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 2151–2200 of 5886 Pg 44/118
Item No. Description MBS Fee DVA Fee
36537
KIDNEY OR PERINEPHRIC AREA, EXPLORATION OF, with or without drainage of, by open exposure, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
$827.50 $806.55
Item Number
36537
Fee Comparison
MBS
$827.50
DVA
$806.55
-$20.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1138.75
Full Description
KIDNEY OR PERINEPHRIC AREA, EXPLORATION OF, with or without drainage of, by open exposure, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
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36543
Nephrolithotomy or pyelolithotomy, or both, extended, for one or more renal stones, including one or more of nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (H) (Anaes.) (Assist.)
$1545.35 $1506.20
Item Number
36543
Fee Comparison
MBS
$1545.35
DVA
$1506.20
-$39.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2149.35
Full Description
Nephrolithotomy or pyelolithotomy, or both, extended, for one or more renal stones, including one or more of nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (H) (Anaes.) (Assist.)
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36546
Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post‑treatment care for 3 days, including pre‑treatment consultations, unilateral (H) (Anaes.)
$827.50 $806.55
Item Number
36546
Fee Comparison
MBS
$827.50
DVA
$806.55
-$20.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1168.35
Full Description
Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post‑treatment care for 3 days, including pre‑treatment consultations, unilateral (H) (Anaes.)
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36549
Ureterolithotomy, by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.)
$997.15 $971.90
Item Number
36549
Fee Comparison
MBS
$997.15
DVA
$971.90
-$25.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1437.30
Full Description
Ureterolithotomy, by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.)
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36552
NEPHROSTOMY or pyelostomy, open, as an independent procedure (Anaes.) (Assist.)
$887.45 $864.95
Item Number
36552
Fee Comparison
MBS
$887.45
DVA
$864.95
-$22.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1376.20
Full Description
NEPHROSTOMY or pyelostomy, open, as an independent procedure (Anaes.) (Assist.)
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36558
Renal cyst or cysts, excision or unroofing of (H) (Anaes.) (Assist.)
$777.75 $758.05
Item Number
36558
Fee Comparison
MBS
$777.75
DVA
$758.05
-$19.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1121.15
Full Description
Renal cyst or cysts, excision or unroofing of (H) (Anaes.) (Assist.)
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36561
Renal biopsy, performed under image guidance (closed) (Anaes.)
$206.45 $201.20
Item Number
36561
Fee Comparison
MBS
$206.45
DVA
$201.20
-$5.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$243.10
RMFS Out-Hosp
$281.70
Full Description
Renal biopsy, performed under image guidance (closed) (Anaes.)
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36564
Pyeloplasty, (plastic reconstruction of the pelvi-ureteric junction) by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
$1106.80 $1078.75
Item Number
36564
Fee Comparison
MBS
$1106.80
DVA
$1078.75
-$28.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1594.40
Full Description
Pyeloplasty, (plastic reconstruction of the pelvi-ureteric junction) by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
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36567
Pyeloplasty in a kidney that is congenitally abnormal (in addition to the presence of pelvi-ureteric junction obstruction), or in a solitary kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
$1216.45 $1185.60
Item Number
36567
Fee Comparison
MBS
$1216.45
DVA
$1185.60
-$30.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2055.00
Full Description
Pyeloplasty in a kidney that is congenitally abnormal (in addition to the presence of pelvi-ureteric junction obstruction), or in a solitary kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
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36570
Pyeloplasty, complicated by previous surgery on the same kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
$1545.35 $1506.20
Item Number
36570
Fee Comparison
MBS
$1545.35
DVA
$1506.20
-$39.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2354.85
Full Description
Pyeloplasty, complicated by previous surgery on the same kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
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36573
DIVIDED URETER, repair of (Anaes.) (Assist.)
$1106.80 $1078.75
Item Number
36573
Fee Comparison
MBS
$1106.80
DVA
$1078.75
-$28.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1528.80
Full Description
DIVIDED URETER, repair of (Anaes.) (Assist.)
