Billing Codes — Australian Health Schedule Tracker

Showing 601–650 of 6045 Pg 13/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	12326	Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera, including analysis and reporting of the images for initial or repeat assessment for presence or absence of diabetic retinopathy, in a patient with medically diagnosed diabetes, if: (a) the assessment is performed by the medical practitioner (other than an optometrist or ophthalmologist) providing the primary glycaemic management of the patient's diabetes; and (b) this item and item 12325 have not applied to the patient in the preceding 24 months; and (c) the patient does not have: (i) an existing diagnosis of diabetic retinopathy; or (ii) visual acuity of less than 6/12 in either eye; or (iii) a difference of more than 2 lines of vision between the 2 eyes at the time of presentation Group D1	Category 2 — Diagnostic Procedures & Investigations	$59.75	—	≠ CHANGED
Item Number 12326 Schedule Fee $59.75 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2016 Gov. Change Flags Fee ≠ Full Description Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera, including analysis and reporting of the images for initial or repeat assessment for presence or absence of diabetic retinopathy, in a patient with medically diagnosed diabetes, if: (a) the assessment is performed by the medical practitioner (other than an optometrist or ophthalmologist) providing the primary glycaemic management of the patient's diabetes; and (b) this item and item 12325 have not applied to the patient in the preceding 24 months; and (c) the patient does not have: (i) an existing diagnosis of diabetic retinopathy; or (ii) visual acuity of less than 6/12 in either eye; or (iii) a difference of more than 2 lines of vision between the 2 eyes at the time of presentation Sign in to watch this code → Get an email alert when this item changes
	12500	BLOOD VOLUME ESTIMATION Group D2	Category 2 — Diagnostic Procedures & Investigations	$259.25	—	≠ CHANGED
Item Number 12500 Schedule Fee $259.25 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description BLOOD VOLUME ESTIMATION Sign in to watch this code → Get an email alert when this item changes
	12524	RENAL FUNCTION TEST (without imaging procedure) Group D2	Category 2 — Diagnostic Procedures & Investigations	$189.55	—	≠ CHANGED
Item Number 12524 Schedule Fee $189.55 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description RENAL FUNCTION TEST (without imaging procedure) Sign in to watch this code → Get an email alert when this item changes
	12527	RENAL FUNCTION TEST (with imaging and at least 2 blood samples) Group D2	Category 2 — Diagnostic Procedures & Investigations	$101.65	—	≠ CHANGED
Item Number 12527 Schedule Fee $101.65 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description RENAL FUNCTION TEST (with imaging and at least 2 blood samples) Sign in to watch this code → Get an email alert when this item changes
	12533	CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, performed by a specialist or consultant physician, including the measurement of exhaled 13CO2 or 14CO2, for either:- (a)the confirmation of Helicobacter pylori colonisation, OR (b)the monitoring of the success of eradication of Helicobacter pylori in patients with peptic ulcer disease. not being a service to which 66900 applies Group D2	Category 2 — Diagnostic Procedures & Investigations	$101.25	—	≠ CHANGED
Item Number 12533 Schedule Fee $101.25 Category Category 2 — Diagnostic Procedures & Investigations Group / Subheading Group D2 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.07.1995 Gov. Change Flags Fee ≠ Full Description CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, performed by a specialist or consultant physician, including the measurement of exhaled 13CO2 or 14CO2, for either:- (a)the confirmation of Helicobacter pylori colonisation, OR (b)the monitoring of the success of eradication of Helicobacter pylori in patients with peptic ulcer disease. not being a service to which 66900 applies Sign in to watch this code → Get an email alert when this item changes
	13015	Hyperbaric oxygen therapy, for treatment of localised non‑neurological soft tissue radiation injuries excluding radiation‑induced soft tissue lymphoedema of the arm after treatment for breast cancer, performed in a comprehensive hyperbaric medicine facility under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of at least 1 hour 30 minutes and not more than 3 hours, including any associated attendance (H) Group T1	Category 3 — Therapeutic Procedures	$304.95	—	≠ CHANGED
Item Number 13015 Schedule Fee $304.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2001 Gov. Change Flags Fee ≠ Full Description Hyperbaric oxygen therapy, for treatment of localised non‑neurological soft tissue radiation injuries excluding radiation‑induced soft tissue lymphoedema of the arm after treatment for breast cancer, performed in a comprehensive hyperbaric medicine facility under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of at least 1 hour 30 minutes and not more than 3 hours, including any associated attendance (H) Sign in to watch this code → Get an email alert when this item changes
	13020	Hyperbaric oxygen therapy, for treatment of decompression illness, gas gangrene, air or gas embolism, diabetic wounds (including diabetic gangrene and diabetic foot ulcers) or necrotising soft tissue infections (including necrotising fasciitis or Fournier’s gangrene), or for the prevention and treatment of osteoradionecrosis, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of at least 1 hour 30 minutes and not more than 3 hours, including any associated attendance (H) Group T1	Category 3 — Therapeutic Procedures	$309.80	—	≠ CHANGED
Item Number 13020 Schedule Fee $309.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1996 Gov. Change Flags Fee ≠ Full Description Hyperbaric oxygen therapy, for treatment of decompression illness, gas gangrene, air or gas embolism, diabetic wounds (including diabetic gangrene and diabetic foot ulcers) or necrotising soft tissue infections (including necrotising fasciitis or Fournier’s gangrene), or for the prevention and treatment of osteoradionecrosis, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of at least 1 hour 30 minutes and not more than 3 hours, including any associated attendance (H) Sign in to watch this code → Get an email alert when this item changes
