Billing Codes
Department of Veterans' Affairs — Updated Annually

DVA Medical Fee Schedule

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

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Total Items
5886
DVA fee schedule items
Showing 3151–3200 of 5886 Pg 64/118
Item No. Description MBS Fee DVA Fee
45644
Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft, 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; other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.)
$1531.35 $1492.55
Item Number
45644
Fee Comparison
MBS
$1531.35
DVA
$1492.55
-$38.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2634.85
Full Description
Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft, 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; other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.)
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45645
CHOANAL ATRESIA, repair of by puncture and dilatation (Anaes.)
$267.60 $260.80
Item Number
45645
Fee Comparison
MBS
$267.60
DVA
$260.80
-$6.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$371.90
Full Description
CHOANAL ATRESIA, repair of by puncture and dilatation (Anaes.)
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45646
Choanal atresia, correction by open operation with bone removal (H) (Anaes.) (Assist.)
$1077.70 $1050.40
Item Number
45646
Fee Comparison
MBS
$1077.70
DVA
$1050.40
-$27.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1470.65
Full Description
Choanal atresia, correction by open operation with bone removal (H) (Anaes.) (Assist.)
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45650
Rhinoplasty, revision of, 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.)
$176.85 $172.35
Item Number
45650
Fee Comparison
MBS
$176.85
DVA
$172.35
-$4.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$246.15
Full Description
Rhinoplasty, revision of, 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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45652
Rhinophyma of a moderate or severe degree, carbon dioxide laser or erbium laser excision - ablation of (Anaes.)
$426.55 $415.75
Item Number
45652
Fee Comparison
MBS
$426.55
DVA
$415.75
-$10.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$592.10
RMFS Out-Hosp
$582.05
Full Description
Rhinophyma of a moderate or severe degree, carbon dioxide laser or erbium laser excision - ablation of (Anaes.)
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45653
RHINOPHYMA, shaving of (Anaes.)
$426.55 $415.75
Item Number
45653
Fee Comparison
MBS
$426.55
DVA
$415.75
-$10.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$768.10
RMFS Out-Hosp
$582.05
Full Description
RHINOPHYMA, shaving of (Anaes.)
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45656
COMPOSITE GRAFT (Chondrocutaneous or chondromucosal) to nose, ear or eyelid (Anaes.) (Assist.)
$601.15 $585.90
Item Number
45656
Fee Comparison
MBS
$601.15
DVA
$585.90
-$15.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$892.30
RMFS Out-Hosp
$820.30
Full Description
COMPOSITE GRAFT (Chondrocutaneous or chondromucosal) to nose, ear or eyelid (Anaes.) (Assist.)
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45658
Correction of a congenital deformity of the ear if: (a) the congenital deformity is not related to a prominent ear; and (b) the deformity has been clinically diagnosed as a constricted ear, Stahl's ear, or a similar congenital deformity; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes. (Anaes.) (Assist.)
$623.95 $608.15
Item Number
45658
Fee Comparison
MBS
$623.95
DVA
$608.15
-$15.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$851.50
Full Description
Correction of a congenital deformity of the ear if: (a) the congenital deformity is not related to a prominent ear; and (b) the deformity has been clinically diagnosed as a constricted ear, Stahl's ear, or a similar congenital deformity; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes. (Anaes.) (Assist.)
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45659
Correction of a congenital deformity of the ear if: (a) the patient is less than 18 years of age; and (b) the deformity is characterised by an absence of the antihelical fold and/or large scapha and/or large concha; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
$623.95 $608.15
Item Number
45659
Fee Comparison
MBS
$623.95
DVA
$608.15
-$15.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$866.15
Full Description
Correction of a congenital deformity of the ear if: (a) the patient is less than 18 years of age; and (b) the deformity is characterised by an absence of the antihelical fold and/or large scapha and/or large concha; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
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45660
External ear, complex total reconstruction of, using costal cartilage grafts to form a framework, including the harvesting and sculpturing of the cartilage and its insertion, for congenital absence, microtia or post-traumatic loss of entire or substantial portion of pinna (first stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.)
