Group T8: Surgical Operations
2,632 items with their schedule fees and Medicare benefits; showing 30596–32012.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 30596Surgical repair or partial removal of the spleen under anaesthesia with surgical assistance. | $1,073.95 | $805.50 | — |
| 30599Surgical removal of an enlarged spleen weighing over 1500 grams or requiring thoraco-abdominal incision, including anaesthesia and assistance. | $1,564.25 | $1,173.20 | — |
| 30600Emergency surgical repair of a torn diaphragm or diaphragmatic hernia resulting from recent abdominal or chest trauma, performed via any approach and including associated trauma procedures. | $930.15 | $697.65 | — |
| 30601Surgical repair of congenital or traumatic diaphragmatic hernia via thoracic or abdominal approach in patients aged 10 years and over, excluding other specified hernia repairs. | $1,145.90 | $859.45 | — |
| 30606Surgical repair of bleeding oesophageal or gastric varices caused by portal hypertension, using stapling or oversewing with optional devascularisation, including anaesthesia and assistance. | $1,329.50 | $997.15 | — |
| 30608Surgical resection of small intestine with anastomosis in children under 10 years, including anaesthesia and surgical assistance. | $1,506.00 | $1,129.50 | — |
| 30611Surgical removal of benign soft tissue tumors (excluding skin, cartilage, bone, and simple lipomas) in children under 10 years with histological confirmation, including anesthesia and assistance. | $674.35 | $505.80 | $573.20 (85%) |
| 30615Repair of strangulated, incarcerated or obstructed hernia without bowel resection in patients aged 10+ years, including anaesthesia and assistance. | $623.95 | $468.00 | — |
| 30618Surgical removal of one or two levels of lymph nodes from one side of the neck in children under 10 years, including surrounding soft tissue. | $625.10 | $468.85 | — |
| 30619Anaesthetic assistance for laparoscopic splenectomy in children under 10 years old. | $1,120.65 | $840.50 | — |
| 30621Open or minimally invasive repair of symptomatic umbilical, epigastric or linea alba hernia with mesh in patients aged 10+, excluding specified alternative procedures. | $487.75 | $365.85 | — |
| 30622Surgical procedures on the abdomen or digestive tract in children under 10 years, including ostomies, intussusception reduction, ulcer repair, volvulus reduction, and pancreas drainage, with anaesthesia and assistance. | $811.15 | $608.40 | — |
| 30623Surgical removal of abdominal adhesions via laparotomy in children under 10 years, with anaesthesia and assistance, when no other intra-abdominal procedure is performed. | $811.15 | $608.40 | — |
| 30626Surgical division of abdominal adhesions lasting 45 minutes to 2 hours performed with another intra-abdominal procedure in children under 10 years, including anaesthesia and assistance. | $814.90 | $611.20 | — |
| 30627Diagnostic laparoscopy alone in children under 10 years, with anaesthesia. | $342.20 | $256.65 | — |
| 30628Drainage of fluid from the scrotum (hydrocele) by needle aspiration. | $42.60 | $31.95 | $36.25 (85%) |
| 30629Surgical removal of one testicle and spermatic cord via the groin for cancer, without prosthesis insertion, excluding cases already covered by related procedures. | $623.95 | $468.00 | — |
| 30630Surgical insertion of a testicular prosthesis at least 6 months after orchidectomy, including anaesthesia and surgical assistance. | $567.05 | $425.30 | — |
| 30631Surgical removal of hydrocele (fluid around the testicle) when not performed as part of another testicular procedure, requires anaesthesia. | $283.25 | $212.45 | — |
| 30635Surgical correction of varicocele using microsurgical techniques, excluding cases associated with other specified urological procedures. | $349.25 | $261.95 | — |
| 30636Non-endoscopic insertion or replacement of a gastrostomy button, caecostomy antegrade enema device, or stomal indwelling device in children under 10 years, including anaesthesia. | $279.10 | $209.35 | $237.25 (85%) |
| 30637Closure of an enterostomy or colostomy without bowel resection in a child under 10 years, with anaesthesia and surgical assistance. | $925.90 | $694.45 | — |
| 30639Refashioning of colostomy or ileostomy in children under 10 years, including anaesthesia and surgical assistance. | $925.90 | $694.45 | — |
| 30640Surgical repair of large irreducible scrotal hernia exceeding 2 hours in patients aged 10+, excluding specific other hernia procedures. | $1,095.10 | $821.35 | — |
| 30641Removal of one testicle (simple or subcapsular technique), with optional prosthesis insertion, under anaesthesia with surgical assistance. | $487.75 | $365.85 | — |
| 30642Surgical removal of one testicle and spermatic cord via inguinal approach for cancer, including insertion of a testicular prosthesis, excluding cases already covered by related prostate or bladder procedures. | $907.45 | $680.60 | — |
| 30643Surgical exploration of the spermatic cord via inguinal approach in children under 10, including possible testicular biopsy or removal of cord lesions, excluding cases already covered by items 30629, 30630 or 30642. | $811.15 | $608.40 | — |
