Billing Codes — Australian Health Schedule Tracker

Showing 2851–2900 of 6045 Pg 58/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	42638	CONJUNCTIVAL GRAFT OVER CORNEA (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$450.05	—	≠ CHANGED
Item Number 42638 Schedule Fee $450.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description CONJUNCTIVAL GRAFT OVER CORNEA (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42641	AUTOCONJUNCTIVAL TRANSPLANT, or mucous membrane graft (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$585.05	—	≠ CHANGED
Item Number 42641 Schedule Fee $585.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description AUTOCONJUNCTIVAL TRANSPLANT, or mucous membrane graft (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42644	CORNEA OR SCLERA, complete removal of embedded foreign body from - not more than once on the same day by the same practitioner (excluding aftercare) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$86.35	—	≠ CHANGED
Item Number 42644 Schedule Fee $86.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description CORNEA OR SCLERA, complete removal of embedded foreign body from - not more than once on the same day by the same practitioner (excluding aftercare) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42647	Corneal scars, removal of, by partial keratectomy, other than a service associated with a service to which item 42686 or 42650 applies (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$244.85	—	≠ CHANGED
Item Number 42647 Schedule Fee $244.85 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 scars, removal of, by partial keratectomy, other than a service associated with a service to which item 42686 or 42650 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42650	Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care), other than a service associated with a service to which item 42647 applies (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$86.35	—	≠ CHANGED
Item Number 42650 Schedule Fee $86.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care), other than a service associated with a service to which item 42647 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42651	CORNEA, epithelial debridement for eliminating band keratopathy (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$192.50	—	≠ CHANGED
Item Number 42651 Schedule Fee $192.50 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: 01.07.1998 Gov. Change Flags Fee ≠ Full Description CORNEA, epithelial debridement for eliminating band keratopathy (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42652	Corneal collagen cross linking, on a patient with a corneal ectatic disorder, with evidence of progression—per eye (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$1436.30	—	≠ CHANGED
Item Number 42652 Schedule Fee $1436.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.05.2018 Gov. Change Flags Fee ≠ Full Description Corneal collagen cross linking, on a patient with a corneal ectatic disorder, with evidence of progression—per eye (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42653	CORNEA transplantation of (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1565.20	—	≠ CHANGED
Item Number 42653 Schedule Fee $1565.20 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 CORNEA transplantation of (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42656	CORNEA, transplantation of, second and subsequent procedures (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1998.20	—	≠ CHANGED
Item Number 42656 Schedule Fee $1998.20 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 CORNEA, transplantation of, second and subsequent procedures (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42662	SCLERA, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1079.90	—	≠ CHANGED
Item Number 42662 Schedule Fee $1079.90 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 SCLERA, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42665	Sclera, transplantation of, superficial or lamellar, including collection of donor material (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$720.15	—	≠ CHANGED
Item Number 42665 Schedule Fee $720.15 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 Sclera, transplantation of, superficial or lamellar, including collection of donor material (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42667	RUNNING CORNEAL SUTURE, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation Group T8	Category 3 — Therapeutic Procedures	$169.85	—	≠ CHANGED
Item Number 42667 Schedule Fee $169.85 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: 01.05.1997 Gov. Change Flags Fee ≠ Full Description RUNNING CORNEAL SUTURE, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation Sign in to watch this code → Get an email alert when this item changes
	42668	CORNEAL SUTURES, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$90.10	—	≠ CHANGED
Item Number 42668 Schedule Fee $90.10 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 CORNEAL SUTURES, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42672	Corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1079.90	—	≠ CHANGED
Item Number 42672 Schedule Fee $1079.90 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: 01.11.2003 Gov. Change Flags Fee ≠ Full Description Corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42673	Additional corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$539.90	—	≠ CHANGED
Item Number 42673 Schedule Fee $539.90 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: 01.11.2003 Gov. Change Flags Fee ≠ Full Description Additional corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42676	CONJUNCTIVA, biopsy of, as an independent procedure Group T8	Category 3 — Therapeutic Procedures	$138.45	—	≠ CHANGED
Item Number 42676 Schedule Fee $138.45 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: 01.05.1997 Gov. Change Flags Fee ≠ Full Description CONJUNCTIVA, biopsy of, as an independent procedure Sign in to watch this code → Get an email alert when this item changes
	42677	CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUS each attendance at which treatment is given including any associated consultation (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$72.95	—	≠ CHANGED
