Billing Codes — Australian Health Schedule Tracker

Showing 2901–2950 of 6045 Pg 59/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	42776	DETACHED RETINA, buckling or resection operation for (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1602.00	—	≠ CHANGED
Item Number 42776 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 DETACHED RETINA, buckling or resection operation for (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42779	DETACHED RETINA, revision of scleral buckling operation for (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1998.20	—	≠ CHANGED
Item Number 42779 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 DETACHED RETINA, revision of scleral buckling operation for (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42782	LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$539.90	—	≠ CHANGED
Item Number 42782 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 LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye, to a maximum of 4 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
	42785	LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$422.95	—	≠ CHANGED
Item Number 42785 Schedule Fee $422.95 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 LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 3 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
	42788	Laser capsulotomy—each treatment episode to one eye, to a maximum of 2 treatments to that eye in a 2 year period—other than a service associated with a service to which item 42702 applies (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$422.95	—	≠ CHANGED
Item Number 42788 Schedule Fee $422.95 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 Laser capsulotomy—each treatment episode to one eye, to a maximum of 2 treatments to that eye in a 2 year period—other than a service associated with a service to which item 42702 applies (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42791	Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity—each treatment to one eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$422.95	—	≠ CHANGED
Item Number 42791 Schedule Fee $422.95 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 Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity—each treatment to one eye, to a maximum of 3 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
	42794	Division of suture by laser following glaucoma filtering surgery, each treatment to one eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$81.05	—	≠ CHANGED
Item Number 42794 Schedule Fee $81.05 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 Division of suture by laser following glaucoma filtering surgery, each treatment to one eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42801	EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1256.45	—	≠ CHANGED
Item Number 42801 Schedule Fee $1256.45 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: 01.11.2006 Gov. Change Flags Fee ≠ Full Description EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42802	EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, removal of (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$627.95	—	≠ CHANGED
Item Number 42802 Schedule Fee $627.95 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: 01.11.2006 Gov. Change Flags Fee ≠ Full Description EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, removal of (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42805	Tantalum markers, surgical insertion to the sclera to localise the tumour base and to assist in planning radiotherapy of choroidal melanomas—one or more of (H) (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$702.00	—	≠ CHANGED
Item Number 42805 Schedule Fee $702.00 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2005 Gov. Change Flags Fee ≠ Full Description Tantalum markers, surgical insertion to the sclera to localise the tumour base and to assist in planning radiotherapy of choroidal melanomas—one or more of (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42808	Laser iridoplasty Group T8	Category 3 — Therapeutic Procedures	$425.85	—	≠ CHANGED
Item Number 42808 Schedule Fee $425.85 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 Laser iridoplasty Sign in to watch this code → Get an email alert when this item changes
	42809	RETINA, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$539.90	—	≠ CHANGED
Item Number 42809 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 RETINA, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42810	PHOTOTHERAPEUTIC KERATECTOMY, by laser, for corneal scarring or disease, excluding surgery for refractive error (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$679.40	—	≠ CHANGED
Item Number 42810 Schedule Fee $679.40 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 PHOTOTHERAPEUTIC KERATECTOMY, by laser, for corneal scarring or disease, excluding surgery for refractive error (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42811	TRANSPUPILLARY THERMOTHERAPY, for treatment of choroidal and retinal tumours or vascular malformations (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$539.90	—	≠ CHANGED
Item Number 42811 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: 01.11.2005 Gov. Change Flags Fee ≠ Full Description TRANSPUPILLARY THERMOTHERAPY, for treatment of choroidal and retinal tumours or vascular malformations (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42812	Removal of scleral buckling material, from an eye having undergone previous scleral buckling surgery (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$197.95	—	≠ CHANGED
Item Number 42812 Schedule Fee $197.95 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 Removal of scleral buckling material, from an eye having undergone previous scleral buckling surgery (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42815	VITREOUS CAVITY, removal of silicone oil or other liquid vitreous substitutes from, during a procedure other than that in which the vitreous substitute is inserted (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$756.10	—	≠ CHANGED
Item Number 42815 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 VITREOUS CAVITY, removal of silicone oil or other liquid vitreous substitutes from, during a procedure other than that in which the vitreous substitute is inserted (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42818	Retina or ciliary body, cryotherapy to, as an independent procedure, or when performed in conjunction with item 42809 (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$702.00	—	≠ CHANGED
Item Number 42818 Schedule Fee $702.00 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 Retina or ciliary body, cryotherapy to, as an independent procedure, or when performed in conjunction with item 42809 (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42821	OCULAR TRANSILLUMINATION, for the diagnosis and measurement of intraocular tumours (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$108.20	—	≠ CHANGED
Item Number 42821 Schedule Fee $108.20 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: 01.12.1991 Gov. Change Flags Fee ≠ Full Description OCULAR TRANSILLUMINATION, for the diagnosis and measurement of intraocular tumours (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42824	RETROBULBAR INJECTION OF ALCOHOL OR OTHER DRUG, as an independent procedure Group T8	Category 3 — Therapeutic Procedures	$83.60	—	≠ CHANGED
