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1991 No. 83 HEALTH INSURANCE (1990-91 GENERAL MEDICAL SERVICES TABLE) REGULATIONS (AMENDMENT) - REG 4
4. Schedule (Table of medical services)-services and fees
4.1 Items 781 to 785:
Omit "Part 8", substitute "Part 3 of the diagnostic imaging services table".
4.2 Items 791, 793 and 794:
Omit the items.
4.3 Item 913:
Omit the item.
4.4 Item 924:
Omit the item.
4.5 Items 990 to 999:
Omit the items.
4.6 Part 7A:
Omit the Part.
4.7 Part 8:
Omit the Part.
4.8 Part 9A:
Omit the Part.
4.9 Items 4622 to 4832:
Omit the items, substitute: 4618 Pilonidal sinus, injection of sclerosant
fluid under anaesthesia
(AU 6) 64.00
4619 Telangiectases or starburst vessels, diathermy or sclerosant
injection of, including associated consultation 73.00
Vascular surgery
Varicose veins 4620 Varicose veins, multiple simultaneous injections by
continuous
compression techniques including associated consultation
(one leg or both legs)-not associated with any other varicose veins
operation on the same leg (excluding aftercare) 93.00
4621 Varicose veins, multiple ligations, with or without local stripping
or excision, including sub-fascial ligation of one or
more deep perforating veins through separate incisions (one
leg)-not associated with item 4624, 4625 or 4632 on the
same leg (AU 7) 178.00
4623 Varicose veins, complete dissection at sapheno-femoral junction,
with or without ligation of long saphenous vein, with
or without ligation of the major tributaries at sapheno-femoral
junction-one leg (AU 6) 215.00
4624 Varicose veins, high ligation and complete or partial stripping or
excision of long or short saphenous vein or its major
tributaries, with multiple ligations, local stripping or excision
of minor veins, with or without sclerotherapy of minor
veins-one leg (AU 10) 325.00
4625 Varicose veins, high ligation and stripping or excision of both
long and short saphenous veins or their major tributaries,
with multiple ligations, local stripping or excision of minor
veins, with or without sclerotherapy of minor veins-one
leg (AU 12) 490.00
4626 Long saphenous vein, complete dissection and ligation of, at the
sapheno-femoral junction, for migrating thrombosis of
long saphenous vein (AU 11) 295.00
4627 Varicose veins, complete dissection at sapheno-popliteal junction,
with or without ligation of the short saphenous vein,
with or without ligation of the major tributaries at the
sapheno-popliteal junction-one leg (AU 6) 215.00
4628 Varicose veins, sub-fascial ligation of single deep perforating
vein not associated with any other varicose vein operation
on the same leg-one leg (AU 6) 134.00
4629 Varicose veins, sub-fascial ligation of multiple deep perforating
vein-one leg (Cockett s operation, Linton's operation
or similar procedure) (AU 7) 330.00
4631 Groin or popliteal fossa, reoperation in, for recurrent
sapheno-popliteal incompetence-one leg (AU 12) 400.00
4632 Groin or popliteal fossa, reoperation in, for recurrent
sapheno-femoral incompetence or recurrent
sapheno-popliteal incompetence with one or more of the following:
multiple ligations, local stripping or excision of
minor veins or sclerotherapy of minor veins-one leg (AU 13) 525.00
Bypass or anastomosis for occlusive arterial disease 4634 Artery of neck,
bypass using vein or synthetic material (AU 19)
955.00 4636 Internal carotid artery, transection and reanastomosis of, or
resection of small length and reanastomosis
of with
or without endarterectomy (AU 18) 790.00
4638 Internal carotid artery, reoperation for recurrent stenosis with
by-pass by graft of vein or synthetic
material (AU 19) 1,130.00
4639 Aorto-iliac or aorto-femoral grafting, straight or bifurcated
(AU 21) 930.00
4640 Ilio-femoral bypass grafting (AU 18) 835.00
4642 Axillary or subclavian to femoral bypass grafting to one or both
femoral arteries (AU 19) 835.00
4643 Femoro-femoral or ilio-femoral cross-over bypass grafting
(AU 18) 790.00
4644 Renal artery, bypass grafting to (AU 22) 1,255.00
4645 Renal arteries (both), bypass grafting to (AU 26) 1,425.00
4646 Spleno-renal arterial bypass grafting (AU 21) 1,255.00
4647 Mesenteric vessel (single), bypass grafting to (AU 18)
1,080.00 4648 Mesenteric vessels (multiple), bypass grafting to
(AU 21) 1,255.00
4650 Inferior mesenteric artery, operation on, when performed in
association with another intra-abdominal vascular
operation (AU 17) 275.00
4652 Femoral artery bypass grafting using vein, including
harvesting of vein (when it is the ipsilateral long
saphenous vein) with above knee anastomosis (AU 19) 860.00
4653 Femoral artery bypass grafting using vein, including
harvesting of vein (when it is the ipsilateral long
saphenous vein) with distal anastomosis to below knee popliteal
artery (AU 20) 985.00
4654 Femoral artery bypass grafting using vein, including
harvesting of vein (when it is the ipsilateral long
saphenous vein) with distal anastomosis to tibio peroneal
trunk or tibial or peroneal artery (AU 21) 1,125.00
4656 Femoral artery bypass grafting using vein, including
harvesting of vein (when it is the ipsilateral long
saphenous vein) with distal anastomosis within 5 cm of the
ankle joint (AU 22) 1,220.00
4657 Femoral artery bypass grafting using synthetic graft, with
lower anastomosis above or below the knee (AU 18) 790.00
4659 Femoral artery bypass grafting, using a composite graft
(synthetic material and vein) with lower anastomosis above
or below the knee, including use of a cuff or sleeve of
vein at one or both anastomoses (AU 20) 985.00
4660 Femoral artery sequential bypass grafting (using a vein or
synthetic material) where an additional anastomosis is made to
separately revascularise more than one artery-each
additional artery revascularised beyond a femoral bypass
(AU 16) 275.00
4661 Vein, harvesting of from leg or arm for bypass or replacement
graft when not performed through same incision as operation-each
vein (AU 9) 270.00
4663 Arterial bypass grafting, using vein or synthetic material, not
covered by any other item in this Part (AU 18) 790.00
4666 Arterial or venous anastomosis, not covered by any other item in
this Part, as an independent procedure (AU 15) 525.00
4667 Arterial or venous anastomosis not covered by any other item in
this Part, when performed in combination with another vascular
operation (including graft to graft anastomosis) (AU 15) 182.00
Bypass, replacement or ligation of aneurysms 4668 Aneurysm of common or
internal carotid artery, or both, replacement
by graft of vein or synthetic material (AU 20) 955.00
4669 Thoracic aneurysm, replacement by graft (AU 35) 1,340.00
4670 Thoraco-abdominal aneurysm, replacement by graft including
reimplantation of arteries (AU 40) 1,620.00
4671 Suprarenal abdominal aortic aneurysm, replacement by graft
including reimplantation of arteries (AU 35) 1,405.00
4672 Infrarenal abdominal aortic aneurysm, replacement by tube
graft (AU 26) 985.00
4673 Infrarenal abdominal aortic aneurysm, replacement by bifurcation
graft to iliac arteries (with or without excision of common iliac
aneurysms) (AU 29) 1,125.00
