Group T8: Surgical Operations
2,632 items with their schedule fees and Medicare benefits; showing 39121–41793.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 39121Assistance at percutaneous cordotomy, a procedure where a needle is inserted through the skin to sever nerve fibres in the spinal cord to relieve severe pain. | $756.10 | $567.10 | — |
| 39124Surgical procedure involving spinal cord cutting (cordotomy or myelotomy), partial or total removal of vertebral arch (laminectomy), or dorsal root entry zone lesion, including anaesthesia and surgical assistance. | $1,935.15 | $1,451.40 | — |
| 39125Insertion or replacement of a spinal catheter connected to a subcutaneous implanted infusion pump for managing chronic pain, including cancer pain. | $356.75 | $267.60 | — |
| 39126Surgical implantation or replacement of a subcutaneous infusion pump, connection to spinal catheter, and reservoir filling with therapeutic agents for chronic pain management including cancer pain. | $433.15 | $324.90 | — |
| 39127Insertion of a subcutaneous reservoir and spinal catheter for chronic pain or cancer pain management under anaesthesia. | $566.95 | $425.25 | — |
| 39128Surgical insertion of a subcutaneous infusion pump and spinal catheter, connection and filling with therapeutic agent for chronic or cancer pain management, with optional programming. | $789.80 | $592.35 | — |
| 39129Percutaneous insertion of peripheral nerve lead(s) with intraoperative testing to manage chronic neuropathic pain. | $726.15 | $544.65 | — |
| 39130Percutaneous placement of one or more epidural leads with intraoperative testing for chronic neuropathic pain or refractory angina management. | $806.85 | $605.15 | — |
| 39131Management, adjustment, or reprogramming of epidural or peripheral nerve neurostimulator electrodes by a medical practitioner for chronic neuropathic pain or refractory angina pectoris, billed per day of service. | $153.00 | $114.75 | $130.05 (85%) |
| 39133Removal or repositioning of a subcutaneously implanted infusion pump or spinal catheter for chronic or cancer pain management. | $190.80 | $143.10 | — |
| 39134Surgical placement of a subcutaneous neurostimulator or receiver with extension wires connected to epidural or peripheral nerve electrodes for chronic neuropathic pain or refractory angina pectoris. | $407.60 | $305.70 | — |
| 39135Surgical removal in hospital of a neurostimulator or receiver implanted for chronic neuropathic pain or refractory angina pectoris, including anaesthesia and assistance. | $190.80 | $143.10 | — |
| 39136Surgical removal of an epidural or peripheral nerve lead implanted for chronic neuropathic pain or refractory angina, performed in hospital operating theatre under anaesthesia with surgical assistance. | $190.80 | $143.10 | — |
| 39137Surgical repositioning of an epidural or peripheral nerve lead implanted for chronic neuropathic pain or refractory angina, including intraoperative testing, when displacement or positioning adjustment is needed. | $724.55 | $543.45 | — |
| 39138Surgical placement of one or more peripheral nerve leads for long-term chronic neuropathic pain management, including intraoperative testing. | $806.85 | $605.15 | — |
| 39139Surgical placement of one or more epidural leads via laminectomy with intraoperative testing for chronic neuropathic pain or refractory angina pectoris. | $1,083.30 | $812.50 | — |
| 39140Insertion of an epidural catheter under imaging guidance with imaging confirmation and therapeutic injection to break down epidural adhesions. | $350.55 | $262.95 | — |
| 39141Remote video management, adjustment or reprogramming of epidural or peripheral nerve neurostimulators for chronic neuropathic pain or refractory angina, per day. | $153.00 | $114.75 | $130.05 (85%) |
| 39300Primary microsurgical repair of a digital or cutaneous nerve, applicable once per nerve. | $422.95 | $317.25 | — |
| 39303Delayed microsurgical repair of a digital or cutaneous nerve, including neurolysis or transposition if needed, performed once per nerve at a separate site from concurrent procedures. | $557.90 | $418.45 | — |
| 39306Primary microsurgical repair of a nerve trunk, excluding cases covered by item 39330. | $810.05 | $607.55 | — |
| 39307Microsurgical reconstruction of a nerve trunk using a biological or synthetic nerve conduit, excluding cases covered by item 39330. | $986.40 | $739.80 | — |
| 39309Delayed microsurgical repair of a nerve trunk, including neurolysis or nerve transposition/transfer, excluding concurrent services at the same site. | $855.05 | $641.30 | — |
| 39312Microsurgical release of nerve tissue within a nerve bundle to treat compression or adhesions, excluding cases already managed under item 30023 at the same location. | $477.05 | $357.80 | — |
| 39315Microsurgical nerve cable graft repair to a nerve trunk, including graft harvesting, anastomosis, transposition, and neurolysis as needed. | $1,233.05 | $924.80 | — |
