Billing Codes
Department of Veterans' Affairs — Updated Annually

DVA Medical Fee Schedule

Compare DVA fees against MBS rates for 5,800+ items — essential for practices treating DVA card holders

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Total Items
5886
DVA fee schedule items
Showing 5301–5350 of 5886 Pg 107/118
Item No. Description MBS Fee DVA Fee
73446
Characterisation of a variant or variants in a panel of at least 25 genes using DNA and RNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse
$1100.00 $1100.00
Item Number
73446
Fee Comparison
MBS
$1100.00
DVA
$1100.00
Additional DVA Rates
Pathology Fee
$1100.00
Full Description
Characterisation of a variant or variants in a panel of at least 25 genes using DNA and RNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse
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73447
Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of myeloid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse
$927.90 $927.90
Item Number
73447
Fee Comparison
MBS
$927.90
DVA
$927.90
Additional DVA Rates
Pathology Fee
$927.90
Full Description
Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of myeloid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse
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73448
Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse
$927.90 $927.90
Item Number
73448
Fee Comparison
MBS
$927.90
DVA
$927.90
Additional DVA Rates
Pathology Fee
$927.90
Full Description
Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse
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73451
Testing of a patient (who is pregnant or planning pregnancy) to identify carrier status for pathogenic or likely pathogenic variants in a gene mentioned in paragraph (a), (b) or (c), to determine: (a) for the cystic fibrosis transmembrane conductance regulator (CFTR) gene—reproductive risk of cystic fibrosis; (b) for the survival motor neuron 1 (SMN1) gene—reproductive risk of spinal muscular atrophy; (c) for the fragile X messenger ribonucleoprotein 1 (FMR1) gene—reproductive risk of fragile X syndrome; (other than a service associated with a service to which item 73300, 73305, 73345, 73346, 73347, 73348, 73349 or 73350 applies) One test per lifetime
$400.00 $400.00
Item Number
73451
Fee Comparison
MBS
$400.00
DVA
$400.00
Additional DVA Rates
Pathology Fee
$400.00
Full Description
Testing of a patient (who is pregnant or planning pregnancy) to identify carrier status for pathogenic or likely pathogenic variants in a gene mentioned in paragraph (a), (b) or (c), to determine: (a) for the cystic fibrosis transmembrane conductance regulator (CFTR) gene—reproductive risk of cystic fibrosis; (b) for the survival motor neuron 1 (SMN1) gene—reproductive risk of spinal muscular atrophy; (c) for the fragile X messenger ribonucleoprotein 1 (FMR1) gene—reproductive risk of fragile X syndrome; (other than a service associated with a service to which item 73300, 73305, 73345, 73346, 73347, 73348, 73349 or 73350 applies) One test per lifetime
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73452
Testing of the reproductive partner of a patient who has been found to be a carrier of a pathogenic or likely pathogenic variant in the CFTR or SMN1 gene identified by testing under item 73451, for the purpose of determining the couple’s reproductive risk of cystic fibrosis or spinal muscular atrophy One test per condition per lifetime
$400.00 $400.00
Item Number
73452
Fee Comparison
MBS
$400.00
DVA
$400.00
Additional DVA Rates
Pathology Fee
$400.00
Full Description
Testing of the reproductive partner of a patient who has been found to be a carrier of a pathogenic or likely pathogenic variant in the CFTR or SMN1 gene identified by testing under item 73451, for the purpose of determining the couple’s reproductive risk of cystic fibrosis or spinal muscular atrophy One test per condition per lifetime
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73453
Characterisation of germline pathogenic or likely pathogenic gene variants: (a) in at least the following genes: (i) ASPA; (ii) BLM; (iii) CFTR; (iv) ELP1; (v) FANCA; (vi) FANCC; (vii) FANCG; (viii) FMR1; (ix) G6PC1; (x) GBA1; (xi) HEXA; (xii) MCOLN1; (xiii) SLC37A4; (xiv) SMN1; (xv) SMPD1; and (b) in a patient of reproductive age who is of Ashkenazi Jewish descent for the purpose of ascertaining the patient’s carrier status for the following: (i) Bloom syndrome (ii) Canavan disease (iii) Cystic fibrosis (iv) Familial dysautonomia (v) Fanconi anaemia type C (vi) Fragile-X syndrome (vii) Gaucher disease (viii) Glycogen storage disease type I (ix) Mucolipidosis type IV (x) Niemann-Pick disease type A 7 (xi) Spinal muscular atrophy (xii) Tay-Sachs disease Applicable once per lifetime
$425.00 $425.00
Item Number
73453
Fee Comparison
MBS
$425.00
DVA
$425.00
Additional DVA Rates
Pathology Fee
$425.00
Full Description
Characterisation of germline pathogenic or likely pathogenic gene variants: (a) in at least the following genes: (i) ASPA; (ii) BLM; (iii) CFTR; (iv) ELP1; (v) FANCA; (vi) FANCC; (vii) FANCG; (viii) FMR1; (ix) G6PC1; (x) GBA1; (xi) HEXA; (xii) MCOLN1; (xiii) SLC37A4; (xiv) SMN1; (xv) SMPD1; and (b) in a patient of reproductive age who is of Ashkenazi Jewish descent for the purpose of ascertaining the patient’s carrier status for the following: (i) Bloom syndrome (ii) Canavan disease (iii) Cystic fibrosis (iv) Familial dysautonomia (v) Fanconi anaemia type C (vi) Fragile-X syndrome (vii) Gaucher disease (viii) Glycogen storage disease type I (ix) Mucolipidosis type IV (x) Niemann-Pick disease type A 7 (xi) Spinal muscular atrophy (xii) Tay-Sachs disease Applicable once per lifetime
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73454
Whole gene sequencing of a gene or genes described in item 73453, in a patient who is the reproductive partner of an individual who is affected by, or is a known genetic carrier of, one or more conditions described in item 73453 (other than cystic fibrosis, fragile‑X syndrome or spinal muscular atrophy), for the purpose of determining the couple’s combined reproductive risk of the conditions, if: (a) the patient is not eligible for a service to which item 73453 applies; and (b) the patient has not received a service to which item 73453 applies; and (c) the patient has not received a service to which this item applies for the purpose of determining the patient’s reproductive risk with the patient’s current reproductive partner Applicable once per couple per lifetime
