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 4201–4250 of 5886 Pg 85/118
Item No. Description MBS Fee DVA Fee
53415
Maxilla, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.)
$521.45 $508.25
Item Number
53415
Fee Comparison
MBS
$521.45
DVA
$508.25
-$13.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$739.75
Full Description
Maxilla, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.)
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53416
Mandible, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.)
$521.45 $508.25
Item Number
53416
Fee Comparison
MBS
$521.45
DVA
$508.25
-$13.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$725.20
Full Description
Mandible, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.)
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53418
Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving a plate (H) (Anaes.) (Assist.)
$677.90 $660.70
Item Number
53418
Fee Comparison
MBS
$677.90
DVA
$660.70
-$17.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1101.70
Full Description
Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving a plate (H) (Anaes.) (Assist.)
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53419
Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving a plate (H) (Anaes.) (Assist.)
$677.90 $660.70
Item Number
53419
Fee Comparison
MBS
$677.90
DVA
$660.70
-$17.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$942.45
Full Description
Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving a plate (H) (Anaes.) (Assist.)
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53422
Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving a plate (H) (Anaes.) (Assist.)
$860.25 $838.45
Item Number
53422
Fee Comparison
MBS
$860.25
DVA
$838.45
-$21.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1286.40
Full Description
Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving a plate (H) (Anaes.) (Assist.)
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53423
Mandible, treatment of fracture of, requiring open reduction and internal fixation involving a plate (H) (Anaes.) (Assist.)
$860.25 $838.45
Item Number
53423
Fee Comparison
MBS
$860.25
DVA
$838.45
-$21.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1401.15
Full Description
Mandible, treatment of fracture of, requiring open reduction and internal fixation involving a plate (H) (Anaes.) (Assist.)
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53424
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving a plate (H) (Anaes.) (Assist.)
$738.00 $719.30
Item Number
53424
Fee Comparison
MBS
$738.00
DVA
$719.30
-$18.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1126.70
Full Description
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving a plate (H) (Anaes.) (Assist.)
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53425
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving a plate (H) (Anaes.) (Assist.)
$738.00 $719.30
Item Number
53425
Fee Comparison
MBS
$738.00
DVA
$719.30
-$18.70 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1116.80
Full Description
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving a plate (H) (Anaes.) (Assist.)
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53427
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of a plate (H) (Anaes.) (Assist.)
$1008.10 $982.55
Item Number
53427
Fee Comparison
MBS
$1008.10
DVA
$982.55
-$25.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1401.35
Full Description
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of a plate (H) (Anaes.) (Assist.)
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53429
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of a plate (H) (Anaes.) (Assist.)
$1008.10 $982.55
Item Number
53429
Fee Comparison
MBS
$1008.10
DVA
$982.55
-$25.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$1532.10
Full Description
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of a plate (H) (Anaes.) (Assist.)
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53439
MANDIBLE, treatment of a closed fracture of, involving a joint surface (Anaes.)
$285.85 $278.60
Item Number
53439
Fee Comparison
MBS
$285.85
DVA
$278.60
-$7.25 (-3%)
Additional DVA Rates
RMFS In-Hosp
$397.75
RMFS Out-Hosp
$390.05
Full Description
MANDIBLE, treatment of a closed fracture of, involving a joint surface (Anaes.)
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53453
Orbital cavity, reconstruction of a wall or floor with or without foreign implant (H) (Anaes.) (Assist.)
$578.40 $563.75
Item Number
53453
Fee Comparison
MBS
$578.40
DVA
$563.75
-$14.65 (-3%)
Additional DVA Rates
RMFS In-Hosp
$804.15
Full Description
Orbital cavity, reconstruction of a wall or floor with or without foreign implant (H) (Anaes.) (Assist.)
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53455
Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (H) (Anaes.) (Assist.)
$679.35 $662.15
Item Number
53455
Fee Comparison
MBS
$679.35
DVA
$662.15
-$17.20 (-3%)
Additional DVA Rates
RMFS In-Hosp
$944.60
Full Description
Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (H) (Anaes.) (Assist.)
