12218D1Unattended overnight sleep study (minimum 8 hours) for children aged 3–11 years, referred by a doctor to a paediatric sleep specialist, to diagnose or reassess sleep apnoea or respiratory support needs; includes continuous monitoring of airflow, hear…
$489.90
12219D1Unattended overnight sleep study (minimum 8 hours) for patients aged 12–17 years referred by a medical practitioner to confirm sleep apnoea diagnosis, assess treatment effectiveness, or determine respiratory support needs after clinical change, with…
$455.25
32219T8Colonoscopy to the caecum for asymptomatic patients with a positive screening faecal occult blood test, performed once per day under anaesthesia or sedation.
$400.20
45070T8Single-stage surgical correction of developmental breast abnormality (implant insertion with/without mastopexy or reduction mammaplasty) on one breast when volume difference from other breast is ≥20% (normal) or ≥10% (tubular/abnormal folds), with do…
$1,014.40
45071T8First-stage surgical correction of developmental breast abnormality with tissue expander insertion for one breast when volume difference is ≥20% (normal breasts) or ≥10% (tubular/abnormal fold breasts), with documented imaging evidence.
$1,014.40
45072T8Second-stage breast reconstruction surgery replacing a tissue expander with an implant (≥10% volume difference) for developmental abnormality, where breast volume difference is ≥20% (normal) or ≥10% (tubular/abnormal fold), with documented volumetric…
$734.05
73329P7Nucleic acid multi-gene panel test of tumour tissue in cholangiocarcinoma patients to detect IDH1 variants and FGFR2 fusion status for determining PBS treatment eligibility; once per lifetime.
$800.00
73400P7Genetic testing for HLA variants (carbamazepine/oxcarbazepine risk prediction) before or during treatment initiation to assess severe drug hypersensitivity risk; once per lifetime.
$139.00
Removed items
Item
Schedule fee
61470I4Thallium-201 myocardial perfusion imaging (whole body or localised, or single rest study) when bulk billed and performed with a related cardiac imaging service.
$1,551.40
61477I4Whole body or localised gallium scan when bulk-billed and performed with a linked PET or CT imaging service.
$1,019.55
Fee changes
5,381 fees changed: 5,376 up and 5 down, with a median change of +2.6%. The 100 largest changes are listed.
Item
Old fee
New fee
Change
61325I4Rest myocardial perfusion study using Tl-201 SPECT to assess viable and non-viable myocardium in patients with left ventricular dysfunction and coronary artery disease, requested by specialist, limited to twice per 24 months (not within 24 months of…
$348.65
$1,949.45
+459.1%
61461I4Nuclear medicine imaging using thallium to assess localised areas of the body, typically for cardiac perfusion or tumour detection.
$559.40
$2,165.70
+287.1%
61450I4Localised gallium imaging study to detect infection, inflammation, or malignancy in a specific body region.
$421.30
$1,478.30
+250.9%
61438I4Thallium whole body imaging study to assess myocardial perfusion, detect coronary artery disease, or evaluate cardiac viability in patients with known or suspected heart disease.
$713.20
$2,323.50
+225.8%
61453I4Localised gallium imaging study using single photon emission tomography to detect infection, inflammation or malignancy in a specific body region.
$545.50
$1,605.75
+194.4%
61429I4Imaging using gallium radiopharmaceutical to scan the whole body for detection of infection, inflammation, malignancy or other pathology.
$575.50
$1,636.50
+184.4%
61430I4Gallium whole body imaging with single photon emission tomography to detect infection, inflammation, or tumour.
$698.95
$1,763.20
+152.3%
61442I4Gallium scan with single photon emission tomography imaging 2 or more separate body regions to detect infection, inflammation or malignancy.
$797.40
$1,864.20
+133.8%
65066P1Microscopic examination of blood film with special stains (Heinz bodies, parasites, iron, enzyme markers) or other staining methods, or urine sediment for haemosiderin.
$10.65
$10.95
+2.8%
65162P1Blood test to detect fetal red blood cells in maternal circulation, used to assess fetomaternal hemorrhage and determine need for anti-D prophylaxis in Rh-negative women.
$10.70
$11.00
+2.8%
71133P4Qualitative test for neutrophil oxidative pathway defects (chronic granulomatous disease) in patients with recurrent infections, using nitroblue tetrazolium reduction.
