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

Side-by-side MBS ↔ DVA comparison →

Total Items
5886
DVA fee schedule items
Showing 1701–1750 of 5886 Pg 35/118
Item No. Description MBS Fee DVA Fee
31409
PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
$1867.35 $1820.05
Item Number
31409
Fee Comparison
MBS
$1867.35
DVA
$1820.05
-$47.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3069.55
Full Description
PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
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31412
RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
$2300.20 $2241.90
Item Number
31412
Fee Comparison
MBS
$2300.20
DVA
$2241.90
-$58.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3469.75
Full Description
RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
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31423
Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
$480.95 $468.75
Item Number
31423
Fee Comparison
MBS
$480.95
DVA
$468.75
-$12.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$656.25
Full Description
Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
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31426
Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
$961.65 $937.30
Item Number
31426
Fee Comparison
MBS
$961.65
DVA
$937.30
-$24.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1250.80
Full Description
Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
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31429
Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
$1498.70 $1460.70
Item Number
31429
Fee Comparison
MBS
$1498.70
DVA
$1460.70
-$38.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2196.45
Full Description
Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
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31432
Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections), other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
$1602.85 $1562.25
Item Number
31432
Fee Comparison
MBS
$1602.85
DVA
$1562.25
-$40.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2659.60
Full Description
Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections), other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
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31435
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
$1178.10 $1148.25
Item Number
31435
Fee Comparison
MBS
$1178.10
DVA
$1148.25
-$29.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1521.55
Full Description
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
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31438
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
$1867.35 $1820.05
Item Number
31438
Fee Comparison
MBS
$1867.35
DVA
$1820.05
-$47.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2469.95
Full Description
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
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31454
Laparoscopy or laparotomy with drainage of bile, as an independent procedure (H) (Anaes.) (Assist.)
$674.30 $657.20
Item Number
31454
Fee Comparison
MBS
$674.30
DVA
$657.20
-$17.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$914.85
Full Description
Laparoscopy or laparotomy with drainage of bile, as an independent procedure (H) (Anaes.) (Assist.)
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31456
GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition (Anaes.)
$293.95 $286.50
Item Number
31456
Fee Comparison
MBS
$293.95
DVA
$286.50
-$7.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$346.20
Full Description
GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition (Anaes.)
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31458
GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated (Anaes.)
$352.65 $343.70
Item Number
31458
Fee Comparison
MBS
$352.65
DVA
$343.70
-$8.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$458.95
Full Description
GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated (Anaes.)
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31460
PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, including any associated imaging services (Anaes.) (Assist.)
$427.30 $416.45
Item Number
31460
Fee Comparison
MBS
$427.30
DVA
$416.45
-$10.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$576.70
Full Description
PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, including any associated imaging services (Anaes.) (Assist.)
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31462
OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.)
$623.95 $608.15
Item Number
31462
Fee Comparison
MBS
$623.95
DVA
$608.15
-$15.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$811.45
Full Description
OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.)
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31466
ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation (Anaes.) (Assist.)
$1564.30 $1524.65
Item Number
31466
Fee Comparison
MBS
$1564.30
DVA
$1524.65
-$39.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2024.95
Full Description
ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation (Anaes.) (Assist.)
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31468
Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication, other than a service associated with a service to which item 30756 or 31466 applies (Anaes.) (Assist.)
$1718.55 $1675.00
Item Number
31468
Fee Comparison
MBS
$1718.55
DVA
$1675.00
-$43.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2498.95
Full Description
Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication, other than a service associated with a service to which item 30756 or 31466 applies (Anaes.) (Assist.)
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31472
Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y loop to provide biliary drainage or bypass, other than a service associated with a service to which item 30584 applies (Anaes.) (Assist.)
$1610.20 $1569.40
Item Number
31472
Fee Comparison
MBS
$1610.20
DVA
$1569.40
-$40.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1643.95
Full Description
Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y loop to provide biliary drainage or bypass, other than a service associated with a service to which item 30584 applies (Anaes.) (Assist.)
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31500
Breast, benign lesion up to and including 50 mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology (H) (Anaes.)
