Billing Codes
Department of Veterans' Affairs — Updated Annually

DVA Medical Fee Schedule

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

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Total Items
5886
DVA fee schedule items
Showing 2751–2800 of 5886 Pg 56/118
Item No. Description MBS Fee DVA Fee
41768
Unilateral insertion of bioabsorbable implant for nasal airway obstruction due to lateral wall insufficiency confirmed by positive modified Cottle manoeuvre, if: (a) the procedure is provided by a specialist in the practice of the specialist’s specialty of otolaryngology or plastic surgery; and (b) the patient has a self‑reported NOSE Scale score of equal to or greater than 55; and (c) NOSE Scale evidence (with or without photographic evidence demonstrating the clinical need for this service) is documented in the patient notes; and (d) the patient has not previously received a service to which item 41769 applies Applicable once per lifetime per nostril (Anaes.)
$216.35 $210.85
Item Number
41768
Fee Comparison
MBS
$216.35
DVA
$210.85
-$5.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$295.20
RMFS Out-Hosp
$295.20
Full Description
Unilateral insertion of bioabsorbable implant for nasal airway obstruction due to lateral wall insufficiency confirmed by positive modified Cottle manoeuvre, if: (a) the procedure is provided by a specialist in the practice of the specialist’s specialty of otolaryngology or plastic surgery; and (b) the patient has a self‑reported NOSE Scale score of equal to or greater than 55; and (c) NOSE Scale evidence (with or without photographic evidence demonstrating the clinical need for this service) is documented in the patient notes; and (d) the patient has not previously received a service to which item 41769 applies Applicable once per lifetime per nostril (Anaes.)
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41769
Bilateral insertion of bioabsorbable implant for nasal airway obstruction due to lateral wall insufficiency confirmed by positive modified Cottle manoeuvre, if: (a) the procedure is provided by a specialist in the practice of the specialist’s specialty of otolaryngology or plastic surgery; and (b) the patient has a self‑reported NOSE Scale score of equal to or greater than 55; and (c) NOSE Scale evidence (with or without photographic evidence demonstrating the clinical need for this service) is documented in the patient notes; and (d) the patient has not previously received a service to which item 41768 applies Applicable once per lifetime (Anaes.)
$324.50 $316.30
Item Number
41769
Fee Comparison
MBS
$324.50
DVA
$316.30
-$8.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$442.85
RMFS Out-Hosp
$442.85
Full Description
Bilateral insertion of bioabsorbable implant for nasal airway obstruction due to lateral wall insufficiency confirmed by positive modified Cottle manoeuvre, if: (a) the procedure is provided by a specialist in the practice of the specialist’s specialty of otolaryngology or plastic surgery; and (b) the patient has a self‑reported NOSE Scale score of equal to or greater than 55; and (c) NOSE Scale evidence (with or without photographic evidence demonstrating the clinical need for this service) is documented in the patient notes; and (d) the patient has not previously received a service to which item 41768 applies Applicable once per lifetime (Anaes.)
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41770
PHARYNGEAL POUCH, removal of, with or without cricopharyngeal myotomy (Anaes.) (Assist.)
$839.35 $818.10
Item Number
41770
Fee Comparison
MBS
$839.35
DVA
$818.10
-$21.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1223.65
Full Description
PHARYNGEAL POUCH, removal of, with or without cricopharyngeal myotomy (Anaes.) (Assist.)
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41776
Cricopharyngeal myotomy by any approach, including open inversion of pharyngeal pouch or endoscopic repair of pharyngeal pouch (H) (Anaes.) (Assist.)
$702.25 $684.45
Item Number
41776
Fee Comparison
MBS
$702.25
DVA
$684.45
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$961.30
Full Description
Cricopharyngeal myotomy by any approach, including open inversion of pharyngeal pouch or endoscopic repair of pharyngeal pouch (H) (Anaes.) (Assist.)
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41779
PHARYNGOTOMY (lateral), with or without total excision of tongue (Anaes.) (Assist.)
$839.35 $818.10
Item Number
41779
Fee Comparison
MBS
$839.35
DVA
$818.10
-$21.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1283.05
Full Description
PHARYNGOTOMY (lateral), with or without total excision of tongue (Anaes.) (Assist.)
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41785
Partial pharyngectomy, by any approach, with or without partial glossectomy (H) (Anaes.) (Assist.)
