Billing Codes
Medicare Benefits Schedule — Updated Quarterly

MBS Item Tracker

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

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Total Items
6045
MBS item numbers
Showing 2201–2250 of 6045 Pg 45/121
Item No. Description Schedule Fee Status
36663
Both: (a) percutaneous placement of sacral nerve lead or leads using fluoroscopic guidance, or open placement of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to manage: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
Group T8 · Subheading 2 		$791.05 ≠ CHANGED
Item Number
36663
Schedule Fee
$791.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
Gov. Change Flags
Fee ≠
Full Description
Both: (a) percutaneous placement of sacral nerve lead or leads using fluoroscopic guidance, or open placement of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to manage: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
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36664
Both: (a) percutaneous repositioning of sacral nerve lead or leads using fluoroscopic guidance, or open repositioning of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment; other than a service to which item 36663 applies (H) (Anaes.)
Group T8 · Subheading 2 		$710.45 ≠ CHANGED
Item Number
36664
Schedule Fee
$710.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
Gov. Change Flags
Fee ≠
Full Description
Both: (a) percutaneous repositioning of sacral nerve lead or leads using fluoroscopic guidance, or open repositioning of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment; other than a service to which item 36663 applies (H) (Anaes.)
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36665
Sacral nerve electrode or electrodes, management and adjustment of the pulse generator by a medical practitioner, to manage detrusor overactivity or non obstructive urinary retention - each day
Group T8 · Subheading 2 		$150.10 ≠ CHANGED
Item Number
36665
Schedule Fee
$150.10
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
Gov. Change Flags
Fee ≠
Full Description
Sacral nerve electrode or electrodes, management and adjustment of the pulse generator by a medical practitioner, to manage detrusor overactivity or non obstructive urinary retention - each day
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36666
Pulse generator, subcutaneous placement of, and placement and connection of extension wire or wires to sacral nerve electrode or electrodes, for the management of: (a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
Group T8 · Subheading 2 		$399.80 ≠ CHANGED
Item Number
36666
Schedule Fee
$399.80
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
Gov. Change Flags
Fee ≠
Full Description
Pulse generator, subcutaneous placement of, and placement and connection of extension wire or wires to sacral nerve electrode or electrodes, for the management of: (a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
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36667
Sacral nerve lead or leads, removal of, if the lead was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
Group T8 · Subheading 2 		$187.05 ≠ CHANGED
Item Number
36667
Schedule Fee
$187.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
Gov. Change Flags
Fee ≠
Full Description
Sacral nerve lead or leads, removal of, if the lead was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
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36668
Pulse generator, removal of, if the pulse generator was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
Group T8 · Subheading 2 		$187.05 ≠ CHANGED
Item Number
36668
Schedule Fee
$187.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2010
Gov. Change Flags
Fee ≠
Full Description
Pulse generator, removal of, if the pulse generator was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
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36671
Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if: (a) the patient has been diagnosed with idiopathic overactive bladder; and (b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti‑cholinergic agents); and (c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and (d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and (e) the patient is willing and able to comply with the treatment protocol; and (f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and (g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. For each patient—applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period. Not applicable for a service associated with a service to which item 36672 or 36673 applies
Group T8 · Subheading 2 		$239.35 ≠ CHANGED
Item Number
36671
Schedule Fee
$239.35
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if: (a) the patient has been diagnosed with idiopathic overactive bladder; and (b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti‑cholinergic agents); and (c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and (d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and (e) the patient is willing and able to comply with the treatment protocol; and (f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and (g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. For each patient—applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period. Not applicable for a service associated with a service to which item 36672 or 36673 applies
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36672
Percutaneous tibial nerve stimulation, tapering treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the tapering treatment protocol comprises no more than 5 sessions, delivered over a 3 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for a service associated with a service to which item 36671 or 36673 applies
Group T8 · Subheading 2 		$239.35 ≠ CHANGED
Item Number
36672
Schedule Fee
$239.35
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Percutaneous tibial nerve stimulation, tapering treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the tapering treatment protocol comprises no more than 5 sessions, delivered over a 3 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for a service associated with a service to which item 36671 or 36673 applies
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36673
Percutaneous tibial nerve stimulation, maintenance treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and to the tapering treatment protocol, and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the maintenance treatment protocol comprises no more than 12 sessions, delivered over a 12 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for service associated with a service to which item 36671 or 36672 applies
Group T8 · Subheading 2 		$239.35 ≠ CHANGED
Item Number
36673
Schedule Fee
$239.35
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2018
Gov. Change Flags
Fee ≠
Full Description
Percutaneous tibial nerve stimulation, maintenance treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and to the tapering treatment protocol, and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the maintenance treatment protocol comprises no more than 12 sessions, delivered over a 12 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for service associated with a service to which item 36671 or 36672 applies
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36800
BLADDER, catheterisation of, where no other procedure is performed (Anaes.)
