MBS Group T8 · Subgroup 9
Ophthalmology: MBS items and fees.
All 143 items in subgroup 9 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.
T8.9 Ophthalmology
143 items
| Item | Description | Fee and benefits |
|---|---|---|
| 42503 | OPHTHALMOLOGICAL EXAMINATION under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes.) | $122.65 75% benefit $92.00 |
| 42504 | Implantation of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or the trabecular meshwork, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) | $359.95 75% benefit $270.00 |
| 42505 | Complete removal of a micro‑bypass glaucoma surgery device or devices from the suprachoroidal space or the trabecular meshwork, with or without replacement, following device‑related medical complications necessitating complete removal (H) (Anaes.) | $359.95 75% benefit $270.00 |
| 42506 | Eye, enucleation of, without insertion of implant (H) (Anaes.) (Assist.) | $576.00 75% benefit $432.00 |
| 42509 | Eye, enucleation of, with insertion of non-integrated implant, without muscle attachment (H) (Anaes.) (Assist.) | $729.00 75% benefit $546.75 |
| 42510 | Eye, enucleation of, with insertion of coralline or other integrated implant, including:(a) for a coralline implant—attachment of at least the 4 rectus muscles (with or without oblique muscles) to: (i) the implant; or(ii) the implant wrap; or (b) for another integrated implant—fashioning of myoconjunctival insertion of extraocular muscles(H) (Anaes.) (Assist.) | $840.30 75% benefit $630.25 |
| 42512 | Globe, evisceration of (H) (Anaes.) (Assist.) | $576.00 75% benefit $432.00 |
| 42515 | GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE (Anaes.) (Assist.) | $729.00 75% benefit $546.75 |
| 42518 | ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant (Anaes.) (Assist.) | $422.95 75% benefit $317.25 |
| 42521 | ANOPHTHALMIC SOCKET, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (Anaes.) (Assist.) | $1,440.15 75% benefit $1,080.15 |
| 42527 | CONTRACTED SOCKET, RECONSTRUCTION INCLUDING MUCOUS MEMBRANE GRAFTING AND STENT MOULD (Anaes.) (Assist.) | $485.95 75% benefit $364.50 |
| 42530 | Orbit, exploration of, requiring removal of bone (orbitotomy) for access, with subsequent drainage or biopsy, including repair of any bone or soft tissue surgical defect, other than a service associated with a service to which item 45590 or 45594 applies on the same side (H) (Anaes.) (Assist.) | $756.10 75% benefit $567.10 |
| 42533 | Orbit, exploration of, without requiring removal of bone (orbitotomy) for access, with drainage or biopsy, including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.) | $485.95 75% benefit $364.50 |
| 42536 | Orbit, exenteration of, including repair of any bone or soft tissue surgical defect, with or without skin graft and with or without temporalis muscle transplant (H) (Anaes.) (Assist.) | $998.85 75% benefit $749.15 |
| 42539 | Orbit, exploration of, requiring removal of bone (orbitotomy) for access, with removal of tumour or foreign body (not incisional biopsy), including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.) | $1,422.15 75% benefit $1,066.65 |
| 42542 | Orbit, exploration of anterior aspect, with removal of tumour or foreign body (not incisional biopsy), including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.) | $603.15 75% benefit $452.40 |
| 42543 | ORBIT, exploration of retrobulbar aspect with removal of tumour or foreign body (Anaes.) (Assist.) | $1,057.85 75% benefit $793.40 |
| 42545 | ORBIT, decompression of, for dysthyroid eye disease, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye (Anaes.) (Assist.) | $1,530.05 75% benefit $1,147.55 |
| 42548 | OPTIC NERVE MENINGES, incision of (Anaes.) (Assist.) | $908.90 75% benefit $681.70 |
| 42551 | Eye, penetrating wound or rupture of, not involving intraocular structures—repair involving suture of cornea or sclera, or both, other than a service to which item 42632 applies (H) (Anaes.) (Assist.) | $756.10 75% benefit $567.10 |
| 42554 | EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration or prolapse of uveal tissue repair (Anaes.) (Assist.) | $882.15 75% benefit $661.65 |
