Group T8: Surgical Operations
2,632 items with their schedule fees and Medicare benefits; showing 41797–43846.
| Item | Fee | 75% | Out of hospital |
|---|---|---|---|
| 41797Arrest of bleeding from tonsil or tonsil and adenoid removal sites under general anaesthesia. | $172.40 | $129.30 | — |
| 41801Surgical removal of adenoids including examination of the postnasal space and nasopharynx with local anaesthetic infiltration, excluding cases covered by item 41764. | $195.05 | $146.30 | — |
| 41804Surgical removal of lingual tonsil (base of tongue tissue) under general anaesthesia. | $107.75 | $80.85 | — |
| 41807Incision and drainage of a peritonsillar abscess under anaesthesia. | $83.80 | $62.85 | $71.25 (85%) |
| 41810Surgical removal or partial removal of the uvula, performed under anaesthesia. | $42.60 | $31.95 | — |
| 41813Removal of vallecular or pharyngeal cysts under general anaesthesia with surgical assistance. | $426.55 | $319.95 | — |
| 41822Rigid oesophagoscopy with or without biopsy, excluding procedures associated with specific other oesophageal services. | $230.05 | $172.55 | — |
| 41825Removal of foreign body from the pharynx, larynx or oesophagus by any method, excluding cases requiring the service described in item 30478. | $426.55 | $319.95 | — |
| 41828Dilation of oesophageal stricture without endoscopy under anaesthesia. | $62.55 | $46.95 | $53.20 (85%) |
| 41831Endoscopic pneumatic dilatation of the oesophagus to treat achalasia, performed under anaesthesia with assistance. | $427.30 | $320.50 | — |
| 41832Balloon dilatation of the oesophagus using interventional imaging guidance under anaesthesia. | $273.50 | $205.15 | — |
| 41834Surgical removal of the entire larynx with cricopharyngeal myotomy and creation of a tracheo-oesophageal puncture for voice restoration, including anaesthesia and surgical assistance. | $1,893.65 | $1,420.25 | — |
| 41837Surgical removal of one side of the larynx including vocal cords and false vocal cords, with tracheostomy; once per patient lifetime. | $1,479.45 | $1,109.60 | — |
| 41840Surgical removal of the upper larynx (ventricular folds, epiglottis, aryepiglottic folds) with tracheostomy, limited to once per patient per provider lifetime. | $1,819.00 | $1,364.25 | — |
| 41843Surgical removal of larynx and pharynx with reconstruction of swallowing passage using stomach or bowel, including anaesthesia and surgical assistance. | $1,599.60 | $1,199.70 | — |
| 41855Examination of the larynx under magnification using an operating microscope, with optional tissue sampling, performed under anaesthesia with surgical assistance. | $344.95 | $258.75 | — |
| 41861Removal of benign or malignant laryngeal lesions including papillomata via microlaryngoscopy, unilateral, excluding cases with concurrent item 41870 on same side. | $723.25 | $542.45 | — |
| 41867Surgical removal or repositioning of arytenoid cartilage(s) in the larynx performed under general anaesthesia with surgical assistance. | $734.15 | $550.65 | — |
| 41870Injection-based laryngeal augmentation or modification procedure under anaesthesia with assistance, excluding concurrent services on the same side covered by items 41879 or 41861. | $544.40 | $408.30 | $462.75 (85%) |
| 41873Surgical repair of a fractured larynx, including anaesthesia and surgical assistance. | $703.25 | $527.45 | — |
| 41876External laryngeal surgery including laryngofissure with or without vocal cord removal, requiring anaesthesia and surgical assistance. | $703.25 | $527.45 | — |
| 41879Surgical repair of the trachea, larynx or thyroid cartilage (excluding injections), including tracheostomy, when not part of another listed procedure. | $1,139.65 | $854.75 | — |
| 41880Percutaneous tracheostomy procedure performed under anaesthesia to create an airway opening in the trachea using a minimally invasive needle-based technique. | $304.15 | $228.15 | — |
| 41881Surgical creation of an opening in the trachea via open exposure, performed under anaesthesia with surgical assistance. | $480.95 | $360.75 | — |
| 41884Emergency surgical airway procedure creating an opening through the cricothyroid membrane to establish breathing when other airway methods are not possible or appropriate. | $108.95 | $81.75 | — |
| 41885Formation of tracheoesophageal fistula as a secondary procedure after laryngectomy, including associated endoscopic procedures. | $344.60 | $258.45 | — |