$3445.50 $3358.20
Item Number
45660
Fee Comparison
MBS
$3445.50
DVA
$3358.20
-$87.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$5589.75
Full Description
External ear, complex total reconstruction of, using costal cartilage grafts to form a framework, including the harvesting and sculpturing of the cartilage and its insertion, for congenital absence, microtia or post-traumatic loss of entire or substantial portion of pinna (first stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.)
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45661
External ear, complex total reconstruction of, elevation of costal cartilage framework using cartilage previously stored in abdominal wall, including the use of local skin and fascia flaps and skin graft to cover cartilage (second stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.)
$1531.35 $1492.55
Item Number
45661
Fee Comparison
MBS
$1531.35
DVA
$1492.55
-$38.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2397.00
Full Description
External ear, complex total reconstruction of, elevation of costal cartilage framework using cartilage previously stored in abdominal wall, including the use of local skin and fascia flaps and skin graft to cover cartilage (second stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.)
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45665
Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures, excluding eyelid wedge when performed in conjunction with a cosmetic eyelid procedure (Anaes.)
$390.25 $380.35
Item Number
45665
Fee Comparison
MBS
$390.25
DVA
$380.35
-$9.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$529.80
RMFS Out-Hosp
$532.50
Full Description
Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures, excluding eyelid wedge when performed in conjunction with a cosmetic eyelid procedure (Anaes.)
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45668
VERMILIONECTOMY, by surgical excision (Anaes.)
$390.25 $380.35
Item Number
45668
Fee Comparison
MBS
$390.25
DVA
$380.35
-$9.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$462.45
RMFS Out-Hosp
$532.50
Full Description
VERMILIONECTOMY, by surgical excision (Anaes.)
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45669
Vermilionectomy for biopsy-confirmed cellular atypia, using carbon dioxide laser or erbium laser excision - ablation (Anaes.)
$390.25 $380.35
Item Number
45669
Fee Comparison
MBS
$390.25
DVA
$380.35
-$9.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$584.20
RMFS Out-Hosp
$532.50
Full Description
Vermilionectomy for biopsy-confirmed cellular atypia, using carbon dioxide laser or erbium laser excision - ablation (Anaes.)
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45671
Lip or eyelid reconstruction, single stage or first stage of a two-stage flap reconstruction of a defect involving all 3 layers of tissue, if the flap is switched from the opposing lip or eyelid respectively (H) (Anaes.) (Assist.)
$998.30 $973.00
Item Number
45671
Fee Comparison
MBS
$998.30
DVA
$973.00
-$25.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1837.85
Full Description
Lip or eyelid reconstruction, single stage or first stage of a two-stage flap reconstruction of a defect involving all 3 layers of tissue, if the flap is switched from the opposing lip or eyelid respectively (H) (Anaes.) (Assist.)
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45674
Lip or eyelid reconstruction, second stage of a two-stage flap reconstruction, division of the pedicle and inset of flap and closure of the donor (H) (Anaes.)
$290.40 $283.05
Item Number
45674
Fee Comparison
MBS
$290.40
DVA
$283.05
-$7.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$419.90
Full Description
Lip or eyelid reconstruction, second stage of a two-stage flap reconstruction, division of the pedicle and inset of flap and closure of the donor (H) (Anaes.)
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45675
MACROCHEILIA or macroglossia, operation for (Anaes.) (Assist.)
$578.40 $563.75
Item Number
45675
Fee Comparison
MBS
$578.40
DVA
$563.75
-$14.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$803.05
Full Description
MACROCHEILIA or macroglossia, operation for (Anaes.) (Assist.)
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45676
MACROSTOMIA, operation for (Anaes.) (Assist.)
$688.60 $671.15
Item Number
45676
Fee Comparison
MBS
$688.60
DVA
$671.15
-$17.45 (-3%)
Additional DVA Rates
RMFS In-Hosp
$956.10
Full Description
MACROSTOMIA, operation for (Anaes.) (Assist.)
