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 2851–2900 of 5886 Pg 58/118
Item No. Description MBS Fee DVA Fee
42656
CORNEA, transplantation of, second and subsequent procedures (Anaes.) (Assist.)
$1998.20 $1947.55 ▼
Item Number
42656
Fee Comparison
MBS
$1998.20
→
DVA
$1947.55
-$50.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2867.60
Full Description
CORNEA, transplantation of, second and subsequent procedures (Anaes.) (Assist.)
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42662
SCLERA, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.)
$1079.90 $1052.55 ▼
Item Number
42662
Fee Comparison
MBS
$1079.90
→
DVA
$1052.55
-$27.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1380.80
Full Description
SCLERA, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.)
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42665
Sclera, transplantation of, superficial or lamellar, including collection of donor material (H) (Anaes.) (Assist.)
$720.15 $701.90 ▼
Item Number
42665
Fee Comparison
MBS
$720.15
→
DVA
$701.90
-$18.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$982.70
Full Description
Sclera, transplantation of, superficial or lamellar, including collection of donor material (H) (Anaes.) (Assist.)
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42667
RUNNING CORNEAL SUTURE, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation
$169.85 $165.55 ▼
Item Number
42667
Fee Comparison
MBS
$169.85
→
DVA
$165.55
-$4.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$214.65
RMFS Out-Hosp
$231.80
Full Description
RUNNING CORNEAL SUTURE, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation
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42668
CORNEAL SUTURES, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.)
$90.10 $87.80 ▼
Item Number
42668
Fee Comparison
MBS
$90.10
→
DVA
$87.80
-$2.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$114.20
RMFS Out-Hosp
$122.95
Full Description
CORNEAL SUTURES, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.)
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42672
Corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure (H) (Anaes.) (Assist.)
$1079.90 $1052.55 ▼
Item Number
42672
Fee Comparison
MBS
$1079.90
→
DVA
$1052.55
-$27.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1519.80
Full Description
Corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure (H) (Anaes.) (Assist.)
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42673
Additional corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery (H) (Anaes.) (Assist.)
$539.90 $526.20 ▼
Item Number
42673
Fee Comparison
MBS
$539.90
→
DVA
$526.20
-$13.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$749.65
Full Description
Additional corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery (H) (Anaes.) (Assist.)
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42676
CONJUNCTIVA, biopsy of, as an independent procedure
$138.45 $134.95 ▼
Item Number
42676
Fee Comparison
MBS
$138.45
→
DVA
$134.95
-$3.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$196.70
RMFS Out-Hosp
$188.95
Full Description
CONJUNCTIVA, biopsy of, as an independent procedure
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42677
CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUS each attendance at which treatment is given including any associated consultation (Anaes.)
$72.95 $71.10 ▼
Item Number
42677
Fee Comparison
MBS
$72.95
→
DVA
$71.10
-$1.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$101.55
RMFS Out-Hosp
$99.55
Full Description
CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUS each attendance at which treatment is given including any associated consultation (Anaes.)
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42680
CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using CO² or N²0 (Anaes.)
$359.95 $350.85 ▼
Item Number
42680
Fee Comparison
MBS
$359.95
→
DVA
$350.85
-$9.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$500.00
RMFS Out-Hosp
$491.20
Full Description
CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using CO² or N²0 (Anaes.)
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42683
CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.)
$144.10 $140.45 ▼
Item Number
42683
Fee Comparison
MBS
$144.10
→
DVA
$140.45
-$3.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$209.30
Full Description
CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.)
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42686
Pterygium, removal of, other than a service associated with a service to which item 42632 or 42647 applies (Anaes.)
$327.55 $319.25 ▼
Item Number
42686
Fee Comparison
MBS
$327.55
→
DVA
$319.25
-$8.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$454.80
RMFS Out-Hosp
$446.95
Full Description
Pterygium, removal of, other than a service associated with a service to which item 42632 or 42647 applies (Anaes.)
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42689
PINGUECULA, removal of, not being a service associated with the fitting of contact lenses (Anaes.)
$140.45 $136.90 ▼
Item Number
42689
Fee Comparison
MBS
$140.45
→
DVA
$136.90
-$3.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$195.40
RMFS Out-Hosp
$191.70
Full Description
PINGUECULA, removal of, not being a service associated with the fitting of contact lenses (Anaes.)
