OHIP Fee Codes
Complete reference of Ontario physician fee codes with current billing amounts. Use the search box to quickly find any fee code.
| Code | Description | Category | Amount |
|---|---|---|---|
| A001 | Minor assessment | Consultations and Visits | $23.75 |
| A002 | Enhanced 18 month well baby visit | Consultations and Visits | $62.20 |
| A003 | General assessment | Consultations and Visits | $87.35 |
| A004 | General re-assessment | Consultations and Visits | $38.35 |
| A005 | Consultation | Consultations and Visits | $87.90 |
| A006 | Repeat consultation | Consultations and Visits | $45.90 |
| A007 | Intermediate assessment or well baby care | Consultations and Visits | $37.95 |
| A008 | Mini assessment | Consultations and Visits | $13.05 |
| A010 | GP focused practice consultation by Video | Consultations and Visits | $87.90 |
| A011 | GP focused practice repeat consultation by Video | Consultations and Visits | $45.90 |
| A013 | Specific assessment | Consultations and Visits | $64.65 |
| A014 | Partial assessment | Consultations and Visits | $31.45 |
| A015 | Consultation (Anaesthesia) | Consultations and Visits | $109.70 |
| A016 | Repeat consultation (Anaesthesia) | Consultations and Visits | $52.15 |
| A020 | Complex dermatology assessment | Consultations and Visits | $60.00 |
| A021 | Advanced Dermatology Consultation | Consultations and Visits | $164.90 |
| A023 | Specific assessment (Dermatology) | Consultations and Visits | $43.00 |
| A024 | Partial assessment (Dermatology) | Consultations and Visits | $21.90 |
| A025 | Consultation (Dermatology) | Consultations and Visits | $72.15 |
| A026 | Repeat consultation (Dermatology) | Consultations and Visits | $44.45 |
| A027 | Consultation with special visit (Dermatology) | Consultations and Visits | $147.30 |
| A033 | Specific assessment (General Surgery) | Consultations and Visits | $47.30 |
| A034 | Partial assessment (General Surgery) | Consultations and Visits | $28.60 |
| A035 | Consultation (General Surgery) | Consultations and Visits | $96.20 |
| A036 | Repeat consultation (General Surgery) | Consultations and Visits | $64.10 |
| A043 | Specific assessment (Neurosurgery) | Consultations and Visits | $58.25 |
| A044 | Partial assessment (Neurosurgery) | Consultations and Visits | $30.00 |
| A045 | Consultation (Neurosurgery) | Consultations and Visits | $130.75 |
| A046 | Repeat consultation (Neurosurgery) | Consultations and Visits | $58.25 |
| A050 | Special community medicine consultation | Consultations and Visits | $144.75 |
| A051 | Complex medical specific re-assessment (Community Medicine) | Consultations and Visits | $70.90 |
| A053 | Medical specific assessment (Community Medicine) | Consultations and Visits | $79.85 |
| A054 | Medical specific re-assessment (Community Medicine) | Consultations and Visits | $61.25 |
| A055 | Consultation (Community Medicine) | Consultations and Visits | $125.60 |
| A056 | Repeat consultation (Community Medicine) | Consultations and Visits | $84.20 |
| A058 | Partial assessment (Community Medicine) | Consultations and Visits | $38.05 |
| A063 | Specific assessment (Orthopaedic Surgery) | Consultations and Visits | $42.55 |
| A064 | Partial assessment (Orthopaedic Surgery) | Consultations and Visits | $24.25 |
| A065 | Consultation (Orthopaedic Surgery) | Consultations and Visits | $83.85 |
| A066 | Repeat consultation (Orthopaedic Surgery) | Consultations and Visits | $51.70 |
| A070 | Consultation with special visit (Geriatrics) | Consultations and Visits | $232.10 |
| A071 | Complex medical specific re-assessment (Geriatrics) | Consultations and Visits | $91.90 |
| A073 | Medical specific assessment (Geriatrics) | Consultations and Visits | $90.45 |
| A074 | Medical specific re-assessment (Geriatrics) | Consultations and Visits | $72.90 |
| A075 | Consultation (Geriatrics) | Consultations and Visits | $202.55 |
| A076 | Repeat consultation (Geriatrics) | Consultations and Visits | $105.25 |
| A078 | Partial assessment (Geriatrics) | Consultations and Visits | $45.30 |
| A083 | Specific assessment (Plastic Surgery) | Consultations and Visits | $46.80 |
| A084 | Partial assessment (Plastic Surgery) | Consultations and Visits | $29.90 |
| A085 | Consultation (Plastic Surgery) | Consultations and Visits | $91.35 |
| A086 | Repeat consultation (Plastic Surgery) | Consultations and Visits | $54.00 |
| A093 | Specific assessment (Cardiac Surgery) | Consultations and Visits | $46.40 |
| A094 | Partial assessment (Cardiac Surgery) | Consultations and Visits | $25.30 |
| A095 | Consultation (Cardiac Surgery) | Consultations and Visits | $94.30 |
| A096 | Repeat consultation (Cardiac Surgery) | Consultations and Visits | $62.65 |
| A100 | General/Family physician emergency department assessment | Consultations and Visits | $76.90 |
| A101 | Limited Virtual Care by Video | Consultations and Visits | $20.00 |
| A102 | Limited Virtual Care by Telephone | Consultations and Visits | $15.00 |
| A110 | Periodic oculo-visual assessment aged 19 years and below | Consultations and Visits | $48.90 |
| A111 | Periodic oculo-visual assessment aged 65 years and above | Consultations and Visits | $76.30 |
| A112 | Periodic oculo-visual assessment aged 65 years and above | Consultations and Visits | $48.90 |
| A113 | Complex neuromuscular assessment | Consultations and Visits | $93.95 |
| A114 | Medical specific re-assessment (Geriatrics) | Consultations and Visits | $65.90 |
| A115 | Major eye examination | Consultations and Visits | $51.10 |
| A116 | Repeat consultation (Haematology) | Consultations and Visits | $108.95 |
| A118 | Consultation (Infectious Disease) | Consultations and Visits | $39.60 |
| A120 | Colonoscopy assessment, same day as colonoscopy | Consultations and Visits | $18.85 |
| A130 | Comprehensive internal medicine consultation | Consultations and Visits | $310.45 |
| A131 | Complex medical specific re-assessment (Internal Medicine) | Consultations and Visits | $70.90 |
| A133 | Medical specific assessment (Internal Medicine) | Consultations and Visits | $81.55 |
| A134 | Medical specific re-assessment (Internal Medicine) | Consultations and Visits | $61.25 |
| A135 | Consultation (Internal Medicine) | Consultations and Visits | $164.90 |
| A136 | Repeat consultation (Internal Medicine) | Consultations and Visits | $105.25 |
| A138 | Partial assessment (Internal Medicine) | Consultations and Visits | $38.05 |
| A150 | Comprehensive endocrinology consultation | Consultations and Visits | $310.45 |
| A151 | Complex medical specific re-assessment (Endocrinology) | Consultations and Visits | $74.80 |
| A153 | Medical specific assessment (Endocrinology) | Consultations and Visits | $84.60 |
| A154 | Medical specific re-assessment (Endocrinology) | Consultations and Visits | $62.85 |
| A155 | Consultation (Endocrinology) | Consultations and Visits | $165.30 |
| A156 | Repeat consultation (Endocrinology) | Consultations and Visits | $105.25 |
| A158 | Partial assessment (Endocrinology) | Consultations and Visits | $39.10 |
| A160 | Comprehensive nephrology consultation | Consultations and Visits | $310.45 |
| A161 | Complex medical specific re-assessment (Nephrology) | Consultations and Visits | $71.85 |
| A163 | Medical specific assessment (Nephrology) | Consultations and Visits | $80.95 |
| A164 | Medical specific re-assessment (Nephrology) | Consultations and Visits | $62.10 |
| A165 | Consultation (Nephrology) | Consultations and Visits | $162.90 |
| A166 | Repeat consultation (Nephrology) | Consultations and Visits | $105.25 |
| A168 | Partial assessment (Nephrology) | Consultations and Visits | $38.55 |
| A173 | Specific assessment (Vascular Surgery) | Consultations and Visits | $44.40 |
| A174 | Partial assessment (Vascular Surgery) | Consultations and Visits | $24.10 |
| A175 | Consultation (Vascular Surgery) | Consultations and Visits | $107.45 |
| A176 | Repeat consultation (Vascular Surgery) | Consultations and Visits | $60.00 |
| A180 | Special neurology consultation | Consultations and Visits | $310.45 |
| A181 | Complex medical specific re-assessment (Radiation Oncology) | Consultations and Visits | $75.20 |
| A183 | Medical specific assessment (Neurology) | Consultations and Visits | $82.40 |
| A184 | Medical specific re-assessment (Neurology) | Consultations and Visits | $64.95 |
| A185 | Consultation (Neurology) | Consultations and Visits | $184.40 |
| A186 | Repeat consultation (Neurology) | Consultations and Visits | $87.70 |
| A188 | Partial assessment (Neurology) | Consultations and Visits | $39.40 |
| A190 | Special psychiatric consultation | Consultations and Visits | $310.45 |
| A191 | Consultative interview with caregiver(s) of patient ≥65 or dementia | Consultations and Visits | $237.45 |
| A192 | Consultative interview with patient ≥65 or dementia | Consultations and Visits | $237.45 |
| A193 | Specific assessment (Psychiatry) | Consultations and Visits | $86.35 |
| A194 | Partial assessment (Psychiatry) | Consultations and Visits | $41.15 |
| A195 | Consultation (Psychiatry) | Consultations and Visits | $222.50 |
| A196 | Repeat consultation (Psychiatry) | Consultations and Visits | $105.25 |
| A197 | Consultative interview with parent(s) or patient representative <22 | Consultations and Visits | $237.45 |
| A198 | Consultative interview with patient <22 | Consultations and Visits | $237.45 |
| A203 | Specific assessment (Obstetrics and Gynaecology) | Consultations and Visits | $52.15 |
| A204 | Partial assessment (Obstetrics and Gynaecology) | Consultations and Visits | $33.70 |
| A205 | Consultation (Obstetrics and Gynaecology) | Consultations and Visits | $111.70 |
| A206 | Repeat consultation (Obstetrics and Gynaecology) | Consultations and Visits | $59.45 |
| A210 | Special anaesthetic consultation | Consultations and Visits | $163.20 |
| A215 | Limited consultation for acute pain management | Consultations and Visits | $69.75 |
| A220 | Special genetic consultation | Consultations and Visits | $310.45 |
| A221 | Genetic minor assessment | Consultations and Visits | $38.05 |
| A223 | Extended special genetic consultation | Consultations and Visits | $401.30 |
| A225 | Consultation (Genetics) | Consultations and Visits | $167.90 |
| A226 | Repeat consultation (Genetics) | Consultations and Visits | $105.25 |
| A230 | Orthoptic assessment | Consultations and Visits | $25.00 |
| A231 | Neuro-ophthalmology consultation | Consultations and Visits | $148.50 |
| A233 | Specific assessment (Ophthalmology) | Consultations and Visits | $57.70 |
| A234 | Partial assessment (Ophthalmology) | Consultations and Visits | $30.50 |
| A235 | Consultation (Ophthalmology) | Consultations and Visits | $82.40 |
| A236 | Repeat consultation (Ophthalmology) | Consultations and Visits | $45.85 |
| A237 | Periodic oculo-visual assessment aged 19 years and below | Consultations and Visits | $56.60 |
| A239 | Periodic oculo-visual assessment aged 65 years and above | Consultations and Visits | $56.60 |
| A243 | Specific assessment (Otolaryngology) | Consultations and Visits | $43.20 |
| A244 | Partial assessment (Otolaryngology) | Consultations and Visits | $27.00 |
| A245 | Consultation (Otolaryngology) | Consultations and Visits | $83.95 |
| A246 | Repeat consultation (Otolaryngology) | Consultations and Visits | $48.60 |
| A250 | Retinopathy of prematurity assessment | Consultations and Visits | $120.00 |
| A251 | Special ophthalmologic assessment | Consultations and Visits | $120.00 |
| A252 | Initial vision rehabilitation assessment | Consultations and Visits | $240.00 |
| A253 | Optometrist-Requested Assessment (ORA) | Consultations and Visits | $82.40 |
| A254 | Follow-up vision rehabilitation assessment | Consultations and Visits | $120.00 |
| A255 | Limited consultation (Endocrinology) | Consultations and Visits | $105.25 |
| A256 | Special optometrist-requested assessment | Consultations and Visits | $163.20 |
| A260 | Special paediatric consultation | Consultations and Visits | $310.45 |
| A261 | Level 1 - Paediatric assessment | Consultations and Visits | $21.50 |
| A262 | Level 2 - Paediatric assessment | Consultations and Visits | $43.45 |
| A263 | Medical specific assessment (Paediatrics) | Consultations and Visits | $82.90 |
| A264 | Medical specific re-assessment (Paediatrics) | Consultations and Visits | $61.25 |
| A265 | Consultation (Paediatrics) | Consultations and Visits | $181.45 |
| A266 | Repeat consultation (Paediatrics) | Consultations and Visits | $91.35 |
| A268 | Enhanced 18 month well baby visit (Paediatrics) | Consultations and Visits | $64.30 |
| A275 | Limited consultation (Infectious Disease) | Consultations and Visits | $105.25 |
| A283 | Medical specific assessment (Pathology) | Consultations and Visits | $82.50 |
| A284 | Partial assessment (Pathology) | Consultations and Visits | $38.85 |
| A285 | Consultation (Pathology) | Consultations and Visits | $163.00 |
| A286 | Limited consultation (Pathology) | Consultations and Visits | $108.95 |
| A310 | Medical specific re-assessment (Physical Medicine & Rehabilitation) | Consultations and Visits | $67.80 |
| A311 | Complex medical specific re-assessment (Physical Medicine & Rehabilitation) | Consultations and Visits | $73.95 |
| A313 | Medical specific assessment (Physical Medicine & Rehabilitation) | Consultations and Visits | $77.20 |
| A315 | Consultation (Physical Medicine & Rehabilitation) | Consultations and Visits | $197.30 |
| A316 | Repeat consultation (Physical Medicine & Rehabilitation) | Consultations and Visits | $95.25 |
| A318 | Partial assessment (Physical Medicine & Rehabilitation) | Consultations and Visits | $39.70 |
| A325 | Limited consultation (Genetics) | Consultations and Visits | $105.25 |
| A330 | Radiology second opinion of CT study | Consultations and Visits | $89.50 |
| A331 | Minor assessment (Radiology) | Consultations and Visits | $17.75 |
| A332 | Radiology second opinion of MRI study | Consultations and Visits | $199.70 |
| A335 | Consultation (Diagnostic Radiology) | Consultations and Visits | $50.00 |
| A338 | Minor assessment (Radiology) | Consultations and Visits | $17.75 |
| A340 | Medical specific re-assessment (Radiation Oncology) | Consultations and Visits | $61.70 |
| A341 | Complex medical specific re-assessment (Radiation Oncology) | Consultations and Visits | $71.40 |
| A343 | Medical specific assessment (Radiation Oncology) | Consultations and Visits | $80.40 |
| A345 | Consultation (Radiation Oncology) | Consultations and Visits | $158.05 |
| A346 | Repeat consultation (Radiation Oncology) | Consultations and Visits | $102.90 |
| A348 | Partial assessment (Radiation Oncology) | Consultations and Visits | $37.55 |
| A353 | Specific assessment (Urology) | Consultations and Visits | $46.80 |
| A354 | Partial assessment (Urology) | Consultations and Visits | $27.80 |
| A355 | Consultation (Urology) | Consultations and Visits | $84.70 |
| A356 | Repeat consultation (Urology) | Consultations and Visits | $59.00 |
| A365 | Special interventional radiological consultation | Consultations and Visits | $223.20 |
| A375 | Limited consultation (Geriatrics) | Consultations and Visits | $105.25 |
| A384 | Consultation and Management for Acute Cerebral Vascular Syndrome | Consultations and Visits | $200.00 |
| A385 | Limited consultation (Neurology) | Consultations and Visits | $87.70 |
| A395 | Limited consultation (Psychiatry) | Consultations and Visits | $105.25 |
| A400 | Comprehensive community medicine consultation | Consultations and Visits | $240.55 |
| A405 | Limited consultation (Community Medicine) | Consultations and Visits | $84.20 |
| A411 | Complex medical specific re-assessment (Gastroenterology) | Consultations and Visits | $70.90 |
| A413 | Medical specific assessment (Gastroenterology) | Consultations and Visits | $80.35 |
| A414 | Medical specific re-assessment (Gastroenterology) | Consultations and Visits | $61.25 |
| A415 | Consultation (Gastroenterology) | Consultations and Visits | $157.00 |
| A416 | Repeat consultation (Gastroenterology) | Consultations and Visits | $105.25 |
| A418 | Partial assessment (Gastroenterology) | Consultations and Visits | $38.05 |
| A425 | Comprehensive physical medicine and rehabilitation consultation | Consultations and Visits | $310.45 |
| A435 | Limited consultation (Internal Medicine) | Consultations and Visits | $105.25 |
| A441 | Complex medical specific re-assessment (Medical Oncology) | Consultations and Visits | $70.90 |
| A443 | Medical specific assessment (Medical Oncology) | Consultations and Visits | $79.85 |
| A444 | Medical specific re-assessment (Medical Oncology) | Consultations and Visits | $61.25 |
| A445 | Consultation (Medical Oncology) | Consultations and Visits | $166.50 |
| A446 | Repeat consultation (Medical Oncology) | Consultations and Visits | $105.25 |
| A448 | Partial assessment (Medical Oncology) | Consultations and Visits | $38.05 |
| A460 | Comprehensive infectious disease consultation | Consultations and Visits | $310.45 |
| A461 | Complex medical specific re-assessment (Infectious Disease) | Consultations and Visits | $83.85 |
| A463 | Medical specific assessment (Infectious Disease) | Consultations and Visits | $94.40 |
| A464 | Medical specific re-assessment (Infectious Disease) | Consultations and Visits | $72.45 |
| A465 | Consultation (Infectious Disease) | Consultations and Visits | $181.65 |
| A466 | Repeat consultation (Infectious Disease) | Consultations and Visits | $109.40 |
| A468 | Partial assessment - Infectious disease | Consultations and Visits | $45.00 |
| A470 | Comprehensive respiratory disease consultation | Consultations and Visits | $310.45 |
