of the 50423
$2,690.00 fibula to tibia, with internal fixation
TUMOROUS CONDITIONS
MZ430 DIAPHYSEAL ACLASIA, removal of lesion or lesions from bone, per 50426
$1,250.00 approach
1 November 2015 Page 357

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
SINGLE EVENT MULTILEVEL SURGERY FOR CHILDREN WITH CEREBRAL PALSY
MBS
Number
MZ450 UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients 50450
$3,320.00 less than 18 years of age with hemiplegic cerebral palsy comprising
three or more of the following:
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
(c) Correction of femoral torsion by rotational osteotomy of the femur.
(d) Correction of tibial torsion by rotational osteotomy of the tibia.
(e) Correction of joint instability by varus derotation osteotomy of the
femur, subtalar arthrodesis with synovectomy if performed, or os calcis
lengthening.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and
aftercare
MZ451 UNILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients 50451
$3,320.00 less than 18 years of age with hemiplegic cerebral palsy comprising
three or more of the following:
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
(c) Correction of femoral torsion by rotational osteotomy of the femur.
(d) Correction of tibial torsion by rotational osteotomy of the tibia.
(e) Correction of joint instability by varus derotation osteotomy of the
femur, subtalar arthrodesis with synovectomy if performed, or os calcis
lengthening.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and
excluding aftercare
MZ455 BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less 50455
$3,755.00 than 18 years of age with diplegic cerebral palsy that comprises:
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and
aftercare
Page 358 1 November 2015

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
MBS
Number
MZ456 BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less 50456
$3,755.00 than 18 years of age with diplegic cerebral palsy that comprises:
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and
excluding aftercare
MZ460 BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less 50460
$5,610.00 than 18 years of age with diplegic cerebral palsy that comprises bilateral
soft tissue surgery and bilateral femoral osteotomies.
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
(c) Correction of torsional abnormality of the femur by rotational
osteotomy and internal fixation.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and
aftercare
MZ461 BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less 50461
$5,610.00 than 18 years of age with diplegic cerebral palsy that comprises bilateral
soft tissue surgery and bilateral femoral osteotomies.
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
(c) Correction of torsional abnormality of the femur by rotational
osteotomy and internal fixation.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and
excluding aftercare
MZ465 BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less 50465
$7,900.00 than 18 years of age with diplegic cerebral palsy that comprises bilateral
soft tissue surgery, bilateral femoral osteotomies and bilateral tibial
osteotomies.
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
(c) Correction of abnormal torsion of the femur by rotational osteotomy
with internal fixation.
(d) Correction of abnormal torsion of the tibia by rotational osteotomy
with internal fixation.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and
aftercare
1 November 2015 Page 359

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
MBS
Number
MZ466 BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less 50466
$7,900.00 than 18 years of age with diplegic cerebral palsy that comprises bilateral
soft tissue surgery, bilateral femoral osteotomies and bilateral tibial
osteotomies.
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening. (b) Correction of muscle imbalance by tendon
transfer/transfers. (c) Correction of abnormal torsion of the femur by
rotational osteotomy with internal fixation.
(d) Correction of abnormal torsion of the tibia by rotational osteotomy
with internal fixation.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and
excluding aftercare
MZ470 BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less 50470
$10,020.00 than 18 years of age with cerebral palsy that comprises bilateral soft
tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies
and bilateral foot stabilisation.
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
(c) Correction of abnormal torsion of the femur by rotational osteotomy
with internal fixation.
(d) Correction of abnormal torsion of the tibia by rotational osteotomy
with internal fixation.
(e) Correction of bilateral pes valgus by os calcis lengthening or subtalar
fusion.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and
aftercare
Page 360 1 November 2015

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
MBS
Number
MZ471 BILATERAL SINGLE EVENT MULTILEVEL SURGERY for patients less 50471
$10,020.00 than 18 years of age with cerebral palsy that comprises bilateral soft
tissue surgery, bilateral femoral osteotomies, bilateral tibial osteotomies
and bilateral foot stabilisation.
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
(c) Correction of abnormal torsion of the femur by rotational osteotomy
with internal fixation.
(d) Correction of abnormal torsion of the tibia by rotational osteotomy
with internal fixation.
(e) Correction of bilateral pes valgus by os calcis lengthening or subtalar
fusion.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and
excluding aftercare
MZ475 SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 50475
$11,565.00 years of age with diplegic cerebral palsy for the correction of crouch gait
including:
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
(c) Correction of flexion deformity at the knee by extension osteotomy of
the distal femur including internal fixation.
(d) Correction of patella alta and quadriceps insufficiency by patella
tendon shortening/reconstruction.
(e) Correction of tibial torsion by rotational osteotomy of the tibia with
internal fixation.
(f) Correction of foot instability by os calcis lengthening or subtalar fusion.
Conjoint surgery, principal specialist surgeon, including fluoroscopy and
aftercare
1 November 2015 Page 361

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
MBS
Number
MZ476 SINGLE EVENT MULTILEVEL SURGERY for patients less than 18 50476
$11,565.00 years of age with diplegic cerebral palsy for the correction of crouch gait
including:
(a) Lengthening of one of more contracted muscle tendon units by
tendon lengthening, muscle recession, fractional lengthening or
intramuscular lengthening.
(b) Correction of muscle imbalance by tendon transfer/transfers.
(c) Correction of flexion deformity at the knee by extension osteotomy of
the distal femur including internal fixation.
(d) Correction of patella alta and quadriceps insufficiency by patella
tendon shortening/reconstruction.
(e) Correction of tibial torsion by rotational osteotomy of the tibia with
internal fixation.
(f) Correction of foot instability by os calcis lengthening or subtalar fusion.
Conjoint surgery, conjoint specialist surgeon, including fluoroscopy and
excluding aftercare
TREATMENT OF FRACTURES IN PAEDIATRIC PATIENTS
MZ550 RADIUS OR ULNA, distal end of, with open growth plates, treatment of 50500
$900.00 fracture of, by closed reduction
MZ554 RADIUS OR ULNA, distal end of, with open growth plates, treatment of 50504
$1,200.00 fracture of, by open reduction
MZ558 RADIUS, distal end of, with open growth plate, treatment of Colles', 50508
$1,290.00 Smith's or Barton's fracture, by closed reduction
MZ562 RADIUS, distal end of, with open growth plate, treatment of Colles', 50512
$1,720.00 Smith's or Barton's fracture of, by open reduction
MZ566 RADIUS OR ULNA, shaft of, with open growth plates, treatment of 50516
$1,160.00 fracture of, by closed reduction undertaken in the operating theatre of a
hospital or approved day-hospital facility
MZ570 RADIUS OR ULNA, shaft of, with open growth plate, treatment of 50520
$1,330.00 fracture of, by open reduction
MZ574 RADIUS OR ULNA, shaft of, with open growth plates, treatment of 50524
$1,395.00 fracture of, in conjunction with dislocation of distal radio-ulnar joint or
proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed
reduction undertaken in the operating theatre of a hospital or approved
day-hospital facility
MZ578 RADIUS OR ULNA, shaft of, with open growth plates, treatment of 50528
$2,145.00 fracture of, in conjunction with dislocation of distal radio-ulnar joint or
proximal radio-humeral joint (Galeazzi or Monteggia injury), by reduction
with or without internal fixation by open or percutaneous means
Page 362 1 November 2015

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
MBS
Number
MZ582 RADIUS AND ULNA, shafts of, with open growth plates, treatment of 50532
$1,870.00 fracture of, by closed reduction undertaken in the operating theatre of a
hospital or approved day-hospital facility
MZ586 RADIUS AND ULNA, shafts of, with open growth plates, treatment of 50536
$2,490.00 fracture of, by open reduction
MZ590 OLECRANON, with open growth plate, treatment of fracture of, by open 50540
$1,720.00 reduction
MZ594 RADIUS, with open growth plate, treatment of fracture of head or neck 50544
$860.00 of, by closed reduction of
MZ598 RADIUS, with open growth plate, treatment of fracture of head or neck 50548
$1,720.00 of, by reduction with or without internal fixation by open or percutaneous
means
MZ602 HUMERUS, proximal, with open growth plate, treatment of fracture of, by 50552
$1,480.00 closed reduction, undertaken in the operating theatre, neonatal unit or
nursery of a hospital or approved day-hospital facility
MZ606 HUMERUS, proximal, with open growth plate, treatment of fracture of, by 50556
$1,975.00 open reduction
MZ610 HUMERUS, shaft of, with open growth plate, treatment of fracture of, by 50560
$1,545.00 closed reduction, undertaken in the operating theatre, neonatal unit or
nursery of a hospital or approved day-hospital facility
MZ614 HUMERUS, shaft of, with open growth plate, treatment of fracture of, by 50564
$2,060.00 internal or external fixation
MZ618 HUMERUS, with open growth plate, supracondylar or condylar,
50568
$1,805.00 treatment of fracture of, by closed reduction, undertaken in the operating
theatre of a hospital or approved day-hospital facility
MZ622 HUMERUS, with open growth plate, supracondylar or condylar,
50572
$2,405.00 treatment of fracture of, by reduction with or without internal fixation by
open or percutaneous means, undertaken in the operating theatre of a
hospital or approved day-hospital facility
MZ626 FEMUR, with open growth plate, treatment of fracture of, by closed 50576
$1,975.00 reduction or traction
MZ630 TIBIA, with open growth plate, plateau or condyles, medial or lateral, 50580
$2,060.00 treatment of fracture of, by reduction with or without internal fixation by
open or percutaneous means
MZ634 TIBIA, distal, with open growth plate, treatment of fracture of, by
50584
$1,975.00 reduction with or without internal fixation by open or percutaneous means
1 November 2015 Page 363

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
MBS
Number
MZ638 TIBIA AND FIBULA, with open growth plates, treatment of fracture of, by 50588
$2,575.00 internal fixation
SPINE SURGERY FOR SCOLIOSIS AND KYPHOSIS IN PAEDIATRIC PATIENTS
MZ640 SCOLIOSIS OR KYPHOSIS, in a growing child, manipulation of
50600
$1,425.00 deformity and application of a localiser cast, under general anaesthesia,
in a hospital or approved day-hospital facility
MZ644 SCOLIOSIS or KYPHOSIS, in a child or adolescent, spinal fusion for 50604
$6,055.00 (without instrumentation)
MZ648 SCOLIOSIS OR KYPHOSIS, in a child or adolescent, treatment by 50608
$11,250.00 segmental instrumentation and fusion of the spine, not being a service to
which item MT150 to MT260 applies
MZ652 SCOLIOSIS OR KYPHOSIS, in a child or adolescent, with spinal 50612
$16,000.00 deformity, treatment by segmental instrumentation, utilising separate
anterior and posterior approaches, not being a service to which item
MT150 to MT260 applies
MZ656 SCOLIOSIS, in a child or adolescent, re-exploration for adjustment or 50616
$2,035.00 removal of segmental instrumentation used for correction of spine
deformity
MZ660 SCOLIOSIS, in a child or adolescent, revision of failed scoliosis surgery, 50620
$11,250.00 involving more than 1 of osteotomy, fusion, removal of instrumentation or
instrumentation, not being a service to which item MT150 to MT260
applies
MZ664 SCOLIOSIS, in a child or adolescent, anterior correction of, with fusion 50624
$11,250.00 and segmental fixation (Dwyer, Zielke or similar) - not more than 4 levels
MZ668 SCOLIOSIS, in a child or adolescent, anterior correction of, with fusion 50628
$13,895.00 and segmental fixation (Dwyer, Zielke or similar) - more than 4 levels
MZ672 SCOLIOSIS OR KYPHOSIS, in a child or adolescent, requiring
50632
$11,685.00 segmental instrumentation and fusion of the spine down to and including
the pelvis or sacrum, not being a service to which item MT150 to MT260
applies
MZ676 SCOLIOSIS, in a child or adolescent, requiring anterior decompression 50636
$12,980.00 of the spinal cord with vertebral resection and instrumentation in the
presence of spinal cord involvement, not being a service to which item
MT150 to MT260 applies
MZ680 SCOLIOSIS, in a child or adolescent, congenital, resection and fusion of 50640
$7,175.00 abnormal vertebra via an anterior or posterior approach, not being a
service to which item MT150 to MT260 applies
Page 364 1 November 2015

SURGICAL OPERATIONS
PAEDIATRIC ORTHOPAEDICS
AMA Number
Fee
Description of Medical Service
MBS
Number
MZ682 SPINE, bone graft to, for a child or adolescent, associated with surgery 50644
$6,925.00 for correction of scoliosis or kyphosis or both
TREATMENT OF HIP DYSPLASIA OR DISLOCATION IN PAEDIATRIC PATIENTS
MZ690 HIP DYSPLASIA or DISLOCATION, in a child, examination,
50650
$1,350.00 manipulation and arthrography of the hip under anaesthesia
MZ694 HIP DYSPLASIA or DISLOCATION, in a child, application or
50654
$1,620.00 reapplication of a hip spica, including examination of the hip
MZ698 HIP DYSPLASIA or DISLOCATION, in a child, examination and
50658
$645.00 manipulation of the hip under anaesthesia
RADIOFREQUENCY ABLATION
MZ700 NONRESECTABLE HEPATOCELLULAR CARCINOMA, destruction of, 50950
$2,120.00 by percutaneous radiofrequency ablation, including any associated
imaging services, not being associated with a service to which item
EJ280 or MZ705 applies
MZ705 NONRESECTABLE HEPATOCELLULAR CARCINOMA, destruction of, 50952
$2,120.00 by open or laparoscopic radiofrequency ablation, where a multidisciplinary
team has assessed that percutaneous radiofrequency
ablation cannot be performed or is not practical because of one or more
of the following clinical circumstances: percutaneous access cannot be
achieved; vital organs/tissues are at risk of damage from the
percutaneous RFA procedure; or resection of one part of the liver is
possible however there is at least one primary liver tumour in a nonresectable
region of the liver which is suitable for radiofrequency
ablation, including any associated imaging services, not being a service
associated with a service to which item EJ280 or MZ700 applies
1 November 2015 Page 365

Assistance at
Operations

ASSISTANCE AT OPERATIONS
AMA Number
Fee
MZ900
$235.00
Description of Medical Service
The fee for assistance at any operation (or series or combination of
operations) is to be related to the fee listed for the operation (or series or
combination of operations) itself - FEE = 20% of total fee or $235.00,
whichever is the greater.
MBS
Number
NOTE: The predominant consideration when using an assistant is patient safety, quality of care
and overall efficiency. Discretion should be exercised when engaging the assistant. Patients
should be informed that there may be significant out-of-pocket expenses in relation to the items
for assistance at operation because the Federal Government has abolished rebates for assist
fees at many operations.
MZ910
$535.00
Assistance at a series or combination of operations, one of which is a
delivery involving Caesarean section - FEE = 20% of the total fee or
$535.00, whichever is the greater
MZ920 Assistance at any interventional obstetric procedure covered by items 51312
$0.00 BV910, BV915, BV920, BV925, BV945 and BV950 - FEE = 20% of the
established fee for the procedure or combination of procedures
Page 368 1 November 2015

Oral and
Maxillofacial
Items

ORAL AND MAXILLOFACIAL
The table below is intended to act as a cross reference for Oral and Maxillofacial surgical items
in the Medicare Benefits Schedule which are included elsewhere in the AMA List of Medical
Services and Fees. The table (where applicable) provides the AMA number and fee for
corresponding descriptors to the MBS item number.
MBS Item Equivalent AMA Fee
No AMA No
51700 AC500 $ 166.00
51703 AC510 $ 89.00
51800 MZ900 20% of fee
51803 MZ900 20% of fee
51900 EA075 $ 835.00
51902 EA080 $ 835.00
51904 EA535 $ 1060.00
51906 EA545 $ 1590.00
52000 EA105 $ 190.00
52003 EA115 $ 285.00
52006 EA145 $ 285.00
52009 EA155 $ 490.00
52010 EA165 $ 665.00
52012 EA195 $ 57.00
52015 EA205 $ 255.00
52018 EA215 $ 715.00
52021 MK220 $ 82.00
52024 EA225 $ 178.00
52025 EO030 $ 490.00
52027 EA235 $ 455.00
52030 EA325 $ 215.00
52033 EA335 $ 480.00
52034 or MK425 $ 95.00
45882
52035 EJ665 $ 1235.00
52036 MK225 $ 350.00
52039 MK230 $ 905.00
52042 MK235 $ 480.00
52045 MK240 $ 685.00
52048 MK245 $ 1030.00
52051 MK250 $ 1390.00
52054 MK255 $ 1630.00
52055 EA745 $ 60.00
52056 EA735 $ 60.00
52057 EA755 $ 385.00
52058 EA765 $ 620.00
52059 EA775 $ 695.00
52060 EA785 or
EA795
$ 395.00
or $700.00
MBS Item Equivalent AMA Fee
No AMA No
52061 EA805 $ 575.00
52062 EA815 $ 775.00
52063 EA835 $ 835.00
52064 MR010 $ 510.00
52066 EA885 $ 900.00
52069 EA895 $ 510.00
52072 EA905 $ 154.00
52073 EA925 $ 395.00
52075 EA915 $ 385.00
52078 EA935 $ 775.00
52081 EA955 $ 120.00
52084 EA965 $ 300.00
52087 EA975 $ 510.00
52090 & MD150 $ 820.00
45815
52092 & MD180 $ 1065.00
45817
52094 & MD190 $ 1380.00
45819
52095 & MR088 $ 1130.00
45821
52096 MR090 $ 340.00
52097 MR150 $ 480.00
52098 MR160 $ 360.00
52099 MR100 $ 114.00
52102 MR110 $ 425.00
52105 MR120 $ 795.00
52106 MK280 $ 300.00
52108 MJ615 $ 890.00
52111 MJ625 $ 885.00
52114 MJ385 $ 1505.00
52117 MJ375 $ 1825.00
52120 - -
52122 MJ395 $ 2015.00
52123 MJ365 $ 1760.00
52126 MJ345 $ 2230.00
52129 MJ355 $ 3025.00
52130 MR630 $ 1265.00
52131 MR640 $ 1745.00
Page 370 1 November 2015

ORAL AND MAXILLOFACIAL
MBS Item Equivalent AMA Fee
No AMA No
52132 MB307 or $ 610.00
MB310 or $970.00
52133 MB325 $ 215.00
52135 EA185 $ 370.00
52138 MA715 $ 980.00
52141 or MK430 $ 950.00
45885
52144 or MK435 $ 705.00
45888
52147 MB425 $ 915.00
52148 EA850 $ 1835.00
52158 EA880 $ 2850.00
52180 MY200 $ 535.00
52182 MY210 $ 1180.00
52184 MY220 $ 1745.00
52186 MY230 $ 2150.00
52300 MH105 $ 750.00
52303 MH115 $ 1130.00
52306 or MK440 $ 1675.00
45891
52309 MH330 $ 565.00
52312 MH460 $ 750.00
52315 MH500 $ 1265.00
52318 MQ465 $ 405.00
52319 MQ475 $ 670.00
52321 MG540 $ 1280.00
52324 MH135 $ 1435.00
52327 MH145 $ 710.00
52330 MJ815 $ 2000.00
52333 MJ785 $ 1880.00
52336 MJ795 $ 1130.00
52337or MK445 $ 3130.00
45897
52339 MJ805 $ 1425.00
52342 MJ830 $ 2335.00
52345 MJ840 $ 2840.00
52348 MJ850 $ 2980.00
52351 MJ860 $ 3605.00
52354 MJ875 $ 3370.00
52357 MJ880 $ 4115.00
52360 MJ890 $ 3895.00
52363 MJ900 $ 4725.00
52366 MJ910 $ 4270.00
52369 MJ920 $ 5195.00
MBS Item Equivalent AMA Fee
No AMA No
52372 MJ930 $ 4675.00
52375 MJ945 $ 5645.00
52378 MJ995 $ 1800.00
52379 MJ545 $ 3400.00
52380 MJ955 $ 5595.00
52382 MJ965 $ 6705.00
52420 or MK450 $ 670.00
45900
52424 MG400 $ 1435.00
52430 MJ025 $ 2835.00
52440 MJ685 $ 1545.00
52442 MJ695 $ 1765.00
52444 MJ705 $ 2080.00
52446 MJ715 $ 2310.00
52450 MJ735 $ 645.00
52452 MJ745 $ 1220.00
52456 MJ765 $ 2740.00
52458 MJ775 $ 785.00
52460 - -
52480 MJ585 $ 1825.00
52482 MJ665 $ 1235.00
52484 MJ675 $ 1470.00
52600 MK285 $ 940.00
52603 MK290 $ 895.00
52606 MK295 $ 685.00
52609 MK300 $ 895.00
52612 MK305 $ 1125.00
52615 MK310 $ 1395.00
52618 MK315 $ 1625.00
52621 MK320 $ 1625.00
52624 MK325 $ 1315.00
52626 MK330 $ 805.00
52627 MK105 $ 1405.00
52630 MK115 $ 525.00
52633 MK335 $ 1405.00
52636 or MK115 $ 525.00
45847
52800 LN810 $ 820.00
52803 LN740 $ 1155.00
52806 LN790 $ 820.00
52809 LN800 $ 1395.00
52812 LN720 $ 1975.00
52815 LN730 $ 2095.00
52818 LN770 $ 1395.00
1 November 2015 Page 371

ORAL AND MAXILLOFACIAL
MBS Item Equivalent AMA Fee
No AMA No
52821 LN750 $ 3020.00
52824 or MK455 $ 950.00
45939
52826 LN410 $ 700.00
52828 LN700 $ 925.00
52830 LN710 $ 1275.00
52832 LN760 $ 1855.00
53000 MA685 $ 75.00
53003 MA695 $ 235.00
53004 MA705 $ 68.00
53006 MA725 $ 1225.00
53009 MA745 $ 640.00
53012 MA755 $ 275.00
53015 MA765 $ 1380.00
53016 MA595 $ 1110.00
53017 MA596 $ 1430.00
53019 MK345 $ 1610.00
53052 MA905 $ 315.00
53054 MA915 $ 285.00
53056 MA545 $ 186.00
53058 MA555 $ 310.00
53060 MA605 $ 310.00
53062 MA615 $ 235.00
53064 MA625 $ 380.00
53068 MA655 $ 305.00
53070 MA665 $ 415.00
53200 MN010 $ 134.00
53203 or MK460 $ 265.00
45945
53206 MK350 $ 395.00
53209 MK085 $ 3975.00
53212 MK095 $ 2165.00
53215 MK360 $ 1135.00
53218 MK365 $ 1810.00
53220 MK370 $ 940.00
53221 MK375 $ 2420.00
53224 MK380 $ 2680.00
53225 MK385 $ 805.00
53226 MK390 $ 885.00
53227 MK395 $ 3295.00
53230 MK400 $ 3710.00
53233 MK405 $ 4170.00
53236 MK410 $ 1345.00
53239 MK415 $ 1345.00
MBS Item Equivalent AMA Fee
No AMA No
53242 MK420 $ 885.00
53400 or MK465 $ 370.00
45975
53403 or MK470 $ 450.00
45978
53406 MQ525 $ 1160.00
53409 MQ535 $ 1160.00
53410 or MK475 $ 245.00
45981
53411 MQ545 $ 680.00
53412 MQ555 $ 1120.00
53413 MQ565 $ 1365.00
53414 MQ575 $ 1575.00
53415 MQ585 $ 1240.00
53416 MQ595 $ 1240.00
43418 MQ605 $ 1615.00
53419 MQ615 $ 1615.00
53422 MQ625 $ 2050.00
53423 MQ635 $ 2050.00
53424 or MK480 $ 1755.00
45984
53425 or MK485 $ 1755.00
45987
53427 or MK490 $ 2400.00
45990
53429 or MK495 $ 2400.00
45993
53439 or MK500 $ 680.00
45996
53453 MJ325 $ 1155.00
53455 MJ335 $ 1355.00
53458 - -
53459 MQ505 $ 970.00
53460 MQ515 $ 1325.00
53600 - -
53700 CV200
See Anaesthetics
section
53702 CV201
See Anaesthetics
section
53704 CV202
See Anaesthetics
section
53706 CV420
See Anaesthetics
section
Page 372 1 November 2015

Ultrasound

ULTRASOUND
GENERAL
AMA Number
Fee
Description of Medical Service
MBS
Number
GENERAL
NOTE: The MBS has two fees for most diagnostic imaging services. There is a lower fee on
services performed on equipment 10 years or older. The suggested AMA fee for a diagnostic
imaging service is the same regardless of the age of the equipment, but we have reference both
MBS items where applicable.
OA005 HEAD, ultrasound scan of, where: (a) the patient is referred by a medical 55005
$380.00 practitioner for ultrasonic examination not being a service associated with
a service to which an item in the Cardiac or Vascular ultrasound groups
apply; and (b) the referring medical practitioner is not a member of a
group of practitioners of which the first mentioned practitioner is a
member (R)
55028
OA015 HEAD, ultrasound scan of, where the patient is not referred by a medical 55007
$102.00 practitioner, not being a service associated with a service to which an 55029
item in the Cardiac or Vascular ultrasound groups apply (NR)
OA025 ORBITAL CONTENTS, ultrasound scan of, where: (a) the patient is 55030
$380.00 referred by a medical practitioner for ultrasonic examination not being a
service associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply; and (b) the referring medical
practitioner is not a member of a group of practitioners of which the first
mentioned practitioner is a member (R)
55008
OA035 ORBITAL CONTENTS, ultrasound scan of, where the patient is not 55031
$102.00 referred by a medical practitioner, not being a service associated with a
service to which an item in the Cardiac or Vascular ultrasound groups
apply (NR)
55010
OA045 NECK, 1 or more structures of, ultrasound scan of, where: (a) the patient 55032
$380.00 is referred by a medical practitioner for ultrasonic examination not being
a service associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply; and (b) the referring medical
practitioner is not a member of a group of practitioners of which the first
mentioned practitioner is a member (R)
55011
OA055 NECK, 1 or more structures of, ultrasound scan of, where the patient is 55033
$102.00 not referred by a medical practitioner, not being a service associated with
a service to which an item in the Cardiac or Vascular ultrasound groups
apply (NR)
55013
OA085
$380.00
ABDOMEN, ultrasound scan of, including scan of urinary tract when
undertaken but not being a service associated with the service described
in item OB200 or item OB210, where: (a) the patient is referred by a
medical practitioner for ultrasonic examination not being a service
associated with a service to which an item in the Cardiac or Vascular
ultrasound groups apply; (b) the referring medical practitioner is not a
member of a group of practitioners of which the first mentioned
practitioner is a member (R)
Page 374 1 November 2015

ULTRASOUND
GENERAL
AMA Number
Fee
Description of Medical Service
MBS
Number
OA095 ABDOMEN, ultrasound scan of, including scan of urinary tract when 55037
$102.00 undertaken but not being a service associated with the service described
in item OB200 or item OB210, where the patient is not referred by a
medical practitioner, not being a service associated with a service to
which an item in the Cardiac or Vascular ultrasound groups apply (NR)
55016
OA105
$380.00
URINARY TRACT, ultrasound scan of but not being a service associated
with the service described in item OB200 or item OB210, where: (a) the
patient is referred by a medical practitioner for ultrasonic examination
not being a service associated with a service to which an item in the
Cardiac or Vascular ultrasound groups apply; and (b) the referring
medical practitioner is not a member of a group of practitioners of which
the first mentioned practitioner is a member (R)
OA115 URINARY TRACT, ultrasound scan of, but not being a service
55039
$102.00 associated with the service described in item OB200 or item OB210
where the patient is not referred by a medical practitioner, not being a
service associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply (NR)
55019
OA130
$295.00
OA132
$102.00
URINARY BLADDER, ultrasound scan of, by any or all approaches,
where: a) the patient is referred by a medical practitioner for ultrasonic
examination not being a service associated with a service to which and
item in the Cardiac or Vascular ultrasound groups applies; and b) the
referring medical practitioner is not a member of a group of practitioners
of which the providing practitioner is a member (R)
URINARY BLADDER, ultrasound scan of, by any or all approaches,
where the patient is not referred by a medical practitioner, not being
associated with a service to which an item in the Cardiac or Vascular
ultrasound groups applies (NR)
OA165 PELVIS, ultrasound scan of, by any or all approaches, where: (a) the 55065
$380.00 patient is referred by a medical practitioner; (b) the service is not
associated with a service to which an item in the Cardiac or Vascular
ultrasound groups apply; (c) the referring medical practitioner is not a
member of a group of practitioners of which the first mentioned
practitioner is a member; and (d) the service is not solely a transrectal
ultrasonic examination of the prostate gland, bladder base and urethra,
or any of those organs (R)
55067
OA175 PELVIS, ultrasound scan of, by any or all approaches, where: (a) the 55068
$102.00 patient is not referred by a medical practitioner; (b) the service is not
associated with a service to which an item in the Cardiac or Vascular
ultrasound groups apply; and (c) the service is not solely a transrectal
ultrasonic examination of the prostate gland, bladder base and urethra,
or any of those organs (NR)
55069
1 November 2015 Page 375

ULTRASOUND
GENERAL
AMA Number
Fee
Description of Medical Service
MBS
Number
OA185 SCROTUM, ultrasound scan of, where: (a) the patient is referred by a 55048
$380.00 medical practitioner for ultrasonic examination not being a service
associated with a service to which an item in the Cardiac or Vascular
ultrasound groups apply; and (b) the referring medical practitioner is not
a member of a group of practitioners of which the first mentioned
practitioner is a member (R)
55023
OA195 SCROTUM, ultrasound scan of, where the patient is not referred by a 55049
$102.00 medical practitioner, not being a service associated with a service to 55025
which an item in the Cardiac or Vascular ultrasound groups apply (NR)
OA245 ULTRASONIC CROSS-SECTIONAL ECHOGRAPHY, in conjunction with 55054
$310.00 a surgical procedure using interventional techniques, not being a service
associated with a service to which any other item in this Group applies
(R)
55026
OA290 BREAST, ONE, ultrasound scan of, where: (a) the patient is referred by 55070
$345.00 a medical practitioner; and (b) the service is not associated with a
service to which an item in the Cardiac or Vascular ultrasound groups
apply; and (c) the referring medical practitioner is not a member of a
group of practitoners of which the first mentioned practitioner is a
member (R)
55059
OA295 BREAST, ONE, ultrasound scan of, where: (a) the patient is not referred 55073
$92.00 by a medical practitioner; and (b) the service is not associated with a
service to which an item in the Cardiac or Vascular ultrasound groups
apply (NR)
55060
OA300 BREASTS, BOTH, ultrasound scan of, where: (a) the patient is referred 55076
$380.00 by a medical practitioner; and (b) the service is not associated with a
service to which an item in the Cardiac or Vascular ultrasound groups
apply; and (c) the referring medical practitioner is not a member of a
group of practitioners of which the first mentioned practitioner is a
member (R)
55061
OA305 BREASTS, BOTH, ultrasound scan of, where: (a) the patient is not 55079
$102.00 referred by a medical practitioner; and (b) the service is not associated
with a service to which an item in the Cardiac or Vascular ultrasound
groups apply (NR)
55062
Page 376 1 November 2015

ULTRASOUND
CARDIAC
AMA Number
Fee
CARDIAC
Description of Medical Service
MBS
Number
OA721 M-MODE AND 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC 55113
$780.00 EXAMINATION of the heart from at least 2 acoustic windows, with
measurement of blood flow velocities across the cardiac valves using
pulsed wave and continuous wave Doppler techniques, and real time
colour flow mapping from at least 2 acoustic windows, with recordings on
video tape or digital medium, not being a service associated with a
service to which an item in Subgroups 1 (with the exception of item
OA245) or 3, or another item in this Subgroup (with the exception of
items OA730 and OA740), applies, for the investigation of symptoms or
signs of cardiac failure, or suspected or known ventricular hypertrophy or
dysfunction, or chest pain (R)
55119
OA722 M-MODE AND 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC 55114
$780.00 EXAMINATION of the heart from at least 2 acoustic windows, with
measurement of blood flow velocities across the cardiac valves using
pulsed wave and continuous wave Doppler techniques, and real time
colour flow mapping from at least 2 acoustic windows, with recordings on
video tape or digital medium, not being a service associated with a
service to which an item in Subgroups 1 (with the exception of item
OA245) or 3, or another item in this Subgroup (with the exception of
items OA730 and OA740), applies, for the investigation of symptoms or
signs of cardiac failure, or suspected or known ventricular hypertrophy or
dysfunction, or chest pain (R)
55120
OA723 M-MODE AND 2 DIMENSIONAL REAL TIME ECHOCARDIOGRAPHIC 55115
$780.00 EXAMINATION of the heart from at least 2 acoustic windows, with
measurement of blood flow velocities across the cardiac valves using
pulsed wave and continuous wave Doppler techniques, and real time
colour flow mapping from at least 2 acoustic windows, with recordings on
video tape or digital medium, not being a service associated with a
service to which an item in Subgroups 1 (with the exception of item
OA245) or 3, or another item in this Subgroup (with the exception of
items OA730 and OA740), applies, for the investigation of symptoms or
signs of congenital heart disease (R)
55121
OA725 EXERCISE STRESS ECHOCARDIOGRAPHY performed in conjunction 55116
$860.00 with item AV180, with two- dimensional recordings before exercise
(baseline) from at least three acoustic windows and matching recordings
from the same windows at, or immediately after, peak exercise, not being
a service associated with a service to which an item in Subgroups 1 (with
the exception of item OA245) or 3, or another item in this Subgroup
applies (with the exception of items OA730 and OA740). Recordings
must be made on digital media with equipment permitting display of
baseline and matching peak images on the same screen (R)
55122
1 November 2015 Page 377

ULTRASOUND
CARDIAC
AMA Number
Fee
Description of Medical Service
MBS
Number
OA726 PHARMACOLOGICAL STRESS ECHOCARDIOGRAPHY performed in 55117
$860.00 conjunction with item AV180, with two-dimensional recordings before
drug infusion (baseline) from at least three acoustic windows and
matching recordings from the same windows at least twice during drug
infusion, including a recording at the peak drug dose not being a service
associated with a service to which an item in Subgroups 1 (with the
exception of item OA245) or 3, or another item in this Subgroup, applies
(with the exception of items OA730 and OA740). recordings must be
made on digital media with equipment permitting display of baseline and
matching peak images on the same screen (R)
55123
OA730 HEART, 2 DIMENSIONAL REAL TIME TRANSOESOPHAGEAL
55118
$905.00 EXAMINATION of, from at least two levels, and in more than one plane
at each level: (a) with: (i) real time colour flow mapping and, if indicated,
pulsed wave Doppler examination; (ii) recordings on video tape or digital
medium; and (b) not being an intra-operative service or a service
associated with a service to which an item in the Cardiac (with the
exception of item OA245) or Vascular Ultrasound groups, applies (R)
55125
OA740 INTRA-OPERATIVE 2 DIMENSIONAL REAL TIME
55130
$1,110.00 TRANSOESOPHAGEAL ECHOCARDIOGRAPHY incorporating Doppler
techniques with colour flow mapping and recording onto video tape or
digital medium, performed during cardiac surgery incorporating
sequential assessment of cardiac function before and after the surgical
procedure - not associated with item OA750 (R)
55131
OA750 INTRA-OPERATIVE 2 DIMENSIONAL REAL TIME
55135
$1,170.00 TRANSOESOPHAGEAL ECHOCARDIOGRAPHY incorporating Dopper
techniques with colour flow mapping and recording onto video tape or
digital medium, performed during cardiac valve surgery (repair or
replacement) incorporating sequential assessment of cardiac function
and valve competence before and after the surgical procedure - not
associated with Item OA740 (R)
55136
VASCULAR
NOTE: For multiple scans please refer to page xix for the rule outlined in the Notes for
Guidance.
OB070 DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging 55238
$520.00 and intergrated Doppler flow measurements by spectral analysis of
arteries or bypass grafts in the lower limb or of arteries and bypass grafts
in the lower limb, below the inguinal ligament, not being a service
associated with a service to which an item in the Cardiac (with the
exception of item OA245) or Urological ultrasound groups apply (R)
55220
Page 378 1 November 2015

ULTRASOUND
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
OB082 DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging 55244
$520.00 and integrated Doppler flow measurements by spectral analysis of veins
in the lower limb, below the inguinal ligament, for acute venous
thrombosis, not being a service associated with a service to which an
item in the Cardiac (with the exception of item OA245) or Urological
ultrasound groups apply (R)
55221
OB086 DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging 55246
$520.00 and integrated Doppler flow measurements by spectral analysis of veins
in the lower limb, below the inguinal ligament, for chronic venous
disease, not being a service associated with a service to which an item in
the Cardiac (with the exception of item OA245) or Urological ultrasound
groups apply (R)
55222
OB090 DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging 55248
$520.00 and integrated Doppler flow measurements by spectral analysis of
arteries or bypass grafts in the upper limb or of arteries and bypass
grafts in the upper limb, not being a service associated with a service to
which an item in the Cardiac (with the exception of item OA245) or
Urological ultrasound groups apply (R)
55223
OB098 DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging 55252
$520.00 and integrated Doppler flow measurements by spectral analysis of veins
in the upper limb, not being a service associated with a service to which
an item in the Cardiac (with the exception of item OA245) or Urological
ultrasound groups apply (R)
55224
OB140 DUPLEX SCANNING, bilateral, involving B mode ultrasound imaging 55274
$520.00 and integrated Doppler flow measurements by spectral analysis of extracranial
bilateral carotid and vertebral vessels, with or without subclavian
and innominate vessels, with or without oculoplethysmography or periorbital
Doppler examination, not being a service associated with a
service to which an item in the Cardiac (with the exception of item
OA245) or Urological ultrasound groups apply (R)
55226
OB144 DUPLEX SCANNING involving B mode ultrasound imaging and
55276
$520.00 integrated Doppler flow measurements by spectral analysis of intraabdominal,
aorta and iliac arteries or inferior vena cava and iliac veins
OR of intra-abdominal, aorta and iliac arteries and inferior vena cava and
iliac veins, excluding pregnancy related studies, not being a service
associated with a service to which an item in the Cardiac (with the
exception of item OA245) or Urological ultrasound groups apply (R)
55227
1 November 2015 Page 379

ULTRASOUND
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
OB148 DUPLEX SCANNING involving B mode ultrasound imaging and
55278
$515.00 integrated Doppler flow measurements by spectral analysis of renal or
visceral vessels OR of renal and visceral vessels, including aorta, inferior
vena cava and iliac vessels as required excluding pregnancy related
studies, not being a service associated with a service to which an item in
the Cardiac (with the exception of item OA245) or Urological ultrasound
groups apply (R)
55228
OB152 DUPLEX SCANNING involving B mode ultrasound imaging and
55280
$520.00 integrated Doppler flow measurements by spectral analysis of intracranial
vessels, not being a service associated with a service to which an
item in the Cardiac (with the exception of item OA245) or Urological
ultrasound groups apply (R)
55229
OB156 DUPLEX SCANNING involving B mode ultrasound imaging and
55282
$520.00 integrated Doppler flow measurements by spectral analysis of cavernosal
artery of the penis following intracavernosal administration of a
vasoactive agent, performed during the period of pharmacological activity
of the injected agent, to confirm a diagnosis of vasular aetiology for
impotence, where a specialist in diagnostic radiology, nuclear medicine,
urology, general surgery (sub-specialising in vascular surgery) or a
consultant physician in nuclear medicine attends the patient in person at
the practice location where the service is rendered, immediately prior to
or for a period during the rendering of the service, and that specialist or
consultant physician interprets the results and prepares a report, not
being a service associated with a service to which an item in the Cardiac
(with the exception of item OA245) or Urological ultrasound groups
applies (R)
55230
OB160 DUPLEX SCANNING involving B mode ultrasound imaging and
55284
$520.00 integrated Doppler flow measurements by spectral analysis of cavernosal
tissue of the penis to confirm a diagnosis and, where indicated, assess
the progress and management of: (a) priapism; or (b) fibrosis of any
type; or (c) fracture of the tunica; or (d) arteriovenous malformations;
where a specialist in diagnostic radiology, nuclear medicine, urology,
general surgery (sub-specialising in vascular surgery) or a consultant
physician in nuclear medicine attends the patient in person at the
practice location where the service is rendered, immediately prior to or
for a period during the rendering of the service, and that specialist or
consultant physician interprets the results and prepares a report, not
being a service associated with a service to which an item in the Cardiac
(with the exception of item OA245) or Urological ultrasound groups apply
(R)
55232
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ULTRASOUND
VASCULAR
AMA Number
Fee
Description of Medical Service
MBS
Number
OB174 DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging 55292
$520.00 and integrated Doppler flow measurements by spectral analysis of
surgically created arteriovenous fistula or surgically created
arteriovenous access graft in the upper or lower limb, not being a serivce
associated with a service to which an item in Cardiac (with the exception
of item OA245) or Urological ultrasound groups applies (R)
55233
OB175 DUPLEX SCANNING, involving B mode ultrasound imaging and
55294
$520.00 integrated Doppler flow measurements by spectral analysis of arteries or
veins or arteries or veins, for mapping of bypass conduit prior to vascular
surgery, not being a service associated with a service to which an item in
Cardiac (with the exception of item OA245) or Urological ultrasound
groups apply - including any associated skin marking (R)
55235
OB176 DUPLEX SCANNING, unilateral, involving B mode ultrasound imaging 55296
$315.00 and integrated Doppler flow spectral analysis and marking of veins in the
lower limb below the inguinal ligament prior to varicose vein surgery, not
being a service associated with a service to which an item in Cardiac
(with the exception of item OA245) or Urological ultrasound groups
apply - including any associated skin marking (R)
55236
UROLOGICAL
OB200 PROSTATE, bladder base and urethra, ultrasound scan of, where 55600
$380.00 performed: (a) personally by a medical practitioner, not being the medical
practitioner who assessed the patient as specified in (c) using a
transducer probe or probes which have a nominal frequency of 7 to 7.5
megahertz or a nominal frequency range which includes frequencies of 7
to 7.5 megahertz and able to obtain both axial and sagittal scans in 2
planes at right angles; and (b) following a digital rectal examination of the
prostate by that medical practitioner; and (c) on a patient who has been
assessed by a specialist in urology, radiation oncology or medical
oncology or a consultant physician in medical oncology who has: (i)
examined the patient in the 60 days prior to the scan; and (ii)
recommended the scan for the management of the patient's current
prostatic disease (R)
55601
1 November 2015 Page 381

ULTRASOUND
UROLOGICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
OB210 PROSTATE, bladder base and urethra, ultrasound scan of, where 55603
$380.00 performed: (a) personally by a medical practitioner who undertook the
assessment referred to in (c) using a transducer probe or probes that: (i)
have a nominal frequency of 7 to 7.5 megahertz or a nominal frequency
range which includes frequencies of 7 to 7.5 megahertz; and (ii) can
obtain both axial and sagittal scans in 2 planes at right angles; and (b)
following a digital rectal examination of the prostate by that medical
practitioner; and (c) on a patient who has been assessed by a specialist
in urology, radiation oncology or medical oncology or a consultant
physician in medical oncology who has:(i)examined the patient in the 60
days prior to the scan; and (ii) recommended the scan for the
management of the patient's current prostatic disease (R)
55604
OBSTETRIC AND GYNAECOLOGICAL
NOTE: The following items are the AMA item equivalents of the Obstetric and Gynaecological
ultrasound items in the MBS. Users of these items should be aware that the AMA items do not
include some of the restrictive elements that appear in the MBS items. Some of these services
will only attract a Medicare benefit if certain conditions, circumstances or limits on services are
met. Where an AMA item is not listed below with a corresponding MBS number to the right of
the descriptor, this is an indication that the MBS equivalent item includes certain restrictions.
Please refer to the MBS item if clarification of conditions for payment of a Medicare benefits are
required.
OC625
$230.00
OC630
$104.00
OC635
$265.00
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
ultrasound scan of, by any or all approaches, where: (a) the patient is
referred by a medical practitioner; and (b) the dating of the pregnancy
(as confirmed by ultrasound) is LESS THAN 12 WEEKS OF
GESTATION; and (c) the service is not associated with a service to
which an item in the Cardiac or Vascular ultrasound groups apply; and
(d) the referring practitioner is not a member of a group of practitioners
of which the first mentioned practitioner is a member (R)
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
ultrasound scan of, by any or all approaches, where: (a) the patient is not
referred by a medical practitioner; and (b) the dating of the pregnancy
(as confirmed by ultrasound) is LESS THAN 12 WEEKS OF
GESTATION; and (c) the service is not associated with a service to
which an item in the Cardiac or Vascular ultrasound groups apply (NR)
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, where: (a) the patient is referred by a medical practitioner;
and (b) the dating of the pregnancy (as confirmed by ultrasound) is 12
TO 16 WEEKS OF GESTATION; and (c) the service is not associated
with a service to which an item in the Cardiac or Vascular ultrasound
groups apply; and (d) the referring practitioner is not a member of a
group of practitioners of which the first mentioned practitioner is a
member (R)
Page 382 1 November 2015

ULTRASOUND
OBSTETRIC AND GYNAECOLOGICAL
AMA Number
Fee
OC640
$104.00
Description of Medical Service
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, where: (a) the patient is not referred by a medical
practitioner; and (b) the dating of the pregnancy (as confirmed by
ultrasound) is 12 TO 16 WEEKS OF GESTATION; and (c) the service is
not associated with a service to which an item in the Cardiac or Vascular
ultrasound groups apply (NR)
MBS
Number
Note: When claiming items OC625 - 0C640 note that nuchal translucency measurements
performed when the pregnancy is dated by a crown rump length of 45 to 84mm are only payable
via one item, either in the range OC625 - OC640 or OC647 - OC648.
OC645
$380.00
OC647
$380.00
OC648
$114.00
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, with measurement of all parameters for dating purposes,
where: (a) the patient is referred by a medical practitioner; and (b) the
dating for the pregnancy (as confirmed by ultrasound) is 17 TO 22
WEEKS OF GESTATION; and (c) the service is not associated with a
service to which an item in the Cardiac or Vascular ultrasound groups
apply; and (d) the referring practitioner is not a member of a group of
practitioners of which the first mentioned practitioner is a member (R)
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan (not exceeding 1
service in any 1 pregnancy) of, by any or all approaches, where; (a) the
patient is referred by a medical practitioner; and (b) the pregnancy (as
confirmed by ultrasound) is dated by a crown rump length of 45 to
80mm; and (c) the service is not associated with a service to which an
item in the Cardiac or Vascular ultrasound groups apply; and (d) the
referring practitioner is not a member of a group of practitioners of which
the providing practitioner is a member; and (e) nuchal translucency
measurement is performed to assess the risk of fetal abnormality; and (f)
the service is not performed with item OC625, OC630, OC635 or OC640
on the same patient within 24 hours (R)
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan (not exceeding 1
service in any 1 pregnancy) of, by any or all approaches, where; (a) the
patient is not referred by a medical practitioner; and (b) the pregnancy
(as confirmed by ultrasound) is dated by a crown rump length of 45 to
80mm; and (c) the service is not associated with a service to which an
item in the Cardiac or Vascular ultrasound groups apply; and (d) the
referring practitioner is not a member of a group of practitioners of which
the providing practitioner is a member; and (e) nuchal translucency
measurement is performed to assess the risk of fetal abnormality; and (f)
the service is not performed with item OC625, OC630, OC635 or OC640
on the same patient within 24 hours (NR)
1 November 2015 Page 383

ULTRASOUND
OBSTETRIC AND GYNAECOLOGICAL
AMA Number
Fee
OC650
$114.00
Description of Medical Service
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, with measurement of all parameters for dating purposes,
where: (a) the patient is not referred by a medical practitioner; and (b)
the dating of the pregnancy (as confirmed by ultrasound) is 17 TO 22
WEEKS OF GESTATION; and (c) the service is not associated with a
service to which an item in the Cardiac or Vascular ultrasound groups
apply (NR)
MBS
Number
OC655 PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, 55712
$435.00 fetal development and anatomy, ultrasound scan of, by any or all
approaches, with measurement of all parameters for dating purposes,
where: (a) the patient is referred by a medical practitioner who is a
Member or a Fellow of the Royal Australian and New Zealand College of
Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or
has a qualification recognised by the Royal Australian and New Zealand
College of Obstetricians and Gynaecologists as being equivalent to a
Diploma of Obstetrics or has obstetric privileges at a non-metropolitan
hospital; and (b) the dating of the pregnancy (as confirmed by
ultrasound) is 17 to 22 weeks of gestation; and (c) the service is not
associated with a service to which an item in the Cardiac or Vascular
ultrasound groups apply; and (d) the referring practitioner is not a
member of a group of practitioners of which the first mentioned
practitioner is a member; and (e) further examination is clinically
indicated in the same pregnancy to which item OC645 or OC650 applies
(R)
55719
OC660 PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, 55715
$120.00 fetal development and anatomy, ultrasound scan of, by any or all
approaches, with measurement of all parameters for dating purposes,
performed by or on behalf of a medical practitioner who is a Member or a
Fellow of the Royal Australian and New Zealand College of Obstetricians
and Gynaecologists, where: (a) the patient is not referred by a medical
practitioner; and (b) the dating of the pregnancy (as confirmed by
ultrasound) is 17 TO 22 WEEKS OF GESTATION; and (c) the service is
not associated with a service to which an item in the Cardiac or Vascular
ultrasound groups apply; and (d) further examination is clinically
indicated in the same pregnancy to which item OC645 or OC650 applies
(NR)
55720
Page 384 1 November 2015

ULTRASOUND
OBSTETRIC AND GYNAECOLOGICAL
AMA Number
Fee
OC665
$380.00
Description of Medical Service
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, where: (a) the patient is referred by a medical practitioner;
and (b) the dating of the pregnancy (as confirmed by ultrasound) is
AFTER 22 WEEKS OF GESTATION; and (c) the service is not
associated with a service to which an item in the Cardiac or Vascular
ultrasound groups apply; and (d) the referring practitioner is not a
member of a group of practitioners of which the first mentioned
practitioner is a member (R)
MBS
Number
OC670 PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, 55721
$435.00 fetal development and anatomy, ultrasound scan of by any or all
approaches, where: (a) the patient is referred by a medical practitioner
who is a Member or a Fellow of the Royal Australian and New Zealand
College of Obstetricians and Gynaecologists or who has a Diploma of
Obstetrics or has obstetric privileges at a non-metropolitan hospital; and
(b) the dating of the pregnancy (as confirmed by ultrasound) is AFTER
22 WEEKS OF GESTATION; and (c) the service is not associated with
a service to which an item in the Cardiac or Vascular ultrasound groups
apply; and (d) the referring practitioner is not a member of a group of
practitioners of which the first mentioned practitioner is a member; and
(e) further examination is clinically indicated in the same pregnancy to
which item OC665 or OC675 applies (R)
55724
OC675
$114.00
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, where: (a) the patient is not referred by a medical
practitioner; and (b) the dating of the pregnancy (as confirmed by
ultrasound) is AFTER 22 WEEKS OF GESTATION; and (c) the service
is not associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply (NR)
OC680 PELVIS OR ABDOMEN, pregnancy related or pregnancy complication, 55725
$120.00 fetal development and anatomy, ultrasound scan of, by any or all
approaches, where the providing practitioner is a Member or a Fellow of
the Royal Australian and New Zealand College of Obstetricans and
Gynaecologists, where: (a) the patient is not referred by a medical
practitioner; and (b) the dating of the pregnancy (as confirmed by
ultrasound) is AFTER 22 WEEKS OF GESTATION; and (c) the service
is not associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply; and (d) further examination is clinically
indicated in the same pregnancy to which item OC665 or OC675 applies
(NR)
55727
1 November 2015 Page 385

ULTRASOUND
OBSTETRIC AND GYNAECOLOGICAL
AMA Number
Fee
OC687
$95.00
Description of Medical Service
Duplex scanning inlvolving B mode ultrasound imaging and integrated
Doppler flow measurements by spectral anaylysis of the UMBILICAL
ARTERY, and measured assessment of amniotic fluid volume after the
24th week of gestation where the patient is referred by a medical
practitioner for this procedure and where there is reason to suspect
intrauterine growth retardation or a significant risk of foetal death (R)
MBS
Number
OC700 PELVIS, ultrasound scan of, in association with saline infusion of the 55736
$350.00 endometrial cavity, by any or all approaches, where: (a) the patient is
referred by a medical practitioner; and (b) the service is not associated
with a service to which an item in the Cardiac or Vascular ultrasound
groups apply; and (c) the referring medical practitioner is not a member
of a group of medical practitioners of which the first mentioned
practitioner is a member; and (d) a previous transvaginal ultrasound has
revealed an abnormality of the uterus or fallopian tube (R)
55735
OC705 PELVIS, ultrasound scan of, in association with saline infusion of the 55739
$144.00 endometrial cavity, by any or all approaches, where: (a) the patient is not
referred by a medical practitioner; and (b) the service is not associated
with a service to which an item in the Cardiac or Vascular ultrasound
groups apply; and (c) a previous transvaginal ultrasound has revealed an
abnormality of the uterus or fallopian tube (NR)
55737
OC750
$570.00
OC755
$178.00
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, with measurement of all parameters for dating purposes,
where: (a) the patient is referred by a medical practitioner; and (b)
ultrasound of the same pregnancy confirms a MULTIPLE PREGNANCY;
and (c) the dating for the pregnancy (as confirmed by ultrasound) is 17
TO 22 WEEKS OF GESTATION; and (d) the service is not associated
with a service to which an item in the Cardiac or Vascular ultrasound
groups apply; and (e) the referring practitioner is not a member of a
group of practitioners of which the first mentioned practitioner is a
member (R)
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, with measurement of all parameters for dating purposes,
where: (a) the patient is not referred by a medical practitioner; and (b)
ultrasound of the same pregnancy confirms a MULTIPLE PREGNANCY;
and (c) the dating of the pregnancy (as confirmed by ultrasound) is 17
TO 22 WEEKS OF GESTATION; and (d) the service is not associated
with a service to which an item in the Cardiac or Vascular ultrasound
groups apply (NR)
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ULTRASOUND
OBSTETRIC AND GYNAECOLOGICAL
AMA Number
Fee
OC760
$610.00
OC765
$194.00
OC770
$570.00
Description of Medical Service
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, with measurement of all parameters for dating purposes,
where: (a) the patient is referred by a medical practitioner who is a
Member or a Fellow of the Royal Australian and New Zealand College of
Obstetricians and Gynaecologists or who has a Diploma of Obstetrics or
has obstetric privileges at a non-metropolitan hospital; and (b) ultrasound
of the same pregnancy confirms a MULTIPLE PREGNANCY; and (c) the
dating of the pregnancy (as confirmed by ultrasound) is 17 TO 22
WEEKS OF GESTATION; and (d) the service is not associated with a
service to which an item in the Cardiac or Vascular ultrasound groups
apply; and (e) the referring practitioner is not a member of a group of
practitioners of which the first mentioned practitioner is a member; and (f)
further examination is clinically indicated in the same pregnancy to which
item OC750 or OC755 applies (R)
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, with measurement of all parameters for dating purposes,
where the providing practitioner is a Member or a Fellow of the Royal
Australian and New Zealand College of Obstetricians and
Gynaecologists, where: (a) the patient is not referred by a medical
practitioner; and ((b) ultrasound of the same pregnancy confirms a
MULTIPLE PREGNANCY; and (c) the dating of the pregnancy (as
confirmed by ultrasound) is 17 TO 22 WEEKS OF GESTATION; and (d)
the service is not associated with a service to which an item in the
Cardiac or Vascular ultrasound groups apply; and (e) further examination
is clinically indicated in the same pregnancy to which item OC750 or
OC755 applies (NR)
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, where: (a) the patient is referred by a medical practitioner;
and (b) ultrasound of the same pregnancy confirms a MULTIPLE
PREGNANCY; and (c) the dating for the pregnancy (as confirmed by
ultrasound) is AFTER 22 WEEKS OF GESTATION; and (d) the service
is not associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply; and (e) the referring practitioner is not
a member of a group of practitioners of which the first mentioned
practitioner is a member (R)
MBS
Number
1 November 2015 Page 387

ULTRASOUND
OBSTETRIC AND GYNAECOLOGICAL
AMA Number
Fee
OC775
$178.00
OC780
$610.00
OC785
$194.00
Description of Medical Service
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, where: (a) the patient is not referred by a medical
practitioner; and (b) ultrasound of the same pregnancy confirms a
MULTIPLE PREGNANCY; and (c) the dating of the pregnancy (as
confirmed by ultrasound) is AFTER 22 WEEKS OF GESTATION; and (d)
the service is not associated with a service to which an item in the
Cardiac or Vascular ultrasound groups apply (NR)
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, where: (a) the patient is referred by a medical practitioner
who is a Member or a Fellow of the Royal Australian and New Zealand
College of Obstetricians and Gynaecologists or who has a Diploma of
Obstetrics or has obstetric privileges at a non-metropolitan hospital; and
(b) ultrasound of the same pregnancy confirms a MULTIPLE
PREGNANCY; and (c) the dating of the pregnancy (as confirmed by
ultrasound) is AFTER 22 WEEKS OF GESTATION; and (d) the service
is not associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply; and (e) the referring practitioner is not
a member of a group of practitioners of which the first mentioned
practitioner is a member; and (f) further examination is clinically indicated
in the same pregnancy to which item OC770 or OC775 applies (R)
PELVIS OR ABDOMEN, pregnancy related or pregnancy complication,
fetal development and anatomy, ultrasound scan of, by any or all
approaches, where the providing practitioner is a Member or a Fellow of
the Royal Australian and New Zealand College of Obstetricians and
Gynaecologists, where: (a) the patient is not referred by a medical
practitioner; and ((b) ultrasound of the same pregnancy confirms a
MULTIPLE PREGNANCY; and (c) the dating of the pregnancy (as
confirmed by ultrasound) is AFTER 22 WEEKS OF GESTATION; and (d)
the service is not associated with a service to which an item in the
Cardiac or Vascular ultrasound groups apply; and (e) further examination
is clinically indicated in the same pregnancy to which item OC770 or
OC775 applies (NR)
MBS
Number
OC930 PAEDIATRIC SPINE, SPINAL CORD AND OVERLYING
55852
$380.00 SUBCUTANEOUS TISSUES, ULTRASOUND SCAN Of, where: the
patient is referred by a medical practitioner the service is not associated
with a service to which an item in the Cardiac of Vascular ultrasound
groups apply; and c) the referring practitioner is not a member of a group
of practitioners of which the first mentioned practitioner is a member (R)
55853
Page 388 1 November 2015

ULTRASOUND
MUSCULOSKELETAL
AMA Number
Fee
Description of Medical Service
MBS
Number
MUSCULOSKELETAL
NOTE: For the information of users of these items, it is important to note that Medicare benefits
are only payable for these services if the medical practitioner responsible for the conduct and
report of the examination personally attends during the provision of the scan and personally
examines the patient. Please refer to the MBS for further information on Medicare benefits for
these items.
OC800 HAND OR WRIST, 1 or both sides, ULTRASOUND SCAN OF, where: 55800
$380.00 (a) the service is not associated with a service to which an item in the
Cardiac or Vascular ultrasound groups apply; and (b) the referring
practitioner is not a member of a group of practitioners of which the first
mentioned practitioner is a member (R)
55801
OC805 HAND OR WRIST, 1 or both sides, ULTRASOUND SCAN OF, where: 55802
$104.00 (a) the service is not associated with a service to which an item in the
Cardiac or Vascular ultrasound groups apply; and (b) the patient is not
referred by a medical practitioner (NR)
55803
OC810 FOREARM OR ELBOW, 1 or both sides, ULTRASOUND SCAN OF, 55804
$380.00 where: (a) the service is not associated with a service to which an item in
the Cardiac or Vascular ultrasound groups apply; and (b) the referring
practitioner is not a member of a group of practitioners of which the first
mentioned practitioner is a member (R)
55805
OC815 FOREARM OR ELBOW, 1 or both sides, ULTRASOUND SCAN OF, 55806
$104.00 where: (a) the service is not associated with a service to which an item in
the Cardiac or Vascular ultrasound groups apply; and (b) the patient is
not referred by a medical practitioner (NR)
55807
NOTE: Medicare benefits are only payble in relation to items OC820 and OC825 when referral is
based on the clinical indications outlined in the descriptor, and not just for non-specific
shoulder pain alone.
OC820 SHOULDER OR UPPER ARM, 1 or both sides, ULTRASOUND SCAN 55808
$380.00 OF, where: (a) the service is not associated with a service to which an
item in the Cardiac or Vascular ultrasound groups apply; and (b) the
referring practitioner is not a member of a group of practitioners of which
the providing practitioner is a member, and where the service is
provided, for the assessment of one or more of the following conditions
or suspected conditions: evaluation of injury to tendon, muscle or
muscle/tendon junction; or rotator cuff tear/calcification/tendinosis
(biceps, subscapular, suspraspinatus, infraspinatus); or biceps
sublaxation; or capsulitis and bursitis; or evaluation of mass including
ganglion; or occult fracture; or acromioclavicular joint pathology (R)
55809
1 November 2015 Page 389