| 41886Removal of a foreign body from the trachea under anaesthesia. | $213.05 | $159.80 | — |
| 41887Surgical removal of a pituitary tumour via trans-sphenoidal approach with stereotactic guidance and tissue grafting as part of combined procedures, excluding certain associated services. | $3,233.55 | $2,425.20 | — |
| 41888Surgical repair of skull fractures from trauma or spontaneous defects causing cerebrospinal fluid leakage through the nose or ear, including stereotactic guidance and tissue grafting. | $2,288.50 | $1,716.40 | — |
| 41890Surgical decompression of the orbit through the nose by creating openings in 2+ walls or removing fat from all quadrants, for one eye. | $1,530.05 | $1,147.55 | — |
| 41907Insertion of a nasal septum button (a device to support or protect the nasal septum) under anaesthesia. | $146.95 | $110.25 | $124.95 (85%) |
| 41910Surgical transposition of a major salivary gland duct under anaesthesia with surgical assistance. | $467.10 | $350.35 | — |
| 42503Ophthalmological examination performed under general anaesthesia when not associated with another ophthalmic procedure. | $122.65 | $92.00 | — |
| 42504Surgical implantation of micro-bypass device(s) in the eye to improve fluid drainage for glaucoma when conservative treatments have failed, are unsuitable, or unlikely to work. | $359.95 | $270.00 | — |
| 42505Surgical removal of micro-bypass glaucoma device(s) from the eye due to device-related complications, with or without replacement, under anaesthesia. | $359.95 | $270.00 | — |
| 42506Surgical removal of an eye without implant placement, requiring anaesthesia and surgical assistance. | $576.00 | $432.00 | — |
| 42509Surgical removal of an eye with insertion of a non-integrated implant that is not attached to eye muscles. | $729.00 | $546.75 | — |
| 42510Surgical removal of an eye with placement of an integrated implant (coralline or other type) and reattachment of at least 4 eye muscles to restore function and appearance. | $840.30 | $630.25 | — |
| 42512Surgical removal of the eye contents under general anaesthesia with an assistant present. | $576.00 | $432.00 | — |
| 42515Surgical removal of the eye globe and insertion of an intrascleral ball or cartilage implant to maintain eye socket volume, with anaesthesia and surgical assistance. | $729.00 | $546.75 | — |
| 42518Surgical insertion of cartilage or artificial implant into an anophthalmic socket as a delayed procedure, removal of an orbital implant, or placement of a motility peg into an existing implant, under anaesthesia with assistance. | $422.95 | $317.25 | — |
| 42521Surgical insertion of a wired conformer, integrated implant or dermofat graft into an anophthalmic socket as a secondary procedure, including anaesthesia and assistance. | $1,440.15 | $1,080.15 | — |
| 42527Surgical reconstruction of contracted eye socket with mucous membrane grafting and stent mould under anaesthesia, requiring surgical assistance. | $485.95 | $364.50 | — |
| 42530Surgical exploration of the orbit with bone removal to access and drain fluid or perform biopsy, including repair of any resulting defects, excluding cases already managed under related orbital procedures. | $756.10 | $567.10 | — |
| 42533Surgical exploration of the orbit without bone removal, including drainage or biopsy and repair of any resulting bone or soft tissue defects. | $485.95 | $364.50 | — |
| 42536Surgical removal of the eye and orbital contents with reconstruction of bone and soft tissue defects, including potential skin grafting or muscle transplant. | $998.85 | $749.15 | — |
| 42539Surgical removal of a tumor or foreign body from the orbit via bone removal (orbitotomy), including repair of any resulting bone or soft tissue defect. | $1,422.15 | $1,066.65 | — |
| 42542Surgical exploration of the front of the eye socket with removal of a tumour or foreign body and repair of bone or soft tissue damage, requiring anaesthesia and surgical assistance. | $603.15 | $452.40 | — |
| 42543Surgical exploration of the space behind the eyeball to remove a tumour or foreign body, including anaesthesia and surgical assistance. | $1,057.85 | $793.40 | — |
| 42545Surgical decompression of the eye orbit for thyroid eye disease by fenestrating 2+ orbital walls or removing fat from all quadrants, one eye only. | $1,530.05 | $1,147.55 | — |
| 42548Surgical incision of the optic nerve meninges under anaesthesia, with assistant present. | $908.90 | $681.70 | — |