| A471 | Complex medical specific re-assessment - Respiratory | Consultations and Visits | $76.30 |
| A473 | Medical specific assessment - Respiratory disease | Consultations and Visits | $87.60 |
| A474 | Medical specific re-assessment - Respiratory disease | Consultations and Visits | $65.90 |
| A475 | Consultation - Respiratory disease | Consultations and Visits | $175.55 |
| A476 | Repeat consultation - Respiratory disease | Consultations and Visits | $108.95 |
| A478 | Partial assessment - Respiratory disease | Consultations and Visits | $39.60 |
| A480 | Complex rheumatology assessment | Consultations and Visits | $93.75 |
| A481 | Complex medical specific re-assessment - Rheumatology | Consultations and Visits | $73.80 |
| A483 | Medical specific assessment - Rheumatology | Consultations and Visits | $83.10 |
| A484 | Medical specific re-assessment - Rheumatology | Consultations and Visits | $63.70 |
| A485 | Consultation - Rheumatology | Consultations and Visits | $177.80 |
| A486 | Repeat consultation - Rheumatology | Consultations and Visits | $109.90 |
| A488 | Partial assessment - Rheumatology | Consultations and Visits | $39.25 |
| A510 | Complex neuromuscular assessment | Consultations and Visits | $93.70 |
| A511 | Complex physiatry assessment | Consultations and Visits | $102.55 |
| A515 | Limited consultation - Neuromuscular | Consultations and Visits | $95.25 |
| A525 | Limited consultation - Clinical immunology | Consultations and Visits | $105.25 |
| A545 | Limited consultation - Community medicine | Consultations and Visits | $105.25 |
| A565 | Limited consultation - Paediatrics | Consultations and Visits | $91.35 |
| A570 | Complex respiratory assessment | Consultations and Visits | $93.00 |
| A575 | Limited consultation - Respiratory disease | Consultations and Visits | $108.95 |
| A585 | Diagnostic consultation - Laboratory medicine | Consultations and Visits | $73.30 |
| A586 | Repeat consultation - Community medicine | Consultations and Visits | $71.20 |
| A590 | Comprehensive rheumatology consultation | Consultations and Visits | $310.45 |
| A595 | Limited consultation - Rheumatology | Consultations and Visits | $109.35 |
| A600 | Comprehensive cardiology consultation | Consultations and Visits | $310.45 |
| A601 | Complex medical specific re-assessment - Cardiology | Consultations and Visits | $70.90 |
| A603 | Medical specific assessment - Cardiology | Consultations and Visits | $81.55 |
| A604 | Medical specific re-assessment - Cardiology | Consultations and Visits | $61.25 |
| A605 | Consultation - Cardiology | Consultations and Visits | $161.65 |
| A606 | Repeat consultation - Cardiology | Consultations and Visits | $105.25 |
| A608 | Partial assessment - Cardiology | Consultations and Visits | $38.05 |
| A611 | Complex medical specific re-assessment - Haematology | Consultations and Visits | $76.20 |
| A613 | Medical specific assessment - Haematology | Consultations and Visits | $85.80 |
| A614 | Medical specific re-assessment - Haematology | Consultations and Visits | $65.85 |
| A615 | Consultation - Haematology | Consultations and Visits | $172.00 |
| A616 | Repeat consultation - Haematology | Consultations and Visits | $105.25 |
| A618 | Partial assessment - Haematology | Consultations and Visits | $38.05 |
| A621 | Complex medical specific re-assessment - Clinical immunology | Consultations and Visits | $71.80 |
| A623 | Medical specific assessment - Clinical immunology | Consultations and Visits | $80.90 |
| A624 | Medical specific re-assessment - Clinical immunology | Consultations and Visits | $62.05 |
| A625 | Consultation - Clinical immunology | Consultations and Visits | $159.00 |
| A626 | Repeat consultation - Clinical immunology | Consultations and Visits | $105.25 |
| A628 | Partial assessment - Clinical immunology | Consultations and Visits | $38.55 |
| A631 | Minor assessment - Nuclear medicine | Consultations and Visits | $17.75 |
| A632 | Minor assessment - Nuclear medicine | Consultations and Visits | $17.75 |
| A633 | Specific assessment - Nuclear medicine | Consultations and Visits | $60.00 |
| A635 | Consultation - Nuclear medicine | Consultations and Visits | $157.00 |
| A636 | Repeat consultation - Nuclear medicine | Consultations and Visits | $70.00 |
| A638 | Partial assessment - Nuclear medicine | Consultations and Visits | $40.00 |
| A643 | Specific assessment - General thoracic surgery | Consultations and Visits | $44.40 |
| A644 | Partial assessment - General thoracic surgery | Consultations and Visits | $24.10 |
| A645 | Consultation - General thoracic surgery | Consultations and Visits | $98.55 |
| A646 | Repeat consultation - General thoracic surgery | Consultations and Visits | $60.00 |
| A655 | Limited consultation - Haematology | Consultations and Visits | $105.25 |
| A661 | Complex medical specific re-assessment - Paediatrics | Consultations and Visits | $74.75 |
| A662 | Extended special paediatric consultation | Consultations and Visits | $401.30 |
| A665 | Prenatal consultation | Consultations and Visits | $100.55 |
| A667 | Neurodevelopmental consultation | Consultations and Visits | $401.30 |
| A675 | Limited consultation - Cardiology | Consultations and Visits | $105.25 |
| A680 | Initial assessment - substance abuse | Consultations and Visits | $144.75 |
| A682 | Extended special neurology consultation | Consultations and Visits | $401.30 |
| A695 | Neurodevelopmental consultation | Consultations and Visits | $414.35 |
| A710 | Comprehensive critical care medicine consultation | Consultations and Visits | $310.45 |
| A713 | Medical specific assessment - Critical care medicine | Consultations and Visits | $87.60 |
| A715 | Consultation - Critical care medicine | Consultations and Visits | $175.55 |
| A735 | Diagnostic consultation - Nuclear medicine | Consultations and Visits | $67.40 |
| A745 | Limited consultation - Radiation oncology | Consultations and Visits | $102.90 |
| A760 | Complex endocrine neoplastic disease assessment | Consultations and Visits | $90.75 |
| A765 | Consultation - patient 16 years and under | Consultations and Visits | $165.50 |
| A770 | Extended comprehensive geriatric consultation | Consultations and Visits | $401.30 |
| A771 | Certification of death | Consultations and Visits | $20.60 |
| A772 | Certification of stillbirth | Consultations and Visits | $20.60 |
| A775 | Comprehensive geriatric consultation | Consultations and Visits | $310.45 |
| A777 | Intermediate assessment - Pronouncement of death | Consultations and Visits | $37.95 |
| A795 | Geriatric psychiatric consultation | Consultations and Visits | $310.45 |
| A800 | Midwife or Aboriginal Midwife-requested genetic assessment | Consultations and Visits | $167.35 |
| A801 | Comprehensive midwife or Aboriginal Midwife-requested genetic assessment | Consultations and Visits | $300.70 |
| A802 | Extended midwife or Aboriginal Midwife-requested genetic assessment | Consultations and Visits | $401.30 |
| A813 | Midwife or Aboriginal Midwife-Requested Assessment (MAMRA) | Consultations and Visits | $111.70 |
| A814 | Midwife or Aboriginal Midwife-Requested Assessment (MAMRA) by Video | Consultations and Visits | $111.70 |
| A815 | Midwife or Aboriginal Midwife-Requested Special Assessment (MAMRSA) | Consultations and Visits | $186.95 |
| A816 | Midwife or Aboriginal Midwife-Requested Anaesthesia Assessment (MAMRAA) | Consultations and Visits | $106.80 |
| A817 | Midwife or Aboriginal Midwife-Requested Special Assessment (MAMRSA) by Video | Consultations and Visits | $186.95 |
| A818 | Midwife or Aboriginal Midwife-Requested Anaesthesia Assessment (MAMRAA) by Video | Consultations and Visits | $106.80 |
| A835 | Comprehensive nuclear medicine consultation | Consultations and Visits | $310.45 |
| A845 | Limited consultation - Medical oncology | Consultations and Visits | $105.25 |
| A865 | Limited consultation - Nephrology | Consultations and Visits | $105.25 |
| A888 | Emergency department equivalent - partial assessment | Consultations and Visits | $37.95 |
| A895 | Consultation in association with special visit to inpatient or ED patient | Consultations and Visits | $259.90 |
| A900 | Complex house call assessment | Consultations and Visits | $54.50 |
| A902 | House call assessment - Pronouncement of death in the home | Consultations and Visits | $54.50 |
| A905 | Limited consultation | Consultations and Visits | $73.25 |
| A906 | GP focused practice limited consultation by Video | Consultations and Visits | $73.25 |
| A911 | Special family and general practice consultation | Consultations and Visits | $150.70 |
| A912 | Comprehensive family and general practice consultation | Consultations and Visits | $226.05 |
| A913 | GP focused practice special consultation by Video | Consultations and Visits | $150.70 |
| A914 | GP focused practice comprehensive consultation by Video | Consultations and Visits | $226.05 |
| A915 | Limited consultation - Critical care medicine | Consultations and Visits | $108.95 |
| A917 | Sport medicine focused practice assessment | Consultations and Visits | $37.95 |
| A920 | Medical management of early pregnancy - initial service | Consultations and Visits | $161.15 |
| A921 | Medical management of early or ectopic pregnancy - follow-up visit | Consultations and Visits | $36.85 |
| A922 | Medical management of ectopic pregnancy - initial service | Consultations and Visits | $207.80 |
| A927 | Allergy focused practice assessment | Consultations and Visits | $37.95 |
| A930 | Uveitis and ocular inflammatory diseases consultation | Consultations and Visits | $150.00 |
| A933 | On-call admission assessment | Consultations and Visits | $79.90 |
| A935 | Special surgical consultation | Consultations and Visits | $163.20 |
| A937 | Pain management focused practice assessment | Consultations and Visits | $37.95 |
| A945 | Special palliative care consultation | Consultations and Visits | $159.20 |
| A947 | Sleep medicine focused practice assessment | Consultations and Visits | $37.95 |
| A957 | Addiction medicine focused practice assessment | Consultations and Visits | $37.95 |
| A960 | Travel premium | Consultations and Visits | $36.40 |
| A962 | Travel premium | Consultations and Visits | $36.40 |
| A963 | Travel premium | Consultations and Visits | $36.40 |
| A964 | Travel premium | Consultations and Visits | $36.40 |
| A967 | Care of the elderly focused practice assessment | Consultations and Visits | $37.95 |
| A990 | First person seen premium | Consultations and Visits | $20.00 |
| A994 | First person seen premium | Consultations and Visits | $60.00 |
| A996 | First person seen premium | Consultations and Visits | $100.00 |
| A998 | First person seen premium | Consultations and Visits | $75.00 |
| B103 | No description | Emergency Services | $0.00 |
| B550 | No description | Emergency Services | $0.00 |
| B551 | No description | Emergency Services | $0.00 |
| B552 | No description | Emergency Services | $0.00 |
| B553 | No description | Emergency Services | $0.00 |
| B600 | Emergency department resuscitation fee | Emergency Services | $834.00 |
| B601 | Emergency department trauma team fee | Emergency Services | $460.15 |
| B602 | No description | Emergency Services | $0.00 |
| B603 | Emergency department major disaster fee | Emergency Services | $8994.90 |
| B604 | Emergency department disaster team fee | Emergency Services | $2643.15 |
| B605 | No description | Emergency Services | $0.00 |
| B606 | Emergency department mass casualty fee | Emergency Services | $4375.90 |
| B607 | Emergency department critical care fee | Emergency Services | $569.00 |
| B960 | Special visit premium | Emergency Services | $36.40 |
| B961 | Special visit premium | Emergency Services | $36.40 |
| B962 | Special visit premium | Emergency Services | $36.40 |
| B963 | Special visit premium | Emergency Services | $36.40 |
| B964 | Special visit premium | Emergency Services | $36.40 |
| B966 | Travel premium | Emergency Services | $36.40 |
| B986 | Travel premium | Emergency Services | $36.40 |
| B987 | Travel premium | Emergency Services | $110.00 |
| B988 | Travel premium | Emergency Services | $82.50 |
| B990 | First person seen premium | Emergency Services | $27.50 |
| B992 | First person seen premium | Emergency Services | $44.00 |
| B993 | First person seen premium | Emergency Services | $82.50 |
| B994 | First person seen premium | Emergency Services | $66.00 |
| B996 | First person seen premium | Emergency Services | $110.00 |
| B997 | First person seen premium | Emergency Services | $110.00 |
| B998 | First person seen premium | Emergency Services | $82.50 |
| C002 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C003 | General assessment | Surgical Procedures | $87.35 |
| C004 | General re-assessment | Surgical Procedures | $38.35 |
| C005 | Consultation | Surgical Procedures | $87.90 |
| C006 | Repeat consultation | Surgical Procedures | $45.90 |
| C007 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C008 | Concurrent care | Surgical Procedures | $34.10 |
| C009 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C010 | Supportive care | Surgical Procedures | $34.10 |
| C012 | Subsequent visit - first five weeks | Surgical Procedures | $31.00 |
| C013 | Specific assessment | Surgical Procedures | $64.65 |
| C014 | Specific re-assessment | Surgical Procedures | $28.00 |
| C015 | Consultation | Surgical Procedures | $109.70 |
| C016 | Repeat consultation | Surgical Procedures | $52.15 |
| C017 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $31.00 |
| C018 | Concurrent care | Surgical Procedures | $31.00 |
| C019 | Subsequent visit - after thirteenth week | Surgical Procedures | $31.00 |
| C020 | Complex dermatology assessment | Surgical Procedures | $60.00 |
| C022 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C023 | Specific assessment | Surgical Procedures | $43.00 |
| C024 | Specific re-assessment | Surgical Procedures | $25.40 |
| C025 | Consultation | Surgical Procedures | $147.30 |
| C026 | Repeat consultation | Surgical Procedures | $44.45 |
| C027 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C028 | Concurrent care | Surgical Procedures | $34.10 |
| C029 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C032 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C033 | Specific assessment | Surgical Procedures | $47.30 |
| C034 | Specific re-assessment | Surgical Procedures | $30.80 |
| C035 | Consultation | Surgical Procedures | $96.20 |
| C036 | Repeat consultation | Surgical Procedures | $64.10 |
| C037 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C038 | Concurrent care | Surgical Procedures | $34.10 |
| C039 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C042 | Subsequent visit - first five weeks | Surgical Procedures | $31.00 |
| C043 | Specific assessment | Surgical Procedures | $58.25 |
| C044 | Specific re-assessment | Surgical Procedures | $30.00 |
| C045 | Consultation | Surgical Procedures | $130.75 |
| C046 | Repeat consultation | Surgical Procedures | $58.25 |
| C047 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $31.00 |
| C048 | Concurrent care | Surgical Procedures | $31.00 |
| C049 | Subsequent visit - after thirteenth week | Surgical Procedures | $31.00 |
| C050 | Special community medicine consultation | Surgical Procedures | $144.75 |
| C051 | Complex medical specific re-assessment - Community medicine | Surgical Procedures | $70.90 |
| C052 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C053 | Medical specific assessment - Community medicine | Surgical Procedures | $79.85 |
| C054 | Medical specific re-assessment - Community medicine | Surgical Procedures | $61.25 |
| C055 | Consultation - Community medicine | Surgical Procedures | $125.60 |
| C056 | Repeat consultation - Community medicine | Surgical Procedures | $84.20 |
| C057 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C058 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C059 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C062 | Subsequent visit first five weeks | Surgical Procedures | $31.00 |
| C063 | Specific assessment | Surgical Procedures | $42.55 |
| C064 | Specific re-assessment | Surgical Procedures | $25.50 |
| C065 | Consultation | Surgical Procedures | $83.85 |
| C066 | Repeat consultation | Surgical Procedures | $51.70 |
| C067 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $31.00 |
| C068 | Concurrent care per visit | Surgical Procedures | $31.00 |
| C069 | Subsequent visit after thirteenth week | Surgical Procedures | $31.00 |
| C071 | Complex medical specific re-assessment | Surgical Procedures | $91.90 |
| C072 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C073 | Medical specific assessment | Surgical Procedures | $90.45 |
| C074 | Medical specific re-assessment | Surgical Procedures | $72.90 |
| C075 | Consultation | Surgical Procedures | $232.10 |
| C076 | Repeat consultation | Surgical Procedures | $105.25 |
| C077 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C078 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C079 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C082 | Subsequent visit first five weeks | Surgical Procedures | $31.00 |
| C083 | Specific assessment | Surgical Procedures | $46.80 |
| C084 | Specific re-assessment | Surgical Procedures | $30.00 |
| C085 | Consultation | Surgical Procedures | $91.35 |
| C086 | Repeat consultation | Surgical Procedures | $54.00 |
| C087 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $31.00 |
| C088 | Concurrent care per visit | Surgical Procedures | $31.00 |
| C089 | Subsequent visit after thirteenth week | Surgical Procedures | $31.00 |