| 39318Microsurgical nerve graft to digital or cutaneous nerve, including harvesting from donor site and/or performing proximal and distal anastomosis, excluding cases associated with item 39330. | $765.20 | $573.90 | — |
| 39319Microsurgical reconstruction of a finger or skin nerve using a biological or synthetic nerve conduit, excluding cases covered by item 39330. | $557.90 | $418.45 | — |
| 39321Surgical transposition of a nerve (other than ulnar nerve at elbow) not associated with another specified procedure, requiring anaesthesia and surgical assistance. | $566.95 | $425.25 | — |
| 39323Percutaneous cryotherapy or radiofrequency denervation of a nerve (other than medial branch), limited to 6 procedures per nerve per 12 months, performed under anaesthesia. | $331.25 | $248.45 | $281.60 (85%) |
| 39324Surgical removal of a tumor, neuroma, or nerve section from a superficial peripheral nerve, including anesthesia and surgical assistance. | $331.25 | $248.45 | $281.60 (85%) |
| 39327Open surgical removal or division of a deep peripheral or cranial nerve, or removal of a nerve tumour, excluding specific procedures covered by items 41575, 41576, 41578, or 41579. | $567.05 | $425.30 | — |
| 39328Surgical removal of nerve tissue or tumour from a deep peripheral nerve in the upper limb, performed via open operation under anaesthesia with surgical assistance. | $567.05 | $425.30 | — |
| 39329Extensive neurolysis of radial, median or ulnar nerve trunk in the forearm or arm, excluding cases already covered by other nerve decompression items or performed with carpal tunnel release at the same site. | $422.95 | $317.25 | — |
| 39330Open nerve decompression (neurolysis) without relocation, excluding cases where it's part of another specified nerve or tendon procedure at the same site. | $331.25 | $248.45 | — |
| 39331Surgical release of the median nerve in the carpal tunnel, including ligament division and optional synovectomy or neurolysis, excluding concurrent hand surgery or tendon repair at the same site. | $331.25 | $248.45 | $281.60 (85%) |
| 39332Revision surgery for carpal tunnel release involving re-division of the transverse carpal ligament or median nerve release, with optional synovectomy or neurolysis, excluding cases covered by items 46339 or 30023 at the same site. | $496.95 | $372.75 | — |
| 39336Surgical decompression of the ulnar nerve at the elbow or wrist to relieve compression, without moving the nerve, including any nerve tissue freeing, performed under anaesthesia with assistance. | $331.25 | $248.45 | $281.60 (85%) |
| 39339Surgical revision of ulnar nerve decompression at the elbow without nerve relocation, including any nerve release needed, excluding cases already having decompression at the same site. | $496.95 | $372.75 | — |
| 39342Surgical decompression of the ulnar nerve at the elbow, including nerve transposition, epicondylectomy, osteotomy, or neurolysis as needed. | $651.95 | $489.00 | — |
| 39345Surgical decompression and neurolysis of radial, median, or ulnar nerve in the forearm for nerve compression, excluding cases where carpal tunnel release is performed at the same site. | $331.25 | $248.45 | — |
| 39503Surgical anastomosis of facial nerve to hypoglossal or accessory nerve, with anaesthesia and assistant support. | $1,143.05 | $857.30 | — |
| 39604Surgical procedures for intracranial haemorrhage or brain swelling, including craniotomy, craniectomy, burr-holes, stereotactic techniques, and post-operative re-opening for complications. | $2,146.70 | $1,610.05 | — |
| 39610Repair of a fractured skull without brain injury or dural tear, with anaesthesia and surgical assistance. | $1,143.05 | $857.30 | — |
| 39612Surgical repair of a fractured skull with brain laceration or dural penetration (without CSF leakage), including anaesthesia and surgical assistance. | $1,341.15 | $1,005.90 | — |
| 39615Surgical repair of skull fracture with cerebrospinal fluid leakage from nose or ear following head trauma, including stereotactic guidance and tissue grafting, with anaesthesia and surgical assistance. | $2,288.50 | $1,716.40 | — |
| 39638Surgical removal of tumour or vascular lesion in anterior/middle cranial fossa or cavernous sinus, including stereotaxy and cranioplasty, performed as conjoint surgery with principal surgeon role. | $5,095.30 | $3,821.50 | — |
| 39639Surgical assistance for removal or radical excision of anterior or middle cranial fossa or cavernous sinus tumour or vascular lesion, including stereotaxy and cranioplasty, as co-surgeon in conjoint surgery. | $4,071.75 | $3,053.85 | — |
| 39641Surgical removal of anterior or middle cranial fossa or cavernous sinus tumours or vascular lesions, including stereotactic guidance and skull reconstruction, performed by one surgeon with anaesthetic support and assistance. | $5,374.35 | $4,030.80 | — |
