Billing Codes
Medicare Benefits Schedule — Updated Quarterly

MBS Item Tracker

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

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Total Items
6045
MBS item numbers
Showing 2951–3000 of 6045 Pg 60/121
Item No. Description Schedule Fee Status
43810
JEJUNAL ATRESIA, bowel resection and anastomosis for, with or without tapering (Anaes.) (Assist.)
Group T8 · Subheading 1
$1552.75 ≠ CHANGED
Item Number
43810
Schedule Fee
$1552.75
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
JEJUNAL ATRESIA, bowel resection and anastomosis for, with or without tapering (Anaes.) (Assist.)
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43813
MECONIUM ILEUS, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intesinal perforation with or without meconium peritonitis (Anaes.) (Assist.)
Group T8 · Subheading 1
$1552.75 ≠ CHANGED
Item Number
43813
Schedule Fee
$1552.75
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
MECONIUM ILEUS, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intesinal perforation with or without meconium peritonitis (Anaes.) (Assist.)
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43816
ILEAL ATRESIA, COLONIC ATRESIA OR MECONIUM ILEUS not being a service associated with a service to which item 43813 applies, laparotomy for (Anaes.) (Assist.)
Group T8 · Subheading 1
$1441.80 ≠ CHANGED
Item Number
43816
Schedule Fee
$1441.80
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
ILEAL ATRESIA, COLONIC ATRESIA OR MECONIUM ILEUS not being a service associated with a service to which item 43813 applies, laparotomy for (Anaes.) (Assist.)
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43819
Agangliosis Coli, laparotomy for, with or without frozen section biopsies and formation of stoma (Anaes.) (Assist.)
Group T8 · Subheading 1
$1164.60 ≠ CHANGED
Item Number
43819
Schedule Fee
$1164.60
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
Agangliosis Coli, laparotomy for, with or without frozen section biopsies and formation of stoma (Anaes.) (Assist.)
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43822
ANORECTAL MALFORMATION, laparotomy and colostomy for (Anaes.) (Assist.)
Group T8 · Subheading 1
$1164.60 ≠ CHANGED
Item Number
43822
Schedule Fee
$1164.60
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
ANORECTAL MALFORMATION, laparotomy and colostomy for (Anaes.) (Assist.)
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43825
NEONATAL ALIMENTARY OBSTRUCTION, laparotomy for, not being a service to which any other item in this Subgroup applies (Anaes.) (Assist.)
Group T8 · Subheading 1
$1330.95 ≠ CHANGED
Item Number
43825
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
NEONATAL ALIMENTARY OBSTRUCTION, laparotomy for, not being a service to which any other item in this Subgroup applies (Anaes.) (Assist.)
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43828
ACUTE NEONATAL NECROTISING ENTEROCOLITIS, laparotomy for, with resection, including any anastomoses or stoma formation (Anaes.) (Assist.)
Group T8 · Subheading 1
$1470.45 ≠ CHANGED
Item Number
43828
Schedule Fee
$1470.45
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
ACUTE NEONATAL NECROTISING ENTEROCOLITIS, laparotomy for, with resection, including any anastomoses or stoma formation (Anaes.) (Assist.)
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43831
ACUTE NEONATAL NECROTISING ENTEROCOLITIS where no definitive procedure is possible, laparotomy for (Anaes.) (Assist.)
Group T8 · Subheading 1
$1145.90 ≠ CHANGED
Item Number
43831
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
ACUTE NEONATAL NECROTISING ENTEROCOLITIS where no definitive procedure is possible, laparotomy for (Anaes.) (Assist.)
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43832
Branchial fistula, removal of, on a patient under 10 years of age (Anaes.) (Assist.)
Group T8 · Subheading 1
$781.50 ≠ CHANGED
Item Number
43832
Schedule Fee
$781.50
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
Branchial fistula, removal of, on a patient under 10 years of age (Anaes.) (Assist.)
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43834
BOWEL RESECTION for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (Anaes.) (Assist.)
Group T8 · Subheading 1
$1330.95 ≠ CHANGED
Item Number
43834
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
BOWEL RESECTION for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (Anaes.) (Assist.)
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43835
STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection, on a patient under 10 years of age (Anaes.) (Assist.)
