Billing Codes — Australian Health Schedule Tracker

Showing 2501–2550 of 6045 Pg 51/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	38727	Anastomosis or repair of intrathoracic vessels, without cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38700, 38703, 38706, 38709, 38715, 38718, 38721, 38724, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$1790.40	—	≠ CHANGED
Item Number 38727 Schedule Fee $1790.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Anastomosis or repair of intrathoracic vessels, without cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38700, 38703, 38706, 38709, 38715, 38718, 38721, 38724, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38730	Anastomosis or repair of intrathoracic vessels, with cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38700, 38703, 38706, 38709, 38715, 38718, 38721, 38724, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2554.85	—	≠ CHANGED
Item Number 38730 Schedule Fee $2554.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Anastomosis or repair of intrathoracic vessels, with cardiopulmonary bypass, performed as a primary procedure, other than a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38700, 38703, 38706, 38709, 38715, 38718, 38721, 38724, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38733	Systemic pulmonary or Cavo-pulmonary shunt, creation of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$1790.40	—	≠ CHANGED
Item Number 38733 Schedule Fee $1790.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Systemic pulmonary or Cavo-pulmonary shunt, creation of, without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38736	Systemic pulmonary or Cavo-pulmonary shunt, creation of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2554.85	—	≠ CHANGED
Item Number 38736 Schedule Fee $2554.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Systemic pulmonary or Cavo-pulmonary shunt, creation of, with cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38739	Atrial septectomy, with or without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2342.60	—	≠ CHANGED
Item Number 38739 Schedule Fee $2342.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Atrial septectomy, with or without cardiopulmonary bypass, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38742	Atrial septal defect, closure by open exposure and direct suture or patch, for congenital heart disease in a patient with documented evidence of right heart overload or paradoxical embolism, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2303.00	—	≠ CHANGED
Item Number 38742 Schedule Fee $2303.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Atrial septal defect, closure by open exposure and direct suture or patch, for congenital heart disease in a patient with documented evidence of right heart overload or paradoxical embolism, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38745	Intra-atrial baffle, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2554.85	—	≠ CHANGED
Item Number 38745 Schedule Fee $2554.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Intra-atrial baffle, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38748	Ventricular septectomy, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2554.85	—	≠ CHANGED
Item Number 38748 Schedule Fee $2554.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Ventricular septectomy, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38751	Ventricular septal defect, closure by direct suture or patch, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2554.85	—	≠ CHANGED
Item Number 38751 Schedule Fee $2554.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Ventricular septal defect, closure by direct suture or patch, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38754	Intraventricular baffle or conduit, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$3198.10	—	≠ CHANGED
Item Number 38754 Schedule Fee $3198.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Intraventricular baffle or conduit, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38757	Extracardiac conduit, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2554.85	—	≠ CHANGED
Item Number 38757 Schedule Fee $2554.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Extracardiac conduit, insertion of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38760	Extracardiac conduit, replacement of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2554.85	—	≠ CHANGED
Item Number 38760 Schedule Fee $2554.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Extracardiac conduit, replacement of, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38764	Ventricular myectomy, for relief of right or left ventricular obstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 14	Category 3 — Therapeutic Procedures	$2554.85	—	≠ CHANGED
Item Number 38764 Schedule Fee $2554.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 14 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Ventricular myectomy, for relief of right or left ventricular obstruction, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38766	Ventricular augmentation, right or left, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 16	Category 3 — Therapeutic Procedures	$2554.85	—	≠ CHANGED
Item Number 38766 Schedule Fee $2554.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 16 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description Ventricular augmentation, right or left, for congenital heart disease, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18260, 33824, 38816, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38800	THORACIC CAVITY, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38803 applies Group T8 · Subheading 17	Category 3 — Therapeutic Procedures	$46.05	—	≠ CHANGED
Item Number 38800 Schedule Fee $46.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 17 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2005 Gov. Change Flags Fee ≠ Full Description THORACIC CAVITY, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38803 applies Sign in to watch this code → Get an email alert when this item changes
	38803	THORACIC CAVITY, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample Group T8 · Subheading 17	Category 3 — Therapeutic Procedures	$92.05	—	≠ CHANGED