ULTRASOUND
MUSCULOSKELETAL
AMA Number
Fee
Description of Medical Service
MBS
Number
OC825 SHOULDER OR UPPER ARM, 1 or both sides, ULTRASOUND SCAN 55810
$104.00 OF, where: (a) the service is not associated with a service to which an
item in the Cardiac or Vascular ultrasound groups apply; and (b) the
patient is not referred by a medical practitioner, and where the service is
provided, for the assessment of one or more of the following conditions
or suspected conditions: evaluation of injury to tendon, muscle or
muscle/tendon junction; or rotator cuff tear/calcification/tendinosis
(biceps, subscapular, suspraspinatus, infraspinatus); or biceps
sublaxation; or capsulitis and bursitis; or evaluation of mass including
ganglion; or occult fracture; or acromioclavicular joint pathology (NR)
55811
OC830 CHEST OR ABDOMINAL WALL, 1 or more areas, ULTRASOUND 55812
$380.00 SCAN OF, where: (a) the service is not associated with a service to
which an item in the Cardiac or Vascular ultrasound groups apply; and
(b) the referring practitioner is not a member of a group of practitioners of
which the first mentioned practitioner is a member (R)
55813
OC835 CHEST OR ABDOMINAL WALL, 1 or more areas, ULTRASOUND 55814
$104.00 SCAN OF, where: (a) the service is not associated with a service to
which an item in the Cardiac or Vascular ultrasound groups apply; and
(b) the patient is not referred by a medical practitioner (NR)
55815
OC840 HIP OR GROIN, 1 or both sides, ULTRASOUND SCAN OF, where: (a) 55816
$380.00 the service is not associated with a service to which an item in the
Cardiac or Vascular ultrasound groups apply; and (b) the referring
practitioner is not a member of a group of practitioners of which the first
mentioned practitioner is a member (R)
55817
OC845 HIP OR GROIN, 1 or both sides, ULTRASOUND SCAN OF, where: (a) 55818
$104.00 the service is not associated with a service to which an item in the
Cardiac or Vascular ultrasound groups apply; and (b) the patient is not
referred by a medical practitioner (NR)
55819
OC850 PAEDIATRIC HIP EXAMINATION FOR DYSPLASIA, 1 or both sides, 55820
$380.00 ULTRASOUND SCAN OF, where: (a) the service is not associated with a
service to which an item in the Cardiac or Vascular ultrasound groups
apply; and (b) the referring practitioner is not a member of a group of
practitioners of which the first mentioned practitioner is a member (R)
55821
OC855 PAEDIATRIC HIP EXAMINATION FOR DYSPLASIA, 1 or both sides, 55822
$104.00 ULTRASOUND SCAN OF, where: (a) the service is not associated with a
service to which an item in the Cardiac or Vascular ultrasound groups
apply; and (b) the patient is not referred by a medical practitioner (NR)
55823
OC860 BUTTOCK OR THIGH, 1 or both sides, ULTRASOUND SCAN OF, 55824
$380.00 where: (a) the service is not associated with a service to which an item in
the Cardiac or Vascular ultrasound groups apply; and (b) the referring
practitioner is not a member of a group of practitioners of which the first
mentioned practitioner is a member (R)
55825
Page 390 1 November 2015

ULTRASOUND
MUSCULOSKELETAL
AMA Number
Fee
Description of Medical Service
MBS
Number
OC865 BUTTOCK OR THIGH, 1 or both sides, ULTRASOUND SCAN OF, 55826
$104.00 where: (a) the service is not associated with a service to which an item in
the Cardiac or Vascular ultrasound groups apply; and (b) the patient is
not referred by a medical practitioner (NR)
55827
NOTE: Medicare benefits are only payble in relation to items OC870 and OC875 when referral is
based on the clinical indications outlined in the descriptor, and not just for non-specific knee
pain alone or other knee condition including: meniscal and curciate ligament tears; or
assessment of chondral surfaces.
OC870 KNEE, 1 or both sides, ULTRASOUND SCAN OF, where: (a) the service 55828
$380.00 is not associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply; and (b) the referring practitioner is not
a member of a group of practitioners of which the providing practitioner is
a member, and where the service is provided, for the assessment of one
or more of the following conditions or suspected conidtions: abnormality
of tendons or bursae about the knee; or meniscal cyst, popliteal fossa
cyst, mass or pseudomass; or nerve entrapment, nerve or nerve sheath
tumour; or injury of collateral ligaments (R)
55829
OC875 KNEE, 1 or both sides, ULTRASOUND SCAN OF, where: (a) the service 55830
$104.00 is not associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply; and (b) the patient is not referred by a
medical practitioner, and where the service is provided, for the
assessment of one or more of the following conditions or suspected
conditions: abnormality of tendons or bursae about the knee; or
meniscal cyst, popliteal fossa cyst, mass or pseudomass; or nerve
entrapment, nerve or nerve sheath tumour; or injury of collateral
ligaments (NR)
55831
OC880 LOWER LEG, 1 or both sides, ULTRASOUND SCAN OF, where: (a) the 55832
$380.00 service is not associated with a service to which an item in the Cardiac or
Vascular ultrasound groups apply; and (b) the referring practitioner is not
a member of a group of practitioners of which the first mentioned
practitioner is a member (R)
55833
OC885 LOWER LEG, 1 or both sides, ULTRASOUND SCAN OF, where: (a) the 55834
$104.00 service is not associated with a service to which an item in the Cardiac
or Vascular ultrasound groups apply; and (b) the patient is not referred
by a medical practitioner (NR)
55835
OC890 ANKLE OR HIND FOOT, 1 or both sides, ULTRASOUND SCAN OF, 55836
$380.00 where: (a) the service is not associated with a service to which an item in
the Cardiac or Vascular ultrasound groups apply; and (b) the referring
practitioner is not a member of a group of practitioners of which the first
mentioned practitioner is a member (R)
55837
1 November 2015 Page 391

ULTRASOUND
MUSCULOSKELETAL
AMA Number
Fee
Description of Medical Service
MBS
Number
OC895 ANKLE OR HIND FOOT, 1 or both sides, ULTRASOUND SCAN OF, 55838
$104.00 where: (a) the service is not associated with a service to which an item in
the Cardiac or Vascular ultrasound groups apply; and (b) the patient is
not referred by a medical practitioner (NR)
55839
OC900 MID FOOT OR FORE FOOT, 1 or both sides, ULTRASOUND SCAN 55840
$380.00 OF, where: (a) the service is not associated with a service to which an
item in the Cardiac or Vascular ultrasound groups apply; and (b) the
referring practitioner is not a member of a group of practitioners of which
the first mentioned practitioner is a member (R)
55841
OC905 MID FOOT OR FORE FOOT, 1 or both sides, ULTRASOUND SCAN OF, 55842
$104.00 where: (a) the service is not associated with a service to which an item in
the Cardiac or Vascular ultrasound groups apply; and (b) the patient is
not referred by a medical practitioner (NR)
55843
OC910 ASSESSMENT OF A MASS ASSOCIATED WITH THE SKIN OR 55844
$305.00 SUBCUTANEOUS STRUCTURES, not being a part of the
musculoskeletal system, 1 or more areas, ULTRASOUND SCAN OF,
where: (a) the service is not associated with a service to which an item in
the Cardiac or Vascular ultrasound groups apply; and (b) the referring
practitioner is not a member of a group of practitioners of which the first
mentioned practitioner is a member (R)
55845
OC915 ASSESSMENT OF A MASS ASSOCIATED WITH THE SKIN OR 55846
$104.00 SUBCUTANEOUS STRUCTURES, not being a part of the
musculoskeletal system, 1 or more areas, ULTRASOUND SCAN OF,
where: (a) the service is not associated with a service to which an item in
the Cardiac or Vascular ultrasound groups apply; and (b) the patient is
not referred by a medical practitioner (NR)
55847
OC920 MUSCULOSKELETAL CROSS-SECTIONAL ECHOGRAPHY, in 55848
$380.00 conjunction with a surgical procedure using interventional techniques,
not being a service associated with a service to which any other item in
this Group applies, and not performed in conjunction with item OA245 ®
55849
OC925 MUSCULOSKELETAL CROSS-SECTIONAL ECHOGRAPHY, in 55850
$530.00 conjunction with a surgical procedure using interventional techniques,
inclusive of a diagnostic musculoskeletal ultrasound service, where: (a)
the referring practitioner has indicated on a referral for a
musculoskeletal ultrasound that a ultrasound guided intervention be
performed if clinically indicated; (b) the service is not performed in
conjunction with items OA245, or OC800 to OC920, and (c) the referring
practitioner is not a member of a group of practitioners of which the first
mentioned practitioner is a member (R)
55851
Page 392 1 November 2015

ULTRASOUND
MUSCULOSKELETAL
AMA Number
Fee
Description of Medical Service
MBS
Number
OC935 PAEDIATRIC SPINE, SPINAL CORD AND OVERLYING
55854
$104.00 SUBCUTANEOUS TISSUES, ULTRASOUND SCAN OF, where: a) the
service is not associated with a service to which an item in the Cardiac of
Vascular ultrasound groups apply; and b) the patient is not referred by a
medical practitioner (NR)
55855
1 November 2015 Page 393

Computed
Tomography

COMPUTED TOMOGRAPHY
BODY SCANNER
AMA Number
Fee
Description of Medical Service
MBS
Number
BODY SCANNER
HEAD
NOTE: For Computed Tomography for bone mineral assessment see items BF025 - BF095.
OD005 COMPUTED TOMOGRAPHY- scan of brain without intravenous contrast 56001
$595.00 medium, not being a service to which item OD505 applies (R)
56041
OD010 COMPUTED TOMOGRAPHY - scan of brain with intravenous contrast 56007
$755.00 medium and with any scans prior to intravenous contrast injection when 56047
undertaken, not being a service to which item OD510 applies (R)
OD015 COMPUTED TOMOGRAPHY - scan of pituitary fossa with or without 56010
$860.00 intravenous contrast medium and with or without brain scan when 56050
undertaken (R)
OD020 COMPUTED TOMOGRAPHY - scan of orbits with or without intravenous 56013
$860.00 contrast medium and with or without brain scan when undertaken (R) 56053
OD025 COMPUTED TOMOGRAPHY - scan of petrous bones in axial and 56016
$1,020.00 coronal planes in 1 mm or 2 mm sections, with or without intravenous 56056
contrast medium, with or without scan of brain (R)
OD035 COMPUTED TOMOGRAPHY - scan of facial bones, para nasal sinuses 56022
$680.00 or both without intravenous contrast medium (R)
56062
NOTE: Item OD038 is the AMA equivalent of MBS items 57362 and 57363. MBS items contain
restrictions on their use that have not been included in the AMA items.
‡
OD038
$385.00
Dental and temporo-mandibular joint imaging for diagnosis and
management of mandibular and dento-alveolar fractures, dental implant
planning, orthodontics, endodontic, periodontal and temporo-mandibular
joint conditions - without contrast medium. Payable once only, whether
one or more attendances are required to complete the service. Not being
a service to which items OD005-OD665 and OF180-OF189 applies
OD040 COMPUTED TOMOGRAPHY - scan of facial bones, para nasal sinuses 56028
$1,010.00 or both with intravenous contrast medium and with any scans of the
facial bones, para nasal sinuses or both prior to intravenous contrast
injection, when undertaken (R)
56068
NOTE: MBS items 56030 and 56036, introduced into the MBS on 1 February 2001, were not
incorporated into the AMA List as they are adequately covered by other items. For MBS items
56030 and 56036, AMA items OD005 and OD035 can be used.
NECK
OD105 COMPUTED TOMOGRAPHY - scan of soft tissues of neck, including 56101
$700.00 larynx, pharynx, upper oesophagus and salivary glands (not associated
with cervical spine) - without intravenous contrast medium, not being a
service to which item OD455 applies (R)
56141
Page 396 1 November 2015

COMPUTED TOMOGRAPHY
BODY SCANNER
AMA Number
Fee
Description of Medical Service
MBS
Number
OD110 COMPUTED TOMOGRAPHY - scan of soft tissues of neck, including 56107
$1,030.00 larynx, pharynx, upper oesophagus and salivary glands (not associated
with cervical spine) - with intravenous contrast medium and with any
scans of soft tissues of neck, including larynx, pharynx, upper
oesophagus and salivary glands (not associated with cervical spine) prior
to intravenous contrast injection, when undertaken, not being a service
associated with a service to which item OD460 applies (R)
56147
SPINE
OD165 COMPUTED TOMOGRAPHY - scan of spine, 1 or more regions with 56219
$990.00 intrathecal contrast medium, including the preparation for intrathecal
injection of contrast medium and any associated plain X-rays, not being
a service to which item OF516 applies (R)
56259
OD166 COMPUTED TOMOGRAPHY - scan of spine, cervical region, without 56220
$735.00 intravenous contrast medium, payable once only, whether 1 or more 56227
attendances are required to complete the service (R)
OD167 COMPUTED TOMOGRAPHY - scan of spine, thoracic region, without 56221
$735.00 intravenous contrast medium payable once only, whether 1 or more 56228
attendances are required to complete the service (R)
OD168 COMPUTED TOMOGRAPHY - scan of spine, lumbosacral region, 56223
$735.00 without intravenous contrast medium, payable once only, whether 1 or 56229
more attendances are required to complete the service (R)
OD169 COMPUTED TOMOGRAPHY - scan of spine, thoracic region, with 56224
$1,065.00 intravenous contrast medium and with any scans of the thoracic region of
the spine prior to intravenous contrast injection when undertaken; only 1
benefit payable whether 1 or more attendances are required to complete
the service (R)
56230
OD170 COMPUTED TOMOGRAPHY - scan of spine, lumbosacral region, with 56225
$1,065.00 intravenous contrast medium and with any scans of the lumbosacral
region of the spine prior to intravenous contrast injection when
undertaken; only 1 benefit payable whether 1 or more attendances are
required to complete the service (R)
56231
OD171 COMPUTED TOMOGRAPHY - scan of spine, lumbosacral region, with 56226
$1,065.00 intravenous contrast medium and with any scans of the lumbosacral
region of the spine prior to intravenous contrast injection when
undertaken; only 1 benefit payable whether 1 or more attendances are
required to complete the service (R)
56232
1 November 2015 Page 397

COMPUTED TOMOGRAPHY
BODY SCANNER
AMA Number
Fee
CHEST AND UPPER ABDOMEN
Description of Medical Service
MBS
Number
OD205 COMPUTED TOMOGRAPHY - scan of chest, including lungs,
56301
$900.00 mediastinum, chest wall and pleura, with or without scans of the upper
abdomen, without intravenous contrast medium, not being a service to
which item OD455 or OD505 applies and not including a study
performed to exclude coronary artery calcification or image the coronary
arteries (R)
56341
OD210 COMPUTED TOMOGRAPHY - scan of chest, including lungs,
56307
$1,215.00 mediastinum, chest wall and pleura, with or without scans of the upper
abdomen, with intravenous contrast medium and with any scans of the
chest including lungs, mediastinum, chest wall or pleura and upper
abdomen prior to intravenous contrast injection, when undertaken, not
being a service to which item OD460 or OD510 applies and not including
a study performed to exclude coronary artery calcification or image the
coronary arteries (R)
56347
UPPER ABDOMEN
OD255 COMPUTED TOMOGRAPHY - scan of upper abdomen only (diaphragm 56401
$760.00 to iliac crest) without intravenous contrast medium, not being a service to 56441
which item OD205, OD355, OD455 or OD505 applies (R)
OD260 COMPUTED TOMOGRAPHY - scan of upper abdomen only (diaphragm 56407
$1,090.00 to iliac crest) with intravenous contrast medium, and with any scans of
upper abdomen (diaphragm to iliac crest) prior to intravenous contrast
injection, when undertaken, not being a service to which item OD210,
OD360, OD460 or OD510 applies (R)
56447
PELVIS
OD305 COMPUTED TOMOGRAPHY - scan of pelvis only (iliac crest to pubic 56409
$760.00 symphysis) without intravenous contrast medium not being a service 56449
associated with a service to which item OD255 applies (R)
OD310 COMPUTED TOMOGRAPHY - scan of pelvis only (iliac crest to pubic 56412
$1,090.00 symphysis) with intravenous contrast medium and with any scans of
pelvis (iliac crest to pubic symphysis) prior to intravenous contrast
injection, when undertaken, not being a service to which item OD260
applies (R)
56452
UPPER ABDOMEN AND PELVIS
OD355
$1,160.00
Computed tomography - scan of upper abdomen and pelvis without
intravenous contrast medium, not for the purposes of virtual
colonoscopy, not being a service to which item OD455 or OD505 applies
(R)
Page 398 1 November 2015

COMPUTED TOMOGRAPHY
BODY SCANNER
AMA Number
Fee
OD360
$1,460.00
Description of Medical Service
COMPUTED TOMOGRAPHY - scan of upper abdomen and pelvis with
intravenous contrast medium and with any scans of upper abdomen and
pelvis prior to intravenous contrast injection, when undertaken, not being
a service to which item OD460 or OD510 applies
MBS
Number
† OD378 COMPUTED TOMOGRAPHY - scan of colon for exclusion or diagnosis 56553
$2,415.00 of colorectal neoplasia in a symptomatic or high risk patient, if: (a) one
[or more] of the following applies: (i) the patient has had an incomplete
colonoscopy in the 3 months before the scan; (ii) there is a high-grade
colonic obstruction; (iii) the patient is referred by a specialist or
consultant physician who performs colonoscopies [in the practice of his
or her speciality]; and (b) the service is not a service to which item
OD205, OD210, OD255, OD260, OD305, OD310, OD355, OD360,
OD455, OD460 or OD505 applies; and (c) the service has not been
performed on the patient in the 36 months before the scan (R)
56555
EXTREMITIES
OD405
$675.00
OD410
$1,005.00
COMPUTED TOMOGRAPHY - scan of extremities, 1 or more regions
without intravenous contrast medium (R)
COMPUTED TOMOGRAPHY - scan of extremities, 1 or more regions
with intravenous contrast medium and with any scans of extremities prior
to intravenous contrast injection, when undertaken (R)
CHEST, ABDOMEN, PELVIS AND NECK
OD455 COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with 56801
$1,400.00 or without scans of soft tissues of neck without intravenous contrast
medium, not including a study performed to exclude coronary artery
calcification or image the coronary arteries (R)
56841
OD460 COMPUTED TOMOGRAPHY - scan of chest, abdomen and pelvis with 56807
$1,705.00 or without scans of soft tissues of neck with intravenous contrast medium
and with any scans of chest, abdomen and pelvis with or without scans
of soft tissue of neck prior to intravenous contrast injection, when
undertaken, not including a study performed to exclude coronary artery
calcification or image the coronary arteries (R)
56847
BRAIN, CHEST AND UPPER ABDOMEN
OD505 COMPUTED TOMOGRAPHY - scan of brain and chest with or without 57001
$1,400.00 scans of upper abdomen without intravenous contrast medium, not
including a study performed to exclude coronary artery calcification or
image the coronary arteries (R)
57041
OD510 COMPUTED TOMOGRAPHY- scan of brain and chest with or without 57007
$1,705.00 scans of upper abdomen with intravenous contrast medium and with any
scans of brain and chest and upper abdomen prior to intravenous
contrast injection, when undertaken, not including a study performed to
exclude coronary artery calcification or image the coronary arteries (R)
57047
1 November 2015 Page 399

COMPUTED TOMOGRAPHY
BODY SCANNER
AMA Number
Fee
PELVIMETRY
Description of Medical Service
MBS
Number
OD555 COMPUTED TOMOGRAPHY - pelvimetry (R)
57201
$465.00
57247
INTERVENTIONAL TECHNIQUES
OD605 COMPUTED TOMOGRAPHY, in conjunction with a surgical procedure 57341
$1,455.00 using interventional techniques, not being a service associated with a 57345
service to which another item in this table applies (R)
SPIRAL ANGIOGRAPHY
OD655
$1,585.00
COMPUTED TOMOGRAPHY - spiral angiography with intravenous
contrast medium, including any scans performed before intravenous
contrast injection - 1 or more spiral data acquisitions, including image
editing, and maximum intensity projections or 3 dimensional surface
shaded display, with hardcopy recording of multiple projections, and the
service is not a study performed to image the coronary arteries (R)
OD665 COMPUTED TOMOGRAPHY of the coronary arteries performed on a 57360
$3,200.00 minimum of a 64 slice (or equivalent) scanner, where the request is
made by a specialist or consultant physician, and: the patient has stable
symptoms consistent with coronary ischaemia, is at low to intermediate
risk of coronary artery disease and would have been considered for
coronary angiography; or the patient requires exclusion of coronary
artery anomaly or fistula; or the patient will be undergoing non-coronary
cardiac surgery (R)
57361
Page 400 1 November 2015

Diagnostic
Radiology

DIAGNOSTIC RADIOLOGY RADIOGRAPHIC EXAMINATION -
EXTREMITIES
AMA Number
Fee
Description of Medical Service
RADIOGRAPHIC EXAMINATION - EXTREMITIES
MBS
Number
OF004 HAND OR WRIST OR FOREARM OR ELBOW OR HUMERUS (NR) 57506
$99.00
57529
OF008 HAND OR WRIST OR FOREARM OR ELBOW OR HUMERUS (R) 57509
$132.00
57530
OF012 HAND AND WRIST OR HAND, WRIST AND FOREARM OR FOREARM 57512
$134.00 AND ELBOW OR ELBOW AND HUMERUS (NR)
57532
OF016 HAND AND WRIST OF HAND, WRIST AND FOREARM OR FOREARM 57515
$180.00 AND ELBOW OR ELBOW AND HUMERUS (R)
57533
OF020 FOOT OR ANKLE OR LEG OR KNEE OR FEMUR (NR)
57518
$108.00
57535
OF024 FOOT OR ANKLE OR LEG OR KNEE OR FEMUR (R)
57521
$144.00
57536
OF028 FOOT AND ANKLE OR ANKLE AND LEG OR LEG AND KNEE OR 57524
$164.00 KNEE OR FEMUR (NR)
57538
OF032 FOOT AND ANKLE OR ANKLE AND LEG OR LEG AND KNEE OR 57527
$220.00 KNEE AND FEMUR (R)
57539
RADIOGRAPHIC EXAMINATION - SHOULDER OR PELVIS
OF052 SHOULDER OR SCAPULA(NR)
57700
$134.00
57702
OF056 SHOULDER OR SCAPULA (R)
57703
$180.00
57705
OF060 CLAVICLE (NR)
57706
$108.00
57708
OF064 CLAVICLE (R)
57709
$144.00
57711
OF068 HIP JOINT (R)
57712
$158.00
57714
OF072 PELVIC GIRDLE (R)
57715
$205.00
57717
OF076 FEMUR, INTERNAL FIXATION OF NECK OR INTERTROCHANTERIC 57721
$330.00 (PERTROCHANTERIC) FRACTURE (R)
57723
RADIOGRAPHIC EXAMINATION - HEAD
OF101 SKULL, not in association with item OF102 (R)
57901
$215.00
57911
Page 402 1 November 2015

DIAGNOSTIC RADIOLOGY
RADIOGRAPHIC EXAMINATION - HEAD
AMA Number
Fee
Description of Medical Service
MBS
Number
OF102 CEPHALOMETRY, not in association with item OF101 (R)
57902
$215.00
57914
OF104 SINUSES (R)
57903
$158.00
57917
OF108 MASTOIDS (R)
57906
$215.00
57920
OF112 PETROUS TEMPORAL BONES(R)
57909
$215.00
57923
OF116 FACIAL BONES - ORBIT, MAXILLA OR MALAR, ANY OR ALL (R) 57912
$158.00
57926
OF120 MANDIBLE, NOT BY ORTHOPANTOMOGRAPHY TECHNIQUE (R) 57915
$158.00
57929
OF124 SALIVARY CALCULUS (R)
57918
$156.00
57932
OF128 NOSE (R)
57921
$158.00
57935
OF132 EYE(R)
57924
$158.00
57938
OF136 TEMPORO-MANDIBULAR JOINTS(R)
57927
$170.00
57941
OF140 TEETH - SINGLE AREA (R)
57930
$110.00
57944
OF144 TEETH - FULL MOUTH (R)
57933
$260.00
57947
OF152 PALATO-PHARYNGEAL STUDIES WITH FLUOROSCOPIC
57939
$215.00 SCREENING (R)
57950
OF156 PALATO-PHARYNGEAL STUDIES WITHOUT FLUOROSCOPIC 57942
$166.00 SCREENING (R)
57953
OF160 LARYNX LATERAL AIRWAYS AND SOFT TISSUES OF THE NECK, 57945
$144.00 not being a service associated with a service to which item OF152 or 57956
OF156 applies (R)
OF180 ORTHOPANTOMOGRAPHY, for diagnosis and/or management of 57960
$160.00 trauma, infection, tumours, congential conditions or surgical conditions of 57959
the teeth or maxillofacial region (R)
1 November 2015 Page 403

DIAGNOSTIC RADIOLOGY
RADIOGRAPHIC EXAMINATION - HEAD
AMA Number
Fee
Description of Medical Service
MBS
Number
OF183 ORTHOPANTOMOGRAPHY, for diagnosis and/or management of 57963
$160.00 impacted teeth, caries, periodontal or peripical pathology where signs or 57962
symptoms of those conditions are evident (R)
OF186 ORTHOPANTOMOGRAPHY, for diagnosis and/or management of 57966
$160.00 missing or crowded teeth, or developmental anomalies of the teeth or 57965
jaws (R)
OF189 ORTHOPANTOMOGRAPHY, for diagnosis and/or management of 57969
$160.00 temporomandibular joint arthroses or dysfunction (R)
57968
RADIOGRAPHIC EXAMINATION - SPINE
OF200 SPINE - CERVICAL (R)
58100
$225.00
58102
OF204 SPINE - THORACIC (R)
58103
$184.00
58105
OF208 SPINE - LUMBO-SACRAL (R)
58106
$255.00
58111
OF212 SPINE - SACRO-COCCYGEAL (R)
58109
$156.00
58117
NOTE: For items OF216 and OF220 an account issued or a patient assignment form must show
the item numbers of the examinations performed under this item.
OF216 SPINE - two examinations of the kind referred to in items OF200, OF204, 58112
$325.00 OF208 and OF212 (R)
58123
OF220 SPINE - three examinations of the kind mentioned in items OF200, 58115
$445.00 OF204, OF208 and OF212 (R)
58124
BONE AGE STUDY AND SKELETAL SURVEYS
OF252 BONE AGE STUDY (R)
58300
$134.00
58302
OF256 SKELETAL SURVEY (R)
58306
$300.00
58308
RADIOGRAPHIC EXAMINATION - THORACIC REGION
OF264 CHEST (LUNG FIELDS) BY DIRECT RADIOGRAPHY (NR)
58500
$118.00
58502
OF268 CHEST (LUNG FIELDS) BY DIRECT RADIOGRAPHY (R)
58503
$158.00
58505
OF272 CHEST (LUNG FIELDS) by direct radiography WITH FLUOROSCOPIC 58506
$205.00 SCREENING (R)
58508
Page 404 1 November 2015

DIAGNOSTIC RADIOLOGY
AMA Number
Fee
RADIOGRAPHIC EXAMINATION - THORACIC
REGION
Description of Medical Service
MBS
Number
OF276 THORACIC INLET OR TRACHEA(R)
58509
$132.00
58511
OF280 LEFT RIBS OR RIGHT RIBS OR STERNUM (R)
58521
$144.00
58523
OF284 LEFT AND RIGHT RIBS OR LEFT RIBS AND STERNUM OR RIGHT 58524
$188.00 RIBS AND STERNUM (R)
58526
OF288 LEFT RIBS AND RIGHT RIBS AND STERNUM (R)
58527
$230.00
58529
RADIOGRAPHIC EXAMINATION - URINARY TRACT
OF300 PLAIN RENAL ONLY (R)
58700
$158.00
58702
OF304 INTRAVENOUS PYELOGRAPHY, with or without preliminary plain films 58706
$520.00 and with or without tomography (R)
58708
OF312 ANTEGRADE OR RETROGRADE PYELOGRAPHY with or without 58715
$500.00 preliminary plain films and with preparation and contrast injection - 1 side 58717
(R)
OF316 RETROGRADE CYSTOGRAPHY or retrograde urethrography with or 58718
$415.00 without preliminary plain films and with preparation and contrast injection 58720
(R)
OF320 RETROGRADE MICTURATING CYSTO-URETHROGRAPHY, with 58721
$455.00 preparation and contrast injection (R)
58723
RADIOGRAPHIC EXAMINATION - ALIMENTARY TRACT AND BILIARY SYSTEM
OF352 Plain abdominal only, not being a service associated with a service to 58900
$118.00 which item OF364, OF368, OF372 or OF384 applies (NR)
58902
OF356 Plain abdominal only, not being a service associated with a service to 58903
$158.00 which item OF364, OF368, OF372 or OF384 applies (R)
58905
OF364 BARIUM OR OTHER OPAQUE MEAL of 1 or more of pharynx,
58909
$305.00 oesophagus, stomach or duodenum, with or without preliminary plain
films of pharynx, chest or duodenum, not being a service associated with
a service to which item OG830 or OG840 or OF160 applies (R)
58911
OF368 BARIUM or other opaque meal OF OESOPHAGUS, STOMACH, 58912
$365.00 DUODENUM AND FOLLOW THROUGH TO COLON, with or without 58914
screening of chest and with or without preliminary plain film (R)
OF372 BARIUM or other opaque meal, SMALL BOWEL SERIES only, with or 58915
$260.00 without preliminary plain film (R)
58917
1 November 2015 Page 405

DIAGNOSTIC RADIOLOGY RADIOGRAPHIC EXAMINATION -
ALIMENTARY TRACT AND BILIARY SYSTEM
AMA Number
Fee
Description of Medical Service
MBS
Number
OF374 SMALL BOWEL ENEMA, barium or other opaque study of the small 58916
$465.00 bowel, including duodenal intubation, with or without preliminary plain
films, not being a service associated with a service to which item EJ725
applies (R)
58920
OF380 OPAQUE ENEMA, with or without air contrast study and with or without 58921
$445.00 preliminary plain films (R)
58923
OF384 GRAHAM'S TEST (cholecystography), with preliminary plain films and 58924
$260.00 with or without tomography (R)
58926
OF388 CHOLEGRAPHY DIRECT, with or without preliminary plain films and 58927
$250.00 with preparation and contrast injection, not being a service associated 58929
with a service to which item EJ395 applies (R)
OF392 CHOLEGRAPHY, percutaneous transhepatic, with or without preliminary 58933
$675.00 plain films and with preparation and contrast injection (R)
58935
OF396 CHOLEGRAPHY, drip infusion, with or without preliminary plain films, 58936
$645.00 with preparation and contrast injection and with or without tomography (R) 58938
OF400 DEFAECOGRAM (R)
58939
$460.00
58941
RADIOGRAPHIC EXAMINATION - LOCALISATION OF FOREIGN BODIES
OF452 LOCALISATION OF FOREIGN BODY, if provided in conjunction with a 59103
$66.00 service described in items OF004 - OF560
59104
RADIOGRAPHIC EXAMINATION - BREASTS
OF460 RADIOGRAPHIC EXAMINATION OF BOTH BREASTS, if:
59300
$260.00 (a) the patient is referred with a specific request for this procedure
and
59301
(b) there is reason to suspect the presence of malignancy in the
breasts because of:
(i) the past occurrence of breast malignancy in the patient
or members of the patient's family; or
(ii) symptoms or indications of malignancy found on an
examination of the patient by a medical practitioner (R)
OF464 RADIOGRAPHIC EXAMINATION OF 1 BREAST, if:
59303
$158.00 (a) the patient is referred with a specific request for this procedure; 59304
and
(b) there is reason to suspect the presence of malignancy in the
breasts because of:
(i) the past occurrence of breast malignancy in the patient or
members of the patient's family; or
(ii) symptoms or indications of malignancy found on an examination
of the patient by a medical practitioner (R)
Page 406 1 November 2015

DIAGNOSTIC RADIOLOGY
RADIOGRAPHIC EXAMINATION - BREASTS
AMA Number
Fee
Description of Medical Service
MBS
Number
OF468 MAMMARY DUCTOGRAM (galactography) - 1 breast (R)
59306
$300.00
59307
OF472 MAMMARY DUCTOGRAM, (galactography) - 2 breasts (R)
59309
$600.00
59310
OF476 RADIOGRAPHIC EXAMINATION OF BOTH BREASTS, in conjunction 59312
$260.00 with a surgical procedure on each breast, using interventional techniques 59313
(R)
OF480 RADIOGRAPHIC EXAMINATION OF 1 BREAST, in conjunction with a 59314
$156.00 surgical procedure using interventional techniques (R)
59315
OF484 RADIOGRAPHIC EXAMINATION OF EXCISED BREAST TISSUE to 59318
$140.00 confirm satisfactory excision of 1 or more lesions in 1 breast or both
following pre-operative localisation in conjunction with a service under
item EO536 (R)
59319
RADIOGRAPHIC EXAMINATION IN CONNECTION WITH PREGNANCY
OF492 PELVIMETRY, not being a service associated with a service to which 59503
$300.00 item OD555 applies (R)
59504
RADIOGRAPHIC EXAMINATION - WITH OPAQUE OR CONTRAST MEDIA
OF500 DISCOGRAPHY, each disc, with or without preliminary plain films and 59700
$320.00 with preparation and contrast injection (R)
59701
OF504 DACRYOCYSTOGRAPHY, 1 side, with or without preliminary plain film 59703
$250.00 and with preparation and contrast injection (R)
59704
OF508 HYSTEROSALPINGOGRAPHY, with or without preliminary plain films 59712
$375.00 and with preparation and contrast injection (R)
59713
OF510 BRONCHOGRAPHY, 1 side, with or without preliminary plain films and 59715
$475.00 with preparation and contrast injection (R)
59716
OF512 PHLEBOGRAPHY, 1 side, with or with out preliminary plain films and 59718
$445.00 with preparation and contrast injection (R)
59719
OF516 MYELOGRAPHY, 1 or more regions, with or without preliminary plain 59724
$745.00 films and with preparation and contrast injection, not being a service 59725
associated with a service to which item OD165 applies (R)
OF528 SIALOGRAPHY, 1 SIDE, with preparation and contrast injection, not 59733
$355.00 being a service associated with a service to which item OG760 applies 59734
(R)
OF532 VASOEPIDIDYMOGRAPHY, 1 side (R)
59736
$205.00
59737
1 November 2015 Page 407

DIAGNOSTIC RADIOLOGY
AMA Number
Fee
Description of Medical Service
RADIOGRAPHIC EXAMINATION - WITH
OPAQUE OR CONTRAST MEDIA
MBS
Number
OF536 Sinogram or fistulogram, 1 or more regions, with or without preliminary 59739
$245.00 plain films and with preparation and contrast injection (R)
59740
OF548 ARTHROGRAPHY, EACH JOINT, excluding the facet (zygapophyseal) 59751
$460.00 joints of the spine, single or double contrast study, with or without 59752
preliminary plain films and with preparation and contrast injection (R)
OF552 LYMPHANGIOGRAPHY, ONE OR BOTH SIDES, with preliminary plain 59754
$725.00 films and follow-up radiography and with preparation and contrast 59755
injection (R)
OF556 PERITONEOGRAM (herniography) with or without contrast medium 59760
$385.00 including preparation - performed on a person over 14 years of age (R) 59761
OF560 AIR INSUFFLATION during video - fluoroscopic imaging including 59763
$445.00 associated consultation (R)
59764
ANGIOGRAPHY
BY FILM OR OTHER TECHNIQUE AND REPORT
OF604 ANGIOCARDIOGRAPHY (R)
59903
$385.00
OF612 SELECTIVE CORONARY ARTERIOGRAPHY (R)
59912
$1,010.00
59972
OF630 SELECTIVE CORONARY ARTERIOGRAPHY AND
59925
$1,210.00 ANGIOCARDIOGRAPHY (R)
59973
OF635 ANGIOGRAPHY AND/OR DIGITAL SUBTRACTION ANGIOGRAPHY 59970
$505.00 with fluoroscopy and image acquisition using a mobile image intensifier, 59971
one or more regions including any preliminary plain films, preparation 59974
and contrast injection (R)
BY DIGITAL SUBTRACTION TECHNIQUE
OF652 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and 60000
$1,690.00 neck with or without arch aortography, 1 to 3 data acquisition runs (R)
OF656 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and 60003
$2,480.00 neck with or without arch aortography, 4 to 6 data acquisition runs (R)
OF660 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and 60006
$3,525.00 neck with or without arch aortography, 7 to 9 data acquisition runs (R)
OF664 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of head and 60009
$4,125.00 neck with or without arch aortography, 10 or more data acquisition runs
(R)
OF668 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax, 1 to 3 60012
$1,690.00 data acquisition runs (R)
Page 408 1 November 2015

DIAGNOSTIC RADIOLOGY
ANGIOGRAPHY
AMA Number
Fee
Description of Medical Service
MBS
Number
OF672 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax, 4 to 6 60015
$2,480.00 data acquisition runs (R)
OF676 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax, 7 to 9 60018
$3,525.00 data acquisition runs (R)
OF680 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of thorax, 10 or 60021
$4,125.00 more data acquisition runs (R)
OF684 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen, 1 60024
$1,690.00 to 3 data acquisition runs (R)
OF688 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen, 4 60027
$2,480.00 to 6 data acquisition runs (R)
OF692 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen, 7 60030
$3,525.00 to 9 data acquisition runs (R)
OF696 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of abdomen, 10 60033
$4,125.00 or more data acquisition runs (R)
OF700 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or 60036
$1,690.00 limbs, 1 to 3 data acquisition runs (R)
OF704 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or 60039
$2,480.00 limbs, 4 to 6 data acquisition runs (R)
OF708 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or 60042
$3,525.00 limbs, 7 to 9 data acquisition runs (R)
OF712 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of upper limb or 60045
$4,125.00 limbs, 10 or more data acquisition runs (R)
OF716 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or 60048
$1,690.00 limbs, 1 to 3 data acquisition runs (R)
OF720 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or 60051
$2,480.00 limbs, 4 to 6 data acquisition runs (R)
OF724 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or 60054
$3,525.00 limbs, 7 to 9 data acquisition runs (R)
OF728 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of lower limb or 60057
$4,125.00 limbs, 10 or more data acquisition runs (R)
OF732 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and 60060
$1,690.00 lower limb or limbs, 1 to 3 data acquisition runs (R)
OF736 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and 60063
$2,480.00 lower limb or limbs, 4 to 6 data acquisition runs (R)
1 November 2015 Page 409

DIAGNOSTIC RADIOLOGY
ANGIOGRAPHY
AMA Number
Fee
Description of Medical Service
MBS
Number
OF740 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and 60066
$3,525.00 lower limb or limbs, 7 to 9 data acquisition runs (R)
OF744 DIGITAL SUBTRACTION ANGIOGRAPHY, examination of aorta and 60069
$4,125.00 lower limb or limbs, 10 or more data acquisition runs (R)
OF748 SELECTIVE ARTERIOGRAPHY OR SELECTIVE VENOGRAPHY by 60072
$144.00 digital subtraction angiography technique, 1 vessel (NR)
OF752 SELECTIVE ARTERIOGRAPHY OR SELECTIVE VENOGRAPHY by 60075
$290.00 digital subtraction angiography technique, 2 vessels (NR)
OF756 SELECTIVE ARTERIOGRAPHY OR SELECTIVE VENOGRAPHYby 60078
$430.00 digital subtraction angiography technique, 3 or more vessels (NR)
TOMOGRAPHY
OF800 TOMOGRAPHY OF ANY REGION (R)
60100
$205.00
60101
FLUOROSCOPIC EXAMINATIONS
OF812 FLUOROSCOPY, with general anaesthesia (not being a service
60500
$144.00 associated with a radiographic examination) (R)
60501
OF816 FLUOROSCOPY, without general anaesthesia (not being a service 60503
$99.00 associated with a radiographic examination) (R)
60504
OF820 FLUOROSCOPY using a mobile image intensifier, in conjunction with a 60506
$215.00 surgical procedure lasting less than 1 hour, not being a service
60507
associated with a service to which another item in this table applies (R)
OF824 FLUOROSCOPY using a mobile image intensifier, in conjunction with a 60509
$330.00 surgical procedure lasting 1 hour or more, not being a service associated 60510
with a service to which another item in this table applies (R)
EXAMINATION NOT OTHERWISE COVERED
OF836
$16.80
RADIOGRAPHIC EXAMINATION of region and report not being a
service to which another item in this Group applies (R)
PREPARATION FOR RADIOLOGICAL PROCEDURE
OF864 ARTERIOGRAPHY (PERIPHERAL) OR PHLEBOGRAPHY - 1 vessel, 60918
$176.00 when used in association with a service to which items OF604, OF612,
OF630, OF635, OF636, OF637, OF638 or OF639 applies, not being a
service associated with a service to which items OF652 to OF756
inclusive apply (NR)
OF868 SELECTIVE ARTERIOGRAM OR PHLEBOGRAM, when used in 60927
$144.00 association with a service to which items OF604, OF612, OF630, OF635,
OF636, OF637, OF638 or OF639 applies, not being a service associated
with a service to which items OF652 to OF756 inclusive apply (NR)
Page 410 1 November 2015

DIAGNOSTIC RADIOLOGY
INTERVENTIONAL TECHNIQUES
AMA Number
Fee
INTERVENTIONAL TECHNIQUES
Description of Medical Service
MBS
Number
OF952 FLUOROSCOPY in an ANGIOGRAPHY SUITE with image
61109
$865.00 intensification, in conjunction with a surgical procedure using
interventional techniques, not being a service associated with a service
to which another item in this table applies (R)
61110
1 November 2015 Page 411

Magnetic
Resonance
Imaging

MAGNETIC RESONANCE IMAGING
AMA Number
Fee
OP200
$1,570.00
OP210
$3,140.00
OP220
$186.00
Description of Medical Service
Magnetic Resonance Study of one region of the body or two contiguous
regions of the body
Magnetic Resonance Study of three or more contiguous regions of the
body or two or more separate regions of the body
Use of gadolinium
MBS
Number
Page 414 1 November 2015

Nuclear Medicine
Imaging

NUCLEAR MEDICINE IMAGING
AMA Number
Fee
Description of Medical Service
MBS
Number
OS005 SINGLE STRESS OR REST MYOCARDIAL PERFUSION STUDY - 61302
$1,105.00 planar imaging
61651
OS015 SINGLE STRESS OR REST MYOCARDIAL PERFUSION STUDY - with 61303
$1,540.00 single photon emission tomography and with planar imaging when 61652
undertaken (R)
OS025 COMBINED STRESS AND REST, stress and re-injection or rest and 61306
$1,510.00 redistribution MYOCARDIAL PERFUSION STUDY, including delayed
imaging or re-injection protocol on a subsequent occasion - planar
imaging (R)
61653
OS035 COMBINED STRESS AND REST, stress and re-injection or rest and 61307
$1,945.00 redistribution MYOCARDIAL PERFUSION STUDY, including delayed
imaging or re-injection protocol on a subsequent occasion - with single
photon emission tomography and with planar imaging when undertaken
(R)
61654
OS045 MYOCARDIAL INFARCT-AVID-STUDY, with planar imaging and single 61310
$985.00 photon emission tomography, or planar imaging or single photon
61655
emission tomography (R)
OS055 GATED CARDIAC BLOOD POOL STUDY, (equilibrium), with planar 61313
$615.00 imaging and single photon emission tomography, or planar imaging or 61656
single photon emission tomography (R)
OS065 GATED CARDIAC BLOOD POOL STUDY, and first pass blood flow or 61314
$870.00 cardiac shunt study, with planar imaging and single photon emission 61657
tomography, or planar imaging, or single photon emission tomography (R)
OS075 GATED CARDIAC BLOOD POOL STUDY, with intervention, with planar 61316
$865.00 imaging and single photon emission tomography, or planar imaging, or 61658
single photon emission tomography (R)
OS085 GATED CARDIAC BLOOD POOL STUDY, with intervention and first 61317
$1,115.00 pass blood flow study or cardiac shunt study, with planar imaging and
single photon emission tomography or planar imaging, or single photon
emission tomography (R)
61659
OS095 CARDIAC FIRST PASS BLOOD FLOW STUDY or cardiac shunt study, 61320
$480.00 not being a service to which another item in this Group applies (R) 61660
OS105 LUNG PERFUSION STUDY, with planar imaging and single photon 61328
$450.00 emission tomography or planar imaging, or single photon emission 61661
tomography (R)
OS115 LUNG VENTILATION STUDY using aerosol, Technegas or xenon gas, 61340
$525.00 with planar imaging and single photon emission tomography or planar 61662
imaging or single photon emission tomography (R)
Page 416 1 November 2015

NUCLEAR MEDICINE IMAGING
AMA Number
Fee
Description of Medical Service
MBS
Number
OS125 LUNG PERFUSION STUDY AND LUNG VENTILATION STUDY using 61348
$895.00 aerosol, Technegas or xenon gas, with planar imaging and single photon
emission tomography, or planar imaging, or single photon emission
tomography (R)
61663
OS135 LIVER AND SPLEEN STUDY (colloid) - planar imaging (R)
61352
$545.00
61664
OS145 LIVER AND SPLEEN STUDY(colloid), with single photon emission 61353
$975.00 tomography and with planar imaging when undertaken (R)
61665
OS155 RED BLOOD CELL SPLEEN OR LIVER STUDY, including single photon 61356
$975.00 emission tomography when undertaken (R)
61666
OS165 HEPATOBILIARY STUDY, including morphine administration or pretreatment
61360
$845.00
with cholecystokinin (CCK) when undertaken (R)
61667
OS175 HEPATOBILIARY STUDY with formal quantification following baseline 61361
$1,030.00 imaging, using an infusion of cholecystokinin (CCK) (R)
61668
OS185 BOWEL HAEMORRHAGE STUDY (R)
61364
$985.00
61669
OS195 MECKEL'S DIVERTICULUM STUDY (R)
61368
$470.00
61670
OS200 INDIUM-LABELLED OCTREOTIDE STUDY - including single photon 61369
$4,125.00 emission tomography when undertaken, where: (a) there is a suspected
gastro-entero- pancreatic endocrine tumour, based on biochemical
evidence, with negative or equivocal conventional imaging; or (b) a
surgically amenable gastro- entero-pancreatic endocrine tumour has
been identified based on conventional techniques, in order to exclude
additional disease sites (R)
61671
OS205 SALIVARY STUDY (R)
61372
$470.00
61672
OS215 GASTRO-OESOPHAGEAL REFLUX STUDY, including delayed imaging 61373
$960.00 on a separate occasion when undertaken (R)
61673
OS225 OESOPHAGEAL CLEARANCE STUDY (R)
61376
$310.00
61674
OS235 GASTRIC EMPTYING STUDY, using single tracer (R)
61381
$1,420.00
61675
OS245 COMBINED SOLID AND LIQUID GASTRIC EMPTYING STUDY using 61383
$1,530.00 dual isotope technique or the same isotope on separate days (R) 61676
1 November 2015 Page 417

NUCLEAR MEDICINE IMAGING
AMA Number
Fee
Description of Medical Service
MBS
Number
OS255 RADIONUCLIDE COLONIC TRANSIT STUDY (R)
61384
$1,555.00
61677
OS265 RENAL STUDY, including perfusion and renogram images and computer 61386
$655.00 analysis or cortical study with planar imaging (R)
61678
OS275 RENAL CORTICAL STUDY, with single photon emission tomography 61387
$1,085.00 and planar quantification (R)
61679
OS285 SINGLE RENAL STUDY with pre-procedural administration of a diuretic 61389
$810.00 or angiotensin converting enzyme (ACE) inhibitor (R)
61680
OS295 RENAL STUDY WITH DIURETIC ADMINISTRATION following a 61390
$810.00 baseline study (R)
61681
OS305 COMBINED EXAMINATION INVOLVING A RENAL STUDY following 61393
$1,465.00 angiotensin converting enzyme (ACE) inhibitor provocation and a 61682
baseline study, in either order and related to a single referral episode (R)
OS315 CYSTOURETEROGRAM (R)
61397
$515.00
61683
OS325 TESTICULAR STUDY (R)
61401
$350.00
61684
OS335 CEREBRAL PERFUSION STUDY, with single photon emission
61402
$1,270.00 tomography and with planar imaging when undertaken (R)
61685
OS345 BRAIN STUDY WITH BLOOD BRAIN BARRIER AGENT, with planar 61405
$905.00 imaging and single photon emission tomography, or planar imaging, or 61686
single photon emission tomography (R)
OS355 CEREBRO-SPINAL FLUID TRANSPORT STUDY, with imaging on 2 or 61409
$1,650.00 more separate occasions (R)
61687
OS365 CEREBRO-SPINAL FLUID SHUNT PATENCY STUDY (R)
61413
$480.00
61688
OS375 DYNAMIC BLOOD FLOW STUDY or regional blood volume quantitative 61417
$260.00 study, not being a service associated with a service to which another 61689
item in this Group applies (R)
OS385 BONE STUDY - whole body, with, when undertaken, blood flow, blood 61421
$965.00 pool and delayed imaging on a separate occasion (R)
61690
OS395 BONE STUDY - whole body and single photon emission tomography, 61425
$1,400.00 with, when undertaken, blood flow, blood pool and delayed imaging on a 61691
separate occasion (R)
OS405 WHOLE BODY STUDY using Iodine (R)
61426
$1,085.00
61692
Page 418 1 November 2015

NUCLEAR MEDICINE IMAGING
AMA Number
Fee
Description of Medical Service
MBS
Number
OS415 WHOLE BODY STUDY using Gallium (R)
61429
$1,080.00
61693
OS425 WHOLE BODY STUDY using Gallium, with single photon emission 61430
$1,510.00 tomography (R)
61694
OS430 WHOLE BODY STUDY, using gallium - with single photon emission 61442
$1,765.00 tomography of 2 or more body regions acquired separately (R)
61700
OS435 WHOLE BODY STUDY using cells labelled with Technetium (R)
61433
$975.00
61695
OS445 WHOLE BODY STUDY using cells labelled with Technetium, with single 61434
$1,410.00 photon emission tomography (R)
61696
OS455 WHOLE BODY STUDY using Thallium (R)
61437
$1,170.00
61697
OS465 WHOLE BODY STUDY using Thallium, with single photon emission 61438
$1,605.00 tomography (R)
61698
OS475 BONE MARROW STUDY - whole body using technetium labelled bone 61441
$975.00 marrow agents (R)
61699
OS483 BONE MARROW STUDY - localised using technetium labelled agent (R) 61445
$545.00
61701
OS485 LOCALISED BONE OR JOINT STUDY, including when undertaken, 61446
$670.00 blood flow, blood pool and repeat imaging on a separate occasion (R) 61702
OS495 LOCALISED BONE OR JOINT STUDY and single photon emission 61449
$1,105.00 tomography, including when undertaken, blood flow, blood pool and 61703
repeat imaging on a separate occasion (R)
OS505 LOCALISED STUDY using Gallium (R)
61450
$790.00
61704
OS515 LOCALISED STUDY using Gallium, with single photon emission
61453
$1,225.00 tomography (R)
61705
OS525 LOCALISED STUDY using cells labelled with Technetium (R)
61454
$690.00
61706
OS535 LOCALISED STUDY using cells labelled with Technetium, with single 61457
$1,125.00 photon emission tomography (R)
61707
OS545 LOCALISED STUDY using Thallium (R)
61458
$855.00
61708
OS555 LOCALISED STUDY using Thallium, with single photon emission 61461
$1,290.00 tomography (R)
61709
1 November 2015 Page 419

NUCLEAR MEDICINE IMAGING
AMA Number
Fee
Description of Medical Service
MBS
Number
OS565 Repeat planar and single photon emission tomography imaging, or 61462
$325.00 repeat planar imaging or single photon emission tomography imaging on
an occasion subsequent to the performance of any one of items OS185,
OS405, OS415, OS425, OS430, OS505, OS515, OS585, OS615 or
OS625 where there is no additional administration of
radiopharmaceutical and where the previous radionuclide scan was
abnormal or equivocal (R)
61710
OS575 VENOGRAPHY (R)
61465
$555.00
61711
OS585 LYMPHOSCINTIGRAPHY (R)
61469
$690.00
61712
OS595 THYROID STUDY including uptake measurement when undertaken (R) 61473
$420.00
61713
OS605 PARATHYROID STUDY, planar imaging and single photon emission 61480
$765.00 tomography when undertaken (R)
61714
OS615 ADRENAL STUDY (R)
61484
$1,675.00
61715
OS625 ADRENAL STUDY, with single photon emission tomography (R)
61485
$2,110.00
61716
OS635 TEAR DUCT STUDY (R)
61495
$470.00
61717
OS645 PARTICLE PERFUSION STUDY (intra-arterial) or Le Veen shunt study 61499
$525.00 (R)
61718
OS647 CT SCAN performed at the same time and covering the same body area 61505
$220.00 as single photon emission tomography for the purpose of anatomic
localisation or attenuation correction where no separate diagnostic CT
report is issued and only in association with items OS005-OS800
61719
OS649 WHOLE BODY FDG PET study, performed for evaluation of a solitary 61523
$2,310.00 pulmonary nodule where the lesion is considered unsuitable for
transthoracic fine needle aspiration biopsy, or for which an attempt at
pathological characterisation has failed (R)
OS656 WHOLE BODY FDG PET study, performed for the staging of proven nonsmall
61529
$2,310.00
cell lung cancer, where curative surgery or radiotherapy is planned
(R)
OS664 FDG PET study of the brain for the evaluation of suspected residual or 61538
$2,185.00 recurrent malignant brain tumour based on anatomical imaging findings,
after definitive therapy (or during ongoing chemotherapy) in patients who
are considered suitable for further therapy (R)
Page 420 1 November 2015

NUCLEAR MEDICINE IMAGING
AMA Number
Fee
Description of Medical Service
MBS
Number
OS667 WHOLE BODY FDG PET study, following initial therapy, for the
61541
$2,310.00 evaluation of suspected residual, metastatic or recurrent colorectal
carcinoma in patients considered suitable for active therapy (R)
OS679 WHOLE BODY FDG PET study, following initial therapy, for the
61553
$2,425.00 evaluation of suspected metastatic or recurrent malignant melanoma in
patients considered suitable for active therapy (R)
OS685 FDG PET study of the brain, performed for the evaluation of refractory 61559
$2,225.00 epilepsy which is being evaluated for surgery (R)
OS691 WHOLE BODY FDG PET study, following initial therapy, for the
61565
$2,310.00 evaluation of suspected residual, metastatic or recurrent ovarian
carcinoma in patients considered suitable for active therapy (R)
OS697 WHOLE BODY FGD PET study, for the further primary staging of 61571
$2,310.00 patients with histologically proven carcinoma of the uterine cervix, at
FIGO stage IB2 or greater by conventional staging, prior to planned
radical radiation therapy or combined modality therapy with curative
intent (R)
OS701 WHOLE BODY FDG PET study, for the further staging of patients with 61575
$2,310.00 confirmed local recurrence of carcinoma of the uterine cervix considered
suitable for salvage pelvic chemoradiotherapy or pelvic exenteration with
curative intent (R)
OS703 WHOLE BODY FDG PET study, performed for the staging of proven 61577
$2,310.00 oesophageal or GEJ carcinoma, in patients considered suitable for active
therapy (R)
OS746 WHOLE BODY FDG PET study, for the initial staging of indolent non- 61616
$2,310.00 Hodgkin's lymphoma where clinical, pathological and imaging findings
indicate that the stage is I or IIA and the proposed management is
definitive radiotherapy with curative intent (R)
OS750 WHOLE BODY FDG PET study, for the initial staging of newly diagnosed 61620
$2,310.00 or previously untreated Hodgkin's or non-Hodgkin's lymphoma (excluding
indolent non-Hodgkin's lymphoma) (R)
OS752 WHOLE BODY FDG PET study, to assess response to first line therapy 61622
$2,310.00 either during treatment or within three months of completing definitive
first line treatment for Hodgkin's or non-Hodgkin's lymphoma (excluding
indolent non-Hodgkin's lymphoma) (R)
OS758 WHOLE BODY FDG PET study, for restaging following confirmation of 61628
$2,310.00 recurrence of Hodgkin's or non-Hodgkin's lymphoma (excluding indolent
non-Hodgkin's lymphoma) (R)
1 November 2015 Page 421

NUCLEAR MEDICINE IMAGING
AMA Number
Fee
Description of Medical Service
MBS
Number
OS762 WHOLE BODY FDG PET study, to assess response to second-line 61632
$2,310.00 chemotherapy when stem cell transplantation is being considered, for
Hodgkin's or non-Hodgkin's lymphoma (excluding indolent non-Hodgkin's
lymphoma) (R)
OS770 WHOLE BODY FDG PET study, for initial staging of patients with biopsy- 61640
$2,425.00 proven bone or soft tissue sarcoma (excluding gastrointestinal stromal
tumour) considered by conventional staging to be potentially curable (R)
OS776 WHOLE BODY FDG PET study, for the evaluation of patients with 61646
$2,425.00 suspected residual or recurrent sarcoma (excluding gastrointestinal
stromal tumour) after the initial course of definitive therapy to determine
suitability for subsequent therapy with curative intent (R)
OS800 LEUKOSCAN - for use in diagnostic imagining of the long bones and feet 61650
$1,905.00 in patients with suspected osteomyelitis, and where patients do not have 61729
access to ex-vivo WBC scanning.
Note: LeukoScan is only indicated for diagnostic imaging in patients
suspected of infection in the long bones and feet, including those with
diabetic ulcers. The descriptor does not cover patients who are being
investigated for other sites of infection
Page 422 1 November 2015

