Billing Codes — Australian Health Schedule Tracker

Showing 1701–1750 of 6045 Pg 35/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	31382	Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$150.30	—	≠ CHANGED
Item Number 31382 Schedule Fee $150.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2022 Gov. Change Flags Fee ≠ Full Description Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31383	Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$171.90	—	≠ CHANGED
Item Number 31383 Schedule Fee $171.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2022 Gov. Change Flags Fee ≠ Full Description Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31386	Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 50 mm; and(c) the excision involves at least 2 critical areas (eyelid, nose, ear, mouth); and(d) the excised specimen is sent for histological examination; and(e) malignancy is confirmed from the excised specimen or previous biopsy; and(f) the service is not covered by item 31387 (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$855.20	—	≠ CHANGED
Item Number 31386 Schedule Fee $855.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 50 mm; and(c) the excision involves at least 2 critical areas (eyelid, nose, ear, mouth); and(d) the excised specimen is sent for histological examination; and(e) malignancy is confirmed from the excised specimen or previous biopsy; and(f) the service is not covered by item 31387 (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31387	Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 70 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy; and(e) the service is not covered by item 31386 (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$769.55	—	≠ CHANGED
Item Number 31387 Schedule Fee $769.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 70 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy; and(e) the service is not covered by item 31386 (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31388	Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the trunk or limbs; and(b) the necessary excision diameter is more than 120 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$692.55	—	≠ CHANGED
Item Number 31388 Schedule Fee $692.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the trunk or limbs; and(b) the necessary excision diameter is more than 120 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31400	Malignant upper aerodigestive tract tumour (other than tumour of the lip), excision of, if: (a) the tumour is not more than 20 mm in diameter; and (b) histological confirmation of malignancy is obtained (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$312.50	—	≠ CHANGED
Item Number 31400 Schedule Fee $312.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description Malignant upper aerodigestive tract tumour (other than tumour of the lip), excision of, if: (a) the tumour is not more than 20 mm in diameter; and (b) histological confirmation of malignancy is obtained (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31403	MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR more than 20mm and up to and including 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$360.65	—	≠ CHANGED
Item Number 31403 Schedule Fee $360.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR more than 20mm and up to and including 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31406	Malignant upper aerodigestive tract tumour more than 40 mm in diameter (excluding tumour of the lip), excision of, if histological confirmation of malignancy has been obtained (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$601.05	—	≠ CHANGED
Item Number 31406 Schedule Fee $601.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description Malignant upper aerodigestive tract tumour more than 40 mm in diameter (excluding tumour of the lip), excision of, if histological confirmation of malignancy has been obtained (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31409	PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1867.35	—	≠ CHANGED
Item Number 31409 Schedule Fee $1867.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31412	RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$2300.20	—	≠ CHANGED
Item Number 31412 Schedule Fee $2300.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31423	Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$480.95	—	≠ CHANGED
Item Number 31423 Schedule Fee $480.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31426	Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$961.65	—	≠ CHANGED
Item Number 31426 Schedule Fee $961.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31429	Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1498.70	—	≠ CHANGED
Item Number 31429 Schedule Fee $1498.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31432	Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections), other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1602.85	—	≠ CHANGED
Item Number 31432 Schedule Fee $1602.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections), other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31435	Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1178.10	—	≠ CHANGED
Item Number 31435 Schedule Fee $1178.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31438	Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1867.35	—	≠ CHANGED
Item Number 31438 Schedule Fee $1867.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31454	Laparoscopy or laparotomy with drainage of bile, as an independent procedure (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$674.30	—	≠ CHANGED
Item Number 31454 Schedule Fee $674.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description Laparoscopy or laparotomy with drainage of bile, as an independent procedure (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31456	GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$293.95	—	≠ CHANGED
Item Number 31456 Schedule Fee $293.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31458	GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$352.65	—	≠ CHANGED
Item Number 31458 Schedule Fee $352.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31460	PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, including any associated imaging services (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$427.30	—	≠ CHANGED
