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 3001–3050 of 5886 Pg 61/118
Item No. Description MBS Fee DVA Fee
43999
Aganglionosis Coli, anal sphincterotomy as an independent procedure for (Anaes.) (Assist.)
$319.00 $310.90 ▼
Item Number
43999
Fee Comparison
MBS
$319.00
→
DVA
$310.90
-$8.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$380.95
Full Description
Aganglionosis Coli, anal sphincterotomy as an independent procedure for (Anaes.) (Assist.)
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44101
RECTUM, examination of, on a patient under 2 years of age, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
$399.85 $389.70 ▼
Item Number
44101
Fee Comparison
MBS
$399.85
→
DVA
$389.70
-$10.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$534.55
Full Description
RECTUM, examination of, on a patient under 2 years of age, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
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44102
RECTUM, examination of, on a patient 2 years of age or over, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
$307.60 $299.80 ▼
Item Number
44102
Fee Comparison
MBS
$307.60
→
DVA
$299.80
-$7.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$411.20
Full Description
RECTUM, examination of, on a patient 2 years of age or over, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
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44104
Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia, on a patient under 2 years of age (H) (Anaes.)
$70.25 $68.45 ▼
Item Number
44104
Fee Comparison
MBS
$70.25
→
DVA
$68.45
-$1.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$95.85
Full Description
Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia, on a patient under 2 years of age (H) (Anaes.)
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44105
Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia, on a patient 2 years of age or over (H) (Anaes.)
$53.95 $52.60 ▼
Item Number
44105
Fee Comparison
MBS
$53.95
→
DVA
$52.60
-$1.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$73.65
Full Description
Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia, on a patient 2 years of age or over (H) (Anaes.)
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44108
Inguinal hernia, laparoscopic or open repair of, at age less than 12 months (H) (Anaes.) (Assist.)
$722.70 $704.40 ▼
Item Number
44108
Fee Comparison
MBS
$722.70
→
DVA
$704.40
-$18.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$986.30
Full Description
Inguinal hernia, laparoscopic or open repair of, at age less than 12 months (H) (Anaes.) (Assist.)
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44111
Obstructed or strangulated inguinal hernia, laparoscopic or open repair of, at age less than 12 months, including orchidopexy when performed (H) (Anaes.) (Assist.)
$811.15 $790.60 ▼
Item Number
44111
Fee Comparison
MBS
$811.15
→
DVA
$790.60
-$20.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1106.95
Full Description
Obstructed or strangulated inguinal hernia, laparoscopic or open repair of, at age less than 12 months, including orchidopexy when performed (H) (Anaes.) (Assist.)
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44114
Inguinal hernia, laparoscopic or open repair of, at age less than 12 months when orchidopexy also required (H) (Anaes.) (Assist.)
$811.15 $790.60 ▼
Item Number
44114
Fee Comparison
MBS
$811.15
→
DVA
$790.60
-$20.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1106.95
Full Description
Inguinal hernia, laparoscopic or open repair of, at age less than 12 months when orchidopexy also required (H) (Anaes.) (Assist.)
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44130
Lymphadenectomy, for atypical mycobacterial infection or other granulomatous disease (H) (Anaes.) (Assist.)
$554.50 $540.45 ▼
Item Number
44130
Fee Comparison
MBS
$554.50
→
DVA
$540.45
-$14.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$756.70
Full Description
Lymphadenectomy, for atypical mycobacterial infection or other granulomatous disease (H) (Anaes.) (Assist.)
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44133
TORTICOLLIS, open division of sternomastoid muscle for (Anaes.) (Assist.)
$440.10 $428.95 ▼
Item Number
44133
Fee Comparison
MBS
$440.10
→
DVA
$428.95
-$11.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$663.15
Full Description
TORTICOLLIS, open division of sternomastoid muscle for (Anaes.) (Assist.)
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44136
Ingrown toe nail, operation for, under general anaesthesia (H) (Anaes.)
$202.90 $197.75 ▼
Item Number
44136
Fee Comparison
MBS
$202.90
→
DVA
$197.75
-$5.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$276.85
Full Description
Ingrown toe nail, operation for, under general anaesthesia (H) (Anaes.)
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44325
Amputation of hand, transcarpal (H) (Anaes.) (Assist.)
$353.90 $344.95 ▼
Item Number
44325
Fee Comparison
MBS
$353.90
→
DVA
$344.95
-$8.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$491.80
RMFS Out-Hosp
$482.95
Full Description
Amputation of hand, transcarpal (H) (Anaes.) (Assist.)