Pathology

PATHOLOGY
HAEMATOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
HAEMATOLOGY
NOTE: Pathology representatives, through the Pathology Services Table Committee, have in
recent years changed relativities within the MBS to better reflect professional and financial
resources involved in pathology services. As a result, the AMA also adjusted its relativities to
reflect those changes. There is therefore now a more constant and lower ratio between the AMA
and MBS benefits.
Some items in the Pathology section may be subject to MBS rules. Practitioners are advised to
make themselves aware of any such requirements in using Pathology items for MBS purposes.
PA005 Haemoglobin, erythrocyte sedimentation rate, blood viscosity - 1 or more 65060
$19.80 tests
PA015 Examination of: (a) a blood film by special stains to demonstrate Heinz 65066
$26.50 bodies, parasites or iron; or (b) a blood film by enzyme cytochemistry for
neutrophil alkaline phosphatase, alpha-naphthyl acetate esterase or
chloroacetate esterase; or (c) a blood film using any other special
staining methods including periodic acid Schiff and Sudan Black; or (d) a
urinary sediment for haemosiderin including a service described in item
PA025
PA022 Erythrocyte count, haematocrit, haemoglobin, calculation or
65070
$42.50 measurement of red cell index or indices, platelet count, leucocyte count
and manual or instrument generated differential count - not being a
service where haemoglobin only is requested - one or more instrument
generated set of results from a single sample; and (if performed) (a) a
morphological assessment of a blood film; (b) any service in item PA005
or PA025
PA025 Examination for reticulocytes including a reticulocyte count by any 65072
$25.50 method - 1 or more tests
PA030 Haemolysis or metabolic enzymes - assessment by: (a) erythrocyte 65075
$132.00 autohaemolysis test; or (b) erythrocyte osmotic fragility test; or (c) sugar
water test; or (d) G-6-P D (qualitative or quantitative) test; or (e) pyruvate
kinase (qualitative or quantitative) test; or (f) acid haemolysis test; or (g)
quantitation of muramidase in serum or urine; or (h) Donath Landsteiner
antibody test; or (i) other erythrocyte metabolic enzyme tests - 1 or more
tests
PA035 Tests for the diagnosis of thalassaemia consisting of haemoglobin 65078
$230.00 electrophoresis or chromatography and at least 2 of: (a) examination for
HbH; or (b) quantitation of HbA2; or (c) quantitation of HbF; including (if
performed) any service described in item PA005 or PA022
PA036 Tests described in PA035 if rendered by a receiving APP - 1 or more 65079
$230.00 tests
Page 424 1 November 2015

PATHOLOGY
HAEMATOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PA040 Tests for the investigation of haemoglobinopathy consisting of
65081
$245.00 haemoglobin electrophoresis or chromatography and at least 1 of: (a)
heat denaturation test; or (b) isopropanol precipitation test; or (c) tests for
the presence of haemoglobin S; or (d) quantitation of any haemoglobin
fraction (including S, C, D, E) including (if performed) any service
described in item PA005, PA022 or PA035
PA041 Tests described in Item PA040 if rendered by a receiving AAPP - 1 or 65082
$245.00 more tests
PA045 Bone marrow trephine biopsy - histopathological examination of sections 65084
$430.00 of bone marrow and examination of aspirated material (including clot
sections where necessary), including (if performed) any test described in
item PA005, PA015 or PA022
PA050 Bone marrow - examination of aspirated material (including clot sections 65087
$225.00 where necessary), including (if performed) any test described in item
PA005, PA015 or PA022
PA055 Blood grouping (including back-grouping if performed) - ABO and Rh (D 65090
$28.00 antigen)
PA060 Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N 65093
$56.00 factors or any other blood group system - 1 or more systems, including
item PA055 (if performed)
PA065 Blood grouping (including back-grouping if performed), and examination 65096
$104.00 of serum for Rh and other blood group antibodies, including: (a)
identification and quantitation of any antibodies detected; and (b) (if
performed) any test described in item PA005 or PA022
PA070 Compatibility tests by crossmatch - all tests performed on any one day 65099
$285.00 for up to 6 units, including: (a) all grouping checks of the patient and
donor; and (b) examination for antibodies, and if necessary identification
of any antibodies detected; and (c) (if performed) any tests described in
item PA005, PA022, PA055 or PA065
PA075 Compatibility tests by crossmatch - all tests performed on any one day in 65102
$425.00 excess of 6 units, including: (a) all grouping checks of the patient and
donor; and (b) examination for antibodies, and if necessary identification
of any antibodies detected; and (c) (if performed) any tests described in
item PA005, PA022, PA055, PA065, PA070 or PA080
PA080 Compatibility testing using at least a 3 cell panel and issue of red cells 65105
$285.00 for transfusion - all tests performed on any one day for up to 6 units,
including: (a) all grouping checks of the patient and donor; and (b)
examination for antibodies and, if necessary, identification of any
antibodies detected; and (c) (if performed) any tests described in item
PA005, PA022, PA055 or PA065
1 November 2015 Page 425

PATHOLOGY
HAEMATOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PA085 Compatibility testing using at least a 3 cell panel and issue of red cells 65108
$425.00 for transfusion - all tests performed on any one day in excess of 6 units,
including: (a) all grouping checks of the patient and donor; and (b)
examination for antibodies and, if necessary, identification of any
antibodies detected; and(c) (if performed) any tests described in item
PA005, PA022, PA055, PA065, PA070 or PA080
PA086 Release of fresh frozen plasma or cryoprecipitate for the use in a patient 65109
$32.50 for the correction of a coagulapathy - 1 release
PA087 Release of compatible fresh platelets for the use in a patient for platelet 65110
$32.50 support as a prophylaxis to minimise bleeding or during active bleeding -
1 release
PA090 Examination of serum for blood group antibodies (including identification 65111
$59.00 and, if necessary, quantitation of any antibodies detected)
PA095 1 or more of the following tests: (a) direct Coombs (antiglobulin) test; (b) 65114
$23.00 qualitative or quantitative test for cold agglutinins or heterophil antibodies
PA100 1 or more of the following tests: (a) spectroscopic examination of blood 65117
$51.00 for chemically altered haemoglobins; (b) detection of methaemalbumin
(Schumm's test)
PA105 Prothrombin time (including INR where appropriate), activated partial 65120
$35.00 thromboplastin time, thrombin time (including test for the presence of
heparin), test for factor XIII deficiency (qualitative), Echis test, Stypven
test, reptilase time, fibrinogen, or 1 of: fibrinogen degradation products,
fibrin monomer or D-dimer - 1 test
PA110 2 tests described in item PA105
65123
$51.00
PA115 3 tests described in item PA105
65126
$71.00
PA120 4 or more tests described in item PA105
65129
$90.00
PA131 Test for the presence of lupus anticoagulant not being a service
65137
$64.00 associated with any service to which items PA186, PA187, PA188,
PA189 and PA191 apply
PA133 Quantitation of euglobulin clot lysis time - 1 test
65140
$64.00
PA136 confirmation or clarification of an abnormal or indeterminate result from a 65142
$64.00 test described in item PA186, by testing a specimen collected on a
different day - 1 or more tests
Page 426 1 November 2015

PATHOLOGY
HAEMATOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PA140 Platelet aggregation in response to ADP, collagen, 5HT, ristocetin or 65144
$144.00 other substances; or heparin, low molecular weight heparins, heparinoid
or other drugs - 1 or more tests
PA145 Quantitation of anti-Xa activity when monitoring is required for a patient 65147
$96.00 receiving a low molecular weight heparin or heparinoid - 1 test
PA150 Quantitation of von Willebrand factor antigen, von Willebrand factor 65150
$180.00 activity (ristocetin cofactor assay), von Willebrand factor collagen binding
activity, factor II, factor V, factor VII, factor VIII, factor IX, factor X, factor
XI, factor XII, factor XIII, Fletcher factor, Fitzgerald factor, circulating
coagulation factor inhibitors other than by Bethesda assay - 1 test
PA155 2 tests described in item PA150
65153
$360.00
PA160 3 or more tests described in item PA150
65156
$540.00
PA161 A test described in item PA150, if rendered by a receiving APP, where 65157
$180.00 no tests in the item have been rendered by the referring APP - 1 test
PA162 Tests described in item PA150, other than that described in PA161, if 65158
$180.00 rendered by a receiving APP - each test to a maximum of 2 tests
PA165 Quantitation of circulating coagulation factor inhibitors by Bethesda 65159
$180.00 assay - 1 test
PA170 Examination of a maternal blood film for the presence of fetal red blood 65162
$26.50 cells (Kleihauer test)
PA175 Detection and quantitation of fetal red blood cells in the maternal 65165
$87.00 circulation by detection of red cell antigens using flow cytometric
methods including (if performed) any test described in item PA022 or
PA170
PA176 A test described in item PA175 if rendered by a receiving APP - 1 or 65166
$87.00 more tests
PA185 Test for the presence of antithrombin III deficiency, protein C deficiency, 65171
$64.00 protein S deficiency or activated protein C resistance in a first degree
relative of a person who has a proven defect of any of the above - 1 or
more tests
PA186 Test for the presence of antithrombin III deficiency, protein C deficiency, 65175
$64.00 protein S deficiency, lupus anticoagulant, activated protein C resistance -
where the request for the test(s) specifically identifies that the patient has
a history of venous thromboembolism - quantitation by 1 or more
techniques - 1 test
1 November 2015 Page 427

PATHOLOGY
HAEMATOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PA187 2 tests described in item PA186
65176
$124.00
PA188 3 tests described in item PA186
65177
$182.00
PA189 4 tests described in PA186
65178
$240.00
PA191 5 tests described in item PA186
65179
$300.00
PA192 A test described in item PA186, if rendered by a receiving AAPP, where 65180
$64.00 no tests in the item have been redered by the referring AAP - 1 test
PA193 Tests described in item PA186, other than that described in PA192, if 65181
$59.00 rendered by a receiving AAPP - each test to a maximum of 4 tests
CHEMICAL
PB005 Quantitation in serum, plasma, urine or other body fluid (except amniotic 66500
$24.50 fluid), by any method except reagent tablet or reagent strip (with or
without reflectance meter) of: acid phosphatase, alanine
aminotransferase, albumin, alkaline phosphatase, ammonia, amylase,
aspartate aminotransferase, bicarbonate, bilirubin (total), bilirubin (any
fractions), c-reactive protein, calcium (total or corrected for albumin),
chloride, creatine kinase, creatinine, gamma glutamyl transferase,
globulin, glucose, lactate dehydrogenase, lipase, magnesium,
phosphate, potassium, sodium, total protein, total cholesterol,
triglycerides, urate or urea - 1 test
PB010 2 tests described in item PB005
66503
$29.50
PB015 3 tests described in item PB005
66506
$34.50
PB020 4 tests described in item PB005
66509
$40.00
PB025 5 or more tests described in item PB005
66512
$45.00
PB032 Quantitation of bile acids in blood in pregnancy. To a maximum of 3 66517
$50.00 tests in a pregnancy
PB035 Investigation of cardiac or skeletal muscle damage by quantitative 66518
$51.00 measurement of creatine kinase isoenzymes, troponin or myoglobin in
blood - testing on 1 specimen in a 24 hour period
Page 428 1 November 2015

PATHOLOGY
CHEMICAL
AMA Number
Fee
‡
‡
†
Description of Medical Service
MBS
Number
PB036 Investigation of cardiac or skeletal muscle damage by quantitative 66519
$102.00 measurement of creatine kinase isoenzymes, troponin or myoglobin in
blood - testing on 2 or more specimens in a 24 hour period
PB065 Quantitation of HDL cholesterol
66536
$29.50
PB070 Electrophoresis of serum for demonstration of lipoprotein subclasses, if 66539
$78.00 the cholesterol is >6.5 mmol/L and triglyceride >4.0 mmol/L or in the
diagnosis of types III and IV hyperlipidaema
PB075 Oral glucose tolerance test for the diagnosis of diabetes mellitus that 66542
$48.00 includes the following: (a) administration of glucose; (b) at least 2
measurements of blood glucose; and if performed (c) any test
described in item PB330
PB080 Oral glucose challenge test in pregnancy for the detection of gestational 66545
$40.00 diabetes that includes:(a) administration of glucose; and (b) 1 or 2
measurements of blood glucose; and (c) any test in item PB330 (if
performed)
PB085 Oral glucose tolerance test in pregnancy for the diagnosis of gestational 66548
$51.00 diabetes that includes:(a) administration of glucose; and (b) at least 3
measurements of blood glucose; and (c) any test in item PB330 (if
performed)
PB090 Quantitation of glycated haemoglobin performed in the management of 66551
$42.50 established diabetes
PB095 Quantitation of glycated haemoglobin performed in the management of 66554
$42.50 pre-existing diabetes where the patient is pregnant - including a service
in item PB090 (if performed)
PB097 Quantitation of HbA1c (glycated haemoglobin) performed for the
66841
$42.50 diagnosis of diabetes in asymptomatic patients at high risk
PB100 Quantitation of fructosamine performed in the management of
66557
$24.50 established diabetes - each test to a maximum of 4 tests in a 12 month
period
PB105 Microalbumin - quantitation in urine
66560
$51.00
PB110 Osmolality, estimation by osmometer, in serum or in urine - 1 or more 66563
$63.00 tests
PB115 Quantitation of: (a) blood gases (including pO2, oxygen saturation and 66566
$85.00 pCO2); and (b) bicarbonate and pH; including any other measurement
(e.g. haemoglobin, lactate, potassium or ionised calcium) or calculation
performed on the same specimen - 1 or more tests on 1 specimen
1 November 2015 Page 429

PATHOLOGY
CHEMICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
PB120 Quantitation of blood gases, bicarbonate and pH as described in item 66569
$108.00 PB115 on 2 specimens performed within any 1 day
PB125 Quantitation of blood gases, bicarbonate and pH as described in item 66572
$130.00 PB115 on 3 specimens performed within any 1 day
PB130 Quantitation of blood gases, bicarbonate and pH as described in item 66575
$154.00 PB115 on 4 specimens performed within any 1 day
PB135 Quantitation of blood gases, bicarbonate and pH as described in item 66578
$176.00 PB115 on 5 specimens performed within any 1 day
PB140 Quantitation of blood gases, bicarbonate and pH as described in item 66581
$198.00 PB115 on 6 or more specimens performed within any 1 day
PB145 Quantitation of ionised calcium (except if performed as part of item 66584
$24.50 PB115) - 1 test
PB150 Urine acidification test for the diagnosis of renal tubular acidosis
66587
$120.00 including the administration of an acid load, and pH measurements on 4
or more urine specimens and at least 1 blood specimen
PB155 Calculus, analysis of 1 or more
66590
$78.00
PB160 Ferritin - quantitation, except if requested as part of iron studies
66593
$48.50
PB165 Iron studies, consisting of quantitation of: (a) serum iron; and (b)
66596
$88.00 transferrin or iron binding capacity; and (c) ferritin
PB180
$78.00
Vitamins - quantitation of vitamins B1, B2, B3, B6 or C in blood, urine or
other body fluid - 1 or more tests
PB181 A test described in item PB180 if rendered by a receiving APP - 1 or 66606
$78.00 more tests
PB183
$190.00
Vitamins - quantitation of vitamins A or E in blood, urine or other body
fluid - 1 or more tests
PB187 A test described in item PB183 if rendered by a receiving APP - 1 or 66610
$190.00 more tests
Page 430 1 November 2015

PATHOLOGY
CHEMICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
PB210 All qualitative and quantitative tests on blood, urine or other body fluid 66623
$106.00 for: (a) a drug or drugs of abuse (including illegal drugs and legally
available drugs taken other than in appropriate dosage); or (b) ingested
or absorbed toxic chemicals; including a service described in item
PB600, PB605, PB610, PB620 or PB625 (if performed), but excluding:
(c) the surveillance of sports people and athletes for performance
improving substances; and (d) the monitoring of patients participating in
a drug abuse treatment program
PB215 Detection or quantitation or both (not including the detection of nicotine 66626
$61.00 and metabolites in smoking withdrawal programs) of a drug, or drugs, of
abuse or a therapeutic drug, on a sample collected from a patient
participating in a drug abuse treatment program; but excluding the
surveillance of sports people and athletes for performance improving
substances; including all tests on blood, urine or other body fluid - 1 of
this item to a maximum of 36 in a 12 month period
PB220 Beta-2-microglobulin - quantitation in serum, urine or other body fluids - 66629
$51.00 1 or more tests
PB225 Caeruloplasmin, haptoglobins, or prealbumin - quantitation in serum, 66632
$51.00 urine or other body fluids - 1 or more tests
PB230 Alpha-1-antitrypsin - quantitation in serum, urine or other body fluid - 1 or 66635
$51.00 more tests
PB235 Isoelectric focussing or similar methods for determination of alpha-1- 66638
$74.00 antitrypsin phenotype in serum - 1 or more tests
PB236 A test described in item PB235 if rendered by a receiving APP - 1 or 66639
$74.00 more tests
PB240 Electrophoresis of serum or other body fluid to demonstrate: (a) the 66641
$74.00 isoenzymes of lactate dehydrogenase; or (b) the isoenzymes of alkaline
phosphatase; including the preliminary quantitation of total relevant
enzyme activity - 1 or more tests
PB241 A test described in item PB240 if rendered by a receiving AAPP - 1 or 66642
$74.00 more tests
PB245 C-1 esterase inhibitor - quantitation
66644
$51.00
PB250 C-1 esterase inhibitor - functional assay
66647
$114.00
1 November 2015 Page 431

PATHOLOGY
CHEMICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
PB255 Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), 66650
$62.00 CA-19.9 antigen (CA19.9), cancer associated serum antigen (CASA),
carcinoembryonic antigen (CEA), human chorionic gonadotrophin (HCG),
neuron specific enolase (NSE), thyroglobulin in serum or other body
fluid, in the monitoring of malignancy or in the detection or monitoring of
hepatic tumours, gestational trophoblastic disease or germ cell tumour -
quantitation - 1 test
PB256 A test described in item PB255, if rendered by a receiving APP, where 66651
$62.00 no tests in the item have been rendered by the referring APP - 1 test
PB257 A test described in item PB255, if rendered by a receiving APP, other 66652
$51.00 than that described in PB256, if rendered by a receiving APP -1 test
PB260 2 or more tests described in item PB255
66653
$114.00
PB262 Prostate specific antigen - quantitation - 1 of this item in a 12 month 66655
$51.00 period
PB265 Prostate specific antigen - quantitation in the monitoring of previously 66656
$51.00 diagnosed prostatic disease (including a test described in item PB262)
PB270 Prostate specific antigen - quantitation of 2 or more fractions of PSA and 66659
$94.00 any derived index including (if performed) a test described in item
PB265, in the follow up of a PSA result that lies at or above the age
related median but below the age related, method specific 97.5%
reference limit - 1 of this item in a 12 month period
PB272 Prostate specific antigen - quantitation of 2 or more fractions of PSA and 66660
$94.00 any derived index including (if performed) a test described in item
PB265, in the follow up of a PSA result that lies at or above the age
related, method specific 97.5% reference limit, but below a value of 10
ug/l - 4 of this item in a 12 month period
PB275 Quantitation of hormone receptors on proven primary breast or ovarian 66662
$205.00 carcinoma or a metastasis from a breast or ovarian carcinoma or a
subsequent lesion in the breast - 1 or more tests
PB276 A test described in item PB275 if rendered by a receiving APP - 1 or 66663
$205.00 more tests
PB280 Lead quantitation in blood or urine (other than for occupational health 66665
$78.00 screening purposes) to a maximum of 3 tests in a 6 month period - each
test
PB281 A test described in item PB280 if rendered by a receiving APP - 1 or 66666
$78.00 more tests
Page 432 1 November 2015

PATHOLOGY
CHEMICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
PB282 Quantitation of serum zinc in a patient receiving intravenous
66667
$77.00 alimentation - each test
PB290 Quantitation of serum aluminium in a patient in a renal dialysis program - 66671
$94.00 each test
PB295 Quantitation of: (a) faecal fat; or (b) breath hydrogen in response to 66674
$102.00 loading with disaccharides; 1 or more tests within a 28 day period
PB300 Test for tryptic activity in faeces in the investigation of diarrhoea of longer 66677
$28.50 than 4 weeks duration in children under 6 years old
PB305 Quantitation of disaccharidases and other enzymes in intestinal tissue - 1 66680
$188.00 or more tests
PB310 Enzymes - quantitation in solid tissue or tissues other than blood
66683
$188.00 elements or intestinal tissue - 1 or more tests
PB315 Performance of 1 or more of the following procedures: (a) growth 66686
$128.00 hormone suppression by glucose loading; (b) growth hormone
stimulation by exercise; (c) dexamethasone suppression test; (d) sweat
collection by iontophoresis for chloride analysis; (e) pharmacological
stimulation of growth hormone
PB330 Quantitation in blood or urine of hormones and hormone binding
66695
$80.00 proteins - ACTH, aldosterone, androstenedione, C- peptide, calcitonin,
cortisol, DHEAS, 11-deoxycortisol, dihydrotestosterone, FSH, gastrin,
glucagon, growth hormone, hydroxyprogesterone, insulin, LH, oestradiol,
oestrone, progesterone, prolactin, PTH, renin, sex hormone binding
globulin, somatomedin C(IGF-1), free or total testosterone, urine steroid
fraction or fractions, vasoactive intestinal peptide - 1 test
PB331 A test described in item PB330, if rendered by a receiving APP, where 66696
$80.00 no tests in the item have been rendered by the referring APP
PB332 Tests described in item PB330, other than that described in PB331, if 66697
$34.50 rendered by a receiving APP - each test to a maximum of 4 tests
PB335 2 tests described in item PB330 (This fee applies where 1 laboratory, or 66698
$114.00 more than 1 laboratory belonging to the same APA, performs the only 2
tests specified on the request form or performs 2 tests and refers the rest
to the laboratory of a separate APA)
PB340 3 tests described in item PB330 (This fee applies where 1 laboratory, or 66701
$146.00 more than 1 laboratory belonging to the same APA, performs the only 3
tests specified on the request form or performs 3 tests and refers the rest
to the laboratory of a separate APA)
1 November 2015 Page 433

PATHOLOGY
CHEMICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
PB345 4 tests described in item PB330 (This fee applies where 1 laboratory, or 66704
$180.00 more than 1 laboratory belonging to the same APA, performs the only 4
tests specified on the request form or performs 4 tests and refers the rest
to the laboratory of a separate APA)
PB350 5 or more tests described in item PB330
66707
$215.00
PB356 Quantitation in saliva of cortisol in: (a) the investigation of Cushing’s 66711
$80.00 syndrome; or (b) the management of children with congenital adrenal
hyperplasia
PB357 2 tests described in item PB356
66712
$114.00
PB361 A test described in item PB356, if rendered by a receiving APP, where 66714
$79.00 no tests in the item have rendered by the referring APP
PB362 Tests described in item PB356, other than tha described in PB361, if 66715
$34.00 rendered by a receiving APP, each test to a maximum of 1 test
PB365 TSH quantitation
66716
$79.00
PB370 Thyroid function tests (comprising the service described in item PB365 66719
$104.00 and 1 or more of the following tests - free thyroxine and/or free T3 in
respect of a patient, if at least 1 of the following conditions is satisfied:
(a) the patient has an abnormal level of TSH;(b) the tests are performed:
(i) for the purpose of monitoring thyroid disease in the patient; or (ii) to
investigate the sick euthyroid syndrome if the patient is an admitted
patient; or (iii) to investigate dementia or psychiatric illness of the patient;
or (iv) to investigate amenorrhoea or infertility of the patient (c) the
medical practitioner who requested the tests suspects the patient has a
pituitary dysfunction; (d) the patient is on drugs that interfere with thyroid
hormone metabolism or function
PB375 TSH quantitation described in item PB365 and 1 test described in item 66722
$112.00 PB330 (This fee applies where 1 laboratory, or more than 1 laboratory
belonging to the same APA, performs the only 2 tests specified on the
request form or performs 2 tests and refers the rest to the laboratory of a
separate APA)
PB376 Tests described in item PB375, that is, TSH quantitation and 1 test 66723
$112.00 described in PB330, if rendered by a receiving APP, where no tests in
the item have been rendered by the referring APP - 1 test
PB377 Tests described in item PB375, if rendered by a receiving APP, other 66724
$38.50 than that described in PB376. It is to include a quantitation of TSH -
each test to a maximum of 4 tests described in PB330
Page 434 1 November 2015

PATHOLOGY
CHEMICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
PB380 TSH quantitation described in item PB365 and 2 tests described in item 66725
$144.00 PB330 (This fee applies where 1 laboratory, or more than 1 laboratory
belonging to the same APA, performs the only 3 tests specified on the
request form or performs 3 tests and refers the rest to the laboratory of a
separate APA)
PB385 TSH quantitation described in item PB365 and 3 tests described in item 66728
$178.00 PB330 (This fee applies where 1 laboratory, or more than 1 laboratory
belonging to the same APA, performs the only 4 tests specified on the
request form or performs 4 tests and refers the rest to the laboratory of a
separate APA)
PB390 TSH quantitation described in item PB365 and 4 tests described in item 66731
$210.00 PB330 (This fee applies where 1 laboratory, or more than 1 laboratory
belonging to the same APA, performs the only 5 tests specified on the
request form or performs 5 tests and refers the rest to the laboratory of a
separate APA)
PB395 TSH quantitation described in item PB365 and 5 tests described in item 66734
$245.00 PB330 (This fee applies where 1 laboratory, or more than 1 laboratory
belonging to the same APA, performs 6 or more tests specified on the
request form)
PB410 Quantitation of alpha-fetoprotein in serum or other body fluids during 66743
$51.00 pregnancy except if requested as part of item PB421 or PB422
PB420 Amniotic fluid, spectrophotometric examination of, and quantitation of: 66749
$83.00 (a) lecithin/sphingomyelin ratio; or (b) palmitic acid, phosphatidylglycerol
or lamellar body phospholipid; or (c) bilirubin, including correction for
haemoglobin 1 or more tests
NOTE: For item PB421, the 3 in the descriptor 'uE3' should be subscripted.
PB421 Quantitation, in pregnancy, of any two of the following - total human 66750
$98.00 chorionic gonadotrophin (total HCG), free alpha human chorionic
gonadotrophin (free alpha HCG), free beta human chorionic
gonadotrophin (free beta HCG), pregnancy associated plasma protein A
(PAPP-A), unconjugated oestriol (uE3) alpha-fetoprotein (AFP) - to
detect foetal abnormality, including a service described in 1 or more of
items PH020 and PH025 (if performed)
PB422 Quantitation, in pregnancy, of any three or more tests described in PB421 66751
$140.00
PB425 Quantitation of acetoacetate, beta-hydroxybutyrate, citrate, oxalate, total 66752
$63.00 free fatty acids cysteine, homocysteine, cystine, lactate, pyruvate or
other amino acids and hydroxyproline (except if performed as part of
item PB460 or PB465) - 1 test
1 November 2015 Page 435

PATHOLOGY
CHEMICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
PB430 2 or more tests described in item PB425
66755
$98.00
PB431 Quantitation of 10 or more amino acids for the diagnosis of inborn errors 66756
$260.00 of metabolism - up to 4 tests in a 12 month period on specimens of
plasma, CSF and urine
PB432 Quantitation of 10 or more amino acids for monitoring of previously 66757
$260.00 diagnosed inborn errors of metabolism in 1 tissue type
PB435 Quantitation of angiotensin converting enzyme, or cholinesterase - 1 or 66758
$63.00 more tests
PB440 Test for reducing substances in faeces by any method (except reagent 66761
$33.50 strip or dipstick)
PB445 Examination for faecal occult blood (including tests for haemoglobin and 66764
$22.50 its derivatives in the faeces except by reagent strip or dip stick methods)
with a maximum of 3 examinations on specimens collected on separate
days in a 28 day period
PB450 2 examinations described in item PB445 performed on separately 66767
$45.00 collected and identified specimens
PB455 3 examinations described in item PB445 performed on separately 66770
$68.00 collected and identified specimens
PB460 Quantitation of products of collagen breakdown or formation for the 66773
$63.00 monitoring of patients with proven low bone mineral density, and if
performed, a service described in item PB425 - 1 or more tests
PB465 Quantitation of products of collagen breakdown or formation for the 66776
$63.00 monitoring of patients with metabolic bone disease or Paget's disease of
bone, and if performed, a service described in item PB425 - 1 or more
tests
PB470 Adrenaline, noradrenaline, dopamine, histamine, hydroxyindoleacetic 66779
$102.00 acid (5HIAA), hydroxymethoxymandelic acid (HMMA), homovanillic acid
(HVA), metanephrines, methoxyhydroxyphenylethylene glycol (MHPG),
phenylacetic acid (PAA) or serotonin - quantitation - 1 or more tests
PB471 A test described in item PB470 if rendered by a receiving APP - 1 or 66780
$102.00 more tests
PB475 Porphyrins or porphyrins precursors - detection in plasma, red cells, 66782
$33.50 urine or faeces - 1 or more tests
PB476 A test described in item PB475 if rendered by a receiving APP - 1 or 66783
$33.50 more tests
Page 436 1 November 2015

PATHOLOGY
CHEMICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
PB480 Porphyrins or porphyrins precursors - quantitation in plasma, red cells, 66785
$102.00 urine or faeces - 1 test
PB485 Porphyrins or porphyrins precursors - quantitation in plasma, red cells, 66788
$166.00 urine or faeces - 2 or more tests
PB486 A test described in item PB480 if rendered by a receiving APP, where no 66789
$100.00 tests in the item have been rendered by the referring APP - 1 test
PB487 A test described in item PB480 other than that described in PB486, if 66790
$65.00 rendered by a receiving AAPP - to a maximum of 1 test
PB490 Porphyrin biosynthetic enzymes - measurement of activity in blood cells 66791
$188.00 or other tissues - 1 or more tests
PB491 A test described in item PB490 if rendered by a receiving APP - 1 or 66792
$188.00 more tests
PB600 Quantitation in blood, urine or other body fluid by any method (except 66800
$46.00 reagent tablet or reagent strip) of any of the following being used
therapeuitically by the patient from whom the specimen was taken:
amikacin, carbamazepine, digoxin, disopyramide, ethanol, ethosuximide,
gentamicin, lithium, lignocaine, netilmicin, paracetamol, phenabarbitone,
primidone, phenytoin, procainamide, quinidine, salicylate, theophyline,
tobramicin, valproate or vancomycin - 1 test
PB605 2 tests described in item PB600
66803
$78.00
PB606
$46.00
A test described in item PB600 if rendered by a receiving APP, where no
tests in the item have been rendered by the referring APP - 1 test
PB607 A test described in item PB600 other than that described in PB606, if 66805
$31.50 rendered by a receiving APP - each test to a maximum of 2 tests
PB610 3 tests described in PB600
66806
$110.00
PB620 Quantitation, not elsewhere described in this Table by any method or 66812
$88.00 methods, in blood or other body fluid, of a drug being used
therapeutically by the patient from whom the specimen was taken - 1 test
(This fee applies where 1 laboratory, or more than 1 laboratory performs
the only test specified on the request form or performs 1 test and refers
the rest to the laboratory of a separate APP)
PB625 2 tests described in item PB620 (This fee applies where 1 laboratory, or 66815
$152.00 more than 1 laboratory belonging to the same APP, performs the only 2
tests specified on the request form or performs 2 tests and refers the rest
to the laboratory of a separate APP)
1 November 2015 Page 437

PATHOLOGY
CHEMICAL
AMA Number
Fee
Description of Medical Service
MBS
Number
PB627 A test described in item PB620 if rendered by a receiving APP, where no 66816
$152.00 tests in the item have been rendered by the referring APP - 1 test
PB628 A test described in item PB620, other than that described in PB627, if 66817
$108.00 rendered by a receiving APP - to a maximum of 1 test
PB631
$77.00
Quantitation of copper, manganese, selenium, or zinc (except if item
PB282 applies), in blood, urine or other body fluid - 1 test
PB632 A test described in item PB631 if rendered by a receiving APP, where no 66820
$77.00 tests in the item have been rendered by the referring APP - 1 test
PB633 A test described in item PB631 other than that described in PB632 if 66821
$55.00 rendered by a receiving APP to a maximum of 1 test
PB635
$132.00
PB637
$77.00
Quantitation of copper, manganese, selenium, or zinc (except if item
PB282 applies), in blood, urine or other body fluid - 2 or more tests
Quantitation of aluminium (except if item PB290 applies), arsenic,
beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in
blood, urine or other body fluid or tissue - 1 test
PB638 A test described in item PB637 if rendered by a receiving APP where no 66826
$77.00 tests have been rendered by the referring APP - 1 test
PB639 A test described in item PB637, other than that described in PB638, if 66827
$55.00 rendered by a receiving APP to a maximum of 1 test
PB640
$132.00
Quantitation of aluminium (except if item PB290 applies), arsenic,
beryllium, cadmium, chromium, gold, mercury, nickel, or strontium, in
blood, urine or other body fluid or tissue - 2 or more tests
PB642 Quantitation of BNP or NT-proBNP for the diagnosis of heart failure in 66830
$156.00 patients presenting with dyspnoea to a hospital Emergency Department
PB647 Quantitation of copper or iron in liver tissue biopsy
66831
$77.00
PB648 A test described in item PB647 if rendered by a receiving APP
66832
$77.00
NOTE: MBS items 66833, 66834, 66835, 66836 and 66837 contain restrictions on their use that
have not been included in the AMA equivalent items PB650, PB651, PB652 and PB653.
† PB650 25-hydroxyvitamin D, quantification in serum
66833
$83.00
†
PB651 A test described in item PB650 if rendered by a receiving APP
66834
$83.00
Page 438 1 November 2015

PATHOLOGY
CHEMICAL
AMA Number
Fee
†
†
†
†
†
Description of Medical Service
MBS
Number
PB652 1, 25-hydroxyvitamin D, quantification in serum
66835
$108.00
66836
PB653 A test described in item PB652 if rendered by a receiving APP
66837
$108.00
PB655 Serum vitamin B12 test
66838
$63.00
PB656 Quantification of vitamin B12 markers such as holoTranscobalamin or 66839
$114.00 methylmalonic acid, where initial serum vitamin B12 result is low or
equivocal
PB657 Serum folate test and, if required, red cell folate test for a patient at risk 66840
$63.00 of folate deficiency, including patients with malabsorption conditions,
macrocytic anaemia or coeliac disease
PB700 CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 66900
$194.00 urea, including the measurement of exhaled 13CO2 or 14CO2 (except if
item 12533 applies) for either: (a) the confirmation of Helicobacter pylori
colonisation or (b) the monitoring of the success of eradication of
Helicobacter pylori
MICROBIOLOGY
PC005 Microscopy of wet film material other than blood, from 1 or more sites, 69300
$31.50 obtained directly from a patient (not cultures) including: (a) differential
cell count (if performed); or (b) examination for dermatophytes; or (c)
dark ground illumination; or (d) stained preparation or preparations using
any relevant stain or stains; 1 or more tests
PC010 Culture and (if performed) microscopy to detect pathogenic microorganisms
69303
$55.00
from nasal swabs, throat swabs, eye swabs and ear swabs
(excluding swabs taken for epidemiological surveillance), including (if
performed): (a) pathogen identification and antibiotic susceptibility
testing; or (b) a service described in item PC005; specimens from 1 or
more sites
PC015 Microscopy and culture to detect pathogenic micro- organisms from skin 69306
$85.00 or other superficial sites, including (if performed): (a) pathogen
identification and antibiotic susceptibility testing; or (b) a service
described in items PC005, PC010, PC025, and PC035; 1 or more tests
on 1 or more specimens
PC020 Microscopy and culture to detect dermatophytes and other fungi causing 69309
$120.00 cutaneous disease from skin scrapings, skin biopsies, hair and nails
(excluding swab specimens) and including (if performed): (a) the
detection of antigens not elsewhere specified in this Table; or (b) a
service described in items PC005, PC010, PC015, PC025, and PC035; 1
or more tests on 1 or more specimens
1 November 2015 Page 439

PATHOLOGY
MICROBIOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PC025 Microscopy and culture to detect pathogenic micro-organisms from 69312
$85.00 urethra, vagina, cervix or rectum (except for faecal pathogens), including
(if performed): (a) pathogen identification and antibiotic susceptibility
testing; or (b) a service described in items PC005, PC010, PC015 and
PC035 1 or more tests on 1 or more specimens
PC033 Detection of Chlamydia trachomatis by any method 1 test
69316
$71.00
PC034 1 test described in item PC321 and a test described in PC033
69317
$89.00
PC035 Microscopy and culture to detect pathogenic micro-organisms from 69318
$81.00 specimens of sputum (except when part of items PC045, PC050,
PC055), including (if performed): (a) pathogen identification and
antibiotic susceptibility testing; or (b) a service described in items PC005,
PC010, PC015 and PC025; 1 or more tests on 1 or more specimens
PC036 2 tests described in item PC321 and a test described in PC033
69319
$108.00
PC040 Microscopy and culture of post-operative wounds, aspirates of body 69321
$122.00 cavities, synovial fluid, CSF or operative or biopsy specimens, for the
presence of pathogenic micro-organisms involving aerobic and anaerobic
culture and the use of different culture media, and including (if
performed); (a) pathogen identification and antibiotic susceptibility
testing; or (b) a service described in item PC005, PC010 or PC015,
PC025 or PC035; specimens from 1 or more sites
PC045 Microscopy (with appropriate stains) and culture for mycobacteria - 1 69324
$108.00 specimen of sputum, urine, or other body fluid or 1 operative or biopsy
specimen, including (if performed): (a) microscopy and culture of other
bacterial pathogens isolated as a result of this procedure; or (b)
pathogen identification and antibiotic susceptibility testing; including a
service mentioned in item PC005
PC046
$108.00
A test described in item PC045 if rendered by a receiving APP
PC050 Microscopy (with appropriate stains) and culture for mycobacteria - 2 69327
$215.00 specimens of sputum, urine, or other body fluid or 2 operative or biopsy
specimens, including (if performed): (a) microscopy and culture of other
bacterial pathogens isolated as a result of this procedure; or (b)
pathogen identification and antibiotic susceptibility testing; including a
service mentioned in item PC005
PC051
$215.00
A test described in item PC050 if rendered by a receiving APP
Page 440 1 November 2015

PATHOLOGY
MICROBIOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PC055 Microscopy (with appropriate stains) and culture for mycobacteria - 3 69330
$320.00 specimens of sputum, urine, or other body fluid or 3 operative or biopsy
specimens, including (if performed): (a) microscopy and culture of other
bacterial pathogens isolated as a result of this procedure; or (b)
pathogen identification and antibiotic susceptibility testing; including a
service mentioned in item PC005
PC056
$320.00
A test described in item PC055 if rendered by a receiving APP
PC060 Urine examination (including serial examination) by any means other 69333
$52.00 than simple culture by dip slide, including: (a) cell count; and (b) culture;
and (c) colony count; and (d) (if performed) stained preparations; and (e)
(if performed) identification of cultured pathogens; and (f) (if performed)
antibiotic susceptibility testing; and (g) (if performed) examination for pH,
specific gravity, blood, protein, urobilinogen, sugar, acetone or bile salts
PC065 Microscopy of faeces for ova, cysts and parasites using a concentration 69336
$86.00 technique, and the use of fixed stains or antigen detection for
cryptosporidia and giardia, including (if performed) a service mentioned
in item PC005 - 1 of this item in any 7 day period
PC070 Microscopy of faeces for ova, cysts and parasites using concentration 69339
$48.00 techniques examined subsequent to item PC065 on a separately
collected and identified specimen collected within 7 days of the
examination described in PC065 - 1 examination in any 7 day period
PC080 Culture and (if performed) microscopy without concentration techniques 69345
$132.00 of faeces for faecal pathogens, using at least 2 selective or enrichment
media and culture in at least 2 different atmospheres including (if
performed): (a) pathogen identification and antibiotic susceptibility
testing; and (b) the detection of clostridial toxins; and (c) a service
described in item PC005; - 1 examination in any 7 day period
PC095 Blood culture for pathogenic micro-organisms (other than viruses), 69354
$77.00 including sub-cultures and (if performed): (a) identification of any cultured
pathogen; and (b) necessary antibiotic susceptibility testing; to a
maximum of 3 sets of cultures - 1 set of cultures
PC100 2 sets of cultures described in item PC095
69357
$154.00
PC105 3 sets of cultures described in item PC095
69360
$230.00
PC110 Detection of clostridium difficile or clostridium difficile toxin (except if a 69363
$64.00 service described in item PC080 has been performed) - 1 or more tests
1 November 2015 Page 441

PATHOLOGY
MICROBIOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
NOTE: Confidentiality provisions apply to the billing of the HIV viral load tests in items PC135,
PC140 and PC142. To maintain confidentiality when billing for these tests, the code 'VLT'
together with the item number should be used instead of a more detailed description of the
tests.
PC135 Quantitation of HIV viral RNA load in plasma or serum in the monitoring 69378
$450.00 of a HIV sero-positive patient not on antiretroviral therapy - 1 or more
tests
PC136 A test described in item PC135 if rendered by a receiving APP -1 or 69379
$450.00 more tests
PC137 Genotypic testing for HIV antiretroviral resistance in a patient with 69380
$1,905.00 confirmed HIV infection if the patient's viral load is greater than 1,000
copies per ml at any of the following times: (a) at presentation; (b) before
antiretroviral therapy; or (c) when treatment with combination
antiretroviral agents fails; maximum of 2 tests in a 12 months period
PC140 Quantitation of HIV viral RNA load in plasma or serum in the monitoring 69381
$450.00 of antiretroviral therapy in a HIV sero-positive patient - 1 or more tests on
1 or more specimens
PC142 Quantitation of HIV viral RNA load in cerebrospinal fluid in a HIV seropositive
69382
$450.00
patient - 1 or more tests on 1 or more
specimens
PC144 A test described in item PC140 if rendered by a receiving APP - 1 or 69383
$450.00 more tests on 1 or more specimens
PC145 Quantitation of 1 antibody to microbial antigens not elsewhere described 69384
$39.50 in the Schedule - 1 test (This fee applies where a laboratory performs the
only antibody test specified on the request form or performs 1 test and
refers the rest to the laboratory of a separate APA)
PC150 2 tests described in item PC145 (This fee applies where 1 laboratory, or 69387
$72.00 more than 1 laboratory belonging to the same APA, performs the only
two estimations specified on the request form or performs 2 of the
antibody estimations specified on the request form and refers the
remainder to the laboratory of a separate APA)
PC155 3 tests described in item PC145 (This fee applies where 1 laboratory, or 69390
$108.00 more than 1 laboratory belonging to the same APA, performs the only 3
estimations specified on the request form or performs 3 of the antibody
estimations specified on the request form and refers the remainder to the
laboratory of a separate APA)
PC160 4 tests described in item PC145 (This fee applies where 1 laboratory, or 69393
$144.00 more than 1 laboratory belonging to the same APA, performs the only 4
estimations specified on the request form or performs 4 of the antibody
estimations specified on the request form and refers the remainder to the
laboratory of a separate APA)
Page 442 1 November 2015

PATHOLOGY
MICROBIOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PC165 5 or more tests described in item PC145 (This fee applies where 1 69396
$180.00 laboratory, or more than 1 laboratory belonging to the same APA,
performs the only 5 estimations specified on the request form or
performs 5 of the antibody estimations specified on the request form and
refers the remainder to the laboratory of a separate APA)
PC171 A test described in item PC145, if rendered by a receiving APP, where 69400
$39.50 no tests in the item have been rendered by the referring APP - 1 test
PC172 A test described in item PC145, other than that described in PC171, if 69401
$35.00 rendered by a receiving APP - each test to a maximum of 4 tests
PC180 Microbiological serology during a pregnancy (except in the investigation 69405
$39.50 of a clinically apparent intercurrent microbial illness or close contact with
a patient suffering from parvovirus infection or varicella during that
pregnancy) including: (a) the determination of 1 of the following: rubella
immune status, specific syphilis serology, carriage of Hepatitis B,
Hepatitis C antibody, HIV antibody and (b) (if performed) a service
described in 1 or more of items PC145, PC295, PC298 and PC301
PC185 Microbiological serology during a pregnancy (except in the investigation 69408
$70.00 of a clinically apparent intercurrent microbial illness or close contact with
a patient suffering from parvovirus infection of varicella during that
pregnancy) including: (a) the determination of 2 of the following: rubella
immune status, specific syphilis serology, carriage of Hepatitis B,
Hepatitis C antibody, HIV antibody and (b) (if performed) a service
described in 1 or more of items PC145, PC295, PC298 and PC301
PC190 Microbiological serology during a pregnancy (except in the investigation 69411
$98.00 of a clinically apparent intercurrent microbial illness or close contact with
a patient suffering from parvovirus infection or varicella during that
pregnancy) including: (a) the determination of 3 of the following: rubella
immune status, specific syphilis serology, carriage of Hepatitis B,
Hepatitis C antibody test, HIV antibody and (b) (if performed) a service
described in 1 or more of items PC145, PC295, PC298 and PC301
PC196 Microbiological serology during a pregnancy (except in the investigation 69413
$126.00 of a clinically apparent intercurrent microbial illness or close contact with
a patient suffering from parvovirus infection or varicella during that
pregnancy) including: (a) the determination of 4 of the following: rubella
immune status, specific syphilis serology, carriage of Hepatitis B,
Hepatitis C antibody, HIV antibody and (b) (if performed) a service
described in 1 or more of items PC145, PC295, PC298 and PC301
1 November 2015 Page 443

PATHOLOGY
MICROBIOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PC199 Microbiological serology during a pregnancy (except in the investigation 69415
$154.00 of a clinically apparent intercurrent microbial illness or close contact with
a patient suffering from parvovirus infection or varicella during that
pregnancy) including: (a) the determination of all 5 of the following:
rubella immune status, specific syphilis serology, carriage of Hepatitis B,
Hepatitis C antibody, HIV antibody and (b) (if performed) a service
described in 1 or more of items PC145, PC295, PC298 and PC301
PC202
$158.00
A test for high risk human papillomaviruses (HPV) in a patient who: - has
received excisional or ablative treatment for high grade squamous
intraepithelial lesions (HSIL) of the cervix within the last two years; or -
who within the last two years has had a positive HPV test after excisional
or ablative treatment for HSIL of the cervix ; or - is already undergoing
annual cytological review for the follow-up of a previously treated HSIL
PC203 A test described in item PC202 if rendered by a receiving APP - 1 test 69419
$158.00
PC247 Detection of Hepatitis C viral RNA in a patient undertaking antiviral 69445
$230.00 therapy for chronic HCV hepatitis (including a service described in item
PC326) - 1 test.
PC253 A test described in item PC247 if rendered by a receiving APP - 1 test 69451
$230.00
PC290 Test of cell-mediated immunity in blood for the detection of latent 69471
$88.00 tuberculosis in an immunosuppressed or immunocompromised patient -
1 test
PC291 Detection of antibodies to Epstein Barr Virus using specific serology - 1 69472
$39.50 test
PC293 Detection of antibodies to Epstein Barr Virus using specific serology - 2 69474
$72.00 or more tests
PC295 One test for hepatitis antigen or antibodies to determine immune status 69475
$39.50 or viral carriage following exposure or vaccination to Hepatitis A,
Hepatitis B, Hepatitis C or Hepatitis D
PC298 2 tests described in PC295
69478
$74.00
PC301 Investigation of infectious causes of acute or chronic hepatitis - 3 tests 69481
$102.00 for hepatitis antibodies or antigens
PC302 Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B 69482
$375.00 surface antigen positive and have chronic Hepatitis B, but are not
receiving antiviral therapy - 1 test
Page 444 1 November 2015

PATHOLOGY
MICROBIOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PC303 Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B 69483
$375.00 surface antigen positive and who have chronic Hepatitis B and are
receiving antiviral therapy - 1 test
PC304 Supplementary testing for Hepatitis B surface antigen or Hepatitis C 69484
$43.00 antibody using a different assay on the specimen which yielded a
reactive result on initial testing
PC315 Quantitation of HCV RNA load in plasma or serum in the pretreatment 69488
$450.00 evaluation or the assessment of efficacy for antiviral therapy of a patient
with chronic HCV Hepatitis - where any request for the test is made by or
on the advice of the specialist or consultant physician who manages the
treatment of the patient with chronic HCV Hepatitis (including a service in
item PC247 or PC326)
PC316 A test described in item PC315 if rendered by a receiving APP - 1 or 69489
$450.00 more tests
PC318
$510.00
Nucleic acid amplification and determination of Hepatitis C virus (HCV)
genotype if: (a) the patient is HCV RNA positive and is being evaluated
for antiviral therapy of chronic HCV hepatitis; and (b) the request for the
test is made by, or on the advice of, the specialist or consultant physician
managing the treatment of the patient
PC319 A test described in item PC318 if rendered by a receiving APP - 1 test 69492
$510.00
PC321 Detection of a virus or microbial antigen or microbial nucleic acid (not 69494
$64.00 elsewhere specified) 1 test
PC322 2 tests described in PC321
69495
$84.00
PC323 3 or more tests described in PC321
69496
$108.00
PC324 A test described in item PC321, if rendered by a receiving APP, where 69497
$64.00 no tests in the item have been rendered by the referring APP - 1 test
PC325 A test described in item PC321, other than that described in PC325, if 69498
$16.20 rendered by a receiving APP - each test to a maximum of 2 tests
PC326
$230.00
Detection of Hepatitis C viral RNA if at least 1 of the following criteria is
satisfied: (a) the patient is Hepatitis C sero-positive; (b) the patient's
serological status is uncertain after testing; (c) the test is performed for
the purpose of: (i) determining the Hepatitis C status of an
immunosuppressed or immunocompromised patient; or (ii) the detection
of acute Hepatitis C prior to seroconversion where considered necessary
for the clinical management of the patient
1 November 2015 Page 445

PATHOLOGY
MICROBIOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PC327 A test described in item PC326 if rendered by a receiving APP - 1 test 69500
$230.00
IMMUNOLOGY
PD005 Electrophoresis, quantitative and qualitative, of serum, urine or other 71057
$90.00 body fluid all collected within a 28 day period, to demonstrate: (a) protein
classes; or (b) presence and amount of paraprotein; including the
preliminary quantitation of total protein, albumin and globulin - 1
specimen type
PD010 Examination as described in item PD005 of 2 or more specimen types 71058
$128.00
PD015 Immunofixation or immunoelectrophoresis or isoelectric focussing of: (a) 71059
$74.00 urine for detection of Bence Jones proteins; or (b) serum, plasma or
other body fluid; and characterisation, if detected, of a paraprotein or
cryoglobulin not previously characterised - examination of 1 specimen
type (eg. serum, urine or CSF)
PD020 Examination as described in item PD015 of 2 or more specimen types 71060
$112.00
PD025 Electrophoresis and immunofixation or immunoelectrophoresis or 71062
$112.00 isoelectric focussing of CSF for the detection of oligoclonal bands and
including if required electrophoresis of the patient's serum for
comparison purposes - 1 or more tests
PD030 Detection and quantitation of cryoglobulins or cryofibrinogen - 1 or more 71064
$53.00 tests
PD032 Quantitation of total immunoglobulin A by any method in serum, urine or 71066
$37.00 other body fluid - 1 test
PD037 Quantitation of total immunoglobulin G by any method in serum, urine, or 71068
$37.00 other body fluid - 1 test
PD040 2 tests described in item PD032, PD037, PD047 or PD052
71069
$60.00
PD045 3 or more tests described in item PD032, PD037, PD047 or PD052 71071
$82.00
PD047 Quantitation of total immunoglobulin M by any method in serum, urine or 71072
$37.00 other body fluid - 1 test
PD050 Quantitation of all 4 immunoglobulin G subclasses
71073
$270.00
PD052 Quantitation of total immunoglobulin D by any method in serum, urine or 71074
$37.00 other body fluid - 1 test
Page 446 1 November 2015

PATHOLOGY
IMMUNOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PD055 Quantitation of immunoglobulin E (total), 1 test
71075
$69.00
PD056 A test described in item PD050 if rendered by a receiving APP - 1 test 71076
$270.00
PD060 Quantitation of immunoglobulin E (total) in the follow up of a patient with 71077
$69.00 proven immunoglobulin- E-secreting myeloma, proven congenital
immunodeficiency or proven allergic bronchopulmonary aspergillosis, 1
test
PD065 Detection of specific immunoglobulin E antibodies to single or multiple 71079
$68.00 potential allergens
PD070 Quantitation of total haemolytic complement
71081
$102.00
PD075 Quantitation of complement components C3 and C4 or properdin factor 71083
$51.00 B - 1 test
PD080 2 tests described in item PD075
71085
$73.00
PD085 3 or more tests described in item PD075
71087
$96.00
PD090 Quantitation of complement components or breakdown products of 71089
$74.00 complement proteins not elsewhere described in an item in this
Schedule - 1 test
PD091 A test described in item PD090, if rendered by a receiving APP, where 71090
$74.00 no tests in the item have been rendered by the referring APP - 1 test
PD095 2 tests described in item PD090
71091
$134.00
PD096 Tests described in item PD090, other than that described in PD091, if 71092
$60.00 rendered by a receiving APP - each test to a maximum of 2 tests
PD100 3 or more tests described in item PD090
71093
$194.00
PD105 Quantitation of serum or plasma eosinophil cationic protein, or both, to a 71095
$102.00 maximum of 3 assays in 1 year, for monitoring the response to therapy in
corticosteroid treated asthma, in a child aged less than 12 years
PD106 A test described in item PD105 if rendered by a receiving APP
71096
$102.00
PD110 Antinuclear antibodies - detection in serum or other body fluids, including 71097
$64.00 quantitation if required
1 November 2015 Page 447

PATHOLOGY
IMMUNOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PD115 Double-stranded DNA antibodies - quantitation by 1 or more methods 71099
$67.00 other than the Crithidia method
PD120 Antibodies to 1 or more extractable nuclear antigens - detection in serum 71101
$44.00 or other body fluids
PD125 Characterisation of an antibody detected in a service described in item 71103
$132.00 PD120 (including that service)
PD130 Rheumatoid factor - detection by any technique in serum or other body 71106
$28.50 fluids, including quantitation if required
PD155 Antibodies to tissue antigens not elsewhere specified in this Table - 71119
$44.00 detection, including quantitation if required, of 1 antibody
PD160 Detection of 2 antibodies specified in item PD155
71121
$53.00
PD165 Detection of 3 antibodies specified in item PD155
71123
$61.00
PD170 Detection of 4 or more antibodies specified in item PD155
71125
$70.00
PD175 Functional tests for lymphocytes - quantitation other than by microscopy 71127
$445.00 of: (a) proliferation induced by 1 or more mitogens; or (b) proliferation
induced by 1 or more antigens; or (c) estimation of 1 or more mixed
lymphocyte reactions; including a test described in item PA015 or PA005
(if performed), 1 of this item to a maximum of 2 in a 12 month period
PD180 2 tests described in item PD175
71129
$550.00
PD185 3 or more tests described in item PD175
71131
$660.00
PD187 Investigation of recurrent infection by qualitative assessment for the 71133
$26.50 presence of defects in oxidative pathways in neutrophils by the nitroblue
tetrazolium (NBT) reduction test
PD189 Investigation of recurrent infection by quantitative assessment of
71134
$265.00 oxidative pathways by flow cytometric techniques, including a test
described in PD187 (if performed)
PD190 Quantitation of neutrophil function, comprising at least 2 of the following: 71135
$525.00 (a) chemotaxis; (b) phagocytosis; (c) oxidative metabolism; (d)
bactericidal activity; including any test described in item PA015, PA022,
PD187 or PD189 (if performed), 1 of this item to a maximum of 2 in a 12
month period
Page 448 1 November 2015

PATHOLOGY
IMMUNOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PD195 Quantitation of cell-mediated immunity by multiple antigen delayed type 71137
$77.00 hypersensitivity intradermal skin testing using a minimum of 7 antigens, 1
of this item to a maximum of 2 in a 12 month period
PD200 Characterisation of 3 or more leucocyte surface antigens by
71139
$265.00 immunofluorescence or immunoenzyme techniques to assess lymphoid
or myeloid cell populations, including a total lymphocyte count or total
leucocyte count by any method, on 1 or more specimens of blood, CSF
or serous fluid
PD205 Characterisation of 3 or more leucocyte surface antigens by
71141
$500.00 immunofluorescence or immunoenzyme techniques to assess lymphoid
or myeloid cell populations on 1 or more disaggregated tissue specimens
PD210 Characterisation of 6 or more leucocyte surface antigens by
71143
$660.00 immunofluorescence or immunoenzyme techniques to assess lymphoid
or myeloid cell populations for the diagnosis (but not monitoring) of an
immunological or haematological malignancy, including a service
described in 1 or both of items PD200 and PD205 (if performed), on a
specimen of blood, CSF, serous fluid or disaggregated tissue
PD215 Characterisation of 6 or more leucocyte surface antigens by
71145
$1,075.00 immunofluorescence or immunoenzyme techniques to assess lymphoid
or myeloid cell populations for the diagnosis (but not monitoring) of an
immunological or haematological malignancy, including a service
described in 1 or more of items PD200, PD205 and PD210 (if
performed), on 2 or more specimens of disaggregated tissues or 1
specimen of disaggregated tissue and 1 or more specimens of blood,
CSF or serous fluid
PD217 Enumeration of CD34+ cells, only for the purposes of autologous or 71146
$270.00 directed allogeneic haemopoietic stem cell transplantation, including a
total white cell count on the pherisis collection
PD220 HLA-B27 typing
71147
$102.00
PD221 A test described in item PD220 if rendered by a receiving APP
71148
$102.00
PD225 Complete tissue typing for 4 HLA-A and HLA-B Class I antigens
71149
$275.00 (including any separation of leucocytes), including (if performed) a
service described in item PD220
PD230 Tissue typing for HLA-DR, HLA-DP and HLA-DQ Class II antigens 71151
$300.00 (including any separation of leucocytes) - phenotyping or genotyping of 2
or more antigens
1 November 2015 Page 449

PATHOLOGY
IMMUNOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PD235 Investigations in the assessment or diagnosis of systemic inflammatory 71153
$87.00 disease or vasculitis - antineutrophil cytoplasmic antibody
immunofluorescence (ANCA test), antineutrophil proteinase 3 antibody
(PR-3 ANCA test), antimyeloperoxidase antibody (MPO ANCA test) or
antiglomerular basement membrane antibody (GBM test) - detection of 1
antibody
PD236 A test described in item PD235, if rendered by a receiving APP, where 71154
$87.00 no tests in the item have been rendered by the referring APP - 1 test
PD240 Detection of 2 antibodies described in item PD235
71155
$120.00
PD241 Tests described in item PD235, other than that described in PD236, if 71156
$32.50 rendered by a receiving APP - each test to a maximum of 3 tests
PD245 Detection of 3 antibodies described in item PD235
71157
$152.00
PD250 Detection of 4 or more antibodies described in item PD235
71159
$184.00
PD270 Detection of antibodies (of 1 or more class or isotype) in the assessment 71163
$63.00 of diagnosis of coeliac disease or other gluten hypersensitivity
syndromes and including a service described in item PD032 (if
performed): a) antibodies to gliadin; or b) antibodies to endomysium; or
c) antibodies to tissue transglutaminase - 1 test
PD275 Two or more tests described in PD270 and including a service described 71164
$102.00 in PD032 (if performed)
PD276 Antibodies to tissue antigens (acetylcholine receptor, adrenal cortex, 71165
$88.00 heart, histone, insulin, insulin receptor, intrinsic factor, islet cell,
lymphocyte, neuron, ovary, parathyroid, platelet, salivary gland, skeletal
muscle, skin basement membrane and intercellular substance,
thyroglobulin, thyroid microsome or thyroid stimulating hormone
receptor) - detection, including quantitation if required, of 1 antibody
PD277 Detection of 2 antibodies described in item PD276
71166
$120.00
PD278 Detection of 3 antibodies described in item PD276
71167
$152.00
PD279 Detection of 4 or more antibodies described in item PD276
71168
$186.00
PD280 A test described in item PD276, if rendered by a receiving APP, where 71169
$88.00 no tests in the item have been rendered by the referring APP - 1 test
Page 450 1 November 2015