$1365.00 $1330.40
Item Number
41785
Fee Comparison
MBS
$1365.00
DVA
$1330.40
-$34.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2070.95
Full Description
Partial pharyngectomy, by any approach, with or without partial glossectomy (H) (Anaes.) (Assist.)
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41786
UVULOPALATOPHARYNGOPLASTY, with or without tonsillectomy, by any means (Anaes.) (Assist.)
$882.15 $859.80
Item Number
41786
Fee Comparison
MBS
$882.15
DVA
$859.80
-$22.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1302.30
Full Description
UVULOPALATOPHARYNGOPLASTY, with or without tonsillectomy, by any means (Anaes.) (Assist.)
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41789
Tonsils or tonsils and adenoids, removal of, in a patient aged less than 12 years (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
$353.90 $344.95
Item Number
41789
Fee Comparison
MBS
$353.90
DVA
$344.95
-$8.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$658.85
Full Description
Tonsils or tonsils and adenoids, removal of, in a patient aged less than 12 years (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
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41793
Tonsils or tonsils and adenoids, removal of, in a patient 12 years of age or over (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
$444.65 $433.40
Item Number
41793
Fee Comparison
MBS
$444.65
DVA
$433.40
-$11.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$727.85
Full Description
Tonsils or tonsils and adenoids, removal of, in a patient 12 years of age or over (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
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41797
TONSILS OR TONSILS AND ADENOIDS, ARREST OF HAEMORRHAGE requiring general anaesthesia, following removal of (Anaes.)
$172.40 $168.05
Item Number
41797
Fee Comparison
MBS
$172.40
DVA
$168.05
-$4.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$226.75
Full Description
TONSILS OR TONSILS AND ADENOIDS, ARREST OF HAEMORRHAGE requiring general anaesthesia, following removal of (Anaes.)
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41801
Adenoids, removal of (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
$195.05 $190.10
Item Number
41801
Fee Comparison
MBS
$195.05
DVA
$190.10
-$4.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$296.40
Full Description
Adenoids, removal of (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
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41804
Removal of lingual tonsil (H) (Anaes.)
$107.75 $105.00
Item Number
41804
Fee Comparison
MBS
$107.75
DVA
$105.00
-$2.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$163.70
Full Description
Removal of lingual tonsil (H) (Anaes.)
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41807
PERITONSILLAR ABSCESS (quinsy), incision of (Anaes.)
$83.80 $81.70
Item Number
41807
Fee Comparison
MBS
$83.80
DVA
$81.70
-$2.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$113.25
RMFS Out-Hosp
$114.40
Full Description
PERITONSILLAR ABSCESS (quinsy), incision of (Anaes.)
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41810
Uvulotomy or uvulectomy (H) (Anaes.)
$42.60 $41.50
Item Number
41810
Fee Comparison
MBS
$42.60
DVA
$41.50
-$1.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$65.00
Full Description
Uvulotomy or uvulectomy (H) (Anaes.)
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41813
VALLECULAR OR PHARYNGEAL CYSTS, removal of (Anaes.) (Assist.)
$426.55 $415.75
Item Number
41813
Fee Comparison
MBS
$426.55
DVA
$415.75
-$10.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$557.10
Full Description
VALLECULAR OR PHARYNGEAL CYSTS, removal of (Anaes.) (Assist.)
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41822
Oesophagoscopy, with rigid oesophagoscope, with or without biopsy, other than a service associated with a service to which item 30473 or 30478 applies (H) (Anaes.)
$230.05 $224.20
Item Number
41822
Fee Comparison
MBS
$230.05
DVA
$224.20
-$5.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$349.40
Full Description
Oesophagoscopy, with rigid oesophagoscope, with or without biopsy, other than a service associated with a service to which item 30473 or 30478 applies (H) (Anaes.)
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41825
Removal of a foreign body from the pharynx, larynx or oesophagus, by any means, other than a service associated with a service to which item 30478 applies (H) (Anaes.) (Assist.)
$426.55 $415.75
Item Number
41825
Fee Comparison
MBS
$426.55
DVA
$415.75
-$10.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$665.80
Full Description
Removal of a foreign body from the pharynx, larynx or oesophagus, by any means, other than a service associated with a service to which item 30478 applies (H) (Anaes.) (Assist.)
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41828
OESOPHAGEAL STRICTURE, dilatation of, without oesophagoscopy (Anaes.)