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44328
Amputation of hand, proximal to wrist radiocarpal joint, through forearm (H) (Anaes.) (Assist.)
$426.55 $415.75 ▼
Item Number
44328
Fee Comparison
MBS
$426.55
→
DVA
$415.75
-$10.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$560.15
Full Description
Amputation of hand, proximal to wrist radiocarpal joint, through forearm (H) (Anaes.) (Assist.)
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44331
Amputation at shoulder (H) (Anaes.) (Assist.)
$703.25 $685.45 ▼
Item Number
44331
Fee Comparison
MBS
$703.25
→
DVA
$685.45
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$952.85
Full Description
Amputation at shoulder (H) (Anaes.) (Assist.)
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44334
Interscapulothoracic amputation (H) (Anaes.) (Assist.)
$1429.40 $1393.20 ▼
Item Number
44334
Fee Comparison
MBS
$1429.40
→
DVA
$1393.20
-$36.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1987.25
Full Description
Interscapulothoracic amputation (H) (Anaes.) (Assist.)
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44338
Amputation of one digit of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
$172.40 $168.05 ▼
Item Number
44338
Fee Comparison
MBS
$172.40
→
DVA
$168.05
-$4.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$225.25
RMFS Out-Hosp
$235.30
Full Description
Amputation of one digit of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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44342
Amputation of 2 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
$263.15 $256.50 ▼
Item Number
44342
Fee Comparison
MBS
$263.15
→
DVA
$256.50
-$6.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$310.65
Full Description
Amputation of 2 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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44346
Amputation of 3 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
$304.00 $296.30 ▼
Item Number
44346
Fee Comparison
MBS
$304.00
→
DVA
$296.30
-$7.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$446.30
Full Description
Amputation of 3 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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44350
Amputation of 4 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
$344.95 $336.20 ▼
Item Number
44350
Fee Comparison
MBS
$344.95
→
DVA
$336.20
-$8.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$467.70
RMFS Out-Hosp
$470.70
Full Description
Amputation of 4 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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44354
Amputation of 5 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
$394.75 $384.75 ▼
Item Number
44354
Fee Comparison
MBS
$394.75
→
DVA
$384.75
-$10.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$534.95
Full Description
Amputation of 5 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
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44358
Amputation of one ray of one foot, proximal to the metatarsal head, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover or recontouring with homodigital flaps (H) (Anaes.) (Assist.)
$263.15 $256.50 ▼
Item Number
44358
Fee Comparison
MBS
$263.15
→
DVA
$256.50
-$6.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$282.30
Full Description
Amputation of one ray of one foot, proximal to the metatarsal head, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover or recontouring with homodigital flaps (H) (Anaes.) (Assist.)
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44359
Amputation of one or more toes of one foot, or amputation at midfoot or hindfoot of one foot, for diabetic or other microvascular disease; (a) including any of the following (if performed): (i) resection of bone; (ii) excision of neuromas; (iii) excision of one or more bones of the foot; (iv) treatment of underlying infection; (v) skin cover or recontouring with homodigital flaps; and (b) excluding aftercare; —applicable only once per foot per occasion on which the service is performed (H) (Anaes.) (Assist.)
$315.85 $307.85 ▼
Item Number
44359
Fee Comparison
MBS
$315.85
→
DVA
$307.85
-$8.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$404.80
Full Description
Amputation of one or more toes of one foot, or amputation at midfoot or hindfoot of one foot, for diabetic or other microvascular disease; (a) including any of the following (if performed): (i) resection of bone; (ii) excision of neuromas; (iii) excision of one or more bones of the foot; (iv) treatment of underlying infection; (v) skin cover or recontouring with homodigital flaps; and (b) excluding aftercare; —applicable only once per foot per occasion on which the service is performed (H) (Anaes.) (Assist.)
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44361
Amputation of foot, at ankle or hindfoot, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
$522.35 $509.10 ▼
Item Number
44361
Fee Comparison
MBS
$522.35
→
DVA
$509.10
-$13.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$677.70
Full Description
Amputation of foot, at ankle or hindfoot, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
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44364
Amputation of foot, transtarsal, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
$353.90 $344.95 ▼
Item Number
44364
Fee Comparison
MBS
$353.90
→
DVA
$344.95
-$8.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$500.55
Full Description
Amputation of foot, transtarsal, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
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44367
Amputation through thigh, at knee or below knee (H) (Anaes.) (Assist.)
