Search 6,000+ Medicare item numbers across all categories including Pathology and Diagnostic Imaging
| Item No. | Description | Schedule Fee | Status | ||||
|---|---|---|---|---|---|---|---|
| 63541 | Group I5 | $517.55 | ≠ CHANGED | ||||
|
Item Number
63541
Schedule Fee
$517.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2018
Gov. Change Flags
Fee ≠
Full Description
Multiparametric MRI—scan of the prostate for the detection of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient is suspected of developing prostate cancer: (i) on the basis of a digital rectal examination; or (ii) in the circumstances mentioned in clause 2.5.9A; and (b) using a standardised image acquisition protocol involving: (i) T2‑weighted imaging; and (ii) diffusion‑weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.1 for the meaning of Clause 2.5.9 in the descriptor for this item and the claiming limitations. (Anaes.)
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| 63543 | Group I5 | $517.55 | ≠ CHANGED | ||||
|
Item Number
63543
Schedule Fee
$517.55
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2018
Gov. Change Flags
Fee ≠
Full Description
Multiparametric MRI—scan of the prostate for the assessment of cancer, requested by a specialist in the speciality of urology, radiation oncology or medical oncology: (a) if the request for the scan identifies that the patient: (i) is under active surveillance following a confirmed diagnosis of prostate cancer by biopsy histopathology; and (ii) is not undergoing, or planning to undergo, treatment for prostate cancer; and (b) using a standardised image acquisition protocol involving: (i) T2‑weighted imaging; and (ii) diffusion‑weighted imaging; and (iii) (unless contraindicated) dynamic contrast enhancement (R) Note: See explanatory note IN.5.2 for claiming restrictions for this item. (Anaes.)
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| 63545 | Group I5 | $632.65 | ≠ CHANGED | ||||
|
Item Number
63545
Schedule Fee
$632.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2019
Gov. Change Flags
Fee ≠
Full Description
MRI - multiphase scans of liver (including delayed imaging, if performed) with a contrast agent, for characterisation, or staging where surgical resection or interventional techniques are under consideration, if: (a) the patient has a confirmed extra‑hepatic primary malignancy (other than hepatocellular carcinoma); and (b) computed tomography is negative or inconclusive for hepatic metastatic disease; and (c) the identification of liver metastases would change the patient’s treatment planning Applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
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| 63546 | Group I5 | $632.65 | ≠ CHANGED | ||||
|
Item Number
63546
Schedule Fee
$632.65
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2019
Gov. Change Flags
Fee ≠
Full Description
MRI – multiphase scans of the liver (including delayed imaging, if performed) with a contrast agent, for diagnosis or staging, if: (a) the patient has:(i) known or suspected hepatocellular carcinoma; and(ii) chronic liver disease that has been confirmed by a specialist or consultant physician; and(b) the patient’s liver function has been identified as Child Pugh class A or B; and(c) the patient has an identified hepatic lesion over 10 mm in diameter.For any particular patient—applicable not more than once in a 12 month period (R) (Contrast) (Anaes.)
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| 63547 | Group I5 | $793.75 | ≠ CHANGED | ||||
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Item Number
63547
Schedule Fee
$793.75
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2018
Gov. Change Flags
Fee ≠
Full Description
MRI—scan of both breasts for the detection of cancer, if: (a) a dedicated breast coil is used; and(b) the request for the scan identifies that:(i) the patient has a breast implant in situ; and(ii) anaplastic large cell lymphoma has been diagnosed(R) (Contrast) (Anaes.)
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| 63549 | Group I5 | $2070.50 | ≠ CHANGED | ||||
|
Item Number
63549
Schedule Fee
$2070.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2022
Gov. Change Flags
Fee ≠
Full Description
MRI scan of the pelvis or abdomen, for a patient with a multiple pregnancy, if: (a) the multiple pregnancy is at, or after, 18 weeks gestation; and (b) fetal abnormality is suspected; and (c) an ultrasound has been performed and is provided by, or on behalf of, or at the request of, a specialist who is practising in the specialty of obstetrics; and (d) the diagnosis of fetal abnormality as a result of the ultrasound is indeterminate or requires further examination; and (e) the MRI service is requested by a specialist practising in the specialty of obstetrics (R) (Contrast) (Anaes.)