	13025	Hyperbaric oxygen therapy, for treatment of decompression illness, air or gas embolism, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber greater than 3 hours, including any associated attendance—per hour (or part of an hour) (H) Group T1	Category 3 — Therapeutic Procedures	$138.45	—	≠ CHANGED
Item Number 13025 Schedule Fee $138.45 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1996 Gov. Change Flags Fee ≠ Full Description Hyperbaric oxygen therapy, for treatment of decompression illness, air or gas embolism, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber greater than 3 hours, including any associated attendance—per hour (or part of an hour) (H) Sign in to watch this code → Get an email alert when this item changes
	13030	Hyperbaric oxygen therapy performed in a comprehensive hyperbaric medicine facility, if the medical practitioner is pressurised in the hyperbaric chamber for the purpose of providing continuous life‑saving emergency treatment, including any associated attendance—per hour (or part of an hour) (H) Group T1	Category 3 — Therapeutic Procedures	$195.55	—	≠ CHANGED
Item Number 13030 Schedule Fee $195.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1996 Gov. Change Flags Fee ≠ Full Description Hyperbaric oxygen therapy performed in a comprehensive hyperbaric medicine facility, if the medical practitioner is pressurised in the hyperbaric chamber for the purpose of providing continuous life‑saving emergency treatment, including any associated attendance—per hour (or part of an hour) (H) Sign in to watch this code → Get an email alert when this item changes
	13100	Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, if the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in one day (H) Group T1	Category 3 — Therapeutic Procedures	$163.60	—	≠ CHANGED
Item Number 13100 Schedule Fee $163.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, if the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in one day (H) Sign in to watch this code → Get an email alert when this item changes
	13103	Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, if the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in one day (H) Group T1	Category 3 — Therapeutic Procedures	$85.25	—	≠ CHANGED
Item Number 13103 Schedule Fee $85.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, if the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in one day (H) Sign in to watch this code → Get an email alert when this item changes
	13104	Planning and management of home dialysis (either haemodialysis or peritoneal dialysis), by a consultant physician in the practice of his or her specialty of renal medicine, for a patient with end-stage renal disease, and supervision of that patient on self-administered dialysis, to a maximum of 12 claims per year Group T1	Category 3 — Therapeutic Procedures	$177.05	—	≠ CHANGED
Item Number 13104 Schedule Fee $177.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: B Effective Dates Fee from: 01.07.2026 Item from: 01.11.2005 Gov. Change Flags Fee ≠ Full Description Planning and management of home dialysis (either haemodialysis or peritoneal dialysis), by a consultant physician in the practice of his or her specialty of renal medicine, for a patient with end-stage renal disease, and supervision of that patient on self-administered dialysis, to a maximum of 12 claims per year Sign in to watch this code → Get an email alert when this item changes
	13105	Haemodialysis for a patient with end‑stage renal disease if: (a) the service is provided by a registered nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner; and (b) the service is supervised by the medical practitioner (either in person or remotely); and (c) the patient’s care is managed by a nephrologist; and (d) the patient is treated or reviewed by the nephrologist every 3 to 6 months (either in person or remotely); and (e) the patient is not an admitted patient of a hospital; and (f) the service is provided in a Modified Monash 7 area Group T1	Category 3 — Therapeutic Procedures	$708.55	$708.55	≠ CHANGED
Item Number 13105 Schedule Fee $708.55 Benefits 100%: $708.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: E Effective Dates Fee from: 01.07.2026 Item from: 01.11.2018 Gov. Change Flags Fee ≠ Full Description Haemodialysis for a patient with end‑stage renal disease if: (a) the service is provided by a registered nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner; and (b) the service is supervised by the medical practitioner (either in person or remotely); and (c) the patient’s care is managed by a nephrologist; and (d) the patient is treated or reviewed by the nephrologist every 3 to 6 months (either in person or remotely); and (e) the patient is not an admitted patient of a hospital; and (f) the service is provided in a Modified Monash 7 area Sign in to watch this code → Get an email alert when this item changes
	13106	DECLOTTING OF AN ARTERIOVENOUS SHUNT Group T1	Category 3 — Therapeutic Procedures	$145.20	—	≠ CHANGED
Item Number 13106 Schedule Fee $145.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description DECLOTTING OF AN ARTERIOVENOUS SHUNT Sign in to watch this code → Get an email alert when this item changes
	13109	INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR DIALYSIS INSERTION AND FIXATION OF (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$272.55	—	≠ CHANGED
Item Number 13109 Schedule Fee $272.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR DIALYSIS INSERTION AND FIXATION OF (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13110	INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR DIALYSIS , removal of (including catheter cuffs) (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$273.50	—	≠ CHANGED
