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 3101–3150 of 5886 Pg 63/118
Item No. Description MBS Fee DVA Fee
45546
NIPPLE OR AREOLA or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple
$236.80 $230.80 ▼
Item Number
45546
Fee Comparison
MBS
$236.80
→
DVA
$230.80
-$6.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$328.95
RMFS Out-Hosp
$323.15
Full Description
NIPPLE OR AREOLA or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple
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45547
Revision of breast prosthesis pocket, if:(a) breast prosthesis or tissue expander has been placed for the purpose of breast reconstruction in the context of breast cancer or for developmental breast abnormality; and(b) the prosthesis or tissue expander has migrated or rotated from its intended position or orientation; and(c) the existing prosthesis is used(H) (Anaes.) (Assist.)
$837.15 $815.95 ▼
Item Number
45547
Fee Comparison
MBS
$837.15
→
DVA
$815.95
-$21.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1142.45
Full Description
Revision of breast prosthesis pocket, if:(a) breast prosthesis or tissue expander has been placed for the purpose of breast reconstruction in the context of breast cancer or for developmental breast abnormality; and(b) the prosthesis or tissue expander has migrated or rotated from its intended position or orientation; and(c) the existing prosthesis is used(H) (Anaes.) (Assist.)
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45548
Breast prosthesis, removal of, as an independent procedure (H) (Anaes.)
$331.25 $322.85 ▼
Item Number
45548
Fee Comparison
MBS
$331.25
→
DVA
$322.85
-$8.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$512.30
Full Description
Breast prosthesis, removal of, as an independent procedure (H) (Anaes.)
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45551
Breast prosthesis, removal of, with excision of at least half of the fibrous capsule, not with insertion of any prosthesis. The excised specimen must be sent for histopathology and the volume removed must be documented in the histopathology report (Anaes.) (Assist.)
$531.10 $517.65 ▼
Item Number
45551
Fee Comparison
MBS
$531.10
→
DVA
$517.65
-$13.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$737.25
Full Description
Breast prosthesis, removal of, with excision of at least half of the fibrous capsule, not with insertion of any prosthesis. The excised specimen must be sent for histopathology and the volume removed must be documented in the histopathology report (Anaes.) (Assist.)
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45553
Breast prosthesis, removal of and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
$684.15 $666.80 ▼
Item Number
45553
Fee Comparison
MBS
$684.15
→
DVA
$666.80
-$17.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$880.40
Full Description
Breast prosthesis, removal of and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) 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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45554
Breast prosthesis, removal and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), including excision of at least half of the fibrous capsule or formation of a new pocket, or both, if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) the excised specimen is sent for histopathology and the volume removed is documented in the histopathology report; and (c) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
$837.15 $815.95 ▼
Item Number
45554
Fee Comparison
MBS
$837.15
→
DVA
$815.95
-$21.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1162.05
Full Description
Breast prosthesis, removal and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), including excision of at least half of the fibrous capsule or formation of a new pocket, or both, if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) the excised specimen is sent for histopathology and the volume removed is documented in the histopathology report; 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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45556
Breast ptosis, correction of (unilateral), in the context of breast cancer or developmental abnormality, if photographic evidence (including anterior, left lateral and right lateral views) 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, other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H) (Anaes.) (Assist.)
$916.85 $893.60 ▼
Item Number
45556
Fee Comparison
MBS
$916.85
→
DVA
$893.60
-$23.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1272.35
Full Description
Breast ptosis, correction of (unilateral), in the context of breast cancer or developmental abnormality, if photographic evidence (including anterior, left lateral and right lateral views) 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, other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H) (Anaes.) (Assist.)
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45558
Correction of bilateral breast ptosis by mastopexy, if: (a) at least two‑thirds of the breast tissue, including the nipple, lies inferior to the inframammary fold where the nipple is located at the most dependent, inferior part of the breast contour; and (b) photographic evidence (including anterior, left lateral and right lateral views), with a marker at the level of the inframammary fold, demonstrating the clinical need for this service, is documented in the patient notes Applicable only once per lifetime, other than a service associated with a service to which item 31512, 31513 or 31514 applies (H) (Anaes.) (Assist.)
$1375.20 $1340.35 ▼
Item Number
45558
Fee Comparison
MBS
$1375.20
→
DVA
$1340.35
-$34.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1908.55
Full Description
Correction of bilateral breast ptosis by mastopexy, if: (a) at least two‑thirds of the breast tissue, including the nipple, lies inferior to the inframammary fold where the nipple is located at the most dependent, inferior part of the breast contour; and (b) photographic evidence (including anterior, left lateral and right lateral views), with a marker at the level of the inframammary fold, demonstrating the clinical need for this service, is documented in the patient notes Applicable only once per lifetime, other than a service associated with a service to which item 31512, 31513 or 31514 applies (H) (Anaes.) (Assist.)
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45560
HAIR TRANSPLANTATION for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not being a service to which another item in this Group applies (Anaes.)
$566.95 $552.60 ▼
Item Number
45560
Fee Comparison
MBS
$566.95
→
DVA
$552.60
-$14.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$787.00
RMFS Out-Hosp
$773.65
Full Description
HAIR TRANSPLANTATION for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not being a service to which another item in this Group applies (Anaes.)