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42692
LIMBIC TUMOUR, removal of, excluding Pterygium (Anaes.) (Assist.)
$331.25 $322.85 ▼
Item Number
42692
Fee Comparison
MBS
$331.25
→
DVA
$322.85
-$8.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$402.30
RMFS Out-Hosp
$452.00
Full Description
LIMBIC TUMOUR, removal of, excluding Pterygium (Anaes.) (Assist.)
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42695
LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.)
$539.90 $526.20 ▼
Item Number
42695
Fee Comparison
MBS
$539.90
→
DVA
$526.20
-$13.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$734.50
RMFS Out-Hosp
$736.70
Full Description
LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.)
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42698
Lens extraction, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
$711.80 $693.75 ▼
Item Number
42698
Fee Comparison
MBS
$711.80
→
DVA
$693.75
-$18.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1169.60
Full Description
Lens extraction, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
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42701
Intraocular lens, insertion of, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
$396.95 $386.90 ▼
Item Number
42701
Fee Comparison
MBS
$396.95
→
DVA
$386.90
-$10.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$668.65
Full Description
Intraocular lens, insertion of, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
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42702
Lens extraction and insertion of intraocular lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
$910.35 $887.30 ▼
Item Number
42702
Fee Comparison
MBS
$910.35
→
DVA
$887.30
-$23.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1594.80
Full Description
Lens extraction and insertion of intraocular lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
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42703
Intraocular lens or iris prosthesis, insertion of, into the posterior chamber with fixation to the iris or sclera (H) (Anaes.) (Assist.)
$684.65 $667.30 ▼
Item Number
42703
Fee Comparison
MBS
$684.65
→
DVA
$667.30
-$17.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$951.45
Full Description
Intraocular lens or iris prosthesis, insertion of, into the posterior chamber with fixation to the iris or sclera (H) (Anaes.) (Assist.)
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42704
Intraocular lens, removal or repositioning of by open operation—other than a service associated with a service to which item 42701 applies (H) (Anaes.)
$557.90 $543.75 ▼
Item Number
42704
Fee Comparison
MBS
$557.90
→
DVA
$543.75
-$14.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$839.80
Full Description
Intraocular lens, removal or repositioning of by open operation—other than a service associated with a service to which item 42701 applies (H) (Anaes.)
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42705
Lens extraction and insertion of intraocular lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye, performed in association with insertion of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or trabecular meshwork, in a patient diagnosed with open angle glaucoma who is not adequately responsive to topical anti‑glaucoma medications or who is intolerant of anti‑glaucoma medication (H) (Anaes.)
$1090.55 $1062.90 ▼
Item Number
42705
Fee Comparison
MBS
$1090.55
→
DVA
$1062.90
-$27.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1910.25
Full Description
Lens extraction and insertion of intraocular lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye, performed in association with insertion of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or trabecular meshwork, in a patient diagnosed with open angle glaucoma who is not adequately responsive to topical anti‑glaucoma medications or who is intolerant of anti‑glaucoma medication (H) (Anaes.)
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42707
Intraocular lens, removal of and replacement with a different lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
$954.05 $929.85 ▼
Item Number
42707
Fee Comparison
MBS
$954.05
→
DVA
$929.85
-$24.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1301.85
Full Description
Intraocular lens, removal of and replacement with a different lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
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42710
Intraocular lens, removal of, and replacement with a lens inserted into the posterior chamber and fixated to the iris or sclera (H) (Anaes.) (Assist.)
$1079.90 $1052.55 ▼
Item Number
42710
Fee Comparison
MBS
$1079.90
→
DVA
$1052.55
-$27.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1499.20
Full Description
Intraocular lens, removal of, and replacement with a lens inserted into the posterior chamber and fixated to the iris or sclera (H) (Anaes.) (Assist.)
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42713
Iris or ciliary body suturing, McCannel technique or similar, for:(a) fixation of intraocular lens; or(b) repair of iris defect or cyclodialysis cleft(H) (Anaes.) (Assist.)