| 30644Surgical exploration of the spermatic cord via inguinal approach, including optional testicular biopsy or removal of cord lesions, for patients aged 10+, excluding cases already covered by related items. | $623.95 | $468.00 | — |
| 30645Anaesthetic assistance for appendicectomy in children under 10 years, excluding services covered by item 30574. | $692.95 | $519.75 | — |
| 30646Assistive anaesthesia for laparoscopic appendectomy in children under 10 years. | $692.95 | $519.75 | — |
| 30648Surgical repair of femoral, inguinal hernia or infantile hydrocele in patients aged 10+ years using open or minimally invasive techniques, excluding specific other procedures. | $556.05 | $417.05 | — |
| 30649Emergency control of bleeding after circumcision in children under 10 years, performed under general anaesthesia. | $224.65 | $168.50 | — |
| 30651Repair of ventral hernia using primary suture closure with optional mesh (onlay or intraperitoneal) in patients aged 10+, via open or minimally invasive approach, excluding cases requiring fascial advancement or associated with specified concurrent p… | $623.95 | $468.00 | — |
| 30652Repair of recurrent groin hernia using open or minimally invasive techniques with or without mesh in patients aged 10 years and over. | $623.95 | $468.00 | — |
| 30654Circumcision of the penis under topical or local analgesia, excluding procedures covered by item 30658. | $55.60 | $41.70 | $47.30 (85%) |
| 30655Repair of ventral hernia in patients aged 10+ using retro-rectus, pre-peritoneal or sublay techniques via open or minimally invasive approach, excluding concurrent procedures. | $1,095.10 | $821.35 | — |
| 30657Surgical repair of one side of the abdominal wall using component separation technique with muscle releases to close the defect by moving the rectus muscles toward the center, via open or minimally invasive surgery. | $1,559.40 | $1,169.55 | — |
| 30658Circumcision performed under general or regional anaesthesia when done alongside another Group T7 or T10 procedure. | $169.90 | $127.45 | $144.45 (85%) |
| 30661Surgical repair of circumcision complications, performed with another Group T7 or T10 service, excluding those linked to item 45206, with anaesthesia. | $459.15 | $344.40 | — |
| 30662Surgical repair of a single genital defect resulting from circumcision complication using local flap technique, excluding cases linked to specific related items. | $918.05 | $688.55 | — |
| 30663Arrest of haemorrhage following circumcision under general anaesthesia in patients aged 10 years or over. | $172.80 | $129.60 | — |
| 30664ERCP with single-operator peroral cholangioscopy and biopsy to diagnose biliary strictures after prior ERCP with indeterminate cytology/biopsy results, limited to 2 times yearly (or 3 times if PSC). | $700.70 | $525.55 | — |
| 30665ERCP with peroral cholangioscopy and laser or electrohydraulic lithotripsy to remove large or stricture-proximal bile duct stones after failed standard extraction, up to 2 times per treatment cycle. | $980.15 | $735.15 | — |
| 30666Surgical reduction of paraphimosis or phimosis under general anaesthesia, with or without dorsal incision, when not part of another listed procedure. | $56.80 | $42.60 | — |
| 30672Surgical removal of the coccyx (tailbone) under anaesthesia with surgical assistance. | $533.15 | $399.90 | — |
| 30676Surgical excision of pilonidal sinus or cyst, or sacral sinus or cyst, performed under anaesthesia. | $453.70 | $340.30 | — |
| 30679Injection of sclerosant fluid under anaesthesia to treat pilonidal sinus disease. | $115.25 | $86.45 | — |
| 30680Balloon enteroscopy of small bowel via mouth with or without biopsy for diagnosis of obscure gastrointestinal bleeding in anaemic or actively bleeding patients after upper endoscopy and colonoscopy have been non-diagnostic. | $1,400.40 | $1,050.30 | — |
| 30682Balloon enteroscopy of small bowel via anus with or without biopsy for obscure GI bleeding diagnosis in anaemic or actively bleeding patients with recurrent/persistent bleeding after negative upper endoscopy and colonoscopy. | $1,400.40 | $1,050.30 | — |
| 30684Balloon enteroscopy of small bowel via mouth with biopsy and/or therapeutic procedures (polypectomy, foreign body removal, coagulation) for obscure GI bleeding in anaemic patients or those with active bleeding, after upper endoscopy and colonoscopy h… | $1,723.30 | $1,292.50 | — |
| 30686Balloon enteroscopy of small bowel via anus with biopsy/polypectomy/foreign body removal for obscure GI bleeding in anaemic/actively bleeding patients after upper endoscopy and colonoscopy have been non-diagnostic. | $1,723.30 | $1,292.50 | — |
| 30687Endoscopic radiofrequency ablation of Barrett's oesophagus with confirmed high-grade dysplasia, performed as a single treatment course under anaesthesia. | $569.80 | $427.35 | — |
| 30688Endoscopic ultrasound with or without biopsy for staging oesophageal, gastric or pancreatic cancer, excluding routine chronic pancreatitis monitoring. | $436.80 | $327.60 | — |
