Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 75039 | Group C1 | $664.65 | ≠ CHANGED | ||||
|
Item Number
75039
Schedule Fee
$664.65
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
Permanent dentition treatment—single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners—initial 3 months of active treatment
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| 75042 | Group C1 | $248.40 | ≠ CHANGED | ||||
|
Item Number
75042
Schedule Fee
$248.40
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
Permanent dentition treatment—single arch (mandibular or maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances and aligners—each subsequent 3 months of active treatment (including all adjustments and maintenance and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months
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| 75045 | Group C1 | $1330.40 | ≠ CHANGED | ||||
|
Item Number
75045
Schedule Fee
$1330.40
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
Permanent dentition treatment—2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners—initial 3 months of active treatment
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| 75048 | Group C1 | $341.20 | ≠ CHANGED | ||||
|
Item Number
75048
Schedule Fee
$341.20
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: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Permanent dentition treatment—2 arch (mandibular and maxillary) treatment (correction and alignment) using orthodontic fixed appliances or aligners, including supply of appliances or aligners—each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the initial three months of active treatment for a maximum of a further 33 months
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| 75049 | Group C1 | $399.30 | ≠ CHANGED | ||||
|
Item Number
75049
Schedule Fee
$399.30
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
Retention, fixed or removable, single arch (mandibular or maxillary)—supply of retainer and supervision of retention
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| 75050 | Group C1 | $770.85 | ≠ CHANGED | ||||
|
Item Number
75050
Schedule Fee
$770.85
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
Retention, fixed or removable, 2‑arch (mandibular and maxillary)—supply of retainers and supervision of retention
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| 75051 | Group C1 | $1183.35 | ≠ CHANGED | ||||
|
Item Number
75051
Schedule Fee
$1183.35
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
Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances
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| 75200 | Group C1 | $65.70 | ≠ CHANGED | ||||
|
Item Number
75200
Schedule Fee
$65.70
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
Removal of tooth or tooth fragment (other than treatment to which item 75402 or 75405 applies)
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|
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| 75203 | Group C1 | $98.60 | ≠ CHANGED | ||||
|
Item Number
75203
Schedule Fee
$98.60
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Removal of tooth or tooth fragment under general anaesthesia (H)
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|
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| 75206 | Group C1 | $32.75 | ≠ CHANGED | ||||
|
Item Number
75206
Schedule Fee
$32.75
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
Removal of each additional tooth or tooth fragment if provided in association with a service to which item 75200 or 75203 applies
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|
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| 75400 | Group C1 | $197.20 | ≠ CHANGED | ||||
|
Item Number
75400
Schedule Fee
$197.20
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: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Surgical removal of erupted tooth
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| 75402 | Group C1 | $194.90 | ≠ CHANGED | ||||
|
Item Number
75402
Schedule Fee
$194.90
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: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Surgical removal of tooth, or tooth fragment requiring incision of soft tissue only
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|
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| 75405 | Group C1 | $249.20 | ≠ CHANGED | ||||
|
Item Number
75405
Schedule Fee
$249.20
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
Surgical removal of tooth, or tooth fragment requiring removal of bone, where the patient is referred by a referring dentist or medical practitioner
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| 75600 | Group C1 | $277.75 | ≠ CHANGED | ||||
|
Item Number
75600
Schedule Fee
$277.75
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
Surgical exposure and packing of unerupted tooth
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|
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| 75603 | Group C1 | $326.45 | ≠ CHANGED | ||||
|
Item Number
75603
Schedule Fee
$326.45
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
Surgical exposure of unerupted tooth for the purpose of fitting a traction device or placement of a temporary anchorage device
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| 75606 | Group C1 | $326.45 | ≠ CHANGED | ||||
|
Item Number
75606
Schedule Fee
$326.45
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
Surgical repositioning of unerupted tooth where the patient is referred by a referring dentist or medical practitioner
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| 75609 | Group C1 | $487.40 | ≠ CHANGED | ||||
|
Item Number
75609
Schedule Fee
$487.40
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
Transplantation of tooth bud where the patient is referred by a referring dentist or medical practitioner
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| 75610 | Group C1 | $413.20 | ≠ CHANGED | ||||
|
Item Number
75610
Schedule Fee
$413.20
Category
Category 7 — Cleft Lip & Palate Services
Group / Subheading
Group C1
Type Codes
Item: D
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Surgical procedure for intraoral implantation of an osseointegrated fixture and placement of transmucosal abutments where the patient is referred by a referring dentist or medical practitioner (H)
