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
69380 Genotypic testing for HIV antiretroviral resistance in a patient with confirmed … $770.30 $770.30 +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%)
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%)
66761 Test for reducing substances in faeces by any method (except reagent strip or di… $13.15 $13.15 +0.00 (+0.0%)
66518 Investigation of cardiac or skeletal muscle damage by quantitative measurement o… $20.05 $20.05 +0.00 (+0.0%)
73833 Pregnancy test by 1 or more immunochemical methods by a participating nurse prac… $10.15 $10.15 +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%)
69383 A test described in item 69381 if rendered by a receiving APP - 1 or more tests … $180.25 $180.25 +0.00 (+0.0%)
73347 Testing of a prospective parent for pathogenic cystic fibrosis transmembrane con… $500.00 $500.00 +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%)
73296 Characterisation of germline gene variants, including copy number variation wher… $1200.00 $1200.00 +0.00 (+0.0%)
73297 Characterisation of germline gene variants, including copy number variation wher… $400.00 $400.00 +0.00 (+0.0%)
69475 One test for hepatitis antigen or antibodies to determine immune status or viral… $15.65 $15.65 +0.00 (+0.0%)
73360 Re-analysis of whole exome or genome data obtained in performing a service to wh… $500.00 $500.00 +0.00 (+0.0%)
73302 Characterisation of germline gene variants including copy number variants, in BR… $400.00 $400.00 +0.00 (+0.0%)
69306 Microscopy and culture to detect pathogenic micro-organisms from skin or other s… $33.75 $33.75 +0.00 (+0.0%)
73426 Prenatal detection of unknown gene variants (including maternal cell contaminati… $2400.00 $2400.00 +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%)
66656 Prostate specific antigen (PSA) quantitation in the monitoring of previously dia… $20.15 $20.15 +0.00 (+0.0%)
66817 A test described in item 66812, other than that described in 66816, if rendered … $24.75 $24.75 +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%)
66756 Quantitation of 10 or more amino acids for the diagnosis of inborn errors of met… $98.30 $98.30 +0.00 (+0.0%)
66707 5 or more tests described in item 66695 (Item is subject to rule 6) $83.35 $83.35 +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%)
66512 5 or more tests described in item 66500 $17.70 $17.70 +0.00 (+0.0%)
66716 TSH quantitation $25.05 $25.05 +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%)
66509 4 tests described in item 66500 $15.65 $15.65 +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%)
73305 Detection of mutation of the FMR1 gene by Southern Blot analysis where the resul… $202.65 $202.65 +0.00 (+0.0%)
66655 Prostate specific antigen—quantitation For any particular patient, applicable no… $20.15 $20.15 +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%)
66506 3 tests described in item 66500 $13.65 $13.65 +0.00 (+0.0%)
61527 Whole body study using PET, if the service is performed because the services to … $752.35 $752.35 +0.00 (+0.0%)
66653 2 or more tests described in item 66650 (Item is subject to rule 6) $44.60 $44.60 +0.00 (+0.0%)
69483 Quantitation of Hepatitis B viral DNA in patients who are Hepatitis B surface an… $152.10 $152.10 +0.00 (+0.0%)
69312 Microscopy and culture to detect pathogenic micro-organisms from urethra, vagina… $33.75 $33.75 +0.00 (+0.0%)
66652 A test described in item 66650 if rendered by a receiving APP - other than that … $20.30 $20.30 +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%)
66757 Quantitation of 10 or more amino acids for monitoring of previously diagnosed in… $98.30 $98.30 +0.00 (+0.0%)
61525 Whole body FDG PET study, performed for the evaluation of suspected metastatic o… $953.00 $953.00 +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%)
66758 Quantitation of angiotensin converting enzyme, or cholinesterase - 1 or more tes… $24.70 $24.70 +0.00 (+0.0%)
73314 Characterisation of gene rearrangement or the identification of mutations within… $230.95 $230.95 +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%)
66654 Prostate specific antigen – quantitation in the monitoring of high-risk patients… $20.15 $20.15 +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%)
69321 Microscopy and culture of post-operative wounds, aspirates of body cavities, syn… $48.15 $48.15 +0.00 (+0.0%)
66816 A test described in item 66812 if rendered by a receiving APP, where no tests in… $34.80 $34.80 +0.00 (+0.0%)
73899 Initiation of a patient episode that consists of a service described in item 728… $5.95 $5.95 +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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