$450.05 $438.65 ▼
Item Number
42713
Fee Comparison
MBS
$450.05
→
DVA
$438.65
-$11.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$614.10
Full Description
Iris or ciliary body suturing, McCannel technique or similar, for:(a) fixation of intraocular lens; or(b) repair of iris defect or cyclodialysis cleft(H) (Anaes.) (Assist.)
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42716
Cataract, juvenile, removal of, including subsequent needlings (H) (Anaes.) (Assist.)
$1431.10 $1394.85 ▼
Item Number
42716
Fee Comparison
MBS
$1431.10
→
DVA
$1394.85
-$36.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1952.85
Full Description
Cataract, juvenile, removal of, including subsequent needlings (H) (Anaes.) (Assist.)
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42719
Either or both of the following, via a limbal approach by any method: (a) removal of capsular or lens material; (b) removal of vitreous; other than a service associated with a service to which item 42698, 42702, 42705, 42716, 42725 or 42731 applies (H) (Anaes.) (Assist.)
$621.20 $605.45 ▼
Item Number
42719
Fee Comparison
MBS
$621.20
→
DVA
$605.45
-$15.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$847.65
Full Description
Either or both of the following, via a limbal approach by any method: (a) removal of capsular or lens material; (b) removal of vitreous; other than a service associated with a service to which item 42698, 42702, 42705, 42716, 42725 or 42731 applies (H) (Anaes.) (Assist.)
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42725
Vitrectomy via pars plana sclerotomy, including one or more of the following:(a) removal of vitreous; (b) division of vitreous bands; (c) removal of epiretinal membranes; (d) capsulotomy (Anaes.) (Assist.)
$1602.00 $1561.40 ▼
Item Number
42725
Fee Comparison
MBS
$1602.00
→
DVA
$1561.40
-$40.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2421.35
Full Description
Vitrectomy via pars plana sclerotomy, including one or more of the following:(a) removal of vitreous; (b) division of vitreous bands; (c) removal of epiretinal membranes; (d) capsulotomy (Anaes.) (Assist.)
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42731
LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 (Anaes.) (Assist.)
$1818.05 $1772.00 ▼
Item Number
42731
Fee Comparison
MBS
$1818.05
→
DVA
$1772.00
-$46.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2502.10
Full Description
LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 (Anaes.) (Assist.)
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42734
Capsulotomy, other than by laser, and other than a service associated with a service to which item 42725 or 42731 applies (H) (Anaes.) (Assist.)
$359.95 $350.85 ▼
Item Number
42734
Fee Comparison
MBS
$359.95
→
DVA
$350.85
-$9.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$500.00
Full Description
Capsulotomy, other than by laser, and other than a service associated with a service to which item 42725 or 42731 applies (H) (Anaes.) (Assist.)
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42743
Anterior chamber, irrigation of blood from, as an independent procedure (H) (Anaes.) (Assist.)
$756.10 $736.95 ▼
Item Number
42743
Fee Comparison
MBS
$756.10
→
DVA
$736.95
-$19.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1031.80
Full Description
Anterior chamber, irrigation of blood from, as an independent procedure (H) (Anaes.) (Assist.)
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42744
Needle revision of glaucoma filtration bleb, following glaucoma filtering surgery (Anaes.)
$359.75 $350.65 ▼
Item Number
42744
Fee Comparison
MBS
$359.75
→
DVA
$350.65
-$9.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$499.40
RMFS Out-Hosp
$490.95
Full Description
Needle revision of glaucoma filtration bleb, following glaucoma filtering surgery (Anaes.)
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42746
Glaucoma filtering surgery, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) (Assist.)
$1143.05 $1114.10 ▼
Item Number
42746
Fee Comparison
MBS
$1143.05
→
DVA
$1114.10
-$28.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1744.60
Full Description
Glaucoma filtering surgery, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) (Assist.)
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42749
Glaucoma filtering surgery, if previous filtering surgery has been performed (H) (Anaes.) (Assist.)
$1431.10 $1394.85 ▼
Item Number
42749
Fee Comparison
MBS
$1431.10
→
DVA
$1394.85
-$36.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2003.55
Full Description
Glaucoma filtering surgery, if previous filtering surgery has been performed (H) (Anaes.) (Assist.)