$311.20 $303.30
Item Number
31500
Fee Comparison
MBS
$311.20
DVA
$303.30
-$7.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$424.70
Full Description
Breast, benign lesion up to and including 50 mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology (H) (Anaes.)
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31503
Breast, benign lesion more than 50 mm in diameter, excision of (H) (Anaes.) (Assist.)
$415.00 $404.50
Item Number
31503
Fee Comparison
MBS
$415.00
DVA
$404.50
-$10.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$566.30
Full Description
Breast, benign lesion more than 50 mm in diameter, excision of (H) (Anaes.) (Assist.)
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31506
BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes.) (Assist.)
$466.95 $455.10
Item Number
31506
Fee Comparison
MBS
$466.95
DVA
$455.10
-$11.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$613.85
Full Description
BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes.) (Assist.)
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31509
Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (H) (Anaes.)
$415.00 $404.50
Item Number
31509
Fee Comparison
MBS
$415.00
DVA
$404.50
-$10.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$566.30
Full Description
Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (H) (Anaes.)
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31512
Breast, malignant tumour, complete local excision of, with or without frozen section histology, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31513, 31514, 45520, 45522 or 45556 applies on the same side (if performed by the same medical practitioner)(H) (Anaes.) (Assist.)
$778.15 $758.45
Item Number
31512
Fee Comparison
MBS
$778.15
DVA
$758.45
-$19.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1009.50
Full Description
Breast, malignant tumour, complete local excision of, with or without frozen section histology, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31513, 31514, 45520, 45522 or 45556 applies on the same side (if performed by the same medical practitioner)(H) (Anaes.) (Assist.)
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31513
Breast, malignant tumour, complete local excision of, with simultaneous reshaping of the breast parenchyma using techniques such as round block or rotation flaps, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31514, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.)
$1017.40 $991.60
Item Number
31513
Fee Comparison
MBS
$1017.40
DVA
$991.60
-$25.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1388.30
Full Description
Breast, malignant tumour, complete local excision of, with simultaneous reshaping of the breast parenchyma using techniques such as round block or rotation flaps, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31514, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.)
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31514
Breast, malignant tumour, complete local excision of, with simultaneous ipsilateral pedicled breast reduction, including repositioning of the nipple, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31513, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.)
$1466.75 $1429.60
Item Number
31514
Fee Comparison
MBS
$1466.75
DVA
$1429.60
-$37.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2001.55
Full Description
Breast, malignant tumour, complete local excision of, with simultaneous ipsilateral pedicled breast reduction, including repositioning of the nipple, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31513, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.)
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31515
BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour (Anaes.) (Assist.)
$522.10 $508.85
Item Number
31515
Fee Comparison
MBS
$522.10
DVA
$508.85
-$13.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$655.85
Full Description
BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour (Anaes.) (Assist.)
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31516
BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology when targeted intraoperative radiation therapy (using an Intrabeam® or Xoft® Axxent® device) is performed concurrently, if the patient satisfies the requirements mentioned in paragraphs (a) to (g) of item 15900 Applicable only once per breast per lifetime (H) (Anaes.) (Assist.)
$1037.70 $1011.40
Item Number
31516
Fee Comparison
MBS
$1037.70
DVA
$1011.40
-$26.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1262.45
Full Description
BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology when targeted intraoperative radiation therapy (using an Intrabeam® or Xoft® Axxent® device) is performed concurrently, if the patient satisfies the requirements mentioned in paragraphs (a) to (g) of item 15900 Applicable only once per breast per lifetime (H) (Anaes.) (Assist.)
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31519
Total mastectomy (unilateral) (H) (Anaes.) (Assist.)
$881.05 $858.70
Item Number
31519
Fee Comparison
MBS
$881.05
DVA
$858.70
-$22.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1143.25
Full Description
Total mastectomy (unilateral) (H) (Anaes.) (Assist.)
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31520
Total mastectomy (bilateral) (H) (Anaes.) (Assist.)