Item Number 42824 Schedule Fee $83.60 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 RETROBULBAR INJECTION OF ALCOHOL OR OTHER DRUG, as an independent procedure Sign in to watch this code → Get an email alert when this item changes
	42833	SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES on a patient aged 15 years or over (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$702.00	—	≠ CHANGED
Item Number 42833 Schedule Fee $702.00 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 SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES on a patient aged 15 years or over (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42836	SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$873.00	—	≠ CHANGED
Item Number 42836 Schedule Fee $873.00 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 SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42839	SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 OR MORE MUSCLES on a patient aged 15 years or over (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$837.15	—	≠ CHANGED
Item Number 42839 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 SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 OR MORE MUSCLES on a patient aged 15 years or over (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42842	SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 or MORE MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1044.05	—	≠ CHANGED
Item Number 42842 Schedule Fee $1044.05 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 SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 or MORE MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42845	READJUSTMENT OF ADJUSTABLE SUTURES, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$226.75	—	≠ CHANGED
Item Number 42845 Schedule Fee $226.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description READJUSTMENT OF ADJUSTABLE SUTURES, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	42848	SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 15 years or over (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$837.15	—	≠ CHANGED
Item Number 42848 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 SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 15 years or over (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42851	SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1044.05	—	≠ CHANGED
Item Number 42851 Schedule Fee $1044.05 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 SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42854	Ruptured medial palpebral ligament or ruptured extra‑ocular muscle, repair of (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$485.95	—	≠ CHANGED
Item Number 42854 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 Ruptured medial palpebral ligament or ruptured extra‑ocular muscle, repair of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42857	Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$485.95	—	≠ CHANGED
Item Number 42857 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 Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42860	Eyelid (upper or lower), scleral or Goretex or other non‑autogenous graft to, with recession of the lid retractors (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1079.90	—	≠ CHANGED
Item Number 42860 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 Eyelid (upper or lower), scleral or Goretex or other non‑autogenous graft to, with recession of the lid retractors (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42863	Eyelid (upper or lower), recession of, by open operation on and direct release of the lid retractors, one eye (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$927.15	—	≠ CHANGED
Item Number 42863 Schedule Fee $927.15 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 Eyelid (upper or lower), recession of, by open operation on and direct release of the lid retractors, one eye (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42866	Entropion or tarsal ectropion, repair of, by tightening, shortening or repair of inferior retractors by open operation across the entire width of the eyelid, excluding when performed in conjunction with closure of the retractors using conjunctival approaches for fat pad reduction or orbital surgery (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$899.85	—	≠ CHANGED
Item Number 42866 Schedule Fee $899.85 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 Entropion or tarsal ectropion, repair of, by tightening, shortening or repair of inferior retractors by open operation across the entire width of the eyelid, excluding when performed in conjunction with closure of the retractors using conjunctival approaches for fat pad reduction or orbital surgery (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42869	EYELID closure in facial nerve paralysis, insertion of foreign implant for (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$657.10	—	≠ CHANGED
Item Number 42869 Schedule Fee $657.10 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 EYELID closure in facial nerve paralysis, insertion of foreign implant for (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	42872	Direct eyebrow lift in paretic states, or in involutional states, if:(a) vision is obscured as evidenced by the resting of upper lid skin on the eyelashes in straight ahead gaze; and(b) photographic evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$288.05	—	≠ CHANGED
Item Number 42872 Schedule Fee $288.05 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 Direct eyebrow lift in paretic states, or in involutional states, if:(a) vision is obscured as evidenced by the resting of upper lid skin on the eyelashes in straight ahead gaze; and(b) photographic evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	43021	Photodynamic therapy, one eye, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation. Group T8	Category 3 — Therapeutic Procedures	$544.70	—	≠ CHANGED
Item Number 43021 Schedule Fee $544.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: D Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.08.2007 Gov. Change Flags Fee ≠ Full Description Photodynamic therapy, one eye, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation. Sign in to watch this code → Get an email alert when this item changes
	43022	Photodynamic therapy, both eyes, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation. Group T8	Category 3 — Therapeutic Procedures	$653.70	—	≠ CHANGED
Item Number 43022 Schedule Fee $653.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: D Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.08.2007 Gov. Change Flags Fee ≠ Full Description Photodynamic therapy, both eyes, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation. Sign in to watch this code → Get an email alert when this item changes
	43030	Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the left eye Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 43030 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: 01.07.2025 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the left eye Sign in to watch this code → Get an email alert when this item changes