$62.55 $60.95
Item Number
41828
Fee Comparison
MBS
$62.55
DVA
$60.95
-$1.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$95.20
RMFS Out-Hosp
$85.35
Full Description
OESOPHAGEAL STRICTURE, dilatation of, without oesophagoscopy (Anaes.)
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41831
Oesophagus, endoscopic pneumatic dilatation of, for treatment of achalasia (H) (Anaes.) (Assist.)
$427.30 $416.45
Item Number
41831
Fee Comparison
MBS
$427.30
DVA
$416.45
-$10.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$583.10
Full Description
Oesophagus, endoscopic pneumatic dilatation of, for treatment of achalasia (H) (Anaes.) (Assist.)
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41832
Oesophagus, balloon dilatation of, using interventional imaging techniques (H) (Anaes.)
$273.50 $266.55
Item Number
41832
Fee Comparison
MBS
$273.50
DVA
$266.55
-$6.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$414.80
Full Description
Oesophagus, balloon dilatation of, using interventional imaging techniques (H) (Anaes.)
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41834
Total laryngectomy, including cricopharyngeal myotomy and tracheo oesophageal puncture (H) (Anaes.) (Assist.)
$1893.65 $1845.65
Item Number
41834
Fee Comparison
MBS
$1893.65
DVA
$1845.65
-$48.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3382.55
Full Description
Total laryngectomy, including cricopharyngeal myotomy and tracheo oesophageal puncture (H) (Anaes.) (Assist.)
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41837
Complete vertical hemi laryngectomy, involving removal of true and false vocal cords, including tracheostomy. Applicable only once per provider per patient per lifetime (H) (Anaes.) (Assist.)
$1479.45 $1441.95
Item Number
41837
Fee Comparison
MBS
$1479.45
DVA
$1441.95
-$37.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2140.85
Full Description
Complete vertical hemi laryngectomy, involving removal of true and false vocal cords, including tracheostomy. Applicable only once per provider per patient per lifetime (H) (Anaes.) (Assist.)
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41840
Total supraglottic laryngectomy, involving removal of ventricular folds, epiglottis and aryepiglottic folds including tracheostomy. Applicable only once per provider per patient per lifetime (H) (Anaes.) (Assist.)
$1819.00 $1772.90
Item Number
41840
Fee Comparison
MBS
$1819.00
DVA
$1772.90
-$46.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2997.05
Full Description
Total supraglottic laryngectomy, involving removal of ventricular folds, epiglottis and aryepiglottic folds including tracheostomy. Applicable only once per provider per patient per lifetime (H) (Anaes.) (Assist.)
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41843
LARYNGOPHARYNGECTOMY or PRIMARY RESTORATION OF ALIMENTARY CONTINUITY after laryngopharyngectomy USING STOMACH OR BOWEL (Anaes.) (Assist.)
$1599.60 $1559.05
Item Number
41843
Fee Comparison
MBS
$1599.60
DVA
$1559.05
-$40.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2426.65
Full Description
LARYNGOPHARYNGECTOMY or PRIMARY RESTORATION OF ALIMENTARY CONTINUITY after laryngopharyngectomy USING STOMACH OR BOWEL (Anaes.) (Assist.)
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41855
Microlaryngoscopy, by any approach, with or without biopsy (H) (Anaes.) (Assist.)
$344.95 $336.20
Item Number
41855
Fee Comparison
MBS
$344.95
DVA
$336.20
-$8.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$521.70
Full Description
Microlaryngoscopy, by any approach, with or without biopsy (H) (Anaes.) (Assist.)
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41861
Microlaryngoscopy with complete removal of benign or malignant lesions of the larynx, including papillomata, by any approach or technique, unilateral, other than a service associated with a service to which item 41870 applies on the same side (H) (Anaes.) (Assist.)
$723.25 $704.90
Item Number
41861
Fee Comparison
MBS
$723.25
DVA
$704.90
-$18.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1055.90
Full Description
Microlaryngoscopy with complete removal of benign or malignant lesions of the larynx, including papillomata, by any approach or technique, unilateral, other than a service associated with a service to which item 41870 applies on the same side (H) (Anaes.) (Assist.)
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41867
Microlaryngoscopy, with partial or complete arytenoidectomy or arytenoid repositioning (H) (Anaes.) (Assist.)
$734.15 $715.55
Item Number
41867
Fee Comparison
MBS
$734.15
DVA
$715.55
-$18.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1046.30
Full Description
Microlaryngoscopy, with partial or complete arytenoidectomy or arytenoid repositioning (H) (Anaes.) (Assist.)