| C092 | Subsequent visit first five weeks | Surgical Procedures | $31.00 |
| C093 | Specific assessment | Surgical Procedures | $46.40 |
| C094 | Specific re-assessment | Surgical Procedures | $27.25 |
| C095 | Consultation | Surgical Procedures | $94.30 |
| C096 | Repeat consultation | Surgical Procedures | $62.65 |
| C097 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $31.00 |
| C098 | Concurrent care per visit | Surgical Procedures | $31.00 |
| C099 | Subsequent visit after thirteenth week | Surgical Procedures | $31.00 |
| C101 | Intensive or coronary care unit premium | Surgical Procedures | $9.10 |
| C102 | Internal Medicine Office Assessment Premium (max 2) | Surgical Procedures | $36.40 |
| C103 | Internal Medicine Office Assessment Premium (max 6) | Surgical Procedures | $36.40 |
| C104 | Internal Medicine Office Assessment Premium (no max) | Surgical Procedures | $36.40 |
| C105 | Internal Medicine Office Assessment Premium additional (max 2) | Surgical Procedures | $60.00 |
| C106 | Internal Medicine Office Assessment Premium additional (max 6) | Surgical Procedures | $75.00 |
| C107 | Internal Medicine Office Assessment Premium additional (no max) | Surgical Procedures | $100.00 |
| C108 | Internal Medicine Office Assessment Premium first person (max 6) | Surgical Procedures | $75.00 |
| C109 | Internal Medicine Office Assessment Premium first person (max 2) | Surgical Procedures | $60.00 |
| C110 | Internal Medicine Office Assessment Premium first person (no max) | Surgical Procedures | $100.00 |
| C111 | Complex medical specific re-assessment | Surgical Procedures | $76.30 |
| C112 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C113 | Complex neuromuscular assessment | Surgical Procedures | $93.95 |
| C114 | Medical specific re-assessment | Surgical Procedures | $65.90 |
| C116 | Repeat consultation | Surgical Procedures | $108.95 |
| C117 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C118 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C119 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C121 | Additional visits due to intercurrent illness | Surgical Procedures | $34.10 |
| C122 | Subsequent visit by MRP day following admission assessment | Surgical Procedures | $61.15 |
| C123 | Subsequent visit by MRP second day following admission assessment | Surgical Procedures | $61.15 |
| C124 | Subsequent visit by MRP day of discharge | Surgical Procedures | $61.15 |
| C130 | Comprehensive internal medicine consultation | Surgical Procedures | $310.45 |
| C131 | Complex medical specific re-assessment | Surgical Procedures | $70.90 |
| C132 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C133 | Medical specific assessment | Surgical Procedures | $81.55 |
| C134 | Medical specific re-assessment | Surgical Procedures | $61.25 |
| C135 | Consultation | Surgical Procedures | $164.90 |
| C136 | Repeat consultation | Surgical Procedures | $105.25 |
| C137 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C138 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C139 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C142 | First subsequent visit by MRP following transfer from ICU | Surgical Procedures | $61.15 |
| C143 | Second subsequent visit by MRP following transfer from ICU | Surgical Procedures | $61.15 |
| C150 | Comprehensive endocrinology consultation | Surgical Procedures | $310.45 |
| C151 | Complex medical specific re-assessment | Surgical Procedures | $74.80 |
| C152 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C153 | Medical specific assessment | Surgical Procedures | $84.60 |
| C154 | Medical specific re-assessment | Surgical Procedures | $62.85 |
| C155 | Consultation | Surgical Procedures | $165.30 |
| C156 | Repeat consultation | Surgical Procedures | $105.25 |
| C157 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C158 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C159 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C160 | Comprehensive nephrology consultation | Surgical Procedures | $310.45 |
| C161 | Complex medical specific re-assessment | Surgical Procedures | $71.85 |
| C162 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C163 | Medical specific assessment | Surgical Procedures | $80.95 |
| C164 | Medical specific re-assessment | Surgical Procedures | $62.10 |
| C165 | Consultation | Surgical Procedures | $162.90 |
| C166 | Repeat consultation | Surgical Procedures | $105.25 |
| C167 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C168 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C169 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C172 | Subsequent visit first five weeks | Surgical Procedures | $31.00 |
| C173 | Specific assessment | Surgical Procedures | $44.40 |
| C174 | Specific re-assessment | Surgical Procedures | $25.95 |
| C175 | Consultation | Surgical Procedures | $107.45 |
| C176 | Repeat consultation | Surgical Procedures | $60.00 |
| C177 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $31.00 |
| C178 | Concurrent care per visit | Surgical Procedures | $31.00 |
| C179 | Subsequent visit after thirteenth week | Surgical Procedures | $31.00 |
| C180 | Special neurology consultation | Surgical Procedures | $310.45 |
| C181 | Complex medical specific re-assessment | Surgical Procedures | $75.20 |
| C182 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C183 | Medical specific assessment | Surgical Procedures | $82.40 |
| C184 | Medical specific re-assessment | Surgical Procedures | $64.95 |
| C185 | Consultation | Surgical Procedures | $184.40 |
| C186 | Repeat consultation | Surgical Procedures | $87.70 |
| C187 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C188 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C189 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C190 | Special psychiatric consultation | Surgical Procedures | $310.45 |
| C192 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C193 | Specific assessment | Surgical Procedures | $86.35 |
| C194 | Specific re-assessment | Surgical Procedures | $66.25 |
| C196 | Repeat consultation | Surgical Procedures | $105.25 |
| C197 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C198 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C199 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C202 | Subsequent visit first five weeks | Surgical Procedures | $31.00 |
| C203 | Specific assessment | Surgical Procedures | $52.15 |
| C204 | Specific re-assessment | Surgical Procedures | $36.85 |
| C205 | Consultation | Surgical Procedures | $111.70 |
| C206 | Repeat consultation | Surgical Procedures | $59.45 |
| C207 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $31.00 |
| C208 | Concurrent care per visit | Surgical Procedures | $31.00 |
| C209 | Subsequent visit after thirteenth week | Surgical Procedures | $31.00 |
| C210 | Special anaesthetic consultation | Surgical Procedures | $163.20 |
| C215 | Limited consultation for acute pain management | Surgical Procedures | $69.75 |
| C220 | Special genetic consultation | Surgical Procedures | $310.45 |
| C222 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C223 | Extended special genetic consultation | Surgical Procedures | $401.30 |
| C225 | Consultation | Surgical Procedures | $167.90 |
| C226 | Repeat consultation | Surgical Procedures | $105.25 |
| C227 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C229 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C231 | Neuro-Ophthalmology Consultation | Surgical Procedures | $148.50 |
| C232 | Subsequent visit first five weeks | Surgical Procedures | $31.00 |
| C233 | Specific assessment | Surgical Procedures | $57.70 |
| C234 | Specific re-assessment | Surgical Procedures | $29.35 |
| C235 | Consultation | Surgical Procedures | $82.40 |
| C236 | Repeat consultation | Surgical Procedures | $45.85 |
| C237 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $31.00 |
| C238 | Concurrent care per visit | Surgical Procedures | $31.00 |
| C239 | Subsequent visit after thirteenth week | Surgical Procedures | $31.00 |
| C242 | Subsequent visit first five weeks | Surgical Procedures | $31.00 |
| C243 | Specific assessment | Surgical Procedures | $43.20 |
| C244 | Specific re-assessment | Surgical Procedures | $27.50 |
| C245 | Consultation | Surgical Procedures | $83.95 |
| C246 | Repeat consultation | Surgical Procedures | $48.60 |
| C247 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $31.00 |
| C248 | Concurrent care per visit | Surgical Procedures | $31.00 |
| C249 | Subsequent visit after thirteenth week | Surgical Procedures | $31.00 |
| C250 | Retinopathy of prematurity assessment | Surgical Procedures | $120.00 |
| C255 | Limited consultation | Surgical Procedures | $105.25 |
| C260 | Special paediatric consultation | Surgical Procedures | $310.45 |
| C262 | Pediatric subsequent visit | Surgical Procedures | $34.10 |
| C263 | Medical specific assessment | Surgical Procedures | $82.90 |
| C264 | Medical specific re-assessment | Surgical Procedures | $61.25 |
| C265 | Consultation | Surgical Procedures | $181.45 |
| C266 | Repeat consultation | Surgical Procedures | $91.35 |
| C268 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C275 | Limited consultation | Surgical Procedures | $105.25 |
| C283 | Medical specific assessment | Surgical Procedures | $82.50 |
| C285 | Consultation | Surgical Procedures | $163.00 |
| C286 | Limited consultation | Surgical Procedures | $108.95 |
| C288 | Concurrent care per visit | Surgical Procedures | $30.10 |
| C311 | Complex medical specific re-assessment | Surgical Procedures | $73.95 |
| C312 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C313 | Medical specific assessment | Surgical Procedures | $77.20 |
| C314 | Medical specific re-assessment | Surgical Procedures | $67.80 |
| C315 | Consultation | Surgical Procedures | $208.75 |
| C316 | Repeat consultation | Surgical Procedures | $95.25 |
| C317 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C318 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C319 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C325 | Limited consultation | Surgical Procedures | $105.25 |
| C330 | Radiology second opinion of CT study | Surgical Procedures | $89.50 |
| C332 | Radiology second opinion of MRI study | Surgical Procedures | $199.70 |
| C335 | Consultation | Surgical Procedures | $50.00 |
| C341 | Complex medical specific re-assessment | Surgical Procedures | $71.40 |
| C342 | Subsequent visit first five weeks | Surgical Procedures | $34.10 |
| C343 | Medical specific assessment | Surgical Procedures | $80.40 |
| C344 | Medical specific re-assessment | Surgical Procedures | $61.70 |
| C345 | Consultation | Surgical Procedures | $158.05 |
| C346 | Repeat consultation | Surgical Procedures | $102.90 |
| C347 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $34.10 |
| C348 | Concurrent care per visit | Surgical Procedures | $34.10 |
| C349 | Subsequent visit after thirteenth week | Surgical Procedures | $34.10 |
| C352 | Subsequent visit first five weeks | Surgical Procedures | $31.60 |
| C353 | Specific assessment | Surgical Procedures | $46.80 |
| C354 | Specific re-assessment | Surgical Procedures | $26.70 |
| C355 | Consultation | Surgical Procedures | $84.70 |
| C356 | Repeat consultation | Surgical Procedures | $59.00 |
| C357 | Subsequent visit sixth to thirteenth week | Surgical Procedures | $31.60 |
| C358 | Concurrent care per visit | Surgical Procedures | $31.60 |
| C359 | Subsequent visit after thirteenth week | Surgical Procedures | $31.60 |
| C365 | Special interventional radiological consultation | Surgical Procedures | $223.20 |
| C375 | Limited consultation | Surgical Procedures | $105.25 |
| C384 | Consultation and Management for ACVS | Surgical Procedures | $200.00 |
| C385 | Limited consultation | Surgical Procedures | $87.70 |
| C395 | Limited consultation | Surgical Procedures | $105.25 |
| C400 | Comprehensive community medicine consultation | Surgical Procedures | $240.55 |
| C405 | Limited consultation | Surgical Procedures | $84.20 |
| C411 | Complex medical specific re-assessment | Surgical Procedures | $70.90 |
| C412 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C413 | Medical specific assessment | Surgical Procedures | $80.35 |
| C414 | Medical specific re-assessment | Surgical Procedures | $61.25 |
| C415 | Consultation | Surgical Procedures | $157.00 |
| C416 | Repeat consultation | Surgical Procedures | $105.25 |
| C417 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C418 | Concurrent care visit | Surgical Procedures | $34.10 |
| C419 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C425 | Comprehensive physical medicine and rehabilitation consultation | Surgical Procedures | $310.45 |
| C435 | Limited consultation | Surgical Procedures | $105.25 |
| C441 | Complex medical specific re-assessment | Surgical Procedures | $70.90 |
| C442 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C443 | Medical specific assessment | Surgical Procedures | $79.85 |
| C444 | Medical specific re-assessment | Surgical Procedures | $61.25 |
| C445 | Consultation | Surgical Procedures | $166.50 |
| C446 | Repeat consultation | Surgical Procedures | $105.25 |
| C447 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C448 | Concurrent care visit | Surgical Procedures | $34.10 |
| C449 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C460 | Comprehensive infectious disease consultation | Surgical Procedures | $310.45 |
| C461 | Complex medical specific re-assessment | Surgical Procedures | $83.85 |
| C462 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C463 | Medical specific assessment | Surgical Procedures | $94.40 |
| C464 | Medical specific re-assessment | Surgical Procedures | $72.45 |
| C465 | Consultation | Surgical Procedures | $181.65 |
| C466 | Repeat consultation | Surgical Procedures | $109.40 |
| C467 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C468 | Concurrent care visit | Surgical Procedures | $34.10 |
| C469 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C470 | Comprehensive respiratory disease consultation | Surgical Procedures | $310.45 |
| C471 | Complex medical specific re-assessment | Surgical Procedures | $73.75 |
| C472 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C473 | Medical specific assessment | Surgical Procedures | $84.65 |
| C474 | Medical specific re-assessment | Surgical Procedures | $63.70 |
| C475 | Consultation | Surgical Procedures | $169.65 |
| C476 | Repeat consultation | Surgical Procedures | $105.25 |
| C477 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C478 | Concurrent care visit | Surgical Procedures | $34.10 |
| C479 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C480 | Complex rheumatology assessment | Surgical Procedures | $92.20 |
| C481 | Complex medical specific re-assessment | Surgical Procedures | $72.65 |
| C482 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C483 | Medical specific assessment | Surgical Procedures | $81.70 |
| C484 | Medical specific re-assessment | Surgical Procedures | $62.60 |
| C485 | Consultation | Surgical Procedures | $170.10 |
| C486 | Repeat consultation | Surgical Procedures | $109.35 |
| C487 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C488 | Concurrent care visit | Surgical Procedures | $34.10 |
| C489 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C510 | Complex neuromuscular assessment | Surgical Procedures | $93.70 |
| C511 | Complex physiatry assessment | Surgical Procedures | $102.55 |
| C515 | Limited consultation | Surgical Procedures | $95.25 |
| C525 | Limited consultation | Surgical Procedures | $105.25 |
| C545 | Limited consultation | Surgical Procedures | $105.25 |
| C565 | Limited consultation | Surgical Procedures | $91.35 |
| C570 | Complex respiratory assessment | Surgical Procedures | $89.85 |
| C575 | Limited consultation | Surgical Procedures | $105.25 |
| C585 | Diagnostic consultation | Surgical Procedures | $73.30 |
| C586 | Repeat consultation | Surgical Procedures | $71.20 |
| C590 | Comprehensive rheumatology consultation | Surgical Procedures | $310.45 |
| C595 | Limited consultation | Surgical Procedures | $109.35 |
| C600 | Comprehensive cardiology consultation | Surgical Procedures | $310.45 |
| C601 | Complex medical specific re-assessment | Surgical Procedures | $70.90 |
| C602 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C603 | Medical specific assessment | Surgical Procedures | $81.55 |
| C604 | Medical specific re-assessment | Surgical Procedures | $61.25 |
| C605 | Consultation | Surgical Procedures | $161.65 |
| C606 | Repeat consultation | Surgical Procedures | $105.25 |
| C607 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C608 | Concurrent care visit | Surgical Procedures | $34.10 |
| C609 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C611 | Complex medical specific re-assessment | Surgical Procedures | $76.20 |
| C612 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C613 | Medical specific assessment | Surgical Procedures | $85.80 |
| C614 | Medical specific re-assessment | Surgical Procedures | $65.85 |
| C615 | Consultation | Surgical Procedures | $172.00 |
| C616 | Repeat consultation | Surgical Procedures | $105.25 |
| C617 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C618 | Concurrent care visit | Surgical Procedures | $34.10 |
| C619 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C621 | Complex medical specific re-assessment | Surgical Procedures | $71.80 |
| C622 | Subsequent visit - first five weeks | Surgical Procedures | $34.10 |