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45561
Microvascular anastomosis of artery and/or vein, if considered necessary to salvage a vascularly compromised pedicled or free flap, either during the primary procedure or at a subsequent return to theatre (H) (Anaes.) (Assist.)
$2124.10 $2070.25 ▼
Item Number
45561
Fee Comparison
MBS
$2124.10
→
DVA
$2070.25
-$53.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2948.05
Full Description
Microvascular anastomosis of artery and/or vein, if considered necessary to salvage a vascularly compromised pedicled or free flap, either during the primary procedure or at a subsequent return to theatre (H) (Anaes.) (Assist.)
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45562
Free transfer of tissue (microvascular free flap) for non-breast defect involving raising of tissue on vascular pedicle, including direct repair of secondary cutaneous defect (if performed), other than a service associated with a service to which item 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies (H) (Anaes.) (Assist.)
$1315.85 $1282.50 ▼
Item Number
45562
Fee Comparison
MBS
$1315.85
→
DVA
$1282.50
-$33.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1826.50
Full Description
Free transfer of tissue (microvascular free flap) for non-breast defect involving raising of tissue on vascular pedicle, including direct repair of secondary cutaneous defect (if performed), other than a service associated with a service to which item 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies (H) (Anaes.) (Assist.)
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45563
Neurovascular island flap for restoration of essential sensation in the digits or sole of the foot, or for genital reconstruction, including:(a) direct repair of secondary cutaneous defect (if performed); and(b) formal dissection of the neurovascular pedicle;other than a service performed on simple V-Y flaps or other standard flaps, such as rotation or keystone (H) (Anaes.) (Assist.)
$1315.85 $1282.50 ▼
Item Number
45563
Fee Comparison
MBS
$1315.85
→
DVA
$1282.50
-$33.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1940.75
Full Description
Neurovascular island flap for restoration of essential sensation in the digits or sole of the foot, or for genital reconstruction, including:(a) direct repair of secondary cutaneous defect (if performed); and(b) formal dissection of the neurovascular pedicle;other than a service performed on simple V-Y flaps or other standard flaps, such as rotation or keystone (H) (Anaes.) (Assist.)
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45564
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562 or 45567 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
$3047.70 $2970.45 ▼
Item Number
45564
Fee Comparison
MBS
$3047.70
→
DVA
$2970.45
-$77.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4759.85
Full Description
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562 or 45567 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
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45565
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562 or 45567 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
$2285.90 $2227.95 ▼
Item Number
45565
Fee Comparison
MBS
$2285.90
→
DVA
$2227.95
-$57.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3119.20
Full Description
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562 or 45567 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
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45566
Insertion of a temporary prosthetic tissue expander which requires subsequent removal, including all attendances for subsequent expansion injections, other than a service for breast or post-mastectomy tissue expansion (H) (Anaes.) (Assist.)
$1282.15 $1249.65 ▼
Item Number
45566
Fee Comparison
MBS
$1282.15
→
DVA
$1249.65
-$32.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1785.30
Full Description
Insertion of a temporary prosthetic tissue expander which requires subsequent removal, including all attendances for subsequent expansion injections, other than a service for breast or post-mastectomy tissue expansion (H) (Anaes.) (Assist.)
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45567
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562, 45564 or 45565 applies—single surgeon (H) (Anaes.) (Assist.)
$3515.20 $3426.10 ▼
Item Number
45567
Fee Comparison
MBS
$3515.20
→
DVA
$3426.10
-$89.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4796.65
Full Description
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562, 45564 or 45565 applies—single surgeon (H) (Anaes.) (Assist.)
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45568
Tissue expander, removal of, including complete excision of fibrous capsule if performed (H) (Anaes.) (Assist.)
$531.10 $517.65 ▼
Item Number
45568
Fee Comparison
MBS
$531.10
→
DVA
$517.65
-$13.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$747.20
Full Description
Tissue expander, removal of, including complete excision of fibrous capsule if performed (H) (Anaes.) (Assist.)
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45571
Closure of abdomen with reconstruction of umbilicus, with or without lipectomy, to be used following the harvest of an autologous flap, being a service associated with a service to which item 45530, 45531, 45562, 45564, 45565, 45567, 46080, 46082, 46084, 46086, 46088 or 46090 applies, including repair of the musculoaponeurotic layer of the abdomen (including insertion of prosthetic mesh if used) (H) (Anaes.) (Assist.)
$1238.75 $1207.35 ▼
Item Number
45571
Fee Comparison
MBS
$1238.75
→
DVA
$1207.35
-$31.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1690.45
Full Description
Closure of abdomen with reconstruction of umbilicus, with or without lipectomy, to be used following the harvest of an autologous flap, being a service associated with a service to which item 45530, 45531, 45562, 45564, 45565, 45567, 46080, 46082, 46084, 46086, 46088 or 46090 applies, including repair of the musculoaponeurotic layer of the abdomen (including insertion of prosthetic mesh if used) (H) (Anaes.) (Assist.)
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45572
Intra-operative tissue expansion using a prosthetic tissue expander, performed under general anaesthetic or intravenous sedation during an operation, if combined with a service to which another item in Group T8 applies (including expansion injections), not to be used for breast tissue expansion (H) (Anaes.)