| 39651Surgical removal or radical excision of tumours or vascular lesions at the petro-clival, clival or foramen magnum region, including stereotactic guidance and skull reconstruction, performed by one surgeon. | $6,630.60 | $4,972.95 | — |
| 39654Surgical removal of tumours or vascular lesions at the petro-clival, clival or foramen magnum region, including stereotactic guidance and skull base reconstruction, performed as joint surgery with principal surgeon role. | $5,095.30 | $3,821.50 | — |
| 39656Surgical removal of petro clival, clival, or foramen magnum tumours or vascular lesions including stereotaxy and cranioplasty, as assistant surgeon in conjoint surgery. | $4,071.75 | $3,053.85 | — |
| 39700Surgical excision of a benign or malignant skull tumour, including stereotactic guidance and skull reconstruction, with anaesthesia and assistance. | $2,169.10 | $1,626.85 | — |
| 39703Surgical treatment of intracranial tumour, cyst or brain tissue via burr hole with biopsy and/or drainage, including stereotactic guidance, with anaesthesia and assistance. | $1,741.80 | $1,306.35 | — |
| 39710Neurosurgical removal, biopsy, drainage or decompression of one or more intracranial tumours via single craniotomy with stereotactic guidance and skull reconstruction, including anaesthesia assistance. | $2,900.55 | $2,175.45 | — |
| 39712Transcranial removal or biopsy of intracranial tumours (meningioma, pituitary, pinealoma, craniopharyngioma, intraventricular or brainstem lesions) via single craniotomy with or without endoscopy, stereotaxy and cranioplasty. | $4,430.50 | $3,322.90 | — |
| 39715Transphenoidal removal of pituitary tumour with stereotactic guidance and graft placement; anaesthetic and assistant services. | $3,233.55 | $2,425.20 | — |
| 39718Surgical removal of an arachnoid cyst via craniotomy using stereotactic guidance and neuroendoscopy, with anaesthesia and surgical assistance. | $1,953.20 | $1,464.90 | — |
| 39720Assistance with anaesthesia during awake craniotomy for functional neurosurgery procedures. | $4,144.75 | $3,108.60 | — |
| 39801Surgical repair of an aneurysm by clipping, proximal ligation, or sac reinforcement, including stereotactic guidance and skull reconstruction, with anaesthesia and surgical assistance. | $6,630.60 | $4,972.95 | — |
| 39803Surgical treatment of intracranial arteriovenous malformation or fistula via craniotomy, including stereotactic guidance, cranioplasty, and all imaging; anaesthetist or assistant item. | $6,630.60 | $4,972.95 | — |
| 39815Surgical obliteration of a carotid-cavernous fistula using combined cervical and intracranial approaches, including anaesthesia and surgical assistance. | $2,187.00 | $1,640.25 | — |
| 39818Surgical assistance for indirect intracranial vascular bypass using stereotactic techniques under anaesthesia. | $2,902.75 | $2,177.10 | — |
| 39821Surgical procedure for creating a direct blood vessel connection in the brain using anastomosis techniques with stereotactic guidance, including anaesthesia and assistance. | $4,135.70 | $3,101.80 | — |
| 39900Anaesthetist assistance for burr hole drainage of intracranial infection using stereotactic guidance, excluding cases managed under item 40600. | $1,741.80 | $1,306.35 | — |
| 39903Surgical assistance for craniotomy to treat intracranial infection, including stereotactic guidance, excluding cases covered by item 40600. | $2,614.80 | $1,961.10 | — |
| 39906Anaesthetic assistance for craniectomy to treat skull osteomyelitis or remove an infected bone flap, excluding cases covered by item 40600. | $954.05 | $715.55 | — |
| 40004Insertion, revision or diversion of ventricular, lumbar or cisternal shunt, including stereotactic guidance and anaesthesia assistance. | $1,980.25 | $1,485.20 | — |
| 40012Endoscopic procedure to restore cerebrospinal fluid circulation in obstructive disorders using stereotactic guidance, with anaesthesia and assistance. | $2,047.75 | $1,535.85 | — |
| 40018Insertion of a lumbar cerebrospinal fluid drain under anaesthesia, excluding cases where item 22053 applies. | $190.80 | $143.10 | — |
| 40104Surgical excision and closure of spinal myelomeningocele or meningocele, excluding cases managed under item 40600, with anaesthesia and surgical assistance. | $1,215.10 | $911.35 | — |
| 40106Surgical decompression or reconstruction for Chiari malformation, including laminectomy, dermofat grafting, and stereotaxy, excluding cases covered under item 40600. | $2,884.65 | $2,163.50 | — |
| 40109Surgical excision and closure of brain tissue or membrane protruding through skull defect, with stereotactic guidance and skin-fat graft, including anaesthesia and assistance. | $2,238.95 | $1,679.25 | — |
| 40112Surgical release of tethered spinal cord involving lipomeningocele or split cord at multiple levels, including bone removal and nerve root cutting, excluding cases linked to item 40600. | $2,860.10 | $2,145.10 | — |
| 40119Assisting anaesthetist for cranial vault surgery to treat craniostenosis, excluding cases covered by item 40600. | $1,143.05 | $857.30 | — |