| C623 | Medical specific assessment | Surgical Procedures | $80.90 |
| C624 | Medical specific re-assessment | Surgical Procedures | $62.05 |
| C625 | Consultation | Surgical Procedures | $159.00 |
| C626 | Repeat consultation | Surgical Procedures | $105.25 |
| C627 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $34.10 |
| C628 | Concurrent care visit | Surgical Procedures | $34.10 |
| C629 | Subsequent visit - after thirteenth week | Surgical Procedures | $34.10 |
| C635 | Consultation | Surgical Procedures | $157.00 |
| C636 | Repeat consultation | Surgical Procedures | $70.00 |
| C642 | Subsequent visit - first five weeks | Surgical Procedures | $31.00 |
| C643 | Specific assessment | Surgical Procedures | $44.40 |
| C644 | Specific re-assessment | Surgical Procedures | $25.95 |
| C645 | Consultation | Surgical Procedures | $98.55 |
| C646 | Repeat consultation | Surgical Procedures | $60.00 |
| C647 | Subsequent visit - sixth to thirteenth week | Surgical Procedures | $31.00 |
| C648 | Concurrent care visit | Surgical Procedures | $31.00 |
| C649 | Subsequent visit - after thirteenth week | Surgical Procedures | $31.00 |
| C655 | Limited consultation | Surgical Procedures | $105.25 |
| C661 | Complex medical specific re-assessment | Surgical Procedures | $74.75 |
| C662 | Extended special paediatric consultation | Surgical Procedures | $401.30 |
| C665 | Prenatal consultation | Surgical Procedures | $100.55 |
| C667 | Neurodevelopmental consultation | Surgical Procedures | $401.30 |
| C675 | Limited consultation | Surgical Procedures | $105.25 |
| C680 | Initial assessment – substance abuse | Surgical Procedures | $144.75 |
| C682 | Extended special neurology consultation | Surgical Procedures | $401.30 |
| C695 | Neurodevelopmental consultation | Surgical Procedures | $414.35 |
| C710 | Comprehensive critical care medicine consultation | Surgical Procedures | $310.45 |
| C713 | Medical specific assessment | Surgical Procedures | $87.60 |
| C715 | Consultation | Surgical Procedures | $175.55 |
| C735 | Diagnostic consultation | Surgical Procedures | $67.40 |
| C745 | Limited consultation | Surgical Procedures | $102.90 |
| C760 | Complex endocrine neoplastic disease assessment | Surgical Procedures | $90.75 |
| C765 | Consultation, patient 16 years and under | Surgical Procedures | $165.50 |
| C770 | Extended comprehensive geriatric consultation | Surgical Procedures | $401.30 |
| C771 | Certification of death | Surgical Procedures | $20.60 |
| C772 | Certification of death | Surgical Procedures | $20.60 |
| C775 | Comprehensive geriatric consultation | Surgical Procedures | $310.45 |
| C777 | Intermediate assessment - Pronouncement of death | Surgical Procedures | $37.95 |
| C795 | Geriatric psychiatric consultation | Surgical Procedures | $310.45 |
| C800 | Midwife or Aboriginal Midwife-requested genetic assessment | Surgical Procedures | $167.35 |
| C801 | Comprehensive midwife or Aboriginal Midwife-requested genetic assessment | Surgical Procedures | $300.70 |
| C802 | Extended midwife or Aboriginal Midwife-requested genetic assessment | Surgical Procedures | $401.30 |
| C813 | Midwife or Aboriginal Midwife-Requested Assessment | Surgical Procedures | $111.70 |
| C815 | Midwife or Aboriginal Midwife-Requested Special Assessment | Surgical Procedures | $186.95 |
| C816 | Midwife or Aboriginal Midwife-Requested Anaesthesiologist Assessment | Surgical Procedures | $106.80 |
| C835 | Comprehensive nuclear medicine consultation | Surgical Procedures | $310.45 |
| C845 | Limited consultation | Surgical Procedures | $105.25 |
| C865 | Limited consultation | Surgical Procedures | $105.25 |
| C882 | Palliative care visit | Surgical Procedures | $34.10 |
| C895 | Consultation | Surgical Procedures | $259.90 |
| C903 | Pre-dental/pre-operative general assessment | Surgical Procedures | $65.05 |
| C904 | Pre-dental/pre-operative assessment | Surgical Procedures | $33.70 |
| C905 | Limited consultation | Surgical Procedures | $74.25 |
| C911 | Special family and general practice consultation | Surgical Procedures | $150.70 |
| C912 | Comprehensive family and general practice consultation | Surgical Procedures | $226.05 |
| C915 | Limited consultation | Surgical Procedures | $108.95 |
| C930 | Uveitis and ocular inflammatory diseases consultation | Surgical Procedures | $150.00 |
| C933 | On-call admission assessment | Surgical Procedures | $79.90 |
| C935 | Special surgical consultation | Surgical Procedures | $163.20 |
| C945 | Special palliative care consultation | Surgical Procedures | $159.20 |
| C960 | Premium service code | Surgical Procedures | $36.40 |
| C961 | Premium service code | Surgical Procedures | $36.40 |
| C962 | Premium service code | Surgical Procedures | $36.40 |
| C963 | Premium service code | Surgical Procedures | $36.40 |
| C964 | Premium service code | Surgical Procedures | $36.40 |
| C982 | Palliative care visit | Surgical Procedures | $34.10 |
| C983 | Palliative care visit | Surgical Procedures | $85.60 |
| C985 | Palliative care visit | Surgical Procedures | $0.00 |
| C986 | Premium service code | Surgical Procedures | $75.00 |
| C987 | Premium service code | Surgical Procedures | $75.00 |
| C988 | Premium service code | Surgical Procedures | $76.40 |
| C989 | Special visit for first obstetrical delivery | Surgical Procedures | $76.40 |
| C990 | Premium service code | Surgical Procedures | $20.00 |
| C991 | Premium service code | Surgical Procedures | $20.00 |
| C992 | Premium service code | Surgical Procedures | $40.00 |
| C993 | Premium service code | Surgical Procedures | $40.00 |
| C994 | Premium service code | Surgical Procedures | $60.00 |
| C995 | Premium service code | Surgical Procedures | $60.00 |
| C996 | Premium service code | Surgical Procedures | $100.00 |
| C997 | Premium service code | Surgical Procedures | $100.00 |
| C998 | Premium service code | Surgical Procedures | $67.05 |
| C999 | Premium service code | Surgical Procedures | $117.65 |
| D001 | Closed reduction of finger dislocation | Dental Services | $57.50 |
| D003 | Open reduction of finger dislocation | Dental Services | $196.50 |
| D004 | Closed reduction of metacarpal/phalangeal dislocation | Dental Services | $57.50 |
| D006 | Open reduction of metacarpal/phalangeal dislocation | Dental Services | $181.85 |
| D007 | Closed reduction of carpal dislocation | Dental Services | $128.05 |
| D008 | Open reduction of carpal dislocation | Dental Services | $241.30 |
| D009 | Closed reduction of elbow joint dislocation | Dental Services | $84.45 |
| D010 | Open reduction of acute elbow joint dislocation | Dental Services | $252.45 |
| D011 | Open reduction of radial head dislocation | Dental Services | $193.00 |
| D012 | Closed reduction of pulled elbow (radial head) | Dental Services | $39.00 |
| D014 | No reduction of acromio-clavicular/sterno-clavicular dislocation | Dental Services | $67.80 |
| D015 | Closed reduction without anaesthetic of glenohumeral joint | Dental Services | $49.20 |
| D016 | Closed reduction with anaesthetic of glenohumeral joint | Dental Services | $111.40 |
| D017 | Open reduction of glenohumeral joint dislocation | Dental Services | $323.85 |
| D023 | Open reduction of shoulder, arm or chest dislocation | Dental Services | $231.10 |
| D025 | Closed reduction with anaesthetic of acromio-clavicular/sterno-clavicular dislocation | Dental Services | $134.55 |
| D026 | Closed reduction of tarso-metatarsal dislocation | Dental Services | $147.60 |
| D027 | Closed reduction of interphalangeal dislocation | Dental Services | $57.50 |
| D028 | Open reduction of tarso-metatarsal dislocation | Dental Services | $388.20 |
| D029 | Open reduction of interphalangeal dislocation | Dental Services | $151.25 |
| D030 | Closed reduction of metatarsophalangeal dislocation | Dental Services | $57.50 |
| D031 | Closed reduction with anaesthetic of patella dislocation | Dental Services | $97.35 |
| D032 | Open reduction of metatarsophalangeal dislocation | Dental Services | $163.35 |
| D033 | Closed reduction of tarsus dislocation | Dental Services | $147.60 |
| D034 | Open reduction of tarsus dislocation | Dental Services | $298.55 |
| D035 | Closed reduction of ankle dislocation | Dental Services | $111.35 |
| D036 | Open reduction of ankle dislocation | Dental Services | $252.45 |
| D038 | Closed reduction of knee dislocation | Dental Services | $207.90 |
| D039 | Open reduction of knee dislocation | Dental Services | $309.00 |
| D040 | Closed reduction without anaesthetic of patella dislocation | Dental Services | $62.20 |
| D041 | Open reduction of early patella dislocation | Dental Services | $290.55 |
| D042 | Closed reduction of hip dislocation | Dental Services | $268.25 |
| D043 | Open reduction of hip dislocation | Dental Services | $406.45 |
| D046 | Open reduction of acetabulum - one pillar | Dental Services | $967.90 |
| D047 | Open reduction - two pillars acetabulum fracture | Dental Services | $1451.45 |
| D052 | Open reduction - lips acetabulum fracture | Dental Services | $612.45 |
| D059 | Closed reduction sacro-iliac joint | Dental Services | $428.50 |
| D060 | Open reduction sacro-iliac joint | Dental Services | $593.00 |
| D061 | Open removal of coccyx sacro-coccygeal | Dental Services | $193.00 |
| D062 | Closed reduction temporomandibular joint dislocation | Dental Services | $51.65 |
| D063 | Open reduction temporomandibular joint dislocation | Dental Services | $256.40 |
| E001 | General assessment | Diagnostic and Therapeutic Procedures | $0.00 |
| E002 | Intermediate assessment | Diagnostic and Therapeutic Procedures | $0.00 |
| E003 | Supportive care/Monitoring | Diagnostic and Therapeutic Procedures | $75.06 |
| E005 | Basic assessment | Diagnostic and Therapeutic Procedures | $75.06 |
| E006 | Extended assessment | Diagnostic and Therapeutic Procedures | $75.06 |
| E007 | Comprehensive assessment | Diagnostic and Therapeutic Procedures | $0.00 |
| E009 | Specialist consultation | Diagnostic and Therapeutic Procedures | $0.00 |
| E010 | Body Mass Index calculation | Diagnostic and Therapeutic Procedures | $0.00 |
| E011 | Diagnostic consultation | Diagnostic and Therapeutic Procedures | $0.00 |
| E012 | Follow-up consultation | Diagnostic and Therapeutic Procedures | $0.00 |
| E013 | Preoperative assessment | Diagnostic and Therapeutic Procedures | $0.00 |
| E014 | Postoperative assessment | Diagnostic and Therapeutic Procedures | $0.00 |
| E016 | Telephone consultation | Diagnostic and Therapeutic Procedures | $0.00 |
| E017 | Home visit | Diagnostic and Therapeutic Procedures | $0.00 |
| E018 | Nursing home visit | Diagnostic and Therapeutic Procedures | $0.00 |
| E019 | Long-term care facility visit | Diagnostic and Therapeutic Procedures | $0.00 |
| E020 | Hospital inpatient consultation | Diagnostic and Therapeutic Procedures | $0.00 |
| E021 | Emergency department consultation | Diagnostic and Therapeutic Procedures | $0.00 |
| E022 | Urgent care clinic consultation | Diagnostic and Therapeutic Procedures | $0.00 |
| E023 | Anaesthesia service for ocular surgery | Diagnostic and Therapeutic Procedures | $0.00 |
| E024 | Anaesthesia service for cystoscopy | Diagnostic and Therapeutic Procedures | $0.00 |
| E025 | Blood transfusion service | Diagnostic and Therapeutic Procedures | $0.00 |
| E030 | Anaesthesia service for colonoscopy | Diagnostic and Therapeutic Procedures | $0.00 |
| E031 | Anaesthesia service for sigmoidoscopy | Diagnostic and Therapeutic Procedures | $0.00 |
| E032 | Anaesthesia service for colonoscopy and sigmoidoscopy | Diagnostic and Therapeutic Procedures | $0.00 |
| E041 | Intramedullary nail tibia with locking screws | Diagnostic and Therapeutic Procedures | $81.55 |
| E048 | Intramedullary nail femur with locking screws | Diagnostic and Therapeutic Procedures | $108.75 |
| E049 | Additional tendon or muscle transfer | Diagnostic and Therapeutic Procedures | $87.20 |
| E050 | Additional tenoplasty | Diagnostic and Therapeutic Procedures | $77.05 |
| E051 | Additional silicone rod insertion | Diagnostic and Therapeutic Procedures | $245.90 |
| E052 | Additional tendon graft | Diagnostic and Therapeutic Procedures | $259.85 |
| E053 | Additional tendon graft | Diagnostic and Therapeutic Procedures | $94.60 |
| E054 | Additional transplant/transfer | Diagnostic and Therapeutic Procedures | $236.10 |
| E055 | Additional tendon transfer foot and ankle | Diagnostic and Therapeutic Procedures | $94.60 |
| E056 | Additional transposition/transplantation/transfer | Diagnostic and Therapeutic Procedures | $91.90 |
| E057 | Revision/repair following rotator cuff surgery | Diagnostic and Therapeutic Procedures | $0.01 |
| E058 | Open reduction early fracture | Diagnostic and Therapeutic Procedures | $0.01 |
| E059 | Revision/repair following knee ligament reconstruction | Diagnostic and Therapeutic Procedures | $0.01 |
| E060 | Post Renal Transplant Assessment Premium | Diagnostic and Therapeutic Procedures | $0.01 |
| E069 | Preparation of contracted recipient site | Diagnostic and Therapeutic Procedures | $134.75 |
| E077 | Identification of patient for major eye exam | Diagnostic and Therapeutic Procedures | $10.25 |
| E078 | Chronic Disease Assessment Premium | Diagnostic and Therapeutic Procedures | $0.01 |
| E079 | Smoking cessation: Initial discussion | Diagnostic and Therapeutic Procedures | $15.55 |
| E080 | First visit after hospital discharge premium | Diagnostic and Therapeutic Procedures | $25.25 |
| E082 | Admission assessment by Most Responsible Physician premium | Diagnostic and Therapeutic Procedures | $0.01 |
| E083 | Subsequent visit by MRP premium | Diagnostic and Therapeutic Procedures | $0.01 |
| E084 | Weekend/holiday subsequent visit by MRP premium | Diagnostic and Therapeutic Procedures | $0.01 |
| E088 | Congestive heart failure premium | Diagnostic and Therapeutic Procedures | $0.01 |
| E090 | Oophorectomy with moderate/severe endometriosis | Diagnostic and Therapeutic Procedures | $260.80 |
| E098 | Gastroenterology chronic disease assessment premium | Diagnostic and Therapeutic Procedures | $0.01 |
| E100 | General surgical procedure | Diagnostic and Therapeutic Procedures | $0.00 |
| E101 | Minor surgical procedure | Diagnostic and Therapeutic Procedures | $12.51 |
| E102 | Enucleation with or without primary implant | Diagnostic and Therapeutic Procedures | $542.00 |
| E103 | Evisceration with or without primary implant | Diagnostic and Therapeutic Procedures | $542.00 |
| E104 | Removal of intraocular foreign body | Diagnostic and Therapeutic Procedures | $542.00 |
| E105 | Removal of non-magnetic posterior segment foreign body | Diagnostic and Therapeutic Procedures | $424.35 |
| E106 | Penetrating wound with prolapse of intraocular tissue | Diagnostic and Therapeutic Procedures | $640.00 |
| E107 | Penetrating wound without prolapse of intraocular tissue | Diagnostic and Therapeutic Procedures | $496.00 |
| E108 | Enucleation donor eye post-mortem | Diagnostic and Therapeutic Procedures | $131.25 |
| E109 | Enucleation/evisceration with implant and muscle reattachment | Diagnostic and Therapeutic Procedures | $677.50 |
| E117 | Keratectomy or relaxing incisions post-penetrating keratoplasty | Diagnostic and Therapeutic Procedures | $308.30 |
| E118 | Excision of dermoid with partial keratectomy | Diagnostic and Therapeutic Procedures | $308.30 |
| E119 | Excision of dermoid with lamellar graft | Diagnostic and Therapeutic Procedures | $542.00 |
| E121 | Penetrating corneal transplant | Diagnostic and Therapeutic Procedures | $740.00 |
| E122 | Lamellar corneal transplant | Diagnostic and Therapeutic Procedures | $590.00 |
| E123 | Division of iris to cornea | Diagnostic and Therapeutic Procedures | $161.75 |
| E124 | Limbal stem cell transplant | Diagnostic and Therapeutic Procedures | $740.00 |
| E125 | Laser retinopexy for Retinopathy of Prematurity one eye | Diagnostic and Therapeutic Procedures | $750.00 |
| E126 | Laser retinopexy for Retinopathy of Prematurity both eyes | Diagnostic and Therapeutic Procedures | $1245.00 |
| E127 | Posterior sclerotomy | Diagnostic and Therapeutic Procedures | $166.45 |
| E128 | Anterior chamber open evacuation of clot | Diagnostic and Therapeutic Procedures | $496.00 |
| E130 | Iridectomy surgical sole procedure | Diagnostic and Therapeutic Procedures | $308.30 |
| E131 | Laser iridotomy | Diagnostic and Therapeutic Procedures | $161.75 |
| E132 | Glaucoma filtering procedures | Diagnostic and Therapeutic Procedures | $550.00 |
| E133 | Extraocular glaucoma procedures | Diagnostic and Therapeutic Procedures | $182.75 |
| E134 | Laser angle surgery | Diagnostic and Therapeutic Procedures | $205.55 |
| E135 | Ciliary body re-attachment | Diagnostic and Therapeutic Procedures | $505.45 |
| E136 | Glaucoma filtering with intraocular implant of seton | Diagnostic and Therapeutic Procedures | $290.00 |
| E137 | Needling (discission) primary or subsequent | Diagnostic and Therapeutic Procedures | $161.75 |
| E138 | Fixation of intraocular lens by suturing | Diagnostic and Therapeutic Procedures | $450.00 |
| E139 | Capsulotomy | Diagnostic and Therapeutic Procedures | $161.75 |
| E140 | Cataract surgery with intraocular lens insertion | Diagnostic and Therapeutic Procedures | $397.75 |
| E141 | Dislocated lens extraction | Diagnostic and Therapeutic Procedures | $505.45 |
| E142 | Preretinal membrane peeling or segmentation | Diagnostic and Therapeutic Procedures | $830.00 |
| E143 | Excision of secondary membrane post cataract extraction | Diagnostic and Therapeutic Procedures | $450.00 |
| E144 | Removal of intraocular lens | Diagnostic and Therapeutic Procedures | $450.00 |
