Billing Codes
Medicare Benefits Schedule — Updated Quarterly

MBS Item Tracker

Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging

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Total Items
6045
MBS item numbers
Showing 5351–5400 of 6045 Pg 108/121
Item No. Description Schedule Fee Status
73837
Microscopy for fungi in skin, hair or nails by a participating nurse practitioner - 1 or more sites
Group P9 		$6.90
Item Number
73837
Schedule Fee
$6.90
Category
Category 6 — Pathology
Group / Subheading
Group P9
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.01.2013
Item from: 01.11.2011
Gov. Change Flags
No changes flagged
Full Description
Microscopy for fungi in skin, hair or nails by a participating nurse practitioner - 1 or more sites
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73839
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period.
Group P9 		$16.80
Item Number
73839
Schedule Fee
$16.80
Category
Category 6 — Pathology
Group / Subheading
Group P9
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.12.2015
Item from: 01.12.2015
Gov. Change Flags
No changes flagged
Full Description
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period.
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73840
Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period
Group P9 		$17.00
Item Number
73840
Schedule Fee
$17.00
Category
Category 6 — Pathology
Group / Subheading
Group P9
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.01.2013
Item from: 01.12.2000
Gov. Change Flags
No changes flagged
Full Description
Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period
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73844
Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.
Group P9 		$20.35
Item Number
73844
Schedule Fee
$20.35
Category
Category 6 — Pathology
Group / Subheading
Group P9
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.01.2013
Item from: 01.01.2006
Gov. Change Flags
No changes flagged
Full Description
Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.
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73899
Initiation of a patient episode that consists of a service described in item 72858 or 72859 in circumstances other than those mentioned in item 73900
Group P10 		$5.95
Item Number
73899
Schedule Fee
$5.95
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2015
Item from: 01.11.2015
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode that consists of a service described in item 72858 or 72859 in circumstances other than those mentioned in item 73900
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73900
Initiation of a patient episode that consists of a service described in item 72858 or 72859 if the service is rendered in a prescribed laboratory.
Group P10 		$2.40
Item Number
73900
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2015
Item from: 01.11.2015
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode that consists of a service described in item 72858 or 72859 if the service is rendered in a prescribed laboratory.
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73920
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre that the APA operates in the same premises as it operates a category GX or GY pathology laboratory
Group P10 		$2.40
Item Number
73920
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.07.2008
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre that the APA operates in the same premises as it operates a category GX or GY pathology laboratory
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73922
Initiation of a patient episode that consists of a service described in item 73070, 73071, 73072, 73074, 73075 or 73076 (in circumstances other than those described in item 73923)
Group P10 		$8.20
Item Number
73922
Schedule Fee
$8.20
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode that consists of a service described in item 73070, 73071, 73072, 73074, 73075 or 73076 (in circumstances other than those described in item 73923)
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73923
Initiation of a patient episode that consists of a service described in items 73070, 73071, 73072, 73074, 73075 or 73076 if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory
Group P10 		$2.40
Item Number
73923
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode that consists of a service described in items 73070, 73071, 73072, 73074, 73075 or 73076 if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory
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73924
Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73925) from a person who is an in-patient of a hospital.
Group P10 		$14.65
Item Number
73924
Schedule Fee
$14.65
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73925) from a person who is an in-patient of a hospital.
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73925
Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 if the person is: (a) a private patient of a recognised hospital; or (b) a private patient of a hospital who receives the service or services from a prescribed laboratory.
Group P10 		$2.40
Item Number
73925
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 if the person is: (a) a private patient of a recognised hospital; or (b) a private patient of a hospital who receives the service or services from a prescribed laboratory.
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73926
Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73927) from a person who is not a patient of a hospital.
Group P10 		$8.20
Item Number
73926
Schedule Fee
$8.20
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73927) from a person who is not a patient of a hospital.
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73927
Initiation of a patient episode by a prescribed laboratory that consists of 1 or more services described in items, 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 from a person who is not a patient of a hospital.
Group P10 		$2.40
Item Number
73927
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by a prescribed laboratory that consists of 1 or more services described in items, 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 from a person who is not a patient of a hospital.