4674 Infrarenal abdominal aortic aneurysm, replacement by bifurcation
graft to one or both femoral arteries (with or without excision or
bypass of common iliac aneurysms) (AU 29) 1,125.00
4675 Aneurysm of iliac artery (common, external or internal),
replacement by graft-unilateral (AU 18) 805.00
4676 Aneurysms of iliac arteries (common, external or internal),
replacement by graft-bilateral (AU 20) 1,055.00
4677 Aneurysm of visceral artery, excision and repair by direct
anastomosis or replacement by graft (AU 18) 920.00
4678 Aneurysm of visceral artery, dissection and ligation of arteries
without restoration of continuity (AU 16) 690.00
4679 False aneurysm, repair of, at aortic anastomosis following previous
aortic surgery (AU 25) 1,740.00
4680 False aneurysm, repair of, in iliac artery and restoration of
arterial continuity (AU 19) 1,055.00
4681 False aneurysm, repair of, in femoral artery and restoration of
arterial continuity (AU 18) 985.00
4682 Ruptured thoracic aortic aneurysm, replacement by graft (AU 38)
1,695.00 4683 Ruptured thoraco-abdominal aortic aneurysm, replacement by graft
(AU 40) 2,105.00
4684 Ruptured suprarenal abdominal aortic aneurysm, replacement by graft
(AU 38) 2,000.00
4685 Ruptured infrarenal abdominal aortic aneurysm, replacement by tube
graft (AU 28) 1,480.00
4686 Ruptured infrarenal abdominal aortic aneurysm, replacement by
bifurcation graft to iliac arteries (with or without
excision or bypass of common iliac aneurysms) (AU 30) 1,650.00 4687 Ruptured
infrarenal abdominal aortic aneurysm, replacement by
bifurcation graft to one or both femoral arteries
(AU 30) 1,650.00
4689 Ruptured iliac artery aneurysm, replacement by graft (AU 22)
1,400.00 4691 Ruptured aneurysm of visceral artery, replacement by anastomosis
or
graft (AU 22) 1,400.00
4692 Ruptured aneurysm of visceral artery, simple ligation of (AU 18)
1,090.00 4694 Aneurysm of major artery, replacement by graft, not covered by
any
other item in this Part (AU 21) 850.00
Endarterectomy and arterial patch 4697 Artery or arteries of neck,
endarterectomy of, including closure by
suture (where endarterectomy of one or more arteries is undertaken
through one arteriotomy incision) (AU 17) 755.00
4698 Internal carotid artery, reoperation for recurrent stenosis with
endarterectomy and closure by suture (AU 19) 955.00
4700 Innominate or subclavian artery, endarterectomy of, including
closure by suture (AU 18) 845.00
4701 Aortic endarterectomy, including closure by suture, not associated
with another procedure on the aorta (AU 18) 875.00
4703 Aorto-iliac endarterectomy (one or both iliac arteries), including
closure by suture not associated with item 4704 (AU 19) 945.00 4704
Aorto-femoral endarterectomy (one or both femoral arteries) or
bilateral ilio-femoral endarterectomy, including closure
by suture, not in association with item 4703 (AU 20) 1,015.00
4706 Iliac endarterectomy, including closure by suture, not associated
with another procedure on the iliac artery (AU 17) 845.00
4707 Ilio-femoral endarterectomy (one side), including closure by suture
(AU 17) 915.00
4708 Renal artery, endarterectomy of (AU 19) 1,080.00
4710 Renal arteries (both), endarterectomy of (AU 21) 1,255.00
4711 Coeliac or superior mesenteric artery, endarterectomy of (AU 19)
1,080.00 4712 Coeliac and superior mesenteric artery, endarterectomy of (AU
20)
1,255.00 4713 Inferior mesenteric artery, endarterectomy of, not associated
with
any other item in this Part (AU 19) 895.00
4714 Artery of extremities, endarterectomy of, including closure by
suture (AU 12) 645.00
4716 Extended deep femoral endarterectomy where the endarterectomy is at
least 7 cm long (AU 17) 920.00
4717 Artery or vein, patch grafting to by vein or synthetic material in
association with another arterial or venous operation where
patch is less than 3 cm long (AU 13) 182.00
4718 Artery or vein, patch grafting to by vein or synthetic material in
association with another arterial or venous operation where
patch is 3 cm long or greater (AU 14) 370.00
4719 Artery or vein bypass graft, patch grafting to using vein or
synthetic material, not associated with any other vascular
operation (AU 14) 470.00
4720 Vein, harvesting of from leg or arm for patch when not performed
through same incision as operation (AU 9) 182.00
4722 Endarterectomy, in association with an arterial bypass operation to
prepare the site for anastomosis-each site (AU 16) 94.00
Embolectomy, thrombectomy and vascular trauma
4723 Embolus, removal of, from artery of neck (AU 15) 785.00
4724 Embolectomy or thrombectomy, by abdominal approach, of an artery or
bypass graft of trunk (AU 16) 750.00
4725 Embolectomy or thrombectomy, from an artery or bypass graft of
extremities, or embolectomy of abdominal artery via the
femoral artery (AU 11) 540.00
4726 Inferior vena cava or iliac vein, thrombectomy of (AU 12) 665.00 4727
Thrombus, removal of, from femoral or other similar large vein
(AU 10) 620.00
4728 Major artery or vein of extremity, repair of wound of, with
restoration of continuity, by lateral suture (AU 12) 570.00
4729 Major artery or vein of extremity, repair of wound of, with
restoration of continuity, by direct anastomosis (AU 13) 665.00 4730 Major
artery or vein of extremity, repair of wound of, with
restoration of continuity, by interposition graft of
synthetic material or vein (AU 15) 760.00
4731 Major artery or vein of neck, repair of wound of, with restoration
of continuity, by lateral suture (AU 13) 725.00
4732 Major artery or vein of neck, repair of wound of, with restoration
of continuity, by direct anastomosis (AU 14) 850.00
4734 Major artery or vein of neck, repair of wound of, with restoration
of continuity, by interposition graft of synthetic material
or vein (AU 16) 975.00
4735 Major artery or vein of abdomen, repair of wound of, with
restoration of continuity by lateral suture (AU 16) 885.00
4736 Major artery or vein of abdomen, repair of wound of, with
restoration of continuity by direct anastomosis (AU 17) 1,055.00 4737 Major
artery or vein of abdomen, repair of wound of, with
restoration of continuity by means of interposition graft (AU 18)
1,235.00 4739 Artery of neck, reoperation for bleeding or thrombosis after
carotid or vertebral artery surgery (AU 12) 610.00
4740 Laparotomy for control of post operative bleeding or thrombosis
after intra-abdominal vascular procedure, where no other
procedure is performed (AU 14) 425.00
4741 Extremity, reoperation on, for control of bleeding or thrombosis
after vascular procedure, where no other procedure is
performed (AU 12) 425.00
Ligation, excision, elective repair or decompression of vessels 4742 Major
artery of neck, elective ligation or exploration of, not
associated with any other vascular procedure (AU 11) 470.00
4743 Great artery or great vein (including subclavian, axillary, iliac,
femoral or popliteal), ligation or exploration of, not
associated with any other vascular procedure (AU 13) 275.00
4746 Artery or vein (including brachial, radial, ulnar or tibial),
ligation of, by elective operation, or exploration of, not
associated with any other vascular procedure (AU 9) 194.00