| 42557 | EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration of lens or vitreous repair (Anaes.) (Assist.) | $1,233.05 75% benefit $924.80 |
| 42563 | Intraocular foreign body, removal from anterior segment (H) (Anaes.) (Assist.) | $621.20 75% benefit $465.90 |
| 42569 | INTRAOCULAR FOREIGN BODY, removal from posterior segment (Anaes.) (Assist.) | $1,233.05 75% benefit $924.80 |
| 42572 | ORBITAL ABSCESS OR CYST, drainage of (Anaes.) | $140.45 75% benefit $105.35 85% benefit $119.40 |
| 42573 | DERMOID, periorbital, excision of, on a patient 10 years of age or over (Anaes.) | $272.20 75% benefit $204.15 85% benefit $231.40 |
| 42574 | Dermoid, orbital, excision of (H) (Anaes.) (Assist.) | $578.40 75% benefit $433.80 |
| 42575 | TARSAL CYST, extirpation of (Anaes.) | $99.00 75% benefit $74.25 85% benefit $84.15 |
| 42576 | Dermoid, periorbital, excision of, on a patient under 10 years of age (H) (Anaes.) | $353.90 75% benefit $265.45 |
| 42581 | ECTROPION OR ENTROPION, tarsal cauterisation of (Anaes.) | $140.45 75% benefit $105.35 85% benefit $119.40 |
| 42584 | TARSORRHAPHY (Anaes.) (Assist.) | $331.25 75% benefit $248.45 85% benefit $281.60 |
| 42587 | TRICHIASIS (due to causes other than trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.) | $62.25 75% benefit $46.70 85% benefit $52.95 |
| 42588 | TRICHIASIS (due to trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.) | $62.25 75% benefit $46.70 85% benefit $52.95 |
| 42590 | Canthoplasty, medial or lateral, excluding when performed in conjunction with cosmetic blepharoplasty (Anaes.) (Assist.) | $405.00 75% benefit $303.75 85% benefit $344.25 |
| 42596 | Lacrimal sac, excision of, or operation on (H) (Anaes.) (Assist.) | $603.15 75% benefit $452.40 |
| 42599 | Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, one eye (H) (Anaes.) (Assist.) | $756.10 75% benefit $567.10 |
| 42602 | Lacrimal canalicular system, establishment of patency by open operation, one eye (H) (Anaes.) (Assist.) | $756.10 75% benefit $567.10 |
| 42605 | Lacrimal canaliculus, immediate repair of (H) (Anaes.) (Assist.) | $557.90 75% benefit $418.45 |
| 42608 | LACRIMAL DRAINAGE by insertion of glass tube, as an independent procedure (Anaes.) (Assist.) | $359.95 75% benefit $270.00 85% benefit $306.00 |
| 42610 | Nasolacrimal tube (unilateral), removal or replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage—under general anaesthesia (H) (Anaes.) | $115.20 75% benefit $86.40 |
| 42611 | Nasolacrimal tube (bilateral), removal or replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage—under general anaesthesia (H) (Anaes.) | $172.80 75% benefit $129.60 |
| 42614 | NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, unilateral, including lavage, not being a service associated with a service to which item 42610 applies (excluding aftercare) | $57.75 75% benefit $43.35 85% benefit $49.10 |
| 42615 | NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing to establish patency of the lacrimal passage and/or site of obstruction, bilateral, including lavage, not being a service associated with a service to which item 42611 applies (excluding aftercare) | $86.50 75% benefit $64.90 85% benefit $73.55 |
| 42617 | PUNCTUM SNIP operation (Anaes.) | $163.95 75% benefit $123.00 85% benefit $139.40 |
| 42620 | PUNCTUM, occlusion of, by use of a plug (Anaes.) | $63.10 75% benefit $47.35 85% benefit $53.65 |
| 42622 | PUNCTUM, permanent occlusion of, by use of electrical cautery (Anaes.) | $99.00 75% benefit $74.25 85% benefit $84.15 |
| 42623 | Dacryocystorhinostomy, external or endonasal approach, including any sinus, turbinate or uncinate operation performed by same surgeon for access, with or without silicone intubation/stenting (H) (Anaes.) (Assist.) | $837.15 75% benefit $627.90 |
| 42626 | Dacryocystorhinostomy, if a previous dacryocystorhinostomy has been performed, external or endonasal approach, including any sinus, turbinate or uncinate operation performed by same surgeon for access, with or without silicone intubation/stenting (H) (Anaes.) (Assist.) | $1,350.20 75% benefit $1,012.65 |