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45677
Cleft lip, unilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
$683.30 $666.00
Item Number
45677
Fee Comparison
MBS
$683.30
DVA
$666.00
-$17.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$948.80
Full Description
Cleft lip, unilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
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45680
Cleft lip, unilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
$891.15 $868.55
Item Number
45680
Fee Comparison
MBS
$891.15
DVA
$868.55
-$22.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1349.95
Full Description
Cleft lip, unilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
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45683
Cleft lip, bilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
$989.95 $964.85
Item Number
45683
Fee Comparison
MBS
$989.95
DVA
$964.85
-$25.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1350.90
Full Description
Cleft lip, bilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
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45686
Cleft lip, bilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
$1168.45 $1138.85
Item Number
45686
Fee Comparison
MBS
$1168.45
DVA
$1138.85
-$29.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1594.50
Full Description
Cleft lip, bilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
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45689
CLEFT LIP, lip adhesion procedure, unilateral or bilateral (Anaes.) (Assist.)
$313.35 $305.40
Item Number
45689
Fee Comparison
MBS
$313.35
DVA
$305.40
-$7.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$434.95
Full Description
CLEFT LIP, lip adhesion procedure, unilateral or bilateral (Anaes.) (Assist.)
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45692
Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.)
$359.95 $350.85
Item Number
45692
Fee Comparison
MBS
$359.95
DVA
$350.85
-$9.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$491.30
Full Description
Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.)
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45695
CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.)
$585.05 $570.20
Item Number
45695
Fee Comparison
MBS
$585.05
DVA
$570.20
-$14.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$832.25
Full Description
CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.)
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45698
CLEFT LIP, primary columella lengthening procedure, bilateral (Anaes.)
$549.05 $535.15
Item Number
45698
Fee Comparison
MBS
$549.05
DVA
$535.15
-$13.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$762.85
Full Description
CLEFT LIP, primary columella lengthening procedure, bilateral (Anaes.)
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45701
CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)
$990.20 $965.10
Item Number
45701
Fee Comparison
MBS
$990.20
DVA
$965.10
-$25.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1579.65
Full Description
CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)
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45704
Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.)
$359.95 $350.85
Item Number
45704
Fee Comparison
MBS
$359.95
DVA
$350.85
-$9.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$500.00
Full Description
Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.)
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45707
CLEFT PALATE, primary repair (Anaes.) (Assist.)
$935.85 $912.15
Item Number
45707
Fee Comparison
MBS
$935.85
DVA
$912.15
-$23.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1709.60
Full Description
CLEFT PALATE, primary repair (Anaes.) (Assist.)
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45710
CLEFT PALATE, secondary repair, closure of fistula using local flaps (Anaes.)
$585.05 $570.20
Item Number
45710
Fee Comparison
MBS
$585.05
DVA
$570.20
-$14.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$812.10
Full Description
CLEFT PALATE, secondary repair, closure of fistula using local flaps (Anaes.)
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45713
CLEFT PALATE, secondary repair, lengthening procedure (Anaes.) (Assist.)
$666.20 $649.30
Item Number
45713
Fee Comparison
MBS
$666.20
DVA
$649.30
-$16.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$924.85
Full Description
CLEFT PALATE, secondary repair, lengthening procedure (Anaes.) (Assist.)
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45714
Oro-nasal fistula, repair of, including a local flap for closure (H) (Anaes.) (Assist.)
$935.85 $912.15
Item Number
45714
Fee Comparison
MBS
$935.85
DVA
$912.15
-$23.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1354.60
Full Description
Oro-nasal fistula, repair of, including a local flap for closure (H) (Anaes.) (Assist.)
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45716
VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for (Anaes.)
$935.85 $912.15
Item Number
45716
Fee Comparison
MBS
$935.85
DVA
$912.15
-$23.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1618.10
Full Description
VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for (Anaes.)
