MBS Group T8 · Subgroup 1
General: MBS items and fees.
All 393 items in subgroup 1 of Group T8, surgical operations, with each item’s schedule fee and Medicare benefits, from the MBS edition of 1 November 2026.
Source: the MBS XML file of 1 November 2026, published by the Department of Health, Disability and Ageing. We update these pages for each MBS edition.
T8.1 General
393 items
| Item | Description | Fee and benefits |
|---|---|---|
| 30001 | OPERATIVE PROCEDURE, not being a service to which any other item in this Group applies, being a service to which an item in this Group would have applied had the procedure not been discontinued on medical grounds Derived fee: 50% of the fee which would have applied had the procedure not been discontinued | Derived |
| 30003 | Burns, involving 1% or more but less than 3% of total body surface, dressing of (including redressing of any related donor site, if required), without anaesthesia, if medical practitioner is present—each attendance at which the procedure is performedNot applicable for skin reactions secondary to radiotherapy | $43.50 75% benefit $32.65 85% benefit $37.00 |
| 30006 | Burns, involving 3% or more but less than 10% of total body surface, dressing of (including redressing of any related donor site, if required), without anaesthesia, if medical practitioner is present—each attendance at which the procedure is performedNot applicable for skin reactions secondary to radiotherapy | $55.60 75% benefit $41.70 85% benefit $47.30 |
| 30007 | Burns, involving 10% or more of total body surface, dressing of (including redressing of any related donor site, if required), without anaesthesia, if medical practitioner is present—each attendance at which the procedure is performedNot applicable for skin reactions secondary to radiotherapy | $186.00 75% benefit $139.50 85% benefit $158.10 |
| 30010 | Burns, involving not more than 3% of total body surface, dressing of (including redressing of any related donor site, if required), in an operating theatre under general anaesthesia or intravenous sedation, if medical practitioner is present (H) (Anaes.) | $88.50 75% benefit $66.40 |
| 30014 | Burns, involving 3% or more but less than 20% of total body surface, dressing of (including redressing of any related donor site, if required), in an operating theatre under general anaesthesia or intravenous sedation, if medical practitioner is present (H) (Anaes.) | $186.00 75% benefit $139.50 |
| 30015 | Burns, involving 20% or more but less than 50% of total body surface, or burns of less than 20% of total body surface involving 1% or more of total body surface within the hands or face, dressing of (including redressing of any related donor site, if required), in an operating theatre under general anaesthesia or intravenous sedation, if medical practitioner is present (H) (Anaes.) (Assist.) | $279.00 75% benefit $209.25 |
| 30016 | Burns, involving 50% or more of total body surface, dressing of (including redressing of any related donor site, if required), in an operating theatre under general anaesthesia or intravenous sedation, if medical practitioner is present (H) (Anaes.) (Assist.) | $418.45 75% benefit $313.85 |
| 30023 | WOUND OF SOFT TISSUE, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed (Anaes.) (Assist.) | $390.25 75% benefit $292.70 85% benefit $331.75 |
| 30024 | Wound of soft tissue, debridement of an extensively infected post‑surgical incision or Fournier’s gangrene, under general anaesthesia, or regional or field nerve block, including suturing of the wound if carried out (H) (Anaes.) (Assist.) | $390.25 75% benefit $292.70 |
| 30026 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, not on face or neck, small (NOT MORE THAN 7 CM LONG), superficial, not being a service to which another item in Group T4 applies (Anaes.) | $62.55 75% benefit $46.95 85% benefit $53.20 |
| 30029 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, not on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue, not being a service to which another item in Group T4 applies (Anaes.) | $107.75 75% benefit $80.85 85% benefit $91.60 |
| 30032 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), superficial (Anaes.) | $98.70 75% benefit $74.05 85% benefit $83.90 |
| 30035 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, small (NOT MORE THAN 7 CM LONG), involving deeper tissue (Anaes.) | $140.70 75% benefit $105.55 85% benefit $119.60 |
| 30038 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, not on face or neck, large (MORE THAN 7 CM LONG), superficial, not being a service to which another item in Group T4 applies (Anaes.) | $107.75 75% benefit $80.85 85% benefit $91.60 |
| 30042 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, other than on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue, other than a service to which another item in Group T4 applies (Anaes.) | $222.10 75% benefit $166.60 85% benefit $188.80 |
| 30045 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), superficial (Anaes.) | $140.70 75% benefit $105.55 85% benefit $119.60 |
| 30049 | SKIN AND SUBCUTANEOUS TISSUE OR MUCOUS MEMBRANE, REPAIR OF WOUND OF, other than wound closure at time of surgery, on face or neck, large (MORE THAN 7 CM LONG), involving deeper tissue (Anaes.) | $222.10 75% benefit $166.60 85% benefit $188.80 |
| 30052 | FULL THICKNESS LACERATION OF EAR, EYELID, NOSE OR LIP, repair of, with accurate apposition of each layer of tissue (Anaes.) (Assist.) | $304.00 75% benefit $228.00 85% benefit $258.40 |
| 30055 | Wounds, dressing of, under general, regional or intravenous sedation, with or without removal of sutures, other than a service associated with a service to which another item in this Group applies (Anaes.) | $88.50 75% benefit $66.40 85% benefit $75.25 |
| 30058 | Post‑operative haemorrhage, control of, under general anaesthesia, as an independent procedure (H) (Anaes.) | $172.80 75% benefit $129.60 |
| 30061 | SUPERFICIAL FOREIGN BODY, REMOVAL OF, (including from cornea or sclera), as an independent procedure (Anaes.) | $28.15 75% benefit $21.15 85% benefit $23.95 |
| 30062 | Etonogestrel subcutaneous implant, removal of (Anaes.) | $107.90 75% benefit $80.95 85% benefit $91.75 |
| 30064 | SUBCUTANEOUS FOREIGN BODY, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure (Anaes.) | $131.55 75% benefit $98.70 85% benefit $111.85 |
| 30068 | FOREIGN BODY IN MUSCLE, TENDON OR OTHER DEEP TISSUE, removal of, as an independent procedure (Anaes.) (Assist.) | $331.25 75% benefit $248.45 85% benefit $281.60 |
| 30071 | Diagnostic biopsy of skin, as an independent procedure, if the biopsy specimen is sent for pathological examination (Anaes.) | $62.55 75% benefit $46.95 85% benefit $53.20 |
| 30072 | Diagnostic biopsy of mucous membrane, as an independent procedure, if the biopsy specimen is sent for pathological examination (Anaes.) | $62.55 75% benefit $46.95 85% benefit $53.20 |
| 30075 | DIAGNOSTIC BIOPSY OF LYMPH NODE, MUSCLE OR OTHER DEEP TISSUE OR ORGAN, as an independent procedure, if the biopsy specimen is sent for pathological examination (Anaes.) | $179.25 75% benefit $134.45 85% benefit $152.40 |
| 30078 | DIAGNOSTIC DRILL BIOPSY OF LYMPH NODE, DEEP TISSUE OR ORGAN, as an independent procedure, where the biopsy specimen is sent for pathological examination (Anaes.) | $57.95 75% benefit $43.50 85% benefit $49.30 |
| 30081 | DIAGNOSTIC BIOPSY OF BONE MARROW by trephine using open approach, where the biopsy specimen is sent for pathological examination (Anaes.) | $131.55 75% benefit $98.70 85% benefit $111.85 |
| 30084 | DIAGNOSTIC BIOPSY OF BONE MARROW by trephine using percutaneous approach where the biopsy is sent for pathological examination (Anaes.) | $70.40 75% benefit $52.80 85% benefit $59.85 |
| 30087 | DIAGNOSTIC BIOPSY OF BONE MARROW by aspiration or PUNCH BIOPSY OF SYNOVIAL MEMBRANE, where the biopsy is sent for pathological examination (Anaes.) | $35.20 75% benefit $26.40 85% benefit $29.95 |
| 30090 | DIAGNOSTIC BIOPSY OF PLEURA, PERCUTANEOUS 1 or more biopsies on any 1 occasion, where the biopsy is sent for pathological examination (Anaes.) | $153.85 75% benefit $115.40 85% benefit $130.80 |
| 30093 | DIAGNOSTIC NEEDLE BIOPSY OF VERTEBRA, where the biopsy is sent for pathological examination (Anaes.) | $205.35 75% benefit $154.05 85% benefit $174.55 |
| 30094 | DIAGNOSTIC PERCUTANEOUS ASPIRATION BIOPSY of deep organ using interventional imaging techniques - but not including imaging, where the biopsy is sent for pathological examination (Anaes.) | $226.75 75% benefit $170.10 85% benefit $192.75 |
| 30097 | Personal performance of a Synacthen Stimulation Test, including associated consultation; by a medical practitioner with resuscitation training and access to facilities where life support procedures can be implemented, if: serum cortisol at 0830-0930 hours on any day in the preceding month has been measured at greater than 100 nmol/L but less than 400 nmol/L; or in a patient who is acutely unwell and adrenal insufficiency is suspected. | $116.30 75% benefit $87.25 85% benefit $98.90 |
| 30099 | SINUS, excision of, involving superficial tissue only (Anaes.) | $107.75 75% benefit $80.85 85% benefit $91.60 |
| 30103 | SINUS, excision of, involving muscle and deep tissue (Anaes.) | $220.15 75% benefit $165.15 85% benefit $187.15 |
| 30104 | Pre-auricular sinus, excision of, on a patient 10 years of age or over (Anaes.) | $151.95 75% benefit $114.00 85% benefit $129.20 |
| 30105 | Pre‑auricular sinus, excision of, on a patient under 10 years of age (H) (Anaes.) | $197.45 75% benefit $148.10 |
| 30107 | Excision of ganglion, other than a service associated with a service to which another item in this Group applies (Anaes.) | $263.15 75% benefit $197.40 85% benefit $223.70 |
| 30166 | Removal of redundant abdominal skin and lipectomy, as a wedge excision, for functional problems following significant weight loss equivalent to at least 5 body mass index points and if there has been a stable weight for a period of at least 6 months prior to surgery, other than a service associated with a service to which item 30175, 30176, 30177, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies (H) (Anaes.) (Assist.) | $897.70 75% benefit $673.30 |
| 30169 | Removal of redundant non-abdominal skin and lipectomy for functional problems following significant weight loss equivalent to at least 5 body mass index points and if there has been a stable weight for a period of at least 6 months prior to surgery, one or 2 non-abdominal areas, other than a service associated with a service to which item 30175, 30176, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies (H) (Anaes.) (Assist.) | $718.15 75% benefit $538.65 |
| 30175 | Radical abdominoplasty, with repair of rectus diastasis, excision of skin and subcutaneous tissue, and transposition of umbilicus, not being a laparoscopic procedure, if:(a) the patient has an abdominal wall defect as a consequence of pregnancy; and(b) the patient: (i) has a diastasis of at least 3cm measured by diagnostic imaging prior to this service; and(ii) has either or both of the following: (A) at least moderately severe pain or discomfort at the site of the diastasis in the abdominal wall during functional use and the pain or discomfort has been documented in the patient’s records by the practitioner providing the service;(B) low back pain or urinary symptoms likely due to rectus diastasis and the pain or symptoms have been documented in the patient’s records by the practitioner providing the service; and (iii) has failed to respond to non-surgical conservative treatment, that must have included physiotherapy; and(iv) has not been pregnant in the last 12 months; and (c) the service is not a service associated with a service to which item 30166, 30169, 30176, 30177, 30179, 30651, 30655, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 appliesApplicable once per lifetime (H) (Anaes.) (Assist.) | $1,161.05 75% benefit $870.80 |
