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 3201–3250 of 5886 Pg 65/118
Item No. Description MBS Fee DVA Fee
45813
Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H) (Anaes.) (Assist.)
$703.25 $685.45 ▼
Item Number
45813
Fee Comparison
MBS
$703.25
→
DVA
$685.45
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$978.00
Full Description
Tumour, in the oral and maxillofacial region, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H) (Anaes.) (Assist.)
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45815
Operation on:(a) mandible or maxilla (other than alveolar margins) for chronic osteomyelitis with radiological and laboratory evidence of osteomyelitis; or(b) mandible or maxilla for necrosis of the jaw from any cause including medication or radiation that requires debridement of the alveolar bone or beyond (Anaes.) (Assist.)
$426.55 $415.75 ▼
Item Number
45815
Fee Comparison
MBS
$426.55
→
DVA
$415.75
-$10.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$611.05
RMFS Out-Hosp
$582.05
Full Description
Operation on:(a) mandible or maxilla (other than alveolar margins) for chronic osteomyelitis with radiological and laboratory evidence of osteomyelitis; or(b) mandible or maxilla for necrosis of the jaw from any cause including medication or radiation that requires debridement of the alveolar bone or beyond (Anaes.) (Assist.)
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45823
Arch bars or similar, one or more, that were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia, if the service is undertaken in the operating theatre of a hospital (H) (Anaes.)
$130.35 $127.05 ▼
Item Number
45823
Fee Comparison
MBS
$130.35
→
DVA
$127.05
-$3.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$181.35
Full Description
Arch bars or similar, one or more, that were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia, if the service is undertaken in the operating theatre of a hospital (H) (Anaes.)
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45825
MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.)
$405.00 $394.75 ▼
Item Number
45825
Fee Comparison
MBS
$405.00
→
DVA
$394.75
-$10.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$545.25
RMFS Out-Hosp
$552.65
Full Description
MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.)
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45827
Mylohyoid ridge, reduction of (H) (Anaes.) (Assist.)
$387.05 $377.25 ▼
Item Number
45827
Fee Comparison
MBS
$387.05
→
DVA
$377.25
-$9.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$538.25
Full Description
Mylohyoid ridge, reduction of (H) (Anaes.) (Assist.)
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45829
MAXILLARY TUBEROSITY, reduction of (Anaes.)
$295.30 $287.80 ▼
Item Number
45829
Fee Comparison
MBS
$295.30
→
DVA
$287.80
-$7.50 (-3%)
Additional DVA Rates
RMFS In-Hosp
$410.25
RMFS Out-Hosp
$402.95
Full Description
MAXILLARY TUBEROSITY, reduction of (Anaes.)
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45831
Papillary hyperplasia of the palate, surgical reduction of—cannot be claimed more than once per occasion of service (H) (Anaes.) (Assist.)
$387.05 $377.25 ▼
Item Number
45831
Fee Comparison
MBS
$387.05
→
DVA
$377.25
-$9.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$466.65
Full Description
Papillary hyperplasia of the palate, surgical reduction of—cannot be claimed more than once per occasion of service (H) (Anaes.) (Assist.)
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45837
VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.)
$702.00 $684.20 ▼
Item Number
45837
Fee Comparison
MBS
$702.00
→
DVA
$684.20
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1271.40
RMFS Out-Hosp
$957.90
Full Description
VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.)
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45841
ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.)
$566.95 $552.60 ▼
Item Number
45841
Fee Comparison
MBS
$566.95
→
DVA
$552.60
-$14.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$789.55
RMFS Out-Hosp
$773.65
Full Description
ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.)
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45845
Osseo-integration procedure, intra-oral implantation of titanium or similar fixture to facilitate restoration of the dentition following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.)
$603.15 $587.85 ▼
Item Number
45845
Fee Comparison
MBS
$603.15
→
DVA
$587.85
-$15.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$838.55
RMFS Out-Hosp
$823.00
Full Description
Osseo-integration procedure, intra-oral implantation of titanium or similar fixture to facilitate restoration of the dentition following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.)
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45847
Osseo-integration procedure, fixation of transmucosal abutment to fixtures that are placed following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.)