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41870
Laryngeal augmentation or modification by injection techniques, other than a service associated with a service to which item 41879 applies or item 41861 applies on the same side (Anaes.) (Assist.)
$544.40 $530.60
Item Number
41870
Fee Comparison
MBS
$544.40
DVA
$530.60
-$13.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$746.00
RMFS Out-Hosp
$742.85
Full Description
Laryngeal augmentation or modification by injection techniques, other than a service associated with a service to which item 41879 applies or item 41861 applies on the same side (Anaes.) (Assist.)
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41873
Larynx, fractured, operation for (H) (Anaes.) (Assist.)
$703.25 $685.45
Item Number
41873
Fee Comparison
MBS
$703.25
DVA
$685.45
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1067.35
RMFS Out-Hosp
$959.65
Full Description
Larynx, fractured, operation for (H) (Anaes.) (Assist.)
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41876
Larynx, external operation on, or laryngofissure, with or without cordectomy (H) (Anaes.) (Assist.)
$703.25 $685.45
Item Number
41876
Fee Comparison
MBS
$703.25
DVA
$685.45
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$959.70
Full Description
Larynx, external operation on, or laryngofissure, with or without cordectomy (H) (Anaes.) (Assist.)
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41879
Tracheoplasty, laryngoplasty or thyroplasty, not by injection techniques, including tracheostomy, other than a service associated with a service to which item 41870 applies (H) (Anaes.) (Assist.)
$1139.65 $1110.75
Item Number
41879
Fee Comparison
MBS
$1139.65
DVA
$1110.75
-$28.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1849.00
Full Description
Tracheoplasty, laryngoplasty or thyroplasty, not by injection techniques, including tracheostomy, other than a service associated with a service to which item 41870 applies (H) (Anaes.) (Assist.)
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41880
Tracheostomy by a percutaneous technique (H) (Anaes.)
$304.15 $296.45
Item Number
41880
Fee Comparison
MBS
$304.15
DVA
$296.45
-$7.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$357.60
Full Description
Tracheostomy by a percutaneous technique (H) (Anaes.)
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41881
Tracheostomy by open exposure of the trachea (H) (Anaes.) (Assist.)
$480.95 $468.75
Item Number
41881
Fee Comparison
MBS
$480.95
DVA
$468.75
-$12.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$729.75
Full Description
Tracheostomy by open exposure of the trachea (H) (Anaes.) (Assist.)
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41884
Cricothyrostomy (H) (Anaes.)
$108.95 $106.20
Item Number
41884
Fee Comparison
MBS
$108.95
DVA
$106.20
-$2.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$150.50
Full Description
Cricothyrostomy (H) (Anaes.)
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41885
Trache‑oesophageal fistula, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures (H) (Anaes.) (Assist.)
$344.60 $335.85
Item Number
41885
Fee Comparison
MBS
$344.60
DVA
$335.85
-$8.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$407.40
Full Description
Trache‑oesophageal fistula, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures (H) (Anaes.) (Assist.)
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41886
Trachea, removal of foreign body in (H) (Anaes.)
$213.05 $207.65
Item Number
41886
Fee Comparison
MBS
$213.05
DVA
$207.65
-$5.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$323.65
Full Description
Trachea, removal of foreign body in (H) (Anaes.)
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41887
Pituitary tumour, removal of, by trans-sphenoidal approach, including stereotaxy and dermis, dermofat or fascia grafting, as part of conjoint surgery, other than a service associated with a service to which item 40600 applies (H) (Anaes.) (Assist.)
$3233.55 $3151.60
Item Number
41887
Fee Comparison
MBS
$3233.55
DVA
$3151.60
-$81.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4412.40
Full Description
Pituitary tumour, removal of, by trans-sphenoidal approach, including stereotaxy and dermis, dermofat or fascia grafting, as part of conjoint surgery, other than a service associated with a service to which item 40600 applies (H) (Anaes.) (Assist.)
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41888
Fractured skull, after trauma only, or spontaneous defects with cerebrospinal fluid rhinorrhoea or otorrhoea, repair of, including stereotaxy and dermofat graft (H) (Anaes.) (Assist.)
$2288.50 $2230.50
Item Number
41888
Fee Comparison
MBS
$2288.50
DVA
$2230.50
-$58.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3122.85
Full Description
Fractured skull, after trauma only, or spontaneous defects with cerebrospinal fluid rhinorrhoea or otorrhoea, repair of, including stereotaxy and dermofat graft (H) (Anaes.) (Assist.)