Item Number 42677 Schedule Fee $72.95 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 CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUS each attendance at which treatment is given including any associated consultation (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42680	CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using CO² or N²0 (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 42680 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 CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using CO² or N²0 (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42683	CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$144.10	—	≠ CHANGED
Item Number 42683 Schedule Fee $144.10 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 CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42686	Pterygium, removal of, other than a service associated with a service to which item 42632 or 42647 applies (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$327.55	—	≠ CHANGED
Item Number 42686 Schedule Fee $327.55 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 Pterygium, removal of, other than a service associated with a service to which item 42632 or 42647 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42689	PINGUECULA, removal of, not being a service associated with the fitting of contact lenses (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$140.45	—	≠ CHANGED
Item Number 42689 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 PINGUECULA, removal of, not being a service associated with the fitting of contact lenses (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42692	LIMBIC TUMOUR, removal of, excluding Pterygium (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$331.25	—	≠ CHANGED
Item Number 42692 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 LIMBIC TUMOUR, removal of, excluding Pterygium (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42695	LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$539.90	—	≠ CHANGED
Item Number 42695 Schedule Fee $539.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42698	Lens extraction, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$711.80	—	≠ CHANGED
Item Number 42698 Schedule Fee $711.80 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: D Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Lens extraction, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42701	Intraocular lens, insertion of, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$396.95	—	≠ CHANGED
Item Number 42701 Schedule Fee $396.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: D Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Intraocular lens, insertion of, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42702	Lens extraction and insertion of intraocular lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$910.35	—	≠ CHANGED
Item Number 42702 Schedule Fee $910.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: D Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1996 Gov. Change Flags Fee ≠ Full Description Lens extraction and insertion of intraocular lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42703	Intraocular lens or iris prosthesis, insertion of, into the posterior chamber with fixation to the iris or sclera (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$684.65	—	≠ CHANGED
Item Number 42703 Schedule Fee $684.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1996 Gov. Change Flags Fee ≠ Full Description Intraocular lens or iris prosthesis, insertion of, into the posterior chamber with fixation to the iris or sclera (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42704	Intraocular lens, removal or repositioning of by open operation—other than a service associated with a service to which item 42701 applies (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$557.90	—	≠ CHANGED
Item Number 42704 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 Intraocular lens, removal or repositioning of by open operation—other than a service associated with a service to which item 42701 applies (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42705	Lens extraction and insertion of intraocular lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye, performed in association with insertion of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or trabecular meshwork, in a patient diagnosed with open angle glaucoma who is not adequately responsive to topical anti‑glaucoma medications or who is intolerant of anti‑glaucoma medication (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$1090.55	—	≠ CHANGED
Item Number 42705 Schedule Fee $1090.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.2017 Gov. Change Flags Fee ≠ Full Description Lens extraction and insertion of intraocular lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye, performed in association with insertion of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or trabecular meshwork, in a patient diagnosed with open angle glaucoma who is not adequately responsive to topical anti‑glaucoma medications or who is intolerant of anti‑glaucoma medication (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42707	Intraocular lens, removal of and replacement with a different lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$954.05	—	≠ CHANGED
Item Number 42707 Schedule Fee $954.05 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 lens, removal of and replacement with a different lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42710	Intraocular lens, removal of, and replacement with a lens inserted into the posterior chamber and fixated to the iris or sclera (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1079.90	—	≠ CHANGED
Item Number 42710 Schedule Fee $1079.90 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 Intraocular lens, removal of, and replacement with a lens inserted into the posterior chamber and fixated to the iris or sclera (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42713	Iris or ciliary body suturing, McCannel technique or similar, for:(a) fixation of intraocular lens; or(b) repair of iris defect or cyclodialysis cleft(H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$450.05	—	≠ CHANGED
Item Number 42713 Schedule Fee $450.05 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 Iris or ciliary body suturing, McCannel technique or similar, for:(a) fixation of intraocular lens; or(b) repair of iris defect or cyclodialysis cleft(H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42716	Cataract, juvenile, removal of, including subsequent needlings (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1431.10	—	≠ CHANGED
