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

Total Items
5886
DVA fee schedule items
Showing 651–700 of 5886 Pg 14/118
Item No. Description MBS Fee DVA Fee
13842
Intra-arterial cannulation, including under ultrasound guidance where clinically appropriate, for the purpose of intra-arterial pressure monitoring or arterial blood sampling (or both) No separate ultrasound item is payable with this item
$111.95 $109.10 ▼
Item Number
13842
Fee Comparison
MBS
$111.95
→
DVA
$109.10
-$2.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$131.85
RMFS Out-Hosp
$152.75
Full Description
Intra-arterial cannulation, including under ultrasound guidance where clinically appropriate, for the purpose of intra-arterial pressure monitoring or arterial blood sampling (or both) No separate ultrasound item is payable with this item
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13848
Counterpulsation by intra‑aortic balloon‑management, including associated consultations and monitoring of parameters by means of full haemodynamic assessment and management on several occasions on a day—each day (H)
$186.85 $182.10 ▼
Item Number
13848
Fee Comparison
MBS
$186.85
→
DVA
$182.10
-$4.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$255.00
Full Description
Counterpulsation by intra‑aortic balloon‑management, including associated consultations and monitoring of parameters by means of full haemodynamic assessment and management on several occasions on a day—each day (H)
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13851
Ventricular assist device (excluding intravascular microaxial ventricular assist device inserted into the right ventricle), management of, for a patient admitted to an intensive care unit for implantation of the device or for complications arising from implantation or management of the device—first day (H)
$590.80 $575.85 ▼
Item Number
13851
Fee Comparison
MBS
$590.80
→
DVA
$575.85
-$14.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$806.20
Full Description
Ventricular assist device (excluding intravascular microaxial ventricular assist device inserted into the right ventricle), management of, for a patient admitted to an intensive care unit for implantation of the device or for complications arising from implantation or management of the device—first day (H)
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13854
Ventricular assist device (excluding intravascular microaxial ventricular assist device inserted into the right ventricle), management of, for a patient admitted to an intensive care unit, including management of complications arising from implantation or management of the device—each day after the first day (H)
$137.45 $133.95 ▼
Item Number
13854
Fee Comparison
MBS
$137.45
→
DVA
$133.95
-$3.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$220.65
Full Description
Ventricular assist device (excluding intravascular microaxial ventricular assist device inserted into the right ventricle), management of, for a patient admitted to an intensive care unit, including management of complications arising from implantation or management of the device—each day after the first day (H)
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13857
AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF MECHANICAL VENTILATION (other than in the context of an anaesthetic for surgery), outside an Intensive Care Unit, for the purpose of subsequent ventilatory support in an Intensive Care Unit
$175.25 $170.80 ▼
Item Number
13857
Fee Comparison
MBS
$175.25
→
DVA
$170.80
-$4.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$206.10
RMFS Out-Hosp
$239.15
Full Description
AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF MECHANICAL VENTILATION (other than in the context of an anaesthetic for surgery), outside an Intensive Care Unit, for the purpose of subsequent ventilatory support in an Intensive Care Unit
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13870
(Note: See para T1.8 of Explanatory Notes to this Category for definition of an Intensive Care Unit) MANAGEMENT of a patient in an Intensive Care Unit by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - including initial and subsequent attendances, electrocardiographic monitoring, arterial sampling and bladder catheterisation - management on the first day (H)
$433.45 $422.45 ▼
Item Number
13870
Fee Comparison
MBS
$433.45
→
DVA
$422.45
-$11.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$507.30
Full Description
(Note: See para T1.8 of Explanatory Notes to this Category for definition of an Intensive Care Unit) MANAGEMENT of a patient in an Intensive Care Unit by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - including initial and subsequent attendances, electrocardiographic monitoring, arterial sampling and bladder catheterisation - management on the first day (H)
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13873
MANAGEMENT of a patient in an Intensive Care Unit by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - including all attendances, electrocardiographic monitoring, arterial sampling and bladder catheterisation - management on each day subsequent to the first day (H)
$321.45 $313.30 ▼
Item Number
13873
Fee Comparison
MBS
$321.45
→
DVA
$313.30
-$8.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$376.40
Full Description
MANAGEMENT of a patient in an Intensive Care Unit by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - including all attendances, electrocardiographic monitoring, arterial sampling and bladder catheterisation - management on each day subsequent to the first day (H)
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13876
CENTRAL VENOUS PRESSURE, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter in an intensive care unit and managed by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - once only for each type of pressure on any calendar day (up to a maximum of 4 pressures) (H)
$92.05 $89.70 ▼
Item Number
13876
Fee Comparison
MBS
$92.05
→
DVA
$89.70
-$2.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$114.60
Full Description
CENTRAL VENOUS PRESSURE, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter in an intensive care unit and managed by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - once only for each type of pressure on any calendar day (up to a maximum of 4 pressures) (H)
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13881
AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF MECHANICAL VENTILATION, in an Intensive Care Unit, not in association with any anaesthetic service, by a specialist or consultant physician for the purpose of subsequent ventilatory support (H)
$175.25 $170.80 ▼
Item Number
13881
Fee Comparison
MBS
$175.25
→
DVA
$170.80
-$4.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$205.25
Full Description
AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF MECHANICAL VENTILATION, in an Intensive Care Unit, not in association with any anaesthetic service, by a specialist or consultant physician for the purpose of subsequent ventilatory support (H)
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13882
VENTILATORY SUPPORT in an Intensive Care Unit, management of, by invasive means, or by non-invasive means where the only alternative to non-invasive ventilatory support would be invasive ventilatory support, by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care, each day (H)
$137.95 $134.45 ▼
Item Number
13882
Fee Comparison
MBS
$137.95
→
DVA
$134.45
-$3.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$161.75
Full Description
VENTILATORY SUPPORT in an Intensive Care Unit, management of, by invasive means, or by non-invasive means where the only alternative to non-invasive ventilatory support would be invasive ventilatory support, by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care, each day (H)