Group T8 · Subheading 2 		$33.00 ≠ CHANGED
Item Number
36800
Schedule Fee
$33.00
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
BLADDER, catheterisation of, where no other procedure is performed (Anaes.)
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36803
Ureteroscopy, of one ureter, with or without any one or more of cystoscopy, ureteric meatotomy, or ureteric dilatation, other than a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824 or 36848 applies (H) (Anaes.) (Assist.)
Group T8 · Subheading 2 		$558.15 ≠ CHANGED
Item Number
36803
Schedule Fee
$558.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Ureteroscopy, of one ureter, with or without any one or more of cystoscopy, ureteric meatotomy, or ureteric dilatation, other than a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824 or 36848 applies (H) (Anaes.) (Assist.)
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36806
Ureteroscopy, of one ureter: (a) with or without one or more of the following: (i) cystoscopy; (ii) endoscopic incision of pelviureteric junction or ureteric stricture; (iii) ureteric meatotomy; (iv) ureteric dilatation; and (b) with either or both of the following: (i) extraction of stone from the ureter; (ii) biopsy or diathermy of the ureter; other than: (c) a service associated with a service to which item 36803 or 36812 applies; or (d) a service associated with a service, performed on the same ureter, to which item 36809, 36824 or 36848 applies (Anaes.) (Assist.)
Group T8 · Subheading 2 		$777.75 ≠ CHANGED
Item Number
36806
Schedule Fee
$777.75
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Ureteroscopy, of one ureter: (a) with or without one or more of the following: (i) cystoscopy; (ii) endoscopic incision of pelviureteric junction or ureteric stricture; (iii) ureteric meatotomy; (iv) ureteric dilatation; and (b) with either or both of the following: (i) extraction of stone from the ureter; (ii) biopsy or diathermy of the ureter; other than: (c) a service associated with a service to which item 36803 or 36812 applies; or (d) a service associated with a service, performed on the same ureter, to which item 36809, 36824 or 36848 applies (Anaes.) (Assist.)
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36809
Ureteroscopy, of one ureter, with or without any one or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus destruction of stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy, or laser, with or without extraction of fragments, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36806, 36824 or 36848 applies to a procedure performed on the same ureter (Anaes.) (Assist.)
Group T8 · Subheading 2 		$997.15 ≠ CHANGED
Item Number
36809
Schedule Fee
$997.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Ureteroscopy, of one ureter, with or without any one or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus destruction of stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy, or laser, with or without extraction of fragments, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36806, 36824 or 36848 applies to a procedure performed on the same ureter (Anaes.) (Assist.)
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36811
Cystoscopy, with insertion of one or more urethral or prostatic prostheses, other than a service associated with a service to which item 37203, 37207 or 37230 applies (H) (Anaes.)
Group T8 · Subheading 2 		$387.05 ≠ CHANGED
Item Number
36811
Schedule Fee
$387.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy, with insertion of one or more urethral or prostatic prostheses, other than a service associated with a service to which item 37203, 37207 or 37230 applies (H) (Anaes.)
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36812
Either or both of cystoscopy and urethroscopy, with or without urethral dilatation, other than a service associated with any other urological endoscopic procedure on the lower urinary tract (Anaes.)