| 40600Reconstructive cranioplasty surgery to repair skull defects or deformities, excluding cases already covered by specific related neurosurgical procedures. | $1,143.05 | $857.30 | — |
| 40700Surgical division of the corpus callosum under stereotactic guidance with anesthesia and assistance to treat severe epilepsy. | $2,803.80 | $2,102.85 | — |
| 40701Surgical implantation of a subcutaneous electrical pulse generator connected to the left vagus nerve for patients with refractory generalised or focal epilepsy unsuitable for surgery. | $407.60 | $305.70 | — |
| 40702Surgical placement, repositioning, or removal of a vagus nerve stimulator device in the left vagus nerve to manage refractory generalised or focal epilepsy unsuitable for resective surgery, under anaesthesia with assistance. | $190.80 | $143.10 | — |
| 40703Surgical removal of brain tissue (corticectomy, topectomy or partial lobectomy) to treat epilepsy, including stereotactic guidance and skull reconstruction, with anaesthesia and surgical assistance. | $2,900.55 | $2,175.45 | — |
| 40704Surgical placement of a vagus nerve stimulation lead on the left vagus nerve with intra-operative testing, for patients with refractory generalised or focal epilepsy not suitable for surgery. | $806.85 | $605.15 | — |
| 40705Surgical repositioning or removal of vagus nerve stimulation lead for refractory generalised or focal epilepsy not suitable for resective surgery. | $724.55 | $543.45 | — |
| 40706Surgical removal or functional disconnection of a brain hemisphere for intractable epilepsy, including stereotactic guidance, anaesthesia and surgical assistance. | $4,144.80 | $3,108.60 | — |
| 40707Electrical programming and analysis of an implanted vagus nerve stimulation device via external wand for managing refractory generalised or focal epilepsy unsuitable for surgery. | $227.05 | $170.30 | $193.00 (85%) |
| 40708Surgical replacement of the battery in a vagus nerve stimulation device for patients with refractory generalised or focal epilepsy unsuitable for surgery. | $407.60 | $305.70 | — |
| 40709Surgical placement of intracranial electrodes via burr hole using stereotactic guidance, with anaesthesia assistance. | $1,741.80 | $1,306.35 | — |
| 40712Surgical placement of intracranial electrodes via craniotomy for diagnostic recording, including stereotactic guidance when used, with anaesthesia and assistance. | $4,144.80 | $3,108.60 | — |
| 40801Stereotactic brain surgery using computer guidance and physiological mapping to create lesions in deep brain structures (basal ganglia, brain stem, or white matter), excluding deep brain stimulation procedures. | $2,089.55 | $1,567.20 | — |
| 40803Intracranial stereotactic procedure using any method, excluding specific neurosurgical procedures listed separately or those already covered by item 40801. | $1,431.10 | $1,073.35 | — |
| 40804MRI scan of the head with angiography to guide focused ultrasound treatment of medication-resistant essential tremor, performed once per patient lifetime. | $1,126.05 | $844.55 | — |
| 40805Neurologist's assessment and evaluation during MRI-guided focused ultrasound treatment for medication-resistant essential tremor, including target localisation and continuous intraoperative monitoring; once per patient lifetime. | $2,326.70 | $1,745.05 | — |
| 40806Neurosurgeon-performed MRI-guided focused ultrasound for medically refractory essential tremor with lesion creation in brain structures, including anatomical localisation, frame placement and target verification; once per patient lifetime. | $3,583.85 | $2,687.90 | — |
| 40850Unilateral deep brain stimulation surgery for Parkinson's disease with inadequate medical response and motor fluctuations, or for essential tremor or dystonia causing severe disability, including stereotactic localisation, burr hole/craniotomy and el… | $2,710.35 | $2,032.80 | — |
| 40851Bilateral deep brain stimulation surgery with stereotactic localisation for Parkinson's disease with inadequate medical response and motor fluctuations, or severe essential tremor or dystonia. | $4,743.40 | $3,557.55 | — |
| 40852Subcutaneous placement of a neurostimulator for unilateral deep brain stimulation to treat Parkinson's disease with inadequate medication response and motor fluctuations, or severe disabling essential tremor or dystonia. | $407.60 | $305.70 | — |
| 40854Surgical revision or removal of a unilateral deep brain stimulation electrode for Parkinson's disease with inadequate medication response and motor fluctuations, or for essential tremor or dystonia causing severe disability. | $630.05 | $472.55 | — |
| 40856Surgical removal or replacement of a unilateral deep brain stimulation pulse generator for Parkinson's disease with inadequate medical response and motor fluctuations, or for essential tremor or dystonia causing severe disability. | $305.75 | $229.35 | — |