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41890
Orbit, decompression of, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, one eye by endonasal approach (H) (Anaes.) (Assist.)
$1530.05 $1491.30
Item Number
41890
Fee Comparison
MBS
$1530.05
DVA
$1491.30
-$38.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2088.00
Full Description
Orbit, decompression of, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, one eye by endonasal approach (H) (Anaes.) (Assist.)
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41907
NASAL SEPTUM BUTTON, insertion of (Anaes.)
$146.95 $143.25
Item Number
41907
Fee Comparison
MBS
$146.95
DVA
$143.25
-$3.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$223.15
RMFS Out-Hosp
$200.55
Full Description
NASAL SEPTUM BUTTON, insertion of (Anaes.)
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41910
DUCT OF MAJOR SALIVARY GLAND, transposition of (Anaes.) (Assist.)
$467.10 $455.25
Item Number
41910
Fee Comparison
MBS
$467.10
DVA
$455.25
-$11.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$708.95
Full Description
DUCT OF MAJOR SALIVARY GLAND, transposition of (Anaes.) (Assist.)
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42503
OPHTHALMOLOGICAL EXAMINATION under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes.)
$122.65 $119.55
Item Number
42503
Fee Comparison
MBS
$122.65
DVA
$119.55
-$3.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$191.15
Full Description
OPHTHALMOLOGICAL EXAMINATION under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes.)
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42504
Implantation of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or the trabecular meshwork, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.)
$359.95 $350.85
Item Number
42504
Fee Comparison
MBS
$359.95
DVA
$350.85
-$9.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$491.45
Full Description
Implantation of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or the trabecular meshwork, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.)
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42505
Complete removal of a micro‑bypass glaucoma surgery device or devices from the suprachoroidal space or the trabecular meshwork, with or without replacement, following device‑related medical complications necessitating complete removal (H) (Anaes.)
$359.95 $350.85
Item Number
42505
Fee Comparison
MBS
$359.95
DVA
$350.85
-$9.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$630.65
Full Description
Complete removal of a micro‑bypass glaucoma surgery device or devices from the suprachoroidal space or the trabecular meshwork, with or without replacement, following device‑related medical complications necessitating complete removal (H) (Anaes.)
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42506
Eye, enucleation of, without insertion of implant (H) (Anaes.) (Assist.)
$576.00 $561.40
Item Number
42506
Fee Comparison
MBS
$576.00
DVA
$561.40
-$14.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$907.70
Full Description
Eye, enucleation of, without insertion of implant (H) (Anaes.) (Assist.)
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42509
Eye, enucleation of, with insertion of non-integrated implant, without muscle attachment (H) (Anaes.) (Assist.)
$729.00 $710.55
Item Number
42509
Fee Comparison
MBS
$729.00
DVA
$710.55
-$18.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1135.20
Full Description
Eye, enucleation of, with insertion of non-integrated implant, without muscle attachment (H) (Anaes.) (Assist.)
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42510
Eye, enucleation of, with insertion of coralline or other integrated implant, including:(a) for a coralline implant—attachment of at least the 4 rectus muscles (with or without oblique muscles) to: (i) the implant; or(ii) the implant wrap; or (b) for another integrated implant—fashioning of myoconjunctival insertion of extraocular muscles(H) (Anaes.) (Assist.)
$840.30 $819.00
Item Number
42510
Fee Comparison
MBS
$840.30
DVA
$819.00
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1147.75
Full Description
Eye, enucleation of, with insertion of coralline or other integrated implant, including:(a) for a coralline implant—attachment of at least the 4 rectus muscles (with or without oblique muscles) to: (i) the implant; or(ii) the implant wrap; or (b) for another integrated implant—fashioning of myoconjunctival insertion of extraocular muscles(H) (Anaes.) (Assist.)
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42512
Globe, evisceration of (H) (Anaes.) (Assist.)
$576.00 $561.40
Item Number
42512
Fee Comparison
MBS
$576.00
DVA
$561.40
-$14.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$800.35
Full Description
Globe, evisceration of (H) (Anaes.) (Assist.)
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42515
GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE (Anaes.) (Assist.)
$729.00 $710.55
Item Number
42515
Fee Comparison
MBS
$729.00
DVA
$710.55
-$18.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1051.50
Full Description
GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE (Anaes.) (Assist.)