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45717
Alveolar cleft (congenital), unilateral, bone grafting of, including local flap closure of associated oro-nasal fistulae and ridge augmentation, other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.)
$1407.50 $1371.85
Item Number
45717
Fee Comparison
MBS
$1407.50
DVA
$1371.85
-$35.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1920.70
Full Description
Alveolar cleft (congenital), unilateral, bone grafting of, including local flap closure of associated oro-nasal fistulae and ridge augmentation, other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.)
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45718
Face, contour restoration of one region, for the correction of deformity using autogenous bone or cartilage, if the deformity:(a) is secondary to congenital absence of tissue; or(b) has arisen from:(i) trauma (other than from previous cosmetic surgery); or(ii) a diagnosed pathological process;other than a service associated with a service to which item 45644 or 45717 (alveolar bone grafting) applies (H) (Anaes.) (Assist.)
$1531.35 $1492.55
Item Number
45718
Fee Comparison
MBS
$1531.35
DVA
$1492.55
-$38.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2089.65
Full Description
Face, contour restoration of one region, for the correction of deformity using autogenous bone or cartilage, if the deformity:(a) is secondary to congenital absence of tissue; or(b) has arisen from:(i) trauma (other than from previous cosmetic surgery); or(ii) a diagnosed pathological process;other than a service associated with a service to which item 45644 or 45717 (alveolar bone grafting) applies (H) (Anaes.) (Assist.)
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45761
Genioplasty, including transposition of nerves and vessels and bone grafts taken from the same site, if: (a) the deformity: (i) is secondary to congenital absence of tissue; or(ii) is the result of a diagnosed craniofacial disorder; or(iii) has arisen from trauma (other than from previous cosmetic surgery) or a diagnosed pathological process; and (b) for a craniofacial disorder—evidence of diagnosis of the disorder is documented in the patient notes; and (c) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes (H) (Anaes.) (Assist.)
$896.05 $873.35
Item Number
45761
Fee Comparison
MBS
$896.05
DVA
$873.35
-$22.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1218.25
Full Description
Genioplasty, including transposition of nerves and vessels and bone grafts taken from the same site, if: (a) the deformity: (i) is secondary to congenital absence of tissue; or(ii) is the result of a diagnosed craniofacial disorder; or(iii) has arisen from trauma (other than from previous cosmetic surgery) or a diagnosed pathological process; and (b) for a craniofacial disorder—evidence of diagnosis of the disorder is documented in the patient notes; and (c) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes (H) (Anaes.) (Assist.)
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45767
Hypertelorism, correction of, using intracranial approach (H) (Anaes.) (Assist.)
$3006.20 $2930.00
Item Number
45767
Fee Comparison
MBS
$3006.20
DVA
$2930.00
-$76.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4172.15
RMFS Out-Hosp
$4102.00
Full Description
Hypertelorism, correction of, using intracranial approach (H) (Anaes.) (Assist.)
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45773
Syndromic orbital dystopia, such as Treacher Collins Syndrome, bilateral facial or periorbital reconstruction, with bone grafts from a distant site (H) (Anaes.) (Assist.)
$2098.65 $2045.45
Item Number
45773
Fee Comparison
MBS
$2098.65
DVA
$2045.45
-$53.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2912.75
RMFS Out-Hosp
$2863.65
Full Description
Syndromic orbital dystopia, such as Treacher Collins Syndrome, bilateral facial or periorbital reconstruction, with bone grafts from a distant site (H) (Anaes.) (Assist.)
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45776
ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, intracranial (Anaes.) (Assist.)
$2098.65 $2045.45
Item Number
45776
Fee Comparison
MBS
$2098.65
DVA
$2045.45
-$53.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2912.75
Full Description
ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, intracranial (Anaes.) (Assist.)
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45779
ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, extracranial (Anaes.) (Assist.)
$1542.95 $1503.85
Item Number
45779
Fee Comparison
MBS
$1542.95
DVA
$1503.85
-$39.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2822.40
Full Description
ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, extracranial (Anaes.) (Assist.)