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| 63551 | Group I5 | $463.80 | ≠ CHANGED | ||||
|
Item Number
63551
Schedule Fee
$463.80
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2013
Gov. Change Flags
Fee ≠
Full Description
MRI - scan of head for a patient 16 years or older, after a request by a medical practitioner (other than a specialist or consultant physician), for any of the following: (a) unexplained seizure(s);(b) unexplained chronic headache with suspected intracranial pathology (R) (Contrast) (Anaes.)
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| 63554 | Group I5 | $412.25 | ≠ CHANGED | ||||
|
Item Number
63554
Schedule Fee
$412.25
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2013
Gov. Change Flags
Fee ≠
Full Description
MRI - scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical radiculopathy (R) (Contrast) (Anaes.)
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| 63557 | Group I5 | $566.90 | ≠ CHANGED | ||||
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Item Number
63557
Schedule Fee
$566.90
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2013
Gov. Change Flags
Fee ≠
Full Description
MRI - scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical spinal trauma (R) (Contrast) (Anaes.)
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| 63560 | Group I5 | $463.80 | ≠ CHANGED | ||||
|
Item Number
63560
Schedule Fee
$463.80
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2013
Gov. Change Flags
Fee ≠
Full Description
MRI - scan of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient 16 to 49 years with: (a) inability to extend the knee suggesting the possibility of acute meniscal tear; or(b) clinical findings suggesting acute anterior cruciate ligament tear (R) (Contrast) (Anaes.)
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| 63563 | Group I5 | $463.80 | ≠ CHANGED | ||||
|
Item Number
63563
Schedule Fee
$463.80
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2022
Gov. Change Flags
Fee ≠
Full Description
MRI scan of the pelvis or abdomen, if the request for the scan identifies that the investigation is for: (a) sub‑fertility that requires one or more of the following: (i) an investigation of suspected Mullerian duct anomaly seen in pelvic ultrasound or hysterosalpingogram; (ii) an assessment of uterine mass identified on pelvic ultrasound before consideration of surgery; (iii) an investigation of recurrent implantation failure in IVF (2 or more embryo transfer cycles without viable pregnancy); or (b) surgical planning of a patient with known or suspected deep endometriosis involving the bowel, bladder or ureter (or any combination of the bowel, bladder or ureter), where the results of pelvic ultrasound are inconclusive Applicable not more than once in a 2 year period (R) (Contrast) (Anaes.)
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| 63564 | Group I5 | $1698.25 | ≠ CHANGED | ||||
|
Item Number
63564
Schedule Fee
$1698.25
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: D
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
Gov. Change Flags
Fee ≠
Full Description
Note: the requirements for services provided under item 63564 are detailed under note IN.5.4 MRI – whole body scan for the early detection of cancer: a) requested by a specialist or consultant physician in consultation with a clinical geneticist in a familial cancer or genetic clinic; and b) the request identifies that the patient has a high risk of developing cancer malignancy due to heritable TP53 - related cancer (hTP53rc) syndrome (R) (Anaes.)