$223.25 $217.60 ▼
Item Number
45847
Fee Comparison
MBS
$223.25
→
DVA
$217.60
-$5.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$310.65
RMFS Out-Hosp
$304.65
Full Description
Osseo-integration procedure, fixation of transmucosal abutment to fixtures that are placed following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.)
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45849
Maxillary sinus, allograft, bone graft or both, to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (H) (Anaes.) (Assist.)
$695.30 $677.70 ▼
Item Number
45849
Fee Comparison
MBS
$695.30
→
DVA
$677.70
-$17.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$966.40
Full Description
Maxillary sinus, allograft, bone graft or both, to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (H) (Anaes.) (Assist.)
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45851
Temporomandibular joint, manipulation of, as an independent procedure performed in the operating theatre of a hospital, other than a service associated with a service to which any other item in this Group applies (H) (Anaes.)
$171.20 $166.85 ▼
Item Number
45851
Fee Comparison
MBS
$171.20
→
DVA
$166.85
-$4.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$238.10
Full Description
Temporomandibular joint, manipulation of, as an independent procedure performed in the operating theatre of a hospital, other than a service associated with a service to which any other item in this Group applies (H) (Anaes.)
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45855
Temporomandibular joint, arthroscopy of, with or without biopsy, other than a service associated with another arthroscopic procedure of that joint (H) (Anaes.) (Assist.)
$347.75 $338.95 ▼
Item Number
45855
Fee Comparison
MBS
$347.75
→
DVA
$338.95
-$8.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$483.45
Full Description
Temporomandibular joint, arthroscopy of, with or without biopsy, other than a service associated with another arthroscopic procedure of that joint (H) (Anaes.) (Assist.)
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45857
Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or lysis and lavage or biopsy (including repositioning of meniscus where indicated)—one or more such procedures of that joint, other than a service associated with any other arthroscopic or open procedure of the temporomandibular joint (H) (Anaes.) (Assist.)
$782.60 $762.75 ▼
Item Number
45857
Fee Comparison
MBS
$782.60
→
DVA
$762.75
-$19.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1086.80
Full Description
Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or lysis and lavage or biopsy (including repositioning of meniscus where indicated)—one or more such procedures of that joint, other than a service associated with any other arthroscopic or open procedure of the temporomandibular joint (H) (Anaes.) (Assist.)
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45865
ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.)
$347.75 $338.95 ▼
Item Number
45865
Fee Comparison
MBS
$347.75
→
DVA
$338.95
-$8.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$483.50
RMFS Out-Hosp
$474.55
Full Description
ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.)
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45871
Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (H) (Anaes.) (Assist.)
$1602.00 $1561.40 ▼
Item Number
45871
Fee Comparison
MBS
$1602.00
→
DVA
$1561.40
-$40.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2226.85
Full Description
Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (H) (Anaes.) (Assist.)
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45873
Temporomandibular joint, surgery of, involving procedures to which item 45871 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (H) (Anaes.) (Assist.)
$1800.15 $1754.55 ▼
Item Number
45873
Fee Comparison
MBS
$1800.15
→
DVA
$1754.55
-$45.60 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2502.25
Full Description
Temporomandibular joint, surgery of, involving procedures to which item 45871 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (H) (Anaes.) (Assist.)
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45874
Temporomandibular joint, including condylar head and glenoid fossa, total alloplastic replacement (H) (Anaes.) (Assist.)
$1577.30 $1537.35 ▼
Item Number
45874
Fee Comparison
MBS
$1577.30
→
DVA
$1537.35
-$39.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2152.40
Full Description
Temporomandibular joint, including condylar head and glenoid fossa, total alloplastic replacement (H) (Anaes.) (Assist.)
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45882
The treatment of a premalignant lesion of the oral mucosa by a treatment using cryotherapy, diathermy or carbon dioxide laser.
$51.50 $50.20 ▼
Item Number
45882
Fee Comparison
MBS
$51.50
→
DVA
$50.20
-$1.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$71.70
RMFS Out-Hosp
$70.30
Full Description
The treatment of a premalignant lesion of the oral mucosa by a treatment using cryotherapy, diathermy or carbon dioxide laser.