$1200.00 $1200.00
Item Number
73454
Fee Comparison
MBS
$1200.00
DVA
$1200.00
Additional DVA Rates
Pathology Fee
$1200.00
Full Description
Whole gene sequencing of a gene or genes described in item 73453, in a patient who is the reproductive partner of an individual who is affected by, or is a known genetic carrier of, one or more conditions described in item 73453 (other than cystic fibrosis, fragile‑X syndrome or spinal muscular atrophy), for the purpose of determining the couple’s combined reproductive risk of the conditions, if: (a) the patient is not eligible for a service to which item 73453 applies; and (b) the patient has not received a service to which item 73453 applies; and (c) the patient has not received a service to which this item applies for the purpose of determining the patient’s reproductive risk with the patient’s current reproductive partner Applicable once per couple per lifetime
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73455
Testing of a pregnant patient, if at least one prospective parent is known to be affected by, or is a genetic carrier of, one or more conditions described in item 73453, for the purpose of determining whether a familial variant or variants are present in the fetus, if: (a) the testing is requested by a specialist or consultant physician; and (b) there is at least a 25% risk of the fetus inheriting a condition described in paragraph (b) of item 73453
$1600.00 $1600.00
Item Number
73455
Fee Comparison
MBS
$1600.00
DVA
$1600.00
Additional DVA Rates
Pathology Fee
$1600.00
Full Description
Testing of a pregnant patient, if at least one prospective parent is known to be affected by, or is a genetic carrier of, one or more conditions described in item 73453, for the purpose of determining whether a familial variant or variants are present in the fetus, if: (a) the testing is requested by a specialist or consultant physician; and (b) there is at least a 25% risk of the fetus inheriting a condition described in paragraph (b) of item 73453
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73456
Characterisation by whole genome sequencing, or by either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA of a patient with a strong suspicion of a mitochondrial disease, if: (a) the characterisation is requested by a specialist or consultant physician; and (b) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or “failure to thrive” in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease, or any of the above; and (c) the service is not a service associated with a service to which item 73358, 73359 or 73457 applies Applicable only once per lifetime
$2100.00 $2100.00
Item Number
73456
Fee Comparison
MBS
$2100.00
DVA
$2100.00
Additional DVA Rates
Pathology Fee
$2100.00
Full Description
Characterisation by whole genome sequencing, or by either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA of a patient with a strong suspicion of a mitochondrial disease, if: (a) the characterisation is requested by a specialist or consultant physician; and (b) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or “failure to thrive” in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease, or any of the above; and (c) the service is not a service associated with a service to which item 73358, 73359 or 73457 applies Applicable only once per lifetime
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73457
Characterisation by whole genome sequencing, or either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA, of a patient with a strong suspicion of a mitochondrial disease, if: (a) the characterisation is performed using a sample from the patient and a sample from each of the patient’s biological parents; and (b) the request for the characterisation states that singleton testing is inappropriate; and (c) the characterisation is requested by a specialist or consultant physician; and (d) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or “failure to thrive” in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease; and (e) the service is not a service associated with a service to which item 73358, 73359 or 73456 applies Applicable only once per lifetime
$3300.00 $3300.00
Item Number
73457
Fee Comparison
MBS
$3300.00
DVA
$3300.00
Additional DVA Rates
Pathology Fee
$3300.00
Full Description
Characterisation by whole genome sequencing, or either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA, of a patient with a strong suspicion of a mitochondrial disease, if: (a) the characterisation is performed using a sample from the patient and a sample from each of the patient’s biological parents; and (b) the request for the characterisation states that singleton testing is inappropriate; and (c) the characterisation is requested by a specialist or consultant physician; and (d) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or “failure to thrive” in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease; and (e) the service is not a service associated with a service to which item 73358, 73359 or 73456 applies Applicable only once per lifetime
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73458
Re-analysis of whole genome or whole exome or mitochondrial DNA data obtained in performing a service to which item 73456 or 73457 applies, for characterisation of previously unreported germline variants related to the clinical phenotype, if: (a) the re-analysis is requested by a specialist or consultant physician; and (b) the patient is strongly suspected of having a monogenic mitochondrial disease; and (c) the re-analysis is performed at least 24 months after: (i) the service to which item 73456 or 73457 applies; or (ii) a service to which this item applies Applicable twice per lifetime
$500.00 $500.00
Item Number
73458
Fee Comparison
MBS
$500.00
DVA
$500.00
Additional DVA Rates
Pathology Fee
$500.00
Full Description
Re-analysis of whole genome or whole exome or mitochondrial DNA data obtained in performing a service to which item 73456 or 73457 applies, for characterisation of previously unreported germline variants related to the clinical phenotype, if: (a) the re-analysis is requested by a specialist or consultant physician; and (b) the patient is strongly suspected of having a monogenic mitochondrial disease; and (c) the re-analysis is performed at least 24 months after: (i) the service to which item 73456 or 73457 applies; or (ii) a service to which this item applies Applicable twice per lifetime
