Billing Codes — Australian Health Schedule Tracker

Showing 2801–2850 of 6045 Pg 57/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	42504	Implantation of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or the trabecular meshwork, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 42504 Schedule Fee $359.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.2020 Gov. Change Flags Fee ≠ Full Description Implantation of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or the trabecular meshwork, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42505	Complete removal of a micro‑bypass glaucoma surgery device or devices from the suprachoroidal space or the trabecular meshwork, with or without replacement, following device‑related medical complications necessitating complete removal (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 42505 Schedule Fee $359.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2018 EMSN Cap %: 15% Gov. Change Flags Fee ≠ Full Description Complete removal of a micro‑bypass glaucoma surgery device or devices from the suprachoroidal space or the trabecular meshwork, with or without replacement, following device‑related medical complications necessitating complete removal (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42506	Eye, enucleation of, without insertion of implant (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$576.00	—	≠ CHANGED
Item Number 42506 Schedule Fee $576.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Eye, enucleation of, without insertion of implant (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42509	Eye, enucleation of, with insertion of non-integrated implant, without muscle attachment (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$729.00	—	≠ CHANGED
Item Number 42509 Schedule Fee $729.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Eye, enucleation of, with insertion of non-integrated implant, without muscle attachment (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42510	Eye, enucleation of, with insertion of coralline or other integrated implant, including:(a) for a coralline implant—attachment of at least the 4 rectus muscles (with or without oblique muscles) to: (i) the implant; or(ii) the implant wrap; or (b) for another integrated implant—fashioning of myoconjunctival insertion of extraocular muscles(H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$840.30	—	≠ CHANGED
Item Number 42510 Schedule Fee $840.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.1994 Gov. Change Flags Fee ≠ Full Description Eye, enucleation of, with insertion of coralline or other integrated implant, including:(a) for a coralline implant—attachment of at least the 4 rectus muscles (with or without oblique muscles) to: (i) the implant; or(ii) the implant wrap; or (b) for another integrated implant—fashioning of myoconjunctival insertion of extraocular muscles(H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42512	Globe, evisceration of (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$576.00	—	≠ CHANGED
Item Number 42512 Schedule Fee $576.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Globe, evisceration of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42515	GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$729.00	—	≠ CHANGED
Item Number 42515 Schedule Fee $729.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42518	ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$422.95	—	≠ CHANGED
Item Number 42518 Schedule Fee $422.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42521	ANOPHTHALMIC SOCKET, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1440.15	—	≠ CHANGED
Item Number 42521 Schedule Fee $1440.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description ANOPHTHALMIC SOCKET, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42527	CONTRACTED SOCKET, RECONSTRUCTION INCLUDING MUCOUS MEMBRANE GRAFTING AND STENT MOULD (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$485.95	—	≠ CHANGED
Item Number 42527 Schedule Fee $485.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description CONTRACTED SOCKET, RECONSTRUCTION INCLUDING MUCOUS MEMBRANE GRAFTING AND STENT MOULD (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42530	Orbit, exploration of, requiring removal of bone (orbitotomy) for access, with subsequent drainage or biopsy, including repair of any bone or soft tissue surgical defect, other than a service associated with a service to which item 45590 or 45594 applies on the same side (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$756.10	—	≠ CHANGED
Item Number 42530 Schedule Fee $756.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Orbit, exploration of, requiring removal of bone (orbitotomy) for access, with subsequent drainage or biopsy, including repair of any bone or soft tissue surgical defect, other than a service associated with a service to which item 45590 or 45594 applies on the same side (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42533	Orbit, exploration of, without requiring removal of bone (orbitotomy) for access, with drainage or biopsy, including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$485.95	—	≠ CHANGED
Item Number 42533 Schedule Fee $485.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Orbit, exploration of, without requiring removal of bone (orbitotomy) for access, with drainage or biopsy, including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42536	Orbit, exenteration of, including repair of any bone or soft tissue surgical defect, with or without skin graft and with or without temporalis muscle transplant (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$998.85	—	≠ CHANGED
Item Number 42536 Schedule Fee $998.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Orbit, exenteration of, including repair of any bone or soft tissue surgical defect, with or without skin graft and with or without temporalis muscle transplant (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42539	Orbit, exploration of, requiring removal of bone (orbitotomy) for access, with removal of tumour or foreign body (not incisional biopsy), including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1422.15	—	≠ CHANGED
Item Number 42539 Schedule Fee $1422.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Orbit, exploration of, requiring removal of bone (orbitotomy) for access, with removal of tumour or foreign body (not incisional biopsy), including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42542	Orbit, exploration of anterior aspect, with removal of tumour or foreign body (not incisional biopsy), including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$603.15	—	≠ CHANGED
Item Number 42542 Schedule Fee $603.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Orbit, exploration of anterior aspect, with removal of tumour or foreign body (not incisional biopsy), including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42543	ORBIT, exploration of retrobulbar aspect with removal of tumour or foreign body (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1057.85	—	≠ CHANGED
