MBS changes from 1 March 2026
Compared with the 1 January 2026 schedule.
- New items
- 34
- Removed items
- 0
- Updated descriptors
- 194
- Fee changes
- 0
New items
| Item | Schedule fee |
|---|---|
| 373A7GP provides clinical support to a patient receiving specialist video consultation, attending in person with patient for over 5 but not more than 25 minutes. | $55.05 |
| 374A7Medical practitioner provides clinical support to a patient during a specialist's video consultation, in person at an outside location for 5–25 minutes. | $79.65 |
| 375A7Medical practitioner attends a residential aged care facility resident in person (5–25 minutes) to provide clinical support during a specialist's video consultation. | $55.05 |
| 376A7Doctor provides clinical support to a patient receiving telehealth consultation from a specialist, attending in person with the patient for 26-45 minutes. | $87.95 |
| 377A7Medical practitioner provides clinical support at patient's location (not consulting rooms) for 25-45 minutes during a specialist's video consultation, for non-admitted patients outside aged care facilities. | $100.25 |
| 378A7A doctor's visit of 26–45 minutes at an aged care facility to provide clinical support during a specialist's video consultation with a resident. | $87.95 |
| 379A7Medical practitioner providing in-room clinical support during a specialist's video consultation, lasting 45–60 minutes. | $120.05 |
| 380A7Medical practitioner provides clinical support to patient during specialist video consultation, at non-consulting room location, for 45–60 minutes, while physically present with patient. | $144.65 |
| 381A7Medical practitioner provides 45–60 minute in-person clinical support to an aged care resident during a specialist's video consultation, in the same room throughout. | $120.05 |
| 382A7Medical practitioner provides clinical support to a patient receiving specialist video consultation, attending in person for over 60 minutes in the same room as the patient. | $182.10 |
| 390A7Medical practitioner provides in-person clinical support to a patient receiving a video consultation from a specialist, outside consulting rooms, for over 60 minutes. | $206.70 |
| 391A7Medical practitioner attends aged care resident for over 60 minutes to provide on-site clinical support during specialist video consultation. | $182.10 |
| 2484A48GP clinical support attendance at consulting rooms (6–20 minutes) for a patient receiving specialist video consultation, with GP present in same room throughout. | $63.90 |
| 2485A48GP provides clinical support during a specialist's video consultation, attending the patient in person (6–20 minutes), outside consulting rooms, for non-admitted patients not in aged care. | $74.15 |
| 2486A48GP clinical support attendance at a residential aged care facility (6–20 minutes) for a care recipient during a specialist video consultation, with the GP present in the same room throughout. | $63.90 |
| 2487A48GP provides on-site clinical support during a specialist's video consultation with a patient, for 20–40 minutes. | $104.90 |
| 2488A48GP provides clinical support at patient's location during specialist video consultation, lasting 20–40 minutes, with GP physically present throughout. | $115.15 |
| 2489A48GP support attendance at residential aged care facility lasting 20-40 minutes while patient receives specialist video consultation, with GP physically present in same room. | $104.90 |
| 2490A48GP clinical support attendance of 40–60 minutes in consulting rooms, in the same room as patient, supporting a specialist's video conferencing consultation with a non-admitted patient. | $145.10 |
| 2491A48GP provides 40-59 minute in-person clinical support at non-consulting rooms location while specialist delivers video consultation to the patient, excluding admitted patients and aged care residents. | $152.75 |
| 2492A48GP clinical support attendance at residential aged care facility (40–60 minutes) for patient receiving specialist video consultation, where GP is physically present with the patient. | $145.10 |
| 2493A48GP provides at least 60 minutes of clinical support at their consulting rooms while a specialist delivers care to the patient via video conference, with the GP present in the same room throughout. | $222.65 |
| 2494A48GP attendance of at least 60 minutes outside consulting rooms to provide clinical support during a specialist's video consultation, where the GP is physically present with the patient in the same room. | $232.90 |
| 2495A48GP attendance at aged care facility for at least 60 minutes providing clinical support to a resident during a specialist video consultation, with GP physically present in same room throughout. | $222.65 |
| 18355T11Injection of incobotulinumtoxinA for chronic excessive drooling in patients aged 2+ years with neurological or neurodevelopmental disorders, including all injections given on the same day. | $145.65 |
| 38620T8Surgical insertion of a durable left ventricular assist device for destination therapy in patients with refractory heart failure (INTERMACS profile 1-4) who are ineligible for transplant, including intraoperative imaging; once per lifetime. | $1,787.15 |
| 82250M14Nurse practitioner support to a patient receiving specialist video consultation, attending in-person with the patient for 6–20 minutes. | $51.80 |
| 82251M14Nurse practitioner clinical support to a patient during a specialist video consultation, in-person at the patient's location, 6–20 minutes. | $51.80 |
| 82252M14Nurse practitioner clinical support during specialist video consultation, 20–40 minutes, in-room with patient. | $80.25 |
| 82253M14Nurse practitioner in-person clinical support during a specialist's video consultation with a patient, lasting 20–40 minutes, at a location other than consulting rooms. | $80.25 |
| 82254M14Nurse practitioner provides clinical support in-room during a specialist's video consultation, lasting 40–60 minutes, for non-admitted patients. | $108.90 |
| 82255M14Nurse practitioner clinical support attendance of 40–60 minutes at patient's location during specialist video consultation, where nurse practitioner is present in same room throughout. | $108.90 |
| 82256M14Nurse practitioner provides at least 60 minutes of in-room clinical support to a patient receiving specialist video consultation, in consulting rooms. | $154.35 |
| 82257M14Nurse practitioner clinical support attendance of at least 60 minutes in the same room as a patient receiving video-conferenced specialist care, outside consulting rooms. | $154.35 |
Updated descriptors
The wording of these items changed. Check the item on MBS Online for the full descriptor.