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73459
Testing for diagnostic purposes of a pregnant patient, for detection in the fetus of a gene variant or variants present in the parents, if: (a) the gene variant or variants are: (i) a variant or variants in the mitochondrial genome identified in the oocyte donating parent; or (ii) autosomal recessive variants identified in both biological parents within the same gene; or (iii) an autosomal dominant or X-linked variant identified in either biological parent; or (iv) identified in a biological sibling of the fetus; and (b) the causative variant or variants for the condition of the fetus’ first-degree relative have been confirmed by laboratory findings; and (c) the detection is requested by a specialist or consultant physician; and (d) the service is not a service associated with a service to which item 73361, 73362, 73363 or 73462 applies
$1600.00 $1600.00
Item Number
73459
Fee Comparison
MBS
$1600.00
DVA
$1600.00
Additional DVA Rates
Pathology Fee
$1600.00
Full Description
Testing for diagnostic purposes of a pregnant patient, for detection in the fetus of a gene variant or variants present in the parents, if: (a) the gene variant or variants are: (i) a variant or variants in the mitochondrial genome identified in the oocyte donating parent; or (ii) autosomal recessive variants identified in both biological parents within the same gene; or (iii) an autosomal dominant or X-linked variant identified in either biological parent; or (iv) identified in a biological sibling of the fetus; and (b) the causative variant or variants for the condition of the fetus’ first-degree relative have been confirmed by laboratory findings; and (c) the detection is requested by a specialist or consultant physician; and (d) the service is not a service associated with a service to which item 73361, 73362, 73363 or 73462 applies
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73460
Characterisation of mitochondrial DNA deletion or variant for diagnostic purposes in a patient suspected to have mitochondrial disease, if: (a) the characterisation is requested by the specialist or consultant physician managing the patient’s treatment; and (b) the patient displays onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or ‘failure to thrive’ in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease; and (c) the service is performed following a service to which items 73292, 73358, 73359, 73456 or 73457 applies for the same patient if the results were non-informativeApplicable 3 times per lifetime
$450.00 $450.00
Item Number
73460
Fee Comparison
MBS
$450.00
DVA
$450.00
Additional DVA Rates
Pathology Fee
$450.00
Full Description
Characterisation of mitochondrial DNA deletion or variant for diagnostic purposes in a patient suspected to have mitochondrial disease, if: (a) the characterisation is requested by the specialist or consultant physician managing the patient’s treatment; and (b) the patient displays onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or ‘failure to thrive’ in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease; and (c) the service is performed following a service to which items 73292, 73358, 73359, 73456 or 73457 applies for the same patient if the results were non-informativeApplicable 3 times per lifetime
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73461
Whole gene testing of a person for the characterisation of all germline gene variants within the same gene in which the person’s reproductive partner has a pathogenic or likely pathogenic germline recessive gene variant for mitochondrial disease, if: (a) the partner’s germline recessive gene variant is confirmed by laboratory findings; and (b) the characterisation is requested by a specialist or consultant physician
$1200.00 $1200.00
Item Number
73461
Fee Comparison
MBS
$1200.00
DVA
$1200.00
Additional DVA Rates
Pathology Fee
$1200.00
Full Description
Whole gene testing of a person for the characterisation of all germline gene variants within the same gene in which the person’s reproductive partner has a pathogenic or likely pathogenic germline recessive gene variant for mitochondrial disease, if: (a) the partner’s germline recessive gene variant is confirmed by laboratory findings; and (b) the characterisation is requested by a specialist or consultant physician
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73462
Testing of a person for the detection of a single gene variant, if: (a) the person tested has a biological relative with a known pathogenic or likely pathogenic mitochondrial disease variant confirmed by laboratory findings; and (b) the testing is requested by a specialist or consultant physician; and (c) the service is not a service associated with a service to which item 73361, 73362 or 73363 applies
$400.00 $400.00
Item Number
73462
Fee Comparison
MBS
$400.00
DVA
$400.00
Additional DVA Rates
Pathology Fee
$400.00
Full Description
Testing of a person for the detection of a single gene variant, if: (a) the person tested has a biological relative with a known pathogenic or likely pathogenic mitochondrial disease variant confirmed by laboratory findings; and (b) the testing is requested by a specialist or consultant physician; and (c) the service is not a service associated with a service to which item 73361, 73362 or 73363 applies
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73521
Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test)
$10.20 $9.95
Item Number
73521
Fee Comparison
MBS
$10.20
DVA
$9.95
-$0.25 (-2%)
Additional DVA Rates
Pathology Fee
$9.95
Full Description
Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test)
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73523
Semen examination (other than post-vasectomy semen examination), including: (a) measurement of volume, sperm count and motility; and (b) examination of stained preparations; and (c) morphology; and (if performed) (d) differential count and 1 or more chemical tests; (Item is subject to rule 25)
$43.85 $42.75
Item Number
73523
Fee Comparison
MBS
$43.85
DVA
$42.75
-$1.10 (-3%)
Additional DVA Rates
Pathology Fee
$42.75
Full Description
Semen examination (other than post-vasectomy semen examination), including: (a) measurement of volume, sperm count and motility; and (b) examination of stained preparations; and (c) morphology; and (if performed) (d) differential count and 1 or more chemical tests; (Item is subject to rule 25)