| 30690Endoscopic ultrasound with or without biopsy and fine needle aspiration of lymph nodes for staging oesophageal, gastric or pancreatic cancer, excluding routine chronic pancreatitis monitoring. | $674.30 | $505.75 | — |
| 30692Endoscopic ultrasound with or without biopsy for diagnosing pancreatic, biliary, or gastric submucosal tumours, excluding routine chronic pancreatitis monitoring. | $436.80 | $327.60 | — |
| 30694Endoscopic ultrasound with or without biopsy and fine needle aspiration to diagnose pancreatic, biliary or gastric submucosal tumours, excluding routine chronic pancreatitis monitoring. | $674.30 | $505.75 | — |
| 30720Surgical removal of the appendix in patients aged 10+ via laparoscopic or open right iliac fossa approach, including conversion from laparoscopy to open surgery, excluding anaesthesia services. | $533.15 | $399.90 | — |
| 30721Abdominal surgery via open or keyhole approach with optional biopsies and adhesion division (up to 45 minutes), when no other intra-abdominal procedure is performed. | $578.40 | $433.80 | — |
| 30722Laparotomy or laparoscopy in patients aged 10+ including procedures such as colostomy, enterostomy, cholecystostomy, gastrostomy, intussusception reduction, viscus repair, volvulus reduction, or pancreatic drainage, with adhesion division limited to… | $623.95 | $468.00 | — |
| 30723Surgical drainage of an intra-abdominal, pancreatic, or retroperitoneal collection or abscess via open, laparoscopic, or extra-peritoneal approach, including anaesthesia and assistance. | $623.95 | $468.00 | — |
| 30724Surgical division of adhesions via open or keyhole surgery lasting 45 minutes to 2 hours, as a standalone procedure or to access the surgical field during another procedure. | $626.85 | $470.15 | — |
| 30725Laparotomy or laparoscopy for intestinal obstruction or extensive complex adhesion division lasting ≥2 hours, performed as primary procedure or adjunctive access procedure. | $1,110.90 | $833.20 | — |
| 30730Surgical resection of small intestine with removal of diverticulum (such as Meckel's) or stricturoplasty, including anastomosis. | $1,158.45 | $868.85 | — |
| 30731Surgical opening of the small intestine during surgery to allow endoscopic examination with a flexible scope, including biopsies if needed, with anaesthesia and surgical assistance. | $869.00 | $651.75 | — |
| 30732Surgical removal of peritoneal tissue with heated chemotherapy infusion lasting over 5 hours, including anaesthetic assistance. | $4,757.75 | $3,568.35 | — |
| 30750Surgical removal of the oesophagus with replacement using colon or jejunal tissue graft, including all gastrointestinal connections and chest or neck anastomoses as needed. | $2,468.35 | $1,851.30 | — |
| 30751Surgical removal of the oesophagus with reconstruction using colon or jejunal graft, including all gastrointestinal anastomoses and chest or neck anastomoses as needed; principal surgeon role in conjoint procedure. | $2,468.35 | $1,851.30 | — |
| 30752Surgical removal of the oesophagus with colon or jejunal interposition graft via any approach, including gastrointestinal anastomoses and chest/neck anastomoses; co-surgeon role (anaesthetist assisting). | $1,851.20 | $1,388.40 | — |
| 30753Surgical removal of the oesophagus via open or keyhole approach, including stomach reconstruction and joining of remaining structures in the neck or chest. | $2,059.75 | $1,544.85 | — |
| 30754Surgical removal of the oesophagus via open or minimally invasive approach, including stomach mobilisation and reconstruction with anastomosis in neck or chest; principal surgeon role. | $2,059.75 | $1,544.85 | — |
| 30755Surgical removal of the oesophagus via abdominal, thoracic or minimally invasive approach, including gastric reconstruction and anastomosis, performed by co-surgeons with anaesthetic assistance. | $1,544.80 | $1,158.60 | — |
| 30756Surgical repair of reflux disease using fundoplication, with or without heart repositioning or hiatus closure, by any approach, excluding certain procedures. | $1,042.85 | $782.15 | — |
| 30760Surgical assistance for vagotomy (cutting the vagus nerve) with or without gastroenterostomy, pyloroplasty, or other drainage procedure under anaesthesia. | $703.95 | $528.00 | — |
| 30761Surgical repair of bleeding peptic ulcer via laparoscopy or laparotomy, including suturing or wedge excision, with optional vagotomy, pyloroplasty, or gastroenterostomy. | $908.15 | $681.15 | — |
| 30762Subtotal or total open or minimally invasive gastrectomy for stomach cancer, including lymph node dissection and/or splenectomy if needed. | $1,990.10 | $1,492.60 | — |
| 30763Endoscopic removal of gastric tumour 2cm or larger by local excision with any needed anastomosis, excluding polypectomy. | $808.30 | $606.25 | — |
| 30770Surgical removal of hydatid cyst contents from liver, peritoneum or internal organs, including treatment of bile ducts and reconstruction with omentum or muscle flap, under anaesthesia with assistance. | $1,001.00 | $750.75 | — |
