Group O3: General Surgery
81 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 51900Deep or extensively contaminated soft tissue wound debridement under general, regional, or field nerve block anaesthesia, including suturing if needed. | $390.25 | $292.70 | $331.75 (85%) |
| 51902Dressing of oral and maxillofacial wounds under general anaesthesia, including suture removal if needed, when not part of another listed oral surgical procedure. | $88.50 | $66.40 | — |
| 51904Surgical removal of a wedge of skin or fat in one location under anaesthesia with surgical assistance. | $544.40 | $408.30 | — |
| 51906Surgical removal of 2 or more wedges of skin or fat under general anaesthesia with surgical assistance. | $827.90 | $620.95 | — |
| 52000Repair of a small (≤7cm), superficial recent wound on the face or neck under anaesthesia. | $98.70 | $74.05 | $83.90 (85%) |
| 52003Surgical repair of a fresh wound on the face or neck up to 7cm long that extends into deeper tissue, performed under anaesthesia. | $140.70 | $105.55 | $119.60 (85%) |
| 52006Repair of a large (>7cm) superficial wound on the face or neck under anaesthesia. | $140.70 | $105.55 | $119.60 (85%) |
| 52009Repair of a large fresh wound (over 7cm) on the face or neck involving deeper tissue layers, requiring anaesthesia. | $222.10 | $166.60 | $188.80 (85%) |
| 52010Surgical repair of full-thickness lacerations to the ear, eyelid, nose or lip with layer-by-layer tissue apposition, including anaesthesia and assistance. | $304.00 | $228.00 | $258.40 (85%) |
| 52012Removal of a superficial foreign body under anaesthesia as a standalone procedure. | $28.15 | $21.15 | $23.95 (85%) |
| 52015Removal of a subcutaneous foreign body requiring surgical incision and suturing, performed as a standalone procedure under anaesthesia. | $131.55 | $98.70 | $111.85 (85%) |
| 52018Removal of a foreign body embedded in muscle, tendon or deep tissue under anaesthesia, including assisting role. | $331.25 | $248.45 | $281.60 (85%) |
| 52021Aspiration biopsy of one or more jaw cysts to obtain diagnostic material, performed as a standalone procedure not on the same day as other jaw surgery, under anaesthesia. | $35.20 | $26.40 | $29.95 (85%) |
| 52024Removal of skin or mucous membrane tissue sample for diagnostic testing under anaesthesia, performed as a standalone procedure. | $62.55 | $46.95 | $53.20 (85%) |
| 52025Biopsy of a neck lymph node performed under anaesthesia. | $220.15 | $165.15 | $187.15 (85%) |
| 52027Biopsy of lymph node, muscle, or deep tissue/organ performed independently under anaesthesia, excluding cases covered by item 52025. | $179.25 | $134.45 | $152.40 (85%) |
| 52030Removal of sinus tract involving only superficial tissue under anaesthesia. | $107.75 | $80.85 | $91.60 (85%) |
| 52033Surgical removal of sinus tissue involving muscle and deep tissue layers, performed under anaesthesia. | $220.15 | $165.15 | $187.15 (85%) |
| 52034Treatment of premalignant oral mucous lesions using cryotherapy, diathermy, or carbon dioxide laser. | $51.50 | $38.65 | $43.80 (85%) |
| 52035Endoscopic laser treatment of tumours or blood vessel lesions in the mouth under anaesthesia. | $569.80 | $427.35 | $484.35 (85%) |
| 52036Surgical removal by excision and suture of a skin, subcutaneous or mucosal tumour, cyst, ulcer or scar up to 3 cm, excluding scars from surgical approach incisions. | $151.95 | $114.00 | $129.20 (85%) |
| 52039Surgical removal of 4–10 skin, subcutaneous, or mucous membrane lesions (tumours, cysts, ulcers, or scars) up to 3 cm each, with excision and suturing under anaesthesia. | $390.25 | $292.70 | $331.75 (85%) |
| 52042Removal of a skin or subcutaneous tumour, cyst, ulcer or scar larger than 3 cm under anaesthesia. | $206.45 | $154.85 | $175.50 (85%) |
| 52045Surgical removal of non-dental tumour, cyst, ulcer or scar involving muscle, bone or deep tissue under anaesthesia, where not covered by other oral surgery items. | $295.10 | $221.35 | $250.85 (85%) |
| 52048Removal of a tumour or deep cyst requiring wide excision, excluding cysts associated with teeth unless radiologically confirmed as separated by at least 5mm or histologically proven as tumour/cyst. | $444.65 | $333.50 | — |
| 52051Removal of an extensive soft tissue tumour (muscle, fascia or connective tissue) without skin or mucosal graft, under anaesthesia with assistance. | $601.15 | $450.90 | — |