$1541.65 $1502.60
Item Number
31520
Fee Comparison
MBS
$1541.65
DVA
$1502.60
-$39.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2103.80
Full Description
Total mastectomy (bilateral) (H) (Anaes.) (Assist.)
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31522
Skin sparing mastectomy (unilateral) (H) (Anaes.) (Assist.)
$1245.05 $1213.50
Item Number
31522
Fee Comparison
MBS
$1245.05
DVA
$1213.50
-$31.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1699.05
Full Description
Skin sparing mastectomy (unilateral) (H) (Anaes.) (Assist.)
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31523
Skin sparing mastectomy (bilateral) (H) (Anaes.) (Assist.)
$2178.90 $2123.70
Item Number
31523
Fee Comparison
MBS
$2178.90
DVA
$2123.70
-$55.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2973.30
Full Description
Skin sparing mastectomy (bilateral) (H) (Anaes.) (Assist.)
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31525
Mastectomy for gynaecomastia (unilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.)
$622.35 $606.60
Item Number
31525
Fee Comparison
MBS
$622.35
DVA
$606.60
-$15.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1078.45
Full Description
Mastectomy for gynaecomastia (unilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.)
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31526
Mastectomy for gynaecomastia (bilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.)
$1089.20 $1061.60
Item Number
31526
Fee Comparison
MBS
$1089.20
DVA
$1061.60
-$27.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1486.30
Full Description
Mastectomy for gynaecomastia (bilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.)
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31528
Nipple sparing mastectomy (unilateral) (H) (Anaes.) (Assist.)
$1245.05 $1213.50
Item Number
31528
Fee Comparison
MBS
$1245.05
DVA
$1213.50
-$31.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1699.05
Full Description
Nipple sparing mastectomy (unilateral) (H) (Anaes.) (Assist.)
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31529
Nipple sparing mastectomy (bilateral) (H) (Anaes.) (Assist.)
$2178.90 $2123.70
Item Number
31529
Fee Comparison
MBS
$2178.90
DVA
$2123.70
-$55.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2973.30
Full Description
Nipple sparing mastectomy (bilateral) (H) (Anaes.) (Assist.)
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31530
Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, if imaging has demonstrated:(a) microcalcification of lesion; or(b) impalpable lesion less than one cm in diameter;including pre-operative localisation of lesion, if performed, other than a service associated with a service to which item 31548 applies
$712.95 $694.90
Item Number
31530
Fee Comparison
MBS
$712.95
DVA
$694.90
-$18.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$924.90
RMFS Out-Hosp
$972.90
Full Description
Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, if imaging has demonstrated:(a) microcalcification of lesion; or(b) impalpable lesion less than one cm in diameter;including pre-operative localisation of lesion, if performed, other than a service associated with a service to which item 31548 applies
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31533
FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging (Anaes.)
$165.05 $160.85
Item Number
31533
Fee Comparison
MBS
$165.05
DVA
$160.85
-$4.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$206.90
RMFS Out-Hosp
$225.20
Full Description
FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging (Anaes.)
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31536
Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques, but not including imaging (Anaes.)
$226.75 $221.00
Item Number
31536
Fee Comparison
MBS
$226.75
DVA
$221.00
-$5.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$295.05
RMFS Out-Hosp
$309.40
Full Description
Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques, but not including imaging (Anaes.)
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31537
Insertion of a marker clip into a breast, including axilla, following a breast biopsy and using imaging (but not including the associated imaging), if additional surgery, neoadjuvant systemic therapy, follow up imaging or radiation may be required and the insertion is for any of the following reasons: (a) to mark the site of a lesion that has been totally or almost completely removed; (b) to confirm biopsy site if multiple lesions are present; (c) to confirm biopsy site of an ill-defined lesion; (d) future surgery or preoperative localisation is considered to be potentially difficult due to lesion conspicuity; (e) preoperative localisation is likely to be carried out using a modality different from the biopsy modality; (f) for correlation across modalities for diagnostic reasons (Anaes.)