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13885
CONTINUOUS ARTERIO VENOUS OR VENO VENOUS HAEMOFILTRATION, in an intensive care unit, management by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - on the first day (H)
$183.90 $179.25 ▼
Item Number
13885
Fee Comparison
MBS
$183.90
→
DVA
$179.25
-$4.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$215.55
Full Description
CONTINUOUS ARTERIO VENOUS OR VENO VENOUS HAEMOFILTRATION, in an intensive care unit, management by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - on the first day (H)
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13888
CONTINUOUS ARTERIO VENOUS OR VENO VENOUS HAEMOFILTRATION, in an intensive care unit, management by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - on each day subsequent to the first day (H)
$92.05 $89.70 ▼
Item Number
13888
Fee Comparison
MBS
$92.05
→
DVA
$89.70
-$2.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$108.05
Full Description
CONTINUOUS ARTERIO VENOUS OR VENO VENOUS HAEMOFILTRATION, in an intensive care unit, management by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - on each day subsequent to the first day (H)
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13899
Preparation of Goals of Care is provided outside of an intensive care unit. Refer to explanatory note TN.1.11 for further information about Goals of Care attendance Professional attendance, outside an intensive care unit, for at least 60 minutes spent in preparation of goals of care for a gravely ill patient lacking current goals of care, by a specialist in the specialty of intensive care who takes overall responsibility for the preparation of the goals of care for the patient Item 13899 cannot be co-claimed with item 13870 or item 13873 on the same day
$320.55 $312.45 ▼
Item Number
13899
Fee Comparison
MBS
$320.55
→
DVA
$312.45
-$8.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$437.45
RMFS Out-Hosp
$437.45
Full Description
Preparation of Goals of Care is provided outside of an intensive care unit. Refer to explanatory note TN.1.11 for further information about Goals of Care attendance Professional attendance, outside an intensive care unit, for at least 60 minutes spent in preparation of goals of care for a gravely ill patient lacking current goals of care, by a specialist in the specialty of intensive care who takes overall responsibility for the preparation of the goals of care for the patient Item 13899 cannot be co-claimed with item 13870 or item 13873 on the same day
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13950
Parenteral administration of one or more antineoplastic agents, including agents used in cytotoxic chemotherapy or monoclonal antibody therapy but not agents used in anti-resorptive bone therapy or hormonal therapy, by or on behalf of a specialist or consultant physician—attendance for one or more episodes of administration Note: The fee for item 13950 contains a component which covers the accessing of a long-term drug delivery device. TN.1.27 refers
$129.30 $126.00 ▼
Item Number
13950
Fee Comparison
MBS
$129.30
→
DVA
$126.00
-$3.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$176.60
RMFS Out-Hosp
$176.40
Full Description
Parenteral administration of one or more antineoplastic agents, including agents used in cytotoxic chemotherapy or monoclonal antibody therapy but not agents used in anti-resorptive bone therapy or hormonal therapy, by or on behalf of a specialist or consultant physician—attendance for one or more episodes of administration Note: The fee for item 13950 contains a component which covers the accessing of a long-term drug delivery device. TN.1.27 refers
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14050
UVA or UVB phototherapy administered in a whole body cabinet or hand and foot cabinet including associated consultations other than the initial consultation, if treatment is initiated and supervised by a specialist in the specialty of dermatology Applicable not more than 150 times in a 12 month period
$63.20 $61.60 ▼
Item Number
14050
Fee Comparison
MBS
$63.20
→
DVA
$61.60
-$1.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$74.45
RMFS Out-Hosp
$86.25
Full Description
UVA or UVB phototherapy administered in a whole body cabinet or hand and foot cabinet including associated consultations other than the initial consultation, if treatment is initiated and supervised by a specialist in the specialty of dermatology Applicable not more than 150 times in a 12 month period
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14100
Laser photocoagulation using laser radiation in the treatment of vascular abnormalities of the head or neck, including any associated consultation, if: (a) the abnormality is visible from 3 metres; and (b) photographic evidence demonstrating the need for this service is documented in the patient notes; to a maximum of 4 sessions (including any sessions to which this item or any of items 14106 to 14118 apply) in any 12 month period (Anaes.)
$182.45 $177.85 ▼
Item Number
14100
Fee Comparison
MBS
$182.45
→
DVA
$177.85
-$4.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$253.15
RMFS Out-Hosp
$249.00
Full Description
Laser photocoagulation using laser radiation in the treatment of vascular abnormalities of the head or neck, including any associated consultation, if: (a) the abnormality is visible from 3 metres; and (b) photographic evidence demonstrating the need for this service is documented in the patient notes; to a maximum of 4 sessions (including any sessions to which this item or any of items 14106 to 14118 apply) in any 12 month period (Anaes.)
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14106
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), if the abnormality is visible from 3 metres, including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment less than 150 cm2 (Anaes.)
$191.70 $186.85 ▼
Item Number
14106
Fee Comparison
MBS
$191.70
→
DVA
$186.85
-$4.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$272.70
RMFS Out-Hosp
$261.60
Full Description
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), if the abnormality is visible from 3 metres, including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment less than 150 cm2 (Anaes.)
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14115
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment 150 cm2 to 300 cm2 (Anaes.)
$307.00 $299.20 ▼
Item Number
14115
Fee Comparison
MBS
$307.00
→
DVA
$299.20
-$7.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$361.10
RMFS Out-Hosp
$418.90
Full Description
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment 150 cm2 to 300 cm2 (Anaes.)
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14118
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14115 apply) in any 12 month period—area of treatment more than 300 cm2 (Anaes.)
$389.85 $379.95 ▼
Item Number
14118
Fee Comparison
MBS
$389.85
→
DVA
$379.95
-$9.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$506.40
RMFS Out-Hosp
$531.95
Full Description
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14115 apply) in any 12 month period—area of treatment more than 300 cm2 (Anaes.)
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14124
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café‑au‑lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, if: (a) a seventh or subsequent session (including any sessions to which this item or any of items 14100 to 14118 apply) is indicated in a 12 month period commencing on the day of the first session; and (b) photographic evidence demonstrating the need for this service is documented in the patient notes (Anaes.)