| 40858Surgical placement, removal or replacement of extension lead for unilateral deep brain stimulation in Parkinson's disease with inadequate medical response and motor fluctuations, or essential tremor/dystonia causing severe disability. | $630.05 | $472.55 | — |
| 40860Intra-operative target localisation and clinical evaluation for unilateral deep brain stimulation electrode placement in Parkinson's disease (inadequate medical response with motor fluctuations), essential tremor, or dystonia causing severe disabilit… | $2,420.95 | $1,815.75 | — |
| 40862Electronic analysis and programming of a unilateral deep brain stimulation neurostimulator for Parkinson's disease with inadequate medication response and motor fluctuations, or for essential tremor or dystonia causing severe disability. | $227.05 | $170.30 | $193.00 (85%) |
| 40863Remote electronic analysis and programming of a unilateral deep brain stimulation device for Parkinson's disease (inadequate response to medication with motor fluctuations), essential tremor, or dystonia (severe disability), up to 8 times per 12 mont… | $227.05 | $170.30 | $193.00 (85%) |
| 40905Neurosurgeon assistance during craniotomy performed alongside craniofacial abnormality correction, including anaesthesia. | $720.20 | $540.15 | — |
| 41500Removal of a foreign body from the ear under anaesthesia, excluding simple syringing and ventilating tubes. | $98.70 | $74.05 | $83.90 (85%) |
| 41501Otolaryngologist videostroboscopy examination of vocal fold vibration and glottal cycles, including audio/video/frequency/intensity capture, for dysphonia, laryngeal lesions, vocal fold motion impairment, or post-treatment vocal function assessment. | $222.10 | $166.60 | $188.80 (85%) |
| 41503Removal of a foreign body from the ear canal requiring surgical incision, under anaesthesia, when not part of another related ear procedure. | $285.85 | $214.40 | $243.00 (85%) |
| 41506Removal of a polyp from the ear canal under anaesthesia. | $172.40 | $129.30 | $146.55 (85%) |
| 41509Surgical removal of keratosis obturans from the external ear canal under general anaesthesia, excluding cases covered by other related items or associated with item 41647. | $195.05 | $146.30 | — |
| 41512Surgical reconstruction of the ear canal opening involving removal of cartilage and/or bone, excluding procedures covered by item 41515. | $701.20 | $525.90 | — |
| 41515Surgical removal of cartilage and/or bone from the ear canal, performed with anaesthesia and assistant, associated with specified ear procedures. | $460.20 | $345.15 | — |
| 41518Removal of bony growths from the ear canal under anaesthesia with surgical assistance. | $1,111.60 | $833.70 | — |
| 41521Surgical correction of narrowed ear canal including meatoplasty and grafting if needed, excluding procedures covered under other ear surgery items. | $1,183.55 | $887.70 | — |
| 41524Surgical reconstruction of the external ear canal under general anaesthesia with surgical assistance. | $341.85 | $256.40 | — |
| 41527Surgical repair of a perforated eardrum using a tube inserted through the ear canal, excluding cases already covered by another related procedure on the same side. | $703.25 | $527.45 | — |
| 41530Surgical repair of the eardrum using a post-aural or endaural approach, with optional mastoid inspection, excluding cases where another related ear surgery applies on the same side. | $1,145.90 | $859.45 | — |
| 41533Surgical removal of part of the ear canal bone to treat disease, with optional eardrum repair, excluding cases already covered by other related ear surgery items on the same side. | $1,369.60 | $1,027.20 | — |
| 41536Surgical repair of the ear canal bone defect (atticotomy) with reconstruction, with or without eardrum repair, excluding cases already covered by another item on the same side. | $1,534.15 | $1,150.65 | — |
| 41539Surgical reconstruction of the ossicular chain (middle ear bones) in cases not covered by item 41611, requiring anaesthesia and surgical assistance. | $1,304.50 | $978.40 | — |
| 41542Surgical repair of the eardrum and reconstruction of the middle ear bones, excluding cases already covered by item 41611. | $1,429.40 | $1,072.05 | — |
| 41545Surgical removal of the mastoid bone cortex to treat mastoid disease, excluding cases where another mastoid procedure is performed on the same side. | $623.95 | $468.00 | — |
| 41548Surgical obliteration of mastoid cavity performed under anaesthesia with surgical assistance. | $827.90 | $620.95 | — |
| 41551Surgical removal of mastoid bone using intact canal technique combined with eardrum repair, excluding cases where another related mastoid procedure is performed on the same side. | $1,906.70 | $1,430.05 | — |
| 41554Surgical removal of mastoid bone using intact canal technique, combined with eardrum repair and middle ear bone reconstruction, excluding cases already covered by item 41603 on the same side. | $2,246.55 | $1,684.95 | — |
