Billing Codes — Australian Health Schedule Tracker

Showing 4001–4050 of 6045 Pg 81/121

	Item No.	Description	Category	Schedule Fee	100% Benefit	Status
	51312	Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615 and 16627 (H) Group T9	Category 3 — Therapeutic Procedures	—	—
Item Number 51312 Schedule Fee — Category Category 3 — Therapeutic Procedures Group / Subheading Group T9 Type Codes Item: S Fee: D Benefit: A Effective Dates Item from: 01.07.1995 Gov. Change Flags No changes flagged Full Description Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615 and 16627 (H) Derived Fee Formula One fifth of the established fee for the procedure or combination of procedures Sign in to watch this code → Get an email alert when this item changes
	51315	Assistance at cataract and intraocular lens surgery covered by item 42698, 42701, 42702, 42704 or 42707, when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42725, 42746, 42749, 42752, 42776 or 42779 (H) Group T9	Category 3 — Therapeutic Procedures	$326.05	—	≠ CHANGED
Item Number 51315 Schedule Fee $326.05 Category Category 3 — Therapeutic Procedures Group / Subheading Group T9 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.1997 Gov. Change Flags Fee ≠ Full Description Assistance at cataract and intraocular lens surgery covered by item 42698, 42701, 42702, 42704 or 42707, when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42725, 42746, 42749, 42752, 42776 or 42779 (H) Sign in to watch this code → Get an email alert when this item changes
	51318	Assistance at cataract and intraocular lens surgery, if patient has: (a) total loss of vision, including no potential for central vision, in the fellow eye; or (b) one of the following in the fellow eye: (i) vitreous loss; (ii) rupture of posterior capsule; (iii) loss of nuclear material into the vitreous; (iv) intraocular haemorrhage; (v) intraocular infection (endophthalmitis); (vi) cystoid macular oedema; (vii) corneal decompensation; (viii) retinal detachment; or (c) pseudo exfoliation, subluxed lens, iridodonesis, phacodonesis, retinal detachment, corneal scarring, pre‑existing uveitis, bound down miosed pupil, nanophthalmos, spherophakia, Marfan’s syndrome, homocysteinuria or previous blunt trauma causing intraocular damage (H) Group T9	Category 3 — Therapeutic Procedures	$215.20	—	≠ CHANGED
Item Number 51318 Schedule Fee $215.20 Category Category 3 — Therapeutic Procedures Group / Subheading Group T9 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.05.1997 Gov. Change Flags Fee ≠ Full Description Assistance at cataract and intraocular lens surgery, if patient has: (a) total loss of vision, including no potential for central vision, in the fellow eye; or (b) one of the following in the fellow eye: (i) vitreous loss; (ii) rupture of posterior capsule; (iii) loss of nuclear material into the vitreous; (iv) intraocular haemorrhage; (v) intraocular infection (endophthalmitis); (vi) cystoid macular oedema; (vii) corneal decompensation; (viii) retinal detachment; or (c) pseudo exfoliation, subluxed lens, iridodonesis, phacodonesis, retinal detachment, corneal scarring, pre‑existing uveitis, bound down miosed pupil, nanophthalmos, spherophakia, Marfan’s syndrome, homocysteinuria or previous blunt trauma causing intraocular damage (H) Sign in to watch this code → Get an email alert when this item changes
	51700	APPROVED DENTAL PRACTITIONER, REFERRED CONSULTATION - SURGERY, HOSPITAL OR RESIDENTIAL AGED CARE FACILITY Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner, at consulting rooms, hospital or residential aged care facility where the patient is referred to him or her Group O1	Category 4 — Oral & Maxillofacial Services	$102.35	—	≠ CHANGED
Item Number 51700 Schedule Fee $102.35 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description APPROVED DENTAL PRACTITIONER, REFERRED CONSULTATION - SURGERY, HOSPITAL OR RESIDENTIAL AGED CARE FACILITY Professional attendance (other than a second or subsequent attendance in a single course of treatment) by an approved dental practitioner, at consulting rooms, hospital or residential aged care facility where the patient is referred to him or her Sign in to watch this code → Get an email alert when this item changes
	51703	Professional attendance by an approved dental practitioner, each attendance subsequent to the first in a single course of treatment at consulting rooms, hospital or residential aged care facility where the patient is referred to him or her Group O1	Category 4 — Oral & Maxillofacial Services	$51.50	—	≠ CHANGED
Item Number 51703 Schedule Fee $51.50 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O1 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 EMSN Cap Max: $500.00 %: 300% Gov. Change Flags Fee ≠ Full Description Professional attendance by an approved dental practitioner, each attendance subsequent to the first in a single course of treatment at consulting rooms, hospital or residential aged care facility where the patient is referred to him or her Sign in to watch this code → Get an email alert when this item changes
	51800	Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee does not exceed $668.25 or at a series or combination of operations mentioned in an item in Groups O3 to O9 that include “(Assist.)” for which the aggregate fee does not exceed $668.25 (H) Group O2	Category 4 — Oral & Maxillofacial Services	$103.25	—	≠ CHANGED
Item Number 51800 Schedule Fee $103.25 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O2 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 Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee does not exceed $668.25 or at a series or combination of operations mentioned in an item in Groups O3 to O9 that include “(Assist.)” for which the aggregate fee does not exceed $668.25 (H) Sign in to watch this code → Get an email alert when this item changes
	51803	Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee exceeds $668.25 or at a series or combination of operations mentioned in an item that include “(Assist.)” if the aggregate fee exceeds $668.25 Group O2	Category 4 — Oral & Maxillofacial Services	—	—	✎ UPDATED
Item Number 51803 Schedule Fee — Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O2 Type Codes Item: S Fee: D Benefit: C Effective Dates Item from: 01.12.1991 Gov. Change Flags Descriptor ≠ Full Description Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee exceeds $668.25 or at a series or combination of operations mentioned in an item that include “(Assist.)” if the aggregate fee exceeds $668.25 Derived Fee Formula one fifth of the established fee for the operation or combination of operations Sign in to watch this code → Get an email alert when this item changes
	51900	WOUND OF SOFT TISSUE, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$390.25	—	≠ CHANGED
Item Number 51900 Schedule Fee $390.25 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description WOUND OF SOFT TISSUE, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	51902	Wounds of the oral and maxillofacial region, dressing of, under general anaesthesia, with or without removal of sutures, other than a service associated with a service to which another item in Groups O3 to O9 applies (H) (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$88.50	—	≠ CHANGED
Item Number 51902 Schedule Fee $88.50 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Wounds of the oral and maxillofacial region, dressing of, under general anaesthesia, with or without removal of sutures, other than a service associated with a service to which another item in Groups O3 to O9 applies (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	51904	Lipectomy—wedge excision of skin or fat—one excision (H) (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$544.40	—	≠ CHANGED