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53458
NASAL BONES, treatment of fracture of, not being a service to which item 53459 or 53460 applies
$51.55 $50.25
Item Number
53458
Fee Comparison
MBS
$51.55
DVA
$50.25
-$1.30 (-3%)
Additional DVA Rates
RMFS In-Hosp
$71.70
RMFS Out-Hosp
$70.35
Full Description
NASAL BONES, treatment of fracture of, not being a service to which item 53459 or 53460 applies
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53459
NASAL BONES, treatment of fracture of, by reduction (Anaes.)
$281.85 $274.70
Item Number
53459
Fee Comparison
MBS
$281.85
DVA
$274.70
-$7.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$364.45
RMFS Out-Hosp
$384.60
Full Description
NASAL BONES, treatment of fracture of, by reduction (Anaes.)
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53460
Nasal bones, treatment of fractures of, by open reduction involving osteotomies (H) (Anaes.) (Assist.)
$574.95 $560.40
Item Number
53460
Fee Comparison
MBS
$574.95
DVA
$560.40
-$14.55 (-3%)
Additional DVA Rates
RMFS In-Hosp
$799.35
Full Description
Nasal bones, treatment of fractures of, by open reduction involving osteotomies (H) (Anaes.) (Assist.)
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53700
(Note. Where an anaesthetic combines a regional nerve block with a general anaesthetic for an operative procedure, benefits will be paid only under the anaesthetic item relevant to the operation. The items in this Group are to be used in the practice of oral and maxillofacial surgery and are not to be used for dental procedures (eg. restorative dentistry or dental extraction.)) TRIGEMINAL NERVE, primary division of, injection of an anaesthetic agent
$149.45 $145.65
Item Number
53700
Fee Comparison
MBS
$149.45
DVA
$145.65
-$3.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$253.10
RMFS Out-Hosp
$203.95
Full Description
(Note. Where an anaesthetic combines a regional nerve block with a general anaesthetic for an operative procedure, benefits will be paid only under the anaesthetic item relevant to the operation. The items in this Group are to be used in the practice of oral and maxillofacial surgery and are not to be used for dental procedures (eg. restorative dentistry or dental extraction.)) TRIGEMINAL NERVE, primary division of, injection of an anaesthetic agent
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53702
TRIGEMINAL NERVE, peripheral branch of, injection of an anaesthetic agent
$74.85 $72.95
Item Number
53702
Fee Comparison
MBS
$74.85
DVA
$72.95
-$1.90 (-3%)
Additional DVA Rates
RMFS In-Hosp
$112.05
RMFS Out-Hosp
$102.15
Full Description
TRIGEMINAL NERVE, peripheral branch of, injection of an anaesthetic agent
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53704
FACIAL NERVE, injection of an anaesthetic agent
$45.10 $43.95
Item Number
53704
Fee Comparison
MBS
$45.10
DVA
$43.95
-$1.15 (-3%)
Additional DVA Rates
RMFS In-Hosp
$67.65
RMFS Out-Hosp
$61.55
Full Description
FACIAL NERVE, injection of an anaesthetic agent
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53706
NERVE BRANCH, destruction by a neurolytic agent, not being a service to which any other item in this Group applies
$149.45 $145.65
Item Number
53706
Fee Comparison
MBS
$149.45
DVA
$145.65
-$3.80 (-3%)
Additional DVA Rates
RMFS In-Hosp
$223.75
RMFS Out-Hosp
$203.95
Full Description
NERVE BRANCH, destruction by a neurolytic agent, not being a service to which any other item in this Group applies
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54001
Video attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner
$102.35 $99.75
Item Number
54001
Fee Comparison
MBS
$102.35
DVA
$99.75
-$2.60 (-3%)
Additional DVA Rates
RMFS Out-Hosp
$139.65
Full Description
Video attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner
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54002
Video attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner
$51.50 $50.20
Item Number
54002
Fee Comparison
MBS
$51.50
DVA
$50.20
-$1.30 (-3%)
Additional DVA Rates
RMFS Out-Hosp
$70.30
Full Description
Video attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner
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54004
Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner
$51.50 $50.20
Item Number
54004
Fee Comparison
MBS
$51.50
DVA
$50.20
-$1.30 (-3%)
Additional DVA Rates
RMFS Out-Hosp
$70.30
Full Description
Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner
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55028
Head, ultrasound scan of (R)
$128.60 $125.35
Item Number
55028
Fee Comparison
MBS
$128.60
DVA
$125.35
-$3.25 (-3%)
Additional DVA Rates
DI Fee
$125.35
Full Description
Head, ultrasound scan of (R)
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55029
