MBS Group T8 · Subgroup 5
Urological: MBS items and fees.
All 229 items in subgroup 5 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.
T8.5 Urological
229 items
| Item | Description | Fee and benefits |
|---|---|---|
| 36502 | PELVIC LYMPHADENECTOMY, open or laparoscopic, or both, unilateral or bilateral (Anaes.) (Assist.) | $818.60 75% benefit $613.95 |
| 36503 | RENAL TRANSPLANT (not being a service to which item 36506 or 36509 applies) (Anaes.) (Assist.) | $1,665.05 75% benefit $1,248.80 |
| 36504 | Rigid cystoscopy using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with biopsy of bladder, not being a service associated with a service to which item 36505, 36507, 36508, 36812, 36830, 36836, 36840, 36845, 36848, 36854, 37203 or 37215 applies (H) (Anaes.) | $352.85 75% benefit $264.65 |
| 36505 | RIGID CYSTOSCOPY using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with urethroscopy with or without urethral dilatation, not being a service associated with any other urological endoscopic procedure on the lower urinary tract except a service to which item 37327 applies. (Anaes.) | $277.30 75% benefit $208.00 85% benefit $235.75 |
| 36506 | RENAL TRANSPLANT, performed by vascular surgeon and urologist operating together vascular anastomosis including aftercare (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 36507 | Rigid cystoscopy using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with diathermy, resection or visual laser destruction of bladder tumour or other lesion of the bladder, not being a service to which item 36840 or 36845 applies (H) (Anaes.) | $464.55 75% benefit $348.45 |
| 36508 | Rigid cystoscopy using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with diathermy, resection or visual laser destruction of multiple tumours in more than 2 quadrants of the bladder or solitary tumour greater than 2 cm in diameter, not being a service to which item 36845 applies (H) (Anaes.) | $905.40 75% benefit $679.05 |
| 36509 | RENAL TRANSPLANT, performed by vascular surgeon and urologist operating together ureterovesical anastomosis including aftercare (Assist.) | $937.15 75% benefit $702.90 |
| 36516 | Nephrectomy, complete, by open, laparoscopic or robot-assisted approach, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 36519 | Nephrectomy, complete, by open, laparoscopic or robot-assisted approach, complicated by previous surgery on the same kidney, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,545.35 75% benefit $1,159.05 |
| 36522 | Nephrectomy, partial, by open, laparoscopic or robot-assisted approach, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,326.15 75% benefit $994.65 |
| 36525 | Nephrectomy, partial, by open, laparoscopic or robot‑assisted approach: (a) if complicated by previous surgery or ablative procedure on the same kidney; or (b) for a patient with a solitary functioning kidney; or (c) for a patient with an estimated glomerular filtration rate (eGFR) of less than 60ml/min/1.73m2; other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,884.40 75% benefit $1,413.30 |
| 36528 | Nephrectomy, radical, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10 cm in diameter, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,545.35 75% benefit $1,159.05 |
| 36529 | Nephrectomy, radical, by open, laparoscopic or robot‑assisted approach, with or without en bloc dissection of lymph nodes, with or without adrenalectomy: (a) for a tumour 10 cm or more in diameter; or (b) if complicated by previous open or laparoscopic surgery on the same kidney; other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,907.25 75% benefit $1,430.45 |
| 36530 | Renal cell carcinoma, not more than 4 cm in diameter, destruction of, by percutaneous, laparoscopic or open cryoablation (including any associated imaging services), if: (a) malignancy has previously been confirmed by histopathological examination; and (b) a multi‑disciplinary team has reviewed treatment options for the patient and assessed that partial nephrectomy is not suitable; and (c) the service is not a service associated with a service to which item 36522 or 36525 applies (H) (Anaes.) | $969.25 75% benefit $726.95 |
| 36531 | Nephroureterectomy, complete, by open, laparoscopic or robot-assisted approach, including associated bladder repair and any associated endoscopic procedure, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,385.85 75% benefit $1,039.40 |
| 36532 | Nephroureterectomy, for tumour, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, other than a service to which item 36533 applies or a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,989.05 75% benefit $1,491.80 |
| 36533 | Nephroureterectomy, for tumour, by open, laparoscopic or robot-assisted approach, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, if complicated by previous open or laparoscopic surgery on the same kidney or ureter, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $2,350.95 75% benefit $1,763.25 |
| 36537 | KIDNEY OR PERINEPHRIC AREA, EXPLORATION OF, with or without drainage of, by open exposure, not being a service to which another item in this Sub-group applies (Anaes.) (Assist.) | $827.50 75% benefit $620.65 |
| 36543 | Nephrolithotomy or pyelolithotomy, or both, extended, for one or more renal stones, including one or more of nephrostomy, pyelostomy, pedicle control with or without freezing, calyorrhaphy or pyeloplasty (H) (Anaes.) (Assist.) | $1,545.35 75% benefit $1,159.05 |
| 36546 | Extracorporeal shock wave lithotripsy (ESWL) to urinary tract and post‑treatment care for 3 days, including pre‑treatment consultations, unilateral (H) (Anaes.) | $827.50 75% benefit $620.65 |
| 36549 | Ureterolithotomy, by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.) | $997.15 75% benefit $747.90 |
| 36552 | NEPHROSTOMY or pyelostomy, open, as an independent procedure (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 36558 | Renal cyst or cysts, excision or unroofing of (H) (Anaes.) (Assist.) | $777.75 75% benefit $583.35 |
| 36561 | Renal biopsy, performed under image guidance (closed) (Anaes.) | $206.45 75% benefit $154.85 85% benefit $175.50 |