| Item | Schedule fee |
|---|---|
| 132A4Initial consultant physician assessment lasting at least 45 minutes for a patient with 2+ morbidities, including comprehensive history, medication review, multi-system examination, differential diagnoses, and complex management plan—not within 12 mon… | $312.45 |
| 133A4Consultant physician review lasting at least 20 minutes for a patient with 2+ morbidities, including reassessment of diagnoses, treatment response, and medication, with management plan sent to referring practitioner; maximum 2 such reviews per 12 mon… | $156.45 |
| 141A28Consultant physician geriatric medicine comprehensive assessment and management plan for patients 65+ years old, over 60 minutes, referred by GP or nurse practitioner, including detailed health evaluation, problem prioritisation, written management p… | $535.95 |
| 143A28Geriatrician consultation over 30 minutes to review and revise a previous management plan, initiated by GP or nurse practitioner, with reassessment and written communication back to referrer; only once per 12 months unless clinical change warrants ea… | $335.05 |
| 145A28Consultant geriatrician home or community visit (60+ minutes) for patients 65+ referred by a GP, including comprehensive assessment, prioritised management plan with goals and interventions, and written communication back to referring practitioner; m… | $649.85 |
| 147A28Geriatrician review of an existing management plan lasting over 30 minutes at non-consulting location, initiated by GP or nurse practitioner, with reassessment, plan revision, and written communication to referring practitioner; limited to one per 12… | $406.20 |
| 228A7Comprehensive health assessment for Aboriginal or Torres Strait Islander patients including medical history, physical examination, investigations, documented management plan, and written report of findings and recommendations. | $198.10 |
| 294A8Telehealth consultation with a psychiatrist for bulk-billed patients in regional areas (15km+ away), residential aged care, or Aboriginal health services. | — |
| 296A8Consultant psychiatrist attendance exceeding 45 minutes at consulting rooms for a new patient or one not seen by that psychiatrist in 24 months, following referral by a GP. | $308.30 |
| 300A8Psychiatric consultation by a consultant psychiatrist following referral, lasting up to 15 minutes at consulting rooms, limited to 50 combined attendances per calendar year with other specified psychiatric consultation items. | $51.30 |
| 302A8Consultant psychiatrist attendance of 15–30 minutes following referral, with a calendar year limit of 50 combined attendances for specified psychiatry consultation items. | $102.40 |
| 304A8Psychiatrist consultation lasting 31–45 minutes at consulting rooms, subject to a combined annual cap of 50 attendances with related psychiatry items per patient. | $157.60 |
| 306A8Psychiatrist consultation (46-75 minutes) following GP referral, limited to 50 total specialist attendances per calendar year. | $217.50 |
| 308A8Psychiatrist consultation at rooms exceeding 75 minutes, referred by another practitioner, limited to 50 combined attendances per calendar year with related psychiatric services. | $252.40 |
| 310A8Psychiatry consultation at practice rooms lasting up to 15 minutes, referred by a GP; covered if combined with specified other psychiatric attendances doesn't exceed 50 per calendar year for the patient. | $25.55 |
| 312A8Psychiatrist consultation lasting 16-30 minutes at rooms, limited to combined total of 50 attendances per calendar year with specified psychiatry items. | $51.30 |
| 314A8Psychiatrist consultation lasting 31-45 minutes at consulting rooms, subject to a combined annual limit of 50 attendances with other specified psychiatric consultation items per calendar year. | $79.00 |
| 316A8Psychiatric consultant attendance of 45-75 minutes at consulting rooms; covered if combined with specified psychiatric attendances doesn't exceed 50 per calendar year. | $108.85 |
| 318A8Psychiatry consultant attendance exceeding 75 minutes at consulting rooms, available when combined attendances with specified items exceed 50 in a calendar year for the patient. | $126.20 |
| 320A8Psychiatric consultant assessment or review at hospital, up to 15 minutes, following referral from another practitioner. | $51.30 |
| 322A8Consultant psychiatrist attendance at hospital for a patient referred by another practitioner, lasting 15–30 minutes. | $102.40 |
| 324A8Psychiatrist consultation at hospital lasting 31-45 minutes following referral from another practitioner. | $157.60 |
| 326A8Specialist psychiatric consultation at a hospital lasting 46–75 minutes, by referral. | $217.50 |
| 328A8Consultant psychiatrist attendance at hospital lasting over 75 minutes, following referral by a GP or practitioner. | $252.40 |