Head, ultrasound scan of (NR)
$44.55 $43.40
Item Number
55029
Fee Comparison
MBS
$44.55
DVA
$43.40
-$1.15 (-3%)
Additional DVA Rates
DI Fee
$43.40
Full Description
Head, ultrasound scan of (NR)
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55030
Orbital contents, ultrasound scan of (R)
$128.60 $125.35
Item Number
55030
Fee Comparison
MBS
$128.60
DVA
$125.35
-$3.25 (-3%)
Additional DVA Rates
DI Fee
$125.35
Full Description
Orbital contents, ultrasound scan of (R)
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55031
Orbital contents, ultrasound scan of (NR)
$44.55 $43.40
Item Number
55031
Fee Comparison
MBS
$44.55
DVA
$43.40
-$1.15 (-3%)
Additional DVA Rates
DI Fee
$43.40
Full Description
Orbital contents, ultrasound scan of (NR)
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55032
Neck, one or more structures of, ultrasound scan of (R)
$128.60 $125.35
Item Number
55032
Fee Comparison
MBS
$128.60
DVA
$125.35
-$3.25 (-3%)
Additional DVA Rates
DI Fee
$125.35
Full Description
Neck, one or more structures of, ultrasound scan of (R)
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55033
Neck, one or more structures of, ultrasound scan of (NR)
$44.55 $43.40
Item Number
55033
Fee Comparison
MBS
$44.55
DVA
$43.40
-$1.15 (-3%)
Additional DVA Rates
DI Fee
$43.40
Full Description
Neck, one or more structures of, ultrasound scan of (NR)
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55036
Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra; and(b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R)
$131.00 $127.70
Item Number
55036
Fee Comparison
MBS
$131.00
DVA
$127.70
-$3.30 (-3%)
Additional DVA Rates
DI Fee
$127.70
Full Description
Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra; and(b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R)
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55037
Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR)
$44.55 $43.40
Item Number
55037
Fee Comparison
MBS
$44.55
DVA
$43.40
-$1.15 (-3%)
Additional DVA Rates
DI Fee
$43.40
Full Description
Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR)
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55038
Urinary tract, ultrasound scan of, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following: (i) prostate gland; (ii) bladder base; (iii) urethra; and (b) within 24 hours of the service, a service mentioned in item 55036 or 55065 is not performed on the same patient by the providing practitioner (R)
$128.60 $125.35
Item Number
55038
Fee Comparison
MBS
$128.60
DVA
$125.35
-$3.25 (-3%)
Additional DVA Rates
DI Fee
$125.35
Full Description
Urinary tract, ultrasound scan of, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following: (i) prostate gland; (ii) bladder base; (iii) urethra; and (b) within 24 hours of the service, a service mentioned in item 55036 or 55065 is not performed on the same patient by the providing practitioner (R)
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55039
Urinary tract, ultrasound scan of, if the service is not solely a transrectal ultrasonic examination of any of the following: (a) prostate gland; (b) bladder base; (c) urethra (NR)
$44.55 $43.40
Item Number
55039
Fee Comparison
MBS
$44.55
DVA
$43.40
-$1.15 (-3%)
Additional DVA Rates
DI Fee
$43.40
Full Description
Urinary tract, ultrasound scan of, if the service is not solely a transrectal ultrasonic examination of any of the following: (a) prostate gland; (b) bladder base; (c) urethra (NR)
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55048
Scrotum, ultrasound scan of (R)
$129.00 $125.75
Item Number
55048
Fee Comparison
MBS
$129.00
DVA
$125.75
-$3.25 (-3%)
Additional DVA Rates
DI Fee
$125.75
Full Description
Scrotum, ultrasound scan of (R)
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55049
Scrotum, ultrasound scan of (NR)
$44.55 $43.40
Item Number
55049
Fee Comparison
MBS
$44.55
DVA
$43.40
-$1.15 (-3%)
Additional DVA Rates
DI Fee
$43.40
Full Description
Scrotum, ultrasound scan of (NR)
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55054
Ultrasonic cross-sectional echography, in conjunction with a surgical procedure (other than a procedure to which item 55848 or 55850 applies) using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R)
$128.60 $125.35
Item Number
55054
Fee Comparison
MBS
$128.60
DVA
$125.35
-$3.25 (-3%)
Additional DVA Rates
DI Fee
$125.35
Full Description
Ultrasonic cross-sectional echography, in conjunction with a surgical procedure (other than a procedure to which item 55848 or 55850 applies) using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R)
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55065