4747 Temporal artery, biopsy of (AU 7) 225.00
4748 Arterio-venous fistula of an extremity, dissection and
ligation (AU 14) 570.00
4750 Arterio-venous fistula of the neck, dissection and ligation
(AU 17) 645.00
4751 Arterio-venous fistula of the abdomen, dissection and ligation
(AU 19) 920.00
4752 Arterio-venous fistula of an extremity, dissection and repair of,
with restoration of continuity (AU 18) 735.00
4753 Arterio-venous fistula of the neck, dissection and repair of, with
restoration of continuity (AU 18) 805.00
4757 Arterio-venous fistula of the abdomen, dissection and repair of,
with restoration of continuity (AU 22) 1,055.00
4758 Surgically created arterio-venous fistula of an extremity, closure
of (AU 10) 330.00
4759 Scalenotomy (AU 10) 370.00
4760 First rib, resection of portion of (AU 13) 595.00
4761 Cervical rib, removal of, or other operation for removal of
thoracic outlet compression, not covered by any other item
in this Part (AU 13) 595.00
4763 Coeliac artery, decompression of, for coeliac artery compression
syndrome, as an independent procedure (AU 19) 735.00
4765 Popliteal artery, exploration of, for popliteal entrapment,
with or without division of fibrous tissue and muscle (AU 13)
535.00 4767 Carotid body tumour, resection of, with or without repair or
reconstruction of internal or common carotid arteries,
when tumour is less than 4 cm in maximum diameter (AU 19) 955.00 4768 Carotid
body tumour, resection of, with or without repair or
reconstruction of internal or common carotid arteries,
when tumour is greater than 4 cm in maximum diameter (AU 19)
1,305.00 4769 Recurrent carotid body tumour, resection of, with or without
repair
or replacement of portion of common or internal carotid
arteries (AU 19) 1,555.00
4770 Neck, excision of infected bypass graft, including closure of
vessel or vessels (AU 15) 790.00
4771 Aorto-duodenal fistula, repair of, by suture of aorta and repair of
duodenum (AU 24) 1,480.00
4772 Aorto-duodenal fistula, repair of, by insertion of aortic graft and
repair of duodenum (AU 26) 1,900.00
4773 Aorto-duodenal fistula, repair of, by oversewing of abdominal
aorta, repair of duodenum and axillo bifemoral grafting
(AU 26) 1,900.00
4774 Infected bypass graft from trunk, excision of, including closure of
arteries (AU 20) 1,055.00
4775 Infected axillo-femoral or femoro-femoral graft, excision of,
including closure of arteries (AU 15) 860.00
4776 Infected bypass graft from extremities, excision of including
closure of arteries (AU 15) 790.00
Operations for vascular disease
4777 Arteriovenous shunt, external, insertion of (AU 9) 205.00
4779 Arteriovenous anastomosis of upper or lower limb, in association
with another venous or arterial operation (AU 14) 275.00
4780 Arteriovenous shunt, external, removal of (AU 5) 140.00
4781 Arteriovenous anastomosis of upper or lower limb, not in
association with another venous or arterial operation
(AU 14) 650.00
4782 Arteriovenous access device, insertion of (AU 14) 715.00
4783 Arteriovenous access device, thrombectomy of (AU 11) 510.00
4785 Stenosis of arteriovenous fistula or prosthetic arteriovenous
access device, correction of (AU 14) 855.00
4786 Intra-abdominal artery or vein, cannulation of for infusion
chemotherapy, by open operation (excluding aftercare)
(AU 11) 350.00
4787 Arterial cannulation for infusion chemotherapy by open operation,
not covered by item 4786 (excluding aftercare) (AU 10) 275.00 4788 Central
vein catheterisation by open exposure, using subcutaneous
tunnel with pump or access port as with Hickman or Broviac
catheter or other chemotherapy delivery device (AU 11) 275.00 4790 Hickman or
Broviac catheter, or other chemotherapy device, removal
of (AU 10) 275.00
4793 Isolated limb perfusion, including cannulation of artery and vein
at commencement of procedure, regional perfusion for
chemotherapy, or other therapy, repair of arteriotomy and
venotomy at conclusion of procedure (excluding aftercare) (AU 18)
825.00
Endovascular intervention procedures 4795 Inferior vena caval filter,
insertion of, by percutaneous method
using interventional imaging techniques (AU 11) 510.00
4796 Inferior vena caval filter, insertion of, by open operation
(AU 12) 540.00
Complex venous operations 4797 Inferior vena cava, plication, ligation, or
application of caval
clip (AU 13) 540.00
4799 Inferior vena cava, reconstruction of or bypass by vein or
synthetic material (AU 24) 1,190.00
4803 Cross leg bypass grafting, saphenous to iliac or femoral
vein (AU 14) 645.00
4804 Saphenous vein anastomosis to femoral or popliteal vein for femoral
vein bypass (AU 14) 645.00
4805 Venous stenosis or occlusion, vein bypass for, using vein or
synthetic material, not associated with item 4803 or 4804
(AU 13) 780.00
4807 Vein stenosis, patch angioplasty for (excluding vein graft
stenosis)-using vein or synthetic material (AU 15) 645.00
4809 Venous valve, plication or repair to restore valve competency
(AU 25) 710.00
4810 Vein transplant to restore valvular function (AU 15) 965.00
4811 External stent, application of, to restore venous valve competency
to superficial vein-one stent (AU 10) 330.00
4815 External stents, application of, to restore venous valve competency
to superficial vein or veins-more than one stent (AU 11) 400.00 4816 External
stent, application of, to restore venous valve competency
to deep vein-one stent (AU 11) 470.00
4818 External stents, application of, to restore venous valve competency
to deep vein or veins-more than one stent (AU 12) 610.00
4819 Portal hypertension, vascular decompression operation for
(including spleno-renal, porto-caval and mesenterico-caval
anastomosis) (AU 24) 1,055.00
Sympathectomy
4820 Lumbar sympathectomy (AU 11) 470.00
4821 Cervical or upper thoracic sympathectomy by any surgical approach
(AU 16) 610.00
4826 Cervical or upper thoracic sympathectomy, where operation is a
reoperation for previous incomplete sympathectomy by any
surgical approach (AU 13) 765.00
4827 Lumbar sympathectomy, where operation is following chemical
sympathectomy or for previous incomplete surgical
sympathectomy (AU 11) 595.00
Debridement and amputations for vascular disease 4828 Ischaemic limb,
debridement of necrotic material, gangrenous
tissue, or slough in, in the operating theatre of a
hospital, when debridement includes muscle, tendon or bone (AU 8)
245.00 4831 Ischaemic limb, debridement of necrotic material, gangrenous
tissue, or slough in, in the operating theatre of a hospital,
superficial tissue only (AU 9) 156.00
Miscellaneous vascular procedures 4834 Operative arteriography or venography,
one or more of, performed
during the course of an operative procedure on an artery or
vein on one leg (AU 8) 114.00
4835 Transluminal balloon angioplasty of coronary artery and dilatation
of vessel, using interventional imaging techniques (AU 12) 345.00 4836
Transluminal balloon angioplasty of peripheral vessel and
dilatation of vessel, using interventional imaging techniques
(AU 12) 345.00
Operations for acute osteomyelitis
4837 Operation on phalanx (AU 7) 82.00
4.10 Item 5112:
After "translabyrinthine", add "or retromastoid".