| 30176 | Radical abdominoplasty, with excision of skin and subcutaneous tissue, repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30166, 30169, 30175, 30177, 30179, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070 or 46072 applies, if the patient has previously had a massive intra-abdominal or pelvic tumour surgically removed (H) (Anaes.) (Assist.) | $1,179.70 75% benefit $884.80 |
| 30177 | Lipectomy, excision of skin and subcutaneous tissue associated with redundant abdominal skin and fat that is a direct consequence of significant weight loss, in conjunction with a radical abdominoplasty, with or without repair of musculoaponeurotic layer and transposition of umbilicus, not being a service associated with a service to which item 30166, 30175, 30176, 30179, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies, if: (a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non-surgical) treatment; and (b) the redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) (Anaes.) (Assist.) | $1,179.70 75% benefit $884.80 |
| 30179 | Circumferential lipectomy, as an independent procedure, to correct circumferential excess of redundant skin and fat that is a direct consequence of significant weight loss, with or without a radical abdominoplasty, not being a service associated with a service to which item 30175, 30176, 30177, 45530, 45531, 45564, 45565, 45567, 46060, 46062, 46064, 46066, 46068, 46070, 46072, 46080, 46082, 46084, 46086, 46088 or 46090 applies, if: (a) the circumferential excess of redundant skin and fat is complicated by intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non-surgical) treatment; and (b) the circumferential excess of redundant skin and fat interferes with the activities of daily living; and (c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy (H) (Anaes.) (Assist.) | $1,452.00 75% benefit $1,089.00 |
| 30180 | AXILLARY HYPERHIDROSIS, partial excision for (Anaes.) | $163.40 75% benefit $122.55 85% benefit $138.90 |
| 30183 | Axillary hyperhidrosis, total excision of sweat gland bearing area (H) (Anaes.) | $295.10 75% benefit $221.35 |
| 30187 | PALMAR OR PLANTAR WARTS, removal of, by carbon dioxide laser or erbium laser, requiring admission to a hospital, or when performed by a specialist in the practice of his/her specialty, (5 or more warts) (Anaes.) | $307.60 75% benefit $230.70 85% benefit $261.50 |
| 30189 | WARTS or MOLLUSCUM CONTAGIOSUM (one or more), removal of, by any method (other than by chemical means), where undertaken in the operating theatre of a hospital, not being a service associated with a service to which another item in this Group applies (H) (Anaes.) | $176.25 75% benefit $132.20 |
| 30190 | Angiofibromas, trichoepitheliomas or other severely disfiguring tumours of the face or neck (excluding melanocytic naevi, sebaceous hyperplasia, dermatosis papulosa nigra, Campbell De Morgan angiomas and seborrheic or viral warts), suitable for laser ablation as confirmed by the opinion of a specialist in the specialty of dermatology—removal of, by carbon dioxide laser or erbium laser ablation, including associated resurfacing (10 or more tumours) (Anaes.) | $476.00 75% benefit $357.00 85% benefit $404.60 |
| 30191 | Angiofibromas, trichoepithelioma, epidermal naevi, xanthelasma, pyogenic granuloma, genital angiokeratomas, hereditary haemorrhagic telangiectasia and other severely disfiguring or recurrently bleeding tumours (excluding melanocytic naevi, sebaceous hyperplasia, dermatosis papulosa nigra, Campbell De Morgan angiomas and seborrheic or viral warts), treatment of, with carbon dioxide/erbium or other appropriate laser (or curettage and fine point diathermy for pyogenic granuloma only), if confirmed by the opinion of a specialist in the specialty of dermatology, one or more lesions. | $76.00 75% benefit $57.00 85% benefit $64.60 |
| 30192 | PREMALIGNANT SKIN LESIONS (including solar keratoses), treatment of, by ablative technique (10 or more lesions) (Anaes.) | $47.30 75% benefit $35.50 85% benefit $40.25 |
| 30196 | Malignant neoplasm of skin or mucous membrane that has been: (a) proven by histopathology; or (b) confirmed by the opinion of a specialist in the specialty of dermatology or plastic surgery where a specimen has been submitted for histologic confirmation; removal of, by serial curettage, or carbon dioxide laser or erbium laser excision‑ablation, including any associated cryotherapy or diathermy (Anaes.) | $151.10 75% benefit $113.35 85% benefit $128.45 |
| 30202 | Malignant neoplasm of skin or mucous membrane proven by histopathology or confirmed by the opinion of a specialist in the specialty of dermatology or plastic surgery—removal of, by liquid nitrogen cryotherapy using repeat freeze thaw cycles | $57.80 75% benefit $43.35 85% benefit $49.15 |
| 30207 | Skin lesions, multiple injections with glucocorticoid preparations (Anaes.) | $53.35 75% benefit $40.05 85% benefit $45.35 |
| 30210 | Keloid and other skin lesions, extensive, multiple injections of glucocorticoid preparations, if undertaken in the operating theatre of a hospital (H) (Anaes.) | $195.05 75% benefit $146.30 |
| 30216 | HAEMATOMA, aspiration of (Anaes.) | $32.75 75% benefit $24.60 85% benefit $27.85 |
| 30219 | HAEMATOMA, FURUNCLE, SMALL ABSCESS OR SIMILAR LESION not requiring admission to a hospital - INCISION WITH DRAINAGE OF (excluding aftercare) | $32.75 75% benefit $24.60 85% benefit $27.85 |
| 30223 | LARGE HAEMATOMA, LARGE ABSCESS, CARBUNCLE, CELLULITIS or similar lesion, requiring admission to a hospital, INCISION WITH DRAINAGE OF (excluding aftercare) (Anaes.) | $195.05 75% benefit $146.30 |
| 30224 | PERCUTANEOUS DRAINAGE OF DEEP ABSCESS using interventional imaging techniques - but not including imaging (Anaes.) | $284.35 75% benefit $213.30 85% benefit $241.70 |
| 30225 | ABSCESS DRAINAGE TUBE, exchange of using interventional imaging techniques - but not including imaging (Anaes.) | $320.35 75% benefit $240.30 85% benefit $272.30 |
| 30226 | MUSCLE, excision of (LIMITED), or fasciotomy (Anaes.) | $179.25 75% benefit $134.45 85% benefit $152.40 |
| 30229 | Muscle, excision of (extensive) (H) (Anaes.) (Assist.) | $326.70 75% benefit $245.05 |
| 30232 | MUSCLE, RUPTURED, repair of (limited), not associated with external wound (Anaes.) | $267.60 75% benefit $200.70 85% benefit $227.50 |
| 30235 | Muscle, ruptured, repair of (extensive), not associated with external wound (H) (Anaes.) (Assist.) | $353.90 75% benefit $265.45 |
| 30238 | FASCIA, DEEP, repair of, FOR HERNIATED MUSCLE (Anaes.) | $179.25 75% benefit $134.45 85% benefit $152.40 |
| 30241 | BONE TUMOUR, INNOCENT, excision of, not being a service to which another item in this Group applies (Anaes.) (Assist.) | $426.55 75% benefit $319.95 85% benefit $362.60 |
| 30244 | STYLOID PROCESS OF TEMPORAL BONE, removal of (Anaes.) (Assist.) | $426.55 75% benefit $319.95 |
| 30246 | PAROTID DUCT, repair of, using micro-surgical techniques (Anaes.) (Assist.) | $825.65 75% benefit $619.25 |
| 30247 | Parotid gland, total extirpation of, including removal of tumour, other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H) (Anaes.) (Assist.) | $884.90 75% benefit $663.70 |
| 30250 | Parotid gland, total extirpation of, with preservation of facial nerve, including: (a) removal of tumour; and (b) exposure or mobilisation of facial nerve; other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H) (Anaes.) (Assist.) | $1,497.40 75% benefit $1,123.05 |
| 30251 | Recurrent parotid tumour, excision of, with preservation of facial nerve, including: (a) removal of tumour; and (b) exposure or mobilisation of facial nerve; other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H) (Anaes.) (Assist.) | $2,300.20 75% benefit $1,725.15 |
| 30253 | Parotid gland, superficial lobectomy of, with exposure of facial nerve, including: (a) removal of tumour; and (b) exposure or mobilisation of facial nerve; other than a service associated with a service to which item 39321, 39324, 39327 or 39330 applies (H) (Anaes.) (Assist.) | $998.30 75% benefit $748.75 |
| 30255 | SUBMANDIBULAR DUCTS, relocation of, for surgical control of drooling (Anaes.) (Assist.) | $1,329.35 75% benefit $997.05 |
| 30256 | Submandibular gland, extirpation of, other than a service associated with a service to which item 31423, 31426, 31429, 31432, 31435 or 31438 applies on the same side (H) (Anaes.) (Assist.) | $533.15 75% benefit $399.90 |
| 30257 | Sialendoscopy, of submandibular or parotid duct, with or without removal of calculus or treatment of stricture (Anaes.) | $598.40 75% benefit $448.80 85% benefit $508.65 |
| 30259 | Sublingual gland, extirpation of (H) (Anaes.) | $237.65 75% benefit $178.25 |
| 30262 | SALIVARY GLAND, DILATATION OR DIATHERMY of duct (Anaes.) | $70.40 75% benefit $52.80 85% benefit $59.85 |
| 30266 | Salivary gland, removal of calculus from duct or meatotomy or marsupialisation, 1 or more such procedures. (Anaes.) | $179.25 75% benefit $134.45 85% benefit $152.40 |
| 30269 | Salivary gland, repair of cutaneous fistula of (H) (Anaes.) | $179.25 75% benefit $134.45 |
| 30272 | Tongue, partial excision of (H) (Anaes.) (Assist.) | $353.90 75% benefit $265.45 |
| 30275 | Radical excision of intra oral tumour, with or without resection of mandible, including dissection of lymph glands of neck, unilateral, other than a service associated with a service to which item 31423, 31426, 31429, 31432, 31435 or 31438 applies on the same side (H) (Anaes.) (Assist.) | $2,109.80 75% benefit $1,582.35 |
| 30278 | Tongue tie, repair of, other than: (a) a service to which another item in this Subgroup applies; or (b) a service associated with a service to which item 45009 applies (Anaes.) | $55.60 75% benefit $41.70 85% benefit $47.30 |
| 30281 | Tongue tie, mandibular frenulum or maxillary frenulum, repair of, in a patient at least 2 years old, other than a service associated with a service to which item 45009 applies (Anaes.) | $142.95 75% benefit $107.25 85% benefit $121.55 |
| 30283 | RANULA OR MUCOUS CYST OF MOUTH, removal of (Anaes.) | $245.00 75% benefit $183.75 85% benefit $208.25 |
| 30286 | Branchial cyst, removal of, on a patient 10 years of age or over (H) (Anaes.) (Assist.) | $476.20 75% benefit $357.15 |
| 30287 | Branchial cyst, removal of, on a patient under 10 years of age (H) (Anaes.) (Assist.) | $619.15 75% benefit $464.40 |
| 30289 | Branchial fistula, removal of, on a patient 10 years of age or over (Anaes.) (Assist.) | $601.15 75% benefit $450.90 |
| 30293 | Cervical oesophagostomy, or closure of cervical oesophagostomy with or without plastic repair (H) (Anaes.) (Assist.) | $533.15 75% benefit $399.90 |
| 30294 | CERVICAL OESOPHAGECTOMY with tracheostomy and oesophagostomy, with or without plastic reconstruction; or LARYNGOPHARYNGECTOMY with tracheostomy and plastic reconstruction (Anaes.) (Assist.) | $2,109.80 75% benefit $1,582.35 |
| 30296 | THYROIDECTOMY, total (Anaes.) (Assist.) | $1,225.30 75% benefit $919.00 |
| 30297 | THYROIDECTOMY following previous thyroid surgery (Anaes.) (Assist.) | $1,225.30 75% benefit $919.00 |
| 30299 | Sentinel lymph node biopsy or biopsies for breast cancer, involving dissection in an axilla, using preoperative lymphoscintigraphy and/or lymphotropic dye injection (H) (Anaes.) (Assist.) | $850.05 75% benefit $637.55 |
| 30305 | Sentinel lymph node biopsy or biopsies for breast cancer, involving dissection along internal mammary chain (H) (Anaes.) (Assist.) | $850.10 75% benefit $637.60 |
| 30306 | TOTAL HEMITHYROIDECTOMY (Anaes.) (Assist.) | $955.85 75% benefit $716.90 |
| 30310 | Partial or subtotal thyroidectomy (Anaes.) (Assist.) | $955.85 75% benefit $716.90 |