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36576
Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, by open, laparoscopic or robot‑assisted approach, other than a service associated with: (a) any other procedure performed on the kidney, renal pelvis or renal pedicle; or (b) a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
$1385.85 $1350.75
Item Number
36576
Fee Comparison
MBS
$1385.85
DVA
$1350.75
-$35.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1931.40
Full Description
Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, by open, laparoscopic or robot‑assisted approach, other than a service associated with: (a) any other procedure performed on the kidney, renal pelvis or renal pedicle; or (b) a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
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36579
Ureterectomy, complete or partial: (a) for a tumour within the ureter, proven by histopathology at the time of surgery; or (b) for congenital anomaly; with or without associated bladder repair (Anaes.) (Assist.)
$887.45 $864.95
Item Number
36579
Fee Comparison
MBS
$887.45
DVA
$864.95
-$22.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1279.30
Full Description
Ureterectomy, complete or partial: (a) for a tumour within the ureter, proven by histopathology at the time of surgery; or (b) for congenital anomaly; with or without associated bladder repair (Anaes.) (Assist.)
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36585
URETER, transplantation of, into skin (Anaes.) (Assist.)
$887.45 $864.95
Item Number
36585
Fee Comparison
MBS
$887.45
DVA
$864.95
-$22.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1279.30
Full Description
URETER, transplantation of, into skin (Anaes.) (Assist.)
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36588
URETER, reimplantation into bladder (Anaes.) (Assist.)
$1106.80 $1078.75
Item Number
36588
Fee Comparison
MBS
$1106.80
DVA
$1078.75
-$28.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1488.50
Full Description
URETER, reimplantation into bladder (Anaes.) (Assist.)
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36591
URETER, reimplantation into bladder with psoas hitch or Boari flap or both (Anaes.) (Assist.)
$1326.15 $1292.55
Item Number
36591
Fee Comparison
MBS
$1326.15
DVA
$1292.55
-$33.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1992.95
Full Description
URETER, reimplantation into bladder with psoas hitch or Boari flap or both (Anaes.) (Assist.)
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36594
URETER, transplantation of, into intestine (Anaes.) (Assist.)
$1106.80 $1078.75
Item Number
36594
Fee Comparison
MBS
$1106.80
DVA
$1078.75
-$28.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1595.15
Full Description
URETER, transplantation of, into intestine (Anaes.) (Assist.)
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36597
URETER, transplantation of, into another ureter (Anaes.) (Assist.)
$1106.80 $1078.75
Item Number
36597
Fee Comparison
MBS
$1106.80
DVA
$1078.75
-$28.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1595.15
Full Description
URETER, transplantation of, into another ureter (Anaes.) (Assist.)
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36600
Ureter, transplantation of, into isolated intestinal segment, unilateral (H) (Anaes.) (Assist.)
$1326.15 $1292.55
Item Number
36600
Fee Comparison
MBS
$1326.15
DVA
$1292.55
-$33.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2191.80
Full Description
Ureter, transplantation of, into isolated intestinal segment, unilateral (H) (Anaes.) (Assist.)
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36603
URETERS, transplantation of, into isolated intestinal segment, bilateral (Anaes.) (Assist.)
$1545.35 $1506.20
Item Number
36603
Fee Comparison
MBS
$1545.35
DVA
$1506.20
-$39.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2169.35
Full Description
URETERS, transplantation of, into isolated intestinal segment, bilateral (Anaes.) (Assist.)
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36604
Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional radiology techniques, but not including imaging (H) (Anaes.)
$320.35 $312.25
Item Number
36604
Fee Comparison
MBS
$320.35
DVA
$312.25
-$8.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$462.10
Full Description
Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional radiology techniques, but not including imaging (H) (Anaes.)
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36606
INTESTINAL URINARY RESERVOIR, continent, formation of, including formation of nonreturn valves and implantation of ureters (1 or both) into reservoir (Anaes.) (Assist.)
$2771.80 $2701.55
Item Number
36606
Fee Comparison
MBS
$2771.80
DVA
$2701.55
-$70.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3994.80
Full Description
INTESTINAL URINARY RESERVOIR, continent, formation of, including formation of nonreturn valves and implantation of ureters (1 or both) into reservoir (Anaes.) (Assist.)
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36607
Ureteric stent insertion of, with balloon dilatation of: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventional radiology techniques, but not including imaging (Anaes.)
$826.75 $805.80
Item Number
36607
Fee Comparison
MBS
$826.75
DVA
$805.80
-$20.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1504.60
Full Description
Ureteric stent insertion of, with balloon dilatation of: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventional radiology techniques, but not including imaging (Anaes.)