Item Number 38803 Schedule Fee $92.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 17 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2005 Gov. Change Flags Fee ≠ Full Description THORACIC CAVITY, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample Sign in to watch this code → Get an email alert when this item changes
	38812	PERCUTANEOUS NEEDLE BIOPSY of lung (Anaes.) Group T8 · Subheading 17	Category 3 — Therapeutic Procedures	$250.35	—	≠ CHANGED
Item Number 38812 Schedule Fee $250.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 17 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2005 Gov. Change Flags Fee ≠ Full Description PERCUTANEOUS NEEDLE BIOPSY of lung (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	38815	Thoracoscopy, with or without division of pleural adhesions, with or without biopsy, including insertion of intercostal catheter where necessary, other than a service associated with: (a) a service to which item 18258, 18260 or 38828 applies; or (b) a service to which item 38816 applies that is performed on the same lung (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$298.85	—	≠ CHANGED
Item Number 38815 Schedule Fee $298.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Thoracoscopy, with or without division of pleural adhesions, with or without biopsy, including insertion of intercostal catheter where necessary, other than a service associated with: (a) a service to which item 18258, 18260 or 38828 applies; or (b) a service to which item 38816 applies that is performed on the same lung (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38816	Thoracotomy, exploratory, with or without biopsy, including insertion of an intercostal catheter where necessary, other than a service associated with: (a) a service to which item 18258, 18260 or 38828 applies; or (b) a service to which item 38815 applies that is performed on the same lung (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1147.10	—	≠ CHANGED
Item Number 38816 Schedule Fee $1147.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Thoracotomy, exploratory, with or without biopsy, including insertion of an intercostal catheter where necessary, other than a service associated with: (a) a service to which item 18258, 18260 or 38828 applies; or (b) a service to which item 38815 applies that is performed on the same lung (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38817	Thoracotomy, thoracoscopy or sternotomy, by any procedure: (a) including any division of adhesions if the time taken to divide the adhesions exceeds 30 minutes; and (b) other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18258, 18260, 33824, 38815, 38816, 38818, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1803.30	—	≠ CHANGED
Item Number 38817 Schedule Fee $1803.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Thoracotomy, thoracoscopy or sternotomy, by any procedure: (a) including any division of adhesions if the time taken to divide the adhesions exceeds 30 minutes; and (b) other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18258, 18260, 33824, 38815, 38816, 38818, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38818	Thoracotomy, thoracoscopy or median sternotomy for post operative bleeding, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18258, 18260, 33824, 38815, 38816, 38817, 38828 or 45503 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1147.10	—	≠ CHANGED
Item Number 38818 Schedule Fee $1147.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Thoracotomy, thoracoscopy or median sternotomy for post operative bleeding, other than a service associated with a service to which item 11704, 11705, 11707, 11714, 18258, 18260, 33824, 38815, 38816, 38817, 38828 or 45503 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38820	Lung, wedge resection of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38820, 38821 or 38828 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1373.10	—	≠ CHANGED
Item Number 38820 Schedule Fee $1373.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Lung, wedge resection of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38820, 38821 or 38828 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38821	Lung, wedge resection of, 2 or more wedges, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38820 or 38828 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$2059.65	—	≠ CHANGED
Item Number 38821 Schedule Fee $2059.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Lung, wedge resection of, 2 or more wedges, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38820 or 38828 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38822	Pneumonectomy, lobectomy, bilobectomy or segmentectomy, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38823, 38824 or 38828 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1833.60	—	≠ CHANGED
Item Number 38822 Schedule Fee $1833.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Pneumonectomy, lobectomy, bilobectomy or segmentectomy, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38823, 38824 or 38828 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38823	Radical lobectomy, pneumonectomy, bilobectomy, segmentectomy or formal mediastinal node dissection (greater than 4 nodes), other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38822, 38824 or 38828 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$2265.55	—	≠ CHANGED
Item Number 38823 Schedule Fee $2265.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Radical lobectomy, pneumonectomy, bilobectomy, segmentectomy or formal mediastinal node dissection (greater than 4 nodes), other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38822, 38824 or 38828 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38824	Segmentectomy, lobectomy, bilobectomy or pneumonectomy, including resection of chest wall, diaphragm, pericardium, and formal mediastinal node dissection (greater than 4 nodes), other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38822, 38823 or 38828 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$2831.95	—	≠ CHANGED