Group T8 · Subheading 2 		$199.50 ≠ CHANGED
Item Number
36812
Schedule Fee
$199.50
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Either or both of cystoscopy and urethroscopy, with or without urethral dilatation, other than a service associated with any other urological endoscopic procedure on the lower urinary tract (Anaes.)
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36815
CYSTOSCOPY, with or without urethroscopy, for the treatment of penile warts or uretheral warts, not being a service associated with a service to which item 30189 applies (Anaes.)
Group T8 · Subheading 2 		$284.70 ≠ CHANGED
Item Number
36815
Schedule Fee
$284.70
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
CYSTOSCOPY, with or without urethroscopy, for the treatment of penile warts or uretheral warts, not being a service associated with a service to which item 30189 applies (Anaes.)
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36818
Cystoscopy, with ureteric catheterisation, unilateral or bilateral, guided by fluoroscopic imaging of the upper urinary tract, other than a service associated with a service to which item 36824 or 36830 applies (H) (Anaes.)
Group T8 · Subheading 2 		$331.05 ≠ CHANGED
Item Number
36818
Schedule Fee
$331.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy, with ureteric catheterisation, unilateral or bilateral, guided by fluoroscopic imaging of the upper urinary tract, other than a service associated with a service to which item 36824 or 36830 applies (H) (Anaes.)
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36821
Cystoscopy with one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis, unilateral (H) (Anaes.) (Assist.)
Group T8 · Subheading 2 		$386.85 ≠ CHANGED
Item Number
36821
Schedule Fee
$386.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy with one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis, unilateral (H) (Anaes.) (Assist.)
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36822
Cystoscopy, with ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821 or 36830 applies (H) (Anaes.) (Assist.)
Group T8 · Subheading 2 		$552.45 ≠ CHANGED
Item Number
36822
Schedule Fee
$552.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2020
Gov. Change Flags
Fee ≠
Full Description
Cystoscopy, with ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821 or 36830 applies (H) (Anaes.) (Assist.)
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36823
Cystoscopy, with removal of ureteric stent and ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including either or both of the following: (i) ureteric dilatation; (ii) insertion of ureteric stent of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821, 36830 or 36833 applies (H) (Anaes.) (Assist.)
Group T8 · Subheading 2 		$635.20 ≠ CHANGED
Item Number
36823
Schedule Fee
$635.20
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2020
Gov. Change Flags
Fee ≠
Full Description
Cystoscopy, with removal of ureteric stent and ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including either or both of the following: (i) ureteric dilatation; (ii) insertion of ureteric stent of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821, 36830 or 36833 applies (H) (Anaes.) (Assist.)
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36824
Cystoscopy with ureteric catheterisation, unilateral or bilateral, other than a service associated with a service to which item 36818 applies (H) (Anaes.)
Group T8 · Subheading 2 		$255.10 ≠ CHANGED
Item Number
36824
Schedule Fee
$255.10
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy with ureteric catheterisation, unilateral or bilateral, other than a service associated with a service to which item 36818 applies (H) (Anaes.)
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36827
Cystoscopy, with controlled hydro‑dilatation of the bladder, other than a service associated with a service to which item 37011 or 37245 applies (H) (Anaes.)
Group T8 · Subheading 2 		$275.15 ≠ CHANGED
Item Number
36827
Schedule Fee
$275.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy, with controlled hydro‑dilatation of the bladder, other than a service associated with a service to which item 37011 or 37245 applies (H) (Anaes.)
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36830
CYSTOSCOPY, with ureteric meatotomy (Anaes.)
Group T8 · Subheading 2 		$243.30 ≠ CHANGED
Item Number
36830
Schedule Fee
$243.30
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
CYSTOSCOPY, with ureteric meatotomy (Anaes.)
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36833
Cystoscopy with removal of ureteric stent or other foreign body in the lower urinary tract, unilateral (Anaes.)
Group T8 · Subheading 2 		$331.05 ≠ CHANGED
Item Number
36833
Schedule Fee
$331.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy with removal of ureteric stent or other foreign body in the lower urinary tract, unilateral (Anaes.)
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36836
Cystoscopy with biopsy of bladder, other than a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203 or 37215 applies (Anaes.)