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45782
Fronto-orbital advancement (H) (Anaes.) (Assist.)
$1179.70 $1149.80
Item Number
45782
Fee Comparison
MBS
$1179.70
DVA
$1149.80
-$29.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1434.30
RMFS Out-Hosp
$1609.75
Full Description
Fronto-orbital advancement (H) (Anaes.) (Assist.)
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45785
Cranial vault reconstruction for single suture synostosis (H) (Anaes.) (Assist.)
$1996.55 $1945.95
Item Number
45785
Fee Comparison
MBS
$1996.55
DVA
$1945.95
-$50.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3215.35
Full Description
Cranial vault reconstruction for single suture synostosis (H) (Anaes.) (Assist.)
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45788
Glenoid fossa, construction of, from bone and cartilage graft, and creation of condyle and ascending ramus of mandible, in hemifacial microsomia, not including harvesting of graft material (H) (Anaes.) (Assist.)
$1973.85 $1923.85
Item Number
45788
Fee Comparison
MBS
$1973.85
DVA
$1923.85
-$50.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2739.30
Full Description
Glenoid fossa, construction of, from bone and cartilage graft, and creation of condyle and ascending ramus of mandible, in hemifacial microsomia, not including harvesting of graft material (H) (Anaes.) (Assist.)
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45791
Absent condyle and ascending ramus in craniofacial microsomia, construction of, not including harvesting of graft material (H) (Anaes.) (Assist.)
$1066.25 $1039.25
Item Number
45791
Fee Comparison
MBS
$1066.25
DVA
$1039.25
-$27.00 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1480.00
Full Description
Absent condyle and ascending ramus in craniofacial microsomia, construction of, not including harvesting of graft material (H) (Anaes.) (Assist.)
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45794
Osseo‑integration procedure, first stage, implantation of fixture, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.)
$603.15 $587.85
Item Number
45794
Fee Comparison
MBS
$603.15
DVA
$587.85
-$15.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1117.20
Full Description
Osseo‑integration procedure, first stage, implantation of fixture, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.)
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45797
Osseo‑integration procedure, second stage, fixation of transcutaneous abutment, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.)
$223.25 $217.60
Item Number
45797
Fee Comparison
MBS
$223.25
DVA
$217.60
-$5.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$310.65
Full Description
Osseo‑integration procedure, second stage, fixation of transcutaneous abutment, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.)
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45801
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), in the oral cavity, removal from mucosa or submucosal tissues, if the removal is by surgical excision and suture (Anaes.)
$161.55 $157.45
Item Number
45801
Fee Comparison
MBS
$161.55
DVA
$157.45
-$4.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$220.45
RMFS Out-Hosp
$220.45
Full Description
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), in the oral cavity, removal from mucosa or submucosal tissues, if the removal is by surgical excision and suture (Anaes.)
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45807
TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, removal of, not being a service to which another item in this Subgroup applies, involving muscle, bone, or other deep tissue (Anaes.)
$295.10 $287.60
Item Number
45807
Fee Comparison
MBS
$295.10
DVA
$287.60
-$7.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$410.45
RMFS Out-Hosp
$402.65
Full Description
TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, removal of, not being a service to which another item in this Subgroup applies, involving muscle, bone, or other deep tissue (Anaes.)
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45809
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or if a tumour or cyst has been proven by positive histopathology), in the oral and maxillofacial region, removal of, requiring wide excision, other than a service to which another item in this Subgroup applies (H) (Anaes.) (Assist.)
$444.65 $433.40
Item Number
45809
Fee Comparison
MBS
$444.65
DVA
$433.40
-$11.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$651.65
Full Description
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or if a tumour or cyst has been proven by positive histopathology), in the oral and maxillofacial region, removal of, requiring wide excision, other than a service to which another item in this Subgroup applies (H) (Anaes.) (Assist.)
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45811
Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H) (Anaes.) (Assist.)