| 330A8Specialist psychiatry consultation lasting up to 15 minutes at a location other than consulting rooms or hospital, following referral by a GP or other practitioner. | $94.20 |
| 332A8Consultant psychiatrist attendance of 15–30 minutes at a location other than consulting rooms or hospital, following referral by another practitioner. | $147.50 |
| 334A8Consultant psychiatrist attendance for a referred patient lasting 31–45 minutes at a location other than consulting rooms or hospital. | $215.00 |
| 336A8Consultant psychiatrist attendance (45-75 minutes) following GP referral at a location other than consulting rooms or hospital. | $260.15 |
| 338A8Consultant psychiatrist assessment of more than 75 minutes at a location other than consulting rooms or hospital, following GP referral. | $295.50 |
| 715A14GP health assessment for Aboriginal or Torres Strait Islander patients, including history, examination, investigations, management plan, and written report; not available if similar service provided in past 9 months. | $247.65 |
| 830A15Consultant physician participates in a multidisciplinary discharge case conference (15–30 minutes) with at least 3 other formal care providers from different disciplines to organise and coordinate patient discharge. | $164.65 |
| 832A15Consultant physician participation in a multidisciplinary discharge case conference of 30–44 minutes with at least 3 other formal care providers from different disciplines to organise and coordinate the patient's discharge. | $247.15 |
| 834A15Consultant physician organising and coordinating a multidisciplinary discharge case conference of at least 45 minutes with at least 3 other formal care providers from different disciplines. | $329.25 |
| 835A15Consultant physician attendance at a multidisciplinary discharge case conference (15–29 minutes) with at least 2 other formal care providers of different disciplines. | $118.25 |
| 837A15Consultant physician participating as a team member in a multidisciplinary discharge case conference of 30–44 minutes with at least 2 other formal care providers from different disciplines. | $188.65 |
| 838A15Consultant physician attending a multidisciplinary discharge case conference of at least 45 minutes with at least 2 other formal care providers from different disciplines to discuss patient care planning. | $259.00 |
| 861A15Psychiatrist participation in a multidisciplinary discharge case conference (15–30 minutes) with at least 2 other formal care providers from different disciplines to organise and coordinate patient discharge. | $164.65 |
| 864A15Consultant psychiatrist attending a multidisciplinary discharge case conference (30–45 minutes) with at least 2 other formal care providers of different disciplines to organise and coordinate the patient's discharge. | $247.15 |
| 866A15Consultant psychiatrist participation in a multidisciplinary discharge case conference of at least 45 minutes with at least 2 other formal care providers from different disciplines to organise and coordinate discharge planning. | $329.25 |
| 6023A31Initial assessment by addiction medicine specialist (minimum 45 minutes) for a patient with 2+ morbidities, including comprehensive history, physical assessment, differential diagnoses, and complex management plan provided to referring practitioner;… | $312.45 |
| 6024A31Addiction medicine specialist review (20+ minutes) of a patient with 2+ morbidities, assessing initial problems, treatment responses, diagnoses, and providing updated management plan to referring doctor; limited to 2 per 12 months, following initial… | $156.45 |
| 6057A32Initial sexual health medicine specialist assessment (45+ mins) for a patient with 2+ morbidities, including comprehensive history, multi-system examination, differential diagnoses, and complex management plan with treatment options and medication re… | $312.45 |
| 6058A32Sexual health medicine specialist review (20+ minutes) of a patient with ≥2 morbidities, including diagnostic and treatment assessment with revised management plan to referrer; maximum 2 per 12 months, following an initial consultation within the pas… | $156.45 |
| 11600D1Daily monitoring of central venous, pulmonary arterial, systemic arterial or cardiac pressure via indwelling catheter, excluding services during general anaesthesia or covered by item 13876. | $80.85 |
| 11707D112-lead ECG recording by a medical practitioner for specialist review, not associated with other specified ECG services, limited to twice daily. | $21.45 |
| 11714D1Twelve-lead ECG performed by a doctor to inform clinical decision-making, with documented indication and interpretation, limited to twice daily and not with certain other ECG or cardiac services. | $28.25 |