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36608
Ureteric stent, exchange of, percutaneously through either the ileal conduit or bladder, using interventional radiology techniques, but not including imaging, not being a service associated with a service to which items 36811 to 36854 apply (Anaes.)
$320.35 $312.25
Item Number
36608
Fee Comparison
MBS
$320.35
DVA
$312.25
-$8.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$460.50
Full Description
Ureteric stent, exchange of, percutaneously through either the ileal conduit or bladder, using interventional radiology techniques, but not including imaging, not being a service associated with a service to which items 36811 to 36854 apply (Anaes.)
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36609
Intestinal urinary conduit, reservoir or ureterostomy, revision of (Anaes.) (Assist.)
$887.45 $864.95
Item Number
36609
Fee Comparison
MBS
$887.45
DVA
$864.95
-$22.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1087.90
Full Description
Intestinal urinary conduit, reservoir or ureterostomy, revision of (Anaes.) (Assist.)
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36610
Intestinal urinary conduit, incontinent, formation of (including associated small bowel resection and anastomosis), including implantation of one or both ureters into reservoir (Anaes.) (Assist.)
$2124.55 $2070.70
Item Number
36610
Fee Comparison
MBS
$2124.55
DVA
$2070.70
-$53.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2899.10
Full Description
Intestinal urinary conduit, incontinent, formation of (including associated small bowel resection and anastomosis), including implantation of one or both ureters into reservoir (Anaes.) (Assist.)
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36611
Intestinal urinary reservoir, continent, formation of (including associated small bowel resection and anastomosis), including formation of non-return valves and implantation of one or both ureters into reservoir, performed by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.)
$3351.00 $3266.10
Item Number
36611
Fee Comparison
MBS
$3351.00
DVA
$3266.10
-$84.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4572.75
Full Description
Intestinal urinary reservoir, continent, formation of (including associated small bowel resection and anastomosis), including formation of non-return valves and implantation of one or both ureters into reservoir, performed by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.)
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36612
URETER, exploration of, with or without drainage of, as an independent procedure (Anaes.) (Assist.)
$777.75 $758.05
Item Number
36612
Fee Comparison
MBS
$777.75
DVA
$758.05
-$19.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$927.30
Full Description
URETER, exploration of, with or without drainage of, as an independent procedure (Anaes.) (Assist.)
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36615
Ureterolysis, unilateral, with or without repositioning of the ureter, for obstruction of the ureter, if: (a) the obstruction: (i) is evident either radiologically or by proximal ureteric dilatation at operation; and (ii) is secondary to retroperitoneal fibrosis; and (b) there is biopsy proven fibrosis, endometriosis or cancer at the site of the obstruction at time of surgery (Anaes.) (Assist.)
$887.45 $864.95
Item Number
36615
Fee Comparison
MBS
$887.45
DVA
$864.95
-$22.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1279.30
Full Description
Ureterolysis, unilateral, with or without repositioning of the ureter, for obstruction of the ureter, if: (a) the obstruction: (i) is evident either radiologically or by proximal ureteric dilatation at operation; and (ii) is secondary to retroperitoneal fibrosis; and (b) there is biopsy proven fibrosis, endometriosis or cancer at the site of the obstruction at time of surgery (Anaes.) (Assist.)
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36618
REDUCTION URETEROPLASTY (Anaes.) (Assist.)
$777.75 $758.05
Item Number
36618
Fee Comparison
MBS
$777.75
DVA
$758.05
-$19.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1121.15
Full Description
REDUCTION URETEROPLASTY (Anaes.) (Assist.)
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36621
CLOSURE OF CUTANEOUS URETEROSTOMY (Anaes.) (Assist.)
$556.05 $541.95
Item Number
36621
Fee Comparison
MBS
$556.05
DVA
$541.95
-$14.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$820.60
Full Description
CLOSURE OF CUTANEOUS URETEROSTOMY (Anaes.) (Assist.)
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36624
Nephrostomy, percutaneous, using interventional radiology techniques, but not including imaging (H) (Anaes.) (Assist.)
$668.05 $651.10
Item Number
36624
Fee Comparison
MBS
$668.05
DVA
$651.10
-$16.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$962.95
Full Description
Nephrostomy, percutaneous, using interventional radiology techniques, but not including imaging (H) (Anaes.) (Assist.)
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36627
Nephroscopy, percutaneous, with or without any one or more of; stone extraction, biopsy or diathermy, not being a service to which item 36639 or 36645 applies (Anaes.)