$10.65
$10.95
+2.8%
244A7Multidisciplinary case conference attendance by a prescribed medical practitioner for cancer patients, lasting at least 10 minutes with 4+ practitioners from different specialties, to develop a treatment plan.
$30.15
$30.95
+2.7%
5000A22A brief GP consultation for a straightforward, obvious problem requiring minimal history-taking, examination, and management.
$33.80
$34.70
+2.7%
10987M12Follow-up service by practice nurse or Aboriginal health practitioner for Indigenous patients post-health check, maximum 10 per calendar year, under medical practitioner supervision.
$27.95
$28.70
+2.7%
10991M1Bulk-billed unreferred service at a Modified Monash 2 area practice location for a non-admitted patient, excluding general practice support and MyMedicare services.
$13.00
$13.35
+2.7%
10992M1Bulk-billed unreferred medical service provided by an out-of-area practitioner to a non-admitted patient in regional/remote Modified Monash areas 2-7, outside consulting rooms.
$13.00
$13.35
+2.7%
11312D1Audiogram testing measuring air and bone conduction or air conduction with speech discrimination, not performed on the same day as item 82312.
$43.30
$44.45
+2.7%
11714D112-lead ECG with trace and clinical interpretation by a medical practitioner to inform clinical decision-making, with documented clinical indication and contextual analysis; limited to twice daily and not bundled with other ECG items or attendance se…
$28.25
$29.00
+2.7%
12012D1Patch testing with up to 25 allergens to identify contact allergens causing allergic dermatitis.
$24.25
$24.90
+2.7%
12200D1Collection of sweat specimen via iontophoresis for diagnostic testing, typically used to confirm cystic fibrosis diagnosis.
$43.35
$44.50
+2.7%
15954T2Kilovoltage radiation therapy (50–500 kV) to each additional anatomical site after initial treatment under item 15952, excluding orbital sites with internal eye shields.
$22.55
$23.15
+2.7%
16400T4Antenatal care by practice midwife, nurse or Aboriginal health practitioner in regional/rural/remote areas under medical supervision, up to 10 times per pregnancy, not with other antenatal items same day.
$31.80
$32.65
+2.7%
30216T8Aspiration of a haematoma under anaesthesia to drain blood collection.
$31.90
$32.75
+2.7%
30219T8Incision and drainage of haematoma, furuncle, small abscess or similar lesion that doesn't require hospital admission.
$31.90
$32.75
+2.7%
30628T8Drainage of fluid from the scrotum (hydrocele) by needle aspiration.
$41.50
$42.60
+2.7%
41810T8Surgical removal or partial removal of the uvula, performed under anaesthesia.
$41.50
$42.60
+2.7%
52055O3Incision and drainage of small haematoma, abscess or cellulitis treated in outpatient setting, excluding post-operative care.
$31.90
$32.75
+2.7%
52056O3Aspiration of a haematoma under anaesthesia to drain blood collection.
$31.90
$32.75
+2.7%
53004O7Irrigation and flushing of the maxillary sinus cavity under anaesthesia, including associated consultation.
$41.50
$42.60
+2.7%
59103I3Locating a foreign body when provided alongside another ear, nose, or throat procedure by an otolaryngologist.
$24.40
$25.05
+2.7%
64992I6Bulk-billed diagnostic imaging for unreferred patients under 16 or concession card holders in regional areas (Modified Monash 3–4), excluding hospital admitted patients.
$12.95
$13.30
+2.7%
64994I6Unreferred diagnostic imaging service for patients under 16 or Commonwealth concession card holders in Modified Monash 6 areas, bulk-billed only.
$14.60
$15.00
+2.7%
65093P1Blood grouping for one or more systems (Rh phenotypes, Kell, Duffy, M/N factors, or other blood group systems), including ABO and RhD if performed.
$22.55
$23.15
+2.7%
65109P1Supply of fresh frozen plasma or cryoprecipitate to correct a coagulopathy in a patient, one release per episode.
$13.20
$13.55
+2.7%
65110P1Supply of one unit of compatible fresh platelets to a patient for bleeding prevention or active bleeding management.
$13.20
$13.55
+2.7%
65114P1Direct Coombs test or tests for cold agglutinins and heterophil antibodies to investigate haemolytic anaemia and related immune conditions.
$9.30
$9.55
+2.7%
65117P1Blood test to detect abnormal hemoglobin types or methealbumin, used to investigate suspected hemoglobin disorders or acute hemolysis.