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73525
Sperm antibodies - sperm-penetrating ability - 1 or more tests
$29.80 $29.05
Item Number
73525
Fee Comparison
MBS
$29.80
DVA
$29.05
-$0.75 (-3%)
Additional DVA Rates
Pathology Fee
$29.05
Full Description
Sperm antibodies - sperm-penetrating ability - 1 or more tests
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73527
Human chorionic gonadotrophin (HCG) - detection in serum or urine by 1 or more methods for diagnosis of pregnancy - 1 or more tests
$10.50 $10.25
Item Number
73527
Fee Comparison
MBS
$10.50
DVA
$10.25
-$0.25 (-2%)
Additional DVA Rates
Pathology Fee
$10.25
Full Description
Human chorionic gonadotrophin (HCG) - detection in serum or urine by 1 or more methods for diagnosis of pregnancy - 1 or more tests
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73529
Human chorionic gonadotrophin (HCG), quantitation in serum by 1 or more methods (except by latex, membrane, strip or other pregnancy test kit) for diagnosis of threatened abortion, or follow up of abortion or diagnosis of ectopic pregnancy, including any services performed in item 73527 - 1 test
$30.10 $29.35
Item Number
73529
Fee Comparison
MBS
$30.10
DVA
$29.35
-$0.75 (-2%)
Additional DVA Rates
Pathology Fee
$29.35
Full Description
Human chorionic gonadotrophin (HCG), quantitation in serum by 1 or more methods (except by latex, membrane, strip or other pregnancy test kit) for diagnosis of threatened abortion, or follow up of abortion or diagnosis of ectopic pregnancy, including any services performed in item 73527 - 1 test
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73801
Semen examination for presence of spermatozoa
$6.90 $6.90
Item Number
73801
Fee Comparison
MBS
$6.90
DVA
$6.90
Additional DVA Rates
Pathology Fee
$6.90
Full Description
Semen examination for presence of spermatozoa
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73802
Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count - 1 test
$4.55 $4.55
Item Number
73802
Fee Comparison
MBS
$4.55
DVA
$4.55
Additional DVA Rates
Pathology Fee
$4.55
Full Description
Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count - 1 test
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73803
2 tests described in item 73802
$6.35 $6.35
Item Number
73803
Fee Comparison
MBS
$6.35
DVA
$6.35
Additional DVA Rates
Pathology Fee
$6.35
Full Description
2 tests described in item 73802
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73804
3 or more tests described in item 73802
$8.15 $8.15
Item Number
73804
Fee Comparison
MBS
$8.15
DVA
$8.15
Additional DVA Rates
Pathology Fee
$8.15
Full Description
3 or more tests described in item 73802
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73805
Microscopy of urine, excluding dipstick testing.
$4.55 $4.55
Item Number
73805
Fee Comparison
MBS
$4.55
DVA
$4.55
Additional DVA Rates
Pathology Fee
$4.55
Full Description
Microscopy of urine, excluding dipstick testing.
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73806
Pregnancy test by 1 or more immunochemical methods
$10.15 $10.15
Item Number
73806
Fee Comparison
MBS
$10.15
DVA
$10.15
Additional DVA Rates
Pathology Fee
$10.15
Full Description
Pregnancy test by 1 or more immunochemical methods
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73807
Microscopy for wet film other than urine, including any relevant stain
$6.90 $6.90
Item Number
73807
Fee Comparison
MBS
$6.90
DVA
$6.90
Additional DVA Rates
Pathology Fee
$6.90
Full Description
Microscopy for wet film other than urine, including any relevant stain
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73808
Microscopy of Gram-stained film, including (if performed) a service described in item 73805 or 73807
$8.65 $8.65
Item Number
73808
Fee Comparison
MBS
$8.65
DVA
$8.65
Additional DVA Rates
Pathology Fee
$8.65
Full Description
Microscopy of Gram-stained film, including (if performed) a service described in item 73805 or 73807
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73809
Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method
$2.35 $2.35
Item Number
73809
Fee Comparison
MBS
$2.35
DVA
$2.35
Additional DVA Rates
Pathology Fee
$2.35
Full Description
Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method
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73810
Microscopy for fungi in skin, hair or nails - 1 or more sites
$6.90 $6.90
Item Number
73810
Fee Comparison
MBS
$6.90
DVA
$6.90
Additional DVA Rates
Pathology Fee
$6.90
Full Description
Microscopy for fungi in skin, hair or nails - 1 or more sites
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73811
Mantoux test
$11.20 $11.20
Item Number
73811
Fee Comparison
MBS
$11.20
DVA
$11.20
Additional DVA Rates
Pathology Fee
$11.20
Full Description
Mantoux test
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73812
Quantitation of glycated haemoglobin (HbA1c) performed in the management of established diabetes, if performed: (a) as a point‑of‑care test; and (b) by or on behalf of a medical practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point‑of-care testing under the National General Practice Accreditation Scheme; and (c) using a method certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrumentation used has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient
$11.80 $11.80
Item Number
73812
Fee Comparison
MBS
$11.80
DVA
$11.80
Additional DVA Rates
Pathology Fee
$11.80
Full Description
Quantitation of glycated haemoglobin (HbA1c) performed in the management of established diabetes, if performed: (a) as a point‑of‑care test; and (b) by or on behalf of a medical practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point‑of-care testing under the National General Practice Accreditation Scheme; and (c) using a method certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrumentation used has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient
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73813
Detection performed by, or on behalf of, a medical practitioner of: (a) chlamydia trachomatis (CT) and neisseria gonorrhoeae (NG) via molecular point-of-care testing for the diagnosis of CT or NG infection; and (b) trichomonas vaginalis (TV) via molecular point-of-care testing for the diagnosis of TV infection
$117.65 $117.65
Item Number
73813