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42750
Subconjunctival injection of antifibrotic agent following glaucoma filtering surgery, as an independent procedure (Anaes.)
$63.80 $62.20 ▼
Item Number
42750
Fee Comparison
MBS
$63.80
→
DVA
$62.20
-$1.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$87.10
RMFS Out-Hosp
$87.10
Full Description
Subconjunctival injection of antifibrotic agent following glaucoma filtering surgery, as an independent procedure (Anaes.)
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42752
Insertion of glaucoma drainage device incorporating an extraocular reservoir (H) (Anaes.) (Assist.)
$1602.00 $1561.40 ▼
Item Number
42752
Fee Comparison
MBS
$1602.00
→
DVA
$1561.40
-$40.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2066.35
Full Description
Insertion of glaucoma drainage device incorporating an extraocular reservoir (H) (Anaes.) (Assist.)
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42755
Any of the following:(a) removal of glaucoma drainage device incorporating an extraocular reservoir;(b) insertion or removal of intraluminal stent;(c) tying off of lumenOne eye (H) (Anaes.) (Assist.)
$197.95 $192.95 ▼
Item Number
42755
Fee Comparison
MBS
$197.95
→
DVA
$192.95
-$5.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$275.40
RMFS Out-Hosp
$270.15
Full Description
Any of the following:(a) removal of glaucoma drainage device incorporating an extraocular reservoir;(b) insertion or removal of intraluminal stent;(c) tying off of lumenOne eye (H) (Anaes.) (Assist.)
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42758
Goniotomy for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices (Anaes.) (Assist.)
$837.15 $815.95 ▼
Item Number
42758
Fee Comparison
MBS
$837.15
→
DVA
$815.95
-$21.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1180.45
Full Description
Goniotomy for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices (Anaes.) (Assist.)
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42761
Division of anterior or posterior synechiae, as an independent procedure, other than by laser (H) (Anaes.) (Assist.)
$621.20 $605.45 ▼
Item Number
42761
Fee Comparison
MBS
$621.20
→
DVA
$605.45
-$15.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$847.65
Full Description
Division of anterior or posterior synechiae, as an independent procedure, other than by laser (H) (Anaes.) (Assist.)
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42764
Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (H) (Anaes.) (Assist.)
$621.20 $605.45 ▼
Item Number
42764
Fee Comparison
MBS
$621.20
→
DVA
$605.45
-$15.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$847.65
Full Description
Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (H) (Anaes.) (Assist.)
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42767
TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of (Anaes.) (Assist.)
$1304.95 $1271.90 ▼
Item Number
42767
Fee Comparison
MBS
$1304.95
→
DVA
$1271.90
-$33.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2194.50
Full Description
TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of (Anaes.) (Assist.)
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42770
CYCLODESTRUCTIVE procedures for the treatment of intractable glaucoma, treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)
$352.80 $343.85 ▼
Item Number
42770
Fee Comparison
MBS
$352.80
→
DVA
$343.85
-$8.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$456.65
RMFS Out-Hosp
$481.40
Full Description
CYCLODESTRUCTIVE procedures for the treatment of intractable glaucoma, treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)
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42773
Detached retina, pneumatic retinopexy for, as an independent procedure (Anaes.) (Assist.)
$1079.90 $1052.55 ▼
Item Number
42773
Fee Comparison
MBS
$1079.90
→
DVA
$1052.55
-$27.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1499.20
RMFS Out-Hosp
$1473.60
Full Description
Detached retina, pneumatic retinopexy for, as an independent procedure (Anaes.) (Assist.)
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42776
DETACHED RETINA, buckling or resection operation for (Anaes.) (Assist.)
$1602.00 $1561.40 ▼
Item Number
42776
Fee Comparison
MBS
$1602.00
→
DVA
$1561.40
-$40.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2223.55
Full Description
DETACHED RETINA, buckling or resection operation for (Anaes.) (Assist.)
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42779
DETACHED RETINA, revision of scleral buckling operation for (Anaes.) (Assist.)
$1998.20 $1947.55 ▼
Item Number
42779
Fee Comparison
MBS
$1998.20
→
DVA
$1947.55
-$50.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2745.70
Full Description
DETACHED RETINA, revision of scleral buckling operation for (Anaes.) (Assist.)