Item Number 42543 Schedule Fee $1057.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description ORBIT, exploration of retrobulbar aspect with removal of tumour or foreign body (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42545	ORBIT, decompression of, for dysthyroid eye disease, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1530.05	—	≠ CHANGED
Item Number 42545 Schedule Fee $1530.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description ORBIT, decompression of, for dysthyroid eye disease, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42548	OPTIC NERVE MENINGES, incision of (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$908.90	—	≠ CHANGED
Item Number 42548 Schedule Fee $908.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description OPTIC NERVE MENINGES, incision of (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42551	Eye, penetrating wound or rupture of, not involving intraocular structures—repair involving suture of cornea or sclera, or both, other than a service to which item 42632 applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$756.10	—	≠ CHANGED
Item Number 42551 Schedule Fee $756.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Eye, penetrating wound or rupture of, not involving intraocular structures—repair involving suture of cornea or sclera, or both, other than a service to which item 42632 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42554	EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration or prolapse of uveal tissue repair (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$882.15	—	≠ CHANGED
Item Number 42554 Schedule Fee $882.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration or prolapse of uveal tissue repair (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42557	EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration of lens or vitreous repair (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1233.05	—	≠ CHANGED
Item Number 42557 Schedule Fee $1233.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration of lens or vitreous repair (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42563	Intraocular foreign body, removal from anterior segment (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$621.20	—	≠ CHANGED
Item Number 42563 Schedule Fee $621.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Intraocular foreign body, removal from anterior segment (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42569	INTRAOCULAR FOREIGN BODY, removal from posterior segment (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1233.05	—	≠ CHANGED
Item Number 42569 Schedule Fee $1233.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description INTRAOCULAR FOREIGN BODY, removal from posterior segment (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42572	ORBITAL ABSCESS OR CYST, drainage of (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$140.45	—	≠ CHANGED
Item Number 42572 Schedule Fee $140.45 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description ORBITAL ABSCESS OR CYST, drainage of (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42573	DERMOID, periorbital, excision of, on a patient 10 years of age or over (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$272.20	—	≠ CHANGED
Item Number 42573 Schedule Fee $272.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.1994 Gov. Change Flags Fee ≠ Full Description DERMOID, periorbital, excision of, on a patient 10 years of age or over (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42574	Dermoid, orbital, excision of (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$578.40	—	≠ CHANGED
Item Number 42574 Schedule Fee $578.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1994 Gov. Change Flags Fee ≠ Full Description Dermoid, orbital, excision of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42575	TARSAL CYST, extirpation of (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$99.00	—	≠ CHANGED
Item Number 42575 Schedule Fee $99.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description TARSAL CYST, extirpation of (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42576	Dermoid, periorbital, excision of, on a patient under 10 years of age (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$353.90	—	≠ CHANGED
Item Number 42576 Schedule Fee $353.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.09.2015 Gov. Change Flags Fee ≠ Full Description Dermoid, periorbital, excision of, on a patient under 10 years of age (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42581	ECTROPION OR ENTROPION, tarsal cauterisation of (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$140.45	—	≠ CHANGED
Item Number 42581 Schedule Fee $140.45 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description ECTROPION OR ENTROPION, tarsal cauterisation of (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42584	TARSORRHAPHY (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$331.25	—	≠ CHANGED
Item Number 42584 Schedule Fee $331.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description TARSORRHAPHY (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42587	TRICHIASIS (due to causes other than trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$62.25	—	≠ CHANGED
Item Number 42587 Schedule Fee $62.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description TRICHIASIS (due to causes other than trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42588	TRICHIASIS (due to trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$62.25	—	≠ CHANGED
Item Number 42588 Schedule Fee $62.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2018 Gov. Change Flags Fee ≠ Full Description TRICHIASIS (due to trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42590	Canthoplasty, medial or lateral, excluding when performed in conjunction with cosmetic blepharoplasty (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$405.00	—	≠ CHANGED
Item Number 42590 Schedule Fee $405.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description Canthoplasty, medial or lateral, excluding when performed in conjunction with cosmetic blepharoplasty (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42596	Lacrimal sac, excision of, or operation on (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$603.15	—	≠ CHANGED
Item Number 42596 Schedule Fee $603.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Lacrimal sac, excision of, or operation on (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42599	Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, one eye (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$756.10	—	≠ CHANGED