| 30311 | Sentinel lymph node biopsy or biopsies for cutaneous melanoma, using preoperative lymphoscintigraphy and/or lymphotropic dye injection, if: (a) the primary lesion is greater than 1.0 mm in depth (or at least 0.8 mm in depth in the presence of ulceration); and (b) appropriate excision of the primary melanoma has occurred; and (c) the service is not associated with a service to which item 30075, 30078, 30299, 30305, 30329, 30332, 30618, 30820, 31423, 52025 or 52027 appliesApplicable to only one lesion per occasion on which the service is provided (H) (Anaes.) (Assist.) | $745.00 75% benefit $558.75 |
| 30314 | Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone, on a patient 10 years of age or over (Anaes.) (Assist.) | $547.35 75% benefit $410.55 |
| 30315 | Minimally invasive parathyroidectomy. Removal of 1 or more parathyroid adenoma through a small cervical incision for an image localised adenoma, including thymectomy. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30318, 30317 or 30320 applies. (Anaes.) (Assist.) | $1,364.35 75% benefit $1,023.30 |
| 30317 | Redo parathyroidectomy. Cervical re-exploration for persistent or recurrent hyperparathyroidism, including thymectomy and cervical exploration of the mediastinum. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30315, 30318 or 30320 applies. (Anaes.) (Assist.) | $1,633.60 75% benefit $1,225.20 |
| 30318 | Open parathyroidectomy, exploration and removal of 1 or more adenoma or hyperplastic glands via a cervical incision including thymectomy and cervical exploration of the mediastinum when performed. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30315, 30317 or 30320 applies. (Anaes.) (Assist.) | $1,364.35 75% benefit $1,023.30 |
| 30320 | Removal of a mediastinal parathyroid adenoma via sternotomy or mediastinal thorascopic approach. For any particular patient - applicable only once per occasion on which the service is provided. Not in association with a service to which item 30315, 30317 or 30318 applies. (Anaes.) (Assist.) | $1,633.60 75% benefit $1,225.20 |
| 30323 | Excision of phaeochromocytoma or extraadrenal paraganglioma via endoscopic or open approach. (Anaes.) (Assist.) | $1,633.60 75% benefit $1,225.20 |
| 30324 | Excision of an adrenocortical tumour or hyperplasia via endoscopic or open approach. (Anaes.) (Assist.) | $1,633.60 75% benefit $1,225.20 |
| 30326 | Thyroglossal cyst or fistula or both, radical removal of, including thyroglossal duct and portion of hyoid bone, on a patient under 10 years of age (Anaes.) (Assist.) | $711.65 75% benefit $533.75 |
| 30329 | LYMPH NODES of GROIN, limited excision of (Anaes.) | $295.55 75% benefit $221.70 85% benefit $251.25 |
| 30330 | LYMPH NODES of GROIN, radical excision of (Anaes.) (Assist.) | $860.25 75% benefit $645.20 |
| 30332 | Lymph nodes of axilla, limited excision of (H) (Anaes.) (Assist.) | $415.00 75% benefit $311.25 |
| 30336 | Lymph nodes of axilla, complete excision of (H) (Anaes.) (Assist.) | $1,245.05 75% benefit $933.80 |
| 30382 | Enterocutaneous fistula, repair of, if dissection and resection of bowel is performed, with or without anastomosis or formation of a stoma (H) (Anaes.) (Assist.) | $1,564.25 75% benefit $1,173.20 |
| 30384 | Open or minimally invasive excision of a retroperitoneal mass, 4 cm or greater in largest dimension, lasting more than 3 hours, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.) | $1,633.60 75% benefit $1,225.20 |
| 30385 | Unplanned return to theatre for laparotomy or laparoscopy for control or drainage of intra-abdominal haemorrhage following abdominal surgery (H) (Anaes.) (Assist.) | $674.30 75% benefit $505.75 |
| 30387 | Laparoscopy or laparotomy when an operation is performed on abdominal, retroperitoneal or pelvic viscera, excluding lymph node biopsy, other than a service to which another item in this Group applies (H) (Anaes.) (Assist.) | $760.00 75% benefit $570.00 |
| 30388 | Laparotomy for abdominal trauma, including control of haemorrhage (with or without packing) and containment of contamination (H) (Anaes.) (Assist.) | $1,274.80 75% benefit $956.10 |
| 30390 | Laparoscopy, diagnostic, with or without aspiration of fluid, on a patient 10 years of age or over, if no other intra-abdominal procedure is performed (H) (Anaes.) (Assist.) | $263.15 75% benefit $197.40 |
| 30392 | RADICAL OR DEBULKING OPERATION for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure (Anaes.) (Assist.) | $807.35 75% benefit $605.55 |
| 30396 | Laparotomy or laparoscopy for generalised intra-peritoneal sepsis (also known as peritonitis), with or without removal of foreign material or enteric contents, with lavage of the entire peritoneal cavity, with or without closure of the abdomen when performed by laparotomy (H) (Anaes.) (Assist.) | $1,216.70 75% benefit $912.55 |
| 30397 | Laparostomy, via wound previously made and left open or closed, including change of dressings or packs, with or without drainage of loculated collections (H) (Anaes.) | $278.05 75% benefit $208.55 |
| 30399 | Laparostomy, final closure of wound made at previous operation, after removal of dressings or packs (Anaes.) (Assist.) | $382.45 75% benefit $286.85 |
| 30400 | LAPAROTOMY WITH INSERTION OF PORTACATH for administration of cytotoxic therapy including placement of reservoir (Anaes.) (Assist.) | $757.00 75% benefit $567.75 |
| 30406 | PARACENTESIS ABDOMINIS (Anaes.) | $62.55 75% benefit $46.95 85% benefit $53.20 |
| 30408 | PERITONEOVENOUS shunt, insertion of (Anaes.) (Assist.) | $469.30 75% benefit $352.00 |
| 30409 | LIVER BIOPSY, percutaneous (Anaes.) | $208.75 75% benefit $156.60 85% benefit $177.45 |
| 30411 | LIVER BIOPSY by wedge excision when performed in conjunction with another intraabdominal procedure (Anaes.) | $106.30 75% benefit $79.75 |
| 30412 | Liver biopsy by core needle, when performed in conjunction with another intra‑abdominal procedure (H) (Anaes.) | $62.70 75% benefit $47.05 |
| 30414 | LIVER, subsegmental resection of, (local excision), other than for trauma (Anaes.) (Assist.) | $825.65 75% benefit $619.25 |
| 30415 | LIVER, segmental resection of, other than for trauma (Anaes.) (Assist.) | $1,651.05 75% benefit $1,238.30 |
| 30416 | Liver cysts, greater than 5 cm in diameter, marsupialisation of 4 or less (Anaes.) (Assist.) | $896.40 75% benefit $672.30 |
| 30417 | Liver cysts, greater than 5 cm in diameter, marsupialisation of 5 or more (Anaes.) (Assist.) | $1,344.55 75% benefit $1,008.45 |
| 30418 | LIVER, lobectomy of, other than for trauma (Anaes.) (Assist.) | $1,912.15 75% benefit $1,434.15 |
| 30419 | Liver tumour, other than a hepatocellular carcinoma, destruction of one or more, by local ablation, other than a service associated with a service to which item 50950 or 50952 applies (H) (Anaes.) (Assist.) | $978.00 75% benefit $733.50 |
| 30421 | Liver, extended lobectomy of, or central resections of segments 4, 5 and 8, other than for trauma (Anaes.) (Assist.) | $2,389.75 75% benefit $1,792.35 |
| 30422 | LIVER, repair of superficial laceration of, for trauma (Anaes.) (Assist.) | $808.30 75% benefit $606.25 |
| 30425 | LIVER, repair of deep multiple lacerations of, or debridement of, for trauma (Anaes.) (Assist.) | $1,564.25 75% benefit $1,173.20 |
| 30427 | LIVER, segmental resection of, for trauma (Anaes.) (Assist.) | $1,868.40 75% benefit $1,401.30 |
| 30428 | Liver, lobectomy of, for trauma (H) (Anaes.) (Assist.) | $1,998.80 75% benefit $1,499.10 |
| 30430 | Liver, extended lobectomy of, or central resections of segments 4, 5 and 8, for trauma (H) (Anaes.) (Assist.) | $2,780.65 75% benefit $2,085.50 |
| 30431 | Liver abscess, single, open or minimally invasive abdominal drainage of, excluding aftercare (H) (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 30433 | Liver abscess, multiple, open or minimally invasive abdominal drainage of, excluding aftercare (Anaes.) (Assist.) | $869.00 75% benefit $651.75 |
| 30439 | Intraoperative ultrasound of biliary tract, or operative cholangiography, if the service: (a) is performed in association with an intra-abdominal procedure; and (b) is not associated with a service to which item 30442 or 30445 applies (Anaes.) (Assist.) | $222.10 75% benefit $166.60 |
| 30440 | Cholangiogram, percutaneous transhepatic, and insertion of biliary drainage tube, using interventional imaging techniques, other than a service associated with a service to which item 30451 applies (H) (Anaes.) (Assist.) | $630.05 75% benefit $472.55 |
| 30441 | Intraoperative ultrasound for staging of intra-abdominal tumours (Anaes.) | $163.15 75% benefit $122.40 |
| 30442 | CHOLEDOCHOSCOPY in conjunction with another procedure (Anaes.) | $222.10 75% benefit $166.60 |
| 30443 | Cholecystectomy, by any approach, without cholangiogram (Anaes.) (Assist.) | $768.90 75% benefit $576.70 |
| 30445 | Cholecystectomy, by any approach, with attempted or completed cholangiogram or intraoperative ultrasound of the biliary system, when performed via laparoscopic or open approach or when conversion from laparoscopic to open approach is required (Anaes.) (Assist.) | $995.95 75% benefit $747.00 |
| 30448 | Cholecystectomy, by any approach, involving removal of common duct calculi via the cystic duct, with or without stent insertion (Anaes.) (Assist.) | $1,164.55 75% benefit $873.45 |
| 30449 | Cholecystectomy with removal of common duct calculi via choledochotomy, by any approach, with or without insertion of a stent (Anaes.) (Assist.) | $1,294.85 75% benefit $971.15 |
| 30450 | Calculus of biliary tract, extraction of, using interventional imaging techniques (H) (Anaes.) (Assist.) | $627.65 75% benefit $470.75 |
| 30451 | Biliary drainage tube, exchange of, using interventional imaging techniques, other than a service associated with a service to which item 30440 applies (Anaes.) (Assist.) | $320.35 75% benefit $240.30 85% benefit $272.30 |
| 30452 | CHOLEDOCHOSCOPY with balloon dilation of a stricture or passage of stent or extraction of calculi (Anaes.) (Assist.) | $451.80 75% benefit $338.85 |
| 30454 | Choledochotomy without cholecystectomy, with or without removal of calculi (Anaes.) (Assist.) | $1,577.80 75% benefit $1,183.35 |
| 30455 | Choledochotomy with cholecystectomy, with removal of calculi, including biliary intestinal anastomosis (Anaes.) (Assist.) | $1,577.80 75% benefit $1,183.35 |
| 30457 | Choledochotomy, intrahepatic, involving removal of intrahepatic bile duct calculi (H) (Anaes.) (Assist.) | $1,651.05 75% benefit $1,238.30 |
| 30458 | TRANSDUODENAL OPERATION ON SPHINCTER OF ODDI, involving 1 or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy (Anaes.) (Assist.) | $1,213.65 75% benefit $910.25 |
| 30460 | CHOLECYSTODUODENOSTOMY, CHOLECYSTOENTEROSTOMY, CHOLEDOCHOJEJUNOSTOMY or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (Anaes.) (Assist.) | $1,032.30 75% benefit $774.25 |
| 30461 | Radical resection of porta hepatis (including associated neuro-lymphatic tissue), for cancer, suspected cancer or choledochal cyst, including bile duct excision and biliary-enteric anastomoses, other than a service associated with a service to which item 30440, 30451 or 31454 applies (Anaes.) (Assist.) | $1,769.45 75% benefit $1,327.10 |
| 30463 | Radical resection of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses, for cancer, suspected cancer or choledochal cyst (Anaes.) (Assist.) | $2,172.65 75% benefit $1,629.50 |
| 30464 | Radical resection of common hepatic duct and right and left hepatic ducts, for cancer, suspected cancer or choledochal cyst, involving either or both of the following:(a) more than 2 anastomoses;(b) resection of segment (or major portion of segment) of liver; (Anaes.) (Assist.) | $2,607.10 75% benefit $1,955.35 |
| 30469 | Biliary stricture, repair of, after one or more operations on the biliary tree (H) (Anaes.) (Assist.) | $2,059.75 75% benefit $1,544.85 |
| 30472 | Repair of bile duct injury, including immediate reconstruction, other than a service associated with a service to which item 30584 applies (Anaes.) (Assist.) | $1,595.40 75% benefit $1,196.55 |