Fee Comparison
MBS
$117.65
DVA
$117.65
Additional DVA Rates
Pathology Fee
$117.65
Full Description
Detection performed by, or on behalf of, a medical practitioner of: (a) chlamydia trachomatis (CT) and neisseria gonorrhoeae (NG) via molecular point-of-care testing for the diagnosis of CT or NG infection; and (b) trichomonas vaginalis (TV) via molecular point-of-care testing for the diagnosis of TV infection
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73825
Detection performed by a participating nurse practitioner of: (a) chlamydia trachomatis (CT) and neisseria gonorrhoeae (NG) via molecular point-of-care testing for the diagnosis of CT or NG infection; and (b) trichomonas vaginalis (TV) via molecular point-of-care testing for the diagnosis of TV infection
$117.65 $117.65
Item Number
73825
Fee Comparison
MBS
$117.65
DVA
$117.65
Additional DVA Rates
Pathology Fee
$117.65
Full Description
Detection performed by a participating nurse practitioner of: (a) chlamydia trachomatis (CT) and neisseria gonorrhoeae (NG) via molecular point-of-care testing for the diagnosis of CT or NG infection; and (b) trichomonas vaginalis (TV) via molecular point-of-care testing for the diagnosis of TV infection
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73826
Quantitation of glycated haemoglobin (HbA1c) performed by a participating nurse practitioner in the management of established diabetes when performed: (a) as a point‑of‑care test; (b) by a nurse practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point-of-care testing under the National General Practice Accreditation Scheme; and (c) using a method and instrument certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrument has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient
$11.80 $11.80
Item Number
73826
Fee Comparison
MBS
$11.80
DVA
$11.80
Additional DVA Rates
Pathology Fee
$11.80
Full Description
Quantitation of glycated haemoglobin (HbA1c) performed by a participating nurse practitioner in the management of established diabetes when performed: (a) as a point‑of‑care test; (b) by a nurse practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point-of-care testing under the National General Practice Accreditation Scheme; and (c) using a method and instrument certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrument has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient
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73828
Semen examination for presence of spermatozoa by a participating nurse practitioner
$6.90 $6.90
Item Number
73828
Fee Comparison
MBS
$6.90
DVA
$6.90
Additional DVA Rates
Pathology Fee
$6.90
Full Description
Semen examination for presence of spermatozoa by a participating nurse practitioner
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73829
Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count by a participating nurse practitioner - 1 test
$4.55 $4.55
Item Number
73829
Fee Comparison
MBS
$4.55
DVA
$4.55
Additional DVA Rates
Pathology Fee
$4.55
Full Description
Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count by a participating nurse practitioner - 1 test
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73830
2 tests described in item 73829 by a participating nurse practitioner
$6.35 $6.35
Item Number
73830
Fee Comparison
MBS
$6.35
DVA
$6.35
Additional DVA Rates
Pathology Fee
$6.35
Full Description
2 tests described in item 73829 by a participating nurse practitioner
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73831
3 or more tests described in item 73829 by a participating nurse practitioner
$8.15 $8.15
Item Number
73831
Fee Comparison
MBS
$8.15
DVA
$8.15
Additional DVA Rates
Pathology Fee
$8.15
Full Description
3 or more tests described in item 73829 by a participating nurse practitioner
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73832
Microscopy of urine, excluding dipstick testing by a participating nurse practitioner.
$4.55 $4.55
Item Number
73832
Fee Comparison
MBS
$4.55
DVA
$4.55
Additional DVA Rates
Pathology Fee
$4.55
Full Description
Microscopy of urine, excluding dipstick testing by a participating nurse practitioner.
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73833
Pregnancy test by 1 or more immunochemical methods by a participating nurse practitioner
$10.15 $10.15
Item Number
73833
Fee Comparison
MBS
$10.15
DVA
$10.15
Additional DVA Rates
Pathology Fee
$10.15
Full Description
Pregnancy test by 1 or more immunochemical methods by a participating nurse practitioner
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73834
Microscopy for wet film other than urine, including any relevant stain by a participating nurse practitioner
$6.90 $6.90
Item Number
73834
Fee Comparison
MBS
$6.90
DVA
$6.90
Additional DVA Rates
Pathology Fee
$6.90
Full Description
Microscopy for wet film other than urine, including any relevant stain by a participating nurse practitioner
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73835
Microscopy of Gram-stained film, including (if performed) a service described in item 73832 or 73834 by a participating nurse practitioner
$8.65 $8.65
Item Number
73835
Fee Comparison
MBS
$8.65
DVA
$8.65
Additional DVA Rates
Pathology Fee
$8.65
Full Description
Microscopy of Gram-stained film, including (if performed) a service described in item 73832 or 73834 by a participating nurse practitioner
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73836
Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method by a participating nurse practitioner
$2.35 $2.35
Item Number
73836
Fee Comparison
MBS
$2.35
DVA
$2.35
Additional DVA Rates
Pathology Fee
$2.35
Full Description
Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method by a participating nurse practitioner
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73837
Microscopy for fungi in skin, hair or nails by a participating nurse practitioner - 1 or more sites
$6.90 $6.90
Item Number
73837
Fee Comparison
MBS
$6.90
DVA
$6.90
Additional DVA Rates
Pathology Fee
$6.90
Full Description
Microscopy for fungi in skin, hair or nails by a participating nurse practitioner - 1 or more sites
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73839
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period.
$16.80 $16.80
Item Number
73839
Fee Comparison
MBS
$16.80
DVA
$16.80
Additional DVA Rates
Pathology Fee
$16.80
Full Description
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period.