| 36564 | Pyeloplasty, (plastic reconstruction of the pelvi-ureteric junction) by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 36567 | Pyeloplasty in a kidney that is congenitally abnormal (in addition to the presence of pelvi-ureteric junction obstruction), or in a solitary kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.) | $1,216.45 75% benefit $912.35 |
| 36570 | Pyeloplasty, complicated by previous surgery on the same kidney, by open, laparoscopic or robot-assisted approach, with or without the use of a retroperitoneal approach (Anaes.) (Assist.) | $1,545.35 75% benefit $1,159.05 |
| 36573 | DIVIDED URETER, repair of (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 36576 | Kidney, exposure and exploration of, including repair or nephrectomy, for trauma, by open, laparoscopic or robot‑assisted approach, other than a service associated with: (a) any other procedure performed on the kidney, renal pelvis or renal pedicle; or (b) a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,385.85 75% benefit $1,039.40 |
| 36579 | Ureterectomy, complete or partial: (a) for a tumour within the ureter, proven by histopathology at the time of surgery; or (b) for congenital anomaly; with or without associated bladder repair (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 36585 | URETER, transplantation of, into skin (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 36588 | URETER, reimplantation into bladder (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 36591 | URETER, reimplantation into bladder with psoas hitch or Boari flap or both (Anaes.) (Assist.) | $1,326.15 75% benefit $994.65 |
| 36594 | URETER, transplantation of, into intestine (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 36597 | URETER, transplantation of, into another ureter (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 36600 | Ureter, transplantation of, into isolated intestinal segment, unilateral (H) (Anaes.) (Assist.) | $1,326.15 75% benefit $994.65 |
| 36603 | URETERS, transplantation of, into isolated intestinal segment, bilateral (Anaes.) (Assist.) | $1,545.35 75% benefit $1,159.05 |
| 36604 | Ureteric stent, passage of through percutaneous nephrostomy tube, using interventional radiology techniques, but not including imaging (H) (Anaes.) | $320.35 75% benefit $240.30 |
| 36606 | INTESTINAL URINARY RESERVOIR, continent, formation of, including formation of nonreturn valves and implantation of ureters (1 or both) into reservoir (Anaes.) (Assist.) | $2,771.80 75% benefit $2,078.85 |
| 36607 | Ureteric stent insertion of, with balloon dilatation of: (a) the pelvicalyceal system; or (b) ureter; or (c) the pelvicalyceal system and ureter; through a nephrostomy tube using interventional radiology techniques, but not including imaging (Anaes.) | $826.75 75% benefit $620.10 |
| 36608 | Ureteric stent, exchange of, percutaneously through either the ileal conduit or bladder, using interventional radiology techniques, but not including imaging, not being a service associated with a service to which items 36811 to 36854 apply (Anaes.) | $320.35 75% benefit $240.30 |
| 36609 | Intestinal urinary conduit, reservoir or ureterostomy, revision of (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 36610 | Intestinal urinary conduit, incontinent, formation of (including associated small bowel resection and anastomosis), including implantation of one or both ureters into reservoir (Anaes.) (Assist.) | $2,124.55 75% benefit $1,593.45 |
| 36611 | Intestinal urinary reservoir, continent, formation of (including associated small bowel resection and anastomosis), including formation of non-return valves and implantation of one or both ureters into reservoir, performed by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.) | $3,351.00 75% benefit $2,513.25 |
| 36612 | URETER, exploration of, with or without drainage of, as an independent procedure (Anaes.) (Assist.) | $777.75 75% benefit $583.35 |
| 36615 | Ureterolysis, unilateral, with or without repositioning of the ureter, for obstruction of the ureter, if: (a) the obstruction: (i) is evident either radiologically or by proximal ureteric dilatation at operation; and (ii) is secondary to retroperitoneal fibrosis; and (b) there is biopsy proven fibrosis, endometriosis or cancer at the site of the obstruction at time of surgery (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 36618 | REDUCTION URETEROPLASTY (Anaes.) (Assist.) | $777.75 75% benefit $583.35 |
| 36621 | CLOSURE OF CUTANEOUS URETEROSTOMY (Anaes.) (Assist.) | $556.05 75% benefit $417.05 |
| 36624 | Nephrostomy, percutaneous, using interventional radiology techniques, but not including imaging (H) (Anaes.) (Assist.) | $668.05 75% benefit $501.05 |
| 36627 | Nephroscopy, percutaneous, with or without any one or more of; stone extraction, biopsy or diathermy, not being a service to which item 36639 or 36645 applies (Anaes.) | $827.50 75% benefit $620.65 |
| 36633 | Nephroscopy, percutaneous, with incision of any one or more of renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, other than a service associated with a service to which item 36627, 36639 or 36645 applies (H) (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 36636 | Nephroscopy, percutaneous, with incision of any one or more of; renal pelvis, calyx or calyces or ureter and including antegrade insertion of ureteric stent, being a service associated with a service to which item 36627, 36639 or 36645 applies (Anaes.) (Assist.) | $478.65 75% benefit $359.00 |
| 36639 | Nephroscopy, percutaneous, with destruction and extraction of one or two stones using ultrasound or electrohydraulic shock waves or lasers, other than a service to which item 36645 applies (Anaes.) | $997.15 75% benefit $747.90 |
| 36645 | NEPHROSCOPY, percutaneous, with removal or destruction of a stone greater than 3 cm in any dimension, or for 3 or more stones (Anaes.) (Assist.) | $1,276.30 75% benefit $957.25 |
| 36649 | Nephrostomy drainage tube, exchange of, using interventional radiology techniques, but not including imaging (Anaes.) (Assist.) | $320.35 75% benefit $240.30 85% benefit $272.30 |