Group T8 · Subheading 1
$811.15 ≠ CHANGED
Item Number
43835
Schedule Fee
$811.15
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
STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection, on a patient under 10 years of age (Anaes.) (Assist.)
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43837
CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life (Anaes.) (Assist.)
Group T8 · Subheading 1
$1663.60 ≠ CHANGED
Item Number
43837
Schedule Fee
$1663.60
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
CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life (Anaes.) (Assist.)
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43838
Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply, on a patient under 10 years of age (Anaes.) (Assist.)
Group T8 · Subheading 1
$1489.45 ≠ CHANGED
Item Number
43838
Schedule Fee
$1489.45
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
Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply, on a patient under 10 years of age (Anaes.) (Assist.)
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43840
CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age (Anaes.) (Assist.)
Group T8 · Subheading 1
$1441.80 ≠ CHANGED
Item Number
43840
Schedule Fee
$1441.80
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
CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age (Anaes.) (Assist.)
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43841
Femoral or inguinal hernia or infantile hydrocele, repair of, on a patient under 10 years of age, other than a service to which item 30651 or 43835 applies (H) (Anaes.) (Assist.)
Group T8 · Subheading 1
$722.70 ≠ CHANGED
Item Number
43841
Schedule Fee
$722.70
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
Femoral or inguinal hernia or infantile hydrocele, repair of, on a patient under 10 years of age, other than a service to which item 30651 or 43835 applies (H) (Anaes.) (Assist.)
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43843
OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies (Anaes.) (Assist.)
Group T8 · Subheading 1
$2218.25 ≠ CHANGED
Item Number
43843
Schedule Fee
$2218.25
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
OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies (Anaes.) (Assist.)
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43846
OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1500 grams (Anaes.) (Assist.)
Group T8 · Subheading 1
$2384.55 ≠ CHANGED
Item Number
43846
Schedule Fee
$2384.55
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: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1500 grams (Anaes.) (Assist.)
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43849
OESOPHAGEAL ATRESIA, gastrostomy for (Anaes.) (Assist.)
Group T8 · Subheading 1
$610.05 ≠ CHANGED
Item Number
43849
Schedule Fee
$610.05
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
OESOPHAGEAL ATRESIA, gastrostomy for (Anaes.) (Assist.)
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43852
OESOPHAGEAL ATRESIA, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis (Anaes.) (Assist.)
Group T8 · Subheading 1
$1940.85 ≠ CHANGED
Item Number
43852
Schedule Fee
$1940.85
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
OESOPHAGEAL ATRESIA, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis (Anaes.) (Assist.)
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43855
OESOPHAGEAL ATRESIA, delayed primary anastomosis for (Anaes.) (Assist.)
Group T8 · Subheading 1
$2051.95 ≠ CHANGED
Item Number
43855
Schedule Fee
$2051.95
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
OESOPHAGEAL ATRESIA, delayed primary anastomosis for (Anaes.) (Assist.)
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43858
OESOPHAGEAL ATRESIA, cervical oesophagostomy for (Anaes.) (Assist.)
Group T8 · Subheading 1
$720.85 ≠ CHANGED
Item Number
43858
Schedule Fee
$720.85
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
OESOPHAGEAL ATRESIA, cervical oesophagostomy for (Anaes.) (Assist.)
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43861
CONGENITAL CYSTADENOMATOID MALFORMATION OR CONGENITAL LOBAR EMPHYSEMA, thoracotomy and lung resection for (Anaes.) (Assist.)
Group T8 · Subheading 1
$1996.50 ≠ CHANGED
Item Number
43861
Schedule Fee
$1996.50
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
CONGENITAL CYSTADENOMATOID MALFORMATION OR CONGENITAL LOBAR EMPHYSEMA, thoracotomy and lung resection for (Anaes.) (Assist.)
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43864
GASTROSCHISIS, operation for (Anaes.) (Assist.)
Group T8 · Subheading 1
$1497.35 ≠ CHANGED
Item Number
43864
Schedule Fee
$1497.35
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
GASTROSCHISIS, operation for (Anaes.) (Assist.)
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43867
GASTROSCHISIS or Exomphalos, secondary operation for, with removal of silo (Anaes.) (Assist.)