Item Number 38824 Schedule Fee $2831.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Segmentectomy, lobectomy, bilobectomy or pneumonectomy, including resection of chest wall, diaphragm, pericardium, and formal mediastinal node dissection (greater than 4 nodes), other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38822, 38823 or 38828 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38828	Intercostal drain, insertion of: (a) not involving resection of rib; and (b) excluding aftercare; and (c) other than a service associated with a service to which item 38815, 38816, 38829, 38830, 38831, 38832, 38833 or 38834 applies (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$159.90	—	≠ CHANGED
Item Number 38828 Schedule Fee $159.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Intercostal drain, insertion of: (a) not involving resection of rib; and (b) excluding aftercare; and (c) other than a service associated with a service to which item 38815, 38816, 38829, 38830, 38831, 38832, 38833 or 38834 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	38829	Intercostal drain, insertion of, with pleurodesis: (a) not involving resection of rib; and (b) excluding aftercare; and (c) other than a service associated with a service to which item 38815, 38816, 38828, 38830, 38831, 38832, 38833 or 38834 applies (H) (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$197.00	—	≠ CHANGED
Item Number 38829 Schedule Fee $197.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Intercostal drain, insertion of, with pleurodesis: (a) not involving resection of rib; and (b) excluding aftercare; and (c) other than a service associated with a service to which item 38815, 38816, 38828, 38830, 38831, 38832, 38833 or 38834 applies (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	38830	Empyema, radical operation for, involving resection of rib, other than a service associated with a service to which item 38828, 38829, 38831, 38832, 38833 or 38834 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$478.00	—	≠ CHANGED
Item Number 38830 Schedule Fee $478.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Empyema, radical operation for, involving resection of rib, other than a service associated with a service to which item 38828, 38829, 38831, 38832, 38833 or 38834 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38831	Thoracoscopy or thoracotomy and drainage of paraneumonic effusion and empyema, exploratory, with or without biopsy, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38832, 38833 or 38834 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1720.65	—	≠ CHANGED
Item Number 38831 Schedule Fee $1720.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Thoracoscopy or thoracotomy and drainage of paraneumonic effusion and empyema, exploratory, with or without biopsy, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38832, 38833 or 38834 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38832	Thoracotomy or thoracoscopy, with pulmonary decortication, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38831, 38833 or 38834 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1833.60	—	≠ CHANGED
Item Number 38832 Schedule Fee $1833.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Thoracotomy or thoracoscopy, with pulmonary decortication, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38831, 38833 or 38834 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38833	Thoracotomy or thoracoscopy, with pleurectomy or pleurodesis, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38831, 38832 or 38834 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1147.10	—	≠ CHANGED
Item Number 38833 Schedule Fee $1147.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Thoracotomy or thoracoscopy, with pleurectomy or pleurodesis, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38831, 38832 or 38834 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38834	Thoracotomy and radical extra pleural pneumonectomy or radical lung preserving decortication and pleurectomy for malignancy, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38831, 38832 or 38833 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$4248.10	—	≠ CHANGED
Item Number 38834 Schedule Fee $4248.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Thoracotomy and radical extra pleural pneumonectomy or radical lung preserving decortication and pleurectomy for malignancy, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38829, 38830, 38831, 38832 or 38833 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38837	Mediastinum, cervical exploration of, with or without biopsy, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$434.55	—	≠ CHANGED
Item Number 38837 Schedule Fee $434.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Mediastinum, cervical exploration of, with or without biopsy, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38838	Thoracotomy or thoracoscopy or sternotomy, for removal of thymus or mediastinal tumour, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1416.50	—	≠ CHANGED
Item Number 38838 Schedule Fee $1416.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Thoracotomy or thoracoscopy or sternotomy, for removal of thymus or mediastinal tumour, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38839	Pericardium, subxiphoid open surgical drainage of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38840 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$686.70	—	≠ CHANGED
Item Number 38839 Schedule Fee $686.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Pericardium, subxiphoid open surgical drainage of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38840 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38840	Pericardium, transthoracic (thoracotomy or thoracoscopy) open surgical drainage of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38839 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1025.30	—	≠ CHANGED
Item Number 38840 Schedule Fee $1025.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Pericardium, transthoracic (thoracotomy or thoracoscopy) open surgical drainage of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38839 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38841	Pericardiectomy via sternotomy or thoracoscopy or anterolateral thoracotomy without cardiopulmonary bypass, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1833.60	—	≠ CHANGED