| 30473 | Oesophagoscopy (not being a service associated with a service to which item 41822 applies), gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with or without biopsy, not being a service associated with a service to which item 30478 or 30479 applies. (Anaes.) | $211.95 75% benefit $159.00 85% benefit $180.20 |
| 30475 | Endoscopic dilatation of stricture of upper gastrointestinal tract (including the use of imaging intensification if clinically indicated) (H) (Anaes.) | $417.70 75% benefit $313.30 |
| 30478 | Oesophagoscopy (other than a service associated with a service to which item 41822 or 41825 applies), gastroscopy, duodenoscopy, panendoscopy or push enteroscopy, one or more such procedures, if: (a) the procedures are performed using one or more of the following endoscopic procedures: (i) polypectomy; (ii) sclerosing or adrenalin injections; (iii) banding; (iv) endoscopic clips; (v) haemostatic powders; (vi) diathermy; (vii) argon plasma coagulation; and (b) the procedures are for the treatment of one or more of the following: (i) upper gastrointestinal tract bleeding; (ii) polyps; (iii) removal of foreign body; (iv) oesophageal or gastric varices; (v) peptic ulcers; (vi) neoplasia; (vii) benign vascular lesions; (viii) strictures of the gastrointestinal tract; (ix) tumorous overgrowth through or over oesophageal stents; other than a service associated with a service to which item 30473 or 30479 applies (H) (Anaes.) | $293.95 75% benefit $220.50 |
| 30479 | Endoscopy with laser therapy, for the treatment of one or more of the following: (a) neoplasia; (b) benign vascular lesions; (c) strictures of the gastrointestinal tract; (d) tumorous overgrowth through or over oesophageal stents; (e) peptic ulcers; (f) angiodysplasia; (g) gastric antral vascular ectasia; (h) post-polypectomy bleeding; other than a service associated with a service to which item 30473 or 30478 applies (Anaes.) | $569.80 75% benefit $427.35 85% benefit $484.35 |
| 30481 | Percutaneous gastrostomy (initial procedure): (a) including any associated imaging services; and (b) excluding the insertion of a device for the purpose of facilitating weight loss (H) (Anaes.) | $427.30 75% benefit $320.50 |
| 30482 | PERCUTANEOUS GASTROSTOMY (repeat procedure): (a) including any associated imaging services; and (b) excluding the insertion of a device for the purpose of facilitating weight loss (Anaes.) | $303.85 75% benefit $227.90 85% benefit $258.30 |
| 30483 | Gastrostomy button, caecostomy antegrade enema device (chait etc.) or stomal indwelling device: (a) non-endoscopic insertion of; or (b) non-endoscopic replacement of; on a patient 10 years of age or over, excluding the insertion of a device for the purpose of facilitating weight loss (Anaes.) | $211.90 75% benefit $158.95 85% benefit $180.15 |
| 30484 | Endoscopic retrograde cholangiopancreatography, other than a service to which item 30664 or 30665 applies (H) (Anaes.) | $436.80 75% benefit $327.60 |
| 30485 | Endoscopic sphincterotomy with or without extraction of stones from common bile duct (H) (Anaes.) | $674.30 75% benefit $505.75 |
| 30488 | Small bowel intubation—as an independent procedure (H) (Anaes.) | $107.75 75% benefit $80.85 |
| 30490 | Oesophageal prosthesis, insertion of, including endoscopy and dilatation (H) (Anaes.) | $630.05 75% benefit $472.55 |
| 30491 | Bile duct, endoscopic stenting of (including endoscopy and dilatation) (H) (Anaes.) | $664.75 75% benefit $498.60 |
| 30492 | Bile duct, percutaneous stenting of (including dilatation when performed), using interventional imaging techniques (H) (Anaes.) | $942.35 75% benefit $706.80 |
| 30494 | ENDOSCOPIC BILIARY DILATATION (Anaes.) | $503.30 75% benefit $377.50 |
| 30495 | Percutaneous biliary dilatation for biliary stricture using interventional imaging techniques (H) (Anaes.) | $942.35 75% benefit $706.80 |
| 30515 | Gastroenterostomy (including gastroduodenostomy), enterocolostomy or enteroenterostomy, as an independent procedure or in combination with another procedure, only if required for irresectable obstruction, other than a service to which any of items 31569 to 31581 apply (Anaes.) (Assist.) | $843.05 75% benefit $632.30 |
| 30517 | Revision of gastroenterostomy, pyloroplasty or gastroduodenostomy (Anaes.) (Assist.) | $1,103.75 75% benefit $827.85 |
| 30518 | Partial gastrectomy, not being a service associated with a service to which any of items 31569 to 31581 apply (Anaes.) (Assist.) | $1,181.95 75% benefit $886.50 |
| 30520 | Gastric tumour, 2 cm or greater in diameter, removal of, by local excision, by laparoscopic or open approach, including any associated anastomosis, excluding polypectomy, other than a service to which item 30518 applies (Anaes.) (Assist.) | $1,016.90 75% benefit $762.70 |
| 30521 | GASTRECTOMY, TOTAL, for benign disease (Anaes.) (Assist.) | $1,729.30 75% benefit $1,297.00 |
| 30526 | Gastrectomy, total, and removal of lower oesophagus, performed by open or minimally invasive approach, with anastomosis in the mediastinum, including any of the following (if performed):(a) distal pancreatectomy;(b) nodal dissection;(c) splenectomy (Anaes.) (Assist.) | $2,580.85 75% benefit $1,935.65 |
| 30529 | ANTIREFLUX operation by fundoplasty, with OESOPHAGOPLASTY for stricture or short oesophagus (Anaes.) (Assist.) | $1,564.25 75% benefit $1,173.20 |
| 30530 | ANTIREFLUX operation by cardiopexy, with or without fundoplasty (Anaes.) (Assist.) | $938.65 75% benefit $704.00 |
| 30532 | Oesophagogastric myotomy (Heller’s operation) by endoscopic, abdominal or thoracic approach, whether performed by open or minimally invasive approach, including fundoplication when performed laparoscopically (Anaes.) (Assist.) | $1,077.70 75% benefit $808.30 |
| 30533 | OESOPHAGOGASTRIC MYOTOMY (Heller's operation) via abdominal or thoracic approach, WITH FUNDOPLASTY, with or without closure of the diaphragmatic hiatus, by laparoscopy or open operation (Anaes.) (Assist.) | $1,281.90 75% benefit $961.45 |
| 30559 | Oesophagus, local excision for tumour of (H) (Anaes.) (Assist.) | $1,016.90 75% benefit $762.70 |
| 30560 | Oesophageal perforation, repair of, by abdominal or thoracic approach, including thoracic drainage (Anaes.) (Assist.) | $1,129.55 75% benefit $847.20 |
| 30562 | Enterostomy or colostomy, closure of (not involving resection of bowel), on a patient 10 years of age or over (Anaes.) (Assist.) | $712.05 75% benefit $534.05 |
| 30563 | Colostomy or ileostomy, refashioning of, on a patient 10 years of age or over (H) (Anaes.) (Assist.) | $712.05 75% benefit $534.05 |
| 30565 | SMALL INTESTINE, resection of, without anastomosis (including formation of stoma) (Anaes.) (Assist.) | $1,042.85 75% benefit $782.15 |
| 30574 | NOTE: Multiple Operation and Multiple Anaesthetic rules apply to this item Appendicectomy, when performed in conjunction with another intra-abdominal procedure and during which a specimen is collected and sent for pathological testing (Anaes.) | $73.75 75% benefit $55.35 |
| 30577 | Initial pancreatic necrosectomy by open, laparoscopic or endoscopic approach, excluding aftercare (Anaes.) (Assist.) | $1,303.65 75% benefit $977.75 |
| 30583 | Distal pancreatectomy with splenic preservation, by open or minimally invasive approach (Anaes.) (Assist.) | $1,860.45 75% benefit $1,395.35 |
| 30584 | Pancreatico duodenectomy (Whipple’s procedure), with or without preservation of pylorus, including any of the following (if performed):(a) cholecystectomy;(b) pancreatico-biliary anastomosis;(c) gastro-jejunal anastomosis (Anaes.) (Assist.) | $3,590.65 75% benefit $2,693.00 |
| 30589 | PANCREATICO-JEJUNOSTOMY for pancreatitis or trauma (Anaes.) (Assist.) | $1,497.40 75% benefit $1,123.05 |
| 30590 | PANCREATICO-JEJUNOSTOMY following previous pancreatic surgery (Anaes.) (Assist.) | $1,651.05 75% benefit $1,238.30 |
| 30593 | Pancreatectomy, near total or total (including duodenum), with or without splenectomy (H) (Anaes.) (Assist.) | $2,259.40 75% benefit $1,694.55 |
| 30594 | PANCREATECTOMY for pancreatitis following previously attempted drainage procedure or partial resection (Anaes.) (Assist.) | $2,607.10 75% benefit $1,955.35 |
| 30596 | SPLENORRHAPHY OR PARTIAL SPLENECTOMY (Anaes.) (Assist.) | $1,073.95 75% benefit $805.50 |
| 30599 | SPLENECTOMY, for massive spleen (weighing more than 1500 grams) or involving thoraco-abdominal incision (Anaes.) (Assist.) | $1,564.25 75% benefit $1,173.20 |
| 30600 | Emergency repair of diaphragmatic laceration or hernia, following recent trauma, by any approach, including when performed in conjunction with another procedure indicated as a result of abdominal or chest trauma (Anaes.) (Assist.) | $930.15 75% benefit $697.65 |
| 30601 | Diaphragmatic hernia, congenital, or delayed presentation of traumatic rupture, repair of, by thoracic or abdominal approach, on a patient 10 years of age or over, other than a service to which any of items 31569 to 31581 apply (Anaes.) (Assist.) | $1,145.90 75% benefit $859.45 |
| 30606 | PORTAL HYPERTENSION, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (Anaes.) (Assist.) | $1,329.50 75% benefit $997.15 |
| 30608 | Small intestine, resection of, with anastomosis, on a patient under 10 years of age (Anaes.) (Assist.) | $1,506.00 75% benefit $1,129.50 |
| 30611 | Benign tumour of soft tissue (other than tumours of skin, cartilage and bone, simple lipomas covered by item 31345 and lipomata), removal of, by surgical excision, on a patient under 10 years of age, if the specimen excised is sent for histological confirmation of diagnosis, other than a service to which another item in this Group applies (Anaes.) (Assist.) | $674.35 75% benefit $505.80 85% benefit $573.20 |
| 30615 | Strangulated, incarcerated or obstructed hernia, repair of, without bowel resection, on a patient 10 years of age or over (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 30618 | Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient under 10 years of age (H) (Anaes.) (Assist.) | $625.10 75% benefit $468.85 |
| 30619 | Laparoscopic splenectomy, on a patient under 10 years of age (Anaes.) (Assist.) | $1,120.65 75% benefit $840.50 |
| 30621 | Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other repair, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service to which item 30651, 30655, 38365, 38467, 38477, 38484, 38485, 38490, 38493, 38499, 38502, 38510, 38512, 38513, 38515, 38516, 38517, 38519, 38550, 38553, 38554, 38555, 38557, 38670, 38703, 38742 or 38764 applies (H) (Anaes.) (Assist.) | $487.75 75% benefit $365.85 |
| 30622 | Caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel’s diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty or drainage of pancreas, on a patient under 10 years of age (Anaes.) (Assist.) | $811.15 75% benefit $608.40 |
| 30623 | Laparotomy involving division of peritoneal adhesions (if no other intra-abdominal procedure is performed), on a patient under 10 years of age (Anaes.) (Assist.) | $811.15 75% benefit $608.40 |
| 30626 | Laparotomy involving division of adhesions in association with another intra-abdominal procedure if the time taken to divide the adhesions is between 45 minutes and 2 hours, on a patient under 10 years of age (Anaes.) (Assist.) | $814.90 75% benefit $611.20 |
| 30627 | Laparoscopy, diagnostic, if no other intra-abdominal procedure is performed, on a patient under 10 years of age (H) (Anaes.) | $342.20 75% benefit $256.65 |
| 30628 | HYDROCELE, tapping of | $42.60 75% benefit $31.95 85% benefit $36.25 |
| 30629 | Orchidectomy, radical, including spermatic cord, unilateral, for tumour, inguinal approach, without insertion of testicular prosthesis, other than a service associated with a service to which item 30631, 30635, 30641, 30643 or 30644 applies (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 30630 | Insertion of testicular prosthesis, at least 6 months following orchidectomy (H) (Anaes.) (Assist.) | $567.05 75% benefit $425.30 |