| 42629 | Dacryocystorhinostomy, with placement of a permanent bypass tube from the conjunctival sac to the nasal cavity (H) (Anaes.) (Assist.) | $1,017.05 75% benefit $762.80 |
| 42632 | Conjunctival peritomy or repair of corneal laceration by conjunctival flap, other than a service associated with a service to which item 42686 applies (Anaes.) | $140.45 75% benefit $105.35 85% benefit $119.40 |
| 42635 | CORNEAL PERFORATIONS, sealing of, with tissue adhesive (Anaes.) (Assist.) | $359.95 75% benefit $270.00 85% benefit $306.00 |
| 42638 | CONJUNCTIVAL GRAFT OVER CORNEA (Anaes.) (Assist.) | $450.05 75% benefit $337.55 85% benefit $382.55 |
| 42641 | AUTOCONJUNCTIVAL TRANSPLANT, or mucous membrane graft (Anaes.) (Assist.) | $585.05 75% benefit $438.80 85% benefit $497.30 |
| 42644 | CORNEA OR SCLERA, complete removal of embedded foreign body from - not more than once on the same day by the same practitioner (excluding aftercare) (Anaes.) | $86.35 75% benefit $64.80 85% benefit $73.40 |
| 42647 | Corneal scars, removal of, by partial keratectomy, other than a service associated with a service to which item 42686 or 42650 applies (Anaes.) | $244.85 75% benefit $183.65 85% benefit $208.15 |
| 42650 | Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care), other than a service associated with a service to which item 42647 applies (Anaes.) | $86.35 75% benefit $64.80 85% benefit $73.40 |
| 42651 | CORNEA, epithelial debridement for eliminating band keratopathy (Anaes.) | $192.50 75% benefit $144.40 85% benefit $163.65 |
| 42652 | New 85% benefit on 1 November 2026Corneal collagen cross linking, on a patient with a corneal ectatic disorder, with evidence of progression—per eye (Anaes.) | $1,436.30 75% benefit $1,077.25 85% benefit $1,327.80 was $1,331.80 |
| 42653 | CORNEA transplantation of (Anaes.) (Assist.) | $1,565.20 75% benefit $1,173.90 |
| 42656 | CORNEA, transplantation of, second and subsequent procedures (Anaes.) (Assist.) | $1,998.20 75% benefit $1,498.65 |
| 42662 | SCLERA, transplantation of, full thickness, including collection of donor material (Anaes.) (Assist.) | $1,079.90 75% benefit $809.95 |
| 42665 | Sclera, transplantation of, superficial or lamellar, including collection of donor material (H) (Anaes.) (Assist.) | $720.15 75% benefit $540.15 |
| 42667 | RUNNING CORNEAL SUTURE, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation | $169.85 75% benefit $127.40 85% benefit $144.40 |
| 42668 | CORNEAL SUTURES, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.) | $90.10 75% benefit $67.60 85% benefit $76.60 |
| 42672 | Corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure (H) (Anaes.) (Assist.) | $1,079.90 75% benefit $809.95 |
| 42673 | Additional corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery (H) (Anaes.) (Assist.) | $539.90 75% benefit $404.95 |
| 42676 | CONJUNCTIVA, biopsy of, as an independent procedure | $138.45 75% benefit $103.85 85% benefit $117.70 |
| 42677 | CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUS each attendance at which treatment is given including any associated consultation (Anaes.) | $72.95 75% benefit $54.75 85% benefit $62.05 |
| 42680 | CONJUNCTIVA, cryotherapy to, for melanotic lesions or similar using CO² or N²0 (Anaes.) | $359.95 75% benefit $270.00 85% benefit $306.00 |
| 42683 | CONJUNCTIVAL CYSTS, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.) | $144.10 75% benefit $108.10 |
| 42686 | Pterygium, removal of, other than a service associated with a service to which item 42632 or 42647 applies (Anaes.) | $327.55 75% benefit $245.70 85% benefit $278.45 |
| 42689 | PINGUECULA, removal of, not being a service associated with the fitting of contact lenses (Anaes.) | $140.45 75% benefit $105.35 85% benefit $119.40 |
| 42692 | LIMBIC TUMOUR, removal of, excluding Pterygium (Anaes.) (Assist.) | $331.25 75% benefit $248.45 85% benefit $281.60 |
| 42695 | LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.) | $539.90 75% benefit $404.95 85% benefit $458.95 |