| 41557Surgical removal of part or all of the mastoid bone due to infection or disease, excluding cases where another related mastoid procedure is performed on the same side during the same operation. | $1,304.50 | $978.40 | — |
| 41560Surgical removal of mastoid bone (radical or modified approach) combined with eardrum repair, excluding cases where another related ear surgery is performed on the same side. | $1,429.40 | $1,072.05 | — |
| 41563Surgical removal of mastoid bone (radical or modified radical), repair of eardrum, and reconstruction of ear bones, excluding cases where another related ear surgery is performed on the same side. | $1,769.45 | $1,327.10 | — |
| 41564Surgical removal of mastoid bone with cavity obliteration, blind sac closure of ear canal, or eustachian tube obliteration; not payable if another mastoid procedure done on same side. | $2,288.25 | $1,716.20 | — |
| 41566Surgical revision of a previous mastoidectomy (radical, modified radical, or intact wall technique) with eardrum repair, performed on one side only. | $1,304.50 | $978.40 | — |
| 41569Surgical decompression of the facial nerve in the mastoid segment, excluding cases already covered by item 41617. | $1,429.40 | $1,072.05 | — |
| 41572Surgical procedure to ablate the inner ear labyrinth under anaesthesia to treat severe vertigo; assistant item. | $1,236.65 | $927.50 | — |
| 41575Surgical removal of a cerebellopontine angle tumour performed by two surgeons working together using transmastoid, translabyrinthine or retromastoid approach, including anaesthesia, assistance and post-operative care. | $2,915.30 | $2,186.50 | — |
| 41576Surgical removal of a cerebello-pontine angle tumour via transmastoid, translabyrinthine or retromastoid approach, including anaesthesia and assistance, excluding cases covered by items 41578 or 41579. | $4,373.00 | $3,279.75 | — |
| 41578Removal of a cerebellopontine angle tumour via transmastoid, translabyrinthine or retromastoid approach as the principal surgeon in conjoint surgery, including anaesthesia. | $2,915.30 | $2,186.50 | — |
| 41579Assistance at removal of cerebello-pontine angle tumour via transmastoid, translabyrinthine or retromastoid approach as co-surgeon. | $2,186.40 | $1,639.80 | — |
| 41581Surgical removal of a tumour in the infra-temporal fossa requiring craniotomy and radical excision, with anaesthesia and surgical assistance. | $3,353.15 | $2,514.90 | — |
| 41584Surgical removal of part of the temporal bone to treat tumour, including mastoidectomy and optional facial nerve decompression, with anaesthesia and assistance. | $2,301.15 | $1,725.90 | — |
| 41587Surgical removal of the entire temporal bone to treat tumour, including anaesthesia and surgical assistance. | $3,134.20 | $2,350.65 | — |
| 41590Surgical decompression of the endolymphatic sac via transmastoid approach, with optional drainage, performed under anaesthesia with surgical assistance. | $1,429.40 | $1,072.05 | — |
| 41593Surgical assistance during translabyrinthine approach to section the vestibular nerve under general anaesthesia, typically for severe vertigo unresponsive to conservative treatment. | $1,862.90 | $1,397.20 | — |
| 41596Surgical assistance during retrolabyrinthine vestibular nerve section, cochlear nerve section, or both procedures under anaesthesia. | $2,082.00 | $1,561.50 | — |
| 41599Surgical exploration of the internal auditory meatus via middle cranial fossa approach with cranial nerve decompression, including anaesthesia assistance. | $2,082.00 | $1,561.50 | — |
| 41603Surgical implantation of a bone conduction hearing device in patients with permanent hearing loss who cannot use conventional hearing aids due to medical or audiological reasons and meet bone conduction threshold criteria. | $714.75 | $536.10 | — |
| 41608Surgical assistance during anaesthesia for stapedectomy (ear surgery to restore hearing by replacing the stapes bone). | $1,304.50 | $978.40 | — |
| 41611Surgical mobilisation of the stapes bone to restore hearing, excluding cases already covered under related stapes procedures or other ear surgery items. | $839.35 | $629.55 | — |
| 41614Surgical repair of the round window of the cochlea, excluding cases where item 41617 (cochlear implant surgery) applies. | $1,304.50 | $978.40 | — |
| 41615Surgical repair or reconstruction of the oval window, including fistula repair, performed independently without concurrent ear surgery. | $1,304.50 | $978.40 | — |
| 41617Surgical insertion of a cochlear implant including mastoidectomy, cochleotomy and facial nerve exposure when needed, excluding revisions or replacements. | $2,268.40 | $1,701.30 | — |
| 41618Surgical insertion of a partially implantable middle ear implant via mastoidectomy for patients with stable sensorineural hearing loss, outer ear pathology preventing conventional hearing aid use, PTA4 <80 dBHL, bilateral symmetrical hearing loss wit… | $2,246.55 | $1,684.95 | — |