$20.75
$21.30
+2.7%
71057P4Quantitative and qualitative electrophoresis of serum, urine, or other body fluid collected within 28 days to identify protein classes or paraprotein, including total protein, albumin, and globulin measurement.
$33.70
$34.60
+2.7%
71066P4Measurement of total immunoglobulin A levels in serum, urine, or other body fluids to assess immune function or diagnose IgA-related disorders.
$14.90
$15.30
+2.7%
71068P4Measurement of total immunoglobulin G levels in blood, urine or other body fluids to assess immune function or investigate suspected immunodeficiency or immunoproliferative disorders.
$14.90
$15.30
+2.7%
71072P4Measurement of total immunoglobulin M levels in serum, urine or other body fluid using any laboratory method.
$14.90
$15.30
+2.7%
71074P4Measurement of total immunoglobulin D levels in serum, urine or other body fluid (one test).
$14.90
$15.30
+2.7%
71081P4Measurement of total complement activity (CH50) to assess overall complement system function in evaluating immune and haemolytic disorders.
$41.50
$42.60
+2.7%
71083P4Measurement of complement proteins C3, C4, or properdin factor B to assess immune system function and diagnose complement-related disorders.
$20.65
$21.20
+2.7%
71089P4Measurement of complement proteins or their breakdown products not covered by other MBS items; limited to one test.
$29.85
$30.65
+2.7%
71090P4Initial pathology test by allied health professional when no prior tests have been performed by the referring provider, subject to referral and frequency restrictions.
$29.85
$30.65
+2.7%
71092P4Pathology tests (excluding the specific test in 71090) performed by an accredited pathology practitioner, limited to 2 tests per service.
$24.25
$24.90
+2.7%
71095P4Serum or plasma eosinophil cationic protein testing (up to 3 tests per year) to monitor corticosteroid therapy response in children under 12 with asthma.
$41.50
$42.60
+2.7%
71096P4Pathology test performed by an accredited pathology practitioner, subject to referral and frequency limitations under rule 18.
$41.50
$42.60
+2.7%
71125P4Serological testing detecting 4 or more specified antibodies in a single sample.
$28.30
$29.05
+2.7%
71147P4Blood test to identify HLA-B27 protein, used to diagnose or assess risk for conditions like ankylosing spondylitis and reactive arthritis.
$41.50
$42.60
+2.7%
71148P4Pathology test performed by an accredited pathology practitioner under referral, subject to funding rules and frequency limitations.
$41.50
$42.60
+2.7%
71156P4Allied health professional conducts up to 3 diagnostic tests (excluding specific respiratory test) as part of a referred service.
$13.15
$13.50
+2.7%
71170P4Pathology tests ordered by a receiving APP, excluding the specific test in item 71169, up to a maximum of 3 tests per service.
$13.15
$13.50
+2.7%
71198P4Serum tryptase measurement to evaluate acute hypotension or suspected anaphylaxis, assess stinging insect allergy risk, exclude or monitor mastocytosis.
$41.50
$42.60
+2.7%
71203P4HLA-B5701 testing by flow cytometry or cytotoxicity assay before starting Abacavir to screen for hypersensitivity risk.
$41.50
$42.60
+2.7%
75206C1Removal of each additional tooth or tooth fragment during a procedure associated with items 75200 or 75203.
$31.90
$32.75
+2.7%
75856M1Bulk-billed unreferred service provided by a practice in a Modified Monash 5 area to a non-admitted patient, excluding certain grouped or support services.
$14.70
$15.10
+2.7%
75858M1Bulk-billed unreferred service provided at a Modified Monash 7 area practice location to a non-admitted patient, where all applicable MBS items for that service are also bulk-billed.
$16.50
$16.95
+2.7%
75861P12Unreferred pathology service for patients under 16 or concession card holders in Modified Monash 3–4 areas, bulk-billed and not hospital admitted.
$12.95
$13.30
+2.7%
75863P12Bulk-billed unreferred pathology service for persons under 16 or concessional beneficiaries at Modified Monash 6 practice locations, excluding specified items.
$14.60
$15.00
+2.7%
75873M1GP attendance with general practice support service provided by bulk-bill at a Modified Monash 3 or 4 practice location, excluding certain procedural services.
$41.50
$42.60
+2.7%
75882M1Bulk-billed GP attendance with MyMedicare service provision for enrolled patients at practices in Modified Monash 3 or 4 areas, excluding certain procedural services.