$182.45 $177.85 ▼
Item Number
14124
Fee Comparison
MBS
$182.45
→
DVA
$177.85
-$4.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$214.80
RMFS Out-Hosp
$249.00
Full Description
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café‑au‑lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, if: (a) a seventh or subsequent session (including any sessions to which this item or any of items 14100 to 14118 apply) is indicated in a 12 month period commencing on the day of the first session; and (b) photographic evidence demonstrating the need for this service is documented in the patient notes (Anaes.)
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14201
POLY-L-LACTIC ACID, one or more injections of, for the initial session only, for the treatment of severe facial lipoatrophy caused by antiretroviral therapy, when prescribed in accordance with the National Health Act 1953 - once per patient
$283.50 $276.30 ▼
Item Number
14201
Fee Comparison
MBS
$283.50
→
DVA
$276.30
-$7.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$364.15
RMFS Out-Hosp
$386.85
Full Description
POLY-L-LACTIC ACID, one or more injections of, for the initial session only, for the treatment of severe facial lipoatrophy caused by antiretroviral therapy, when prescribed in accordance with the National Health Act 1953 - once per patient
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14202
POLY-L-LACTIC ACID, one or more injections of (subsequent sessions), for the continuation of treatment of severe facial lipoatrophy caused by antiretroviral therapy, when prescribed in accordance with the National Health Act 1953
$143.50 $139.85 ▼
Item Number
14202
Fee Comparison
MBS
$143.50
→
DVA
$139.85
-$3.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$184.45
RMFS Out-Hosp
$195.80
Full Description
POLY-L-LACTIC ACID, one or more injections of (subsequent sessions), for the continuation of treatment of severe facial lipoatrophy caused by antiretroviral therapy, when prescribed in accordance with the National Health Act 1953
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14203
HORMONE OR LIVING TISSUE IMPLANTATION, by direct implantation involving incision and suture (Anaes.)
$61.20 $59.65 ▼
Item Number
14203
Fee Comparison
MBS
$61.20
→
DVA
$59.65
-$1.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$78.65
RMFS Out-Hosp
$83.55
Full Description
HORMONE OR LIVING TISSUE IMPLANTATION, by direct implantation involving incision and suture (Anaes.)
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14206
Hormone or living tissue implantation—by cannula
$103.00 $100.40 ▼
Item Number
14206
Fee Comparison
MBS
$103.00
→
DVA
$100.40
-$2.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$140.60
RMFS Out-Hosp
$140.60
Full Description
Hormone or living tissue implantation—by cannula
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14212
Intussusception, management of fluid or gas reduction for (H) (Anaes.)
$221.70 $216.10 ▼
Item Number
14212
Fee Comparison
MBS
$221.70
→
DVA
$216.10
-$5.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$302.60
Full Description
Intussusception, management of fluid or gas reduction for (H) (Anaes.)
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14216
Professional attendance on a patient by a psychiatrist, who has undertaken training in Repetitive Transcranial Magnetic Stimulation (rTMS), for treatment mapping for rTMS, if the patient: (a) has not previously received any prior transcranial magnetic stimulation therapy in a public or private setting; and (b) is at least 18 years old; and (c) is diagnosed with a major depressive episode; and (d) has failed to receive satisfactory improvement for the major depressive episode despite the adequate trialling of at least 2 different classes of antidepressant medications, unless contraindicated, and all of the following apply: (i) the patient’s adherence to antidepressant treatment has been formally assessed; (ii) the trialling of each antidepressant medication has been at the recommended therapeutic dose for a minimum of 3 weeks; (iii) where clinically appropriate, the treatment has been titrated to the maximum tolerated therapeutic dose; and (e) has undertaken psychological therapy, if clinically appropriate
$214.45 $209.00 ▼
Item Number
14216
Fee Comparison
MBS
$214.45
→
DVA
$209.00
-$5.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$292.75
RMFS Out-Hosp
$292.60
Full Description
Professional attendance on a patient by a psychiatrist, who has undertaken training in Repetitive Transcranial Magnetic Stimulation (rTMS), for treatment mapping for rTMS, if the patient: (a) has not previously received any prior transcranial magnetic stimulation therapy in a public or private setting; and (b) is at least 18 years old; and (c) is diagnosed with a major depressive episode; and (d) has failed to receive satisfactory improvement for the major depressive episode despite the adequate trialling of at least 2 different classes of antidepressant medications, unless contraindicated, and all of the following apply: (i) the patient’s adherence to antidepressant treatment has been formally assessed; (ii) the trialling of each antidepressant medication has been at the recommended therapeutic dose for a minimum of 3 weeks; (iii) where clinically appropriate, the treatment has been titrated to the maximum tolerated therapeutic dose; and (e) has undertaken psychological therapy, if clinically appropriate
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14217
Repetitive Transcranial Magnetic Stimulation (rTMS) treatment of up to 35 services provided by, or on behalf of, a psychiatrist who has undertaken training in rTMS, if the patient has previously received a service under item 14216—each service up to 35 services
$184.00 $179.35 ▼
Item Number
14217
Fee Comparison
MBS
$184.00
→
DVA
$179.35
-$4.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$251.10
RMFS Out-Hosp
$251.10
Full Description
Repetitive Transcranial Magnetic Stimulation (rTMS) treatment of up to 35 services provided by, or on behalf of, a psychiatrist who has undertaken training in rTMS, if the patient has previously received a service under item 14216—each service up to 35 services
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14218
Implanted infusion pump, refilling of reservoir with a therapeutic agent or agents for infusion to the subarachnoid space or accessing the side port to assess catheter patency, with or without pump reprogramming, for the management of chronic pain, including cancer pain
$117.25 $114.30 ▼
Item Number
14218
Fee Comparison
MBS
$117.25
→
DVA
$114.30
-$2.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$150.50
RMFS Out-Hosp
$160.05
Full Description
