Billing Codes — Australian Health Schedule Tracker

Showing 3151–3200 of 6045 Pg 64/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	45624	Ptosis of upper eyelid, correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; if a previous ptosis surgery has been performed on that side (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1122.05	—	≠ CHANGED
Item Number 45624 Schedule Fee $1122.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description Ptosis of upper eyelid, correction of, by: (a) sutured elevation of the tarsal plate on the eyelid retractors (Muller’s or levator muscle or levator aponeurosis); or (b) sutured suspension to the brow/frontalis muscle; if a previous ptosis surgery has been performed on that side (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45625	PTOSIS of eyelid, correction of eyelid height by revision of levator sutures within one week of primary repair by levator resection or advancement, performed in the operating theatre of a hospital (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$224.55	—	≠ CHANGED
Item Number 45625 Schedule Fee $224.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.07.1998 Gov. Change Flags Fee ≠ Full Description PTOSIS of eyelid, correction of eyelid height by revision of levator sutures within one week of primary repair by levator resection or advancement, performed in the operating theatre of a hospital (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45626	Ectropion or entropion, not caused by trachoma, correction of (unilateral) (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$390.25	—	≠ CHANGED
Item Number 45626 Schedule Fee $390.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Ectropion or entropion, not caused by trachoma, correction of (unilateral) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45627	Ectropion or entropion, caused by trachoma, correction of (unilateral) (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$390.25	—	≠ CHANGED
Item Number 45627 Schedule Fee $390.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2019 Gov. Change Flags Fee ≠ Full Description Ectropion or entropion, caused by trachoma, correction of (unilateral) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45629	Symblepharon, grafting for (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$567.05	—	≠ CHANGED
Item Number 45629 Schedule Fee $567.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Symblepharon, grafting for (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45632	Rhinoplasty, partial, involving correction of one or both lateral cartilages, one or both alar cartilages or one or both lateral cartilages and alar cartilages, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$612.75	—	≠ CHANGED
Item Number 45632 Schedule Fee $612.75 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Rhinoplasty, partial, involving correction of one or both lateral cartilages, one or both alar cartilages or one or both lateral cartilages and alar cartilages, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self-reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45635	Rhinoplasty, partial, involving correction of bony vault only, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$703.25	—	≠ CHANGED
Item Number 45635 Schedule Fee $703.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Rhinoplasty, partial, involving correction of bony vault only, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45641	Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, with or without autogenous cartilage or bone graft from a local site (nasal), if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1275.90	—	≠ CHANGED
Item Number 45641 Schedule Fee $1275.90 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose, with or without autogenous cartilage or bone graft from a local site (nasal), if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale 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
	45644	Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes; other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1531.35	—	≠ CHANGED
Item Number 45644 Schedule Fee $1531.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose involving autogenous bone or cartilage graft obtained from distant donor site, including obtaining of graft, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes; other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45645	CHOANAL ATRESIA, repair of by puncture and dilatation (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$267.60	—	≠ CHANGED
Item Number 45645 Schedule Fee $267.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 CHOANAL ATRESIA, repair of by puncture and dilatation (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45646	Choanal atresia, correction by open operation with bone removal (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1077.70	—	≠ CHANGED
Item Number 45646 Schedule Fee $1077.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Choanal atresia, correction by open operation with bone removal (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45650	Rhinoplasty, revision of, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$176.85	—	≠ CHANGED
Item Number 45650 Schedule Fee $176.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Rhinoplasty, revision of, if: (a) the indication for surgery is: (i) airway obstruction and the patient has a self‑reported NOSE Scale score of greater than 45; or (ii) significant acquired, congenital or developmental deformity; and (b) photographic and/or NOSE Scale evidence demonstrating the clinical need for this service is documented in the patient notes (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45652	Rhinophyma of a moderate or severe degree, carbon dioxide laser or erbium laser excision - ablation of (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$426.55	—	≠ CHANGED