$349.15 $340.30 ▼
Item Number
45572
Fee Comparison
MBS
$349.15
→
DVA
$340.30
-$8.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$484.75
Full Description
Intra-operative tissue expansion using a prosthetic tissue expander, performed under general anaesthetic or intravenous sedation during an operation, if combined with a service to which another item in Group T8 applies (including expansion injections), not to be used for breast tissue expansion (H) (Anaes.)
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45575
Facial nerve paralysis, free fascia graft for (H) (Anaes.) (Assist.)
$862.05 $840.20 ▼
Item Number
45575
Fee Comparison
MBS
$862.05
→
DVA
$840.20
-$21.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1196.60
Full Description
Facial nerve paralysis, free fascia graft for (H) (Anaes.) (Assist.)
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45578
FACIAL NERVE PARALYSIS, muscle transfer for (Anaes.) (Assist.)
$998.30 $973.00 ▼
Item Number
45578
Fee Comparison
MBS
$998.30
→
DVA
$973.00
-$25.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1385.90
Full Description
FACIAL NERVE PARALYSIS, muscle transfer for (Anaes.) (Assist.)
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45581
Facial nerve paralysis, excision of tissue for (H) (Anaes.)
$331.25 $322.85 ▼
Item Number
45581
Fee Comparison
MBS
$331.25
→
DVA
$322.85
-$8.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$460.05
Full Description
Facial nerve paralysis, excision of tissue for (H) (Anaes.)
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45584
Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), for treatment of post traumatic pseudolipoma, if photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
$756.10 $736.95 ▼
Item Number
45584
Fee Comparison
MBS
$756.10
→
DVA
$736.95
-$19.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1049.70
Full Description
Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), for treatment of post traumatic pseudolipoma, if photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
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45585
Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), other than a service associated with a service to which item 31525 or 31526 applies, if: (a) the liposuction is for: (i) the treatment of Barraquer-Simons syndrome, lymphoedema or macrodystrophia lipomatosa; or (ii) the reduction of a buffalo hump that is secondary to an endocrine disorder or pharmacological treatment of a medical condition; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.)
$756.10 $736.95 ▼
Item Number
45585
Fee Comparison
MBS
$756.10
→
DVA
$736.95
-$19.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1049.70
RMFS Out-Hosp
$1031.75
Full Description
Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), other than a service associated with a service to which item 31525 or 31526 applies, if: (a) the liposuction is for: (i) the treatment of Barraquer-Simons syndrome, lymphoedema or macrodystrophia lipomatosa; or (ii) the reduction of a buffalo hump that is secondary to an endocrine disorder or pharmacological treatment of a medical condition; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.)
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45587
Meloplasty for correction of facial asymmetry if: (a) the asymmetry is secondary to trauma (including previous surgery), a congenital condition or a medical condition (such as facial nerve palsy); and (b) the meloplasty is limited to one side of the face (Anaes.) (Assist.)
$1066.25 $1039.25 ▼
Item Number
45587
Fee Comparison
MBS
$1066.25
→
DVA
$1039.25
-$27.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1480.00
Full Description
Meloplasty for correction of facial asymmetry if: (a) the asymmetry is secondary to trauma (including previous surgery), a congenital condition or a medical condition (such as facial nerve palsy); and (b) the meloplasty is limited to one side of the face (Anaes.) (Assist.)
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45588
Meloplasty (excluding browlifts and chinlift platysmaplasties), bilateral, if: (a) surgery is indicated to correct a functional impairment due to a congenital condition, disease (excluding post-acne scarring) or trauma (other than trauma resulting from previous elective cosmetic surgery); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
$1599.55 $1559.00 ▼
Item Number
45588
Fee Comparison
MBS
$1599.55
→
DVA
$1559.00
-$40.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2142.30
Full Description
Meloplasty (excluding browlifts and chinlift platysmaplasties), bilateral, if: (a) surgery is indicated to correct a functional impairment due to a congenital condition, disease (excluding post-acne scarring) or trauma (other than trauma resulting from previous elective cosmetic surgery); and (b) 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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45589
Autologous fat grafting (harvesting, preparation and injection of adipocytes) if: (a) the autologous fat grafting is for either or both of the following purposes: (i) the correction of asymmetry arising from volume and contour defects in craniofacial disorders—up to a total of 4 services if each service is provided at least 3 months after the previous service; (ii) the treatment of burn scar or associated skin graft in the context of scar contracture, contour deformity or neuropathic pain, for patients who have undergone a minimum of 3 months of topical therapies, including silicone and pressure therapy, with an unsatisfactory or minimal level of improvement—up to a total of 4 services per region of the body (upper or lower limbs, trunk, neck or face) if each service provided per region of the body is provided at least 3 months after the previous such service; and (b) both: (i) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes; and (ii) for craniofacial disorders, evidence of diagnosis of the qualifying craniofacial disorder is documented in the patient notes (H) (Anaes.)
$756.10 $736.95 ▼
Item Number
45589
Fee Comparison
MBS
$756.10
→
DVA
$736.95
-$19.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1031.90
Full Description
Autologous fat grafting (harvesting, preparation and injection of adipocytes) if: (a) the autologous fat grafting is for either or both of the following purposes: (i) the correction of asymmetry arising from volume and contour defects in craniofacial disorders—up to a total of 4 services if each service is provided at least 3 months after the previous service; (ii) the treatment of burn scar or associated skin graft in the context of scar contracture, contour deformity or neuropathic pain, for patients who have undergone a minimum of 3 months of topical therapies, including silicone and pressure therapy, with an unsatisfactory or minimal level of improvement—up to a total of 4 services per region of the body (upper or lower limbs, trunk, neck or face) if each service provided per region of the body is provided at least 3 months after the previous such service; and (b) both: (i) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes; and (ii) for craniofacial disorders, evidence of diagnosis of the qualifying craniofacial disorder is documented in the patient notes (H) (Anaes.)