$624.70 $608.85 ▼
Item Number
44367
Fee Comparison
MBS
$624.70
→
DVA
$608.85
-$15.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$803.35
Full Description
Amputation through thigh, at knee or below knee (H) (Anaes.) (Assist.)
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44370
Amputation at hip (H) (Anaes.) (Assist.)
$862.05 $840.20 ▼
Item Number
44370
Fee Comparison
MBS
$862.05
→
DVA
$840.20
-$21.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1167.90
Full Description
Amputation at hip (H) (Anaes.) (Assist.)
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44373
Hindquarter, amputation of (H) (Anaes.) (Assist.)
$1769.45 $1724.60 ▼
Item Number
44373
Fee Comparison
MBS
$1769.45
→
DVA
$1724.60
-$44.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2414.50
Full Description
Hindquarter, amputation of (H) (Anaes.) (Assist.)
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44376
Amputation stump, re‑amputation of, to provide adequate skin and muscle cover (H) (Anaes.) (Assist.)
— $0.00
Item Number
44376
Fee Comparison
MBS
—
→
DVA
$0.00
Additional DVA Rates
RMFS In-Hosp
$0.00
Full Description
Amputation stump, re‑amputation of, to provide adequate skin and muscle cover (H) (Anaes.) (Assist.)
Derived Fee Formula
D
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45000
Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals not in association with any of items 31356 to 31383 (Anaes.)
$647.85 $631.45 ▼
Item Number
45000
Fee Comparison
MBS
$647.85
→
DVA
$631.45
-$16.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$869.95
RMFS Out-Hosp
$884.05
Full Description
Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals not in association with any of items 31356 to 31383 (Anaes.)
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45003
Single stage local myocutaneous flap repair to one defect, simple and small not in association with any of items 31356 to 31383 (Anaes.)
$720.15 $701.90 ▼
Item Number
45003
Fee Comparison
MBS
$720.15
→
DVA
$701.90
-$18.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1057.95
RMFS Out-Hosp
$982.70
Full Description
Single stage local myocutaneous flap repair to one defect, simple and small not in association with any of items 31356 to 31383 (Anaes.)
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45006
Single stage large myocutaneous flap repair to one defect (pectoralis major, latissimus dorsi, or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) (Anaes.) (Assist.)
$1242.00 $1210.55 ▼
Item Number
45006
Fee Comparison
MBS
$1242.00
→
DVA
$1210.55
-$31.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1709.75
Full Description
Single stage large myocutaneous flap repair to one defect (pectoralis major, latissimus dorsi, or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) (Anaes.) (Assist.)
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45009
Single stage local muscle flap repair to 1 defect, simple and small, other than a service associated with a service to which item 30278, 30281 or 41722 applies (H) (Anaes.) (Assist.)
$453.70 $442.20 ▼
Item Number
45009
Fee Comparison
MBS
$453.70
→
DVA
$442.20
-$11.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$630.00
Full Description
Single stage local muscle flap repair to 1 defect, simple and small, other than a service associated with a service to which item 30278, 30281 or 41722 applies (H) (Anaes.) (Assist.)
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45012
Single stage large muscle flap repair to one defect (pectoralis major, gastrocnemius, gracilis or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) (Anaes.) (Assist.)
$931.45 $907.85 ▼
Item Number
45012
Fee Comparison
MBS
$931.45
→
DVA
$907.85
-$23.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1271.05
Full Description
Single stage large muscle flap repair to one defect (pectoralis major, gastrocnemius, gracilis or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) (Anaes.) (Assist.)
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45015
MUSCLE OR MYOCUTANEOUS FLAP, delay of (Anaes.)
$359.95 $350.85 ▼
Item Number
45015
Fee Comparison
MBS
$359.95
→
DVA
$350.85
-$9.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$500.00
Full Description
MUSCLE OR MYOCUTANEOUS FLAP, delay of (Anaes.)
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45018
Dermis, dermofat or fascia graft (other than transfer of fat by injection): (a) if the service is not associated with neurosurgical services for spinal disorders mentioned in any of items 51011 to 51171; and (b) other than a service associated with a service to which item 39615, 39715, 40106 or 40109 applies; and (c) other than a service to which item 38502 applies (H) (Anaes.) (Assist.)
