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
66671 Quantitation of serum aluminium in a patient in a renal dialysis program - each … $36.90 $36.90 +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%)
66842 Quantification of one or more of total vitamin B12, holotranscobalamin, methylma… $23.60 $23.60 +0.00 (+0.0%)
69496 3 or more tests described in 69494 (Item is subject to rule 6 and 26) $43.05 $43.05 +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%)
66782 Porphyrins or porphyrins precursors - detection in plasma, red cells, urine or f… $13.15 $13.15 +0.00 (+0.0%)
66581 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 6 … $78.25 $78.25 +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%)
66575 Quantitation of blood gases, bicarbonate and pH as described in item 66566 on 4 … $60.45 $60.45 +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%)
66659 Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and … $37.30 $37.30 +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%)
66723 Tests described in item 66722, that is, TSH quantitation and 1 test described in… $37.90 $37.90 +0.00 (+0.0%)
66900 CARBON-LABELLED UREA BREATH TEST using oral C-13 or C-14 urea, including the mea… $77.65 $77.65 +0.00 (+0.0%)
66667 Quantitation of serum zinc in a patient receiving intravenous alimentation - eac… $30.60 $30.60 +0.00 (+0.0%)
66677 Test for tryptic activity in faeces in the investigation of diarrhoea of longer … $11.15 $11.15 +0.00 (+0.0%)
69357 2 sets of cultures described in item 69354 $61.45 $61.45 +0.00 (+0.0%)
66639 A test described in item 66638 if rendered by a receiving APP - 1 or more tests … $29.20 $29.20 +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%)
66804 A test described in item 66800 if rendered by a receiving APP, where no tests in… $18.15 $18.15 +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%)
66805 A test described in item 66800 other than that described in 66804, if rendered b… $12.35 $12.35 +0.00 (+0.0%)
66780 A test described in item 66779 if rendered by a receiving APP - 1 or more tests … $39.95 $39.95 +0.00 (+0.0%)
69498 A test described in item 69494, other than that described in 69497, if rendered … $7.20 $7.20 +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%)
66635 Alpha-1-antitrypsin - quantitation in serum, urine or other body fluid - 1 or mo… $20.10 $20.10 +0.00 (+0.0%)
69497 A test described in item 69494, if rendered by a receiving APP, where no tests i… $28.65 $28.65 +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%)
69306 Microscopy and culture to detect pathogenic micro-organisms from skin or other s… $33.75 $33.75 +0.00 (+0.0%)
73377 Analysis of tumour tissue, requested by a specialist or consultant physician, th… $250.00 $250.00 +0.00 (+0.0%)
73302 Characterisation of germline gene variants including copy number variants, in BR… $400.00 $400.00 +0.00 (+0.0%)
69303 Culture and (if performed) microscopy to detect pathogenic micro-organisms from … $22.00 $22.00 +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%)
66590 Calculus, analysis of 1 or more $30.60 $30.60 +0.00 (+0.0%)
69380 Genotypic testing for HIV antiretroviral resistance in a patient with confirmed … $770.30 $770.30 +0.00 (+0.0%)
69317 1 test described in item 69494 and a test described in 69316. (Item is subject t… $35.85 $35.85 +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%)
69481 Investigation of infectious causes of acute or chronic hepatitis - 3 tests for h… $40.55 $40.55 +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%)
61598 Whole body FDG PET study performed for the staging of biopsy-proven newly diagno… $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%)
66548 Oral glucose tolerance test in pregnancy for the diagnosis of gestational diabet… $19.90 $19.90 +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%)
66525 Faecal calprotectin test for the management of a symptomatic patient with diagno… $75.00 $75.00 +0.00 (+0.0%)
61336 Cerebral study, with PET, if the service is performed because the service to whi… $605.05 $605.05 +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%)
61528 Whole body PSMA PET study, performed for the assessment of suitability for Lutet… $1300.00 $1300.00 +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%)
69316 Detection of Chlamydia trachomatis by any method - 1 test (Item is subject to ru… $28.65 $28.65 +0.00 (+0.0%)
73436 A test of tumour tissue from a patient with a new diagnosis of non-small cell lu… $397.35 $397.35 +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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