$226.75 $221.00
Item Number
31537
Fee Comparison
MBS
$226.75
DVA
$221.00
-$5.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$309.40
RMFS Out-Hosp
$309.40
Full Description
Insertion of a marker clip into a breast, including axilla, following a breast biopsy and using imaging (but not including the associated imaging), if additional surgery, neoadjuvant systemic therapy, follow up imaging or radiation may be required and the insertion is for any of the following reasons: (a) to mark the site of a lesion that has been totally or almost completely removed; (b) to confirm biopsy site if multiple lesions are present; (c) to confirm biopsy site of an ill-defined lesion; (d) future surgery or preoperative localisation is considered to be potentially difficult due to lesion conspicuity; (e) preoperative localisation is likely to be carried out using a modality different from the biopsy modality; (f) for correlation across modalities for diagnostic reasons (Anaes.)
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31548
Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, other than a service associated with a service to which item 31530 applies (Anaes.)
$239.35 $233.30
Item Number
31548
Fee Comparison
MBS
$239.35
DVA
$233.30
-$6.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$290.80
RMFS Out-Hosp
$326.65
Full Description
Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, other than a service associated with a service to which item 31530 applies (Anaes.)
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31551
BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital, excluding aftercare (Anaes.)
$259.40 $252.85
Item Number
31551
Fee Comparison
MBS
$259.40
DVA
$252.85
-$6.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$330.15
Full Description
BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital, excluding aftercare (Anaes.)
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31554
BREAST, microdochotomy of, for benign or malignant condition (Anaes.) (Assist.)
$518.80 $505.65
Item Number
31554
Fee Comparison
MBS
$518.80
DVA
$505.65
-$13.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$682.55
Full Description
BREAST, microdochotomy of, for benign or malignant condition (Anaes.) (Assist.)
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31557
Breast central ducts, excision of, for benign condition (H) (Anaes.) (Assist.)
$415.00 $404.50
Item Number
31557
Fee Comparison
MBS
$415.00
DVA
$404.50
-$10.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$566.30
Full Description
Breast central ducts, excision of, for benign condition (H) (Anaes.) (Assist.)
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31560
ACCESSORY BREAST TISSUE, excision of (Anaes.) (Assist.)
$415.00 $404.50
Item Number
31560
Fee Comparison
MBS
$415.00
DVA
$404.50
-$10.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$545.20
RMFS Out-Hosp
$566.30
Full Description
ACCESSORY BREAST TISSUE, excision of (Anaes.) (Assist.)
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31563
Inverted nipple, surgical eversion of, with or without flap repair, if the nipple cannot readily be everted manually (Anaes.)
$310.85 $302.95
Item Number
31563
Fee Comparison
MBS
$310.85
DVA
$302.95
-$7.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$438.05
RMFS Out-Hosp
$424.15
Full Description
Inverted nipple, surgical eversion of, with or without flap repair, if the nipple cannot readily be everted manually (Anaes.)
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31566
ACCESSORY NIPPLE, excision of (Anaes.)
$155.55 $151.60
Item Number
31566
Fee Comparison
MBS
$155.55
DVA
$151.60
-$3.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$274.00
RMFS Out-Hosp
$212.25
Full Description
ACCESSORY NIPPLE, excision of (Anaes.)
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31569
Adjustable gastric band, placement of, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
$1016.90 $991.15
Item Number
31569
Fee Comparison
MBS
$1016.90
DVA
$991.15
-$25.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1322.40
Full Description
Adjustable gastric band, placement of, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
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31572
Gastric bypass by Roux-en-Y including associated anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity not being associated with a service to which item 30515 applies (Anaes.) (Assist.)
$1251.25 $1219.55
Item Number
31572
Fee Comparison
MBS
$1251.25
DVA
$1219.55
-$31.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1627.30
Full Description
Gastric bypass by Roux-en-Y including associated anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity not being associated with a service to which item 30515 applies (Anaes.) (Assist.)