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73928
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre. Unless item 73920 or 73929 applies
Group P10 		$5.95
Item Number
73928
Schedule Fee
$5.95
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre. Unless item 73920 or 73929 applies
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73929
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, if the specimen is collected in an approved pathology collection centre
Group P10 		$2.40
Item Number
73929
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, if the specimen is collected in an approved pathology collection centre
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73930
Initiation of a patient episode by collection of a specimen for a service for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person who is an in-patient of a hospital other than a recognised hospital. Unless item 73931 applies
Group P10 		$5.95
Item Number
73930
Schedule Fee
$5.95
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for a service for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person who is an in-patient of a hospital other than a recognised hospital. Unless item 73931 applies
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73931
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if: () the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, from a person who is a private patient in a hospital or () the person is a private patient in a recognised hospital and the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority
Group P10 		$2.40
Item Number
73931
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if: () the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, from a person who is a private patient in a hospital or () the person is a private patient in a recognised hospital and the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority
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73932
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926, 73927 or 73933) if: (a) the specimen is collected from a person in the place where the person resides; and (b) the place where the person resides is not a care institution or a residential aged care facility; and (c) the specimen is collected by: (i) an approved pathology practitioner of an approved pathology authority; or (ii) an employee of an approved pathology authority.
Group P10 		$10.25
Item Number
73932
Schedule Fee
$10.25
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926, 73927 or 73933) if: (a) the specimen is collected from a person in the place where the person resides; and (b) the place where the person resides is not a care institution or a residential aged care facility; and (c) the specimen is collected by: (i) an approved pathology practitioner of an approved pathology authority; or (ii) an employee of an approved pathology authority.
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73933
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926 or 73927) if: (a) the specimen is collected from a person in the place where the person resides; and (b) the place where the person resides is not a care institution or a residential aged care facility; and (c) the specimen is collected by: (i) an approved pathology practitioner of a prescribed laboratory; or (ii) an employee of an approved pathology authority that operates a prescribed laboratory
Group P10 		$2.40
Item Number
73933
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926 or 73927) if: (a) the specimen is collected from a person in the place where the person resides; and (b) the place where the person resides is not a care institution or a residential aged care facility; and (c) the specimen is collected by: (i) an approved pathology practitioner of a prescribed laboratory; or (ii) an employee of an approved pathology authority that operates a prescribed laboratory
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73934
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926, 73927 or 73935) if: (a) the specimen is collected from a person in a care institution or a residential aged care facility; and (b) the specimen is collected by: (i) an approved pathology practitioner of an approved pathology authority; or (ii) an employee of an approved pathology authority
Group P10 		$17.60
Item Number
73934
Schedule Fee
$17.60
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926, 73927 or 73935) if: (a) the specimen is collected from a person in a care institution or a residential aged care facility; and (b) the specimen is collected by: (i) an approved pathology practitioner of an approved pathology authority; or (ii) an employee of an approved pathology authority
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73935
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926 or 73927) if: (a) the specimen is collected from a person in a care institution or a residential aged care facility; and (b) the specimen is collected by: (i) an approved pathology practitioner of a prescribed laboratory; or (ii) an employee of an approved pathology authority that operates a prescribed laboratory
Group P10 		$2.40
Item Number
73935
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926 or 73927) if: (a) the specimen is collected from a person in a care institution or a residential aged care facility; and (b) the specimen is collected by: (i) an approved pathology practitioner of a prescribed laboratory; or (ii) an employee of an approved pathology authority that operates a prescribed laboratory
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73936
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected from the person by the person.
Group P10 		$5.95
Item Number
73936
Schedule Fee
$5.95
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected from the person by the person.
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73937
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926), if the specimen is collected from the person by the person and if: () the service is performed in a prescribed laboratory or () the person is a private patient in a recognised hospital
Group P10 		$2.40
Item Number
73937
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926), if the specimen is collected from the person by the person and if: () the service is performed in a prescribed laboratory or () the person is a private patient in a recognised hospital
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73938
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by or on behalf of the treating practitioner. Unless item 73939 applies
Group P10 		$7.95
Item Number
73938
Schedule Fee
$7.95
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by or on behalf of the treating practitioner. Unless item 73939 applies
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73939
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926), if the specimen is collected by or on behalf of the treating practitioner and if: () the service is performed in a prescribed laboratory or () the person is a private patient in a recognised hospital
Group P10 		$2.40
Item Number
73939
Schedule Fee
$2.40
Category
Category 6 — Pathology
Group / Subheading
Group P10
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926), if the specimen is collected by or on behalf of the treating practitioner and if: () the service is performed in a prescribed laboratory or () the person is a private patient in a recognised hospital
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73940
Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of another approved pathology authority
Group P11 		$10.25
Item Number
73940
Schedule Fee
$10.25
Category
Category 6 — Pathology
Group / Subheading
Group P11
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.01.2013
Item from: 01.05.2007
Gov. Change Flags
No changes flagged
Full Description
Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of another approved pathology authority
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74990
A pathology service to which an item in this table (other than this item or item 74991, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service
Group P12 		$8.25 ≠ CHANGED
Item Number
74990
Schedule Fee
$8.25
Category
Category 6 — Pathology
Group / Subheading
Group P12
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.02.2004
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this table (other than this item or item 74991, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service
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74991
A pathology service to which an item in this table (other than this item or items 74990, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area.