$601.15 $585.90
Item Number
45811
Fee Comparison
MBS
$601.15
DVA
$585.90
-$15.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$835.95
Full Description
Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H) (Anaes.) (Assist.)
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MBS Fee
$1531.35
DVA Fee
$1492.55
Category
Category 3 — Therapeutic Procedures
Description
Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft, 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; other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.)
MBS Fee
$267.60
DVA Fee
$260.80
Category
Category 3 — Therapeutic Procedures
Description
CHOANAL ATRESIA, repair of by puncture and dilatation (Anaes.)
MBS Fee
$1077.70
DVA Fee
$1050.40
Category
Category 3 — Therapeutic Procedures
Description
Choanal atresia, correction by open operation with bone removal (H) (Anaes.) (Assist.)
MBS Fee
$176.85
DVA Fee
$172.35
Category
Category 3 — Therapeutic Procedures
Description
Rhinoplasty, revision of, 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
$426.55
DVA Fee
$415.75
Category
Category 3 — Therapeutic Procedures
Description
Rhinophyma of a moderate or severe degree, carbon dioxide laser or erbium laser excision - ablation of (Anaes.)
MBS Fee
$426.55
DVA Fee
$415.75
Category
Category 3 — Therapeutic Procedures
Description
RHINOPHYMA, shaving of (Anaes.)
MBS Fee
$601.15
DVA Fee
$585.90
Category
Category 3 — Therapeutic Procedures
Description
COMPOSITE GRAFT (Chondrocutaneous or chondromucosal) to nose, ear or eyelid (Anaes.) (Assist.)
MBS Fee
$623.95
DVA Fee
$608.15
Category
Category 3 — Therapeutic Procedures
Description
Correction of a congenital deformity of the ear if: (a) the congenital deformity is not related to a prominent ear; and (b) the deformity has been clinically diagnosed as a constricted ear, Stahl's ear, or a similar congenital deformity; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes. (Anaes.) (Assist.)
MBS Fee
$623.95
DVA Fee
$608.15
Category
Category 3 — Therapeutic Procedures
Description
Correction of a congenital deformity of the ear if: (a) the patient is less than 18 years of age; and (b) the deformity is characterised by an absence of the antihelical fold and/or large scapha and/or large concha; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.)
MBS Fee
$3445.50
DVA Fee
$3358.20
Category
Category 3 — Therapeutic Procedures
Description
External ear, complex total reconstruction of, using costal cartilage grafts to form a framework, including the harvesting and sculpturing of the cartilage and its insertion, for congenital absence, microtia or post-traumatic loss of entire or substantial portion of pinna (first stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.)
MBS Fee
$1531.35
DVA Fee
$1492.55
Category
Category 3 — Therapeutic Procedures
Description
External ear, complex total reconstruction of, elevation of costal cartilage framework using cartilage previously stored in abdominal wall, including the use of local skin and fascia flaps and skin graft to cover cartilage (second stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.)
MBS Fee
$390.25
DVA Fee
$380.35
Category
Category 3 — Therapeutic Procedures
Description
Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures, excluding eyelid wedge when performed in conjunction with a cosmetic eyelid procedure (Anaes.)
MBS Fee
$390.25
DVA Fee
$380.35
Category
Category 3 — Therapeutic Procedures
Description
VERMILIONECTOMY, by surgical excision (Anaes.)
MBS Fee
$390.25
DVA Fee
$380.35
Category
Category 3 — Therapeutic Procedures
Description
Vermilionectomy for biopsy-confirmed cellular atypia, using carbon dioxide laser or erbium laser excision - ablation (Anaes.)
MBS Fee
$998.30
DVA Fee
$973.00
Category
Category 3 — Therapeutic Procedures
Description
Lip or eyelid reconstruction, single stage or first stage of a two-stage flap reconstruction of a defect involving all 3 layers of tissue, if the flap is switched from the opposing lip or eyelid respectively (H) (Anaes.) (Assist.)