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| 63740 | Group I5 | $525.90 | ≠ CHANGED | ||||
|
Item Number
63740
Schedule Fee
$525.90
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2014
Gov. Change Flags
Fee ≠
Full Description
MRI—scan to evaluate small bowel Crohn’s disease if the service is provided to a patient for: (a) evaluation of disease extent at time of initial diagnosis of Crohn’s disease; or(b) evaluation of exacerbation, or suspected complications, of known Crohn’s disease; or(c) evaluation of known or suspected Crohn’s disease in pregnancy; or(d) assessment of change to therapy in a patient with small bowel Crohn’s disease (R) (Contrast)
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| 63741 | Group I5 | $305.10 | ≠ CHANGED | ||||
|
Item Number
63741
Schedule Fee
$305.10
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2014
Gov. Change Flags
Fee ≠
Full Description
MRI—scan with enteroclysis for Crohn’s disease if the service is related to item 63740 (R)
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| 63743 | Group I5 | $463.80 | ≠ CHANGED | ||||
|
Item Number
63743
Schedule Fee
$463.80
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I5
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2014
Gov. Change Flags
Fee ≠
Full Description
MRI—scan for fistulising perianal Crohn’s disease if the service is provided to a patient for:(a) evaluation of pelvic sepsis and fistulas associated with established or suspected Crohn’s disease; or(b) assessment of change to therapy of pelvis sepsis and fistulas from Crohn’s disease (R) (Contrast)
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| 64990 | Group I6 | $8.25 | ≠ CHANGED | ||||
|
Item Number
64990
Schedule Fee
$8.25
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I6
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.02.2004
Gov. Change Flags
Fee ≠
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64991, 64992, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service
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| 64991 | Group I6 | $12.50 | ≠ CHANGED | ||||
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Item Number
64991
Schedule Fee
$12.50
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I6
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2004
Gov. Change Flags
Fee ≠
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64992, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this table applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 2 area
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| 64992 | Group I6 | $13.30 | ≠ CHANGED | ||||
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Item Number
64992
Schedule Fee
$13.30
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I6
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64993, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in: (i) a Modified Monash 3 are; or (ii) a Modified Monash 4 area
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| 64993 | Group I6 | $14.05 | ≠ CHANGED | ||||
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Item Number
64993
Schedule Fee
$14.05
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I6
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64994 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 5 area
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| 64994 | Group I6 | $15.00 | ≠ CHANGED | ||||
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Item Number
64994
Schedule Fee
$15.00
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I6
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64995) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 6 area
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| 64995 | Group I6 | $16.35 | ≠ CHANGED | ||||
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Item Number
64995
Schedule Fee
$16.35
Category
Category 5 — Diagnostic Imaging
Group / Subheading
Group I6
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.01.2022
Gov. Change Flags
Fee ≠
Full Description
A diagnostic imaging service to which an item in this table (other than this item or item 64990, 64991, 64992, 64993 or 64994) applies if: (a) the service is an unreferred service; and (b) the service is provided to a person who is under the age of 16 or is a Commonwealth concession card holder; and (c) the person is not an admitted patient of a hospital; and (d) the service is bulk-billed in respect of the fees for: (i) this item; and (ii) the other item in this Schedule applying to the service; and (e) the service is provided at, or from, a practice location in a Modified Monash 7 area
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| 65060 | Group P1 | $8.25 | ≠ CHANGED | ||||
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Item Number
65060
Schedule Fee
$8.25
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Haemoglobin, erythrocyte sedimentation rate, blood viscosity - 1 or more tests
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| 65066 | Group P1 | $10.95 | ≠ CHANGED | ||||
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Item Number
65066
Schedule Fee
$10.95
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Examination of: (a) a blood film by special stains to demonstrate Heinz bodies, parasites or iron; or (b) a blood film by enzyme cytochemistry for neutrophil alkaline phosphatase, alpha-naphthyl acetate esterase or chloroacetate esterase; or (c) a blood film using any other special staining methods including periodic acid Schiff and Sudan Black; or (d) a urinary sediment for haemosiderin including a service described in item 65072
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| 65070 | Group P1 | $17.80 | ≠ CHANGED | ||||
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Item Number
65070
Schedule Fee
$17.80
Category
Category 6 — Pathology
Group / Subheading
Group P1
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
Erythrocyte count, haematocrit, haemoglobin, calculation or measurement of red cell index or indices, platelet count, leucocyte count and manual or instrument generated differential count - not being a service where haemoglobin only is requested - one or more instrument generated sets of results from a single sample; and (if performed) (a) a morphological assessment of a blood film; (b) any service in item 65060 or 65072
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| 65072 | Group P1 | $10.70 | ≠ CHANGED | ||||
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Item Number
65072
Schedule Fee
$10.70
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Examination for reticulocytes including a reticulocyte count by any method - 1 or more tests
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| 65075 | Group P1 | $54.60 | ≠ CHANGED | ||||
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Item Number
65075
Schedule Fee
$54.60