| 42698 | Lens extraction, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) | $711.80 75% benefit $533.85 |
| 42701 | Intraocular lens, insertion of, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) | $396.95 75% benefit $297.75 |
| 42702 | Lens extraction and insertion of intraocular lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) | $910.35 75% benefit $682.80 |
| 42703 | Intraocular lens or iris prosthesis, insertion of, into the posterior chamber with fixation to the iris or sclera (H) (Anaes.) (Assist.) | $684.65 75% benefit $513.50 |
| 42704 | Intraocular lens, removal or repositioning of by open operation—other than a service associated with a service to which item 42701 applies (H) (Anaes.) | $557.90 75% benefit $418.45 |
| 42705 | Lens extraction and insertion of intraocular lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye, performed in association with insertion of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or trabecular meshwork, in a patient diagnosed with open angle glaucoma who is not adequately responsive to topical anti‑glaucoma medications or who is intolerant of anti‑glaucoma medication (H) (Anaes.) | $1,090.55 75% benefit $817.95 |
| 42707 | Intraocular lens, removal of and replacement with a different lens, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (H) (Anaes.) | $954.05 75% benefit $715.55 |
| 42710 | Intraocular lens, removal of, and replacement with a lens inserted into the posterior chamber and fixated to the iris or sclera (H) (Anaes.) (Assist.) | $1,079.90 75% benefit $809.95 |
| 42713 | Iris or ciliary body suturing, McCannel technique or similar, for:(a) fixation of intraocular lens; or(b) repair of iris defect or cyclodialysis cleft(H) (Anaes.) (Assist.) | $450.05 75% benefit $337.55 |
| 42716 | Cataract, juvenile, removal of, including subsequent needlings (H) (Anaes.) (Assist.) | $1,431.10 75% benefit $1,073.35 |
| 42719 | Either or both of the following, via a limbal approach by any method: (a) removal of capsular or lens material; (b) removal of vitreous; other than a service associated with a service to which item 42698, 42702, 42705, 42716, 42725 or 42731 applies (H) (Anaes.) (Assist.) | $621.20 75% benefit $465.90 |
| 42725 | Vitrectomy via pars plana sclerotomy, including one or more of the following:(a) removal of vitreous; (b) division of vitreous bands; (c) removal of epiretinal membranes; (d) capsulotomy (Anaes.) (Assist.) | $1,602.00 75% benefit $1,201.50 |
| 42731 | LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 (Anaes.) (Assist.) | $1,818.05 75% benefit $1,363.55 |
| 42734 | Capsulotomy, other than by laser, and other than a service associated with a service to which item 42725 or 42731 applies (H) (Anaes.) (Assist.) | $359.95 75% benefit $270.00 |
| 42743 | Anterior chamber, irrigation of blood from, as an independent procedure (H) (Anaes.) (Assist.) | $756.10 75% benefit $567.10 |
| 42744 | Needle revision of glaucoma filtration bleb, following glaucoma filtering surgery (Anaes.) | $359.75 75% benefit $269.85 85% benefit $305.80 |
| 42746 | Glaucoma filtering surgery, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) (Assist.) | $1,143.05 75% benefit $857.30 |
| 42749 | Glaucoma filtering surgery, if previous filtering surgery has been performed (H) (Anaes.) (Assist.) | $1,431.10 75% benefit $1,073.35 |
| 42750 | Subconjunctival injection of antifibrotic agent following glaucoma filtering surgery, as an independent procedure (Anaes.) | $63.80 75% benefit $47.85 85% benefit $54.25 |
| 42752 | Insertion of glaucoma drainage device incorporating an extraocular reservoir (H) (Anaes.) (Assist.) | $1,602.00 75% benefit $1,201.50 |
| 42755 | Any of the following:(a) removal of glaucoma drainage device incorporating an extraocular reservoir;(b) insertion or removal of intraluminal stent;(c) tying off of lumenOne eye (H) (Anaes.) (Assist.) | $197.95 75% benefit $148.50 |
| 42758 | Goniotomy for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices (Anaes.) (Assist.) | $837.15 75% benefit $627.90 |
| 42761 | Division of anterior or posterior synechiae, as an independent procedure, other than by laser (H) (Anaes.) (Assist.) | $621.20 75% benefit $465.90 |