| 13015T1Hyperbaric oxygen therapy for non-neurological soft tissue radiation injuries (excluding arm lymphoedema after breast cancer) in a qualified facility, 90–180 minutes per session. | $297.20 |
| 13020T1Hyperbaric oxygen therapy in a specialised facility for decompression illness, gas gangrene, air/gas embolism, diabetic wounds, necrotising soft tissue infections, or osteoradionecrosis prevention/treatment; 1.5–3 hours per session under supervision… | $301.95 |
| 13025T1Hyperbaric oxygen therapy for decompression illness or air/gas embolism in a qualified facility, supervised by a hyperbaric medicine specialist, charged per hour or part-hour for sessions exceeding 3 hours. | $134.95 |
| 13212T1Surgical retrieval of eggs for assisted reproductive technology procedures, performed under anaesthesia as part of embryo creation or transfer services. | $413.50 |
| 13706T1Transfusion of blood or bone marrow that has been previously collected and stored. | $97.20 |
| 13760T1In vitro processing and cryopreservation of bone marrow or peripheral blood stem cells for autologous transplantation in patients receiving high-dose chemotherapy for aggressive or treatment-refractory malignancy. | $889.65 |
| 15912T2Additional dosimetry plan for replanning standard IMRT treatment when initial plan adjustments don't meet protocol requirements; limited to once per treatment course. | $2,121.05 |
| 15916T2Additional dosimetry plan for re-planning complex IMRT treatment when initial plan adjustments don't meet protocol requirements; once per course. | $3,048.40 |
| 15938T2Standard single-dose IMRT treatment with image guidance and verification, delivered up to twice daily per plan using registered therapeutic devices. | $285.10 |
| 15940T2Complex intensity-modulated radiation therapy (IMRT) treatment using image guidance for accurate positioning and dose delivery, with motion management when needed; up to twice daily per treatment plan. | $313.60 |
| 16567T4Emergency surgical management of postpartum haemorrhage using uterine packing or similar measures, performed as a standalone procedure under anaesthesia. | $371.90 |
| 16570T4Vaginal correction of acute uterine inversion performed as a standalone procedure under anaesthesia. | $485.45 |
| 16609T4Intrauterine blood transfusion for a fetus using previously collected blood, including anesthesia, neuromuscular blockade, amniocentesis and fetal blood sampling. | $578.60 |
| 16615T4Intraperitoneal blood transfusion to a fetus using pre-collected blood, including neuromuscular blockade, amniocentesis and fetal blood sampling, performed with anaesthetic support. | $242.50 |
| 16618T4Therapeutic drainage of excess amniotic fluid (at least 500 ml) in cases of polyhydramnios. | $242.50 |
| 18354T11Botulinum toxin injection for dynamic equinus foot deformity from cerebral palsy in patients aged 2+ years, treating muscles of one functional activity supplied by one motor nerve, maximum 4 sets per day (max 2 per limb). | $145.65 |
| 18361T11Botulinum toxin injection for moderate to severe upper limb spasticity in cerebral palsy patients aged 2+, treating muscles of one functional activity supplied by one motor nerve, limited to 4 sets per day (max 2 per limb). | $145.65 |
| 20124T10Initiation of anaesthesia management for otoscopy procedures. | $92.40 |
| 20146T10Anaesthesia initiation for conjunctival biopsy. | $115.50 |
| 20160T10Anaesthesia initiation for intranasal nose or sinus procedures not covered by other anaesthesia items in this subgroup. | $138.60 |
| 20164T10Initiation of anaesthesia management for biopsy of soft tissue in the nose and accessory sinuses. | $92.40 |
| 20305T10Anaesthesia initiation for emergency airway management in life-threatening conditions including large haematoma, abscess, cellulitis or epiglottitis causing airway obstruction. | $346.50 |
| 20440T10Initiation of anaesthesia management for percutaneous sternal bone marrow biopsy. | $92.40 |
| 20475T10Anaesthetic initiation for microvascular free tissue flap surgery to the front or back of the chest. | $231.00 |
| 20630T10Anaesthesia initiation for lumbar region procedures not covered by other anaesthesia items in this subgroup. | $184.80 |
| 20703T10Anaesthesia initiation for nerve, muscle, tendon or fascia procedures on the upper abdominal wall, when no other specific item applies. | $92.40 |
| 20750T10Anaesthesia initiation for upper abdominal wall hernia repair when no other specific anaesthesia item applies. | $115.50 |
| 20799T10Anaesthesia initiation for percutaneous procedures on upper abdominal organs, such as liver or pancreas biopsies or drainage procedures. | $138.60 |
| 20803T10Anaesthesia initiation for procedures on nerves, muscles, tendons, or fascia of the lower abdominal wall, excluding other specified procedures in this group. | $92.40 |
| 20804T10Anaesthesia initiation for microvascular free tissue flap surgery using tissue from the lower abdomen. | $231.00 |