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Haemolysis or metabolic enzymes - assessment by: (a) erythrocyte autohaemolysis test; or (b) erythrocyte osmotic fragility test; or (c) sugar water test; or (d) G-6-P D (qualitative or quantitative) test; or (e) pyruvate kinase (qualitative or quantitative) test; or (f) acid haemolysis test; or (g) quantitation of muramidase in serum or urine; or (h) Donath Landsteiner antibody test; or (i) other erythrocyte metabolic enzyme tests 1 or more tests
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| 65078 | Group P1 | $94.75 | ≠ CHANGED | ||||
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Item Number
65078
Schedule Fee
$94.75
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Tests for the diagnosis of thalassaemia consisting of haemoglobin electrophoresis or chromatography and at least 2 of: (a) examination for HbH; or (b) quantitation of HbA2; or (c) quantitation of HbF; including (if performed) any service described in item 65060 or 65070
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| 65079 | Group P1 | $94.75 | ≠ CHANGED | ||||
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Item Number
65079
Schedule Fee
$94.75
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2007
Gov. Change Flags
Fee ≠
Full Description
Tests described in item 65078 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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| 65081 | Group P1 | $101.45 | ≠ CHANGED | ||||
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Item Number
65081
Schedule Fee
$101.45
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Tests for the investigation of haemoglobinopathy consisting of haemoglobin electrophoresis or chromatography and at least 1 of: (a) heat denaturation test; or (b) isopropanol precipitation test; or (c) tests for the presence of haemoglobin S; or (d) quantitation of any haemoglobin fraction (including S, C, D, E); including (if performed) any service described in item 65060, 65070 or 65078
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| 65082 | Group P1 | $101.45 | ≠ CHANGED | ||||
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Item Number
65082
Schedule Fee
$101.45
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2007
Gov. Change Flags
Fee ≠
Full Description
Tests described in item 65081 if rendered by a receiving APP - 1 or more tests (Item is subject to rule 18)
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| 65084 | Group P1 | $174.25 | ≠ CHANGED | ||||
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Item Number
65084
Schedule Fee
$174.25
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Bone marrow trephine biopsy - histopathological examination of sections of bone marrow and examination of aspirated material (including clot sections where necessary), including (if performed): any test described in item 65060, 65066 or 65070
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| 65087 | Group P1 | $87.30 | ≠ CHANGED | ||||
|
Item Number
65087
Schedule Fee
$87.30
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Bone marrow - examination of aspirated material (including clot sections where necessary), including (if performed): any test described in item 65060, 65066 or 65070
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|||||||
| 65090 | Group P1 | $11.70 | ≠ CHANGED | ||||
|
Item Number
65090
Schedule Fee
$11.70
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Blood grouping (including back-grouping if performed) - ABO and Rh (D antigen)
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|||||||
| 65093 | Group P1 | $23.15 | ≠ CHANGED | ||||
|
Item Number
65093
Schedule Fee
$23.15
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Blood grouping - Rh phenotypes, Kell system, Duffy system, M and N factors or any other blood group system - 1 or more systems, including item 65090 (if performed)
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|||||||
| 65096 | Group P1 | $43.10 | ≠ CHANGED | ||||
|
Item Number
65096
Schedule Fee
$43.10
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Blood grouping (including back-grouping if performed), and examination of serum for Rh and other blood group antibodies, including: (a) identification and quantitation of any antibodies detected; and (b) (if performed) any test described in item 65060 or 65070
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|||||||
| 65099 | Group P1 | $114.40 | ≠ CHANGED | ||||
|
Item Number
65099
Schedule Fee
$114.40
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Compatibility tests by crossmatch - all tests performed on any 1 day for up to 6 units, including: (a) direct testing of donor red cells from each unit against the serum of the patient by one or more accepted crossmatching techniques; and (b) all grouping checks of the patient and donor; and (c) examination for antibodies, and if necessary identification of any antibodies detected; and (d) (if performed) any tests described in item 65060, 65070, 65090 or 65096 (Item is subject to rule 5)
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|||||||
| 65102 | Group P1 | $172.95 | ≠ CHANGED | ||||
|
Item Number
65102
Schedule Fee
$172.95
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Compatibility tests by crossmatch - all tests performed on any 1 day in excess of 6 units, including: (a) direct testing of donor red cells from each unit against serum of the patient by one or more accepted crossmatching techniques; and (b) all grouping checks of the patient and donor; and (c) examination for antibodies, and if necessary identification of any antibodies detected; and (d) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105 (Item is subject to rule 5)
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|||||||
| 65105 | Group P1 | $114.40 | ≠ CHANGED | ||||
|
Item Number
65105
Schedule Fee
$114.40
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion - all tests performed on any one day for up to 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies and, if necessary, identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090 or 65096 (Item is subject to rule 5)
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|||||||
| 65108 | Group P1 | $172.95 | ≠ CHANGED | ||||
|
Item Number
65108
Schedule Fee
$172.95
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Compatibility testing using at least a 3 cell panel and issue of red cells for transfusion - all tests performed on any one day in excess of 6 units, including: (a) all grouping checks of the patient and donor; and (b) examination for antibodies and, if necessary, identification of any antibodies detected; and (c) (if performed) any tests described in item 65060, 65070, 65090, 65096, 65099 or 65105 (Item is subject to rule 5)
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|||||||
| 65109 | Group P1 | $13.55 | ≠ CHANGED | ||||
|
Item Number
65109
Schedule Fee
$13.55
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2007
Gov. Change Flags
Fee ≠
Full Description
Release of fresh frozen plasma or cryoprecipitate for the use in a patient for the correction of a coagulopathy - 1 release.