PATHOLOGY
IMMUNOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PD281 Tests described in item PD276, other than that described in PD280, if 71170
$33.00 rendered by a receiving APP - each test to a maximum of 3 tests
PD290 Antibody to cardiolipin or beta-2 glycoprotein I - detection, including 71180
$88.00 quantitation if required; one antibody specificity (IgG or IgM)
PD295 Detection of two antibodies described in item PD290
71183
$120.00
PD300 Detection of three or more antibodies described in item PD290
71186
$152.00
PD305 Detection of specific IgG antibodies to 1 or more respiratory disease 71189
$39.50 allergens not elsewhere specified
PD310 2 items described in item PD305
71192
$72.00
PD315 3 or more items described in item PD305
71195
$102.00
PD320 Estimation of serum tryptase for the evaluation of unexplained acute 71198
$102.00 hypotension or suspected anaphylactic event, assessment of risk in
stinging insect anaphylaxis, exclusion of mastocytosis, monitoring of
known mastocytosis
PD325 Detection and quantitation, if present, of free kappa and lambda light 71200
$90.00 chains in serum for the diagnosis or monitoring of amyloidosis, myeloma
or plasma cell dyscrasias
PD330 Determination of HLAB5701 status by flow cytometry or cytotoxity assay 71203
$102.00 prior to the initiation of Abacavir therapy including item PG048 if
performed
TISSUE PATHOLOGY
NOTE: The Tissue Pathology items PE005 - PE040 should be read in conjunction with the Table
of Complexity Levels appearing on pages 455 - 458.
PE005 Examination of complexity level 2 biopsy material with 1 or more tissue 72813
$205.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 1 or more
separately identified specimens
PE010 Examination of complexity level 3 biopsy material with 1 or more tissue 72816
$215.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 1 separately
identified specimen
1 November 2015 Page 451

PATHOLOGY
TISSUE PATHOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PE015 Examination of complexity level 3 biopsy material with 1 or more tissue 72817
$245.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 2 to 4 separately
identified specimens
PE016 Examination of complexity level 3 biopsy material with 1 or more tissue 72818
$270.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 5 or more
separately identified specimens
PE020 Examination of complexity level 4 biopsy material with 1 or more tissue 72823
$245.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 1 separately
identified specimen
PE025 Examination of complexity level 4 biopsy material with 1 or more tissue 72824
$355.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 2 to 4 separately
identified specimens
PE030 Examination of complexity level 4 biopsy material with 1 or more tissue 72825
$450.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 5 to 7 separately
identified specimens
PE031 Examination of complexity level 4 biopsy material with 1 or more tissue 72826
$490.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 8 to 11 separately
identified specimens
PE032 Examination of complexity level 4 biopsy material with 1 or more tissue 72827
$525.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 12 to 17
separately identified specimens
PE033 Examination of complexity level 4 biopsy material with 1 or more tissue 72828
$560.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 18 or more
separately identified specimens
PE035 Examination of complexity level 5 biopsy material with 1 or more tissue 72830
$685.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 1 or more
separately identified specimens
PE040 Examination of complexity level 6 biopsy material with 1 or more tissue 72836
$1,055.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 1 or more
separately identified specimens
Page 452 1 November 2015

PATHOLOGY
TISSUE PATHOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PE042 Examination of complexity level 7 biopsy material with multiple tissue 72838
$1,185.00 blocks, including specimen dissection, all tissue processing, staining,
light microscopy and professional opinion or opinions - 1 or more
separately identified specimens
PE045 Enzyme histochemistry of skeletal muscle for investigation of primary 72844
$77.00 degenerative or metabolic muscle diseases or of muscle abnormalities
secondary to disease of the central or peripheral nervous system - 1 or
more tests
PE050 Immunohistochemical examination of biopsy material by
72846
$150.00 immunofluorescence, immunoperoxidase or other labelled antibody
techniques with multiple antigenic specificities per specimen - 1 to 3
antibodies except those listed in PE058
PE055 Immunohistochemical examination of biopsy material by
72847
$225.00 immunofluorescence, immunoperoxidase or other labelled antibody
techniques with multiple antigenic specificities per specimen - 4 to 6
antibodies
PE056 Immunohistochemical examination of biopsy material by
72849
$260.00 immunofluorescence, immunoperoxidase or other labelled antibody
techniques with multiple antigenic specificities per specimen - 7 to 10
antibodies
PE057 Immunohistochemical examination of biopsy material by
72850
$300.00 immunofluorescence, immunoperoxidase or other labelled antibody
techniques with multiple antigenic specificities per specimen - 11 or more
antibodies
PE058 Immunohistochemical examination of biopsy material by
72848
$188.00 immunofluorescence, immunoperoxidase or other labelled antibody
techniques with multiple antigenic specificities per specimen - 1 to 3 of
the following antibodies - oestrogen, progesterone, and c-erb-B2(HER2)
PE060 Electron microscopic examination of biopsy material - 1 separately 72851
$460.00 identified specimen
PE065 Electron microscopic examination of biopsy material - 2 or more
72852
$615.00 separately identified specimens
PE070 Intraoperative consultation and examination of biopsy material by frozen 72855
$460.00 section or tissue imprint or smear - 1 separately identified specimen
PE075 Intraoperative consultation and examination of biopsy material by frozen 72856
$615.00 section or tissue imprint or smear - 2 to 4 separately identified specimens
PE080 Intraoperative consultation and examination of biopsy material by frozen 72857
$725.00 section or tissue imprint or smear - 5 or more separately identified
specimans
1 November 2015 Page 453

PATHOLOGY
TISSUE PATHOLOGY
AMA Number
Fee
Description of Medical Service
NOTE: Items PE085 and PE086 are the AMA equivalents of MBS items 72858 and 72859.
†
†
PE085
$350.00
PE086
$725.00
A no more than 30 minute limit, second, expert opinion and detailed
written report on a patient sample, requested by a treating clinician,
where further information is needed for accurate diagnosis and
appropriate patient management
A greater than 30 minute, second, expert opinion and detailed written
report on a patient sample, requested by a treating clinician, where
further information is needed for accurate diagnosis and appropriate
patient management
MBS
Number
Page 454 1 November 2015

PATHOLOGY
TISSUE PATHOLOGY
COMPLEXITY LEVELS FOR TISSUE PATHOLOGY ITEMS
(Listed A-Z by Specimen Type)
Specimen Type
Complexity Level
Adrenal resection, neoplasm 5
Adrenal resection, not neoplasm 4
Anus, all specimens not otherwise specified 3
Anus, neoplasm, biopsy 4
Anus, neoplasm, radical resection 6
Anus, submucosal resection – neoplasm 5
Appendix 3
Artery, all specimens not otherwise specified 3
Artery, biopsy 4
Bartholin’s gland, cyst 3
Bile duct, resection - all specimens 6
Bone, biopsy, currettings or fragments - lesion 5
Bone, biopsy or currettings quantitation - metabolic disease 6
Bone, femoral head 4
Bone, resection, neoplasm - all sites and types 6
Bone marrow, biopsy 4
Bone, all specimens not otherwise specified 4
Brain neoplasm, resection - cerebello-pontine angle 4
Brain or meninges, biopsy - all lesions 5
Brain or meninges, not neoplasm - temporal lobe 6
Brain or meninges, resection - neoplasm (intracranial) 5
Brain or meninges, resection - not neoplasm 4
Branchial cleft, cyst 4
Breast, excision biopsy, guidewire localisation - non-palpable lesion 6
Breast, excision biopsy or radical resection, malignant neoplasm -
6
all specimen types
Breast, incision biopsy or needle biopsy, malignant neoplasm -
4
all specimen types
Breast – microdochectomy 6
Breast – orientated wide local excision for carcinoma, with margin
7
assessment
Breast tissue - all specimens not otherwise specified 4
Bronchus, biopsy 4
Carotid body - neoplasm 5
Cholesteatoma 3
Digits, amputation - not traumatic 4
Digits, amputation - traumatic 2
Ear, middle and inner - not cholesteatoma 4
Endocrine neoplasm - not otherwise specified 5
Extremity, amputation or disarticulation - neoplasm 6
Extremity, amputation - not otherwise specified 4
Eye, conjunctiva - biopsy or pterygium 3
Eye, cornea 4
Eye, enucleation or exenteration - all lesions 6
Eye - not otherwise specified 4
Fallopian tube, biopsy 4
Fallopian tube, ectopic pregnancy 4
1 November 2015 Page 455

PATHOLOGY
TISSUE PATHOLOGY
Specimen Type
Complexity Level
Fallopian tube, sterilization 2
Foetus with dissection 6
Foreskin - new born 2
Foreskin - not new born 3
Gallbladder 3
Gallbladder and porta hepatis-radical resection 6
Ganglion cyst, all sites 3
Gum or oral mucosa, biopsy 4
Heart valve 4
Heart - not otherwise specified 5
Hernia sac 2
Hydrocele sac 2
Jaw, upper or lower, including bone, radical resection for neoplasm 6
Joint and periarticular tissue, without bone - all specimens 3
Joint tissue, including bone - all specimens 4
Kidney, biopsy including transplant 5
Kidney, nephrectomy transplant 5
Kidney, partial or total nephrectomy or nephroureterectomy - neoplasm 6
Kidney, partial or total nephrectomy - not neoplasm 4
Large bowel (including rectum), biopsy - all sites 4
Large bowel, colostomy - stoma 3
Large bowel (including rectum) polyp 4
Large bowel, segmental resection - colon, not neoplasm 5
Large bowel (including rectum), biopsy, for confirmation or exclusion of
5
Hirschsprung’s Disease
Large bowel (including rectum), segmental resection, neoplasm 6
Large bowel (including rectum), submucosal resection – neoplasm 5
Larynx, biopsy 4
Larynx, partial or total resection 5
Larynx, resection with nodes or pharynx or both 6
Lip, biopsy – all specimens not otherwise specified 3
Lip, wedge resection or local excision with orientation 4
Liver, hydatid cyst - resection for trauma 4
Liver, total or subtotal hepatectomy - neoplasm 6
Liver - all specimens not otherwise specified 5
Lung, needle or transbronchial biopsy 4
Lung, resection - neoplasm 6
Lung, wedge biopsy 5
Lung segment, lobar or total resection 6
Lymph node, biopsy - all sites 4
Lymph node, biopsy – for lymphoma or lymphoproliferative disorder 5
Lymph nodes, regional resection - all sites 5
Mediastinum mass 5
Muscle, biopsy 6
Nasopharynx or oropharynx, biopsy 4
Nerve, biopsy neuropathy 5
Nerve, neurectomy or removal of neoplasm 4
Nerve - not otherwise specified 3
Nose, mucosal biopsy 4
Nose or sinuses, polyps 3
Page 456 1 November 2015

PATHOLOGY
TISSUE PATHOLOGY
Specimen Type
Complexity Level
Odontogenic neoplasm 5
Odontogenic or dental cyst 4
Oesophagus, biopsy 4
Oesophagus, diverticulum 3
Oesophagus, partial or total resection 6
Oesophagus, submucosal resection – neoplasm 5
Omentum, biopsy 4
Ovary with or without tube - neoplasm 5
Ovary with or without tube - not neoplasm 4
Pancreas, biopsy 5
Pancreas, cyst 4
Pancreas, subtotal or total with or without splenectomy 6
Parathyroid gland(s) 4
Penisectomy with node dissection 5
Penisectomy - simple 4
Peritoneum, biopsy 4
Pituitary neoplasm 4
Placenta - not third trimester 4
Placenta - third trimester, abnormal pregnancy or delivery 4
Pleura or pericardium, biopsy or tissue 4
Products of conception, spontaneous or missed abortion 4
Products of conception, termination of pregnancy 3
Prostate – radical prostatectomy or cystoprostatectomy for carcinoma 7
Prostate, radical resection 6
Prostate - all types of specimen not otherwise specified 4
Retroperitoneum, neoplasm 5
Salivary gland, Mucocele 3
Salivary gland, neoplasm - all sites 5
Salivary gland - all specimens not otherwise specified 4
Sinus, paranasal, biopsy 4
Sinus, paranasal, resection - neoplasm 6
Skin, biopsy - blistering skin diseases 4
Skin, biopsy - inflammatory dermatosis 4
Skin, biopsy – for investigation of lymphoproliferative disorder 5
Skin, biopsy – for investigation of alopecia, where serial horizontal sections
5
are taken
Skin, local resection - orientation 4
Skin, resection of malignant melanoma with full evaluation
5
including measurement of Breslow thickness and Clark level
Skin - all specimens not otherwise specified including all
3
neoplasms and cysts
Small bowel - all specimens 5
Small bowel, diverticulum 3
Small bowel, resection - neoplasm 6
Small bowel, submucosal resection – neoplasm 5
Soft tissue, infiltrative lesion, extensive resections at least 5cm in maximal
6
dimension
Soft tissue, lipoma and variants 3
Soft tissue, neoplasm, not lipoma - all specimens 5
Soft tissue - not otherwise specified 4
1 November 2015 Page 457

PATHOLOGY
TISSUE PATHOLOGY
Specimen Type
Complexity Level
Spleen 5
Stomach - all specimens not otherwise specified 4
Stomach, endoscopic biopsy or endoscopic polypectomy 4
Stomach, resection, neoplasm - all specimens 6
Stomach, submucosal resection - neoplasm 5
Tendon or tendon sheath, giant cell neoplasm 4
Tendon or tendon sheath - not otherwise specified 3
Testis, biopsy 5
Testis and adjacent structures, castration 2
Testis and adjacent structures, neoplasm with or without nodes 5
Testis and adjacent structures, vas deferens sterilization 2
Testis and adjacent structures - not otherwise specified 3
Thymus - not otherwise specified 5
Thyroglossal duct - all lesions 4
Thyroid - all specimens 5
Tissue or organ not otherwise specified, abscess 3
Tissue or organ not otherwise specified, haematoma 3
Tissue or organ not otherwise specified, malignant neoplasm with
6
regional nodes
Tissue or organ not otherwise specified, neoplasm local 4
Tissue or organ not otherwise specified, pilonidal cyst or sinus 3
Tissue or organ not otherwise specified, thrombus or embolus 3
Tissue or organ not otherwise specified, veins varicosity 3
Tissue or organ - all specimens not otherwise specified 3
Tongue, biopsy 4
Tongue or tonsil, neoplasm local 5
Tongue or tonsil, neoplasm with nodes 6
Tonsil, biopsy - excluding resection of whole organ 4
Tonsil or adenoids or both 2
Trachea, biopsy 4
Ureter, biopsy 4
Ureter, resection 5
Urethra, biopsy 4
Urethra, resection 5
Urinary bladder, partial or total with or without prostatectomy 6
Urinary bladder, transurethral resection of neoplasm 5
Urinary bladder - all specimens not otherwise specified 4
Uterus, cervix, curettings or biopsy 4
Uterus, cervix cone, biopsy (including LLETZ or LEEP biopsy) 5
Uterus, endocervix, polyp 3
Uterus, endometrium, polyp 3
Uterus with or without adnexa, malignant neoplasm -
6
all specimen types not otherwise specified
Uterus with or without adnexa, neoplasm, Wertheim’s or pelvic clearance 6
Uterus and/or cervix - all specimens not otherwise specified 4
Vagina, biopsy 4
Vagina, radical resection 6
Vaginal mucosa, incidental 3
Vulva or labia, biopsy 4
Vulval, subtotal or total with or without nodes 6
Page 458 1 November 2015

PATHOLOGY
CYTOLOGY
AMA Number
Fee
CYTOLOGY
Description of Medical Service
MBS
Number
PF005 Cytology (including serial examinations) of nipple discharge or smears 73043
$51.00 from skin, lip, mouth, nose or anus for detection of precancerous or
cancerous changes - 1 or more tests
PF010 Cytology (including serial examinations) for malignancy (other than an 73045
$116.00 examination mentioned in item PF030); and including any tissue
pathology services listed in the previous section, if performed on: (a)
specimens resulting from washings or brushings from sites not specified
in item PF005; or (b) a single specimen of sputum or urine; or (c) 1 or
more specimens of other body fluids; 1 or more tests
PF015 Cytology of a series of 3 sputum or urine specimens for malignant cells 73047
$230.00
PF020 Cytology of material obtained directly from a patient by fine needle 73049
$166.00 aspiration of solid tissue or tissues - 1 identified site
PF021 - 2 or more separately identified sites
73062
$215.00
PF022 - where an employee of the APA also attends the aspiration for
73063
$240.00 confirmation of sample adequacy - 1 identified site
PF025 Cytology of material obtained directly from a patient at 1 identified site by 73051
$420.00 fine needle aspiration of solid tissue or tissues if: (a) the aspiration is
performed by a recognised pathologist; or (b) a recognised pathologist
attends the aspiration and performs cytological examination during the
attendance
PF030 Cytology of a smear from cervix where the smear is prepared by direct 73053
$47.50 application of the specimen to a slide, excluding the use of liquid based
slide preparation techniques, and the stained smear is microscopically
examined by or on behalf of a pathologist - each examination (a) for
detection of precancerous or cancerous changes in women with no
symptoms, signs or recent history suggestive of cervical neoplasia; or (b)
due to an unsatisfactory smear taken in the circumstances defined in
para (a) above; or (c) if there is inadequate information provided to use
item PF035 each examination
PF035 Cytology not associated with item PF030, of smears from cervix in 73055
$47.50 association with: (a) the management of previously detected
abnormalities including precancerous or cancerous conditions; or (b) the
investigation of women with symptoms, signs or recent history suggestive
of cervical neoplasia; each test
PF040 Cytology of smears from vagina, not associated with item PF030 or 73057
$47.50 PF035 nor to monitor hormone replacement therapy - each test
1 November 2015 Page 459

PATHOLOGY
CYTOLOGY
AMA Number
Fee
Description of Medical Service
MBS
Number
PF045 Immunocytochemical examination of material obtained by procedures 73059
$108.00 described in items PF010, PF015, PF020, PF021, PF022, PF025, PF060
and PF061 for the characterisation of a malignancy by
immunofluorescence, immunoperoxidase or other labelled antibody
techniques with multiple antigenic specificities per specimen - 1 to 3
antibodies except those listed in PF055
PF050 Immunocytochemical examination of material obtained by procedures 73060
$144.00 described in items PF010, PF015, PF020, PF021, PF022, PF025, PF060
and PF061 for the characterisation of a malignancy by
immunofluorescence, immunoperoxidase or other labelled antibody
techniques with multiple antigenic specificities per specimen - 4 to 6
antibodies
PF051 - 7 to 10 antibodies
73064
$180.00
PF052 - 11 or more antibodies
73065
$215.00
PF055 Immunocytochemical examination of material obtained by procedures 73061
$128.00 described in items PF010, PF015, PF020, PF021, PF022, PF025, PF060
and PF061 for the characterisation of a malignancy by
immunofluorescence, immunoperoxidase or other labelled antibody
techniques with multiple antigenic specificities per specimen - 1 to 3 of
the following antibodies - oestrogen, progesterone and c-erb-B2 (HER2)
PF060 Cytology of material obtained directly from a patient at 2 or more
73066
$540.00 separately identified sites by fine needle aspiration of solid tissue or
tissues if a recognised pathologist: (a) performs the aspiration; or (b)
attends the aspiration and performs cytological examination during the
attendance
PF061 Cytology of material obtained directly from a patient at 2 or more
73067
$315.00 separately identified sites by fine needle aspiration of solid tissue or
tissues if an employee of an approved pathology authority attends the
aspiration for confirmation of sample adequacy
GENETICS
PG005 The Study of the whole of every chromosome by cytogenetic or other 73287
$910.00 techniques, performed on 1 or more of any tissue or fluid except blood
(including a service mentioned in item PG011, if performed) - 1 or more
tests
PG006 The study of the whole of every chromosome by cytogenetic or other 73289
$825.00 techniques, performed on blood (including a service mentioned in item
PG011, if performed) - 1 or more tests
Page 460 1 November 2015

PATHOLOGY
GENETICS
AMA Number
Fee
Description of Medical Service
MBS
Number
PG007 The study of the whole of each chromosome by cytogenetic or other 73290
$910.00 techniques, performed on blood or bone marrow, in the diagnosis and
monitoring of haematological malignancy (including a service in items
PG005 or PG006, if performed) - 1 or more tests
PG008 Analysis of one or more chromosome regions for specific constitutional 73291
$535.00 genetic abnormalities of blood or fresh tissue in:
a) diagnostic studies of a person with developmental delay, intellectual
disability, autism, or at least two congenital abnormalities, in whom
cytogenetic studies (item PG005 or PG006) are either normal or have not
been performed; or
b) studies of a relative for an abnormality previously identified in such an
affected person.
- 1 or more tests
PG009 Analysis of chromosomes by genome-wide micro-array including 73292
$1,360.00 targeted assessment of specific regions for constitutional genetic
abnormalities in diagnostic studies of a person with developmental delay,
intellectual disability, autism, or at least two congenital abnormalities
(including a service in items PG005, PG006 or PG008, if performed) - 1
or more tests
PG011 Analysis of one or more regions on all chromosomes for specific
73293
$535.00 constitutional genetic abnormalities of fresh tissue in diagnostic studies
of the products of conception, including exclusion of maternal cell
contamination - 1 or more tests
PG012 Analysis of the PMP22 gene for constitutional genetic abnormalities 73294
$535.00 causing peripheral neuropathy, either as:
a) diagnostic studies of an affected person; or
b) studies of a relative for an abnormality previously identified in an
affected person.
- 1 or more tests
PG015 Detection of mutation of the FMR1 gene where: (a) the patient exhibits 73300
$255.00 intellectual disability, ataxia, neurodegeneration, or premature ovarian
failure consistent with an FMR1 mutation; or (b) the patient has a relative
with a FMR1 mutation - 1 or more tests
PG020 Detection of a mutation of the FMR1 gene by Southern Blot anaylsis 73305
$515.00 where the results in PG015 are inconclusive
PG025 Characterisation of the genotype of a patient for Factor v Leiden gene 73308
$88.00 mutation, or detection of the other relevant mutations in the investigation
of proven venous thrombosis or pulmonary embolism - 1 or more tests
PG026 A test described in item PG025, if rendered by a receiving APP - 1 or 73309
$88.00 more tests
1 November 2015 Page 461

PATHOLOGY
GENETICS
AMA Number
Fee
Description of Medical Service
MBS
Number
PG030 Characterisation of the genotype of a person who is a first degree 73311
$88.00 relative of a person who has proven to have 1 or more abnormal
genotypes under item PG025 - 1 or more tests
PG031 A test described in item PG030, if rendered by a receiving APP - 1 or 73312
$88.00 more tests
PG035 Characterisation of gene rearrangement or the identification of mutations 73314
$555.00 within a known gene rearrangement in the diagnosis and monitoring of
patients with laboratory evidence of: (a) acute myeloid leukaemia; or (b)
acute promyelocytic leukaemia; or (c) acute lymphoid leukaemia; or (d)
chronic myeloid leukaemia; each test to a maximum of 4 tests in a 12
month period
PG036 A test described in item PG035, if rendered by a receiving APP - 1 or 73315
$555.00 more tests
PG040 Detection of the C282Y genetic mutation of the HFE gene and, if 73317
$88.00 performed, detection of other mutations for haemochromatosis where:
(a) the patient has an elevated transferrin saturation or elevated serum
ferritin on testing of repeated specimens; or (b) the patient has a first
degree relative with haemochromatosis; or (c) the patient has a first
degree relative with homozygosity for the C282Y genetic mutation, or
with compound heterozygosity for recognised genetic mutations for
haemochromatosis
PG041 A test described in item PG040, if rendered by a receiving APP - 1 or 73318
$88.00 more tests
PG045 Detection of HLA-B27 by nucleic acid amplification, includes a service 73320
$98.00 described in PD220 unless the service in item PG045 is rendered as a
pathologist determinable service
PG046 A test described in item PG045, if rendered by a receiving APP - 1 or 73321
$98.00 more tests
PG048 Determination of HLAB5701 status by molecular techniques prior to the 73323
$98.00 initiation of Abacavir therapy including item PD330 if performed
PG049 A test described in item PG048 if rendered by a receiving APP - 1 or 73324
$98.00 more tests
PG050 Characterisation of mutations in: (a) the JAK2 gene; or (b) the MPL 73325
$178.00 gene; or (c) both genes; in the diagnostic work-up, by, or on behalf of,
the specialist or consultant physician, of a patient with clinical and
laboratory evidence of: (a) polycythaemia vera; or (b) essential
thrombocythaemia - 1 or more tests
Page 462 1 November 2015

PATHOLOGY
GENETICS
AMA Number
Fee
Description of Medical Service
MBS
Number
PG051 Characterisation of the gene rearrangement FIP1L1-PDGFRA in the 73326
$550.00 diagnostic work-up and management of a patient with laboratory
evidence of: (a) mast cell disease; (b) idiopathic hypereosinophilic
syndrome; or (c) chronic eosinophilic leukaemia; 1 or more tests
PG052 Detection of genetic polymorphisms in the thiopurine s-methyltransferase 73327
$124.00 gene for the prevention of dose-related toxicity during treatment with
thiopurine drugs; including (if performed) any service described in item
PB030 - 1 or more tests
NOTE: Item PG053 is the AMA equivalent of MBS item 73337. Item PG055 is the AMA equivalent
of MBS item 73338. Item PG057 is the AMA equivalent to MBS item 73332. These MBS items are
explicitly restricted to testing to determine eligibility for Pharmaceutical Benefits.
‡+
PG053
$960.00
PG055
$880.00
PG057
$765.00
A test of tumour tissue from a patient diagnosed with non-small cell lung
cancer, shown to have non-squamous histology or histology not
otherwise specified to identify epidermal growth factor receptor (EGFR)
gene mutation status
A test of tumour tissue from a patient with metastatic colorectal cancer
(stage IV) to identify rat sarcoma oncogene (RAS) gene mutation status,
if:
(a) the test is conducted for all clinically relevant mutations on Kirsten ras
(KRAS) exons 2, 3 and 4, and neuroblastoma ras (NRAS) exons 2, 3
and 4; or (b) a RAS mutation is found
An in situ hybridization (ISH) test of tumour tissue from a patient with
breast cancer to identify human epidermal growth factor receptor 2
(HER2) gene amplification
PG060 Detection of germline mutations of the von Hippel-Lindau (VHL) gene: a) 73333
$1,420.00 in a patient who has a clinical diagnosis of VHL syndrome and: i) a family
history of VHL syndrome and one of the following: A)
haemangioblastoma (retinal or central nervous system); B)
phaeochromocytoma; C) renal cell carcinoma; or ii) 2 or more
haemangioblastomas; or iii) one haemangioblastoma and a tumour or a
cyst of: A) the adrenal gland; or B) the kidney; or C) the pancreas; or D)
the epididymis; or E) a broad ligament (other than epididymal and single
renal cysts, which are common in the general population); or b) in a
patient presenting with one or more of the following clinical features
suggestive of VHL syndrome: i) haemangioblastomas of the brain, spinal
cord, or retina; ii) phaeochromocytoma; iii) functional extra-adrenal
paraganglioma
PG061 Detection of germline mutations of the von Hippel-Lindau (VHL) gene in 73334
$805.00 biological relatives of a patient with a known mutation in the VHL gene
1 November 2015 Page 463

PATHOLOGY
GENETICS
AMA Number
Fee
Description of Medical Service
MBS
Number
PG062 Detection of somatic mutations of the von Hippel-Lindau (VHL) gene in a 73335
$1,115.00 patient with: a) 2 or more tumours comprising: i) 2 or more
haemangioblastomas, or ii) one haemangioblastoma and a tumour of: A)
the adrenal gland; or B) the kidney; or C) the pancreas; or D) the
epididymis; and b) no germline mutations of the VHL gene identified by
genetic testing
NOTE: Item PG063 is the AMA equivalent of MBS item 73336. This MBS item is explicitly
restricted to testing to determine eligibility for Pharmaceutical Benefits.
PG063
$560.00
A test of tumour tissue from a patient with unresectable stage III or stage
IV metastatic cutaneous melanoma to determine BRAF V600 mutation
status
NOTE: MBS items 73339 and 73340 contain restrictions on their use that have not been
included in the AMA equivalent items PG065 and PG066.
† PG065 Detection of germline mutations in the RET gene in patients with a 73339
$945.00 suspected clinical diagnosis of multiple endocrine neoplasia type 2
(MEN2) - 1 test
†
†
PG066 Detection of a known mutation in the RET gene in an asymptomatic 73340
$475.00 relative of a patient with a documented pathogenic germline RET
mutation - 1 test
PG067
$765.00
Fluorescence in situ hybridisation (FISH) test of tumour tissue from a
patient with locally advanced or metastatic non-small cell lung cancer,
which is of non-squamous histology or histology not otherwise specified,
with documented evidence of anaplastic lymphoma kinase (ALK)
immunoreactivity by immunohistochemical (IHC) examination giving a
staining intensity score > 0, and with documented absence of activating
mutations of the epidermal growth factor receptor (EGFR) gene to
identify ALK gene rearrangement status
NOTE: Item PG067 is the AMA equivalent of MBS items 73341. This MBS item is explicitly
restricted to testing to determine eligibility for Pharmaceutical Benefits.
INFERTILITY AND PREGNANCY TESTS
PH005 Semen examination for presence of spermatozoa or examination of 73521
$24.50 cervical mucus for spermatozoa (Huhner's test)
PH010 Semen examination (other than post-vasectomy semen examination), 73523
$106.00 including: (a) measurement of volume, sperm count and motility; and (b)
examination of stained preparations; and (c) morphology; and (if
performed) (d) differential count and 1 or more chemical tests
PH015 Sperm antibodies - sperm-penetrating ability - 1 or more tests
73525
$72.00
PH020 Human chorionic gonadotrophin (hcg) - detection in serum or urine by 1 73527
$25.50 or more methods for diagnosis of pregnancy - 1 or more tests
Page 464 1 November 2015

PATHOLOGY
INFERTILITY AND PREGNANCY TESTS
AMA Number
Fee
Description of Medical Service
MBS
Number
PH025 Human chorionic gonadotrophin (HCG), quantitation in serum by 1 or 73529
$73.00 more methods (except by latex, membrane, strip or other pregnancy test
kit) for diagnosis of threatened abortion, or follow up of abortion or
diagnosis of ectopic pregnancy, including any services performed in item
PH020 - 1 test
SIMPLE BASIC PATHOLOGY TESTS
PI005 Semen examination for presence of spermatozoa
73801
$17.40
PI010 Leucocyte count, erythrocyte sedimentation rate, examination of blood 73802
$11.40 film (including differential leucocyte count), haemoglobin, haematocrit or
erythrocyte count - 1 test
PI015 2 tests described in item PI010
73803
$16.00
PI020 3 or more tests described in item PI010
73804
$20.50
PI025 Microscopy of urine whether stained or not, or catalase test
73805
$11.40
PI030 Pregnancy test by 1 or more immunochemical methods
73806
$25.50
PI035 Microscopy for wet film other than urine, including any relevant stain 73807
$17.40
PI040 Microscopy of Gram-stained film, including (if performed) a service 73808
$21.50 described in item PI025 or PI035
PI045 Chemical tests for occult blood in faeces by reagent stick, strip, tablet or 73809
$5.90 similar method
PI050 Microscopy for fungi in skin, hair or nails - 1 or more sites
73810
$17.40
PI055 Mantoux test
73811
$28.00
PATIENT EPISODE INITIATION
PJ003 Initiation of a patient episode by collection of a specimen for 1 or more 73920
$6.10 services (other than those services described in items PJ005, PJ010 or
PJ015) if the specimen is collected in an approved collection centre that
the APA operates in the same premises as it operates a category GX or
GY pathology laboratory
1 November 2015 Page 465

PATHOLOGY
PATIENT EPISODE INITIATION
AMA Number
Fee
Description of Medical Service
MBS
Number
PJ005 Initiation of a patient episode that consists of a service described in items 73922
$20.50 PF030, PF035 or PF040 (in circumstances other than those described in
item PJ006)
PJ006 Initiation of a patient episode that consists of a service described in items 73923
$6.10 PF030, PF035 or PF040 if: (a) the person who is a private patient in a
recognised hospital; or (b) the person receives the service from a
prescribed laboratory
PJ010 Initiation of a patient episode that consists of 1 or more services
73924
$36.50 described in items PE005, PE010, PE015, PE016, PE020, PE025,
PE030, PE031, PE032, PE033, PE035, PE040 and PE042 (in
circumstances other than those described in item PJ011) from a person
who is an in-patient of a hospital
PJ011 Initiation of a patient episode that consists of 1 or more services
73925
$6.10 described in items PE005, PE010, PE015, PE016, PE020, PE025,
PE030, PE031, PE032, PE033, PE035, PE040 and PE042 if the person
is: (a) a private patient in a recognised hospital; or (b) a private patient in
a hospital who receives the service or services from a prescribed
laboratory
PJ015 Initiation of a patient episode that consists of 1 or more services
73926
$20.50 described in items PE005, PE010, PE015, PE016, PE020, PE025,
PE030, PE031, PE032, PE033, PE035, PE040 and PE042 (in
circumstances other than those described in item PJ016) from a person
who is not a patient of a hospital
PJ016 Initiation of a patient episode by a prescribed laboratory that consists of 1 73927
$6.10 or more services described in items PE005, PE010, PE015, PE016,
PE020, PE025, PE030, PE031, PE032, PE033, PE035, PE040 and
PE042 from a person who is not a patient of a hospital
PJ020 Initiation of a patient episode by collection of specimen for 1 or more 73928
$44.00 services (other than those services described in PJ005, PJ010, PJ015) if
the specimen is collected in an approved collection centre. Unless item
PJ003 or PJ021 applies
PJ021 Initiation of a patient episode by collection of a specimen for 1 or more 73929
$6.10 services (other than those services described in PJ005, PJ010 or
PJ015) if the specimen is collected by an approved pathology
practitioner for a prescribed laboratory or by an employee of an approved
pathology authority, who conducts a prescribed laboratory, if the
specimen is collected in an approved pathology collection centre
Page 466 1 November 2015

PATHOLOGY
PATIENT EPISODE INITIATION
AMA Number
Fee
Description of Medical Service
MBS
Number
PJ025 Initiation of a patient episode by collection of a specimen for 1 or more 73930
$44.00 services (other than those services described in PJ005, PJ010, PJ015) if
the specimen is collected by an approved pathology practitioner or an
employee of an approved pathology authority from a person who is an inpatient
of a hospital other than a recognised hospital. Unless item PJ026
applies
PJ026 Initiation of a patient episode by collection of a specimen for 1 or more 73931
$6.10 services (other than those services described in PJ005, PJ010 or
PJ015) if: (i) the specimen is collected by an approved pathology
practitioner for a prescribed laboratory or by an employee of an approved
pathology authority, who conducts a prescribed laboratory, from a person
who is a private patient in a hospital or (ii) the person is a private patient
in a recognised hospital and the specimen is collected by an approved
pathology practitioner or an employee of an approved pathology authority
PJ030 Initiation of a patient episode by collection of a specimen for 1 or more 73932
$27.00 services (other than those services described in PJ005, PJ010 or PJ015)
if the specimen is collected by an approved pathology practitioner or an
employee of an approved pathology authority from a person in the place
where the person was residing. Unless PJ031 applies
PJ031 Initiation of a patient episode by collection of a specimen for 1 or more 73933
$6.10 services (other than those services described in PJ005, PJ010 or
PJ015) if the specimen is collected by an approved pathology
practitioner for a prescribed laboratory or by an employee of an approved
pathology authority, who conducts a prescribed laboratory, from a person
in the place where the person is residing
PJ035 Initiation of a patient episode by collection of a specimen for 1 or more 73934
$44.00 services (other than those services described in PJ005, PJ010 or PJ015)
if the specimen is collected by an approved pathology practitioner or an
employee of an approved pathology authority from a person in a
residential aged care facility or institution. Unless PJ036 applies
PJ036 Initiation of a patient episode by collection of a specimen for 1 or more 73935
$6.10 services (other than those services described in PJ005, PJ010 or PJ015)
if the specimen is collected by an approved pathology practitioner or by
an employee of an approved pathology authority, who conducts a
prescribed laboratory, from a person in a residential aged care home or
institution
PJ040 Initiation of a patient episode by collection of a specimen for 1 or more 73936
$26.00 services (other than those services described in PJ005, PJ010 or PJ015)
if the specimen is collected from the person by the person
1 November 2015 Page 467

PATHOLOGY
PATIENT EPISODE INITIATION
AMA Number
Fee
Description of Medical Service
MBS
Number
PJ041 Initiation of a patient episode by collection of a specimen for 1 or more 73937
$6.10 services (other than those services described in PJ005, PJ010 or
PJ015), if the specimen is collected from the person by the person and if:
(i) the service is performed in a prescribed laboratory or (ii) the person is
a private patient in a recognised hospital
PJ045 Initiation of a patient episode by collection of a specimen for 1 or more 73938
$26.00 services (other than those services described in items PJ005, PJ010 or
PJ015) if the specimen is collected by or on behalf of the treating
practitioner. Unless item PJ046 applies
PJ046 Initiation of a patient episode by collection of a specimen for 1 or more 73939
$6.10 services (other than those services described in PJ005, PJ010 or
PJ015), if the specimen is collected by or on behalf of the treating
practitioner and if: (i) the service is performed in a prescribed laboratory
or (ii) the person is a private patient in a recognised hospital
SPECIMEN REFERRED
PK005 Receipt of a specimen by an approved pathology practitioner of an 73940
$27.00 approved pathology authority from another approved pathology
practitioner of a different approved pathology authority or another
approved pathology authority
Page 468 1 November 2015

SUMMARY OF CHANGES
APPENDIX A
New Items – 15 June 2015
BM842 HA142 PB097 PB650 PB651 PB652 PB653 PB655 PB656
PB657 PG065 PG066
Items with Amended Descriptors – 15 June 2015
BH620 BH625 BH635 BJ710 BJ720 BM800 BM802 BM804 BM810
BM811 BM812 BM814 BM816 BM818 BM820 BM830 BM840 BM845
HA140 HC370 HE670 MJ475 MJ485 MJ505 MJ515 MJ555 OD038
PB090 PB095
Items with Revised Fee and Amended Descriptors – 15 June 2015
PG055
Deleted Items – 15 June 2015
BM801 BM806 BM808 BM825 BM835 PB170 PB175 PB185 PB186
New Items – 1 November 2015
AV213 AV216 AV233 AV234 BB006 BR875 EA346 EA986 EA996
EC571 EJ016 EJ026 EJ036 EJ106 EJ687 EK216 EK226 EK256
EK286 EK296 EK486 EM211 EM221 EM721 EM761 EN156 EO036
EO251 EO516 EW691 EW701 EW711 HF401 HF411 HF421 HF431
HF441 HF451 HF461 HF471 HF481 HF491 HF511 MC021 ME441
ME451 OD378 PE085 PE086 PG067
Items with Amended Descriptors – 1 November 2015
AJ200 AV210 AV220 AV235 CV230 EA345 EA985 EA995 EC570
EJ015 EJ025 EJ035 EJ105 EJ686 EK215 EK225 EK255 EK285
EK295 EK485 EM210 EM220 EM720 EM760 EM770 EN155 EO035
EO250 EW690 EW700 EW710 HC815 HF400 HF410 HF420 HF430
HF440 HF450 HF460 HF470 HF480 HF490 HF510 MC020 MD310
MD470 ME400 ME410 ME420 ME430 ME440 ME450 ME460 ME470
ME480
Deleted Items – 1 November 2015
OD376
OD377
Symbols and Change Indicated
New Item
Amended Descriptor
Changed Number
Amended Fee
Please note in this edition, any MBS changes after 1 September 2015 are not included due to printing time frames. These changes, where
applicable, will be included in the next available update.
1 November 2015 Page 469

FEE ESCALATION TABLE (%)
APPENDIX B
Year Pathology Diagnostic
Imaging
Non
Procedural
General
Practice
Anaesthetics
Physician 1
Psychiatry
Dermatology
Surgery 2
Neurosurgery,
General and
Vascular
Surgery 3 Gynaecology 4 Obstetrics 3 Orthopaedic,
Plastic and
Reconstructive
Specialist
Consultations
1983 5 7.93 7.94 7.05 6.48 6.95 7.00 N/A N/A N/A N/A N/A
1984 7.08 6.19 6.11 5.40 5.82 5.80 N/A N/A N/A N/A N/A
1985 4.65 5.35 5.72 6.52 6.06 6.09 N/A N/A N/A N/A N/A
1986 7.24 7.46 7.41 7.39 7.42 7.37 N/A N/A N/A N/A N/A
1987 7.33 7.53 8.00 7.73 7.83 7.72 N/A N/A N/A N/A N/A
1988 4.87 5.71 5.99 6.26 6.11 5.93 N/A N/A N/A N/A N/A
1989 7.67 7.84 8.42 8.41 8.30 8.10 N/A N/A N/A N/A N/A
1990 7.06 7.38 7.93 8.68 7.96 8.19 N/A N/A N/A N/A N/A
1991 4.78 4.80 5.16 5.84 5.02 5.50 N/A N/A N/A N/A N/A
1992 3.07 3.17 3.64 4.15 3.78 3.71 N/A N/A N/A N/A N/A
1993 1.02 1.06 0.99 2.33 1.25 2.04 N/A N/A 3.35 N/A N/A
1994 2.48 2.59 2.00 1.71 2.13 2.83 3.83 2.35 6.63 7.23 N/A
1995 4.39 4.24 4.38 4.01 4.07 3.23 3.43 N/A 1.72 2.47 N/A
1996 3.79 3.77 4.13 4.35 4.23 4.85 3.73 N/A 5.51 5.60 N/A
1997 2.75 2.83 3.38 3.17 3.38 3.26 3.27 3.27 3.58 3.63 N/A
1998 2.36 2.46 3.02 3.82 3.05 3.22 3.23 3.23 3.36 3.41 N/A
1999 2.53 2.61 2.87 3.07 2.91 3.10 3.14 3.14 3.49 3.66 N/A
2000 3.03 3.04 3.15 3.39 3.18 3.16 3.57 3.57 3.84 3.71 N/A
2001 2.97 3.03 3.17 2.22 3.19 3.18 3.63 3.63 3.69 3.63 N/A
2002 3.36 3.46 3.53 4.77 3.89 3.59 6.48 6.48 9.09 7.31 N/A
2003 3.35 3.62 3.44 5.62 3.72 7.91 6.87 6.87 10.73 7.41 6.06
2004 3.17 3.21 3.41 3.23 3.41 3.25 3.58 3.58 6.38 4.30 5.39
2005 3.36 3.36 3.55 3.44 3.56 3.27 3.15 3.15 2.8 3.00 3.05
2006 3.88 3.86 3.97 3.77 3.94 3.64 3.51 3.51 3.13 3.36 3.41
2007 3.34 3.37 3.48 3.40 3.51 3.25 3.14 3.14 2.82 3.00 3.05
2008 4.26 4.22 4.28 4.03 4.22 3.92 3.80 3.80 3.40 3.66 3.70
2009 3.01 3.02 2.98 2.41 2.97 2.07 1.77 1.77 0.60 1.30 1.44
2010 2.91 2.88 2.85 2.47 2.80 2.32 2.15 2.15 1.51 1.91 1.98
2011 3.62 3.60 3.68 3.37 3.64 3.20 3.04 3.04 2.45 2.81 2.88
2012 2.94 2.96 3.18 3.19 3.21 3.04 2.95 2.95 2.72 2.84 2.89
2013 2.87 2.89 2.95 2.99 2.98 2.95 2.93 2.93 2.90 2.91 2.92
2014 2.59 2.59 2.50 2.48 2.50 2.52 2.54 2.54 2.57 2.56 2.55
2015 1.96 2.00 2.00 2.06 2.05 2.02 2.01 2.01 1.97 1.98 1.99
1 Consultant and Specialist Physician and Psychiatrist.
2 All surgeons other than those listed in the following four columns (after 1992).
3 Separate categories have been created due to changes in Medical Defence subscriptions.
4 A separate category has been created for gynaecology for 1994 only to adjust for anomalies caused by previous grouping with obstetricians.
5 Effective from 1 January of the year following.
1 November 2015 Page 470

FEE GAPS CHART
APPENDIX C
350
300
AWE
AMA MFI
CPI (GST adjusted)
MBS fees
Indices of CPI, AWE & Medical Fees (AMA & MBS)
Indices: 1985 =
250
200
150
100
1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013
1 November 2015 Page 471

GST TAXABLE AND NON-TAXABLE SERVICES
APPENDIX D
The following list of taxable and GST-free medical services has been prepared as a ready
reference guide for medical practitioners and practice managers and has been cleared by
the Tax Office. Members are advised to check that they have the most up-to-date
information when determining whether a service is taxable, and to contact the Tax Office
if in doubt.
The supply of a service (treatment, consultation or investigation) is GST-free where:
a Medicare benefit is payable in respect of that particular supply, or
it is a service supplied by, or on behalf of, a medical practitioner or approved pathology
practitioner that is generally accepted by the medical profession as being necessary for
the appropriate treatment of the recipient of the supply.
In relation to the second dot point above, the recipient of the supply will not always be the patient
to whom the service is rendered. In some cases the recipient of the supply may be a third party.
A third party (other than the patient) will be the recipient of a su pply where, pursuant to an
agreement between the third party and a medical practitioner, there is a binding obligation
between the medical practitioner and the third party for the medical practitioner to provide the
goods and services to the patient.
In the absence of a binding obligation, there may still be a supply by the medical practitioner to a
third party (other than the patient). The following factors may, in combination, indicate this:
a. there is a pre-existing framework or agreement between the third party and the medical
practitioner which contemplates that the parties act in a particular manner in respect of
supplies by the medical practitioner to particular patients or a class of patients;
b. the pre-existing framework or agreement:
(i)
(ii)
identifies a mechanism by which the particular patients or the class of patients are to
be identified such that the supplies made to them come within the scope of the
framework or agreement, and
specifies that the third party is under an obligation to pay the medical practitioner if
there is a relevant supply by the medical practitioner to a patient and also sets out a
mechanism by which such payment is authorised;
c. the framework or agreement and the mechanism for authorising the payment are in
existence before the supply by the medical practitioner to the patient (that is, the medical
practitioner knows in advance that the third party is obliged to pay some or all of the
consideration in the event of the supply to the patient);
d. the medical practitioner makes the supply to the patient in conformity with the pre-existing
framework or agreement between the parties; and
e. the obligation of the third party to make payment pursuant to the pre-existing framework or
agreement is not an administrative arrangement to pay on behalf of the patient for a liability
owed by the patient to the medical practitioner. Rather, once the supply becomes a supply
Page 472 1 November 2015

GST TAXABLE AND NON-TAXABLE SERVICES
APPENDIX D
to which the framework or agreement applies, the framework or agreement establishes a
liability owed by the third party (not the patient) to the medical practitioner in the event that
there is a supply by the medical practitioner to the patient.
Depending upon the arrangement or framework, the medical practitioner may make a supply to
both the patient and the third party.
From 1 July 2012, where the payment comes from an insurer, an operator of a statutory
compensation or a compulsory third party scheme (scheme operator), or an Australian
government agency for a supply to that third party, that supply will be GST-free to the extent that
the underlying supply of medical services to the patient is a GST-free health supply. These are
referred to below as specified arrangements.
For administrative ease, the parties to a specified arrangement may agree for a supply not to be
treated as GST-free.
Where the payment comes from a third party that is NOT an insurer, an operator of a statutory
compensation or a compulsory third party scheme (scheme opera tor), or an Australian
government agency for a supply to that third party, that supply will generally not be a GST-free
health supply. These are referred to as non-specified arrangements. For example, where a
private sector employer engages a medical practitioner to provide flu vaccinations to its
employees, this is a non-specified arrangement where the employer is the recipient of the medical
practitioner’s services which is not a GST-free health supply. In contrast, where an Australian
government agency engages a medical practitioner to provide flu vaccinations, as this is a
specified arrangement and the underlying supply of the flu vaccination to the individual employee
is a GST-free supply, the supply of the medical practitioner’s services to the Australian
Government Agency is GST-free.
GST-FREE MEDICAL SERVICES
1. A service which attracts a Medicare benefit. The following are also GST-free where a
Medicare benefit is payable:
medical assessments undertaken for the provision of reports to third parties, and
medical assessments undertaken for the provision of reports required by aged people
when applying for aged driving licenses.
2. A service paid for by the patient, supplied by, or on behalf of, a medical practitioner or
approved pathology practitioner that is generally accepted in the medical profession as being
necessary for the appropriate treatment of that patient.
3. Any patient co-payment for a GST-free medical service.
4. Services supplied to third parties under specified arrangements including:
1 November 2015 Page 473

GST TAXABLE AND NON-TAXABLE SERVICES
APPENDIX D
services rendered to veterans or dependants pursuant to Department of Veterans’ Affairs
(DVA) LMO agreement, including any such services rendered in a hospital, provided the
service is necessary for the appropriate treatment of the veteran*;
services supplied to patients and paid for by the Australian Defence Force (ADF) provided
the service is necessary for the appropriate treatment of the patient*; and
consultation and/or investigation services funded by a Motor Accident Insurance
Scheme/CTP scheme operator, a health insurer or a workers compensation insurer
provided the service is necessary for the appropriate treatment of the patient*.
5. The writing of a referral form to a specialist or consultant physician for investigation, opinion,
treatment and/or management of a condition or problem of a patient # or for the performance
of a specific examination or test.
6. Investigation and diagnostic report preparation services rendered by pathologists and
radiologists, where directed at the treatment of a referred patient # where the patient is the
recipient of the supply or where the services are supplied under specified arrangements*.
Where these services are supplied under non-specified arrangements, the supply to the third
party is generally not GST-free.
7. Consultation and investigation services directed at the treatment of a patient # (whether
resident or non-resident), where the patient is the recipient of the supply (irresp ective of
whether paid for by the patient or by a third party) or where the services are supplied under
specified arrangements*. Where these services are supplied under non-specified
arrangements, the supply to the third party is generally not GST-free.
8. Preventive health services directed at the treatment of a patient where a Medicare benefit is
not payable and the patient is the recipient of the supply (irrespective of whether paid for by
the patient or by a third party) or where the services are supplied under specified
arrangements*. Where these services are supplied under non-specified arrangements, the
supply to the third party is generally not GST-free.
9. Special procedures related to an IVF treatment (such as freezing or storage of gamete or
embryo) where these services are facilitated by the medical practitioner (and are not supplied
by a separate entity such as a medical scientist) as part of the appropriate treatment of the
patient and the patient is the recipient of the supply (irrespective of whether paid for by the
patient or by a third party) or the services are supplied under specified arrangements*. Where
these services are supplied under non-specified arrangements, the supply to the third party is
generally not GST-free. These services will not be GST-free where the freezing or storage is
not part of ongoing treatment in relation to assisted conception.
10.Issuing a repeat prescription without another patient consultation.
Page 474 1 November 2015

GST TAXABLE AND NON-TAXABLE SERVICES
APPENDIX D
TAXABLE SERVICES
1. Services supplied under specified arrangements which the parties have agreed not to be
treated as GST-free.
2. Services supplied to third parties under specified arrangements to the extent that:
the underlying supply of medical services to the patient is a taxable supply, or
it is related to general administration functions not connected with a GST-free supply to a
patient.
3. Reports and medical assessments undertaken for the provision of a report to a third party
enterprise, irrespective of whether for vocational, recreational or private purposes, prepared
voluntarily or involuntarily, and whether the service involves some element of consultation,
unless the rendering of the report or the medical assessment attracts a Medicare
benefit. Examples include:
Life insurance medical
Pre-employment medical
Defence force recruitment
Pilot’s licence medical (private or commercial)
Professional driving licence medical (bus, taxi, truck, dangerous goods drivers)
Racing driver’s licence medical (CAMS)
Sporting fitness assessments (scuba diving, water skiing, mountaineering, trotting and
drivers) required by a third party (club, association, government agency or commercial
operator)
Private school medicals
Workers compensation certificates
Medico-legal reports for solicitors or insurance companies
Serving as an expert witness before a court or tribunal
4. Services supplied to third parties under non specified arrangements including:
anaesthesia services provided under an agreement between a medical practitioner and a
third party where the third party is the recipient of the supply.
5. Services rendered by a health practitioner engaged by an employer (other than an Australian
government agency) to vaccinate all employees or to be in attendance at premises.
1 November 2015 Page 475

GST TAXABLE AND NON-TAXABLE SERVICES
APPENDIX D
6. Services, which are not consultations or investigations directed at the treatment of the patient,
for example:
Lectures
Training or supervising another health professional
Consulting to another health professional (as opposed to a second opinion conducted as
part of a treatment program)
Payments from a drug company for involvement in a clinical trial
7. Any service undertaken for cosmetic reasons, which does not attract a Medicare benefit.
8. Anaesthesia services that are provided in relation to a service undertaken for cosmetic
reasons, unless the rendering of the anaesthesia services attracts a Medicare benefit.
9. Diagnostic imaging and/or pathology services that do not attract a Medicare benefit, required
in relation to purely cosmetic procedures that do not attract a Medicare benefit.
10.Cremation certificates.
11.Autopsies.
12. Provision of goods @ and services by a medical practitioner to other medical practitioners
(premises, staff support, business services, equipment, billing services, practice management
services).
SUPPLIES OF GOODS
The supply of the following goods by a medical practitioner will be GST-free:
listed medical aids or appliances (pursuant to section 38 -45 of the A New Tax System
(Goods and Services Tax) Act 1999 (GST Act)) specifically designed for people with an
illness or disability and not widely used by people without an illness or disability;
health goods declared by the Health Minister to be GST-free (pursuant to sections 38-47
of the GST Act); or
goods supplied as part of a GST-free medical service (subsection 38-7(3) of the GST Act)
where they are:
o supplied to the patient at the same point in time as the GST-free medical service; and
o individually customised or manipulated for treating that particular patient’s illness or
disability; or
o essential for treating that patient during that particular consultation.
Under specified arrangements, the underlying supply may also include the supply of GST-free
goods.
Page 476 1 November 2015

GST TAXABLE AND NON-TAXABLE SERVICES
APPENDIX D
OUT OF SCOPE
There are some supplies that do not fall within the GST regime. They are not taxable and are not
GST-free.
For example, payments under the Practice Incentives Program (PIP), General Practitioner
Immunisation Incentives Program, Australian Childhood Immunisation Register Information
(Notification) Program and Rural Retention Program do not fall within the GST regime. Applicants
for these payments do not enter into binding obligations with the payer to do anything for which
the payment is consideration for a supply. As these payments are not consideration for supplies
they cannot be consideration for taxable supplies. For further information, see Goods and
Services Tax Ruling GSTR 2012/2 which explains when a financial assistance payment is
consideration for a supply.
NOTES
* Unless the parties have agreed to treat the supply as taxable.
#
Unless the treatments are explicitly taxable services such as professional services rendered in prescribed
circumstances within the meaning of regulation 14 of the Health Insurance Regulations (other than the prescribed
circumstances set out in regulation 14(2)(ea), (f) and (g)) and procedures rendered for cosmetic reasons and for
which no Medicare benefit is payable.
@
Unless the goods are GST-free medical aids or appliances pursuant to section 38-45 of the GST Act or other
GST-free health goods pursuant to section 38-47 of the GST Act.
FURTHER INFORMATION
Further information on the health industry can be found on the ATO’s web site at www.ato.gov.au
including:
Fact sheets on medical services, health services and medical aids and appliances;
The ATO Health Industry Partnership – Issues Register; and
The GST Pharmaceutical Health Forum – Issues Register.
Below is a link to the ATO’s ‘Health’ page in relation to medical services:
http://www.ato.gov.au/Business/GST/In-detail/Your-industry/Health/GST-and-medical-services/
Also see Goods and Services Tax Ruling – GSTR 2006/9 which examines the meaning of supply
and the concepts and characteristics of supply for the purposes of the GST Act and arrangements
involving third parties.
CAREFULLY CONSIDER THE FACTS
In using this material you are strongly advised to carefully consider the facts of any particular
arrangement, having particular regard to oral or written agreements or contracts which may
determine the nature of the supply for GST purposes. While the general information provided
above should give a reliable guide on most occasions, the factual situation of a particular
arrangement will always override any view as to the GST status based on general information.
1 November 2015 Page 477

GST TAXABLE AND NON-TAXABLE SERVICES
APPENDIX D
IF IN DOUBT, CONTACT THE ATO
If you require further explanation or application of these general GST principles to your particular
circumstances, request a GST private ruling from the Tax Office. You can do this by lodging a
private ruling request including all the facts relevant to the supplies to:
Phone: 13 28 66
Fax: 1300 139 031
Email: GSTmail@ato.gov.au
Mail: GPO Box 9935
In your capital city
Page 478 1 November 2015

2015 AMA FEES LIST INDEX
AUTOMATIC DEFIBRILLATOR
- Insertion of patches or
transvenous endocardial
defibrillation electrodes
ABBE FLAP
- flap, reconstruction of lip or eyelid
ABCESS, LARGE
- incision with drainage under GA
ABDOMEN
- closure of..........................................
- ultrasound scan of...........................
ABDOMINAL
- radiographic examination of...........
ABDOMINAL VISCERA
- operation and laparotomy...............
ABDOMINO-PERINEAL
- pull through resection.....................
ABRASIVE THERAPY
- 1 aesthetic area................................
- more than 1 aesthetic area..............
ABSCESS
- drainage tube exchange..................
- extradural, laminectomy for............
- liver, abdominal drainage of...........
- prostate, drainage of........................
ABSCESS, SMALL
- incision with drainage of.................
ACCESSORY BONE
- osteectomy, osteotomy...................
ACETABULUM
- treatment of fracture of....................
ACHILLES TENDON
- rupture, management of..................
ACUPUNCTURE....................................
ACUTE OSTEOMYLELITIS
- operation on phalanx.......................
ADAPTOMETRY
- dark, of one or both eyes................
ADENOIDS
- removal of.........................................
ADENOIDS AND TONSILS
- removal of, person less than 12
years
- removal of, person over 12 years
BM842 (80)
HG384 (245)
MJ655 (305)
EA755 (151)
MJ263 (301)
OA085 (374)
OA095 (375)
OF352 (405)
EJ085 (156)
EP235 (190)
MG410 (292)
MG420 (292)
EA775 (151)
LT085 (261)
EJ355 (158)
HE300 (232)
EA745 (151)
MS005 (338)
MP685 (328)
MW550 (350)
AL900 (35)
MD110 (285)
AQ042 (49)
MB045 (272)
MB015 (272)
MB025 (272)
ADHESIONS
- division of, with laparotomy...........
- extensive, division of, with
laparotomy
- laparoscopic division of..................
ADJOINING BONES
- operation on any combination, for
chronic osteomyelitis
ADRENAL GLAND TUMOUR
- excision of.........................................
ADRENAL STUDY
- with imaging.....................................
ALIMENTARY OBSTRUCTION
- neonatal, laparotomy for.................
ALLERGENS
- skin sensitivity testing.....................
ALVEOLAR CLEFT
- grafting of.........................................
ALVEOLAR RIDGE
- augmentation....................................
AMBIGUOUS GENITALIA WITH
UROGENITAL SINUS
- reduction clitoroplasty....................
AMNIOCENTISIS
- diagnostic.........................................
- therapeutic........................................
AMNIOFUSION
- for diagnostic or therapeutic
purposes
AMPUTATION
- at knee or below...............................
- hindquarter.......................................
- interscapulothoracic........................
- Lisfranc's..........................................
- midcarpal/transmetacarpal, hand
- midtarsal...........................................
- of arm, forearm or through arm......
- of leg at hip.......................................
- of one toe..........................................
- of toe, incl. metatarsal or part of
- of toes................................................
- or arm at shoulder............................
- through thigh....................................
AMPUTATION STUMP
- revision of.........................................
EJ045 (156)
EJ035 (156)
EO200 (184)
EO205 (184)
MD190 (285)
EC640 (155)
OS615 (420)
OS625 (420)
MD330 (286)
BB700 (60)
MK445 (311)
MK325 (310)
HF560 (238)
BV900 (100)
BV930 (101)
BV935 (101)
MG125 (291)
MG145 (291)
MG035 (290)
MG115 (291)
MG005 (290)
MG115 (291)
MG015 (290)
MG135 (291)
MG045 (290)
MG095 (290)
MG055 (290)
MG025 (290)
MG125 (291)
ML655 (316)

