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
66662 Quantitation of hormone receptors on proven primary breast or ovarian carcinoma … $79.95 $79.95 +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%)
66607 Vitamins - quantitation of vitamins A or E in blood, urine or other body fluid -… $75.75 $75.75 +0.00 (+0.0%)
66557 Quantitation of fructosamine performed in the management of established diabetes… $9.70 $9.70 +0.00 (+0.0%)
66696 A test described in item 66695, if rendered by a receiving APP - where no tests … $30.50 $30.50 +0.00 (+0.0%)
66674 Quantitation of: (a) faecal fat; or (b) breath hydrogen in response to loading w… $39.95 $39.95 +0.00 (+0.0%)
66667 Quantitation of serum zinc in a patient receiving intravenous alimentation - eac… $30.60 $30.60 +0.00 (+0.0%)
66587 Urine acidification test for the diagnosis of renal tubular acidosis including t… $47.55 $47.55 +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%)
66593 Ferritin - quantitation, except if requested as part of iron studies $18.00 $18.00 +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%)
61560 FDG PET study of the brain, performed for the diagnosis of Alzheimer’s disease, … $605.05 $605.05 +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%)
66506 3 tests described in item 66500 $13.65 $13.65 +0.00 (+0.0%)
66545 Oral glucose challenge test in pregnancy for the detection of gestational diabet… $15.80 $15.80 +0.00 (+0.0%)
66542 Oral glucose tolerance test for the diagnosis of diabetes mellitus that includes… $18.95 $18.95 +0.00 (+0.0%)
61553 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $999.00 $999.00 +0.00 (+0.0%)
66660 Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and … $37.30 $37.30 +0.00 (+0.0%)
66554 Quantitation of glycated haemoglobin performed in the management of pre-existing… $16.80 $16.80 +0.00 (+0.0%)
66623 All qualitative and quantitative tests on blood, urine or other body fluid for: … $41.50 $41.50 +0.00 (+0.0%)
66638 Isoelectric focussing or similar methods for determination of alpha-1-antitrypsi… $49.05 $49.05 +0.00 (+0.0%)
66695 Quantitation in blood or urine of hormones and hormone binding proteins - ACTH, … $30.50 $30.50 +0.00 (+0.0%)
66509 4 tests described in item 66500 $15.65 $15.65 +0.00 (+0.0%)
66551 Quantitation of glycated haemoglobin performed in the management of established … $16.80 $16.80 +0.00 (+0.0%)
66590 Calculus, analysis of 1 or more $30.60 $30.60 +0.00 (+0.0%)
66548 Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabet… $19.90 $19.90 +0.00 (+0.0%)
66711 Quantitation in saliva of cortisol in: (a) the investigation of Cushing's syndro… $30.15 $30.15 +0.00 (+0.0%)
66722 TSH quantitation described in item 66716 and 1 test described in item 66695 (Thi… $37.90 $37.90 +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%)
61565 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $953.00 $953.00 +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%)
61610 Whole body FDG PET study performed for the evaluation of metastatic squamous cel… $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%)
61538 FDG PET study of the brain for evaluation of suspected residual or recurrent mal… $901.00 $901.00 +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%)
66751 Quantitation, in pregnancy, of any three or more tests described in 66750 (Item … $55.25 $55.25 +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%)
66525 Faecal calprotectin test for the management of a symptomatic patient with diagno… $75.00 $75.00 +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%)
61575 Whole body FDG PET study, for the further staging of patients with confirmed loc… $953.00 $953.00 +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%)
61598 Whole body FDG PET study performed for the staging of biopsy-proven newly diagno… $953.00 $953.00 +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%)
61333 Lung ventilation study using Galligas and lung perfusion study using gallium-68 … $443.35 $443.35 +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%)
66644 C-1 esterase inhibitor - quantitation $20.15 $20.15 +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%)
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%)
66764 Examination for faecal occult blood (including tests for haemoglobin and its der… $8.90 $8.90 +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%)
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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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