Item Number 13110 Schedule Fee $273.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.05.1997 Gov. Change Flags Fee ≠ Full Description INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR DIALYSIS , removal of (including catheter cuffs) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13200	Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13201, 13202, 13203 or 13218 applies, being services rendered during one treatment cycle—initial cycle in a single calendar year Group T1	Category 3 — Therapeutic Procedures	$3723.25	—	≠ CHANGED
Item Number 13200 Schedule Fee $3723.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13201, 13202, 13203 or 13218 applies, being services rendered during one treatment cycle—initial cycle in a single calendar year Sign in to watch this code → Get an email alert when this item changes
	13201	Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13202, 13203 or 13218 applies, being services rendered during one treatment cycle—each cycle after the first in a single calendar year Group T1	Category 3 — Therapeutic Procedures	$3482.70	—	≠ CHANGED
Item Number 13201 Schedule Fee $3482.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.01.2010 Gov. Change Flags Fee ≠ Full Description Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13202, 13203 or 13218 applies, being services rendered during one treatment cycle—each cycle after the first in a single calendar year Sign in to watch this code → Get an email alert when this item changes
	13202	Assisted reproductive technologies superovulated treatment cycle that is cancelled before oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones and ultrasound examinations, but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13201, 13203 or 13218 applies, being services rendered during one treatment cycle Group T1	Category 3 — Therapeutic Procedures	$557.20	—	≠ CHANGED
Item Number 13202 Schedule Fee $557.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.01.2010 Gov. Change Flags Fee ≠ Full Description Assisted reproductive technologies superovulated treatment cycle that is cancelled before oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones and ultrasound examinations, but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13201, 13203 or 13218 applies, being services rendered during one treatment cycle Sign in to watch this code → Get an email alert when this item changes
	13203	Ovulation monitoring services for artificial insemination or gonadotrophin, stimulated ovulation induction, including quantitative estimation of hormones and ultrasound examinations, being services rendered during one treatment cycle but excluding a service to which item 13200, 13201, 13202, 13212, 13215 or 13218 applies Group T1	Category 3 — Therapeutic Procedures	$582.50	—	≠ CHANGED
Item Number 13203 Schedule Fee $582.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Ovulation monitoring services for artificial insemination or gonadotrophin, stimulated ovulation induction, including quantitative estimation of hormones and ultrasound examinations, being services rendered during one treatment cycle but excluding a service to which item 13200, 13201, 13202, 13212, 13215 or 13218 applies Sign in to watch this code → Get an email alert when this item changes
	13207	Biopsy of an embryo, from a patient who is eligible for a service described in item 73384 under clause 2.7.3A of the pathology services table (see PR.7.1), for the purpose of providing a sample for pre-implantation genetic testing—applicable to one or more tests performed in one assisted reproductive treatment cycle Group T1	Category 3 — Therapeutic Procedures	$132.25	—	≠ CHANGED
Item Number 13207 Schedule Fee $132.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2021 Gov. Change Flags Fee ≠ Full Description Biopsy of an embryo, from a patient who is eligible for a service described in item 73384 under clause 2.7.3A of the pathology services table (see PR.7.1), for the purpose of providing a sample for pre-implantation genetic testing—applicable to one or more tests performed in one assisted reproductive treatment cycle Sign in to watch this code → Get an email alert when this item changes
	13209	Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies or for artificial insemination—applicable once during a treatment cycle Group T1	Category 3 — Therapeutic Procedures	$101.30	—	≠ CHANGED
Item Number 13209 Schedule Fee $101.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies or for artificial insemination—applicable once during a treatment cycle Sign in to watch this code → Get an email alert when this item changes
	13212	Oocyte retrieval for the purpose of assisted reproductive technologies—only if rendered in connection with a service to which item 13200 or 13201 applies (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$424.25	—	≠ CHANGED
Item Number 13212 Schedule Fee $424.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Oocyte retrieval for the purpose of assisted reproductive technologies—only if rendered in connection with a service to which item 13200 or 13201 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13215	Transfer of embryos or both ova and sperm to the uterus or fallopian tubes, excluding artificial insemination—only if rendered in connection with a service to which item 13200, 13201 or 13218 applies, being services rendered in one treatment cycle (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$133.05	—	≠ CHANGED
Item Number 13215 Schedule Fee $133.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Transfer of embryos or both ova and sperm to the uterus or fallopian tubes, excluding artificial insemination—only if rendered in connection with a service to which item 13200, 13201 or 13218 applies, being services rendered in one treatment cycle (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13218	Preparation of frozen or donated embryos or donated oocytes for transfer to the uterus or fallopian tubes, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in one treatment cycle and excluding a service to which item 13200, 13201, 13202, 13203 or 13212 applies (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$949.75	—	≠ CHANGED