4.11 Part 10, Division 8:
Omit the Division, substitute:
Division 8-Neuro-surgical 7070 Lumbar puncture, or spinal or epidural
injection not covered by
item 748 (AU 5) 50.00
7071 Cisternal puncture 57.00
Diagnostic procedures
7072 Ventricular puncture (not including burr-hole) 106.00
7073 Subdural haemorrhage, tap for, each tap (AU 6) 39.50
7074 Burr-hole, single, preparatory to ventricular puncture or for
inspection purpose-not included in any other item
(AU 11) 158.00
7075 Ventricular reservoir or intracranial pressure monitoring device,
insertion of, including burr-hole (excluding aftercare)
(AU 12) 250.00
7076 Cerebrospinal fluid reservoir, insertion of (AU 10) 250.00
Procedures for pain relief 7077 Injection of primary branch of trigeminal
nerve with alcohol,
cortisone, phenol, or similar substance (AU 8) 158.00
7078 Intrathecal injection of alcohol or phenol 158.00
7080 Neurectomy, intracranial, for trigeminal neuralgia
(AU 16) 790.00
7082 Trigeminal gangliotomy by radiofrequency, balloon or
glycerol (AU 8) 295.00
7083 Cranial nerve, intracranial decompression of, using microsurgical
techniques (AU 25) 1,025.00
7084 Percutaneous neurotomy of posterior divisions of spinal nerves by
any method on one or more occasions within a 30 day period,
including any spinal, epidural or regional nerve block
given at the time of such neurotomy (AU 6) 66.00
7086 Percutaneous neurotomy for facet joint denervation by
radio-frequency probe or cryoprobe using radiological
imaging control (AU 7) 198.00
7087 Percutaneous cordotomy (AU 9) 420.00
7088 Cordotomy or myelotomy, laminectomy for, or operation for dorsal
root entry zone (Drez) lesion (AU 13) 1,075.00
7090 Subcutaneous reservoir and spinal catheter for pain, insertion of
(AU 8) 315.00
7091 Percutaneous epidural implant for pain, insertion of (1 or 2
stages), not involving laminectomy (AU 8) 435.00
7092 Epidural stimulator or intrathecal infusion device,
revision of (AU 7) 106.00
7093 Percutaneous epidural implant for pain, removal of
(AU 7) 106.00
7094 Epidural implant for pain, laminectomy and insertion of, including
implantation of pulse generator (1 or 2 stages) (AU 18) 715.00
Peripheral nerves 7095 Cutaneous nerve (including digital nerve), primary
repair of, using
microsurgical techniques (AU 9) 235.00
7096 Cutaneous nerve (including digital nerve), secondary repair of,
using microsurgical techniques (AU 10) 310.00
7097 Nerve trunk, primary repair of, using microsurgical
techniques (AU 11) 450.00
7098 Nerve trunk, secondary repair of, using microsurgical techniques
(AU 12) 475.00
7100 Nerve trunk, internal (interfasicular), neurolysis of, using
microsurgical techniques (AU 11) 265.00
7101 Nerve trunk, nerve graft to (cable graft), including harvesting of
nerve graft using microsurgical techniques (AU 16) 685.00
7102 Cutaneous nerve (including digital nerve), nerve graft to, using
microsurgical techniques (AU 12) 425.00
7103 Nerve, transposition of (AU 8) 315.00
7104 Neurectomy, neurotomy or removal of tumour from superficial
peripheral nerve (AU 8) 184.00
7105 Neurectomy, neurotomy or removal of tumour from deep peripheral
nerve (AU 10) 315.00
7106 Neurolysis by open operation without transposition, not associated
with item 7100 (AU 7) 184.00
7107 Brachial plexus, exploration of, not covered by any other item in
this Part (AU 11) 265.00
Cranial nerves 7108 Vestibular nerve, section of, via posterior fossa (AU 24)
845.00 7109 Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of
(AU 28) 635.00
Cranio-cerebral injuries 7110 Intracranial haemorrhage, burr-hole craniotomy
for, including
burr-holes (AU 11) 315.00
7111 Intracranial haemorrhage, osteoplastic craniotomy or extensive
craniectomy and removal of haematoma (AU 18) 795.00
7112 Fractured skull, depressed or comminuted, operation for
(AU 12) 530.00
7113 Fractured skull, compound, without dural penetration, operation for
(AU 12) 635.00
7114 Fractured skull, compound or complicated, with dural penetration
and brain laceration, operation for (AU 14) 745.00
7115 Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and
repair of (AU 16) 795.00
Intracranial neoplasms 7116 Skull tumour, benign or malignant, excision of,
excluding
cranioplasty (AU 27) 370.00
7117 Intracranial tumour or cyst, burr-hole and biopsy of, or drainage
of, or both (AU 10) 345.00
7122 Intracranial tumour, biopsy or decompression of via osteoplastic
flap or biopsy and decompression of via osteoplastic flap
(AU 18) 740.00
7123 Craniotomy for removal of glioma, metastatic carcinoma or any other
tumour in cerebrum, cerebellum or brain stem-not covered by
any other item in this Part (AU 25) 1,055.00
7125 Craniotomy for removal of meningioma, pinealoma,
cranio-pharyngioma, intraventricular tumour or any other
intracranial tumour not covered by any other item in this
Part (AU 25) 1,905.00
7126 Pituitary tumour, hypophysectomy or removal of by transcranial or
transphenoidal approach (AU 25) 1,320.00
7128 Nerve trunk, primary repair of (D) (AU 8) 295.00
7130 Arachnoidal cyst, craniotomy for (AU 15) 580.00
7134 Nerve trunk, secondary repair of (D) (AU 9) 320.00
7135 Craniotomy, involving osteoplastic flap, for reopening
post-operatively for haemorrhage, swelling etc (AU 16) 530.00
7136 Aneurysm, clipping or reinforcement of sac (AU 28) 1,900.00