Pelvis, ultrasound scan of, by any or all approaches, if:(a) the service is not solely a service to which an item (other than item 55736 or 55739) in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following: prostate gland; bladder base; urethra; and (b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R)
$115.80 $112.85
Item Number
55065
Fee Comparison
MBS
$115.80
DVA
$112.85
-$2.95 (-3%)
Additional DVA Rates
DI Fee
$112.85
Full Description
Pelvis, ultrasound scan of, by any or all approaches, if:(a) the service is not solely a service to which an item (other than item 55736 or 55739) in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following: prostate gland; bladder base; urethra; and (b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R)
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55066
Breasts, both, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound-guided breast intervention be performed; and(b) the service is not performed in conjunction with a service to which any other item in this Group applies (other than item 55070, 55071, 55073, 55076, 55079 or 55812) (R)
$257.00 $250.50
Item Number
55066
Fee Comparison
MBS
$257.00
DVA
$250.50
-$6.50 (-3%)
Additional DVA Rates
DI Fee
$250.50
Full Description
Breasts, both, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound-guided breast intervention be performed; and(b) the service is not performed in conjunction with a service to which any other item in this Group applies (other than item 55070, 55071, 55073, 55076, 55079 or 55812) (R)
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55068
Pelvis, ultrasound scan of, by any or all approaches, if the service is not solely a service to which an item (other than item 55736 or 55739) in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR)
$41.15 $40.10
Item Number
55068
Fee Comparison
MBS
$41.15
DVA
$40.10
-$1.05 (-3%)
Additional DVA Rates
DI Fee
$40.10
Full Description
Pelvis, ultrasound scan of, by any or all approaches, if the service is not solely a service to which an item (other than item 55736 or 55739) in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR)
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55070
Breast, one, ultrasound scan of (R)
$115.80 $112.85
Item Number
55070
Fee Comparison
MBS
$115.80
DVA
$112.85
-$2.95 (-3%)
Additional DVA Rates
DI Fee
$112.85
Full Description
Breast, one, ultrasound scan of (R)
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55071
Breast, one, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound-guided breast intervention be performed; and(b) the service is not performed in conjunction with a service to which any other item in this Group applies (other than item 55066, 55070, 55073, 55076, 55079 or 55812) (R)
$244.25 $238.05
Item Number
55071
Fee Comparison
MBS
$244.25
DVA
$238.05
-$6.20 (-3%)
Additional DVA Rates
DI Fee
$238.05
Full Description
Breast, one, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound-guided breast intervention be performed; and(b) the service is not performed in conjunction with a service to which any other item in this Group applies (other than item 55066, 55070, 55073, 55076, 55079 or 55812) (R)
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55073
Breast, one, ultrasound scan of (NR)
$40.05 $39.05
Item Number
55073
Fee Comparison
MBS
$40.05
DVA
$39.05
-$1.00 (-2%)
Additional DVA Rates
DI Fee
$39.05
Full Description
Breast, one, ultrasound scan of (NR)
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55076
Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (R)
$128.60 $125.35
Item Number
55076
Fee Comparison
MBS
$128.60
DVA
$125.35
-$3.25 (-3%)
Additional DVA Rates
DI Fee
$125.35
Full Description
Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (R)
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55079
Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (NR)
$44.55 $43.40
Item Number
55079
Fee Comparison
MBS
$44.55
DVA
$43.40
-$1.15 (-3%)
Additional DVA Rates
DI Fee
$43.40
Full Description
Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (NR)
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55080
Pelvis, ultrasound scan of, by any or all approaches (including transvaginal), if: (a) the patient is known to have, or the requesting practitioner suspects, a complex gynaecological condition; and (b) the service is considered a complex investigation requiring a minimum of 30 minutes scanning time; and (c) within 24 hours of the service, a service mentioned in item 55038, 55065, 55700, 55704, 55736, or 55739 is not performed on the same patient. (R)
$261.65 $255.00
Item Number
55080
Fee Comparison
MBS
$261.65
DVA
$255.00
-$6.65 (-3%)
Additional DVA Rates
DI Fee
$255.00
Full Description
