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
66800 Quantitation in blood, urine or other body fluid by any method (except reagent t… $18.15 $18.15 +0.00 (+0.0%)
69316 Detection of Chlamydia trachomatis by any method - 1 test (Item is subject to ru… $28.65 $28.65 +0.00 (+0.0%)
66539 Electrophoresis of serum for demonstration of lipoprotein subclasses, if the cho… $30.60 $30.60 +0.00 (+0.0%)
66724 Tests described in item 66722, if rendered by a receiving APP, other than that d… $13.15 $13.15 +0.00 (+0.0%)
66656 Prostate specific antigen (PSA) quantitation in the monitoring of previously dia… $20.15 $20.15 +0.00 (+0.0%)
69319 2 tests described in item 69494 and a test described in 69316. (Item is subject … $42.95 $42.95 +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%)
66586 Quantification of BNP or NT-proBNP testing in a patient with diagnosed pulmonary… $58.50 $58.50 +0.00 (+0.0%)
66641 Electrophoresis of serum or other body fluid to demonstrate: (a) the isoenzymes … $29.20 $29.20 +0.00 (+0.0%)
73376 An analysis described in item 73374—analysis in relation to 4 or more genes Appl… $800.00 $800.00 +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%)
66642 A test described in item 66641 if rendered by a receiving APP - 1 or more tests … $29.20 $29.20 +0.00 (+0.0%)
73317 Detection of the C282Y genetic mutation of the HFE gene and, if performed, detec… $36.45 $36.45 +0.00 (+0.0%)
73353 Detection of a familial mutation for a patient who has a first- or second-degree… $400.00 $400.00 +0.00 (+0.0%)
73357 Characterisation of germline gene variants, including copy number variation, in … $400.00 $400.00 +0.00 (+0.0%)
73375 An analysis described in item 73374—analysis in relation to only 2 or 3 genes Ap… $400.00 $400.00 +0.00 (+0.0%)
73378 Analysis of tumour tissue, requested by a specialist or consultant physician, th… $340.00 $340.00 +0.00 (+0.0%)
69495 2 tests described in 69494 (Item is subject to rule 6 and 26) $35.85 $35.85 +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%)
66517 Quantitation of bile acids in blood in pregnancy. Applicable not more than 3 tim… $19.65 $19.65 +0.00 (+0.0%)
66651 A test described in item 66650 if rendered by a receiving APP, where no tests in… $24.35 $24.35 +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%)
61529 Whole body FDG PET study, performed for the staging of proven non-small cell lun… $953.00 $953.00 +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%)
66655 Prostate specific antigen—quantitation For any particular patient, applicable no… $20.15 $20.15 +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%)
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%)
61541 Whole body FDG PET study, following initial therapy, for the evaluation of suspe… $953.00 $953.00 +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%)
66512 5 or more tests described in item 66500 $17.70 $17.70 +0.00 (+0.0%)
66683 Enzymes - quantitation in solid tissue or tissues other than blood elements or i… $74.45 $74.45 +0.00 (+0.0%)
69330 Microscopy (with appropriate stains) and culture for mycobacteria - 3 specimens … $128.00 $128.00 +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%)
61530 Whole body 68Ga-DOTA-somatostatin receptor agonist PET study for: a) staging of … $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%)
66607 Vitamins - quantitation of vitamins A or E in blood, urine or other body fluid -… $75.75 $75.75 +0.00 (+0.0%)
66605 Vitamins - quantitation of vitamins B1, B2, B3, B6 or C in blood, urine or other… $30.60 $30.60 +0.00 (+0.0%)
69333 Urine examination (including serial examinations), if: (a) the patient has sympt… $20.55 $20.55 +0.00 (+0.0%)
66551 Quantitation of glycated haemoglobin performed in the management of established … $16.80 $16.80 +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%)
61553 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $999.00 $999.00 +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%)
66593 Ferritin - quantitation, except if requested as part of iron studies $18.00 $18.00 +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%)
66749 Amniotic fluid, spectrophotometric examination of, and quantitation of: (a) leci… $32.95 $32.95 +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%)
66743 Quantitation of alpha-fetoprotein in serum or other body fluids during pregnancy… $20.10 $20.10 +0.00 (+0.0%)
66750 Quantitation, in pregnancy, of any 2 of the following to detect foetal abnormali… $39.75 $39.75 +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%)
73380 Analysis of tumour tissue, requested by a specialist or consultant physician, th… $340.00 $340.00 +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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