| 42551Repair of penetrating eye wound or rupture affecting cornea or sclera (excluding complex intraocular cases), with suturing under anaesthesia and surgical assistance. | $756.10 | $567.10 | — |
| 42554Surgical repair of a penetrating eye wound or rupture with trapped or protruding uveal tissue, performed under anaesthesia with an assistant. | $882.15 | $661.65 | — |
| 42557Repair of penetrating eye wound or rupture with trapped lens or vitreous material, including anaesthesia and assistance. | $1,233.05 | $924.80 | — |
| 42563Removal of a foreign body embedded in the front part of the eye under general anaesthesia, with surgical assistance. | $621.20 | $465.90 | — |
| 42569Surgical removal of a foreign body from the back of the eye under anaesthesia, with assistance. | $1,233.05 | $924.80 | — |
| 42572Surgical drainage of an orbital abscess or cyst under anaesthesia. | $140.45 | $105.35 | $119.40 (85%) |
| 42573Surgical removal of a periorbital dermoid cyst under anaesthesia in patients aged 10 years and over. | $272.20 | $204.15 | $231.40 (85%) |
| 42574Surgical excision of an orbital dermoid cyst under anaesthesia with surgical assistance. | $578.40 | $433.80 | — |
| 42575Surgical removal of a tarsal cyst (chalazion or meibomian cyst) on the eyelid under anaesthesia. | $99.00 | $74.25 | $84.15 (85%) |
| 42576Surgical removal of a periorbital dermoid cyst in a child under 10 years of age, performed under general anaesthesia. | $353.90 | $265.45 | — |
| 42581Cauterisation of the tarsal (eyelid) tissue under anaesthesia to correct ectropion (outward-turning eyelid) or entropion (inward-turning eyelid). | $140.45 | $105.35 | $119.40 (85%) |
| 42584Surgical procedure to partially or fully close the eyelids under general anaesthesia, with surgical assistance, to protect the eye or cornea. | $331.25 | $248.45 | $281.60 (85%) |
| 42587Treatment of trichiasis (abnormal eyelash growth) on one eyelid using cryotherapy, laser, or electrolysis, performed under anaesthesia. | $62.25 | $46.70 | $52.95 (85%) |
| 42588Treatment of trichiasis (misdirected eyelashes from trachoma) on one eyelid using cryotherapy, laser or electrolysis under anaesthesia. | $62.25 | $46.70 | $52.95 (85%) |
| 42590Surgical repositioning of the inner or outer corner of the eyelid to correct functional problems, excluding cosmetic eyelid surgery, with anaesthesia and assistant support. | $405.00 | $303.75 | $344.25 (85%) |
| 42596Surgical excision or operation on the lacrimal sac under general anaesthesia with surgical assistance. | $603.15 | $452.40 | — |
| 42599Surgical procedure to restore normal tear drainage in one eye by inserting silicone tubes through the tear ducts without making large incisions. | $756.10 | $567.10 | — |
| 42602Surgical opening of a blocked tear duct in one eye under anaesthesia with surgical assistance. | $756.10 | $567.10 | — |
| 42605Immediate surgical repair of a torn lacrimal canaliculus (tear duct) under anaesthesia with surgical assistance. | $557.90 | $418.45 | — |
| 42608Insertion of a glass tube into the lacrimal drainage system to restore tear flow, performed as a standalone procedure under anaesthesia. | $359.95 | $270.00 | $306.00 (85%) |
| 42610Removal, replacement, or probing of a unilateral nasolacrimal tube or lacrimal passages under general anaesthesia, with optional lavage. | $115.20 | $86.40 | — |
| 42611Removal, replacement, or probing of nasal tear ducts bilaterally to treat obstruction, with optional flushing, performed under general anaesthesia. | $172.80 | $129.60 | — |
| 42614Removal or replacement of a one-sided nasolacrimal tube, or probing of tear drainage passages to check patency and locate blockages, including flushing, for one eye only. | $57.75 | $43.35 | $49.10 (85%) |
| 42615Removal, replacement or probing of nasolacrimal tubes bilaterally to establish patency or locate obstruction in lacrimal passages, including lavage, excluding aftercare. | $86.50 | $64.90 | $73.55 (85%) |
| 42617Surgical closure of a lacrimal punctum under anaesthesia to reduce tear drainage and treat dry eye or epiphora. | $163.95 | $123.00 | $139.40 (85%) |
| 42620Insertion of a plug to occlude the tear duct punctum, performed under anaesthesia. | $63.10 | $47.35 | $53.65 (85%) |
| 42622Permanent closure of the tear duct opening (punctum) using electrical cautery under anaesthesia. | $99.00 | $74.25 | $84.15 (85%) |
| 42623Surgical creation of a new tear duct drainage pathway using external or endonasal approach, including any necessary sinus or turbinate procedures, with or without stenting. | $837.15 | $627.90 | — |