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42782
LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.)
$539.90 $526.20 ▼
Item Number
42782
Fee Comparison
MBS
$539.90
→
DVA
$526.20
-$13.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$832.00
RMFS Out-Hosp
$736.70
Full Description
LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.)
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42785
LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)
$422.95 $412.25 ▼
Item Number
42785
Fee Comparison
MBS
$422.95
→
DVA
$412.25
-$10.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$570.30
RMFS Out-Hosp
$577.15
Full Description
LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)
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42788
Laser capsulotomy—each treatment episode to one eye, to a maximum of 2 treatments to that eye in a 2 year period—other than a service associated with a service to which item 42702 applies (Anaes.) (Assist.)
$422.95 $412.25 ▼
Item Number
42788
Fee Comparison
MBS
$422.95
→
DVA
$412.25
-$10.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$512.75
RMFS Out-Hosp
$577.15
Full Description
Laser capsulotomy—each treatment episode to one eye, to a maximum of 2 treatments to that eye in a 2 year period—other than a service associated with a service to which item 42702 applies (Anaes.) (Assist.)
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42791
Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity—each treatment to one eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)
$422.95 $412.25 ▼
Item Number
42791
Fee Comparison
MBS
$422.95
→
DVA
$412.25
-$10.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$535.95
RMFS Out-Hosp
$577.15
Full Description
Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity—each treatment to one eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)
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42794
Division of suture by laser following glaucoma filtering surgery, each treatment to one eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.)
$81.05 $79.00 ▼
Item Number
42794
Fee Comparison
MBS
$81.05
→
DVA
$79.00
-$2.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$112.65
RMFS Out-Hosp
$110.60
Full Description
Division of suture by laser following glaucoma filtering surgery, each treatment to one eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.)
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42801
EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Anaes.) (Assist.)
$1256.45 $1224.60 ▼
Item Number
42801
Fee Comparison
MBS
$1256.45
→
DVA
$1224.60
-$31.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1604.55
Full Description
EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Anaes.) (Assist.)
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MBS Fee
$1998.20
DVA Fee
$1947.55
Category
Category 3 — Therapeutic Procedures
Description
CORNEA, transplantation of, second and subsequent procedures (Anaes.) (Assist.)
MBS Fee
$1079.90
DVA Fee
$1052.55
Category
Category 3 — Therapeutic Procedures
Description
SCLERA, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.)
MBS Fee
$720.15
DVA Fee
$701.90
Category
Category 3 — Therapeutic Procedures
Description
Sclera, transplantation of, superficial or lamellar, including collection of donor material (H) (Anaes.) (Assist.)
MBS Fee
$169.85
DVA Fee
$165.55
Category
Category 3 — Therapeutic Procedures
Description
RUNNING CORNEAL SUTURE, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation
MBS Fee
$90.10
DVA Fee
$87.80
Category
Category 3 — Therapeutic Procedures
Description
CORNEAL SUTURES, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.)
MBS Fee
$1079.90
DVA Fee
$1052.55
Category
Category 3 — Therapeutic Procedures
Description
Corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure (H) (Anaes.) (Assist.)
MBS Fee
$539.90
DVA Fee
$526.20
Category
Category 3 — Therapeutic Procedures
Description
Additional corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery (H) (Anaes.) (Assist.)
MBS Fee
$138.45
DVA Fee
$134.95
Category
Category 3 — Therapeutic Procedures
Description
CONJUNCTIVA, biopsy of, as an independent procedure
MBS Fee
$72.95
DVA Fee
$71.10
Category
Category 3 — Therapeutic Procedures
Description
CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUS each attendance at which treatment is given including any associated consultation (Anaes.)
MBS Fee
$359.95
DVA Fee
$350.85
Category
Category 3 — Therapeutic Procedures
Description
CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using CO² or N²0 (Anaes.)
MBS Fee
$144.10
DVA Fee
$140.45
Category
Category 3 — Therapeutic Procedures
Description
CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.)
MBS Fee
$327.55
DVA Fee
$319.25
Category
Category 3 — Therapeutic Procedures
Description
Pterygium, removal of, other than a service associated with a service to which item 42632 or 42647 applies (Anaes.)