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45888
Removal of a deep foreign body using interventional imaging techniques (H) (Anaes.) (Assist.)
$495.00 $482.45 ▼
Item Number
45888
Fee Comparison
MBS
$495.00
→
DVA
$482.45
-$12.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$687.75
Full Description
Removal of a deep foreign body using interventional imaging techniques (H) (Anaes.) (Assist.)
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45891
Repair to one defect using temporalis muscle by a single stage local flap (Anaes.) (Assist.)
$721.10 $702.85 ▼
Item Number
45891
Fee Comparison
MBS
$721.10
→
DVA
$702.85
-$18.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1001.80
RMFS Out-Hosp
$984.00
Full Description
Repair to one defect using temporalis muscle by a single stage local flap (Anaes.) (Assist.)
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45894
Grafting (mucosa or split skin), in the oral cavity of a mucosal defect (Anaes.)
$245.00 $238.80 ▼
Item Number
45894
Fee Comparison
MBS
$245.00
→
DVA
$238.80
-$6.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$340.60
RMFS Out-Hosp
$334.35
Full Description
Grafting (mucosa or split skin), in the oral cavity of a mucosal defect (Anaes.)
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45939
Cryosurgery of the peripheral branches of the trigeminal nerve for pain relief (H) (Anaes.) (Assist.)
$535.05 $521.50 ▼
Item Number
45939
Fee Comparison
MBS
$535.05
→
DVA
$521.50
-$13.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$743.60
Full Description
Cryosurgery of the peripheral branches of the trigeminal nerve for pain relief (H) (Anaes.) (Assist.)
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46050
Perforator flap, raising on a named source vessel, for pedicled transfer for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.)
$941.45 $917.60 ▼
Item Number
46050
Fee Comparison
MBS
$941.45
→
DVA
$917.60
-$23.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1284.75
Full Description
Perforator flap, raising on a named source vessel, for pedicled transfer for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.)
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46052
Perforator Flap, such as anterolateral thigh flap or similar, raising in preparation for microsurgical transfer of a free flap for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.)
$297.15 $289.60 ▼
Item Number
46052
Fee Comparison
MBS
$297.15
→
DVA
$289.60
-$7.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$405.60
Full Description
Perforator Flap, such as anterolateral thigh flap or similar, raising in preparation for microsurgical transfer of a free flap for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.)
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46060
Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesSingle surgeon (H) (Anaes.) (Assist.)
$3186.20 $3105.45 ▼
Item Number
46060
Fee Comparison
MBS
$3186.20
→
DVA
$3105.45
-$80.75 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4347.65
Full Description
Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesSingle surgeon (H) (Anaes.) (Assist.)
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46062
Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
$3047.70 $2970.45 ▼
Item Number
46062
Fee Comparison
MBS
$3047.70
→
DVA
$2970.45
-$77.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4158.75
Full Description
Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
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46064
Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
$2285.90 $2227.95 ▼
Item Number
46064
Fee Comparison
MBS
$2285.90
→
DVA
$2227.95
-$57.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3119.25
Full Description
Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
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46066
Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
$4571.50 $4455.65 ▼
Item Number
46066
Fee Comparison
MBS
$4571.50
→
DVA
$4455.65
-$115.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$6238.05
Full Description
Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
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46068
Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
$3428.85 $3341.95 ▼
Item Number
46068
Fee Comparison
MBS
$3428.85
→
DVA
$3341.95
-$86.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4678.85
Full Description
Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
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46070
Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation, including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
$4571.50 $4455.65 ▼
Item Number
46070
Fee Comparison
MBS
$4571.50
→
DVA
$4455.65
-$115.85 (-3%)
Additional DVA Rates
RMFS In-Hosp
$6238.05
Full Description
Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation, including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
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46072
Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
$3428.85 $3341.95 ▼
Item Number
46072
Fee Comparison
MBS
$3428.85
→
DVA
$3341.95
-$86.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4678.85
Full Description
Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
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46080
Post-mastectomy breast reconstruction, autologous, single surgeon (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.)