Item Number 31460 Schedule Fee $427.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, including any associated imaging services (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31462	OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$623.95	—	≠ CHANGED
Item Number 31462 Schedule Fee $623.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31466	ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1564.30	—	≠ CHANGED
Item Number 31466 Schedule Fee $1564.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31468	Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication, other than a service associated with a service to which item 30756 or 31466 applies (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1718.55	—	≠ CHANGED
Item Number 31468 Schedule Fee $1718.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication, other than a service associated with a service to which item 30756 or 31466 applies (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31472	Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y loop to provide biliary drainage or bypass, other than a service associated with a service to which item 30584 applies (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1610.20	—	≠ CHANGED
Item Number 31472 Schedule Fee $1610.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y loop to provide biliary drainage or bypass, other than a service associated with a service to which item 30584 applies (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31500	Breast, benign lesion up to and including 50 mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$311.20	—	≠ CHANGED
Item Number 31500 Schedule Fee $311.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description Breast, benign lesion up to and including 50 mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31503	Breast, benign lesion more than 50 mm in diameter, excision of (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$415.00	—	≠ CHANGED
Item Number 31503 Schedule Fee $415.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description Breast, benign lesion more than 50 mm in diameter, excision of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31506	BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$466.95	—	≠ CHANGED
Item Number 31506 Schedule Fee $466.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31509	Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$415.00	—	≠ CHANGED
Item Number 31509 Schedule Fee $415.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31512	Breast, malignant tumour, complete local excision of, with or without frozen section histology, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31513, 31514, 45520, 45522 or 45556 applies on the same side (if performed by the same medical practitioner)(H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$778.15	—	≠ CHANGED
Item Number 31512 Schedule Fee $778.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description Breast, malignant tumour, complete local excision of, with or without frozen section histology, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31513, 31514, 45520, 45522 or 45556 applies on the same side (if performed by the same medical practitioner)(H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31513	Breast, malignant tumour, complete local excision of, with simultaneous reshaping of the breast parenchyma using techniques such as round block or rotation flaps, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31514, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1017.40	—	≠ CHANGED
Item Number 31513 Schedule Fee $1017.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Breast, malignant tumour, complete local excision of, with simultaneous reshaping of the breast parenchyma using techniques such as round block or rotation flaps, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31514, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31514	Breast, malignant tumour, complete local excision of, with simultaneous ipsilateral pedicled breast reduction, including repositioning of the nipple, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31513, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1466.75	—	≠ CHANGED
Item Number 31514 Schedule Fee $1466.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Breast, malignant tumour, complete local excision of, with simultaneous ipsilateral pedicled breast reduction, including repositioning of the nipple, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31513, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31515	BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$522.10	—	≠ CHANGED
Item Number 31515 Schedule Fee $522.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31516	BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology when targeted intraoperative radiation therapy (using an Intrabeam® or Xoft® Axxent® device) is performed concurrently, if the patient satisfies the requirements mentioned in paragraphs (a) to (g) of item 15900 Applicable only once per breast per lifetime (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1037.70	—	≠ CHANGED
Item Number 31516 Schedule Fee $1037.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.09.2015 Gov. Change Flags Fee ≠ Full Description BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology when targeted intraoperative radiation therapy (using an Intrabeam® or Xoft® Axxent® device) is performed concurrently, if the patient satisfies the requirements mentioned in paragraphs (a) to (g) of item 15900 Applicable only once per breast per lifetime (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31519	Total mastectomy (unilateral) (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$881.05	—	≠ CHANGED
Item Number 31519 Schedule Fee $881.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2014 Gov. Change Flags Fee ≠ Full Description Total mastectomy (unilateral) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31520	Total mastectomy (bilateral) (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1541.65	—	≠ CHANGED
Item Number 31520 Schedule Fee $1541.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Total mastectomy (bilateral) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31522	Skin sparing mastectomy (unilateral) (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1245.05	—	≠ CHANGED
Item Number 31522 Schedule Fee $1245.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Skin sparing mastectomy (unilateral) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31523	Skin sparing mastectomy (bilateral) (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$2178.90	—	≠ CHANGED