$566.95 $552.60 ▼
Item Number
45018
Fee Comparison
MBS
$566.95
→
DVA
$552.60
-$14.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$787.00
Full Description
Dermis, dermofat or fascia graft (other than transfer of fat by injection): (a) if the service is not associated with neurosurgical services for spinal disorders mentioned in any of items 51011 to 51171; and (b) other than a service associated with a service to which item 39615, 39715, 40106 or 40109 applies; and (c) other than a service to which item 38502 applies (H) (Anaes.) (Assist.)
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45019
Full face chemical peel for severely sun‑damaged skin, if: (a) the damage affects at least 75% of the facial skin surface area; and (b) the damage involves photo-damage (dermatoheliosis); and (c) the photo-damage involves: (i) a solar keratosis load exceeding 30 individual lesions; or (ii) solar lentigines; or (iii) freckling, yellowing or leathering of the skin; or (iv) solar kertoses which have proven refractory to, or recurred following, medical therapies; and (d) at least medium depth peeling agents are used; and (e) the chemical peel is performed in the operating theatre of a hospital by a medical practitioner recognised as a specialist in the specialty of dermatology or plastic surgery. Applicable once only in any 12 month period (Anaes.)
$474.85 $462.80 ▼
Item Number
45019
Fee Comparison
MBS
$474.85
→
DVA
$462.80
-$12.05 (-3%)
Additional DVA Rates
RMFS In-Hosp
$655.30
Full Description
Full face chemical peel for severely sun‑damaged skin, if: (a) the damage affects at least 75% of the facial skin surface area; and (b) the damage involves photo-damage (dermatoheliosis); and (c) the photo-damage involves: (i) a solar keratosis load exceeding 30 individual lesions; or (ii) solar lentigines; or (iii) freckling, yellowing or leathering of the skin; or (iv) solar kertoses which have proven refractory to, or recurred following, medical therapies; and (d) at least medium depth peeling agents are used; and (e) the chemical peel is performed in the operating theatre of a hospital by a medical practitioner recognised as a specialist in the specialty of dermatology or plastic surgery. Applicable once only in any 12 month period (Anaes.)
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45021
Abrasive therapy for severely disfiguring scarring of face resulting from trauma, burns or acne, if sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes—limited to one claim per patient per episode (Anaes.)
$212.30 $206.90 ▼
Item Number
45021
Fee Comparison
MBS
$212.30
→
DVA
$206.90
-$5.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$295.05
RMFS Out-Hosp
$289.70
Full Description
Abrasive therapy for severely disfiguring scarring of face resulting from trauma, burns or acne, if sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes—limited to one claim per patient per episode (Anaes.)
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45025
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area (Anaes.)
$212.30 $206.90 ▼
Item Number
45025
Fee Comparison
MBS
$212.30
→
DVA
$206.90
-$5.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$317.45
RMFS Out-Hosp
$289.70
Full Description
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area (Anaes.)
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45026
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area (Anaes.)
$477.05 $464.95 ▼
Item Number
45026
Fee Comparison
MBS
$477.05
→
DVA
$464.95
-$12.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$714.50
RMFS Out-Hosp
$650.95
Full Description
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area (Anaes.)
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45027
Vascular anomaly, cauterisation of or injection into, if undertaken in the operating theatre of a hospital (H) (Anaes.)
$144.10 $140.45 ▼
Item Number
45027
Fee Comparison
MBS
$144.10
→
DVA
$140.45
-$3.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$200.25
Full Description
Vascular anomaly, cauterisation of or injection into, if undertaken in the operating theatre of a hospital (H) (Anaes.)
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45030
Vascular anomaly, of skin, mucous membrane and/or subcutaneous tissue, small, excision and suture of (Anaes.)
$162.45 $158.35 ▼
Item Number
45030
Fee Comparison
MBS
$162.45
→
DVA
$158.35
-$4.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$221.70
RMFS Out-Hosp
$221.70
Full Description
Vascular anomaly, of skin, mucous membrane and/or subcutaneous tissue, small, excision and suture of (Anaes.)
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45033
Vascular anomaly, large or involving deeper tissue including facial muscle, excision and suture of (H) (Anaes.) (Assist.)
$294.30 $286.85 ▼
Item Number
45033
Fee Comparison
MBS
$294.30
→
DVA
$286.85
-$7.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$430.45
Full Description
Vascular anomaly, large or involving deeper tissue including facial muscle, excision and suture of (H) (Anaes.) (Assist.)
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45035
Vascular anomaly, large, deep, and involving major neurovascular structures, excision of, including dissection of muscles, nerves or major vessels (H) (Anaes.) (Assist.)