Pelvis, ultrasound scan of, by any or all approaches (including transvaginal), if: (a) the patient is known to have, or the requesting practitioner suspects, a complex gynaecological condition; and (b) the service is considered a complex investigation requiring a minimum of 30 minutes scanning time; and (c) within 24 hours of the service, a service mentioned in item 55038, 55065, 55700, 55704, 55736, or 55739 is not performed on the same patient. (R)
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55084
Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55036, 55038, 55065, 55600 or 55603 is not performed on the same patient by the providing practitioner (R)
$115.80 $112.85
Item Number
55084
Fee Comparison
MBS
$115.80
DVA
$112.85
-$2.95 (-3%)
Additional DVA Rates
DI Fee
$112.85
Full Description
Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55036, 55038, 55065, 55600 or 55603 is not performed on the same patient by the providing practitioner (R)
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55085
Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55037, 55039, 55068, 55600 or 55603 is not performed on the same patient by the providing practitioner (NR)
$40.05 $39.05
Item Number
55085
Fee Comparison
MBS
$40.05
DVA
$39.05
-$1.00 (-2%)
Additional DVA Rates
DI Fee
$39.05
Full Description
Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55037, 55039, 55068, 55600 or 55603 is not performed on the same patient by the providing practitioner (NR)
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55118
Heart, two‑dimensional or three‑dimensional real time transoesophageal examination of, from at least 2 levels, and in more than one plane at each level, if: (a) the service includes: (i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and (ii) recordings on digital media; and (b) the service is not: (i) an intra‑operative service; or (ii) a service associated with a service to which an item in Subgroup 3 of this Group applies (R) (H) (Anaes.)
$324.50 $316.30
Item Number
55118
Fee Comparison
MBS
$324.50
DVA
$316.30
-$8.20 (-3%)
Additional DVA Rates
DI Fee
$316.30
Full Description
Heart, two‑dimensional or three‑dimensional real time transoesophageal examination of, from at least 2 levels, and in more than one plane at each level, if: (a) the service includes: (i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and (ii) recordings on digital media; and (b) the service is not: (i) an intra‑operative service; or (ii) a service associated with a service to which an item in Subgroup 3 of this Group applies (R) (H) (Anaes.)
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55126
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Initial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of any of the following: (i) symptoms or signs of cardiac failure; (ii) suspected or known ventricular hypertrophy or dysfunction; (iii) pulmonary hypertension; (iv) valvular, aortic, pericardial, thrombotic or embolic disease; (v) heart tumour; (vi) symptoms or signs of congenital heart disease; (vii) other rare indications; and (b) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R)
$271.80 $264.90
Item Number
55126
Fee Comparison
MBS
$271.80
DVA
$264.90
-$6.90 (-3%)
Additional DVA Rates
DI Fee
$264.90
Full Description
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Initial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of any of the following: (i) symptoms or signs of cardiac failure; (ii) suspected or known ventricular hypertrophy or dysfunction; (iii) pulmonary hypertension; (iv) valvular, aortic, pericardial, thrombotic or embolic disease; (v) heart tumour; (vi) symptoms or signs of congenital heart disease; (vii) other rare indications; and (b) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R)
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55127
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of known valvular dysfunction; and (b) is requested by a specialist or consultant physician; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies (R)
$271.80 $264.90
Item Number
55127
Fee Comparison
MBS
$271.80
DVA
$264.90
-$6.90 (-3%)
Additional DVA Rates
DI Fee
$264.90
Full Description
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of known valvular dysfunction; and (b) is requested by a specialist or consultant physician; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies (R)
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MBS Fee
$521.45
DVA Fee
$508.25
Category
Category 4 — Oral & Maxillofacial Services
Description
Maxilla, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.)
MBS Fee
$521.45
DVA Fee
$508.25
Category
Category 4 — Oral & Maxillofacial Services
Description
Mandible, treatment of fracture of, requiring open reduction (H) (Anaes.) (Assist.)