MBS Fee
$140.45
DVA Fee
$136.90
Category
Category 3 — Therapeutic Procedures
Description
PINGUECULA, removal of, not being a service associated with the fitting of contact lenses (Anaes.)
MBS Fee
$331.25
DVA Fee
$322.85
Category
Category 3 — Therapeutic Procedures
Description
LIMBIC TUMOUR, removal of, excluding Pterygium (Anaes.) (Assist.)
MBS Fee
$539.90
DVA Fee
$526.20
Category
Category 3 — Therapeutic Procedures
Description
LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.)
MBS Fee
$711.80
DVA Fee
$693.75
Category
Category 3 — Therapeutic Procedures
Description
Lens extraction, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
MBS Fee
$396.95
DVA Fee
$386.90
Category
Category 3 — Therapeutic Procedures
Description
Intraocular lens, insertion of, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
MBS Fee
$910.35
DVA Fee
$887.30
Category
Category 3 — Therapeutic Procedures
Description
Lens extraction and insertion of intraocular lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
MBS Fee
$684.65
DVA Fee
$667.30
Category
Category 3 — Therapeutic Procedures
Description
Intraocular lens or iris prosthesis, insertion of, into the posterior chamber with fixation to the iris or sclera (H) (Anaes.) (Assist.)
MBS Fee
$557.90
DVA Fee
$543.75
Category
Category 3 — Therapeutic Procedures
Description
Intraocular lens, removal or repositioning of by open operation—other than a service associated with a service to which item 42701 applies (H) (Anaes.)
MBS Fee
$1090.55
DVA Fee
$1062.90
Category
Category 3 — Therapeutic Procedures
Description
Lens extraction and insertion of intraocular lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye, performed in association with insertion of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or trabecular meshwork, in a patient diagnosed with open angle glaucoma who is not adequately responsive to topical anti‑glaucoma medications or who is intolerant of anti‑glaucoma medication (H) (Anaes.)
MBS Fee
$954.05
DVA Fee
$929.85
Category
Category 3 — Therapeutic Procedures
Description
Intraocular lens, removal of and replacement with a different lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.)
MBS Fee
$1079.90
DVA Fee
$1052.55
Category
Category 3 — Therapeutic Procedures
Description
Intraocular lens, removal of, and replacement with a lens inserted into the posterior chamber and fixated to the iris or sclera (H) (Anaes.) (Assist.)
MBS Fee
$450.05
DVA Fee
$438.65
Category
Category 3 — Therapeutic Procedures
Description
Iris or ciliary body suturing, McCannel technique or similar, for:(a) fixation of intraocular lens; or(b) repair of iris defect or cyclodialysis cleft(H) (Anaes.) (Assist.)
MBS Fee
$1431.10
DVA Fee
$1394.85
Category
Category 3 — Therapeutic Procedures
Description
Cataract, juvenile, removal of, including subsequent needlings (H) (Anaes.) (Assist.)
MBS Fee
$621.20
DVA Fee
$605.45
Category
Category 3 — Therapeutic Procedures
Description
Either or both of the following, via a limbal approach by any method: (a) removal of capsular or lens material; (b) removal of vitreous; other than a service associated with a service to which item 42698, 42702, 42705, 42716, 42725 or 42731 applies (H) (Anaes.) (Assist.)
MBS Fee
$1602.00
DVA Fee
$1561.40
Category
Category 3 — Therapeutic Procedures
Description
Vitrectomy via pars plana sclerotomy, including one or more of the following:(a) removal of vitreous; (b) division of vitreous bands; (c) removal of epiretinal membranes; (d) capsulotomy (Anaes.) (Assist.)
MBS Fee
$1818.05
DVA Fee
$1772.00
Category
Category 3 — Therapeutic Procedures
Description
LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 (Anaes.) (Assist.)
MBS Fee
$359.95
DVA Fee
$350.85
Category
Category 3 — Therapeutic Procedures
Description
Capsulotomy, other than by laser, and other than a service associated with a service to which item 42725 or 42731 applies (H) (Anaes.) (Assist.)
MBS Fee
$756.10
DVA Fee
$736.95
Category
Category 3 — Therapeutic Procedures
Description
Anterior chamber, irrigation of blood from, as an independent procedure (H) (Anaes.) (Assist.)