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45590
Orbital cavity, reconstruction of wall or floor, with or without bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 42530 or 45594 applies on the same side (H) (Anaes.) (Assist.)
$578.40 $563.75 ▼
Item Number
45590
Fee Comparison
MBS
$578.40
→
DVA
$563.75
-$14.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$894.25
Full Description
Orbital cavity, reconstruction of wall or floor, with or without bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 42530 or 45594 applies on the same side (H) (Anaes.) (Assist.)
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45592
Orbital cavity, reconstruction of wall and floor with bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 45594 applies on the same side (H) (Anaes.) (Assist.)
$1018.75 $992.95 ▼
Item Number
45592
Fee Comparison
MBS
$1018.75
→
DVA
$992.95
-$25.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1390.25
Full Description
Orbital cavity, reconstruction of wall and floor with bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 45594 applies on the same side (H) (Anaes.) (Assist.)
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45594
Orbital cavity, exploration of wall or floor without bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 42530, 45590 or 45592 applies on the same side (H) (Anaes.) (Assist.)
$477.45 $465.35 ▼
Item Number
45594
Fee Comparison
MBS
$477.45
→
DVA
$465.35
-$12.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$651.65
Full Description
Orbital cavity, exploration of wall or floor without bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 42530, 45590 or 45592 applies on the same side (H) (Anaes.) (Assist.)
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45596
Hemimaxillectomy (H) (Anaes.) (Assist.)
$1077.70 $1050.40 ▼
Item Number
45596
Fee Comparison
MBS
$1077.70
→
DVA
$1050.40
-$27.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1898.30
Full Description
Hemimaxillectomy (H) (Anaes.) (Assist.)
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45597
Total maxillectomy (bilateral) (H) (Anaes.) (Assist.)
$1442.70 $1406.15 ▼
Item Number
45597
Fee Comparison
MBS
$1442.70
→
DVA
$1406.15
-$36.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2002.40
Full Description
Total maxillectomy (bilateral) (H) (Anaes.) (Assist.)
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45599
Mandible, total resection of, other than a service associated with a service to which item 45608 applies (H) (Anaes.) (Assist.)
$1121.00 $1092.60 ▼
Item Number
45599
Fee Comparison
MBS
$1121.00
→
DVA
$1092.60
-$28.40 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1556.05
RMFS Out-Hosp
$1529.65
Full Description
Mandible, total resection of, other than a service associated with a service to which item 45608 applies (H) (Anaes.) (Assist.)
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45602
MANDIBLE, including lower border, OR MAXILLA, sub-total resection of (Anaes.) (Assist.)
$837.15 $815.95 ▼
Item Number
45602
Fee Comparison
MBS
$837.15
→
DVA
$815.95
-$21.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1162.05
Full Description
MANDIBLE, including lower border, OR MAXILLA, sub-total resection of (Anaes.) (Assist.)
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45605
MANDIBLE OR MAXILLA, segmental resection of, for tumours or cysts (Anaes.) (Assist.)
$703.25 $685.45 ▼
Item Number
45605
Fee Comparison
MBS
$703.25
→
DVA
$685.45
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$976.50
Full Description
MANDIBLE OR MAXILLA, segmental resection of, for tumours or cysts (Anaes.) (Assist.)
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45608
Mandible, segmental mandibular or maxilla reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (H) (Anaes.) (Assist.)
$990.20 $965.10 ▼
Item Number
45608
Fee Comparison
MBS
$990.20
→
DVA
$965.10
-$25.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1593.95
Full Description
Mandible, segmental mandibular or maxilla reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (H) (Anaes.) (Assist.)
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45609
Mandible, maxilla or skull base, reconstruction of, using bony free flap, all osteotomies, shaping, inset and fixation by any means, including all necessary 3 dimensional planning, if performed in conjunction with one or more services covered by items 46060 to 46068 (H) (Anaes.) (Assist.)
$990.20 $965.10 ▼
Item Number
45609
Fee Comparison
MBS
$990.20
→
DVA
$965.10
-$25.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1351.25
Full Description
Mandible, maxilla or skull base, reconstruction of, using bony free flap, all osteotomies, shaping, inset and fixation by any means, including all necessary 3 dimensional planning, if performed in conjunction with one or more services covered by items 46060 to 46068 (H) (Anaes.) (Assist.)
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45611
Mandible, condylectomy of (H) (Anaes.) (Assist.)
$567.05 $552.70 ▼
Item Number
45611
Fee Comparison
MBS
$567.05
→
DVA
$552.70
-$14.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$787.20
Full Description
Mandible, condylectomy of (H) (Anaes.) (Assist.)
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45614
Eyelid, reconstruction of a defect (greater than one quarter of the length of the lid) involving all 3 layers of the eyelid, if unable to be closed by direct suture or wedge excision, including all flaps and grafts that may be required (Anaes.) (Assist.)
