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
42863 Eyelid (upper or lower), recession of, by open operation on and direct release o… $927.15 $903.65 -23.50 (-2.5%)
42866 Entropion or tarsal ectropion, repair of, by tightening, shortening or repair of… $899.85 $877.05 -22.80 (-2.5%)
42869 EYELID closure in facial nerve paralysis, insertion of foreign implant for (Anae… $657.10 $640.45 -16.65 (-2.5%)
42872 Direct eyebrow lift in paretic states, or in involutional states, if:(a) vision … $288.05 $280.75 -7.30 (-2.5%)
43021 Photodynamic therapy, one eye, including the infusion of Verteporfin continuousl… $544.70 $530.90 -13.80 (-2.5%)
43022 Photodynamic therapy, both eyes, including the infusion of Verteporfin continuou… $653.70 $637.15 -16.55 (-2.5%)
43030 Paracentesis of anterior chamber or vitreous cavity, or both, for either or both… $359.95 $350.85 -9.10 (-2.5%)
43032 Paracentesis of anterior chamber or vitreous cavity, or both, for either or both… $359.95 $350.85 -9.10 (-2.5%)
43034 Paracentesis of anterior chamber or vitreous cavity, or both, for either or both… $359.95 $350.85 -9.10 (-2.5%)
43036 Paracentesis of anterior chamber or vitreous cavity, or both, for either or both… $359.95 $350.85 -9.10 (-2.5%)
43038 Intravitreal injection of therapeutic substances, or the removal of vitreous hum… $359.95 $350.85 -9.10 (-2.5%)
43040 Intravitreal injection of therapeutic substances, or the removal of vitreous hum… $359.95 $350.85 -9.10 (-2.5%)
43050 Choroidal detachment, repair by external drainage (H) (Anaes.) (Assist.) $806.95 $786.50 -20.45 (-2.5%)
43521 OPERATION ON SKULL (Anaes.) (Assist.) $556.05 $541.95 -14.10 (-2.5%)
43527 Operation on sternum, clavicle, rib, metacarpus, carpus, phalanx, metatarsus, ta… $426.55 $415.75 -10.80 (-2.5%)
43530 Operation on scapula, ulna, radius, tibia, fibula, humerus or femur, by open or … $426.55 $415.75 -10.80 (-2.5%)
43533 Operation on spine or pelvic bones, by open or arthroscopic means, for septic ar… $703.25 $685.45 -17.80 (-2.5%)
43801 INTESTINAL MALROTATION with or without volvulus, laparotomy for, not involving b… $1145.90 $1116.85 -29.05 (-2.5%)
43804 INTESTINAL MALROTATION with or without volvulus, laparotomy for, with bowel rese… $1219.90 $1189.00 -30.90 (-2.5%)
43805 UMBILICAL, EPIGASTRIC OR LINEA ALBA HERNIA, repair of, on a patient under 10 yea… $426.55 $415.75 -10.80 (-2.5%)
43807 DUODENAL ATRESIA or STENOSIS, duodenoduodenostomy or duodenojejunostomy for (Ana… $1330.95 $1297.20 -33.75 (-2.5%)
43810 JEJUNAL ATRESIA, bowel resection and anastomosis for, with or without tapering (… $1552.75 $1513.40 -39.35 (-2.5%)
43813 MECONIUM ILEUS, laparotomy for, complicated by 1 or more of associated volvulus,… $1552.75 $1513.40 -39.35 (-2.5%)
43816 ILEAL ATRESIA, COLONIC ATRESIA OR MECONIUM ILEUS not being a service associated … $1441.80 $1405.25 -36.55 (-2.5%)
43819 Agangliosis Coli, laparotomy for, with or without frozen section biopsies and fo… $1164.60 $1135.10 -29.50 (-2.5%)