MBS Fee
$677.90
DVA Fee
$660.70
Category
Category 4 — Oral & Maxillofacial Services
Description
Maxilla, treatment of fracture of, requiring open reduction and internal fixation not involving a plate (H) (Anaes.) (Assist.)
MBS Fee
$677.90
DVA Fee
$660.70
Category
Category 4 — Oral & Maxillofacial Services
Description
Mandible, treatment of fracture of, requiring open reduction and internal fixation not involving a plate (H) (Anaes.) (Assist.)
MBS Fee
$860.25
DVA Fee
$838.45
Category
Category 4 — Oral & Maxillofacial Services
Description
Maxilla, treatment of fracture of, requiring open reduction and internal fixation involving a plate (H) (Anaes.) (Assist.)
MBS Fee
$860.25
DVA Fee
$838.45
Category
Category 4 — Oral & Maxillofacial Services
Description
Mandible, treatment of fracture of, requiring open reduction and internal fixation involving a plate (H) (Anaes.) (Assist.)
MBS Fee
$738.00
DVA Fee
$719.30
Category
Category 4 — Oral & Maxillofacial Services
Description
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving a plate (H) (Anaes.) (Assist.)
MBS Fee
$738.00
DVA Fee
$719.30
Category
Category 4 — Oral & Maxillofacial Services
Description
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction not involving a plate (H) (Anaes.) (Assist.)
MBS Fee
$1008.10
DVA Fee
$982.55
Category
Category 4 — Oral & Maxillofacial Services
Description
Maxilla, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of a plate (H) (Anaes.) (Assist.)
MBS Fee
$1008.10
DVA Fee
$982.55
Category
Category 4 — Oral & Maxillofacial Services
Description
Mandible, treatment of a complicated fracture of, involving viscera, blood vessels or nerves, requiring open reduction involving the use of a plate (H) (Anaes.) (Assist.)
MBS Fee
$285.85
DVA Fee
$278.60
Category
Category 4 — Oral & Maxillofacial Services
Description
MANDIBLE, treatment of a closed fracture of, involving a joint surface (Anaes.)
MBS Fee
$578.40
DVA Fee
$563.75
Category
Category 4 — Oral & Maxillofacial Services
Description
Orbital cavity, reconstruction of a wall or floor with or without foreign implant (H) (Anaes.) (Assist.)
MBS Fee
$679.35
DVA Fee
$662.15
Category
Category 4 — Oral & Maxillofacial Services
Description
Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (H) (Anaes.) (Assist.)
MBS Fee
$51.55
DVA Fee
$50.25
Category
Category 4 — Oral & Maxillofacial Services
Description
NASAL BONES, treatment of fracture of, not being a service to which item 53459 or 53460 applies
MBS Fee
$281.85
DVA Fee
$274.70
Category
Category 4 — Oral & Maxillofacial Services
Description
NASAL BONES, treatment of fracture of, by reduction (Anaes.)
MBS Fee
$574.95
DVA Fee
$560.40
Category
Category 4 — Oral & Maxillofacial Services
Description
Nasal bones, treatment of fractures of, by open reduction involving osteotomies (H) (Anaes.) (Assist.)