$827.50 $806.55
Item Number
36627
Fee Comparison
MBS
$827.50
DVA
$806.55
-$20.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1087.80
Full Description
Nephroscopy, percutaneous, with or without any one or more of; stone extraction, biopsy or diathermy, not being a service to which item 36639 or 36645 applies (Anaes.)
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36633
Nephroscopy, percutaneous, with incision of any one or more of renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, other than a service associated with a service to which item 36627, 36639 or 36645 applies (H) (Anaes.) (Assist.)
$887.45 $864.95
Item Number
36633
Fee Comparison
MBS
$887.45
DVA
$864.95
-$22.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1211.00
Full Description
Nephroscopy, percutaneous, with incision of any one or more of renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, other than a service associated with a service to which item 36627, 36639 or 36645 applies (H) (Anaes.) (Assist.)
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36636
Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, being a service associated with a service to which item 36627, 36639 or 36645 applies (Anaes.) (Assist.)
$478.65 $466.50
Item Number
36636
Fee Comparison
MBS
$478.65
DVA
$466.50
-$12.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$690.15
Full Description
Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, being a service associated with a service to which item 36627, 36639 or 36645 applies (Anaes.) (Assist.)
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36639
Nephroscopy, percutaneous, with destruction and extraction of one or two stones using ultrasound or electrohydraulic shock waves or lasers, other than a service to which item 36645 applies (Anaes.)
$997.15 $971.90
Item Number
36639
Fee Comparison
MBS
$997.15
DVA
$971.90
-$25.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1472.75
Full Description
Nephroscopy, percutaneous, with destruction and extraction of one or two stones using ultrasound or electrohydraulic shock waves or lasers, other than a service to which item 36645 applies (Anaes.)
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36645
NEPHROSCOPY, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (Anaes.) (Assist.)
$1276.30 $1243.95
Item Number
36645
Fee Comparison
MBS
$1276.30
DVA
$1243.95
-$32.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2023.05
Full Description
NEPHROSCOPY, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (Anaes.) (Assist.)
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36649
Nephrostomy drainage tube, exchange of, using interventional radiology techniques, but not including imaging (Anaes.) (Assist.)
$320.35 $312.25
Item Number
36649
Fee Comparison
MBS
$320.35
DVA
$312.25
-$8.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$462.10
RMFS Out-Hosp
$437.15
Full Description
Nephrostomy drainage tube, exchange of, using interventional radiology techniques, but not including imaging (Anaes.) (Assist.)
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36650
Nephrostomy tube, removal of, using interventional radiology techniques, but not including imaging, if the ureter has been stented with a double J ureteric stent and that stent is left in place (Anaes.)
$179.20 $174.65
Item Number
36650
Fee Comparison
MBS
$179.20
DVA
$174.65
-$4.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$257.70
Full Description
Nephrostomy tube, removal of, using interventional radiology techniques, but not including imaging, if the ureter has been stented with a double J ureteric stent and that stent is left in place (Anaes.)
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36652
PYELOSCOPY, retrograde, of one collecting system, with or without any one or more of, cystoscopy, ureteric meatotomy, ureteric dilatation, not being a service associated with a service to which item 36803, 36812 or 36824 applies (Anaes.) (Assist.)
$777.75 $758.05
Item Number
36652
Fee Comparison
MBS
$777.75
DVA
$758.05
-$19.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$982.80
Full Description
PYELOSCOPY, retrograde, of one collecting system, with or without any one or more of, cystoscopy, ureteric meatotomy, ureteric dilatation, not being a service associated with a service to which item 36803, 36812 or 36824 applies (Anaes.) (Assist.)
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36654
PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus 1 or more of extraction of stone from the renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or calyces, not being a service associated with a service to which item 36656 applies to a procedure performed in the same collecting system (Anaes.) (Assist.)
$997.15 $971.90
Item Number
36654
Fee Comparison
MBS
$997.15
DVA
$971.90
-$25.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1319.10
Full Description
PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus 1 or more of extraction of stone from the renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or calyces, not being a service associated with a service to which item 36656 applies to a procedure performed in the same collecting system (Anaes.) (Assist.)