7137 Intracranial arteriovenous malformation, excision of (AU 32)
1,900.00
7146 Nerve, transposition of (D) (AU 8) 295.00
7147 Aneurysm, or arteriovenous malformation, intracranial proximal
artery clipping of (AU 24) 855.00
7149 Arteriovenous malformation, craniotomy and direct embolisation of
(AU 32) 950.00
7150 Intracranial aneurysm or arteriovenous fistula, ligation of
cervical vessel or vessels (AU 10) 420.00
7151 Carotid-cavernous fistula, obliteration of-combined cervical and
intracranial procedure (AU 40) 1,215.00
7154 Extracranial to intracranial bypass using superficial temporal
artery or saphenous vein graft (AU 32) 1,215.00
Infection 7155 Intracranial infection, drainage of, via burr-hole- including
burr-hole (AU 10) 345.00
7158 Intracranial abscess, excision of (AU 17) 1,055.00
7159 Osteomyelitis of skull or removal of infected bone flap,
craniectomy for (AU 10) 530.00
Cerebro-spinal fluid circulation disorders 7160 Ventriculo-cisternostomy
(Torkildsen s operation) (AU 15) 610.00 7161 Cranial or cisternal shunt
diversion, insertion of (AU 14) 610.00
7162 Lumbar shunt diversion, insertion of (AU 13) 480.00
7163 Cranial, cisternal or lumbar shunt, revision or removal of
(AU 12) 350.00
7164 Third ventriculostomy (AU 15) 685.00
7165 Subtemporal decompression (AU 26) 158.00
7166 Lumbar cerebrospinal fluid drain, insertion of (AU 6) 106.00
Congenital disorders
7167 Meningocele, excision and closure of (AU 13) 460.00
7168 Myelomeningocele, excision and closure of, including skin flaps or
Z plasty where performed (AU 15) 675.00
7169 Arnold-Chiari malformation, decompression of (AU 35) 685.00
7172 Encephalocoele, excision and closure of (AU 34) 740.00
7173 Tethered cord, release of, including lipomeningocoele or
diastematomyelia (AU 35) 950.00
7174 Craniostenosis, operation for-single suture (AU 17) 480.00
7176 Craniostenosis, operation for-more than one suture (AU 20) 635.00
Spinal disorders 7177 Intervertebral disc or discs, laminectomy for
exploration or
removal of (AU 12) 635.00
7179 Recurrent disc lesion or spinal stenosis laminectomy for-one level
(AU 13) 725.00
7180 Spinal canal stenosis, laminectomy (multi-level), for treatment of
(AU 16) 955.00
7181 Extradural tumour or abscess, laminectomy for (AU 12) 725.00
7183 Spinal rhizolysis involving exposure of spinal nerve roots, with or
without laminectomy (AU 16) 635.00
7185 Intradural lesion, laminectomy for, not covered by any other item
in this Part (AU 13) 975.00
7187 Craniocervical junction lesion, transoral approach for (AU 29)
1,055.00 7188 Intramedullary tumour or arteriovenous malformation, laminectomy
and radical excision of (AU 14) 1,320.00
7189 Posterior spinal fusion, not covered by item 7191 and 7193 (AU 18)
725.00 7191 Laminectomy followed by posterior fusion, performed by
neurosurgeon
and orthopaedic surgeon operating together-laminectomy,
including aftercare (AU 18) 425.00
7193 Laminectomy followed by posterior fusion, performed by neurosurgeon
and orthopaedic surgeon operating together-posterior fusion,
including aftercare 425.00
7195 Anterior interbody spinal fusion to cervical spine-one level
(AU 14) 730.00
7196 Cervical discectomy (anterior), without fusion (AU 19) 530.00
7197 Spine (excluding sacrum), treatment of fracture of vertebral body,
without involvement of cord, requiring immobilisation in
plaster or traction by skull calipers (AU 9) 235.00
7199 Spine (excluding sacrum), treatment of fracture of vertebral body,
with involvement of cord (AU 9) 600.00
7200 Intradiscal injection of chymopapain (discase)-one disc
(AU 8) 210.00
7208 Bone graft to spine with laminectomy and posterior interbody
fusion-one level (AU 15) 830.00
7209 Bone graft to spine with laminectomy and posterior interbody
fusion-more than one level (AU 18) 1,140.00
7211 Bone graft to spine, postero-lateral fusion (AU 14) 850.00
7213 Anterior interbody spinal fusion to lumbar or thoracic spine-one
level (AU 15) 850.00
7214 Anterior interbody spinal fusion to lumbar or thoracic spine-more
than one level (AU 15) 1,140.00
7217 Hydromelia, plugging of obex for, with or without duroplasty
(AU 25) 1,055.00
7218 Hydromelia, craniotomy and laminectomy for, with cavity packing and
CSF shunt (AU 25) 975.00
Skull reconstruction
7219 Cranioplasty, reconstructive (AU 16) 635.00
Epilepsy 7222 Corpus callosum, anterior section of, for epilepsy (AU 25)
1,160.00 7223 Corticectomy, topectomy or partial lobectomy for epilepsy
(AU 23) 975.00
7224 Hemispherectomy for intractible epilepsy (AU 40) 1,425.00
7225 Burr-hole placement of intracranial depth or surface
electrodes (AU 15) 345.00
7226 Intracranial electrode placement via craniotomy (AU 21) 695.00
Stereotactic procedures 7227 Stereotactic anatomical localisation in
association with an
intracranial operative procedure (AU 17) 595.00
7228 Intracranial stereotactic procedure by any method, not covered by
any other item in this Part (AU 17) 795.00
Miscellaneous
7229 Leucotomy for psychiatric disorder (AU 15) 600.00
7232 Optic nerve meninges, incision of (AU 14) 555.00
4.12 Items 7793 and 7798:
Omit the items.
4.13 Items 7945 and 7947:
Omit the items.
4.14 Items 7957 to 7969:
Omit the items.
4.15 Items 8158 to 8161:
Omit the items.
4.16 Items 8442 and 8444:
Omit the items.