| 30771Anaesthetic or surgical assistance service for portal hypertension shunt procedures (porto-caval, meso-caval, or selective spleno-renal shunt). | $2,019.00 | $1,514.25 | — |
| 30780Surgical creation of a bypass between the intrahepatic bile ducts and small bowel via Roux-en-Y loop for left or right hepatic ductal obstruction, with anaesthesia and assistance. | $1,681.50 | $1,261.15 | — |
| 30790Surgical drainage of a pancreatic cyst into the stomach, duodenum, or small intestine using endoscopic, open, or minimally invasive techniques, with optional ultrasound guidance. | $839.35 | $629.55 | — |
| 30791Surgical removal of necrotic pancreatic tissue via open, laparoscopic or endoscopic approach for a subsequent procedure, excluding follow-up care (anaesthetist or assistant service). | $521.50 | $391.15 | — |
| 30792Anaesthetic or assistant service for distal pancreatectomy with splenectomy performed via open or minimally invasive surgery. | $1,429.40 | $1,072.05 | — |
| 30800Surgical removal of the spleen via open or keyhole surgery, excluding cases covered by item 30792, with anaesthesia and surgical assistance. | $862.05 | $646.55 | — |
| 30810Surgical exploration of the pancreas or duodenum to locate an endocrine tumour, including imaging and either tumour removal or documentation of no tumour found, with anaesthesia and assistance. | $1,373.10 | $1,029.85 | — |
| 30820Open surgical biopsy of a neck lymph node with specimen sent for pathological examination, including anaesthesia. | $220.15 | $165.15 | $187.15 (85%) |
| 31000Mohs micrographic surgery for skin cancer on head, neck, genitalia, hand, digits, leg below knee or foot, using frozen sections and complete tissue mapping, performed by an approved Mohs surgeon, up to 6 sections. | $695.30 | $521.50 | $591.05 (85%) |
| 31001Mohs micrographic surgery for skin tumours on head, neck, genitals, hands, digits, legs below knee, or feet, using horizontal frozen sections with complete tissue mapping and histology review by an approved Mohs surgeon, for 7–12 sections. | $869.00 | $651.75 | $764.50 (85%) |
| 31002Mohs micrographic surgery for skin tumours on head, neck, genitalia, hand, digits, leg below knee or foot, with frozen section mapping and histology review by approved surgeon, 13+ sections under anaesthesia. | $1,042.85 | $782.15 | $938.35 (85%) |
| 31003Mohs micrographic surgery for skin tumours using horizontal frozen sections and complete tissue mapping, performed by an approved Mohs surgeon, for up to 6 sections. | $695.30 | $521.50 | $591.05 (85%) |
| 31004Mohs micrographic surgery for skin tumours using horizontal frozen sections with complete tissue mapping and histology review by an approved Mohs surgeon, for 7–12 tissue sections. | $869.00 | $651.75 | $764.50 (85%) |
| 31005Mohs micrographic surgery for skin tumour with horizontal frozen sections and complete tissue mapping, performed by an approved Mohs surgeon, for 13 or more sections. | $1,042.85 | $782.15 | $938.35 (85%) |
| 31206Surgical removal and suturing of a tumour, cyst, ulcer, or scar (≤10 mm) from a mucous membrane with histological examination sent; under anaesthesia. | $114.30 | $85.75 | $97.20 (85%) |
| 31211Surgical removal of a tumour, cyst, ulcer or scar from a mucous membrane (10–20 mm diameter) with histological examination under anaesthesia. | $147.35 | $110.55 | $125.25 (85%) |
| 31216Surgical removal of tumour, cyst, ulcer or scar (>20 mm) from mucous membrane with histological examination and suturing. | $171.90 | $128.95 | $146.15 (85%) |
| 31220Surgical removal of 4–10 skin lesions (tumours, lipomas, cysts, ulcers, or scars) each ≤10 mm, with sutures and histopathology of all specimens, under anaesthesia. | $256.70 | $192.55 | $218.20 (85%) |
| 31221Surgical removal of 4 to 10 lesions (each ≤10 mm) from mucous membranes with suturing and histological examination of all specimens. | $256.70 | $192.55 | $218.20 (85%) |
| 31225Surgical removal of more than 10 skin or subcutaneous lesions (each ≤10 mm), excised and sutured with histology for all specimens. | $456.40 | $342.30 | $387.95 (85%) |
| 31227Surgical removal of a single subcutaneous tumour, lipoma or cyst with suturing and histological examination of the specimen, under anaesthesia. | $160.30 | $120.25 | $136.30 (85%) |
| 31245Extensive surgical excision of skin and subcutaneous tissue for hidradenitis suppurativa (axilla, groin, natal cleft), sycosis barbae (face), or sycosis nuchae (neck), performed under anaesthesia. | $441.60 | $331.20 | — |
| 31250Excision of giant hairy or compound naevus covering at least 1% of body surface with histological confirmation, under anaesthesia. | $441.60 | $331.20 | $375.40 (85%) |
| 31340Excision of muscle, bone or cartilage when a skin malignancy is removed and specimen sent for histology, under anaesthesia. | — | — | — |
| 31344Surgical removal of lipoma (150mm+ if subcutaneous, 50mm+ if deeper/involving nerves/vessels) with histological confirmation required. | $756.10 | $567.10 | — |