| 20815T10Anaesthesia initiation for extracorporeal shock wave lithotripsy treatment of urinary tract stones. | $138.60 |
| 20832T10Anaesthesia initiation for repair of incisional herniae or wound dehiscence in the lower abdomen. | $138.60 |
| 20842T10Administration of anaesthesia to initiate management for amniocentesis procedure. | $92.40 |
| 20886T10Anaesthesia initiation for percutaneous procedures on lower abdominal intra-abdominal organs. | $138.60 |
| 20946T10Initiation of anaesthesia management for vaginal delivery, including assessment and preparation for pain relief options during labour. | $184.80 |
| 20948T10Anaesthesia initiation for cervical purse string ligation placement, removal, or removal of existing ligature. | $92.40 |
| 20950T10Initiation of anaesthesia management for culdoscopy (examination of female pelvic organs via the vaginal fornix). | $115.50 |
| 20952T10Initiation of anaesthesia management for a hysteroscopy procedure. | $92.40 |
| 20958T10Anaesthesia initiation for retained placenta removal or vaginal/perineal tear repair following birth. | $115.50 |
| 21110T10Anaesthesia initiation for skin, skin derivatives, or subcutaneous tissue procedures in the posterior pelvic region, excluding the perineum. | $115.50 |
| 21112T10Initiation of anaesthesia management for percutaneous bone marrow biopsy from the anterior iliac crest. | $92.40 |
| 21114T10Initiation of anaesthesia management for percutaneous bone marrow biopsy from the posterior iliac crest. | $115.50 |
| 21300T10Initiation of anaesthesia management for skin or subcutaneous procedures on the knee or popliteal area. | $69.30 |
| 21321T10Anaesthesia initiation for nerve, muscle, tendon, fascia or bursa procedures on the knee or popliteal area. | $92.40 |
| 21610T10Anaesthesia initiation for shoulder/axilla procedures including nerve, muscle, tendon, fascia or bursa work and axillary dissection. | $115.50 |
| 21710T10Anaesthesia initiation for surgical procedures involving nerves, muscles, tendons, fascia or bursae of the upper arm or elbow, where no other specific anaesthesia item applies. | $92.40 |
| 21740T10Anaesthesia initiation for open surgery on the upper arm or elbow, excluding procedures covered by other specific anaesthesia items. | $115.50 |
| 21770T10Anaesthesia initiation for upper arm artery procedures not covered by other anaesthesia items. | $184.80 |
| 21780T10Anaesthesia initiation for procedures on upper arm veins, not covered by other items in this subgroup. | $92.40 |
| 21810T10Anaesthesia initiation for procedures on forearm, wrist, or hand nerves, muscles, tendons, fascia, or bursae. | $92.40 |
| 21850T10Anaesthesia initiation for vein procedures on the forearm, wrist or hand, excluding procedures covered by other anaesthesia items in this group. | $92.40 |
| 21878T10Anaesthesia initiation for excision or debridement of burns up to 3% of total body surface area, with or without skin grafting. | $69.30 |
| 21900T10Initiation of anaesthesia management for hysterosalpingography (radiographic assessment of uterine and fallopian tubes via injection procedure). | $69.30 |
| 21906T10Anaesthesia initiation for lumbar or thoracic myelography injection procedure. | $115.50 |
| 21908T10Anaesthesia initiation for cervical myelography injection procedures. | $138.60 |
| 21912T10Anaesthetic management initiation for lumbar or thoracic discography injection procedures. | $115.50 |
| 21914T10Anaesthesia initiation for cervical discography injection procedure. | $138.60 |
| 21926T10Initiation of anaesthesia management for a patient undergoing a fluoroscopy procedure. | $92.40 |
| 21935T10Initiation of anaesthesia management for phlebography (venous imaging procedure). | $115.50 |
| 21939T10Preparation and initiation of anaesthesia for peripheral venous cannulation in appropriate patients. | $69.30 |
| 21945T10Anaesthesia initiation for lumbar puncture, cisternal puncture, or epidural injection procedures. | $115.50 |
| 21949T10Anaesthesia initiation for bone marrow harvesting prior to transplantation. | $115.50 |
| 21955T10Initiation of anaesthesia management for diagnostic electroencephalography procedures. | $115.50 |
| 21959T10Anaesthesia initiation for brain stem evoked response audiometry to assess auditory nerve and brain stem function. | $115.50 |
| 21962T10Anaesthesia initiation for electrocochleography via extratympanic or transtympanic membrane insertion method. | $115.50 |
| 21965T10Initiation of therapeutic anaesthesia management for clinical conditions other than headache of any cause. | $115.50 |
| 21970T10Anaesthesia initiation and oxygen administration for a medical practitioner confined in a hyperbaric chamber during hyperbaric therapy. | $346.50 |