4.17 Part 10, Division 13:
Omit the Division, substitute: 8445 Single stage local muscle flap repair, on
eyelid, nose, lip, neck,
hand, thumb, finger or genitals (AU 7) 360.00
8446 Single stage local myocutaneous flap repair to one defect, simple
Meticulous repair designed to obtain maximum functional and aesthetic
results including the preparation of the defect requiring repair
and small (AU 11) 400.00
8447 Single stage large myocutaneous flap repair to one defect
(pectoralis major, latissimus dorsi or similar large muscle)
(AU 16) 690.00
8448 Single stage local muscle flap repair to one defect, simple and
small (AU 11) 250.00
8449 Single stage large muscle flap repair to one defect (pectoralis
major, gastrocnemius, gracilis or similar large muscle)
(AU 17) 420.00
8451 Muscle or myocutaneous flap, delay of (AU 8) 200.00
8453 Dermis, dermofat or fascia graft (excluding transfer of fat by
injection) (AU 12) 315.00
8455 Abrasive therapy, limited to one aesthetic area (AU 6) 118.00 8456
Abrasive therapy to more than one aesthetic area (AU 7) 265.00 8458 Angioma,
cauterisation of or injection into, where undertaken in
the operating theatre of a hospital or approved day-hospital
facility (AU 7) 80.00
8460 Angioma, cauterisation of or injection into, under general
anaesthetic (D) (AU 7) 62.00
8462 Angioma of skin and subcutaneous tissue (excluding facial
muscle or breast) or mucous surface, small, excision and suture of
(AU 7) 86.00
8464 Angioma of skin and subcutaneous tissue or mucous surface, small,
excision and repair of (D) (AU 7) 91.00
8466 Angioma of facial muscle or breast, large or involving deeper
tissue, excision and suture of (AU 9) 160.00
8467 Angioma of neck, deep, excision of (AU 10) 750.00
8468 Angioma of skin and subcutaneous tissue or mucous surface, large,
excision and repair of (D) (AU 9) 114.00
8471 Arteriovenous malformation (3 cm or less) of superficial tissue,
excision of (AU 11) 160.00
8473 Arteriovenous malformation (greater than 3 cm), excision
of (AU 16) 205.00
8475 Arteriovenous malformation on eyelid, nose, lip, neck, hand, thumb,
finger or genitals, excision of (AU 16) 205.00
8476 Lymphoedematous tissue of lower leg and foot, or thigh, or upper
arm, or forearm and hand, major excision of (AU 15) 515.00
8478 Foreign implant (non biological), insertion of, for contour
reconstruction for pathological deformity (AU 10) 315.00
8479 Foreign implants, insertion of, for contour reconstruction
(D) (AU 10) 315.00
8480 Single stage local flap, where indicated to repair one defect,
simple and small, excluding flap for male pattern
baldness (AU 7) 190.00
8481 Single stage local flap, where indicated to repair one defect,
complicated or large, excluding flap for male pattern
baldness (AU 10) 270.00
8482 Single stage local flap repair, simple, small (D) (AU 7) 190.00 8483
Single stage local flap where indicated to repair one defect, on
eyelid, nose, lip, neck, hand, thumb, finger or genitals
(AU 12) 255.00
8485 Direct flap repair (cross arm, abdominal or similar), first stage
(AU 11) 315.00
8486 Direct flap repair (cross arm, abdominal or similar), second stage
(AU 9) 156.00
8487 Direct flap repair, cross leg, first stage (AU 13) 675.00
8488 Direct flap repair, cross leg, second stage (AU 10) 300.00
8490 Direct flap repair, small (cross finger or similar), first stage
(AU 7) 174.00
8492 Direct flap repair, small (cross finger or similar), second stage
(AU 7) 78.00
8494 Indirect flap or tubed pedicle, formation of (AU 10) 295.00
8496 Direct or indirect flap or tubed pedicle, delay of (AU 8) 148.00 8498
Indirect flap or tubed pedicle, preparation of intermediate or
final site and attachment to the site (AU 10) 315.00
8500 Indirect flap or tubed pedicle, spreading of pedicle, as a separate
procedure (AU 8) 245.00
8502 Direct, indirect or local flap, revision of (AU 7) 174.00
8504 Free grafting (split skin) of a granulating area, small
(AU 7) 136.00
8506 Free grafts (split skin or pinch grafts) on granulating areas,
small (D) (AU 7) 136.00
8508 Free grafting (split skin) of a granulating area, extensive
(AU 11) 270.00
8512 Free grafting (split skin) to one defect, including elective
dissection, small (AU 8) 190.00
8514 Free grafts (split skin) including elective dissection, small (D)
(AU 8) 190.00
8515 Free grafting (split skin) to one defect, including elective
dissection, extensive (AU 11) 390.00
8516 Free grafting (split skin) as inlay graft to one defect including
elective dissection using a mould (including insertion of and
removal of mould) (AU 11) 370.00
8517 Free grafting (split skin) to one defect, including elective
dissection on eyelid, nose, lip, ear, neck, hand, thumb,
finger or genitals, not covered by item 8515 or 8516 (AU 8) 250.00 8518 Free
grafting (full thickness) to one defect, excluding grafts for
male pattern baldness (AU 9) 315.00
8519 Microvascular repair using microsurgical techniques, with
restoration of continuity of artery or vein of distal
extremity or digit (AU 14) 725.00
8520 Free full thickness grafts (D) (AU 9) 315.00
8521 Micro-arterial or micro-venous graft using microsurgical techniques
(AU 22) 1,350.00
8522 Scar, of face or neck, revision of, not more than 3 cm in length,
where undertaken in the operating theatre of a hospital
or approved day-hospital facility (AU 8) 146.00
8523 Microvascular anastomosis of artery or vein using microsurgical
techniques, for reimplantation of limb or digit or free
transfer of tissue (AU 38) 1,180.00
8524 Scar, of face or neck, revision of, more than 3 cm in length, where
undertaken in the operating theatre of a hospital or approved
day-hospital facility (AU 9) 196.00
8525 Scar, other than on face or neck, not more than 7 cm in length,
revision of, where undertaken in the operating theatre of a
hospital or approved day-hospital facility, as an independent
procedure (AU 10) 124.00
8526 Scar, other than on face or neck, more than 7 cm in length,
revision of, where undertaken in the operating theatre of a
hospital or approved day-hospital facility, as an independent
procedure (AU 12) 150.00
8527 Breast prosthesis, removal of, as an independent procedure
(AU 11) 184.00
8528 Mammaplasty, reduction (unilateral), with or without repositioning
of nipple (AU 10) 600.00
8529 Fibrous capsule surrounding breast prosthesis, excision or multiple
incisions to, as an independent procedure (AU 10) 295.00
8530 Mammaplasty, augmentation, for significant breast asymmetry where
the augmentation is limited to one breast (AU 10) 495.00
8531 Mammaplasty, augmentation (unilateral), following mastectomy
(AU 9) 495.00
8532 Breast reconstruction (unilateral), using a latissimus dorsi or
other large myocutaneous flap, including repair of
secondary skin defect, excluding repair of muscular aponeurotic
layer (AU 20) 730.00
8533 Breast reconstruction using breast sharing technique (first stage)
including breast reduction, transfer of complex skin and
breast tissue flap, split skin graft to pedicle of flap or other
similar procedure (AU 15) 830.00
8534 Breast reconstruction using breast sharing technique (second stage)
including division of pedicle, insetting of breast flap,
with closure of donor site or other similar procedure (AU 12)