$840.30 $819.00 ▼
Item Number
45035
Fee Comparison
MBS
$840.30
→
DVA
$819.00
-$21.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1234.05
Full Description
Vascular anomaly, large, deep, and involving major neurovascular structures, excision of, including dissection of muscles, nerves or major vessels (H) (Anaes.) (Assist.)
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45036
Vascular anomaly, of neck, deep and involving major neurovascular structures, excision of, including dissection of cranial nerves and major vessels (H) (Anaes.) (Assist.)
$1350.20 $1316.00 ▼
Item Number
45036
Fee Comparison
MBS
$1350.20
→
DVA
$1316.00
-$34.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1884.70
Full Description
Vascular anomaly, of neck, deep and involving major neurovascular structures, excision of, including dissection of cranial nerves and major vessels (H) (Anaes.) (Assist.)
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45045
Vascular anomaly on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (Anaes.)
$369.20 $359.85 ▼
Item Number
45045
Fee Comparison
MBS
$369.20
→
DVA
$359.85
-$9.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$512.55
RMFS Out-Hosp
$503.80
Full Description
Vascular anomaly on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (Anaes.)
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45048
LYMPHOEDEMATOUS tissue or lymphangiectasis, of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of (Anaes.) (Assist.)
$927.15 $903.65 ▼
Item Number
45048
Fee Comparison
MBS
$927.15
→
DVA
$903.65
-$23.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1231.90
Full Description
LYMPHOEDEMATOUS tissue or lymphangiectasis, of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of (Anaes.) (Assist.)
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45051
Contour reconstruction by open repair of contour defects, due to deformity, if: (a) contour reconstructive surgery is indicated because the deformity is secondary to congenital absence of tissue or has arisen from trauma (other than trauma from previous cosmetic surgery); and (b) insertion of a non-biological implant is required, other than one or more of the following: (i) insertion of a non-biological implant that is a component of another service specified in Group T8; (ii) injection of liquid or semisolid material; (iii) an oral and maxillofacial implant service to which item 52321 applies; (iv) a service to insert mesh; and (c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
$567.05 $552.70 ▼
Item Number
45051
Fee Comparison
MBS
$567.05
→
DVA
$552.70
-$14.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$729.95
Full Description
Contour reconstruction by open repair of contour defects, due to deformity, if: (a) contour reconstructive surgery is indicated because the deformity is secondary to congenital absence of tissue or has arisen from trauma (other than trauma from previous cosmetic surgery); and (b) insertion of a non-biological implant is required, other than one or more of the following: (i) insertion of a non-biological implant that is a component of another service specified in Group T8; (ii) injection of liquid or semisolid material; (iii) an oral and maxillofacial implant service to which item 52321 applies; (iv) a service to insert mesh; and (c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
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45054
Limb or chest, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn (H) (Anaes.) (Assist.)
$390.25 $380.35 ▼
Item Number
45054
Fee Comparison
MBS
$390.25
→
DVA
$380.35
-$9.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$541.65
Full Description
Limb or chest, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn (H) (Anaes.) (Assist.)
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45060
Developmental breast abnormality, single stage correction of, if: (a) the correction involves either: (i) bilateral mastopexy for symmetrical tubular breasts; or (ii) surgery on both breasts with a combination of insertion of one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least 20% in normally shaped breasts, or 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
$1521.60 $1483.05 ▼
Item Number
45060
Fee Comparison
MBS
$1521.60
→
DVA
$1483.05
-$38.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2111.95
Full Description
Developmental breast abnormality, single stage correction of, if: (a) the correction involves either: (i) bilateral mastopexy for symmetrical tubular breasts; or (ii) surgery on both breasts with a combination of insertion of one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least 20% in normally shaped breasts, or 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
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45061
Developmental breast abnormality, 2 stage correction of, first stage, involving surgery on both breasts with a combination of insertion of one or more tissue expanders, mastopexy or reduction mammaplasty, if: (a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes. Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
$1521.60 $1483.05 ▼
Item Number
45061
Fee Comparison
MBS
$1521.60
→
DVA
$1483.05
-$38.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2111.95
Full Description
Developmental breast abnormality, 2 stage correction of, first stage, involving surgery on both breasts with a combination of insertion of one or more tissue expanders, mastopexy or reduction mammaplasty, if: (a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes. Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
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MBS Fee
$319.00
DVA Fee
$310.90
Category
Category 3 — Therapeutic Procedures
Description
Aganglionosis Coli, anal sphincterotomy as an independent procedure for (Anaes.) (Assist.)