| 21973T10Anaesthesia initiation for brachytherapy procedures using radioactive sealed sources. | $115.50 |
| 21976T10Induction of anaesthesia for therapeutic nuclear medicine procedures. | $115.50 |
| 21980T10Anaesthesia setup and initiation for a radiotherapy patient requiring sedation or general anaesthesia. | $115.50 |
| 21992T10Initiation of anaesthesia management for a child under 10 years undergoing a procedure that doesn't include anaesthesia in its item descriptor. | $92.40 |
| 22052T10Anaesthetist-administered blood transfusion for intra-operative normovolaemic haemodilution on the same occasion as anaesthesia, including donor collection. | $138.60 |
| 22053T10Insertion of a lumbar cerebrospinal fluid drain by an anaesthetist during anaesthesia administration on the same occasion, at the treating specialist's request, excluding cases covered by item 40018. | $138.60 |
| 22054T10Real-time transoesophageal echocardiography by an anaesthetist during cardiac valve surgery, including Doppler and colour flow mapping, with pre- and post-operative assessment of valve function. | $415.80 |
| 25000T10Anaesthetic management assistance for patients with severe systemic disease (ASA status 3). | $23.10 |
| 25014T10Anaesthesia assistance or management for patients aged 75 years or older. | $23.10 |
| 30105T8Surgical excision of a pre-auricular sinus in a child under 10 years, performed under anaesthesia. | $192.45 |
| 30281T8Surgical repair of tongue tie or frenulum (upper or lower jaw) in patients aged 2+ years, excluding cases where general anaesthesia item 45009 applies. | $139.35 |
| 33070T8Surgical ligation, suture closure, or excision of an aneurysm in the arms or legs without bypass grafting, including anaesthesia and surgical assistance. | $982.20 |
| 35527T8Excision of a symptomatic urethral caruncle when conservative treatment has failed or malignancy is suspected, performed under anaesthesia. | $170.40 |
| 35609T8Surgical removal of a cone-shaped section of cervical tissue for diagnostic or therapeutic purposes, performed under anaesthesia. | $254.30 |
| 35610T8Cone biopsy of the cervix performed under anaesthesia for histologically confirmed cervical malignancy. | $445.05 |
| 35674T8Ultrasound-guided needle insertion and injection into an ectopic pregnancy (applicable when item H conditions are met). | $242.50 |
| 36833T8Removal of a ureteric stent or foreign object from one side of the lower urinary tract using a cystoscope under anaesthesia. | $322.65 |
| 36836T8Cystoscopy with bladder biopsy under anaesthesia, excluding procedures combined with specific urological treatments or resections. | $268.20 |
| 37204T8Surgical insertion of prostatic implants via cystoscopy to treat benign prostatic hyperplasia, performed under anaesthesia. | $929.25 |
| 37205T8Ablation of prostate tissue using water vapour, with optional cystoscopy or urethroscopy, performed under anaesthesia. | $377.25 |
| 37318T8Examination of the urethra with or without bladder inspection, including tissue sampling, cautery, laser stone destruction, or removal of foreign bodies/stones, under anaesthesia. | $322.65 |
| 37613T8Surgical removal of the epididymis (the tube storing and transporting sperm) under anaesthesia. | $322.65 |
| 38376T8Percutaneous insertion of a microaxial left ventricular assist device via arteriotomy for cardiogenic shock unresponsive to medical therapy, or for left ventricular unloading in patients on veno-arterial ECMO, including intraoperative imaging. | $735.25 |
| 38511T8Coronary artery bypass using tissue stabilisers without cardiopulmonary bypass, performed once per associated service to item 38502. | $699.95 |
| 38616T8Surgical insertion of a microaxial ventricular assist device into the left ventricle via arteriotomy for cardiogenic shock unresponsive to medical therapy, or for left ventricular unloading in patients on veno-arterial ECMO. | $1,102.85 |
| 38621T8Removal or replacement of a left or right ventricular assist device as a standalone procedure, excluding certain associated cardiac surgeries. | $889.30 |
| 42505T8Surgical removal of micro-bypass glaucoma device(s) from the eye due to device-related complications, with or without replacement, under anaesthesia. | $350.85 |
| 42610T8Removal, replacement, or probing of a unilateral nasolacrimal tube or lacrimal passages under general anaesthesia, with optional lavage. | $112.30 |
| 42611T8Removal, replacement, or probing of nasal tear ducts bilaterally to treat obstruction, with optional flushing, performed under general anaesthesia. | $168.40 |
| 42805T8Insertion of one or more tantalum markers into the sclera to mark choroidal melanoma location and guide radiotherapy planning, performed under anaesthesia. | $684.20 |
| 45018T8Dermis, dermofat or fascia graft placement excluding neurosurgical spinal procedures and certain reconstructive services; requires anaesthesia and assistance. | $552.60 |