$3515.20 $3426.10 ▼
Item Number
46080
Fee Comparison
MBS
$3515.20
→
DVA
$3426.10
-$89.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4796.65
Full Description
Post-mastectomy breast reconstruction, autologous, single surgeon (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.)
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46082
Post-mastectomy breast reconstruction, autologous, single surgeon (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.)
$6151.55 $5995.65 ▼
Item Number
46082
Fee Comparison
MBS
$6151.55
→
DVA
$5995.65
-$155.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$8394.05
Full Description
Post-mastectomy breast reconstruction, autologous, single surgeon (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.)
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46084
Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
$3047.70 $2970.45 ▼
Item Number
46084
Fee Comparison
MBS
$3047.70
→
DVA
$2970.45
-$77.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$4158.75
Full Description
Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
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46086
Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
$2285.90 $2227.95 ▼
Item Number
46086
Fee Comparison
MBS
$2285.90
→
DVA
$2227.95
-$57.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3119.25
Full Description
Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
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46088
Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
$5333.40 $5198.25 ▼
Item Number
46088
Fee Comparison
MBS
$5333.40
→
DVA
$5198.25
-$135.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$7277.65
Full Description
Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
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46090
Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
$4000.20 $3898.85 ▼
Item Number
46090
Fee Comparison
MBS
$4000.20
→
DVA
$3898.85
-$101.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$5458.50
Full Description
Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
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46092
Lower pole coverage of reconstructive breast prosthesis, following mastectomy, using muscle or fascia turnover flap or autologous dermal flaps, if the service is performed in combination with a service to which item 31522, 31523, 31528, 31529, 45527, 45539 or 45542 applies (H) (Anaes.) (Assist.)
$485.95 $473.65 ▼
Item Number
46092
Fee Comparison
MBS
$485.95
→
DVA
$473.65
-$12.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$663.25
Full Description
Lower pole coverage of reconstructive breast prosthesis, following mastectomy, using muscle or fascia turnover flap or autologous dermal flaps, if the service is performed in combination with a service to which item 31522, 31523, 31528, 31529, 45527, 45539 or 45542 applies (H) (Anaes.) (Assist.)
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46094
Lower pole coverage or complete implant coverage of reconstructive breast prosthesis, following mastectomy, using allograft or synthetic products (H) (Anaes.) (Assist.)
$359.05 $349.95 ▼
Item Number
46094
Fee Comparison
MBS
$359.05
→
DVA
$349.95
-$9.10 (-3%)
Additional DVA Rates
RMFS In-Hosp
$490.00
Full Description
Lower pole coverage or complete implant coverage of reconstructive breast prosthesis, following mastectomy, using allograft or synthetic products (H) (Anaes.) (Assist.)
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46100
Excision of burnt tissue, or definitive burn wound closure, if: (a) the area of burn excised involves more than 1% of hands, face or anterior neck; and(b) the service is performed in conjunction with a service (the co-claimed service) to which any of items 46101 to 46111, 46113 to 46123 and 46125 to 46135 apply; other than a service to which item 46112, 46124 or 46136 applies
— $0.00
Item Number
46100
Fee Comparison
MBS
—
→
DVA
$0.00
Additional DVA Rates
RMFS In-Hosp
$0.00
RMFS Out-Hosp
$0.00
Full Description
Excision of burnt tissue, or definitive burn wound closure, if: (a) the area of burn excised involves more than 1% of hands, face or anterior neck; and(b) the service is performed in conjunction with a service (the co-claimed service) to which any of items 46101 to 46111, 46113 to 46123 and 46125 to 46135 apply; other than a service to which item 46112, 46124 or 46136 applies
Derived Fee Formula
D
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46101
Excision of burnt tissue, if the area of burn excised involves not more than 1% of the total body surface (Anaes.) (Assist.)
$404.00 $393.75 ▼
Item Number
46101
Fee Comparison
MBS
$404.00
→
DVA
$393.75
-$10.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$551.25
RMFS Out-Hosp
$551.25
Full Description
Excision of burnt tissue, if the area of burn excised involves not more than 1% of the total body surface (Anaes.) (Assist.)
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46102
Excision of burnt tissue, if the area of burn excised involves more than 1% but less than 3% of the total body surface (H) (Anaes.) (Assist.)