Group P12 		$12.50 ≠ CHANGED
Item Number
74991
Schedule Fee
$12.50
Category
Category 6 — Pathology
Group / Subheading
Group P12
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2004
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this table (other than this item or items 74990, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area.
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74992
A payment when the episode is bulk billed and includes item 73920.
Group P13 		$1.60
Item Number
74992
Schedule Fee
$1.60
Category
Category 6 — Pathology
Group / Subheading
Group P13
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2009
Item from: 01.11.2009
Gov. Change Flags
No changes flagged
Full Description
A payment when the episode is bulk billed and includes item 73920.
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74993
A payment when the episode is bulk billed and includes item 73922 or 73926.
Group P13 		$3.75
Item Number
74993
Schedule Fee
$3.75
Category
Category 6 — Pathology
Group / Subheading
Group P13
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2009
Item from: 01.11.2009
Gov. Change Flags
No changes flagged
Full Description
A payment when the episode is bulk billed and includes item 73922 or 73926.
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74994
A payment when the episode is bulk billed and includes item 73924.
Group P13 		$3.25
Item Number
74994
Schedule Fee
$3.25
Category
Category 6 — Pathology
Group / Subheading
Group P13
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2009
Item from: 01.11.2009
Gov. Change Flags
No changes flagged
Full Description
A payment when the episode is bulk billed and includes item 73924.
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74995
A payment when the episode is bulk billed and includes item 73899, 73900, 73928, 73930 or 73936.
Group P13 		$4.00
Item Number
74995
Schedule Fee
$4.00
Category
Category 6 — Pathology
Group / Subheading
Group P13
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2009
Item from: 01.11.2009
Gov. Change Flags
No changes flagged
Full Description
A payment when the episode is bulk billed and includes item 73899, 73900, 73928, 73930 or 73936.
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74996
A payment when the episode is bulk billed and includes item 73932 or 73940.
Group P13 		$3.70
Item Number
74996
Schedule Fee
$3.70
Category
Category 6 — Pathology
Group / Subheading
Group P13
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2009
Item from: 01.11.2009
Gov. Change Flags
No changes flagged
Full Description
A payment when the episode is bulk billed and includes item 73932 or 73940.
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74997
A payment when the episode is bulk billed and includes item 73934.
Group P13 		$3.30
Item Number
74997
Schedule Fee
$3.30
Category
Category 6 — Pathology
Group / Subheading
Group P13
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2009
Item from: 01.11.2009
Gov. Change Flags
No changes flagged
Full Description
A payment when the episode is bulk billed and includes item 73934.
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74998
A payment when the episode is bulk billed and includes item 73938.
Group P13 		$2.00
Item Number
74998
Schedule Fee
$2.00
Category
Category 6 — Pathology
Group / Subheading
Group P13
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2009
Item from: 01.11.2009
Gov. Change Flags
No changes flagged
Full Description
A payment when the episode is bulk billed and includes item 73938.
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74999
A payment when the episode is bulk billed and includes item 73923, 73925, 73927, 73929, 73931, 73933, 73935, 73937 or 73939.
Group P13 		$1.60
Item Number
74999
Schedule Fee
$1.60
Category
Category 6 — Pathology
Group / Subheading
Group P13
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.11.2009
Item from: 01.11.2009
Gov. Change Flags
No changes flagged
Full Description
A payment when the episode is bulk billed and includes item 73923, 73925, 73927, 73929, 73931, 73933, 73935, 73937 or 73939.