$41.50
$42.60
+2.7%
80020M6Group psychological therapy session (4–10 patients) provided in person by an eligible clinical psychologist for at least 60 minutes, requiring referral from a practitioner.
$43.35
$44.50
+2.7%
80021M6Group psychological therapy (4-10 patients) via video for patients aged 15+ in telehealth-eligible areas, at least 15km from the psychologist, minimum 60 minutes, by referral.
$43.35
$44.50
+2.7%
80145M7Group psychological strategies session (4–10 patients) delivered by an eligible occupational therapist for at least 60 minutes, requiring practitioner referral and in-person attendance.
$26.00
$26.70
+2.7%
80146M7Group psychological strategies session (4-10 patients) delivered by occupational therapist via video for patients in telehealth-eligible areas, at least 15km from therapist, minimum 60 minutes, requiring referral.
$26.00
$26.70
+2.7%
80170M7Group psychological strategies session (4–10 patients) delivered in person by an eligible social worker for a referred patient, minimum 60 minutes duration.
$26.00
$26.70
+2.7%
80171M7Group psychological strategies session (4-10 patients) delivered by video by a social worker to a referred patient in a telehealth-eligible area, at least 15km from the practitioner, minimum 60 minutes.
$26.00
$26.70
+2.7%
82200M14Nurse practitioner attendance for a straightforward health problem requiring brief history-taking and limited examination or management.
$14.55
$14.95
+2.7%
82205M14Nurse practitioner consultation of 6–20 minutes for assessment, examination, investigations, management planning, or preventive care for one or more health issues.
$31.80
$32.65
+2.7%
82306M15Non-determinate audiometry by an eligible audiologist on referral from a doctor to diagnose, treat or manage ear disease, with written results provided to the referring doctor, not performed on the same day as item 11306.
$20.40
$20.95
+2.7%
82309M15Air conduction audiogram by eligible audiologist on GP referral to diagnose or manage ear disease, performed individually in person with written results returned to the referring doctor, not on same day as item 11309.
$24.50
$25.15
+2.7%
82324M15Impedance audiogram (tympanometry and acoustic reflex measurement) by eligible audiologist on referral from a doctor to diagnose or manage ear disease, with written results provided to the referrer.
$18.65
$19.15
+2.7%
82358M16Group psychological treatment for eating disorders (6-10 patients) provided by a clinical psychologist for at least 60 minutes, when recommended in the patient's treatment plan.
$43.35
$44.50
+2.7%
82359M16Group eating disorder psychological treatment via videoconference for eligible patients aged 15+ in telehealth areas, 60+ minutes, groups of 6–10 patients, delivered by clinical psychologist per treatment plan.
$43.35
$44.50
+2.7%
82374M16Group psychological treatment for eating disorders delivered by an occupational therapist to 6–10 patients for at least 60 minutes, when recommended in the patient's treatment plan.
$26.00
$26.70
+2.7%
82375M16Group eating disorder psychological treatment via video conference by an occupational therapist for 6-10 eligible patients aged 15+km from a clinical psychologist in telehealth areas, minimum 60 minutes, as recommended in their treatment plan.
$26.00
$26.70
+2.7%
82382M16Group psychological treatment for eating disorders delivered in person by a social worker to 6-10 patients for at least 60 minutes, as part of the patient's documented treatment plan.
$26.00
$26.70
+2.7%
82383M16Group eating disorder psychological treatment (6-10 patients) delivered by a social worker via video conference for patients in telehealth-eligible areas at least 15km from a psychologist, lasting 60+ minutes, as part of an approved treatment plan.
$26.00
$26.70
+2.7%
91178M18Nurse practitioner video consultation (6–20 minutes) including history, investigations, management plan, or preventive health care.
$31.80
$32.65
+2.7%
91189M18Nurse practitioner phone consultation (6–20 minutes) including history-taking, investigation arrangement, management plan implementation, or preventive health care.
$31.80
$32.65
+2.7%
91192M18Nurse practitioner video consultation for straightforward, obvious problems requiring brief history-taking and limited management.
$14.55
$14.95
+2.7%
91193M18Phone consultation with a participating nurse practitioner for a straightforward problem requiring brief history and limited management.
$14.55
$14.95
+2.7%
91850T4Antenatal video service by practice midwife, nurse or Aboriginal and Torres Strait Islander health practitioner under medical practitioner supervision, maximum 10 per pregnancy, not on same day as another Group T4 antenatal item.