MBS Fee
$399.85
DVA Fee
$389.70
Category
Category 3 — Therapeutic Procedures
Description
RECTUM, examination of, on a patient under 2 years of age, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
MBS Fee
$307.60
DVA Fee
$299.80
Category
Category 3 — Therapeutic Procedures
Description
RECTUM, examination of, on a patient 2 years of age or over, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)
MBS Fee
$70.25
DVA Fee
$68.45
Category
Category 3 — Therapeutic Procedures
Description
Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia, on a patient under 2 years of age (H) (Anaes.)
MBS Fee
$53.95
DVA Fee
$52.60
Category
Category 3 — Therapeutic Procedures
Description
Rectal prolapse, submucosal or perirectal injection for, under general anaesthesia, on a patient 2 years of age or over (H) (Anaes.)
MBS Fee
$722.70
DVA Fee
$704.40
Category
Category 3 — Therapeutic Procedures
Description
Inguinal hernia, laparoscopic or open repair of, at age less than 12 months (H) (Anaes.) (Assist.)
MBS Fee
$811.15
DVA Fee
$790.60
Category
Category 3 — Therapeutic Procedures
Description
Obstructed or strangulated inguinal hernia, laparoscopic or open repair of, at age less than 12 months, including orchidopexy when performed (H) (Anaes.) (Assist.)
MBS Fee
$811.15
DVA Fee
$790.60
Category
Category 3 — Therapeutic Procedures
Description
Inguinal hernia, laparoscopic or open repair of, at age less than 12 months when orchidopexy also required (H) (Anaes.) (Assist.)
MBS Fee
$554.50
DVA Fee
$540.45
Category
Category 3 — Therapeutic Procedures
Description
Lymphadenectomy, for atypical mycobacterial infection or other granulomatous disease (H) (Anaes.) (Assist.)
MBS Fee
$440.10
DVA Fee
$428.95
Category
Category 3 — Therapeutic Procedures
Description
TORTICOLLIS, open division of sternomastoid muscle for (Anaes.) (Assist.)
MBS Fee
$202.90
DVA Fee
$197.75
Category
Category 3 — Therapeutic Procedures
Description
Ingrown toe nail, operation for, under general anaesthesia (H) (Anaes.)
MBS Fee
$353.90
DVA Fee
$344.95
Category
Category 3 — Therapeutic Procedures
Description
Amputation of hand, transcarpal (H) (Anaes.) (Assist.)
MBS Fee
$426.55
DVA Fee
$415.75
Category
Category 3 — Therapeutic Procedures
Description
Amputation of hand, proximal to wrist radiocarpal joint, through forearm (H) (Anaes.) (Assist.)
MBS Fee
$703.25
DVA Fee
$685.45
Category
Category 3 — Therapeutic Procedures
Description
Amputation at shoulder (H) (Anaes.) (Assist.)
MBS Fee
$1429.40
DVA Fee
$1393.20
Category
Category 3 — Therapeutic Procedures
Description
Interscapulothoracic amputation (H) (Anaes.) (Assist.)
MBS Fee
$172.40
DVA Fee
$168.05
Category
Category 3 — Therapeutic Procedures
Description
Amputation of one digit of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
MBS Fee
$263.15
DVA Fee
$256.50
Category
Category 3 — Therapeutic Procedures
Description
Amputation of 2 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
MBS Fee
$304.00
DVA Fee
$296.30
Category
Category 3 — Therapeutic Procedures
Description
Amputation of 3 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
MBS Fee
$344.95
DVA Fee
$336.20
Category
Category 3 — Therapeutic Procedures
Description
Amputation of 4 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
MBS Fee
$394.75
DVA Fee
$384.75
Category
Category 3 — Therapeutic Procedures
Description
Amputation of 5 digits of one foot, distal to metatarsal head, including any of the following (if performed): (a) resection of bone or joint; (b) excision of neuroma; (c) skin cover with homodigital flaps (H) (Anaes.) (Assist.)
MBS Fee
$263.15
DVA Fee
$256.50
Category
Category 3 — Therapeutic Procedures
Description
Amputation of one ray of one foot, proximal to the metatarsal head, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover or recontouring with homodigital flaps (H) (Anaes.) (Assist.)