| 36650 | Nephrostomy tube, removal of, using interventional radiology techniques, but not including imaging, if the ureter has been stented with a double J ureteric stent and that stent is left in place (Anaes.) | $179.20 75% benefit $134.40 |
| 36652 | PYELOSCOPY, retrograde, of one collecting system, with or without any one or more of, cystoscopy, ureteric meatotomy, ureteric dilatation, not being a service associated with a service to which item 36803, 36812 or 36824 applies (Anaes.) (Assist.) | $777.75 75% benefit $583.35 |
| 36654 | PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus 1 or more of extraction of stone from the renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or calyces, not being a service associated with a service to which item 36656 applies to a procedure performed in the same collecting system (Anaes.) (Assist.) | $997.15 75% benefit $747.90 |
| 36656 | PYELOSCOPY, retrograde, of one collecting system, being a service to which item 36652 applies, plus extraction of 2 or more stones in the renal pelvis or calyces or destruction of stone with ultrasound, electrohydraulic or kinetic lithotripsy, or laser in the renal pelvis or calyces, with or without extraction of fragments, not being a service associated with a service to which item 36654 applies to a procedure performed in the same collecting system (Anaes.) (Assist.) | $1,276.30 75% benefit $957.25 |
| 36663 | Both: (a) percutaneous placement of sacral nerve lead or leads using fluoroscopic guidance, or open placement of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to manage: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.) | $791.05 75% benefit $593.30 |
| 36664 | Both: (a) percutaneous repositioning of sacral nerve lead or leads using fluoroscopic guidance, or open repositioning of sacral nerve lead or leads; and (b) intra‑operative test stimulation, to correct displacement or unsatisfactory positioning, if inserted for the management of: (i) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (ii) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment; other than a service to which item 36663 applies (H) (Anaes.) | $710.45 75% benefit $532.85 |
| 36665 | Sacral nerve electrode or electrodes, management and adjustment of the pulse generator by a medical practitioner, to manage detrusor overactivity or non obstructive urinary retention - each day | $150.10 75% benefit $112.60 85% benefit $127.60 |
| 36666 | Pulse generator, subcutaneous placement of, and placement and connection of extension wire or wires to sacral nerve electrode or electrodes, for the management of: (a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (H) (Anaes.) | $399.80 75% benefit $299.85 |
| 36667 | Sacral nerve lead or leads, removal of, if the lead was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.) | $187.05 75% benefit $140.30 85% benefit $159.00 |
| 36668 | Pulse generator, removal of, if the pulse generator was inserted to manage:(a) detrusor over‑activity that has been refractory to at least 12 months conservative non‑surgical treatment; or (b) non‑obstructive urinary retention that has been refractory to at least 12 months conservative non‑surgical treatment (Anaes.) | $187.05 75% benefit $140.30 85% benefit $159.00 |
| 36671 | Percutaneous tibial nerve stimulation, initial treatment protocol, for the treatment of overactive bladder, by a specialist urologist, gynaecologist or urogynaecologist, if: (a) the patient has been diagnosed with idiopathic overactive bladder; and (b) the patient has been refractory to, is contraindicated or otherwise not suitable for conservative treatments (including anti‑cholinergic agents); and (c) the patient is contraindicated or otherwise not a suitable candidate for botulinum toxin type A therapy; and (d) the patient is contraindicated or otherwise not a suitable candidate for sacral nerve stimulation; and (e) the patient is willing and able to comply with the treatment protocol; and (f) the initial treatment protocol comprises 12 sessions, delivered over a 3 month period; and (g) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. For each patient—applicable only once, unless the patient achieves at least a 50% reduction in overactive bladder symptoms from baseline at any time during the 3 month treatment period. Not applicable for a service associated with a service to which item 36672 or 36673 applies | $239.35 75% benefit $179.55 85% benefit $203.45 |
| 36672 | Percutaneous tibial nerve stimulation, tapering treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the tapering treatment protocol comprises no more than 5 sessions, delivered over a 3 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for a service associated with a service to which item 36671 or 36673 applies | $239.35 75% benefit $179.55 85% benefit $203.45 |
| 36673 | Percutaneous tibial nerve stimulation, maintenance treatment protocol, for the treatment of overactive bladder, including any associated consultation at the time the percutaneous tibial nerve stimulation treatment is administered, if: (a) the patient responded to the percutaneous tibial nerve stimulation initial treatment protocol and to the tapering treatment protocol, and has achieved at least a 50% reduction in overactive bladder symptoms from baseline at any time during the treatment period for the initial treatment protocol; and (b) the maintenance treatment protocol comprises no more than 12 sessions, delivered over a 12 month period, and the interval between sessions is adjusted with the aim of sustaining therapeutic benefit of the treatment; and (c) each session lasts for a minimum of 45 minutes, of which neurostimulation lasts for 30 minutes. Not applicable for service associated with a service to which item 36671 or 36672 applies | $239.35 75% benefit $179.55 85% benefit $203.45 |
| 36800 | BLADDER, catheterisation of, where no other procedure is performed (Anaes.) | $33.00 75% benefit $24.75 85% benefit $28.05 |
| 36803 | Ureteroscopy, of one ureter, with or without any one or more of cystoscopy, ureteric meatotomy, or ureteric dilatation, other than a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824 or 36848 applies (H) (Anaes.) (Assist.) | $558.15 75% benefit $418.65 |