Implanted infusion pump, refilling of reservoir with a therapeutic agent or agents for infusion to the subarachnoid space or accessing the side port to assess catheter patency, with or without pump reprogramming, for the management of chronic pain, including cancer pain
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14219
Professional attendance on a patient by a psychiatrist, who has undertaken training in Repetitive Transcranial Magnetic Stimulation (rTMS), for treatment mapping for rTMS, if the patient: (a) is at least 18 years old; and (b) is diagnosed with a major depressive episode; and (c) has failed to receive satisfactory improvement for the major depressive episode despite the adequate trialling of at least 2 different classes of antidepressant medications, unless contraindicated, and all of the following apply: (i) the patient’s adherence to antidepressant treatment has been formally assessed; (ii) the trialling of each antidepressant medication has been at the recommended therapeutic dose for a minimum of 3 weeks; (iii) where clinically appropriate, the treatment has been titrated to the maximum tolerated therapeutic dose; and (d) has undertaken psychological therapy, if clinically appropriate; and (e) has previously received an initial service under item 14217 and the patient: (i) has relapsed after a remission following the initial service; and (ii) has had a satisfactory clinical response to the service under item 14217 (which has been assessed by a validated major depressive disorder tool at least 4 months after receiving that service)
$214.45 $209.00 ▼
Item Number
14219
Fee Comparison
MBS
$214.45
→
DVA
$209.00
-$5.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$292.75
RMFS Out-Hosp
$292.60
Full Description
Professional attendance on a patient by a psychiatrist, who has undertaken training in Repetitive Transcranial Magnetic Stimulation (rTMS), for treatment mapping for rTMS, if the patient: (a) is at least 18 years old; and (b) is diagnosed with a major depressive episode; and (c) has failed to receive satisfactory improvement for the major depressive episode despite the adequate trialling of at least 2 different classes of antidepressant medications, unless contraindicated, and all of the following apply: (i) the patient’s adherence to antidepressant treatment has been formally assessed; (ii) the trialling of each antidepressant medication has been at the recommended therapeutic dose for a minimum of 3 weeks; (iii) where clinically appropriate, the treatment has been titrated to the maximum tolerated therapeutic dose; and (d) has undertaken psychological therapy, if clinically appropriate; and (e) has previously received an initial service under item 14217 and the patient: (i) has relapsed after a remission following the initial service; and (ii) has had a satisfactory clinical response to the service under item 14217 (which has been assessed by a validated major depressive disorder tool at least 4 months after receiving that service)
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14220
Repetitive Transcranial Magnetic Stimulation (rTMS) treatment of up to 15 services provided by, or on behalf of, a psychiatrist who has undertaken training in rTMS, if the patient has previously received: (a) a service under item 14217 (which was not provided in the previous 4 months); and (b) a service under item 14219 Each service up to 15 services
$184.00 $179.35 ▼
Item Number
14220
Fee Comparison
MBS
$184.00
→
DVA
$179.35
-$4.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$251.10
RMFS Out-Hosp
$251.10
Full Description
Repetitive Transcranial Magnetic Stimulation (rTMS) treatment of up to 15 services provided by, or on behalf of, a psychiatrist who has undertaken training in rTMS, if the patient has previously received: (a) a service under item 14217 (which was not provided in the previous 4 months); and (b) a service under item 14219 Each service up to 15 services
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14221
LONG-TERM IMPLANTED DEVICE FOR DELIVERY OF THERAPEUTIC AGENTS, accessing of, not being a service associated with a service to which item 13950 applies
$62.85 $61.25 ▼
Item Number
14221
Fee Comparison
MBS
$62.85
→
DVA
$61.25
-$1.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$74.00
RMFS Out-Hosp
$85.75
Full Description
LONG-TERM IMPLANTED DEVICE FOR DELIVERY OF THERAPEUTIC AGENTS, accessing of, not being a service associated with a service to which item 13950 applies
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14224
Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (H) (Anaes.)
$184.00 $179.35 ▼
Item Number
14224
Fee Comparison
MBS
$184.00
→
DVA
$179.35
-$4.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$251.15
Full Description
Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (H) (Anaes.)
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14227
IMPLANTED INFUSION PUMP, REFILLING of reservoir, with baclofen, for infusion to the subarachnoid or epidural space, with or without re-programming of a programmable pump, for the management of severe chronic spasticity
$117.25 $114.30 ▼
Item Number
14227
Fee Comparison
MBS
$117.25
→
DVA
$114.30
-$2.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$142.55
RMFS Out-Hosp
$160.05
Full Description
IMPLANTED INFUSION PUMP, REFILLING of reservoir, with baclofen, for infusion to the subarachnoid or epidural space, with or without re-programming of a programmable pump, for the management of severe chronic spasticity
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14234
Infusion pump or components of an infusion pump, removal or replacement of, and connection to intrathecal or epidural catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.)
$433.15 $422.15 ▼
Item Number
14234
Fee Comparison
MBS
$433.15
→
DVA
$422.15
-$11.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$591.25
Full Description
Infusion pump or components of an infusion pump, removal or replacement of, and connection to intrathecal or epidural catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.)
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14237
Infusion pump or components of an infusion pump, subcutaneous implantation of, and intrathecal or epidural spinal catheter insertion, and connection of pump to catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.)
$789.80 $769.80 ▼
Item Number
14237
Fee Comparison
MBS
$789.80
→
DVA
$769.80
-$20.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1078.00
Full Description
Infusion pump or components of an infusion pump, subcutaneous implantation of, and intrathecal or epidural spinal catheter insertion, and connection of pump to catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.)
