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
61523 Whole body FDG PET study, performed for evaluation of a solitary pulmonary nodul… $953.00 $953.00 +0.00 (+0.0%)
61529 Whole body FDG PET study, performed for the staging of proven non-small cell lun… $953.00 $953.00 +0.00 (+0.0%)
61604 Whole body FDG PET study performed for the evaluation of patients with suspected… $953.00 $953.00 +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%)
54 Professional attendance at consulting rooms of more than 25 minutes in duration … $38.00 $38.00 +0.00 (+0.0%)
61333 Lung ventilation study using Galligas and lung perfusion study using gallium-68 … $443.35 $443.35 +0.00 (+0.0%)
61577 Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ… $953.00 $953.00 +0.00 (+0.0%)
69325 A test described in item 69324 if rendered by a receiving APP (Item is subject t… $43.00 $43.00 +0.00 (+0.0%)
61610 Whole body FDG PET study performed for the evaluation of metastatic squamous cel… $953.00 $953.00 +0.00 (+0.0%)
16060 177Lutetium-DOTA-somatostatin receptor agonist treatment cycle for patients with… $9999.95 $9999.95 +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%)
61505 CT scan performed at the same time and covering the same body area as single pho… $100.00 $100.00 +0.00 (+0.0%)
66536 Quantitation of HDL cholesterol $11.05 $11.05 +0.00 (+0.0%)
57 Professional attendance at consulting rooms lasting more than 45 minutes, but no… $61.00 $61.00 +0.00 (+0.0%)
66572 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 3 … $51.55 $51.55 +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%)
61575 Whole body FDG PET study, for the further staging of patients with confirmed loc… $953.00 $953.00 +0.00 (+0.0%)
61528 Whole body PSMA PET study, performed for the assessment of suitability for Lutet… $1300.00 $1300.00 +0.00 (+0.0%)
61541 Whole body FDG PET study, following initial therapy, for the evaluation of suspe… $953.00 $953.00 +0.00 (+0.0%)
66512 5 or more tests described in item 66500 $17.70 $17.70 +0.00 (+0.0%)
61614 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $953.00 $953.00 +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%)
61564 Whole body prostate-specific membrane antigen PET study performed for the restag… $1300.00 $1300.00 +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%)
61563 Whole body prostate-specific membrane antigen PET study performed for the initia… $1300.00 $1300.00 +0.00 (+0.0%)
66584 Quantitation of ionised calcium (except if performed as part of item 66566) - 1 … $9.70 $9.70 +0.00 (+0.0%)
61559 FDG PET study of the brain, performed for the evaluation of refractory epilepsy … $918.00 $918.00 +0.00 (+0.0%)
61560 FDG PET study of the brain, performed for the diagnosis of Alzheimer’s disease, … $605.05 $605.05 +0.00 (+0.0%)
52 Professional attendance at consulting rooms of not more than 5 minutes in durati… $11.00 $11.00 +0.00 (+0.0%)
66551 Quantitation of glycated haemoglobin performed in the management of established … $16.80 $16.80 +0.00 (+0.0%)
61622 Whole body FDG PET study to assess response to first line therapy either during … $953.00 $953.00 +0.00 (+0.0%)
61524 Whole body FDG PET study, performed for the staging of locally advanced (Stage I… $953.00 $953.00 +0.00 (+0.0%)
151 Professional attendance at consulting rooms lasting more than 60 minutes (other … $98.40 $98.40 +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%)
66509 4 tests described in item 66500 $15.65 $15.65 +0.00 (+0.0%)
66596 Iron studies, consisting of quantitation of: (a) serum iron; and (b) transferrin… $32.55 $32.55 +0.00 (+0.0%)
61527 Whole body study using PET, if the service is performed because the services to … $752.35 $752.35 +0.00 (+0.0%)
66650 Alpha-fetoprotein, CA-15.3 antigen (CA15.3), CA-125 antigen (CA125), CA-19.9 ant… $24.35 $24.35 +0.00 (+0.0%)
61644 Single rest myocardial perfusion study for the assessment of the extent and seve… $329.00 $329.00 +0.00 (+0.0%)
61632 Whole body FDG PET study to assess response to second-line chemotherapy if haemo… $953.00 $953.00 +0.00 (+0.0%)
66606 A test described in item 66605 if rendered by a receiving APP - 1 or more tests … $30.60 $30.60 +0.00 (+0.0%)
66506 3 tests described in item 66500 $13.65 $13.65 +0.00 (+0.0%)
61628 Whole body FDG PET study for restaging following confirmation of recurrence of H… $953.00 $953.00 +0.00 (+0.0%)
61525 Whole body FDG PET study, performed for the evaluation of suspected metastatic o… $953.00 $953.00 +0.00 (+0.0%)
53 Professional attendance at consulting rooms of more than 5 minutes in duration b… $21.00 $21.00 +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%)
61647 Whole body 68Ga DOTA peptide PET study, if:(a) a gastro entero pancreatic neuroe… $953.00 $953.00 +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%)
66518 Investigation of cardiac or skeletal muscle damage by quantitative measurement o… $20.05 $20.05 +0.00 (+0.0%)
66652 A test described in item 66650 if rendered by a receiving APP - other than that … $20.30 $20.30 +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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