Item Number 45652 Schedule Fee $426.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.1995 EMSN Cap %: 80% Gov. Change Flags Fee ≠ Full Description Rhinophyma of a moderate or severe degree, carbon dioxide laser or erbium laser excision - ablation of (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45653	RHINOPHYMA, shaving of (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$426.55	—	≠ CHANGED
Item Number 45653 Schedule Fee $426.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 RHINOPHYMA, shaving of (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45656	COMPOSITE GRAFT (Chondrocutaneous or chondromucosal) to nose, ear or eyelid (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$601.15	—	≠ CHANGED
Item Number 45656 Schedule Fee $601.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 COMPOSITE GRAFT (Chondrocutaneous or chondromucosal) to nose, ear or eyelid (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45658	Correction of a congenital deformity of the ear if: (a) the congenital deformity is not related to a prominent ear; and (b) the deformity has been clinically diagnosed as a constricted ear, Stahl's ear, or a similar congenital deformity; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes. (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$623.95	—	≠ CHANGED
Item Number 45658 Schedule Fee $623.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.03.2021 Gov. Change Flags Fee ≠ Full Description Correction of a congenital deformity of the ear if: (a) the congenital deformity is not related to a prominent ear; and (b) the deformity has been clinically diagnosed as a constricted ear, Stahl's ear, or a similar congenital deformity; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes. (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45659	Correction of a congenital deformity of the ear if: (a) the patient is less than 18 years of age; and (b) the deformity is characterised by an absence of the antihelical fold and/or large scapha and/or large concha; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$623.95	—	≠ CHANGED
Item Number 45659 Schedule Fee $623.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Correction of a congenital deformity of the ear if: (a) the patient is less than 18 years of age; and (b) the deformity is characterised by an absence of the antihelical fold and/or large scapha and/or large concha; and (c) photographic evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45660	External ear, complex total reconstruction of, using costal cartilage grafts to form a framework, including the harvesting and sculpturing of the cartilage and its insertion, for congenital absence, microtia or post-traumatic loss of entire or substantial portion of pinna (first stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$3445.50	—	≠ CHANGED
Item Number 45660 Schedule Fee $3445.50 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description External ear, complex total reconstruction of, using costal cartilage grafts to form a framework, including the harvesting and sculpturing of the cartilage and its insertion, for congenital absence, microtia or post-traumatic loss of entire or substantial portion of pinna (first stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45661	External ear, complex total reconstruction of, elevation of costal cartilage framework using cartilage previously stored in abdominal wall, including the use of local skin and fascia flaps and skin graft to cover cartilage (second stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1531.35	—	≠ CHANGED
Item Number 45661 Schedule Fee $1531.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description External ear, complex total reconstruction of, elevation of costal cartilage framework using cartilage previously stored in abdominal wall, including the use of local skin and fascia flaps and skin graft to cover cartilage (second stage) - performed by a specialist in the practice of the specialist’s specialty (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45665	Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures, excluding eyelid wedge when performed in conjunction with a cosmetic eyelid procedure (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$390.25	—	≠ CHANGED
Item Number 45665 Schedule Fee $390.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Lip, eyelid or ear, full thickness wedge excision of, with repair by direct sutures, excluding eyelid wedge when performed in conjunction with a cosmetic eyelid procedure (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45668	VERMILIONECTOMY, by surgical excision (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$390.25	—	≠ CHANGED
Item Number 45668 Schedule Fee $390.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 VERMILIONECTOMY, by surgical excision (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45669	Vermilionectomy for biopsy-confirmed cellular atypia, using carbon dioxide laser or erbium laser excision - ablation (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$390.25	—	≠ CHANGED
Item Number 45669 Schedule Fee $390.25 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.1995 Gov. Change Flags Fee ≠ Full Description Vermilionectomy for biopsy-confirmed cellular atypia, using carbon dioxide laser or erbium laser excision - ablation (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45671	Lip or eyelid reconstruction, single stage or first stage of a two-stage flap reconstruction of a defect involving all 3 layers of tissue, if the flap is switched from the opposing lip or eyelid respectively (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$998.30	—	≠ CHANGED