| 36806 | Ureteroscopy, of one ureter: (a) with or without one or more of the following: (i) cystoscopy; (ii) endoscopic incision of pelviureteric junction or ureteric stricture; (iii) ureteric meatotomy; (iv) ureteric dilatation; and (b) with either or both of the following: (i) extraction of stone from the ureter; (ii) biopsy or diathermy of the ureter; other than: (c) a service associated with a service to which item 36803 or 36812 applies; or (d) a service associated with a service, performed on the same ureter, to which item 36809, 36824 or 36848 applies (Anaes.) (Assist.) | $777.75 75% benefit $583.35 |
| 36809 | Ureteroscopy, of one ureter, with or without any one or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus destruction of stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy, or laser, with or without extraction of fragments, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36806, 36824 or 36848 applies to a procedure performed on the same ureter (Anaes.) (Assist.) | $997.15 75% benefit $747.90 |
| 36811 | Cystoscopy, with insertion of one or more urethral or prostatic prostheses, other than a service associated with a service to which item 37203, 37207 or 37230 applies (H) (Anaes.) | $387.05 75% benefit $290.30 |
| 36812 | Either or both of cystoscopy and urethroscopy, with or without urethral dilatation, other than a service associated with any other urological endoscopic procedure on the lower urinary tract (Anaes.) | $199.50 75% benefit $149.65 85% benefit $169.60 |
| 36815 | CYSTOSCOPY, with or without urethroscopy, for the treatment of penile warts or uretheral warts, not being a service associated with a service to which item 30189 applies (Anaes.) | $284.70 75% benefit $213.55 85% benefit $242.00 |
| 36818 | Cystoscopy, with ureteric catheterisation, unilateral or bilateral, guided by fluoroscopic imaging of the upper urinary tract, other than a service associated with a service to which item 36824 or 36830 applies (H) (Anaes.) | $331.05 75% benefit $248.30 |
| 36821 | Cystoscopy with one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis, unilateral (H) (Anaes.) (Assist.) | $386.85 75% benefit $290.15 |
| 36822 | Cystoscopy, with ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including one or more of ureteric dilatation, insertion of ureteric stent, or brush biopsy of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821 or 36830 applies (H) (Anaes.) (Assist.) | $552.45 75% benefit $414.35 |
| 36823 | Cystoscopy, with removal of ureteric stent and ureteric catheterisation, unilateral: (a) guided by fluoroscopic imaging of the upper urinary tract; and (b) including either or both of the following: (i) ureteric dilatation; (ii) insertion of ureteric stent of ureter or of renal pelvis; other than a service associated with a service to which item 36818, 36821, 36830 or 36833 applies (H) (Anaes.) (Assist.) | $635.20 75% benefit $476.40 |
| 36824 | Cystoscopy with ureteric catheterisation, unilateral or bilateral, other than a service associated with a service to which item 36818 applies (H) (Anaes.) | $255.10 75% benefit $191.35 |
| 36827 | Cystoscopy, with controlled hydro‑dilatation of the bladder, other than a service associated with a service to which item 37011 or 37245 applies (H) (Anaes.) | $275.15 75% benefit $206.40 |
| 36830 | CYSTOSCOPY, with ureteric meatotomy (Anaes.) | $243.30 75% benefit $182.50 |
| 36833 | Cystoscopy with removal of ureteric stent or other foreign body in the lower urinary tract, unilateral (Anaes.) | $331.05 75% benefit $248.30 85% benefit $281.40 |
| 36836 | Cystoscopy with biopsy of bladder, other than a service associated with a service to which item 36812, 36830, 36840, 36845, 36848, 36854, 37203 or 37215 applies (Anaes.) | $275.15 75% benefit $206.40 85% benefit $233.90 |
| 36840 | Cystoscopy, with diathermy, resection or visual laser destruction of bladder tumour or other lesion of the bladder, for: (a) a tumour or lesion in only one quadrant of the bladder; or (b) a solitary tumour of not more than 2 cm in diameter; other than a service associated with a service to which item 36845 applies (H) (Anaes.) | $386.85 75% benefit $290.15 |
| 36842 | Cystoscopy, with lavage of blood clots from bladder, including any associated cautery of prostate or bladder, other than a service associated with a service to which any of items 36812, 36827 to 36863 and 37203 apply (H) (Anaes.) | $389.20 75% benefit $291.90 |
| 36845 | Cystoscopy, with diathermy, resection or visual laser destruction of: (a) multiple tumours in 2 or more quadrants of the bladder; or (b) a solitary bladder tumour of more than 2 cm in diameter (H) (Anaes.) | $827.50 75% benefit $620.65 |
| 36848 | CYSTOSCOPY, with resection of ureterocele (Anaes.) | $275.15 75% benefit $206.40 |
| 36851 | Cystoscopy, with injection into bladder wall, other than a service associated with a service to which item 18375 or 18379 applies (H) (Anaes.) | $275.15 75% benefit $206.40 |
| 36854 | CYSTOSCOPY, with endoscopic incision or resection of external sphincter, bladder neck or both (Anaes.) | $558.15 75% benefit $418.65 |
| 36860 | Endoscopic examination of intestinal conduit or reservoir (H) (Anaes.) | $199.50 75% benefit $149.65 |
| 36863 | Litholapaxy, with or without cystoscopy (Anaes.) | $558.15 75% benefit $418.65 |
| 37000 | BLADDER, partial excision of (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 37004 | BLADDER, repair of rupture (Anaes.) (Assist.) | $777.75 75% benefit $583.35 |
| 37008 | Open cystostomy or cystotomy, suprapubic, other than: (a) a service to which item 37011 applies; or (b) a service associated with a service to which item 37245 applies; or (c) another open bladder procedure (H) (Anaes.) (Assist.) | $498.50 75% benefit $373.90 |
| 37011 | Suprapubic stab cystotomy, other than a service associated with a service to which item 36827 applies (Anaes.) | $111.70 75% benefit $83.80 85% benefit $94.95 |
| 37014 | BLADDER, total excision of (Anaes.) (Assist.) | $1,276.30 75% benefit $957.25 |
| 37015 | Bladder, total excision of, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis (Anaes.) (Assist.) | $1,531.50 75% benefit $1,148.65 |