| E145 | Surgical repositioning of dislocated intraocular lens | Diagnostic and Therapeutic Procedures | $350.00 |
| E146 | Insertion of secondary intraocular lens | Diagnostic and Therapeutic Procedures | $400.00 |
| E148 | Vitrectomy by infusion suction cutter technique | Diagnostic and Therapeutic Procedures | $720.00 |
| E149 | Vitreous injection or aspiration for culture or medication | Diagnostic and Therapeutic Procedures | $90.00 |
| E150 | CritiCall review of complex neurosurgical imaging | Diagnostic and Therapeutic Procedures | $44.00 |
| E151 | Retina and choroid re-attachment by diathermy/photocoagulation | Diagnostic and Therapeutic Procedures | $282.65 |
| E152 | Scleral resection or buckling procedure | Diagnostic and Therapeutic Procedures | $700.00 |
| E153 | Secondary retina operation after unsuccessful detachment repair | Diagnostic and Therapeutic Procedures | $840.00 |
| E154 | Photocoagulation one eye | Diagnostic and Therapeutic Procedures | $182.75 |
| E155 | Cryopexy extraocular or subconjunctival one eye | Diagnostic and Therapeutic Procedures | $205.00 |
| E156 | Intraocular suturing of iris/pupillary defect | Diagnostic and Therapeutic Procedures | $350.00 |
| E157 | Placement and suturing of iris prosthetic device | Diagnostic and Therapeutic Procedures | $550.00 |
| E160 | Dermis fat graft after enucleation | Diagnostic and Therapeutic Procedures | $190.30 |
| E161 | Removal of scleral implant | Diagnostic and Therapeutic Procedures | $250.00 |
| E163 | Delayed dermis fat graft | Diagnostic and Therapeutic Procedures | $514.80 |
| E164 | Drainage of abscess | Diagnostic and Therapeutic Procedures | $350.00 |
| E165 | Anterior route tumour or foreign body excision | Diagnostic and Therapeutic Procedures | $590.00 |
| E166 | Anterior route tumour or foreign body excision | Diagnostic and Therapeutic Procedures | $450.00 |
| E167 | Posterior exposure tumour or foreign body excision | Diagnostic and Therapeutic Procedures | $640.00 |
| E168 | Posterior exposure biopsy | Diagnostic and Therapeutic Procedures | $308.30 |
| E169 | Decompression two walls | Diagnostic and Therapeutic Procedures | $542.00 |
| E170 | Decompression three walls | Diagnostic and Therapeutic Procedures | $575.85 |
| E171 | Exenteration | Diagnostic and Therapeutic Procedures | $1005.00 |
| E172 | Anterior biopsy | Diagnostic and Therapeutic Procedures | $200.00 |
| E173 | Orbit open reduction rim/wall fracture | Diagnostic and Therapeutic Procedures | $594.70 |
| E174 | Blowout fracture of orbital floor | Diagnostic and Therapeutic Procedures | $667.00 |
| E175 | Therapeutic paracentesis | Diagnostic and Therapeutic Procedures | $20.00 |
| E176 | Fornix reconstruction | Diagnostic and Therapeutic Procedures | $325.00 |
| E177 | Fornix reconstruction with mucous membrane graft | Diagnostic and Therapeutic Procedures | $321.60 |
| E178 | Full thickness free mucous membrane graft | Diagnostic and Therapeutic Procedures | $222.65 |
| E179 | Split thickness free mucous membrane graft | Diagnostic and Therapeutic Procedures | $296.90 |
| E180 | Alloplastic volume replacement | Diagnostic and Therapeutic Procedures | $411.20 |
| E181 | Secondary orbital implant | Diagnostic and Therapeutic Procedures | $640.00 |
| E182 | Strabismus transposition of extraocular muscle | Diagnostic and Therapeutic Procedures | $600.00 |
| E183 | Strabismus superior oblique muscle repair | Diagnostic and Therapeutic Procedures | $600.00 |
| E184 | Strabismus inferior oblique muscle repair | Diagnostic and Therapeutic Procedures | $543.65 |
| E185 | Strabismus horizontal or vertical rectus muscle repair | Diagnostic and Therapeutic Procedures | $525.15 |
| E186 | Intravitreal injection for wet macular degeneration left eye | Diagnostic and Therapeutic Procedures | $90.00 |
| E187 | Intravitreal injection for wet macular degeneration right eye | Diagnostic and Therapeutic Procedures | $90.00 |
| E190 | Tarsorrhaphy | Diagnostic and Therapeutic Procedures | $150.00 |
| E191 | Double adhesion | Diagnostic and Therapeutic Procedures | $161.75 |
| E192 | Ptosis repair | Diagnostic and Therapeutic Procedures | $313.15 |
| E193 | Repeat or second ptosis repair | Diagnostic and Therapeutic Procedures | $393.00 |
| E194 | Distichiasis unilateral repair | Diagnostic and Therapeutic Procedures | $289.00 |
| E195 | Trichiasis repair by tarsal transplantation | Diagnostic and Therapeutic Procedures | $241.70 |
| E196 | Entropion repair other than Zeigler puncture | Diagnostic and Therapeutic Procedures | $290.00 |
| E197 | Ectropion repair other than Zeigler puncture | Diagnostic and Therapeutic Procedures | $310.00 |
| E198 | Full thickness eyelid laceration including lid margin | Diagnostic and Therapeutic Procedures | $300.00 |
| E199 | Full thickness eyelid laceration | Diagnostic and Therapeutic Procedures | $225.00 |
| E200 | Blepharoplasty excision of skin one lid | Diagnostic and Therapeutic Procedures | $82.80 |
| E201 | Blepharoplasty with fat removal and lid reconstruction | Diagnostic and Therapeutic Procedures | $205.55 |
| E202 | Corneal cross-linking | Diagnostic and Therapeutic Procedures | $200.00 |
| E205 | Simple pterygium excision unilateral | Diagnostic and Therapeutic Procedures | $355.00 |
| E206 | Pterygium excision simple unilateral | Diagnostic and Therapeutic Procedures | $175.00 |
| E207 | Pterygium excision with lamellar graft | Diagnostic and Therapeutic Procedures | $453.00 |
| E208 | Peritomy (Gunderson conjunctival flap) | Diagnostic and Therapeutic Procedures | $225.00 |
| E210 | Excision of conjunctival lesion | Diagnostic and Therapeutic Procedures | $100.00 |
| E211 | Lid lengthening procedure | Diagnostic and Therapeutic Procedures | $288.35 |
| E212 | Bleb repair with conjunctival pull-down | Diagnostic and Therapeutic Procedures | $210.00 |
| E213 | Bleb repair with conjunctival, scleral or mucous membrane graft | Diagnostic and Therapeutic Procedures | $262.50 |
| E214 | Glaucoma filtering procedure with cataract extraction | Diagnostic and Therapeutic Procedures | $729.00 |
| E215 | Dacryocystectomy | Diagnostic and Therapeutic Procedures | $496.00 |
| E216 | Immediate repair of lacerated canaliculus | Diagnostic and Therapeutic Procedures | $350.00 |
| E217 | Delayed repair of lacerated canaliculus | Diagnostic and Therapeutic Procedures | $411.20 |
| E218 | Dacryocystorhinostomy | Diagnostic and Therapeutic Procedures | $542.00 |
| E219 | Lacrimal bypass procedure (e.g. Lester Jones) | Diagnostic and Therapeutic Procedures | $250.00 |
| E221 | Laceration of eyelid with ptosis | Diagnostic and Therapeutic Procedures | $329.30 |
| E222 | Primary closure of full thickness lid defect | Diagnostic and Therapeutic Procedures | $290.00 |
| E223 | Tarsoconjunctival flap and skin graft (Hughes) | Diagnostic and Therapeutic Procedures | $484.35 |
| E224 | Second stage tarsoconjunctival flap and skin graft | Diagnostic and Therapeutic Procedures | $108.45 |
| E225 | Lower or upper eyelid bridge flap | Diagnostic and Therapeutic Procedures | $484.35 |
| E226 | Second stage lower or upper eyelid bridge flap | Diagnostic and Therapeutic Procedures | $108.45 |
| E227 | Temporal rotation flap | Diagnostic and Therapeutic Procedures | $514.80 |
| E228 | Free tarsal, scleral or cartilage graft with skin mobilization | Diagnostic and Therapeutic Procedures | $535.80 |
| E229 | Free composite eyelid graft | Diagnostic and Therapeutic Procedures | $535.80 |
| E230 | Medial canthoplasty skin and muscle | Diagnostic and Therapeutic Procedures | $257.90 |
| E231 | Medial canthal tendon repair only | Diagnostic and Therapeutic Procedures | $267.35 |
| E232 | Medial canthal tendon fixation to bone | Diagnostic and Therapeutic Procedures | $412.05 |
| E233 | Medial canthal tendon repair with another procedure | Diagnostic and Therapeutic Procedures | $153.25 |
| E234 | Lateral canthotomy | Diagnostic and Therapeutic Procedures | $51.45 |
| E235 | Cantholysis primary procedure | Diagnostic and Therapeutic Procedures | $107.50 |
| E236 | Lateral canthopexy | Diagnostic and Therapeutic Procedures | $255.00 |
| E300 | Resection of pinna with primary closure | Diagnostic and Therapeutic Procedures | $248.05 |
| E301 | Resection of pinna with local flap | Diagnostic and Therapeutic Procedures | $355.35 |
| E302 | Removal of foreign body requiring post auricular/endaural incisions | Diagnostic and Therapeutic Procedures | $202.35 |
| E303 | Removal of foreign body from middle ear space | Diagnostic and Therapeutic Procedures | $202.35 |
| E304 | Reconstruction of total ear with cartilage graft first stage | Diagnostic and Therapeutic Procedures | $619.35 |
| E305 | Limited incision for perichondritis removal of cartilage and drainage | Diagnostic and Therapeutic Procedures | $155.30 |
| E306 | Radical surgery for perichondritis | Diagnostic and Therapeutic Procedures | $291.50 |
| E307 | Minor repair of congenital external ear defect | Diagnostic and Therapeutic Procedures | $219.60 |
| E308 | Major repair of congenital external ear defect | Diagnostic and Therapeutic Procedures | $345.15 |
| E309 | Pre-auricular sinus general anaesthetic | Diagnostic and Therapeutic Procedures | $208.05 |
| E310 | Otoplasty for correction of outstanding ears unilateral | Diagnostic and Therapeutic Procedures | $247.35 |
| E311 | Endomeatal surgery and removal of exostosis | Diagnostic and Therapeutic Procedures | $243.35 |
| E312 | Multiple exostosis removal with grafting | Diagnostic and Therapeutic Procedures | $355.40 |
| E313 | Post auricular approach for exostosis removal | Diagnostic and Therapeutic Procedures | $362.55 |
| E314 | Meatoplasty or canalplasty for congenital malformation | Diagnostic and Therapeutic Procedures | $297.25 |
| E315 | Minor ear procedure | Diagnostic and Therapeutic Procedures | $674.00 |
| E316 | Major ear procedure | Diagnostic and Therapeutic Procedures | $395.05 |
| E317 | Incision and drainage of extensive pinna hematoma general anaesthetic | Diagnostic and Therapeutic Procedures | $139.95 |
| E318 | Incision and drainage of extensive pinna hematoma local anaesthetic | Diagnostic and Therapeutic Procedures | $92.40 |
| E319 | Ear canal procedure | Diagnostic and Therapeutic Procedures | $345.30 |
| E320 | Myringotomy | Diagnostic and Therapeutic Procedures | $345.15 |
| E321 | Tympanoplasty | Diagnostic and Therapeutic Procedures | $612.70 |
| E322 | Mastoidectomy | Diagnostic and Therapeutic Procedures | $627.10 |
| E323 | Ossicular chain reconstruction | Diagnostic and Therapeutic Procedures | $209.05 |
| E325 | Stapedectomy | Diagnostic and Therapeutic Procedures | $642.45 |
| E326 | Tympanoplasty - Facial nerve grafting (to include decompression) | Diagnostic and Therapeutic Procedures | $987.65 |
| E327 | Tympanoplasty - Closure of mastoid fistula | Diagnostic and Therapeutic Procedures | $252.15 |
| E328 | Tympanoplasty - Tympanotomy | Diagnostic and Therapeutic Procedures | $288.50 |
| E329 | Tympanoplasty - Tympanic neurectomy | Diagnostic and Therapeutic Procedures | $370.10 |
| E331 | Revision stapedectomy | Diagnostic and Therapeutic Procedures | $673.65 |
| E332 | Labyrinthotomy or labyrinthectomy (including Fick procedure) | Diagnostic and Therapeutic Procedures | $548.45 |
| E333 | Tympanoplasty - Ossiculoplasty | Diagnostic and Therapeutic Procedures | $406.55 |
| E335 | Stapedectomy with prosthesis | Diagnostic and Therapeutic Procedures | $637.15 |
| E336 | Tympanoplasty - Type 1 (myringoplasty with exploration of middle ear) | Diagnostic and Therapeutic Procedures | $345.15 |
| E337 | Tympanoplasty - Type 1 (myringoplasty with exploration of middle ear) - with ossiculoplasty | Diagnostic and Therapeutic Procedures | $468.85 |
| E339 | Endolymphatic shunt or sac decompression | Diagnostic and Therapeutic Procedures | $661.55 |
| E341 | Permanent Cochlear Prosthesis Insertion - Intra-cochlear | Diagnostic and Therapeutic Procedures | $737.30 |
| E345 | Temporal bone resection | Diagnostic and Therapeutic Procedures | $1379.10 |
| E346 | Bone Conduction Hearing Aid Insertion - implantable, including necessary mastoidectomy | Diagnostic and Therapeutic Procedures | $345.15 |
| E360 | #NAME? | Diagnostic and Therapeutic Procedures | $306.00 |
| E361 | #NAME? | Diagnostic and Therapeutic Procedures | $255.00 |
| E362 | #NAME? | Diagnostic and Therapeutic Procedures | $153.00 |
| E363 | #NAME? | Diagnostic and Therapeutic Procedures | $357.00 |
| E364 | #NAME? | Diagnostic and Therapeutic Procedures | $102.00 |
| E365 | #NAME? | Diagnostic and Therapeutic Procedures | $765.00 |
| E366 | Each additional disc level fused | Diagnostic and Therapeutic Procedures | $153.00 |
| E367 | #NAME? | Diagnostic and Therapeutic Procedures | $255.00 |
| E368 | #NAME? | Diagnostic and Therapeutic Procedures | $306.00 |
| E369 | #NAME? | Diagnostic and Therapeutic Procedures | $255.00 |
| E370 | One disc level - below C2 | Diagnostic and Therapeutic Procedures | $867.00 |
| E371 | #NAME? | Diagnostic and Therapeutic Procedures | $816.00 |
| E372 | #NAME? | Diagnostic and Therapeutic Procedures | $510.00 |
| E373 | No description | Diagnostic and Therapeutic Procedures | $0.01 |
| E374 | - foramen magnum decompression < 3cm as part of cervical decompression - add | Diagnostic and Therapeutic Procedures | $357.00 |
| E375 | No description | Diagnostic and Therapeutic Procedures | $0.01 |
| E376 | #NAME? | Diagnostic and Therapeutic Procedures | $255.00 |
| E377 | #NAME? | Diagnostic and Therapeutic Procedures | $255.00 |
| E378 | - 3D stereotactic spinal procedure - add | Diagnostic and Therapeutic Procedures | $510.00 |
| E379 | - 2D stereotactic spinal procedure - add | Diagnostic and Therapeutic Procedures | $510.00 |
| E380 | #NAME? | Diagnostic and Therapeutic Procedures | $357.00 |
| E382 | #NAME? | Diagnostic and Therapeutic Procedures | $244.80 |
| E383 | #NAME? | Diagnostic and Therapeutic Procedures | $255.00 |
| E384 | #VALUE! | Diagnostic and Therapeutic Procedures | $1020.00 |
| E385 | #NAME? | Diagnostic and Therapeutic Procedures | $71.40 |
| E386 | No description | Diagnostic and Therapeutic Procedures | $0.01 |
| E387 | #NAME? | Diagnostic and Therapeutic Procedures | $153.00 |
| E388 | #NAME? | Diagnostic and Therapeutic Procedures | $204.00 |
| E389 | #NAME? | Diagnostic and Therapeutic Procedures | $102.00 |
| E390 | #NAME? | Diagnostic and Therapeutic Procedures | $255.00 |
| E391 | #NAME? | Diagnostic and Therapeutic Procedures | $252.95 |
| E392 | #NAME? | Diagnostic and Therapeutic Procedures | $510.00 |
| E393 | #NAME? | Diagnostic and Therapeutic Procedures | $510.00 |
| E394 | #NAME? | Diagnostic and Therapeutic Procedures | $765.00 |
| E395 | #NAME? | Diagnostic and Therapeutic Procedures | $306.00 |
| E396 | Each additional site to N556 neurotomy add-on | Diagnostic and Therapeutic Procedures | $71.40 |
| E400 | Special visit premium (daytime) | Diagnostic and Therapeutic Procedures | $6.26 |
| E401 | Special visit premium (nighttime) | Diagnostic and Therapeutic Procedures | $9.38 |
| E402 | Management of continuous catheter infusion (evenings) | Diagnostic and Therapeutic Procedures | $12.04 |
| E403 | Management of continuous catheter infusion (nights) | Diagnostic and Therapeutic Procedures | $15.05 |
| E406 | After hours urgent CT/MRI interpretation (evenings) | Diagnostic and Therapeutic Procedures | $60.00 |
| E407 | After hours urgent CT/MRI interpretation (weekends/holidays) | Diagnostic and Therapeutic Procedures | $75.00 |
| E408 | After hours urgent CT/MRI interpretation (nights) | Diagnostic and Therapeutic Procedures | $100.00 |
| E409 | Special visit premium (evenings, non-ED physician) | Diagnostic and Therapeutic Procedures | $0.01 |
| E410 | Special visit premium (nights, non-ED physician) | Diagnostic and Therapeutic Procedures | $0.01 |
| E411 | Sole delivery premium | Diagnostic and Therapeutic Procedures | $0.00 |
| E412 | Special visit premium (evenings, ED physician) | Diagnostic and Therapeutic Procedures | $0.01 |
| E413 | Special visit premium (nights, ED physician) | Diagnostic and Therapeutic Procedures | $0.01 |
| E414 | High risk obstetrical premium | Diagnostic and Therapeutic Procedures | $62.05 |
| E420 | Trauma premium add-on | Diagnostic and Therapeutic Procedures | $0.00 |
| E423 | Manual cycloplegic refraction add-on | Diagnostic and Therapeutic Procedures | $25.00 |
| E424 | Assessment of paediatric patient with amblyopia add-on | Diagnostic and Therapeutic Procedures | $50.00 |
| E430 | Add-on for cervical cancer screening specimen collection outside hospital (to G365) | Diagnostic and Therapeutic Procedures | $11.95 |
| E431 | Add-on for cervical cancer screening specimen collection outside hospital (to G394) | Diagnostic and Therapeutic Procedures | $11.95 |
| E440 | Injection of contrast using fluoroscopy add-on | Diagnostic and Therapeutic Procedures | $30.00 |
| E441 | Injection at same level of previous spinal surgery add-on | Diagnostic and Therapeutic Procedures | $16.60 |
| E442 | Injection using transforaminal technique add-on | Diagnostic and Therapeutic Procedures | $20.00 |
| E443 | Injection with catheter for continuous infusion add-on | Diagnostic and Therapeutic Procedures | $80.00 |
| E444 | Radiofrequency ablation add-on to ganglion/plexus block | Diagnostic and Therapeutic Procedures | $0.01 |
| E445 | Alcohol or sclerosing solution use add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E446 | Image guidance for repeated joint injection add-on | Diagnostic and Therapeutic Procedures | $30.00 |
| E450 | Graded exercise plus pre/post exercise test add-on | Diagnostic and Therapeutic Procedures | $14.05 |