Item Number 45671 Schedule Fee $998.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Lip or eyelid reconstruction, single stage or first stage of a two-stage flap reconstruction of a defect involving all 3 layers of tissue, if the flap is switched from the opposing lip or eyelid respectively (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45674	Lip or eyelid reconstruction, second stage of a two-stage flap reconstruction, division of the pedicle and inset of flap and closure of the donor (H) (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$290.40	—	≠ CHANGED
Item Number 45674 Schedule Fee $290.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Lip or eyelid reconstruction, second stage of a two-stage flap reconstruction, division of the pedicle and inset of flap and closure of the donor (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45675	MACROCHEILIA or macroglossia, operation for (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$578.40	—	≠ CHANGED
Item Number 45675 Schedule Fee $578.40 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 MACROCHEILIA or macroglossia, operation for (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45676	MACROSTOMIA, operation for (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$688.60	—	≠ CHANGED
Item Number 45676 Schedule Fee $688.60 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 MACROSTOMIA, operation for (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45677	Cleft lip, unilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$683.30	—	≠ CHANGED
Item Number 45677 Schedule Fee $683.30 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Cleft lip, unilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45680	Cleft lip, unilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$891.15	—	≠ CHANGED
Item Number 45680 Schedule Fee $891.15 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Cleft lip, unilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45683	Cleft lip, bilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$989.95	—	≠ CHANGED
Item Number 45683 Schedule Fee $989.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Cleft lip, bilateral—primary repair of nasolabial complex, one stage, without anterior palate repair (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45686	Cleft lip, bilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1168.45	—	≠ CHANGED
Item Number 45686 Schedule Fee $1168.45 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Cleft lip, bilateral—primary repair of nasolabial complex, one stage, with anterior palate repair (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45689	CLEFT LIP, lip adhesion procedure, unilateral or bilateral (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$313.35	—	≠ CHANGED
Item Number 45689 Schedule Fee $313.35 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 CLEFT LIP, lip adhesion procedure, unilateral or bilateral (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45692	Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 45692 Schedule Fee $359.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Cleft lip, partial revision, including minor flap revision alignment and adjustment, including revision of minor whistle deformity if performed (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45695	CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$585.05	—	≠ CHANGED
Item Number 45695 Schedule Fee $585.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 CLEFT LIP, total revision, including major flap revision, muscle reconstruction and revision of major whistle deformity (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45698	CLEFT LIP, primary columella lengthening procedure, bilateral (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$549.05	—	≠ CHANGED
Item Number 45698 Schedule Fee $549.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 CLEFT LIP, primary columella lengthening procedure, bilateral (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45701	CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$990.20	—	≠ CHANGED
Item Number 45701 Schedule Fee $990.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 CLEFT LIP RECONSTRUCTION using full thickness flap (Abbe or similar), first stage (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45704	Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$359.95	—	≠ CHANGED
Item Number 45704 Schedule Fee $359.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Cleft lip reconstruction using full thickness flap (Abbe or similar), second stage (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45707	CLEFT PALATE, primary repair (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$935.85	—	≠ CHANGED
Item Number 45707 Schedule Fee $935.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 CLEFT PALATE, primary repair (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45710	CLEFT PALATE, secondary repair, closure of fistula using local flaps (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$585.05	—	≠ CHANGED
Item Number 45710 Schedule Fee $585.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 CLEFT PALATE, secondary repair, closure of fistula using local flaps (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45713	CLEFT PALATE, secondary repair, lengthening procedure (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$666.20	—	≠ CHANGED
Item Number 45713 Schedule Fee $666.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 CLEFT PALATE, secondary repair, lengthening procedure (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45714	Oro-nasal fistula, repair of, including a local flap for closure (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$935.85	—	≠ CHANGED