$641.30 $625.05 ▼
Item Number
46102
Fee Comparison
MBS
$641.30
→
DVA
$625.05
-$16.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$875.15
Full Description
Excision of burnt tissue, if the area of burn excised involves more than 1% but less than 3% of the total body surface (H) (Anaes.) (Assist.)
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46103
Excision of burnt tissue, if the area of burn excised involves 3% or more but less than 10% of the total body surface (H) (Anaes.) (Assist.)
$703.35 $685.55 ▼
Item Number
46103
Fee Comparison
MBS
$703.35
→
DVA
$685.55
-$17.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$959.90
Full Description
Excision of burnt tissue, if the area of burn excised involves 3% or more but less than 10% of the total body surface (H) (Anaes.) (Assist.)
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46104
Excision of burnt tissue, if the area of burn excised involves 10% or more but less than 20% of the total body surface, excluding aftercare (H) (Anaes.) (Assist.)
$1073.10 $1045.90 ▼
Item Number
46104
Fee Comparison
MBS
$1073.10
→
DVA
$1045.90
-$27.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1464.40
Full Description
Excision of burnt tissue, if the area of burn excised involves 10% or more but less than 20% of the total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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46105
Excision of burnt tissue, if the area of burn excised involves 20% or more but less than 30% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
$1443.15 $1406.60 ▼
Item Number
46105
Fee Comparison
MBS
$1443.15
→
DVA
$1406.60
-$36.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1969.35
Full Description
Excision of burnt tissue, if the area of burn excised involves 20% or more but less than 30% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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46106
Excision of burnt tissue, if the area of burn excised involves 30% or more but less than 40% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
$1813.90 $1767.95 ▼
Item Number
46106
Fee Comparison
MBS
$1813.90
→
DVA
$1767.95
-$45.95 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2475.20
Full Description
Excision of burnt tissue, if the area of burn excised involves 30% or more but less than 40% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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46107
Excision of burnt tissue, if the area of burn excised involves 40% or more but less than 50% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
$2184.00 $2128.65 ▼
Item Number
46107
Fee Comparison
MBS
$2184.00
→
DVA
$2128.65
-$55.35 (-3%)
Additional DVA Rates
RMFS In-Hosp
$2980.15
Full Description
Excision of burnt tissue, if the area of burn excised involves 40% or more but less than 50% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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46108
Excision of burnt tissue, if the area of burn excised involves 50% or more but less than 60% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
$2553.45 $2488.75 ▼
Item Number
46108
Fee Comparison
MBS
$2553.45
→
DVA
$2488.75
-$64.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$3484.30
Full Description
Excision of burnt tissue, if the area of burn excised involves 50% or more but less than 60% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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MBS Fee
$703.25
DVA Fee
$685.45
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, with skin or mucosal graft (H) (Anaes.) (Assist.)
MBS Fee
$426.55
DVA Fee
$415.75
Category
Category 3 — Therapeutic Procedures
Description
Operation on:(a) mandible or maxilla (other than alveolar margins) for chronic osteomyelitis with radiological and laboratory evidence of osteomyelitis; or(b) mandible or maxilla for necrosis of the jaw from any cause including medication or radiation that requires debridement of the alveolar bone or beyond (Anaes.) (Assist.)
MBS Fee
$130.35
DVA Fee
$127.05
Category
Category 3 — Therapeutic Procedures
Description
Arch bars or similar, one or more, that were inserted for dental fixation purposes to the maxilla or mandible, removal of, requiring general anaesthesia, if the service is undertaken in the operating theatre of a hospital (H) (Anaes.)
MBS Fee
$405.00
DVA Fee
$394.75
Category
Category 3 — Therapeutic Procedures
Description
MANDIBULAR OR PALATAL EXOSTOSIS, excision of (Anaes.) (Assist.)
MBS Fee
$387.05
DVA Fee
$377.25
Category
Category 3 — Therapeutic Procedures
Description
Mylohyoid ridge, reduction of (H) (Anaes.) (Assist.)