| 42626Repeat dacryocystorhinostomy via external or endonasal approach, including concurrent sinus/turbinate/uncinate procedures for access, with or without silicone stenting. | $1,350.20 | $1,012.65 | — |
| 42629Surgical creation of a drainage passage from the tear sac to the nasal cavity with permanent tube placement to restore tear drainage. | $1,017.05 | $762.80 | — |
| 42632Surgical repair of corneal laceration using a conjunctival flap, excluding procedures covered under item 42686, with anaesthesia. | $140.45 | $105.35 | $119.40 (85%) |
| 42635Sealing of a corneal perforation using tissue adhesive under anaesthesia, with surgical assistance. | $359.95 | $270.00 | $306.00 (85%) |
| 42638Surgical procedure with anaesthesia and surgical assistance to graft conjunctival tissue over the cornea. | $450.05 | $337.55 | $382.55 (85%) |
| 42641Surgical transplant of tissue (autoconjunctival or mucous membrane) to repair ocular surface damage, performed under anaesthesia with surgical assistance. | $585.05 | $438.80 | $497.30 (85%) |
| 42644Removal of an embedded foreign body from the cornea or sclera, limited to once per day per practitioner, under anaesthesia. | $86.35 | $64.80 | $73.40 (85%) |
| 42647Removal of corneal scars by partial keratectomy under anaesthesia, excluding cases already covered by other specified corneal procedures. | $244.85 | $183.65 | $208.15 (85%) |
| 42650Surgical removal of damaged corneal surface tissue for corneal ulcers or erosions, excluding routine post-operative care and procedures already covered under item 42647. | $86.35 | $64.80 | $73.40 (85%) |
| 42651Removal of corneal epithelium under anaesthesia to treat band keratopathy (calcium deposition across the cornea). | $192.50 | $144.40 | $163.65 (85%) |
| 42652Corneal collagen cross-linking procedure for progressive corneal ectatic disorders under anaesthesia, charged per eye. | $1,436.30 | $1,077.25 | $1,331.80 (85%) |
| 42653Surgical assistance during corneal transplant surgery under anaesthesia. | $1,565.20 | $1,173.90 | — |
| 42656Corneal transplant surgery for second or subsequent procedures, including anaesthesia and surgical assistance. | $1,998.20 | $1,498.65 | — |
| 42662Full thickness sclera transplant including donor tissue collection, with anaesthesia and surgical assistance. | $1,079.90 | $809.95 | — |
| 42665Surgical transplantation of donor scleral tissue (partial or full thickness) to repair corneal or scleral defects, including donor material collection. | $720.15 | $540.15 | — |
| 42667Manipulation of corneal sutures within 4 months after corneal grafting to reduce astigmatism by at least 2 dioptres, including consultation. | $169.85 | $127.40 | $144.40 (85%) |
| 42668Removal of corneal sutures at least 6 weeks post-operatively using slit lamp or operating microscope, with anaesthesia. | $90.10 | $67.60 | $76.60 (85%) |
| 42672Surgical correction of corneal astigmatism exceeding 1.5 dioptres after anterior segment surgery through corneal incisions, including measurements and calculations. | $1,079.90 | $809.95 | — |
| 42673Surgical correction of corneal astigmatism exceeding 1.5 dioptres through additional corneal incisions during anterior segment surgery, including measurements and calculations. | $539.90 | $404.95 | — |
| 42676Biopsy of the conjunctiva (outer eye membrane) performed as a standalone procedure, not part of another eye surgery. | $138.45 | $103.85 | $117.70 (85%) |
| 42677Cautery treatment of the conjunctiva for conditions like pannus, including consultation, per attendance with anaesthesia. | $72.95 | $54.75 | $62.05 (85%) |
| 42680Freezing treatment of dark lesions on the conjunctiva using CO₂ or nitrous oxide under anaesthetic. | $359.95 | $270.00 | $306.00 (85%) |
| 42683Removal of conjunctival cysts requiring hospital or day-hospital admission under anaesthesia. | $144.10 | $108.10 | — |
| 42686Surgical removal of pterygium (wing-shaped tissue growth on the eye) under anaesthesia, excluding cases already covered by items 42632 or 42647. | $327.55 | $245.70 | $278.45 (85%) |
| 42689Surgical removal of a pinguecula (benign conjunctival growth) under anaesthesia, excluding cases related to contact lens fitting. | $140.45 | $105.35 | $119.40 (85%) |
| 42692Surgical removal of a limbic tumour under anaesthesia with surgical assistance, excluding pterygium removal. | $331.25 | $248.45 | $281.60 (85%) |