Item Number 31523 Schedule Fee $2178.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Skin sparing mastectomy (bilateral) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31525	Mastectomy for gynaecomastia (unilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$622.35	—	≠ CHANGED
Item Number 31525 Schedule Fee $622.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2014 Gov. Change Flags Fee ≠ Full Description Mastectomy for gynaecomastia (unilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31526	Mastectomy for gynaecomastia (bilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1089.20	—	≠ CHANGED
Item Number 31526 Schedule Fee $1089.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Mastectomy for gynaecomastia (bilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31528	Nipple sparing mastectomy (unilateral) (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1245.05	—	≠ CHANGED
Item Number 31528 Schedule Fee $1245.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Nipple sparing mastectomy (unilateral) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31529	Nipple sparing mastectomy (bilateral) (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$2178.90	—	≠ CHANGED
Item Number 31529 Schedule Fee $2178.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Nipple sparing mastectomy (bilateral) (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31530	Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, if imaging has demonstrated:(a) microcalcification of lesion; or(b) impalpable lesion less than one cm in diameter;including pre-operative localisation of lesion, if performed, other than a service associated with a service to which item 31548 applies Group T8	Category 3 — Therapeutic Procedures	$712.95	—	≠ CHANGED
Item Number 31530 Schedule Fee $712.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, if imaging has demonstrated:(a) microcalcification of lesion; or(b) impalpable lesion less than one cm in diameter;including pre-operative localisation of lesion, if performed, other than a service associated with a service to which item 31548 applies Sign in to watch this code → Get an email alert when this item changes
	31533	FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$165.05	—	≠ CHANGED
Item Number 31533 Schedule Fee $165.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31536	Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques, but not including imaging (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$226.75	—	≠ CHANGED
Item Number 31536 Schedule Fee $226.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques, but not including imaging (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31537	Insertion of a marker clip into a breast, including axilla, following a breast biopsy and using imaging (but not including the associated imaging), if additional surgery, neoadjuvant systemic therapy, follow up imaging or radiation may be required and the insertion is for any of the following reasons: (a) to mark the site of a lesion that has been totally or almost completely removed; (b) to confirm biopsy site if multiple lesions are present; (c) to confirm biopsy site of an ill-defined lesion; (d) future surgery or preoperative localisation is considered to be potentially difficult due to lesion conspicuity; (e) preoperative localisation is likely to be carried out using a modality different from the biopsy modality; (f) for correlation across modalities for diagnostic reasons (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$226.75	—	≠ CHANGED
Item Number 31537 Schedule Fee $226.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.03.2024 Gov. Change Flags Fee ≠ Full Description Insertion of a marker clip into a breast, including axilla, following a breast biopsy and using imaging (but not including the associated imaging), if additional surgery, neoadjuvant systemic therapy, follow up imaging or radiation may be required and the insertion is for any of the following reasons: (a) to mark the site of a lesion that has been totally or almost completely removed; (b) to confirm biopsy site if multiple lesions are present; (c) to confirm biopsy site of an ill-defined lesion; (d) future surgery or preoperative localisation is considered to be potentially difficult due to lesion conspicuity; (e) preoperative localisation is likely to be carried out using a modality different from the biopsy modality; (f) for correlation across modalities for diagnostic reasons (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31548	Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, other than a service associated with a service to which item 31530 applies (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$239.35	—	≠ CHANGED
Item Number 31548 Schedule Fee $239.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, other than a service associated with a service to which item 31530 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31551	BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital, excluding aftercare (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$259.40	—	≠ CHANGED
Item Number 31551 Schedule Fee $259.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital, excluding aftercare (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	31554	BREAST, microdochotomy of, for benign or malignant condition (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$518.80	—	≠ CHANGED
Item Number 31554 Schedule Fee $518.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description BREAST, microdochotomy of, for benign or malignant condition (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31557	Breast central ducts, excision of, for benign condition (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$415.00	—	≠ CHANGED
Item Number 31557 Schedule Fee $415.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 Gov. Change Flags Fee ≠ Full Description Breast central ducts, excision of, for benign condition (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	31560	ACCESSORY BREAST TISSUE, excision of (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$415.00	—	≠ CHANGED
Item Number 31560 Schedule Fee $415.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2002 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description ACCESSORY BREAST TISSUE, excision of (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category