| 41620Surgical removal of a glomus tumour from the middle ear using a transtympanic approach, performed under general anaesthesia with surgical assistance. | $986.90 | $740.20 | — |
| 41623Surgical removal of a glomus tumour via transmastoid approach with mastoidectomy, including anaesthesia and surgical assistance. | $1,429.40 | $1,072.05 | — |
| 41626Surgical incision of the eardrum or instillation of therapeutic agent into the middle ear, excluding local anesthetic and aftercare. | $172.40 | $129.30 | $146.55 (85%) |
| 41629Surgical exploration of the middle ear (other than with concurrent related procedures on the same side), including anaesthesia and assistance. | $623.95 | $468.00 | — |
| 41632Insertion of drainage tube in middle ear with myringotomy under anaesthesia, excluding cases covered by item 41626. | $285.85 | $214.40 | $243.00 (85%) |
| 41635Surgical removal of middle ear granuloma, cholesteatoma, and/or polyp, with optional eardrum repair, excluding cases already covered by another related item on the same side. | $1,369.60 | $1,027.20 | — |
| 41638Surgical removal of middle ear granuloma, cholesteatoma or polyp, with optional eardrum repair and bone reconstruction, unilateral. | $1,709.55 | $1,282.20 | — |
| 41641Cauterisation or diathermy treatment of a perforated eardrum, performed under anaesthesia. | $56.80 | $42.60 | $48.30 (85%) |
| 41644Surgical removal of the rim of tissue around an eardrum perforation under anaesthesia, when not part of a myringoplasty repair procedure. | $171.05 | $128.30 | $145.40 (85%) |
| 41647Microscopic or endoscopic examination of the ear canal and eardrum with wax removal under anaesthesia, excluding simple wax removal alone and procedures covered by item 41509. | $131.55 | $98.70 | $111.85 (85%) |
| 41650Microscopic examination of the eardrum(s) under general anaesthesia when not part of another ear procedure. | $131.55 | $98.70 | — |
| 41656Emergency treatment of posterior nosebleed requiring posterior nasal packing, with or without cauterisation and anterior packing, under anaesthesia. | $146.95 | $110.25 | $124.95 (85%) |
| 41659Removal of a foreign body from the nose requiring more than simple probing, performed under anaesthesia. | $92.80 | $69.60 | $78.90 (85%) |
| 41662Removal of simple nasal polyps, excluding cases where concurrent services 41702, 41703, or 41705 are performed on the same side. | $98.70 | $74.05 | $83.90 (85%) |
| 41668Surgical removal of nasal polyp(s) under anaesthesia. | $263.15 | $197.40 | $223.70 (85%) |
| 41671Surgical repair or reconstruction of the nasal septum (septoplasty, septectomy, perforation closure, or other modifications) by any approach, excluding cauterisation and procedures already covered under related items. | $627.75 | $470.85 | — |
| 41674Cauterisation of nasal septum or turbinates by non-chemical means, or chemical cauterisation under general anaesthesia, as a standalone nasal procedure (includes consultation). | $120.25 | $90.20 | $102.25 (85%) |
| 41677Treatment of active nosebleed by cauterisation and/or packing under anaesthesia to stop bleeding. | $107.75 | $80.85 | $91.60 (85%) |
| 41683Surgical division of nasal adhesions with or without stenting, performed as a standalone procedure not during recovery from another nasal operation. | $140.30 | $105.25 | $119.30 (85%) |
| 41686Surgical reduction of dislocated turbinate(s) on one or both sides, not performed with another listed nasal procedure, under anaesthesia. | $86.10 | $64.60 | — |
| 41689Surgical reduction or removal of nasal turbinates on one or both sides, performed under anaesthesia, excluding procedures done alongside specific other nasal surgeries. | $245.10 | $183.85 | $208.35 (85%) |
| 41692Submucous resection of turbinate bone on one or both sides, excluding cases combined with other specified nasal procedures. | $319.65 | $239.75 | — |
| 41693Submucous resection of turbinates with septal surgery on one or both sides, not done as part of other specified nasal procedures. | $918.05 | $688.55 | — |
| 41698Puncture and irrigation of the maxillary sinus (under anaesthesia) when not performed as part of other listed sinus procedures on the same side. | $39.00 | $29.25 | $33.15 (85%) |
| 41701Puncture and lavage of the maxillary antrum under general anaesthesia with hospital admission, when not part of another procedure in this group. | $110.00 | $82.50 | — |
| 41702Unilateral functional surgery of the ostiomeatal complex and ethmoid sinus, excluding cases where concurrent procedures (41662, 41698, 41703, 41705, 41710, 41764) are performed on the same side. | $816.75 | $612.60 | — |
| 41703Complete unilateral functional sinus surgery with dissection of all 5 sinuses and creation of a single sinus cavity, excluding cases where specified related procedures apply on the same side. | $1,207.45 | $905.60 | — |
| 41704Irrigation and cleaning of the maxillary sinus (upper jaw cavity) under anaesthesia, including consultation. | $43.50 | $32.65 | $37.00 (85%) |