Item Number 45714 Schedule Fee $935.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.11.1995 Gov. Change Flags Fee ≠ Full Description Oro-nasal fistula, repair of, including a local flap for closure (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45716	VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for (Anaes.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$935.85	—	≠ CHANGED
Item Number 45716 Schedule Fee $935.85 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 VELO-PHARYNGEAL INCOMPETENCE, pharyngeal flap for, or pharyngoplasty for (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	45717	Alveolar cleft (congenital), unilateral, bone grafting of, including local flap closure of associated oro-nasal fistulae and ridge augmentation, other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1407.50	—	≠ CHANGED
Item Number 45717 Schedule Fee $1407.50 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Alveolar cleft (congenital), unilateral, bone grafting of, including local flap closure of associated oro-nasal fistulae and ridge augmentation, other than a service associated with a service to which item 45718 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45718	Face, contour restoration of one region, for the correction of deformity using autogenous bone or cartilage, if the deformity:(a) is secondary to congenital absence of tissue; or(b) has arisen from:(i) trauma (other than from previous cosmetic surgery); or(ii) a diagnosed pathological process;other than a service associated with a service to which item 45644 or 45717 (alveolar bone grafting) applies (H) (Anaes.) (Assist.) Group T8	Category 3 — Therapeutic Procedures	$1531.35	—	≠ CHANGED
Item Number 45718 Schedule Fee $1531.35 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: 01.07.2023 Gov. Change Flags Fee ≠ Full Description Face, contour restoration of one region, for the correction of deformity using autogenous bone or cartilage, if the deformity:(a) is secondary to congenital absence of tissue; or(b) has arisen from:(i) trauma (other than from previous cosmetic surgery); or(ii) a diagnosed pathological process;other than a service associated with a service to which item 45644 or 45717 (alveolar bone grafting) applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45761	Genioplasty, including transposition of nerves and vessels and bone grafts taken from the same site, if: (a) the deformity: (i) is secondary to congenital absence of tissue; or(ii) is the result of a diagnosed craniofacial disorder; or(iii) has arisen from trauma (other than from previous cosmetic surgery) or a diagnosed pathological process; and (b) for a craniofacial disorder—evidence of diagnosis of the disorder is documented in the patient notes; and (c) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$896.05	—	≠ CHANGED
Item Number 45761 Schedule Fee $896.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Descriptor ≠ Full Description Genioplasty, including transposition of nerves and vessels and bone grafts taken from the same site, if: (a) the deformity: (i) is secondary to congenital absence of tissue; or(ii) is the result of a diagnosed craniofacial disorder; or(iii) has arisen from trauma (other than from previous cosmetic surgery) or a diagnosed pathological process; and (b) for a craniofacial disorder—evidence of diagnosis of the disorder is documented in the patient notes; and (c) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45767	Hypertelorism, correction of, using intracranial approach (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$3006.20	—	≠ CHANGED
Item Number 45767 Schedule Fee $3006.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Hypertelorism, correction of, using intracranial approach (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45773	Syndromic orbital dystopia, such as Treacher Collins Syndrome, bilateral facial or periorbital reconstruction, with bone grafts from a distant site (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$2098.65	—	≠ CHANGED
Item Number 45773 Schedule Fee $2098.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Syndromic orbital dystopia, such as Treacher Collins Syndrome, bilateral facial or periorbital reconstruction, with bone grafts from a distant site (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45776	ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, intracranial (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$2098.65	—	≠ CHANGED
Item Number 45776 Schedule Fee $2098.65 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, intracranial (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45779	ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, extracranial (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1542.95	—	≠ CHANGED
Item Number 45779 Schedule Fee $1542.95 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 ORBITAL DYSTOPIA (UNILATERAL), CORRECTION OF, with total repositioning of 1 orbit, extracranial (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45782	Fronto-orbital advancement (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1179.70	—	≠ CHANGED
Item Number 45782 Schedule Fee $1179.70 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Fronto-orbital advancement (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	45785	Cranial vault reconstruction for single suture synostosis (H) (Anaes.) (Assist.) Group T8 · Subheading 4	Category 3 — Therapeutic Procedures	$1996.55	—	≠ CHANGED
Item Number 45785 Schedule Fee $1996.55 Category Category 3 — Therapeutic Procedures Group / Subheading Group T8 · Sub 4 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 Cranial vault reconstruction for single suture synostosis (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes

Fee From

01.07.2026

Category