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31575
Sleeve gastrectomy, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
$1016.90 $991.15
Item Number
31575
Fee Comparison
MBS
$1016.90
DVA
$991.15
-$25.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1322.40
Full Description
Sleeve gastrectomy, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
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31578
Gastroplasty (excluding by gastric plication), with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
$1016.90 $991.15
Item Number
31578
Fee Comparison
MBS
$1016.90
DVA
$991.15
-$25.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1322.40
Full Description
Gastroplasty (excluding by gastric plication), with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
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31581
Gastric bypass by biliopancreatic diversion with or without duodenal switch including gastric resection and anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
$1251.25 $1219.55
Item Number
31581
Fee Comparison
MBS
$1251.25
DVA
$1219.55
-$31.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1627.30
Full Description
Gastric bypass by biliopancreatic diversion with or without duodenal switch including gastric resection and anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
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31584
Surgical reversal of previous bariatric procedure, including revision or conversion, if:a) the previous procedure involved any of the following:(i) placement of adjustable gastric banding;(ii) gastric bypass;(iii) sleeve gastrectomy;(iv) gastroplasty (excluding gastric plication);(v) biliopancreatic diversion; and(b) any of items 31569 to 31581 applied to the previous procedureother than a service associated with a service to which item 31585 applies (Anaes.) (Assist.)
$1842.25 $1795.55
Item Number
31584
Fee Comparison
MBS
$1842.25
DVA
$1795.55
-$46.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2425.85
Full Description
Surgical reversal of previous bariatric procedure, including revision or conversion, if:a) the previous procedure involved any of the following:(i) placement of adjustable gastric banding;(ii) gastric bypass;(iii) sleeve gastrectomy;(iv) gastroplasty (excluding gastric plication);(v) biliopancreatic diversion; and(b) any of items 31569 to 31581 applied to the previous procedureother than a service associated with a service to which item 31585 applies (Anaes.) (Assist.)
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MBS Fee
$1867.35
DVA Fee
$1820.05
Category
Category 3 — Therapeutic Procedures
Description
PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
MBS Fee
$2300.20
DVA Fee
$2241.90
Category
Category 3 — Therapeutic Procedures
Description
RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.)
MBS Fee
$480.95
DVA Fee
$468.75
Category
Category 3 — Therapeutic Procedures
Description
Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$961.65
DVA Fee
$937.30
Category
Category 3 — Therapeutic Procedures
Description
Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$1498.70
DVA Fee
$1460.70
Category
Category 3 — Therapeutic Procedures
Description
Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$1602.85
DVA Fee
$1562.25
Category
Category 3 — Therapeutic Procedures
Description
Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections), other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$1178.10
DVA Fee
$1148.25
Category
Category 3 — Therapeutic Procedures
Description
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$1867.35
DVA Fee
$1820.05
Category
Category 3 — Therapeutic Procedures
Description
Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$674.30
DVA Fee
$657.20
Category
Category 3 — Therapeutic Procedures
Description
Laparoscopy or laparotomy with drainage of bile, as an independent procedure (H) (Anaes.) (Assist.)
MBS Fee
$293.95
DVA Fee
$286.50
Category
Category 3 — Therapeutic Procedures
Description
GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition (Anaes.)
MBS Fee
$352.65
DVA Fee
$343.70
Category
Category 3 — Therapeutic Procedures
Description
GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated (Anaes.)
MBS Fee
$427.30
DVA Fee
$416.45
Category
Category 3 — Therapeutic Procedures
Description
PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, including any associated imaging services (Anaes.) (Assist.)
MBS Fee
$623.95
DVA Fee
$608.15
Category
Category 3 — Therapeutic Procedures
Description
OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.)
MBS Fee
$1564.30
DVA Fee
$1524.65
Category
Category 3 — Therapeutic Procedures
Description
ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation (Anaes.) (Assist.)
MBS Fee
$1718.55
DVA Fee
$1675.00
Category
Category 3 — Therapeutic Procedures
Description
Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication, other than a service associated with a service to which item 30756 or 31466 applies (Anaes.) (Assist.)
MBS Fee
$1610.20
DVA Fee
$1569.40
Category
Category 3 — Therapeutic Procedures
Description
Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y loop to provide biliary drainage or bypass, other than a service associated with a service to which item 30584 applies (Anaes.) (Assist.)