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14245
IMMUNOMODULATING AGENT, administration of, by intravenous infusion for at least 2 hours duration - payable once only on the same day and where the agent is provided under section 100 of the Pharmaceutical Benefits Scheme
$117.25 $114.30 ▼
Item Number
14245
Fee Comparison
MBS
$117.25
→
DVA
$114.30
-$2.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$142.55
RMFS Out-Hosp
$160.05
Full Description
IMMUNOMODULATING AGENT, administration of, by intravenous infusion for at least 2 hours duration - payable once only on the same day and where the agent is provided under section 100 of the Pharmaceutical Benefits Scheme
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14247
Extracorporeal photopheresis for the treatment of erythrodermic stage III‑IVa T4 M0 cutaneous T‑cell lymphoma; if (a) the service is provided in the initial six months of treatment; and (b) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (c) the patient is 18 years old or over; and (d) the patient has received prior systemic treatment for this condition and experienced either disease progression or unacceptable toxicity while on this treatment; and (e) the service is provided in combination with the use of Pharmaceutical Benefits Scheme‑subsidised methoxsalen; and (f) the service is supervised by a specialist or consultant physician in the speciality of haematology. Applicable once per treatment cycle (H)
$2215.00 $2158.85 ▼
Item Number
14247
Fee Comparison
MBS
$2215.00
→
DVA
$2158.85
-$56.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3022.40
Full Description
Extracorporeal photopheresis for the treatment of erythrodermic stage III‑IVa T4 M0 cutaneous T‑cell lymphoma; if (a) the service is provided in the initial six months of treatment; and (b) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (c) the patient is 18 years old or over; and (d) the patient has received prior systemic treatment for this condition and experienced either disease progression or unacceptable toxicity while on this treatment; and (e) the service is provided in combination with the use of Pharmaceutical Benefits Scheme‑subsidised methoxsalen; and (f) the service is supervised by a specialist or consultant physician in the speciality of haematology. Applicable once per treatment cycle (H)
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14249
Extracorporeal photopheresis for the continuing treatment of erythrodermic stage III‑IVa T4 M0 cutaneous T‑cell lymphoma; if (a) in the preceding 6 months: (i) a service to which item 14247 applies has been provided; and (ii) the patient has demonstrated a response to this service; and (iii) the patient requires further treatment; and (b) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (c) the patient is 18 years old or over; and (d) the service is provided in combination with the use of Pharmaceutical Benefits Scheme‑subsidised methoxsalen; and (e) the service is supervised by a specialist or consultant physician in the speciality of haematology. Applicable once per treatment cycle (H)
$2215.00 $2158.85 ▼
Item Number
14249
Fee Comparison
MBS
$2215.00
→
DVA
$2158.85
-$56.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3022.40
Full Description
Extracorporeal photopheresis for the continuing treatment of erythrodermic stage III‑IVa T4 M0 cutaneous T‑cell lymphoma; if (a) in the preceding 6 months: (i) a service to which item 14247 applies has been provided; and (ii) the patient has demonstrated a response to this service; and (iii) the patient requires further treatment; and (b) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (c) the patient is 18 years old or over; and (d) the service is provided in combination with the use of Pharmaceutical Benefits Scheme‑subsidised methoxsalen; and (e) the service is supervised by a specialist or consultant physician in the speciality of haematology. Applicable once per treatment cycle (H)
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14255
Resuscitation of a patient provided for at least 30 minutes but less than 1 hour, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
$177.55 $173.05 ▼
Item Number
14255
Fee Comparison
MBS
$177.55
→
DVA
$173.05
-$4.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$242.50
RMFS Out-Hosp
$242.30
Full Description
Resuscitation of a patient provided for at least 30 minutes but less than 1 hour, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
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14256
Resuscitation of a patient provided for at least 1 hour but less than 2 hours, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
$341.50 $332.85 ▼
Item Number
14256
Fee Comparison
MBS
$341.50
→
DVA
$332.85
-$8.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$466.20
RMFS Out-Hosp
$466.00
Full Description
Resuscitation of a patient provided for at least 1 hour but less than 2 hours, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
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14257
Resuscitation of a patient provided for at least 2 hours, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
$680.15 $662.90 ▼
Item Number
14257
Fee Comparison
MBS
$680.15
→
DVA
$662.90
-$17.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$928.25
RMFS Out-Hosp
$928.10
Full Description
Resuscitation of a patient provided for at least 2 hours, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
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14258
Resuscitation of a patient provided for at least 30 minutes but less than 1 hour, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
$133.30 $129.90 ▼
Item Number
14258
Fee Comparison
MBS
$133.30
→
DVA
$129.90
-$3.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$181.90
RMFS Out-Hosp
$181.90
Full Description
Resuscitation of a patient provided for at least 30 minutes but less than 1 hour, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
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14259
Resuscitation of a patient provided for at least 1 hour but less than 2 hours, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
$256.15 $249.65 ▼
Item Number
14259
Fee Comparison
MBS
$256.15
→
DVA
$249.65
-$6.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$349.65
RMFS Out-Hosp
$349.55
Full Description
Resuscitation of a patient provided for at least 1 hour but less than 2 hours, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
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14260
Resuscitation of a patient provided for at least 2 hours, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
$510.10 $497.15 ▼
Item Number
14260
Fee Comparison
MBS
$510.10
→
DVA
$497.15
-$12.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$696.20
RMFS Out-Hosp
$696.05
Full Description
Resuscitation of a patient provided for at least 2 hours, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
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14263
Minor procedure on a patient by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
$62.55 $60.95 ▼
Item Number
14263
Fee Comparison
MBS
$62.55
→
DVA
$60.95
-$1.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$85.50
RMFS Out-Hosp
$85.35
Full Description
Minor procedure on a patient by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
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14264
Procedure (except a minor procedure) on a patient by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
$140.70 $137.15 ▼
Item Number
14264
Fee Comparison
MBS
$140.70
→
DVA
$137.15
-$3.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$192.20
RMFS Out-Hosp
$192.05
Full Description
Procedure (except a minor procedure) on a patient by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
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14265
Minor procedure on a patient by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
$46.85 $45.65 ▼
Item Number
14265
Fee Comparison
MBS
$46.85
→
DVA
$45.65
-$1.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$64.25
RMFS Out-Hosp
$63.95
Full Description
Minor procedure on a patient by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
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14266
Procedure (except a minor procedure) on a patient by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
$105.50 $102.85 ▼
Item Number
14266
Fee Comparison
MBS
$105.50
→
DVA
$102.85
-$2.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$144.25
RMFS Out-Hosp
$144.00
Full Description
Procedure (except a minor procedure) on a patient by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
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14270
Management, without aftercare, of all fractures and dislocations suffered by a patient that: (a) is provided by a specialist in the practice of the specialist's specialty of emergency medicine in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (b) occurs at a recognised emergency department of a private hospital (Anaes.)