MBS Fee
$295.30
DVA Fee
$287.80
Category
Category 3 — Therapeutic Procedures
Description
MAXILLARY TUBEROSITY, reduction of (Anaes.)
MBS Fee
$387.05
DVA Fee
$377.25
Category
Category 3 — Therapeutic Procedures
Description
Papillary hyperplasia of the palate, surgical reduction of—cannot be claimed more than once per occasion of service (H) (Anaes.) (Assist.)
MBS Fee
$702.00
DVA Fee
$684.20
Category
Category 3 — Therapeutic Procedures
Description
VESTIBULOPLASTY, submucosal or open, including excision of muscle and skin or mucosal graft when performed - unilateral or bilateral (Anaes.) (Assist.)
MBS Fee
$566.95
DVA Fee
$552.60
Category
Category 3 — Therapeutic Procedures
Description
ALVEOLAR RIDGE AUGMENTATION with bone or alloplast or both - unilateral (Anaes.) (Assist.)
MBS Fee
$603.15
DVA Fee
$587.85
Category
Category 3 — Therapeutic Procedures
Description
Osseo-integration procedure, intra-oral implantation of titanium or similar fixture to facilitate restoration of the dentition following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.)
MBS Fee
$223.25
DVA Fee
$217.60
Category
Category 3 — Therapeutic Procedures
Description
Osseo-integration procedure, fixation of transmucosal abutment to fixtures that are placed following:(a) resection of part of the maxilla or mandible for a benign or a malignant tumour; or(b) segmental loss from trauma or congenital absence of a segment of the maxilla or mandible (multiple adjacent teeth)Fixture must be placed at site of the missing segment following appropriate reconstructive procedures (Anaes.)
MBS Fee
$695.30
DVA Fee
$677.70
Category
Category 3 — Therapeutic Procedures
Description
Maxillary sinus, allograft, bone graft or both, to floor of maxillary sinus following elevation of mucosal lining (sinus lift procedure), unilateral (H) (Anaes.) (Assist.)
MBS Fee
$171.20
DVA Fee
$166.85
Category
Category 3 — Therapeutic Procedures
Description
Temporomandibular joint, manipulation of, as an independent procedure performed in the operating theatre of a hospital, other than a service associated with a service to which any other item in this Group applies (H) (Anaes.)
MBS Fee
$347.75
DVA Fee
$338.95
Category
Category 3 — Therapeutic Procedures
Description
Temporomandibular joint, arthroscopy of, with or without biopsy, other than a service associated with another arthroscopic procedure of that joint (H) (Anaes.) (Assist.)
MBS Fee
$782.60
DVA Fee
$762.75
Category
Category 3 — Therapeutic Procedures
Description
Temporomandibular joint, arthroscopy of, removal of loose bodies, debridement, or lysis and lavage or biopsy (including repositioning of meniscus where indicated)—one or more such procedures of that joint, other than a service associated with any other arthroscopic or open procedure of the temporomandibular joint (H) (Anaes.) (Assist.)
MBS Fee
$347.75
DVA Fee
$338.95
Category
Category 3 — Therapeutic Procedures
Description
ARTHROCENTESIS, irrigation of temporomandibular joint after insertion of 2 cannuli into the appropriate joint space(s) (Anaes.) (Assist.)
MBS Fee
$1602.00
DVA Fee
$1561.40
Category
Category 3 — Therapeutic Procedures
Description
Temporomandibular joint, open surgical exploration of, with meniscus, capsular and condylar head surgery, with or without microsurgical techniques (H) (Anaes.) (Assist.)
MBS Fee
$1800.15
DVA Fee
$1754.55
Category
Category 3 — Therapeutic Procedures
Description
Temporomandibular joint, surgery of, involving procedures to which item 45871 applies and also involving the use of tissue flaps, or cartilage graft, or allograft implants, with or without microsurgical techniques (H) (Anaes.) (Assist.)
MBS Fee
$1577.30
DVA Fee
$1537.35
Category
Category 3 — Therapeutic Procedures
Description
Temporomandibular joint, including condylar head and glenoid fossa, total alloplastic replacement (H) (Anaes.) (Assist.)