MBS Fee
$311.20
DVA Fee
$303.30
Category
Category 3 — Therapeutic Procedures
Description
Breast, benign lesion up to and including 50 mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology (H) (Anaes.)
MBS Fee
$415.00
DVA Fee
$404.50
Category
Category 3 — Therapeutic Procedures
Description
Breast, benign lesion more than 50 mm in diameter, excision of (H) (Anaes.) (Assist.)
MBS Fee
$466.95
DVA Fee
$455.10
Category
Category 3 — Therapeutic Procedures
Description
BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes.) (Assist.)
MBS Fee
$415.00
DVA Fee
$404.50
Category
Category 3 — Therapeutic Procedures
Description
Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (H) (Anaes.)
MBS Fee
$778.15
DVA Fee
$758.45
Category
Category 3 — Therapeutic Procedures
Description
Breast, malignant tumour, complete local excision of, with or without frozen section histology, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31513, 31514, 45520, 45522 or 45556 applies on the same side (if performed by the same medical practitioner)(H) (Anaes.) (Assist.)
MBS Fee
$1017.40
DVA Fee
$991.60
Category
Category 3 — Therapeutic Procedures
Description
Breast, malignant tumour, complete local excision of, with simultaneous reshaping of the breast parenchyma using techniques such as round block or rotation flaps, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31514, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.)
MBS Fee
$1466.75
DVA Fee
$1429.60
Category
Category 3 — Therapeutic Procedures
Description
Breast, malignant tumour, complete local excision of, with simultaneous ipsilateral pedicled breast reduction, including repositioning of the nipple, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31513, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.)
MBS Fee
$522.10
DVA Fee
$508.85
Category
Category 3 — Therapeutic Procedures
Description
BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour (Anaes.) (Assist.)
MBS Fee
$1037.70
DVA Fee
$1011.40
Category
Category 3 — Therapeutic Procedures
Description
BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology when targeted intraoperative radiation therapy (using an Intrabeam® or Xoft® Axxent® device) is performed concurrently, if the patient satisfies the requirements mentioned in paragraphs (a) to (g) of item 15900 Applicable only once per breast per lifetime (H) (Anaes.) (Assist.)
MBS Fee
$881.05
DVA Fee
$858.70
Category
Category 3 — Therapeutic Procedures
Description
Total mastectomy (unilateral) (H) (Anaes.) (Assist.)
MBS Fee
$1541.65
DVA Fee
$1502.60
Category
Category 3 — Therapeutic Procedures
Description
Total mastectomy (bilateral) (H) (Anaes.) (Assist.)
MBS Fee
$1245.05
DVA Fee
$1213.50
Category
Category 3 — Therapeutic Procedures
Description
Skin sparing mastectomy (unilateral) (H) (Anaes.) (Assist.)
MBS Fee
$2178.90
DVA Fee
$2123.70
Category
Category 3 — Therapeutic Procedures
Description
Skin sparing mastectomy (bilateral) (H) (Anaes.) (Assist.)
MBS Fee
$622.35
DVA Fee
$606.60
Category
Category 3 — Therapeutic Procedures
Description
Mastectomy for gynaecomastia (unilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.)
MBS Fee
$1089.20
DVA Fee
$1061.60
Category
Category 3 — Therapeutic Procedures
Description
Mastectomy for gynaecomastia (bilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.)
MBS Fee
$1245.05
DVA Fee
$1213.50
Category
Category 3 — Therapeutic Procedures
Description
Nipple sparing mastectomy (unilateral) (H) (Anaes.) (Assist.)
MBS Fee
$2178.90
DVA Fee
$2123.70
Category
Category 3 — Therapeutic Procedures
Description
Nipple sparing mastectomy (bilateral) (H) (Anaes.) (Assist.)
MBS Fee
$712.95
DVA Fee
$694.90
Category
Category 3 — Therapeutic Procedures
Description
Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, if imaging has demonstrated:(a) microcalcification of lesion; or(b) impalpable lesion less than one cm in diameter;including pre-operative localisation of lesion, if performed, other than a service associated with a service to which item 31548 applies
MBS Fee
$165.05
DVA Fee
$160.85
Category
Category 3 — Therapeutic Procedures
Description
FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging (Anaes.)