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36656
PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus extraction of 2 or more stones in the renal pelvis or calyces or destruction of stone with ultrasound, electrohydraulic or kinetic lithotripsy, or laser in the renal pelvis or calyces, with or without extraction of fragments, not being a service associated with a service to which item 36654 applies to a procedure performed in the same collecting system (Anaes.) (Assist.)
$1276.30 $1243.95
Item Number
36656
Fee Comparison
MBS
$1276.30
DVA
$1243.95
-$32.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1846.50
Full Description
PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus extraction of 2 or more stones in the renal pelvis or calyces or destruction of stone with ultrasound, electrohydraulic or kinetic lithotripsy, or laser in the renal pelvis or calyces, with or without extraction of fragments, not being a service associated with a service to which item 36654 applies to a procedure performed in the same collecting system (Anaes.) (Assist.)
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36663
Both: (a) percutaneous placement of sacral nerve lead or leads using fluoroscopic guidance, or open placement of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to manage: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
$791.05 $771.00
Item Number
36663
Fee Comparison
MBS
$791.05
DVA
$771.00
-$20.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1099.20
Full Description
Both: (a) percutaneous placement of sacral nerve lead or leads using fluoroscopic guidance, or open placement of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to manage: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
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36664
Both: (a) percutaneous repositioning of sacral nerve lead or leads using fluoroscopic guidance, or open repositioning of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment; other than a service to which item 36663 applies (H) (Anaes.)
$710.45 $692.45
Item Number
36664
Fee Comparison
MBS
$710.45
DVA
$692.45
-$18.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$987.00
Full Description
Both: (a) percutaneous repositioning of sacral nerve lead or leads using fluoroscopic guidance, or open repositioning of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment; other than a service to which item 36663 applies (H) (Anaes.)
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36665
Sacral nerve electrode or electrodes, management and adjustment of the pulse generator by a medical practitioner, to manage detrusor overactivity or non obstructive urinary retention - each day
$150.10 $146.30
Item Number
36665
Fee Comparison
MBS
$150.10
DVA
$146.30
-$3.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$208.70
RMFS Out-Hosp
$204.85
Full Description
Sacral nerve electrode or electrodes, management and adjustment of the pulse generator by a medical practitioner, to manage detrusor overactivity or non obstructive urinary retention - each day
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36666
Pulse generator, subcutaneous placement of, and placement and connection of extension wire or wires to sacral nerve electrode or electrodes, for the management of: (a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
$399.80 $389.65
Item Number
36666
Fee Comparison
MBS
$399.80
DVA
$389.65
-$10.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$555.50
Full Description
Pulse generator, subcutaneous placement of, and placement and connection of extension wire or wires to sacral nerve electrode or electrodes, for the management of: (a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
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36667
Sacral nerve lead or leads, removal of, if the lead was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
$187.05 $182.30
Item Number
36667
Fee Comparison
MBS
$187.05
DVA
$182.30
-$4.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$260.15
Full Description
Sacral nerve lead or leads, removal of, if the lead was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
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36668
Pulse generator, removal of, if the pulse generator was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
$187.05 $182.30
Item Number
36668
Fee Comparison
MBS
$187.05
DVA
$182.30
-$4.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$260.15
Full Description
Pulse generator, removal of, if the pulse generator was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
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36671
Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if: (a) the patient has been diagnosed with idiopathic overactive bladder; and (b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti‑cholinergic agents); and (c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and (d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and (e) the patient is willing and able to comply with the treatment protocol; and (f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and (g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. For each patient—applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period. Not applicable for a service associated with a service to which item 36672 or 36673 applies
$239.35 $233.30
Item Number
36671
Fee Comparison
MBS
$239.35
DVA
$233.30
-$6.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$326.80
RMFS Out-Hosp
$326.65
Full Description
Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if: (a) the patient has been diagnosed with idiopathic overactive bladder; and (b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti‑cholinergic agents); and (c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and (d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and (e) the patient is willing and able to comply with the treatment protocol; and (f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and (g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. For each patient—applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period. Not applicable for a service associated with a service to which item 36672 or 36673 applies
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36672
Percutaneous tibial nerve stimulation, tapering treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the tapering treatment protocol comprises no more than 5 sessions, delivered over a 3 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for a service associated with a service to which item 36671 or 36673 applies
$239.35 $233.30
Item Number
36672
Fee Comparison
MBS
$239.35
DVA
$233.30
-$6.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$326.80
RMFS Out-Hosp
$326.65
Full Description
Percutaneous tibial nerve stimulation, tapering treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the tapering treatment protocol comprises no more than 5 sessions, delivered over a 3 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for a service associated with a service to which item 36671 or 36673 applies
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MBS Fee
$827.50
DVA Fee
$806.55
Category
Category 3 — Therapeutic Procedures
Description
KIDNEY OR PERINEPHRIC AREA, EXPLORATION OF, with or without drainage of, by open exposure, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.)