$31.80
$32.65
+2.7%
91855T4Antenatal phone service by practice midwife, nurse or Aboriginal and Torres Strait Islander health practitioner under medical practitioner supervision, maximum 10 per pregnancy, not on same day as other antenatal attendance.
$31.80
$32.65
+2.7%
93201M18Practice nurse or Aboriginal health practitioner provides video consultation for chronic condition management under medical practitioner supervision, with current GP management plan or multidisciplinary care plan in place.
$16.55
$17.00
+2.7%
93203M18Phone attendance by practice nurse or Aboriginal and Torres Strait Islander health practitioner for chronic condition management, under medical practitioner supervision, with current GP chronic condition management plan or equivalent care plan in pla…
$16.55
$17.00
+2.7%
23A1GP consultation at practice lasting 6–20 minutes for history, examination, investigations, management plan, or preventive care for one or more health issues.
$43.90
$45.05
+2.6%
36A1GP consultation at practice lasting at least 20 minutes involving history, examination, investigations, management plan, or preventive care for one or more health issues.
$84.90
$87.10
+2.6%
44A1Extended GP consultation at least 40 minutes covering history, examination, investigations, management plan, or preventive care for one or more health issues with documentation.
$125.10
$128.35
+2.6%
104A3Specialist consultation at rooms or hospital for initial attendance following referral, excluding certain psychiatric and other specified services.
$101.30
$103.95
+2.6%
105A3Specialist follow-up consultation in consulting rooms or hospital as part of ongoing treatment following an initial specialist referral.
$50.95
$52.25
+2.6%
106A3First ophthalmology attendance for refraction testing only to prescribe spectacles or contact lenses, following referral.
$84.05
$86.25
+2.6%
107A3Specialist consultation at a non-standard location (not consulting rooms or hospital) following referral, excluding follow-up visits in the same treatment course.
$148.65
$152.50
+2.6%
108A3Specialist consultation after the first visit in a course of treatment, conducted at a location other than consulting rooms or hospital (e.g. patient's home or workplace).
$94.10
$96.55
+2.6%
109A3Specialist ophthalmologist's first attendance for comprehensive dilated eye examination in children aged 9 or under, or aged 14 or under with developmental delay.
$228.30
$234.25
+2.6%
110A4Initial consultation with a specialist physician (non-psychiatric) following referral from a GP, covering assessment and management planning for the patient's condition.
$178.70
$183.35
+2.6%
111A3Specialist follow-up attendance in a single course of treatment where an unscheduled surgical procedure (Group T8, $359.05+) is determined and performed on the same day.
$50.95
$52.25
+2.6%
115A3Specialist consultation on day of scheduled surgery ($359.05+) when clinically urgent and unrelated to the operation.
$50.95
$52.25
+2.6%
Updated descriptors
The wording of these items changed. Check the item on MBS Online for the full descriptor.
Item
Schedule fee
4A1GP home visit or other location (not consulting rooms or aged care) involving brief history, limited examination and management, per patient per visit.
—
37A1GP professional attendance at a non-consulting room location (home, workplace, etc.) for at least 20 minutes, including history, examination, investigations, management plan, or preventive care for one or more health issues.
—
47A1GP home or other non-clinic visit (40+ minutes) including history, examination, investigations, management plan, or preventive care for one or more conditions with documentation.
—
111A3Specialist follow-up attendance in a single course of treatment where an unscheduled surgical procedure (Group T8, $359.05+) is determined and performed on the same day.
$52.25
115A3Specialist consultation on day of scheduled surgery ($359.05+) when clinically urgent and unrelated to the operation.
$52.25
117A4Consultant physician attendance at which an unscheduled operation (Group T8, fee ≥$359.05) is identified and performed same-day; once per patient per day.
$91.70
120A4Consultant physician minor attendance when determining need for same-day surgery (Group T8, fee $359.05+), once per patient per day.
$52.25
294A8Telehealth consultation with a psychiatrist for bulk-billed patients in remote areas (Modified Monash 2-7, 15+ km away), aged care residents, or Aboriginal health services.
—
10987M12Follow-up service by practice nurse or Aboriginal health practitioner for Indigenous patients post-health check, maximum 10 per calendar year, under medical practitioner supervision.