MBS Fee
$290.40
DVA Fee
$283.05
Category
Category 3 — Therapeutic Procedures
Description
Lip or eyelid reconstruction, second stage of a two-stage flap reconstruction, division of the pedicle and inset of flap and closure of the donor (H) (Anaes.)
MBS Fee
$578.40
DVA Fee
$563.75
Category
Category 3 — Therapeutic Procedures
Description
MACROCHEILIA or macroglossia, operation for (Anaes.) (Assist.)
MBS Fee
$688.60
DVA Fee
$671.15
Category
Category 3 — Therapeutic Procedures
Description
MACROSTOMIA, operation for (Anaes.) (Assist.)
MBS Fee
$683.30
DVA Fee
$666.00
Category
Category 3 — Therapeutic Procedures
Description
Cleft lip, unilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
MBS Fee
$891.15
DVA Fee
$868.55
Category
Category 3 — Therapeutic Procedures
Description
Cleft lip, unilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
MBS Fee
$989.95
DVA Fee
$964.85
Category
Category 3 — Therapeutic Procedures
Description
Cleft lip, bilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.)
MBS Fee
$1168.45
DVA Fee
$1138.85
Category
Category 3 — Therapeutic Procedures
Description
Cleft lip, bilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.)
MBS Fee
$313.35
DVA Fee
$305.40
Category
Category 3 — Therapeutic Procedures
Description
CLEFT LIP, lip adhesion procedure, unilateral or bilateral (Anaes.) (Assist.)
MBS Fee
$359.95
DVA Fee
$350.85
Category
Category 3 — Therapeutic Procedures
Description
Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.)
MBS Fee
$585.05
DVA Fee
$570.20
Category
Category 3 — Therapeutic Procedures
Description
CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.)
MBS Fee
$549.05
DVA Fee
$535.15
Category
Category 3 — Therapeutic Procedures
Description
CLEFT LIP, primary columella lengthening procedure, bilateral (Anaes.)
MBS Fee
$990.20
DVA Fee
$965.10
Category
Category 3 — Therapeutic Procedures
Description
CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.)
MBS Fee
$359.95
DVA Fee
$350.85
Category
Category 3 — Therapeutic Procedures
Description
Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.)
MBS Fee
$935.85
DVA Fee
$912.15
Category
Category 3 — Therapeutic Procedures
Description
CLEFT PALATE, primary repair (Anaes.) (Assist.)
MBS Fee
$585.05
DVA Fee
$570.20
Category
Category 3 — Therapeutic Procedures
Description
CLEFT PALATE, secondary repair, closure of fistula using local flaps (Anaes.)
MBS Fee
$666.20
DVA Fee
$649.30
Category
Category 3 — Therapeutic Procedures
Description
CLEFT PALATE, secondary repair, lengthening procedure (Anaes.) (Assist.)
MBS Fee
$935.85
DVA Fee
$912.15
Category
Category 3 — Therapeutic Procedures
Description
Oro-nasal fistula, repair of, including a local flap for closure (H) (Anaes.) (Assist.)
MBS Fee
$935.85
DVA Fee
$912.15
Category
Category 3 — Therapeutic Procedures
Description
VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for (Anaes.)
MBS Fee
$1407.50
DVA Fee
$1371.85
Category
Category 3 — Therapeutic Procedures
Description
Alveolar cleft (congenital), unilateral, bone grafting of, including local flap closure of associated oro-nasal fistulae and ridge augmentation, other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.)
MBS Fee
$1531.35
DVA Fee
$1492.55
Category
Category 3 — Therapeutic Procedures
Description
Face, contour restoration of one region, for the correction of deformity using autogenous bone or cartilage, if the deformity:(a) is secondary to congenital absence of tissue; or(b) has arisen from:(i) trauma (other than from previous cosmetic surgery); or(ii) a diagnosed pathological process;other than a service associated with a service to which item 45644 or 45717 (alveolar bone grafting) applies (H) (Anaes.) (Assist.)