| E451 | Graded exercise plus 12 lead ECG add-on | Diagnostic and Therapeutic Procedures | $19.15 |
| E475 | Portable ultrasound by diagnostic radiologist | Diagnostic and Therapeutic Procedures | $0.00 |
| E476 | Removal of symptomatic loose body(ies) and/or screw add-on | Diagnostic and Therapeutic Procedures | $192.00 |
| E477 | Arthroscopy of subtalar/intratarsal joint add-on | Diagnostic and Therapeutic Procedures | $192.00 |
| E478 | Pinning of osteochondral fragment add-on | Diagnostic and Therapeutic Procedures | $251.55 |
| E479 | Arthroscopy of midcarpal/distal radio-ulnar joint add-on | Diagnostic and Therapeutic Procedures | $192.00 |
| E480 | Triangular fibrocartilage complex repair add-on | Diagnostic and Therapeutic Procedures | $350.65 |
| E481 | Extensive osteochondroplasty add-on | Diagnostic and Therapeutic Procedures | $500.00 |
| E482 | Soft tissue capsular release add-on | Diagnostic and Therapeutic Procedures | $251.55 |
| E483 | Synovectomy for inflammatory arthritis add-on | Diagnostic and Therapeutic Procedures | $326.55 |
| E484 | Superior labral anterior posterior (SLAP) repair add-on | Diagnostic and Therapeutic Procedures | $336.65 |
| E485 | Arthroscopic capsular release for frozen shoulder add-on | Diagnostic and Therapeutic Procedures | $240.50 |
| E487 | Resection of labrum add-on | Diagnostic and Therapeutic Procedures | $240.00 |
| E488 | Repair of labrum add-on | Diagnostic and Therapeutic Procedures | $350.00 |
| E489 | Microfracture/abrasion arthroplasty add-on | Diagnostic and Therapeutic Procedures | $250.00 |
| E490 | Osteochondroplasty extensive bone removal add-on | Diagnostic and Therapeutic Procedures | $500.00 |
| E491 | Lateral release add-on | Diagnostic and Therapeutic Procedures | $161.45 |
| E492 | Synovectomy for diseased synovium add-on | Diagnostic and Therapeutic Procedures | $231.30 |
| E493 | Drilling of defect including loose body removal add-on | Diagnostic and Therapeutic Procedures | $251.55 |
| E494 | Debridement of degenerative cartilage add-on | Diagnostic and Therapeutic Procedures | $299.00 |
| E495 | Meniscectomy for symptomatic meniscal tear add-on | Diagnostic and Therapeutic Procedures | $240.45 |
| E496 | Repair medial or lateral meniscus add-on | Diagnostic and Therapeutic Procedures | $336.65 |
| E497 | Pedicled vascularized bone graft add-on | Diagnostic and Therapeutic Procedures | $526.40 |
| E498 | Debridement of post-traumatic cartilage defect add-on | Diagnostic and Therapeutic Procedures | $299.00 |
| E499 | Second caesarian delivery add-on | Diagnostic and Therapeutic Procedures | $397.75 |
| E500 | Third and subsequent delivery add-on | Diagnostic and Therapeutic Procedures | $148.60 |
| E501 | #NAME? | Diagnostic and Therapeutic Procedures | $304.30 |
| E502 | Vaginal birth after caesarean section add-on | Diagnostic and Therapeutic Procedures | $51.00 |
| E503 | Each additional closed reduction add-on | Diagnostic and Therapeutic Procedures | $26.85 |
| E504 | Each additional closed reduction (metacarpal) add-on | Diagnostic and Therapeutic Procedures | $22.20 |
| E505 | Limited axillary node sampling add-on | Diagnostic and Therapeutic Procedures | $178.05 |
| E508 | Each additional joint to open reduction add-on | Diagnostic and Therapeutic Procedures | $85.00 |
| E509 | Conduit to aorta or common iliac artery add-on | Diagnostic and Therapeutic Procedures | $805.65 |
| E510 | Branched or fenestrated devices add-on | Diagnostic and Therapeutic Procedures | $838.15 |
| E511 | Additional midtarsal(s) to subtalar arthroplasty add-on | Diagnostic and Therapeutic Procedures | $100.00 |
| E512 | Additional midtarsal(s) to midtarsal arthroplasty add-on | Diagnostic and Therapeutic Procedures | $100.00 |
| E513 | Breast mound creation by soft tissue add-on | Diagnostic and Therapeutic Procedures | $297.50 |
| E514 | Immediate breast reconstruction add-on | Diagnostic and Therapeutic Procedures | $200.00 |
| E515 | Incision of abscess or hematoma under GA add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E518 | Each additional polyp 20-29 mm add-on | Diagnostic and Therapeutic Procedures | $77.50 |
| E519 | Each additional polyp 10-19 mm add-on | Diagnostic and Therapeutic Procedures | $77.50 |
| E520 | Each additional polyp 6-9 mm add-on | Diagnostic and Therapeutic Procedures | $77.50 |
| E521 | Add-on when done with another procedure | Diagnostic and Therapeutic Procedures | $200.00 |
| E523 | Repair of abdominal defect same surgeon add-on | Diagnostic and Therapeutic Procedures | $321.00 |
| E524 | Additional cuts to Mohs surgery add-on | Diagnostic and Therapeutic Procedures | $273.45 |
| E525 | After localization with mammographic wire or seeds add-on | Diagnostic and Therapeutic Procedures | $48.05 |
| E527 | Additional tissue expander same incision add-on | Diagnostic and Therapeutic Procedures | $58.95 |
| E528 | Additional tissue expander different incision add-on | Diagnostic and Therapeutic Procedures | $258.50 |
| E529 | Breast mound creation by prosthesis add-on | Diagnostic and Therapeutic Procedures | $102.45 |
| E530 | Inhalation general anaesthesia add-on | Diagnostic and Therapeutic Procedures | $50.40 |
| E532 | Both tibial plateaus same knee add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E537 | Each additional digit tenolysis add-on | Diagnostic and Therapeutic Procedures | $165.20 |
| E538 | Each additional metatarsophalangeal interposition add-on | Diagnostic and Therapeutic Procedures | $38.00 |
| E539 | Osteotomy of malleolus add-on | Diagnostic and Therapeutic Procedures | $117.85 |
| E540 | Excision in hospital for tumour free margin add-on | Diagnostic and Therapeutic Procedures | $0.00 |
| E541 | - each additional expander (to a maximum of 3) | Diagnostic and Therapeutic Procedures | $11.55 |
| E542 | Add-on when performed outside hospital | Diagnostic and Therapeutic Procedures | $11.55 |
| E543 | #NAME? | Diagnostic and Therapeutic Procedures | $30.60 |
| E544 | Cast bracing with closed reduction add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E545 | Add-on when performed outside hospital | Diagnostic and Therapeutic Procedures | $11.55 |
| E546 | Axillary node dissection add-on | Diagnostic and Therapeutic Procedures | $388.75 |
| E547 | Methyl methacrylate add-on | Diagnostic and Therapeutic Procedures | $59.40 |
| E550 | Insertion of closed irrigation system add-on | Diagnostic and Therapeutic Procedures | $63.15 |
| E551 | Autogenous bone/fascial/demis graft separate incision add-on | Diagnostic and Therapeutic Procedures | $86.30 |
| E552 | Autogenous bone/fascial/demis graft same incision add-on | Diagnostic and Therapeutic Procedures | $58.45 |
| E553 | Homogenous bone graft add-on | Diagnostic and Therapeutic Procedures | $25.15 |
| E554 | Synovectomy requiring minimum 30 minutes add-on | Diagnostic and Therapeutic Procedures | $175.00 |
| E555 | Rigid external fixation add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E556 | No description | Diagnostic and Therapeutic Procedures | $0.01 |
| E557 | Add-on when done with another procedure | Diagnostic and Therapeutic Procedures | $154.00 |
| E558 | Each additional closed reduction add-on | Diagnostic and Therapeutic Procedures | $22.25 |
| E559 | Each additional open reduction add-on | Diagnostic and Therapeutic Procedures | $142.90 |
| E560 | Each additional closed reduction add-on | Diagnostic and Therapeutic Procedures | $12.05 |
| E561 | Each additional closed reduction add-on | Diagnostic and Therapeutic Procedures | $14.90 |
| E564 | Revision of arthroplasty add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E569 | Percutaneous pinning add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E571 | More than one tendon release add-on | Diagnostic and Therapeutic Procedures | $148.75 |
| E575 | Each additional amputation add-on | Diagnostic and Therapeutic Procedures | $41.70 |
| E576 | Each additional closed reduction add-on | Diagnostic and Therapeutic Procedures | $10.25 |
| E577 | Each additional closed reduction add-on | Diagnostic and Therapeutic Procedures | $10.25 |
| E578 | Each additional closed reduction add-on | Diagnostic and Therapeutic Procedures | $10.25 |
| E579 | Each additional closed reduction add-on | Diagnostic and Therapeutic Procedures | $10.25 |
| E580 | Each additional extensor tendon suture add-on | Diagnostic and Therapeutic Procedures | $70.95 |
| E581 | Each additional flexor tendon suture add-on | Diagnostic and Therapeutic Procedures | $128.95 |
| E582 | Hypersensitivity skin test add-on | Diagnostic and Therapeutic Procedures | $32.20 |
| E583 | Each additional amputation add-on | Diagnostic and Therapeutic Procedures | $94.60 |
| E584 | Application of plaster cast outside hospital add-on | Diagnostic and Therapeutic Procedures | $11.15 |
| E585 | Each additional amputation add-on | Diagnostic and Therapeutic Procedures | $47.30 |
| E586 | Amputation with immediate limb fitting add-on | Diagnostic and Therapeutic Procedures | $0.00 |
| E587 | Each additional bone graft add-on | Diagnostic and Therapeutic Procedures | $41.70 |
| E588 | Add-on for apertognathia or laterognathia | Diagnostic and Therapeutic Procedures | $256.40 |
| E589 | Bone graft to acetabulum add-on | Diagnostic and Therapeutic Procedures | $101.25 |
| E590 | Rigid external fixation pseudoarthrosis add-on | Diagnostic and Therapeutic Procedures | $76.10 |
| E591 | Each additional osteotomy add-on | Diagnostic and Therapeutic Procedures | $158.65 |
| E592 | More than one tendon release add-on | Diagnostic and Therapeutic Procedures | $133.05 |
| E593 | Acetabular reconstruction add-on | Diagnostic and Therapeutic Procedures | $194.00 |
| E594 | Each additional hammer toe add-on | Diagnostic and Therapeutic Procedures | $41.70 |
| E596 | Each additional osteotomy add-on | Diagnostic and Therapeutic Procedures | $41.70 |
| E597 | Composite repair for facial paralysis with meloplasty add-on | Diagnostic and Therapeutic Procedures | $87.05 |
| E598 | Patellar replacement or patelloplasty add-on | Diagnostic and Therapeutic Procedures | $94.60 |
| E599 | Each additional tenolysis add-on | Diagnostic and Therapeutic Procedures | $87.20 |
| E600 | Laryngoscopy using operating microscope add-on | Diagnostic and Therapeutic Procedures | $33.60 |
| E601 | - for each additional rib (more than 3) to a maximum of 3 additional - add | Diagnostic and Therapeutic Procedures | $57.50 |
| E602 | #NAME? | Diagnostic and Therapeutic Procedures | $177.95 |
| E603 | Fluorescein injection add-on | Diagnostic and Therapeutic Procedures | $50.90 |
| E604 | Fixation for each additional rib add-on | Diagnostic and Therapeutic Procedures | $55.60 |
| E605 | Each additional rib after thoracoplasty add-on | Diagnostic and Therapeutic Procedures | $55.60 |
| E607 | Re-operation more than 30 days add-on | Diagnostic and Therapeutic Procedures | $152.30 |
| E608 | Each additional wedge resection of lung add-on | Diagnostic and Therapeutic Procedures | $84.15 |
| E609 | Intercostal muscle bundle or pericardium repair add-on | Diagnostic and Therapeutic Procedures | $121.70 |
| E610 | Myovascular flap repair add-on | Diagnostic and Therapeutic Procedures | $263.80 |
| E611 | Resection of diaphragm and direct suture closure add-on | Diagnostic and Therapeutic Procedures | $145.00 |
| E612 | Total extra-pleural pneumonectomy add-on | Diagnostic and Therapeutic Procedures | $338.35 |
| E613 | Sleeve pneumonectomy add-on | Diagnostic and Therapeutic Procedures | $500.00 |
| E614 | Omental graft add-on | Diagnostic and Therapeutic Procedures | $162.45 |
| E615 | Intra-pericardial dissection add-on | Diagnostic and Therapeutic Procedures | $250.00 |
| E616 | Bi-lobectomy on right side add-on | Diagnostic and Therapeutic Procedures | $142.10 |
| E617 | Pleural tent add-on | Diagnostic and Therapeutic Procedures | $78.80 |
| E618 | Decortication of remaining lobe(s) add-on | Diagnostic and Therapeutic Procedures | $121.85 |
| E619 | Sleeve lobectomy add-on | Diagnostic and Therapeutic Procedures | $162.45 |
| E620 | Wedge bronchoplasty add-on | Diagnostic and Therapeutic Procedures | $78.80 |
| E621 | Diagnostic wedge resection add-on | Diagnostic and Therapeutic Procedures | $45.85 |
| E622 | - any bronchoscopic procedure for patients under 3 years of age - add | Diagnostic and Therapeutic Procedures | $79.40 |
| E623 | Repeat operation after 30 days add-on | Diagnostic and Therapeutic Procedures | $415.15 |
| E624 | Completion pneumonectomy for positive margin | Diagnostic and Therapeutic Procedures | $111.20 |
| E625 | Sleeve resection of pulmonary artery | Diagnostic and Therapeutic Procedures | $142.20 |
| E626 | Implantation of inferior mesenteric artery | Diagnostic and Therapeutic Procedures | $174.35 |
| E627 | Ruptured aneurysm repair | Diagnostic and Therapeutic Procedures | $400.00 |
| E628 | Additional pacemaker lead extraction | Diagnostic and Therapeutic Procedures | $194.50 |
| E629 | Endoscopic placement of duodenal stent | Diagnostic and Therapeutic Procedures | $137.05 |
| E630 | Biopsy or coagulation of angiodysplastic lesion(s) | Diagnostic and Therapeutic Procedures | $137.05 |
| E631 | Resection of cricoid | Diagnostic and Therapeutic Procedures | $314.20 |
| E632 | Unspecified (related to bronchoscopy) | Diagnostic and Therapeutic Procedures | $68.40 |
| E633 | Unspecified (related to bronchoscopy) | Diagnostic and Therapeutic Procedures | $44.55 |
| E634 | Unspecified (related to bronchoscopy) | Diagnostic and Therapeutic Procedures | $52.00 |
| E635 | Unspecified (related to bronchoscopy) | Diagnostic and Therapeutic Procedures | $67.20 |
| E636 | Unspecified (related to bronchoscopy) | Diagnostic and Therapeutic Procedures | $50.00 |
| E637 | Unspecified (related to bronchoscopy) | Diagnostic and Therapeutic Procedures | $76.45 |
| E638 | Unspecified (related to bronchoscopy) | Diagnostic and Therapeutic Procedures | $81.90 |
| E639 | With anterior cricoid split | Diagnostic and Therapeutic Procedures | $78.50 |
| E640 | Chest wall reconstruction with synthetic material | Diagnostic and Therapeutic Procedures | $179.55 |
| E641 | Endoscopic placement of stent in rectum | Diagnostic and Therapeutic Procedures | $137.05 |
| E642 | External approach with nasal tip skin flap | Diagnostic and Therapeutic Procedures | $119.20 |
| E643 | Laser microlaryngoscopy for benign disease | Diagnostic and Therapeutic Procedures | $121.65 |
| E644 | Radical mediastinal node dissection | Diagnostic and Therapeutic Procedures | $400.00 |
| E645 | Off pump coronary artery bypass grafting | Diagnostic and Therapeutic Procedures | $371.00 |
| E646 | Use of internal mammary/epigastric/radial artery graft | Diagnostic and Therapeutic Procedures | $187.80 |
| E647 | Unspecified cardiac surgery add-on | Diagnostic and Therapeutic Procedures | $264.70 |
| E648 | Excision of extensive endocardial scar | Diagnostic and Therapeutic Procedures | $135.80 |
| E649 | Embolectomy/thrombectomy with other vascular procedures | Diagnostic and Therapeutic Procedures | $112.45 |
| E650 | Pump bypass including cannulation and supervision | Diagnostic and Therapeutic Procedures | $371.00 |
| E651 | Coronary artery repair add-on | Diagnostic and Therapeutic Procedures | $202.05 |
| E652 | Unspecified cardiac surgery add-on | Diagnostic and Therapeutic Procedures | $187.85 |
| E653 | Stripping for recurrent varicose veins | Diagnostic and Therapeutic Procedures | $127.15 |
| E654 | Each additional anastomosis in bypass graft | Diagnostic and Therapeutic Procedures | $188.85 |
| E655 | Re-operation for failed vascular graft | Diagnostic and Therapeutic Procedures | $348.70 |
| E656 | Patch aortoplasty or aortic annuloplasty | Diagnostic and Therapeutic Procedures | $288.85 |
| E657 | Ilio-caval vein ligation add-on | Diagnostic and Therapeutic Procedures | $446.50 |
| E658 | HIS Bundle ablation | Diagnostic and Therapeutic Procedures | $278.10 |
| E659 | Cardiac surgery with thoracotomy add-on | Diagnostic and Therapeutic Procedures | $169.00 |
| E660 | Epicardial electrophysiology mapping | Diagnostic and Therapeutic Procedures | $185.15 |
| E661 | Endocardial electrophysiology mapping | Diagnostic and Therapeutic Procedures | $185.15 |
| E662 | Intraductal cytology brushing or biopsy | Diagnostic and Therapeutic Procedures | $49.75 |
| E663 | Interruption of bronchial collateral arteries add-on | Diagnostic and Therapeutic Procedures | $183.00 |
| E664 | Closure of duodenum | Diagnostic and Therapeutic Procedures | $127.05 |
| E665 | Patch graft with carotid endarterectomy | Diagnostic and Therapeutic Procedures | $419.00 |
| E666 | Biliary tract manometry | Diagnostic and Therapeutic Procedures | $52.30 |
| E667 | Ruptured aneurysm repair add-on | Diagnostic and Therapeutic Procedures | $266.60 |
| E668 | Cannulation of minor papilla | Diagnostic and Therapeutic Procedures | $93.80 |
| E669 | Oesophagoscopy-gastroscopy with duodenoscopy add-on | Diagnostic and Therapeutic Procedures | $102.75 |
| E670 | Re-operation after previous thoracotomy | Diagnostic and Therapeutic Procedures | $224.70 |
| E671 | Re-operation after previous sternotomy | Diagnostic and Therapeutic Procedures | $543.60 |
| E672 | Composite femoral popliteal/tibial bypass graft | Diagnostic and Therapeutic Procedures | $133.40 |
| E673 | Lysis of extensive intra-abdominal adhesions | Diagnostic and Therapeutic Procedures | $62.05 |
| E674 | Snare polypectomy 1st polyp >1 cm | Diagnostic and Therapeutic Procedures | $142.40 |
| E675 | Snare polypectomy additional polyp >1 cm | Diagnostic and Therapeutic Procedures | $73.50 |