MBS Fee
$51.50
DVA Fee
$50.20
Category
Category 3 — Therapeutic Procedures
Description
The treatment of a premalignant lesion of the oral mucosa by a treatment using cryotherapy, diathermy or carbon dioxide laser.
MBS Fee
$495.00
DVA Fee
$482.45
Category
Category 3 — Therapeutic Procedures
Description
Removal of a deep foreign body using interventional imaging techniques (H) (Anaes.) (Assist.)
MBS Fee
$721.10
DVA Fee
$702.85
Category
Category 3 — Therapeutic Procedures
Description
Repair to one defect using temporalis muscle by a single stage local flap (Anaes.) (Assist.)
MBS Fee
$245.00
DVA Fee
$238.80
Category
Category 3 — Therapeutic Procedures
Description
Grafting (mucosa or split skin), in the oral cavity of a mucosal defect (Anaes.)
MBS Fee
$535.05
DVA Fee
$521.50
Category
Category 3 — Therapeutic Procedures
Description
Cryosurgery of the peripheral branches of the trigeminal nerve for pain relief (H) (Anaes.) (Assist.)
MBS Fee
$941.45
DVA Fee
$917.60
Category
Category 3 — Therapeutic Procedures
Description
Perforator flap, raising on a named source vessel, for pedicled transfer for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.)
MBS Fee
$297.15
DVA Fee
$289.60
Category
Category 3 — Therapeutic Procedures
Description
Perforator Flap, such as anterolateral thigh flap or similar, raising in preparation for microsurgical transfer of a free flap for head or neck or other non-breast reconstruction (H) (Anaes.) (Assist.)
MBS Fee
$3186.20
DVA Fee
$3105.45
Category
Category 3 — Therapeutic Procedures
Description
Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesSingle surgeon (H) (Anaes.) (Assist.)
MBS Fee
$3047.70
DVA Fee
$2970.45
Category
Category 3 — Therapeutic Procedures
Description
Free transfer of tissue with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint 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 with a vascularised bone component (including chimeric/composite flap), for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$4571.50
DVA Fee
$4455.65
Category
Category 3 — Therapeutic Procedures
Description
Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$3428.85
DVA Fee
$3341.95
Category
Category 3 — Therapeutic Procedures
Description
Double free flap, including one free transfer of tissue with a vascularized bone component, for the repair of major defect of the head or neck or other non-breast defect, all necessary elements of the operation, including (but not limited to):(a) anastomoses of all required vessels using microvascular techniques; and(b) harvesting of flap (including osteotomies); and(c) raising of tissue on a vascular pedicle; and(d) preparation of recipient vessels; and(e) transfer of tissue, including fixation of bony element and inset of tissue at recipient site; and(f) direct repair of secondary cutaneous defect, if performed;other than the following:(g) bony reshaping for purposes of reconstruction of maxilla, mandible or skull base;(h) a service associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$4571.50
DVA Fee
$4455.65
Category
Category 3 — Therapeutic Procedures
Description
Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation, including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$3428.85
DVA Fee
$3341.95
Category
Category 3 — Therapeutic Procedures
Description
Double free flap, including 2 free transfers of tissue (reconstructive surgery) for the repair of major tissue defect, involving anastomoses of all required vessels using microvascular techniques, all necessary elements of the operation including (but not limited to):(a) raising each flap of tissue on a separate vascular pedicle; and(b) preparation of recipient vessels; and(c) transfer of tissue; and(d) inset of tissue at recipient site; and(e) direct repair of secondary cutaneous defect, if performed;other than a service:(f) performed in the context of breast reconstruction; or(g) associated with a service to which item 30166, 30169, 30175, 30176, 30177, 30179, 45501, 45502, 45504, 45505 or 45562 appliesConjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$3515.20
DVA Fee
$3426.10
Category
Category 3 — Therapeutic Procedures
Description
Post-mastectomy breast reconstruction, autologous, single surgeon (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.)
MBS Fee
$6151.55
DVA Fee
$5995.65
Category
Category 3 — Therapeutic Procedures
Description
Post-mastectomy breast reconstruction, autologous, single surgeon (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies (H) (Anaes.) (Assist.)