$28.70
11000D1EEG recording for diagnostic purposes, excluding EEGs done with specific neuroimaging techniques, quantitative mapping, or as part of certain anesthesia services.
$147.35
11003D1Prolonged EEG recording of at least 3 hours using multi-channel electrodes, excluding quantitative mapping studies and certain associated procedures.
$389.80
11004D1Prolonged ambulatory or video EEG recording (3-24 hours) using multi-channel standard electrode placement on the first day, excluding quantitative mapping or certain concurrent services.
$389.80
11005D1Ambulatory or video EEG recording (3–24 hours, multi-channel, standard 10-20 placement) on each day after the first day, excluding certain quantitative mapping or other specified procedures.
$389.80
11503D1Complex respiratory function testing in a respiratory laboratory under specialist supervision, including lung volumes, diffusion capacity, airway resistance, bronchoprovocation, exercise testing, muscle strength, altitude simulation, shunt calculatio…
$165.95
11704D1Twelve-lead ECG with formal report by specialist or consultant physician, when requested by another practitioner and not part of hospital care, concurrent procedures, or attendance items.
$37.40
11705D1Twelve-lead ECG formal report by specialist/consultant physician when requested, not bundled with other ECG services, up to twice daily, with report provided to requesting practitioner.
$22.00
11707D112-lead ECG recording by a doctor for specialist review, up to twice daily, excluding hospital settings and specific allied health or other ECG services.
$22.00
11713D1Signal-averaged ECG recording of at least 100 QRS complexes using 3+ leads at ≥1000Hz sampling, with analysis and report by a specialist or consultant physician.
$83.45
11714D112-lead ECG with trace and clinical interpretation by a medical practitioner to inform clinical decision-making, with documented clinical indication and contextual analysis; limited to twice daily and not bundled with other ECG items or attendance se…
$29.00
11716D1Specialist continuous ambulatory ECG recording for 12+ hours to evaluate syncope, pre-syncope, frequent palpitations (>weekly), suspected asymptomatic arrhythmia (>weekly), or post-cardiac surgery dysrhythmia risk, once per 4 weeks, excluding hospita…
$200.55
11717D1Specialist ambulatory ECG monitoring using a patient-activated device worn for 7–30 days to investigate recurrent syncope, palpitations, or suspected arrhythmias; includes transmission, analysis, and reporting; limited to once per 3 months and not du…
$117.85
11723D1Specialist ambulatory electrocardiogram monitoring using a patient-activated device worn for up to 7 days, with transmission and formal report, for investigation of recurrent unexplained syncope, palpitations, or suspected arrhythmias; limited to onc…
$62.20
11735D1Seven-day continuous ambulatory ECG monitoring with intelligent microprocessor analysis for suspected intermittent arrhythmia or syncope, or arrhythmia in patients with prior/at-risk stroke, by specialist, with interpretation; max 4 times per 12 mont…
$153.15
12210D1Overnight sleep study (minimum 8 hours) for children under 12 years, referred by a doctor and assessed by a paediatric sleep specialist, with continuous monitoring of breathing, oxygen, heart rhythm, brain and eye activity, manually scored by special…
$840.10
12213D1Overnight sleep study (minimum 8 hours) for patients aged 12–17 years with GP referral and sleep medicine practitioner assessment, including continuous multi-channel monitoring of airflow, breathing, heart rhythm, brain/eye/muscle activity, and oxyge…
$756.80
12215D1Overnight paediatric sleep study (minimum 8 hours) for children under 12, referred by a medical practitioner and assessed by a qualified paediatric sleep medicine practitioner, with continuous multi-channel monitoring of airflow, breathing, oxygen, h…
$840.10
12217D1Overnight sleep study for adolescents aged 12-17 years referred by a doctor, requiring sleep medicine specialist assessment and continuous monitoring of airflow, heart rhythm, brain/eye activity, oxygen and carbon dioxide levels with manual scoring b…
$756.80
15944T2Stereotactic body radiation therapy (SBRT) treatment delivery with image guidance for precise targeting, limited to once daily per site and maximum 2 sites.
$829.30
30451T8Exchange of a biliary drainage tube using imaging guidance, not associated with item 30440, with anaesthesia and assistance.
$320.35
30492T8Percutaneous placement of a stent in the bile duct with imaging guidance and dilation if needed, performed under anaesthesia.
$942.35
30495T8Percutaneous dilation of a narrowed bile duct using imaging guidance under anaesthesia to restore bile flow.