43822 ANORECTAL MALFORMATION, laparotomy and colostomy for (Anaes.) (Assist.) $1164.60 $1135.10 -29.50 (-2.5%)
43825 NEONATAL ALIMENTARY OBSTRUCTION, laparotomy for, not being a service to which an… $1330.95 $1297.20 -33.75 (-2.5%)
43828 ACUTE NEONATAL NECROTISING ENTEROCOLITIS, laparotomy for, with resection, includ… $1470.45 $1433.20 -37.25 (-2.5%)
43831 ACUTE NEONATAL NECROTISING ENTEROCOLITIS where no definitive procedure is possib… $1145.90 $1116.85 -29.05 (-2.5%)
43832 Branchial fistula, removal of, on a patient under 10 years of age (Anaes.) (Assi… $781.50 $761.70 -19.80 (-2.5%)
43834 BOWEL RESECTION for necrotising enterocolitis stricture or strictures, including… $1330.95 $1297.20 -33.75 (-2.5%)
43835 STRANGULATED, INCARCERATED OR OBSTRUCTED HERNIA, repair of, without bowel resect… $811.15 $790.60 -20.55 (-2.5%)
43837 CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, with … $1663.60 $1621.45 -42.15 (-2.5%)
43838 Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, n… $1489.45 $1451.70 -37.75 (-2.5%)
43840 CONGENITAL DIAPHRAGMATIC HERNIA, repair by thoracic or abdominal approach, diagn… $1441.80 $1405.25 -36.55 (-2.5%)
43841 Femoral or inguinal hernia or infantile hydrocele, repair of, on a patient under… $722.70 $704.40 -18.30 (-2.5%)
43843 OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), com… $2218.25 $2162.05 -56.20 (-2.5%)
43846 OESOPHAGEAL ATRESIA (with or without repair of tracheo-oesophageal fistula), com… $2384.55 $2324.10 -60.45 (-2.5%)
43849 OESOPHAGEAL ATRESIA, gastrostomy for (Anaes.) (Assist.) $610.05 $594.60 -15.45 (-2.5%)
43852 OESOPHAGEAL ATRESIA, thoracotomy for, and division of tracheo-oesophageal fistul… $1940.85 $1891.65 -49.20 (-2.5%)
43855 OESOPHAGEAL ATRESIA, delayed primary anastomosis for (Anaes.) (Assist.) $2051.95 $1999.95 -52.00 (-2.5%)
43858 OESOPHAGEAL ATRESIA, cervical oesophagostomy for (Anaes.) (Assist.) $720.85 $702.60 -18.25 (-2.5%)
43861 CONGENITAL CYSTADENOMATOID MALFORMATION OR CONGENITAL LOBAR EMPHYSEMA, thoracoto… $1996.50 $1945.90 -50.60 (-2.5%)
43864 GASTROSCHISIS, operation for (Anaes.) (Assist.) $1497.35 $1459.40 -37.95 (-2.5%)
43867 GASTROSCHISIS or Exomphalos, secondary operation for, with removal of silo (Anae… $831.80 $810.70 -21.10 (-2.5%)
43870 EXOMPHALOS containing small bowel only, operation for (Anaes.) (Assist.) $1164.60 $1135.10 -29.50 (-2.5%)
43873 EXOMPHALOS containing small bowel and other viscera, operation for (Anaes.) (Ass… $1552.75 $1513.40 -39.35 (-2.5%)
43876 SACROCOCCYGEAL TERATOMA, excision of, by posterior approach (Anaes.) (Assist.) $1330.95 $1297.20 -33.75 (-2.5%)
43879 SACROCOCCYGEAL TERATOMA, excision of, by combined posterior and abdominal approa… $1552.75 $1513.40 -39.35 (-2.5%)
43882 Cloacal exstrophy, operation for (H) (Anaes.) (Assist.) $1996.50 $1945.90 -50.60 (-2.5%)
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A positive difference means DVA pays more than the MBS schedule fee. Data sourced from Australian Government publications · Not an official government service.

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