MBS Fee
$359.75
DVA Fee
$350.65
Category
Category 3 — Therapeutic Procedures
Description
Needle revision of glaucoma filtration bleb, following glaucoma filtering surgery (Anaes.)
MBS Fee
$1143.05
DVA Fee
$1114.10
Category
Category 3 — Therapeutic Procedures
Description
Glaucoma filtering surgery, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) (Assist.)
MBS Fee
$1431.10
DVA Fee
$1394.85
Category
Category 3 — Therapeutic Procedures
Description
Glaucoma filtering surgery, if previous filtering surgery has been performed (H) (Anaes.) (Assist.)
MBS Fee
$63.80
DVA Fee
$62.20
Category
Category 3 — Therapeutic Procedures
Description
Subconjunctival injection of antifibrotic agent following glaucoma filtering surgery, as an independent procedure (Anaes.)
MBS Fee
$1602.00
DVA Fee
$1561.40
Category
Category 3 — Therapeutic Procedures
Description
Insertion of glaucoma drainage device incorporating an extraocular reservoir (H) (Anaes.) (Assist.)
MBS Fee
$197.95
DVA Fee
$192.95
Category
Category 3 — Therapeutic Procedures
Description
Any of the following:(a) removal of glaucoma drainage device incorporating an extraocular reservoir;(b) insertion or removal of intraluminal stent;(c) tying off of lumenOne eye (H) (Anaes.) (Assist.)
MBS Fee
$837.15
DVA Fee
$815.95
Category
Category 3 — Therapeutic Procedures
Description
Goniotomy for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices (Anaes.) (Assist.)
MBS Fee
$621.20
DVA Fee
$605.45
Category
Category 3 — Therapeutic Procedures
Description
Division of anterior or posterior synechiae, as an independent procedure, other than by laser (H) (Anaes.) (Assist.)
MBS Fee
$621.20
DVA Fee
$605.45
Category
Category 3 — Therapeutic Procedures
Description
Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (H) (Anaes.) (Assist.)
MBS Fee
$1304.95
DVA Fee
$1271.90
Category
Category 3 — Therapeutic Procedures
Description
TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of (Anaes.) (Assist.)
MBS Fee
$352.80
DVA Fee
$343.85
Category
Category 3 — Therapeutic Procedures
Description
CYCLODESTRUCTIVE procedures for the treatment of intractable glaucoma, treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.)
MBS Fee
$1079.90
DVA Fee
$1052.55
Category
Category 3 — Therapeutic Procedures
Description
Detached retina, pneumatic retinopexy for, as an independent procedure (Anaes.) (Assist.)
MBS Fee
$1602.00
DVA Fee
$1561.40
Category
Category 3 — Therapeutic Procedures
Description
DETACHED RETINA, buckling or resection operation for (Anaes.) (Assist.)
MBS Fee
$1998.20
DVA Fee
$1947.55
Category
Category 3 — Therapeutic Procedures
Description
DETACHED RETINA, revision of scleral buckling operation for (Anaes.) (Assist.)
MBS Fee
$539.90
DVA Fee
$526.20
Category
Category 3 — Therapeutic Procedures
Description
LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.)
MBS Fee
$422.95
DVA Fee
$412.25
Category
Category 3 — Therapeutic Procedures
Description
LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)
MBS Fee
$422.95
DVA Fee
$412.25
Category
Category 3 — Therapeutic Procedures
Description
Laser capsulotomy—each treatment episode to one eye, to a maximum of 2 treatments to that eye in a 2 year period—other than a service associated with a service to which item 42702 applies (Anaes.) (Assist.)
MBS Fee
$422.95
DVA Fee
$412.25
Category
Category 3 — Therapeutic Procedures
Description
Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity—each treatment to one eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)
MBS Fee
$81.05
DVA Fee
$79.00
Category
Category 3 — Therapeutic Procedures
Description
Division of suture by laser following glaucoma filtering surgery, each treatment to one eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.)
MBS Fee
$1256.45
DVA Fee
$1224.60
Category
Category 3 — Therapeutic Procedures
Description
EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Anaes.) (Assist.)
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