| 30631 | Hydrocele, removal of, other than a service associated with a service to which item 30641, 30642 or 30644 applies (H) (Anaes.) | $283.25 75% benefit $212.45 |
| 30635 | Varicocele, surgical correction of, including microsurgical techniques, other than a service associated with a service to which item 30390, 30627, 30641, 30642 or 30644 applies—one procedure (Anaes.) (Assist.) | $349.25 75% benefit $261.95 |
| 30636 | Gastrostomy button, caecostomy antegrade enema device (chait etc.) or stomal indwelling device, non-endoscopic insertion of, or non-endoscopic replacement of, on a patient under 10 years of age (Anaes.) | $279.10 75% benefit $209.35 85% benefit $237.25 |
| 30637 | Enterostomy or colostomy, closure of (not involving resection of bowel), on a patient under 10 years of age (Anaes.) (Assist.) | $925.90 75% benefit $694.45 |
| 30639 | Colostomy or ileostomy, refashioning of, on a patient under 10 years of age (H) (Anaes.) (Assist.) | $925.90 75% benefit $694.45 |
| 30640 | Repair of large and irreducible scrotal hernia, if surgery exceeds 2 hours, in a patient 10 years of age or over, other than a service to which item 30615, 30621, 30648, 30651 or 30655 applies (Anaes.) (Assist.) | $1,095.10 75% benefit $821.35 |
| 30641 | Orchidectomy, simple or subcapsular, unilateral with or without insertion of testicular prosthesis (H) (Anaes.) (Assist.) | $487.75 75% benefit $365.85 |
| 30642 | Orchidectomy, radical, including spermatic cord, unilateral, for tumour, inguinal approach, with insertion of testicular prosthesis, other than a service associated with a service to which item 30631, 30635, 30641, 30643, 30644 or 45051 applies (Anaes.) (Assist.) | $907.45 75% benefit $680.60 |
| 30643 | Exploration of spermatic cord, inguinal approach, with or without testicular biopsy, with or without excision of spermatic cord lesion, for a patient under 10 years of age, other than a service associated with a service to which item 30629, 30630 or 30642 applies (Anaes.) (Assist.) | $811.15 75% benefit $608.40 |
| 30644 | Exploration of spermatic cord, inguinal approach, with or without testicular biopsy, with or without excision of spermatic cord lesion, for a patient at least 10 years of age, other than a service associated with a service to which item 30629, 30630 or 30642 applies (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 30645 | Appendicectomy, on a patient under 10 years of age, other than a service to which item 30574 applies (Anaes.) (Assist.) | $692.95 75% benefit $519.75 |
| 30646 | Laparoscopic appendicectomy, on a patient under 10 years of age (Anaes.) (Assist.) | $692.95 75% benefit $519.75 |
| 30648 | Femoral or inguinal hernia or infantile hydrocele, repair of, by open or minimally invasive approach, on a patient 10 years of age or over, other than a service to which item 30615 or 30651 applies (Anaes.) (Assist.) | $556.05 75% benefit $417.05 |
| 30649 | Haemorrhage, arrest of, following circumcision requiring general anaesthesia, on a patient under 10 years of age (H) (Anaes.) | $224.65 75% benefit $168.50 |
| 30651 | Ventral hernia repair involving primary fascial closure by suture, with or without onlay mesh or insertion of intraperitoneal onlay mesh repair, without closure of the defect or advancement of the rectus muscle toward the midline, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service associated with a service to which item 30175, 30621, 30655 or 30657 applies (H) (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 30652 | Recurrent groin hernia regardless of size of defect, repair of, with or without mesh, by open or minimally invasive approach, in a patient 10 years of age or over (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 30654 | Circumcision of the penis, with topical or local analgesia, other than a service to which item 30658 applies | $55.60 75% benefit $41.70 85% benefit $47.30 |
| 30655 | Ventral hernia, repair of, with advancement of the rectus muscles to the midline using a retro-rectus, pre-peritoneal or sublay technique, by open or minimally invasive approach, in a patient 10 years of age or over, other than a service associated with a service to which item 30175, 30621 or 30651 applies (H) (Anaes.) (Assist.) | $1,095.10 75% benefit $821.35 |
| 30657 | Unilateral abdominal wall reconstruction with component separation, including transversus abdominus release and external oblique release for abdominal wall closure by mobilising the rectus abdominis muscles to the midline, by open or minimally invasive approach (Anaes.) (Assist.) | $1,559.40 75% benefit $1,169.55 |
| 30658 | Circumcision of the penis, when performed under general or regional anaesthesia and in conjunction with a service to which an item in Group T7 or Group T10 applies (Anaes.) | $169.90 75% benefit $127.45 85% benefit $144.45 |
| 30661 | Minor surgical repair following a complication from the circumcision of a penis, when performed in conjunction with a service to which an item in Group T7 or Group T10 applies, other than a service associated with a service to which item 45206 applies (H) (Anaes.) | $459.15 75% benefit $344.40 |
| 30662 | Complex surgical repair following a complication from the circumcision of a penis, including single stage local flap, if indicated, to repair one defect, on genitals (other than a service associated with a service to which item 37819, 37822, 45200, 45201, 45202, 45203 or 45206 applies) (H) (Anaes.) (Assist.) | $918.05 75% benefit $688.55 |
| 30663 | Haemorrhage, arrest of, following circumcision requiring general anaesthesia, on a patient 10 years of age or over (H) (Anaes.) | $172.80 75% benefit $129.60 |
| 30664 | Endoscopic retrograde cholangiopancreatography (ERCP), with single operator, single use peroral cholangiopancreatoscopy (POCPS) and biopsy, for the diagnosis of biliary strictures for a patient for whom: (a) a previous ERCP service has been provided; and (b) results from guided brush cytology or intraductal biopsy (or both) are indeterminate Applicable not more than 2 times in a 12 month period, or not more than 3 times in a 12 month period if the patient has been diagnosed with primary sclerosing cholangitis (PSC) (H) (Anaes.) (Assist.) | $700.70 75% benefit $525.55 |
| 30665 | Endoscopic retrograde cholangiopancreatography (ERCP), with single operator, single use peroral cholangiopancreatoscopy (POCPS) and electrohydraulic or laser lithotripsy for the removal of biliary stones that are: (a) greater than 10mm in diameter; or (b) proximal to a stricture; for a patient for whom there has been at least one failed attempt at removal via ERCP extraction techniques Applicable not more than 2 times per treatment cycle (H) (Anaes.) (Assist.) | $980.15 75% benefit $735.15 |
| 30666 | Paraphimosis or phimosis, reduction of, under general anaesthesia, with or without dorsal incision, other than a service associated with a service to which another item in this Group applies (H) (Anaes.) | $56.80 75% benefit $42.60 |
| 30672 | COCCYX, excision of (Anaes.) (Assist.) | $533.15 75% benefit $399.90 |
| 30676 | Pilonidal sinus or cyst, or sacral sinus or cyst, definitive excision of (H) (Anaes.) | $453.70 75% benefit $340.30 |
| 30679 | Pilonidal sinus, injection of sclerosant fluid under anaesthesia (H) (Anaes.) | $115.25 75% benefit $86.45 |
| 30680 | Balloon enteroscopy, examination of the small bowel (oral approach), with or without biopsy, without intraprocedural therapy, for diagnosis of patients with obscure gastrointestinal bleeding if the patient: (a) has recurrent or persistent bleeding; and (b) is anaemic or has active bleeding; and (c) has had an upper gastrointestinal endoscopy and a colonoscopy performed that did not identify the cause of the bleeding; not in association with another item in this Subgroup (other than item 30682 or 30686) (H) (Anaes.) | $1,400.40 75% benefit $1,050.30 |
| 30682 | Balloon enteroscopy, examination of the small bowel (anal approach), with or without biopsy, without intraprocedural therapy, for diagnosis of patients with obscure gastrointestinal bleeding if the patient: (a) has recurrent or persistent bleeding; and (b) is anaemic or has active bleeding; and (c) has had an upper gastrointestinal endoscopy and a colonoscopy performed that did not identify the cause of the bleeding; not in association with another item in this Subgroup (other than item 30680 or 30684) (H) (Anaes.) | $1,400.40 75% benefit $1,050.30 |
| 30684 | Balloon enteroscopy, examination of the small bowel (oral approach), with or without biopsy, with one or more of the following procedures—snare polypectomy, removal of foreign body, diathermy, heater probe, laser coagulation or argon plasma coagulation, for diagnosis and management of patients with obscure gastrointestinal bleeding if the patient: (a) has recurrent or persistent bleeding; and (b) is anaemic or has active bleeding; and (c) has had an upper gastrointestinal endoscopy and a colonoscopy performed that did not identify the cause of the bleeding; not in association with another item in this Subgroup (other than item 30682 or 30686) (H) (Anaes.) | $1,723.30 75% benefit $1,292.50 |
| 30686 | Balloon enteroscopy, examination of the small bowel (anal approach), with or without biopsy, with one or more of the following procedures—snare polypectomy, removal of foreign body, diathermy, heater probe, laser coagulation or argon plasma coagulation, for diagnosis and management of patients with obscure gastrointestinal bleeding if the patient: (a) has recurrent or persistent bleeding; and (b) is anaemic or has active bleeding; and (c) has had an upper gastrointestinal endoscopy and a colonoscopy performed that did not identify the cause of the bleeding; not in association with another item in this Subgroup (other than item 30680 or 30684) (H) (Anaes.) | $1,723.30 75% benefit $1,292.50 |
| 30687 | Endoscopy with radiofrequency ablation of mucosal metaplasia for the treatment of Barrett’s Oesophagus in a single course of treatment, following diagnosis of high grade dysplasia confirmed by histological examination (H) (Anaes.) | $569.80 75% benefit $427.35 |
| 30688 | Endoscopic ultrasound (endoscopy with ultrasound imaging), with or without biopsy, for the staging of one or more of oesophageal, gastric or pancreatic cancer, not in association with another item in this Subgroup (other than item 30484, 30485, 30491 or 30494) and other than a service associated with the routine monitoring of chronic pancreatitis (H) (Anaes.) | $436.80 75% benefit $327.60 |
| 30690 | Endoscopic ultrasound (endoscopy with ultrasound imaging), with or without biopsy, with fine needle aspiration (including aspiration of the locoregional lymph nodes if performed, for the staging of one or more of oesophageal, gastric or pancreatic cancer), not in association with another item in this Subgroup (other than item 30484, 30485, 30491 or 30494) and other than a service associated with the routine monitoring of chronic pancreatitis (H) (Anaes.) | $674.30 75% benefit $505.75 |
| 30692 | Endoscopic ultrasound (endoscopy with ultrasound imaging), with or without biopsy, for the diagnosis of one or more of pancreatic, biliary or gastric submucosal tumours, not in association with another item in this Subgroup (other than item 30484, 30485, 30491 or 30494) and other than a service associated with the routine monitoring of chronic pancreatitis (H) (Anaes.) | $436.80 75% benefit $327.60 |
| 30694 | Endoscopic ultrasound (endoscopy with ultrasound imaging), with or without biopsy, with fine needle aspiration for the diagnosis of one or more of pancreatic, biliary or gastric submucosal tumours, not in association with another item in this Subgroup (other than item 30484, 30485, 30491 or 30494) and other than a service associated with the routine monitoring of chronic pancreatitis (H) (Anaes.) | $674.30 75% benefit $505.75 |