2015 AMA FEES LIST INDEX
ANAESTHESIA
- assistance.........................................
- consultations....................................
- emergency attendance....................
- forearm, wrist and hand..................
- head...................................................
- intrathoracic.....................................
- knee and popliteal area...................
- lower abdomen.................................
- lower leg - below knee.....................
- neck...................................................
- pelvis - except hip............................
- perineum...........................................
- shoulder and axilla...........................
- spine and spinal cord......................
- therapeutic/diagnostic services
- thorax (chest wall/shoulder girdle)
- unlisted..............................................
- upper abdomen................................
- upper arm and elbow.......................
- upper leg - except knee...................
ANAL
- skin tags or polyps, excision of
- skin tags, excision of.......................
ANAL GRACILOPLASTY......................
ANAL SPHINCTER
- direct repair of..................................
ANAL STRICTURE
- anoplasty for.....................................
ANAL, WARTS
- removal of, under GA.......................
ANASTOMOSIS
- arteriovenous, upper/lower limb
- of cranial nerves...............................
ANEURYSM...........................................
- clipping or reinforcement of...........
CW020 (143)
CA002 (114)
CA004 (114)
CA006 (114)
CA008 (114)
CA060 (114)
CA070 (114)
CA051 (114)
CR800 (132)
CA100 (115)
CA102 (115)
CA104 (115)
CA120 (115)
CA124 (115)
CA140 (115)
CD500 (118)
CL300 (127)
CG800 (122)
CM460 (129)
CB300 (117)
CJ100 (126)
CH900 (124)
CN600 (130)
CE600 (119)
CV005 (136)
CC400 (117)
CU999 (135)
CF700 (120)
CQ700 (131)
CK200 (126)
EP585 (193)
EP595 (193)
EP910 (195)
EP535 (193)
EP515 (193)
EP735 (194)
EW630 (206)
LP015 (257)
HH360 (249)
LR010 (259)
- false...................................................
- in the extremities..............................
- in the neck.........................................
- infrarenal abdominal aortic,
replacement by bifurcation graft
- intra-abdominal or pelvic................
- of common or internal carotid
artery
- of iliac artery.....................................
- of visceral artery...............................
- plication of........................................
- ruptured............................................
- suprarenal abdominal aortic...........
- thoracic, replacement by graft........
- thoracic-abdominal..........................
ANEURYSM, INFRARENAL
ABDOMINAL AORTIC
- replacement by tube graft...............
- replacement by tube graft, using
endovascular repair
ANGIOFIBROMAS
- face/neck, removal by laser
excision
ANGIOGRAPHY AND/OR DIGITAL
SUBTRACTION ANGIOGRAPHY
- with fluoroscopy and image
acquisition
ANGIOMA
- cauterisation of or injection into
ANGIOSCOPY
- combined with any other
procedure
- not combined with any other
procedure
ANKLE
- Achilles or other large tendon,
repair
- Achilles tendon rupture...................
- and foot, Tibialis tendon transfer
- arthrodesis of...................................
- arthroscopic surgery.......................
- arthrotomy of....................................
- diagnostic arthroscopy...................
- gastrocnemius apononeurosis
and soleus fascia, lengthening of
- ligamentous stabilisation of............
- synovectomy of................................
- total joint replacement.....................
ER175 (201)
ER025 (200)
ER035 (200)
ER115 (200)
ER045 (200)
ER055 (200)
ER135 (201)
ER155 (201)
HH350 (249)
ER205 (201)
ER095 (200)
ER065 (200)
ER085 (200)
ER105 (200)
ER110 (200)
EA625 (150)
OF635 (408)
MG450 (292)
FA640 (210)
FA630 (210)
MW540 (350)
MW550 (350)
MY740 (355)
MW520 (350)
MW490 (350)
MW500 (350)
MW480 (349)
MW580 (350)
MW510 (350)
MY640 (354)
MW530 (350)

2015 AMA FEES LIST INDEX
ANKLE (cont)
- total replacement arthroplasty -
revision
- treatment for dislocation.................
ANKLE JOINT
- treatment of fracture of....................
ANKLE OR HIND FOOT
- ultrasound scan of...........................
ANOPHTHALMIC ORBIT......................
ANOPHTHALMIC SOCKET
- treatment of......................................
ANOPLASTY
- for anal stricture...............................
ANORECTAL
- malformation, paediatric
operations
ANORECTAL CARCINOMA
- excision of.........................................
ANORECTAL EXAMINATION
- with or without biopsy, under GA
ANORECTAL MALFORMATION
- laparotomy and colostomy for
(neonatal)
- perineal anoplasty of.......................
ANTENATAL
- attendance........................................
ANTIREFLUX
- operation...........................................
- operation, by carsioplexy................
ANTIREFLUX OPERATION
- by fundoplasty, laparoscopic.........
- by fundoplasty, laparoscopic or
open
- by partial fundoplasty......................
ANTRECTOMY
- and/or vagotomy..............................
- and/or vagotomy for peptic ulcer
ANTROSTOMY
- radical................................................
ANTROSTOMY (RADICAL)
- with transantral ethmoidectomy
or transantral vidian neurectomy
ANTRUM
- drainage of, through tooth socket
- intranasal operation on or
removal of foreign body from
MW532 (350)
MN230 (319)
MQ045 (330)
OC890 (391)
OC895 (392)
MB830 (275)
MB840 (275)
EP515 (193)
ME310 (288)
ME320 (288)
EP445 (192)
EP695 (194)
MD320 (286)
ME300 (288)
BT200 (98)
EJ985 (163)
EK005 (163)
EO235 (184)
EO240 (184)
EK006 (163)
EJ785 (162)
EJ825 (162)
MA725 (270)
MA735 (270)
MA755 (270)
MA745 (270)
ANUS, DILATATION OF
- under general anaesthesia,.............
AORTA
- repair/congenital heart disease
- retrieval of foreign body..................
AORTIC ARCH
- repair or replacement......................
AORTIC BYPASS
- for occlusive disease.......................
AORTIC INTERRUPTION
- repair of.............................................
AORTIC VALVE.....................................
APPENDICEAL ABCESS
- laparotomy for drainage of..............
APPENDICECTOMY..............................
- incidental...........................................
- laparoscopic.....................................
ARCH BARS
- removal of, from maxilla or
mandible
AREOLA
- intradermal colouration...................
- reconstruction of..............................
ARM
- amputation, at shoulder..................
ARNOLD-CHIARI MALFORMATION
- decompression of............................
ARRHYTHMIA
- surgery..............................................
ARRHYTHMIA ABLATION....................
ARTERIAL
- anastomosis, as an independent
procedure
- antherectomy, peripheral................
- cannulation, for infusion,
chemotherapy, open
ARTERIAL BYPASS GRAFTING
- using vein or synthetic material
ARTERIAL PUNCTURE
- and collection of blood....................
ARTERIOGRAM
- selective............................................
ARTERIOGRAPHY
- one vessel.........................................
- operative...........................................
EP625 (194)
LL420 (252)
FA720 (211)
HJ230 (250)
EQ420 (198)
LL440 (252)
HH130 (248)
EJ125 (157)
EK285 (166)
EK305 (166)
EK295 (166)
MK280 (309)
MJ190 (299)
MJ185 (299)
MG025 (290)
LR920 (260)
HH600 (249)
HG200 (242)
EQ620 (200)
FA570 (209)
EW680 (206)
EQ610 (199)
BL630 (74)
OF868 (410)
OF864 (410)
FA300 (209)

2015 AMA FEES LIST INDEX
ARTERIOGRAPHY AND
ANGIOCARDIOGRAPHY
- coronary............................................
ARTERIOVENOUS
- malformation, 3 cms or less,
excision of
- malformation, 3 cms or more,
excision of
- malformation, eyelid, nose, lip,
ear, neck, hand, thumb, finger or
genitals, excision of
ARTERIOVENOUS ACCESS DEVICE
- insertion of........................................
- thrombectomy of..............................
ARTERIOVENOUS ANASTOMOSIS
- of upper or lower limb.....................
ARTERIOVENOUS MALFORMATION
- laminectomy and radical excision
ARTERIOVENOUS SHUNT
- declotting of......................................
- external, insertion of........................
- external, removal of.........................
ARTERY
- coeliac artery, decompression of
- coronary, bypass..............................
- endarterectomy of............................
- harvesting for coronary bypass.....
- ligation of, by elective operation,
or exploration of
OF630 (408)
MG500 (293)
MG510 (293)
MG520 (293)
EW640 (206)
EW650 (206)
EW610 (206)
LT125 (261)
BH520 (70)
EW600 (206)
EW620 (206)
EW145 (205)
HH310 (248)
ET010 (202)
HH300 (248)
EW025 (204)
ARTHOROPLASTY
- wrist, total replacement - revision
ARTHRECTOMY
- hip......................................................
ARTHROCENTESIS
- temporamandibular joint,
irrigation of
ARTHRODESIS
- ankle..................................................
- elbow.................................................
- finger/hand........................................
- foot.....................................................
- hip......................................................
- knee...................................................
- of joint...............................................
- revision, of knee...............................
- sacro-iliac joint.................................
- shoulder............................................
- subtalar joint (extra-articular)
- temporomandibular joint.................
- triple, of foot.....................................
- wrist...................................................
ARTHROGRAPHY
- each joint...........................................
ARTHROPLASTY
- carpal bone.......................................
- elbow, total replacement - revision
MU462 (345)
MU730 (346)
MK385 (311)
MW520 (350)
MU055 (344)
ML005 (312)
MX650 (351)
MU720 (346)
MW035 (347)
MY045 (352)
MW165 (348)
MU700 (346)
MT730 (343)
MY075 (353)
MK415 (311)
MX550 (351)
MU430 (345)
OF548 (408)
ML095 (313)
ML105 (313)
MU086 (344)
- maxillary, transantral ligation of
MA715 (270)
- hip......................................................
MU730 (346)
- neck, reoperation for bleeding /
thrombosis
ET650 (204)
- interphalangeal joint or
metacarpophalangeal joint
ML025 (312)
- patch grafting...................................
ET150 (203)
ML035 (312)
ET160 (203)
ML045 (312)
- popliteal, exploration for popliteal
entrapment
- temporal, biopsy of..........................
ARTERY OF NECK
- bypass using vein or synthetic
material
ARTERY OF NECK, MAJOR
- elective ligation or exploration of
ARTERY OR ARTERIES, ETHMOIDAL
- transorbital ligation of (unilateral)
ARTERY, MAJOR
- repair of wound of............................
ARTHOPLASTY
- ankle, total replacement - revision
EW155 (205)
EW035 (204)
EQ400 (198)
EW005 (204)
MA775 (270)
ET560 (203)
MW532 (350)
- joint/s.................................................
- knee...................................................
- shoulder............................................
- temporomandibular joint.................
- wrist...................................................
ARTHROSCOPIC SURGERY
- of knee...............................................
ARTHROSCOPY
- ankle..................................................
ML055 (313)
ML065 (313)
ML075 (313)
ML085 (313)
MY105 (353)
MW075 (347)
MT660 (343)
MJ985 (307)
MU460 (345)
MW206 (349)
MW480 (349)

2015 AMA FEES LIST INDEX
ARTHROSCOPY (cont)
- ankle..................................................
- elbow.................................................
- hip......................................................
- joint, other.........................................
- knee...................................................
- shoulder............................................
- temporomandibular.........................
- wrist, diagnostic...............................
ARTHROTOMY
- ankle..................................................
- elbow.................................................
- hip......................................................
- knee...................................................
- of joint...............................................
- shoulder............................................
- temporomandibular joint.................
- wrist...................................................
ARTIFICIAL
- lens, removal of................................
- lens, removal, and replacement
different lens
ARTIFICIAL BOWEL SPHINCTER
- insertion............................................
- removal or revision..........................
ARTIFICIAL IMPLANT
- in eye.................................................
ARTIFICIAL LENS
- insertion of........................................
ARTIFICIAL TENDON PROSTHESIS
- insertion of in hand..........................
ARYTENOIDECTOMY
- with microlaryngoscopy..................
ASPIRATION
- of bladder, by needle.......................
- of haematoma...................................
- of joint, other synovial cavity
ASPIRATION BIOPSY
MW490 (350)
MU095 (344)
MU105 (344)
MU910 (347)
MY005 (352)
MW205 (349)
MT750 (343)
MK360 (310)
MU490 (345)
MW500 (350)
MU035 (344)
MU710 (346)
MW005 (347)
MY015 (352)
MT640 (342)
MK370 (310)
MU470 (345)
MC500 (280)
MC510 (280)
EP965 (196)
EP966 (196)
MB830 (275)
MC480 (280)
ML405 (315)
MB265 (274)
HC800 (229)
EA735 (151)
MY095 (353)
- for jaw cysts..................................... MK220 (308)
ASSISTANCE AT OPERATIONS MZ900 (368)
ATRESIA
- choanal, repair of.............................
- congenital, reconstruction of
external auditory canal
- ileal....................................................
MJ525 (304)
MJ605 (304)
MD300 (286)
- oesophageal, neonatal, complete
correction of
ATRESIA, CHOANAL
- correction by open operation.........
ATRIAL
- chamber/s, operations for
arrhythmia
- septal defect closure.......................
- septectomy.......................................
ATTICOTOMY
- with reconstruction of the bony
defect
- without reconstruction of the
bony defect
AUDIOGRAM
- air and bone conduction.................
- air conduction..................................
- air conduction/speech
discrimination
- air/bone conduction.........................
- impedance........................................
AUDIOGRAM, IMPEDANCE
- involving
tympanometry/measurement of
static compliance/acoustic reflex
AUDIOMETRY
- brain stem evoked response...........
- non-determinate...............................
- oto-acoustic......................................
AUDITORY CANAL STENOSIS
- correction of.....................................
AUDITORY CANAL, EXTERNAL
- reconstruction of..............................
- reconstruction, congenital atresia
AUDITORY MEATUS, EXTERNAL
- removal of exostoses in..................
- surgical removal of keratosis
obturans
AURAL POLYP
MD390 (286)
MJ535 (304)
HH600 (249)
LL540 (253)
LL530 (253)
MA125 (266)
MA115 (265)
AQ550 (52)
AQ540 (52)
AQ560 (52)
AQ630 (53)
AQ610 (52)
AQ510 (52)
AQ530 (52)
AQ600 (52)
MA075 (265)
MA085 (265)
MJ605 (304)
MA065 (265)
MA035 (265)
- removal of......................................... MA025 (265)
AUTOCONJUNCTIVAL TRANSPLANT MC280 (278)
AUTOMATIC DEFIBRILLATION
GENERATOR
- insertion or replacement of.............
AXILLA
- lymph glands of, excision of...........
AXILLA, LYMPH NODES
- complete excision of, to level I
HG387 (245)
ED240 (155)
ED255 (155)

2015 AMA FEES LIST INDEX
AXILLA, LYMPH NODES (cont)
- complete excision to level II or III
AXILLARY HYPERHIDROSIS
- total excision of sweat gland
bearing area
- wedge excision of............................
AXILLO-FEMORAL GRAFT
- infected, excision of.........................
BAKER'S CYST
- excision of.........................................
BALLOON CATHETER
- right heart, insertion of....................
BALLOON INTUBATION
- gastro-oesophageal.........................
BANDS
- lateral pharyngeal, removal of........
BARIUM MEAL......................................
BARTHOLIN'S
- cyst, excision of...............................
BARTHOLIN'S ABSCESS
- incision of.........................................
BARTHOLIN'S CYST
- or gland, marsupialisation of..........
BARTON'S FRACTURE
- of radius, treatment of.....................
BASAL CELL CARCINOMA
- up to 10mm, surgical excision
from face, neck, or lower leg
BAT EAR
- correction of.....................................
BENIGN LESION, BREAST
- excision of.........................................
- open biopsy or excision of..............
BENIGN NEOPLASM
- of skin, treatment by various
means
BILE DUCT
- common, repair of............................
- endoscopic stenting of....................
- percutaneous stenting.....................
BILIARY
- dilation, endoscopic........................
- dilation, percutaneous.....................
- manometry........................................
BILIARY ATRESIA
- paediatric, portoenterostomy for
ED260 (155)
EA585 (149)
EA575 (149)
EW245 (206)
EA375 (149)
BL610 (74)
BJ120 (73)
MB055 (272)
OF364 (405)
HA070 (213)
HA100 (213)
HA080 (213)
MP235 (325)
EN070 (175)
MJ595 (304)
EO503 (185)
EO500 (185)
EA645 (150)
EJ615 (160)
EJ745 (161)
EJ750 (161)
EJ765 (162)
EJ760 (162)
EJ755 (162)
ME360 (289)
BILIARY DRAINAGE TUBE
- exchange of......................................
BILIARY STRICTURE
- repair of.............................................
BILIARY TRACT
- extraction of calculus......................
BIOPSY
- aggressive, tumour of bone or
deep soft tissue, involving
neurovascular structures
- breast, using ABBI...........................
- drill, lymph gland/deep
tissue/organ
- lymph gland/deep tissue/organ......
- myocardial........................................
- of aggressive or potentially
malignant bone or soft tissue
tumour
- of bone marrow, by open
approach
- of bone marrow, by percutaneous
approach
- of liver, by wedge excision..............
- of solid breast tumour, vacuum
assisted
- rectal, full thickness or partial
- scalene node.....................................
- sentinel lymph node........................
BIOPSY OF LIVER
- by core needle..................................
BIOPSY,
- cervix, cone......................................
- endometrial, for suspected
malignancy
- laproscopic.......................................
- of liver, percutaneous......................
- of pleura............................................
- of skin or mucous membrane.........
- prostate.............................................
- renal...................................................
- vertebra.............................................
BLADDER
- aspiration by needle........................
- catheterisation of.............................
- cystotomy or cystotomy..................
EJ475 (159)
EJ595 (160)
EJ466 (159)
MY205 (353)
EO539 (186)
EA245 (148)
EA235 (148)
HG160 (241)
MY200 (353)
EA255 (148)
EA265 (148)
EJ235 (157)
EO530 (186)
EP415 (192)
EA315 (148)
EB020 (153)
EJ245 (157)
HA460 (216)
HA470 (216)
EJ115 (156)
EJ225 (157)
EA285 (148)
EA225 (148)
HE260 (231)
HE270 (231)
HE280 (231)
HB380 (223)
EA295 (148)
HC800 (229)
HC200 (227)
HC720 (229)

2015 AMA FEES LIST INDEX
BLADDER (cont)
- diverticulum of, excision or
obliteration of
- enlargement, using intestine..........
- extrophy closure..............................
- extrophy of, repair of.......................
- partial excision of.............................
- repair of rupture of...........................
- stress incontinence.........................
- total excision of................................
- transection, with re-anastomosis
to trigone
- transrectal ultrasound scan of........
- tumour(s), diathermy or resection
of, with cystoscopy
- washout test of.................................
BLADDER STRESS INCONTINENCE
- sling procedure for..........................
- Stamey or similar type needle
colposuspension
BLOOD
- dye, dilution indicator test..............
- transfusion, incl collection..............
- volume estimation............................
BLOOD COLLECTION
- by femoral or external jugular
vein puncture, infants
BLOOD FLOW STUDY
- cardiac first pass or cardiac shunt
study
- dynamic.............................................
BLOOD PRESSURE MONITORING
- by indwelling catheter.....................
BLOOD TRANSFUSION
- fetal intraperitoneal..........................
BLOOD VOLUME STUDY
- quantitative.......................................
BLOOD,
- administration of..............................
- collection for autologous
transfusion
- fetal intravascular transfusion
- pressure monitoring (ICU Only)......
- transfusion........................................
- transfusion, paediatric/neonatal
- transfusion, paediatric/neonatal,
from donor
HC750 (229)
HC820 (230)
HC830 (230)
HF540 (238)
HC700 (229)
HC710 (229)
HC810 (230)
HC740 (229)
HC840 (230)
OB200 (381)
OB210 (382)
HC331 (228)
BB370 (60)
HC805 (229)
HC807 (229)
AV200 (57)
BJ710 (73)
BF500 (68)
BH740 (72)
OS095 (416)
OS375 (418)
AT025 (54)
BV920 (100)
OS375 (418)
BJ720 (73)
BJ730 (73)
BV915 (100)
BM025 (75)
BJ720 (73)
BH730 (72)
BH720 (72)
BODY STUDY
- whole using thallium........................
- whole, using gallium........................
- whole, using iodine..........................
- whole, using Technetium labelled
cells
BONE
- cysts, injection into/aspiration of
- densitometry.....................................
BONE AGE STUDY................................
BONE GRAFT
- harvesting of large quantity............
- harvesting of small quantity...........
- maxillary sinus.................................
- other..................................................
- other, with internal fixation.............
- to femur.............................................
- to humerus........................................
- to phalanx or metacarpal, for
pseudarthrosis
- to radius and ulna............................
- to scaphoid.......................................
- to spine..............................................
- to spine, postero-lateral fusion
- to tibia................................................
- vascularised pedicle, harvesting
of
BONE GROWTH STIMULATOR
- insertion............................................
BONE MARROW
- administration of..............................
- harvesting of, for transplantation
- in vitro processing and
cryopreservation of
BONE MARROW BIOPSY
- by aspiration.....................................
BONE MARROW STUDY
- localised using technetium
labelled agent
- whole body using technetium
labelled bone marrow agents
BONE OR JOINT STUDY
- localised............................................
BONE STUDY........................................
- whole body.......................................
OS455 (419)
OS415 (419)
OS405 (418)
OS435 (419)
MR010 (336)
BF025 (64)
OF252 (404)
MQ475 (333)
MQ465 (333)
MK345 (310)
MR630 (338)
MR640 (338)
MR500 (337)
MR540 (338)
ML365 (315)
ML375 (315)
MR560 (338)
MR600 (338)
MT150 (340)
MT170 (340)
MR520 (338)
MQ485 (333)
MR088 (336)
BJ720 (73)
BJ700 (73)
BJ760 (74)
EA275 (148)
OS483 (419)
OS475 (419)
OS485 (419)
OS495 (419)
OS395 (418)
OS385 (418)

2015 AMA FEES LIST INDEX
BONE TUMOUR
- innocent, excision of.......................
BOTULINUM TOXIN
- for bilateral blepharospasm............
- for cervical dystonia........................
- for chronic migraine........................
- for dynamic equinus foot
deformity
- for focal spasticity in adults............
- for hemifacial spasm in adults........
- for severe primary hyperhidrosis
of the axillae
- for spasmodic dysphonia................
- for spasticity due to cerebral palsy
- for strabismus..................................
- for treatment of spasticity of the
arm in adults
- for unilateral blepharospasm..........
- for urinary incontinence..................
BOUTONNIERE DEFORMITY
- reconstruction of..............................
BOWEL
- haemorrhage study..........................
- restoration following Hartmann's
operation
BOWEL RESECTION
- for necrotising enterocolitis
stricture or strictures
BRACHIAL INDICES AND ARTERIAL
WAVEFORM ANALYSIS
- measurement....................................
BRACHIAL PLEXUS
- exploration of...................................
BRACHYCEPHALY
- cranial vault reconstruction for
BRACHYTHERAPY...............................
BRACHYTHERAPY PLANNING
- computerised radiation dosimetry
- radiation source localisation..........
- treatment verification.......................
BRAIN
- scan of...............................................
EA835 (152)
BM830 (80)
BM802 (78)
BM845 (80)
BM804 (79)
BM810 (79)
BM800 (78)
BM812 (79)
BM818 (79)
BM811 (79)
BM816 (79)
BM814 (79)
BM820 (79)
BM840 (80)
ML515 (315)
ML525 (315)
OS185 (417)
EP165 (190)
MD360 (286)
AT060 (55)
LN820 (257)
MK075 (308)
BQ760 (86)
BR620 (90)
BR623 (90)
BR850 (93)
BR800 (93)
OD005 (396)
OD010 (396)
OD505 (399)
BRAIN STUDY
- with blood brain barrier agent........
BRANCHIAL
- cyst , removal of...............................
- fistula, removal of............................
BREAST
- biopsy of using ABBI.......................
- central ducts, excision of................
- excision of accessory nipple..........
- excision of accessory tissue..........
- lesion, pre-op localisation...............
- microdochotomy of..........................
- of solid breast tumour, vacuum
assisted
- tuberous, tubular or constricted,
correction of
- ultrasound scan of...........................
BREAST (FEMALE)
- subcutaneous mastectomy.............
- total mastectomy of.........................
BREAST (MALE)
- subcutaneous mastectomy.............
- total mastectomy of.........................
BREAST ABNORMALITY
- excision biopsy of............................
BREAST HAEMATOMA
- exploration and drainage in
theatre
BREAST INFLAMMATORY
CONDITION
- exploration and drainage in
theatre
BREAST PROSTHESIS
- removal and replacement with
another prosthesis
- removal of.........................................
- removal of, and replacement..........
- removal of, with excision of
fibrous capsule
- replacement, where new pocket is
formed
- silicone, removal of and
replacement with non-silicone
BREAST PTOSIS
- correction of (unilateral)..................
OS345 (418)
EA985 (153)
EA995 (153)
EO539 (186)
EO557 (187)
EO566 (187)
EO560 (187)
EO536 (186)
EO554 (187)
EO530 (186)
MJ230 (300)
OA290 (376)
OA295 (376)
EO524 (185)
EO518 (185)
EO527 (185)
EO521 (185)
EO506 (185)
EO551 (186)
EO551 (186)
MJ220 (299)
MJ195 (299)
MJ215 (299)
MJ205 (299)
MJ225 (299)
MJ226 (299)
MJ227 (300)
MJ228 (300)

2015 AMA FEES LIST INDEX
BREAST PTOSIS (cont)
- correction of (unilateral),
following pregnancy and lactation
BREAST RECONSTRUCTION
- following mastectomy, using
tissue expansion
- using a latissimus dorsi..................
- using breast sharing technique......
- using large muscle or
myocutaneous flap
BREAST SEROMA
- exploration and drainage in
theatre
BREAST SHARING TECHNIQUE
- for breast reconstruction................
BREAST, MALIGNANT TUMOUR
- complete local excision of..............
BREAST, BENIGN LESION
- excision of.........................................
- open biopsy or excision of..............
BREAST, MALIGNANT TUMOUR
- open surgical biopsy of...................
BREAST, TUMOUR SITE
- re-excision of....................................
BREASTS
- ultrasound scan of...........................
BRONCHOSCOPY
- as an independent procedure.........
- fibreoptic...........................................
- with 1 or more endobronchial
biopsies
- with dilatation of tracheal stricture
BRONCHOSPIROMETRY
- including gas analysis.....................
BRONCHUS
- dilation of stricture and stent
insertion
- removal of foreign body in..............
BROVIAC CATHETER
- insertion of........................................
- removal of.........................................
BUNION
- excision of.........................................
MJ229 (300)
MJ165 (299)
MJ175 (299)
MJ135 (299)
MJ145 (299)
MJ155 (299)
MJ135 (299)
EO551 (186)
MJ145 (299)
MJ155 (299)
EO512 (185)
EO503 (185)
EO500 (185)
EO509 (185)
EO515 (185)
OA300 (376)
OA305 (376)
MB345 (274)
MB375 (274)
MB355 (274)
MB395 (275)
AR500 (53)
MB405 (275)
MB365 (274)
EW690 (207)
EW710 (207)
MR130 (336)
BURNS
- excision of under GA (not
involving grafting)
- excision under GA (no grafting)
- free grafting (split skin)...................
- free grafting, split skin.....................
BURNS, EXTENSIVE
- dressing of, not involving grafting
BURNS, LOCALISED
- dressing of (not involving
grafting)
BURR-HOLE..........................................
- for intracranial haemorrhage..........
- for intracranial infection..................
BURR-HOLE PLACEMENT
- of intracranial depth.........................
- of surface electrodes.......................
BURSA
- large, excision of..............................
- small, excision of.............................
BURSA, SEMIMEMBRANOSUS
- (Baker's cyst), excision of...............
BURST ABDOMEN
- repair of.............................................
BUTTOCK OR THIGH
- ultrasound scan of...........................
BYPASS.................................................
- graft, extracranial to intracranial
- graft, infected, of extremities,
excision of
BYPASS GRAFT
- infected, of trunk, excision of
BYPASS GRAFTING
- cross leg, saphenous to iliac or
femoral vein
- to replace a popliteal aneurysm
CAECOSTOMY
- involving laparotomy.......................
CAESAREAN SECTION........................
CALCANEAL
- spur, of foot, excision of.................
CALCANEUM
- bursa, excision of.............................
- treatment of fracture of....................
CALCIUM DEPOSIT
- removal of, from shoulder...............
EA065 (146)
EA055 (146)
MH505 (295)
MH390 (294)
EA025 (146)
EA015 (146)
LN035 (254)
LP050 (257)
LR400 (260)
LT730 (263)
EA365 (149)
EA355 (149)
EA375 (149)
EJ185 (157)
OC860 (390)
OC865 (391)
LA600 (251)
LR060 (259)
EW255 (206)
EW235 (206)
EX070 (208)
ER005 (200)
EJ015 (155)
BT530 (99)
MX560 (351)
EA365 (149)
MQ085 (331)
MT600 (342)

2015 AMA FEES LIST INDEX
CALF
- decompression fasciotomy of........
CALORIC TEST
- of labyrinth/s.....................................
- simultaneous bithermal...................
CANNULATION
- arterial, for infusion chemotherapy
- central vein, subcutaneous tunnel
- coronary sinus, for admin of
blood or crystalloid
- for retrograde cerebral perfusion
- intra-abdominal vessel, for
chemotherapy
- umbilical artery.................................
CANTHOPLASTY
- medial or lateral................................
CAPSULE ENDOSCOPY
- patient diagnosed with peutzjeghers
syndrome
- to investigate obscure
gastrointestinal bleeding
CAPSULECTOMY
- by posterior chamber sclerotomy
- of finger joints..................................
- via the anterior chamber.................
CAPSULOTOMY
- by laser..............................................
- other than by laser...........................
CARBON DIOXIDE LASER
- resurfacing, face or neck, 1
aesthetic area
- resurfacing, face or neck, more
than 1 aesthetic area
CARBON LABELLED UREA BREATH
TEST
- using oral C-13 or C-14 urea...........
CARBUNCLE
- incision with drainage under GA
CARCINOMA, ANORECTAL.................
CARCINOMA, BASAL CELL
- removal from nose, eyelid, lip,
ear, digit or genetalia
- removal from nose, eyelid, lip,
ear, digit or genitalia
CARCINOMA, SQUAMOUS CELL
- removal from nose, eyelid, lip,
ear, digit or genetalia
MR240 (337)
MR260 (337)
AQ640 (53)
AQ650 (53)
EW680 (206)
EW690 (207)
LA200 (250)
HJ300 (250)
EW670 (206)
BH710 (72)
MC090 (277)
BB023 (59)
BB020 (59)
MC590 (281)
ML145 (313)
MC550 (280)
MC780 (282)
MC600 (281)
MG430 (292)
MG440 (292)
BF610 (68)
EA755 (151)
EP445 (192)
EN065 (174)
EN060 (173)
EN065 (174)
- removal from nose, eyelid, lip,
ear, digit or genitalia
- up to 10mm, surgical excision
from face, neck, or lower leg
CARDIAC
- electrophysiological studies...........
- surgery, re-operationvia median
sternotomy
- surgery/congenital heart disease
- tumour, excision of..........................
CARDIAC BLOOD POOL STUDY
- gated..................................................
CARDIAC INTRACAVITY PRESSURE
- continuous monitoring (ICU)..........
CARDIAC SYNCHRONISATION
DEVICE
- insertion, removal or replacement
CARDIAC SYNCRONISATION
- electrode...........................................
CARDIAC SYNCRONISATION
DEVICE
- insertion, removal or replacement
of
CARDIAC,
- rhythm, restoration of, by
electrical stimulation
CARDIOPEXY
- antireflux operation..........................
CARDIOPLEGIA
- blood or crystalloid,
administration by any route
CARDIO-PULMONARY BYPASS
- medical management of using a
heart/lung machine
CARDIOPULMONARY BY-PASS
- cannulation for.................................
CARDIOTOCOGRAPHY
- antenatal............................................
CARE OF THE NEWBORN...................
CAROTID ARTERY
- body tumour, recurrent, resection
of
- body tumour, resection of...............
EN060 (173)
EN070 (175)
HG035 (239)
LB210 (251)
LL400 (252)
LL050 (252)
OS055 (416)
OS065 (416)
OS075 (416)
OS085 (416)
BM025 (75)
HG365 (244)
HG368 (244)
HG371 (244)
BJ050 (73)
EK005 (163)
CV070 (138)
CV060 (138)
LA500 (250)
BT280 (98)
BT870 (100)
EW185 (205)
EW165 (205)
EW175 (205)

2015 AMA FEES LIST INDEX
CAROTID ARTERY (cont)
- internal, transection and
reanastomosis of
CARPAL BONE
- replacement or resection
arthroplasty
CARPAL SCAPHOID
- treatment of fracture of....................
CARPAL TUNNEL
- release, by endoscopic procedure
- wrist, release by open procedure
CARPOMETACARPAL JOINT
- arthrodesis of...................................
- dislocation, treatment of.................
- synovectomy of................................
CARPUS
- dislocation, treatment of.................
- operation for acute osteomyelitis
- operation/chronic osteomyelitis
- osteectomy, osteotomy...................
- treatment of fracture........................
CARPUS on RADIUS and ULNA
- dislocation, treatment of.................
CARTILAGE, INSERTION
- in eye.................................................
CARUNCLE
- urethral, cauterisation of.................
- urethral, excision of.........................
CATARACT
- juvenile, removal of..........................
CATHETER
- intrathecal or epidural.....................
- peritoneal insertion and fixation
CATHETER(S), PLACEMENT OF
- into direct internal mammary
artery graft(s)
- into free coronary graft(s)...............
CATHETERISATION
- bladder, independent procedure....
- central vein.......................................
- central vein, child under 12 yrs
- central vein, in neonate...................
EQ410 (198)
ML095 (313)
ML105 (313)
MP185 (325)
MU410 (345)
MU400 (344)
ML015 (312)
MN110 (318)
MN120 (318)
ML165 (313)
MN110 (318)
MN120 (318)
MD120 (285)
MD150 (285)
MS025 (338)
MP165 (325)
MP175 (325)
MN110 (318)
MN120 (318)
MB830 (275)
HA110 (213)
HA120 (213)
MC540 (280)
BN020 (81)
BH530 (70)
HG069 (239)
HG067 (239)
HC200 (227)
BL600 (74)
BH750 (73)
BH755 (73)
- central vein, subcutaneous tunnel
- central vein, with tunnelled cuffed
catheter
- frontal sinus......................................
- of eustachian tube...........................
- peripheral arterial, by open
exposure
- peripheral arterial, with
administration of thrombolytic or
chemotherapeutic agents
- peripheral, arterial or venous..........
- peritoneal, for dialysis.....................
- trans-femoral - for SIRT...................
- umbilical artery.................................
- umbilical/scalp vein in neonate
- venous, by open exposure..............
- venous, with administration of
thrombolytic or chemotherapeutic
agents
CAUDAL BLOCK...................................
CAUTERISATION
- by chemical or other means............
- cervix.................................................
- of angioma........................................
- urethra or urethral caruncle............
CAUTERY
- conjunctiva, including treatment
of pannus
CAVOPULMONARY SHUNT
- creation of.........................................
CELLULITIS
- incision with drainage under GA
CENTRAL CANNULATION
- for cardiopulmonary bypass...........
- vein catheterisation, via
subcutaneous tunnel
CENTRAL NERVOUS SYSTEM
EVOKED RESPONSES
- computerised averaging
techniques
CENTRAL VENOUS PRESSURE
- continuous monitoring (ICU)..........
CEPHALIC VERSION, EXTERNAL
- for breech presentation...................
CEPHALOMETRY..................................
CEREBELLO-PONTINE ANGLE
TUMOUR
- etromastoid removal of...................
EW690 (207)
EW730 (207)
MA835 (271)
MA885 (271)
FA610 (210)
FA590 (210)
FA620 (210)
BH530 (70)
GA110 (212)
BH710 (72)
BH700 (72)
FA610 (210)
FA590 (210)
CV120 (139)
MA605 (269)
HA420 (216)
MG450 (292)
HA110 (213)
MC400 (279)
LL510 (253)
EA755 (151)
LA500 (250)
EW690 (207)
AP400 (49)
BM025 (75)
BT205 (98)
OF102 (403)
MA255 (266)

2015 AMA FEES LIST INDEX
CEREBELLO-PONTINE ANGLE TUMOUR
(cont)
- translabyrinthine, removal of..........
- transmastoid, removal of................
CEREBRAL PALSY
- hips or knees, application of cast
under GA
CEREBRAL PERFUSION STUDY
- with single photon emission
tomography
CEREBROSPINAL FLUID
- fluid reservoir, insertion of..............
CEREBRO-SPINAL FLUID
- shunt patency study........................
- transport study.................................
CEREBROSPINAL FLUID DRAIN
- lumbar...............................................
CERVICAL ARTIFICIAL
INTERVERTEBRAL TOTAL DISC
REPLACEMENT
CERVICAL DECOMPRESSION OF
- plexus block......................................
- spinal cord........................................
CERVICAL DISCECTOMY
- without fusion...................................
CERVICAL RE-EXPLORATION
- for recurrent/persistent
hyperparathyroidism
CERVICAL RIB
- removal, for thoracic outlet
compression
CERVICAL SYMPATHECTOMY...........
CERVIX
- amputation or repair of....................
- cauterisation, not chemical.............
- colposcopic examination of............
- colposcopy/radical diathermy........
- cone biopsy of..................................
- diathermy of......................................
- electrocoagulation diathermy with
colposcopy
- ionisation of......................................
- large loop excision diathermy........
- large loop excision of
transformation zone
- purse string ligation of, for
threatened miscarriage
- removal of polyp from.....................
MA255 (266)
MZ145 (356)
OS335 (418)
LN065 (254)
OS365 (418)
OS355 (418)
LR760 (260)
MT342 (342)
CV213 (140)
LT175 (262)
LT195 (262)
EC590 (154)
EW135 (205)
LT015 (261)
HA460 (216)
HA420 (216)
HA440 (216)
HA610 (218)
HA460 (216)
HA420 (216)
HA590 (218)
HA420 (216)
HA630 (218)
HA620 (218)
BT260 (98)
HA430 (216)
- removal of purse string ligature of
- repair of extensive laceration/s
CERVIX, RESIDUAL STUMP
- by vaginal approach........................
- removal of, by abdominal
approach
CHEMICAL PEEL
- full facial, for severe chloasma or
melasma refractory
- full facial, for severely sundamaged
skin
CHEMOTHERAPY
- administration of, intra arterial
- administration of, intravenous
push or infusion
CHEST
- scan of...............................................
CHEST OR ABDOMINAL WALL
- ultrasound scan of...........................
CHOANAL ATRESIA
- correction by open operation.........
- repair by puncture/dilatation...........
CHOLANGIOGRAM
- percutaneous transhepatic.............
CHOLANGIOGRAPHY
- operative...........................................
CHOLANGIOPANCREATOGRAPHY
- endoscopic retrograde....................
CHOLECYSTECTOMY..........................
- laparoscopic.....................................
- laparoscopic, completed by
laparotomy
CHOLECYSTODUODENOSTOMY
- as a bypass procedure....................
CHOLECYSTOENTEROSTOMY
- as a bypass procedure....................
CHOLECYSTOSTOMY
- involving laparotomy.......................
CHOLEDOCHAL CYST
- resection of.......................................
CHOLEDOCHOJEJUNOSTOMY
- as a bypass procedure....................
BT270 (98)
BT830 (99)
HA434 (216)
HA432 (216)
MG404 (292)
MG402 (292)
BM440 (76)
BM400 (76)
OD205 (398)
OC830 (390)
OC835 (390)
MJ535 (304)
MJ525 (304)
EJ405 (159)
EJ395 (159)
EJ695 (161)
EJ425 (159)
EJ435 (159)
EJ455 (159)
EJ535 (160)
EO255 (184)
EJ535 (160)
EO255 (184)
EJ015 (155)
ME340 (289)
ME350 (289)
EJ535 (160)
EO255 (184)

2015 AMA FEES LIST INDEX
CHOLEDOCHOSCOPY
- with another procedure...................
- with balloon dilatation of a
stricture
CHOLEDOCHOTOMY
- intrahepatic.......................................
- with or without cholecycstectomy
CHOLEGRAPHY DIRECT.....................
CHONDROPLASTY
- of knee...............................................
CHORIONIC VILLUS SAMPLING
- by any route......................................
CHRONIC VENOUS DISEASE
- plethysmographic assessment.......
CHYMOPAPAIN
- intradiscal injection of.....................
CICATRICIAL FLEXION
- of joint, correction of.......................
CILIARY BODY
EJ415 (159)
EJ485 (159)
EJ515 (159)
EJ495 (159)
EJ505 (159)
OF388 (406)
MW015 (347)
BV905 (100)
AT040 (54)
LT225 (262)
MY055 (352)
- excision of tumour........................... MC710 (281)
CIRCULATORY SUPPORT DEVICE BD120 (61)
- management of.................................
CIRCULATORY SUPPORT DEVICE,
- management of.................................
CIRCUMCISION
- male, 10 years or over.....................
- male, under 10 yrs/over 6 mnths
- male, under 6 months of age..........
CISTERNAL
- puncture............................................
- shunt diversion, insertion of...........
CLAVICLE
- operation for acute osteomyelitis
- operation/chronic osteomyelitis
- osteectomy, osteotomy...................
- radiographic examination of...........
- treatment of dislocation..................
- treatment of fracture........................
CLAW TOE
- correction of.....................................
CLEARANCE OF MIDDLE EAR FOR
GRANULOMA
BD110 (61)
BL680 (75)
BL670 (75)
EM750 (168)
EM740 (168)
EM730 (168)
LN005 (254)
LR710 (260)
MD120 (285)
MD150 (285)
MS025 (338)
OF060 (402)
MN020 (318)
MN030 (318)
MP565 (327)
MP575 (327)
MX660 (351)
MA485 (268)
CLEFT
- lip, correction of...............................
CLEFT LIP
- reconstruction using full
thickness flap
- reconstruction using full
thickness flap, second stage
CLEFT PALATE
- primary repair...................................
- secondary repair..............................
CLITORIS
- amputation/where medically
indicated
CLITOROPLASTY
- reduction, ambiguous genitalia......
CLOACA
- persistent, total correction of
CLOACAL EXSTROPHY
- neonatal, operation for....................
CLUB HAND
- radial, centralisation / radialisation
COCCYX
- excision of.........................................
COCHLEAR FUNCTION CHANGES
- glycerol induced...............................
COCHLEAR IMPLANT
- insertion of, including
mastoidectomy
COCHLEAR NERVE SECTION.............
COELIAC ARTERY
- decompression of............................
COLECTOMY
- total....................................................
COLLES' FRACTURE
- of wrist, treatment of........................
COLONIC
- atresia, neonatal, laparotomy for
- reservoir, construction of................
COLONIC LAVAGE
- total, intra-operative.........................
COLONIC TRANSIT STUDY
- radionuclide......................................
COLONOSCOPY
- fibreoptic...........................................
- fibreoptic, with or without biopsy
MJ685 (305)
MJ765 (305)
MJ775 (305)
MJ785 (305)
MJ795 (306)
HA130 (213)
HF550 (238)
HF560 (238)
ME330 (289)
MD520 (287)
MZ310 (357)
EM780 (169)
AQ590 (52)
MA425 (268)
MA345 (267)
EW145 (205)
EP055 (189)
MP235 (325)
MD300 (286)
EP145 (190)
EP755 (195)
OS255 (418)
EP375 (191)
EP355 (191)

2015 AMA FEES LIST INDEX
COLORECTAL STRICTURES
- endoscopic dilation of.....................
COLOSTOMY
- closure of..........................................
- involving laparotomy.......................
- refashioning of.................................
- with laparotomy, for neonatal
anorectal malformation
COLOTOMY
- involving laparotomy.......................
COLPOSCOPY
- using Hinselmann or similar type
of instrument
COLPOTOMY.........................................
COMPOSITE GRAFT
- to nose, ear or eyelid.......................
COMPUTERISED PERIMETRY
- full quantitative.................................
COMPUTERISED RADIATION
DOSIMETRY
- brachytherapy planning..................
CONDYLECTOMY
- of mandible.......................................
CONGENITAL ABSENCE OF VAGINA
- reconstruction for............................
CONJUNCTIVA
- biopsy of...........................................
- cautery of..........................................
- cryotherapy to..................................
CONJUNCTIVAL CYST
- removal of.........................................
CONJUNCTIVAL PERITOMY................
CONJUNCTIVORHINOSTOMY.............
CONSULTATION, FIRST
- for complicated labour, as second
opinion
CONTACT LENSE
- refitting..............................................
CONTACT LENSES
- investigation and evaluation of
patient with keratometry
CONTOUR RECONSTRUCTION
- insertion of foreign implants for
CONTRACEPTIVE DEVICE
- intra-uterine, introduction of...........
- intra-uterine, removal of..................
CONTRACTED SOCKET
- reconstruction of..............................
EP395 (192)
EK215 (165)
EJ015 (155)
EK225 (165)
MD320 (286)
EJ015 (155)
HA440 (216)
HA310 (215)
MJ585 (304)
AQ090 (50)
BR620 (90)
MJ405 (302)
HA270 (214)
MC399 (279)
MC400 (279)
MC410 (279)
MC420 (279)
MC250 (278)
MC240 (278)
BT201 (98)
AP020 (43)
AP010 (43)
MG540 (293)
HA020 (212)
HA030 (213)
MB860 (276)
CORDOTOMY LN480 (255)
CORNEA
- conjunctival graft over.....................
- epithelial debridement.....................
- removal of foreign body..................
- removal of foreign body from.........
- transplantation of.............................
CORNEAL INCISIONS
- to correct astigmatism.....................
CORNEAL LACERATION
- repair of.............................................
CORNEAL PERFORATIONS
- sealing of, with tissue adhesive
CORNEAL SCARS
- removal by partial keratectomy......
CORNEAL SUTURES
- removal of,........................................
CORNEAL TOPOGRAPHY....................
CORONARY ARTERY
- artery bypass vein graft,
dissection
- bypass...............................................
- endarterectomy, open operation....
CORONARY PRESSURE WIRE
- use of.................................................
CORONARY SINUS
- cannulation of, for cardioplegia
CORPUS CALLOSUM
- anterior section of, for epilepsy
CORROSIVE OESOPHAGEAL
STRICTURE
- oesophageal replacement for.........
CORTICECTOMY
MC270 (278)
MC310 (278)
MC315 (279)
EA195 (147)
MC290 (278)
MC320 (279)
MC381 (279)
MC250 (278)
MC260 (278)
MC300 (278)
MC370 (279)
AQ120 (52)
LB200 (251)
HH310 (248)
HH340 (249)
HG088 (241)
LA200 (250)
LT700 (263)
MD610 (287)
- for epilepsy....................................... LT710 (263)
CORTICOLYSIS OF LENS MATERIAL MC790 (282)
COUNTERPULSATION
- by intra-aortic balloon.....................
COUNTERPULSATION BY INTRA-
AORTIC BALLOON
- management of.................................
CRANIAL NERVE...................................
- intracranial decompression of........
- shunt diversion, insertion of...........
BD100 (61)
BL660 (75)
LP015 (257)
LN450 (255)
LR710 (260)

2015 AMA FEES LIST INDEX
CRANIAL VAULT RECONSTRUCTION
- for oxycephaly, brachycephaly,
turricephaly or similar condition -
(bilateral front
CRANIECTOMY
- for intracranial haemorrhage..........
- for osteomyelitis/removal infected
bone
CRANIOCERVICAL JUNCTION
LESION
- transoral approach for.....................
CRANIOPLASTY
- and repair of fractured skull............
- reconstructive..................................
CRANIOSTENOSIS
- operation for.....................................
CRANIOTOMY
- and tumour removal.........................
- burr-hole for intracranial
haemorrhage
- for arachnoidal cyst.........................
- for hydromyelia (with
laminectomy)
- for intracranial haemorrhage..........
- for re-opening post-op for
haemorrhage/swelling
- removal of intracranial tumour.......
CRICOPHARYNGEAL MYOTOMY
- with or without inversion of
pharyngeal pouch
CRICOTHYROSTOMY
- by direct stab or dilation
technique
CRYONEUROTOMY
- of peripheral nerves.........................
CRYOTHERAPY
- for detached retina...........................
- for retina, independent procedure
- for trichiasis......................................
- to nose, for nasal haemorrhage......
CT SCAN................................................
CURETTAGE
- for evacuation of gravid uterus
- uterus................................................
CUTANEOUS FISTULA
- of salivary gland, repair...................
CYCLOCRYOTHERAPY........................
LT610 (262)
LP060 (257)
LR420 (260)
LT105 (261)
LP100 (258)
LT620 (263)
LR950 (260)
LP330 (259)
LP050 (257)
LP360 (259)
LT245 (262)
LP060 (257)
LP370 (259)
LP340 (259)
MA955 (271)
MB325 (274)
LN780 (257)
MC730 (282)
MC880 (283)
MC080 (277)
MA625 (269)
OS647 (420)
HA580 (218)
HA570 (217)
EA925 (152)
MC720 (281)
CYCLODESTRUCTIVE
PROCEDURES
- treatment to one eye, up to two
treatments
CYCLODIATHERMY..............................
CYST
- arachnoidal, craniotomy for............
- Bartholin's, excision of....................
- Bartholin's, marsupialisation of
- bone, injection into/aspiration of
- branchial, removal of.......................
- brochogenic, thoracotomy and
excision, paediatric
- choledochal, resection of................
- enterogenous, thoracotomy and
excision, paediatric
- epididymal, excision of....................
- hydatid, of liver, removal of
contents
- intracranial........................................
- lesion < 20mm, surgical excision
- lesion 10mm, surgical excision......
- mucous, of mouth, removal............
- ovarian, aspiration of.......................
- pancreatic, anastomosis to
stomach or duodenum
- pharyngeal, removal of....................
- removal by surgical excision..........
- removal, face/neck/lower leg..........
- renal, excision or unroofing of
- thyroglossal, removal of..................
- vaginal, removal of...........................
- vallecular, removal of......................
CYST, TARSAL
- extirpation of....................................
CYSTADENOMATOID
MALFORMATION, NEONATAL,
THORACOTOMY
CYSTOGRAPHY....................................
CYSTOMETROGRAPHY.......................
- with contrast micturating
cystourethrography
- with measurement of rectal
pressure
- with other procedure.......................
- with ultrsound..................................
CYSTOSCOPY.......................................
MC721 (282)
MC720 (281)
LP360 (259)
HA070 (213)
HA080 (213)
MR010 (336)
EA985 (153)
MD640 (288)
ME340 (289)
ME350 (289)
MD640 (288)
HF200 (235)
EJ365 (158)
LP310 (259)
EN020 (171)
EN010 (171)
EA975 (153)
HA090 (213)
EK385 (166)
MB085 (272)
EN005 (171)
EN040 (172)
HB370 (223)
EC560 (154)
HA220 (214)
MB085 (272)
MC040 (277)
MD450 (287)
OF316 (405)
BB310 (59)
BB366 (60)
BB340 (60)
BB350 (60)
BB360 (60)
HC235 (227)

2015 AMA FEES LIST INDEX
CYSTOSCOPY (cont)
- with ureteric catheterisation...........
- with ureteric meatotomy..................
- with/without urethroscopy..............
CYSTOSTOMY
- suprapubic stab...............................
CYSTOSTOMY OR CYSTOTOMY
- suprapubic........................................
CYSTOURETEROGRAM.......................
CYTOGENETICS...................................
CYTOLOGY............................................
CYTOTOXIC AGENT
- installation of, into body cavity
DACRYOCYSTOGRAPHY
- one side.............................................
DACRYOCYSTORHINOSTOMY...........
DEBRIDEMENT
- of tissue, ischaemic limb.................
DEBRIDEMENT OF
- contaminated wound.......................
DEBULKING OPERATION
- for advanced gynaecological
malignancy
DECOMPRESSION ESCHAROTOMY
OF
- limb or chest.....................................
DECOMPRESSION FASCIOTOMY
- calf/forearm, hand............................
DEEP ABCESS
- percutaneous drainage of...............
DEEP BRAIN STIMULATION
- for Parkinson's Disease...................
DEEP ORGAN
- percutaneous aspiration biopsy.....
DEEP TISSUE
- biopsy of...........................................
- drill biopsy of....................................
- removal of foreign body from.........
DEFAECOGRAM...................................
DELORME PROCEDURE
- for rectal prolapse............................
DERMIS GRAFT....................................
DERMO-FAT GRAFT.............................
DERMOID
- of nose, excision of..........................
- orbital, excision of...........................
HC260 (227)
HC300 (228)
HC250 (227)
HC730 (229)
HC720 (229)
OS315 (418)
PG005 (460)
PF005 (459)
BM510 (77)
OF504 (407)
MC220 (278)
FA200 (209)
EA075 (146)
HA880 (220)
MG550 (293)
MR240 (337)
MR260 (337)
EA765 (151)
LT850 (263)
EA305 (148)
EA235 (148)
EA245 (148)
EA215 (148)
OF400 (406)
EP465 (192)
MG400 (292)
MG400 (292)
MA795 (271)
MC030 (277)
- periorbital, excision of.....................
DETACHED RETINA
- diathermy or cryotherapy................
- removal of silicone band from........
- resection/buckling operation for
DIALYSIS
- at home, planning and
management of
- peritoneal..........................................
- renal, in hospital...............................
DIALYSIS CATHETER
- removal of.........................................
DIAPHRAGMATIC HERNIA
- congenital, repair of.........................
- traumatic, repair of...........................
DIAPHYSEAL ACLASIA
- removal of lesion/s from bone........
DIASTEMATOMYELIA
- tethered cord, release of.................
DIATHERMY
- for detached retina...........................
- salivary gland...................................
- starburst vessels, head or neck
DIATHERMY OF PHARYNX..................
DIATHERMY OF SEPTUM....................
DIATHERMY OF TURBINATES............
DIGIT
- amputation of...................................
- correction of flexion contracture
- or ray, transposition/transfer, on
vascular pedicle
- synovectomy of tendon/s................
DIGITAL NAIL
- removal of.........................................
DIRECT FLAP
- delay of..............................................
- revision of.........................................
DIRECT FLAP REPAIR
- cross arm/abdominal, second
stage
- cross leg, first stage........................
- cross leg, second stage..................
- first stage..........................................
- small, cross finger, first stage
MC020 (277)
MC730 (282)
MC860 (283)
MC740 (282)
BH515 (70)
BH540 (70)
BH500 (70)
BH510 (70)
BH535 (70)
EK485 (167)
EK475 (167)
MZ430 (357)
LR940 (260)
MC730 (282)
EA905 (152)
EA725 (151)
MA605 (269)
MA605 (269)
MA605 (269)
ML585 (316)
ML685 (316)
ML775 (317)
ML185 (313)
ML795 (317)
ML805 (317)
MR030 (336)
MH205 (294)
MH235 (294)
MH145 (293)
MH155 (293)
MH165 (293)
MH135 (293)
MH175 (294)

2015 AMA FEES LIST INDEX
DIRECT FLAP REPAIR (cont)
- small, cross finger, second stage
DISC LESION
- laminectomy.....................................
DISCECTOMY
- cervical (anterior) without fusion
- miscrosurgical, of intervertebral
disc/s
- percutaneous lumbar.......................
DISCOGRAPHY
- each disc...........................................
DISTAL MUSCLE
- devascularisation of........................
DIVERTICULUM
- bladder, excision/ obliteration
DIVERTICULUM STUDY
- Meckel's............................................
DIVISION OF NASAL ADHESIONS
- with or without stenting..................
DOHLMAN'S OPERATION....................
DONOR NEPHRECTOMY
- one or both kidneys.........................
DOUBLE ADVANCEMENT FLAP
- for defect on eyelid, eyebrow or
forehead
DOUBLE BALLOON ENTEROSCOPY
- of small bowel, anal approach........
- of small bowel, oral approach.........
DOUBLE VAGINA
- correction by excision of septum
DRAINAGE OF FETAL FLUID FILLED
CAVITY
DREZ LESION
- operation for.....................................
DRILL BIOPSY
- lymph gland/deep tissue/organ......
DRUG DELIVERY DEVICE
- ambulatory, loading of.....................
- long term implanted, accessing of
DUCT, SALIVARY GLAND
- major, transposition of....................
DUODENAL
- atresia or stenosis...........................
DUODENODUODENOSTOMY
- for duodenal atresia/stenosis.........
DUODENOJEJUNOSTOMY
- for duodenal atresia/stenosis.........
MH185 (294)
LT065 (261)
LT195 (262)
LT055 (261)
MT130 (340)
OF500 (407)
EP900 (195)
HC750 (229)
OS195 (417)
MA635 (270)
MA945 (271)
HB240 (221)
MH130 (293)
EM905 (169)
EM900 (169)
HA280 (214)
BV940 (101)
LN490 (255)
EA245 (148)
BM490 (77)
BM500 (77)
MB425 (275)
MD270 (286)
MD270 (286)
MD270 (286)
DUODENOSCOPY EJ645 (160)
DUPLEX SCANNING
- bilateral, extra-cranial carotid and
vertebral vessels
- cavernosal artery of the penis........
- inferior vena cava and iliac veins
- intra-abdominal, aorta and iliac
arteries
- mapping of bypass conduit............
- marking of veins, below the
inguinal ligament
- measurement of, arteriovenous
fistula or access graft
- renal or visceral vessels..................
- unilateral, arteries or bypass
grafts in upper limbs
- unilateral, below the inguinal
ligament, for chronic venous
disease
- unilateral, B-mode ultrasound
imaging
- unilateral, veins in lower limb for
acute venous thrombosis
- unilateral, veins in upper limb
DUPUYTREN'S CONTRACTURE
- fasciectomy for.................................
- palmar fasciectomy for....................
- subcutaneous fasciotomy for.........
DYSPLASIA
- centralisation/radialisation..............
DYSTHYROID EYE DISEASE
- decompression of orbit...................
EAR
- composite graft to............................
- drum perforation, excision of rim
- full thickness laceration, repair of
- full thickness wedge, excision of
- lop or bat, correction of...................
- middle clearance of..........................
- middle, drainage tube insertion
- middle, exploration of......................
OB140 (379)
OB156 (380)
OB144 (379)
OB175 (381)
OB176 (381)
OB174 (381)
OB148 (380)
OB090 (379)
OB086 (379)
OB070 (378)
OB082 (379)
OB098 (379)
ML265 (314)
ML275 (314)
ML285 (314)
ML315 (314)
ML325 (314)
ML335 (314)
ML255 (314)
ML245 (314)
MZ310 (357)
MB920 (276)
MJ585 (304)
MA515 (269)
EA165 (147)
MJ615 (304)
MJ595 (304)
MA485 (268)
MA495 (268)
MA475 (268)
MA465 (268)