| 45545T8Surgical reconstruction of the nipple and/or areola using any technique, including anaesthesia and surgical assistance. | $726.25 |
| 45629T8Surgical grafting to correct symblepharon (adhesion between eyelid and eyeball), requiring anaesthesia and surgical assistance. | $552.70 |
| 45650T8Revision rhinoplasty for airway obstruction (NOSE Scale >45) or significant deformity, with documented photographic/NOSE Scale evidence of clinical need. | $172.35 |
| 45831T8Surgical reduction of papillary hyperplasia of the palate, performed once per occasion of service under anaesthesia with assistance. | $377.25 |
| 45939T8Cryosurgery to freeze peripheral branches of the trigeminal nerve for pain relief, requiring anaesthesia and surgical assistance. | $521.50 |
| 46126T8Non-excisional debridement and application of skin substitute for partial thickness burns affecting 1–3% of total body surface area. | $625.05 |
| 46130T8Closure of small burn wounds or skin defects from necrotising fasciitis or scar contracture (under 1% body surface) using autologous grafts, following prior temporary wound coverage. | $393.75 |
| 46308T8Surgical repair of a finger joint (interphalangeal or metacarpophalangeal) using volar plate or soft tissue interposition, with optional realignment or tendon transfer, for one joint only. | $614.20 |
| 46336T8Surgical removal of joint lining from a finger or thumb joint, including related procedures like capsule removal, cleaning, or ligament/tendon realignment, for one joint. | $307.15 |
| 46423T8Surgical repair of a delayed or damaged hand or wrist extensor tendon, including removal of scar tissue if needed, excluding cases already covered under item 30023 at the same site. | $381.70 |
| 46438T8Surgical fixation of mallet finger deformity using closed pinning technique under anaesthesia to restore finger extension at the distal joint. | $157.95 |
| 46441T8Surgical repair of mallet finger deformity with open reduction, which may include joint release, pin fixation, or tendon release, performed under anaesthesia with surgical assistance. | $381.70 |
| 47045T8Open reduction of dislocated finger joints (interphalangeal or metacarpophalangeal), including joint opening, capsule, ligament or volar plate repair as needed. | $491.65 |
| 47672T8Open reduction treatment of a fractured or dislocated toe bone (excluding the great toe), including joint repair and cleaning if needed, for one toe on one foot. | $131.65 |
| 47970T8Surgical cutting and repair of one or more shoulder blade tendons to restore function, performed once per shoulder per procedure under anaesthesia. | $252.55 |
| 47973T8Surgical cutting of one or more tendons in the elbow with possible repair to restore function, performed once per elbow per occasion under anaesthesia. | $252.55 |
| 49800T8Surgical repair of a single flexor or extensor tendon in the foot, with optional synovial biopsy and/or synovectomy. | $153.75 |
| 51904O3Surgical removal of a wedge of skin or fat in one location under anaesthesia with surgical assistance. | $530.60 |
| 51906O3Surgical removal of 2 or more wedges of skin or fat under general anaesthesia with surgical assistance. | $806.90 |
| 52060O3Excision of muscle tissue in the oral and maxillofacial region under anaesthesia. | $221.00 |
| 52073O3Surgical repair of a cutaneous fistula of the salivary gland under anaesthesia. | $174.70 |
| 52609O5Surgical removal of fewer than 5 papillary hyperplastic lesions from the palate under general anaesthesia with surgical assistance. | $377.25 |
| 52621O5Surgical lowering of the floor of the mouth on one side using techniques like Obwegeser procedure, including muscle excision and skin or mucosal grafting when needed. | $684.20 |
| 52824O6Cryosurgery to peripheral branches of the trigeminal nerve to relieve pain, performed under anaesthesia with assistance. | $517.65 |
| 52826O6Injection of alcohol, cortisone, phenol or similar substance into the primary branch of the trigeminal nerve for pain relief, performed by an anaesthetist. | $277.15 |
| 53015O7Surgical closure of an oro-antral fistula (abnormal opening between mouth and maxillary sinus) under anaesthesia with surgical assistance. | $685.45 |
| 53225O8Irrigation of the temporomandibular joint using two cannuli to flush the joint space, performed under anaesthesia with surgical assistance. | $338.95 |
| 59302I33D breast tomosynthesis for both breasts in patients with suspected malignancy due to personal history, strong family history of breast/ovarian cancer, or clinical symptoms/signs. | $231.95 |
| 59305I33D breast tomosynthesis of one breast for patients with suspected malignancy due to personal history of breast cancer, family history of breast or ovarian cancer, or clinical symptoms/signs. | $130.80 |