Group T8 · Subheading 1
$831.80 ≠ CHANGED
Item Number
43867
Schedule Fee
$831.80
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
GASTROSCHISIS or Exomphalos, secondary operation for, with removal of silo (Anaes.) (Assist.)
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43870
EXOMPHALOS containing small bowel only, operation for (Anaes.) (Assist.)
Group T8 · Subheading 1
$1164.60 ≠ CHANGED
Item Number
43870
Schedule Fee
$1164.60
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
EXOMPHALOS containing small bowel only, operation for (Anaes.) (Assist.)
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43873
EXOMPHALOS containing small bowel and other viscera, operation for (Anaes.) (Assist.)
Group T8 · Subheading 1
$1552.75 ≠ CHANGED
Item Number
43873
Schedule Fee
$1552.75
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
EXOMPHALOS containing small bowel and other viscera, operation for (Anaes.) (Assist.)
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43876
SACROCOCCYGEAL TERATOMA, excision of, by posterior approach (Anaes.) (Assist.)
Group T8 · Subheading 1
$1330.95 ≠ CHANGED
Item Number
43876
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
SACROCOCCYGEAL TERATOMA, excision of, by posterior approach (Anaes.) (Assist.)
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43879
SACROCOCCYGEAL TERATOMA, excision of, by combined posterior and abdominal approach (Anaes.) (Assist.)
Group T8 · Subheading 1
$1552.75 ≠ CHANGED
Item Number
43879
Schedule Fee
$1552.75
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
SACROCOCCYGEAL TERATOMA, excision of, by combined posterior and abdominal approach (Anaes.) (Assist.)
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43882
Cloacal exstrophy, operation for (H) (Anaes.) (Assist.)
Group T8 · Subheading 1
$1996.50 ≠ CHANGED
Item Number
43882
Schedule Fee
$1996.50
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
Cloacal exstrophy, operation for (H) (Anaes.) (Assist.)
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43900
TRACHEO-OESOPHAGEAL FISTULA without atresia, division and repair of (Anaes.) (Assist.)
Group T8 · Subheading 2
$1330.95 ≠ CHANGED
Item Number
43900
Schedule Fee
$1330.95
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
TRACHEO-OESOPHAGEAL FISTULA without atresia, division and repair of (Anaes.) (Assist.)
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43903
OESOPHAGEAL ATRESIA or CORROSIVE OESOPHAGEAL STRICTURE, oesophageal replacement for, utilizing gastric tube, jejunum or colon (Anaes.) (Assist.)
Group T8 · Subheading 2
$2218.25 ≠ CHANGED
Item Number
43903
Schedule Fee
$2218.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
OESOPHAGEAL ATRESIA or CORROSIVE OESOPHAGEAL STRICTURE, oesophageal replacement for, utilizing gastric tube, jejunum or colon (Anaes.) (Assist.)
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43906
OESOPHAGUS, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (Anaes.) (Assist.)
Group T8 · Subheading 2
$1940.85 ≠ CHANGED
Item Number
43906
Schedule Fee
$1940.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
OESOPHAGUS, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (Anaes.) (Assist.)
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43909
TRACHEOMALACIA, aortopexy for (Anaes.) (Assist.)
Group T8 · Subheading 2
$1940.85 ≠ CHANGED
Item Number
43909
Schedule Fee
$1940.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
TRACHEOMALACIA, aortopexy for (Anaes.) (Assist.)
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43912
THORACOTOMY and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma (Anaes.) (Assist.)
Group T8 · Subheading 2
$1833.60 ≠ CHANGED
Item Number
43912
Schedule Fee
$1833.60
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
THORACOTOMY and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma (Anaes.) (Assist.)
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43915
EVENTRATION, plication of diaphragm for (Anaes.) (Assist.)
Group T8 · Subheading 2
$1386.40 ≠ CHANGED
Item Number
43915
Schedule Fee
$1386.40
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 2
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1994
Gov. Change Flags
Fee ≠
Full Description
EVENTRATION, plication of diaphragm for (Anaes.) (Assist.)
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43930
HYPERTROPHIC PYLORIC STENOSIS, pyloromyotomy for (Anaes.) (Assist.)
Group T8 · Subheading 3
$533.15 ≠ CHANGED
Item Number
43930
Schedule Fee
$533.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
HYPERTROPHIC PYLORIC STENOSIS, pyloromyotomy for (Anaes.) (Assist.)