$942.35
32084T8Flexible sigmoidoscopy or colonoscopy to the hepatic flexure with optional biopsy, performed under anaesthesia, excluding procedures combined with other specified colonoscopy services.
$133.35
32087T8Endoscopic removal of one or more polyps from the colon up to the hepatic flexure via sigmoidoscopy or colonoscopy, excluding cases with additional therapeutic procedures.
$245.00
32150T8Surgical treatment of anal fissure by excision or sphincterotomy under anaesthesia with surgical assistance, excluding dilatation.
$307.60
32222T8Colonoscopy to the caecum for colonic symptoms, anaemia, abnormal imaging, post-colorectal cancer surgery follow-up, pre-operative assessment, inadequate prior preparation, or inflammatory bowel disease management; once per day under single anaesthes…
$400.20
32228T8Colonoscopy examining the colon to caecum, excluding therapeutic procedures and those associated with specific polypectomy items; covered once per patient with anaesthesia.
$400.20
32229T8Removal of one or more polyps found during a colonoscopy procedure, performed in conjunction with a diagnostic or therapeutic colonoscopy service.
$322.80
45761T8Surgical reshaping of the chin including nerve/vessel repositioning and bone grafts, covered when deformity results from congenital absence, craniofacial disorder, trauma, or pathology—requires documented diagnosis and clinical photographs.
$896.05
45888T8Removal of a deep foreign body from the body using imaging-guided interventional techniques, performed under anaesthesia with surgical assistance.
$495.00
45891T8Repair of a single facial defect using a temporalis muscle local flap in one stage, with anaesthesia and surgical assistance.
$721.10
46100T8Excision of burnt tissue or definitive burn wound closure for burns exceeding 1% of hands, face or anterior neck, performed with reconstructive surgery.
—
46112T8Surgical removal of burnt tissue from the entire face (excluding ears); claimable once with items 46101–46111 based on total body surface percentage burnt elsewhere, excluding aftercare.
$2,059.45
46113T8Closure of burn wounds or contracture-release skin defects under 1% of body surface using autologous skin grafting, autologous cell suspension, or temporary allogenic/biosynthetic grafts, performed at same time as primary excision/release.
$404.00
46114T8Autologous skin grafting or cell suspension closure of excised burn wounds or contracture releases covering 1–3% of body surface, performed with primary excision; for patients under 15 years, autologous methods require ≥10% total burn area; for patie…
$641.30
46115T8Closure of burn wound excision or contracture release (3–10% body surface) using autologous skin graft, autologous cell suspension, or temporary allogenic/biosynthetic graft, performed concurrently with primary excision; higher body surface threshold…
$703.35
46116T8Closure of excised burn wounds or contracture release affecting 10–20% of body surface using autologous skin grafting, autologous skin cell suspension (age <15) or combined methods (age ≥15 if ≥20% total treated area), or temporary allogenic/biosynth…
$1,073.10
46117T8Surgical closure of excised burn wounds covering 20–30% of body surface using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic grafts, performed concurrently with primary excision.
$1,443.15
46118T8Surgical closure of excised burn wounds covering 30–40% of body surface using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic grafting, performed concurrently with primary excision.
$1,813.90
46119T8Closure of excised burn wound covering 40–50% of body surface using autologous grafting, cell suspension, or temporary allogenic/biosynthetic substitute, performed at same time as primary excision.
$2,184.00
46120T8Closure of excised burn wounds covering 50–60% of body surface using autologous skin grafts, autologous skin cell suspension, or temporary allogenic/biosynthetic substitutes, performed concurrently with primary excision.
$2,553.45
46121T8Excision and definitive or temporary closure of burn wounds covering 60–70% of body surface using autologous grafting, cell suspension, or allogenic/biosynthetic substitutes, performed concurrently with primary excision.
$2,923.60
46122T8Closure of excised burn wound covering 70–80% of body surface using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic substitutes, performed at same time as primary excision.
$3,331.00
46123T8Closure of excised burn wounds covering at least 80% of body surface using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic substitutes, performed concurrently with primary excision.
$3,730.50
46124T8Closure of full-face burn wounds using autologous skin grafting, autologous skin cell suspension, or temporary allogenic/biosynthetic substitutes, performed at the same time as primary burn excision.
$2,059.45
46130T8Definitive closure of burn wounds or skin defects from necrotising fasciitis or scar contracture (under 1% body surface) using autologous grafts or cell suspension, following temporary closure or dressings.