Item Number 51904 Schedule Fee $544.40 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Lipectomy—wedge excision of skin or fat—one excision (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	51906	Lipectomy—wedge excision of skin or fat—2 or more excisions (H) (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$827.90	—	≠ CHANGED
Item Number 51906 Schedule Fee $827.90 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Lipectomy—wedge excision of skin or fat—2 or more excisions (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52000	SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$98.70	—	≠ CHANGED
Item Number 52000 Schedule Fee $98.70 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52003	SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$140.70	—	≠ CHANGED
Item Number 52003 Schedule Fee $140.70 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52006	SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), superficial (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$140.70	—	≠ CHANGED
Item Number 52006 Schedule Fee $140.70 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), superficial (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52009	SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$222.10	—	≠ CHANGED
Item Number 52009 Schedule Fee $222.10 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF RECENT WOUND OF, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52010	FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$304.00	—	≠ CHANGED
Item Number 52010 Schedule Fee $304.00 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52012	SUPERFICIAL FOREIGN BODY, removal of, as an independent procedure (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$28.15	—	≠ CHANGED
Item Number 52012 Schedule Fee $28.15 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SUPERFICIAL FOREIGN BODY, removal of, as an independent procedure (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52015	SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and suture, as an independent procedure (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$131.55	—	≠ CHANGED
Item Number 52015 Schedule Fee $131.55 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and suture, as an independent procedure (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52018	FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$331.25	—	≠ CHANGED
Item Number 52018 Schedule Fee $331.25 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52021	ASPIRATION BIOPSY of 1 or MORE JAW CYSTS as an independent procedure to obtain material for diagnostic purposes and not being a service associated with an operative procedure on the same day (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$35.20	—	≠ CHANGED
Item Number 52021 Schedule Fee $35.20 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 ASPIRATION BIOPSY of 1 or MORE JAW CYSTS as an independent procedure to obtain material for diagnostic purposes and not being a service associated with an operative procedure on the same day (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52024	BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent procedure (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$62.55	—	≠ CHANGED
Item Number 52024 Schedule Fee $62.55 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 BIOPSY OF SKIN OR MUCOUS MEMBRANE, as an independent procedure (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52025	LYMPH NODE OF NECK, biopsy of (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$220.15	—	≠ CHANGED
Item Number 52025 Schedule Fee $220.15 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description LYMPH NODE OF NECK, biopsy of (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52027	BIOPSY OF LYMPH NODE, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure and not being a service to which item 52025 applies (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$179.25	—	≠ CHANGED
Item Number 52027 Schedule Fee $179.25 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 BIOPSY OF LYMPH NODE, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure and not being a service to which item 52025 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52030	SINUS, excision of, involving superficial tissue only (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$107.75	—	≠ CHANGED
Item Number 52030 Schedule Fee $107.75 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SINUS, excision of, involving superficial tissue only (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52033	SINUS, excision of, involving muscle and deep tissue (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$220.15	—	≠ CHANGED
Item Number 52033 Schedule Fee $220.15 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SINUS, excision of, involving muscle and deep tissue (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52034	PREMALIGNANT LESIONS of the oral mucous, treatment by cryotherapy, diathermy or carbon dioxide laser Group O3	Category 4 — Oral & Maxillofacial Services	$51.50	—	≠ CHANGED
Item Number 52034 Schedule Fee $51.50 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 PREMALIGNANT LESIONS of the oral mucous, treatment by cryotherapy, diathermy or carbon dioxide laser Sign in to watch this code → Get an email alert when this item changes
	52035	ENDOSCOPIC LASER THERAPY for neoplasia and benign vascular lesions of the oral cavity (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$569.80	—	≠ CHANGED
Item Number 52035 Schedule Fee $569.80 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description ENDOSCOPIC LASER THERAPY for neoplasia and benign vascular lesions of the oral cavity (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52036	TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$151.95	—	≠ CHANGED
Item Number 52036 Schedule Fee $151.95 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not being a service to which item 52039 applies (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52039	TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$390.25	—	≠ CHANGED
Item Number 52039 Schedule Fee $390.25 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 TUMOURS, CYSTS, ULCERS OR SCARS, (other than a scar removed during the surgical approach at an operation), up to 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52042	TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$206.45	—	≠ CHANGED
Item Number 52042 Schedule Fee $206.45 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 TUMOUR, CYST, ULCER OR SCAR, (other than a scar removed during the surgical approach at an operation), more than 3 cm in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52045	TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$295.10	—	≠ CHANGED
Item Number 52045 Schedule Fee $295.10 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 TUMOUR, CYST (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5mm separation between the cyst lining and tooth structure or where a tumour or cyst has been proven by positive histopathology), ULCER OR SCAR (other than a scar removed during the surgical approach at an operation), removal of, not being a service to which another item in Groups O3 to O9 applies, involving muscle, bone, or other deep tissue (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52048	Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure or if a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, other than a service to which another item in Groups O3 to O9 applies (H) (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$444.65	—	≠ CHANGED