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73840
Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period
$17.00 $17.00
Item Number
73840
Fee Comparison
MBS
$17.00
DVA
$17.00
Additional DVA Rates
Pathology Fee
$17.00
Full Description
Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period
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73844
Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.
$20.35 $20.35
Item Number
73844
Fee Comparison
MBS
$20.35
DVA
$20.35
Additional DVA Rates
Pathology Fee
$20.35
Full Description
Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.
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73899
Initiation of a patient episode that consists of a service described in item 72858 or 72859 in circumstances other than those mentioned in item 73900
$5.95 $5.95
Item Number
73899
Fee Comparison
MBS
$5.95
DVA
$5.95
Additional DVA Rates
Pathology Fee
$5.95
Full Description
Initiation of a patient episode that consists of a service described in item 72858 or 72859 in circumstances other than those mentioned in item 73900
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73900
Initiation of a patient episode that consists of a service described in item 72858 or 72859 if the service is rendered in a prescribed laboratory.
$2.40 $2.40
Item Number
73900
Fee Comparison
MBS
$2.40
DVA
$2.40
Additional DVA Rates
Pathology Fee
$2.40
Full Description
Initiation of a patient episode that consists of a service described in item 72858 or 72859 if the service is rendered in a prescribed laboratory.
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MBS Fee
$1100.00
DVA Fee
$1100.00
Category
Category 6 — Pathology
Description
Characterisation of a variant or variants in a panel of at least 25 genes using DNA and RNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse
MBS Fee
$927.90
DVA Fee
$927.90
Category
Category 6 — Pathology
Description
Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of myeloid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse
MBS Fee
$927.90
DVA Fee
$927.90
Category
Category 6 — Pathology
Description
Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin Applicable once per diagnostic episode, at diagnosis, disease progression or relapse
MBS Fee
$400.00
DVA Fee
$400.00
Category
Category 6 — Pathology
Description
Testing of a patient (who is pregnant or planning pregnancy) to identify carrier status for pathogenic or likely pathogenic variants in a gene mentioned in paragraph (a), (b) or (c), to determine: (a) for the cystic fibrosis transmembrane conductance regulator (CFTR) gene—reproductive risk of cystic fibrosis; (b) for the survival motor neuron 1 (SMN1) gene—reproductive risk of spinal muscular atrophy; (c) for the fragile X messenger ribonucleoprotein 1 (FMR1) gene—reproductive risk of fragile X syndrome; (other than a service associated with a service to which item 73300, 73305, 73345, 73346, 73347, 73348, 73349 or 73350 applies) One test per lifetime
MBS Fee
$400.00
DVA Fee
$400.00
Category
Category 6 — Pathology
Description
Testing of the reproductive partner of a patient who has been found to be a carrier of a pathogenic or likely pathogenic variant in the CFTR or SMN1 gene identified by testing under item 73451, for the purpose of determining the couple’s reproductive risk of cystic fibrosis or spinal muscular atrophy One test per condition per lifetime
MBS Fee
$425.00
DVA Fee
$425.00
Category
Category 6 — Pathology
Description
Characterisation of germline pathogenic or likely pathogenic gene variants: (a) in at least the following genes: (i) ASPA; (ii) BLM; (iii) CFTR; (iv) ELP1; (v) FANCA; (vi) FANCC; (vii) FANCG; (viii) FMR1; (ix) G6PC1; (x) GBA1; (xi) HEXA; (xii) MCOLN1; (xiii) SLC37A4; (xiv) SMN1; (xv) SMPD1; and (b) in a patient of reproductive age who is of Ashkenazi Jewish descent for the purpose of ascertaining the patient’s carrier status for the following: (i) Bloom syndrome (ii) Canavan disease (iii) Cystic fibrosis (iv) Familial dysautonomia (v) Fanconi anaemia type C (vi) Fragile-X syndrome (vii) Gaucher disease (viii) Glycogen storage disease type I (ix) Mucolipidosis type IV (x) Niemann-Pick disease type A 7 (xi) Spinal muscular atrophy (xii) Tay-Sachs disease Applicable once per lifetime
MBS Fee
$1200.00
DVA Fee
$1200.00
Category
Category 6 — Pathology
Description
Whole gene sequencing of a gene or genes described in item 73453, in a patient who is the reproductive partner of an individual who is affected by, or is a known genetic carrier of, one or more conditions described in item 73453 (other than cystic fibrosis, fragile‑X syndrome or spinal muscular atrophy), for the purpose of determining the couple’s combined reproductive risk of the conditions, if: (a) the patient is not eligible for a service to which item 73453 applies; and (b) the patient has not received a service to which item 73453 applies; and (c) the patient has not received a service to which this item applies for the purpose of determining the patient’s reproductive risk with the patient’s current reproductive partner Applicable once per couple per lifetime
MBS Fee
$1600.00
DVA Fee
$1600.00
Category
Category 6 — Pathology
Description
Testing of a pregnant patient, if at least one prospective parent is known to be affected by, or is a genetic carrier of, one or more conditions described in item 73453, for the purpose of determining whether a familial variant or variants are present in the fetus, if: (a) the testing is requested by a specialist or consultant physician; and (b) there is at least a 25% risk of the fetus inheriting a condition described in paragraph (b) of item 73453
MBS Fee
$2100.00
DVA Fee
$2100.00
Category
Category 6 — Pathology
Description
Characterisation by whole genome sequencing, or by either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA of a patient with a strong suspicion of a mitochondrial disease, if: (a) the characterisation is requested by a specialist or consultant physician; and (b) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or “failure to thrive” in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease, or any of the above; and (c) the service is not a service associated with a service to which item 73358, 73359 or 73457 applies Applicable only once per lifetime
MBS Fee
$3300.00
DVA Fee
$3300.00
Category
Category 6 — Pathology
Description