$998.30 $973.00 ▼
Item Number
45614
Fee Comparison
MBS
$998.30
→
DVA
$973.00
-$25.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1362.25
Full Description
Eyelid, reconstruction of a defect (greater than one quarter of the length of the lid) involving all 3 layers of the eyelid, if unable to be closed by direct suture or wedge excision, including all flaps and grafts that may be required (Anaes.) (Assist.)
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45617
Upper eyelid, reduction of, if: (a) the reduction is for any of the following: (i) history of a demonstrated visual impairment; (ii) intertriginous inflammation of the eyelid; (iii) herniation of orbital fat in exophthalmos; (iv) facial nerve palsy; (v) post‑traumatic scarring; (vi) the restoration of symmetry of contralateral upper eyelid in respect of one of the conditions mentioned in subparagraphs (i) to (v); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
$281.40 $274.25 ▼
Item Number
45617
Fee Comparison
MBS
$281.40
→
DVA
$274.25
-$7.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$390.90
RMFS Out-Hosp
$383.95
Full Description
Upper eyelid, reduction of, if: (a) the reduction is for any of the following: (i) history of a demonstrated visual impairment; (ii) intertriginous inflammation of the eyelid; (iii) herniation of orbital fat in exophthalmos; (iv) facial nerve palsy; (v) post‑traumatic scarring; (vi) the restoration of symmetry of contralateral upper eyelid in respect of one of the conditions mentioned in subparagraphs (i) to (v); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
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45620
Lower eyelid, reduction of, if: (a) the reduction is for: (i) herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring; or (ii) the restoration of symmetry of the contralateral lower eyelid in respect of one of these conditions; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
$390.25 $380.35 ▼
Item Number
45620
Fee Comparison
MBS
$390.25
→
DVA
$380.35
-$9.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$670.70
RMFS Out-Hosp
$532.50
Full Description
Lower eyelid, reduction of, if: (a) the reduction is for: (i) herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring; or (ii) the restoration of symmetry of the contralateral lower eyelid in respect of one of these conditions; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
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45623
Ptosis of upper eyelid (unilateral), correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; Not applicable to a service for repair of mechanical ptosis to which item 45617 applies (Anaes.) (Assist.)
$865.35 $843.40 ▼
Item Number
45623
Fee Comparison
MBS
$865.35
→
DVA
$843.40
-$21.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1264.15
RMFS Out-Hosp
$1180.80
Full Description
Ptosis of upper eyelid (unilateral), correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; Not applicable to a service for repair of mechanical ptosis to which item 45617 applies (Anaes.) (Assist.)
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45624
Ptosis of upper eyelid, correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; if a previous ptosis surgery has been performed on that side (Anaes.) (Assist.)
$1122.05 $1093.60 ▼
Item Number
45624
Fee Comparison
MBS
$1122.05
→
DVA
$1093.60
-$28.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1648.55
RMFS Out-Hosp
$1531.05
Full Description
Ptosis of upper eyelid, correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; if a previous ptosis surgery has been performed on that side (Anaes.) (Assist.)
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45625
PTOSIS of eyelid, correction of eyelid height by revision of levator sutures within one week of primary repair by levator resection or advancement, performed in the operating theatre of a hospital (Anaes.)
$224.55 $218.85 ▼
Item Number
45625
Fee Comparison
MBS
$224.55
→
DVA
$218.85
-$5.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$377.80
Full Description
PTOSIS of eyelid, correction of eyelid height by revision of levator sutures within one week of primary repair by levator resection or advancement, performed in the operating theatre of a hospital (Anaes.)
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45626
Ectropion or entropion, not caused by trachoma, correction of (unilateral) (Anaes.)
$390.25 $380.35 ▼
Item Number
45626
Fee Comparison
MBS
$390.25
→
DVA
$380.35
-$9.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$541.95
RMFS Out-Hosp
$532.50
Full Description
Ectropion or entropion, not caused by trachoma, correction of (unilateral) (Anaes.)
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45627
Ectropion or entropion, caused by trachoma, correction of (unilateral) (Anaes.)
$390.25 $380.35 ▼
Item Number
45627
Fee Comparison
MBS
$390.25
→
DVA
$380.35
-$9.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$541.95
RMFS Out-Hosp
$532.50
Full Description
Ectropion or entropion, caused by trachoma, correction of (unilateral) (Anaes.)
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45629
Symblepharon, grafting for (H) (Anaes.) (Assist.)
$567.05 $552.70 ▼
Item Number
45629
Fee Comparison
MBS
$567.05
→
DVA
$552.70
-$14.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1058.05
Full Description
Symblepharon, grafting for (H) (Anaes.) (Assist.)
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45632
Rhinoplasty, partial, involving correction of one or both lateral cartilages, one or both alar cartilages or one or both lateral cartilages and alar cartilages, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.)
$612.75 $597.20 ▼
Item Number
45632
Fee Comparison
MBS
$612.75
→
DVA
$597.20
-$15.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1045.25
Full Description
Rhinoplasty, partial, involving correction of one or both lateral cartilages, one or both alar cartilages or one or both lateral cartilages and alar cartilages, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.)
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45635
Rhinoplasty, partial, involving correction of bony vault only, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.)
$703.25 $685.45 ▼
Item Number
45635
Fee Comparison
MBS
$703.25
→
DVA
$685.45
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$976.50
Full Description
Rhinoplasty, partial, involving correction of bony vault only, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.)