| 30720 | Appendicectomy, on a patient 10 years of age or over, whether performed by:(a) laparoscopy or right iliac fossa open incision; or(b) conversion of a laparoscopy to an open right iliac fossa incision;other than a service to which item 30574 applies (Anaes.) (Assist.) | $533.15 75% benefit $399.90 |
| 30721 | Laparotomy or laparoscopy, or laparoscopy converted to laparotomy, with or without associated biopsies, including the division of adhesions (if performed, but only if the time taken to divide adhesions is 45 minutes or less), if no other intra-abdominal procedure is performed (Anaes.) (Assist.) | $578.40 75% benefit $433.80 |
| 30722 | Laparotomy or laparoscopy, on a patient 10 years of age or over, including any of the following procedures (if performed, and including division of one or more adhesions, but only if the time taken to divide the adhesions is 45 minutes or less): (a) colostomy; (b) colotomy; (c) cholecystostomy; (d) enterostomy; (e) enterotomy; (f) gastrostomy; (g) gastrotomy; (h) caecostomy; (i) gastric fixation by cardiopexy; (j) reduction of intussusception; (k) simple repair of ruptured viscus (including perforated peptic ulcer); (l) reduction of volvulus; (m) drainage of pancreas (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 30723 | Laparotomy, laparoscopy or extra-peritoneal approach, for drainage of an intra-abdominal, pancreatic or retroperitoneal collection or abscess (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 30724 | Laparotomy or laparoscopy with division of adhesions, lasting more than 45 minutes but less than 2 hours, performed either:(a) as a primary procedure; or(b) when the division of adhesions is performed in conjunction with another primary procedure—to provide access to a surgical field (but excluding mobilisation or normal anatomical dissection of the organ or structure for which the primary procedure is being carried out) (Anaes.) (Assist.) | $626.85 75% benefit $470.15 |
| 30725 | Laparotomy or laparoscopy for intestinal obstruction or division of extensive, complex adhesions, lasting 2 hours or more, performed either:a) as a primary procedure; orb) when the division of adhesions is performed in conjunction with another procedure—to provide access to a surgical field, but excluding mobilisation or normal anatomical dissection of the organ or structure for which the other procedure is being carried out (Anaes.) (Assist.) | $1,110.90 75% benefit $833.20 |
| 30730 | Small intestine, resection of, including either of the following:(a) a small bowel diverticulum (such as Meckel’s procedure) with anastomosis;(b) stricturoplasty (Anaes.) (Assist.) | $1,158.45 75% benefit $868.85 |
| 30731 | Intraoperative enterotomy for visualisation of the small intestine by endoscopy, including endoscopic examination using a flexible endoscope, with or without biopsies (Anaes.) (Assist.) | $869.00 75% benefit $651.75 |
| 30732 | Peritonectomy, lasting more than 5 hours, including hyperthermic intra-peritoneal chemotherapy (Anaes.) (Assist.) | $4,757.75 75% benefit $3,568.35 |
| 30750 | Oesophagectomy with colon or jejunal interposition graft, by any approach, including:(a) any gastrointestinal anastomoses (except vascular anastomoses); and(b) anastomoses in the chest or neck (if appropriate)One surgeon (Anaes.) (Assist.) | $2,468.35 75% benefit $1,851.30 |
| 30751 | Oesophagectomy with colon or jejunal interposition graft, by any approach, including:(a) any gastrointestinal anastomoses (except vascular anastomoses); and(b) anastomoses in the chest or neck (if appropriate)Conjoint surgery, principal surgeon (Anaes.) (Assist.) | $2,468.35 75% benefit $1,851.30 |
| 30752 | Oesophagectomy with colon or jejunal interposition graft, by any approach, including:(a) any gastrointestinal anastomoses (except vascular anastomoses); and(b) anastomoses in the chest or neck (if appropriate)Conjoint surgery, co-surgeon (Anaes.) (Assist.) | $1,851.20 75% benefit $1,388.40 |
| 30753 | Oesophagectomy, by any approach, including:(a) gastric reconstruction by abdominal mobilisation, thoracotomy or thoracoscopy; and(b) anastomosis in the neck or chestOne surgeon (Anaes.) (Assist.) | $2,059.75 75% benefit $1,544.85 |
| 30754 | Oesophagectomy, by any approach, including:(a) gastric reconstruction by abdominal mobilisation, thoracotomy or thoracoscopy; and(b) anastomosis in the neck or chestConjoint surgery, principal surgeon (Anaes.) (Assist.) | $2,059.75 75% benefit $1,544.85 |
| 30755 | Oesophagectomy by any approach, including:(a) gastric reconstruction by abdominal mobilisation, thoracotomy or thoracoscopy; and(b) anastomosis in the neck or chestConjoint surgery, co-surgeon (Anaes.) (Assist.) | $1,544.80 75% benefit $1,158.60 |
| 30756 | Antireflux operation by fundoplasty, with or without cardiopexy, by any approach, with or without closure of the diaphragmatic hiatus, other than a service to which item 30601 applies (Anaes.) (Assist.) | $1,042.85 75% benefit $782.15 |
| 30760 | Vagotomy, with or without gastroenterostomy, pyloroplasty or other drainage procedure (Anaes.) (Assist.) | $703.95 75% benefit $528.00 |
| 30761 | Bleeding peptic ulcer, control of, by laparoscopy or laparotomy, involving suture of bleeding point or wedge excision (with or without gastric resection), including either of the following (if performed):(a) vagotomy and pyloroplasty;(b) gastroenterostomy (Anaes.) (Assist.) | $908.15 75% benefit $681.15 |
| 30762 | Gastrectomy, subtotal or total radical, for carcinoma, by open or minimally invasive approach, including all necessary anastomoses, including either or both of the following (if performed):(a) extended lymph node dissection;(b) splenectomy (Anaes.) (Assist.) | $1,990.10 75% benefit $1,492.60 |
| 30763 | Gastric tumour, 2cm or greater in diameter, removal of, by local excision, by endoscopic approach, including any required anastomosis, excluding polypectomy, other than a service to which item 30518 applies (Anaes.) (Assist.) | $808.30 75% benefit $606.25 |
| 30770 | Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty (Anaes.) (Assist.) | $1,001.00 75% benefit $750.75 |
| 30771 | Portal hypertension, porto-caval, meso-caval or selective spleno-renal shunt for (Anaes.) (Assist.) | $2,019.00 75% benefit $1,514.25 |
| 30780 | Intrahepatic biliary bypass of left or right hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes.) (Assist.) | $1,681.50 75% benefit $1,261.15 |
| 30790 | Pancreatic cyst anastomosis to stomach, duodenum or small intestine, by endoscopic, open or minimally invasive approach, with or without the use of endoscopic or intraoperative ultrasound (Anaes.) (Assist.) | $839.35 75% benefit $629.55 |
| 30791 | Pancreatic necrosectomy, by open, laparoscopic or endoscopic approach, excluding aftercare, subsequent procedure (Anaes.) (Assist.) | $521.50 75% benefit $391.15 |
| 30792 | Distal pancreatectomy with splenectomy, by open or minimally invasive approach (Anaes.) (Assist.) | $1,429.40 75% benefit $1,072.05 |
| 30800 | Splenectomy, by open or minimally invasive approach, other than a service to which item 30792 applies (Anaes.) (Assist.) | $862.05 75% benefit $646.55 |
| 30810 | Exploration of pancreas or duodenum for endocrine tumour, including associated imaging, either: (a) followed by local excision of tumour; or (b) when, after extensive exploration, no tumour is found (Anaes.) (Assist.) | $1,373.10 75% benefit $1,029.85 |
| 30820 | Lymph node of neck, biopsy of, by open procedure, if the specimen excised is sent for pathological examination (Anaes.) | $220.15 75% benefit $165.15 85% benefit $187.15 |
| 31000 | Mohs surgery of skin tumour located on the head, neck, genitalia, hand, digits, leg (below knee) or foot, utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—6 or fewer sections (Anaes.) | $695.30 75% benefit $521.50 85% benefit $591.05 |
| 31001 | New 85% benefit on 1 November 2026Mohs surgery of skin tumour located on the head, neck, genitalia, hand, digits, leg (below knee) or foot, utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—7 to 12 sections (inclusive) (Anaes.) | $869.00 75% benefit $651.75 85% benefit $760.50 was $764.50 |
| 31002 | New 85% benefit on 1 November 2026Mohs surgery of skin tumour located on the head, neck, genitalia, hand, digits, leg (below knee) or foot, utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—13 or more sections (Anaes.) | $1,042.85 75% benefit $782.15 85% benefit $934.35 was $938.35 |
| 31003 | Mohs surgery of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—6 or fewer sections Not applicable to a service performed in association with a service to which item 31000 applies (Anaes.) | $695.30 75% benefit $521.50 85% benefit $591.05 |
| 31004 | New 85% benefit on 1 November 2026Mohs surgery of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—7 to 12 sections (inclusive) Not applicable to a service performed in association with a service to which item 31001 applies (Anaes.) | $869.00 75% benefit $651.75 85% benefit $760.50 was $764.50 |
| 31005 | New 85% benefit on 1 November 2026Mohs surgery of skin tumour utilising horizontal frozen sections with mapping of all excised tissue, and histological examination of all excised tissue by the specialist performing the procedure, if the specialist is recognised by the Australasian College of Dermatologists as an approved Mohs surgeon—13 or more sections Not applicable to a service performed in association with a service to which item 31002 applies (Anaes.) | $1,042.85 75% benefit $782.15 85% benefit $934.35 was $938.35 |
| 31206 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is not more than 10 mm in diameter; and (b) the removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination (Anaes.) | $114.30 75% benefit $85.75 85% benefit $97.20 |
| 31211 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is more than 10 mm, but not more than 20 mm, in diameter; and (b) the removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination (Anaes.) | $147.35 75% benefit $110.55 85% benefit $125.25 |
| 31216 | Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of and suture, if: (a) the lesion size is more than 20 mm in diameter; and (b) the removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) the specimen excised is sent for histological examination (Anaes.) | $171.90 75% benefit $128.95 85% benefit $146.15 |
| 31220 | Tumours (other than viral verrucae (common warts) and seborrheic keratoses), lipomas, cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of 4 to 10 lesions and suture, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from cutaneous or subcutaneous tissue by surgical excision (other than by shave excision); and (c) all of the specimens excised are sent for histological examination (Anaes.) | $256.70 75% benefit $192.55 85% benefit $218.20 |
| 31221 | Tumours, cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of 4 to 10 lesions, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from a mucous membrane by surgical excision (other than by shave excision); and (c) each site of excision is closed by suture; and (d) all of the specimens excised are sent for histological examination (Anaes.) | $256.70 75% benefit $192.55 85% benefit $218.20 |
| 31225 | Tumours (other than viral verrucae (common warts) and seborrheic keratoses), lipomas, cysts, ulcers or scars (other than scars removed during the surgical approach at an operation), removal of more than 10 lesions, if: (a) the size of each lesion is not more than 10 mm in diameter; and (b) each removal is from cutaneous or subcutaneous tissue or mucous membrane by surgical excision (other than by shave excision); and (c) each site of excision is closed by suture; and (d) all of the specimens excised are sent for histological examination (Anaes.) | $456.40 75% benefit $342.30 85% benefit $387.95 |