2015 AMA FEES LIST INDEX
EAR (cont)
- middle, operation for abscess or
inflammation of
- removal of foreign body from.........
- toilet, using operating microscope
EAR, EXTERNAL
- complex total reconstruction..........
ECG........................................................
ECG MONITORING
- multi channel....................................
ECG RECORDING
- ambulatory........................................
- not in association with
ambulatory blood pressure
monitoring
- signal averaged................................
ECHOCARDIOGRAPHIC
EXAMINATION, HEART
- from 2 acoustic windows, cardiac
failure, ventricular hypertrophy or
dysfunction, chest pain
- from 2 acoustic windows,
congenital heart disease
- from 2 acoustic windows, disease
or heart tumour
ECHOCARDIOGRAPHY
- exercise stress.................................
- pharmacological stress...................
- transoesophageal, intra-operative
ECLAMPSIA
- treatment of......................................
ECTOPIC
- pregnancy, laparoscopic removal
- pregnancy, ultrasound guided
needling and injection
- removal of.........................................
ECTROPION
- correction of.....................................
- tarsal cauterisation of......................
EEG........................................................
ELBOW
- arthrodesis of...................................
- arthroscopic surgery.......................
- arthroscopy of, diagnostic..............
- arthrotomy of....................................
- dislocation, treatment of.................
MA455 (268)
MA005 (265)
MA525 (269)
MJ600 (304)
MJ602 (304)
AP350 (48)
AV180 (56)
AV160 (56)
AV140 (56)
AV190 (56)
OA721 (377)
OA723 (377)
OA722 (377)
OA725 (377)
OA726 (378)
OA740 (378)
OA750 (378)
BT250 (98)
HA750 (219)
HA730 (219)
HA740 (219)
MJ455 (303)
MC060 (277)
AP300 (48)
MU055 (344)
MU105 (344)
MU095 (344)
MU035 (344)
MN070 (318)
- flexorplasty/tendon transfer to
restore function
- ligamentous stabilisation of............
- radial head, replacement of.............
- total joint replacement of................
- total replacement - revision............
- total synovectomy of.......................
ELECTROCARDIOGRAPHY
- tracing only.......................................
- twelve lead, tracing and report
ELECTROCOCHLEOGRAPHY
- extratympanic method.....................
ELECTROCONVULSIVE THERAPY
- attendance, incl. ECG monitoring
ELECTROCORTICOGRAPHY..............
ELECTRODE
- epidural, insertion by laminectomy
- epidural, percutaneous,
management of
- myocardial, insertion of by
thoracotomy or sternotomy
- pacemaker, insertion by subxyphoid
approach
ELECTRODE PLACEMENT
- intracranial........................................
ELECTRODE(S)
- transvenous, insertion of................
ELECTRODIAGNOSIS
- neuromuscular.................................
ELECTROENCEPHALOGRAPHY.........
- ambulatory monitoring....................
- prolonged recording........................
- telemetry...........................................
- temporosphenoidal..........................
ELECTROMYOGRAPHY.......................
ELECTRONYSTAGMOGRAPHY..........
ELECTROOCULOGRAPHY
- of one or both eyes..........................
ELECTROPHYSIOLOGICAL
STUDIES, CARDIAC
ELECTRORETINOGRAPHY
- of one or both eyes..........................
- pattern, of one or both eyes............
EMBOLECTOMY
- by abdominal approach...................
MN080 (318)
MZ330 (357)
MU045 (344)
MU075 (344)
MU085 (344)
MU086 (344)
MU065 (344)
AV120 (56)
AV100 (55)
AQ520 (52)
BM980 (81)
AP350 (48)
LN590 (256)
LN550 (256)
HH005 (247)
HH015 (247)
LT740 (263)
HG095 (241)
AP360 (48)
AP300 (48)
AP320 (48)
AP310 (48)
AP330 (48)
AP340 (48)
AP360 (48)
AQ660 (53)
AQ039 (49)
HG035 (239)
AQ038 (49)
AQ041 (49)
ET510 (203)

2015 AMA FEES LIST INDEX
EMBOLECTOMY (cont)
- from an artery or bypass graft of
extremity
EMBOLUS
- removal of, from artery of neck
EMPHYSEMA
- lobar, neonatal, thoracotomy &
lung resection
EMPYEMA
- radical operation for........................
ENCEPHALOCOELE
- excision and closure of...................
ENDARTERECTOMY
- aortic..................................................
- aorto-femoral....................................
- aorto-iliac..........................................
- arterial bypass, site preparation
for anastomosis
- coeliac and/or superior
mesenteric artery
- extended deep femoral....................
- iliac....................................................
- ilio-femoral........................................
- inferior mesenteric artery................
- of artery of extremities....................
- of artery of neck...............................
- of renal artery...................................
ENDARTERECTOMY OF
- innominate or subclavian artery
ENDOBRONCHIAL TUMOURS
- endoscopic laser resection.............
ENDOBRONCHIAL ULTRASOUND
- staging of lung cancers...................
ENDOCRINE TUMOURS.......................
ENDOLYMPHATIC SAC
- transmastoid decompression.........
ENDOMETRIAL BIOPSY.......................
ENDOMETRIOSIS LEVEL 4 OR 5
- laparoscopic resection of................
ENDOMETRIUM
- endoscopic ablation of....................
- endoscopic examination of.............
ENDOSCOPIC
- biliary dilation...................................
- cholangio-pancreatography............
- dilation of colorectal strictures
ET520 (203)
ET500 (203)
MD450 (287)
HG460 (245)
LR930 (260)
ET030 (202)
ET050 (202)
ET040 (202)
ET180 (203)
ET100 (203)
ET110 (203)
ET140 (203)
ET060 (202)
ET070 (202)
ET120 (203)
ET130 (203)
ET010 (202)
ET080 (202)
ET020 (202)
MB385 (274)
EM960 (171)
EK335 (166)
MA325 (267)
HA470 (216)
HA575 (218)
HA480 (216)
HA455 (216)
EJ765 (162)
EJ695 (161)
EP395 (192)
- examination of intestinal
conduit/reservoir
- insertion of stent/s...........................
- laser resection of endobronchial
tumours
- laser therapy of gastrointestinal
tract
- manipulation / extraction of
ureteric calculus
- resection of pharyngeal pouch.......
- sphincterotomy................................
- stenting of bile duct.........................
ENDOSCOPIC EXAMINATION
- of small bowel..................................
ENDOSCOPIC ULTRASOUND.............
- with fine needle aspiration..............
ENDOSCOPY
- with balloon dilation gastric
stricture
ENTEROCOLITIS
- acute neonatal necrotising,
laparotomy for
ENTEROCOLOSTOMY.........................
ENTEROCUTANEOUS FISTULA
- radical repair of................................
ENTEROENTEROSTOMY.....................
ENTEROSTOMY
- closure of..........................................
- involving laparotomy.......................
ENTEROTOMY
- intraoperative for endoscopy..........
- involving laparotomy.......................
ENTROPION
- correction of.....................................
- repair of.............................................
- tarsal cauterisation of......................
ENUCLEATION
- of hydatid cysts of lung...................
ENUCLEATION OF EYE
- with or without sphere implant.......
EPICONDYLITIS
HC400 (229)
EP102 (189)
MB385 (274)
EJ665 (161)
HC390 (228)
MA945 (271)
EJ705 (161)
EJ745 (161)
EP405 (192)
EM920 (170)
EM925 (170)
EM940 (170)
EJ635 (160)
MD340 (286)
EJ905 (163)
EJ055 (156)
EJ905 (163)
EK215 (165)
EJ015 (155)
EK265 (165)
EJ015 (155)
MJ455 (303)
MD050 (284)
MC060 (277)
HG490 (245)
MB780 (275)
- open operation for........................... MR020 (336)
EPICUTANEOUS PATCH TESTING BB720 (61)
EPIDIDYMAL CYST
- removal of.........................................
EPIDIDYMECTOMY...............................
HF200 (235)
HF240 (236)

2015 AMA FEES LIST INDEX
EPIDURAL..............................................
- electrode, insertion..........................
- electrode, management,
adjustment etc
- implant, removal of..........................
EPIDURAL BLOCK................................
EPIDURAL CATHETER.........................
EPIDURAL INJECTION.........................
EPIKERATOPHAKIA
- for refractive surgery.......................
EPIPHYSIODESIS
- femur.................................................
- staple arrest of hemi-epiphysis
- tibia and fibula..................................
EPIPHYSIOLYSIS
- to prevent closure of plate..............
EPISCLERAL RADIOACTIVE PLAQUE
- insertion of........................................
- removal of.........................................
EPISPADIAS
- repair of.............................................
EPITHELIAL DEBRIDEMENT
- for corneal ulcer/erosion.................
ERBIUM LASER
- resurfacing, face or neck, 1
aesthetic area
- resurfacing, face or neck, more
than 1 aesthetic area
ERYTHROCYTE
- radioactive uptake survival time
test
ETHMOIDAL ARTERY/IES
- transorbital ligation of (unilateral)
ETHMOIDAL SINUSES
- external operation on.......................
- on one side, intranasal operation
ETHMOIDECTOMY
- fronto, radical...................................
- fronto-nasal......................................
ETONOGESTREL SUBCUTANEOUS
IMPLANT
- removal of.........................................
EUSTACHIAN TUBE
- catheterisation of.............................
LN540 (255)
LN590 (256)
LN550 (256)
LN580 (256)
CV120 (139)
LN600 (256)
CV120 (139)
MB760 (275)
MS605 (339)
MS635 (339)
MS615 (339)
MS645 (339)
MC831 (283)
MC832 (283)
HF520 (238)
HF540 (238)
MC310 (278)
MG430 (292)
MG440 (292)
BF510 (68)
MA775 (270)
MA865 (271)
MA825 (271)
MA815 (271)
MA805 (271)
EA196 (147)
MA885 (271)
EVACUATION OF PRODUCTS OF
CONCEPTION
- by intrauterine manual removal......
EVENTRATION
- plication of diaphragm for...............
EVISCERATION
- of globe of eye..................................
EXENTERATION
- of orbit of eye...................................
EXOMPHALOS
- neonatal, operations for..................
EXOSTOSIS
- of large bone, excision of................
- of small bone, excision of...............
EXSTROPHY
- cloacal, neonatal, operation for
EXTENSION CONTRACTION
- of joint, correction of.......................
EXTENSOR TENDON
- tenolysis of, repair or graft..............
EXTENSOR TENDON OF HAND OR
WRIST
- repair of.............................................
- tendon, synovectomy......................
EXTERNAL AUDITORY CANAL
- reconstruction for congenital
atresia
EXTERNAL CEPHALIC VERSION
- for breech presentation...................
EXTERNAL FIXATION
- removal of.........................................
EXTERNAL STENT
- restore venous valve to deep vein
- to restore venous valve
competency
EXTERNAL STENTS
- restore venous valve, more than
one
- to restore venous valve to deep
vein, more than one
EXTRA DIGIT
- amputation of...................................
EXTRA OCULAR MUSCLE
- repair of.............................................
EXTRACARDIAC CONDUIT
- for congenital heart disease...........
BT800 (99)
MD650 (288)
MB820 (275)
MB890 (276)
MD480 (287)
MD490 (287)
MR140 (337)
MR130 (336)
MD520 (287)
MY055 (352)
ML535 (316)
ML425 (315)
ML435 (315)
ML155 (313)
MJ605 (304)
BT205 (98)
MR150 (337)
EX150 (208)
EX130 (208)
EX140 (208)
EX160 (208)
ML585 (316)
MD010 (284)
LL590 (253)

2015 AMA FEES LIST INDEX
EXTRA-CORPOREAL MEMBRANE
OXYGENATION
EXTRACORPOREAL SHOCK WAVE
LITHOTRIPSY
- to urinary tract..................................
EXTREMITIES
- scan of...............................................
EXTREMITY
- re-operation on, for control of
bleeding or thrombosis
EYE
- anterior chamber, irrigation of
blood from
- capsulotomy, laser...........................
- conjunctival graft.............................
- division of suture by laser...............
- foreign body, cornea or sclera,
removal
- globe, evisceration of......................
- iris tumour, laser
photocoagulation
- paracentesis.....................................
- photodynamic therapy.....................
- radiographic examination of...........
EYE, ENUCLEATION OF
- with insertion of hydroxy apatite
implant or similar coralline implant
- with insertion of integrated
implant
- with or without sphere implant.......
EYEBALL
- repair of perforating wound of........
EYEBROW
- elevation of.......................................
EYELID
- closure, in facial nerve palsy..........
- composite graft to............................
- ectropion or entropion, correction
of
- full thickness laceration, repair of
- full thickness wedge, excision of
- grafting for symblepharon..............
- ptosis, correction of.........................
- reconstruction using full
thickness flap
- scleral or Goretex or other nonautogenous
graft to
LA600 (251)
HB340 (222)
OD405 (399)
ET670 (204)
MC630 (281)
MC780 (282)
MC270 (278)
MC800 (282)
MC290 (278)
MB810 (275)
MC840 (283)
MC620 (281)
MD075 (285)
OF132 (403)
MB800 (275)
MB790 (275)
MB780 (275)
MB940 (276)
MD070 (284)
MD060 (284)
MJ585 (304)
MJ455 (303)
EA165 (147)
MJ615 (304)
MJ465 (303)
MJ445 (303)
MJ645 (305)
MJ655 (305)
MD030 (284)
- upper recession of...........................
EYELID, LOWER
- reduction of......................................
EYELID, UPPER
- reduction of......................................
EYELID, WHOLE
- reconstruction of whole thickness
FACE
- contour restoration of 1 region
FACIAL
- scar, revision of, less than 3cm
- scar, revision of, more than 3cm
FACIAL BONES
- radiographic examination of...........
- scan of...............................................
FACIAL BONES, PARA NASAL
SINUSES
- scan of...............................................
FACIAL NERVE
- decompression of............................
- paralysis, free fascia graft for
- paralysis, muscle transfer for.........
FACIAL NERVE PALSY
- excision of tissue for.......................
FACIT JOINT DENERVATION
- by percutaneous neurotomy...........
FAECAL INCONTINENCE
- sacral nerve lead..............................
FALLOPIAN TUBES
- hydrotubation of...............................
- implantation of, into uterus.............
- microsurgical anastomosis of........
FALLOPOSCOPY
MD040 (284)
MJ435 (303)
MJ425 (302)
MJ415 (302)
MJ545 (304)
MJ055 (298)
MJ065 (298)
OF116 (403)
OD035 (396)
OD040 (396)
MA235 (266)
MJ275 (301)
MJ285 (301)
MJ295 (301)
LN470 (255)
EP953 (195)
HA830 (220)
HA850 (220)
HA800 (220)
HA820 (220)
- including hysteroscopy and tubal HA855 (220)
catheterisation
FAMILY GROUP PSYCHOTHERAPY AM125 (40)
FAMILY GROUP THERAPY..................
FASCIA
- deep, repair, for herniated muscle
FASCIA GRAFT.....................................
FASCIECTOMY, PALMAR
- for Dupuytren's contracture............
FASCIOTOMY
- decompression for forearm, calf
or hand
- forearm or calf..................................
AL500 (34)
EA825 (152)
MG400 (292)
ML255 (314)
MR260 (337)
MR240 (337)

2015 AMA FEES LIST INDEX
FASCIOTOMY (cont)
- forearm or calf..................................
- muscle...............................................
- plantar, radical..................................
- subcutaneous, for Dupuytron's
contracture
FDG PET
- whole body.......................................
FEMORAL ARTERY
- bypass grafting................................
- sequential bypass grafting..............
FEMORAL HERNIA
- laparoscopic repair of......................
- repair of.............................................
FEMORO-FEMORAL CROSS-OVER
BYPASS GRAFTING
FEMORO-FEMORAL GRAFT
- excision of infected..........................
FEMUR
- bone graft to.....................................
- epiphysiodesis.................................
- fracture, treatment of.......................
- open growth plate, treatment of
fracture
- operation on, for acute
osteomyelitis
- operation on, for chronic
osteomyelitis
- osteectomy, osteotomy...................
FETAL
- blood sampling.................................
- fluid filled cavity, drainage of
- intraperitoneal blood transfusion
- intravascular blood transfusion
FETO-AMNIOTIC SHUNT
- insertion of........................................
FIBREOPTIC
- bronchoscopy..................................
- colonoscopy.....................................
- examination, nasopharynx/larynx
FIBRINOLYSIS.......................................
FIBULA
- and tibia, epiphyseodesis...............
- congenital deficiency, transfer
fibula to tibia
MR260 (337)
EA785 (151)
MX680 (352)
ML245 (314)
OS649 (420)
EQ530 (199)
EQ590 (199)
EM200 (167)
EM210 (167)
EQ470 (198)
EW245 (206)
MR500 (337)
MS605 (339)
MP765 (329)
MU820 (346)
MZ626 (363)
MD130 (285)
MD160 (285)
MS085 (339)
BV910 (100)
BV940 (101)
BV920 (100)
BV925 (101)
BV915 (100)
BV945 (101)
MB375 (274)
EP375 (191)
MA915 (271)
MC790 (282)
MS615 (339)
MZ420 (357)
- operation on, for acute
osteomyelitis
- operation/chronic osteomyelitis
- osteectomy, osteotomy...................
- treatment of fracture........................
FINGER
- amputation, proximal to nail bed
- fracture, treatment of.......................
- ingrowing nail, resection of............
- mallet fixation / repair......................
- mallet fixation of...............................
- nail, removal of.................................
- percutaneous tenotomy of..............
- treatment of fracture of proximal
phalanx of
FINGERS
- amputation, proximal to nail bed
FISSURE-IN-ANO
- operation for.....................................
FISTULA
- alimentary tracts, repair of..............
- anal, excision of...............................
- aorta-duodenal, repair of.................
- arterio-venous, dissection and
ligation of
- arterio-venous, ligation cervical
vessels
- branchial, removal of.......................
- carotid-cavernous, obliteration of
- enterocutaneous, radical cure........
- genito-urinary, repair.......................
- in ano, subcutaneous......................
- oro-antral, plastic closure of...........
- surgically created arterio-venous,
of an extremity
- tracheo-oesophageal, division
and repair of
- urethro-rectal, closure of.................
- urethro-vaginal, closure of..............
- vesical, cutaneous, operation for
- vesico-intestinal, closure of............
- vesico-vaginal, closure of...............
MD120 (285)
MD150 (285)
MS025 (338)
MP985 (330)
ML595 (316)
MP005 (324)
ML845 (317)
ML855 (318)
ML495 (315)
ML485 (315)
ML795 (317)
ML555 (316)
MP085 (324)
ML605 (316)
ML615 (316)
ML625 (316)
ML635 (316)
EP615 (193)
HA380 (215)
EP645 (194)
EW205 (206)
EW045 (205)
LR040 (259)
EA995 (153)
LR050 (259)
EJ055 (156)
HA380 (215)
EP635 (194)
MA765 (270)
EW105 (205)
MD600 (287)
HE660 (233)
HE650 (233)
HC760 (229)
HC790 (229)
HC780 (229)

2015 AMA FEES LIST INDEX
FISTULA WOUND
- review of............................................
FIXATION
- internal, of spine..............................
FLAP REPAIR
- direct, cross arm/abdominal,
second stage
- direct, cross leg, first stage............
- direct, cross leg, second stage
- direct, first stage..............................
- direct, small, cross finger, first
stage
- direct, small, cross finger, second
stage
- local muscle, single stage...............
FLAP REPAIR, LOCAL, SINGLE
STAGE
- 1 defect, simple and small...............
- for 1 defect, complicated or large
- for 1 defect, on eyelid, nose, lip,
ear, neck, hand, thumb, finger or
genital
- using temporalis muscle.................
FLAP, FREE TISSUE TRANSFER
- complete revision of, by
liposuction
- revision of, by open operation........
- staged revision of, first stage
- staged revision of, second stage
FLAP, INDIRECT
- formation of......................................
FLEXION CONTRACTURE OF HAND
OR DIGIT
- correction of.....................................
FLEXOR TENDON
- hand, repair of..................................
- hand, tenolysis of.............................
- hand/wrist, synovectomy of............
- pulley, reconstruction......................
- sheath, finger or thumb, open
operation
- tendon/s, digit, synovectomy of
- wrist, repair of..................................
EP685 (194)
MT270 (341)
MH145 (293)
MH155 (293)
MH165 (293)
MH135 (293)
MH175 (294)
MH185 (294)
MG340 (291)
MH105 (293)
MH115 (293)
MH125 (293)
MK440 (311)
MJ019 (297)
MJ017 (297)
MJ021 (297)
MJ023 (297)
MH195 (294)
ML685 (316)
ML445 (315)
ML455 (315)
ML465 (315)
ML475 (315)
ML545 (316)
ML155 (313)
ML395 (315)
ML825 (317)
ML185 (313)
ML445 (315)
ML455 (315)
FLEXORPLASTY TO RESTORE
ELBOW FUNCTION
FLUIDS
- intravenous infusion of...................
- intravenous infusion of, by open
exposure
FLUROSCOPY.......................................
FOOT
- amputation........................................
- amputation, midtarsal or
transmetatarsal
- and ankle, tibialis tendon transfer
- arthrodesis of, first metatarsophalangeal
joint
- calcaneal spur, excision of.............
- correction of claw or hammer toe
- correction of hallux valgus.............
- correction of hallux valgus and
transfer of adductor hallucis tendon
- Keller's operation to.........................
- Keller's operation to, bilateral
- metatarso-phalangeal joint
replacement
- metatarso-phalangeal joint,
synovectomy of
- neurectomy for plantar or digital
neuritis
- open tenotomy of.............................
- paronychia of, pulp space
infection, incision
- radical plantar fasciotomy...............
- subcutaneous tenotomy of.............
- tendon of, repair of..........................
- tendon or ligament
transplantation of
- tendon, secondary repair of............
- triple arthrodesis of.........................
FOOT, ANKLE, OR LEG
- radiographic examination of...........
FORAGE
- drill decompression of, neck,
head, femur
FORAMEN MAGNUM
- tumour or vascular lesion,
excision
MZ330 (357)
BJ500 (73)
BJ510 (73)
OF812 (410)
MG105 (291)
MG115 (291)
MY730 (355)
MY740 (355)
MX650 (351)
MX560 (351)
MX660 (351)
MX670 (352)
MX570 (351)
MX625 (351)
MX600 (351)
MX570 (351)
MX580 (351)
MX690 (352)
MX700 (352)
MX720 (352)
MX530 (350)
MR050 (336)
MX680 (352)
MX520 (350)
MX500 (350)
MX540 (351)
MX510 (350)
MX550 (351)
OF020 (402)
MR262 (337)
LP220 (258)

2015 AMA FEES LIST INDEX
FOREARM
- decompression fasciotomy of........
- radial aplasia/dysplasia,
centralisation/radialisation
- radiographic examination of...........
FOREARM OR ELBOW
- ultrasound scan of...........................
FOREGN BODY
- deep, removal using imaging.........
FOREIGN BODY
- bronchus, removal of.......................
- cornea or sclera, embedded,
removal
- in ear, removal of.............................
- in muscle, tendon, or other deep
tissue, removal of
- localisation of...................................
- nose, removal from..........................
- oesophagus, removal of..................
- retrieval of, from pulmonary artery
- retrieval of, from right atrium
- retrieval of, peripheral vein or
perpheral artery
- retrival of, from inferior vena cava
or aorta
- subcutaneous, removal of, with
incision and exploration
- superficial, removal of.....................
- trachea, removal of..........................
FOREIGN IMPLANTS
- for contour reconstruction,
insertion of
FORMALIN
- ano-rectal application of..................
FREE GRAFTING, FULL THICKNESS
- to 1 defect.........................................
FREE GRAFTING, SPLIT SKIN
- as inlay graft, using a mould...........
- granulating area, extensive.............
- granulating area, small....................
- to 1 defect, on eyelid, nose, lip,
ear, neck, hand, thumb, finger or
genitals
- to burns, 1 digit of the hand............
- to burns, 12 to 15% body surface
- to burns, 15 to 20% body surface
MR240 (337)
MR260 (337)
MZ310 (357)
OF012 (402)
OC810 (389)
OC815 (389)
MK435 (311)
MB365 (274)
MC290 (278)
MA005 (265)
EA215 (148)
OF452 (406)
MA565 (269)
MB125 (273)
FA700 (211)
FA710 (211)
FA730 (211)
FA720 (211)
EA205 (147)
EA195 (147)
MB335 (274)
MG540 (293)
EP940 (195)
MH500 (295)
MH480 (295)
MH340 (294)
MH330 (294)
MH490 (295)
MH630 (296)
MH390 (294)
MH505 (295)
- to burns, 2 digits of the hand..........
- to burns, 20 to 30% body surface
- to burns, 3 digits of the hand..........
- to burns, 3 to 6% body surface.......
- to burns, 30 to 40% body surface
- to burns, 4 digits of the hand..........
- to burns, 40 to 50% body surface
- to burns, 5 digits of the hand..........
- to burns, 50 to 60% body surface
- to burns, 6 to 9% body surface.......
- to burns, 60 to 70% body surface
- to burns, 70 to 80% body surface
- to burns, 9 to 12% body surface
- to burns, face (excl. ears)................
- to burns, forehead, cheek,
anterior aspect of the neck, chin,
plantar aspect of the foot, heel or
genitalia
- to burns, more than 80% body
surface
- to burns, not more than 3% body
surface
- to burns, portion of digit of hand
- to burns, upper eyelid, nose, lip,
ear or palm of the hand
- to burns, whole of toe......................
- to one defect, extensive..................
- to one defect, small..........................
FREE TRANSFER OF TISSUE..............
- repair of major tissue defect...........
FRONTAL SINUS
- catheterisation of.............................
- intranasal operation on...................
- radical obliteration of.......................
- trephine of.........................................
FRONTO-ETHMOIDECTOMY
- radical, with osteoplastic flap
MH510 (295)
MH515 (295)
MH640 (296)
MH520 (295)
MH525 (295)
MH530 (295)
MH650 (297)
MH360 (294)
MH535 (295)
MH540 (295)
MH660 (297)
MH545 (295)
MH550 (296)
MH670 (297)
MH555 (296)
MH560 (296)
MH370 (294)
MH565 (296)
MH570 (296)
MH575 (296)
MH580 (296)
MH380 (294)
MH690 (297)
MH610 (296)
MH585 (296)
MH590 (296)
MH350 (294)
MH680 (297)
MH600 (296)
MH620 (296)
MH470 (295)
MH460 (294)
MJ240 (300)
MJ250 (300)
MA835 (271)
MA825 (271)
MA855 (271)
MA845 (271)
MA815 (271)

2015 AMA FEES LIST INDEX
FRONTO-NASAL ETHMOIDECTOMY
- by external approach.......................
FRONTO-ORBITAL
- advancement, unilateral..................
FRONTO-ORBITAL ADVANCEMENT
- bilateral..............................................
- unilateral...........................................
FUNDOPLASTY
- antireflux operation..........................
FURUNCLE
- incision with drainage of.................
GANGLION
- excision of.........................................
- of dorsal wrist joint, excision of
- of flexor tendon sheath, excision
- of handexcision of...........................
- of mucous cyst of distal digit,
excision of
- of volar wrist joint, excision of,
- recurrent, of dorsal wrist joint,
excision of
- recurrent, of volar wrist joint,
excision of
GANGRENOUS TISSUE
- debridement of.................................
GASTRECTOMY
- partial.................................................
- sub-total, radical..............................
- total incl. lower oesophagus...........
- total radical.......................................
- total, for benign disease..................
GASTRIC
- hypothermia......................................
- reconstruction with
oesophagectomy
GASTRIC BY-PASS
- for obesity, by any method.............
GASTRIC EMPTYING STUDY
- combined solid and liquid...............
- using single tracer...........................
GASTRIC LAVAGE
- for treatment of ingested poison
GASTRIC REDUCTION
- for obesity.........................................
GASTRIC TUMOUR
- removal of, by local excision..........
MA805 (271)
MK065 (308)
MK075 (308)
LT600 (262)
EJ985 (163)
EA745 (151)
EA355 (149)
ML725 (317)
ML715 (317)
ML695 (317)
ML705 (317)
ML735 (317)
ML745 (317)
ML755 (317)
FA200 (209)
EJ925 (163)
EJ955 (163)
EJ975 (163)
EJ965 (163)
EJ945 (163)
BJ100 (73)
BJ110 (73)
EK035 (164)
EJ885 (162)
OS245 (417)
OS235 (417)
BM900 (80)
EJ875 (162)
EJ935 (163)
GASTRO-DUODENOSTOMY
- reconstruction of..............................
GASTROENTEROSTOMY
- including gastroduodenostomy.....
GASTRO-ENTEROSTOMY
- reconstruction of..............................
GASTROINTESTINAL BLOOD LOSS
ESTIMATION
GASTRO-INTESTINAL TRACT,
STRICTURE
- dilatation...........................................
- dilatation, with imaging
intensification
GASTRONINTESTINAL PROTEIN
LOSS
GASTRO-OESOPHAGEAL BALLOON
INTUBATION
GASTRO-OESOPHAGEAL REFLUX
- laparotomy and fundoplication for
GASTRO-OESOPHAGEAL REFLUX
DISEASE
- operations for...................................
- reflux, clinical assessment..............
- reflux, operations for.......................
GASTRO-OESOPHAGEAL REFLUX
STUDY
- reflux study.......................................
GASTROSCHISIS
- neonatal, operations for..................
GASTROSCOPY....................................
- and insertion of feeding tube..........
- and insertion of feeding tube,
with imaging
GASTROSTOMY
- for oesophageal atresia, neonatal
- involving laparotomy.......................
- percutaneous, initial........................
- percutaneous, repeat.......................
GASTROSTOMY BUTTON
- non-endoscopic
insertion/replacement of
GASTROSTOMY TUBE
- percutaneous....................................
GASTROTOMY
- involving laparotomy.......................
EJ915 (163)
EJ905 (163)
EJ915 (163)
BF520 (68)
MB105 (272)
MB110 (272)
BF530 (68)
BJ120 (73)
ME270 (288)
ME270 (288)
ME290 (288)
BB006 (58)
BB015 (58)
ME280 (288)
OS215 (417)
MD460 (287)
MD470 (287)
EJ625 (160)
EO215 (184)
EO220 (184)
MD410 (287)
EJ015 (155)
EJ675 (161)
EJ685 (161)
EJ686 (161)
EO225 (184)
EJ015 (155)

2015 AMA FEES LIST INDEX
GENIOPLASTY MJ995 (308)
GLAND, ADRENAL
- excision of.........................................
GLAND, LACRIMAL
- excision of palpebral lobe...............
GLAUCOMA
- filtering operation for.......................
- insertion of Molteno valve...............
- provocative tests for........................
- removal of Molteno valve................
GLENOID FOSSA
- reconstruction of..............................
GLOBE
- evisceration of..................................
GLOMUS TUMOUR
- transmastoid removal of.................
- transtympanic removal of...............
GLOSSECTOMY, TOTAL
- with partial pharyngectomy............
GONADAL DYGENESIS,
VAGINOPLASTY FOR
GONIOTOMY.........................................
GRACILIS NEOSPHINCTER
PACEMAKER
- replacement of..................................
GRAFENBERG'S (OR GRAF) RING
- introduction of..................................
- removal of under GA........................
GRAFT
- composite (chondrocutaneous/mucosal)
- conjunctival over cornea.................
- dermis, dermo-fat or fascia.............
- free fascia for facial nerve
paralysis
- micro-arterial or micro-venous.......
- nerve..................................................
GRAFTING
- for symblepharon.............................
- free, split skin, granulating area,
extensive
- free, split skin, granulating area,
small
- patch, to artery or vein....................
GRAHAM'S TEST..................................
HB200 (221)
MC100 (277)
MC640 (281)
MC660 (281)
AQ020 (49)
MC670 (281)
MK085 (308)
MB810 (275)
MB820 (275)
MA445 (268)
MA435 (268)
MA985 (272)
HF570 (238)
MC680 (281)
EP950 (195)
HA020 (212)
HA030 (213)
MJ585 (304)
MC270 (278)
MG400 (292)
MJ275 (301)
MJ045 (297)
LN750 (257)
MJ465 (303)
MH340 (294)
MH330 (294)
ET150 (203)
ET160 (203)
OF384 (406)
GRANULOMA........................................
- umbilical, excision under GA..........
GREAT ARTERY
- ligation of, or exploration of............
GREAT VEIN
- ligation of, or exploration of............
GREATER TROCHANTER
- transplantation of ileopsoas
tendon
GROIN
- limited excision of lymph glands
- radical excision of lymph glands
GROMMET
- insertion of........................................
GROUP PSYCHOTHERAPY.................
- psychotherapy, family.....................
- therapy, family..................................
GYNAECOLOGICAL EXAMINATION
- under anaesthesia............................
GYNATRESIA
- vaginal reconstruction for...............
HAEMANGIOMA
- deep, of neck, excision of...............
- large and deep, inv. muscles or
nerves, excision of
- large, of skin, excision of................
- small, of skin, excision of................
HAEMAPHERESIS
- donor.................................................
- therapeutic........................................
HAEMATOLOGY....................................
HAEMATOMA
- aspiration of......................................
- incision with drainage of.................
- large, incision with drainage
under GA
- removal of.........................................
HAEMODIALYSIS
- in hospital.........................................
HAEMOFILTRATION
- continuous arterio or veno venous
HAEMORRHAGE
- antepartum, treatment of.................
- arrest of, following circumcision
ME260 (288)
EW015 (204)
EW015 (204)
MY085 (353)
ED220 (155)
ED230 (155)
MA475 (268)
AM125 (40)
AM125 (40)
AL500 (34)
HA010 (212)
HA270 (214)
MG490 (293)
MG480 (292)
MG470 (292)
MG460 (292)
BJ750 (74)
BJ740 (73)
PA005 (424)
EA735 (151)
EA745 (151)
EA755 (151)
LP060 (257)
BH500 (70)
BH510 (70)
BM055 (76)
BM065 (76)
BT250 (98)
EM760 (168)

2015 AMA FEES LIST INDEX
HAEMORRHAGE (cont)
- arrest of, following removal of
tonsils and/or adenoids
- intracranial, burr-hole craniotomy
- nasal, arrest of..................................
- nasal, cryotherapy for treatment
- post-op, control under GA,
independent
- post-operative, laparotomy for.......
- postpartum, treatment of................
- subdural, tap for...............................
HAEMORRHOIDECTOMY
- incl. excision of anal skin tags
- involving third or fourth degree
haemorrhoids
HAEMORRHOIDS
- rubber band ligation........................
- scelotherapy for...............................
HAIR
- transplants for congenital or
traumatic alopecia
HAIR TRANSPLANTS
- multiple punch (100 or more)..........
- multiple punch (40 - 100).................
- multiple punch (40 or less)..............
HALLUX RIGIDUS
- correction of.....................................
HALLUX VALGUS
- correction of.....................................
HALO
- application of....................................
- femoral traction, association with
a major spine operation
- femoral traction, independent
procedure
- thoracic traction...............................
HAMMER TOE
- correction of.....................................
HAND
- amputation........................................
- amputation, forearm or arm............
- bone grafting for pseudoarthrosis
- congenital abnormalities,
amputation of phalanges
- congenital abnormalities, splitting
of phalanges
- decompression fasciotomy.............
MB035 (272)
LP050 (257)
MA555 (269)
MA625 (269)
EA185 (147)
EJ075 (156)
BT810 (99)
LN025 (254)
EP575 (193)
EP580 (193)
EP565 (193)
EP555 (193)
MJ235 (300)
MG320 (291)
MG310 (291)
MG300 (291)
MX570 (351)
MX570 (351)
MQ415 (333)
MQ455 (333)
MQ445 (333)
MQ435 (333)
MX660 (351)
MG005 (290)
MG015 (290)
ML375 (315)
MZ300 (357)
MR260 (337)
- Dupuytren’s subcutaneous
fasciotomy for
- extensor tendon of, tenolysis of,
repair or graft
- extensor tendon, repair of...............
- flexion contracture, correction of
- flexion of digit, correction...............
- flexor tendon of, tenolysis of..........
- flexor tendon, repair of....................
- ganglion, excision of.......................
- mallet finger, open repair................
- mallet finger, pin fixation.................
- middle palmar/thenar/hypothenar
spaces, drainage
- osteotomy/osteectomy....................
- paronychia/pulp space infection,
incision for
- reconstruction, using flexor
tendon pulley
- tendon reconstruction, using
tendon graft
- tendon transfer for restoration of
function
HAND OR WRIST
- tendon sheath, operation for
tendovaginitis
- ultrasound scan of...........................
HAND, WRIST AND FOREARM
- radiographic examination of...........
HAND, WRIST ETC
- radiographic examination of...........
HARRINGTON RODS
- re-exploration for adjustment or
removal of
HARTMAN'S OPERATION....................
HARVESTING OF VEIN FROM LEG
OR ARM
- for patch, not same incision as
operation
HARVESTING OF VEIN FROM
LEG/ARM
- for bypass, not same limb...............
ML245 (314)
ML535 (316)
ML425 (315)
ML435 (315)
ML685 (316)
ML545 (316)
ML445 (315)
ML455 (315)
ML465 (315)
ML475 (315)
ML695 (317)
ML495 (315)
ML485 (315)
ML815 (317)
ML355 (314)
ML835 (317)
ML395 (315)
ML385 (315)
ML415 (315)
ML235 (314)
OC800 (389)
OC805 (389)
OF008 (402)
OF004 (402)
MT060 (340)
EP155 (190)
ET170 (203)
EQ600 (199)

2015 AMA FEES LIST INDEX
HEAD
- ultrasound scan of...........................
HEART
- arryhythmia, surgery for..................
- catheterisation of.............................
- electrical stimulation of...................
- mitral annulus, reconstruction of
- open surgery , not otherwise
covered
- operative management, acute
infective endocarditis
- sub-valvular structures,
reconstruction and re-implantation
- surgery/congenital heart disease
- transoesophageal examination of
HEART VALVE
- repair.................................................
HELLER'S OPERATION
- abdominal or thoracic approach....
- with fundoplasty...............................
HEMIARTHROPLASTY
- of knee...............................................
HEMICOLECTOMY................................
HEMIFACIAL-MICROSOMIA
- construction of absent condyle
and ascending ramus
HEMILARYNGECTOMY, VERTICAL,
WITH TRACHEOSTOMY
- vertical, including tracheostomy
HEMISPHERECTOMY
- for intractable epilepsy....................
HEMI-THYROIDECTOMY
- total....................................................
HEPATIC DUCT
- common, radical resection of.........
HEPATOBILIARY STUDY.....................
HERNIA
- congenital diaphragmatic, repair
- diaphragmatic, neonatal,
congenital, repair of
- diaphragmatic, traumatic, repair
- incisional, repair of..........................
- inguinal, repair at age less than 3
months
- recurrent, repair of...........................
OA005 (374)
OA015 (374)
HH600 (249)
HG005 (238)
BJ050 (73)
HH140 (248)
LE110 (251)
HH190 (248)
HH180 (248)
LL400 (252)
OA730 (378)
HH110 (247)
EK015 (164)
EK025 (164)
MW065 (347)
EP045 (189)
MK095 (308)
MB165 (273)
LT720 (263)
EC520 (154)
EJ555 (160)
EJ565 (160)
OS165 (417)
EK485 (167)
MD370 (286)
MD380 (286)
EK475 (167)
EJ185 (157)
ME460 (290)
EJ185 (157)
- strangulated, incarcerated or
obstructed
- ventral, following closure
exomphalos, repair of
- ventral, repair of...............................
HERNIA, EPIGASTRIC
- repair of.............................................
HERNIA, UMBILICAL
- repair of.............................................
HERNIATED MUSCLE
- fascia, deep, repair of......................
H-FLAP
- for defect on eyelid, eyebrow or
forehead
HICKMAN CATHETER
- removal of.........................................
HINDQUARTER
- amputation........................................
HIP
- arthrectomy or arthroplasty............
- arthrodesis........................................
- arthroscopic surgery of...................
- arthrotomy........................................
- congenital dislocation, treatment
- contracture of, medial/anterior
release
- developmental dislocation, open
reduction
- diagnostic arthroscopy of, with
synovial biopsy
- iliopsoas tendon transfer to
greater trochanter
- revision arthroplasty........................
- revision total replacement of..........
- total replacement arthroplasty........
- treatment of dislocation..................
- treatment of dislocation, hip...........
- treatment of fracture of the femur
HIP DYSPLASIA or DISLOCATION
- in a child............................................
HIP JOINT
- radiographic examination of...........
HIP OR GROIN
- ultrasound scan of...........................
HIP SPICA
- application of....................................
EM220 (168)
ME230 (288)
EJ185 (157)
EM230 (168)
EM230 (168)
EA825 (152)
MH130 (293)
EW710 (207)
MG145 (291)
MU730 (346)
MU720 (346)
MU910 (347)
MU930 (347)
MU710 (346)
MZ020 (355)
MZ095 (356)
MZ015 (355)
MU920 (347)
MZ135 (356)
MU860 (347)
MU850 (347)
MU760 (346)
MN170 (319)
MN180 (319)
MU820 (346)
MZ690 (365)
OF068 (402)
OC840 (390)
OC845 (390)
MP845 (329)

2015 AMA FEES LIST INDEX
HIP SPICA (cont)
- initial application, for congenital
dislocation
HIP, CONGENITAL DISLOCATION
- treatment of, closed reduction........
HIRSCHSPRUNG'S DISEASE
- disease, paediatric, operations for
- neonatal, laparotomy for.................
HOME DIALYSIS
- planning and management of.........
HORMONE
- implantation, by cannula.................
- implantation, by incision.................
HUMERUS
- bone graft to.....................................
- open growth plate, treatment of
fracture of
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- osteectomy, osteotomy...................
- shaft of, open growth plate,
treatment of fracture
- treatment of fracture........................
HUMERUS,
- open growth plate, supracondylar
or condylar, treatment of fracture
HUMMELSHEIM MUSCLE
TRANSPLANT
- for squint...........................................
HYDATID CYST
- of liver, excision of...........................
- of liver, peritoneum or viscus.........
- of liver, total excision of..................
HYDATID CYSTS
- enucleation of, lungs.......................
- of liver, peritoneum or viscus.........
HYDROCELE
- removal of.........................................
- tapping of..........................................
HYDROCORTISONE INJECTIONS
- for skin lesions.................................
HYDRODILATATION
- of bladder, with cystoscopy............
HYDROMYELIA
- craniotomy and laminectomy for....
- plugging of obex, with or without
duroplasty
MZ023 (355)
MZ010 (355)
ME400 (289)
MD310 (286)
BH515 (70)
BM920 (80)
BM910 (80)
MR540 (338)
MZ602 (363)
MD130 (285)
MD160 (285)
MS045 (339)
MZ610 (363)
MP395 (326)
MZ618 (363)
MC980 (284)
EJ380 (158)
EJ375 (158)
EJ385 (158)
HG490 (245)
EJ365 (158)
EM260 (168)
EM250 (168)
EA705 (151)
HC290 (228)
LT245 (262)
LT235 (262)
HYDROTUBATION
- of Fallopian tubes............................
HA830 (220)
HA850 (220)
HYMENECTOMY................................... HA060 (213)
HYPERBARIC OXYGEN THERAPY CV700 (142)
HYPEREMESIS GRAVIDARUM
- treatment of......................................
HYPEREXTENSION DEFORMITY OF
TOE
- release, lengthening........................
HYPERPARATHYROIDISM
- operations for...................................
- recurrent or persistent, cervical reexploration
HYPERTELORISM
- correction of, intracranial................
- correction of, sub-cranial................
HYPERTHENAR SPACES OF HAND
- drainage of........................................
HYPERTROPHIC PYLORIC
STENOSIS
- pyloromyotomy for..........................
HYPOSPADIS
- meatotomy and hemi-circumcision
- penis erection examination for.......
- repair.................................................
HYPOTHERMIA
- deep, core temperature less than
20 degrees
- gastric................................................
- total body..........................................
HYSTERECTOMY
- abdominal.........................................
- abdominal, subtotal or total............
- abdominal, with radical excision
of pelvic lymph glands
- laparoscopically assisted................
- radical, with radical excision of
pelvic lymph glands
- radical, without gland dissection
- vaginal...............................................
HYSTEROSALPINGOGRAPHY............
BT230 (98)
MY750 (355)
EC580 (154)
EC590 (154)
MK015 (308)
MK025 (308)
ML815 (317)
ME200 (288)
HE720 (234)
HF450 (237)
HF470 (237)
CV075 (138)
BJ100 (73)
BJ110 (73)
CV065 (138)
HA680 (219)
HA650 (218)
HA710 (219)
HA913 (221)
HA915 (221)
HA920 (221)
HA690 (219)
HA700 (219)
HA660 (219)
HA720 (219)
OF508 (407)

2015 AMA FEES LIST INDEX
HYSTEROSCOPIC RESECTION OF
- uterine septum.................................
HYSTEROSCOPIC RESECTION OF
MYOMA OR UTERINE SEPTUM
- myoma or uterine septum...............
HYSTEROSCOPY
- including biopsy...............................
- with dilatation of the cervix.............
- with endometrial biopsy..................
- with resection of myoma.................
- with resection of myoma and
uterine septum
- with resection of uterine septum
- with uterine adhesiolysis or
polypectomy or tubal
catheterisation or removal of IUD
HYSTEROTOMY
- abdominal.........................................
ILEAL ATRESIA, NEONATAL
- laparotomy for..................................
ILEOSTOMY
- refashioning of.................................
- total....................................................
ILEOSTOMY CLOSURE
- with rectal resection........................
ILEOSTOMY RESERVOIR
- continent type, creation of..............
ILIO-FEMORAL
HA535 (217)
HA490 (216)
HA500 (217)
HA510 (217)
HA520 (217)
HA540 (217)
HA537 (217)
HA530 (217)
HA640 (218)
MD300 (286)
EK225 (165)
EP055 (189)
EP275 (191)
EP305 (191)
- bypass grafting................................ EQ450 (198)
ILIO-FEMORAL BY-PASS GRAFTING EQ470 (198)
- endartectomy....................................
ILIOPSOAS
- hip, tendon transfer to greater
trochanter
ILIO-RECTAL ANASTOMOSIS
- with total colectomy.........................
IMMUNOLOGY......................................
IMPALPABLE TESTIS
- exploration of groin for....................
IMPLANON
- removal of.........................................
IMPLANT
- cochlear, insertion of.......................
- foreign, insertion for contour
reconstruction
IMPLANT REMOVAL
- from eye socket................................
ET070 (202)
MZ135 (356)
EP065 (189)
PD005 (446)
HF440 (237)
EA196 (147)
MA425 (268)
MG540 (293)
MB830 (275)
IMPLANTABLE ECG LOOP
RECORDER
- insertion of........................................
HG192 (242)
- removal of......................................... HG194 (242)
IMPLANTATION, FALLOPIAN TUBES HA810 (220)
IMPLANTED DEFIBRILLATOR
- remote monitoring...........................
- testing, involving
electrocardiography
IMPLANTED INFUSION PUMP
- refilling of reservoir.........................
- removal of.........................................
- removal or repositioning.................
- subcutaneous implantation or
replacement of
IMPLANTED PACEMAKER
- remote monitoring...........................
- testing, involving
electrocardiography
IMPLANTED PUMP OR RESERVOIR
- loading...............................................
- loading with therapeutic agent/s
IMPLANTED RESERVOIR
- long term, assoc. with gastric
band
IMPRESSION CYTOLOGY
- examination of the eye by...............
INCISIONAL HERNIA
- repair of.............................................
INCONTINENCE
- anal, Parks' intersphincteric
procedure
- bladder stress...................................
- urinary, injection for treatment of
INDIRECT FLAP
- delay of..............................................
- preparation of site and
attachment to site
- revision of.........................................
- spreading of pedicle........................
INDIUM-LABELLED OCTREOTIDE
STUDY
- including single photon emission
tomography
INDUCTION OF LABOUR
- second trimester labour..................
AV233 (57)
AV234 (58)
AV235 (58)
BN010 (81)
BN050 (81)
LN560 (256)
BN030 (81)
AV213 (57)
AV210 (57)
AV216 (57)
BM480 (76)
BM960 (80)
BM950 (80)
AQ110 (51)
EJ195 (157)
EP525 (193)
HC810 (230)
HE670 (233)
MH205 (294)
MH215 (294)
MH235 (294)
MH225 (294)
OS200 (417)
BT540 (99)

2015 AMA FEES LIST INDEX
INERIOR VENA CAVA
- retrieval of foreign body..................
INFANTILE HYDROCELE
- repair of.............................................
INFECTION
- acute intercurrent, complicating
pregnancy
- intracranial, drainage.......................
INFERIOR VENA CAVA
- plication or ligation of......................
- reconstruction of..............................
INFERIOR VENA CAVAL FILTER
- insertion of........................................
- retrieval of.........................................
INFERTILITY AND PREGNANCY
TESTS
INFLAMMATION
- of middle ear, operation for.............
INFRA-COLIC OMENTECTOMY
- with multiple peritoneal biopsies
INFRA-TEMPORAL FOSSA
- involving tumour, removal of..........
INFUSION CHEMOTHERAPY
- cannulation for.................................
INFUSION PUMP
- insertion or replacement of.............
INGROWING EYELASHES
- operation for.....................................
INGROWING NAIL OF FINGER OR
THUMB
- partial resection of nail....................
- wedge resection for.........................
INGUINAL HERNIA
- laparoscopic repair of......................
- obstructed, repair of, at age less
than 3 months
- repair at age less than 3 months
- repair of.............................................
- repair, incl. orchidopexy, age less
than 3 months
- strangulated, repair of, at age less
than 3 months
INJECTION
- hormones, for habitual
miscarriage
- into joint / synovial cavity...............
- into spinal joints or nerves.............
FA720 (211)
EM210 (167)
BT240 (98)
LR400 (260)
EX050 (207)
EX060 (207)
FA650 (210)
FA655 (210)
PH005 (464)
MA455 (268)
HA900 (220)
MA295 (267)
EW670 (206)
EW680 (206)
LN510 (255)
MJ455 (303)
ML855 (318)
ML845 (317)
EM200 (167)
ME470 (290)
ME460 (290)
EM210 (167)
ME480 (290)
ME470 (290)
BT220 (98)
MY095 (353)
LN045 (254)
- of alcohol, retrobulbar.....................
INNOCENT BONE TUMOUR
- excision of.........................................
INNOMINATE ARTERY
- endarterectomy of, including
closure
INTENSIVE CARE
- management procedures on first
day
INTERNAL AUDITORY MEATUS
- exploration of...................................
INTEROSSEOUS MUSCLE SPACE
OF HAND
- decompression fasciotomy of........
INTERPHALANGEAL JOINT
- arthroplasty of..................................
- joint, joint capsule release of
- ligamentous repair of.......................
- synovectomy/capsulectomy/
debridement
- treatment of dislocation..................
INTER-PHALANGEAL JOINT
- arthrodesis of...................................
- arthrotomy of....................................
- arthrotomy of, with ligamentous
or capsular repair
INTERSCAPULOTHORACIC
- amputation........................................
INTERVERTEBRAL DISC/S
- laminectomy for removal of............
- microsurgical discectomy for.........
INTESTINAL MALROTATION
- laparotomy for, neonatal.................
INTESTINAL SLING PROCEDURE
- prior to radiotherapy........................
INTESTINAL URINARY CONDUIT
- revision of.........................................
INTESTINAL URINARY RESERVOIR
- continent, formation of....................
MC900 (283)
EA835 (152)
ET020 (202)
BM005 (75)
MA355 (267)
MR260 (337)
ML025 (312)
ML035 (312)
ML045 (312)
ML055 (313)
ML065 (313)
ML075 (313)
ML085 (313)
ML295 (314)
ML135 (313)
ML145 (313)
MN130 (319)
MN140 (319)
ML005 (312)
ML115 (313)
ML125 (313)
MG035 (290)
LT045 (261)
LT055 (261)
MD250 (286)
EP745 (194)
HB530 (224)
HB520 (224)

2015 AMA FEES LIST INDEX
INTRA-ANAL ABSCESS
- drainage of........................................
INTRA-AORTIC BALLOON FOR
COUNTERPULSATION
- management of.................................
INTRA-ARTERIAL CANNULISATION
- for multiple blood samples for
blood gas analysis
INTRA-ARTERIAL INFUSION
- sympatholytic agent........................
INTRA-ATRIAL BAFFLE
- insertion of........................................
INTRACRANIAL
- infection, drainage...........................
- neurectomy, for trigeminal
neuralgia
- proximal artery, clipping of.............
INTRACRANIAL ABSCESS
- excision of.........................................
- pressure monitoring device,
insertion of
- stereotactic procedures..................
INTRACRANIAL ANEURYSM
- aneurysm, ligation of cervical
vessel/s
INTRACRANIAL MALFORMATION
- arteriovenous malformation,
excision of
INTRACRANIAL PRESSURE
- monitoring of....................................
INTRACRANIAL PROCEDURE.............
INTRACRANIAL TUMOUR
- craniotomy and removal of.............
INTRACYTOPLASMIC SPERM
INJECTION
INTRADURAL LESION
- laminectomy for...............................
INTRA-FALLOPIAN TRANSFER
- gamete...............................................
INTRAHEPATIC BILIARY BYPASS
- of left hepatic ductal system...........
INTRAHEPATIC BYPASS
- of right hepatic ductal system........
INTRAMEDULLARY TUMOUR
- laminectomy and radical excision
INTRANASAL OPERATION
- operation on sphenoidal sinus.......
EP705 (194)
EP715 (194)
BL660 (75)
BL640 (74)
BM930 (80)
LL550 (253)
LR400 (260)
LN430 (255)
LR030 (259)
LR410 (260)
LN055 (254)
LT820 (263)
LR040 (259)
LR020 (259)
BL620 (74)
LP150 (258)
LP330 (259)
BH661 (72)
LT095 (261)
BH600 (70)
EJ575 (160)
EJ585 (160)
LT125 (261)
MA875 (271)
INTRAOCULAR
- procedures, resuturing of wound
after
INTRA-ORAL TUMOUR
- radical excision of............................
INTRASCLERAL BALL OR
CARTILAGE
- insertion of........................................
INTRATHORACIC OPERATION
- on heart, lungs, other......................
INTRATHORACIC VESSELS
- anastomosis or repair of, for
congenital heart disease
INTRA-UTERINE
- contraceptive decive, removal of
- contraceptive device,
introduction of
- growth retardation, attendance......
INTRA-UTERINE DEVICE
- introduction of, idiopathic
manorrhagia
INTRAUTERINE TREATMENT
- using radioactive sealed sources,
automatic afterloading
- using radioactive sealed sources,
manual afterloading
INTRAVAGINAL TREATMENT
- using radioactive sealed sources,
automatic afterloading
- using radioactive sealed sources,
manual afterloading
INTRAVENOUS COLLECTION OF
BLOOD SPECIMEN
INTRAVENOUS PYELOGRAPHY.........
INTRAVENOUS REGIONAL
ANAESTHESIA
- of limb, by retrograde perfusion
INTRAVENTRICULAR BAFFLE
- insertion of........................................
INTUBATION
- canalicular, by close method..........
INTUSSUSCEPTION
- idiopathic..........................................
- management - fluid/gas reduction
- paediatric, operations for................
- reduction, involving laparotomy
IN-VITRO FERTILISATION....................
MD020 (284)
EA945 (153)
MB820 (275)
HG640 (246)
LL490 (253)
HA030 (213)
HA020 (212)
BT240 (98)
HA015 (212)
BQ765 (86)
BQ760 (86)
BQ785 (87)
BQ780 (87)
AT015 (54)
OF304 (405)
CV052 (138)
LL580 (253)
MB750 (275)
ME210 (288)
BM940 (80)
ME210 (288)
ME220 (288)
EJ015 (155)
BH600 (70)

2015 AMA FEES LIST INDEX
IODINE 131
- therapeutic dose..............................
IONTOPHORESIS
- collection of specimen of sweat
IRIDECTOMY
- incl. excision of tumour of iris
IRIDOTOMY...........................................
- by laser..............................................
IRIS
- excision of tumour...........................
- tumour, laser photocoagulation of
IRIS AND CILIARY BODY
- excision of tumour of.......................
IRON KINETIC TEST.............................
ISCHAEMIC LIMB
- debridement of deep tissue............
- debridement of necrotic material
ISCHAEMIC VENTRICULAR
RUPTURE
- septal rupture, repair of...................
ISCHIO-RECTAL ABSCESS
- drainage of........................................
JACKET
- plaster, application to spine............
JAW
- aspiration biopsy of cysts...............
- operation for acute osteomyelitis
- operation/chronic osteomyelitis
- treatment of dislocation of..............
JEJUNAL ATRESIA
- bowel resection and anastomosis
JEJUNOSTOMY
- operative feeding.............................
JOINT
- application of external fixateur,
not for fracture
- arthrodesis of...................................
- arthroplasty of, not otherwise
covered
- arthrotomy of....................................
- aspiration of......................................
- cicatricial flexion or extension
contraction of, correction of
- diagnostic arthroscopy of...............
- finger/hand, debridement of............
- or joints, manipulation of................
BR920 (96)
BF005 (61)
MC700 (281)
MC700 (281)
MC770 (282)
MC710 (281)
MC840 (283)
MC710 (281)
BF510 (68)
FA200 (209)
FA210 (209)
HH380 (249)
EP705 (194)
EP715 (194)
MQ405 (333)
MK220 (308)
MD120 (285)
MD150 (285)
MN010 (318)
MD280 (286)
EO230 (184)
MY115 (353)
MY045 (352)
MY105 (353)
MY015 (352)
MY095 (353)
MY055 (352)
MY005 (352)
ML145 (313)
MY065 (352)
- stabilisation of and repair of
capsule
- subtalar, arthrodesis of...................
- synovectomy of, not otherwise
covered
- temporomandibular, arthroscopy
of
- temporomandibular, stabilisation
of
JOINT DEFORMITY
- slow correction of,...........................
JUVENILE CARARACT
- removal of.........................................
KELOID LESIONS
- extensive, multiple injections of
hydrocortisone
KERATECTOMY
- partial, removal of corneal scars
KERATECTOMY,
PHOTOTHERAPEUTIC
- by laser, for corneal scarring or
disease
KIDNEY
- dialysis..............................................
- exploration of, by open exposure
- exposure, exploration, repair of,
for trauma
KLOCKOFF'S TEST..............................
KNEE
- amputation at or below....................
- arthroplasty.......................................
- arthroscopic surgery.......................
- arthroscopic total synovectomy.....
- arthrotomy........................................
- combined medial and lateral
hamstring tendon transfer
- conigenital deformity, post-op
manipulation, plaster
- contracture of, posterior release
- diagnostic arthroscopy of...............
- hemiarthroplasty..............................
- meniscectomy, collateral or
crucial ligament repair or, etc
- patellofemoral joint of, total
replacement
- patello-femoral stabilisation of
MY035 (352)
MY075 (353)
MY025 (352)
MK360 (310)
MK410 (311)
MY600 (354)
MC540 (280)
EA715 (151)
MC300 (278)
MC851 (283)
BH500 (70)
BH510 (70)
HB310 (222)
HB430 (223)
AQ590 (52)
MG125 (291)
MW075 (347)
MW206 (349)
MW235 (349)
MW005 (347)
MZ045 (356)
MZ005 (355)
MZ055 (356)
MW205 (349)
MW065 (347)
MW015 (347)
MW126 (348)
MW230 (349)