Item Number 13218 Schedule Fee $949.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Preparation of frozen or donated embryos or donated oocytes for transfer to the uterus or fallopian tubes, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in one treatment cycle and excluding a service to which item 13200, 13201, 13202, 13203 or 13212 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13221	Preparation of semen for the purpose of artificial insemination—only if rendered in connection with a service to which item 13203 applies Group T1	Category 3 — Therapeutic Procedures	$60.80	—	≠ CHANGED
Item Number 13221 Schedule Fee $60.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Preparation of semen for the purpose of artificial insemination—only if rendered in connection with a service to which item 13203 applies Sign in to watch this code → Get an email alert when this item changes
	13241	Open surgical testicular sperm retrieval, unilateral, using operating microscope, including the exploration of scrotal contents, with biopsy, for the purposes of intracytoplasmic sperm injection, for male factor infertility, not being a service associated with a service to which item 13218 or 37604 applies (H) (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$1017.40	—	≠ CHANGED
Item Number 13241 Schedule Fee $1017.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2022 Gov. Change Flags Fee ≠ Full Description Open surgical testicular sperm retrieval, unilateral, using operating microscope, including the exploration of scrotal contents, with biopsy, for the purposes of intracytoplasmic sperm injection, for male factor infertility, not being a service associated with a service to which item 13218 or 37604 applies (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13251	Intracytoplasmic sperm injection for the purpose of assisted reproductive technologies, for male factor infertility, excluding a service to which item 13203 or 13218 applies Group T1	Category 3 — Therapeutic Procedures	$500.30	—	≠ CHANGED
Item Number 13251 Schedule Fee $500.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.05.2007 Gov. Change Flags Fee ≠ Full Description Intracytoplasmic sperm injection for the purpose of assisted reproductive technologies, for male factor infertility, excluding a service to which item 13203 or 13218 applies Sign in to watch this code → Get an email alert when this item changes
	13260	Processing and cryopreservation of semen for fertility preservation treatment before or after completion of gonadotoxic treatment for malignant or non-malignant conditions, in a post-pubertal male in Tanner stages II-V, up to 60 years old, if the patient is referred by a specialist or consultant physician, initial cryopreservation of semen (not including storage) - one of a maximum of two semen collection cycles per patient in a lifetime. Group T1	Category 3 — Therapeutic Procedures	$496.70	—	≠ CHANGED
Item Number 13260 Schedule Fee $496.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: D Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2018 EMSN Cap %: 65% Gov. Change Flags Fee ≠ Full Description Processing and cryopreservation of semen for fertility preservation treatment before or after completion of gonadotoxic treatment for malignant or non-malignant conditions, in a post-pubertal male in Tanner stages II-V, up to 60 years old, if the patient is referred by a specialist or consultant physician, initial cryopreservation of semen (not including storage) - one of a maximum of two semen collection cycles per patient in a lifetime. Sign in to watch this code → Get an email alert when this item changes
	13290	SEMEN, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, by a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required Group T1	Category 3 — Therapeutic Procedures	$244.40	—	≠ CHANGED
Item Number 13290 Schedule Fee $244.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.05.1997 Gov. Change Flags Fee ≠ Full Description SEMEN, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, by a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required Sign in to watch this code → Get an email alert when this item changes
	13300	Umbilical or scalp vein catheterisation in a neonate with or without infusion or cannulation of a vein (H) Group T1	Category 3 — Therapeutic Procedures	$68.15	—	≠ CHANGED
Item Number 13300 Schedule Fee $68.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Umbilical or scalp vein catheterisation in a neonate with or without infusion or cannulation of a vein (H) Sign in to watch this code → Get an email alert when this item changes
	13303	Umbilical artery catheterisation with or without infusion (H) Group T1	Category 3 — Therapeutic Procedures	$101.00	—	≠ CHANGED
Item Number 13303 Schedule Fee $101.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Umbilical artery catheterisation with or without infusion (H) Sign in to watch this code → Get an email alert when this item changes
	13306	Blood transfusion with venesection and complete replacement of blood, including collection from donor (H) Group T1	Category 3 — Therapeutic Procedures	$399.90	—	≠ CHANGED
Item Number 13306 Schedule Fee $399.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Blood transfusion with venesection and complete replacement of blood, including collection from donor (H) Sign in to watch this code → Get an email alert when this item changes
	13309	Blood transfusion with venesection and complete replacement of blood, using blood already collected (H) Group T1	Category 3 — Therapeutic Procedures	$340.95	—	≠ CHANGED
Item Number 13309 Schedule Fee $340.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Blood transfusion with venesection and complete replacement of blood, using blood already collected (H) Sign in to watch this code → Get an email alert when this item changes
	13312	BLOOD for pathology test, collection of, BY FEMORAL OR EXTERNAL JUGULAR VEIN PUNCTURE IN INFANTS Group T1	Category 3 — Therapeutic Procedures	$34.05	—	≠ CHANGED
Item Number 13312 Schedule Fee $34.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description BLOOD for pathology test, collection of, BY FEMORAL OR EXTERNAL JUGULAR VEIN PUNCTURE IN INFANTS Sign in to watch this code → Get an email alert when this item changes