MBS Fee
$1545.35
DVA Fee
$1506.20
Category
Category 3 — Therapeutic Procedures
Description
Nephrolithotomy or pyelolithotomy, or both, extended, for one or more renal stones, including one or more of nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (H) (Anaes.) (Assist.)
MBS Fee
$827.50
DVA Fee
$806.55
Category
Category 3 — Therapeutic Procedures
Description
Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post‑treatment care for 3 days, including pre‑treatment consultations, unilateral (H) (Anaes.)
MBS Fee
$997.15
DVA Fee
$971.90
Category
Category 3 — Therapeutic Procedures
Description
Ureterolithotomy, by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.)
MBS Fee
$887.45
DVA Fee
$864.95
Category
Category 3 — Therapeutic Procedures
Description
NEPHROSTOMY or pyelostomy, open, as an independent procedure (Anaes.) (Assist.)
MBS Fee
$777.75
DVA Fee
$758.05
Category
Category 3 — Therapeutic Procedures
Description
Renal cyst or cysts, excision or unroofing of (H) (Anaes.) (Assist.)
MBS Fee
$206.45
DVA Fee
$201.20
Category
Category 3 — Therapeutic Procedures
Description
Renal biopsy, performed under image guidance (closed) (Anaes.)
MBS Fee
$1106.80
DVA Fee
$1078.75
Category
Category 3 — Therapeutic Procedures
Description
Pyeloplasty, (plastic reconstruction of the pelvi-ureteric junction) by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
MBS Fee
$1216.45
DVA Fee
$1185.60
Category
Category 3 — Therapeutic Procedures
Description
Pyeloplasty in a kidney that is congenitally abnormal (in addition to the presence of pelvi-ureteric junction obstruction), or in a solitary kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
MBS Fee
$1545.35
DVA Fee
$1506.20
Category
Category 3 — Therapeutic Procedures
Description
Pyeloplasty, complicated by previous surgery on the same kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.)
MBS Fee
$1106.80
DVA Fee
$1078.75
Category
Category 3 — Therapeutic Procedures
Description
DIVIDED URETER, repair of (Anaes.) (Assist.)
MBS Fee
$1385.85
DVA Fee
$1350.75
Category
Category 3 — Therapeutic Procedures
Description
Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, by open, laparoscopic or robot‑assisted approach, other than a service associated with: (a) any other procedure performed on the kidney, renal pelvis or renal pedicle; or (b) a service to which item 30390 or 30627 applies (Anaes.) (Assist.)
MBS Fee
$887.45
DVA Fee
$864.95
Category
Category 3 — Therapeutic Procedures
Description
Ureterectomy, complete or partial: (a) for a tumour within the ureter, proven by histopathology at the time of surgery; or (b) for congenital anomaly; with or without associated bladder repair (Anaes.) (Assist.)
MBS Fee
$887.45
DVA Fee
$864.95
Category
Category 3 — Therapeutic Procedures
Description
URETER, transplantation of, into skin (Anaes.) (Assist.)
MBS Fee
$1106.80
DVA Fee
$1078.75
Category
Category 3 — Therapeutic Procedures
Description
URETER, reimplantation into bladder (Anaes.) (Assist.)
MBS Fee
$1326.15
DVA Fee
$1292.55
Category
Category 3 — Therapeutic Procedures
Description
URETER, reimplantation into bladder with psoas hitch or Boari flap or both (Anaes.) (Assist.)
MBS Fee
$1106.80
DVA Fee
$1078.75
Category
Category 3 — Therapeutic Procedures
Description
URETER, transplantation of, into intestine (Anaes.) (Assist.)
MBS Fee
$1106.80
DVA Fee
$1078.75
Category
Category 3 — Therapeutic Procedures
Description
URETER, transplantation of, into another ureter (Anaes.) (Assist.)