Item Number 52048 Schedule Fee $444.65 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure or if a tumour or cyst has been proven by positive histopathology), removal of, requiring wide excision, other than a service to which another item in Groups O3 to O9 applies (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52051	Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H) (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$601.15	—	≠ CHANGED
Item Number 52051 Schedule Fee $601.15 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, without skin or mucosal graft (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52054	Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H) (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$703.25	—	≠ CHANGED
Item Number 52054 Schedule Fee $703.25 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: A Effective Dates Fee from: 01.07.2026 Item from: 01.12.1991 Gov. Change Flags Fee ≠ Full Description Tumour, removal of, from soft tissue (including muscle, fascia and connective tissue), extensive excision of, with skin or mucosal graft (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52055	HAEMATOMA, SMALL ABSCESS OR CELLULITIS, not requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding after care) Group O3	Category 4 — Oral & Maxillofacial Services	$32.75	—	≠ CHANGED
Item Number 52055 Schedule Fee $32.75 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.1992 Gov. Change Flags Fee ≠ Full Description HAEMATOMA, SMALL ABSCESS OR CELLULITIS, not requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding after care) Sign in to watch this code → Get an email alert when this item changes
	52056	HAEMATOMA, aspiration of (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$32.75	—	≠ CHANGED
Item Number 52056 Schedule Fee $32.75 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description HAEMATOMA, aspiration of (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52057	Large haematoma, large abscess, carbuncle, cellulitis or similar lesion in the oral and maxillofacial region, incision with drainage of (excluding after‑care) (H) (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$195.05	—	≠ CHANGED
Item Number 52057 Schedule Fee $195.05 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Large haematoma, large abscess, carbuncle, cellulitis or similar lesion in the oral and maxillofacial region, incision with drainage of (excluding after‑care) (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52058	PERCUTANEOUS DRAINAGE OF DEEP ABSCESS, using interventional imaging techniques - but not including imaging (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$284.35	—	≠ CHANGED
Item Number 52058 Schedule Fee $284.35 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description PERCUTANEOUS DRAINAGE OF DEEP ABSCESS, using interventional imaging techniques - but not including imaging (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52059	ABSCESS, DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$320.35	—	≠ CHANGED
Item Number 52059 Schedule Fee $320.35 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description ABSCESS, DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52060	Muscle in the oral and maxillofacial region, excision of (H) (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$226.75	—	≠ CHANGED
Item Number 52060 Schedule Fee $226.75 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Muscle in the oral and maxillofacial region, excision of (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52061	Muscle, in the oral and maxillofacial region, ruptured, repair of (limited), not associated with external wound (H) (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$267.60	—	≠ CHANGED
Item Number 52061 Schedule Fee $267.60 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Muscle, in the oral and maxillofacial region, ruptured, repair of (limited), not associated with external wound (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52062	Muscle, in the oral and maxillofacial region, ruptured, repair of (extensive), not associated with external wound (H) (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$353.90	—	≠ CHANGED
Item Number 52062 Schedule Fee $353.90 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Muscle, in the oral and maxillofacial region, ruptured, repair of (extensive), not associated with external wound (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52063	BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$426.55	—	≠ CHANGED
Item Number 52063 Schedule Fee $426.55 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in Groups O3 to O9 applies (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52064	BONE CYST, injection into or aspiration of (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$202.90	—	≠ CHANGED
Item Number 52064 Schedule Fee $202.90 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 Type Codes Item: S Fee: N Benefit: C Effective Dates Fee from: 01.07.2026 Item from: 01.11.2000 Gov. Change Flags Fee ≠ Full Description BONE CYST, injection into or aspiration of (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52066	Submandibular gland, extirpation of (H) (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$533.15	—	≠ CHANGED
Item Number 52066 Schedule Fee $533.15 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Submandibular gland, extirpation of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes
	52069	Sublingual gland, extirpation of (H) (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$237.65	—	≠ CHANGED
Item Number 52069 Schedule Fee $237.65 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Sublingual gland, extirpation of (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52072	SALIVARY GLAND, DILATATION OR DIATHERMY of duct (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$70.40	—	≠ CHANGED
Item Number 52072 Schedule Fee $70.40 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SALIVARY GLAND, DILATATION OR DIATHERMY of duct (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52073	Salivary gland, repair of cutaneous fistula of (H) (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$179.25	—	≠ CHANGED
Item Number 52073 Schedule Fee $179.25 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Salivary gland, repair of cutaneous fistula of (H) (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52075	SALIVARY GLAND, removal of CALCULUS from duct or meatotomy or marsupialisation, 1 or more such procedures (Anaes.) Group O3	Category 4 — Oral & Maxillofacial Services	$179.25	—	≠ CHANGED
Item Number 52075 Schedule Fee $179.25 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 SALIVARY GLAND, removal of CALCULUS from duct or meatotomy or marsupialisation, 1 or more such procedures (Anaes.) Sign in to watch this code → Get an email alert when this item changes
	52078	Tongue, partial excision of (H) (Anaes.) (Assist.) Group O3	Category 4 — Oral & Maxillofacial Services	$353.90	—	≠ CHANGED
Item Number 52078 Schedule Fee $353.90 Category Category 4 — Oral & Maxillofacial Services Group / Subheading Group O3 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 Tongue, partial excision of (H) (Anaes.) (Assist.) Sign in to watch this code → Get an email alert when this item changes