	13318	Central vein catheterisation by open exposure, in a patient under 12 years of age (H) (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$272.20	—	≠ CHANGED
Item Number 13318 Schedule Fee $272.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Central vein catheterisation by open exposure, in a patient under 12 years of age (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13319	Central vein catheterisation in a neonate via peripheral vein (H) (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$272.20	—	≠ CHANGED
Item Number 13319 Schedule Fee $272.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.1997 Gov. Change Flags Fee ≠ Full Description Central vein catheterisation in a neonate via peripheral vein (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13400	Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (H) (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$115.95	—	≠ CHANGED
Item Number 13400 Schedule Fee $115.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13506	Gastro‑oesophageal balloon intubation for control of bleeding from gastric oesophageal varices (H) Group T1	Category 3 — Therapeutic Procedures	$220.75	—	≠ CHANGED
Item Number 13506 Schedule Fee $220.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.1994 Gov. Change Flags Fee ≠ Full Description Gastro‑oesophageal balloon intubation for control of bleeding from gastric oesophageal varices (H) Sign in to watch this code → Get an email alert when this item changes
	13700	Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (H) (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$398.95	—	≠ CHANGED
Item Number 13700 Schedule Fee $398.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13703	Transfusion of blood including collection from donor, when used for intra‑operative normovolaemic haemodilution, other than a service associated with a service to which item 22052 applies (H) Group T1	Category 3 — Therapeutic Procedures	$142.95	—	≠ CHANGED
Item Number 13703 Schedule Fee $142.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Transfusion of blood including collection from donor, when used for intra‑operative normovolaemic haemodilution, other than a service associated with a service to which item 22052 applies (H) Sign in to watch this code → Get an email alert when this item changes
	13706	Transfusion of blood or bone marrow already collected Group T1	Category 3 — Therapeutic Procedures	$99.75	—	≠ CHANGED
Item Number 13706 Schedule Fee $99.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Transfusion of blood or bone marrow already collected Sign in to watch this code → Get an email alert when this item changes
	13750	Therapeutic haemapheresis for the removal of plasma or cellular (or both) elements of blood, utilising continuous or intermittent flow techniques, including morphological tests for cell counts and viability studies, if performed; continuous monitoring of vital signs, fluid balance, blood volume and other parameters with continuous registered nurse attendance under the supervision of a consultant physician, other than a service associated with a service to which item 13755 applies—each day (H) Group T1	Category 3 — Therapeutic Procedures	$163.60	—	≠ CHANGED
Item Number 13750 Schedule Fee $163.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1996 Gov. Change Flags Fee ≠ Full Description Therapeutic haemapheresis for the removal of plasma or cellular (or both) elements of blood, utilising continuous or intermittent flow techniques, including morphological tests for cell counts and viability studies, if performed; continuous monitoring of vital signs, fluid balance, blood volume and other parameters with continuous registered nurse attendance under the supervision of a consultant physician, other than a service associated with a service to which item 13755 applies—each day (H) Sign in to watch this code → Get an email alert when this item changes
	13755	Donor haemapheresis for the collection of blood products for transfusion, utilising continuous or intermittent flow techniques, including morphological tests for cell counts and viability studies; continuous monitoring of vital signs, fluid balance, blood volume and other parameters; with continuous registered nurse attendance under the supervision of a consultant physician—other than a service associated with a service to which item 13750 applies—each day (H) Group T1	Category 3 — Therapeutic Procedures	$163.60	—	≠ CHANGED
Item Number 13755 Schedule Fee $163.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1996 Gov. Change Flags Fee ≠ Full Description Donor haemapheresis for the collection of blood products for transfusion, utilising continuous or intermittent flow techniques, including morphological tests for cell counts and viability studies; continuous monitoring of vital signs, fluid balance, blood volume and other parameters; with continuous registered nurse attendance under the supervision of a consultant physician—other than a service associated with a service to which item 13750 applies—each day (H) Sign in to watch this code → Get an email alert when this item changes
	13757	THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda Group T1	Category 3 — Therapeutic Procedures	$87.30	—	≠ CHANGED
Item Number 13757 Schedule Fee $87.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.05.1997 Gov. Change Flags Fee ≠ Full Description THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda Sign in to watch this code → Get an email alert when this item changes
	13760	In vitro processing with cryopreservation of bone marrow or peripheral blood, for autologous stem cell transplantation for a patient receiving high‑dose chemotherapy for management of: (a) aggressive malignancy; or (b) malignancy that has proven refractory to prior treatment (H) Group T1	Category 3 — Therapeutic Procedures	$912.80	—	≠ CHANGED