| 31345Surgical removal of a subcutaneous lipoma 50–150 mm in diameter, or any subfascial lipoma, with histological confirmation required. | $252.50 | $189.40 | $214.65 (85%) |
| 31346Liposuction of one area (abdomen, upper arm, or thigh) for contour defects caused by repeated insulin injections, if lesion is subcutaneous, ≥50mm diameter, with documented imaging evidence. | $252.50 | $189.40 | $214.65 (85%) |
| 31350Surgical removal of benign soft tissue tumours (excluding skin, cartilage, bone and simple lipomas) in patients aged 10+, with histological confirmation of the specimen. | $518.65 | $389.00 | $440.90 (85%) |
| 31355Surgical removal of malignant soft tissue tumour (excluding skin, cartilage, bone) when histology confirms malignancy, under anaesthesia with assistance. | $855.20 | $641.40 | $750.70 (85%) |
| 31356Surgical excision and repair of malignant skin lesion from sensitive sites (nose, eyelid, lip, ear, digit, genitalia) where lesion diameter is less than 6 mm, with histological confirmation. | $264.90 | $198.70 | $225.20 (85%) |
| 31357Surgical excision of non-malignant skin lesion (cyst, ulcer or scar) from sensitive areas (nose, eyelid, lip, ear, digit, genitalia) with lesion diameter under 6mm, including repair and histopathology. | $131.25 | $98.45 | $111.60 (85%) |
| 31358Definitive surgical excision of malignant skin lesion from nose, eyelid, eyebrow, lip, ear, digit, genitalia or contiguous area, with excision diameter ≥6mm, histological examination, and confirmed malignancy. | $324.20 | $243.15 | $275.60 (85%) |
| 31359Surgical excision of malignant skin lesion from nose, eyelid, eyebrow, lip, ear, digit or genitalia where lesion covers at least one-third of the site area and specimen is sent for histology. | $395.15 | $296.40 | — |
| 31360Surgical excision and repair of non-malignant skin lesions (cysts, ulcers, scars) from sensitive areas (face, eyelid, ear, digit, genitalia) with excision diameter ≥6 mm, requiring histological examination. | $201.10 | $150.85 | $170.95 (85%) |
| 31361Surgical excision and repair of malignant skin lesion (excluding melanoma and other specified lesions) from face, neck, scalp, nipple, or distal limbs, with lesion under 14 mm diameter, specimen sent for histology, and malignancy confirmed. | $223.45 | $167.60 | $189.95 (85%) |
| 31362Surgical excision and repair of non-malignant skin lesions (cysts, ulcers, scars) on face, neck, scalp, nipple, or distal limbs, less than 14mm diameter, with histology. | $160.30 | $120.25 | $136.30 (85%) |
| 31363Definitive surgical excision of malignant skin lesion from face, neck, scalp, nipple, or distal limbs with excision diameter 14mm or more, including repair, with histological confirmation and anaesthesia. | $292.35 | $219.30 | $248.50 (85%) |
| 31364Surgical excision and repair of non-malignant skin lesions (cysts, ulcers, scars) from face, neck, scalp, nipple, or distal limbs when excision diameter is 14 mm or more and specimen is sent for histology. | $201.10 | $150.85 | $170.95 (85%) |
| 31365Surgical excision and repair of malignant skin lesion (excluding specific covered lesions and body sites) with excision diameter under 15mm, sent for histology with confirmed malignancy. | $189.45 | $142.10 | $161.05 (85%) |
| 31366Surgical excision and repair of a non-malignant skin lesion (excluding warts and seborrheic keratoses) under 15 mm diameter from body areas not covered by other items, with histology. | $114.30 | $85.75 | $97.20 (85%) |
| 31367Surgical excision and repair of malignant skin lesion (15–30 mm diameter) from body sites not otherwise specified, with histopathology confirmation. | $255.70 | $191.80 | $217.35 (85%) |
| 31368Surgical excision and repair of non-malignant skin lesions (excluding warts and seborrheic keratoses) 15–30 mm diameter from body areas not covered by other items, with histological examination of specimen. | $150.30 | $112.75 | $127.80 (85%) |
| 31369Definitive surgical excision of malignant skin lesion (excision diameter >30mm) from body areas not otherwise specified, including repair, with histological confirmation and anaesthesia. | $294.30 | $220.75 | $250.20 (85%) |
| 31370Surgical excision of non-malignant skin lesions (cysts, ulcers, scars) larger than 30mm from body areas not covered by other items, with histological examination and repair if needed. | $171.90 | $128.95 | $146.15 (85%) |
| 31371Surgical excision of malignant melanoma, appendageal carcinoma, connective tissue tumour or Merkel cell carcinoma from sensitive areas (face, ear, digit, genitalia) with excision diameter ≥6 mm, histology confirmation, and repair if needed. | $427.30 | $320.50 | $363.25 (85%) |
| 31372Surgical excision and repair of malignant melanoma, appendageal carcinoma, connective tissue tumour, or Merkel cell carcinoma on face, neck, scalp, nipple, or distal limbs (less than 14mm diameter) with histological confirmation. | $369.50 | $277.15 | $314.10 (85%) |