Item Number 38841 Schedule Fee $1833.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Pericardiectomy via sternotomy or thoracoscopy or anterolateral thoracotomy without cardiopulmonary bypass, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38842	Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$2565.20	—	≠ CHANGED
Item Number 38842 Schedule Fee $2565.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38845	Sternal wire or wires, removal of, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$329.65	—	≠ CHANGED
Item Number 38845 Schedule Fee $329.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Sternal wire or wires, removal of, other than a service associated with a service to which item 18258, 18260, 38815, 38816 or 38828 applies (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	38846	Pectus excavatum or pectus carinatum, repair or radical correction of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38847, 38848 or 38849 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1711.90	—	≠ CHANGED
Item Number 38846 Schedule Fee $1711.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Pectus excavatum or pectus carinatum, repair or radical correction of, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38847, 38848 or 38849 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38847	Pectus excavatum, repair of, with implantation of subcutaneous prosthesis, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846, 38848 or 38849 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$912.40	—	≠ CHANGED
Item Number 38847 Schedule Fee $912.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Pectus excavatum, repair of, with implantation of subcutaneous prosthesis, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846, 38848 or 38849 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38848	Pectus excavatum, repair of, with insertion of a concave bar, by any method, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846 or 38847 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1369.50	—	≠ CHANGED
Item Number 38848 Schedule Fee $1369.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Pectus excavatum, repair of, with insertion of a concave bar, by any method, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846 or 38847 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38849	Pectus excavatum, removal of a concave bar, by any method, not being a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846 or 38847 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$684.70	—	≠ CHANGED
Item Number 38849 Schedule Fee $684.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Pectus excavatum, removal of a concave bar, by any method, not being a service associated with a service to which item 18258, 18260, 38815, 38816, 38828, 38846 or 38847 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38850	Sternotomy wound, debridement of, not involving reopening of the mediastinum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38851 applies (H) (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$390.75	—	≠ CHANGED
Item Number 38850 Schedule Fee $390.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Sternotomy wound, debridement of, not involving reopening of the mediastinum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38851 applies (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	38851	Sternotomy wound, debridement of, involving curettage of infected bone, with or without removal of wires, but not involving reopening of the mediastinum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38850 applies (H) (Anaes.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$424.65	—	≠ CHANGED
Item Number 38851 Schedule Fee $424.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Sternotomy wound, debridement of, involving curettage of infected bone, with or without removal of wires, but not involving reopening of the mediastinum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38850 applies (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	38852	Sternum, reoperation on, for dehiscence or infection involving reopening of the mediastinum, with or without rewiring, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38853 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1146.65	—	≠ CHANGED
Item Number 38852 Schedule Fee $1146.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Sternum, reoperation on, for dehiscence or infection involving reopening of the mediastinum, with or without rewiring, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38853 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38853	Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps and/or greater omentum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38852 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$1797.60	—	≠ CHANGED
Item Number 38853 Schedule Fee $1797.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps and/or greater omentum, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38828 or 38852 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38857	Chest wall resection, sternum and/or ribs without reconstruction, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38824, 38828 or 38858 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$2172.65	—	≠ CHANGED
Item Number 38857 Schedule Fee $2172.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Chest wall resection, sternum and/or ribs without reconstruction, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38824, 38828 or 38858 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	38858	Chest wall resection, sternum and / or ribs with reconstruction, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38824, 38828 or 38857 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 5	Category 3 — Therapeutic Procedures	$2831.95	—	≠ CHANGED
Item Number 38858 Schedule Fee $2831.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 5 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2023 Gov. Change Flags Fee ≠ Full Description Chest wall resection, sternum and / or ribs with reconstruction, other than a service associated with a service to which item 18258, 18260, 38815, 38816, 38824, 38828 or 38857 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category