$404.00
46131T8Definitive burn wound closure or skin defect repair covering 1–3% of body surface using autologous tissue or cell suspension, following temporary closure or simple dressings.
$641.30
46132T8Definitive burn wound closure or skin defect repair covering 3–10% of body surface using autologous tissue or cell suspension, following temporary wound closure or dressings.
$703.35
46133T8Definitive closure of burn wounds or skin defects from necrotising fasciitis/scar contracture involving 10–20% body surface using autologous tissue (or autologous skin cell suspension for patients under 15, or over 15 if total area treated is 20%+ bo…
$1,073.10
46134T8Surgical closure of severe burn or necrotising fasciitis wounds covering 20–30% of body surface using autologous skin grafts or cell suspension, following temporary non-autologous closure.
$2,374.90
46135T8Definitive closure of severe burn wounds or necrotising fasciitis skin defects (≥30% body surface) using autologous grafts or cell suspensions, following temporary non-autologous closure.
$3,730.50
46136T8Definitive closure of full-face burn wounds or necrotising fasciitis defects using autologous tissue, cells, or grafts following temporary non-autologous closure.
$2,059.45
50200T8Core needle biopsy of aggressive or potentially malignant bone or soft tissue tumour under anaesthesia, limited to twice per 12 months per provider.
$225.25
50201T8Incisional biopsy of aggressive or potentially malignant bone or soft tissue tumour, limited to twice per 12 months per provider, excluding follow-up care.
$394.35
51300T9Assistant at surgical operations in Group T8 marked "(Assist.)" with individual fee not exceeding $668.25, or combined fees for multiple operations not exceeding $668.25 aggregate.
$103.25
51303T9Surgical assistance at complex operating theatre procedures in Group T8 where individual or combined procedure fees exceed $668.25.
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51800O2Dental practitioner assistance during oral and maxillofacial surgery procedures, provided the fee or aggregate fee for assisted items does not exceed $668.25.
$103.25
51803O2Dental practitioner assistance during oral and maxillofacial surgery procedures with individual fees exceeding $668.25 or combined fees exceeding $668.25 for multiple procedures.
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55066I1Bilateral breast ultrasound scan performed during an ultrasound-guided surgical intervention procedure, provided no other breast intervention items apply.
$257.00
55071I1Ultrasound scan of one breast performed during an interventional surgical procedure, when ultrasound guidance is required and no other related breast intervention items apply on the same day.
$244.25
55133I1Serial transthoracic echocardiography with colour flow mapping from multiple windows for investigating pericardial effusion/pericarditis or monitoring cardiotoxic medication effects, not concurrent with other cardiac imaging.
$244.60
55812I1Ultrasound scan of chest or abdominal wall covering one or more areas.
$128.60
63464I5Bilateral breast MRI for asymptomatic women under 60 with high genetic risk, prior early breast cancer, prior mantle radiation, or calculated high lifetime/10-year risk; limited to once per 12 months.
$793.75
65150P1Measurement of multiple coagulation factors and inhibitors (von Willebrand factor, factors II, V, VII, VIII, IX, X, XI, XII, XIII, prekallikrein, high-molecular-weight kininogen, and circulating inhibitors excluding Bethesda assay) in one test.
$74.50
69499P3Hepatitis C viral RNA detection for seropositive patients, those with inconclusive serology, immunosuppressed patients, or suspected acute hepatitis C; limited to once per 12 months.
$92.20
69500P3A test performed by an accredited allied health professional who receives a referral, subject to practice rules 18 and 25 regarding referral requirements and frequency limitations.
$92.20
82118M13Midwife management of labour and birth for an admitted hospital patient (up to 6 hours total) when the midwife provided or is from the practice that provided antenatal care; claimable once per pregnancy.
$901.65
90001A35Initial GP visit to a residential aged care facility attracts an additional $65.80 fee on top of the relevant consultation item.
$65.80
90002A35Initial patient visit by a medical practitioner at a residential aged care facility attracts an additional $47.80 fee on top of the standard consultation item fee.
$47.80
93718M33Participating nurse practitioner assistance at surgical operations in Group T8 marked "(Assist.)" with individual or combined fees not exceeding $668.25.
$103.25
93719M33Nurse practitioner assistance at surgical operations in Group T8 with individual or combined fees exceeding $668.25.