Group T8 · Subheading 2 		$275.15 ≠ CHANGED
Item Number
36836
Schedule Fee
$275.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy with biopsy of bladder, other than a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203 or 37215 applies (Anaes.)
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36840
Cystoscopy, with diathermy, resection or visual laser destruction of bladder tumour or other lesion of the bladder, for: (a) a tumour or lesion in only one quadrant of the bladder; or (b) a solitary tumour of not more than 2 cm in diameter; other than a service associated with a service to which item 36845 applies (H) (Anaes.)
Group T8 · Subheading 2 		$386.85 ≠ CHANGED
Item Number
36840
Schedule Fee
$386.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2003
Gov. Change Flags
Fee ≠
Full Description
Cystoscopy, with diathermy, resection or visual laser destruction of bladder tumour or other lesion of the bladder, for: (a) a tumour or lesion in only one quadrant of the bladder; or (b) a solitary tumour of not more than 2 cm in diameter; other than a service associated with a service to which item 36845 applies (H) (Anaes.)
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36842
Cystoscopy, with lavage of blood clots from bladder, including any associated cautery of prostate or bladder, other than a service associated with a service to which any of items 36812, 36827 to 36863 and 37203 apply (H) (Anaes.)
Group T8 · Subheading 2 		$389.20 ≠ CHANGED
Item Number
36842
Schedule Fee
$389.20
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy, with lavage of blood clots from bladder, including any associated cautery of prostate or bladder, other than a service associated with a service to which any of items 36812, 36827 to 36863 and 37203 apply (H) (Anaes.)
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36845
Cystoscopy, with diathermy, resection or visual laser destruction of: (a) multiple tumours in 2 or more quadrants of the bladder; or (b) a solitary bladder tumour of more than 2 cm in diameter (H) (Anaes.)
Group T8 · Subheading 2 		$827.50 ≠ CHANGED
Item Number
36845
Schedule Fee
$827.50
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy, with diathermy, resection or visual laser destruction of: (a) multiple tumours in 2 or more quadrants of the bladder; or (b) a solitary bladder tumour of more than 2 cm in diameter (H) (Anaes.)
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36848
CYSTOSCOPY, with resection of ureterocele (Anaes.)
Group T8 · Subheading 2 		$275.15 ≠ CHANGED
Item Number
36848
Schedule Fee
$275.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
CYSTOSCOPY, with resection of ureterocele (Anaes.)
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36851
Cystoscopy, with injection into bladder wall, other than a service associated with a service to which item 18375 or 18379 applies (H) (Anaes.)
Group T8 · Subheading 2 		$275.15 ≠ CHANGED
Item Number
36851
Schedule Fee
$275.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Cystoscopy, with injection into bladder wall, other than a service associated with a service to which item 18375 or 18379 applies (H) (Anaes.)
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36854
CYSTOSCOPY, with endoscopic incision or resection of external sphincter, bladder neck or both (Anaes.)
Group T8 · Subheading 2 		$558.15 ≠ CHANGED
Item Number
36854
Schedule Fee
$558.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
CYSTOSCOPY, with endoscopic incision or resection of external sphincter, bladder neck or both (Anaes.)
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36860
Endoscopic examination of intestinal conduit or reservoir (H) (Anaes.)
Group T8 · Subheading 2 		$199.50 ≠ CHANGED
Item Number
36860
Schedule Fee
$199.50
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Endoscopic examination of intestinal conduit or reservoir (H) (Anaes.)
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36863
Litholapaxy, with or without cystoscopy (Anaes.)
Group T8 · Subheading 2 		$558.15 ≠ CHANGED
Item Number
36863
Schedule Fee
$558.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Litholapaxy, with or without cystoscopy (Anaes.)
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37000
BLADDER, partial excision of (Anaes.) (Assist.)
Group T8 · Subheading 2 		$887.45 ≠ CHANGED
Item Number
37000
Schedule Fee
$887.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
BLADDER, partial excision of (Anaes.) (Assist.)
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37004
BLADDER, repair of rupture (Anaes.) (Assist.)
Group T8 · Subheading 2 		$777.75 ≠ CHANGED
Item Number
37004
Schedule Fee
$777.75
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
BLADDER, repair of rupture (Anaes.) (Assist.)
