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
61559 FDG PET study of the brain, performed for the evaluation of refractory epilepsy … $918.00 $918.00 +0.00 (+0.0%)
69415 Microbiological serology during a pregnancy (except in the investigation of a cl… $69.10 $69.10 +0.00 (+0.0%)
66644 C-1 esterase inhibitor - quantitation $20.15 $20.15 +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%)
66757 Quantitation of 10 or more amino acids for monitoring of previously diagnosed in… $98.30 $98.30 +0.00 (+0.0%)
66752 Quantitation of acetoacetate, beta-hydroxybutyrate, citrate, oxalate, total free… $24.70 $24.70 +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%)
61530 Whole body 68Ga-DOTA-somatostatin receptor agonist PET study for: a) staging of … $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%)
66578 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 5 … $69.35 $69.35 +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%)
61528 Whole body PSMA PET study, performed for the assessment of suitability for Lutet… $1300.00 $1300.00 +0.00 (+0.0%)
66701 3 tests described in item 66695 (Item is subject to rule 6) $56.90 $56.90 +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%)
66711 Quantitation in saliva of cortisol in: (a) the investigation of Cushing's syndro… $30.15 $30.15 +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%)
66629 Beta-2-microglobulin - quantitation in serum, urine or other body fluids - 1 or … $20.10 $20.10 +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%)
66626 Detection or quantitation or both (not including the detection of nicotine and m… $24.10 $24.10 +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%)
66725 TSH quantitation described in item 66716 and 2 tests described in item 66695 (Th… $51.05 $51.05 +0.00 (+0.0%)
66714 A test described in item 66711, if rendered by a receiving APP, where no tests i… $30.15 $30.15 +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%)
61640 Whole body FDG PET study for initial staging of patients with biopsy-proven bone… $999.00 $999.00 +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%)
66805 A test described in item 66800 other than that described in 66804, if rendered b… $12.35 $12.35 +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%)
66506 3 tests described in item 66500 $13.65 $13.65 +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%)
61620 Whole body FDG PET study for the initial staging of newly diagnosed or previousl… $953.00 $953.00 +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%)
61632 Whole body FDG PET study to assess response to second-line chemotherapy if haemo… $953.00 $953.00 +0.00 (+0.0%)
66503 2 tests described in item 66500 $11.65 $11.65 +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%)
69478 2 tests described in 69475 (Item subject to rule 11) $29.25 $29.25 +0.00 (+0.0%)
69482 Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface an… $152.10 $152.10 +0.00 (+0.0%)
66638 Isoelectric focussing or similar methods for determination of alpha-1-antitrypsi… $49.05 $49.05 +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%)
66776 Quantitation of products of collagen breakdown or formation for the monitoring o… $24.65 $24.65 +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%)
61541 Whole body FDG PET study, following initial therapy, for the evaluation of suspe… $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%)
66715 Tests described in item 66711, other than that described in 66714, if rendered b… $12.85 $12.85 +0.00 (+0.0%)
66509 4 tests described in item 66500 $15.65 $15.65 +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%)
66572 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 3 … $51.55 $51.55 +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%)
66517 Quantitation of bile acids in blood in pregnancy. Applicable not more than 3 tim… $19.65 $19.65 +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%)
69488 Quantitation of HCV RNA load in plasma or serum in: (a) the pre-treatment evalua… $180.25 $180.25 +0.00 (+0.0%)
← Prev Page 5 of 116 Next →

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.

Need patient gap amounts? Try the fee & gap calculator →