$157.75 $153.75 ▼
Item Number
14270
Fee Comparison
MBS
$157.75
→
DVA
$153.75
-$4.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$215.55
RMFS Out-Hosp
$215.25
Full Description
Management, without aftercare, of all fractures and dislocations suffered by a patient that: (a) is provided by a specialist in the practice of the specialist's specialty of emergency medicine in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (b) occurs at a recognised emergency department of a private hospital (Anaes.)
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14272
Management, without aftercare, of all fractures and dislocations suffered by a patient that: (a) is provided by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (b) occurs at a recognised emergency department of a private hospital (Anaes.)
$118.35 $115.35 ▼
Item Number
14272
Fee Comparison
MBS
$118.35
→
DVA
$115.35
-$3.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$161.70
RMFS Out-Hosp
$161.50
Full Description
Management, without aftercare, of all fractures and dislocations suffered by a patient that: (a) is provided by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (b) occurs at a recognised emergency department of a private hospital (Anaes.)
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MBS Fee
$111.95
DVA Fee
$109.10
Category
Category 3 — Therapeutic Procedures
Description
Intra-arterial cannulation, including under ultrasound guidance where clinically appropriate, for the purpose of intra-arterial pressure monitoring or arterial blood sampling (or both) No separate ultrasound item is payable with this item
MBS Fee
$186.85
DVA Fee
$182.10
Category
Category 3 — Therapeutic Procedures
Description
Counterpulsation by intra‑aortic balloon‑management, including associated consultations and monitoring of parameters by means of full haemodynamic assessment and management on several occasions on a day—each day (H)
MBS Fee
$590.80
DVA Fee
$575.85
Category
Category 3 — Therapeutic Procedures
Description
Ventricular assist device (excluding intravascular microaxial ventricular assist device inserted into the right ventricle), management of, for a patient admitted to an intensive care unit for implantation of the device or for complications arising from implantation or management of the device—first day (H)
MBS Fee
$137.45
DVA Fee
$133.95
Category
Category 3 — Therapeutic Procedures
Description
Ventricular assist device (excluding intravascular microaxial ventricular assist device inserted into the right ventricle), management of, for a patient admitted to an intensive care unit, including management of complications arising from implantation or management of the device—each day after the first day (H)
MBS Fee
$175.25
DVA Fee
$170.80
Category
Category 3 — Therapeutic Procedures
Description
AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF MECHANICAL VENTILATION (other than in the context of an anaesthetic for surgery), outside an Intensive Care Unit, for the purpose of subsequent ventilatory support in an Intensive Care Unit
MBS Fee
$433.45
DVA Fee
$422.45
Category
Category 3 — Therapeutic Procedures
Description
(Note: See para T1.8 of Explanatory Notes to this Category for definition of an Intensive Care Unit) MANAGEMENT of a patient in an Intensive Care Unit by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - including initial and subsequent attendances, electrocardiographic monitoring, arterial sampling and bladder catheterisation - management on the first day (H)
MBS Fee
$321.45
DVA Fee
$313.30
Category
Category 3 — Therapeutic Procedures
Description
MANAGEMENT of a patient in an Intensive Care Unit by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - including all attendances, electrocardiographic monitoring, arterial sampling and bladder catheterisation - management on each day subsequent to the first day (H)
MBS Fee
$92.05
DVA Fee
$89.70
Category
Category 3 — Therapeutic Procedures
Description
CENTRAL VENOUS PRESSURE, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter in an intensive care unit and managed by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - once only for each type of pressure on any calendar day (up to a maximum of 4 pressures) (H)
MBS Fee
$175.25
DVA Fee
$170.80
Category
Category 3 — Therapeutic Procedures
Description
AIRWAY ACCESS, ESTABLISHMENT OF AND INITIATION OF MECHANICAL VENTILATION, in an Intensive Care Unit, not in association with any anaesthetic service, by a specialist or consultant physician for the purpose of subsequent ventilatory support (H)
MBS Fee
$137.95
DVA Fee
$134.45
Category
Category 3 — Therapeutic Procedures
Description
VENTILATORY SUPPORT in an Intensive Care Unit, management of, by invasive means, or by non-invasive means where the only alternative to non-invasive ventilatory support would be invasive ventilatory support, by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care, each day (H)
MBS Fee
$183.90
DVA Fee
$179.25
Category
Category 3 — Therapeutic Procedures
Description
CONTINUOUS ARTERIO VENOUS OR VENO VENOUS HAEMOFILTRATION, in an intensive care unit, management by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - on the first day (H)
MBS Fee
$92.05
DVA Fee
$89.70
Category
Category 3 — Therapeutic Procedures
Description
CONTINUOUS ARTERIO VENOUS OR VENO VENOUS HAEMOFILTRATION, in an intensive care unit, management by a specialist or consultant physician who is immediately available and exclusively rostered for intensive care - on each day subsequent to the first day (H)
MBS Fee
$320.55
DVA Fee
$312.45
Category
Category 3 — Therapeutic Procedures
Description
Preparation of Goals of Care is provided outside of an intensive care unit. Refer to explanatory note TN.1.11 for further information about Goals of Care attendance Professional attendance, outside an intensive care unit, for at least 60 minutes spent in preparation of goals of care for a gravely ill patient lacking current goals of care, by a specialist in the specialty of intensive care who takes overall responsibility for the preparation of the goals of care for the patient Item 13899 cannot be co-claimed with item 13870 or item 13873 on the same day
MBS Fee
$129.30
DVA Fee
$126.00
Category
Category 3 — Therapeutic Procedures
Description
Parenteral administration of one or more antineoplastic agents, including agents used in cytotoxic chemotherapy or monoclonal antibody therapy but not agents used in anti-resorptive bone therapy or hormonal therapy, by or on behalf of a specialist or consultant physician—attendance for one or more episodes of administration Note: The fee for item 13950 contains a component which covers the accessing of a long-term drug delivery device. TN.1.27 refers
MBS Fee
$63.20
DVA Fee
$61.60
Category
Category 3 — Therapeutic Procedures
Description
UVA or UVB phototherapy administered in a whole body cabinet or hand and foot cabinet including associated consultations other than the initial consultation, if treatment is initiated and supervised by a specialist in the specialty of dermatology Applicable not more than 150 times in a 12 month period
MBS Fee
$182.45
DVA Fee
$177.85
Category
Category 3 — Therapeutic Procedures
Description
Laser photocoagulation using laser radiation in the treatment of vascular abnormalities of the head or neck, including any associated consultation, if: (a) the abnormality is visible from 3 metres; and (b) photographic evidence demonstrating the need for this service is documented in the patient notes; to a maximum of 4 sessions (including any sessions to which this item or any of items 14106 to 14118 apply) in any 12 month period (Anaes.)