Item Number 13760 Schedule Fee $912.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1996 Gov. Change Flags Fee ≠ Full Description In vitro processing with cryopreservation of bone marrow or peripheral blood, for autologous stem cell transplantation for a patient receiving high‑dose chemotherapy for management of: (a) aggressive malignancy; or (b) malignancy that has proven refractory to prior treatment (H) Sign in to watch this code → Get an email alert when this item changes
	13761	Extracorporeal photopheresis for the treatment of chronic graft‑versus‑host disease, if: (a) the person is: (i) has received allogeneic haematopoietic stem cell transplantation; and (ii) has been diagnosed with chronic graft versus host disease following the transplantation; and (iii) steroid treatment is clinically unsuitable as the disease is steroid refractory or the person is steroid‑dependent or steroid‑intolerant; and (b) the person has not previously received extracorporeal photopheresis treatment; and (c) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (d) the service is provided in combination with the use of methoxsalen that is listed on the Pharmaceutical Benefits Scheme; and (e) the service is provided by, or on behalf of, a specialist or consultant physician who: (i) is practising in the speciality of haematology or oncology; and (ii) has experience with allogeneic bone marrow transplantation. Applicable once per treatment session (H) Group T1	Category 3 — Therapeutic Procedures	$2195.20	—	≠ CHANGED
Item Number 13761 Schedule Fee $2195.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: D Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2022 Gov. Change Flags Fee ≠ Full Description Extracorporeal photopheresis for the treatment of chronic graft‑versus‑host disease, if: (a) the person is: (i) has received allogeneic haematopoietic stem cell transplantation; and (ii) has been diagnosed with chronic graft versus host disease following the transplantation; and (iii) steroid treatment is clinically unsuitable as the disease is steroid refractory or the person is steroid‑dependent or steroid‑intolerant; and (b) the person has not previously received extracorporeal photopheresis treatment; and (c) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (d) the service is provided in combination with the use of methoxsalen that is listed on the Pharmaceutical Benefits Scheme; and (e) the service is provided by, or on behalf of, a specialist or consultant physician who: (i) is practising in the speciality of haematology or oncology; and (ii) has experience with allogeneic bone marrow transplantation. Applicable once per treatment session (H) Sign in to watch this code → Get an email alert when this item changes
	13762	Extracorporeal photopheresis for the treatment of chronic graft‑versus‑host disease, if: (a) the person is: (i) has received allogeneic haematopoietic stem cell transplantation; and (ii) has been diagnosed with chronic graft versus host disease following the transplantation; and (iii) steroid treatment is clinically unsuitable as the disease is steroid refractory or the person is steroid‑dependent or steroid‑intolerant; and (b) the person has previously received an extracorporeal photopheresis treatment cycle and had a partial or complete response in at least one organ in response to treatment; and (c) the person requires further extracorporeal photopheresis; and (d) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (e) the service is provided in combination with the use of methoxsalen that is listed on the Pharmaceutical Benefits Scheme; and (f) the service is provided by, or on behalf of, a specialist or consultant physician who: (i) is practising in the speciality of haematology or oncology; and (ii) has experience with allogeneic bone marrow transplantation. Applicable once per treatment session (H) Group T1	Category 3 — Therapeutic Procedures	$2195.20	—	≠ CHANGED
Item Number 13762 Schedule Fee $2195.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: D Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2022 Gov. Change Flags Fee ≠ Full Description Extracorporeal photopheresis for the treatment of chronic graft‑versus‑host disease, if: (a) the person is: (i) has received allogeneic haematopoietic stem cell transplantation; and (ii) has been diagnosed with chronic graft versus host disease following the transplantation; and (iii) steroid treatment is clinically unsuitable as the disease is steroid refractory or the person is steroid‑dependent or steroid‑intolerant; and (b) the person has previously received an extracorporeal photopheresis treatment cycle and had a partial or complete response in at least one organ in response to treatment; and (c) the person requires further extracorporeal photopheresis; and (d) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (e) the service is provided in combination with the use of methoxsalen that is listed on the Pharmaceutical Benefits Scheme; and (f) the service is provided by, or on behalf of, a specialist or consultant physician who: (i) is practising in the speciality of haematology or oncology; and (ii) has experience with allogeneic bone marrow transplantation. Applicable once per treatment session (H) Sign in to watch this code → Get an email alert when this item changes
	13815	Central vein catheterisation, including under ultrasound guidance where clinically appropriate, by percutaneous or open exposure other than a service to which item 13318 applies (H) (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$136.05	—	≠ CHANGED
Item Number 13815 Schedule Fee $136.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1993 Gov. Change Flags Fee ≠ Full Description Central vein catheterisation, including under ultrasound guidance where clinically appropriate, by percutaneous or open exposure other than a service to which item 13318 applies (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	13818	Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement (H) (Anaes.) Group T1	Category 3 — Therapeutic Procedures	$136.10	—	≠ CHANGED
Item Number 13818 Schedule Fee $136.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T1 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1993 Gov. Change Flags Fee ≠ Full Description Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category

