Group T2: Radiation Oncology
44 items with their schedule fees and Medicare benefits.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 15900Intraoperative targeted radiation therapy (Intrabeam or Xoft Axxent) delivered during breast-conserving surgery for early-stage, low-grade, oestrogen-receptor positive breast cancer in patients aged 45+ with node-negative disease; once per breast lif… | $299.20 | $224.40 | — |
| 15902Radiation therapy simulation and dosimetry planning for single-site treatment using clinical marking and two-dimensional techniques, with point-based dose calculation from tables or charts, limited to once per treatment course. | $762.15 | $571.65 | $657.65 (85%) |
| 15904Simple 2D radiation therapy planning and dosimetry for straightforward cases requiring basic simulation, patient setup, imaging, and dose-point calculations without dose-volume histograms, applicable once per treatment course. | $1,116.65 | $837.50 | $1,012.15 (85%) |
| 159063D radiation therapy simulation and dosimetry planning without motion management, including patient setup, high-quality imaging in treatment position, dose calculation to 3D structures with dose-volume histograms, and organ-at-risk assessment; once p… | $1,721.70 | $1,291.30 | $1,617.20 (85%) |
| 15908Complex 3D radiation therapy simulation and dosimetry planning with motion management, including reproducible patient set-up, high-quality imaging, dose-volume histogram analysis, and organ-at-risk assessment; once per treatment course. | $2,783.40 | $2,087.55 | $2,678.90 (85%) |
| 15910Standard IMRT simulation and dosimetry planning for single-dose level radiotherapy, including 3D imaging, inverse planning with dose-volume optimization, and organ-at-risk constraints; applicable once per treatment course. | $4,352.40 | $3,264.30 | $4,247.90 (85%) |
| 15912Additional dosimetry plan for replanning standard IMRT treatment when initial plan adjustments don't meet protocol requirements; limited to once per treatment course. | $2,176.20 | $1,632.15 | $2,071.70 (85%) |
| 15914Complex IMRT simulation and dosimetry planning with 3D/4D imaging, motion management, multi-structure dose optimisation, inverse planning, and DVH analysis for multiple or single-dose IMRT; once per treatment course. | $6,255.35 | $4,691.55 | $6,150.85 (85%) |
| 15916Additional dosimetry plan for re-planning complex IMRT treatment when initial plan adjustments don't meet protocol requirements; once per course. | $3,127.65 | $2,345.75 | $3,023.15 (85%) |
| 15918Planning and dosimetry for intracranial stereotactic radiation therapy using non-coplanar or rotational beams, including precise immobilisation, 3D imaging, multi-target dose calculations with organ-at-risk constraints, and validated stereotactic alg… | $7,013.95 | $5,260.50 | $6,909.45 (85%) |
| 15920Complex radiation therapy planning for stereotactic body radiation therapy (SBRT) using advanced imaging, multi-beam techniques, and detailed dose optimisation to target tumours while minimising exposure to nearby organs; once per treatment course. | $7,013.95 | $5,260.50 | $6,909.45 (85%) |
| 15922Additional dosimetry plan for re-planning intracranial SRT or SBRT when initial treatment plan adjustments are inadequate to meet protocol requirements; once per course. | $3,507.00 | $2,630.25 | $3,402.50 (85%) |
| 15924Specialised radiation therapy simulation and dosimetry planning for complex cases requiring general anaesthetic or sedation, with 3D/4D imaging in treatment position; once per treatment course. | $7,403.00 | $5,552.25 | $7,298.50 (85%) |
| 15926Specialised radiation therapy simulation and dosimetry planning for complex treatments like total skin electron therapy, total body irradiation, or intensity-modulated radiotherapy, including personalised setup, three-dimensional imaging, and validat… | $7,403.00 | $5,552.25 | $7,298.50 (85%) |
| 15928Additional dosimetry plan for re-planning specialised radiation therapy when initial plan adjustments don't meet treatment protocol requirements; once per course. | $3,701.50 | $2,776.15 | $3,597.00 (85%) |
| 15930Simple single-field megavoltage radiation therapy without imaging for field setting, delivered via registered therapeutic device using one-dimensional planning, up to twice daily per plan. | $95.90 | $71.95 | $81.55 (85%) |
| 15932Radiation therapy with image-guided verification for simple two-dimensional treatment plans using registered therapeutic devices, up to twice daily per plan. | $119.45 | $89.60 | $101.55 (85%) |
| 15934Megavoltage radiation therapy using 3D treatment planning with image guidance and verification, delivered up to twice daily per treatment plan. | $268.90 | $201.70 | $228.60 (85%) |
| 15936Radiation therapy using image-guided 3D treatment with motion management, up to twice daily per treatment plan. | $292.50 | $219.40 | $248.65 (85%) |
| 15938Standard single-dose IMRT treatment with image guidance and verification, delivered up to twice daily per plan using registered therapeutic devices. | $292.50 | $219.40 | $248.65 (85%) |
| 15940Complex 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. | $321.75 | $241.35 | $273.50 (85%) |