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42518
ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant (Anaes.) (Assist.)
$422.95 $412.25
Item Number
42518
Fee Comparison
MBS
$422.95
DVA
$412.25
-$10.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$557.85
Full Description
ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant (Anaes.) (Assist.)
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MBS Fee
$216.35
DVA Fee
$210.85
Category
Category 3 — Therapeutic Procedures
Description
Unilateral insertion of bioabsorbable implant for nasal airway obstruction due to lateral wall insufficiency confirmed by positive modified Cottle manoeuvre, if: (a) the procedure is provided by a specialist in the practice of the specialist’s specialty of otolaryngology or plastic surgery; and (b) the patient has a self‑reported NOSE Scale score of equal to or greater than 55; and (c) NOSE Scale evidence (with or without photographic evidence demonstrating the clinical need for this service) is documented in the patient notes; and (d) the patient has not previously received a service to which item 41769 applies Applicable once per lifetime per nostril (Anaes.)
MBS Fee
$324.50
DVA Fee
$316.30
Category
Category 3 — Therapeutic Procedures
Description
Bilateral insertion of bioabsorbable implant for nasal airway obstruction due to lateral wall insufficiency confirmed by positive modified Cottle manoeuvre, if: (a) the procedure is provided by a specialist in the practice of the specialist’s specialty of otolaryngology or plastic surgery; and (b) the patient has a self‑reported NOSE Scale score of equal to or greater than 55; and (c) NOSE Scale evidence (with or without photographic evidence demonstrating the clinical need for this service) is documented in the patient notes; and (d) the patient has not previously received a service to which item 41768 applies Applicable once per lifetime (Anaes.)
MBS Fee
$839.35
DVA Fee
$818.10
Category
Category 3 — Therapeutic Procedures
Description
PHARYNGEAL POUCH, removal of, with or without cricopharyngeal myotomy (Anaes.) (Assist.)
MBS Fee
$702.25
DVA Fee
$684.45
Category
Category 3 — Therapeutic Procedures
Description
Cricopharyngeal myotomy by any approach, including open inversion of pharyngeal pouch or endoscopic repair of pharyngeal pouch (H) (Anaes.) (Assist.)
MBS Fee
$839.35
DVA Fee
$818.10
Category
Category 3 — Therapeutic Procedures
Description
PHARYNGOTOMY (lateral), with or without total excision of tongue (Anaes.) (Assist.)
MBS Fee
$1365.00
DVA Fee
$1330.40
Category
Category 3 — Therapeutic Procedures
Description
Partial pharyngectomy, by any approach, with or without partial glossectomy (H) (Anaes.) (Assist.)
MBS Fee
$882.15
DVA Fee
$859.80
Category
Category 3 — Therapeutic Procedures
Description
UVULOPALATOPHARYNGOPLASTY, with or without tonsillectomy, by any means (Anaes.) (Assist.)
MBS Fee
$353.90
DVA Fee
$344.95
Category
Category 3 — Therapeutic Procedures
Description
Tonsils or tonsils and adenoids, removal of, in a patient aged less than 12 years (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
MBS Fee
$444.65
DVA Fee
$433.40
Category
Category 3 — Therapeutic Procedures
Description
Tonsils or tonsils and adenoids, removal of, in a patient 12 years of age or over (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
MBS Fee
$172.40
DVA Fee
$168.05
Category
Category 3 — Therapeutic Procedures
Description
TONSILS OR TONSILS AND ADENOIDS, ARREST OF HAEMORRHAGE requiring general anaesthesia, following removal of (Anaes.)
MBS Fee
$195.05
DVA Fee
$190.10
Category
Category 3 — Therapeutic Procedures
Description
Adenoids, removal of (including any examination of the postnasal space and nasopharynx and the infiltration of local anaesthetic), not being a service to which item 41764 applies (Anaes.)
MBS Fee
$107.75
DVA Fee
$105.00
Category
Category 3 — Therapeutic Procedures
Description
Removal of lingual tonsil (H) (Anaes.)
MBS Fee
$83.80
DVA Fee
$81.70
Category
Category 3 — Therapeutic Procedures
Description
PERITONSILLAR ABSCESS (quinsy), incision of (Anaes.)
MBS Fee
$42.60
DVA Fee
$41.50
Category
Category 3 — Therapeutic Procedures
Description
Uvulotomy or uvulectomy (H) (Anaes.)