MBS Fee
$1326.15
DVA Fee
$1292.55
Category
Category 3 — Therapeutic Procedures
Description
Ureter, transplantation of, into isolated intestinal segment, unilateral (H) (Anaes.) (Assist.)
MBS Fee
$1545.35
DVA Fee
$1506.20
Category
Category 3 — Therapeutic Procedures
Description
URETERS, transplantation of, into isolated intestinal segment, bilateral (Anaes.) (Assist.)
MBS Fee
$320.35
DVA Fee
$312.25
Category
Category 3 — Therapeutic Procedures
Description
Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional radiology techniques, but not including imaging (H) (Anaes.)
MBS Fee
$2771.80
DVA Fee
$2701.55
Category
Category 3 — Therapeutic Procedures
Description
INTESTINAL URINARY RESERVOIR, continent, formation of, including formation of nonreturn valves and implantation of ureters (1 or both) into reservoir (Anaes.) (Assist.)
MBS Fee
$826.75
DVA Fee
$805.80
Category
Category 3 — Therapeutic Procedures
Description
Ureteric stent insertion of, with balloon dilatation of: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventional radiology techniques, but not including imaging (Anaes.)
MBS Fee
$320.35
DVA Fee
$312.25
Category
Category 3 — Therapeutic Procedures
Description
Ureteric stent, exchange of, percutaneously through either the ileal conduit or bladder, using interventional radiology techniques, but not including imaging, not being a service associated with a service to which items 36811 to 36854 apply (Anaes.)
MBS Fee
$887.45
DVA Fee
$864.95
Category
Category 3 — Therapeutic Procedures
Description
Intestinal urinary conduit, reservoir or ureterostomy, revision of (Anaes.) (Assist.)
MBS Fee
$2124.55
DVA Fee
$2070.70
Category
Category 3 — Therapeutic Procedures
Description
Intestinal urinary conduit, incontinent, formation of (including associated small bowel resection and anastomosis), including implantation of one or both ureters into reservoir (Anaes.) (Assist.)
MBS Fee
$3351.00
DVA Fee
$3266.10
Category
Category 3 — Therapeutic Procedures
Description
Intestinal urinary reservoir, continent, formation of (including associated small bowel resection and anastomosis), including formation of non-return valves and implantation of one or both ureters into reservoir, performed by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.)
MBS Fee
$777.75
DVA Fee
$758.05
Category
Category 3 — Therapeutic Procedures
Description
URETER, exploration of, with or without drainage of, as an independent procedure (Anaes.) (Assist.)
MBS Fee
$887.45
DVA Fee
$864.95
Category
Category 3 — Therapeutic Procedures
Description
Ureterolysis, unilateral, with or without repositioning of the ureter, for obstruction of the ureter, if: (a) the obstruction: (i) is evident either radiologically or by proximal ureteric dilatation at operation; and (ii) is secondary to retroperitoneal fibrosis; and (b) there is biopsy proven fibrosis, endometriosis or cancer at the site of the obstruction at time of surgery (Anaes.) (Assist.)
MBS Fee
$777.75
DVA Fee
$758.05
Category
Category 3 — Therapeutic Procedures
Description
REDUCTION URETEROPLASTY (Anaes.) (Assist.)
MBS Fee
$556.05
DVA Fee
$541.95
Category
Category 3 — Therapeutic Procedures
Description
CLOSURE OF CUTANEOUS URETEROSTOMY (Anaes.) (Assist.)
MBS Fee
$668.05
DVA Fee
$651.10
Category
Category 3 — Therapeutic Procedures
Description
Nephrostomy, percutaneous, using interventional radiology techniques, but not including imaging (H) (Anaes.) (Assist.)
MBS Fee
$827.50
DVA Fee
$806.55
Category
Category 3 — Therapeutic Procedures
Description
Nephroscopy, percutaneous, with or without any one or more of; stone extraction, biopsy or diathermy, not being a service to which item 36639 or 36645 applies (Anaes.)
MBS Fee
$887.45
DVA Fee
$864.95
Category
Category 3 — Therapeutic Procedures
Description
Nephroscopy, percutaneous, with incision of any one or more of renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, other than a service associated with a service to which item 36627, 36639 or 36645 applies (H) (Anaes.) (Assist.)
MBS Fee
$478.65
DVA Fee
$466.50
Category
Category 3 — Therapeutic Procedures
Description
Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, being a service associated with a service to which item 36627, 36639 or 36645 applies (Anaes.) (Assist.)