Characterisation by whole genome sequencing, or either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA, of a patient with a strong suspicion of a mitochondrial disease, if: (a) the characterisation is performed using a sample from the patient and a sample from each of the patient’s biological parents; and (b) the request for the characterisation states that singleton testing is inappropriate; and (c) the characterisation is requested by a specialist or consultant physician; and (d) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or “failure to thrive” in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease; and (e) the service is not a service associated with a service to which item 73358, 73359 or 73456 applies Applicable only once per lifetime
MBS Fee
$500.00
DVA Fee
$500.00
Category
Category 6 — Pathology
Description
Re-analysis of whole genome or whole exome or mitochondrial DNA data obtained in performing a service to which item 73456 or 73457 applies, for characterisation of previously unreported germline variants related to the clinical phenotype, if: (a) the re-analysis is requested by a specialist or consultant physician; and (b) the patient is strongly suspected of having a monogenic mitochondrial disease; and (c) the re-analysis is performed at least 24 months after: (i) the service to which item 73456 or 73457 applies; or (ii) a service to which this item applies Applicable twice per lifetime
MBS Fee
$1600.00
DVA Fee
$1600.00
Category
Category 6 — Pathology
Description
Testing for diagnostic purposes of a pregnant patient, for detection in the fetus of a gene variant or variants present in the parents, if: (a) the gene variant or variants are: (i) a variant or variants in the mitochondrial genome identified in the oocyte donating parent; or (ii) autosomal recessive variants identified in both biological parents within the same gene; or (iii) an autosomal dominant or X-linked variant identified in either biological parent; or (iv) identified in a biological sibling of the fetus; and (b) the causative variant or variants for the condition of the fetus’ first-degree relative have been confirmed by laboratory findings; and (c) the detection is requested by a specialist or consultant physician; and (d) the service is not a service associated with a service to which item 73361, 73362, 73363 or 73462 applies
MBS Fee
$450.00
DVA Fee
$450.00
Category
Category 6 — Pathology
Description
Characterisation of mitochondrial DNA deletion or variant for diagnostic purposes in a patient suspected to have mitochondrial disease, if: (a) the characterisation is requested by the specialist or consultant physician managing the patient’s treatment; and (b) the patient displays onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following: (i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system; (ii) evident mitochondrial dysfunction or decompensation; (iii) unexplained hypotonia or weakness, profound hypoglycaemia or ‘failure to thrive’ in the presence of a metabolic acidosis; (iv) unexplained single or multi-organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure); (v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy; (vi) cardiomyopathy and/or cardiac arrythmias; (vii) rapid hearing or painless visual loss or ptosis; (viii) stroke-like episodes or nonvasculitic strokes; (ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness; (x) external ophthalmoplegia; (xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy; (xii) family history of mitochondrial disease; and (c) the service is performed following a service to which items 73292, 73358, 73359, 73456 or 73457 applies for the same patient if the results were non-informativeApplicable 3 times per lifetime
MBS Fee
$1200.00
DVA Fee
$1200.00
Category
Category 6 — Pathology
Description
Whole gene testing of a person for the characterisation of all germline gene variants within the same gene in which the person’s reproductive partner has a pathogenic or likely pathogenic germline recessive gene variant for mitochondrial disease, if: (a) the partner’s germline recessive gene variant is confirmed by laboratory findings; and (b) the characterisation is requested by a specialist or consultant physician
MBS Fee
$400.00
DVA Fee
$400.00
Category
Category 6 — Pathology
Description
Testing of a person for the detection of a single gene variant, if: (a) the person tested has a biological relative with a known pathogenic or likely pathogenic mitochondrial disease variant confirmed by laboratory findings; and (b) the testing is requested by a specialist or consultant physician; and (c) the service is not a service associated with a service to which item 73361, 73362 or 73363 applies
MBS Fee
$10.20
DVA Fee
$9.95
Category
Category 6 — Pathology
Description
Semen examination for presence of spermatozoa or examination of cervical mucus for spermatozoa (Huhner's test)
MBS Fee
$43.85
DVA Fee
$42.75
Category
Category 6 — Pathology
Description
Semen examination (other than post-vasectomy semen examination), including: (a) measurement of volume, sperm count and motility; and (b) examination of stained preparations; and (c) morphology; and (if performed) (d) differential count and 1 or more chemical tests; (Item is subject to rule 25)
MBS Fee
$29.80
DVA Fee
$29.05
Category
Category 6 — Pathology
Description
Sperm antibodies - sperm-penetrating ability - 1 or more tests
MBS Fee
$10.50
DVA Fee
$10.25
Category
Category 6 — Pathology
Description
Human chorionic gonadotrophin (HCG) - detection in serum or urine by 1 or more methods for diagnosis of pregnancy - 1 or more tests
MBS Fee
$30.10
DVA Fee
$29.35
Category
Category 6 — Pathology
Description
Human chorionic gonadotrophin (HCG), quantitation in serum by 1 or more methods (except by latex, membrane, strip or other pregnancy test kit) for diagnosis of threatened abortion, or follow up of abortion or diagnosis of ectopic pregnancy, including any services performed in item 73527 - 1 test
MBS Fee
$6.90
DVA Fee
$6.90
Category
Category 6 — Pathology
Description
Semen examination for presence of spermatozoa
MBS Fee
$4.55
DVA Fee
$4.55
Category
Category 6 — Pathology
Description
Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count - 1 test
MBS Fee
$6.35
DVA Fee
$6.35
Category
Category 6 — Pathology
Description
2 tests described in item 73802
MBS Fee
$8.15
DVA Fee
$8.15
Category
Category 6 — Pathology
Description
3 or more tests described in item 73802
MBS Fee
$4.55
DVA Fee
$4.55
Category
Category 6 — Pathology
Description
Microscopy of urine, excluding dipstick testing.