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43933
IDIOPATHIC INTUSSUSCEPTION, laparotomy and manipulative reduction of (Anaes.) (Assist.)
Group T8 · Subheading 3
$624.10 ≠ CHANGED
Item Number
43933
Schedule Fee
$624.10
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
IDIOPATHIC INTUSSUSCEPTION, laparotomy and manipulative reduction of (Anaes.) (Assist.)
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43936
INTUSSUSCEPTION, laparotomy and resection with anastomosis (Anaes.) (Assist.)
Group T8 · Subheading 3
$1164.60 ≠ CHANGED
Item Number
43936
Schedule Fee
$1164.60
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
INTUSSUSCEPTION, laparotomy and resection with anastomosis (Anaes.) (Assist.)
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43939
VENTRAL HERNIA following neonatal closure of exomphalos or gastroschisis, repair of (Anaes.) (Assist.)
Group T8 · Subheading 3
$887.25 ≠ CHANGED
Item Number
43939
Schedule Fee
$887.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
VENTRAL HERNIA following neonatal closure of exomphalos or gastroschisis, repair of (Anaes.) (Assist.)
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43942
ABDOMINAL WALL VITELLO INTESTINAL REMNANT, excision of (Anaes.)
Group T8 · Subheading 3
$277.30 ≠ CHANGED
Item Number
43942
Schedule Fee
$277.30
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
ABDOMINAL WALL VITELLO INTESTINAL REMNANT, excision of (Anaes.)
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43945
PATENT VITELLO INTESTINAL DUCT, excision of (Anaes.) (Assist.)
Group T8 · Subheading 3
$1164.60 ≠ CHANGED
Item Number
43945
Schedule Fee
$1164.60
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
PATENT VITELLO INTESTINAL DUCT, excision of (Anaes.) (Assist.)
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43948
UMBILICAL GRANULOMA, excision of, under general anaesthesia (Anaes.)
Group T8 · Subheading 3
$166.45 ≠ CHANGED
Item Number
43948
Schedule Fee
$166.45
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
UMBILICAL GRANULOMA, excision of, under general anaesthesia (Anaes.)
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43951
GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (Anaes.) (Assist.)
Group T8 · Subheading 3
$1042.85 ≠ CHANGED
Item Number
43951
Schedule Fee
$1042.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (Anaes.) (Assist.)
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43954
GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (Anaes.) (Assist.)
Group T8 · Subheading 3
$1275.65 ≠ CHANGED
Item Number
43954
Schedule Fee
$1275.65
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (Anaes.) (Assist.)
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43957
GASTRO-OESOPHAGEAL REFLUX, LAPAROTOMY AND FUNDOPLICATION for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (Anaes.) (Assist.)
Group T8 · Subheading 3
$1386.40 ≠ CHANGED
Item Number
43957
Schedule Fee
$1386.40
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
GASTRO-OESOPHAGEAL REFLUX, LAPAROTOMY AND FUNDOPLICATION for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (Anaes.) (Assist.)
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43960
ANORECTAL MALFORMATION, perineal anoplasty of (Anaes.) (Assist.)
Group T8 · Subheading 3
$487.75 ≠ CHANGED
Item Number
43960
Schedule Fee
$487.75
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
ANORECTAL MALFORMATION, perineal anoplasty of (Anaes.) (Assist.)
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43963
ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of (Anaes.) (Assist.)
Group T8 · Subheading 3
$1940.85 ≠ CHANGED
Item Number
43963
Schedule Fee
$1940.85
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of (Anaes.) (Assist.)
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43966
ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of, with laparotomy (Anaes.) (Assist.)
Group T8 · Subheading 3
$2218.25 ≠ CHANGED
Item Number
43966
Schedule Fee
$2218.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of, with laparotomy (Anaes.) (Assist.)
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43969
PERSISTENT CLOACA, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (Anaes.) (Assist.)
Group T8 · Subheading 3
$3050.15 ≠ CHANGED
Item Number
43969
Schedule Fee
$3050.15
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
PERSISTENT CLOACA, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (Anaes.) (Assist.)
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43972
CHOLEDOCHAL CYST, resection of, with 1 duct anastomosis (Anaes.) (Assist.)