Item Number 42716 Schedule Fee $1431.10 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 Cataract, juvenile, removal of, including subsequent needlings (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42719	Either or both of the following, via a limbal approach by any method: (a) removal of capsular or lens material; (b) removal of vitreous; other than a service associated with a service to which item 42698, 42702, 42705, 42716, 42725 or 42731 applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$621.20	—	≠ CHANGED
Item Number 42719 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 Either or both of the following, via a limbal approach by any method: (a) removal of capsular or lens material; (b) removal of vitreous; other than a service associated with a service to which item 42698, 42702, 42705, 42716, 42725 or 42731 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42725	Vitrectomy via pars plana sclerotomy, including one or more of the following:(a) removal of vitreous; (b) division of vitreous bands; (c) removal of epiretinal membranes; (d) capsulotomy (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1602.00	—	≠ CHANGED
Item Number 42725 Schedule Fee $1602.00 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 Vitrectomy via pars plana sclerotomy, including one or more of the following:(a) removal of vitreous; (b) division of vitreous bands; (c) removal of epiretinal membranes; (d) capsulotomy (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42731	LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1818.05	—	≠ CHANGED
Item Number 42731 Schedule Fee $1818.05 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 LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42734	Capsulotomy, other than by laser, and other than a service associated with a service to which item 42725 or 42731 applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 42734 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: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Capsulotomy, other than by laser, and other than a service associated with a service to which item 42725 or 42731 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42743	Anterior chamber, irrigation of blood from, as an independent procedure (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$756.10	—	≠ CHANGED
Item Number 42743 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 Anterior chamber, irrigation of blood from, as an independent procedure (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42744	Needle revision of glaucoma filtration bleb, following glaucoma filtering surgery (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$359.75	—	≠ CHANGED
Item Number 42744 Schedule Fee $359.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2005 Gov. Change Flags Fee ≠ Full Description Needle revision of glaucoma filtration bleb, following glaucoma filtering surgery (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42746	Glaucoma filtering surgery, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1143.05	—	≠ CHANGED
Item Number 42746 Schedule Fee $1143.05 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 Glaucoma filtering surgery, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42749	Glaucoma filtering surgery, if previous filtering surgery has been performed (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1431.10	—	≠ CHANGED
Item Number 42749 Schedule Fee $1431.10 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 Glaucoma filtering surgery, if previous filtering surgery has been performed (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42750	Subconjunctival injection of antifibrotic agent following glaucoma filtering surgery, as an independent procedure (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$63.80	—	≠ CHANGED
Item Number 42750 Schedule Fee $63.80 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: 01.07.2025 Gov. Change Flags Fee ≠ Full Description Subconjunctival injection of antifibrotic agent following glaucoma filtering surgery, as an independent procedure (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42752	Insertion of glaucoma drainage device incorporating an extraocular reservoir (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1602.00	—	≠ CHANGED
Item Number 42752 Schedule Fee $1602.00 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 Insertion of glaucoma drainage device incorporating an extraocular reservoir (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42755	Any of the following:(a) removal of glaucoma drainage device incorporating an extraocular reservoir;(b) insertion or removal of intraluminal stent;(c) tying off of lumenOne eye (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$197.95	—	≠ CHANGED
Item Number 42755 Schedule Fee $197.95 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 Any of the following:(a) removal of glaucoma drainage device incorporating an extraocular reservoir;(b) insertion or removal of intraluminal stent;(c) tying off of lumenOne eye (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42758	Goniotomy for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$837.15	—	≠ CHANGED
Item Number 42758 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 Goniotomy for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42761	Division of anterior or posterior synechiae, as an independent procedure, other than by laser (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$621.20	—	≠ CHANGED
Item Number 42761 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 Division of anterior or posterior synechiae, as an independent procedure, other than by laser (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42764	Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$621.20	—	≠ CHANGED
Item Number 42764 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 Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42767	TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1304.95	—	≠ CHANGED
Item Number 42767 Schedule Fee $1304.95 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 TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42770	CYCLODESTRUCTIVE procedures for the treatment of intractable glaucoma, treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$352.80	—	≠ CHANGED
Item Number 42770 Schedule Fee $352.80 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 CYCLODESTRUCTIVE procedures for the treatment of intractable glaucoma, treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42773	Detached retina, pneumatic retinopexy for, as an independent procedure (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1079.90	—	≠ CHANGED
Item Number 42773 Schedule Fee $1079.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Detached retina, pneumatic retinopexy for, as an independent procedure (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category