| E676 | Morbid obesity add-on for major surgery | Diagnostic and Therapeutic Procedures | $0.01 |
| E677 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $104.00 |
| E678 | Unspecified assistant fee | Diagnostic and Therapeutic Procedures | $104.00 |
| E679 | Vein graft harvest remote from bypass site | Diagnostic and Therapeutic Procedures | $124.10 |
| E680 | Insertion of first endobiliary prosthesis or pancreatic stent | Diagnostic and Therapeutic Procedures | $82.35 |
| E681 | Insertion of additional endobiliary prosthesis or pancreatic stent | Diagnostic and Therapeutic Procedures | $43.60 |
| E682 | Graft of major vessel for bypass or assist device | Diagnostic and Therapeutic Procedures | $423.85 |
| E683 | Thoracoscopic or robotic-assisted surgery add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E684 | Catheter for continuous infusion add-on | Diagnostic and Therapeutic Procedures | $214.10 |
| E685 | Total excision of large sessile polyp >3 cm | Diagnostic and Therapeutic Procedures | $227.65 |
| E686 | Percutaneous abdominal abscess drainage add-on | Diagnostic and Therapeutic Procedures | $144.10 |
| E687 | Laser debulking of obstructive tumour or stricture | Diagnostic and Therapeutic Procedures | $69.80 |
| E688 | Laser debulking with electrocoagulation | Diagnostic and Therapeutic Procedures | $69.80 |
| E690 | Removal of foreign body by oesophagoscopy-gastroscopy | Diagnostic and Therapeutic Procedures | $43.85 |
| E691 | Mobilization of abdominal wall musculature add-on | Diagnostic and Therapeutic Procedures | $178.40 |
| E692 | Laser debulking during oesophagoscopy-gastroscopy | Diagnostic and Therapeutic Procedures | $69.70 |
| E693 | Repair of ruptured bladder with laparotomy | Diagnostic and Therapeutic Procedures | $50.04 |
| E694 | Nephrectomy with laparotomy | Diagnostic and Therapeutic Procedures | $50.04 |
| E696 | Dilatation of oesophagus | Diagnostic and Therapeutic Procedures | $30.65 |
| E697 | Repair of Mallory-Weiss laceration with gastrostomy | Diagnostic and Therapeutic Procedures | $142.40 |
| E698 | Pneumatic or balloon dilation | Diagnostic and Therapeutic Procedures | $69.70 |
| E700 | Each additional tooth extraction | Diagnostic and Therapeutic Procedures | $13.40 |
| E702 | Multiple biopsies of specific lesion | Diagnostic and Therapeutic Procedures | $15.10 |
| E703 | Snare polypectomy first polyp >1 cm | Diagnostic and Therapeutic Procedures | $50.50 |
| E704 | Choledochoscopy with choledochotomy | Diagnostic and Therapeutic Procedures | $46.50 |
| E705 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $30.30 |
| E706 | Choledochotomy add-on | Diagnostic and Therapeutic Procedures | $122.05 |
| E707 | Repair of Mallory-Weiss laceration add-on | Diagnostic and Therapeutic Procedures | $70.80 |
| E708 | Vagotomy add-on | Diagnostic and Therapeutic Procedures | $122.05 |
| E709 | Cholecystectomy add-on | Diagnostic and Therapeutic Procedures | $122.05 |
| E710 | Additional biopsy for Hirschsprung’s disease | Diagnostic and Therapeutic Procedures | $45.55 |
| E711 | After previous gastro-enterostomy | Diagnostic and Therapeutic Procedures | $106.55 |
| E712 | After previous vagotomy and pyloroplasty | Diagnostic and Therapeutic Procedures | $111.10 |
| E713 | After previous partial gastrectomy | Diagnostic and Therapeutic Procedures | $137.55 |
| E714 | Repair of entero-cutaneous fistula with bowel resection | Diagnostic and Therapeutic Procedures | $82.35 |
| E715 | Marsupialization/decompression of multiple cysts or abscesses | Diagnostic and Therapeutic Procedures | $74.90 |
| E716 | Gastrojejunostomy or gastroduodenostomy plus vagotomy | Diagnostic and Therapeutic Procedures | $147.30 |
| E717 | Biopsy and/or coagulation of angiodysplastic lesion(s) | Diagnostic and Therapeutic Procedures | $27.05 |
| E718 | Bowel resection following previous resection or surgery | Diagnostic and Therapeutic Procedures | $142.40 |
| E720 | Each additional polyp excision 3-5 mm | Diagnostic and Therapeutic Procedures | $77.50 |
| E721 | Choledochotomy add-on | Diagnostic and Therapeutic Procedures | $122.05 |
| E722 | Transduodenal sphincterotomy add-on | Diagnostic and Therapeutic Procedures | $162.70 |
| E723 | Repair of lacerated spleen with laparotomy | Diagnostic and Therapeutic Procedures | $284.80 |
| E724 | Administration of chemotherapy or sclerosing agent | Diagnostic and Therapeutic Procedures | $23.25 |
| E725 | Recurrent hernia repair add-on | Diagnostic and Therapeutic Procedures | $130.00 |
| E726 | Repeat recurrent inguinal hernia repair add-on | Diagnostic and Therapeutic Procedures | $226.00 |
| E727 | Hydrocele excision add-on | Diagnostic and Therapeutic Procedures | $65.90 |
| E728 | Truncal or selective vagotomy add-on | Diagnostic and Therapeutic Procedures | $167.65 |
| E729 | Highly selective vagotomy add-on | Diagnostic and Therapeutic Procedures | $284.75 |
| E730 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $740.95 |
| E731 | Suture of bleeding peptic ulcer add-on | Diagnostic and Therapeutic Procedures | $247.05 |
| E732 | Biopsy with small intestine intubation | Diagnostic and Therapeutic Procedures | $29.10 |
| E733 | Laparotomy with single intestine repair | Diagnostic and Therapeutic Procedures | $142.40 |
| E734 | Laparotomy with multiple intestine repair/resection | Diagnostic and Therapeutic Procedures | $211.15 |
| E735 | Laparotomy with splenectomy add-on | Diagnostic and Therapeutic Procedures | $284.75 |
| E736 | Laparotomy with liver laceration repair | Diagnostic and Therapeutic Procedures | $187.90 |
| E737 | Feeding enterostomy with another intra-abdominal procedure | Diagnostic and Therapeutic Procedures | $82.35 |
| E738 | Continent ileostomy add-on | Diagnostic and Therapeutic Procedures | $387.40 |
| E739 | Laparotomy with diaphragm repair | Diagnostic and Therapeutic Procedures | $122.05 |
| E740 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $51.75 |
| E741 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $31.15 |
| E742 | Additional procedure with oesophageal hiatus hernia repair | Diagnostic and Therapeutic Procedures | $217.35 |
| E743 | Entero-enterostomy with choledochoenterostomy | Diagnostic and Therapeutic Procedures | $153.05 |
| E744 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $115.80 |
| E745 | Insertion of tubes and continuous peritoneal lavage | Diagnostic and Therapeutic Procedures | $94.85 |
| E746 | Endoscopic decompression of volvulus add-on | Diagnostic and Therapeutic Procedures | $5.85 |
| E747 | Endoscopy of ileostomy or colostomy add-on | Diagnostic and Therapeutic Procedures | $31.15 |
| E748 | Repair of umbilical hernia add-on | Diagnostic and Therapeutic Procedures | $122.05 |
| E749 | Add-on for private office endoscopy services | Diagnostic and Therapeutic Procedures | $22.35 |
| E750 | Cystotomy with another procedure add-on | Diagnostic and Therapeutic Procedures | $26.05 |
| E751 | Insertion of chemotherapeutic agent(s) | Diagnostic and Therapeutic Procedures | $54.70 |
| E752 | Repeat kidney surgery add-on | Diagnostic and Therapeutic Procedures | $83.25 |
| E753 | Live donor nephrectomy add-on | Diagnostic and Therapeutic Procedures | $241.20 |
| E754 | Removal of calculus with pyeloplasty | Diagnostic and Therapeutic Procedures | $57.50 |
| E755 | Inflatable penile prosthesis add-on | Diagnostic and Therapeutic Procedures | $69.30 |
| E756 | Hernia repair with resection of strangulated contents | Diagnostic and Therapeutic Procedures | $24.50 |
| E757 | Hernia repair without resection of strangulated contents | Diagnostic and Therapeutic Procedures | $55.25 |
| E758 | Oesophageal myotomy with hiatus hernia repair | Diagnostic and Therapeutic Procedures | $217.35 |
| E759 | Disintegration of renal calculi add-on | Diagnostic and Therapeutic Procedures | $95.95 |
| E760 | Removal of calculus with ureteroscopy | Diagnostic and Therapeutic Procedures | $167.85 |
| E761 | Intracorporeal lithotripsy | Diagnostic and Therapeutic Procedures | $95.95 |
| E762 | Renal artery reconstruction or repair add-on | Diagnostic and Therapeutic Procedures | $301.05 |
| E764 | Umbilical hernia repair with other abdominal surgery | Diagnostic and Therapeutic Procedures | $24.20 |
| E765 | Hepatic artery reconstruction with liver transplant | Diagnostic and Therapeutic Procedures | $300.45 |
| E766 | Thoraco-abdominal or radical nephrectomy | Diagnostic and Therapeutic Procedures | $29.70 |
| E767 | Thoraco-abdominal or radical nephrectomy | Diagnostic and Therapeutic Procedures | $138.15 |
| E768 | Thoraco-abdominal or radical nephrectomy | Diagnostic and Therapeutic Procedures | $236.70 |
| E769 | Kidney transplant team fee | Diagnostic and Therapeutic Procedures | $260.05 |
| E770 | Duodenoscopy and bile drainage after CCK stimulation | Diagnostic and Therapeutic Procedures | $23.10 |
| E771 | Kidney re-transplant team fee | Diagnostic and Therapeutic Procedures | $343.40 |
| E772 | Percutaneous removal of staghorn calculus | Diagnostic and Therapeutic Procedures | $175.50 |
| E773 | Placement of ureteric stent past obstruction | Diagnostic and Therapeutic Procedures | $49.90 |
| E775 | Catheterization of ureter and specimen collection | Diagnostic and Therapeutic Procedures | $15.35 |
| E776 | Unilateral brush biopsy of renal pelvis/ureter | Diagnostic and Therapeutic Procedures | $24.90 |
| E777 | Cystometrogram including urethral pressure profile | Diagnostic and Therapeutic Procedures | $11.50 |
| E780 | Needle biopsy of prostate | Diagnostic and Therapeutic Procedures | $32.60 |
| E781 | Electrocoagulation of tumour(s) | Diagnostic and Therapeutic Procedures | $49.90 |
| E782 | Electrocoagulation of Hunner ulcer | Diagnostic and Therapeutic Procedures | $49.90 |
| E783 | Secondary surgical evacuation of bladder clots | Diagnostic and Therapeutic Procedures | $99.65 |
| E784 | Hydrodistention of bladder under general anaesthetic | Diagnostic and Therapeutic Procedures | $49.85 |
| E785 | Multiple screening biopsies for ulcerative colitis | Diagnostic and Therapeutic Procedures | $54.25 |
| E786 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $99.70 |
| E787 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $260.40 |
| E788 | Ureteral meatotomy | Diagnostic and Therapeutic Procedures | $99.70 |
| E789 | Removal of foreign body or calculus | Diagnostic and Therapeutic Procedures | $99.70 |
| E790 | Removal of ureteric catheter | Diagnostic and Therapeutic Procedures | $8.80 |
| E791 | Periurethral injection of bulking agents | Diagnostic and Therapeutic Procedures | $26.00 |
| E792 | Laparoscopic surgery add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E793 | Laparoscopic or thoracoscopic assisted surgery add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E794 | Intra-operative cholangiogram add-on | Diagnostic and Therapeutic Procedures | $35.85 |
| E795 | Brushing of oesophagus, stomach, and/or duodenum | Diagnostic and Therapeutic Procedures | $46.30 |
| E796 | Mobilization of splenic flexure add-on | Diagnostic and Therapeutic Procedures | $102.40 |
| E797 | Management of uncomplicated GI bleeding | Diagnostic and Therapeutic Procedures | $46.30 |
| E798 | Management of complicated GI bleeding in unstable patients | Diagnostic and Therapeutic Procedures | $69.70 |
| E799 | Additional polyp snare polypectomy >1 cm | Diagnostic and Therapeutic Procedures | $25.25 |
| E800 | Radial or linear probe through endoscope | Diagnostic and Therapeutic Procedures | $101.50 |
| E801 | Biliary and/or pancreatic examination add-on | Diagnostic and Therapeutic Procedures | $152.30 |
| E802 | Biopsy or fine needle aspiration per lesion | Diagnostic and Therapeutic Procedures | $50.75 |
| E803 | Drainage of pseudocyst including stent insertion | Diagnostic and Therapeutic Procedures | $30.65 |
| E804 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $145.05 |
| E805 | Unspecified add-on | Diagnostic and Therapeutic Procedures | $203.05 |
| E807 | Multivisceral transplant recipient with evisceration add-on | Diagnostic and Therapeutic Procedures | $2644.75 |
| E808 | Neo-rectal pouch formation add-on | Diagnostic and Therapeutic Procedures | $150.00 |
| E809 | Excision of pannus beyond mid thigh | Diagnostic and Therapeutic Procedures | $250.00 |
| E815 | Angioplasty remote from subintimal dissection site | Diagnostic and Therapeutic Procedures | $398.15 |
| E817 | Catheterization of ureter and retrograde injection | Diagnostic and Therapeutic Procedures | $15.35 |
| E818 | Unilateral brush biopsy of renal pelvis/ureter | Diagnostic and Therapeutic Procedures | $24.90 |
| E819 | Diagnostic ureteroscopy of second ureter | Diagnostic and Therapeutic Procedures | $54.65 |
| E820 | Biopsy using ureteroscope | Diagnostic and Therapeutic Procedures | $49.75 |
| E822 | Ureteroscopy to upper third of ureter or renal pelvis | Diagnostic and Therapeutic Procedures | $37.70 |
| E823 | Resection and fulguration of ureteral or renal pelvic tumours | Diagnostic and Therapeutic Procedures | $233.65 |
| E824 | Bladder biopsy under general anaesthetic | Diagnostic and Therapeutic Procedures | $49.85 |
| E825 | Miniplate(s) per major fracture line add-on | Diagnostic and Therapeutic Procedures | $63.95 |
| E826 | Percutaneous pinning add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E827 | Repair of hernia defect >10 cm with component separation | Diagnostic and Therapeutic Procedures | $600.00 |
| E828 | Rigid internal fixation add-on | Diagnostic and Therapeutic Procedures | $104.00 |
| E829 | Repair of hernia defect 5-10 cm with component separation | Diagnostic and Therapeutic Procedures | $300.00 |
| E830 | Miniplate(s) per major fracture line add-on | Diagnostic and Therapeutic Procedures | $107.20 |
| E831 | Use of skin grafts or revision surgery add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E832 | Excision of fascia for Dupuytren’s add-on | Diagnostic and Therapeutic Procedures | $273.85 |
| E833 | Insertion of subcutaneous port add-on | Diagnostic and Therapeutic Procedures | $116.10 |
| E837 | Additional biopsy(s) by EBUS add-on | Diagnostic and Therapeutic Procedures | $50.75 |
| E838 | Post-procedure oxygen monitoring add-on | Diagnostic and Therapeutic Procedures | $79.40 |
| E839 | Flexible endoscope add-on | Diagnostic and Therapeutic Procedures | $19.20 |
| E840 | Repair of septal perforation add-on | Diagnostic and Therapeutic Procedures | $119.20 |
| E841 | Autologous bone/cartilage graft add-on | Diagnostic and Therapeutic Procedures | $226.80 |
| E842 | Non-autologous graft or implant add-on | Diagnostic and Therapeutic Procedures | $58.60 |
| E843 | Bilateral endoscopic sphenoidotomy add-on | Diagnostic and Therapeutic Procedures | $103.05 |
| E844 | Bilateral intranasal ethmoidectomy add-on | Diagnostic and Therapeutic Procedures | $200.00 |
| E845 | 3D CT/MRI image guided sinus surgery add-on | Diagnostic and Therapeutic Procedures | $140.00 |
| E846 | Rigid bronchoscopy after flexible bronchoscopy add-on | Diagnostic and Therapeutic Procedures | $95.70 |
| E847 | Diaphragm reconstruction with mesh add-on | Diagnostic and Therapeutic Procedures | $75.00 |
| E848 | Pericardium reconstruction with synthetic graft add-on | Diagnostic and Therapeutic Procedures | $80.00 |
| E849 | Diaphragm resection and reconstruction add-on | Diagnostic and Therapeutic Procedures | $220.00 |
| E852 | Tuboplasty add-on to ectopic pregnancy surgery | Diagnostic and Therapeutic Procedures | $49.25 |
| E853 | Resection of diaphragm with reconstruction add-on | Diagnostic and Therapeutic Procedures | $145.00 |
| E854 | Unilateral ureterolysis with major gyn surgery add-on | Diagnostic and Therapeutic Procedures | $170.00 |
| E855 | Dye injection add-on to endometrial procedures | Diagnostic and Therapeutic Procedures | $25.85 |
| E857 | D&C add-on to endometrial procedures | Diagnostic and Therapeutic Procedures | $78.45 |
| E860 | Diagnostic laparoscopy | Diagnostic and Therapeutic Procedures | $131.45 |
| E861 | Paracervical block with endometrial sampling add-on | Diagnostic and Therapeutic Procedures | $9.00 |
| E862 | Laparoscopic approach add-on to specified surgeries | Diagnostic and Therapeutic Procedures | $0.01 |
| E863 | Laparoscopic approach add-on for two surgeons | Diagnostic and Therapeutic Procedures | $0.01 |
| E870 | Laminaria tent supplied by physician add-on | Diagnostic and Therapeutic Procedures | $8.35 |
| E874 | CT perfusion study for acute stroke add-on | Diagnostic and Therapeutic Procedures | $64.00 |
| E875 | MR spectroscopy add-on to multislice MRI | Diagnostic and Therapeutic Procedures | $19.40 |
| E876 | MR spectroscopy add-on to repeat MRI sequence | Diagnostic and Therapeutic Procedures | $9.70 |
| E877 | Repeat strabismus procedure add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E880 | Parathyroid re-implantation add-on to thyroidectomy | Diagnostic and Therapeutic Procedures | $184.60 |
| E882 | Thyroid lobectomy add-on to laryngectomy | Diagnostic and Therapeutic Procedures | $177.40 |
| E883 | Thyroid lobectomy with isthmus excision add-on | Diagnostic and Therapeutic Procedures | $266.60 |
| E884 | Total thyroidectomy add-on to laryngectomy | Diagnostic and Therapeutic Procedures | $374.00 |
| E885 | Transcervical thymectomy add-on with parathyroidectomy | Diagnostic and Therapeutic Procedures | $106.00 |
| E886 | Extended endonasal endoscopic skull base approach add-on | Diagnostic and Therapeutic Procedures | $800.00 |
| E887 | Pituitary lesion resection beyond sella turcica add-on | Diagnostic and Therapeutic Procedures | $500.00 |