Category

Category 3 — Therapeutic Procedures

Description

Assistance at any interventional obstetric procedure covered by items 16606, 16609, 16612, 16615 and 16627 (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Assistance at cataract and intraocular lens surgery covered by item 42698, 42701, 42702, 42704 or 42707, when performed in association with services covered by item 42551 to 42569, 42653, 42656, 42725, 42746, 42749, 42752, 42776 or 42779 (H)

Fee From

01.07.2026

Category

Category 3 — Therapeutic Procedures

Description

Assistance at cataract and intraocular lens surgery, if patient has: (a) total loss of vision, including no potential for central vision, in the fellow eye; or (b) one of the following in the fellow eye: (i) vitreous loss; (ii) rupture of posterior capsule; (iii) loss of nuclear material into the vitreous; (iv) intraocular haemorrhage; (v) intraocular infection (endophthalmitis); (vi) cystoid macular oedema; (vii) corneal decompensation; (viii) retinal detachment; or (c) pseudo exfoliation, subluxed lens, iridodonesis, phacodonesis, retinal detachment, corneal scarring, pre‑existing uveitis, bound down miosed pupil, nanophthalmos, spherophakia, Marfan’s syndrome, homocysteinuria or previous blunt trauma causing intraocular damage (H)

Fee From

01.07.2026

Category