MBS Fee
$191.70
DVA Fee
$186.85
Category
Category 3 — Therapeutic Procedures
Description
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), if the abnormality is visible from 3 metres, including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment less than 150 cm2 (Anaes.)
MBS Fee
$307.00
DVA Fee
$299.20
Category
Category 3 — Therapeutic Procedures
Description
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment 150 cm2 to 300 cm2 (Anaes.)
MBS Fee
$389.85
DVA Fee
$379.95
Category
Category 3 — Therapeutic Procedures
Description
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14115 apply) in any 12 month period—area of treatment more than 300 cm2 (Anaes.)
MBS Fee
$182.45
DVA Fee
$177.85
Category
Category 3 — Therapeutic Procedures
Description
Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café‑au‑lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, if: (a) a seventh or subsequent session (including any sessions to which this item or any of items 14100 to 14118 apply) is indicated in a 12 month period commencing on the day of the first session; and (b) photographic evidence demonstrating the need for this service is documented in the patient notes (Anaes.)
MBS Fee
$283.50
DVA Fee
$276.30
Category
Category 3 — Therapeutic Procedures
Description
POLY-L-LACTIC ACID, one or more injections of, for the initial session only, for the treatment of severe facial lipoatrophy caused by antiretroviral therapy, when prescribed in accordance with the National Health Act 1953 - once per patient
MBS Fee
$143.50
DVA Fee
$139.85
Category
Category 3 — Therapeutic Procedures
Description
POLY-L-LACTIC ACID, one or more injections of (subsequent sessions), for the continuation of treatment of severe facial lipoatrophy caused by antiretroviral therapy, when prescribed in accordance with the National Health Act 1953
MBS Fee
$61.20
DVA Fee
$59.65
Category
Category 3 — Therapeutic Procedures
Description
HORMONE OR LIVING TISSUE IMPLANTATION, by direct implantation involving incision and suture (Anaes.)
MBS Fee
$103.00
DVA Fee
$100.40
Category
Category 3 — Therapeutic Procedures
Description
Hormone or living tissue implantation—by cannula
MBS Fee
$221.70
DVA Fee
$216.10
Category
Category 3 — Therapeutic Procedures
Description
Intussusception, management of fluid or gas reduction for (H) (Anaes.)
MBS Fee
$214.45
DVA Fee
$209.00
Category
Category 3 — Therapeutic Procedures
Description
Professional attendance on a patient by a psychiatrist, who has undertaken training in Repetitive Transcranial Magnetic Stimulation (rTMS), for treatment mapping for rTMS, if the patient: (a) has not previously received any prior transcranial magnetic stimulation therapy in a public or private setting; and (b) is at least 18 years old; and (c) is diagnosed with a major depressive episode; and (d) has failed to receive satisfactory improvement for the major depressive episode despite the adequate trialling of at least 2 different classes of antidepressant medications, unless contraindicated, and all of the following apply: (i) the patient’s adherence to antidepressant treatment has been formally assessed; (ii) the trialling of each antidepressant medication has been at the recommended therapeutic dose for a minimum of 3 weeks; (iii) where clinically appropriate, the treatment has been titrated to the maximum tolerated therapeutic dose; and (e) has undertaken psychological therapy, if clinically appropriate
MBS Fee
$184.00
DVA Fee
$179.35
Category
Category 3 — Therapeutic Procedures
Description
Repetitive Transcranial Magnetic Stimulation (rTMS) treatment of up to 35 services provided by, or on behalf of, a psychiatrist who has undertaken training in rTMS, if the patient has previously received a service under item 14216—each service up to 35 services
MBS Fee
$117.25
DVA Fee
$114.30
Category
Category 3 — Therapeutic Procedures
Description
Implanted infusion pump, refilling of reservoir with a therapeutic agent or agents for infusion to the subarachnoid space or accessing the side port to assess catheter patency, with or without pump reprogramming, for the management of chronic pain, including cancer pain
MBS Fee
$214.45
DVA Fee
$209.00
Category
Category 3 — Therapeutic Procedures
Description
Professional attendance on a patient by a psychiatrist, who has undertaken training in Repetitive Transcranial Magnetic Stimulation (rTMS), for treatment mapping for rTMS, if the patient: (a) is at least 18 years old; and (b) is diagnosed with a major depressive episode; and (c) has failed to receive satisfactory improvement for the major depressive episode despite the adequate trialling of at least 2 different classes of antidepressant medications, unless contraindicated, and all of the following apply: (i) the patient’s adherence to antidepressant treatment has been formally assessed; (ii) the trialling of each antidepressant medication has been at the recommended therapeutic dose for a minimum of 3 weeks; (iii) where clinically appropriate, the treatment has been titrated to the maximum tolerated therapeutic dose; and (d) has undertaken psychological therapy, if clinically appropriate; and (e) has previously received an initial service under item 14217 and the patient: (i) has relapsed after a remission following the initial service; and (ii) has had a satisfactory clinical response to the service under item 14217 (which has been assessed by a validated major depressive disorder tool at least 4 months after receiving that service)
MBS Fee
$184.00
DVA Fee
$179.35
Category
Category 3 — Therapeutic Procedures
Description
Repetitive Transcranial Magnetic Stimulation (rTMS) treatment of up to 15 services provided by, or on behalf of, a psychiatrist who has undertaken training in rTMS, if the patient has previously received: (a) a service under item 14217 (which was not provided in the previous 4 months); and (b) a service under item 14219 Each service up to 15 services
MBS Fee
$62.85
DVA Fee
$61.25
Category
Category 3 — Therapeutic Procedures
Description
LONG-TERM IMPLANTED DEVICE FOR DELIVERY OF THERAPEUTIC AGENTS, accessing of, not being a service associated with a service to which item 13950 applies
MBS Fee
$184.00
DVA Fee
$179.35
Category
Category 3 — Therapeutic Procedures
Description
Electroconvulsive therapy, with or without the use of stimulus dosing techniques, including any electroencephalographic monitoring and associated consultation (H) (Anaes.)