| 42764 | Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (H) (Anaes.) (Assist.) | $621.20 75% benefit $465.90 |
| 42767 | TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of (Anaes.) (Assist.) | $1,304.95 75% benefit $978.75 |
| 42770 | CYCLODESTRUCTIVE procedures for the treatment of intractable glaucoma, treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) (Assist.) | $352.80 75% benefit $264.60 85% benefit $299.90 |
| 42773 | New 85% benefit on 1 November 2026Detached retina, pneumatic retinopexy for, as an independent procedure (Anaes.) (Assist.) | $1,079.90 75% benefit $809.95 85% benefit $971.40 was $975.40 |
| 42776 | DETACHED RETINA, buckling or resection operation for (Anaes.) (Assist.) | $1,602.00 75% benefit $1,201.50 |
| 42779 | DETACHED RETINA, revision of scleral buckling operation for (Anaes.) (Assist.) | $1,998.20 75% benefit $1,498.65 |
| 42782 | LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.) | $539.90 75% benefit $404.95 85% benefit $458.95 |
| 42785 | LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.) | $422.95 75% benefit $317.25 85% benefit $359.55 |
| 42788 | Laser capsulotomy—each treatment episode to one eye, to a maximum of 2 treatments to that eye in a 2 year period—other than a service associated with a service to which item 42702 applies (Anaes.) (Assist.) | $422.95 75% benefit $317.25 85% benefit $359.55 |
| 42791 | Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity—each treatment to one eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.) | $422.95 75% benefit $317.25 85% benefit $359.55 |
| 42794 | Division of suture by laser following glaucoma filtering surgery, each treatment to one eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.) | $81.05 75% benefit $60.80 85% benefit $68.90 |
| 42801 | EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Anaes.) (Assist.) | $1,256.45 75% benefit $942.35 |
| 42802 | EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, removal of (Anaes.) (Assist.) | $627.95 75% benefit $471.00 |
| 42805 | Tantalum markers, surgical insertion to the sclera to localise the tumour base and to assist in planning radiotherapy of choroidal melanomas—one or more of (H) (Anaes.) | $702.00 75% benefit $526.50 |
| 42808 | Laser iridoplasty | $425.85 75% benefit $319.40 85% benefit $362.00 |
| 42809 | RETINA, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin (Anaes.) (Assist.) | $539.90 75% benefit $404.95 85% benefit $458.95 |
| 42810 | PHOTOTHERAPEUTIC KERATECTOMY, by laser, for corneal scarring or disease, excluding surgery for refractive error (Anaes.) | $679.40 75% benefit $509.55 85% benefit $577.50 |
| 42811 | TRANSPUPILLARY THERMOTHERAPY, for treatment of choroidal and retinal tumours or vascular malformations (Anaes.) | $539.90 75% benefit $404.95 85% benefit $458.95 |
| 42812 | Removal of scleral buckling material, from an eye having undergone previous scleral buckling surgery (Anaes.) | $197.95 75% benefit $148.50 85% benefit $168.30 |
| 42815 | VITREOUS CAVITY, removal of silicone oil or other liquid vitreous substitutes from, during a procedure other than that in which the vitreous substitute is inserted (Anaes.) (Assist.) | $756.10 75% benefit $567.10 |
| 42818 | New 85% benefit on 1 November 2026Retina or ciliary body, cryotherapy to, as an independent procedure, or when performed in conjunction with item 42809 (Anaes.) | $702.00 75% benefit $526.50 85% benefit $596.70 was $597.50 |
| 42821 | OCULAR TRANSILLUMINATION, for the diagnosis and measurement of intraocular tumours (Anaes.) | $108.20 75% benefit $81.15 85% benefit $92.00 |
| 42824 | RETROBULBAR INJECTION OF ALCOHOL OR OTHER DRUG, as an independent procedure | $83.60 75% benefit $62.70 85% benefit $71.10 |
| 42833 | SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES on a patient aged 15 years or over (Anaes.) (Assist.) | $702.00 75% benefit $526.50 |
| 42836 | SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 1 OR 2 MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.) | $873.00 75% benefit $654.75 |