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| 75618 | Group C1 | $277.15 | ≠ CHANGED | ||||
|
Item Number
75618
Schedule Fee
$277.15
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
Fabrication and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome
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| 75621 | Group C1 | $277.15 | ≠ CHANGED | ||||
|
Item Number
75621
Schedule Fee
$277.15
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
The fabrication and fitting of surgical splint or guide in conjunction with orthognathic surgical procedures and implant treatment, if provided in association with a service to which: (a) any item in the following series applies: (i) any of items 46150 to 46161 apply; or (ii) any of items 52342 to 52375 apply; or (b) item 52380 or 52382 applies; (c) item 75610 applies
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| 75800 | Group C1 | $98.60 | ≠ CHANGED | ||||
|
Item Number
75800
Schedule Fee
$98.60
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
Attendance involving consultation, preventive treatment and prophylaxis, of not less than 30 minutes in duration for each attendance to a maximum of 3 attendances in any 12 month period (other than a service associated with a service to which item 75009, 75012, 75015 or 75023 applies)
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| 75802 | Group C1 | $503.65 | ≠ CHANGED | ||||
|
Item Number
75802
Schedule Fee
$503.65
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
Fabrication and fitting of acrylic base partial denture, including retainers—1 to 4 teeth
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| 75815 | Group C1 | $743.20 | ≠ CHANGED | ||||
|
Item Number
75815
Schedule Fee
$743.20
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: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of acrylic base partial denture, including retainers—5 to 9 teeth
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| 75818 | Group C1 | $876.95 | ≠ CHANGED | ||||
|
Item Number
75818
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
Fabrication and fitting of acrylic base partial denture or complete denture or overdenture, including retainers—10 to 12 teeth
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| 75820 | Group C1 | $874.05 | ≠ CHANGED | ||||
|
Item Number
75820
Schedule Fee
$874.05
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: 01.03.2024
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of metal framework partial denture, including all components—1 to 4 teeth
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| 75833 | Group C1 | $1266.75 | ≠ CHANGED | ||||
|
Item Number
75833
Schedule Fee
$1266.75
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
Fabrication and fitting of metal framework partial denture including all components—5 to 9 teeth
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| 75836 | Group C1 | $1449.55 | ≠ CHANGED | ||||
|
Item Number
75836
Schedule Fee
$1449.55
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: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Fabrication and fitting of metal framework partial denture or complete denture or overdenture including all components—10 to 12 teeth
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| 75842 | Group C1 | $48.75 | ≠ CHANGED | ||||
|
Item Number
75842
Schedule Fee
$48.75
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
Adjustment of denture (other than a service associated with a service to which item 75802, 75815, 75818, 75820, 75833 or 75836 applies)
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| 75845 | Group C1 | $243.75 | ≠ CHANGED | ||||
|
Item Number
75845
Schedule Fee
$243.75
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
Relining of denture by laboratory process and associated fitting
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| 75848 | Group C1 | $292.30 | ≠ CHANGED | ||||
|
Item Number
75848
Schedule Fee
$292.30
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
Remodelling and fitting of denture of more than 4 teeth
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| 75851 | Group C1 | $146.20 | ≠ CHANGED | ||||
|
Item Number
75851
Schedule Fee
$146.20
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: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Repair to metal framework of denture—1 or more points
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| 75854 | Group C1 | $146.20 | ≠ CHANGED | ||||
|
Item Number
75854
Schedule Fee
$146.20
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: 01.12.1991
Gov. Change Flags
Fee ≠
Full Description
Addition of a tooth or teeth to a denture to replace extracted tooth or teeth, including taking of necessary impression
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| 75855 | Group M1 | $14.10 | ≠ CHANGED | ||||
|
Item Number
75855
Schedule Fee
$14.10
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service
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| 75856 | Group M1 | $15.10 | ≠ CHANGED | ||||
|
Item Number
75856
Schedule Fee
$15.10
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 5 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service
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| 75857 | Group M1 | $15.85 | ≠ CHANGED | ||||
|
Item Number
75857
Schedule Fee
$15.85
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 6 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service
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| 75858 | Group M1 | $16.95 | ≠ CHANGED | ||||
|
Item Number
75858
Schedule Fee
$16.95
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A medical service to which an item in this Schedule (other than this item) applies, if: (a) the service is an unreferred service; and (b) the service is provided to a person who is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) any other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 7 area; other than a service associated with a service: (f) to which another item in this Group applies; or (g) that is a general practice support service; or (h) that is a MyMedicare service