MBS Fee
$117.25
DVA Fee
$114.30
Category
Category 3 — Therapeutic Procedures
Description
IMPLANTED INFUSION PUMP, REFILLING of reservoir, with baclofen, for infusion to the subarachnoid or epidural space, with or without re-programming of a programmable pump, for the management of severe chronic spasticity
MBS Fee
$433.15
DVA Fee
$422.15
Category
Category 3 — Therapeutic Procedures
Description
Infusion pump or components of an infusion pump, removal or replacement of, and connection to intrathecal or epidural catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.)
MBS Fee
$789.80
DVA Fee
$769.80
Category
Category 3 — Therapeutic Procedures
Description
Infusion pump or components of an infusion pump, subcutaneous implantation of, and intrathecal or epidural spinal catheter insertion, and connection of pump to catheter, and loading of reservoir with baclofen, with or without programming of the pump, for the management of severe chronic spasticity (Anaes.)
MBS Fee
$117.25
DVA Fee
$114.30
Category
Category 3 — Therapeutic Procedures
Description
IMMUNOMODULATING AGENT, administration of, by intravenous infusion for at least 2 hours duration - payable once only on the same day and where the agent is provided under section 100 of the Pharmaceutical Benefits Scheme
MBS Fee
$2215.00
DVA Fee
$2158.85
Category
Category 3 — Therapeutic Procedures
Description
Extracorporeal photopheresis for the treatment of erythrodermic stage III‑IVa T4 M0 cutaneous T‑cell lymphoma; if (a) the service is provided in the initial six months of treatment; and (b) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (c) the patient is 18 years old or over; and (d) the patient has received prior systemic treatment for this condition and experienced either disease progression or unacceptable toxicity while on this treatment; and (e) the service is provided in combination with the use of Pharmaceutical Benefits Scheme‑subsidised methoxsalen; and (f) the service is supervised by a specialist or consultant physician in the speciality of haematology. Applicable once per treatment cycle (H)
MBS Fee
$2215.00
DVA Fee
$2158.85
Category
Category 3 — Therapeutic Procedures
Description
Extracorporeal photopheresis for the continuing treatment of erythrodermic stage III‑IVa T4 M0 cutaneous T‑cell lymphoma; if (a) in the preceding 6 months: (i) a service to which item 14247 applies has been provided; and (ii) the patient has demonstrated a response to this service; and (iii) the patient requires further treatment; and (b) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (c) the patient is 18 years old or over; and (d) the service is provided in combination with the use of Pharmaceutical Benefits Scheme‑subsidised methoxsalen; and (e) the service is supervised by a specialist or consultant physician in the speciality of haematology. Applicable once per treatment cycle (H)
MBS Fee
$177.55
DVA Fee
$173.05
Category
Category 3 — Therapeutic Procedures
Description
Resuscitation of a patient provided for at least 30 minutes but less than 1 hour, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
MBS Fee
$341.50
DVA Fee
$332.85
Category
Category 3 — Therapeutic Procedures
Description
Resuscitation of a patient provided for at least 1 hour but less than 2 hours, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
MBS Fee
$680.15
DVA Fee
$662.90
Category
Category 3 — Therapeutic Procedures
Description
Resuscitation of a patient provided for at least 2 hours, by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
MBS Fee
$133.30
DVA Fee
$129.90
Category
Category 3 — Therapeutic Procedures
Description
Resuscitation of a patient provided for at least 30 minutes but less than 1 hour, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
MBS Fee
$256.15
DVA Fee
$249.65
Category
Category 3 — Therapeutic Procedures
Description
Resuscitation of a patient provided for at least 1 hour but less than 2 hours, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
MBS Fee
$510.10
DVA Fee
$497.15
Category
Category 3 — Therapeutic Procedures
Description
Resuscitation of a patient provided for at least 2 hours, by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
MBS Fee
$62.55
DVA Fee
$60.95
Category
Category 3 — Therapeutic Procedures
Description
Minor procedure on a patient by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
MBS Fee
$140.70
DVA Fee
$137.15
Category
Category 3 — Therapeutic Procedures
Description
Procedure (except a minor procedure) on a patient by a specialist in the practice of the specialist’s specialty of emergency medicine at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019 (Anaes.)
MBS Fee
$46.85
DVA Fee
$45.65
Category
Category 3 — Therapeutic Procedures
Description
Minor procedure on a patient by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
MBS Fee
$105.50
DVA Fee
$102.85
Category
Category 3 — Therapeutic Procedures
Description
Procedure (except a minor procedure) on a patient by a medical practitioner (except a specialist in the practice of the specialist’s specialty of emergency medicine) at a recognised emergency department of a private hospital, in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036 (Anaes.)
MBS Fee
$157.75
DVA Fee
$153.75
Category
Category 3 — Therapeutic Procedures
Description
Management, without aftercare, of all fractures and dislocations suffered by a patient that: (a) is provided by a specialist in the practice of the specialist's specialty of emergency medicine in conjunction with an attendance on the patient by the specialist described in item 5001, 5004, 5011, 5012, 5013, 5014, 5016, 5017 or 5019; and (b) occurs at a recognised emergency department of a private hospital (Anaes.)
MBS Fee
$118.35
DVA Fee
$115.35
Category
Category 3 — Therapeutic Procedures
Description
Management, without aftercare, of all fractures and dislocations suffered by a patient that: (a) is provided by a medical practitioner (except a specialist in the practice of the specialist's specialty of emergency medicine) in conjunction with an attendance on the patient by the practitioner described in item 5021, 5022, 5027, 5030, 5031, 5032, 5033, 5035 or 5036; and (b) occurs at a recognised emergency department of a private hospital (Anaes.)
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