305.00 8536 Breast reconstruction (unilateral), following mastectomy, using
tissue expansion-insertion of tissue expansion unit and all
attendances for subsequent expansion injections (AU 9) 710.00
8537 Breast reconstruction (unilateral), following mastectomy, using
tissue expansion-removal of tissue expansion unit and
insertion of permanent prosthesis (AU 9) 410.00
8538 Nipple or areola or both, reconstruction of by any technique
(AU 10) 415.00
8539 Breast prosthesis, replacement of, following medical complications
(including rupture, migration, or capsule formation) where
new pocket is formed (AU 15) 465.00
8540 Digit, transfer of digit or anatomical ray on vascular or
neurovascular pedicle (complete procedure) (AU 16) 855.00
8541 Hair transplantation for the treatment of alopecia of congenital or
traumatic origin or due to disease, excluding male pattern
baldness, not covered by any other item in this Part
(AU 11) 315.00
8542 Neurovascular island flap, or free transfer of tissue with vascular
or neurovascular pedicle, including repair of secondary defect,
excluding flap for male pattern baldness (AU 15) 730.00
8543 Tissue expansion not covered by item 8536 or 8537- insertion of
tissue expansion unit and all attendances for subsequent
expansion injections (AU 10) 710.00
8544 Macrodactyly, surgical reduction of, each finger (AU 8) 220.00 8545
Intra-operative tissue expansion performed during an operation when
combined with any other item in Part 10 including expansion
injections and excluding treatment of male pattern baldness
(AU 13) 194.00
8546 Facial nerve paralysis, free fascia graft for (AU 12) 480.00
8548 Facial nerve paralysis, muscle transfer for (AU 13) 555.00
8549 Facial nerve palsy, excision of tissue for (AU 12) 184.00
8550 Liposuction (suction assisted lipolysis) to one regional area
(thigh, buttock, or similar), for treatment of post-traumatic
pseudolipoma (AU 13) 420.00
8551 Meloplasty for correction of facial asymmetry due to soft tissue
abnormality where the meloplasty is limited to one side
of the face (AU 14) 590.00
8552 Orbital cavity, reconstruction of a wall or floor, with or without
foreign implant (AU 12) 320.00
8553 Orbital cavity, bone or cartilage graft to orbital wall or floor
including reduction of prolapsed or entrapped orbital
contents (AU 14) 375.00
8554 Maxilla, total resection of (AU 29) 600.00
8556 Mandible, total resection of both sides, including condylectomies
where performed (AU 35) 465.00
8557 Mandible, including lower border, or maxilla, sub-total resection
of (AU 19) 465.00
8558 Mandible, resection of (D) (AU 15) 465.00
8560 Mandible or maxilla, segmental resection of, for tumours or cysts
(AU 13) 390.00
8562 Mandible, segmental resection of, for tumours (D) (AU 13) 390.00 8568
Mandible, hemi-mandibular reconstruction with bone graft, not
associated with item 8556 (AU 15) 550.00
8570 Mandible, condylectomy (AU 11) 315.00
8572 Mandible, condylectomy (D) (AU 11) 315.00
8582 Eyelid, whole thickness reconstruction of, other than by direct
suture only (AU 10) 390.00
8584 Upper eyelid, reduction of, for skin redundancy obscuring vision,
herniation of orbital fat in exophthalmos, facial nerve
palsy or post-traumatic scarring, or, in respect of one of these
conditions, the restoration of symmetry of the
contralateral upper eyelid (AU 7) 156.00
8585 Lower eyelid, reduction of, for herniation of orbital fat in
exophthalmos, facial nerve palsy or post- traumatic scarring,
or, in respect of one of these conditions, the restoration of
symmetry of the contralateral lower eyelid (AU 8) 215.00
8586 Ptosis (unilateral), correction of (AU 12) 515.00
8588 Ectropion or entropion, correction of (unilateral) (AU 9) 215.00
8592 Symblepharon, grafting for (AU 8) 315.00
8594 Rhinoplasty, correction of lateral or alar cartilages (AU 10)
340.00
8596 Rhinoplasty, correction of bony vault only (AU 10) 390.00
8598 Rhinoplasty, total, including correction of all bony and
cartilaginous elements of the external nose (AU 12) 675.00
8599 Rhinoplasty involving nasal or septal cartilage graft (AU 14)
720.00 8600 Rhinoplasty involving autogenous bone or cartilage graft obtained
from distant donor site, including obtaining of graft
(AU 13) 850.00
8602 Rhinoplasty, secondary revision of (AU 10) 98.00
8604 Rhinophyma, shaving of (AU 9) 235.00
8605 Face, contour restoration of one region, using autogenous bone or
cartilage graft (not covered by item 8600) (AU 18) 850.00
8606 Composite graft (chondro-cutaneous or chondro-mucosal) to nose, ear
or eyelid (AU 11) 335.00
8608 Lop ear, bat ear or similar deformity, correction of (AU 8) 345.00 8612
Congenital atresia, reconstruction of external auditory canal
(AU 11) 465.00
8614 Lip, eyelid or ear, full thickness wedge excision of, with repair
by direct sutures (AU 8) 215.00
8616 Vermilionectomy (AU 8) 215.00
8618 Lip or eyelid reconstruction using full thickness flap (Abbe or
similar), first stage (AU 11) 555.00
8620 Lip or eyelid reconstruction using full thickness flap (Abbe or
similar), second stage (AU 4) 162.00
8622 Cleft lip, unilateral-primary repair, one stage, without anterior
palate repair (AU 12) 360.00
8623 Cleft lip, unilateral-primary repair, one stage, with anterior
palate repair (AU 14) 450.00
8624 Cleft lip, bilateral-primary repair, one stage, without anterior
palate repair (AU 14) 500.00
8625 Cleft lip, bilateral-primary repair, one stage, with anterior
palate repair (AU 16) 590.00
8627 Cleft lip, lip adhesion procedure, unilateral or bilateral
(AU 10) 174.00
8628 Cleft lip, partial revision, including minor flap revision
alignment and adjustment, including revision of minor
whistle deformity if performed (AU 10) 200.00
8630 Cleft lip, total revision, including major flap revision, muscle
reconstruction and revision of major whistle deformity
(AU 12) 325.00
8631 Cleft lip, primary columella lengthening procedure, bilateral
(AU 10) 305.00
8632 Cleft lip reconstruction using full thickness flap (Abbe or
similar), first stage (AU 12) 550.00
8633 Cleft lip reconstruction using full thickness flap (Abbe or
similar), second stage (AU 8) 200.00
8638 Cleft palate, primary repair, partial cleft (D) (AU 13) 420.00
8640 Cleft palate, primary repair (AU 14) 520.00
8642 Cleft palate, primary repair, complete cleft or cleft requiring
major repair (D) (AU 14) 550.00
8644 Cleft palate, secondary repair, closure of fistula using local
flaps (AU 13) 325.00
8646 Cleft palate, secondary repair, closure of fistula (D)
(AU 13) 270.00
8648 Cleft palate, secondary repair, lengthening procedure (AU 12)
370.00 8650 Cleft palate, secondary repair, lengthening procedure (D) (AU 12)
390.00 8654 Cleft palate, partial repair, complex cleft (D) (AU 13) 390.00
8655 Mandible or maxilla, unilateral osteotomy or osteectomy of,
including transposition of nerves and vessels and bone
grafts taken from the same site and rigid fixation by
bone plates, screws or both (AU 16) 725.00
8656 Velo-pharyngeal incompetence, pharyngeal flap for, or
pharyngoplasty for (AU 15) 520.00
8657 Mandible or maxilla, bilateral osteotomy or osteectomy of,
including transposition of nerves and vessels and bone grafts
taken from the same site and rigid fixation by bone plates, screws