Category 2 — Diagnostic Procedures & Investigations

Description

Assessment of visual acuity and bilateral retinal photography with a non-mydriatic retinal camera, including analysis and reporting of the images for initial or repeat assessment for presence or absence of diabetic retinopathy, in a patient with medically diagnosed diabetes, if: (a) the assessment is performed by the medical practitioner (other than an optometrist or ophthalmologist) providing the primary glycaemic management of the patient's diabetes; and (b) this item and item 12325 have not applied to the patient in the preceding 24 months; and (c) the patient does not have: (i) an existing diagnosis of diabetic retinopathy; or (ii) visual acuity of less than 6/12 in either eye; or (iii) a difference of more than 2 lines of vision between the 2 eyes at the time of presentation

Fee From

01.07.2026

Category

Category 2 — Diagnostic Procedures & Investigations

Description

BLOOD VOLUME ESTIMATION

Fee From

01.07.2026

Category

Category 2 — Diagnostic Procedures & Investigations

Description

RENAL FUNCTION TEST (without imaging procedure)

Fee From

01.07.2026

Category

Category 2 — Diagnostic Procedures & Investigations

Description

RENAL FUNCTION TEST (with imaging and at least 2 blood samples)

Fee From

01.07.2026

Category

Category 2 — Diagnostic Procedures & Investigations

Description

CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, performed by a specialist or consultant physician, including the measurement of exhaled 13CO2 or 14CO2, for either:- (a)the confirmation of Helicobacter pylori colonisation, OR (b)the monitoring of the success of eradication of Helicobacter pylori in patients with peptic ulcer disease. not being a service to which 66900 applies

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Hyperbaric oxygen therapy, for treatment of localised non‑neurological soft tissue radiation injuries excluding radiation‑induced soft tissue lymphoedema of the arm after treatment for breast cancer, performed in a comprehensive hyperbaric medicine facility under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of at least 1 hour 30 minutes and not more than 3 hours, including any associated attendance (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Hyperbaric oxygen therapy, for treatment of decompression illness, gas gangrene, air or gas embolism, diabetic wounds (including diabetic gangrene and diabetic foot ulcers) or necrotising soft tissue infections (including necrotising fasciitis or Fournier’s gangrene), or for the prevention and treatment of osteoradionecrosis, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber of at least 1 hour 30 minutes and not more than 3 hours, including any associated attendance (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Hyperbaric oxygen therapy, for treatment of decompression illness, air or gas embolism, performed in a comprehensive hyperbaric medicine facility, under the supervision of a medical practitioner qualified in hyperbaric medicine, for a period in the hyperbaric chamber greater than 3 hours, including any associated attendance—per hour (or part of an hour) (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Hyperbaric oxygen therapy performed in a comprehensive hyperbaric medicine facility, if the medical practitioner is pressurised in the hyperbaric chamber for the purpose of providing continuous life‑saving emergency treatment, including any associated attendance—per hour (or part of an hour) (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, if the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in one day (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Planning and management of home dialysis (either haemodialysis or peritoneal dialysis), by a consultant physician in the practice of his or her specialty of renal medicine, for a patient with end-stage renal disease, and supervision of that patient on self-administered dialysis, to a maximum of 12 claims per year

100% Benefit

$708.55

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Haemodialysis for a patient with end‑stage renal disease if: (a) the service is provided by a registered nurse, an Aboriginal and Torres Strait Islander health worker or an Aboriginal and Torres Strait Islander health practitioner on behalf of a medical practitioner; and (b) the service is supervised by the medical practitioner (either in person or remotely); and (c) the patient’s care is managed by a nephrologist; and (d) the patient is treated or reviewed by the nephrologist every 3 to 6 months (either in person or remotely); and (e) the patient is not an admitted patient of a hospital; and (f) the service is provided in a Modified Monash 7 area

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

DECLOTTING OF AN ARTERIOVENOUS SHUNT

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR DIALYSIS INSERTION AND FIXATION OF (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

INDWELLING PERITONEAL CATHETER (Tenckhoff or similar) FOR DIALYSIS , removal of (including catheter cuffs) (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13201, 13202, 13203 or 13218 applies, being services rendered during one treatment cycle—initial cycle in a single calendar year

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Assisted reproductive technologies superovulated treatment cycle proceeding to oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13202, 13203 or 13218 applies, being services rendered during one treatment cycle—each cycle after the first in a single calendar year

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Assisted reproductive technologies superovulated treatment cycle that is cancelled before oocyte retrieval, involving the use of drugs to induce superovulation and including quantitative estimation of hormones and ultrasound examinations, but excluding artificial insemination, transfer of frozen embryos or donated embryos or ova or a service to which item 13200, 13201, 13203 or 13218 applies, being services rendered during one treatment cycle

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Ovulation monitoring services for artificial insemination or gonadotrophin, stimulated ovulation induction, including quantitative estimation of hormones and ultrasound examinations, being services rendered during one treatment cycle but excluding a service to which item 13200, 13201, 13202, 13212, 13215 or 13218 applies

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Biopsy of an embryo, from a patient who is eligible for a service described in item 73384 under clause 2.7.3A of the pathology services table (see PR.7.1), for the purpose of providing a sample for pre-implantation genetic testing—applicable to one or more tests performed in one assisted reproductive treatment cycle

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies or for artificial insemination—applicable once during a treatment cycle

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Oocyte retrieval for the purpose of assisted reproductive technologies—only if rendered in connection with a service to which item 13200 or 13201 applies (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Transfer of embryos or both ova and sperm to the uterus or fallopian tubes, excluding artificial insemination—only if rendered in connection with a service to which item 13200, 13201 or 13218 applies, being services rendered in one treatment cycle (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Preparation of frozen or donated embryos or donated oocytes for transfer to the uterus or fallopian tubes, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in one treatment cycle and excluding a service to which item 13200, 13201, 13202, 13203 or 13212 applies (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Preparation of semen for the purpose of artificial insemination—only if rendered in connection with a service to which item 13203 applies