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75002
Initial professional attendance, in a single course of treatment (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
Group C1 		$102.35 ≠ CHANGED
Item Number
75002
Schedule Fee
$102.35
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Initial professional attendance, in a single course of treatment (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
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75005
Subsequent professional attendance in a single course of treatment (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
Group C1 		$51.50 ≠ CHANGED
Item Number
75005
Schedule Fee
$51.50
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Subsequent professional attendance in a single course of treatment (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
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75007
Production of dental study models (other than a service associated with a service to which item 75002 or 75005 applies) prior to provision of a service to which: (a) item 75030, 75032, 75039, 75045 or 75051 apply; or (b) an item in Group T8 or Groups O3 to O9 apply; or (c) item 52321, 53212 or 75618 apply; or (d) any of items 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 apply; in a single treatment
Group C1 		$91.20 ≠ CHANGED
Item Number
75007
Schedule Fee
$91.20
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Production of dental study models (other than a service associated with a service to which item 75002 or 75005 applies) prior to provision of a service to which: (a) item 75030, 75032, 75039, 75045 or 75051 apply; or (b) an item in Group T8 or Groups O3 to O9 apply; or (c) item 52321, 53212 or 75618 apply; or (d) any of items 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 apply; in a single treatment
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75009
Orthodontic radiography—orthopantomography (panoramic radiography), including any consultation on the same occasion
Group C1 		$81.60 ≠ CHANGED
Item Number
75009
Schedule Fee
$81.60
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Orthodontic radiography—orthopantomography (panoramic radiography), including any consultation on the same occasion
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75010
Orthodontic radiography – anteroposterior or lateral cephalometric radiography, with cephalometric tracings, and orthopantomography, including any consultation on the same occasion
Group C1 		$155.75 ≠ CHANGED
Item Number
75010
Schedule Fee
$155.75
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2025
Gov. Change Flags
Fee ≠
Full Description
Orthodontic radiography – anteroposterior or lateral cephalometric radiography, with cephalometric tracings, and orthopantomography, including any consultation on the same occasion
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75011
Orthodontic radiography – anteroposterior and lateral cephalometric radiography, with cephalometric tracings, and orthopantomography, including any consultation on the same occasion
Group C1 		$203.05 ≠ CHANGED
Item Number
75011
Schedule Fee
$203.05
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2025
Gov. Change Flags
Fee ≠
Full Description
Orthodontic radiography – anteroposterior and lateral cephalometric radiography, with cephalometric tracings, and orthopantomography, including any consultation on the same occasion
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75012
Orthodontic anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings, including any consultation on the same occasion
Group C1 		$129.35 ≠ CHANGED
Item Number
75012
Schedule Fee
$129.35
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Orthodontic anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings, including any consultation on the same occasion
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75015
Radiography anteroposterior and lateral cephalometric radiography with cephalometric tracings, including any consultation on the same occasion
Group C1 		$177.75 ≠ CHANGED
Item Number
75015
Schedule Fee
$177.75
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Radiography anteroposterior and lateral cephalometric radiography with cephalometric tracings, including any consultation on the same occasion
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75023
Intraoral radiography—single area, periapical or bitewing film
Group C1 		$55.55 ≠ CHANGED
Item Number
75023
Schedule Fee
$55.55
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1995
Gov. Change Flags
Fee ≠
Full Description
Intraoral radiography—single area, periapical or bitewing film
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75024
Pre-surgical infant maxillary arch repositioning including nasoalveolar moulding, supply of appliances and all adjustments of appliances, and supervision of all components of the service—if 1 appliance is used
Group C1 		$718.25 ≠ CHANGED
Item Number
75024
Schedule Fee
$718.25
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Pre-surgical infant maxillary arch repositioning including nasoalveolar moulding, supply of appliances and all adjustments of appliances, and supervision of all components of the service—if 1 appliance is used
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75027
Pre-surgical infant maxillary arch repositioning including nasoalveolar moulding, supply of appliances and all adjustments of appliances, and supervision of all components of the service—if 2 appliances are used
Group C1 		$984.90 ≠ CHANGED
Item Number
75027
Schedule Fee
$984.90
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Pre-surgical infant maxillary arch repositioning including nasoalveolar moulding, supply of appliances and all adjustments of appliances, and supervision of all components of the service—if 2 appliances are used
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75030
Maxillary arch expansion (other than a service associated with a service to which item 75039, 75042, 75045 or 75048 applies), including supply of appliances and all adjustments of appliances, removal of appliances and retention
Group C1 		$876.95 ≠ CHANGED
Item Number
75030
Schedule Fee
$876.95
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Maxillary arch expansion (other than a service associated with a service to which item 75039, 75042, 75045 or 75048 applies), including supply of appliances and all adjustments of appliances, removal of appliances and retention
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75032