or both (AU 20) 920.00
8658 Mandible or maxilla, unilateral osteotomy or osteectomy of,
including transposition of nerves and vessels and bone grafts
taken from the same site (AU 14) 645.00
8659 Unilateral osteotomy or osteectomy of mandible or maxilla,
including transposition of nerves and vessels and bone
grafts taken from the same site (D) (AU 14) 645.00
8660 Mandible or maxilla, bilateral osteotomy or osteectomy of,
including transposition of nerves and vessels and bone grafts
taken from the same site (AU 18) 820.00
8661 Bilateral osteotomy or osteectomy of mandible or maxilla, including
transposition of nerves and vessels and bone grafts taken
from the same site (D) (AU 18) 820.00
8662 Mandible or maxilla, osteotomies or osteectomies of, involving 3 or
more such procedures on the one jaw, including transposition
of nerves and vessels and bone grafts taken from the same
site (AU 22) 935.00
8663 Osteotomies or osteectomies of mandible or maxilla, involving 3 or
more such procedures on the one jaw, including transposition
of nerves and vessels and bone grafts taken from the same site (D)
(AU 22) 935.00
8664 Mandible or maxilla, osteotomies or osteectomies of, involving 2
such procedures of each jaw, including transposition of
nerves and vessels and bone grafts taken from the same site
(AU 26) 1,070.00
8665 Bilateral osteotomies or osteectomies of mandible or maxilla
involving 2 such procedures of each jaw including
transposition of nerves and vessels and bone grafts taken from the
same site (D) (AU 26) 1,070.00
8666 Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 or more such procedures of one jaw and 2
such procedures of the other jaw, including genioplasty (when
performed) and transposition of nerves and vessels and bone
grafts taken from the same site (AU 32) 1,180.00
8667 Complex bilateral osteotomies or osteectomies of mandible or
maxilla, involving 3 or more such procedures of one jaw
and 2 such procedures of the other jaw, including genioplasty (when
performed) and transposition of nerves and vessels and
bone grafts taken from the same site (D) (AU 32) 1,180.00
8668 Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 or more such procedures of each jaw,
including genioplasty (when performed) and transposition of nerves
and vessels and bone grafts taken from the same site
(AU 34) 1,285.00
8669 Complex bilateral osteotomies or osteectomies of mandible or
maxilla, involving 3 or more such procedures of each jaw,
including genioplasty (when performed) and transposition of nerves
and vessels and bone grafts taken from the same site (D)
(AU 34) 1,285.00
8670 Genioplasty, including transposition of nerves and bone grafts
taken from the same site (AU 10) 500.00
8671 Genioplasty not associated with item 8659, 8661, 8663, 8665, 8667
or 8669 including transposition of nerves and vessels and
bone grafts taken from the same site (D) (AU 10) 500.00
8672 Genioplasty associated with item 8655, 8657, 8658, 8660, 8662,
8664, 8674 or 8686 (AU 8) 290.00
8673 Genioplasty associated with item 8659, 8661, 8663 or 8665
(D) (AU 8) 290.00
8674 Mandible or maxilla, osteotomies or osteectomies of, involving 3 or
more such procedures on the one jaw, including
transposition of nerves and vessels and bone grafts taken from the
same site and rigid fixation by bone plates, screws or
both (AU 24) 1,050.00
8675 Hypertelorism, correction of, intra-cranial (AU 47) 1,670.00
8676 Hypertelorism, correction of, sub-cranial (AU 26) 1,280.00
8677 Treacher Collins Syndrome, periorbital correction of, with
rib and iliac bone grafts (AU 30) 1,165.00
8678 Orbital dystopia (unilateral), correction of, with total
repositioning of one orbit, intra-cranial (AU 35) 1,165.00
8679 Orbital dystopia (unilateral), correction of, with total
repositioning of one orbit, extra-cranial (AU 18) 855.00
8680 Fronto-orbital advancement, unilateral (AU 19) 655.00
8681 Cranial vault reconstruction for oxycephaly, brachycephaly,
turricephaly or similar condition (bilateral
fronto-orbital advancement) (AU 39) 1,110.00
8682 Glenoid fossa, zygomatic arch and temporal bone, reconstruction of
(Obwegeser technique) (AU 19) 1,095.00
8683 Absent condyle and ascending ramus in hemifacial microsomia,
construction of, not including harvesting of graft
material (AU 15) 590.00
8684 Osseo-integration procedure-extra oral, implantation of titanium
fixture (AU 20) 335.00
8685 Osseo-integration procedure, fixation of transcutaneous abutment
(AU 16) 124.00
8686 Mandible or maxilla, osteotomies or osteectomies of, involving 2
such procedures of each jaw, including transposition of
nerves and vessels and bone grafts taken from the same
site and rigid fixation by bone plates, screws or both (AU 28)
1,205.00 8687 Mandible or maxilla, complex bilateral osteotomies or
osteectomies
of, involving 3 or more such procedures of one jaw and 2
such procedures of the other jaw, including genioplasty (when
performed) and transposition of nerves and vessels and bone
grafts taken from the same site and rigid fixation by bone plates,
screws or both (AU 34) 1,325.00
8688 Free grafting (split skin) to burns, including excision of burnt
tissue-involving not more than 3% of total body surface
(AU 8) 300.00
8689 Free grafting (split skin) to burns, including excision of burnt
tissue-involving 3% or more but less than 6% of total body
surface (AU 10) 400.00
8690 Free grafting (split skin) to burns, including excision of burnt
tissue-involving 6% or more but less than 9% of total body
surface (AU 12) 550.00
8691 Free grafting (split skin) to burns, including excision of burnt
tissue-involving 9% or more but less than 12% of total body
surface (AU 14) 600.00
8692 Free grafting (split skin) to burns, including excision of burnt
tissue-involving 12% or more of total body surface
(AU 16) 650.00
8693 Free grafting (split skin) to burns, including excision of burnt
tissue on eyelid, nose, lip, neck, hand, thumb, finger or
genitals (AU 18) 270.00
8694 Free grafting (xenograft or homograft split skin) to burns
including excision of burnt tissue-involving not more than
3% of total body surface (AU 13) 220.00
8695 Free grafting (xenograft or homograft split skin) to burns
including excision of burnt tissue-involving 3% or more but
less than 6% of total body surface (AU 15) 320.00
8696 Free grafting (xenograft or homograft split skin) to burns
including excision of burnt tissue-involving 6% or more but
less than 9% of total body surface (AU 17) 470.00
8697 Free grafting (xenograft or homograft split skin) to burns
including exision of burnt tissue-involving 9% or more but
less than 12% of total body surface (AU 19) 520.00
8698 Free grafting (xenograft or homograft split skin) to burns
including excision of burnt tissue-involving 12% or more
of total body surface (AU 21) 580.00
8699 Mandible or maxilla, complex bilateral osteotomies or osteectomies
of, involving 3 or more such procedures of each jaw, including
genioplasty (when performed) and transposition of nerves
and vessels and bone grafts taken from the same site and rigid
fixation by bone plates, screws or both (AU 36) 1,440.00
4.18 Items 8727 to 8874:
Omit the items.
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