2015 AMA FEES LIST INDEX
KNEE (cont)
- patellofemoral stabilisation,
revision of
- prosthesis, removal of....................
- quadricepsplasty..............................
- reconstructive surgery for
cruciate ligaments
- rectus femoris tendon transfer.......
- repair or reconstruction of..............
- revision arthrodesis.........................
- revision total knee replacement
- synovectomy of................................
- treatment of dislocation..................
- ultrasound scan of...........................
KNEE JOINT
- fracture, treatment of.......................
KNEE OR FEMUR
- radiographic examination of...........
KYPHOSIS
- spinal fusion for...............................
LA VEEN SHUNT STUDY......................
LABIOPLASTY
- for localised gigantism....................
- for repair of.......................................
LABOUR
- management of second trimester..
- management of, incomplete...........
LABOUR AND DELIVERY
- management of, by any means.......
LABYRINTH(S)
- caloric test of....................................
- destruction of...................................
- simultaneous bithermal caloric
test of
LABYRINTHOTOMY..............................
LACERATIONS
- full thickness, of nose, ear or
eyelid, repair of
LACRIMAL
- canalicular system, establishment
of patency
- canaliculus, immediate repair of
- drainage by insertion of glass tube
- sac excision of, or operation on
MW175 (348)
MW055 (347)
MW245 (349)
MW145 (348)
MZ035 (356)
MW135 (348)
MW165 (348)
MW195 (348)
MW035 (347)
MN190 (319)
OC870 (391)
OC875 (391)
MQ025 (330)
OF024 (402)
MT030 (340)
OS645 (420)
HA142 (214)
HA140 (213)
BT540 (99)
BT510 (99)
BT520 (99)
AQ640 (53)
MA245 (266)
AQ650 (53)
MA245 (266)
EA165 (147)
MC120 (277)
MC130 (277)
MC140 (277)
MC150 (277)
MC110 (277)
LACRIMAL GLAND
- excision of palpebral lobe...............
LACRIMAL PASSAGES
- probing for obstruction...................
LAMINECTOMY
- and insertion of epidural implant
- followed by posterior fusion...........
- for extradural tumour or abscess
- for hydromelia..................................
- for intradural lesion.........................
- for recurrent disc lesion and/or
spinal stenosis
- for removal of intervertebral disc/s
- for spinal stenosis...........................
MC100 (277)
MC160 (277)
LN590 (256)
LT145 (261)
LT155 (261)
LT085 (261)
LT245 (262)
LT095 (261)
LT065 (261)
LT045 (261)
LT075 (261)
- with bone graft and posterior MT190 (341)
fusion
LAPAROSCOPIC SPLENECTOMY EO250 (184)
LAPAROSCOPY
- complicated operative.....................
- diagnostic.........................................
- various gynaecological...................
- with biopsy.......................................
- with drainage of pus, bile or blood
LAPAROSTOMY
- final closure of wound.....................
- via previous wound.........................
LAPAROTOMY
- division of extensive adhesions
- exploratory........................................
- for control of post-operative
haemorrhage
- for drainage......................................
- for grading of lymphoma.................
- for gross intra peritoneal sepsis
- for trauma, involving three or
more organs
- gynaecological.................................
- prolonged, division of extensive
adhesions
- with division of peritoneal
adhesions
- with insertion of portacath..............
LAPROSCOPIC
- division of adhesions......................
HA560 (217)
EJ105 (156)
HA550 (217)
EJ115 (156)
EO210 (184)
EJ155 (157)
EJ145 (157)
EJ035 (156)
EJ005 (155)
EJ075 (156)
ET660 (204)
EJ125 (157)
EJ065 (156)
EJ135 (157)
EJ095 (156)
HA860 (220)
EJ045 (156)
EJ025 (155)
EJ165 (157)
EJ120 (156)

2015 AMA FEES LIST INDEX
LARGE INTESTINE
- resection of, with anastomosis......
- resection of, without anastomosis
- subtotal colectomy, with
anastomosis
- subtotal colectomy, without
anastomosis
LARYNGEAL WEB
- division of.........................................
LARYNGECTOMY
- hemi, vertical, including
tracheostomy
- supraglottic, including
tracheostomy
- total....................................................
LARYNGOFISSURE
- with or without cordectomy............
LARYNGOPHARYNGECTOMY............
- with tracheostomy and plastic
reconstruction
LARYNGOPLASTY
- including tracheostomy ..................
LARYNX
- direct examination of.......................
- direct examination of, with biopsy
- direct examination with tumour
removal
- external operation on.......................
- fractured, operation for...................
LARYNX LATERAL AIRWAYS
- radiographic examination of...........
LASER
- angioplasty, peripheral....................
LASER ABLATION
- therapy for malignancy of
gastrointestinal tract
LASER IRIDOTOMY..............................
LASER PHOTOCOAGULATION
- of vascular lesions...........................
LASER THERAPY
- Colposcopically directed CO2,
gyneacological
LASER TRABECULOPLASTY..............
LASER VITREOLYSIS...........................
LATERAL PHARYNGEAL BANDS
- removal of.........................................
LE FORT OPERATION
- for genital prolapse..........................
EP015 (189)
EP005 (189)
EP035 (189)
EP025 (189)
MB266 (274)
MB165 (273)
MB175 (273)
MB155 (273)
MB295 (274)
MB185 (273)
EB015 (153)
MB305 (274)
MB195 (273)
MB205 (273)
MB215 (273)
MB295 (274)
MB285 (274)
OF160 (403)
FA580 (210)
EJ665 (161)
MC770 (282)
BM720 (77)
HA160 (214)
MC760 (282)
MC790 (282)
MB055 (272)
HA327 (215)
LE FORT OSTEOTOMIES MJ955 (307)
LEFT RIBS
- radiographic examination of...........
LEG
- amputation at hip.............................
- combined medial and lateral
hamstring tendon transfer
- rectus femoris tendon transfer.......
LEG AND KNEE
- radiographic examination of...........
LENS
- artificial, insertion of........................
- artificial, removal of and
replacement
- artificial, removal or repositioning
of
- extraction with insertion of
artificial lens
- intraocular, repositioning of...........
LENS EXTRACTION..............................
LENSECTOMY
- by posterior chamber sclerotomy
LESIONS
- craniocervical junction, transoral
approach for
LEUKOSCAN
- for diagnostic imaginine of the
long bones and feet
LEVEEN SHUNT
- insertion of........................................
LIGAMENT
- or tendon transfer............................
- repair of cruciate or collateral of
- ruptured medial palpebral, repair
LIGATION
- purse string, cervix..........................
- rubber band, of haemorrhoids or
rectal prolapse
- transantral, of maxillary artery
LIMB
- ischaemic, debridement of tissue
- lengthening procedures..................
LIMB DEFICIENCY, LOWER
- treatment of congenital deficiency
LIMB OR CHEST
- decompression escharotomy of.....
OF280 (405)
MG135 (291)
MZ045 (356)
MZ035 (356)
OF028 (402)
MC480 (280)
MC492 (280)
MC510 (280)
MC500 (280)
MC490 (280)
MC530 (280)
MC470 (280)
MC590 (281)
LT105 (261)
OS800 (422)
EJ215 (157)
MR210 (337)
MW015 (347)
MD010 (284)
BT260 (98)
EP565 (193)
MA715 (270)
FA200 (209)
MY610 (354)
MY620 (354)
MZ380 (357)
MG550 (293)

2015 AMA FEES LIST INDEX
LIMB OR ORGAN
EJ285 (158)
- perfusion of......................................
LIMB PERFUSION
- isolated..............................................
LIMBIC TUMOUR
- excision of, requiring
keratectomy or sclerectomy
- removal or excision of.....................
LINGUAL TONSIL
- removal of.........................................
LIP
- cleft, operations for..........................
- full thickness laceration, repair
- full thickness wedge excision.........
- reconstruction..................................
LIPECTOMY
- radical abdominoplasty...................
- subumbilical excision......................
- transverse wedge excision of
abdominal apron
- wedge excision of skin or fat..........
CV055 (138)
EW720 (207)
MC460 (280)
MC450 (280)
MB055 (272)
MJ685 (305)
EA165 (147)
MJ615 (304)
MJ645 (305)
MJ655 (305)
EA565 (149)
EA555 (149)
EA525 (149)
EA535 (149)
EA545 (149)
- repair of lacerations/s, for trauma
- segmental resection........................
- segmental resection, for trauma
- subsegmental resection..................
- tri-segmental resection....................
LIVER ABSCESS
- abdominal drainage of.....................
LIVER AND SPLEEN STUDY
- colloid................................................
LIVER BIOPSY
- by core needle..................................
- by wedge excision...........................
LIVER CYST
- laparscopic marsupialisation of
- laparscopic marsupialisation of 5
or more
LIVER TUMOURS
- destruction of by hepatic
cryotherapy
LIVING TISSUE
EJ295 (158)
EJ305 (158)
EJ265 (157)
EJ315 (158)
EJ255 (157)
EJ285 (158)
EJ355 (158)
OS135 (417)
OS145 (417)
EJ245 (157)
EJ235 (157)
EJ266 (158)
EJ267 (158)
EJ280 (158)
LIPOMA
- excision of.........................................
LIPOMENINGOCOELE
- tethered cord, release of.................
LIPOSUCTION
- for contour problems of
abdominal fat
EN150 (182)
LR940 (260)
EN151 (182)
- implantation, by cannula.................
LOBAR EMPHYSEMA
- neonatal, thoracotomy & lung
resection
LOBECTOMY
- extended, liver, for trauma..............
- liver, other than for trauma.............
BM920 (80)
MD450 (287)
EJ335 (158)
EJ275 (158)
- for treatment of post-traumatic
pseudolipoma
- reduction of buffalo hump..............
LIPPE'S LOOP
- introduction of..................................
- removal of under GA........................
LITHOLAPAXY
- with or without cystoscopy.............
LIVER
- abscess, open abdominal
drainage
- biopsy of...........................................
- extended lobectomy for trauma......
- hydatid cyst, removal of contents
- lobectomy of, for trauma.................
- lobectomy of, other than for
trauma
MJ305 (301)
MJ310 (302)
HA020 (212)
HA030 (213)
HC410 (229)
EJ345 (158)
EJ225 (157)
EJ335 (158)
EJ365 (158)
EJ325 (158)
EJ275 (158)
- lung....................................................
- of liver, for trauma............................
- partial, for epilepsy..........................
- radical, or pneumonectomy............
- superficial, of parotid gland............
LOCAL FLAP
- revision of.........................................
LOCALISED STUDY
- cells labelled with Technetium.......
- using gallium....................................
- using Thallium..................................
LONG TERM IMPLANTED
RESERVOIR
- associated with gastric band..........
EJ285 (158)
HG530 (246)
EJ325 (158)
LT710 (263)
HG550 (246)
EA875 (152)
MH235 (294)
OS525 (419)
OS505 (419)
OS515 (419)
OS545 (419)
BM950 (80)

2015 AMA FEES LIST INDEX
LONG-TERM IMPLANTED DEVICE
- for delivery of therapeutic agents,
accessing of
LONG-TERM IMPLANTED
RESERVOIR
- repair, revision or replacement of
LOP EAR
- correction of.....................................
LOWER EYELID
- reduction of, one eye.......................
LOWER LEG
- ultrasound scan of...........................
LUMBAR
- cerebrospinal fluid drain.................
- decompression of spinal cord........
- discectomy, percutaneous..............
- puncture............................................
- shunt diversion, insertion of...........
- sympathectomy................................
LUMBAR ARTIFICIAL
INTERVERTEBRAL TOTAL DISC
REPLACEMENT
LUNG
- resection, congenital
cystadenomatoid malformation
- resection, congenital lobar
emphysema
- wedge resection of...........................
LUNG PERFUSION STUDY..................
LUNG VENTILATION STUDY
- using aerosol, Technegas or
xenon gas
LYMPH GLANDS
- biopsy of...........................................
- drill biopsy of....................................
- node dissection, retroperitoneal
- of axilla, limited excision of............
- of groin, limited excision of............
- of groin, radical excision of............
LYMPH NODE BIOPSIES
- retro-peritoneal.................................
LYMPH NODES, AXILLA
- complete excision of, to level I
- complete excision to level II or III
LYMPHADENECTOMY
- atypical myocobacterial infection
- granulomatous disease...................
BM970 (80)
EO065 (184)
MJ595 (304)
MJ015 (297)
OC880 (391)
OC885 (391)
LR760 (260)
LT275 (262)
MT130 (340)
CV100 (138)
LR720 (260)
FA100 (208)
MT320 (342)
MD450 (287)
HG540 (246)
OS105 (416)
OS115 (416)
EA235 (148)
EA245 (148)
HF230 (236)
ED240 (155)
ED220 (155)
ED230 (155)
HA890 (220)
ED255 (155)
ED260 (155)
ME700 (290)
LYMPHANGIECTASIS
- limbs, major excision of..................
LYMPHANGIOGRAPHY
- one or both sides.............................
LYMPHANGIOMA
- deep, of neck, excision of...............
- large and deep, inv. muscles or
nerves, excision of
- large, of skin, excision of................
- small, of skin, excision of................
LYMPHOEDEMATOUS TISSUE
- limbs, major excision of..................
LYMPHOSCINTIGRAPHY.....................
MACROCHEILIA
- operation for.....................................
MACRODACTYLY
- surgical reduction of........................
MACROGLOSSIA
- operation for.....................................
MACROSTOMIA
- operation for.....................................
MALIGNANT NEOPLASM OF
MUCOUS MEMBRANES
- removal of, by various means.........
MALIGNANT NEOPLASM OF SKIN
- removal of, by various means.........
MALLET FINGER
- fracture of, open reduction.............
- open repair........................................
- pin fixation........................................
MAMMAPLASTY
- augmentation, bilateral, for
disease, trauma or congenital
malformation
- augmentation, prosthetic................
- augmentation, unilateral,
following mastectomy
- augmentation, unilateral, for
significant breast asymmetry
MG530 (293)
OF552 (408)
MG490 (293)
MG480 (292)
MG470 (292)
MG460 (292)
MG530 (293)
OS585 (420)
MJ665 (305)
ML785 (317)
MJ665 (305)
MJ675 (305)
EA655 (150)
EA665 (150)
EA675 (150)
EA685 (150)
EA695 (151)
EA655 (150)
EA665 (150)
EA675 (150)
EA685 (150)
EA695 (151)
ML505 (315)
ML495 (315)
ML485 (315)
MJ126 (298)
MJ105 (298)
MJ125 (298)
MJ115 (298)

2015 AMA FEES LIST INDEX
MAMMAPLASTY (cont)
- unilateral reduction..........................
MAMMARY DUCTOGRAM....................
MANAGEMENT OF PATIENT IN
INTENSIVE CARE UNIT
- first day.............................................
- subsequent days..............................
MANDIBLE
- bilateral osteotomy or osteectomy
of
- complex bilateral osteotomies or
osteectomies of
- condylectomy...................................
- dislocation, treatment of.................
- fixation by intermaxillary wiring
- hemi-mandibular reconstruction,
with bone graft
- including lower border, resection
of, sub-total
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- radiographic examination of...........
- removal of arch bars........................
- segmental resection for tumours
- total resection of both sides...........
- treatment of a closed fracture.........
- treatment of a complicated
fracture, open reduction involving
plate(s)
- treatment of a complicated
fracture, open reduction not
involving plate(s)
- treatment of dislocation, open
reduction
- treatment of fracture........................
- treatment of fracture of, not
requiring splinting
- treatment of fracture, requiring
splinting, wiring of teeth
- unilateral osteotomy or
osteectomy of
MANDIBULAR
- exostosis, excision of......................
- frenulum, repair of, under GA.........
MANIPULATION
- of spine..............................................
MJ092 (298)
OF468 (407)
BM005 (75)
BM015 (75)
MJ860 (306)
MJ910 (307)
MJ405 (302)
MN010 (318)
MK450 (311)
MJ395 (302)
MJ375 (302)
MD120 (285)
MD150 (285)
OF120 (403)
MK280 (309)
MJ385 (302)
MJ365 (302)
MK500 (312)
MK495 (312)
MK485 (312)
MK460 (312)
MQ595 (334)
MQ635 (334)
MK470 (312)
MQ535 (333)
MJ830 (306)
MK285 (309)
EA965 (153)
MT010 (339)
MANIPULATION OF
- joint....................................................
MANOMETRY
- biliary.................................................
MARSUPIALISATION OF
BARTHOLIN'S
- cyst or gland.....................................
MASS, SKIN OR SUBCUTANEOUS
- ultrasound scan of...........................
MASTOID CAVITY
- obliteration of...................................
MASTOIDECTOMY
- cortical...............................................
- intact wall technique........................
- radical or modified radical..............
- revision of, with myringoplasty
- with insertion of cochlear implant
- with myringoplasty..........................
- with transmastoid removal of
glomus tumour
MASTOIDS
- radiographic examination of...........
MATACARPAL BONES
- of the hand,
osteotomy/osteectomy
MAXILLA
- bilateral osteotomy or osteectomy
of
- circumosseous fixation of...............
- complex bilateral osteotomies or
osteectomies of
- external skeletal fixation of.............
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- removal or arch bars........................
- resection of, sub-total......................
- resection of, total.............................
- segmental resection for tumours
- total resection of both maxillae
MY065 (352)
EJ755 (162)
HA080 (213)
OC910 (392)
OC915 (392)
MA165 (266)
MA155 (266)
MA175 (266)
MA185 (266)
MA195 (266)
MA205 (266)
MA215 (266)
MA216 (266)
MA225 (266)
MA425 (268)
MA185 (266)
MA445 (268)
OF108 (403)
ML345 (314)
ML355 (314)
MJ860 (306)
MQ525 (333)
MJ910 (307)
MQ525 (333)
MD120 (285)
MD150 (285)
MK280 (309)
MJ375 (302)
MJ345 (302)
MJ385 (302)
MJ355 (302)

2015 AMA FEES LIST INDEX
MAXILLA (cont)
- treatment of a complicated
fracture
- treatment of a complicated
fracture, open reduction involving
plate(s)
- treatment of fracture........................
- treatment of fracture of....................
- unilateral or bilateral, treatment of
fracture
- unilateral osteotomy or
osteectomy of
MAXILLARY
- artery, transantral ligation of
- frenulum, repair of, under GA.........
MAXILLARY ANTRUM
- proof puncture and lavage..............
MAXILLARY SINUS
- bone graft..........................................
MAXILLARY TUBEROSITY
- reduction of......................................
MEASUREMENT OF FLOW AND
VOLUME
- during inspiration and expiration
MEATOPLASTY
- correction of auditory canal
stenosis
- involving removal of cartilage or
bone
MEATOTOMY
- hypospadias and hemicircumcision
- ureteric, with cystoscopy................
- urethral (external).............................
MEATUS
- internal auditory, exploration of
MECKEL'S DIVERTICULUM
- removal, involving laparotomy.......
MECONIUM ILEUS
- laparotomy for..................................
MEDIAL PALPEBRAL LIGAMENT
- ruptured, re-attachment...................
MEDIAN STERNOTOMY.......................
MEDIASTINUM
- cervical exploration of.....................
- exploration of, for
hyperparathyroidism
MK480 (312)
MK490 (312)
MQ525 (333)
MQ585 (334)
MK465 (312)
MJ830 (306)
MA715 (270)
EA965 (153)
MA685 (270)
MK345 (310)
MK295 (310)
AR540 (54)
MA075 (265)
MA045 (265)
HE720 (234)
HC300 (228)
HE610 (233)
MA355 (267)
EJ015 (155)
MD290 (286)
MD300 (286)
MD010 (284)
LB210 (251)
HG580 (246)
EC600 (154)
- reopening of associated with
reoperation on sternum
MELONOPLASTY..................................
MELOPLASTY
- for correction of facial asymmetry
- surgery for disease, trauma or
congenital conditions
MEMBRANES
- retained, intrauterine manual
removal of
MENINGOCOELE
- excision and closure of...................
MENISCECTOMY
- of knee...............................................
- temporo-mandibular........................
MESENTERIC ARTERY
- inferior, operation on.......................
MESENTERIC VESSEL
- by-pass grafting to...........................
MESO CAVAL SHUNT
- for portal hypertension....................
METACARPAL BONES
- bone grafting, pseudarthrosis........
- bones, bone grafting,
pseudarthrosis
- fracture, treatment of.......................
- operation for osteomyelitis.............
METACARPOPHALANGEAL JOINT
- arthrodesis of...................................
- arthroplasty of..................................
- arthrotomy of....................................
- arthrotomy of, with ligamentous
or capsular repair
- dislocation, treatment of.................
- ligamentous repair of.......................
METACARPUS
- operation for chronic
osteomyelitis
EC610 (154)
HG700 (247)
MG330 (291)
MJ315 (302)
MJ316 (302)
BT800 (99)
LR900 (260)
MW015 (347)
MJ975 (307)
EQ520 (199)
EQ500 (199)
EK505 (167)
ML365 (315)
ML375 (315)
MP125 (324)
ML575 (316)
ML005 (312)
ML025 (312)
ML035 (312)
ML045 (312)
ML055 (313)
ML065 (313)
ML075 (313)
ML085 (313)
ML115 (313)
ML125 (313)
MN150 (319)
MN160 (319)
ML135 (313)
MD150 (285)

2015 AMA FEES LIST INDEX
METATARSAL BONES
- osteectomy, osteotomy...................
- treatment of fracture........................
MICRO-ARTERIAL GRAFT
- using microsurgical techniques.....
MICROBIOLOGY...................................
MICROGRAPHICALLY CONTROLLED
- serial excision of skin tumour........
MICROLARYNGOSCOPY.....................
- with arytenoidectomy......................
- with removal of juvenile
papillomata
- with removal of papillomata by
laser surgery
- with removal of tumour...................
MICROSOMIA
- hemi-facial, construction of
condyle and ramus
MICROVASCULAR
- repair, using microsurgical
techniques
MICROVASCULAR ANASTOMOSIS
- for supercharging of pedicle flaps
- of artery, microsurgical
techniques, for free transfer of
tissue
- of artery, microsurgical
techniques, for re-implantation of
limb or digit
- of vein, microsurgical techniques,
for free transfer of tissue
- of vein, microsurgical techniques,
for re-implantation of limb or digit
MICRO-VENOUS GRAFT
- using microsurgical techniques.....
MID FOOT OR FORE FOOT
- ultrasound scan of...........................
MIDDLE EAR
- clearance of......................................
- exploration of...................................
- insertion of tube for drainage of
- operation for abscess or
inflammation
MIDDLE EAR AND TEMPORAL BONE
- scan of...............................................
MS005 (338)
MQ175 (331)
MJ045 (297)
PC005 (439)
EM810 (169)
MB225 (273)
MB265 (274)
MB235 (273)
MB245 (273)
MB255 (273)
MK095 (308)
MJ025 (297)
MJ236 (300)
MJ050 (298)
MJ030 (297)
MJ052 (298)
MJ035 (297)
MJ045 (297)
OC900 (392)
OC905 (392)
MA485 (268)
MA495 (268)
MA465 (268)
MA475 (268)
MA455 (268)
OD025 (396)
MIDDLE PALMAR
- drainage of........................................
MIDFACIAL OSTEOTOMIES.................
ML815 (317)
MJ955 (307)
MINNESOTA TUBE, INSERTION OF BJ120 (73)
MISCARRIAGE
- habitual, treatment of.......................
- incomplete, curettage for................
- threatened, treatment of..................
MITRAL
- annulus, reconstruction of..............
BT220 (98)
HA570 (217)
BT230 (98)
HH140 (248)
- valve, open valvotomy..................... HH150 (248)
MITROFANOFF CONTINENT VALVE HC815 (230)
MOLE
- retained, evacuation of....................
MOLLUSCUM CONTAGIOSUM
- removal of in operating theatre
MORBID OBESITY................................
- gastric bypass for............................
- gastric reduction or gastroplasty
MOUTH
- lowering of floor...............................
MUCOUS MEMBRANE
- biopsy of...........................................
- graft...................................................
- repair of recent wound of................
MULTIPLE PREGNANCY
- procedure on....................................
MUSCLE
- biopsy of...........................................
- excision of, extensive......................
- excision of, limited...........................
- flap repair, large, myocutaneous,
single stage
- removal of foreign body from.........
- ruptured, repair of............................
- transfer for facial nerve paralysis
MUSCLE FLAP
- delay of..............................................
MUSCLE FLAP REPAIR
- single stage on eyelid, nose, lip,
hand, thumb, finger or genitals
MUSCLE, LARGE
- flap repair, single stage, 1 defect
BT800 (99)
EA615 (150)
EJ895 (163)
EJ885 (162)
EJ875 (162)
MK320 (310)
EA225 (148)
MC280 (278)
EA085 (146)
BV950 (101)
BV955 (101)
EA235 (148)
EA795 (151)
EA785 (151)
MG360 (291)
EA215 (148)
EA805 (152)
EA815 (152)
MJ285 (301)
MG390 (292)
MG340 (291)
MG380 (291)

2015 AMA FEES LIST INDEX
MUSCLE, LOCAL
- flap repair, single stage, 1 defect,
simple/small
MUSCULOSKELETAL CROSS
SECTIONAL ECHOGRAPHY
- inclusive of ultrasound service
MUSCULOSKELETAL CROSS-
SECTIONAL ECHOGRAPHY
- with surgery......................................
MYECTOMY
- ventricular.........................................
MYELOMENINGOCELE
- excision and closure of...................
MYELOTOMY
- laminectomy for...............................
MYLEOGRAPHY....................................
MYLOHYOID RIDGE
- reduction of......................................
MYOCARDIAL BIOPSY
- by cardiac catheterisation...............
MYOCARDIAL ELECTRODE
MG370 (291)
OC925 (392)
OC920 (392)
LL610 (254)
LR910 (260)
LN490 (255)
OF516 (407)
MK290 (309)
HG160 (241)
- insertion of........................................ HH005 (247)
MYOCARDIAL INFARCT AVID STUDY OS045 (416)
MYOCARDIAL PERFUSION STUDY
- combined stress and rest................
- single stress or rest, planar
imaging
- single stress or rest, with single
photon emission tomography
MYOCUTANEOUS FLAP
- delay of..............................................
- repair, single stage, to 1 defect,
simple and small
- repair, single stage, large, to 1
defect
MYOMA
- hysteroscopic resection of.............
MYOMECTOMY
- for hypertrophic obstructive
cardiomyopathy
- uterine, abdominal...........................
MYOTOMY
- cricopharyngeal................................
- for hypertrophic obstructive
cardiomyopathy
MYRINGOPLASTY................................
OS025 (416)
OS035 (416)
OS005 (416)
OS015 (416)
MG390 (292)
MG350 (291)
MG360 (291)
HA490 (216)
LE100 (251)
HA640 (218)
MA935 (271)
MA955 (271)
LE100 (251)
MA215 (266)
- post-aural or endaural approach
- trans-canal approach.......................
NAEVUS, GIANT HAIRY
- excision of.........................................
NAIL
- digital, of finger or thumb,
removal of
- digital, of toe, removal of.................
- ingrowing, of finger or thumb,
resection
- ingrowing, of toe,
excision/resection
- ingrown, of toe, operation under
GA, paediatric
- plate or rod, removal of...................
NAIL BED
- exploration and repair of deformity
- reconstruction of laceration............
NAIL PLATE DEFORMITY
- radical excision of germinal matrix
NAIL PLATE INJURY
- radical excision of germinal matrix
NASAL
- adhesions, division of, with or
without stenting
- cavity and/or post nasal space,
examination of
- haemorrhage, arrest of....................
- haemorrhage, cryotherapy
treatment
- polyp or polypi, removal of.............
- septum button, insertion of............
- turbinates, cryotherapy to...............
NASAL BONES
- treatment of fracture........................
NASAL HAEMORRHAGE
- arrest of during an episode of
epistaxis
NASAL SEPTUM....................................
- reconstruction of..............................
NASAL SPACE POST
- direct examination of.......................
NASENDOSCOPY.................................
NASOLACRIMAL TUBE
- bilateral, removal or replacement
MA105 (265)
MA095 (265)
EN055 (173)
ML795 (317)
ML805 (317)
MR030 (336)
ML845 (317)
ML855 (318)
MR060 (336)
ME720 (290)
MR120 (336)
ML675 (316)
ML665 (316)
ML865 (318)
ML865 (318)
MA635 (270)
MA545 (269)
MA555 (269)
MA625 (269)
MA575 (269)
MA585 (269)
MB415 (275)
MA675 (270)
MQ495 (333)
MA615 (269)
MA595 (269)
MA596 (269)
MA905 (271)
MA915 (271)
MC170 (277)

2015 AMA FEES LIST INDEX
NASOLACRIMAL TUBE (cont)
- bilateral, removal or replacement
of
- unilateral replacement of.................
NASOPHARYNGEAL
ANGIOFIBROMA
- transpalatal removal........................
NASOPHARYNX
- fibreoptic examination of................
NECK
- excision of infected by-pass graft
- scar, revision of, less than 3cm
- scar, revision of, more than 3cm
- ultrasound scan of...........................
NECK, SOFT TISSUES OF
- scan of...............................................
NECROTISING ENTEROCOLITIS
- neonatal, laparotomy for.................
NEEDLE
- biopsy of prostrate...........................
- biopsy of vertebra............................
NEONATE
- examination of..................................
NEPHRECTOMY
- complete...........................................
- partial.................................................
- radical................................................
- radical with en bloc dissection of
lymph nodes
- radical, for nephroblastoma,
paediatric
NEPHROBLASTOMA
- radical nephrectomy for..................
- tumour, laparotomy.........................
NEPHROLITHOTOMY
- for stones..........................................
NEPHROSCOPY
- discontinued operation...................
- percutaneous....................................
NEPHROSTOMY
- open, as an independent
procedure
- percutaneous....................................
MC190 (278)
MC160 (277)
MC180 (278)
MA925 (271)
MA915 (271)
EW195 (205)
MJ055 (298)
MJ065 (298)
OA045 (374)
OA055 (374)
OD105 (396)
MD340 (286)
HE280 (231)
EA295 (148)
BT860 (100)
HB250 (221)
HB270 (222)
HB280 (222)
HB290 (222)
HB295 (222)
ME380 (289)
ME380 (289)
ME370 (289)
HB320 (222)
HB600 (224)
HB590 (224)
HB360 (223)
HB580 (224)
NEPHROSTOMY DRAINAGE TUBE
- exchange of......................................
NEPHROSTOMY TUBE
- removal of.........................................
NEPHRO-URETERECTOMY
- complete, including associated
bladder repair
- for tumour.........................................
NERVE
- block with local anaesthetic agent
- cranial, intracranial
decompression
- cutaneous, repair of.........................
- exploration of...................................
- facio-hypoglossal or facioaccessory,
anastomosis of
- graft to nerve trunk..........................
- peripheral, removal of tumour........
- section, translabyrinthine,
vestibular
- transposition of................................
- trigeminal, primary branch,
injection with alcohol etc
- trunk, internal (interfasicular),
neurolysis of
- trunk, microsurgical repair..............
- vestibular, section of, via
posterior fossa
NERVE BLOCK......................................
NEURECTOMY
- foot, for plantar digital neuritis
- intracranial, for trigeminal
neuralgia
- peripheral nerve...............................
NEUROBLASTOMA
- radical excision of............................
- tumour, operations for.....................
NEUROENDOCRINE TUMOUR
- retroperitoneal, removal of..............
NEUROENDOSCOPY............................
NEUROLYSIS
- by open operation without
transposition
- of nerve trunk...................................
NEUROSTIMULATOR RECEIVER
- spinal, subcutaneous placement....
HB670 (225)
HB672 (225)
HB300 (222)
HB305 (222)
HB307 (222)
CV200 (139)
LN450 (255)
LN700 (256)
LN810 (257)
LP015 (257)
LN750 (257)
LN790 (257)
MA335 (267)
LN770 (257)
LN410 (255)
LN740 (257)
LN720 (256)
LP005 (257)
LN460 (255)
MX720 (352)
LN430 (255)
LN790 (257)
ME390 (289)
ME370 (289)
EC620 (154)
EC630 (155)
LT910 (265)
LN810 (257)
LN740 (257)
LN570 (256)

2015 AMA FEES LIST INDEX
NEUROTOMY
- of spinal nerves................................ LN460 (255)
NEUROVASCULAR ISLAND FLAP MJ245 (300)
- for pulp innervation.........................
NIPPLE
- intradermal colouration...................
- reconstruction of..............................
NOSE
- composite graft to............................
- cryotherapy to..................................
- excision of dermoid of.....................
- foreign body in, removal of,............
- fracture, treatment of.......................
- full thickness repair of laceration
- plastic operations on.......................
- radiographic examination of...........
OCULAR
- transillumination..............................
OCULAR CONTENTS
- ultrasonic echography of................
ODONTOID SCREW FIXATION............
OESOPHAGEAL
- atresia, complete correction of, in
infant 1500gr or less
- atresia, neonatal, cervical
oesophagostomy
- atresia, neonatal, delayed primary
anastomosis for
- atresia, neonatal, gastrostomy for
- atresia, neonatal, operations for
- atresia, neonatal, thoracotomy for
- atresia, oesophageal replacement
for
- clearance study................................
- motility test, manometric.................
- prosthesis, insertion of...................
- transection for portal
hypertension
OESOPHAGEAL PERFORATION
- repair of, by thoracotomy................
OESOPHAGEAL STRICTURE
- dilatation of, without
oesophagoscopy
OESOPHAGECTOMY
- involving gastric reconstruction
- with gastric reconstruction.............
ML765 (317)
MJ190 (299)
MJ185 (299)
MJ585 (304)
MA625 (269)
MA795 (271)
MA565 (269)
MQ495 (333)
EA165 (147)
MJ475 (303)
OF128 (403)
MC890 (283)
AQ113 (51)
LT115 (261)
MD400 (287)
MD440 (287)
MD430 (287)
MD410 (287)
MD390 (286)
MD420 (287)
MD610 (287)
OS225 (417)
BB005 (58)
EJ735 (161)
EK525 (167)
EK205 (165)
MB135 (273)
EK045 (164)
EK035 (164)
OESOPHAGOGASTRIC MYOTOMY
- abdominal or thoracic approach....
- with fundoplasty...............................
OESOPHAGOSCOPY............................
- with biopsy.......................................
- with rigid oesophagoscope............
OESOPHAGOSTOMY
- cervical, neonatal, for
oesophageal atresia
OESOPHAGOSTOMY, CERVICAL
- closure of, with or without plastic
repair
- with tracheostomy and
oesophagostomy
OESOPHAGUS
- balloon dilatation of.........................
- endoscopic pneumatic dilatation
- local excision for tumour................
- removal of foreign body in..............
- resection of stricture and
anastomosis, paediatric
OLECRANON
- excision of bursa..............................
- open growth plate, treatment of
facture
- treatment of fracture........................
OOPHORECTOMY
- with vaginal hysterectomy..............
OPAQUE ENEMA..................................
OPEN HEART SURGERY
- not otherwise covered.....................
OPHTHALMOLOGICAL
EXAMINATION
- refraction...........................................
- under general anaesthesia..............
OPTIC NERVE
- meninges, incision of......................
OR0-NASAL
- fistula, plastic closure of.................
ORBIT
- decompression of, for dysthyroid
eye disease
- exenteration of.................................
- exploration of anterior aspect
with removal of tumour
- exploration of retrobulbar aspect
EK015 (164)
EK025 (164)
EJ625 (160)
MB115 (273)
MB095 (272)
MB115 (273)
MB125 (273)
MD440 (287)
EB005 (153)
EB015 (153)
MB146 (273)
MB145 (273)
EK195 (165)
MB125 (273)
MD620 (287)
EA365 (149)
MZ590 (363)
MP345 (326)
HA720 (219)
OF380 (406)
LE110 (251)
AQ010 (49)
MB770 (275)
MB930 (276)
MJ815 (306)
MB920 (276)
MB890 (276)
MB910 (276)
MB915 (276)

2015 AMA FEES LIST INDEX
ORBIT (cont)
- exploration of, not requiring
removal of bone
- exploration of, requiring removal
of bone
- exploration with removal of
tumour
- skin graft to, as a delayed
procedure
ORBITAL
- dermoid, excision of........................
ORBITAL ABSCESS
- drainage of........................................
ORBITAL CAVITY
- bone or cartilage graft to.................
- reconstruction of wall or floor
ORBITAL CONTENTS
- diagnostic B-scan of........................
- ultrasonic echography of................
- ultrasonic echography of, for both
eyes
- ultrasonic echography of, second
eye
- ultrasound scan of...........................
ORBITAL CYST
- drainage of........................................
ORBITAL DYSTOPIA
- unilateral correction of....................
ORBITS
- scan of...............................................
ORCHIDECTOMY..................................
ORGAN
- drill biopsy of....................................
ORO ANTRAL
- fistula, plastic closure of.................
ORTHOPAEDIC
- pin or wire, insertion of...................
- ring fixator, adjustment of...............
ORTHOPANTOMOGRAPHY.................
OSSEO-INTEGRATION PROCEDURE
- fixation of transcutaneous
abutment
- implantation of titanium fixture
MB880 (276)
MB870 (276)
MB900 (276)
MB850 (276)
MC030 (277)
MC010 (276)
MJ335 (302)
MJ325 (302)
AQ119 (52)
AQ115 (51)
AQ117 (51)
AQ116 (51)
AQ118 (51)
OA025 (374)
OA035 (374)
MC010 (276)
MK045 (308)
MK055 (308)
OD020 (396)
EM710 (168)
EA245 (148)
MA765 (270)
MR090 (336)
MY630 (354)
OF180 (403)
MA364 (268)
MA360 (267)
OSSEO-INTEGRATION
PROCEDURES
- extra-oral...........................................
- fixation of transcutaneous
abutment
- intral-oral...........................................
OSSICULAR CHAIN
RECONSTRUCTION
OSTEECTOMY
- of accessory bone, metatarsal,
phalanx, sesamoid
- of femur, pelvis.................................
- of fibula, radius, ulna, clavicle,
scapula, rib, tarsus, carpus
- of humerus........................................
- of tibia................................................
OSTEOMYELITIS
- carpus, operation for.......................
- distal phalanx, operation for...........
- metacarpal, operation for................
- of skull, craniectomy for..................
- phalanx, operation for.....................
OSTEOPLASTY
- of knee...............................................
OSTEOTOMY
- for accessory bone, metatarsal,
phalanx, sesamoid
- midfacial............................................
- of femur, pelvis.................................
- of fibula, radius, ulna, clavicle,
scapula, rib, tarsus, carpus
- of humerus........................................
- of tibia................................................
OVAL WINDOW SURGERY
- including repair of fistula................
OVARIAN
- cyst aspiration..................................
- cyst excision of, with
hysterectomy, abdominal
OVARIAN TRANSPOSITION
- out of the pelvis................................
OXYCEPHALY
- cranial vault reconstruction for
PACEMAKER
- gracilis neosphincter,
replacement of
MK105 (308)
MK115 (308)
MK335 (310)
MA135 (266)
MS005 (338)
MS085 (339)
MS025 (338)
MS045 (339)
MS065 (339)
ML575 (316)
ML565 (316)
ML575 (316)
LR420 (260)
ML575 (316)
MW015 (347)
MS005 (338)
MJ955 (307)
MJ965 (307)
MS085 (339)
MS025 (338)
MS045 (339)
MS065 (339)
MA415 (268)
HA090 (213)
HA720 (219)
HA910 (221)
MK075 (308)
EP950 (195)

2015 AMA FEES LIST INDEX
PACEMAKER ELECTRODE
- implanted, testing of
atrioventricular sequentia
- insertion by sub-xyphoid
approach
PACEMAKING ELECTRODE
- temporary transvenous, insertion
of
PAEDIATRIC HIP EXAMINATION
FOR DYSPLASIA
- ultrasound scan of...........................
PAEDIATRIC SPINE AND SPINAL
CORD
- ultrasound scan of...........................
PAIN RELIEF
- neurosurgical...................................
- spinal, reservoir and catheter.........
- trigeminal nerve, peripheral
branches, cryosurgery of
PALATE
- exostosis, excision of......................
PALATO-PHARYNGEAL STUDIES
- radiographic examination of...........
PALMAR OR PLANTAR WART
- definitive removal of........................
- removal of.........................................
PALMAR OR PLANTAR WARTS
- removal of by carbon dioxide or
erbium laser
PALPEBRAL
- ligament, medial, ruptured, repair
PANCREAS
- drainage, involving laparotomy......
PANCREATECTOMY............................
- distal..................................................
- near total or total..............................
PANCREATIC
- cyst, anastomosis to Roux loop of
jejunum
- cyst, anastomosis to stomach or
duodenum
PANCREATIC ABSCESS
- laparotomy and external drainage
PANCREATIC NECROSECTOMY........
PANCREATICO-DUODENECTOMY
- Whipple's operation.........................
AV220 (57)
HH015 (247)
HG095 (241)
OC850 (390)
OC855 (390)
OC930 (388)
OC935 (393)
LN410 (255)
LN520 (255)
MK455 (312)
MK285 (309)
OF152 (403)
EA590 (149)
EA595 (149)
EA605 (150)
MD010 (284)
EJ015 (155)
EK435 (167)
EK365 (166)
EK425 (167)
EK395 (166)
EK385 (166)
EK315 (166)
EK325 (166)
EK375 (166)
PANCREATICO-JEJUNOSTOMY
- following previous surgery.............
- for pancreatitis or trauma................
PANCREATO-CHOLANGIOGRAPHY
- endoscopic retrograde....................
PANCREATOGRAPHY
- operative...........................................
PANENDOSCOPY.................................
PANNUS
- treatment of, with cautery of
conjunctiva
PAPILLARY HYPERPLASIA
- of the palate......................................
PAPILLOMATA
- juvenile, removal with
microlaryngoscopy
- removal of by laser surgery............
PARACENTESIS
- abdominis.........................................
- anterior/posterior chamber or both
- of abdomen.......................................
PARALYSIS
- facial nerve, grafts for......................
PARA-OESOPHAGEAL HIATUS
HERNIA
- repair of.............................................
PARAPHIMOSIS
- reduction of......................................
PARATHYROID
- operation...........................................
PARATHYROID STUDY........................
PARAVERTEBRAL BLOCK..................
PARETIC STATES
- eyebrows, elevation of.....................
PARKS' INTERSPHINCTERIC
PROCEDURE
- for anal incontinence.......................
PARONYCHIA
- of foot, incision for...........................
- of hand, incision for.........................
PAROTID
- gland, superficial lobectomy...........
- gland, total extirpation of................
PAROTID DUCT
- microsurgical repair of....................
EK415 (166)
EK405 (166)
EJ695 (161)
EJ395 (159)
EJ625 (160)
MC400 (279)
MK300 (310)
MB235 (273)
MB245 (273)
EJ205 (157)
MC620 (281)
EJ205 (157)
MJ275 (301)
EO245 (184)
EM770 (169)
EC580 (154)
OS605 (420)
CV240 (141)
MD070 (284)
EP525 (193)
MR050 (336)
ML835 (317)
EA875 (152)
EA855 (152)
EA865 (152)
EA850 (152)

2015 AMA FEES LIST INDEX
PAROTID GLAND
- removal of tumour from..................
- superficial lobectomy of..................
PARTICLE PERFUSION STUDY
- intra-arterial......................................
PATCH
- grafting to artery or vein..................
PATELLA
- bursa, excision of.............................
- congenital dislocation of,
reconstruction of the quadriceps
- treatment of dislocation..................
- treatment of fracture........................
PATELLECTOMY
- of knee...............................................
PATELLOFEMORAL JOINT
- of knee, total replacement of..........
PATELLOFEMORAL STABILISATION
- knee, revision of...............................
PATELLO-FEMORAL STABILISATION
- of knee...............................................
PATENT
- ductus arteriosus,
division/ligation
PATENT URAHUS
EA870 (152)
OS645 (420)
ET150 (203)
ET160 (203)
EA365 (149)
MZ410 (357)
MN200 (319)
MN210 (319)
MP995 (330)
MQ005 (330)
MQ015 (330)
MW015 (347)
MW126 (348)
MW175 (348)
MW015 (347)
LL400 (252)
- excision of......................................... HF400 (236)
PATIENT EPISODE INITIATION PJ003 (465)
PECTUS
- excavatum or carinatum, repair or
correction of
- excavatum, repair with
implantation of prosthesis
PEDICLE
- tubed, delay of..................................
- tubed, or indirect flap, formation
PEDICLE FLAPS
- microvascular anastomosis, for
supercharging of
PELVIC
- bone, operation on, for
osteomyelitis
- bones, operation on, for
osteomyelitis
- ring, fracture, treatment of..............
HG650 (246)
HG660 (247)
MH205 (294)
MH195 (294)
MJ236 (300)
MD140 (285)
MD170 (285)
MP625 (328)
PELVIC ABCESS
- laparotomy for drainage of..............
PELVIC FLOOR
- diagnosis of abnormalities..............
PELVIC FLOOR REPAIR.......................
- laparoscopic or abdominal,............
PELVIC GIRDLE
- radiographic examination of...........
PELVIC LYMPH GLANDS
- excision of (radical).........................
PELVIC LYMPHADENECTOMY
- open or laparoscopic.......................
PELVIC RING
- treatment of fracture........................
PELVIC VISCERA
- operation and laparotomy...............
PELVIMETRY.........................................
PELVIS
- bone graft/shelf procedure,
acetabular dysplasia
- osteotomy, osteectomy...................
- scan of...............................................
PELVIS OR ABDOMEN,
ULTRASOUND
- 12 to 16 weeks of gestation.............
- 17 to 22 weeks of gestation.............
- after 22 weeks gestation..................
- less than 12 weeks gestation..........
PELVIS, MALE
- ultrasound scan of...........................
PENIS
- amputation of...................................
- artificial erection device..................
- correction of chordee......................
EJ125 (157)
BB025 (59)
BB035 (59)
HA295 (215)
HA375 (215)
OF016 (402)
OF072 (402)
HA200 (214)
HB205 (221)
MP625 (328)
EJ085 (156)
OD555 (400)
MZ155 (356)
MS085 (339)
OD305 (398)
OC635 (382)
OC640 (383)
OC645 (383)
OC650 (384)
OC655 (384)
OC660 (384)
OC665 (385)
OC670 (385)
OC675 (385)
OC680 (385)
OC625 (382)
OC630 (382)
OA165 (375)
OA175 (375)
HE820 (234)
HE900 (235)
HE870 (235)
HE875 (235)

2015 AMA FEES LIST INDEX
PENIS (cont)
- erection test for hypospadias and
chordee
- frenuloplasty.....................................
- injection of........................................
- lengthening.......................................
- repair of.............................................
- surgery for impotence.....................
PEPTIC ULCER
- control of bleeding...........................
HF450 (237)
HE930 (235)
HE860 (235)
HE890 (235)
HE840 (235)
HE880 (235)
EJ835 (162)
- perforated, suture, involving EJ015 (155)
laparotomy
PERCHLORATE DISCHARGE STUDY BF570 (68)
PERCUTANEOUS
- cordotomy.........................................
- drainage of deep abscess,
imaging guided
- epidural electrode insertion............
- epidural implant, removal of...........
- gastrostomy, initial..........................
- gastrostomy, repeat.........................
- liver biopsy.......................................
- lumbar discectomy..........................
- neurotomy of peripheral nerves
- transhepatic cholangiogram,..........
PERCUTANEOUS ASPIRATION
BIOPSY
- of deep organ...................................
PERCUTANEOUS NEUROTOMY
- of spinal nerves................................
PERFUSION
- limb or organ....................................
- medical management of cardiopulmonary
bypass
- retrograde.........................................
- standby medical management of
using heart/lung machine
PERFUSION, LIMB
- isolated..............................................
PERIANAL
- thrombosis, incision of....................
PERIANAL ABSCESS
- drainage of........................................
PERIANAL ABSCESSS
- drainage of........................................
PERICARDIECTOMY
- via sternotomy or anterolateral
thoracotomy
LN480 (255)
EA765 (151)
LN540 (255)
LN580 (256)
EJ675 (161)
EJ685 (161)
EJ225 (157)
MT130 (340)
LN780 (257)
EJ405 (159)
EA305 (148)
LN460 (255)
CV055 (138)
CV060 (138)
CV052 (138)
CV076 (138)
EW720 (207)
EP605 (193)
EP715 (194)
EP705 (194)
HG570 (246)
- with cardiopulmonary bypass........
PERICARDIUM.......................................
PERIMETRY
- full quantitative computerised........
PERINEAL
- anoplasty, ano-rectal
malformation
- proctectomy......................................
- recto-sigmoidectomy for rectal
prolapse
PERINEAL GRACILOPLASTY..............
PERINEPHRIC AREA
- exploration of, by open exposure
PERIORBITAL
- correction of Treacher Collins
Syndrome
- dermoid, congenital, excision of
PERIPHERAL
- arterial atherectomy.........................
- cannulation for cardiopulmonary
bypass
- laser angioplasty..............................
- nerve,
neurectomy/neurotomy/tumour
PERIPHERAL VEIN OR ARTERY
- retrieval of foreign body..................
PERIPHERAL VESSELS
- examination and report before
and after exercise
PERITONEAL
- adhesions, division of, with
laparotomy
- biopsies, multiple, with infracolic
omentectomy
- catheter, insertion and fixation
- dialysis..............................................
PERITONEO VENOUS SHUNT
- insertion of........................................
PERITONEOGRAM................................
PERITONSILLAR ABSCESS
- incision of.........................................
PERIURETHRAL INJECTION
- for urinary incontinence..................
PERTHES
- hips or knees, application of cast
under GA
PETROUS TEMPORAL BONES
- radiographic examination of...........
HG590 (246)
HG600 (246)
AQ090 (50)
ME300 (288)
EP225 (190)
EP475 (193)
EP910 (195)
HB310 (222)
MK035 (308)
MC020 (277)
FA570 (209)
LA510 (251)
FA580 (210)
LN790 (257)
FA730 (211)
AT075 (55)
EJ025 (155)
HA900 (220)
BH530 (70)
BH540 (70)
EJ215 (157)
OF556 (408)
MB065 (272)
HE670 (233)
MZ145 (356)
OF112 (403)

2015 AMA FEES LIST INDEX
PHALANGES
- amputation/splitting, congenital
abnormalities
PHALANX
- bone grafting of, for
pseudoarthrosis
- distal, operation on for
osteomyelitis
- middle or proximal, operation for
osteomyelitis
- of finger or thumb, treatment of
fracture
- of the hand, osteectomy,
osteotomy
- of the hand,
osteotomy/osteectomy
- of toe, treatment of fracture............
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- osteectomy, osteotomy...................
PHARYNGEAL
- pouch, endoscopic resection
(Dohlman's op)
PHARYNGEAL ADHESIONS
- division of.........................................
PHARYNGEAL POUCH
- removal of.........................................
PHARYNGECTOMY
- partial, via pharyngotomy..............
- partial, via pharyngotomy...............
PHARYNGOTOMY
- lateral, with/out total excision of
tongue
PHLEBOGRAM
- selective............................................
PHLEBOGRAPHY
- one side.............................................
- one vessel.........................................
PHOSPHOROUS 32
- administration of therapeutic dose
PHOTODYNAMIC THERAPY
- both eyes..........................................
- infusion, where treatment
discontinued
- one eye..............................................
MZ300 (357)
ML365 (315)
ML375 (315)
ML565 (316)
ML575 (316)
MP005 (324)
ML355 (314)
ML345 (314)
MQ265 (332)
MD110 (285)
MD150 (285)
MS005 (338)
MA945 (271)
MA895 (271)
MA935 (271)
MA985 (272)
MA975 (272)
MA965 (272)
OF868 (410)
OF512 (407)
OF864 (410)
BR940 (96)
MD080 (285)
MD085 (285)
MD075 (285)
PHOTOIRIDOSYNERESIS
- laser...................................................
PHOTOMYDRIASIS
- laser...................................................
PHOTON EMISSION TOMOGRAPHY
- planar and single, repeat.................
PHOTOTHERAPEUTIC
KERATECTOMY
- by laser, for corneal scarring or
disease
PILONIDAL SINUS
- injection of sclerosant fluid............
PILONIDAL SINUS OR CYST
- excision of.........................................
PIN (ORTHOPAEDIC)
- insertion of........................................
- removal of.........................................
PINGUECULA
- of eye, removal of.............................
PIROGOFF'S AMPUTATION
- of foot................................................
PITANGUY ABDOMINOPLASTY..........
PITUITARY FOSSA
- scan of...............................................
PITUITARY TUMOUR
- removal of.........................................
PLACENTA
- intrauterine manual removal of......
PLANNING AND MANAGEMENT OF
A PREGNANCY
PLANTAR
- fasciotomy, radical...........................
PLASTER JACKET
- application of, to spine....................
PLASTIC
- repair, to enlarge vaginal orifice
PLETHYSMOGRAPHIC
ASSESSMENT
- of chronic venous disease..............
PLEURA
- percutaneous, one or more
biopsies
PNEUMONECTOMY..............................
POLYHYDRAMNIOS
- attendances other than routine
antenatal attendances
POLYPS
- anal, excision of...............................
MC842 (283)
MC841 (283)
OS565 (420)
MC851 (283)
EM800 (169)
EM790 (169)
MR090 (336)
MR100 (336)
MC440 (280)
MG105 (291)
EA565 (149)
OD015 (396)
LP350 (259)
BT800 (99)
BU800 (100)
MX680 (352)
MQ405 (333)
HA300 (215)
AT040 (54)
EA285 (148)
HG530 (246)
BT210 (98)
EP585 (193)

2015 AMA FEES LIST INDEX
POLYPS (cont)
- anal, excision of...............................
- cervix, removal of.............................
- nasal, removal of..............................
POPLITEAL
- artery, exploration of.......................
PORTA HEPATIS
- radical resection of..........................
PORTACATH
- laparotomy with insertion of...........
PORTAL HYPERTENSION
- oesophageal transection.................
- porto-caval shunt for.......................
- selective spleno-renal shunt for
PORTAL HYPERTENSION,
- meso-caval shunt for.......................
PORTO CAVAL SHUNT
- for portal hypertension....................
PORTOENTEROSTOMY
- for biliary atresia..............................
POSTERIOR CHAMBER
- removal of silicone oil from............
POSTERIOR JUXTASCLERAL
DEPOT INJECTION
- treatment of subfoveal choroidal
neovascularisation
POSTERIOR SPINAL FUSION..............
POSTERO-LATERAL FUSION
- bone graft, to spine..........................
POST-NASAL SPACE
- examination of..................................
POSTNATAL ATTENDANCE................
POSTNATAL CARE
- see confinement...............................
POST-OPERATIVE HAEMORRHAGE
- after removal adenoids/tonsils.......
- control of, following
gynaecological surgery
- control under GA, independent......
- laparotomy, for control of...............
POST-OPERATIVE PAIN
- epidural injection for control of
POSTPARTUM HAEMORRHAGE
- treatment of......................................
EP595 (193)
HA430 (216)
MA575 (269)
MA585 (269)
EW155 (205)
EJ545 (160)
EJ165 (157)
EK525 (167)
EK495 (167)
EK515 (167)
EK505 (167)
EK495 (167)
ME360 (289)
MC870 (283)
MC625 (281)
LT135 (261)
MT170 (340)
MA545 (269)
MA905 (271)
BT850 (100)
BT850 (100)
MB035 (272)
HA930 (221)
EA185 (147)
EJ075 (156)
CV120 (139)
CV122 (139)
BT810 (99)
PRE-AURICULAR SINUS
- excision of.........................................
PRE-ECLAMPSIA
- treatment of......................................
PREGNANCY, ATTENDANCE
COMPLICATED BY
- diabetes or anaemia.........................
- multiple attendance other than
routine antenatal
- threatened premature labour..........
PREGNANCY,ATTENDANCE
COMPLICATED BY
- acute intercurrent infection.............
- intrauterine growth retardation
PREMALIGNANT LESIONS
- of the oral mucous, by
cryotherapy, diathermy or carbon
dioxide laser
PREMALIGNANT SKIN LESIONS
- treatment of......................................
PREMATURE LABOUR
- attendances other than routine
antenatal
PRESACRAL TUMOUR
- excision of.........................................
PRESSURE MONITORING
- intravascular (ICU)...........................
PRIAPISM
- decompression of............................
- shunt operation for..........................
PRIMARY
- restoration of alimentary
continuity
PROFILOMETRY
- urethra...............................................
PROLAPSE
- rectum, sclerotherapy for................
- urethra, excision of..........................
PROLAPSE, RECTAL
- abdominal rectopexy of...................
- perineal repair of..............................
PROLONGED PROFESSIONAL
ATTENDANCE
- emergency physicians.....................
- lifesaving...........................................
PROOF PUNCTURE AND LAVAGE
- of maxillary antrum..........................
EA345 (148)
BT250 (98)
BT210 (98)
BT240 (98)
MK425 (311)
EA635 (150)
BT210 (98)
BT240 (98)
EP175 (190)
BM025 (75)
HE800 (234)
HE810 (234)
MB185 (273)
BB320 (59)
EP555 (193)
HE730 (234)
EP495 (193)
EP505 (193)
AK060 (33)
AL010 (34)
MA685 (270)

2015 AMA FEES LIST INDEX
PROSTACTECTOMY
PSYCHOTHERAPY
- radical................................................
PROSTATE
HE255 (231)
- group.................................................
PTERYGIUM
AM125 (40)
- diathermy or visual laser
destruction of lesion
- endoscopic biopsy of......................
- endoscopic enucleation of..............
- endoscopic laser ablation...............
- open perineal biopsy or open
drainage of abscess
- radioactive seed implantation.........
- total excision of................................
- transperineal insertion of
catheters for HDR
- transrectal needle biopsy of...........
- transrectal ultrasound scan of........
- transurethral radio-frequency
needle ablation
PROSTATECTOMY
- endoscopic.......................................
- open...................................................
PROSTATIC ABSCESS
- endoscopic drainage of...................
PROSTATIC COIL
- insertion of........................................
PROSTHESIS
- breast, removal of............................
- implantation of, with repair of
pectus excavatum
- knee, removal of...............................
- oesophageal, insertion of................
- shoulder, removal of........................
- valve replacement............................
PROTECTOMY
- perineal..............................................
PROXIMAL CARPECTOMY
HE310 (232)
HE270 (231)
HE445 (232)
HE230 (231)
HE260 (231)
BQ849 (88)
HE291 (232)
HE250 (231)
HE315 (232)
HE290 (231)
OB200 (381)
OB210 (382)
HE203 (230)
HE210 (230)
HE220 (230)
HE200 (230)
HE300 (232)
HE305 (232)
MJ195 (299)
HG660 (247)
MW055 (347)
EJ735 (161)
MT690 (343)
HH160 (248)
EP225 (190)
- removal of.........................................
PTOSIS
- correction of.....................................
PUDENDAL
- block..................................................
PULMONARY ARTERIAL PRESSURE
- continuous monitoring (ICU)..........
PULMONARY ARTERY
- banding of.........................................
- decortication with thoracotomy.....
- pressure monitoring........................
- retrieval of foreign body..................
PULP SPACE INFECTION
- incision for........................................
PULSE GENERATOR
- subcutaneous placement of............
PUNCH BIOPSY
- of synovial membrane.....................
PUNCTUM
- occlusion of, by use of a plug.........
- permanent occlusion of...................
- snip operation..................................
PURSE STRING
- ligature of cervix, removal...............
PUVA THERAPY
- administered in whole body
cabinet
- administered to localised body
areas
PYELOPLASTY
- by open exposure............................
PYELOSCOPY
- retrograde.........................................
- retrograde, of one collecting
system
MC430 (279)
MJ445 (303)
CV230 (140)
BM025 (75)
LL450 (253)
HG480 (245)
AT125 (55)
FA700 (211)
ML835 (317)
MR050 (336)
LN570 (256)
EA275 (148)
MC210 (278)
MC212 (278)
MC200 (278)
BT270 (98)
BM700 (77)
BM710 (77)
HB390 (223)
HB685 (226)
HB675 (225)
- of wrist..............................................
PSEUDOARTHROSIS, BONE
GRAFTING
- of metatarsal for...............................
MU450 (345)
ML365 (315)
ML375 (315)
PYELOSTOMY
- open, as an independent
procedure
PYLELOLITHOTOMY
HB680 (225)
HB360 (223)
- of phalanx for...................................
ML365 (315)
ML375 (315)
- for stones..........................................
PYLOROPLASTY
HB320 (222)
- reconstruction of..............................
EJ915 (163)