| 31373Definitive surgical excision of malignant melanoma, appendageal carcinoma, connective tissue tumour or Merkel cell carcinoma from face, neck, scalp, nipple, or distal limbs (≥14 mm diameter) with histological examination and confirmed malignancy. | $427.05 | $320.30 | $363.00 (85%) |
| 31374Surgical removal and repair of melanoma, appendageal carcinoma, connective tissue tumour or Merkel cell carcinoma of skin (excluding certain body areas), where excision diameter is less than 15 mm and malignancy is confirmed by histology. | $337.40 | $253.05 | $286.80 (85%) |
| 31375Surgical removal and repair of malignant melanoma, appendageal carcinoma, connective tissue tumour, or Merkel cell carcinoma of skin (excision diameter 15–30 mm, excluding scalp/face/neck/hands/feet/genitalia) with histology confirmation. | $363.10 | $272.35 | $308.65 (85%) |
| 31376Definitive surgical excision of malignant melanoma, appendageal carcinoma, connective tissue tumour or Merkel cell carcinoma with excision diameter >30mm from body areas not covered by other items, including repair, with histological confirmation req… | $420.85 | $315.65 | $357.75 (85%) |
| 31377Surgical excision of suspected melanoma from sensitive areas (nose, eyelid, lip, ear, digit, genitalia) with lesion under 6mm diameter, including repair and histopathology. | $131.25 | $98.45 | $111.60 (85%) |
| 31378Surgical removal of suspected melanoma from sensitive sites (face, ears, fingers, genitals) with excision diameter ≥6 mm, including repair, with histopathology of specimen. | $201.10 | $150.85 | $170.95 (85%) |
| 31379Surgical excision of clinically suspected melanoma from face, neck, scalp, nipple-areola complex, or distal limbs with excision diameter under 14 mm, including repair, with histological examination. | $160.30 | $120.25 | $136.30 (85%) |
| 31380Surgical excision of suspected melanoma from high-visibility or functionally sensitive areas (face, neck, scalp, nipple, distal limbs) with lesion ≥14 mm diameter, including repair, with histology. | $201.10 | $150.85 | $170.95 (85%) |
| 31381Surgical excision of clinically suspected melanoma from body areas excluding face/ears/scalp/neck, with lesion diameter under 15mm, including repair and histological examination. | $114.30 | $85.75 | $97.20 (85%) |
| 31382Surgical excision of clinically suspected melanoma (15–30 mm diameter) from body sites excluding head/neck/hands/feet, with histopathology and repair as needed. | $150.30 | $112.75 | $127.80 (85%) |
| 31383Surgical removal of clinically suspected melanoma from body sites excluding scalp/face/ears/neck, with excision diameter exceeding 30mm and histological examination, including repair if needed. | $171.90 | $128.95 | $146.15 (85%) |
| 31386Surgical excision and repair of malignant skin lesion from head or neck with excision diameter over 50 mm involving at least 2 critical facial areas, with histological confirmation. | $855.20 | $641.40 | — |
| 31387Surgical excision and repair of malignant skin lesion from head or neck with excision diameter exceeding 70 mm, with histological confirmation of malignancy. | $769.55 | $577.20 | — |
| 31388Surgical excision and repair of malignant skin lesion from trunk or limbs with excision diameter >120 mm, requiring histological confirmation of malignancy. | $692.55 | $519.45 | — |
| 31400Excision of malignant upper aerodigestive tract tumour (excluding lip) up to 20 mm diameter with histological confirmation of malignancy. | $312.50 | $234.40 | — |
| 31403Excision of malignant upper aerodigestive tract tumour (excluding lip) measuring 20-40mm diameter, where malignancy is histologically confirmed, with anaesthesia and assistance. | $360.65 | $270.50 | — |
| 31406Excision of malignant upper aerodigestive tract tumour (excluding lip) larger than 40 mm, requiring prior histological confirmation of malignancy. | $601.05 | $450.80 | — |
| 31409Excision of a parapharyngeal tumour via cervical approach, including anaesthesia and surgical assistance. | $1,867.35 | $1,400.55 | — |
| 31412Surgical excision of recurrent or persistent parapharyngeal tumour via cervical approach, including anaesthesia and surgical assistance. | $2,300.20 | $1,725.15 | — |
| 31423Selective removal of one or two levels of lymph nodes and soft tissue from one side of the neck in patients aged 10 years or over, excluding cases already covered by related procedures on the same side. | $480.95 | $360.75 | — |
| 31426Selective removal of lymph nodes and soft tissue from 3 levels on one side of the neck, not associated with concurrent thyroid or major head/neck cancer surgery. | $961.65 | $721.25 | — |
| 31429Selective dissection of up to 4 lymph node levels on one side of the neck while preserving the internal jugular vein, sternocleidomastoid muscle, or spinal accessory nerve. | $1,498.70 | $1,124.05 | — |
| 31432Bilateral removal of lymph nodes from levels I, II and III of the neck (supraomohyoid dissection), not performed with concurrent thyroid or parotid surgery on the same side. | $1,602.85 | $1,202.15 | — |
| 31435Comprehensive dissection of all 5 lymph node levels on one side of the neck, excluding cases where items 30256 or 30275 apply on the same side. | $1,178.10 | $883.60 | — |