| 52054Extensive removal of a soft tissue tumour including muscle, fascia or connective tissue with skin or mucosal graft reconstruction under anaesthesia with surgical assistance. | $703.25 | $527.45 | — |
| 52055Incision and drainage of small haematoma, abscess or cellulitis treated in outpatient setting, excluding post-operative care. | $32.75 | $24.60 | $27.85 (85%) |
| 52056Aspiration of a haematoma under anaesthesia to drain blood collection. | $32.75 | $24.60 | $27.85 (85%) |
| 52057Incision and drainage of large oral or maxillofacial infections or collections (haematoma, abscess, carbuncle, cellulitis) under anaesthesia, excluding post-operative care. | $195.05 | $146.30 | — |
| 52058Percutaneous drainage of a deep abscess using interventional imaging guidance, excluding the imaging itself, with anaesthesia. | $284.35 | $213.30 | $241.70 (85%) |
| 52059Exchange of drainage tube in an abscess under anaesthesia using interventional imaging guidance, excluding imaging costs. | $320.35 | $240.30 | $272.30 (85%) |
| 52060Excision of muscle tissue in the oral and maxillofacial region under anaesthesia. | $226.75 | $170.10 | — |
| 52061Repair of a limited rupture of muscle in the oral and maxillofacial region without an external wound, including anaesthesia. | $267.60 | $200.70 | — |
| 52062Surgical repair of extensive ruptured muscle in the oral and maxillofacial region without an external wound, including anaesthesia and assistance. | $353.90 | $265.45 | — |
| 52063Surgical excision of a benign bone tumour under anaesthesia with assistance, where no other specific bone tumour item applies. | $426.55 | $319.95 | $362.60 (85%) |
| 52064Injection into or aspiration of a bone cyst under anaesthesia. | $202.90 | $152.20 | $172.50 (85%) |
| 52066Surgical removal of the submandibular gland under general anaesthesia with surgical assistance. | $533.15 | $399.90 | — |
| 52069Surgical removal of a sublingual gland under general anaesthesia. | $237.65 | $178.25 | — |
| 52072Surgical dilation or diathermy treatment of a salivary gland duct under anaesthesia. | $70.40 | $52.80 | $59.85 (85%) |
| 52073Surgical repair of a cutaneous fistula of the salivary gland under anaesthesia. | $179.25 | $134.45 | — |
| 52075Surgical removal of salivary gland calculus from a duct, meatotomy, or marsupialisation procedure(s) under anaesthesia. | $179.25 | $134.45 | $152.40 (85%) |
| 52078Partial surgical removal of the tongue under general anaesthesia with surgical assistance. | $353.90 | $265.45 | — |
| 52081Division or excision of the frenulum (tongue tie) under anaesthesia. | $55.60 | $41.70 | $47.30 (85%) |
| 52084Division or excision of tongue tie or frenulum in patients aged 2 years or over, performed under anaesthesia. | $142.95 | $107.25 | $121.55 (85%) |
| 52087Surgical removal of a ranula or mucous cyst in the mouth under anaesthesia. | $245.00 | $183.75 | $208.25 (85%) |
| 52090Surgical treatment of chronic osteomyelitis affecting the lower or upper jaw bones, requiring anaesthesia and surgical assistance. | $426.55 | $319.95 | $362.60 (85%) |
| 52092Surgical treatment of bone infection in the skull, including anaesthesia and surgical assistance. | $556.05 | $417.05 | — |
| 52094Surgical operation on multiple adjoining bones in the oral and maxillofacial region, requiring anaesthesia and an assistant. | $703.20 | $527.40 | — |
| 52095Surgical insertion of a bone growth stimulator device in the jaw/facial region under anaesthesia with surgical assistance. | $455.80 | $341.85 | — |
| 52096Insertion of an orthopaedic pin or wire into the upper or lower jaw or cheekbone, performed as a standalone procedure under anaesthesia. | $135.05 | $101.30 | $114.80 (85%) |
| 52097Removal of external fixation device under anaesthesia in a hospital operating theatre. | $191.60 | $143.70 | — |
| 52098Removal of external fixation device from the jaw or facial bones when performed with internal fixation and/or bone grafting. | $225.25 | $168.95 | — |
| 52099Removal of one or more buried wires, pins or screws from the jaw or cheekbone under anaesthesia with incision and suturing, charged per bone affected. | $169.00 | $126.75 | $143.65 (85%) |
| 52102Removal of one or more buried wires, pins or screws from the jaw or cheekbone under general anaesthesia in hospital, including incision and suturing, charged per bone affected. | $169.00 | $126.75 | — |