2015 AMA FEES LIST INDEX
PYLOROPLASTY (ADULT)
- involving laparotomy.......................
PYLORUS
- dilation of, with vagotomy...............
QUADRICEPSPLASTY
- for knee reconstruction...................
QUINSY
- incision of.........................................
RADIAL APLASIA
- centralisation/radialisation..............
RADIATION DOSIMETRY
- by a CT interfacing planning
computer
- by a non-CT interfacing planning
computer
RADIATION FIELD SETTING
- using diagnostic x-ray.....................
- using simulator/isocentric x-
ray/megavoltage machine
RADIATION ONCOLOGY
- treatment...........................................
- treatment verification, multiple
- treatment verification, single..........
RADIATION SOURCE LOCALISATION
- for brachytherapy treatment
planning for prostate cancer
- for brachytherapy treatment
planning, excluding for prostate
cancer
RADICAL EXCISION OF NAIL
GERMINAL MATRIX
RADICAL OR DEBULKING
OPERATION
- for advanced intra-abdominal
malignancy
RADIOACTIVE B12 ABSORPTION
TEST
- 1 isotope............................................
- 2 isotopes..........................................
RADIOACTIVE MOULD
- construction and application of
- construction and first application
- subsequent applications of.............
RADIOISOTOPE
- administration of a therapeutic
dose
RADIOTHERAPY
- deep or orthovoltage.......................
EJ015 (155)
EJ815 (162)
MW245 (349)
MB065 (272)
MZ310 (357)
BR560 (90)
BR580 (90)
BR530 (89)
BR500 (89)
BQ550 (84)
BR705 (93)
BR700 (93)
BR541 (89)
BR850 (93)
ML865 (318)
EJ116 (156)
BF540 (68)
BF550 (68)
BQ860 (88)
BQ890 (89)
BQ880 (88)
BR900 (96)
BP250 (84)
- superficial.........................................
RADIOULNAR JOINT
- distal or proximal, dislcoation,
treatment of
- distal or proximal, dislocation,
treatment of
- distal, reconstruction.......................
- distal, synovectomy.........................
RADIUS
- bone graft to.....................................
- distal end, open growth plate,
treatment of Colles', Smith's or
Barton's fracture
- open growth plate, treatment of
fracture of head or neck of
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- osteectomy, osteotomy...................
- treatment of fracture........................
RADIUS OR ULNA
- shaft of, open growth plates,
treatment of fracture
- shaft of, treatment of fracture of
RADIUS OR ULNA,
- distal end, open growth plates,
treatment of fracture
RANULA
BP020 (84)
MN100 (318)
MN090 (318)
ML175 (313)
ML165 (313)
MR560 (338)
MZ558 (362)
MZ594 (363)
MD120 (285)
MD150 (285)
MS025 (338)
MP205 (325)
MP375 (326)
MP385 (326)
MZ566 (362)
MP265 (325)
MZ550 (362)
- removal of......................................... EA975 (153)
RECESSION OF UPPER EYELID MD040 (284)
RECTAL
- biopsy, full thickness.......................
- prolapse, Delorme procedure for
- prolapse, paediatric, injection
under GA
- prolapse, perineal rectosigmoidectomy
for
- prolapse, rubber band ligation of
- prolapse, sclerotherapy for.............
- prolapse, submucosal or
perirectal injection for
- tumour, anterolateral
intraperitoneal
- tumour, excision of..........................
EP415 (192)
EP465 (192)
ME450 (289)
EP475 (193)
EP565 (193)
EP555 (193)
ME450 (289)
EP450 (192)
EP425 (192)
EP435 (192)
EP438 (192)

2015 AMA FEES LIST INDEX
RECTAL (cont)
- tumour, excision of..........................
RECTAL PROLAPSE
- abdominal rectopexy of...................
- perineal repair of..............................
RECTAL STRICTURE
- dilatation of.......................................
- per anal release of............................
RECTOCELE
- transanal repair of............................
RECTOSIGMOIDECTOMY
- anterior (Hartman's operation).......
RECTUM
- examination under GA, paediatric
- high restorative anterior resection
- low restorative anterior resection
- ultra low restorative resection
RECTUM AND ANUS
- abdomino-perineal resection of......
REDUCTION URETEROPLASTY.........
REFLUX
- gastro-oesophageal, correction.....
REFLUX STUDY
- gastro-oesophageal.........................
REFRACTION
- assoc. with ophthalmological
exam
RENAL
- biopsy (closed).................................
- dialysis in hospital...........................
RENAL ARTERY
- bypass grafting to............................
RENAL CORTICAL STUDY...................
RENAL CYST
- excision or unroofing of..................
RENAL FUNCTION TEST
- with imaging and at least 2 blood
samples
- without imaging procedure.............
RENAL STUDY
- combined examination....................
EP440 (192)
EP455 (192)
EP495 (193)
EP505 (193)
EP490 (193)
EP485 (193)
EP545 (193)
EP155 (190)
ME440 (289)
EP105 (189)
EP115 (190)
EP125 (190)
EP185 (190)
EP195 (190)
HB560 (224)
ME270 (288)
ME280 (288)
ME290 (288)
OS215 (417)
AQ010 (49)
HB380 (223)
BH500 (70)
BH510 (70)
EQ480 (199)
OS275 (418)
HB370 (223)
BF590 (68)
BF580 (68)
OS305 (418)
- incl. perfusion and renogram
images
- with diuretic administration............
RENAL STUDY, SINGLE.......................
RENAL TRACT
- extraction of calculus......................
RENAL TRANSPLANT..........................
REPRODUCTIVE SERVICES
- assisted.............................................
REPRODUCTIVE SERVICES,
ASSISTED
- ovulation monitoring services........
- planning and management..............
- semen, collection of.........................
REPRODUCTIVE SERVICES,
ASSISTED
- oocyte retrieval.................................
- preparation and transfer of frozen
embryos
- preparation of semen.......................
- transfer of embryos.........................
RESPIRATORY FUNCTION
- measurement....................................
- measurement, complex...................
RESPIRATORY SYSTEM
- measurement of mechanical or
gas exchange function
RESTORATION OF CARDIAC
RHYTHM
- by electrical stimulation..................
RE-SUTURING OF WOUNDS
- following intraocular procedures
RETINA
- cryotherapy to..................................
- detached, diathermy or
cryotherapy for
- detached, removal of encircling
silicone band from
- detached, resection or buckling
operation for
- detached, revision operation for
- photocoagulation of.........................
RETINAL PHOTOGRAPHY...................
RETROBULBAR
- injection of alcohol..........................
OS265 (418)
OS295 (418)
OS285 (418)
EJ466 (159)
HB210 (221)
BH600 (70)
BH605 (71)
BH615 (71)
BH685 (72)
BH690 (72)
BH610 (71)
BH620 (71)
BH630 (72)
BH635 (72)
BH625 (72)
AR520 (53)
AR530 (53)
AR510 (53)
BJ050 (73)
MD020 (284)
MC880 (283)
MC730 (282)
MC860 (283)
MC740 (282)
MC750 (282)
MC850 (283)
AQ070 (50)
MC900 (283)

2015 AMA FEES LIST INDEX
RETROGRADE INTROVENOUS
PERFUSION
- sympatholytic agent........................
RETROLABYRINTHINE VESTIBULAR
- nerve section....................................
RETROPERITONEAL
- lymph node dissection....................
RETROPERITONEAL ABCESS
- drainage of........................................
RHINOPHYMA
- carbon dioxide/erbium laser
excision-ablation
- shaving of.........................................
RHINOPLASTY......................................
- secondary revision of......................
RHINOTOMY
- lateral, with removal of tumour
RHIZOLYSIS
- spinal.................................................
RIB
- first, resection of portion of............
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- osteectomy, osteotomy...................
- resection for emphysema................
RIBS
- treatment of fracture........................
RIGHT ATRIUM
- retrieval of foreign body..................
RING FIXATOR
- adjustment of....................................
ROD, PLATE OR NAIL
- removal of.........................................
ROTATOR CUFF
- of shoulder, repair of.......................
ROUND WINDOW SURGERY
- including repair of cochleotomy
ROUX-EN-Y
- as a bypass procedure....................
RUBIN TEST
- for patency of Fallopian tubes........
RUNNING CORNEAL SUTURE
- manipulation of................................
BM930 (80)
MA345 (267)
HF220 (236)
HF230 (236)
EJ175 (157)
MJ565 (304)
MJ575 (304)
MJ475 (303)
MJ555 (304)
MA785 (270)
LT165 (262)
EW125 (205)
MD120 (285)
MD150 (285)
MS025 (338)
HG460 (245)
MP615 (327)
FA710 (211)
MY630 (354)
MR120 (336)
MT620 (342)
MA405 (268)
EJ535 (160)
HA840 (220)
MC369 (279)
RUPTURE OR DISSECTION
- operative management of,
thoracic aorta
RUPTURED
- medial palpebral ligament, repair
- membranes, threatened
premature labour
- muscle, repair of..............................
- thoracic aorta, operative
management of
SACRAL
- block..................................................
SACRAL COPOPEXY
- laparoscopic or open.......................
SACRAL NERVE LEAD
- for faecal incontinence....................
- for urinary indications.....................
SACRAL SINUS OR CYST
- excision of.........................................
SACROCOCCYGEAL
- teratoma, excision of, neonatal
SACROCOCCYGEAL TUMOUR
- excision of.........................................
SACRO-ILIAC JOINT
- arthrodesis of...................................
- disruption, treatment of..................
- fracture, treatment of.......................
SACROSPINOUS COLPOPEXY
- for upper vaginal prolapse..............
SALIVARY GLAND
- diathermy/dilation............................
- repair of cutaneous fistula..............
SALIVARY GLAND DUCT
- removal of calculus from.................
SALIVARY GLAND
MARSUPIALISATION
- removal of calculus from.................
SALIVARY GLAND MEATOTOMY
- removal of calculus from.................
SALIVARY GLAND, DUCT
- major, transposition of duct............
SALIVARY STUDY.................................
SALPINGECTOMY
- with vaginal hysterectomy..............
SALPINGOLYSIS...................................
HJ280 (250)
MD010 (284)
BT240 (98)
EA805 (152)
EA815 (152)
HJ280 (250)
CV240 (141)
HA385 (215)
EP953 (195)
HB695 (226)
EM790 (169)
MD500 (287)
MD510 (287)
EP175 (190)
MU700 (346)
MP755 (329)
HA295 (215)
EA905 (152)
EA925 (152)
EA915 (152)
EA915 (152)
EA915 (152)
MB425 (275)
OS205 (417)
HA720 (219)
HA800 (220)

2015 AMA FEES LIST INDEX
SALPINGOSTOMY................................
SAPHENOUS VEIN ANASTOMOSIS
- to femoral or popliteal vein.............
SCALENE NODE BIOPSY.....................
SCALENOTOMY....................................
SCAPHOID BONE
- bone graft to.....................................
SCAPULA
- operation for chronic
osteomyelitis
- osteectomy, osteotomy...................
- treatment of fracture........................
SCAR
- lesion < 20mm, surgical excision
- lesion 10mm, surgical excision......
- removal by surgical excision..........
- removal, face/neck/lower leg..........
- revision of facial or neck, more
than 3cm
- revision of, facial or neck, less
than 3cm
- revision of, more than 7cm.............
- revision of, not more than 7cm.......
SCARS
- corneal, removal by partial
keratectomy
SCARS OF SKIN
- extensive burn, excision of.............
SCLERA
- removal of embedded foreign
body
- removal of foreign body..................
- transplantation of, full thickness
- transplantation of, superficial or
lamellar
SCLERAL
- graft to upper or lower lid................
SCLEROSANT FLUID
- injection of into pilonidal sinus
- injection of starburst vessels,
head/neck
SCOLIOSIS
- anterior correction of (Dwyer
procedure)
- congenital, vertebral resection
and fusion for
- exploration for..................................
- re-exploration for.............................
HA800 (220)
EX080 (208)
EA315 (148)
EW115 (205)
MR600 (338)
MD150 (285)
MS025 (338)
MP605 (327)
EN020 (171)
EN010 (171)
EN005 (171)
EN040 (172)
MJ065 (298)
MJ055 (298)
MJ085 (298)
MJ075 (298)
MC300 (278)
MJ090 (298)
MC290 (278)
EA195 (147)
MC350 (279)
MC360 (279)
MD030 (284)
EM800 (169)
EA725 (151)
MT080 (340)
MT120 (340)
MT060 (340)
- revision of failed surgery................
- spinal fusion for...............................
SCOLIOSIS OR KYPHOSIS
- in a growing child.............................
SCREW, PIN OR WIRE,
- buried, removal of............................
SCROTAL CONTENTS
- exploration of, with/without
fixation or biopsy
SCROTUM
- partial excision of.............................
- ultrasound scan of...........................
SEALED RADIOACTIVE SOURCE
- implantation, to a region,
autoamatic afterloading
- implantation, to a region, manual
afterloading
- removal of.........................................
SECOND TRIMESTER LABOUR
- management of.................................
SEGMENTECTOMY..............................
SELECTIVE CORONARY
ARTERIOGRAPHY
- preparation.......................................
- preparation, with heart
catheterisation
SELECTIVE INTERNAL RADIATION
THERAPY
- dosimetry, handling and injection
of SIR-spheres
- trans-femoral catheterisation..........
SENGSTAKEN-BLAKEMORE TUBE
- insertion of........................................
SENTINEL LYMPH NODE BIOPSY
- for breast cancer..............................
SEPTAL DEFECT CLOSURE
- atrial, by open exposure direct
suture
- ventricular, by direct suture............
SEPTAL PERFORATION
- closure of..........................................
SEPTECTOMY
- atrial...................................................
- ventricular.........................................
SEPTOPLASTY......................................
SEPTOSTOMY, BALLOON
- including cardiac catheterisations
MT070 (340)
MT030 (340)
MZ640 (364)
MR100 (336)
HF210 (236)
HE940 (235)
OA185 (376)
OA195 (376)
BQ825 (87)
BQ820 (87)
BQ850 (88)
BT540 (99)
HG530 (246)
HG055 (239)
HG065 (239)
GA100 (212)
GA110 (212)
BJ120 (73)
EB020 (153)
LL540 (253)
LL570 (253)
MA595 (269)
LL530 (253)
LL560 (253)
MA595 (269)
HG150 (241)

2015 AMA FEES LIST INDEX
SEPTUM
- button, nasal, insertion of...............
- vaginal, excision of, for correction
of double vagina
SEQUESTRECTOMY............................
SESAMOID BONE
- osteectomy, osteotomy...................
SETON
- readjustment of, in anal fistula
SHIRODKAR SUTURE..........................
SHOULDER
- arthrodesis of...................................
- arthroscopic reconstruction of.......
- arthroscopic stabilisation of...........
- arthroscopic surgery.......................
- arthroscopic total synovectomy of
- arthrotomy of....................................
- decompression of subacromial
space
- diagnostic arthroscopy of...............
- dislocation, treatment of.................
- excision of coraco-acromial
ligament
- hemi-arthroplasty of........................
- open reduction for congenital
dislocation
- prosthesis, removal of.....................
- repair of rotator cuff.........................
- stabilisation for recurrent
dislocation
- stabilisation, for multidirection
instability
- synovectomy of................................
- total replacement arthroplasty of
- total replacement of.........................
- total replacement of, revision
operation with bone graft
- treatment of dislocation..................
SHOULDER OR SCAPULA
- radiographic examination of...........
SHOULDER OR UPPER ARM
- ultrasound scan of...........................
SHOULDER SPICA
- application of....................................
SHUNT
- aorto-pulmonary or cavopulmonary
MB415 (275)
HA280 (214)
MD150 (285)
MS005 (338)
EP675 (194)
BT260 (98)
MT730 (343)
MT800 (344)
MT790 (344)
MT760 (343)
MT780 (343)
MT640 (342)
MT610 (342)
MT750 (343)
MN040 (318)
MT600 (342)
MT650 (343)
MZ340 (357)
MT690 (343)
MT620 (342)
MT700 (343)
MT710 (343)
MT720 (343)
MT660 (343)
MT665 (343)
MT680 (343)
MN040 (318)
OF052 (402)
OC820 (389)
OC825 (390)
MP845 (329)
LL510 (253)
- cranial or cisternal shunt
diversion
- lumbar, insertion of..........................
SIALOGRAPHY
LR710 (260)
LR720 (260)
- one side............................................. OF528 (407)
SIGMOIDOSCOPIC EXAMINATION EP335 (191)
- with or without biopsy.....................
SIGMOIDOSCOPY
- flexible fibreoptic, with or without
biopsy
SILICONE BAND
EP315 (191)
EP355 (191)
- encircling, removal from
MC860 (283)
detached retina
SIMPLE BASIC PATHOLOGY TESTS PI005 (465)
SINGLE EVENT MULTILEVEL
SURGERY
- for cerebral palsy.............................
SINOSCOPY...........................................
SINUS
- excision of, involving muscle and
deep tissue
- excision of, superficial....................
- frontal or ethmoidal, intranasal
operation on
- frontal, catheterisation of................
- frontal, radical obliteration of
- frontal, trephine of...........................
- injection of sclerosant fluid under
anaesthesia
- pilonidal, injection into....................
- pre-auricular, excision of................
- sphenoidal, intranasal operation
SINUSES
- ethmoidal, external operation on
- radiographic examination of...........
SINUSES AND FISTULAE.....................
SKELETAL SURVEY.............................
SKIN
- biopsy of...........................................
- sensitivity testing for allergen
- tags, anal, excision of......................
SKIN AND SUBCUTANEOUS TISSUE
- excision of in the treatement of
sycosis barbae or nuchae
- excision of in the treatment of
suppurative hydradenitis
- repair of recent wound of................
MZ450 (358)
MA915 (271)
EA335 (148)
EA325 (148)
MA825 (271)
MA835 (271)
MA855 (271)
MA845 (271)
EM800 (169)
EA345 (148)
MA875 (271)
MA865 (271)
OF104 (403)
OF536 (408)
OF256 (404)
EA225 (148)
BB700 (60)
EP585 (193)
EN050 (173)
EA085 (146)

2015 AMA FEES LIST INDEX
SKIN GRAFT
- to orbit, as a delayed procedure
SKIN LESIONS
- extensive, multiple injections of
hydrocortisone
- multiple injections............................
SKIN LESIONS, BENIGN NEOPLASM
- treatment by various means...........
SKIN LESIONS, PREMALIGNANT
- treatment of......................................
SKIN OR SUBCUTANEOUS MASS
- ultrasound scan of...........................
SKULL....................................................
- base surgery for tumour removal
- fracture, attendance for treatment
of
- fracture, operations for....................
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- osteomyelitis, craniectomy for.......
SKULL CALIPERS
- insertion of........................................
SLEEP APNOEA
- o/night investigation, 0-12 years
- o/night investigation, 12-18 years
- o/night investigation, 18 years
and over
- unattended (home-based) sleep
studies
SMALL BOWEL
- endoscopic examination.................
SMALL BOWEL INTUBATION
- as an independent procedure.........
- with biopsy.......................................
SMALL BOWEL STRICTUROPLASTY
- for chronic inflammatory bowel
disease
SMALL INTESTINE
- resection of.......................................
- resection of, with anastomosis......
SMITH'S FRACTURE
- fracture or radius, treatment of
SM-LEXIDRONAM (153 )
- administration of..............................
MB850 (276)
EA715 (151)
EA705 (151)
EA645 (150)
EA635 (150)
OC910 (392)
OC915 (392)
OF101 (402)
LP130 (258)
MQ385 (333)
LP070 (257)
MD120 (285)
MD180 (285)
LR420 (260)
MQ395 (333)
BF016 (62)
BF017 (63)
BF015 (62)
BF018 (63)
EK275 (166)
EP405 (192)
EJ725 (161)
EJ715 (161)
EK235 (165)
EK245 (165)
EK255 (165)
MP235 (325)
BR960 (96)
SOCKET OF EYE
- contracted, reconstruction of.........
SPECIMEN REFERRED........................
SPERM RETRIEVAL
- open, for ICSI....................................
- transcutaneous, for ICSI..................
SPERMATIC CORD
- exploration of, inguinal approach
SPERMATOCELE
- excision of.........................................
SPHENOIDAL SINUS
- intranasal operation on...................
SPHINCTER
- muscle and pelvic floor
abnormalities, diagnosis of
- of Oddi, transduodenal operation
- urethral, reconstruction...................
SPHINCTER, ANAL
- direct repair of..................................
SPHINCTEROTOMY
- endoscopic.......................................
SPINAL
- block..................................................
- catheter and subcutaneous
reservoir
- catheter, insertion of for infusion
device
- cord, cervical decompression........
- fusion to cervical, thoracic or
lumbar regions
- fusion, posterior...............................
- fusion, posterior interbody, with
laminectomy
- nerves, injection into.......................
- neurostimulator receiver,
subcutaneous placement
- rhizolysis...........................................
- thoracic decompression..................
SPINAL CATHETER
- removal or repositioning.................
SPINAL CORD
- thoracic decompression..................
- thoraco-lumbar/high lumbar
decompression
SPINAL NERVES
- percutaneous neurotomy................
MB860 (276)
PK005 (433)
HF212 (236)
HF211 (236)
EM720 (168)
HF200 (235)
MA875 (271)
BB035 (59)
EJ525 (160)
HE750 (234)
EP535 (193)
EJ705 (161)
CV212 (140)
LN520 (255)
LN500 (255)
LT175 (262)
MT210 (341)
LT145 (261)
LT155 (261)
MT190 (341)
LN045 (254)
LN570 (256)
LT165 (262)
LT265 (262)
LN560 (256)
LT255 (262)
LT275 (262)
LN460 (255)

2015 AMA FEES LIST INDEX
SPINAL STENOSIS
- stenosis, laminectomy for...............
SPINE
- bone graft to, posterior....................
- bone graft to, postero-lateral
fusion
- cervical artificial intervertebral
disc replacement
- lumbar artificial intervertebral
disc replacement
- manipulation of................................
- non-segmental internal fixation
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- simple internal fixation....................
- treatment of fracture........................
- vertebroplasty..................................
SPINE - CERVICAL
- radiographic examination of...........
SPIRAL ANGIOGRAPHY.......................
SPLEEN OR LIVER STUDY
- red blood cell....................................
SPLENECTOMY....................................
- for massive spleen...........................
- partial.................................................
SPLENO RENAL SHUNT
- selective, for portal hypertension
SPLENORRHAPHY...............................
SQUINT
- muscle transplant............................
- operation for.....................................
- readjustment of adjustable
sutures
STAPEDECTOMY..................................
STAPES MOBILISATION......................
STARBURST VESSELS
- subcutaneous diathermy or
sclerosant injection of
STENOSING TENDOVAGINITIS
- open operation for...........................
STENOSIS
- arteriovenous fistula, correction
- prosthetic arteriovenous access
device, correction of
LT065 (261)
LT075 (261)
MT150 (340)
MT170 (340)
MT342 (342)
MT320 (342)
MT010 (339)
MT280 (341)
MD140 (285)
MD170 (285)
MT270 (341)
MQ305 (332)
GA005 (211)
GA010 (211)
OF200 (404)
OD655 (400)
OS155 (417)
EK455 (167)
EK465 (167)
EK445 (167)
EK515 (167)
EK445 (167)
MC980 (284)
MC930 (283)
MC970 (284)
MA385 (268)
MA395 (268)
EA725 (151)
ML235 (314)
EW660 (206)
STEREOTACTIC
- anatomical localisation....................
- deep brain stimulation.....................
LT800 (263)
LT850 (263)
- procedure, functional...................... LT810 (263)
STEREOTACTIC RADIOSURGERY BR630 (93)
STERILISATION
- of female, by transection or
resection of fallopian tubes
- with Caesarean section...................
STERNAL WIRE
- removal of.........................................
STERNOTOMY
- for removal of thymus or
mediastinal tumour
STERNOTOMY WOUND
- debridement of.................................
STERNUM
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- radiographic examination of...........
- reoperation on..................................
- treatment of fracture........................
STERNUM AND MEDIASTINUM
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
STRESS INCONTINENCE
- abdomino-vaginal operation for.....
- sling operation for............................
STRICTURE
- tracheal, dilatation of, with
bronchoscopy
- upper gastro-intestinal tract,
dilatation
- upper gastro-intestinal tract,
dilatation, with imaging
- urethral, dilatation of.......................
STRICTUROPLASTY, SMALL BOWEL
- for chronic inflammatory bowel
disease
STRONTIUM 89
- administration of..............................
STUMP
- amputation, reamputation of..........
HA780 (220)
HA790 (220)
HG670 (247)
HG560 (246)
HG680 (247)
MD120 (285)
MD150 (285)
OF284 (405)
HG700 (247)
MP585 (327)
MP595 (327)
MD120 (285)
MD150 (285)
HA400 (215)
HA410 (216)
HA390 (215)
MB395 (275)
MB105 (272)
MB110 (272)
HE560 (233)
EK235 (165)
BR950 (96)
MG155 (291)

2015 AMA FEES LIST INDEX
STYLOID PROCESS OF TEMPORAL
BONE
- removal of.........................................
SUB-CLAVIAN ARTERY
- endarterectomy of, including
closure
SUBDURAL HAEMORRHAGE
- tap for................................................
SUBLINGUAL GLAND
- extirpation of....................................
SUBMANDIBULAR DUCTS
- removal of.........................................
SUBMANDIBULAR GLAND
- extirpation of....................................
SUBMUCOUS RESECTION..................
- of turbinates, unilateral...................
SUBPHRENIC ABSCESS
EA845 (152)
ET020 (202)
LN025 (254)
EA895 (152)
EA880 (152)
EA885 (152)
MA595 (269)
MA665 (270)
- laparotomy for drainage of.............. EJ125 (157)
SUBTALAR JOINT................................. MY075 (353)
SUBTEMPORAL DECOMPRESSION LR750 (260)
SUBTOTAL COLECTOMY
- large intestine, with anastomosis
- large intestine, without
anastomosis
SUB-VALVULAR STRUCTURES
- heart, reconstruction and reimplantation
SUCTION
- curettage of uterus...........................
SUPERNUMERARY DIGIT
- complete, amputation of..................
SUPRAGLOTTIC LARYNGECTOMY
- with tracheotomy.............................
SUPRAPUBIC
- stab cystotomy.................................
SUTURE
- shirodkar...........................................
SWEAT SPECIMEN
- collection of specimen of by
iontophoresis
SYMBLEPHARON
- grafting for........................................
SYME'S AMPUTATION
- of foot................................................
SYMPATHECTOMY...............................
- cervical or upper thoracic...............
- lumbar...............................................
EP035 (189)
EP025 (189)
HH180 (248)
HA580 (218)
ML585 (316)
MB175 (273)
HC730 (229)
BT260 (98)
BF005 (61)
MJ465 (303)
MG105 (291)
LT035 (261)
FA110 (208)
FA100 (208)
FA130 (208)
- sacral or pre-sacral..........................
SYNACTHEN STIMULATION TEST
- personal performance of.................
SYNECHIAE
- division of.........................................
SYNOVECTOMY
- elbow.................................................
- extensor tendons of hand...............
- extensor tendons of wrist...............
- finger joints.......................................
- foot.....................................................
- knee...................................................
- metatarso-phalangeal joint of foot
- of ankle..............................................
- of tendons of digit............................
- shoulder............................................
- temporomandibular joint.................
- wrist...................................................
SYNOVIAL
- cavity, aspiration of.........................
SYNOVIAL MEMBRANE
- punch biopsy of...............................
SYSTEMIC ARTERIAL PRESSURE
- continuous monitoring (ICU)..........
TALIPES EQUINOVARUS
- bilateral procedure...........................
- combined posterior medial of,
revision procedure
- combined posterior medial release
- manipulation.....................................
- manipulation and plaster.................
- medial release of..............................
- posterior release of..........................
- treatment by cast.............................
TALUS
- treatment of fracture of....................
- vertical, congenital, combined
anterior and posterior
reconstruction
TARSAL CYST
- extirpation of....................................
TARSAL ECTROPION
- repair of.............................................
TARSO-METATARSAL
- treatment of fracture........................
TARSORRHAPHY..................................
FA140 (208)
EA320 (148)
MC690 (281)
MU065 (344)
ML155 (313)
ML145 (313)
MX700 (352)
MW035 (347)
MW235 (349)
MX700 (352)
MY640 (354)
ML185 (313)
MT720 (343)
MK390 (311)
MU420 (345)
MY095 (353)
EA275 (148)
BM025 (75)
MY690 (355)
MY680 (355)
MY670 (355)
MX730 (352)
MY660 (354)
MY650 (354)
MX730 (352)
MQ085 (331)
MY720 (355)
MC040 (277)
MD050 (284)
MQ135 (331)
MC070 (277)

2015 AMA FEES LIST INDEX
TARSUS.................................................
- coalition, excision of........................
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- osteectomy, osteotomy...................
- treatment of dislocation..................
- treatment of dislocation of..............
- treatment of fracture........................
TEAR DUCT
- probing for obstruction...................
TEAR DUCT STUDY..............................
TEETH
- radiographic examination of...........
TEFLON INJECTION INTO VOCAL
CORD
TELANGIECTASES VESSELS
- subcutaneous diathermy or
sclerosant injection of
TELEHEALTH REPORT/OPINION
- complex, by specialist/consultant
physician
- complex, other than
specialist/consultant physician
- simple, by specialist/consultant
physician
- simple, other than
specialist/consultant physician
TELEHEALTH REPORT/OPINION,
WITH EXAMINATION OF PHOTOS
OR LIKE IMAGES
- complex, by specialist/consultant
physician
- complex, other than
specialist/consultant physician
- simple, by specialist/consultant
physician
- simple, other than
specialist/consultant physician
TELEHEALTH REPORT/OPINION,
WITH EXAMINATION OF X-RAYS
- complex, by other than
specialist/consultant physician
- complex, by specialist/consultant
physician
- simple, by other than
specialist/consultant physician
MY710 (355)
MD120 (285)
MD150 (285)
MS025 (338)
MN230 (319)
MN220 (319)
MQ155 (331)
MQ165 (331)
MC160 (277)
OS635 (420)
OF140 (403)
MB275 (274)
EA725 (151)
AP055 (44)
AP065 (44)
AP050 (44)
AP060 (44)
AP095 (45)
AP105 (45)
AP090 (45)
AP100 (45)
AP085 (45)
AP075 (45)
AP080 (45)
- simple, by specialist/consultant
physician
TELEPYSCHIATRY
- professional attendance..................
TEMPERATURE
- digital, measurement of...................
TEMPORAL
- artery, biopsy of...............................
- bone resection, partial, for
removal of tumour
- bone resection, total, for removal
of tumour
- bone, removal of styloid process
TEMPORAL BONE
- reconstruction of..............................
TEMPOROMANDIBULAR JOINT
- arthrodesis of...................................
- arthroscopy of..................................
- arthrotomy of....................................
- manipulation of................................
- stabilisation of..................................
- surgical exploration, open..............
- synovectomy of................................
TEMPORO-MANDIBULAR JOINT
- arthroplasty.......................................
TEMPORO-MANDIBULAR JOINTS
- radiographic examination of...........
TEMPORO-MANDIBULAR
MENISECTOMY
TENDON
- Achilles or other large tendon,
ankle, repair of
- Achilles', operation for
lengthening
- lengthening of..................................
- or ligament transfer.........................
- removal of foreign body from.........
- repair of.............................................
- sheath, open operation for tendovaginitis
- transfer for restoration of hand
function,
TENDOVAGINITIS
- stenosing..........................................
TENOLYSIS
- of extensor tendon, repair or graft
- of flexor tendon................................
TENOSYNOVECTOMY..........................
AP070 (45)
AM180 (41)
AT085 (55)
EW035 (204)
MA305 (267)
MA315 (267)
EA845 (152)
MK085 (308)
MK415 (311)
MK360 (310)
MK370 (310)
MK350 (310)
MK410 (311)
MK375 (310)
MK390 (311)
MJ985 (307)
OF136 (403)
MJ975 (307)
MW540 (350)
MW570 (350)
MR180 (337)
MR210 (337)
EA215 (148)
MR170 (337)
MR230 (337)
ML415 (315)
ML235 (314)
ML535 (316)
ML545 (316)
MR220 (337)

2015 AMA FEES LIST INDEX
TENOTOMY...........................................
- open...................................................
- subcutaneous...................................
TENOVAGINITIS
- open operation for...........................
TERATOMA
- mediastinal, thoracotomy and
excision, paediatric
- sacrococcygeal, neonatal,
excision of
TESTICULAR STUDY............................
TESTIS
- exploration of...................................
- impalpable, exploration of groin
- undescended, orchidopexy for.......
TETHERED CORD
- release of...........................................
THIGH
- combined medial and lateral
hamstring tendon transfer
- hamstring/rectus femoris tendon
transfer
THIRD DEGREE TEAR, POST
PARTUM
- repair of.............................................
THORACIC
- aorta, operative management of
rupture/dissection
- decompression of spinal cord........
THORACIC AORTA
- repair or replacement......................
THORACIC INLET
- radiographic examination of...........
THORACO-LUMBAR
- decompression of spinal cord........
THORACOPLASTY................................
THORACOSCOPY.................................
THORACOTOMY
- excision of cyst or teratoma,
paediatric
- exploratory........................................
- or sternotomy...................................
- with pleurectomy or pleurodesis
- with pulmonary decortication.........
THREATENED
- premature labour, treatment of.......
MR200 (337)
MR190 (337)
MR230 (337)
MD640 (288)
MD500 (287)
OS325 (418)
HF210 (236)
HF440 (237)
HF410 (236)
LR940 (260)
MZ045 (356)
MZ035 (356)
BT840 (100)
HJ280 (250)
LT255 (262)
LT265 (262)
HJ200 (250)
OF276 (405)
LT275 (262)
HG500 (246)
HG520 (246)
MD640 (288)
HG470 (245)
HG560 (246)
HG490 (245)
HG480 (245)
BT210 (98)
THROMBECTOMY
- by abdominal approach...................
- from an artery or by-pass graft of
extremity
THROMBOSIS
- perianal, excision of.........................
THROMBUS
- removal of.........................................
THUMB
- treatment of dislocation of
metacarpo-phalangeal joint of
- treatment of fracture of proximal
phalanx of
- treatment of fracture of terminal
phalanx of
THYROGLOSSAL CYST
- radical removal of............................
- removal of.........................................
THYROGLOSSAL FISTULA
- radical removal of............................
THYROID STUDY
- including uptake measurement
when undertaken
THYROID UPTAKE
- using probe.......................................
THYROIDECTOMY
- bilateral subtotal..............................
- following previous thyroid surgery
- partial.................................................
- subtotal for thyrotoxicosis..............
- total....................................................
- unilateral sub-total...........................
THYROTROPIN ALFA-RCH
- administration of..............................
TIBIA
- and fibula, epiphyseodesis.............
- distal, open growth plate,
treatment of fracture
- open growth plate, plateau or
condyles, medial or lateral,
treatment of fracture
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- osteectomy, osteotomy...................
- pseudarthrosis of.............................
- treatment of fracture of....................
ET510 (203)
ET520 (203)
EP605 (193)
ET550 (203)
MN150 (319)
MN160 (319)
MP085 (324)
MP005 (324)
EC570 (154)
EC560 (154)
EC570 (154)
OS595 (420)
BF560 (68)
EC530 (154)
EC510 (154)
EC550 (154)
EC540 (154)
EC500 (154)
EC550 (154)
BF010 (61)
MS615 (339)
MZ634 (363)
MZ630 (363)
MD120 (285)
MD150 (285)
MS065 (339)
MZ025 (355)
MP855 (329)

2015 AMA FEES LIST INDEX
TIBIA AND FIBULA
- open growth plates, treatment of
fracture
TILT TABLE TESTING
- for investigation of syncope...........
TISSUE
- expansion..........................................
- expansion for breast
reconstruction
- expansion, intra-operative..............
- free transfer of..................................
TISSUE EXPANDER
- removal of.........................................
TISSUE PATHOLOGY...........................
- second, expert opinion....................
TOE
- amputation, incl. metatarsal or
part of
- hammer, correction of.....................
- treatment of dislocation of..............
TOE, ONE
- amputation........................................
TOENAIL
- ingrowing, operation for..................
- ingrowing, operation for,
paediatric
- removal.............................................
TOES
- amputation of...................................
TONGUE
- partial excision of.............................
TONGUE TIE
- repair of.............................................
- repair of, under GA...........................
TONSILS
- lingual, removal of...........................
- removal of, person less than 12
years
- removal of, person over 12 years
TOPECTOMY
- for epilepsy.......................................
TORKILDSEN'S OPERATION...............
TORTICOLLIS
- bipolar release of
sternocleidomastoid muscle
- operation for.....................................
MZ638 (364)
AV230 (57)
MJ255 (301)
MJ165 (299)
MJ175 (299)
MJ265 (301)
MJ240 (300)
MJ260 (301)
PE005 (451)
PE085 (454)
PE086 (454)
MG095 (290)
MX660 (351)
MN240 (319)
MG045 (290)
MR060 (336)
ME720 (290)
MR030 (336)
MG055 (290)
EA935 (152)
EA955 (153)
EA965 (153)
MB055 (272)
MB015 (272)
MB025 (272)
LT710 (263)
LR700 (260)
MZ320 (357)
ME710 (290)
TOTAL COLECTOMY
- with excision of rectum...................
- with excision of rectum and
ileostomy
- with ileo rectal anastomosis...........
TRACHEA
- or bronchus, dilation of stricture
- radiographic examination of...........
EP245 (190)
EP075 (189)
EP065 (189)
MB405 (275)
OF276 (405)
- removal of foreign body from......... MB335 (274)
TRACHEAL EXCISION AND REPAIR HG620 (246)
TRACHE-OESOPHAGEAL FISTULA
- formation of......................................
TRACHEOMALACIA
- aortopexy for, paediatric.................
TRACHEO-OESOPHAGEAL FISTULA
- without atresia, division and
repair of
TRACHEOPLASTY
- including tracheostomy...................
TRACHEOSTOMY
- by a percutaneous technique.........
- by open exposure of the trachea
- with laryngoplasty or
tracheoplasty
- with supraglottic laryngectomy......
- with vertical hemi-laryngectomy
TRANSANTRAL
- ligation of maxillary artery..............
TRANSCRANIAL DOPPLER.................
TRANSILLUMUNATION
- ocular.................................................
TRANSLABYRINTHINE VESTIBULAR
NERVE SECTION
TRANSLUMINAL BALLOON
ANGIOPLASTY
MB330 (274)
MD630 (288)
MD600 (287)
MB305 (274)
MB307 (274)
MB310 (274)
MB305 (274)
MB175 (273)
MB165 (273)
MA715 (270)
AT080 (55)
MC890 (283)
MA335 (267)
FA500 (209)
TRANSLUMINAL STENT INSERTION FA540 (209)
TRANSMASTOID
- decompression of endolymphatic
sac
- removal of glomus tumour..............
TRANSMETATARSAL AMPUTATION
- of foot................................................
TRANSOESOPHAGEAL
ECHOCARDIOGRAPHY
- intra-operative..................................
MA325 (267)
MA445 (268)
MG115 (291)
OA740 (378)
OA750 (378)

2015 AMA FEES LIST INDEX
TRANSRECTAL SCAN OF
PROSTATE, BLADDER BASE AND
URETHRA
TRANSURETHRAL INJECTION
- for urinary incontinence..................
TRANSVENOUS LEFT
VENTRICULAR ELECTRODE
- insertion, removal or replacement
TRANSVENOUS PACING LEAD
- chronically implanted, extraction
of
TREACHER COLLINS SYNDROME
OB200 (381)
HE670 (233)
HG368 (244)
HG358 (243)
- peri-orbital correction of................. MK035 (308)
TREPHINE OF FRONTAL SINUS MA845 (271)
TRICHIASIS
- treatment of by cryotherapy, laser
or electrolysis
TRICHOEPITHELIOMAS
- face/neck, removal by laser
excision
TRIGEMINAL GANGLIOTOMY
- by radio frequency balloon or
glycerol
TRIGEMINAL NERVE
- injection for pain relief.....................
- peripheral branches, cryosurgery
of
TUBED PEDICLE
- delay of..............................................
- formation of......................................
- preparation of site and
attachment to site
- spreading of pedicle........................
TUBEROUS, TUBULAR OR
CONSTRICTED BREAST
- correction of.....................................
TUBOPLASTY
- microsurgical, unilateral/bilateral
TUMOUR
- aggressive, of bone or deep soft
tissue, involving neurovascular
structures
- biopsy of, aggressive or
potentially malignant bone or deep
soft tissue
- bladder, laser destruction with
cystoscopy
- bone, innocent, excision of.............
- cardiac...............................................
MC080 (277)
EA625 (150)
LN440 (255)
LN410 (255)
MK455 (312)
MH205 (294)
MH195 (294)
MH215 (294)
MH225 (294)
MJ230 (300)
HA810 (220)
MY205 (353)
MY200 (353)
HC331 (228)
EA835 (152)
LL050 (252)
- endocrine, exploration of................
- excision of.........................................
- extradural, laminectomy for............
- glomus, removal of..........................
- intracranial,
biopsy/decompresison,
osteoplastic flap
- intracranial, burr-hole biopsy or
drainage
- intracranial, craniotomy and
removal of
- involving ciliary body and/or iris,
excision of
- iris, laser photocoagulation of
- larynx, removal.................................
- lesion < 20mm, surgical excision
- lesion 10mm, surgical excision......
- lesion 20mm, surgical excision......
- mediastinal, removal by
thoracotomy or sternotomy
- peripheral nerve, removal from......
- pituitary, removal of.........................
- rectal, excision of.............................
- removal by surgical excision..........
- removal from nose, eyelid, lip,
ear, digit or genitalia
- removal of, by urethrectomy...........
- removal, face/neck/lower leg..........
- skull base surgery............................
- skull, excision of..............................
- vagina, simple, removal of..............
TUMOUR OF SOFT TISSUE
- benign................................................
- malignant..........................................
TUMOUR, AGGRESSIVE SOFT
TISSUE
- enbloc resection of..........................
TUMOUR, BONE
- lesional or marginal excision of
TUMOUR, DEEP SOFT TISSUE
- lesional or marginal excision of
TUMOUR, MALIGNANT
- amputation for..................................
EK335 (166)
EP450 (192)
LT085 (261)
MA435 (268)
LP320 (259)
LP310 (259)
LP330 (259)
MC710 (281)
MC840 (283)
MB215 (273)
EN020 (171)
EN010 (171)
EN015 (171)
HG560 (246)
LN790 (257)
LP350 (259)
EP425 (192)
EP435 (192)
EP438 (192)
EP440 (192)
EP455 (192)
EN005 (171)
EN035 (172)
HE640 (233)
EN040 (172)
LP130 (258)
LP300 (259)
HA220 (214)
EN155 (182)
EN160 (182)
MY240 (353)
MY210 (353)
MY210 (353)
MY310 (354)

2015 AMA FEES LIST INDEX
TUMOUR, PELVIS
- malignant or aggressive soft
tissue, enbloc resection of
TUMOUR, SACRUM
- malignant or aggressive soft
tissue, enbloc resection of
TUMOUR, BONE
- benign, requiring allograft,
resection of
- lesional or marginal excision of
- malignant, enbloc resection of.......
TUMOUR, CYST, ULCER OR SCAR
- oral and maxillofacial region...........
TUMOUR, LIMBIC
- removal of.........................................
TUMOUR, MALIGNANT
- of long bone, enbloc resection of
TUMOUR, MALIGNANT SOFT TISSUE
- enbloc resection of..........................
TUMOUR, SCAPULA
- malignant or aggressive soft
tissue, enbloc resection of
TUMOUR, SHOULDER
- malignant or aggressive soft
tissue, enbloc resection of
TUMOUR, SPINE
- malignant or aggressive soft
tissue, enbloc resection of
TUMOURS, SEVERELY DISFIGURING
- face/neck, removal by laser
excision
TUNNELLED CUFFED CATHETER
- inserstion of......................................
- removal of.........................................
TURBINATE/S
- dislocation of....................................
TURBINATES
- submucous resection of, unilateral
TURBINECTOMY
- or turbinectomies, partial or total,
unilateral
TURRICEPHALY
- cranial vault reconstruction for
TYMPANIC MEMBRANE
- micro-inspection of..........................
TYMPANUM
- cauterisation or diathermy of..........
MY270 (353)
MY270 (353)
MY300 (354)
MY220 (353)
MY290 (354)
MK225 (308)
MC450 (280)
MY260 (353)
MY240 (353)
MY270 (353)
MY270 (353)
MY270 (353)
EA625 (150)
EW730 (207)
EW740 (207)
MA645 (270)
MA665 (270)
MA655 (270)
MK075 (308)
MA535 (269)
MA505 (269)
ULCER
- lesion < 20mm, surgical excision
- lesion 10mm, surgical excision......
- peptic, bleeding, control of.............
- removal by surgical excision..........
- removal, face/neck/lower leg..........
ULNA
- bone graft to.....................................
- operation for acute osteomyelitis
- operation for chronic
osteomyelitis
- osteectomy, osteotomy...................
- treatment of dislocation..................
- treatment of fracture........................
ULTRASONIC CROSS-SECTIONAL
ECHOGRAPHY
ULTRASOUND
- intra-operative..................................
ULTRASOUND SCAN
- urinary bladder.................................
ULTRASOUND SCAN OF
- abdomen...........................................
- head...................................................
- neck...................................................
- orbital contents................................
- pelvis, female, with saline infusion
- pelvis, male.......................................
- scrotum.............................................
- urinary bladder.................................
- urinary tract......................................
UMBILICAL
- granuloma, excision of....................
UMBILICAL ARTERY
- measurement of...............................
UNSTABLE LIE
- attendances other than routine
antenatal attendances
EN020 (171)
EN010 (171)
EJ835 (162)
EN005 (171)
EN040 (172)
MR560 (338)
MD120 (285)
MD150 (285)
MS025 (338)
MN070 (318)
MN080 (318)
MP205 (325)
OA245 (376)
EJ406 (159)
OA132 (375)
OA085 (374)
OA095 (375)
OA005 (374)
OA015 (374)
OA045 (374)
OA055 (374)
OA025 (374)
OA035 (374)
OC700 (386)
OC705 (386)
OA165 (375)
OA175 (375)
OA185 (376)
OA195 (376)
OA130 (375)
OA105 (375)
OA115 (375)
ME260 (288)
OC687 (386)
BT210 (98)

2015 AMA FEES LIST INDEX
UPPER ABDOMEN
- scan of...............................................
UPPER EYELID
- reduction of, one eye.......................
UPRIGHT TILT TABLE TEST
- for syncope.......................................
URETER
- divided, repair of..............................
- exploration of...................................
- reimplantation into bladder.............
- transplantation of.............................
URETER STENT
- passage of, using interventional
imaging techniques
URETERECTOMY
- complete or partial...........................
URETERIC
- calculus, endoscopic
manipulation or extraction of
URETERIC STENT
- exchange of......................................
- insertion with balloon dilation
- insertion, with removal of calculus
URETEROLITHOTOMY.........................
URETEROLYSIS....................................
URETEROSCOPY
- of one ureter.....................................
URETEROSTOMY
- closure of, cutaneous......................
- revision of.........................................
URETHRA
- excision of prolapse of....................
- repair of rupture of distal section
- transrectal ultrasound scan of........
URETHRAL
- caruncle, cauterisation of................
- caruncle, excision of........................
- diverticulum, excision of.................
- sounds, passage of..........................
- stricture, dilatation of......................
- valve, destruction of, including
cystoscopy and urethroscopy
URETHRAL PRESSURE
- profilometry......................................
OD255 (398)
OD355 (398)
MJ005 (297)
AV230 (57)
HB420 (223)
HB540 (224)
HB460 (223)
HB450 (223)
HB515 (224)
HB440 (223)
HC390 (228)
HB527 (224)
HB525 (224)
HB517 (224)
HB350 (222)
HB550 (224)
HC210 (227)
HC220 (227)
HB570 (224)
HB530 (224)
HE730 (234)
HE570 (233)
OB200 (381)
OB210 (382)
HA110 (213)
HA120 (213)
HE740 (234)
HE550 (232)
HE560 (233)
HF580 (238)
BB320 (59)
URETHRAL PRESSURE
PROFILOMETRY
- with simultaneous sphincter
electromyograph
URETHRAL SLING
- division or removal of......................
URETHRAL SPHINCTER
- reconstruction by bladder
tubularisation
URETHROPLASTY................................
- single stage operation.....................
URETHRO-RECTAL
- fistula, closure of.............................
URETHROSCOPY.................................
URETHROSTOMY
- internal or external...........................
URETHROTOMY
- internal or external...........................
URETHRO-VAGINAL
- fistula, repair or closure of..............
URINARY
- infection, bladder washout test
URINARY BLADDER
- ultrasound scan of...........................
URINARY SPHINCTER..........................
URINARY TRACT
- ultrasound scan of...........................
URINE FLOW STUDY............................
UTERINE
- septum, hysteroscopic resection
UTERINE ARTERY
CATHETERISATION
- for symptomatic uterine fibroids
UTERINE SEPTUM
- hysteroscopic resection of.............
UTERUS
- acute inversion, vaginal correction
- curettage of.......................................
- debulking of......................................
- implantation of Fallopian tubes
into
- suspension or fixation of................
BB330 (60)
HE675 (233)
HE677 (233)
HE750 (234)
HE680 (233)
HE685 (234)
HE660 (233)
HE590 (233)
HE620 (233)
HE620 (233)
HE650 (233)
BB370 (60)
OA130 (375)
OA132 (375)
HE760 (234)
OA105 (375)
OA115 (375)
BB300 (59)
HA490 (216)
GA200 (212)
HA535 (217)
BT820 (99)
HA570 (217)
HA670 (219)
HA800 (220)
HA810 (220)
HA770 (219)

2015 AMA FEES LIST INDEX
UTERUS, BICORNUATE
- plastic reconstruction for................
UTERUS, GRAVID
- evacuation of the contents of.........
UVB THERAPY
- administered in whole body
cabinet
- administered to localised body
areas
UVULECTOMY.......................................
UVULECTOMY AND PARTIAL
PALATECTOMY
- with laser incision of the palate
UVULOPALATOPHARYNGOPLASTY
- with or without tonsillectomy.........
UVULOTOMY.........................................
VAGINA
- artificial, formation of......................
- dilatation of.......................................
- partial or complete removal of........
- removal of simple tumour of...........
VAGINAL
- correction of acute inversion of
uterus
- fistula, repair or closure of..............
- orifice, enlargement of by plastic
repair
- reconstruction, congenital
absence/gynatreesia
- septum, excision for correction of
double vagina
- warts, removal of..............................
VAGINAL COMPARTMENT REPAIR
- anterior and posterior, vaginal
approach
- anterior, by vaginal approach.........
- posterior, by vaginal approach.......
VAGINAL DELIVERY
- management of, as independent
procedure
VAGINECTOMY
- radical................................................
VAGINOPLASTY
- for congenital adrenal hyperplasia
VAGOTOMY
- and/or antrectomy............................
- and/or antrectomy for peptic ulcer
HA760 (219)
HA580 (218)
BM700 (77)
BM710 (77)
MB075 (272)
MB005 (272)
MA995 (272)
MB075 (272)
HA270 (214)
HA210 (214)
HA230 (214)
HA220 (214)
BT820 (99)
HA380 (215)
HA300 (215)
HA270 (214)
HA280 (214)
HA040 (213)
HA050 (213)
HA315 (215)
HA303 (215)
HA307 (215)
BT500 (99)
HA240 (214)
HF570 (238)
EJ785 (162)
EJ825 (162)
- highly selective................................
- highly selective with
duodenoplasty
- trunkal or selective..........................
- with dilatation of pylorus.................
VALVE
- annuloplasty.....................................
- aortic, decalcification of..................
- mitral, open valvotomy of...............
- replacement......................................
- replacement, heart...........................
VALVE REPAIR......................................
VALVE SURGERY
- management of acute infective
endocarditis
VALVOTOMY
- open, of mitral valve........................
VALVULOPLASTY, BALLOON
- including cardiac catheterisations
VARICOCELE
- surgical correction of......................
VARICOSE VEINS.................................
VASECTOMY.........................................
VASOEPIDIDYMOGRAPHY..................
VASOEPIDIDYMOSTOMY....................
VASO-EPIDIDYMOSTOMY
- unilateral...........................................
VASO-VASOSTOMY..............................
- unilateral...........................................
VEIN
- central, catheterisation of...............
- central, catheterisation using
subcutaneous tunnel
- graft for priapism.............................
- harvesting, leg/arm, for bypass,
not same limb
- harvesting, leg/arm, for patch
graft, not same incision
- inferior vena cava or iliac , closed
thrombectomy
- inferior vena cava or iliac, open
removal of thrombus or tumour
- ligation of, by elective operation,
or exploration of
- patch grafting to...............................
EJ795 (162)
EJ805 (162)
EJ775 (162)
EJ815 (162)
HH080 (247)
HH130 (248)
HH150 (248)
HH160 (248)
HH170 (248)
HH110 (247)
HH190 (248)
HH150 (248)
HG150 (241)
EM700 (168)
EQ005 (196)
HF270 (236)
OF532 (407)
HF250 (236)
HF260 (236)
HF250 (236)
HF260 (236)
BL600 (74)
EW690 (207)
HE810 (234)
EQ600 (199)
ET170 (203)
ET530 (203)
ET540 (203)
EW025 (204)
ET150 (203)
ET160 (203)

2015 AMA FEES LIST INDEX
VEIN or ARTERY
- facial, mandibular or lingual,
ligation of
- intra-abdominal, cannulation, for
infusion chemotherapy
VEIN STENOSIS
- patch angioplasty for.......................
VEIN TRANSPLANT
- to restore valvular function.............
VEIN, CENTRAL
- catheterisation, child under 12 yrs
VEIN, MAJOR
- repair of wound of............................
VEIN, SCALP
- cannulation of, in a neonate............
VEIN, UMBILICAL
- catheterisation of.............................
VELO-PHARYNGEAL
IMCOMPETENCE
- pharyngeal flap for...........................
VELO-PHARYNGEAL
INCOMPETENCE
- pharyngoplasty for...........................
VENA CAVA
- anastomosis or repair of, for
congenital heart disease
VENEPUNCTURE
- with collection of blood...................
VENESECTION
- therapeutic........................................
VENOGRAPHY......................................
- operative...........................................
VENOUS
- anastomosis, not otherwise
covered
VENOUS REFLUX OR
OBSTRUCTION
- investigation.....................................
VENOUS STENOSIS OR OCCLUSION
- vein bypass for.................................
VENOUS VALVE
- plication or repair to restore
competency
VENTILATION
- mechanical, initiation of, outside
ICU
VENTILATORY SUPPORT
- in ICU.................................................
MK430 (311)
EW670 (206)
EX100 (208)
EX120 (208)
BH750 (73)
ET560 (203)
BH700 (72)
BH700 (72)
MJ825 (306)
MJ825 (306)
LL470 (253)
AT005 (54)
BJ755 (74)
OS575 (420)
FA300 (209)
EQ620 (200)
AT030 (54)
EX090 (208)
EX110 (208)
BL690 (75)
BM045 (75)
VENTRAL HERNIA
- repair of.............................................
VENTRICULAR
- augmentation....................................
- myectomy..........................................
- puncture............................................
- reservoir or external drain,
insertion of
- septal defect, closure by direct
suture
- septal rupture, ischaemic, repair
- septectomy.......................................
VENTRICULAR ANEURYSM
- plication of........................................
- resection...........................................
VENTRICULAR ARRHYTHMIA.............
EJ195 (157)
ME230 (288)
LL620 (254)
LL610 (254)
LN015 (254)
LN055 (254)
LL570 (253)
HH380 (249)
LL560 (253)
HH350 (249)
HH360 (249)
HH620 (250)
- mapping and ablation...................... HG220 (242)
VENTRICULAR ASSIST DEVICE LA560 (251)
VENTRICULAR ASSIST DEVICE
CANNULAE
LA600 (251)
VENTRICULO-CISTERNOSTOMY LR700 (260)
VENTRICULOSTOMY, THIRD..............
VERMILIONECTOMY
- by surgical excision.........................
- carbon dioxide/erbium laser
excision-ablation
VERTEBRA
- needle biopsy of...............................
VERTEBRAL
- bodies, fracture, treatment of.........
- body, total or sub-total excision of
VERTEBROPLASTY
- treatment of compression fracture
- treatment, mestastic deposit or
mutliple myeloma
VESICAL FISTULA
- cutaneous, operation for.................
VESICO-INTESTINAL FISTULA
- closure of..........................................
VESICOSTOMY
- cutaneous, establishment of...........
VESICO-VAGINAL FISTULA
- closure of..........................................
VESTIBULAR NERVE
- nerve section, via posterior fossa
- section, retrolabyrinthine................
LR740 (260)
MJ625 (305)
MJ635 (305)
EA295 (148)
MQ305 (332)
MT140 (340)
GA005 (211)
GA010 (211)
HC760 (229)
HC790 (229)
HC770 (229)
HC780 (229)
LP005 (257)
MA345 (267)

2015 AMA FEES LIST INDEX
VESTIBULOPLASTY
- submucosal or open........................
VIDEO CONSULTATION
- attendance by practice nurse,
registered Aboriginal Health Care
Worker
- attendance with a patient during
video consultation with another
medical practitioner
- provision of.......................................
VISCERATION
- of globe.............................................
VISCUS
- ruptured, repair, involving
laparotomy
VITELLO INTESTINAL
- duct, patent, excision of..................
- remnant, abdominal wall, excision
of
VITRECTOMY
- by posterior chamber sclerotomy
VITREOUS, REMOVAL OF
- via the anterior chamber.................
VOCAL CORD
- teflon injection into..........................
VOLVULUS
- reduction, involving laparotomy
VULVA
- biopsy of, with colposcopy.............
- wide local excision of suspected
malignancy
VULVAL OR VAGINAL WARTS
- removal of.........................................
VULVECTOMY
- radical, for malignancy....................
VULVOPLASTY
- for localised gigantism....................
- for repair of.......................................
WARTS
- penile or urethral, cystoscopy for
treatment of
- removal of in operating theatre
- vulval or vaginal, removal of...........
WARTS, ANAL
- removal of.........................................
- removal of, under GA.......................
MK315 (310)
AP042 (44)
AP041 (44)
AP040 (44)
MB810 (275)
EJ015 (155)
ME250 (288)
ME240 (288)
MC570 (280)
MC550 (280)
MB275 (274)
EJ015 (155)
HA450 (216)
HA150 (214)
HA040 (213)
HA050 (213)
HA190 (214)
HA142 (214)
HA140 (213)
HC250 (227)
EA615 (150)
HA040 (213)
HA050 (213)
EP725 (194)
EP735 (194)
WEDGE EXCISION
- of lip, eyelid or ear, full thickness
WEDGE RESECTION FOR
INGROWING NAIL OF FINGER OR
THUMB
WEDGE RESECTION OF LUNG...........
WHIPPLE'S OPERATION......................
WHOLE BODY COUNT.........................
WHOLE BODY STUDY
- using gallium....................................
WIRE (ORTHOPAEDIC)
- insertion of........................................
- removal of.........................................
WOUND, CONTAMINATED
- debridement of.................................
WOUNDS, DRESSING OF
- under GA, with/out removal of
sutures
WOUNDS, REPAIR
- to skin and subcutaneous
tissue/mucous membrane
WRIST
- arthrodesis of...................................
- arthroplasty, total replacement of
- arthroscopic pinning of
osteochondral fragment
- arthroscopy surgery of....................
- arthrotomy........................................
- carpal tunnel release.......................
- carpal tunnel release, endoscopic
- diagnostic arthroscopy of...............
- extensor tendon, repair of...............
- proximal carpectomy of...................
- reconstruction of..............................
- synovectomy, capsulectomy or
debridement of
- total replacement arthroplasty -
revision
- treatment of fractures......................
X-RAY THERAPY
- supervisory visit...............................
YTTRIUM 90
- intra-cavity
administration/therapeutic dose
Z-PLASTY
- in conjunction with operation for
Dupuytren's Contracture
MJ615 (304)
ML845 (317)
HG540 (246)
EK375 (166)
BF600 (68)
OS430 (419)
MR090 (336)
MR100 (336)
EA075 (146)
EA175 (147)
EA085 (146)
MU430 (345)
MU460 (345)
MU520 (345)
MU500 (345)
MU470 (345)
MU400 (344)
MU410 (345)
MU490 (345)
ML425 (315)
ML435 (315)
MU450 (345)
MU480 (345)
MU420 (345)
MU462 (345)
MP235 (325)
BP010 (84)
BR910 (96)
ML305 (314)

2015 AMA FEES LIST INDEX
ZYGOMATIC ARCH
- reconstruction of..............................
ZYGOMATIC BONE
- treatment of fracture of....................
- treatment of fracture of, not
requiring surgical reduction
MK085 (308)
MQ545 (333)
MK475 (312)

Notes

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