| 42695Surgical removal of a limbic tumour with corneal or scleral tissue removal, excluding pterygium, under anaesthesia with surgical assistance. | $539.90 | $404.95 | $458.95 (85%) |
| 42698Surgical removal of a lens (excluding refractive correction surgery) when not correcting anisometropia exceeding 3 dioptres that develops after first-eye cataract removal, performed under anaesthesia. | $711.80 | $533.85 | — |
| 42701Insertion of an intraocular lens during cataract surgery, excluding refractive error correction unless anisometropia exceeds 3 dioptres following first-eye cataract removal. | $396.95 | $297.75 | — |
| 42702Cataract surgery with intraocular lens insertion, excluding refractive correction except where anisometropia exceeding 3 dioptres develops after first eye surgery. | $910.35 | $682.80 | — |
| 42703Insertion of an intraocular lens or iris prosthesis into the posterior chamber with fixation to the iris or sclera, performed under anaesthesia with assistant support. | $684.65 | $513.50 | — |
| 42704Surgical removal or repositioning of an intraocular lens via open operation, excluding cases already covered under item 42701. | $557.90 | $418.45 | — |
| 42705Cataract removal with intraocular lens insertion and micro-bypass glaucoma device placement in open-angle glaucoma patients inadequately controlled or intolerant of topical medications. | $1,090.55 | $817.95 | — |
| 42707Removal and replacement of an intraocular lens, excluding refractive error correction unless anisometropia exceeds 3 dioptres post-cataract surgery in the first eye. | $954.05 | $715.55 | — |
| 42710Surgical removal of an intraocular lens and replacement with a new lens fixed to the iris or sclera, under anaesthesia with surgical assistance. | $1,079.90 | $809.95 | — |
| 42713Suturing of iris or ciliary body using McCannel technique to fix an intraocular lens or repair iris defects or cyclodialysis clefts. | $450.05 | $337.55 | — |
| 42716Surgical removal of a cataract in a child, including any subsequent needling procedures to clear the lens, with anaesthesia and surgical assistance. | $1,431.10 | $1,073.35 | — |
| 42719Removal of capsular, lens or vitreous material via limbal approach, not associated with other specified anterior segment procedures. | $621.20 | $465.90 | — |
| 42725Surgical removal of vitreous gel and treatment of vitreous bands, epiretinal membranes, or cataracts via small eye incisions, requiring anesthesia and assistance. | $1,602.00 | $1,201.50 | — |
| 42731Surgical removal of the lens via limbal or pars plana approach combined with vitrectomy, excluding cases covered by related items 42698, 42702, 42719, or 42725. | $1,818.05 | $1,363.55 | — |
| 42734Surgical incision of the eye's lens capsule by non-laser methods, excluding procedures linked to specific cataract services, requiring anaesthesia and assistance. | $359.95 | $270.00 | — |
| 42743Irrigation of blood from the anterior chamber of the eye as a standalone procedure, performed under anaesthesia with surgical assistance. | $756.10 | $567.10 | — |
| 42744Surgical revision of a failed glaucoma drainage bleb using needle techniques under anaesthesia, performed after initial filtering surgery. | $359.75 | $269.85 | $305.80 (85%) |
| 42746Surgical creation of a drainage pathway to lower intraocular pressure when medical management has failed, is unsuitable, or is unlikely to succeed. | $1,143.05 | $857.30 | — |
| 42749Repeat glaucoma filtering surgery where a previous filtering procedure has already been done; includes anaesthesia and surgical assistance. | $1,431.10 | $1,073.35 | — |
| 42750Injection of antifibrotic agent under the conjunctiva after glaucoma filtering surgery to reduce scar tissue formation, performed as a standalone procedure under anaesthesia. | $63.80 | $47.85 | $54.25 (85%) |
| 42752Surgical insertion of a glaucoma drainage device with an external reservoir, requiring general anaesthesia and surgical assistance. | $1,602.00 | $1,201.50 | — |
| 42755Removal of glaucoma drainage device with extraocular reservoir, insertion or removal of intraluminal stent, or tying off of lumen in one eye under anaesthesia with assistance. | $197.95 | $148.50 | — |
| 42758Surgical opening of the eye's drainage angle to treat primary congenital glaucoma, performed under anaesthesia with surgical assistance. | $837.15 | $627.90 | — |
