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
66506 3 tests described in item 66500 $13.65 $13.65 +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%)
61640 Whole body FDG PET study for initial staging of patients with biopsy-proven bone… $999.00 $999.00 +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%)
61528 Whole body PSMA PET study, performed for the assessment of suitability for Lutet… $1300.00 $1300.00 +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%)
61646 Whole body FDG PET study for the evaluation of patients with suspected residual … $999.00 $999.00 +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%)
52 Professional attendance at consulting rooms of not more than 5 minutes in durati… $11.00 $11.00 +0.00 (+0.0%)
66667 Quantitation of serum zinc in a patient receiving intravenous alimentation - eac… $30.60 $30.60 +0.00 (+0.0%)
66519 Investigation of cardiac or skeletal muscle damage by quantitative measurement o… $40.15 $40.15 +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%)
66663 A test described in item 66662 if rendered by a receiving APP - 1 or more tests … $79.95 $79.95 +0.00 (+0.0%)
66647 C-1 esterase inhibitor - functional assay $45.10 $45.10 +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%)
66761 Test for reducing substances in faeces by any method (except reagent strip or di… $13.15 $13.15 +0.00 (+0.0%)
151 Professional attendance at consulting rooms lasting more than 60 minutes (other … $98.40 $98.40 +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%)
61553 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $999.00 $999.00 +0.00 (+0.0%)
66671 Quantitation of serum aluminium in a patient in a renal dialysis program - each … $36.90 $36.90 +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%)
61541 Whole body FDG PET study, following initial therapy, for the evaluation of suspe… $953.00 $953.00 +0.00 (+0.0%)
66523 Faecal calprotectin test for the diagnosis of inflammatory bowel disease, if all… $75.00 $75.00 +0.00 (+0.0%)
66520 Fibroblast growth factor 23 quantification in serum or plasma, requested by a sp… $90.00 $90.00 +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%)
66610 A test described in item 66607 if rendered by a receiving APP - 1 or more tests $75.75 $75.75 +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%)
66536 Quantitation of HDL cholesterol $11.05 $11.05 +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%)
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%)
66835 1, 25-dihydroxyvitamin D - quantification in serum, if the request for the test … $39.05 $39.05 +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%)
61564 Whole body prostate-specific membrane antigen PET study performed for the restag… $1300.00 $1300.00 +0.00 (+0.0%)
66841 Quantitation of HbA1c (glycated haemoglobin) performed for the diagnosis of diab… $16.80 $16.80 +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%)
61565 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $953.00 $953.00 +0.00 (+0.0%)
66665 Lead quantitation in blood or urine (other than for occupational health screenin… $30.60 $30.60 +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%)
66542 Oral glucose tolerance test for the diagnosis of diabetes mellitus that includes… $18.95 $18.95 +0.00 (+0.0%)
66539 Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cho… $30.60 $30.60 +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%)
61604 Whole body FDG PET study performed for the evaluation of patients with suspected… $953.00 $953.00 +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%)
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%)
66557 Quantitation of fructosamine performed in the management of established diabetes… $9.70 $9.70 +0.00 (+0.0%)
66566 Quantitation of: (a) blood gases (including pO2, oxygen saturation and pCO2) ; a… $33.70 $33.70 +0.00 (+0.0%)
66563 Osmolality, estimation by osmometer, in serum or in urine - 1 or more tests $24.70 $24.70 +0.00 (+0.0%)
66560 Microalbumin - quantitation in urine $20.10 $20.10 +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%)
69306 Microscopy and culture to detect pathogenic micro-organisms from skin or other s… $33.75 $33.75 +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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