| 31438Comprehensive dissection of all five lymph node levels on one side of the neck while preserving the internal jugular vein, sternocleidomastoid muscle, or spinal accessory nerve, excluding cases already covered under related procedures. | $1,867.35 | $1,400.55 | — |
| 31454Surgical drainage of bile via laparoscopy or open surgery as a standalone procedure, with anaesthesia and surgical assistance. | $674.30 | $505.75 | — |
| 31456Endoscopic placement of a nasogastric or nasoenteral feeding tube when blind insertion has failed or is medically inappropriate, performed under anaesthesia. | $293.95 | $220.50 | — |
| 31458Gastroscopy with guided nasogastric or nasoenteral feeding tube insertion when blind placement has failed or is medically inappropriate, using imaging; includes anaesthesia. | $352.65 | $264.50 | — |
| 31460Insertion of a jejunal extension tube through an existing percutaneous gastrostomy, including imaging and anaesthesia support. | $427.30 | $320.50 | — |
| 31462Operative placement of a feeding tube directly into the jejunum during major upper gastrointestinal resection surgery, with anaesthesia and surgical assistance. | $623.95 | $468.00 | — |
| 31466Revision surgery to repair a previous fundoplication (antireflux operation) via abdominal or thoracic approach, using laparoscopic or open technique, including diaphragmatic hiatus closure if needed. | $1,564.30 | $1,173.25 | — |
| 31468Surgical repair of para-oesophageal hiatus hernia including hernia reduction, sac removal, and hiatus repair, with optional fundoplication, excluding cases already covered by items 30756 or 31466. | $1,718.55 | $1,288.95 | — |
| 31472Surgical creation of a bile duct bypass or drainage pathway (cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy, or Roux-en-Y loop) when not performed with pancreatic surgery; anaesthetist or assistant service. | $1,610.20 | $1,207.65 | — |
| 31500Surgical removal or biopsy of benign breast lesions up to 50mm (such as simple cysts, fibroadenomas, or fibrocystic disease), with or without frozen section analysis, under anaesthesia. | $311.20 | $233.40 | — |
| 31503Surgical excision of a benign breast lesion larger than 50 mm, performed under anaesthesia with surgical assistance. | $415.00 | $311.25 | — |
| 31506Excision biopsy of a breast abnormality detected on mammography or ultrasound, using guidewire or localisation technique, under anaesthesia with assistance. | $466.95 | $350.25 | — |
| 31509Open surgical biopsy of a malignant breast tumour, with or without frozen section histology, under anaesthesia. | $415.00 | $311.25 | — |
| 31512Complete local excision of malignant breast tumour, with or without frozen section histology, when not performed with other specified breast cancer procedures on the same side. | $778.15 | $583.65 | — |
| 31513Surgical removal of malignant breast tumour with simultaneous breast reshaping using rotation or round block flaps, excluding concurrent procedures on the same side. | $1,017.40 | $763.05 | — |
| 31514Complete local excision of malignant breast tumour with simultaneous ipsilateral pedicled breast reduction and nipple repositioning, not associated with specified concurrent procedures on the same side. | $1,466.75 | $1,100.10 | — |
| 31515Re-excision of breast malignant tumour following incomplete open biopsy or initial excision, under anaesthesia with assistance. | $522.10 | $391.60 | — |
| 31516Complete local excision of malignant breast tumour with concurrent targeted intraoperative radiation therapy (Intrabeam or Xoft Axxent), once per breast per lifetime, subject to specific eligibility criteria. | $1,037.70 | $778.30 | — |
| 31519Surgical removal of one breast including the nipple, areola, and axillary lymph nodes under general anaesthesia with surgical assistance. | $881.05 | $660.80 | — |
| 31520Bilateral total mastectomy with anaesthesia and surgical assistance for removal of both breasts, typically for cancer treatment or risk reduction. | $1,541.65 | $1,156.25 | — |
| 31522Surgical removal of breast tissue while preserving skin envelope, performed unilaterally under anaesthesia with surgical assistance. | $1,245.05 | $933.80 | — |
| 31523Surgical removal of breast tissue while preserving skin and nipple-areola complex on both sides, performed under anaesthesia with surgical assistance. | $2,178.90 | $1,634.20 | — |
| 31525Unilateral mastectomy for gynaecomastia with or without liposuction, where enlargement is disproportionate to body habitus and clinical photos document need. | $622.35 | $466.80 | — |
| 31526Bilateral mastectomy with or without liposuction for gynaecomastia, when enlargement is not obesity-related and photos confirm clinical need. | $1,089.20 | $816.90 | — |
| 31528Surgical removal of breast tissue while preserving the nipple-areola complex on one side, including anaesthesia and surgical assistance. | $1,245.05 | $933.80 | — |
| 31529Bilateral nipple-sparing mastectomy with anaesthesia and surgical assistance for breast cancer or risk reduction, preserving the nipple-areola complex. | $2,178.90 | $1,634.20 | — |