| 73839P9HbA1c test for diabetes screening in asymptomatic high-risk patients, limited to once per 12 months. | $16.80 |
| 73840P9Measurement of HbA1c to monitor blood sugar control in established diabetes, limited to 4 tests per 12 months. | $17.00 |
| 73932P10Collection of a specimen from a patient's home by an approved pathology practitioner or authority employee to initiate a pathology episode, excluding care institutions and residential aged care facilities. | $10.25 |
| 73933P10Collection of one or more pathology specimens from a patient's home by an approved pathology practitioner or employee, initiating a new episode of care. | $2.40 |
| 73934P10Collection of a pathology specimen from a person in a care institution or residential aged care facility by an approved pathology practitioner or pathology authority employee, initiating a patient episode for one or more services. | $17.60 |
| 73935P10Collection of a pathology specimen from a patient in a care institution or residential aged care facility by an approved pathology practitioner or pathology authority employee to initiate testing services. | $2.40 |
| 75610C1Surgical placement of an osseointegrated dental implant fixture and transmucosal abutments in the mouth, performed for patients referred by a dentist or medical practitioner. | $402.75 |
| 91852T4Video postnatal consultation between 1-4 weeks after birth by a GP, obstetrician, or supervised practice midwife, lasting at least 20 minutes, for privately admitted patients not receiving concurrent midwife or nurse practitioner services; once per p… | $62.30 |
| 92004A40Video consultation with a GP for comprehensive Aboriginal and Torres Strait Islander health assessment, including history, examination, investigations, management plan, and written report; not if similar service provided in past 9 months. | $247.65 |
| 92011A40Video health assessment by a doctor for Aboriginal and Torres Strait Islander patients, including history, examination, investigations, management plan and written report; not if same service provided in last 9 months. | $198.10 |
| 92422A40Initial video consultation with a specialist physician (45+ minutes) for a patient with 2+ morbidities, including comprehensive assessment, differential diagnoses, and complex management plan sent to referring doctor, with no same-day in-person visit… | $312.45 |
| 92623A40Geriatrician video consultation (60+ minutes) for patients 65+ referred by GPs or nurse practitioners, including comprehensive health assessment, prioritised problem formulation, detailed management plan with goals and interventions, discussion with… | $535.95 |
| 92748A40Initial video consultation with a consultant occupational physician following referral, exceeding 5 minutes, with no same-day in-person attendance by the same physician. | $101.30 |
| 92751A40Initial video consultation with a pain medicine specialist or consultant physician, following referral, lasting more than 5 minutes, where no in-person or other video attendance occurred with the same specialist on the same day. | $178.70 |
| 92755A40Initial video attendance with a palliative medicine specialist or consultant physician, by referral, lasting more than 5 minutes, with no same-day in-person attendance by the same practitioner. | $178.70 |
| 92758A40Specialist phone consultation in palliative medicine (more than 5 minutes) following referral, for minor attendances after the first in a treatment course. | $50.95 |
| 92760A40Video attendance by an addiction medicine specialist for patient assessment (over 5 minutes) following referral, either before/after comprehensive assessment, after initial assessment, or after review within a single course of treatment. | $89.40 |
| 92762A40Telehealth initial assessment by addiction medicine specialist for 45+ minutes covering comprehensive history, multi-system assessment, and complex management plan for patients with 2+ morbidities, following referral; not on same day as other specifi… | $312.45 |
| 92763A40Video review by an addiction medicine specialist (minimum 20 minutes) for a patient with at least 2 morbidities, covering diagnostic review, treatment response, organ system assessment, and updated management plan provided to the referring practition… | $156.45 |
| 92767A40Sexual health medicine specialist video consultation (45+ minutes) for initial assessment of patient with 2+ morbidities, including comprehensive history, multi-system assessment, differential diagnoses, and complex treatment plan provided to referri… | $312.45 |
| 92768A40Video review consultation with a sexual health medicine specialist lasting at least 20 minutes for a patient with multiple morbidities, including reassessment of presenting problems, treatment response, diagnostic findings, diagnoses, and provision o… | $156.45 |