MBS Fee
$315.85
DVA Fee
$307.85
Category
Category 3 — Therapeutic Procedures
Description
Amputation of one or more toes of one foot, or amputation at midfoot or hindfoot of one foot, for diabetic or other microvascular disease; (a) including any of the following (if performed): (i) resection of bone; (ii) excision of neuromas; (iii) excision of one or more bones of the foot; (iv) treatment of underlying infection; (v) skin cover or recontouring with homodigital flaps; and (b) excluding aftercare; —applicable only once per foot per occasion on which the service is performed (H) (Anaes.) (Assist.)
MBS Fee
$522.35
DVA Fee
$509.10
Category
Category 3 — Therapeutic Procedures
Description
Amputation of foot, at ankle or hindfoot, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
MBS Fee
$353.90
DVA Fee
$344.95
Category
Category 3 — Therapeutic Procedures
Description
Amputation of foot, transtarsal, including any of the following (if performed): (a) resection of bone; (b) excision of neuromas; (c) skin cover; (H) (Anaes.) (Assist.)
MBS Fee
$624.70
DVA Fee
$608.85
Category
Category 3 — Therapeutic Procedures
Description
Amputation through thigh, at knee or below knee (H) (Anaes.) (Assist.)
MBS Fee
$862.05
DVA Fee
$840.20
Category
Category 3 — Therapeutic Procedures
Description
Amputation at hip (H) (Anaes.) (Assist.)
MBS Fee
$1769.45
DVA Fee
$1724.60
Category
Category 3 — Therapeutic Procedures
Description
Hindquarter, amputation of (H) (Anaes.) (Assist.)
DVA Fee
$0.00
Category
Category 3 — Therapeutic Procedures
Description
Amputation stump, re‑amputation of, to provide adequate skin and muscle cover (H) (Anaes.) (Assist.)
MBS Fee
$647.85
DVA Fee
$631.45
Category
Category 3 — Therapeutic Procedures
Description
Single stage local muscle flap repair, on eyelid, nose, lip, neck, hand, thumb, finger or genitals not in association with any of items 31356 to 31383 (Anaes.)
MBS Fee
$720.15
DVA Fee
$701.90
Category
Category 3 — Therapeutic Procedures
Description
Single stage local myocutaneous flap repair to one defect, simple and small not in association with any of items 31356 to 31383 (Anaes.)
MBS Fee
$1242.00
DVA Fee
$1210.55
Category
Category 3 — Therapeutic Procedures
Description
Single stage large myocutaneous flap repair to one defect (pectoralis major, latissimus dorsi, or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) (Anaes.) (Assist.)
MBS Fee
$453.70
DVA Fee
$442.20
Category
Category 3 — Therapeutic Procedures
Description
Single stage local muscle flap repair to 1 defect, simple and small, other than a service associated with a service to which item 30278, 30281 or 41722 applies (H) (Anaes.) (Assist.)
MBS Fee
$931.45
DVA Fee
$907.85
Category
Category 3 — Therapeutic Procedures
Description
Single stage large muscle flap repair to one defect (pectoralis major, gastrocnemius, gracilis or similar large muscle), other than a service associated with a service to which any of items 45524 to 45542 apply (H) (Anaes.) (Assist.)
MBS Fee
$359.95
DVA Fee
$350.85
Category
Category 3 — Therapeutic Procedures
Description
MUSCLE OR MYOCUTANEOUS FLAP, delay of (Anaes.)
MBS Fee
$566.95
DVA Fee
$552.60
Category
Category 3 — Therapeutic Procedures
Description
Dermis, dermofat or fascia graft (other than transfer of fat by injection): (a) if the service is not associated with neurosurgical services for spinal disorders mentioned in any of items 51011 to 51171; and (b) other than a service associated with a service to which item 39615, 39715, 40106 or 40109 applies; and (c) other than a service to which item 38502 applies (H) (Anaes.) (Assist.)
MBS Fee
$474.85
DVA Fee
$462.80
Category
Category 3 — Therapeutic Procedures
Description
Full face chemical peel for severely sun‑damaged skin, if: (a) the damage affects at least 75% of the facial skin surface area; and (b) the damage involves photo-damage (dermatoheliosis); and (c) the photo-damage involves: (i) a solar keratosis load exceeding 30 individual lesions; or (ii) solar lentigines; or (iii) freckling, yellowing or leathering of the skin; or (iv) solar kertoses which have proven refractory to, or recurred following, medical therapies; and (d) at least medium depth peeling agents are used; and (e) the chemical peel is performed in the operating theatre of a hospital by a medical practitioner recognised as a specialist in the specialty of dermatology or plastic surgery. Applicable once only in any 12 month period (Anaes.)