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37008
Open cystostomy or cystotomy, suprapubic, other than: (a) a service to which item 37011 applies; or (b) a service associated with a service to which item 37245 applies; or (c) another open bladder procedure (H) (Anaes.) (Assist.)
Group T8 · Subheading 2 		$498.50 ≠ CHANGED
Item Number
37008
Schedule Fee
$498.50
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Open cystostomy or cystotomy, suprapubic, other than: (a) a service to which item 37011 applies; or (b) a service associated with a service to which item 37245 applies; or (c) another open bladder procedure (H) (Anaes.) (Assist.)
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37011
Suprapubic stab cystotomy, other than a service associated with a service to which item 36827 applies (Anaes.)
Group T8 · Subheading 2 		$111.70 ≠ CHANGED
Item Number
37011
Schedule Fee
$111.70
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
Suprapubic stab cystotomy, other than a service associated with a service to which item 36827 applies (Anaes.)
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37014
BLADDER, total excision of (Anaes.) (Assist.)
Group T8 · Subheading 2 		$1276.30 ≠ CHANGED
Item Number
37014
Schedule Fee
$1276.30
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
BLADDER, total excision of (Anaes.) (Assist.)
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37015
Bladder, total excision of, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis (Anaes.) (Assist.)
Group T8 · Subheading 2 		$1531.50 ≠ CHANGED
Item Number
37015
Schedule Fee
$1531.50
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2020
Gov. Change Flags
Fee ≠
Full Description
Bladder, total excision of, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis (Anaes.) (Assist.)
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37016
Cystectomy, including prostatectomy and pelvic lymph node dissection, other than a service associated with a service to which items 37000, 37014, 37015, 37209, 35551 or 36502 applies (Anaes.) (Assist.)
Group T8 · Subheading 2 		$2388.05 ≠ CHANGED
Item Number
37016
Schedule Fee
$2388.05
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2020
Gov. Change Flags
Fee ≠
Full Description
Cystectomy, including prostatectomy and pelvic lymph node dissection, other than a service associated with a service to which items 37000, 37014, 37015, 37209, 35551 or 36502 applies (Anaes.) (Assist.)
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37018
Cystectomy, including prostatectomy and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which items 37000, 37014, 37015, 37016, 37209, 35551 or 36502 applies (Anaes.) (Assist.)
Group T8 · Subheading 2 		$3582.25 ≠ CHANGED
Item Number
37018
Schedule Fee
$3582.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2020
Gov. Change Flags
Fee ≠
Full Description
Cystectomy, including prostatectomy and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which items 37000, 37014, 37015, 37016, 37209, 35551 or 36502 applies (Anaes.) (Assist.)
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37019
Cystectomy, including anterior exenteration and pelvic lymph node dissection, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502, and 35653 to 35756 apply (Anaes.) (Assist.)
Group T8 · Subheading 2 		$2385.40 ≠ CHANGED
Item Number
37019
Schedule Fee
$2385.40
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2020
Gov. Change Flags
Fee ≠
Full Description
Cystectomy, including anterior exenteration and pelvic lymph node dissection, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502, and 35653 to 35756 apply (Anaes.) (Assist.)
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37020
BLADDER DIVERTICULUM, excision or obliteration of (Anaes.) (Assist.)
Group T8 · Subheading 2 		$887.45 ≠ CHANGED
Item Number
37020
Schedule Fee
$887.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
BLADDER DIVERTICULUM, excision or obliteration of (Anaes.) (Assist.)
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37021
Cystectomy, including anterior exenteration and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502 and 35653 to 35756 apply (Anaes.) (Assist.)
Group T8 · Subheading 2 		$3577.95 ≠ CHANGED
Item Number
37021
Schedule Fee
$3577.95
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2020
Gov. Change Flags
Fee ≠
Full Description
Cystectomy, including anterior exenteration and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502 and 35653 to 35756 apply (Anaes.) (Assist.)
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37023
VESICAL FISTULA, cutaneous, operation for (Anaes.)
Group T8 · Subheading 2 		$498.50 ≠ CHANGED
Item Number
37023
Schedule Fee
$498.50
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
VESICAL FISTULA, cutaneous, operation for (Anaes.)