| 41705Unilateral complete functional sinus surgery with dissection of all five sinuses into one cavity and extended frontal sinus drilling, excluding cases combined with specified related procedures on the same side. | $1,964.70 | $1,473.55 | — |
| 41707Surgical ligation of the maxillary or sphenopalatine artery to control epistaxis, including anaesthesia and surgical assistance. | $536.85 | $402.65 | — |
| 41710Surgical creation of an opening into the maxillary antrum via any approach, excluding cases where concurrent services 41702, 41703, 41705 or 41698 are performed on the same side. | $423.50 | $317.65 | — |
| 41713Surgical exposure or neurectomy of the vidian canal under anaesthesia, with anaesthetist and surgical assistant. | $725.95 | $544.50 | — |
| 41719Drainage of maxillary antrum through a tooth socket under anaesthesia, excluding cases covered by item 41722. | $140.70 | $105.55 | $119.60 (85%) |
| 41722Plastic surgical closure of an oroantral fistula (abnormal opening between mouth and maxillary sinus) not associated with extraction or other specified procedures, with anaesthesia and assistance. | $703.25 | $527.45 | $598.75 (85%) |
| 41725Surgical ligation of one or both ethmoidal arteries (anterior, posterior, or both) performed unilaterally to control bleeding, requiring anaesthesia and surgical assistance. | $536.85 | $402.65 | — |
| 41728Surgical removal of a tumour in the sinuses, nasal cavity, or nasopharynx by any surgical approach, excluding benign inflammatory polyps. | $1,073.95 | $805.50 | — |
| 41734Endoscopic or external surgical opening of the frontal sinus on one side to treat chronic sinus disease, when not combined with other specified sinus procedures on the same side. | $1,213.65 | $910.25 | — |
| 41737Unilateral intranasal frontal sinus surgery including complete dissection of the frontal recess and exposure of the ostium, excluding simple probing or irrigation, when not combined with certain other sinus procedures on the same side. | $578.40 | $433.80 | — |
| 41740Catheterisation of the frontal sinus, excluding cases where item 41749 applies on the same side, requiring anaesthesia. | $70.40 | $52.80 | — |
| 41743Surgical opening of the frontal sinus by trephine (drilling), excluding cases where item 41749 applies on the same side. | $403.95 | $303.00 | — |
| 41746Surgical obliteration of the paranasal sinuses with graft harvesting, including anaesthesia and surgical assistance. | $930.15 | $697.65 | — |
| 41749Unilateral external operation on paranasal sinus, excluding procedures covered by items 41740 or 41743 on the same side. | $725.95 | $544.50 | — |
| 41752Unilateral intranasal sphenoidal sinus surgery, excluding cases where item 41703 or 41705 applies on the same side. | $353.90 | $265.45 | — |
| 41755Catheterisation of the eustachian tube under anaesthesia to treat eustachian tube dysfunction or middle ear conditions. | $55.60 | $41.70 | $47.30 (85%) |
| 41764Nasendoscopy, sinoscopy, or fibreoptic examination of the nasopharynx and larynx performed unilaterally or bilaterally under anaesthesia, excluding cases associated with specific surgical procedures. | $146.95 | $110.25 | $124.95 (85%) |
| 41768Insertion of a bioabsorbable implant in one nostril for lateral wall collapse causing nasal obstruction, performed by an ENT or plastic surgeon if NOSE Scale score ≥55; once per nostril lifetime. | $216.35 | $162.30 | $183.90 (85%) |
| 41769Bilateral insertion of bioabsorbable implants in the nose to correct lateral wall collapse causing airway obstruction, performed by an otolaryngologist or plastic surgeon for patients with NOSE scale score ≥55; once per lifetime. | $324.50 | $243.40 | $275.85 (85%) |
| 41770Surgical removal of a pharyngeal pouch, with optional cricopharyngeal myotomy, performed under anaesthesia with surgical assistance. | $839.35 | $629.55 | — |
| 41776Surgical division of the cricopharyngeal muscle to treat swallowing disorders, including open or endoscopic repair of pharyngeal pouches. | $702.25 | $526.70 | — |
| 41779Lateral pharyngotomy with possible complete tongue removal, including anaesthesia and surgical assistance. | $839.35 | $629.55 | — |
| 41785Surgical removal of part of the pharynx, with or without partial tongue removal, including anaesthesia and surgical assistance. | $1,365.00 | $1,023.75 | — |
| 41786Surgical removal or reshaping of the uvula, soft palate, and pharynx, optionally including tonsillectomy, performed under anaesthesia with surgical assistance. | $882.15 | $661.65 | — |
| 41789Surgical removal of tonsils or tonsils and adenoids in children under 12 years, including postnasal examination and local anaesthetic infiltration. | $353.90 | $265.45 | — |
| 41793Surgical removal of tonsils or tonsils and adenoids in patients aged 12 years and over, including postnasal examination, nasopharynx inspection, and local anaesthetic infiltration. | $444.65 | $333.50 | — |