	43032	Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the right eye Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 43032 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: 01.07.2025 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the right eye Sign in to watch this code → Get an email alert when this item changes
	43034	Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the left eye, for a patient requiring the administration of anaesthetic by an anaesthetist (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 43034 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: 01.07.2025 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the left eye, for a patient requiring the administration of anaesthetic by an anaesthetist (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	43036	Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the right eye, for a patient requiring the administration of anaesthetic by an anaesthetist (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 43036 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: 01.07.2025 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the right eye, for a patient requiring the administration of anaesthetic by an anaesthetist (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	43038	Intravitreal injection of therapeutic substances, or the removal of vitreous humour for diagnostic purposes, one or more of, as a procedure associated with other intraocular surgery of the left eye (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 43038 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: 01.07.2025 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description Intravitreal injection of therapeutic substances, or the removal of vitreous humour for diagnostic purposes, one or more of, as a procedure associated with other intraocular surgery of the left eye (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	43040	Intravitreal injection of therapeutic substances, or the removal of vitreous humour for diagnostic purposes, one or more of, as a procedure associated with other intraocular surgery of the right eye (Anaes.) Group T8	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 43040 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: 01.07.2025 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description Intravitreal injection of therapeutic substances, or the removal of vitreous humour for diagnostic purposes, one or more of, as a procedure associated with other intraocular surgery of the right eye (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	43050	Choroidal detachment, repair by external drainage (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$806.95	—	≠ CHANGED
Item Number 43050 Schedule Fee $806.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2025 Gov. Change Flags Fee ≠ Full Description Choroidal detachment, repair by external drainage (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	43521	OPERATION ON SKULL (Anaes.) (Assist.) Group T8 · Subheading 2	Category 3 — Therapeutic Procedures	$556.05	—	≠ CHANGED
Item Number 43521 Schedule Fee $556.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 2 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description OPERATION ON SKULL (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	43527	Operation on sternum, clavicle, rib, metacarpus, carpus, phalanx, metatarsus, tarsus, mandible or maxilla (other than alveolar margins), by open or arthroscopic means, for septic arthritis or osteomyelitis—one approach, inclusive of the adjoining joint (H) (Anaes.) (Assist.) Group T8 · Subheading 2	Category 3 — Therapeutic Procedures	$426.55	—	≠ CHANGED
Item Number 43527 Schedule Fee $426.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 2 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Operation on sternum, clavicle, rib, metacarpus, carpus, phalanx, metatarsus, tarsus, mandible or maxilla (other than alveolar margins), by open or arthroscopic means, for septic arthritis or osteomyelitis—one approach, inclusive of the adjoining joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	43530	Operation on scapula, ulna, radius, tibia, fibula, humerus or femur, by open or arthroscopic means, for septic arthritis or osteomyelitis—one approach, inclusive of the adjoining joint (H) (Anaes.) (Assist.) Group T8 · Subheading 2	Category 3 — Therapeutic Procedures	$426.55	—	≠ CHANGED
Item Number 43530 Schedule Fee $426.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 2 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Operation on scapula, ulna, radius, tibia, fibula, humerus or femur, by open or arthroscopic means, for septic arthritis or osteomyelitis—one approach, inclusive of the adjoining joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	43533	Operation on spine or pelvic bones, by open or arthroscopic means, for septic arthritis or osteomyelitis—one approach, inclusive of the adjoining joint (H) (Anaes.) (Assist.) Group T8 · Subheading 2	Category 3 — Therapeutic Procedures	$703.25	—	≠ CHANGED
Item Number 43533 Schedule Fee $703.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 2 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.2021 Gov. Change Flags Fee ≠ Full Description Operation on spine or pelvic bones, by open or arthroscopic means, for septic arthritis or osteomyelitis—one approach, inclusive of the adjoining joint (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	43801	INTESTINAL MALROTATION with or without volvulus, laparotomy for, not involving bowel resection (Anaes.) (Assist.) Group T8 · Subheading 1	Category 3 — Therapeutic Procedures	$1145.90	—	≠ CHANGED
Item Number 43801 Schedule Fee $1145.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 1 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 INTESTINAL MALROTATION with or without volvulus, laparotomy for, not involving bowel resection (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	43804	INTESTINAL MALROTATION with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma (Anaes.) (Assist.) Group T8 · Subheading 1	Category 3 — Therapeutic Procedures	$1219.90	—	≠ CHANGED
Item Number 43804 Schedule Fee $1219.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 1 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 INTESTINAL MALROTATION with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	43805	UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, on a patient under 10 years of age (Anaes.) Group T8 · Subheading 1	Category 3 — Therapeutic Procedures	$426.55	—	≠ CHANGED
Item Number 43805 Schedule Fee $426.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 1 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 UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, on a patient under 10 years of age (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	43807	DUODENAL ATRESIA or STENOSIS, duodenoduodenostomy or duodenojejunostomy for (Anaes.) (Assist.) Group T8 · Subheading 1	Category 3 — Therapeutic Procedures	$1330.95	—	≠ CHANGED
Item Number 43807 Schedule Fee $1330.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 1 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 DUODENAL ATRESIA or STENOSIS, duodenoduodenostomy or duodenojejunostomy for (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category