| 37016 | Cystectomy, including prostatectomy and pelvic lymph node dissection, other than a service associated with a service to which items 37000, 37014, 37015, 37209, 35551 or 36502 applies (Anaes.) (Assist.) | $2,388.05 75% benefit $1,791.05 |
| 37018 | Cystectomy, including prostatectomy and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, or radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which items 37000, 37014, 37015, 37016, 37209, 35551 or 36502 applies (Anaes.) (Assist.) | $3,582.25 75% benefit $2,686.70 |
| 37019 | Cystectomy, including anterior exenteration and pelvic lymph node dissection, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502, and 35653 to 35756 apply (Anaes.) (Assist.) | $2,385.40 75% benefit $1,789.05 |
| 37020 | BLADDER DIVERTICULUM, excision or obliteration of (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 37021 | Cystectomy, including anterior exenteration and pelvic lymph node dissection, following previous open, laparoscopic or robot-assisted surgery, radiation therapy or chemotherapy to the pelvis, other than a service associated with a service to which any of items 37000, 37014, 37015, 35551, 36502 and 35653 to 35756 apply (Anaes.) (Assist.) | $3,577.95 75% benefit $2,683.50 |
| 37023 | VESICAL FISTULA, cutaneous, operation for (Anaes.) | $498.50 75% benefit $373.90 |
| 37026 | CUTANEOUS VESICOSTOMY, establishment of (Anaes.) (Assist.) | $498.50 75% benefit $373.90 |
| 37029 | VESICOVAGINAL FISTULA, closure of, by abdominal approach (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 37038 | VESICOINTESTINAL FISTULA, closure of, excluding bowel resection (Anaes.) (Assist.) | $827.90 75% benefit $620.95 |
| 37039 | Bladder stress incontinence, sling procedure for, using a non-autologous biological sling (Anaes.) (Assist.) | $807.35 75% benefit $605.55 |
| 37040 | Bladder stress incontinence, sling procedure for, using a non-adjustable synthetic male sling system, other than a service associated with a service to which item 37042 applies (H) (Anaes.) (Assist.) | $1,090.75 75% benefit $818.10 |
| 37041 | BLADDER ASPIRATION by needle | $55.75 75% benefit $41.85 85% benefit $47.40 |
| 37042 | Bladder stress incontinence—sling procedure for, using autologous fascial sling, including harvesting of sling, other than a service associated with a service to which item 35599 applies (H) (Anaes.) (Assist.) | $1,090.75 75% benefit $818.10 |
| 37044 | Bladder stress incontinence, suprapubic operation for (such as Burch colposuspension), open or laparoscopic route, using native tissue without graft, with diagnostic cystoscopy to assess the integrity of the lower urinary tract, not being a service associated with a service to which item 35599 or 36812 applies (H) (Anaes.) (Assist.) | $927.70 75% benefit $695.80 |
| 37045 | CONTINENT CATHETERISATION BLADDER STOMAS (eg. Mitrofanoff), formation of (Anaes.) (Assist.) | $1,710.00 75% benefit $1,282.50 |
| 37046 | Suprapubic or perineal procedure for excision of graft material, either singly or in multiple pieces, for a symptomatic patient with graft related complications (including graft related pain or discharge and bleeding related to graft exposure), if not more than one service to which this item applies has been provided to the patient by the same practitioner in the preceding 12 months (Anaes.) (Assist.) | $828.85 75% benefit $621.65 |
| 37047 | BLADDER ENLARGEMENT using intestine (Anaes.) (Assist.) | $1,994.10 75% benefit $1,495.60 |
| 37048 | Bladder neck closure for the management of urinary incontinence (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 37050 | BLADDER EXSTROPHY CLOSURE, not involving sphincter reconstruction (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 37053 | BLADDER TRANSECTION AND RE-ANASTOMOSIS TO TRIGONE (Anaes.) (Assist.) | $1,025.35 75% benefit $769.05 |
| 37200 | Prostatectomy, by open, laparoscopic or robot-assisted approach (Anaes.) (Assist.) | $1,216.45 75% benefit $912.35 |
| 37201 | Prostate, transurethral radio-frequency needle ablation of, with or without cystoscopy and with or without urethroscopy, in patients with moderate to severe lower urinary tract symptoms who are not medically fit for transurethral resection of the prostate (that is, prostatectomy using diathermy or cold punch) and including services to which item 36854, 37203, 37207, 37208, 37245, 37303, 37321 or 37324 applies (H) (Anaes.) | $992.10 75% benefit $744.10 |
| 37203 | Prostatectomy, transurethral resection using cautery, with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37201, 37207, 37208, 37245, 37303, 37321 or 37324 applies (H) (Anaes.) | $1,247.30 75% benefit $935.50 |
| 37204 | Cystoscopy with insertion of prostatic implants for the treatment of benign prostatic hyperplasia (H) (Anaes.) | $953.40 75% benefit $715.05 |
| 37205 | Prostate, ablation by water vapour with or without cystoscopy and with or without urethroscopy (H) (Anaes.) | $387.05 75% benefit $290.30 |
| 37207 | Prostate, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which items 36854, 37201, 37203, 37245, 37303, 37321 or 37324 applies (H) (Anaes.) | $1,247.30 75% benefit $935.50 |
| 37208 | PROSTATE, endoscopic non-contact (side firing) visual laser ablation, with or without cystoscopy and with or without urethroscopy, and including services to which item 36854, 37303, 37321 or 37324 applies, continuation of, within 10 days of the procedure described by items 37201, 37203, 37207 or 37245 which had to be discontinued for medical reasons (Anaes.) | $668.05 75% benefit $501.05 |
| 37209 | PROSTATE, and/or SEMINAL VESICLE/AMPULLA OF VAS, unilateral or bilateral, total excision of, not being a service associated with a service to which item number 37210 or 37211 applies (Anaes.) (Assist.) | $1,545.35 75% benefit $1,159.05 |
| 37210 | Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated) with or without bladder neck reconstruction, other than a service associated with a service to which item 30390, 30627, 35551, 36502 or 37375 applies (Anaes.) (Assist.) | $1,907.25 75% benefit $1,430.45 |
| 37211 | Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated): (a) with or without bladder neck reconstruction; and (b) with pelvic lymphadenectomy; other than a service associated with a service to which item 30390, 30627, 35551, 36502 or 37375 applies (Anaes.) (Assist.) | $2,316.20 75% benefit $1,737.15 |