Mixed dentition treatment including incisor alignment (mandibular and/or maxillary) lateral arch expansion, including supply of appliances and all adjustments of appliances, removal of appliances and retention
Group C1 		$1974.50 ≠ CHANGED
Item Number
75032
Schedule Fee
$1974.50
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Mixed dentition treatment including incisor alignment (mandibular and/or maxillary) lateral arch expansion, including supply of appliances and all adjustments of appliances, removal of appliances and retention
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75034
Mixed dentition treatment—incisor alignment with or without lateral arch expansion using a removable appliance in the maxillary arch, including supply of all appliances, and associated adjustments and retention
Group C1 		$731.60 ≠ CHANGED
Item Number
75034
Schedule Fee
$731.60
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.1995
Gov. Change Flags
Fee ≠
Full Description
Mixed dentition treatment—incisor alignment with or without lateral arch expansion using a removable appliance in the maxillary arch, including supply of all appliances, and associated adjustments and retention
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Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Microscopy for fungi in skin, hair or nails by a participating nurse practitioner - 1 or more sites
Fee From
01.12.2015
Category
Category 6 — Pathology
Description
Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diabetes in asymptomatic patients at high risk - not more than once in a 12 month period.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of glycosylated haemoglobin performed in the management of established diabetes – each test to a maximum of 4 tests in a 12 month period
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Quantitation of urinary albumin/creatine ratio in urine on a random spot collection in the management of patients with established diabetes or patients at risk of microalbuminuria.
Fee From
01.11.2015
Category
Category 6 — Pathology
Description
Initiation of a patient episode that consists of a service described in item 72858 or 72859 in circumstances other than those mentioned in item 73900
Fee From
01.11.2015
Category
Category 6 — Pathology
Description
Initiation of a patient episode that consists of a service described in item 72858 or 72859 if the service is rendered in a prescribed laboratory.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre that the APA operates in the same premises as it operates a category GX or GY pathology laboratory
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode that consists of a service described in item 73070, 73071, 73072, 73074, 73075 or 73076 (in circumstances other than those described in item 73923)
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode that consists of a service described in items 73070, 73071, 73072, 73074, 73075 or 73076 if: (a) the person is a private patient in a recognised hospital; or (b) the person receives the service from a prescribed laboratory
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73925) from a person who is an in-patient of a hospital.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 if the person is: (a) a private patient of a recognised hospital; or (b) a private patient of a hospital who receives the service or services from a prescribed laboratory.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode that consists of 1 or more services described in items 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 (in circumstances other than those described in item 73927) from a person who is not a patient of a hospital.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by a prescribed laboratory that consists of 1 or more services described in items, 72813, 72816, 72817, 72818, 72823, 72824, 72825, 72826, 72827, 72828, 72830, 72836 and 72838 from a person who is not a patient of a hospital.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected in an approved collection centre. Unless item 73920 or 73929 applies
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, if the specimen is collected in an approved pathology collection centre
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for a service for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority from a person who is an in-patient of a hospital other than a recognised hospital. Unless item 73931 applies
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if: () the specimen is collected by an approved pathology practitioner for a prescribed laboratory or by an employee of an approved pathology authority, who conducts a prescribed laboratory, from a person who is a private patient in a hospital or () the person is a private patient in a recognised hospital and the specimen is collected by an approved pathology practitioner or an employee of an approved pathology authority
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926, 73927 or 73933) if: (a) the specimen is collected from a person in the place where the person resides; and (b) the place where the person resides is not a care institution or a residential aged care facility; and (c) the specimen is collected by: (i) an approved pathology practitioner of an approved pathology authority; or (ii) an employee of an approved pathology authority.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926 or 73927) if: (a) the specimen is collected from a person in the place where the person resides; and (b) the place where the person resides is not a care institution or a residential aged care facility; and (c) the specimen is collected by: (i) an approved pathology practitioner of a prescribed laboratory; or (ii) an employee of an approved pathology authority that operates a prescribed laboratory
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926, 73927 or 73935) if: (a) the specimen is collected from a person in a care institution or a residential aged care facility; and (b) the specimen is collected by: (i) an approved pathology practitioner of an approved pathology authority; or (ii) an employee of an approved pathology authority
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for one or more services (in circumstances other than those described in item 73922, 73923, 73924, 73925, 73926 or 73927) if: (a) the specimen is collected from a person in a care institution or a residential aged care facility; and (b) the specimen is collected by: (i) an approved pathology practitioner of a prescribed laboratory; or (ii) an employee of an approved pathology authority that operates a prescribed laboratory
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected from the person by the person.