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45641
Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, with or without autogenous cartilage or bone graft from a local site (nasal), if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
$1275.90 $1243.55 ▼
Item Number
45641
Fee Comparison
MBS
$1275.90
→
DVA
$1243.55
-$32.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1783.55
Full Description
Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, with or without autogenous cartilage or bone graft from a local site (nasal), if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
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MBS Fee
$236.80
DVA Fee
$230.80
Category
Category 3 — Therapeutic Procedures
Description
NIPPLE OR AREOLA or both, intradermal colouration of, following breast reconstruction after mastectomy or for congenital absence of nipple
MBS Fee
$837.15
DVA Fee
$815.95
Category
Category 3 — Therapeutic Procedures
Description
Revision of breast prosthesis pocket, if:(a) breast prosthesis or tissue expander has been placed for the purpose of breast reconstruction in the context of breast cancer or for developmental breast abnormality; and(b) the prosthesis or tissue expander has migrated or rotated from its intended position or orientation; and(c) the existing prosthesis is used(H) (Anaes.) (Assist.)
MBS Fee
$331.25
DVA Fee
$322.85
Category
Category 3 — Therapeutic Procedures
Description
Breast prosthesis, removal of, as an independent procedure (H) (Anaes.)
MBS Fee
$531.10
DVA Fee
$517.65
Category
Category 3 — Therapeutic Procedures
Description
Breast prosthesis, removal of, with excision of at least half of the fibrous capsule, not with insertion of any prosthesis. The excised specimen must be sent for histopathology and the volume removed must be documented in the histopathology report (Anaes.) (Assist.)
MBS Fee
$684.15
DVA Fee
$666.80
Category
Category 3 — Therapeutic Procedures
Description
Breast prosthesis, removal of and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
MBS Fee
$837.15
DVA Fee
$815.95
Category
Category 3 — Therapeutic Procedures
Description
Breast prosthesis, removal and replacement with another prosthesis, following medical complications (for rupture, migration of prosthetic material or symptomatic capsular contracture), including excision of at least half of the fibrous capsule or formation of a new pocket, or both, if: (a) either: (i) it is demonstrated by intra-operative photographs post-removal that removal alone would cause unacceptable deformity; or (ii) the original implant was inserted in the context of breast cancer or developmental abnormality; and (b) the excised specimen is sent for histopathology and the volume removed is documented in the histopathology report; 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
$916.85
DVA Fee
$893.60
Category
Category 3 — Therapeutic Procedures
Description
Breast ptosis, correction of (unilateral), in the context of breast cancer or developmental abnormality, if photographic evidence (including anterior, left lateral and right lateral views) 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, other than a service associated with a service to which item 31512, 31513 or 31514 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$1375.20
DVA Fee
$1340.35
Category
Category 3 — Therapeutic Procedures
Description
Correction of bilateral breast ptosis by mastopexy, if: (a) at least two‑thirds of the breast tissue, including the nipple, lies inferior to the inframammary fold where the nipple is located at the most dependent, inferior part of the breast contour; and (b) photographic evidence (including anterior, left lateral and right lateral views), with a marker at the level of the inframammary fold, demonstrating the clinical need for this service, is documented in the patient notes Applicable only once per lifetime, other than a service associated with a service to which item 31512, 31513 or 31514 applies (H) (Anaes.) (Assist.)
MBS Fee
$566.95
DVA Fee
$552.60
Category
Category 3 — Therapeutic Procedures
Description
HAIR TRANSPLANTATION for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not being a service to which another item in this Group applies (Anaes.)
MBS Fee
$2124.10
DVA Fee
$2070.25
Category
Category 3 — Therapeutic Procedures
Description
Microvascular anastomosis of artery and/or vein, if considered necessary to salvage a vascularly compromised pedicled or free flap, either during the primary procedure or at a subsequent return to theatre (H) (Anaes.) (Assist.)
MBS Fee
$1315.85
DVA Fee
$1282.50
Category
Category 3 — Therapeutic Procedures
Description
Free transfer of tissue (microvascular free flap) for non-breast defect involving raising of tissue on vascular pedicle, including direct repair of secondary cutaneous defect (if performed), other than a service associated with a service to which item 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies (H) (Anaes.) (Assist.)
MBS Fee
$1315.85
DVA Fee
$1282.50
Category
Category 3 — Therapeutic Procedures
Description
Neurovascular island flap for restoration of essential sensation in the digits or sole of the foot, or for genital reconstruction, including:(a) direct repair of secondary cutaneous defect (if performed); and(b) formal dissection of the neurovascular pedicle;other than a service performed on simple V-Y flaps or other standard flaps, such as rotation or keystone (H) (Anaes.) (Assist.)
MBS Fee
$3047.70
DVA Fee
$2970.45
Category
Category 3 — Therapeutic Procedures
Description
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562 or 45567 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$2285.90
DVA Fee
$2227.95
Category
Category 3 — Therapeutic Procedures
Description
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562 or 45567 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$1282.15
DVA Fee
$1249.65
Category
Category 3 — Therapeutic Procedures
Description
Insertion of a temporary prosthetic tissue expander which requires subsequent removal, including all attendances for subsequent expansion injections, other than a service for breast or post-mastectomy tissue expansion (H) (Anaes.) (Assist.)