| 37213 | Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated): (a) complicated by: (i) previous radiation therapy (including brachytherapy) on the prostate; or (ii) previous ablative procedures on the prostate; and (b) with bladder neck reconstruction; other than a service associated with a service to which item 30390, 30627, 35551, 36502 or 37375 applies (Anaes.) (Assist.) | $2,860.60 75% benefit $2,145.45 |
| 37214 | Prostatectomy, radical, involving total excision of the prostate, sparing of nerves around the prostate (where clinically indicated): (a) complicated by: (i) previous radiation therapy (including brachytherapy) on the prostate; or (ii) previous ablative procedures on the prostate; and (b) with bladder neck reconstruction and pelvic lymphadenectomy; other than a service associated with a service to which item 30390, 30627, 35551, 36502 or 37375 applies (Anaes.) (Assist.) | $3,474.65 75% benefit $2,606.00 |
| 37215 | Prostate, biopsy of, endoscopic, with or without cystoscopy (H) (Anaes.) | $498.50 75% benefit $373.90 |
| 37216 | Prostate or prostatic bed, needle biopsy of, by the transrectal route, using prostatic ultrasound guidance and obtaining one or more prostatic specimens, being a service associated with a service to which item 55603 applies (Anaes.) | $168.10 75% benefit $126.10 85% benefit $142.90 |
| 37217 | Prostate, implantation of radio-opaque fiducial markers into the prostate gland or prostate surgical bed, under ultrasound guidance, being an item associated with a service to which item 55603 applies (Anaes.) | $165.55 75% benefit $124.20 85% benefit $140.75 |
| 37218 | Prostate, injection into, one or more, excluding insertion of fiduciary markers (Anaes.) | $165.55 75% benefit $124.20 85% benefit $140.75 |
| 37219 | Prostate or prostatic bed, needle biopsy of, by the transperineal route, using prostatic ultrasound guidance and obtaining one or more prostatic specimens, being a service associated with a service to which item 55600 or 55603 applies (Anaes.) | $403.45 75% benefit $302.60 85% benefit $342.95 |
| 37220 | Prostate, radioactive seed implantation of, urological component, using transrectal ultrasound guidance: (a) for a patient with: (i) localised prostatic malignancy at clinical stages T1 (clinically inapparent tumour not palpable or visible by imaging) or T2 (tumour confined within prostate); and (ii) a Gleason score of less than or equal to 7 (Grade Group 1 to Grade Group 3); and (iii) a prostate specific antigen (PSA) of not more than 10ng/ml at the time of diagnosis; and (b) performed by a urologist at an approved site in association with a radiation oncologist; and (c) being a service associated with: (i) services to which items 15966 and 55603 apply; and (ii) a service to which item 60506 or 60509 applies (H) (Anaes.) | $1,249.80 75% benefit $937.35 |
| 37221 | Prostatic abscess, endoscopic drainage of (Anaes.) | $558.15 75% benefit $418.65 |
| 37223 | PROSTATIC COIL, insertion of, under ultrasound control (Anaes.) | $246.90 75% benefit $185.20 |
| 37224 | Prostate, diathermy or cauterisation, other than a service associated with a service to which item 37201, 37203, 37207, 37208 or 37215 applies (H) (Anaes.) | $386.85 75% benefit $290.15 |
| 37226 | Prostate or prostatic bed, needle biopsy of, using prostatic magnetic resonance imaging techniques and obtaining 1 or more prostatic specimens. (Anaes.) | $336.20 75% benefit $252.15 85% benefit $285.80 |
| 37227 | Prostate, transperineal insertion of catheters for high dose rate brachytherapy using ultrasound guidance including any associated cystoscopy, if performed at an approved site, and being a service associated with a service to which item 15966 applies (H) | $677.20 75% benefit $507.90 |
| 37245 | Prostate, endoscopic enucleation of, for the treatment of benign prostatic hyperplasia: (a) with morcellation, including mechanical morcellation or by an endoscopic technique; and (b) with or without cystoscopy; and (c) with or without urethroscopy; and other than a service associated with a service to which item 36827, 36854, 37008, 37201, 37203, 37207, 37208, 37303, 37321 or 37324 applies (H) (Anaes.) | $1,510.65 75% benefit $1,133.00 |
| 37300 | URETHRAL SOUNDS, passage of, as an independent procedure (Anaes.) | $55.75 75% benefit $41.85 85% benefit $47.40 |
| 37303 | URETHRAL STRICTURE, dilatation of (Anaes.) | $88.70 75% benefit $66.55 85% benefit $75.40 |
| 37306 | URETHRA, repair of rupture of distal section (Anaes.) (Assist.) | $777.75 75% benefit $583.35 |
| 37309 | URETHRA, repair of rupture of prostatic or membranous segment (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 37318 | Urethroscopy, with or without cystoscopy, with one or more of biopsy, diathermy, visual laser destruction of urethral calculi or removal of foreign body or calculi (H) (Anaes.) | $331.05 75% benefit $248.30 |
| 37321 | URETHRAL MEATOTOMY, EXTERNAL (Anaes.) | $111.70 75% benefit $83.80 85% benefit $94.95 |
| 37324 | Urethrotomy or urethrostomy, internal or external (Anaes.) (Assist.) | $275.15 75% benefit $206.40 |
| 37327 | URETHROTOMY, optical, for urethral stricture (Anaes.) (Assist.) | $386.85 75% benefit $290.15 |
| 37330 | URETHRECTOMY, partial or complete, for removal of tumour (Anaes.) (Assist.) | $777.75 75% benefit $583.35 |
| 37333 | URETHROVAGINAL FISTULA, closure of (Anaes.) (Assist.) | $668.05 75% benefit $501.05 |
| 37336 | URETHRORECTAL FISTULA, closure of (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 37338 | Urethral synthetic male sling system, division or removal of, for urethral obstruction, sling erosion, pain or infection, following previous surgery for urinary incontinence, other than a service associated with a service to which item 37340 or 37341 applies (Anaes.) (Assist.) | $1,090.75 75% benefit $818.10 |
| 37339 | Periurethral or transurethral injection of urethral bulking agents for the treatment of urinary incontinence, including cystoscopy and urethroscopy, other than a service associated with a service to which item 18375 or 18379 applies (Anaes.) | $287.15 75% benefit $215.40 85% benefit $244.10 |
