Billing Codes

MBS ↔ DVA Fee Comparison

Every item with both an MBS schedule fee and a DVA fee, side by side — with the dollar and percentage difference. Search an item number or sort by the biggest gaps.

5793 items with both fees
Item Description MBS fee DVA fee Difference
61333 Lung ventilation study using Galligas and lung perfusion study using gallium-68 … $443.35 $443.35 +0.00 (+0.0%)
69422 Detection of respiratory pathogen nucleic acid from a nasal swab, throat swab, n… $85.55 $85.55 +0.00 (+0.0%)
66667 Quantitation of serum zinc in a patient receiving intravenous alimentation - eac… $30.60 $30.60 +0.00 (+0.0%)
66581 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 6 … $78.25 $78.25 +0.00 (+0.0%)
73356 Characterisation of germline gene variants, including copy number variation, in … $1200.00 $1200.00 +0.00 (+0.0%)
73313 Development of a quantitative patient‑specific molecular assay for measurable re… $3000.00 $3000.00 +0.00 (+0.0%)
66656 Prostate specific antigen (PSA) quantitation in the monitoring of previously dia… $20.15 $20.15 +0.00 (+0.0%)
66820 A test described in item 66819 if rendered by a receiving APP, where no tests in… $30.60 $30.60 +0.00 (+0.0%)
66826 A test described in item 66825 if rendered by a receiving APP where no tests hav… $30.60 $30.60 +0.00 (+0.0%)
73291 Analysis of one or more chromosome regions for specific constitutional genetic a… $230.95 $230.95 +0.00 (+0.0%)
66822 Quantitation of copper, manganese, selenium, or zinc (except if item 66667 appli… $52.45 $52.45 +0.00 (+0.0%)
66522 Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all… $75.00 $75.00 +0.00 (+0.0%)
61564 Whole body prostate-specific membrane antigen PET study performed for the restag… $1300.00 $1300.00 +0.00 (+0.0%)
61341 Bone study – whole body with PET, with delayed imaging when undertaken, if the s… $600.70 $600.70 +0.00 (+0.0%)
66776 Quantitation of products of collagen breakdown or formation for the monitoring o… $24.65 $24.65 +0.00 (+0.0%)
66773 Quantitation of products of collagen breakdown or formation for the monitoring o… $24.65 $24.65 +0.00 (+0.0%)
66764 Examination for faecal occult blood (including tests for haemoglobin and its der… $8.90 $8.90 +0.00 (+0.0%)
61647 Whole body 68Ga DOTA peptide PET study, if:(a) a gastro entero pancreatic neuroe… $953.00 $953.00 +0.00 (+0.0%)
66578 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 5 … $69.35 $69.35 +0.00 (+0.0%)
66575 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 4 … $60.45 $60.45 +0.00 (+0.0%)
66770 3 examinations described in item 66764 performed on separately collected and ide… $26.70 $26.70 +0.00 (+0.0%)
61571 Whole body FDG PET study, for the further primary staging of patients with histo… $953.00 $953.00 +0.00 (+0.0%)
61565 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $953.00 $953.00 +0.00 (+0.0%)
66800 Quantitation in blood, urine or other body fluid by any method (except reagent t… $18.15 $18.15 +0.00 (+0.0%)
16060 177Lutetium-DOTA-somatostatin receptor agonist treatment cycle for patients with… $9999.95 $9999.95 +0.00 (+0.0%)
66789 A test described in item 66785 if rendered by a receiving APP, where no tests in… $39.95 $39.95 +0.00 (+0.0%)
61612 Whole body FDG PET study for the initial staging of cancer, for a patient who is… $953.00 $953.00 +0.00 (+0.0%)
61575 Whole body FDG PET study, for the further staging of patients with confirmed loc… $953.00 $953.00 +0.00 (+0.0%)
73369 Analysis of blood or bone marrow, requested by a specialist or consultant physic… $400.00 $400.00 +0.00 (+0.0%)
66500 Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid)… $9.70 $9.70 +0.00 (+0.0%)
69309 Microscopy and culture to detect dermatophytes and other fungi causing cutaneous… $48.15 $48.15 +0.00 (+0.0%)
73418 Characterisation of one or more recessive pathogenic or likely pathogenic germli… $1200.00 $1200.00 +0.00 (+0.0%)
66821 A test described in item 66819 other than that described in 66820 if rendered by… $21.80 $21.80 +0.00 (+0.0%)
61646 Whole body FDG PET study for the evaluation of patients with suspected residual … $999.00 $999.00 +0.00 (+0.0%)
61598 Whole body FDG PET study performed for the staging of biopsy-proven newly diagno… $953.00 $953.00 +0.00 (+0.0%)
66788 Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine o… $65.85 $65.85 +0.00 (+0.0%)
69300 Microscopy of wet film material other than blood, from 1 or more sites, obtained… $12.50 $12.50 +0.00 (+0.0%)
66842 Quantification of one or more of total vitamin B12, holotranscobalamin, methylma… $23.60 $23.60 +0.00 (+0.0%)
61336 Cerebral study, with PET, if the service is performed because the service to whi… $605.05 $605.05 +0.00 (+0.0%)
66780 A test described in item 66779 if rendered by a receiving APP - 1 or more tests … $39.95 $39.95 +0.00 (+0.0%)
66659 Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and … $37.30 $37.30 +0.00 (+0.0%)
69500 A test described in item 69499 if the test is performed by a receiving APP (Item… $92.20 $92.20 +0.00 (+0.0%)
66779 Adrenaline, noradrenaline, dopamine, histamine, hydroxyindoleacetic acid (5HIAA)… $39.95 $39.95 +0.00 (+0.0%)
73355 Characterisation of germline gene variants, including copy number variation, in … $1200.00 $1200.00 +0.00 (+0.0%)
69306 Microscopy and culture to detect pathogenic micro-organisms from skin or other s… $33.75 $33.75 +0.00 (+0.0%)
66655 Prostate specific antigen—quantitation For any particular patient, applicable no… $20.15 $20.15 +0.00 (+0.0%)
66785 Porphyrins or porphyrins precursors - quantitation in plasma, red cells, urine o… $39.95 $39.95 +0.00 (+0.0%)
66585 Quantification of laboratory‑based BNP or NT‑proBNP testing in a patient with sy… $58.50 $58.50 +0.00 (+0.0%)
69421 Detection of respiratory pathogen nucleic acid from a nasal swab, throat swab, n… $78.25 $78.25 +0.00 (+0.0%)
92738 Phone attendance for the provision of services related to blood borne viruses, s… $38.00 $38.00 +0.00 (+0.0%)
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What this means for billing: a positive (green) difference means DVA pays more than the MBS schedule fee for that item, so a DVA-eligible patient generally has no gap, or a smaller one, than a private MBS patient would. A negative (red) difference means DVA pays less — there may be a gap unless the service is bulk-billed or the difference is otherwise absorbed. Rows marked material have a difference of more than $5, which is more likely to be worth checking before billing.

Data sourced from Australian Government publications · Not an official government service.

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