MBS Fee
$3515.20
DVA Fee
$3426.10
Category
Category 3 — Therapeutic Procedures
Description
Free transfer of tissue (reconstructive surgery) for the repair of major tissue defect of the head and neck or other non-breast defect, using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) anastomoses of all required vessels; and(b) raising of tissue on a vascular pedicle; and(c) preparation of recipient vessels; and(d) transfer of tissue; and(e) insetting of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505, 45507, 45562, 45564 or 45565 applies—single surgeon (H) (Anaes.) (Assist.)
MBS Fee
$531.10
DVA Fee
$517.65
Category
Category 3 — Therapeutic Procedures
Description
Tissue expander, removal of, including complete excision of fibrous capsule if performed (H) (Anaes.) (Assist.)
MBS Fee
$1238.75
DVA Fee
$1207.35
Category
Category 3 — Therapeutic Procedures
Description
Closure of abdomen with reconstruction of umbilicus, with or without lipectomy, to be used following the harvest of an autologous flap, being a service associated with a service to which item 45530, 45531, 45562, 45564, 45565, 45567, 46080, 46082, 46084, 46086, 46088 or 46090 applies, including repair of the musculoaponeurotic layer of the abdomen (including insertion of prosthetic mesh if used) (H) (Anaes.) (Assist.)
MBS Fee
$349.15
DVA Fee
$340.30
Category
Category 3 — Therapeutic Procedures
Description
Intra-operative tissue expansion using a prosthetic tissue expander, performed under general anaesthetic or intravenous sedation during an operation, if combined with a service to which another item in Group T8 applies (including expansion injections), not to be used for breast tissue expansion (H) (Anaes.)
MBS Fee
$862.05
DVA Fee
$840.20
Category
Category 3 — Therapeutic Procedures
Description
Facial nerve paralysis, free fascia graft for (H) (Anaes.) (Assist.)
MBS Fee
$998.30
DVA Fee
$973.00
Category
Category 3 — Therapeutic Procedures
Description
FACIAL NERVE PARALYSIS, muscle transfer for (Anaes.) (Assist.)
MBS Fee
$331.25
DVA Fee
$322.85
Category
Category 3 — Therapeutic Procedures
Description
Facial nerve paralysis, excision of tissue for (H) (Anaes.)
MBS Fee
$756.10
DVA Fee
$736.95
Category
Category 3 — Therapeutic Procedures
Description
Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), for treatment of post traumatic pseudolipoma, if photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
MBS Fee
$756.10
DVA Fee
$736.95
Category
Category 3 — Therapeutic Procedures
Description
Liposuction (suction assisted lipolysis) to one regional area (one limb or trunk), other than a service associated with a service to which item 31525 or 31526 applies, if: (a) the liposuction is for: (i) the treatment of Barraquer-Simons syndrome, lymphoedema or macrodystrophia lipomatosa; or (ii) the reduction of a buffalo hump that is secondary to an endocrine disorder or pharmacological treatment of a medical condition; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.)
MBS Fee
$1066.25
DVA Fee
$1039.25
Category
Category 3 — Therapeutic Procedures
Description
Meloplasty for correction of facial asymmetry if: (a) the asymmetry is secondary to trauma (including previous surgery), a congenital condition or a medical condition (such as facial nerve palsy); and (b) the meloplasty is limited to one side of the face (Anaes.) (Assist.)
MBS Fee
$1599.55
DVA Fee
$1559.00
Category
Category 3 — Therapeutic Procedures
Description
Meloplasty (excluding browlifts and chinlift platysmaplasties), bilateral, if: (a) surgery is indicated to correct a functional impairment due to a congenital condition, disease (excluding post-acne scarring) or trauma (other than trauma resulting from previous elective cosmetic surgery); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
MBS Fee
$756.10
DVA Fee
$736.95
Category
Category 3 — Therapeutic Procedures
Description
Autologous fat grafting (harvesting, preparation and injection of adipocytes) if: (a) the autologous fat grafting is for either or both of the following purposes: (i) the correction of asymmetry arising from volume and contour defects in craniofacial disorders—up to a total of 4 services if each service is provided at least 3 months after the previous service; (ii) the treatment of burn scar or associated skin graft in the context of scar contracture, contour deformity or neuropathic pain, for patients who have undergone a minimum of 3 months of topical therapies, including silicone and pressure therapy, with an unsatisfactory or minimal level of improvement—up to a total of 4 services per region of the body (upper or lower limbs, trunk, neck or face) if each service provided per region of the body is provided at least 3 months after the previous such service; and (b) both: (i) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes; and (ii) for craniofacial disorders, evidence of diagnosis of the qualifying craniofacial disorder is documented in the patient notes (H) (Anaes.)
MBS Fee
$578.40
DVA Fee
$563.75
Category
Category 3 — Therapeutic Procedures
Description
Orbital cavity, reconstruction of wall or floor, with or without bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 42530 or 45594 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$1018.75
DVA Fee
$992.95
Category
Category 3 — Therapeutic Procedures
Description
Orbital cavity, reconstruction of wall and floor with bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 45594 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$477.45
DVA Fee
$465.35
Category
Category 3 — Therapeutic Procedures
Description
Orbital cavity, exploration of wall or floor without bone graft, cartilage graft or foreign implant, other than a service associated with a service to which item 42530, 45590 or 45592 applies on the same side (H) (Anaes.) (Assist.)