MBS Fee
$997.15
DVA Fee
$971.90
Category
Category 3 — Therapeutic Procedures
Description
Nephroscopy, percutaneous, with destruction and extraction of one or two stones using ultrasound or electrohydraulic shock waves or lasers, other than a service to which item 36645 applies (Anaes.)
MBS Fee
$1276.30
DVA Fee
$1243.95
Category
Category 3 — Therapeutic Procedures
Description
NEPHROSCOPY, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (Anaes.) (Assist.)
MBS Fee
$320.35
DVA Fee
$312.25
Category
Category 3 — Therapeutic Procedures
Description
Nephrostomy drainage tube, exchange of, using interventional radiology techniques, but not including imaging (Anaes.) (Assist.)
MBS Fee
$179.20
DVA Fee
$174.65
Category
Category 3 — Therapeutic Procedures
Description
Nephrostomy tube, removal of, using interventional radiology techniques, but not including imaging, if the ureter has been stented with a double J ureteric stent and that stent is left in place (Anaes.)
MBS Fee
$777.75
DVA Fee
$758.05
Category
Category 3 — Therapeutic Procedures
Description
PYELOSCOPY, retrograde, of one collecting system, with or without any one or more of, cystoscopy, ureteric meatotomy, ureteric dilatation, not being a service associated with a service to which item 36803, 36812 or 36824 applies (Anaes.) (Assist.)
MBS Fee
$997.15
DVA Fee
$971.90
Category
Category 3 — Therapeutic Procedures
Description
PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus 1 or more of extraction of stone from the renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or calyces, not being a service associated with a service to which item 36656 applies to a procedure performed in the same collecting system (Anaes.) (Assist.)
MBS Fee
$1276.30
DVA Fee
$1243.95
Category
Category 3 — Therapeutic Procedures
Description
PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus extraction of 2 or more stones in the renal pelvis or calyces or destruction of stone with ultrasound, electrohydraulic or kinetic lithotripsy, or laser in the renal pelvis or calyces, with or without extraction of fragments, not being a service associated with a service to which item 36654 applies to a procedure performed in the same collecting system (Anaes.) (Assist.)
MBS Fee
$791.05
DVA Fee
$771.00
Category
Category 3 — Therapeutic Procedures
Description
Both: (a) percutaneous placement of sacral nerve lead or leads using fluoroscopic guidance, or open placement of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to manage: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
MBS Fee
$710.45
DVA Fee
$692.45
Category
Category 3 — Therapeutic Procedures
Description
Both: (a) percutaneous repositioning of sacral nerve lead or leads using fluoroscopic guidance, or open repositioning of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment; other than a service to which item 36663 applies (H) (Anaes.)
MBS Fee
$150.10
DVA Fee
$146.30
Category
Category 3 — Therapeutic Procedures
Description
Sacral nerve electrode or electrodes, management and adjustment of the pulse generator by a medical practitioner, to manage detrusor overactivity or non obstructive urinary retention - each day
MBS Fee
$399.80
DVA Fee
$389.65
Category
Category 3 — Therapeutic Procedures
Description
Pulse generator, subcutaneous placement of, and placement and connection of extension wire or wires to sacral nerve electrode or electrodes, for the management of: (a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
MBS Fee
$187.05
DVA Fee
$182.30
Category
Category 3 — Therapeutic Procedures
Description
Sacral nerve lead or leads, removal of, if the lead was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
MBS Fee
$187.05
DVA Fee
$182.30
Category
Category 3 — Therapeutic Procedures
Description
Pulse generator, removal of, if the pulse generator was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
MBS Fee
$239.35
DVA Fee
$233.30
Category
Category 3 — Therapeutic Procedures
Description
Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if: (a) the patient has been diagnosed with idiopathic overactive bladder; and (b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti‑cholinergic agents); and (c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and (d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and (e) the patient is willing and able to comply with the treatment protocol; and (f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and (g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. For each patient—applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period. Not applicable for a service associated with a service to which item 36672 or 36673 applies
MBS Fee
$239.35
DVA Fee
$233.30
Category
Category 3 — Therapeutic Procedures
Description
Percutaneous tibial nerve stimulation, tapering treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the tapering treatment protocol comprises no more than 5 sessions, delivered over a 3 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for a service associated with a service to which item 36671 or 36673 applies
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