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37026
CUTANEOUS VESICOSTOMY, establishment of (Anaes.) (Assist.)
Group T8 · Subheading 2 		$498.50 ≠ CHANGED
Item Number
37026
Schedule Fee
$498.50
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
CUTANEOUS VESICOSTOMY, establishment of (Anaes.) (Assist.)
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37029
VESICOVAGINAL FISTULA, closure of, by abdominal approach (Anaes.) (Assist.)
Group T8 · Subheading 2 		$1106.80 ≠ CHANGED
Item Number
37029
Schedule Fee
$1106.80
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
VESICOVAGINAL FISTULA, closure of, by abdominal approach (Anaes.) (Assist.)
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37038
VESICOINTESTINAL FISTULA, closure of, excluding bowel resection (Anaes.) (Assist.)
Group T8 · Subheading 2 		$827.90 ≠ CHANGED
Item Number
37038
Schedule Fee
$827.90
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
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
VESICOINTESTINAL FISTULA, closure of, excluding bowel resection (Anaes.) (Assist.)
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37039
Bladder stress incontinence, sling procedure for, using a non-autologous biological sling (Anaes.) (Assist.)
Group T8 · Subheading 2 		$807.35 ≠ CHANGED
Item Number
37039
Schedule Fee
$807.35
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2020
Gov. Change Flags
Fee ≠
Full Description
Bladder stress incontinence, sling procedure for, using a non-autologous biological sling (Anaes.) (Assist.)
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37040
Bladder stress incontinence, sling procedure for, using a non-adjustable synthetic male sling system, other than a service associated with a service to which item 37042 applies (H) (Anaes.) (Assist.)
Group T8 · Subheading 2 		$1090.75 ≠ CHANGED
Item Number
37040
Schedule Fee
$1090.75
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2016
Gov. Change Flags
Fee ≠
Full Description
Bladder stress incontinence, sling procedure for, using a non-adjustable synthetic male sling system, other than a service associated with a service to which item 37042 applies (H) (Anaes.) (Assist.)
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Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Both: (a) percutaneous placement of sacral nerve lead or leads using fluoroscopic guidance, or open placement of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to manage: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Both: (a) percutaneous repositioning of sacral nerve lead or leads using fluoroscopic guidance, or open repositioning of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment; other than a service to which item 36663 applies (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Sacral nerve electrode or electrodes, management and adjustment of the pulse generator by a medical practitioner, to manage detrusor overactivity or non obstructive urinary retention - each day
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Pulse generator, subcutaneous placement of, and placement and connection of extension wire or wires to sacral nerve electrode or electrodes, for the management of: (a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Sacral nerve lead or leads, removal of, if the lead was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Pulse generator, removal of, if the pulse generator was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if: (a) the patient has been diagnosed with idiopathic overactive bladder; and (b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti‑cholinergic agents); and (c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and (d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and (e) the patient is willing and able to comply with the treatment protocol; and (f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and (g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. For each patient—applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period. Not applicable for a service associated with a service to which item 36672 or 36673 applies
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Percutaneous tibial nerve stimulation, tapering treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the tapering treatment protocol comprises no more than 5 sessions, delivered over a 3 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for a service associated with a service to which item 36671 or 36673 applies
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Percutaneous tibial nerve stimulation, maintenance treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and to the tapering treatment protocol, and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the maintenance treatment protocol comprises no more than 12 sessions, delivered over a 12 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for service associated with a service to which item 36671 or 36672 applies
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
BLADDER, catheterisation of, where no other procedure is performed (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Ureteroscopy, of one ureter, with or without any one or more of cystoscopy, ureteric meatotomy, or ureteric dilatation, other than a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824 or 36848 applies (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Ureteroscopy, of one ureter: (a) with or without one or more of the following: (i) cystoscopy; (ii) endoscopic incision of pelviureteric junction or ureteric stricture; (iii) ureteric meatotomy; (iv) ureteric dilatation; and (b) with either or both of the following: (i) extraction of stone from the ureter; (ii) biopsy or diathermy of the ureter; other than: (c) a service associated with a service to which item 36803 or 36812 applies; or (d) a service associated with a service, performed on the same ureter, to which item 36809, 36824 or 36848 applies (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Ureteroscopy, of one ureter, with or without any one or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus destruction of stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy, or laser, with or without extraction of fragments, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36806, 36824 or 36848 applies to a procedure performed on the same ureter (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy, with insertion of one or more urethral or prostatic prostheses, other than a service associated with a service to which item 37203, 37207 or 37230 applies (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Either or both of cystoscopy and urethroscopy, with or without urethral dilatation, other than a service associated with any other urological endoscopic procedure on the lower urinary tract (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