MBS Fee
$149.45
DVA Fee
$145.65
Category
Category 4 — Oral & Maxillofacial Services
Description
(Note. Where an anaesthetic combines a regional nerve block with a general anaesthetic for an operative procedure, benefits will be paid only under the anaesthetic item relevant to the operation. The items in this Group are to be used in the practice of oral and maxillofacial surgery and are not to be used for dental procedures (eg. restorative dentistry or dental extraction.)) TRIGEMINAL NERVE, primary division of, injection of an anaesthetic agent
MBS Fee
$74.85
DVA Fee
$72.95
Category
Category 4 — Oral & Maxillofacial Services
Description
TRIGEMINAL NERVE, peripheral branch of, injection of an anaesthetic agent
MBS Fee
$45.10
DVA Fee
$43.95
Category
Category 4 — Oral & Maxillofacial Services
Description
FACIAL NERVE, injection of an anaesthetic agent
MBS Fee
$149.45
DVA Fee
$145.65
Category
Category 4 — Oral & Maxillofacial Services
Description
NERVE BRANCH, destruction by a neurolytic agent, not being a service to which any other item in this Group applies
MBS Fee
$102.35
DVA Fee
$99.75
Category
Category 4 — Oral & Maxillofacial Services
Description
Video attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner in the practice of oral and maxillofacial surgery, if the patient is referred to the approved dental practitioner
MBS Fee
$51.50
DVA Fee
$50.20
Category
Category 4 — Oral & Maxillofacial Services
Description
Video attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner
MBS Fee
$51.50
DVA Fee
$50.20
Category
Category 4 — Oral & Maxillofacial Services
Description
Phone attendance by an approved dental practitioner in the practice of oral and maxillofacial surgery, each attendance after the first in a single course of treatment, if the patient is referred to the approved dental practitioner
MBS Fee
$128.60
DVA Fee
$125.35
Category
Category 5 — Diagnostic Imaging
Description
Head, ultrasound scan of (R)
MBS Fee
$44.55
DVA Fee
$43.40
Category
Category 5 — Diagnostic Imaging
Description
Head, ultrasound scan of (NR)
MBS Fee
$128.60
DVA Fee
$125.35
Category
Category 5 — Diagnostic Imaging
Description
Orbital contents, ultrasound scan of (R)
MBS Fee
$44.55
DVA Fee
$43.40
Category
Category 5 — Diagnostic Imaging
Description
Orbital contents, ultrasound scan of (NR)
MBS Fee
$128.60
DVA Fee
$125.35
Category
Category 5 — Diagnostic Imaging
Description
Neck, one or more structures of, ultrasound scan of (R)
MBS Fee
$44.55
DVA Fee
$43.40
Category
Category 5 — Diagnostic Imaging
Description
Neck, one or more structures of, ultrasound scan of (NR)
MBS Fee
$131.00
DVA Fee
$127.70
Category
Category 5 — Diagnostic Imaging
Description
Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra; and(b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R)
MBS Fee
$44.55
DVA Fee
$43.40
Category
Category 5 — Diagnostic Imaging
Description
Abdomen, ultrasound scan of (including scan of urinary tract when performed), for morphological assessment, if the service is not solely a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR)
MBS Fee
$128.60
DVA Fee
$125.35
Category
Category 5 — Diagnostic Imaging
Description
Urinary tract, ultrasound scan of, if: (a) the service is not solely a transrectal ultrasonic examination of any of the following: (i) prostate gland; (ii) bladder base; (iii) urethra; and (b) within 24 hours of the service, a service mentioned in item 55036 or 55065 is not performed on the same patient by the providing practitioner (R)
MBS Fee
$44.55
DVA Fee
$43.40
Category
Category 5 — Diagnostic Imaging
Description
Urinary tract, ultrasound scan of, if the service is not solely a transrectal ultrasonic examination of any of the following: (a) prostate gland; (b) bladder base; (c) urethra (NR)
MBS Fee
$129.00
DVA Fee
$125.75
Category
Category 5 — Diagnostic Imaging
Description
Scrotum, ultrasound scan of (R)
MBS Fee
$44.55
DVA Fee
$43.40
Category
Category 5 — Diagnostic Imaging
Description
Scrotum, ultrasound scan of (NR)
MBS Fee
$128.60
DVA Fee
$125.35
Category
Category 5 — Diagnostic Imaging
Description
Ultrasonic cross-sectional echography, in conjunction with a surgical procedure (other than a procedure to which item 55848 or 55850 applies) using interventional techniques, not being a service associated with a service to which any other item in this Group applies (R)
MBS Fee
$115.80
DVA Fee
$112.85
Category
Category 5 — Diagnostic Imaging
Description
Pelvis, ultrasound scan of, by any or all approaches, if:(a) the service is not solely a service to which an item (other than item 55736 or 55739) in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following: prostate gland; bladder base; urethra; and (b) within 24 hours of the service, a service mentioned in item 55038 is not performed on the same patient by the providing practitioner (R)
MBS Fee
$257.00
DVA Fee
$250.50
Category