| 37340 | Urethral synthetic sling, division or removal of, for urethral obstruction, sling erosion, pain or infection following previous surgery for urinary incontinence, vaginal approach, other than a service associated with a service to which item 37341 or 37344 applies (Anaes.) (Assist.) | $1,090.75 75% benefit $818.10 |
| 37341 | Urethral sling, division or removal of, for urethral obstruction, sling erosion, pain or infection following previous surgery for urinary incontinence, suprapubic, combined suprapubic and vaginal or combined suprapubic and perineal approach, other than a service associated with a service to which item 37340 or 37344 applies (Anaes.) (Assist.) | $1,090.75 75% benefit $818.10 |
| 37342 | URETHROPLASTY single stage operation (Anaes.) (Assist.) | $997.15 75% benefit $747.90 |
| 37343 | URETHROPLASTY, single stage operation, transpubic approach via separate incisions above and below the symphysis pubis, excluding laparotomy, symphysectomy and suprapubic cystotomy, with or without re-routing of the urethra around the crura (Anaes.) (Assist.) | $1,665.05 75% benefit $1,248.80 |
| 37344 | Urethral autologous fascial sling (or other biological sling), division or removal of, for urethral obstruction, sling erosion, pain or infection following previous surgery for urinary incontinence, vaginal approach, other than a service to which 37340 or 37341 applies (Anaes.) (Assist.) | $1,090.75 75% benefit $818.10 |
| 37345 | URETHROPLASTY 2 stage operation first stage (Anaes.) (Assist.) | $827.50 75% benefit $620.65 |
| 37348 | URETHROPLASTY 2 stage operation second stage (Anaes.) (Assist.) | $827.50 75% benefit $620.65 |
| 37351 | URETHROPLASTY, not being a service to which another item in this Group applies (Anaes.) (Assist.) | $331.05 75% benefit $248.30 |
| 37354 | HYPOSPADIAS, meatotomy and hemicircumcision (Anaes.) (Assist.) | $386.85 75% benefit $290.15 |
| 37369 | URETHRA, excision of prolapse of (Anaes.) | $223.35 75% benefit $167.55 |
| 37372 | Urethral diverticulum, excision of (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 37375 | URETHRAL SPHINCTER, reconstruction by bladder tubularisation technique or similar procedure (Anaes.) (Assist.) | $1,385.85 75% benefit $1,039.40 |
| 37381 | ARTIFICIAL URINARY SPHINCTER, insertion of cuff, perineal approach (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 37384 | ARTIFICIAL URINARY SPHINCTER, insertion of cuff, abdominal approach (Anaes.) (Assist.) | $1,385.85 75% benefit $1,039.40 |
| 37387 | ARTIFICIAL URINARY SPHINCTER, insertion of pressure regulating balloon and pump (Anaes.) (Assist.) | $386.85 75% benefit $290.15 |
| 37388 | Artificial urinary sphincter, sterile, percutaneous adjustment of filling volume | $117.25 75% benefit $87.95 85% benefit $99.70 |
| 37390 | ARTIFICIAL URINARY SPHINCTER, revision or removal of, with or without replacement (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 37393 | PRIAPISM, decompression by glanular stab cavernosospongiosum shunt or penile aspiration with or without lavage (Anaes.) | $275.15 75% benefit $206.40 85% benefit $233.90 |
| 37396 | PRIAPISM, shunt operation for, not being a service to which item 37393 applies (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 37402 | PENIS, partial amputation of (Anaes.) (Assist.) | $558.15 75% benefit $418.65 |
| 37405 | PENIS, complete or radical amputation of (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 37408 | PENIS, repair of laceration of cavernous tissue, or fracture involving cavernous tissue (Anaes.) (Assist.) | $558.15 75% benefit $418.65 |
| 37411 | Penis, repair of avulsion (H) (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 37415 | Penis, injection of, for the investigation and treatment of erectile dysfunction. Applicable not more than twice in a 36‑month period | $55.75 75% benefit $41.85 85% benefit $47.40 |
| 37417 | Penis, correction of chordee by plication techniques including Nesbit’s corporoplasty (Anaes.) (Assist.) | $668.05 75% benefit $501.05 |
| 37418 | Penis, correction of chordee with incision or excision of fibrous plaque or plaques, with or without mobilisation of one or both of the neuro-vascular bundle and urethra (H) (Anaes.) (Assist.) | $887.45 75% benefit $665.60 |
| 37423 | Penis, lengthening by translocation of corpora, in conjunction with partial penectomy or penile epispadias secondary repair, either as primary or secondary procedures (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 37426 | PENIS, artificial erection device, insertion of, into 1 or both corpora (Anaes.) (Assist.) | $1,166.45 75% benefit $874.85 |
| 37429 | PENIS, artificial erection device, insertion of pump and pressure regulating reservoir (Anaes.) (Assist.) | $386.85 75% benefit $290.15 |
| 37432 | PENIS, artificial erection device, complete or partial revision or removal of components, with or without replacement (Anaes.) (Assist.) | $1,106.80 75% benefit $830.10 |
| 37435 | PENIS, frenuloplasty as an independent procedure (Anaes.) | $111.70 75% benefit $83.80 85% benefit $94.95 |
| 37438 | Scrotum, partial excision of, for histologically proven malignancy or infection (Anaes.) (Assist.) | $331.05 75% benefit $248.30 85% benefit $281.40 |
| 37601 | SPERMATOCELE OR EPIDIDYMAL CYST, excision of, 1 or more of, on 1 side (Anaes.) | $331.05 75% benefit $248.30 85% benefit $281.40 |
| 37604 | Exploration of scrotal contents, with or without fixation and with or without biopsy, unilateral or bilateral, other than a service associated with sperm harvesting for IVF (H) (Anaes.) | $331.05 75% benefit $248.30 |
| 37605 | Transcutaneous sperm retrieval, unilateral, from either the testis or the epididymis, for the purposes of intracytoplasmic sperm injection, for male factor infertility, excluding a service to which item 13218 applies. (Anaes.) | $447.00 75% benefit $335.25 85% benefit $379.95 |
| 37606 | Open surgical sperm retrieval, unilateral, including the exploration of scrotal contents, with or without biopsy, for the purposes of intracytoplasmic sperm injection, for male factor infertility, performed in a hospital, other than a service to which item 13218 or 37604 applies (H) (Anaes.) | $663.70 75% benefit $497.80 |