MBS Fee
$896.05
DVA Fee
$873.35
Category
Category 3 — Therapeutic Procedures
Description
Genioplasty, including transposition of nerves and vessels and bone grafts taken from the same site, if: (a) the deformity: (i) is secondary to congenital absence of tissue; or(ii) is the result of a diagnosed craniofacial disorder; or(iii) has arisen from trauma (other than from previous cosmetic surgery) or a diagnosed pathological process; and (b) for a craniofacial disorder—evidence of diagnosis of the disorder is documented in the patient notes; and (c) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes (H) (Anaes.) (Assist.)
MBS Fee
$3006.20
DVA Fee
$2930.00
Category
Category 3 — Therapeutic Procedures
Description
Hypertelorism, correction of, using intracranial approach (H) (Anaes.) (Assist.)
MBS Fee
$2098.65
DVA Fee
$2045.45
Category
Category 3 — Therapeutic Procedures
Description
Syndromic orbital dystopia, such as Treacher Collins Syndrome, bilateral facial or periorbital reconstruction, with bone grafts from a distant site (H) (Anaes.) (Assist.)
MBS Fee
$2098.65
DVA Fee
$2045.45
Category
Category 3 — Therapeutic Procedures
Description
ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, intracranial (Anaes.) (Assist.)
MBS Fee
$1542.95
DVA Fee
$1503.85
Category
Category 3 — Therapeutic Procedures
Description
ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, extracranial (Anaes.) (Assist.)
MBS Fee
$1179.70
DVA Fee
$1149.80
Category
Category 3 — Therapeutic Procedures
Description
Fronto-orbital advancement (H) (Anaes.) (Assist.)
MBS Fee
$1996.55
DVA Fee
$1945.95
Category
Category 3 — Therapeutic Procedures
Description
Cranial vault reconstruction for single suture synostosis (H) (Anaes.) (Assist.)
MBS Fee
$1973.85
DVA Fee
$1923.85
Category
Category 3 — Therapeutic Procedures
Description
Glenoid fossa, construction of, from bone and cartilage graft, and creation of condyle and ascending ramus of mandible, in hemifacial microsomia, not including harvesting of graft material (H) (Anaes.) (Assist.)
MBS Fee
$1066.25
DVA Fee
$1039.25
Category
Category 3 — Therapeutic Procedures
Description
Absent condyle and ascending ramus in craniofacial microsomia, construction of, not including harvesting of graft material (H) (Anaes.) (Assist.)
MBS Fee
$603.15
DVA Fee
$587.85
Category
Category 3 — Therapeutic Procedures
Description
Osseo‑integration procedure, first stage, implantation of fixture, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.)
MBS Fee
$223.25
DVA Fee
$217.60
Category
Category 3 — Therapeutic Procedures
Description
Osseo‑integration procedure, second stage, fixation of transcutaneous abutment, following congenital absence, tumour or trauma, other than a service associated with a service to which item 41603 applies (Anaes.)
MBS Fee
$161.55
DVA Fee
$157.45
Category
Category 3 — Therapeutic Procedures
Description
Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), in the oral cavity, removal from mucosa or submucosal tissues, if the removal is by surgical excision and suture (Anaes.)
MBS Fee
$295.10
DVA Fee
$287.60
Category
Category 3 — Therapeutic Procedures
Description
TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), in the oral and maxillofacial region, removal of, not being a service to which another item in this Subgroup applies, involving muscle, bone, or other deep tissue (Anaes.)
MBS Fee
$444.65
DVA Fee
$433.40
Category
Category 3 — Therapeutic Procedures
Description
Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or if a tumour or cyst has been proven by positive histopathology), in the oral and maxillofacial region, removal of, requiring wide excision, other than a service to which another item in this Subgroup applies (H) (Anaes.) (Assist.)
MBS Fee
$601.15
DVA Fee
$585.90
Category
Category 3 — Therapeutic Procedures
Description
Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H) (Anaes.) (Assist.)
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