Category 5 — Diagnostic Imaging
Description
Breasts, both, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound-guided breast intervention be performed; and(b) the service is not performed in conjunction with a service to which any other item in this Group applies (other than item 55070, 55071, 55073, 55076, 55079 or 55812) (R)
MBS Fee
$41.15
DVA Fee
$40.10
Category
Category 5 — Diagnostic Imaging
Description
Pelvis, ultrasound scan of, by any or all approaches, if the service is not solely a service to which an item (other than item 55736 or 55739) in Subgroup 5 of this Group applies or a transrectal ultrasonic examination of any of the following:(i) prostate gland;(ii) bladder base;(iii) urethra (NR)
MBS Fee
$115.80
DVA Fee
$112.85
Category
Category 5 — Diagnostic Imaging
Description
Breast, one, ultrasound scan of (R)
MBS Fee
$244.25
DVA Fee
$238.05
Category
Category 5 — Diagnostic Imaging
Description
Breast, one, ultrasound scan, in conjunction with a surgical procedure using interventional techniques, if:(a) the request for the scan indicates that an ultrasound-guided breast intervention be performed; and(b) the service is not performed in conjunction with a service to which any other item in this Group applies (other than item 55066, 55070, 55073, 55076, 55079 or 55812) (R)
MBS Fee
$40.05
DVA Fee
$39.05
Category
Category 5 — Diagnostic Imaging
Description
Breast, one, ultrasound scan of (NR)
MBS Fee
$128.60
DVA Fee
$125.35
Category
Category 5 — Diagnostic Imaging
Description
Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (R)
MBS Fee
$44.55
DVA Fee
$43.40
Category
Category 5 — Diagnostic Imaging
Description
Breasts, both, ultrasound scan of, including an ultrasound scan for post mastectomy surveillance (NR)
MBS Fee
$261.65
DVA Fee
$255.00
Category
Category 5 — Diagnostic Imaging
Description
Pelvis, ultrasound scan of, by any or all approaches (including transvaginal), if: (a) the patient is known to have, or the requesting practitioner suspects, a complex gynaecological condition; and (b) the service is considered a complex investigation requiring a minimum of 30 minutes scanning time; and (c) within 24 hours of the service, a service mentioned in item 55038, 55065, 55700, 55704, 55736, or 55739 is not performed on the same patient. (R)
MBS Fee
$115.80
DVA Fee
$112.85
Category
Category 5 — Diagnostic Imaging
Description
Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55036, 55038, 55065, 55600 or 55603 is not performed on the same patient by the providing practitioner (R)
MBS Fee
$40.05
DVA Fee
$39.05
Category
Category 5 — Diagnostic Imaging
Description
Urinary bladder, ultrasound scan of, by any or all approaches, if within 24 hours of the service, a service mentioned in item 11917, 55037, 55039, 55068, 55600 or 55603 is not performed on the same patient by the providing practitioner (NR)
MBS Fee
$324.50
DVA Fee
$316.30
Category
Category 5 — Diagnostic Imaging
Description
Heart, two‑dimensional or three‑dimensional real time transoesophageal examination of, from at least 2 levels, and in more than one plane at each level, if: (a) the service includes: (i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and (ii) recordings on digital media; and (b) the service is not: (i) an intra‑operative service; or (ii) a service associated with a service to which an item in Subgroup 3 of this Group applies (R) (H) (Anaes.)
MBS Fee
$271.80
DVA Fee
$264.90
Category
Category 5 — Diagnostic Imaging
Description
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Initial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of any of the following: (i) symptoms or signs of cardiac failure; (ii) suspected or known ventricular hypertrophy or dysfunction; (iii) pulmonary hypertension; (iv) valvular, aortic, pericardial, thrombotic or embolic disease; (v) heart tumour; (vi) symptoms or signs of congenital heart disease; (vii) other rare indications; and (b) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies Applicable not more than once in a 24 month period (R)
MBS Fee
$271.80
DVA Fee
$264.90
Category
Category 5 — Diagnostic Imaging
Description
Note: the service only applies if the patient meets the requirements of the descriptor and the requirements of Note: IR.1.2 Repeat serial real time transthoracic echocardiographic examination of the heart with real time colour flow mapping from at least 3 acoustic windows, with recordings on digital media, if the service: (a) is for the investigation of known valvular dysfunction; and (b) is requested by a specialist or consultant physician; and (c) is not associated with a service to which: (i) another item in this Subgroup applies (except items 55137, 55141, 55143, 55145 and 55146); or (ii) an item in Subgroup 2 applies (except items 55118 and 55130); or (iii) an item in Subgroup 3 applies (R)
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