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Open surgical testicular sperm retrieval, unilateral, using operating microscope, including the exploration of scrotal contents, with biopsy, for the purposes of intracytoplasmic sperm injection, for male factor infertility, not being a service associated with a service to which item 13218 or 37604 applies (H) (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Intracytoplasmic sperm injection for the purpose of assisted reproductive technologies, for male factor infertility, excluding a service to which item 13203 or 13218 applies

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Processing and cryopreservation of semen for fertility preservation treatment before or after completion of gonadotoxic treatment for malignant or non-malignant conditions, in a post-pubertal male in Tanner stages II-V, up to 60 years old, if the patient is referred by a specialist or consultant physician, initial cryopreservation of semen (not including storage) - one of a maximum of two semen collection cycles per patient in a lifetime.

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

SEMEN, collection of, from a patient with spinal injuries or medically induced impotence, for the purposes of analysis, storage or assisted reproduction, by a medical practitioner using a vibrator or electro-ejaculation device including catheterisation and drainage of bladder where required

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Umbilical or scalp vein catheterisation in a neonate with or without infusion or cannulation of a vein (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Umbilical artery catheterisation with or without infusion (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Blood transfusion with venesection and complete replacement of blood, including collection from donor (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Blood transfusion with venesection and complete replacement of blood, using blood already collected (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

BLOOD for pathology test, collection of, BY FEMORAL OR EXTERNAL JUGULAR VEIN PUNCTURE IN INFANTS

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Central vein catheterisation by open exposure, in a patient under 12 years of age (H) (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Central vein catheterisation in a neonate via peripheral vein (H) (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (H) (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Gastro‑oesophageal balloon intubation for control of bleeding from gastric oesophageal varices (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (H) (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Transfusion of blood including collection from donor, when used for intra‑operative normovolaemic haemodilution, other than a service associated with a service to which item 22052 applies (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Transfusion of blood or bone marrow already collected

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Therapeutic haemapheresis for the removal of plasma or cellular (or both) elements of blood, utilising continuous or intermittent flow techniques, including morphological tests for cell counts and viability studies, if performed; continuous monitoring of vital signs, fluid balance, blood volume and other parameters with continuous registered nurse attendance under the supervision of a consultant physician, other than a service associated with a service to which item 13755 applies—each day (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Donor haemapheresis for the collection of blood products for transfusion, utilising continuous or intermittent flow techniques, including morphological tests for cell counts and viability studies; continuous monitoring of vital signs, fluid balance, blood volume and other parameters; with continuous registered nurse attendance under the supervision of a consultant physician—other than a service associated with a service to which item 13750 applies—each day (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

THERAPEUTIC VENESECTION for the management of haemochromatosis, polycythemia vera or porphyria cutanea tarda

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

In vitro processing with cryopreservation of bone marrow or peripheral blood, for autologous stem cell transplantation for a patient receiving high‑dose chemotherapy for management of: (a) aggressive malignancy; or (b) malignancy that has proven refractory to prior treatment (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Extracorporeal photopheresis for the treatment of chronic graft‑versus‑host disease, if: (a) the person is: (i) has received allogeneic haematopoietic stem cell transplantation; and (ii) has been diagnosed with chronic graft versus host disease following the transplantation; and (iii) steroid treatment is clinically unsuitable as the disease is steroid refractory or the person is steroid‑dependent or steroid‑intolerant; and (b) the person has not previously received extracorporeal photopheresis treatment; and (c) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (d) the service is provided in combination with the use of methoxsalen that is listed on the Pharmaceutical Benefits Scheme; and (e) the service is provided by, or on behalf of, a specialist or consultant physician who: (i) is practising in the speciality of haematology or oncology; and (ii) has experience with allogeneic bone marrow transplantation. Applicable once per treatment session (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Extracorporeal photopheresis for the treatment of chronic graft‑versus‑host disease, if: (a) the person is: (i) has received allogeneic haematopoietic stem cell transplantation; and (ii) has been diagnosed with chronic graft versus host disease following the transplantation; and (iii) steroid treatment is clinically unsuitable as the disease is steroid refractory or the person is steroid‑dependent or steroid‑intolerant; and (b) the person has previously received an extracorporeal photopheresis treatment cycle and had a partial or complete response in at least one organ in response to treatment; and (c) the person requires further extracorporeal photopheresis; and (d) the service is delivered using an integrated, closed extracorporeal photopheresis system; and (e) the service is provided in combination with the use of methoxsalen that is listed on the Pharmaceutical Benefits Scheme; and (f) the service is provided by, or on behalf of, a specialist or consultant physician who: (i) is practising in the speciality of haematology or oncology; and (ii) has experience with allogeneic bone marrow transplantation. Applicable once per treatment session (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Central vein catheterisation, including under ultrasound guidance where clinically appropriate, by percutaneous or open exposure other than a service to which item 13318 applies (H) (Anaes.)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement (H) (Anaes.)

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