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|||||||
| 65110 | Group P1 | $13.55 | ≠ CHANGED | ||||
|
Item Number
65110
Schedule Fee
$13.55
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2007
Gov. Change Flags
Fee ≠
Full Description
Release of compatible fresh platelets for the use in a patient for platelet support as prophylaxis to minimize bleeding or during active bleeding - 1 release.
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|||||||
| 65111 | Group P1 | $24.35 | ≠ CHANGED | ||||
|
Item Number
65111
Schedule Fee
$24.35
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Examination of serum for blood group antibodies (including identification and, if necessary, quantitation of any antibodies detected)
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|||||||
| 65114 | Group P1 | $9.55 | ≠ CHANGED | ||||
|
Item Number
65114
Schedule Fee
$9.55
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
1 or more of the following tests: (a) direct Coombs (antiglobulin) test; (b) qualitative or quantitative test for cold agglutinins or heterophil antibodies
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|||||||
| 65117 | Group P1 | $21.30 | ≠ CHANGED | ||||
|
Item Number
65117
Schedule Fee
$21.30
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
1 or more of the following tests: (a) Spectroscopic examination of blood for chemically altered haemoglobins; (b) detection of methaemalbumin (Schumm's test)
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|||||||
| 65120 | Group P1 | $14.40 | ≠ CHANGED | ||||
|
Item Number
65120
Schedule Fee
$14.40
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
Prothrombin time (including INR where appropriate), activated partial thromboplastin time, thrombin time (including test for the presence of heparin), test for factor XIII deficiency (qualitative), Echis test, Stypven test, reptilase time, fibrinogen, or 1 of fibrinogen degradation products, fibrin monomer or D-dimer - 1 test
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|||||||
| 65123 | Group P1 | $21.40 | ≠ CHANGED | ||||
|
Item Number
65123
Schedule Fee
$21.40
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
2 tests described in item 65120
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|||||||
| 65126 | Group P1 | $29.25 | ≠ CHANGED | ||||
|
Item Number
65126
Schedule Fee
$29.25
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
3 tests described in item 65120
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|||||||
| 65129 | Group P1 | $37.30 | ≠ CHANGED | ||||
|
Item Number
65129
Schedule Fee
$37.30
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.1998
Gov. Change Flags
Fee ≠
Full Description
4 or more tests described in item 65120
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|||||||
| 65137 | Group P1 | $26.60 | ≠ CHANGED | ||||
|
Item Number
65137
Schedule Fee
$26.60
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2000
Gov. Change Flags
Fee ≠
Full Description
Test for the presence of lupus anticoagulant not being a service associated with any service to which items 65175, 65176, 65177, 65178 and 65179 apply
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|||||||
| 65142 | Group P1 | $26.60 | ≠ CHANGED | ||||
|
Item Number
65142
Schedule Fee
$26.60
Category
Category 6 — Pathology
Group / Subheading
Group P1
Type Codes
Item: S
Fee: N
Benefit: C
Effective Dates
Fee from: 01.07.2026
Item from: 01.05.2000
Gov. Change Flags
Fee ≠
Full Description
Confirmation or clarification of an abnormal or indeterminate result from a test described in item 65175, by testing a specimen collected on a different day - 1 or more tests
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