MBS Fee
$3047.70
DVA Fee
$2970.45
Category
Category 3 — Therapeutic Procedures
Description
Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$2285.90
DVA Fee
$2227.95
Category
Category 3 — Therapeutic Procedures
Description
Post-mastectomy breast reconstruction, autologous, conjoint surgery (unilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$5333.40
DVA Fee
$5198.25
Category
Category 3 — Therapeutic Procedures
Description
Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomosis of artery and one or more veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, principal specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$4000.20
DVA Fee
$3898.85
Category
Category 3 — Therapeutic Procedures
Description
Post-mastectomy breast reconstruction, autologous, conjoint surgery (bilateral) using a myocutaneous or perforator flap, by microsurgical transfer:(a) including anastomoses of arteries and veins (including repair of secondary skin defect); but(b) excluding repair of muscular aponeurotic layer;other than a service associated with a service to which item 30166, 30169, 30175, 30177 or 30179 applies—conjoint surgery, conjoint specialist surgeon (H) (Anaes.) (Assist.)
MBS Fee
$485.95
DVA Fee
$473.65
Category
Category 3 — Therapeutic Procedures
Description
Lower pole coverage of reconstructive breast prosthesis, following mastectomy, using muscle or fascia turnover flap or autologous dermal flaps, if the service is performed in combination with a service to which item 31522, 31523, 31528, 31529, 45527, 45539 or 45542 applies (H) (Anaes.) (Assist.)
MBS Fee
$359.05
DVA Fee
$349.95
Category
Category 3 — Therapeutic Procedures
Description
Lower pole coverage or complete implant coverage of reconstructive breast prosthesis, following mastectomy, using allograft or synthetic products (H) (Anaes.) (Assist.)
DVA Fee
$0.00
Category
Category 3 — Therapeutic Procedures
Description
Excision of burnt tissue, or definitive burn wound closure, if: (a) the area of burn excised involves more than 1% of hands, face or anterior neck; and(b) the service is performed in conjunction with a service (the co-claimed service) to which any of items 46101 to 46111, 46113 to 46123 and 46125 to 46135 apply; other than a service to which item 46112, 46124 or 46136 applies
MBS Fee
$404.00
DVA Fee
$393.75
Category
Category 3 — Therapeutic Procedures
Description
Excision of burnt tissue, if the area of burn excised involves not more than 1% of the total body surface (Anaes.) (Assist.)
MBS Fee
$641.30
DVA Fee
$625.05
Category
Category 3 — Therapeutic Procedures
Description
Excision of burnt tissue, if the area of burn excised involves more than 1% but less than 3% of the total body surface (H) (Anaes.) (Assist.)
MBS Fee
$703.35
DVA Fee
$685.55
Category
Category 3 — Therapeutic Procedures
Description
Excision of burnt tissue, if the area of burn excised involves 3% or more but less than 10% of the total body surface (H) (Anaes.) (Assist.)
MBS Fee
$1073.10
DVA Fee
$1045.90
Category
Category 3 — Therapeutic Procedures
Description
Excision of burnt tissue, if the area of burn excised involves 10% or more but less than 20% of the total body surface, excluding aftercare (H) (Anaes.) (Assist.)
MBS Fee
$1443.15
DVA Fee
$1406.60
Category
Category 3 — Therapeutic Procedures
Description
Excision of burnt tissue, if the area of burn excised involves 20% or more but less than 30% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
MBS Fee
$1813.90
DVA Fee
$1767.95
Category
Category 3 — Therapeutic Procedures
Description
Excision of burnt tissue, if the area of burn excised involves 30% or more but less than 40% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
MBS Fee
$2184.00
DVA Fee
$2128.65
Category
Category 3 — Therapeutic Procedures
Description
Excision of burnt tissue, if the area of burn excised involves 40% or more but less than 50% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
MBS Fee
$2553.45
DVA Fee
$2488.75
Category
Category 3 — Therapeutic Procedures
Description
Excision of burnt tissue, if the area of burn excised involves 50% or more but less than 60% of total body surface, excluding aftercare (H) (Anaes.) (Assist.)
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