MBS Fee
$1077.70
DVA Fee
$1050.40
Category
Category 3 — Therapeutic Procedures
Description
Hemimaxillectomy (H) (Anaes.) (Assist.)
MBS Fee
$1442.70
DVA Fee
$1406.15
Category
Category 3 — Therapeutic Procedures
Description
Total maxillectomy (bilateral) (H) (Anaes.) (Assist.)
MBS Fee
$1121.00
DVA Fee
$1092.60
Category
Category 3 — Therapeutic Procedures
Description
Mandible, total resection of, other than a service associated with a service to which item 45608 applies (H) (Anaes.) (Assist.)
MBS Fee
$837.15
DVA Fee
$815.95
Category
Category 3 — Therapeutic Procedures
Description
MANDIBLE, including lower border, OR MAXILLA, sub-total resection of (Anaes.) (Assist.)
MBS Fee
$703.25
DVA Fee
$685.45
Category
Category 3 — Therapeutic Procedures
Description
MANDIBLE OR MAXILLA, segmental resection of, for tumours or cysts (Anaes.) (Assist.)
MBS Fee
$990.20
DVA Fee
$965.10
Category
Category 3 — Therapeutic Procedures
Description
Mandible, segmental mandibular or maxilla reconstruction with bone graft, not being a service associated with a service to which item 45599 applies (H) (Anaes.) (Assist.)
MBS Fee
$990.20
DVA Fee
$965.10
Category
Category 3 — Therapeutic Procedures
Description
Mandible, maxilla or skull base, reconstruction of, using bony free flap, all osteotomies, shaping, inset and fixation by any means, including all necessary 3 dimensional planning, if performed in conjunction with one or more services covered by items 46060 to 46068 (H) (Anaes.) (Assist.)
MBS Fee
$567.05
DVA Fee
$552.70
Category
Category 3 — Therapeutic Procedures
Description
Mandible, condylectomy of (H) (Anaes.) (Assist.)
MBS Fee
$998.30
DVA Fee
$973.00
Category
Category 3 — Therapeutic Procedures
Description
Eyelid, reconstruction of a defect (greater than one quarter of the length of the lid) involving all 3 layers of the eyelid, if unable to be closed by direct suture or wedge excision, including all flaps and grafts that may be required (Anaes.) (Assist.)
MBS Fee
$281.40
DVA Fee
$274.25
Category
Category 3 — Therapeutic Procedures
Description
Upper eyelid, reduction of, if: (a) the reduction is for any of the following: (i) history of a demonstrated visual impairment; (ii) intertriginous inflammation of the eyelid; (iii) herniation of orbital fat in exophthalmos; (iv) facial nerve palsy; (v) post‑traumatic scarring; (vi) the restoration of symmetry of contralateral upper eyelid in respect of one of the conditions mentioned in subparagraphs (i) to (v); and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
MBS Fee
$390.25
DVA Fee
$380.35
Category
Category 3 — Therapeutic Procedures
Description
Lower eyelid, reduction of, if: (a) the reduction is for: (i) herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring; or (ii) the restoration of symmetry of the contralateral lower eyelid in respect of one of these conditions; and (b) photographic and/or diagnostic imaging evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
MBS Fee
$865.35
DVA Fee
$843.40
Category
Category 3 — Therapeutic Procedures
Description
Ptosis of upper eyelid (unilateral), correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; Not applicable to a service for repair of mechanical ptosis to which item 45617 applies (Anaes.) (Assist.)
MBS Fee
$1122.05
DVA Fee
$1093.60
Category
Category 3 — Therapeutic Procedures
Description
Ptosis of upper eyelid, correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; if a previous ptosis surgery has been performed on that side (Anaes.) (Assist.)
MBS Fee
$224.55
DVA Fee
$218.85
Category
Category 3 — Therapeutic Procedures
Description
PTOSIS of eyelid, correction of eyelid height by revision of levator sutures within one week of primary repair by levator resection or advancement, performed in the operating theatre of a hospital (Anaes.)
MBS Fee
$390.25
DVA Fee
$380.35
Category
Category 3 — Therapeutic Procedures
Description
Ectropion or entropion, not caused by trachoma, correction of (unilateral) (Anaes.)
MBS Fee
$390.25
DVA Fee
$380.35
Category
Category 3 — Therapeutic Procedures
Description
Ectropion or entropion, caused by trachoma, correction of (unilateral) (Anaes.)
MBS Fee
$567.05
DVA Fee
$552.70
Category
Category 3 — Therapeutic Procedures
Description
Symblepharon, grafting for (H) (Anaes.) (Assist.)
MBS Fee
$612.75
DVA Fee
$597.20
Category
Category 3 — Therapeutic Procedures
Description
Rhinoplasty, partial, involving correction of one or both lateral cartilages, one or both alar cartilages or one or both lateral cartilages and alar cartilages, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.)
MBS Fee
$703.25
DVA Fee
$685.45
Category
Category 3 — Therapeutic Procedures
Description
Rhinoplasty, partial, involving correction of bony vault only, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.)
MBS Fee
$1275.90
DVA Fee
$1243.55
Category
Category 3 — Therapeutic Procedures
Description
Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, with or without autogenous cartilage or bone graft from a local site (nasal), if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.)
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