| 31530Vacuum-assisted breast biopsy of microcalcifications or impalpable lesions under one cm, including pre-operative localisation. | $712.95 | $534.75 | $608.45 (85%) |
| 31533Fine needle aspiration biopsy of a breast lesion not felt by hand, guided by imaging (mammography or ultrasound), including anaesthesia but not the imaging itself. | $165.05 | $123.80 | $140.30 (85%) |
| 31536Preoperative placement of a hookwire or similar localization device in a breast lesion using interventional imaging to guide surgical removal, excluding imaging costs. | $226.75 | $170.10 | $192.75 (85%) |
| 31537Insertion of a marker clip into breast or axilla after biopsy using imaging when additional surgery, neoadjuvant therapy, follow-up imaging or radiation may be needed, to mark lesion site, confirm biopsy location, or aid future localisation. | $226.75 | $170.10 | $192.75 (85%) |
| 31548Mechanical biopsy of breast solid tumour or tissue for histology, excluding cases covered by item 31530, with anaesthesia. | $239.35 | $179.55 | $203.45 (85%) |
| 31551Surgical exploration and drainage of breast haematoma, seroma, inflammatory conditions or abscess in hospital operating theatre, excluding follow-up care. | $259.40 | $194.55 | — |
| 31554Surgical removal of a single breast duct under general anaesthesia for investigation or treatment of benign or malignant conditions, with assistance. | $518.80 | $389.10 | — |
| 31557Surgical excision of benign breast central ducts under anaesthesia with surgical assistance. | $415.00 | $311.25 | — |
| 31560Surgical removal of accessory breast tissue under anaesthesia with surgical assistance. | $415.00 | $311.25 | $352.75 (85%) |
| 31563Surgical correction of inverted nipple that cannot be manually everted, with or without flap repair, under anaesthesia. | $310.85 | $233.15 | $264.25 (85%) |
| 31566Surgical removal of an extra nipple under anaesthesia. | $155.55 | $116.70 | $132.25 (85%) |
| 31569Placement of an adjustable gastric band for severe obesity in patients requiring 45 minutes or less, with optional hiatal repair; includes anaesthesia and assistance. | $1,016.90 | $762.70 | — |
| 31572Gastric bypass surgery using Roux-en-Y technique with or without hiatal repair, completed within 45 minutes, for severe obesity when item 30515 anaesthesia does not apply. | $1,251.25 | $938.45 | — |
| 31575Surgical removal of part of the stomach (with optional repair of the diaphragm opening) in 45 minutes or less for severe obesity, with anaesthesia and surgical assistance. | $1,016.90 | $762.70 | — |
| 31578Surgical reduction of stomach capacity (excluding plication technique) with optional hiatal hernia repair, up to 45 minutes, for severe obesity; includes anaesthesia and assistance. | $1,016.90 | $762.70 | — |
| 31581Gastric bypass surgery via biliopancreatic diversion with or without duodenal switch, including gastric resection and anastomoses, with optional hiatal repair, completed within 45 minutes, for clinically severe obesity. | $1,251.25 | $938.45 | — |
| 31584Surgical reversal, revision or conversion of prior bariatric procedures including gastric banding, bypass, sleeve gastrectomy, gastroplasty or biliopancreatic diversion. | $1,842.25 | $1,381.70 | — |
| 31585Surgical removal of an adjustable gastric band under general anaesthesia, with assistance provided. | $995.95 | $747.00 | — |
| 31587Adjustment of an implanted gastric band performed as a standalone procedure, including any related consultation. | $117.25 | $87.95 | $99.70 (85%) |
| 31590Surgical adjustment, repair, revision or replacement of a gastric band reservoir under anaesthesia with assistance. | $301.40 | $226.05 | $256.20 (85%) |
| 32000Surgical resection of the large intestine without reconnection, including right hemicolectomy with stoma formation, with anaesthesia and surgical assistance. | $1,234.40 | $925.80 | — |
| 32003Surgical resection of the large intestine with reconnection of bowel ends, including right hemicolectomy, with anaesthesia and surgical assistance. | $1,291.15 | $968.40 | — |
| 32004Subtotal colectomy removing right colon, transverse colon and splenic flexure without reconnection, when not part of another colorectal procedure. | $1,376.90 | $1,032.70 | — |
| 32005Subtotal colectomy removing the right colon, transverse colon and splenic flexure with anastomosis, excluding cases associated with emergency procedures or other specified colonic resections. | $1,555.40 | $1,166.55 | — |
| 32006Surgical removal of the left colon (descending and sigmoid portions) with stoma creation, excluding cases already covered by items 32024, 32025, 32026 or 32028. | $1,376.90 | $1,032.70 | — |
| 32009Surgical removal of the entire colon with creation of an ileostomy, including anaesthesia and surgical assistance. | $1,633.25 | $1,224.95 | — |
| 32012Surgical removal of the entire colon with connection of small intestine to rectum, including anaesthesia and surgical assistance. | $1,804.10 | $1,353.10 | — |