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926), if the specimen is collected from the person by the person and if: () the service is performed in a prescribed laboratory or () the person is a private patient in a recognised hospital
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926) if the specimen is collected by or on behalf of the treating practitioner. Unless item 73939 applies
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Initiation of a patient episode by collection of a specimen for 1 or more services (other than those services described in items 73922, 73924 or 73926), if the specimen is collected by or on behalf of the treating practitioner and if: () the service is performed in a prescribed laboratory or () the person is a private patient in a recognised hospital
Fee From
01.01.2013
Category
Category 6 — Pathology
Description
Receipt of a specimen by an approved pathology practitioner of an approved pathology authority from another approved pathology practitioner of another approved pathology authority
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
A pathology service to which an item in this table (other than this item or item 74991, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service
Fee From
01.07.2026
Category
Category 6 — Pathology
Description
A pathology service to which an item in this table (other than this item or items 74990, 75861, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area.
Fee From
01.11.2009
Category
Category 6 — Pathology
Description
A payment when the episode is bulk billed and includes item 73920.
Fee From
01.11.2009
Category
Category 6 — Pathology
Description
A payment when the episode is bulk billed and includes item 73922 or 73926.
Fee From
01.11.2009
Category
Category 6 — Pathology
Description
A payment when the episode is bulk billed and includes item 73924.
Fee From
01.11.2009
Category
Category 6 — Pathology
Description
A payment when the episode is bulk billed and includes item 73899, 73900, 73928, 73930 or 73936.
Fee From
01.11.2009
Category
Category 6 — Pathology
Description
A payment when the episode is bulk billed and includes item 73932 or 73940.
Fee From
01.11.2009
Category
Category 6 — Pathology
Description
A payment when the episode is bulk billed and includes item 73934.
Fee From
01.11.2009
Category
Category 6 — Pathology
Description
A payment when the episode is bulk billed and includes item 73938.
Fee From
01.11.2009
Category
Category 6 — Pathology
Description
A payment when the episode is bulk billed and includes item 73923, 73925, 73927, 73929, 73931, 73933, 73935, 73937 or 73939.
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Initial professional attendance, in a single course of treatment (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Subsequent professional attendance in a single course of treatment (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Production of dental study models (other than a service associated with a service to which item 75002 or 75005 applies) prior to provision of a service to which: (a) item 75030, 75032, 75039, 75045 or 75051 apply; or (b) an item in Group T8 or Groups O3 to O9 apply; or (c) item 52321, 53212 or 75618 apply; or (d) any of items 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 apply; in a single treatment
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Orthodontic radiography—orthopantomography (panoramic radiography), including any consultation on the same occasion
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Orthodontic radiography – anteroposterior or lateral cephalometric radiography, with cephalometric tracings, and orthopantomography, including any consultation on the same occasion
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Orthodontic radiography – anteroposterior and lateral cephalometric radiography, with cephalometric tracings, and orthopantomography, including any consultation on the same occasion
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Orthodontic anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings, including any consultation on the same occasion
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Radiography anteroposterior and lateral cephalometric radiography with cephalometric tracings, including any consultation on the same occasion
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Intraoral radiography—single area, periapical or bitewing film
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Pre-surgical infant maxillary arch repositioning including nasoalveolar moulding, supply of appliances and all adjustments of appliances, and supervision of all components of the service—if 1 appliance is used
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Pre-surgical infant maxillary arch repositioning including nasoalveolar moulding, supply of appliances and all adjustments of appliances, and supervision of all components of the service—if 2 appliances are used
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Maxillary arch expansion (other than a service associated with a service to which item 75039, 75042, 75045 or 75048 applies), including supply of appliances and all adjustments of appliances, removal of appliances and retention
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Mixed dentition treatment including incisor alignment (mandibular and/or maxillary) lateral arch expansion, including supply of appliances and all adjustments of appliances, removal of appliances and retention
Fee From
01.07.2026
Category
Category 7 — Cleft Lip & Palate Services
Description
Mixed dentition treatment—incisor alignment with or without lateral arch expansion using a removable appliance in the maxillary arch, including supply of all appliances, and associated adjustments and retention
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