MBS Fee
$426.55
DVA Fee
$415.75
Category
Category 3 — Therapeutic Procedures
Description
VALLECULAR OR PHARYNGEAL CYSTS, removal of (Anaes.) (Assist.)
MBS Fee
$230.05
DVA Fee
$224.20
Category
Category 3 — Therapeutic Procedures
Description
Oesophagoscopy, with rigid oesophagoscope, with or without biopsy, other than a service associated with a service to which item 30473 or 30478 applies (H) (Anaes.)
MBS Fee
$426.55
DVA Fee
$415.75
Category
Category 3 — Therapeutic Procedures
Description
Removal of a foreign body from the pharynx, larynx or oesophagus, by any means, other than a service associated with a service to which item 30478 applies (H) (Anaes.) (Assist.)
MBS Fee
$62.55
DVA Fee
$60.95
Category
Category 3 — Therapeutic Procedures
Description
OESOPHAGEAL STRICTURE, dilatation of, without oesophagoscopy (Anaes.)
MBS Fee
$427.30
DVA Fee
$416.45
Category
Category 3 — Therapeutic Procedures
Description
Oesophagus, endoscopic pneumatic dilatation of, for treatment of achalasia (H) (Anaes.) (Assist.)
MBS Fee
$273.50
DVA Fee
$266.55
Category
Category 3 — Therapeutic Procedures
Description
Oesophagus, balloon dilatation of, using interventional imaging techniques (H) (Anaes.)
MBS Fee
$1893.65
DVA Fee
$1845.65
Category
Category 3 — Therapeutic Procedures
Description
Total laryngectomy, including cricopharyngeal myotomy and tracheo oesophageal puncture (H) (Anaes.) (Assist.)
MBS Fee
$1479.45
DVA Fee
$1441.95
Category
Category 3 — Therapeutic Procedures
Description
Complete vertical hemi laryngectomy, involving removal of true and false vocal cords, including tracheostomy. Applicable only once per provider per patient per lifetime (H) (Anaes.) (Assist.)
MBS Fee
$1819.00
DVA Fee
$1772.90
Category
Category 3 — Therapeutic Procedures
Description
Total supraglottic laryngectomy, involving removal of ventricular folds, epiglottis and aryepiglottic folds including tracheostomy. Applicable only once per provider per patient per lifetime (H) (Anaes.) (Assist.)
MBS Fee
$1599.60
DVA Fee
$1559.05
Category
Category 3 — Therapeutic Procedures
Description
LARYNGOPHARYNGECTOMY or PRIMARY RESTORATION OF ALIMENTARY CONTINUITY after laryngopharyngectomy USING STOMACH OR BOWEL (Anaes.) (Assist.)
MBS Fee
$344.95
DVA Fee
$336.20
Category
Category 3 — Therapeutic Procedures
Description
Microlaryngoscopy, by any approach, with or without biopsy (H) (Anaes.) (Assist.)
MBS Fee
$723.25
DVA Fee
$704.90
Category
Category 3 — Therapeutic Procedures
Description
Microlaryngoscopy with complete removal of benign or malignant lesions of the larynx, including papillomata, by any approach or technique, unilateral, other than a service associated with a service to which item 41870 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$734.15
DVA Fee
$715.55
Category
Category 3 — Therapeutic Procedures
Description
Microlaryngoscopy, with partial or complete arytenoidectomy or arytenoid repositioning (H) (Anaes.) (Assist.)
MBS Fee
$544.40
DVA Fee
$530.60
Category
Category 3 — Therapeutic Procedures
Description
Laryngeal augmentation or modification by injection techniques, other than a service associated with a service to which item 41879 applies or item 41861 applies on the same side (Anaes.) (Assist.)
MBS Fee
$703.25
DVA Fee
$685.45
Category
Category 3 — Therapeutic Procedures
Description
Larynx, fractured, operation for (H) (Anaes.) (Assist.)
MBS Fee
$703.25
DVA Fee
$685.45
Category
Category 3 — Therapeutic Procedures
Description
Larynx, external operation on, or laryngofissure, with or without cordectomy (H) (Anaes.) (Assist.)
MBS Fee
$1139.65
DVA Fee
$1110.75
Category
Category 3 — Therapeutic Procedures
Description
Tracheoplasty, laryngoplasty or thyroplasty, not by injection techniques, including tracheostomy, other than a service associated with a service to which item 41870 applies (H) (Anaes.) (Assist.)