MBS Fee
$10.15
DVA Fee
$10.15
Category
Category 6 — Pathology
Description
Pregnancy test by 1 or more immunochemical methods
MBS Fee
$6.90
DVA Fee
$6.90
Category
Category 6 — Pathology
Description
Microscopy for wet film other than urine, including any relevant stain
MBS Fee
$8.65
DVA Fee
$8.65
Category
Category 6 — Pathology
Description
Microscopy of Gram-stained film, including (if performed) a service described in item 73805 or 73807
MBS Fee
$2.35
DVA Fee
$2.35
Category
Category 6 — Pathology
Description
Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method
MBS Fee
$6.90
DVA Fee
$6.90
Category
Category 6 — Pathology
Description
Microscopy for fungi in skin, hair or nails - 1 or more sites
MBS Fee
$11.20
DVA Fee
$11.20
Category
Category 6 — Pathology
Description
Mantoux test
MBS Fee
$11.80
DVA Fee
$11.80
Category
Category 6 — Pathology
Description
Quantitation of glycated haemoglobin (HbA1c) performed in the management of established diabetes, if performed: (a) as a point‑of‑care test; and (b) by or on behalf of a medical practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point‑of-care testing under the National General Practice Accreditation Scheme; and (c) using a method certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrumentation used has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient
MBS Fee
$117.65
DVA Fee
$117.65
Category
Category 6 — Pathology
Description
Detection performed by, or on behalf of, a medical practitioner of: (a) chlamydia trachomatis (CT) and neisseria gonorrhoeae (NG) via molecular point-of-care testing for the diagnosis of CT or NG infection; and (b) trichomonas vaginalis (TV) via molecular point-of-care testing for the diagnosis of TV infection
MBS Fee
$117.65
DVA Fee
$117.65
Category
Category 6 — Pathology
Description
Detection performed by a participating nurse practitioner of: (a) chlamydia trachomatis (CT) and neisseria gonorrhoeae (NG) via molecular point-of-care testing for the diagnosis of CT or NG infection; and (b) trichomonas vaginalis (TV) via molecular point-of-care testing for the diagnosis of TV infection
MBS Fee
$11.80
DVA Fee
$11.80
Category
Category 6 — Pathology
Description
Quantitation of glycated haemoglobin (HbA1c) performed by a participating nurse practitioner in the management of established diabetes when performed: (a) as a point‑of‑care test; (b) by a nurse practitioner who works in a general practice that is accredited to the Royal Australian College of General Practitioners Standards for point-of-care testing under the National General Practice Accreditation Scheme; and (c) using a method and instrument certified by the National Glycohemoglobin Standardization Program (NGSP), if the instrument has a total coefficient variation less than 3.0% at 48 mmol/mol (6.5%) Applicable not more than 3 times per 12 months per patient
MBS Fee
$6.90
DVA Fee
$6.90
Category
Category 6 — Pathology
Description
Semen examination for presence of spermatozoa by a participating nurse practitioner
MBS Fee
$4.55
DVA Fee
$4.55
Category
Category 6 — Pathology
Description
Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count by a participating nurse practitioner - 1 test
MBS Fee
$6.35
DVA Fee
$6.35
Category
Category 6 — Pathology
Description
2 tests described in item 73829 by a participating nurse practitioner
MBS Fee
$8.15
DVA Fee
$8.15
Category
Category 6 — Pathology
Description
3 or more tests described in item 73829 by a participating nurse practitioner
MBS Fee
$4.55
DVA Fee
$4.55
Category
Category 6 — Pathology
Description
Microscopy of urine, excluding dipstick testing by a participating nurse practitioner.
MBS Fee
$10.15
DVA Fee
$10.15
Category
Category 6 — Pathology
Description
Pregnancy test by 1 or more immunochemical methods by a participating nurse practitioner
MBS Fee
$6.90
DVA Fee
$6.90
Category
Category 6 — Pathology
Description
Microscopy for wet film other than urine, including any relevant stain by a participating nurse practitioner
MBS Fee
$8.65
DVA Fee
$8.65
Category
Category 6 — Pathology
Description
Microscopy of Gram-stained film, including (if performed) a service described in item 73832 or 73834 by a participating nurse practitioner
MBS Fee
$2.35
DVA Fee
$2.35
Category
Category 6 — Pathology
Description
Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method by a participating nurse practitioner
MBS Fee
$6.90
DVA Fee
$6.90
Category
Category 6 — Pathology
Description
Microscopy for fungi in skin, hair or nails by a participating nurse practitioner - 1 or more sites
MBS Fee
$16.80
DVA Fee
$16.80
Category
Category 6 — Pathology
Description
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period.
MBS Fee
$17.00
DVA Fee
$17.00
Category
Category 6 — Pathology
Description
Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period
MBS Fee
$20.35
DVA Fee
$20.35
Category
Category 6 — Pathology
Description
Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.
MBS Fee
$5.95
DVA Fee
$5.95
Category
Category 6 — Pathology
Description
Initiation of a patient episode that consists of a service described in item 72858 or 72859 in circumstances other than those mentioned in item 73900
MBS Fee
$2.40
DVA Fee
$2.40
Category
Category 6 — Pathology
Description
Initiation of a patient episode that consists of a service described in item 72858 or 72859 if the service is rendered in a prescribed laboratory.
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