| 15942Intracranial stereotactic radiation therapy with image guidance for precise brain tumor or lesion targeting, delivered once daily using approved equipment with documented imaging decisions. | $829.30 | $622.00 | $724.80 (85%) |
| 15944Stereotactic body radiation therapy (SBRT) treatment delivery with image guidance for precise targeting, limited to once daily per site and maximum 2 sites. | $829.30 | $622.00 | $724.80 (85%) |
| 15946Specialised radiation therapy treatment using advanced techniques under anaesthetist-supervised sedation or general anaesthetic, delivered once daily per treatment plan. | $953.70 | $715.30 | $849.20 (85%) |
| 15948Specialist radiation therapy using advanced techniques (e.g. total skin electron or total body irradiation) with therapeutic goods-registered equipment, up to twice daily. | $953.70 | $715.30 | $849.20 (85%) |
| 15950Kilovoltage radiation therapy simulation and dosimetry for simple, single-field treatment planning based on clinical marking without imaging, suitable for 2D therapy with point-dose calculation from tables or charts; once per treatment course. | $214.00 | $160.50 | $181.90 (85%) |
| 15952Kilovoltage radiation therapy treatment to a single body site, excluding eye treatments with internal shields. | $57.60 | $43.20 | $49.00 (85%) |
| 15954Kilovoltage radiation therapy (50–500 kV) to each additional anatomical site after initial treatment under item 15952, excluding orbital sites with internal eye shields. | $23.15 | $17.40 | $19.70 (85%) |
| 15956Kilovoltage radiation therapy (50–500 kV) to orbital structures with an internal eye shield placed to protect intraocular tissues. | $70.85 | $53.15 | $60.25 (85%) |
| 15958Simple placement or removal of brachytherapy devices (vaginal cylinders, ovoids, rings, moulds, or surface applicators with fixed catheters) without image guidance. | $111.80 | $83.85 | $95.05 (85%) |
| 15960Design and manufacture of a custom brachytherapy applicator or mould using 3D imaging data, including removal of applicators, catheters or needles. | $154.20 | $115.65 | $131.10 (85%) |
| 15962Complex insertion of brachytherapy devices (intrauterine tubes, endocavity applicators, intraluminal or endovascular catheters) with image guidance and radiation oncologist attendance, including removal of applicators. | $335.30 | $251.50 | $285.05 (85%) |
| 15964Complex insertion and removal of hybrid or multi-catheter brachytherapy applicators with image guidance, requiring a radiation oncologist present at service initiation. | $447.15 | $335.40 | $380.10 (85%) |
| 15966Complex interstitial brachytherapy implant insertion (temporary catheters/needles or permanent radioactive sources, including breast applicators) with image guidance and radiation oncologist attendance, including removal. | $558.85 | $419.15 | $475.05 (85%) |
| 15968Complex interstitial brachytherapy implant insertion requiring surgical exposure with radiation oncologist present, including placement of catheters, needles, applicators, radioactive sources or surface moulds, plus implant and removal procedures. | $876.00 | $657.00 | $771.50 (85%) |
| 15970Simple level dosimetry for brachytherapy plans using surface or depth dose calculations from catheters or library plans, without requiring differential dose optimization, structure delineation, or three-dimensional volume planning. | $145.35 | $109.05 | $123.55 (85%) |
| 15972Dosimetry re-planning for initial brachytherapy when treatment adjustments to the original plan don't meet protocol requirements. | $72.70 | $54.55 | $61.80 (85%) |
| 15974Intermediate-level 3D dosimetry calculation for brachytherapy intracavitary/intraluminal applicators using volumetric imaging, including structure delineation, dose-volume histograms, and personalised 3D dose calculations to target and organs at risk… | $974.70 | $731.05 | $870.20 (85%) |
| 15976Revised dose calculation and planning for brachytherapy when initial treatment adjustments don't meet protocol requirements. | $487.40 | $365.55 | $414.30 (85%) |
| 15978Complex 3D brachytherapy dosimetry planning for multi-source/needle applicators with dose optimisation to target and organs at risk, including structure delineation and DVH analysis. | $1,132.65 | $849.50 | $1,028.15 (85%) |
| 15980Recalculation and modification of an initial brachytherapy dosimetry plan when adjustments to that plan do not meet treatment protocol requirements. | $566.40 | $424.80 | $481.45 (85%) |
| 15982Brachytherapy treatment delivery by radiation therapists and physicists with a radiation oncologist present, implementing a previously planned brachytherapy treatment plan. | $424.70 | $318.55 | $361.00 (85%) |
| 15984Verification of brachytherapy applicator, needle, catheter or radioactive source position using 2D/3D imaging or in-vivo dosimetry to guide real-time adjustments before or during treatment. | $156.45 | $117.35 | $133.00 (85%) |
| 15990Proton beam dosimetry and comparative plan reporting to assess Medical Treatment Overseas Program eligibility for proton therapy, including dose-volume histogram analysis, inverse planning, validation by radiation therapist and medical physicist, and… | $7,728.65 | $5,796.50 | $7,624.15 (85%) |