| 42761Surgical division of adhesions between iris and lens (anterior or posterior synechiae) without laser, requiring anaesthesia and assistance. | $621.20 | $465.90 | — |
| 42764Surgical removal or incision of the iris, including iris tumour excision, performed as a standalone procedure under general anaesthesia with surgical assistance. | $621.20 | $465.90 | — |
| 42767Surgical excision of a tumour involving the ciliary body or ciliary body and iris, including anaesthesia and surgical assistance. | $1,304.95 | $978.75 | — |
| 42770Cyclodestructive procedures to treat intractable glaucoma in one eye, up to 2 treatments per eye within 2 years, under anaesthesia with assistance. | $352.80 | $264.60 | $299.90 (85%) |
| 42773Surgical repair of detached retina using pneumatic retinopexy (gas bubble injection) under anaesthesia, with an assistant present. | $1,079.90 | $809.95 | $975.40 (85%) |
| 42776Surgical repair of detached retina using buckling or resection techniques, including anaesthesia and surgical assistance. | $1,602.00 | $1,201.50 | — |
| 42779Revision scleral buckling surgery for detached retina, including anaesthesia and surgical assistance. | $1,998.20 | $1,498.65 | — |
| 42782Laser treatment for glaucoma applied to one eye, up to 4 treatments per eye within 2 years, requiring anaesthesia and assistance. | $539.90 | $404.95 | $458.95 (85%) |
| 42785Laser treatment of the iris to create an opening, up to 3 treatments per eye within 2 years, performed under anaesthesia with assistant. | $422.95 | $317.25 | $359.55 (85%) |
| 42788Laser treatment to open a clouded lens membrane in one eye, limited to maximum 2 treatments per eye within 2 years. | $422.95 | $317.25 | $359.55 (85%) |
| 42791Laser treatment to dissolve lens material, fibrin, or anterior vitreous opacities in one eye, maximum 3 treatments per eye over 2 years. | $422.95 | $317.25 | $359.55 (85%) |
| 42794Laser division of sutures after glaucoma filtering surgery, maximum 2 treatments per eye per 2 years, under anaesthesia. | $81.05 | $60.80 | $68.90 (85%) |
| 42801Insertion of radioactive episcleral plaque (Ruthenium 106 or Iodine 125) under anaesthesia for choroidal melanoma treatment, with surgical assistance. | $1,256.45 | $942.35 | — |
| 42802Removal of a radioactive plaque (Ruthenium 106 or Iodine 125) previously placed to treat choroidal melanoma, under anaesthesia with assistance. | $627.95 | $471.00 | — |
| 42805Insertion of one or more tantalum markers into the sclera to mark choroidal melanoma location and guide radiotherapy planning, performed under anaesthesia. | $702.00 | $526.50 | — |
| 42808Laser procedure to reshape the iris and widen the drainage angle in the eye, typically for angle-closure glaucoma management or prevention. | $425.85 | $319.40 | $362.00 (85%) |
| 42809Photocoagulation treatment of retinal conditions under anaesthesia, excluding photodynamic therapy with verteporfin, with assistant support. | $539.90 | $404.95 | $458.95 (85%) |
| 42810Laser removal of scarred or diseased corneal tissue to improve vision, excluding refractive surgery, performed under anaesthesia. | $679.40 | $509.55 | $577.50 (85%) |
| 42811Laser heat treatment of choroidal and retinal tumours or vascular malformations, performed under anaesthesia. | $539.90 | $404.95 | $458.95 (85%) |
| 42812Surgical removal of scleral buckle material from an eye that previously had scleral buckling surgery, performed under anaesthesia. | $197.95 | $148.50 | $168.30 (85%) |
| 42815Removal of silicone oil or other liquid vitreous substitutes from the eye during a separate procedure from the initial insertion, requiring anaesthesia and assistant support. | $756.10 | $567.10 | — |
| 42818Freezing treatment to the retina or ciliary body, performed alone or with item 42809 anaesthesia. | $702.00 | $526.50 | $597.50 (85%) |
| 42821Transillumination of the eye to diagnose and measure intraocular tumours, performed under anaesthesia. | $108.20 | $81.15 | $92.00 (85%) |
| 42824Injection of alcohol or other drug behind the eyeball as a standalone procedure, typically for pain relief or destruction of eye tissue. | $83.60 | $62.70 | $71.10 (85%) |
| 42833Surgical correction of eye misalignment (strabismus) involving one or two muscles in patients aged 15 years or over, with anaesthesia and surgical assistance. | $702.00 | $526.50 | — |
| 42836Surgical correction of squint affecting one or both eyes involving one or two muscles in patients aged 14 or under, those with prior eye surgery, or concurrent thyroid eye disease. | $873.00 | $654.75 | — |