Item Number 42599 Schedule Fee $756.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, one eye (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42602	Lacrimal canalicular system, establishment of patency by open operation, one eye (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$756.10	—	≠ CHANGED
Item Number 42602 Schedule Fee $756.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Lacrimal canalicular system, establishment of patency by open operation, one eye (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42605	Lacrimal canaliculus, immediate repair of (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$557.90	—	≠ CHANGED
Item Number 42605 Schedule Fee $557.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Lacrimal canaliculus, immediate repair of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42608	LACRIMAL DRAINAGE by insertion of glass tube, as an independent procedure (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 42608 Schedule Fee $359.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description LACRIMAL DRAINAGE by insertion of glass tube, as an independent procedure (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42610	Nasolacrimal tube (unilateral), removal or replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage—under general anaesthesia (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$115.20	—	≠ CHANGED
Item Number 42610 Schedule Fee $115.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.1994 Gov. Change Flags Fee ≠ Full Description Nasolacrimal tube (unilateral), removal or replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage—under general anaesthesia (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42611	Nasolacrimal tube (bilateral), removal or replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage—under general anaesthesia (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$172.80	—	≠ CHANGED
Item Number 42611 Schedule Fee $172.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Nasolacrimal tube (bilateral), removal or replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage—under general anaesthesia (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42614	NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, unilateral, including lavage, not being a service associated with a service to which item 42610 applies (excluding aftercare) Group T8	Category 3 — Therapeutic Procedures	$57.75	—	≠ CHANGED
Item Number 42614 Schedule Fee $57.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, unilateral, including lavage, not being a service associated with a service to which item 42610 applies (excluding aftercare) Sign in to watch this code → Get an email alert when this item changes
	42615	NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, bilateral, including lavage, not being a service associated with a service to which item 42611 applies (excluding aftercare) Group T8	Category 3 — Therapeutic Procedures	$86.50	—	≠ CHANGED
Item Number 42615 Schedule Fee $86.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.05.1994 Gov. Change Flags Fee ≠ Full Description NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, bilateral, including lavage, not being a service associated with a service to which item 42611 applies (excluding aftercare) Sign in to watch this code → Get an email alert when this item changes
	42617	PUNCTUM SNIP operation (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$163.95	—	≠ CHANGED
Item Number 42617 Schedule Fee $163.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description PUNCTUM SNIP operation (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42620	PUNCTUM, occlusion of, by use of a plug (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$63.10	—	≠ CHANGED
Item Number 42620 Schedule Fee $63.10 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description PUNCTUM, occlusion of, by use of a plug (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42622	PUNCTUM, permanent occlusion of, by use of electrical cautery (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$99.00	—	≠ CHANGED
Item Number 42622 Schedule Fee $99.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.1996 Gov. Change Flags Fee ≠ Full Description PUNCTUM, permanent occlusion of, by use of electrical cautery (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42623	Dacryocystorhinostomy, external or endonasal approach, including any sinus, turbinate or uncinate operation performed by same surgeon for access, with or without silicone intubation/stenting (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$837.15	—	≠ CHANGED
Item Number 42623 Schedule Fee $837.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Dacryocystorhinostomy, external or endonasal approach, including any sinus, turbinate or uncinate operation performed by same surgeon for access, with or without silicone intubation/stenting (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42626	Dacryocystorhinostomy, if a previous dacryocystorhinostomy has been performed, external or endonasal approach, including any sinus, turbinate or uncinate operation performed by same surgeon for access, with or without silicone intubation/stenting (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1350.20	—	≠ CHANGED
Item Number 42626 Schedule Fee $1350.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Dacryocystorhinostomy, if a previous dacryocystorhinostomy has been performed, external or endonasal approach, including any sinus, turbinate or uncinate operation performed by same surgeon for access, with or without silicone intubation/stenting (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42629	Dacryocystorhinostomy, with placement of a permanent bypass tube from the conjunctival sac to the nasal cavity (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1017.05	—	≠ CHANGED
Item Number 42629 Schedule Fee $1017.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Dacryocystorhinostomy, with placement of a permanent bypass tube from the conjunctival sac to the nasal cavity (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42632	Conjunctival peritomy or repair of corneal laceration by conjunctival flap, other than a service associated with a service to which item 42686 applies (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$140.45	—	≠ CHANGED
Item Number 42632 Schedule Fee $140.45 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Conjunctival peritomy or repair of corneal laceration by conjunctival flap, other than a service associated with a service to which item 42686 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42635	CORNEAL PERFORATIONS, sealing of, with tissue adhesive (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 42635 Schedule Fee $359.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description CORNEAL PERFORATIONS, sealing of, with tissue adhesive (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category