| 31227 | Tumour, lipoma or cyst, removal of single lesion by excision and suture, where removal is from subcutaneous tissue and the specimen excised is sent for histological examination (Anaes.) | $160.30 75% benefit $120.25 85% benefit $136.30 |
| 31245 | Skin and subcutaneous tissue, extensive excision of, in the treatment of suppurative hydradenitis (excision from axilla, groin or natal cleft) or sycosis barbae or nuchae (excision from face or neck) (H) (Anaes.) | $441.60 75% benefit $331.20 |
| 31250 | GIANT HAIRY or COMPOUND NAEVUS, excision of an area at least 1 percent of body surface where the specimen excised is sent for histological confirmation of diagnosis (Anaes.) | $441.60 75% benefit $331.20 85% benefit $375.40 |
| 31340 | Muscle, bone or cartilage, excision of one or more of, if clinically indicated, and if: (a) the specimen excised is sent for histological confirmation; and (b) a malignant tumour of skin covered by item 31000, 31001, 31002, 31003, 31004, 31005, 31356, 31358, 31359, 31361, 31363, 31365, 31367, 31369, 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383 is excised (Anaes.) Derived fee: 75% of the fee for excision of malignant tumour | Derived |
| 31344 | Lipoma, removal of, by surgical excision or liposuction, if:(a) the lesion:(i) is subcutaneous and 150mm or more in diameter; or(ii) is submuscular, intramuscular or involves dissection of a named nerve or vessel and is 50 mm or more in diameter; and(b) a specimen of the excised lipoma is sent for histological confirmation of diagnosis (H) (Anaes.) (Assist.) | $756.10 75% benefit $567.10 |
| 31345 | Lipoma, removal of, by surgical excision or liposuction, if:(a) the lesion is: (i) subcutaneous and 50 mm or more in diameter but less than 150 mm in diameter; or(ii) sub fascial; and (b) the specimen excised is sent for histological confirmation of diagnosis (Anaes.) | $252.50 75% benefit $189.40 85% benefit $214.65 |
| 31346 | Liposuction (suction assisted lipolysis) to one regional area for contour problems of abdominal, upper arm or thigh fat because of repeated insulin injections, if: (a) the lesion is subcutaneous; and (b) the lesion is 50 mm or more in diameter; and (c) photographic and/or diagnostic imaging evidence demonstrating the need for this service is documented in the patient notes (Anaes.) | $252.50 75% benefit $189.40 85% benefit $214.65 |
| 31350 | Benign tumour of soft tissue (other than tumours of skin, cartilage and bone, simple lipomas covered by item 31345 and lipomata), removal of, by surgical excision, on a patient 10 years of age or over, if the specimen excised is sent for histological confirmation of diagnosis, other than a service to which another item in this Group applies (Anaes.) (Assist.) | $518.65 75% benefit $389.00 85% benefit $440.90 |
| 31355 | New 85% benefit on 1 November 2026MALIGNANT TUMOUR of SOFT TISSUE, excluding tumours of skin, cartilage and bone, removal of by surgical excision, where histological proof of malignancy has been obtained, not being a service to which another item in this Group applies (Anaes.) (Assist.) | $855.20 75% benefit $641.40 85% benefit $746.70 was $750.70 |
| 31356 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), definitive surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is less than 6 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.) | $264.90 75% benefit $198.70 85% benefit $225.20 |
| 31357 | Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is less than 6 mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 (Anaes.) | $131.25 75% benefit $98.45 85% benefit $111.60 |
| 31358 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), definitive surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.) | $324.20 75% benefit $243.15 85% benefit $275.60 |
| 31359 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia (the applicable site); and (b) the necessary excision area is at least one third of the surface area of the applicable site; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (H) (Anaes.) | $395.15 75% benefit $296.40 |
| 31360 | Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination (Anaes.) | $201.10 75% benefit $150.85 85% benefit $170.95 |
| 31361 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.) | $223.45 75% benefit $167.60 85% benefit $189.95 |
| 31362 | Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 (Anaes.) | $160.30 75% benefit $120.25 85% benefit $136.30 |
| 31363 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), definitive surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.) | $292.35 75% benefit $219.30 85% benefit $248.50 |
| 31364 | Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination (Anaes.) | $201.10 75% benefit $150.85 85% benefit $170.95 |
| 31365 | Malignant skin lesion (other than a malignant skin lesion covered by item 31369, 31370, 31371, 31372, 31373, 31377, 31378 or 31379), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.) | $189.45 75% benefit $142.10 85% benefit $161.05 |
| 31366 | Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31357, 31360, 31362 or 31364; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 (Anaes.) | $114.30 75% benefit $85.75 85% benefit $97.20 |
| 31367 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with item 45201 (Anaes.) | $255.70 75% benefit $191.80 85% benefit $217.35 |
| 31368 | Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision (other than by shave excision) and repair of, if: (a) the lesion is excised from any part of the body not covered by item 31357, 31360, 31362 or 31364; and (b) the necessary excision diameter is at least 15 mm but not more than 30mm; and (c) the excised specimen is sent for histological examination; not in association with item 45201 (Anaes.) | $150.30 75% benefit $112.75 85% benefit $127.80 |
| 31369 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), definitive surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from any part of the body not covered by item 31356, 31358, 31359, 31361 or 31363; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.) | $294.30 75% benefit $220.75 85% benefit $250.20 |
| 31370 | Non-malignant skin lesion (other than viral verrucae (common warts) and seborrheic keratoses), including a cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from any part of the body not covered by item 31357, 31360, 31362 or 31364; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination (Anaes.) | $171.90 75% benefit $128.95 85% benefit $146.15 |
| 31371 | Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision of (other than by shave excision) including repair (if performed), including excision of the primary tumour bed, if: (a) the tumour is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.) | $427.30 75% benefit $320.50 85% benefit $363.25 |
| 31372 | Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, including excision of the primary tumour bed, if: (a) the tumour is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with a service to which item 45201 applies (Anaes.) | $369.50 75% benefit $277.15 85% benefit $314.10 |
| 31373 | Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision of (other than by shave excision) including repair (if performed), including excision of the primary tumour bed, if: (a) the tumour is excised from face, neck, scalp, nipple-areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.) | $427.05 75% benefit $320.30 85% benefit $363.00 |
| 31374 | Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, including excision of the primary tumour bed, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with a service to which item 45201 applies (Anaes.) | $337.40 75% benefit $253.05 85% benefit $286.80 |
| 31375 | Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision (other than by shave excision) and repair of, including excision of the primary tumour bed, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy; not in association with a service to which item 45201 applies (Anaes.) | $363.10 75% benefit $272.35 85% benefit $308.65 |
| 31376 | Malignant melanoma, appendageal carcinoma, malignant connective tissue tumour of skin or merkel cell carcinoma of skin, definitive surgical excision of (other than by shave excision) including repair (if performed), including excision of the primary tumour bed, if: (a) the tumour is excised from any part of the body not covered by item 31371, 31372 or 31373; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination; and (d) malignancy is confirmed from the excised specimen or previous biopsy (Anaes.) | $420.85 75% benefit $315.65 85% benefit $357.75 |
| 31377 | Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is less than 6 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies (Anaes.) | $131.25 75% benefit $98.45 85% benefit $111.60 |
| 31378 | Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from nose, eyelid, eyebrow, lip, ear, digit or genitalia, or from a contiguous area; and (b) the necessary excision diameter is 6 mm or more; and (c) the excised specimen is sent for histological examination (Anaes.) | $201.10 75% benefit $150.85 85% benefit $170.95 |
| 31379 | Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from face, neck, scalp, nipple‑areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is less than 14 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies (Anaes.) | $160.30 75% benefit $120.25 85% benefit $136.30 |
| 31380 | Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from face, neck, scalp, nipple‑areola complex, distal lower limb (distal to, and including, the knee) or distal upper limb (distal to, and including, the ulnar styloid); and (b) the necessary excision diameter is 14 mm or more; and (c) the excised specimen is sent for histological examination (Anaes.) | $201.10 75% benefit $150.85 85% benefit $170.95 |
| 31381 | Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is less than 15 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies (Anaes.) | $114.30 75% benefit $85.75 85% benefit $97.20 |
| 31382 | Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is at least 15 mm but not more than 30 mm; and (c) the excised specimen is sent for histological examination; not in association with a service to which item 45201 applies (Anaes.) | $150.30 75% benefit $112.75 85% benefit $127.80 |
| 31383 | Clinically suspected melanoma, surgical excision of (other than by shave excision) including repair (if performed), if: (a) the lesion is excised from any part of the body not covered by item 31377, 31378, 31379 or 31380; and (b) the necessary excision diameter is more than 30 mm; and (c) the excised specimen is sent for histological examination (Anaes.) | $171.90 75% benefit $128.95 85% benefit $146.15 |
| 31386 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 50 mm; and(c) the excision involves at least 2 critical areas (eyelid, nose, ear, mouth); and(d) the excised specimen is sent for histological examination; and(e) malignancy is confirmed from the excised specimen or previous biopsy; and(f) the service is not covered by item 31387 (H) (Anaes.) (Assist.) | $855.20 75% benefit $641.40 |
| 31387 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the head or neck; and(b) the necessary excision diameter is more than 70 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy; and(e) the service is not covered by item 31386 (H) (Anaes.) (Assist.) | $769.55 75% benefit $577.20 |
| 31388 | Malignant skin lesion (other than a malignant skin lesion covered by item 31371, 31372, 31373, 31374, 31375, 31376, 31377, 31378, 31379, 31380, 31381, 31382 or 31383), surgical excision (other than by shave excision) and repair of, if:(a) the lesion is excised from the trunk or limbs; and(b) the necessary excision diameter is more than 120 mm; and(c) the excised specimen is sent for histological examination; and(d) malignancy is confirmed from the excised specimen or previous biopsy (H) (Anaes.) (Assist.) | $692.55 75% benefit $519.45 |