CYSTOSCOPY, with or without urethroscopy, for the treatment of penile warts or uretheral warts, not being a service associated with a service to which item 30189 applies (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy, with ureteric catheterisation, unilateral or bilateral, guided by fluoroscopic imaging of the upper urinary tract, other than a service associated with a service to which item 36824 or 36830 applies (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy with one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis, unilateral (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy, with ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821 or 36830 applies (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy, with removal of ureteric stent and ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including either or both of the following: (i) ureteric dilatation; (ii) insertion of ureteric stent of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821, 36830 or 36833 applies (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy with ureteric catheterisation, unilateral or bilateral, other than a service associated with a service to which item 36818 applies (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy, with controlled hydro‑dilatation of the bladder, other than a service associated with a service to which item 37011 or 37245 applies (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
CYSTOSCOPY, with ureteric meatotomy (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy with removal of ureteric stent or other foreign body in the lower urinary tract, unilateral (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy with biopsy of bladder, other than a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203 or 37215 applies (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy, with diathermy, resection or visual laser destruction of bladder tumour or other lesion of the bladder, for: (a) a tumour or lesion in only one quadrant of the bladder; or (b) a solitary tumour of not more than 2 cm in diameter; other than a service associated with a service to which item 36845 applies (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy, with lavage of blood clots from bladder, including any associated cautery of prostate or bladder, other than a service associated with a service to which any of items 36812, 36827 to 36863 and 37203 apply (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy, with diathermy, resection or visual laser destruction of: (a) multiple tumours in 2 or more quadrants of the bladder; or (b) a solitary bladder tumour of more than 2 cm in diameter (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
CYSTOSCOPY, with resection of ureterocele (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystoscopy, with injection into bladder wall, other than a service associated with a service to which item 18375 or 18379 applies (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
CYSTOSCOPY, with endoscopic incision or resection of external sphincter, bladder neck or both (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Endoscopic examination of intestinal conduit or reservoir (H) (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Litholapaxy, with or without cystoscopy (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
BLADDER, partial excision of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
BLADDER, repair of rupture (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Open cystostomy or cystotomy, suprapubic, other than: (a) a service to which item 37011 applies; or (b) a service associated with a service to which item 37245 applies; or (c) another open bladder procedure (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Suprapubic stab cystotomy, other than a service associated with a service to which item 36827 applies (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
BLADDER, total excision of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Bladder, total excision of, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystectomy, including prostatectomy and pelvic lymph node dissection, other than a service associated with a service to which items 37000, 37014, 37015, 37209, 35551 or 36502 applies (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystectomy, including prostatectomy and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which items 37000, 37014, 37015, 37016, 37209, 35551 or 36502 applies (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystectomy, including anterior exenteration and pelvic lymph node dissection, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502, and 35653 to 35756 apply (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
BLADDER DIVERTICULUM, excision or obliteration of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cystectomy, including anterior exenteration and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502 and 35653 to 35756 apply (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
VESICAL FISTULA, cutaneous, operation for (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
CUTANEOUS VESICOSTOMY, establishment of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
VESICOVAGINAL FISTULA, closure of, by abdominal approach (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
VESICOINTESTINAL FISTULA, closure of, excluding bowel resection (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Bladder stress incontinence, sling procedure for, using a non-autologous biological sling (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Bladder stress incontinence, sling procedure for, using a non-adjustable synthetic male sling system, other than a service associated with a service to which item 37042 applies (H) (Anaes.) (Assist.)
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