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| 75861 | Group P12 | $13.30 | ≠ CHANGED | ||||
|
Item Number
75861
Schedule Fee
$13.30
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: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this table (other than this item or item 74990, 74991, 75862, 75863 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; 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 Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area
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| 75862 | Group P12 | $14.05 | ≠ CHANGED | ||||
|
Item Number
75862
Schedule Fee
$14.05
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: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75863, or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 5 area
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| 75863 | Group P12 | $15.00 | ≠ CHANGED | ||||
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Item Number
75863
Schedule Fee
$15.00
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: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75864) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; 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 Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 6 area
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| 75864 | Group P12 | $16.35 | ≠ CHANGED | ||||
|
Item Number
75864
Schedule Fee
$16.35
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: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A pathology service to which an item in this Schedule (other than this item or item 74990, 74991, 75861, 75862 or 75863) applies if: (a) the service is an unreferred service; and (b) the service is rendered to a person who is under the age of 16 or is a concessional beneficiary; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in relation to the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is rendered at, or from, a practice location in a Modified Monash 7 area
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| 75870 | Group M1 | $26.35 | ≠ CHANGED | ||||
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Item Number
75870
Schedule Fee
$26.35
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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| 75871 | Group M1 | $40.10 | ≠ CHANGED | ||||
|
Item Number
75871
Schedule Fee
$40.10
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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| 75872 | Group M1 | $40.10 | ≠ CHANGED | ||||
|
Item Number
75872
Schedule Fee
$40.10
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) if: (a) item 763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and (b) the attendance service is an unreferred service; and (c) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (e) the attendance service is not provided in consulting rooms; and (f) the attendance service is provided in any of the following areas: (i) a Modified Monash 2 area; (ii) a Modified Monash 3 area; (iii) a Modified Monash 4 area; (iv) a Modified Monash 5 area; (v) a Modified Monash 6 area; (vi) a Modified Monash 7 area; and (g) the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in an area mentioned in paragraph (f); and (h) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) an item mentioned in paragraph (a) that applies to the service
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| 75873 | Group M1 | $42.60 | ≠ CHANGED | ||||
|
Item Number
75873
Schedule Fee
$42.60
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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| 75874 | Group M1 | $45.30 | ≠ CHANGED | ||||
|
Item Number
75874
Schedule Fee
$45.30
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area; other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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| 75875 | Group M1 | $47.80 | ≠ CHANGED | ||||
|
Item Number
75875
Schedule Fee
$47.80
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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|||||||
| 75876 | Group M1 | $50.75 | ≠ CHANGED | ||||
|
Item Number
75876
Schedule Fee
$50.75
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if: (a) the attendance service is provided to a patient who is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the general practice support service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75880, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 2NOTE: this item can be claimed with face to face level B, C, D and E general attendance items, and level B video and phone general attendance items.
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|||||||
| 75880 | Group M1 | $26.35 | ≠ CHANGED | ||||
|
Item Number
75880
Schedule Fee
$26.35
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75881, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
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|||||||
| 75881 | Group M1 | $40.10 | ≠ CHANGED | ||||
|
Item Number
75881
Schedule Fee
$40.10
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75882, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
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|||||||
| 75882 | Group M1 | $42.60 | ≠ CHANGED | ||||
|
Item Number
75882
Schedule Fee
$42.60
Category
Category 8 — Miscellaneous
Group / Subheading
Group M1
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if: (a) the attendance service is provided to a patient who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and (b) the patient is not an admitted patient of a hospital; and (c) the attendance service is bulk-billed in relation to the fees for: (i) this item; and (ii) the MyMedicare service item applying to the attendance service; and (d) the attendance service is provided at, or from, a practice location in: (i) a Modified Monash 3 area; or (ii) a Modified Monash 4 area; other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75883, 75884 or 75885 applies Subgroup 3NOTE: this item can be claimed with level C, D, and E video general attendance items, and level C and D phone general attendance items, where the patient is registered with MyMedicare.
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