MBS Fee
$304.15
DVA Fee
$296.45
Category
Category 3 — Therapeutic Procedures
Description
Tracheostomy by a percutaneous technique (H) (Anaes.)
MBS Fee
$480.95
DVA Fee
$468.75
Category
Category 3 — Therapeutic Procedures
Description
Tracheostomy by open exposure of the trachea (H) (Anaes.) (Assist.)
MBS Fee
$108.95
DVA Fee
$106.20
Category
Category 3 — Therapeutic Procedures
Description
Cricothyrostomy (H) (Anaes.)
MBS Fee
$344.60
DVA Fee
$335.85
Category
Category 3 — Therapeutic Procedures
Description
Trache‑oesophageal fistula, formation of, as a secondary procedure following laryngectomy, including associated endoscopic procedures (H) (Anaes.) (Assist.)
MBS Fee
$213.05
DVA Fee
$207.65
Category
Category 3 — Therapeutic Procedures
Description
Trachea, removal of foreign body in (H) (Anaes.)
MBS Fee
$3233.55
DVA Fee
$3151.60
Category
Category 3 — Therapeutic Procedures
Description
Pituitary tumour, removal of, by trans-sphenoidal approach, including stereotaxy and dermis, dermofat or fascia grafting, as part of conjoint surgery, other than a service associated with a service to which item 40600 applies (H) (Anaes.) (Assist.)
MBS Fee
$2288.50
DVA Fee
$2230.50
Category
Category 3 — Therapeutic Procedures
Description
Fractured skull, after trauma only, or spontaneous defects with cerebrospinal fluid rhinorrhoea or otorrhoea, repair of, including stereotaxy and dermofat graft (H) (Anaes.) (Assist.)
MBS Fee
$1530.05
DVA Fee
$1491.30
Category
Category 3 — Therapeutic Procedures
Description
Orbit, decompression of, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, one eye by endonasal approach (H) (Anaes.) (Assist.)
MBS Fee
$146.95
DVA Fee
$143.25
Category
Category 3 — Therapeutic Procedures
Description
NASAL SEPTUM BUTTON, insertion of (Anaes.)
MBS Fee
$467.10
DVA Fee
$455.25
Category
Category 3 — Therapeutic Procedures
Description
DUCT OF MAJOR SALIVARY GLAND, transposition of (Anaes.) (Assist.)
MBS Fee
$122.65
DVA Fee
$119.55
Category
Category 3 — Therapeutic Procedures
Description
OPHTHALMOLOGICAL EXAMINATION under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes.)
MBS Fee
$359.95
DVA Fee
$350.85
Category
Category 3 — Therapeutic Procedures
Description
Implantation of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or the trabecular meshwork, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.)
MBS Fee
$359.95
DVA Fee
$350.85
Category
Category 3 — Therapeutic Procedures
Description
Complete removal of a micro‑bypass glaucoma surgery device or devices from the suprachoroidal space or the trabecular meshwork, with or without replacement, following device‑related medical complications necessitating complete removal (H) (Anaes.)
MBS Fee
$576.00
DVA Fee
$561.40
Category
Category 3 — Therapeutic Procedures
Description
Eye, enucleation of, without insertion of implant (H) (Anaes.) (Assist.)
MBS Fee
$729.00
DVA Fee
$710.55
Category
Category 3 — Therapeutic Procedures
Description
Eye, enucleation of, with insertion of non-integrated implant, without muscle attachment (H) (Anaes.) (Assist.)
MBS Fee
$840.30
DVA Fee
$819.00
Category
Category 3 — Therapeutic Procedures
Description
Eye, enucleation of, with insertion of coralline or other integrated implant, including:(a) for a coralline implant—attachment of at least the 4 rectus muscles (with or without oblique muscles) to: (i) the implant; or(ii) the implant wrap; or (b) for another integrated implant—fashioning of myoconjunctival insertion of extraocular muscles(H) (Anaes.) (Assist.)
MBS Fee
$576.00
DVA Fee
$561.40
Category
Category 3 — Therapeutic Procedures
Description
Globe, evisceration of (H) (Anaes.) (Assist.)
MBS Fee
$729.00
DVA Fee
$710.55
Category
Category 3 — Therapeutic Procedures
Description
GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE (Anaes.) (Assist.)
MBS Fee
$422.95
DVA Fee
$412.25
Category
Category 3 — Therapeutic Procedures
Description
ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant (Anaes.) (Assist.)
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