Group T8 · Subheading 3
$2218.25 ≠ CHANGED
Item Number
43972
Schedule Fee
$2218.25
Category
Category 3 — Therapeutic Procedures
Group / Subheading
Group T8 · Sub 3
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
CHOLEDOCHAL CYST, resection of, with 1 duct anastomosis (Anaes.) (Assist.)
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Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
JEJUNAL ATRESIA, bowel resection and anastomosis for, with or without tapering (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
MECONIUM ILEUS, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intesinal perforation with or without meconium peritonitis (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
ILEAL ATRESIA, COLONIC ATRESIA OR MECONIUM ILEUS not being a service associated with a service to which item 43813 applies, laparotomy for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Agangliosis Coli, laparotomy for, with or without frozen section biopsies and formation of stoma (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
ANORECTAL MALFORMATION, laparotomy and colostomy for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
NEONATAL ALIMENTARY OBSTRUCTION, laparotomy for, not being a service to which any other item in this Subgroup applies (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
ACUTE NEONATAL NECROTISING ENTEROCOLITIS, laparotomy for, with resection, including any anastomoses or stoma formation (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
ACUTE NEONATAL NECROTISING ENTEROCOLITIS where no definitive procedure is possible, laparotomy for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Branchial fistula, removal of, on a patient under 10 years of age (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
BOWEL RESECTION for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resection, on a patient under 10 years of age (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, with diagnosis confirmed in the first 24 hours of life (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply, on a patient under 10 years of age (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Femoral or inguinal hernia or infantile hydrocele, repair of, on a patient under 10 years of age, other than a service to which item 30651 or 43835 applies (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1500 grams (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
OESOPHAGEAL ATRESIA, gastrostomy for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
OESOPHAGEAL ATRESIA, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
OESOPHAGEAL ATRESIA, delayed primary anastomosis for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
OESOPHAGEAL ATRESIA, cervical oesophagostomy for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
CONGENITAL CYSTADENOMATOID MALFORMATION OR CONGENITAL LOBAR EMPHYSEMA, thoracotomy and lung resection for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
GASTROSCHISIS, operation for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
GASTROSCHISIS or Exomphalos, secondary operation for, with removal of silo (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
EXOMPHALOS containing small bowel only, operation for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
EXOMPHALOS containing small bowel and other viscera, operation for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
SACROCOCCYGEAL TERATOMA, excision of, by posterior approach (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
SACROCOCCYGEAL TERATOMA, excision of, by combined posterior and abdominal approach (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
Cloacal exstrophy, operation for (H) (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
TRACHEO-OESOPHAGEAL FISTULA without atresia, division and repair of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
OESOPHAGEAL ATRESIA or CORROSIVE OESOPHAGEAL STRICTURE, oesophageal replacement for, utilizing gastric tube, jejunum or colon (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
OESOPHAGUS, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
TRACHEOMALACIA, aortopexy for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
THORACOTOMY and excision of 1 or more of bronchogenic or enterogenous cyst or mediastinal teratoma (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
EVENTRATION, plication of diaphragm for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
HYPERTROPHIC PYLORIC STENOSIS, pyloromyotomy for (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
IDIOPATHIC INTUSSUSCEPTION, laparotomy and manipulative reduction of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
INTUSSUSCEPTION, laparotomy and resection with anastomosis (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
VENTRAL HERNIA following neonatal closure of exomphalos or gastroschisis, repair of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
ABDOMINAL WALL VITELLO INTESTINAL REMNANT, excision of (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
PATENT VITELLO INTESTINAL DUCT, excision of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
UMBILICAL GRANULOMA, excision of, under general anaesthesia (Anaes.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
GASTRO-OESOPHAGEAL REFLUX with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
GASTRO-OESOPHAGEAL REFLUX, LAPAROTOMY AND FUNDOPLICATION for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
ANORECTAL MALFORMATION, perineal anoplasty of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
ANORECTAL MALFORMATION, posterior sagittal anorectoplasty of, with laparotomy (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
PERSISTENT CLOACA, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (Anaes.) (Assist.)
Fee From
01.07.2026
Category
Category 3 — Therapeutic Procedures
Description
CHOLEDOCHAL CYST, resection of, with 1 duct anastomosis (Anaes.) (Assist.)
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