MBS Fee
$226.75
DVA Fee
$221.00
Category
Category 3 — Therapeutic Procedures
Description
Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques, but not including imaging (Anaes.)
MBS Fee
$226.75
DVA Fee
$221.00
Category
Category 3 — Therapeutic Procedures
Description
Insertion of a marker clip into a breast, including axilla, following a breast biopsy and using imaging (but not including the associated imaging), if additional surgery, neoadjuvant systemic therapy, follow up imaging or radiation may be required and the insertion is for any of the following reasons: (a) to mark the site of a lesion that has been totally or almost completely removed; (b) to confirm biopsy site if multiple lesions are present; (c) to confirm biopsy site of an ill-defined lesion; (d) future surgery or preoperative localisation is considered to be potentially difficult due to lesion conspicuity; (e) preoperative localisation is likely to be carried out using a modality different from the biopsy modality; (f) for correlation across modalities for diagnostic reasons (Anaes.)
MBS Fee
$239.35
DVA Fee
$233.30
Category
Category 3 — Therapeutic Procedures
Description
Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, other than a service associated with a service to which item 31530 applies (Anaes.)
MBS Fee
$259.40
DVA Fee
$252.85
Category
Category 3 — Therapeutic Procedures
Description
BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital, excluding aftercare (Anaes.)
MBS Fee
$518.80
DVA Fee
$505.65
Category
Category 3 — Therapeutic Procedures
Description
BREAST, microdochotomy of, for benign or malignant condition (Anaes.) (Assist.)
MBS Fee
$415.00
DVA Fee
$404.50
Category
Category 3 — Therapeutic Procedures
Description
Breast central ducts, excision of, for benign condition (H) (Anaes.) (Assist.)
MBS Fee
$415.00
DVA Fee
$404.50
Category
Category 3 — Therapeutic Procedures
Description
ACCESSORY BREAST TISSUE, excision of (Anaes.) (Assist.)
MBS Fee
$310.85
DVA Fee
$302.95
Category
Category 3 — Therapeutic Procedures
Description
Inverted nipple, surgical eversion of, with or without flap repair, if the nipple cannot readily be everted manually (Anaes.)
MBS Fee
$155.55
DVA Fee
$151.60
Category
Category 3 — Therapeutic Procedures
Description
ACCESSORY NIPPLE, excision of (Anaes.)
MBS Fee
$1016.90
DVA Fee
$991.15
Category
Category 3 — Therapeutic Procedures
Description
Adjustable gastric band, placement of, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
MBS Fee
$1251.25
DVA Fee
$1219.55
Category
Category 3 — Therapeutic Procedures
Description
Gastric bypass by Roux-en-Y including associated anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity not being associated with a service to which item 30515 applies (Anaes.) (Assist.)
MBS Fee
$1016.90
DVA Fee
$991.15
Category
Category 3 — Therapeutic Procedures
Description
Sleeve gastrectomy, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
MBS Fee
$1016.90
DVA Fee
$991.15
Category
Category 3 — Therapeutic Procedures
Description
Gastroplasty (excluding by gastric plication), with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
MBS Fee
$1251.25
DVA Fee
$1219.55
Category
Category 3 — Therapeutic Procedures
Description
Gastric bypass by biliopancreatic diversion with or without duodenal switch including gastric resection and anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.)
MBS Fee
$1842.25
DVA Fee
$1795.55
Category
Category 3 — Therapeutic Procedures
Description
Surgical reversal of previous bariatric procedure, including revision or conversion, if:a) the previous procedure involved any of the following:(i) placement of adjustable gastric banding;(ii) gastric bypass;(iii) sleeve gastrectomy;(iv) gastroplasty (excluding gastric plication);(v) biliopancreatic diversion; and(b) any of items 31569 to 31581 applied to the previous procedureother than a service associated with a service to which item 31585 applies (Anaes.) (Assist.)
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