| 42839 | SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 OR MORE MUSCLES on a patient aged 15 years or over (Anaes.) (Assist.) | $837.15 75% benefit $627.90 |
| 42842 | SQUINT, OPERATION FOR, ON 1 OR BOTH EYES, the operation involving a total of 3 or MORE MUSCLES, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.) | $1,044.05 75% benefit $783.05 |
| 42845 | READJUSTMENT OF ADJUSTABLE SUTURES, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.) | $226.75 75% benefit $170.10 85% benefit $192.75 |
| 42848 | SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 15 years or over (Anaes.) (Assist.) | $837.15 75% benefit $627.90 |
| 42851 | SQUINT, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Anaes.) (Assist.) | $1,044.05 75% benefit $783.05 |
| 42854 | Ruptured medial palpebral ligament or ruptured extra‑ocular muscle, repair of (H) (Anaes.) (Assist.) | $485.95 75% benefit $364.50 |
| 42857 | Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (H) (Anaes.) (Assist.) | $485.95 75% benefit $364.50 |
| 42860 | Eyelid (upper or lower), scleral or Goretex or other non‑autogenous graft to, with recession of the lid retractors (H) (Anaes.) (Assist.) | $1,079.90 75% benefit $809.95 |
| 42863 | New 85% benefit on 1 November 2026Eyelid (upper or lower), recession of, by open operation on and direct release of the lid retractors, one eye (Anaes.) (Assist.) | $927.15 75% benefit $695.40 85% benefit $818.65 was $822.65 |
| 42866 | New 85% benefit on 1 November 2026Entropion or tarsal ectropion, repair of, by tightening, shortening or repair of inferior retractors by open operation across the entire width of the eyelid, excluding when performed in conjunction with closure of the retractors using conjunctival approaches for fat pad reduction or orbital surgery (Anaes.) (Assist.) | $899.85 75% benefit $674.90 85% benefit $791.35 was $795.35 |
| 42869 | EYELID closure in facial nerve paralysis, insertion of foreign implant for (Anaes.) (Assist.) | $657.10 75% benefit $492.85 85% benefit $558.55 |
| 42872 | Direct eyebrow lift in paretic states, or in involutional states, if:(a) vision is obscured as evidenced by the resting of upper lid skin on the eyelashes in straight ahead gaze; and(b) photographic evidence demonstrating the clinical need for this service is documented in the patient notes (Anaes.) | $288.05 75% benefit $216.05 85% benefit $244.85 |
| 43021 | Photodynamic therapy, one eye, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation. | $544.70 75% benefit $408.55 85% benefit $463.00 |
| 43022 | Photodynamic therapy, both eyes, including the infusion of Verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation. | $653.70 75% benefit $490.30 85% benefit $555.65 |
| 43030 | Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the left eye | $359.95 75% benefit $270.00 85% benefit $306.00 |
| 43032 | Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the right eye | $359.95 75% benefit $270.00 85% benefit $306.00 |
| 43034 | Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the left eye, for a patient requiring the administration of anaesthetic by an anaesthetist (Anaes.) | $359.95 75% benefit $270.00 85% benefit $306.00 |
| 43036 | Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the right eye, for a patient requiring the administration of anaesthetic by an anaesthetist (Anaes.) | $359.95 75% benefit $270.00 85% benefit $306.00 |
| 43038 | Intravitreal injection of therapeutic substances, or the removal of vitreous humour for diagnostic purposes, one or more of, as a procedure associated with other intraocular surgery of the left eye (Anaes.) | $359.95 75% benefit $270.00 85% benefit $306.00 |
| 43040 | Intravitreal injection of therapeutic substances, or the removal of vitreous humour for diagnostic purposes, one or more of, as a procedure associated with other intraocular surgery of the right eye (Anaes.) | $359.95 75% benefit $270.00 85% benefit $306.00 |
| 43050 | Choroidal detachment, repair by external drainage (H) (Anaes.) (Assist.) | $806.95 75% benefit $605.25 |
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.