| 42839Surgical correction of squint in patients aged 15+ involving three or more eye muscles, including anaesthesia and assistance. | $837.15 | $627.90 | — |
| 42842Surgical correction of squint involving three or more eye muscles in patients aged 14 or under, or those with prior eye surgery or thyroid eye disease. | $1,044.05 | $783.05 | — |
| 42845Readjustment of one or both eyes' adjustable sutures as a standalone procedure under anaesthesia following squint correction surgery. | $226.75 | $170.10 | $192.75 (85%) |
| 42848Surgical correction of eye muscle misalignment (Hummelsheim procedure or equivalent) for patients aged 15+ under general anaesthesia with surgical assistance. | $837.15 | $627.90 | — |
| 42851Surgical correction of eye misalignment using muscle transplant technique (Hummelsheim or similar) in patients aged 14 or under, or those with previous eye surgery, retinal disease, or thyroid eye disease. | $1,044.05 | $783.05 | — |
| 42854Surgical repair of a ruptured medial palpebral ligament or extraocular muscle under anaesthesia with assistance. | $485.95 | $364.50 | — |
| 42857Resuturing of a wound after intraocular eye surgery, with optional removal of prolapsed iris tissue, requiring anaesthesia and surgical assistance. | $485.95 | $364.50 | — |
| 42860Surgical grafting to upper or lower eyelid using scleral, Gore-Tex or similar material, combined with recession of lid retractor muscles to correct eyelid position or function. | $1,079.90 | $809.95 | — |
| 42863Surgical correction of eyelid position by releasing the lid retractors through an open procedure on one eye, including anaesthesia and assistance. | $927.15 | $695.40 | $822.65 (85%) |
| 42866Surgical repair of entropion or tarsal ectropion by tightening or shortening inferior retractors across the full eyelid width via open operation, excluding procedures using conjunctival approaches for fat reduction or orbital surgery. | $899.85 | $674.90 | $795.35 (85%) |
| 42869Surgical insertion of an implant into the eyelid to enable closure in cases of facial nerve paralysis, performed under anaesthesia with surgical assistance. | $657.10 | $492.85 | $558.55 (85%) |
| 42872Surgical lift of drooping eyebrows to restore vision when the upper eyelid rests on eyelashes due to facial weakness or aging, requiring photographic evidence of visual obstruction. | $288.05 | $216.05 | $244.85 (85%) |
| 43021Photodynamic therapy for one eye using intravenous Verteporfin and a 689nm laser to treat choroidal neovascularisation. | $544.70 | $408.55 | $463.00 (85%) |
| 43022Photodynamic therapy for choroidal neovascularisation in both eyes using Verteporfin infusion and 689nm laser treatment. | $653.70 | $490.30 | $555.65 (85%) |
| 43030Needle puncture of the front or back chamber of the left eye to inject therapeutic substances or remove fluid for diagnosis or treatment as a standalone procedure. | $359.95 | $270.00 | $306.00 (85%) |
| 43032Needle puncture of the front or back of the eye to inject therapeutic substances or remove fluid for diagnosis or treatment of the right eye only. | $359.95 | $270.00 | $306.00 (85%) |
| 43034Surgical puncture of the eye's anterior chamber or vitreous cavity to inject therapeutic substances or remove fluid for diagnosis/treatment, performed on the left eye under anaesthetist-administered anaesthesia as a standalone procedure. | $359.95 | $270.00 | $306.00 (85%) |
| 43036Paracentesis of the anterior chamber or vitreous cavity of the right eye to inject therapeutic substances or remove fluids for diagnosis/treatment, requiring anaesthetist-administered anaesthesia. | $359.95 | $270.00 | $306.00 (85%) |
| 43038Intravitreal injection of therapeutic substances or vitreous removal for diagnosis in the left eye, performed as part of other intraocular surgery under anaesthesia. | $359.95 | $270.00 | $306.00 (85%) |
| 43040Intravitreal injection of therapeutic substances or vitreous removal for diagnosis in the right eye, performed as part of other intraocular surgery under anaesthesia. | $359.95 | $270.00 | $306.00 (85%) |
| 43050Surgical repair of choroidal detachment using external drainage under general anaesthesia, with surgical assistance. | $806.95 | $605.25 | — |
| 43521Assistance at an operation on the skull under anaesthesia. | $556.05 | $417.05 | — |