| 31400 | Malignant upper aerodigestive tract tumour (other than tumour of the lip), excision of, if: (a) the tumour is not more than 20 mm in diameter; and (b) histological confirmation of malignancy is obtained (H) (Anaes.) (Assist.) | $312.50 75% benefit $234.40 |
| 31403 | MALIGNANT UPPER AERODIGESTIVE TRACT TUMOUR more than 20mm and up to and including 40mm in diameter (excluding tumour of the lip), excision of, where histological confirmation of malignancy has been obtained (Anaes.) (Assist.) | $360.65 75% benefit $270.50 |
| 31406 | Malignant upper aerodigestive tract tumour more than 40 mm in diameter (excluding tumour of the lip), excision of, if histological confirmation of malignancy has been obtained (H) (Anaes.) (Assist.) | $601.05 75% benefit $450.80 |
| 31409 | PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.) | $1,867.35 75% benefit $1,400.55 |
| 31412 | RECURRENT OR PERSISTENT PARAPHARYNGEAL TUMOUR, excision of, by cervical approach (Anaes.) (Assist.) | $2,300.20 75% benefit $1,725.15 |
| 31423 | Lymph nodes of neck, selective dissection of one or 2 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, on a patient 10 years of age or over, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) | $480.95 75% benefit $360.75 |
| 31426 | Lymph nodes of neck, selective dissection of 3 lymph node levels involving removal of soft tissue and lymph nodes from one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) | $961.65 75% benefit $721.25 |
| 31429 | Lymph nodes of neck, selective dissection of 4 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) | $1,498.70 75% benefit $1,124.05 |
| 31432 | Lymph nodes of neck, bilateral selective dissection of levels I, II and III (bilateral supraomohyoid dissections), other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) | $1,602.85 75% benefit $1,202.15 |
| 31435 | Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) | $1,178.10 75% benefit $883.60 |
| 31438 | Lymph nodes of neck, comprehensive dissection of all 5 lymph node levels on one side of the neck with preservation of one or more of: internal jugular vein, sternocleido-mastoid muscle, or spinal accessory nerve, other than a service associated with a service to which item 30256 or 30275 applies on the same side (H) (Anaes.) (Assist.) | $1,867.35 75% benefit $1,400.55 |
| 31454 | Laparoscopy or laparotomy with drainage of bile, as an independent procedure (H) (Anaes.) (Assist.) | $674.30 75% benefit $505.75 |
| 31456 | GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition (Anaes.) | $293.95 75% benefit $220.50 |
| 31458 | GASTROSCOPY and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated (Anaes.) | $352.65 75% benefit $264.50 |
| 31460 | PERCUTANEOUS GASTROSTOMY TUBE, jejunal extension to, including any associated imaging services (Anaes.) (Assist.) | $427.30 75% benefit $320.50 |
| 31462 | OPERATIVE FEEDING JEJUNOSTOMY performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 31466 | ANTIREFLUX OPERATION BY FUNDOPLASTY, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation (Anaes.) (Assist.) | $1,564.30 75% benefit $1,173.25 |
| 31468 | Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication, other than a service associated with a service to which item 30756 or 31466 applies (Anaes.) (Assist.) | $1,718.55 75% benefit $1,288.95 |
| 31472 | Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y loop to provide biliary drainage or bypass, other than a service associated with a service to which item 30584 applies (Anaes.) (Assist.) | $1,610.20 75% benefit $1,207.65 |
| 31500 | Breast, benign lesion up to and including 50 mm in diameter, including simple cyst, fibroadenoma or fibrocystic disease, open surgical biopsy or excision of, with or without frozen section histology (H) (Anaes.) | $311.20 75% benefit $233.40 |
| 31503 | Breast, benign lesion more than 50 mm in diameter, excision of (H) (Anaes.) (Assist.) | $415.00 75% benefit $311.25 |
| 31506 | BREAST, ABNORMALITY detected by mammography or ultrasound where guidewire or other localisation procedure is performed, excision biopsy of (Anaes.) (Assist.) | $466.95 75% benefit $350.25 |
| 31509 | Breast, malignant tumour, open surgical biopsy of, with or without frozen section histology (H) (Anaes.) | $415.00 75% benefit $311.25 |
| 31512 | Breast, malignant tumour, complete local excision of, with or without frozen section histology, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31513, 31514, 45520, 45522 or 45556 applies on the same side (if performed by the same medical practitioner)(H) (Anaes.) (Assist.) | $778.15 75% benefit $583.65 |
| 31513 | Breast, malignant tumour, complete local excision of, with simultaneous reshaping of the breast parenchyma using techniques such as round block or rotation flaps, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31514, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.) | $1,017.40 75% benefit $763.05 |
| 31514 | Breast, malignant tumour, complete local excision of, with simultaneous ipsilateral pedicled breast reduction, including repositioning of the nipple, other than a service associated with a service to which:(a) item 45523 or 45558 applies; and(b) item 31512, 31513, 45520, 45522 or 45556 applies on the same side(H) (Anaes.) (Assist.) | $1,466.75 75% benefit $1,100.10 |
| 31515 | BREAST, TUMOUR SITE, re-excision of following open biopsy or incomplete excision of malignant tumour (Anaes.) (Assist.) | $522.10 75% benefit $391.60 |
| 31516 | BREAST, MALIGNANT TUMOUR, complete local excision of, with or without frozen section histology when targeted intraoperative radiation therapy (using an Intrabeam® or Xoft® Axxent® device) is performed concurrently, if the patient satisfies the requirements mentioned in paragraphs (a) to (g) of item 15900 Applicable only once per breast per lifetime (H) (Anaes.) (Assist.) | $1,037.70 75% benefit $778.30 |
| 31519 | Total mastectomy (unilateral) (H) (Anaes.) (Assist.) | $881.05 75% benefit $660.80 |
| 31520 | Total mastectomy (bilateral) (H) (Anaes.) (Assist.) | $1,541.65 75% benefit $1,156.25 |
| 31522 | Skin sparing mastectomy (unilateral) (H) (Anaes.) (Assist.) | $1,245.05 75% benefit $933.80 |
| 31523 | Skin sparing mastectomy (bilateral) (H) (Anaes.) (Assist.) | $2,178.90 75% benefit $1,634.20 |
| 31525 | Mastectomy for gynaecomastia (unilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.) | $622.35 75% benefit $466.80 |
| 31526 | Mastectomy for gynaecomastia (bilateral), with or without liposuction (suction assisted lipolysis), if:(a) breast enlargement is not due to obesity and is not proportionate to body habitus; and(b) sufficient photographic evidence demonstrating the clinical need for the service is included in patient notes;not being a service associated with a service to which item 45585 applies (H) (Anaes.) (Assist.) | $1,089.20 75% benefit $816.90 |
| 31528 | Nipple sparing mastectomy (unilateral) (H) (Anaes.) (Assist.) | $1,245.05 75% benefit $933.80 |
| 31529 | Nipple sparing mastectomy (bilateral) (H) (Anaes.) (Assist.) | $2,178.90 75% benefit $1,634.20 |
| 31530 | New 85% benefit on 1 November 2026Breast, biopsy of solid tumour or tissue of, using a vacuum-assisted breast biopsy device under imaging guidance, for histological examination, if imaging has demonstrated:(a) microcalcification of lesion; or(b) impalpable lesion less than one cm in diameter;including pre-operative localisation of lesion, if performed, other than a service associated with a service to which item 31548 applies | $712.95 75% benefit $534.75 85% benefit $606.05 was $608.45 |
| 31533 | FINE NEEDLE ASPIRATION of an impalpable breast lesion detected by mammography or ultrasound, imaging guided - but not including imaging (Anaes.) | $165.05 75% benefit $123.80 85% benefit $140.30 |
| 31536 | Breast, preoperative localisation of lesion of, by hookwire or similar device, using interventional imaging techniques, but not including imaging (Anaes.) | $226.75 75% benefit $170.10 85% benefit $192.75 |
| 31537 | Insertion of a marker clip into a breast, including axilla, following a breast biopsy and using imaging (but not including the associated imaging), if additional surgery, neoadjuvant systemic therapy, follow up imaging or radiation may be required and the insertion is for any of the following reasons: (a) to mark the site of a lesion that has been totally or almost completely removed; (b) to confirm biopsy site if multiple lesions are present; (c) to confirm biopsy site of an ill-defined lesion; (d) future surgery or preoperative localisation is considered to be potentially difficult due to lesion conspicuity; (e) preoperative localisation is likely to be carried out using a modality different from the biopsy modality; (f) for correlation across modalities for diagnostic reasons (Anaes.) | $226.75 75% benefit $170.10 85% benefit $192.75 |
| 31548 | Breast, biopsy of solid tumour or tissue of, using mechanical biopsy device, for histological examination, other than a service associated with a service to which item 31530 applies (Anaes.) | $239.35 75% benefit $179.55 85% benefit $203.45 |
| 31551 | BREAST, HAEMATOMA, SEROMA OR INFLAMMATORY CONDITION including abscess, granulomatous mastitis or similar, exploration and drainage of when undertaken in the operating theatre of a hospital, excluding aftercare (Anaes.) | $259.40 75% benefit $194.55 |
| 31554 | BREAST, microdochotomy of, for benign or malignant condition (Anaes.) (Assist.) | $518.80 75% benefit $389.10 |
| 31557 | Breast central ducts, excision of, for benign condition (H) (Anaes.) (Assist.) | $415.00 75% benefit $311.25 |
| 31560 | ACCESSORY BREAST TISSUE, excision of (Anaes.) (Assist.) | $415.00 75% benefit $311.25 85% benefit $352.75 |
| 31563 | Inverted nipple, surgical eversion of, with or without flap repair, if the nipple cannot readily be everted manually (Anaes.) | $310.85 75% benefit $233.15 85% benefit $264.25 |
| 31566 | ACCESSORY NIPPLE, excision of (Anaes.) | $155.55 75% benefit $116.70 85% benefit $132.25 |
| 31569 | Adjustable gastric band, placement of, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.) | $1,016.90 75% benefit $762.70 |
| 31572 | Gastric bypass by Roux-en-Y including associated anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity not being associated with a service to which item 30515 applies (Anaes.) (Assist.) | $1,251.25 75% benefit $938.45 |
| 31575 | Sleeve gastrectomy, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.) | $1,016.90 75% benefit $762.70 |
| 31578 | Gastroplasty (excluding by gastric plication), with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.) | $1,016.90 75% benefit $762.70 |
| 31581 | Gastric bypass by biliopancreatic diversion with or without duodenal switch including gastric resection and anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.) | $1,251.25 75% benefit $938.45 |
| 31584 | Surgical reversal of previous bariatric procedure, including revision or conversion, if:a) the previous procedure involved any of the following:(i) placement of adjustable gastric banding;(ii) gastric bypass;(iii) sleeve gastrectomy;(iv) gastroplasty (excluding gastric plication);(v) biliopancreatic diversion; and(b) any of items 31569 to 31581 applied to the previous procedureother than a service associated with a service to which item 31585 applies (Anaes.) (Assist.) | $1,842.25 75% benefit $1,381.70 |
| 31585 | Removal of adjustable gastric band (Anaes.) (Assist.) | $995.95 75% benefit $747.00 |
| 31587 | Adjustment of gastric band as an independent procedure including any associated consultation | $117.25 75% benefit $87.95 85% benefit $99.70 |
| 31590 | Adjustment of gastric band reservoir, repair, revision or replacement of (Anaes.) (Assist.) | $301.40 75% benefit $226.05 85% benefit $256.20 |
Check the item before you claim.
An eligibility check tests the patient and each MBS item against Medicare’s rules, so a ‘no’ comes back with the reason before the claim goes in.