MBS Fee
$212.30
DVA Fee
$206.90
Category
Category 3 — Therapeutic Procedures
Description
Abrasive therapy for severely disfiguring scarring of face resulting from trauma, burns or acne, if sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes—limited to one claim per patient per episode (Anaes.)
MBS Fee
$212.30
DVA Fee
$206.90
Category
Category 3 — Therapeutic Procedures
Description
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - limited to 1 aesthetic area (Anaes.)
MBS Fee
$477.05
DVA Fee
$464.95
Category
Category 3 — Therapeutic Procedures
Description
CARBON DIOXIDE LASER OR ERBIUM LASER (not including fractional laser therapy) resurfacing of the face or neck for severely disfiguring scarring resulting from trauma, burns or acne - more than 1 aesthetic area (Anaes.)
MBS Fee
$144.10
DVA Fee
$140.45
Category
Category 3 — Therapeutic Procedures
Description
Vascular anomaly, cauterisation of or injection into, if undertaken in the operating theatre of a hospital (H) (Anaes.)
MBS Fee
$162.45
DVA Fee
$158.35
Category
Category 3 — Therapeutic Procedures
Description
Vascular anomaly, of skin, mucous membrane and/or subcutaneous tissue, small, excision and suture of (Anaes.)
MBS Fee
$294.30
DVA Fee
$286.85
Category
Category 3 — Therapeutic Procedures
Description
Vascular anomaly, large or involving deeper tissue including facial muscle, excision and suture of (H) (Anaes.) (Assist.)
MBS Fee
$840.30
DVA Fee
$819.00
Category
Category 3 — Therapeutic Procedures
Description
Vascular anomaly, large, deep, and involving major neurovascular structures, excision of, including dissection of muscles, nerves or major vessels (H) (Anaes.) (Assist.)
MBS Fee
$1350.20
DVA Fee
$1316.00
Category
Category 3 — Therapeutic Procedures
Description
Vascular anomaly, of neck, deep and involving major neurovascular structures, excision of, including dissection of cranial nerves and major vessels (H) (Anaes.) (Assist.)
MBS Fee
$369.20
DVA Fee
$359.85
Category
Category 3 — Therapeutic Procedures
Description
Vascular anomaly on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (Anaes.)
MBS Fee
$927.15
DVA Fee
$903.65
Category
Category 3 — Therapeutic Procedures
Description
LYMPHOEDEMATOUS tissue or lymphangiectasis, of lower leg and foot, or thigh, or upper arm, or forearm and hand, major excision of (Anaes.) (Assist.)
MBS Fee
$567.05
DVA Fee
$552.70
Category
Category 3 — Therapeutic Procedures
Description
Contour reconstruction by open repair of contour defects, due to deformity, if: (a) contour reconstructive surgery is indicated because the deformity is secondary to congenital absence of tissue or has arisen from trauma (other than trauma from previous cosmetic surgery); and (b) insertion of a non-biological implant is required, other than one or more of the following: (i) insertion of a non-biological implant that is a component of another service specified in Group T8; (ii) injection of liquid or semisolid material; (iii) an oral and maxillofacial implant service to which item 52321 applies; (iv) a service to insert mesh; and (c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
MBS Fee
$390.25
DVA Fee
$380.35
Category
Category 3 — Therapeutic Procedures
Description
Limb or chest, decompression escharotomy of (including all incisions), for acute compartment syndrome secondary to burn (H) (Anaes.) (Assist.)
MBS Fee
$1521.60
DVA Fee
$1483.05
Category
Category 3 — Therapeutic Procedures
Description
Developmental breast abnormality, single stage correction of, if: (a) the correction involves either: (i) bilateral mastopexy for symmetrical tubular breasts; or (ii) surgery on both breasts with a combination of insertion of one or more implants (which must have at least a 10% volume difference), mastopexy or reduction mammaplasty, if there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least 20% in normally shaped breasts, or 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
MBS Fee
$1521.60
DVA Fee
$1483.05
Category
Category 3 — Therapeutic Procedures
Description
Developmental breast abnormality, 2 stage correction of, first stage, involving surgery on both breasts with a combination of insertion of one or more tissue expanders, mastopexy or reduction mammaplasty, if: (a) there is a difference in breast volume, as demonstrated by an appropriate volumetric measurement technique, of at least: (i) 20% in normally shaped breasts; or (ii) 10% in tubular breasts or in breasts with abnormally high inframammary folds; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes. Applicable only once per occasion on which the service is provided (Anaes.) (Assist.)
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