| 43527Surgical treatment of bone or joint infection (septic arthritis or osteomyelitis) in the sternum, clavicle, rib, hand, foot, or jaw bones via open or arthroscopic approach, including adjacent joint if needed. | $426.55 | $319.95 | — |
| 43530Surgical treatment of bone or joint infection in the upper or lower limb (shoulder, elbow, forearm, knee, or hip area) using open or arthroscopic technique, including the adjacent joint space. | $426.55 | $319.95 | — |
| 43533Surgical treatment of spinal or pelvic bone infection via open or arthroscopic approach, including adjacent joint, single access point. | $703.25 | $527.45 | — |
| 43801Anaesthetic assistance for laparotomy to correct intestinal malrotation with or without volvulus, without bowel resection. | $1,145.90 | $859.45 | — |
| 43804Surgical repair of intestinal malrotation with or without volvulus via laparotomy, including bowel resection, anastomosis, and possible stoma formation, with anaesthesia and surgical assistance. | $1,219.90 | $914.95 | — |
| 43805Surgical repair of umbilical, epigastric or linea alba hernia in children under 10 years, including anaesthesia. | $426.55 | $319.95 | — |
| 43807Surgical creation of a bypass between the duodenum and duodenum or jejunum to treat duodenal atresia or stenosis, including anaesthesia and surgical assistance. | $1,330.95 | $998.25 | — |
| 43810Surgical resection and reconnection of the jejunum for jejunal atresia, with optional tapering, including anaesthesia and assistance. | $1,552.75 | $1,164.60 | — |
| 43813Surgical opening of the abdomen to treat meconium ileus when complicated by volvulus, atresia, intestinal perforation, or meconium peritonitis, with anaesthesia and surgical assistance. | $1,552.75 | $1,164.60 | — |
| 43816Laparotomy for ileal atresia, colonic atresia, or meconium ileus, with anaesthesia and assistance, when not associated with item 43813. | $1,441.80 | $1,081.35 | — |
| 43819Surgical repair of Hirschsprung disease (agangliosis coli) via laparotomy, including frozen section biopsies if needed and stoma formation, with anaesthetic assistance. | $1,164.60 | $873.45 | — |
| 43822Surgical creation of colostomy via laparotomy for anorectal malformation, with anaesthesia and surgical assistance. | $1,164.60 | $873.45 | — |
| 43825Emergency abdominal surgery for a newborn with intestinal obstruction, including anaesthesia and surgical assistance. | $1,330.95 | $998.25 | — |
| 43828Surgical repair of acute neonatal necrotising enterocolitis via laparotomy with bowel resection, anastomoses, or stoma formation, including anaesthesia and assistance. | $1,470.45 | $1,102.85 | — |
| 43831Laparotomy with anaesthesia assistance for acute neonatal necrotising enterocolitis when no definitive surgical procedure can be performed. | $1,145.90 | $859.45 | — |
| 43832Surgical removal of a branchial fistula in a child under 10 years, including anaesthesia and surgical assistance. | $781.50 | $586.15 | — |
| 43834Surgical removal of bowel segment(s) affected by necrotising enterocolitis stricture, with reconstruction or stoma creation as needed, including anaesthesia and assistance. | $1,330.95 | $998.25 | — |
| 43835Repair of strangulated, incarcerated or obstructed hernia without bowel resection in children under 10 years, including anaesthesia and assistance. | $811.15 | $608.40 | — |
| 43837Surgical repair of congenital diaphragmatic hernia via thoracic or abdominal approach when diagnosed within 24 hours of birth, including anaesthesia and assistance. | $1,663.60 | $1,247.70 | — |
| 43838Surgical repair of congenital diaphragmatic hernia in children under 10 years via thoracic or abdominal approach, excluding other specified procedures (anaesthesia and assistance included). | $1,489.45 | $1,117.10 | — |
| 43840Surgical repair of congenital diaphragmatic hernia via thoracic or abdominal approach in infants diagnosed between day 2 and day 20 of life, including anaesthesia and assistance. | $1,441.80 | $1,081.35 | — |
| 43841Surgical repair of femoral, inguinal hernia, or infantile hydrocele in children under 10 years, excluding day hospital procedures. | $722.70 | $542.05 | — |
| 43843Anaesthesia assistance for surgical correction of oesophageal atresia with or without tracheo-oesophageal fistula repair, excluding cases covered by item 43846. | $2,218.25 | $1,663.70 | — |
| 43846Anaesthesia for surgical repair of oesophageal atresia with or without tracheo-oesophageal fistula in infants weighing less than 1500 grams at birth. | $2,384.55 | $1,788.45 | — |