| 37607 | Bilateral retroperitoneal lymph node dissection, for testicular tumour, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $1,660.15 75% benefit $1,245.15 |
| 37610 | Bilateral retroperitoneal lymph node dissection, for testicular tumour, following previous similar retroperitoneal dissection, retroperitoneal radiation therapy or chemotherapy, other than a service associated with a service to which item 30390 or 30627 applies (Anaes.) (Assist.) | $2,497.65 75% benefit $1,873.25 |
| 37613 | Epididymectomy (H) (Anaes.) | $331.05 75% benefit $248.30 |
| 37616 | VASOVASOSTOMY or VASOEPIDIDYMOSTOMY, unilateral, using operating microscope, not being a service associated with sperm harvesting for IVF (Anaes.) (Assist.) | $827.50 75% benefit $620.65 |
| 37619 | Vasovasostomy or vasoepididymostomy, unilateral, other than a service associated with sperm harvesting for IVF (H) (Anaes.) (Assist.) | $331.05 75% benefit $248.30 |
| 37623 | VASOTOMY OR VASECTOMY, unilateral or bilateral NOTE: Strict legal requirements apply in relation to sterilisation procedures on minors. Medicare benefits are not payable for services not rendered in accordance with relevant Commonwealth and State and Territory law. Observe the explanatory note before submitting a claim. (Anaes.) | $275.15 75% benefit $206.40 85% benefit $233.90 |
| 37800 | PATENT URACHUS, excision of, on a patient 10 years of age or over. (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 37801 | PATENT URACHUS, excision of, when performed on a patient under 10 years of age (Anaes.) (Assist.) | $811.15 75% benefit $608.40 |
| 37803 | UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37806 applies, on a patient 10 years of age or over. (Anaes.) (Assist.) | $623.95 75% benefit $468.00 |
| 37804 | UNDESCENDED TESTIS, orchidopexy for, not being a service to which item 37807 applies, on a patient under 10 years of age (Anaes.) (Assist.) | $811.15 75% benefit $608.40 |
| 37806 | Undescended testis in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for, on a patient 10 years of age or over (H) (Anaes.) (Assist.) | $720.85 75% benefit $540.65 |
| 37807 | Undescended testis in inguinal canal close to deep inguinal ring or within abdominal cavity, orchidopexy for, on a patient under 10 years of age (H) (Anaes.) (Assist.) | $937.15 75% benefit $702.90 |
| 37809 | UNDESCENDED TESTIS, revision orchidopexy for, on a patient 10 years of age or over. (Anaes.) (Assist.) | $720.85 75% benefit $540.65 |
| 37810 | UNDESCENDED TESTIS, revision orchidopexy for, on a patient under 10 years of age (Anaes.) (Assist.) | $937.15 75% benefit $702.90 |
| 37812 | IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37803, 37806 and 37809 applies, on a patient 10 years of age or over. (Anaes.) (Assist.) | $665.40 75% benefit $499.05 |
| 37813 | IMPALPABLE TESTIS, exploration of groin for, not being a service associated with a service to which items 37804, 37807 and 37810 applies, on a patient under 10 years of age (Anaes.) (Assist.) | $865.05 75% benefit $648.80 |
| 37815 | HYPOSPADIAS, examination under anaesthesia with erection test on a patient 10 years of age or over. (Anaes.) | $111.00 75% benefit $83.25 |
| 37816 | HYPOSPADIAS, examination under anaesthesia with erection test, on a patient under 10 years of age (Anaes.) | $144.35 75% benefit $108.30 |
| 37818 | Hypospadias, glanuloplasty incorporating meatal advancement, on a patient 10 years of age or over (H) (Anaes.) (Assist.) | $588.25 75% benefit $441.20 |
| 37819 | Hypospadias, glanuloplasty incorporating meatal advancement, on a patient under 10 years of age (H) (Anaes.) (Assist.) | $764.70 75% benefit $573.55 |
| 37821 | HYPOSPADIAS, distal, 1 stage repair, on a patient 10 years of age or over. (Anaes.) (Assist.) | $997.15 75% benefit $747.90 |
| 37822 | HYPOSPADIAS, distal, 1 stage repair, on a patient under 10 years of age (Anaes.) (Assist.) | $1,296.35 75% benefit $972.30 |
| 37824 | HYPOSPADIAS, proximal, 1 stage repair, on a patient 10 years of age or over (Anaes.) (Assist.) | $1,386.40 75% benefit $1,039.80 |
| 37825 | HYPOSPADIAS, proximal, 1 stage repair, on a patient under 10 years of age (Anaes.) (Assist.) | $1,802.25 75% benefit $1,351.70 |
| 37827 | HYPOSPADIAS, staged repair, first stage, on a patient 10 years of age or over (Anaes.) (Assist.) | $638.70 75% benefit $479.05 |
| 37828 | HYPOSPADIAS, staged repair, first stage, on a patient under 10 years of age (Anaes.) (Assist.) | $830.25 75% benefit $622.70 |
| 37830 | Hypospadias, staged repair, second stage, on a patient 10 years of age or over (H) (Anaes.) (Assist.) | $827.50 75% benefit $620.65 |
| 37831 | Hypospadias, staged repair, second stage, on a patient under 10 years of age (H) (Anaes.) (Assist.) | $1,075.90 75% benefit $806.95 |
| 37833 | Hypospadias, repair of urethral fistula, on a patient 10 years of age or over (Anaes.) (Assist.) | $394.90 75% benefit $296.20 |
| 37834 | Hypospadias, repair of urethral fistula, on a patient under 10 years of age (Anaes.) (Assist.) | $513.50 75% benefit $385.15 |
| 37836 | EPISPADIAS, staged repair, first stage (Anaes.) (Assist.) | $831.80 75% benefit $623.85 |
| 37839 | EPISPADIAS, staged repair, second stage (Anaes.) (Assist.) | $942.65 75% benefit $707.00 |
| 37842 | Exstrophy of bladder or epispadias, primary or secondary repair with or without bladder neck tightening, with or without ureteric reimplantation (Anaes.) (Assist.) | $1,830.15 75% benefit $1,372.65 |
| 37845 | Congenital disorder of sexual differentiation with urogenital sinus, external genitoplasty, with or without endoscopy (Anaes.) (Assist.) | $831.80 75% benefit $623.85 |
| 37848 | Congenital disorder of sexual differentiation with urogenital sinus, external genitoplasty with endoscopy and vaginoplasty (Anaes.) (Assist.) | $1,497.35 75% benefit $1,123.05 |
| 37851 | Congenital disorder of sexual differentiation, vaginoplasty for, with or without endoscopy (Anaes.) (Assist.) | $1,109.30 75% benefit $832.00 |
| 37854 | Urethral valve, destruction of, including cystoscopy and urethroscopy (Anaes.) | $438.55 75% benefit $328.95 |
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.