| 52105Removal of one or more plates, screws and wires from upper or lower jaw or cheekbone under anaesthesia with incision, dissection and suturing, per bone. | $315.50 | $236.65 | — |
| 52106Removal of one or more dental arch bars from the upper or lower jaw under general anaesthesia in a hospital operating theatre. | $130.35 | $97.80 | — |
| 52108Full thickness wedge excision of the lip with direct suture repair under anaesthesia, including assistant. | $390.25 | $292.70 | $331.75 (85%) |
| 52111Surgical removal of the vermilion border of the lip under anaesthesia, with assistance provided. | $390.25 | $292.70 | $331.75 (85%) |
| 52114Surgical removal of a segment of the lower or upper jaw bone for tumours or cysts, including anaesthesia and surgical assistance. | $703.25 | $527.45 | — |
| 52117Surgical resection of half or more of the lower jaw or upper jaw, including the lower border, requiring anaesthesia and surgical assistance. | $837.15 | $627.90 | — |
| 52120Surgical removal of the mandible or half of the mandible, which may include removal of the condyle, performed under anaesthesia with surgical assistance. | $990.20 | $742.65 | — |
| 52122Surgical reconstruction of half or all of the lower jaw or upper jaw using bone graft, plate, tray or synthetic material, excluding cases covered by item 52123. | $990.20 | $742.65 | — |
| 52123Total removal of both sides of the mandible including condyles if needed, with anaesthesia and surgical assistance. | $1,121.00 | $840.75 | — |
| 52126Total resection of the maxilla (upper jaw bone), including anaesthesia and surgical assistance. | $1,077.70 | $808.30 | — |
| 52129Total resection of both maxillae (upper jaw bones), including anaesthesia and surgical assistance. | $1,442.70 | $1,082.05 | — |
| 52130Surgical placement of bone graft material in oral and maxillofacial areas not covered by other specific items, under general anaesthesia with surgical assistance. | $529.55 | $397.20 | — |
| 52131Bone graft with internal fixation in oral and maxillofacial surgery, excluding those covered by other specified items, performed under anaesthesia with surgical assistance. | $732.50 | $549.40 | — |
| 52132Anaesthetic services for tracheostomy procedure, including induction, maintenance, and recovery management during surgical airway establishment. | $298.00 | $223.50 | $253.30 (85%) |
| 52133Emergency airway procedure using a small bore catheter inserted through the cricothyroid membrane via direct stab or Seldinger technique, typically for temporary ventilation when standard intubation is not possible. | $108.95 | $81.75 | $92.65 (85%) |
| 52135Control of post-operative or post-nasal haemorrhage in a hospital operating theatre under anaesthesia. | $172.80 | $129.60 | — |
| 52138Surgical ligation of the maxillary artery, typically for haemorrhage control; requires anaesthesia and surgical assistance. | $536.85 | $402.65 | — |
| 52141Ligation of facial, mandibular or lingual artery or vein (or both) under general anaesthesia with assistance, excluding emergency haemorrhage control. | $531.10 | $398.35 | — |
| 52144Removal of a deep foreign body using image-guided interventional techniques, with anaesthesia and surgical assistance. | $495.00 | $371.25 | — |
| 52147Surgical transposition of a major salivary gland duct, performed under anaesthesia with surgical assistance. | $467.10 | $350.35 | — |
| 52148Surgical repair of a damaged parotid duct using microsurgical techniques, requiring general anaesthesia and surgical assistance. | $825.65 | $619.25 | — |
| 52158Surgical relocation of submandibular ducts to manage drooling, requiring anaesthesia and surgical assistance. | $1,329.35 | $997.05 | — |
| 52180Biopsy of aggressive or potentially malignant bone or deep soft tissue tumour under anaesthesia, excluding follow-up care. | $225.25 | $168.95 | $191.50 (85%) |
| 52182Surgical excision of bone tumour or deep malignant soft tissue tumour in the oral and maxillofacial region, performed with anaesthesia and surgical assistance. | $495.80 | $371.85 | — |
| 52184Surgical removal of bone tumour in jaw or facial region using lesional or marginal excision combined with liquid nitrogen freezing, autograft, allograft or cementation, including anaesthesia and assistance. | $732.50 | $549.40 | — |
| 52186Excision of bone tumour in jaw/facial area combined with at least 2 procedures such as freezing, grafting or cementation, requiring anaesthesia and assistance. | $901.55 | $676.20 | — |