| E888 | Non-pituitary sellar region lesion resection add-on | Diagnostic and Therapeutic Procedures | $500.00 |
| E889 | Complex endonasal resection from cranial nerves add-on | Diagnostic and Therapeutic Procedures | $520.00 |
| E890 | Complex endonasal resection from cavernous sinuses add-on | Diagnostic and Therapeutic Procedures | $520.00 |
| E891 | Complex endonasal resection from brainstem/lobes add-on | Diagnostic and Therapeutic Procedures | $520.00 |
| E892 | Harvesting large pedicled vascular flap add-on | Diagnostic and Therapeutic Procedures | $500.00 |
| E893 | Complex closure/repair/reconstruction add-on | Diagnostic and Therapeutic Procedures | $555.00 |
| E894 | Aneurysm >2.5 cm add-on to carotid/vertebrobasilar surgery | Diagnostic and Therapeutic Procedures | $229.55 |
| E895 | AVM >4 cm add-on to craniotomy | Diagnostic and Therapeutic Procedures | $373.80 |
| E896 | Micro-electrode recording during stereotaxis add-on | Diagnostic and Therapeutic Procedures | $400.40 |
| E898 | Lesion >2.5 cm add-on to carotid/vertebrobasilar surgery | Diagnostic and Therapeutic Procedures | $283.80 |
| E899 | Additional nerve suture cable add-on | Diagnostic and Therapeutic Procedures | $102.45 |
| E901 | Operating microscope add-on to neurosurgical procedures | Diagnostic and Therapeutic Procedures | $234.65 |
| E902 | Lesion >2 cm add-on to certain neurosurgical procedures | Diagnostic and Therapeutic Procedures | $454.15 |
| E903 | Team fee for acoustic neuroma surgery add-on | Diagnostic and Therapeutic Procedures | $614.70 |
| E904 | Posterior fossa bypass add-on | Diagnostic and Therapeutic Procedures | $241.00 |
| E905 | Endonasal endoscopic approach to sella turcica add-on | Diagnostic and Therapeutic Procedures | $750.00 |
| E906 | Peripheral nerve surgery assistant fee | Diagnostic and Therapeutic Procedures | $0.01 |
| E908 | Intracerebral/subdural hematoma removal add-on | Diagnostic and Therapeutic Procedures | $304.30 |
| E911 | Neuroma implantation into bone/muscle add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E912 | Skull fracture repair with dural laceration add-on | Diagnostic and Therapeutic Procedures | $233.30 |
| E916 | Ventriculoscopy with biopsy add-on | Diagnostic and Therapeutic Procedures | $233.30 |
| E917 | Ventriculoscopy with interventriculostomy add-on | Diagnostic and Therapeutic Procedures | $301.70 |
| E918 | Ventriculoscopy with foreign body removal add-on | Diagnostic and Therapeutic Procedures | $132.80 |
| E919 | Intracranial duroplasty >2 cm add-on | Diagnostic and Therapeutic Procedures | $254.45 |
| E921 | Repeat cranial procedure add-on | Diagnostic and Therapeutic Procedures | $262.15 |
| E922 | Repair of frontonasal encephalocele add-on | Diagnostic and Therapeutic Procedures | $215.35 |
| E925 | Peripheral nerve surgery assistant fee | Diagnostic and Therapeutic Procedures | $0.01 |
| E930 | Lateral canthoplasty add-on | Diagnostic and Therapeutic Procedures | $102.35 |
| E931 | Brain tumour radioactive source implantation add-on | Diagnostic and Therapeutic Procedures | $222.85 |
| E932 | Unilateral orbital fracture repair add-on | Diagnostic and Therapeutic Procedures | $205.00 |
| E933 | Miniplate fixation per major fracture line add-on | Diagnostic and Therapeutic Procedures | $99.85 |
| E934 | Primary bone graft add-on to orbital fracture repair | Diagnostic and Therapeutic Procedures | $204.80 |
| E935 | Bilateral orbital fracture repair add-on | Diagnostic and Therapeutic Procedures | $307.70 |
| E936 | Vitreous exchange add-on to vitrectomy | Diagnostic and Therapeutic Procedures | $90.00 |
| E937 | Autogenous conjunctival transplant add-on | Diagnostic and Therapeutic Procedures | $100.00 |
| E938 | Transscleral retinal suturing add-on | Diagnostic and Therapeutic Procedures | $213.20 |
| E939 | Repeat dacryocystorhinostomy by second surgeon add-on | Diagnostic and Therapeutic Procedures | $150.00 |
| E940 | Anterior vitrectomy add-on | Diagnostic and Therapeutic Procedures | $105.00 |
| E941 | Orbital exenteration with major plastic repair add-on | Diagnostic and Therapeutic Procedures | $296.90 |
| E942 | Primary closure with cantholysis add-on | Diagnostic and Therapeutic Procedures | $53.20 |
| E943 | Primary closure with rotation flap and cantholysis add-on | Diagnostic and Therapeutic Procedures | $89.45 |
| E944 | Primary closure with free posterior lamellar graft add-on | Diagnostic and Therapeutic Procedures | $175.15 |
| E945 | Repeat eyelid repair by second surgeon add-on | Diagnostic and Therapeutic Procedures | $52.40 |
| E946 | #NAME? | Diagnostic and Therapeutic Procedures | $106.45 |
| E947 | Orbital exenteration add-on to maxillectomy | Diagnostic and Therapeutic Procedures | $306.85 |
| E948 | Mucous membrane graft add-on | Diagnostic and Therapeutic Procedures | $113.20 |
| E949 | Adjustable suture add-on | Diagnostic and Therapeutic Procedures | $180.00 |
| E950 | Intraocular lens insertion add-on | Diagnostic and Therapeutic Procedures | $92.50 |
| E951 | Artificial prosthesis add-on to corneal transplant | Diagnostic and Therapeutic Procedures | $52.40 |
| E953 | Scleral graft add-on | Diagnostic and Therapeutic Procedures | $80.90 |
| E954 | Lacrimal bypass or canalicular reconstruction add-on | Diagnostic and Therapeutic Procedures | $80.90 |
| E955 | Canal grafting add-on | Diagnostic and Therapeutic Procedures | $202.35 |
| E956 | Tympanoplasty/ossiculoplasty/mastoidectomy add-on | Diagnostic and Therapeutic Procedures | $399.90 |
| E957 | #NAME? | Diagnostic and Therapeutic Procedures | $138.05 |
| E958 | Alcohol or sclerosing solution nerve block add-on 50% | Diagnostic and Therapeutic Procedures | $0.01 |
| E959 | #NAME? | Diagnostic and Therapeutic Procedures | $106.45 |
| E960 | #NAME? | Diagnostic and Therapeutic Procedures | $103.80 |
| E961 | LeFort I advancement two segments add-on | Diagnostic and Therapeutic Procedures | $296.60 |
| E962 | LeFort I advancement three segments add-on | Diagnostic and Therapeutic Procedures | $594.20 |
| E963 | LeFort I intrusion two segments add-on | Diagnostic and Therapeutic Procedures | $296.60 |
| E964 | LeFort I intrusion three segments add-on | Diagnostic and Therapeutic Procedures | $594.20 |
| E965 | LeFort I extrusion two segments add-on | Diagnostic and Therapeutic Procedures | $296.60 |
| E966 | LeFort I extrusion three segments add-on | Diagnostic and Therapeutic Procedures | $594.20 |
| E967 | LeFort I cleft palate two segments add-on | Diagnostic and Therapeutic Procedures | $256.40 |
| E968 | LeFort I cleft palate three segments add-on | Diagnostic and Therapeutic Procedures | $511.90 |
| E969 | LeFort I cleft palate with SMR add-on | Diagnostic and Therapeutic Procedures | $204.80 |
| E970 | LeFort I cleft palate with pharyngoplasty add-on | Diagnostic and Therapeutic Procedures | $307.15 |
| E971 | LeFort I cleft palate with alveolar fistula closure add-on | Diagnostic and Therapeutic Procedures | $383.65 |
| E972 | LeFort I cleft palate with hard palate fistula closure add-on | Diagnostic and Therapeutic Procedures | $511.90 |
| E973 | Pericranial flap with coronal approach add-on unilateral | Diagnostic and Therapeutic Procedures | $178.90 |
| E974 | Pericranial flap with coronal approach add-on bilateral | Diagnostic and Therapeutic Procedures | $297.55 |
| E975 | Additional rib graft add-on | Diagnostic and Therapeutic Procedures | $76.50 |
| E976 | Additional costochondral/chondral graft add-on | Diagnostic and Therapeutic Procedures | $154.00 |
| E977 | Tumour free margin excision with frozen section add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E979 | Clinoidal drilling for complex aneurysms add-on | Diagnostic and Therapeutic Procedures | $396.70 |
| E981 | #NAME? | Diagnostic and Therapeutic Procedures | $132.35 |
| E982 | Examination of newborn/child add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E983 | Repeat glaucoma filtering procedure add-on | Diagnostic and Therapeutic Procedures | $0.01 |
| E984 | Repeat glaucoma filtering with cataract extraction add-on | Diagnostic and Therapeutic Procedures | $137.50 |
| E985 | #NAME? | Diagnostic and Therapeutic Procedures | $106.45 |
| E986 | Suprarenal/supraceliac aortic cross clamp add-on | Diagnostic and Therapeutic Procedures | $250.00 |
| F004 | Phalanx fracture no reduction, rigid immobilization | Obstetrical Services | $49.20 |
| F005 | Phalanx fracture closed reduction | Obstetrical Services | $99.25 |
| F006 | Intra-articular fracture closed reduction | Obstetrical Services | $119.75 |
| F007 | Phalanx fracture open reduction | Obstetrical Services | $298.45 |
| F008 | Metacarpal fracture no reduction, rigid immobilization | Obstetrical Services | $49.20 |
| F009 | Metacarpal fracture closed reduction | Obstetrical Services | $99.25 |
| F010 | Intra-articular fracture open reduction | Obstetrical Services | $335.80 |
| F011 | Metacarpal fracture open reduction | Obstetrical Services | $262.60 |
| F012 | Bennett's fracture no reduction, rigid immobilization | Obstetrical Services | $49.20 |
| F013 | Bennett's fracture closed reduction | Obstetrical Services | $119.80 |
| F014 | Radius and ulna Monteggia no reduction, rigid immobilization | Obstetrical Services | $67.75 |
| F015 | Bennett's fracture open reduction | Obstetrical Services | $335.80 |
| F016 | Carpus fracture closed reduction | Obstetrical Services | $115.10 |
| F017 | Carpus fracture open reduction | Obstetrical Services | $346.15 |
| F018 | Scaphoid fracture no reduction, rigid immobilization | Obstetrical Services | $49.20 |
| F019 | Scaphoid fracture open reduction | Obstetrical Services | $480.00 |
| F020 | Scaphoid excision | Obstetrical Services | $193.00 |
| F021 | Osteochondral fracture open reduction | Obstetrical Services | $392.40 |
| F022 | Radius and ulna Monteggia closed reduction | Obstetrical Services | $144.80 |
| F023 | Open reduction ulna plus closed reduction radial head | Obstetrical Services | $416.65 |
| F024 | Radius and ulna shaft no reduction, rigid immobilization | Obstetrical Services | $67.75 |
| F025 | Radius and ulna shaft closed reduction | Obstetrical Services | $148.50 |
| F026 | Radius and ulna shaft open reduction | Obstetrical Services | $567.15 |
| F027 | Distal radius fracture no reduction, rigid immobilization | Obstetrical Services | $67.75 |
| F028 | Distal radius fracture closed reduction local/regional anaesthetic | Obstetrical Services | $109.45 |
| F029 | Epicondyle fracture no reduction | Obstetrical Services | $67.75 |
| F030 | Distal radius fracture open reduction | Obstetrical Services | $522.20 |
| F031 | Radius or ulna fracture no reduction, rigid immobilization | Obstetrical Services | $81.30 |
| F032 | Radius or ulna fracture closed reduction | Obstetrical Services | $117.85 |
| F033 | Radius or ulna fracture open reduction | Obstetrical Services | $438.05 |
| F034 | Olecranon fracture no reduction, rigid immobilization | Obstetrical Services | $126.25 |
| F035 | Olecranon fracture closed reduction | Obstetrical Services | $129.00 |
| F036 | Olecranon fracture open reduction | Obstetrical Services | $494.10 |
| F037 | Epicondyle fracture closed reduction | Obstetrical Services | $126.25 |
| F038 | Epicondyle fracture open reduction | Obstetrical Services | $214.45 |
| F039 | Transcondylar/condylar fracture no reduction | Obstetrical Services | $67.75 |
| F040 | Transcondylar/condylar fracture closed reduction | Obstetrical Services | $298.35 |
| F041 | Transcondylar/condylar fracture open reduction | Obstetrical Services | $983.45 |
| F042 | Shaft fracture no reduction | Obstetrical Services | $67.80 |
| F043 | Shaft fracture closed reduction | Obstetrical Services | $147.60 |
| F044 | Shaft fracture open reduction | Obstetrical Services | $655.50 |
| F045 | Closed reduction with traction | Obstetrical Services | $312.70 |
| F046 | Distal radius fracture closed reduction general anaesthetic | Obstetrical Services | $149.35 |
| F047 | Tuberosity fracture no reduction | Obstetrical Services | $67.80 |
| F048 | Tuberosity fracture closed reduction | Obstetrical Services | $117.85 |
| F049 | Tuberosity fracture open reduction without cuff tear | Obstetrical Services | $290.55 |
| F050 | Neck with dislocation of head no reduction | Obstetrical Services | $67.80 |
| F051 | Neck with dislocation of head closed reduction | Obstetrical Services | $183.80 |
| F052 | Neck with dislocation of head open reduction | Obstetrical Services | $559.85 |
| F053 | Neck without dislocation of head no reduction | Obstetrical Services | $67.80 |
| F054 | Neck without dislocation of head closed reduction | Obstetrical Services | $133.60 |
| F055 | Neck without dislocation of head open reduction | Obstetrical Services | $514.95 |
| F056 | Phalanx fracture no reduction, rigid immobilization | Obstetrical Services | $49.20 |
| F057 | Intra-articular fracture I.P. joint closed reduction | Obstetrical Services | $77.95 |
| F058 | Phalanx fracture closed reduction one | Obstetrical Services | $72.35 |
| F059 | Intra-articular fracture I.P. joint open reduction | Obstetrical Services | $144.80 |
| F060 | Phalanx fracture open reduction | Obstetrical Services | $172.30 |
| F061 | Metatarsus fracture one or more | Obstetrical Services | $49.20 |
| F062 | Metatarsus fracture with rigid immobilization | Obstetrical Services | $67.75 |
| F063 | Metatarsus fracture closed reduction one or more | Obstetrical Services | $98.35 |
| F064 | Metatarsus fracture open reduction one | Obstetrical Services | $178.20 |
| F065 | Metatarsus fracture open reduction two or more | Obstetrical Services | $249.65 |
| F066 | Tarsus fracture excluding os calcis no reduction | Obstetrical Services | $98.10 |
| F067 | Tarsus fracture excluding os calcis closed reduction | Obstetrical Services | $165.20 |
| F068 | Tarsus fracture excluding os calcis open reduction | Obstetrical Services | $454.35 |
| F070 | Os calcis fracture no reduction, rigid immobilization | Obstetrical Services | $97.35 |
| F071 | Os calcis fracture closed reduction | Obstetrical Services | $161.45 |
| F072 | Os calcis open reduction with repair of subtalar and calcaneocuboid joints | Obstetrical Services | $588.20 |
| F074 | Ankle fracture no reduction, rigid immobilization | Obstetrical Services | $67.75 |
| F075 | Ankle fracture closed reduction | Obstetrical Services | $144.80 |
| F076 | Ankle fracture open reduction one malleolus | Obstetrical Services | $309.70 |
| F077 | Ankle fracture open reduction multiple malleoli or ligaments | Obstetrical Services | $571.30 |
| F078 | Tibia fracture no reduction, rigid immobilization | Obstetrical Services | $115.95 |
| F079 | Tibia fracture closed reduction | Obstetrical Services | $180.05 |
| F080 | Tibia fracture open reduction shaft | Obstetrical Services | $604.15 |
| F081 | Medial or lateral tibial plateau fracture | Obstetrical Services | $660.00 |
| F082 | Fibula fracture no reduction, rigid immobilization | Obstetrical Services | $67.75 |
| F083 | Fibula fracture closed reduction | Obstetrical Services | $101.25 |
| F084 | Fibula fracture open reduction | Obstetrical Services | $230.20 |
| F085 | Patella fracture no reduction | Obstetrical Services | $67.75 |
| F087 | Patella open reduction or excision with or without repair | Obstetrical Services | $288.25 |
| F094 | Traction infant or child closed reduction | Obstetrical Services | $258.00 |
| F095 | Traction adult or adolescent | Obstetrical Services | $407.35 |
| F096 | Cast adult or adolescent | Obstetrical Services | $670.00 |
| F097 | Cast adult or adolescent | Obstetrical Services | $258.90 |
| F098 | Femoral neck trochanteric subtrochanteric closed reduction/traction | Obstetrical Services | $426.90 |
| F099 | Femoral neck open reduction pin only | Obstetrical Services | $408.30 |
| F100 | Femoral neck open reduction pin and plate/screws | Obstetrical Services | $659.45 |
| F101 | Femoral neck open reduction pin and plate/screws | Obstetrical Services | $669.60 |
| F102 | Carpus fracture no reduction, rigid immobilization | Obstetrical Services | $49.20 |
| F104 | Ankle fracture with tibial plafond burst closed reduction | Obstetrical Services | $242.25 |
| F108 | Ankle fracture with tibial plafond burst open reduction | Obstetrical Services | $644.30 |
| F110 | Closed reduction of clavicle fracture with anaesthetic | Obstetrical Services | $62.20 |
| F115 | Excision of coccyx | Obstetrical Services | $208.80 |
| F118 | Open reduction of clavicle fracture | Obstetrical Services | $458.75 |
| F119 | No reduction of scapula fracture | Obstetrical Services | $67.80 |
| F121 | Open reduction of scapula fracture | Obstetrical Services | $799.25 |
| F123 | Closed reduction of sternum fracture | Obstetrical Services | $115.95 |
| F134 | Closed reduction of pelvic ring fracture | Obstetrical Services | $442.45 |
| F135 | Open reduction of pelvic ring fracture | Obstetrical Services | $680.30 |
| F136 | Closed reduction of nasal bones fracture | Obstetrical Services | $102.35 |
| F137 | Open reduction of nasal bones fracture | Obstetrical Services | $316.35 |
| F138 | Closed reduction of mandible fracture with fixation | Obstetrical Services | $350.00 |
| F139 | Open reduction of mandible fracture with fixation | Obstetrical Services | $575.00 |
| F140 | Removal of intermaxillary fixation device(s) | Obstetrical Services | $100.00 |
| F142 | Maxillary repair with wiring and local fixation | Obstetrical Services | $685.20 |
| F143 | Middle ¼ facial fracture repair | Obstetrical Services | $577.65 |
| F144 | Cranial-facial separation repair | Obstetrical Services | $1594.90 |
| F150 | Closed reduction and dental wiring of orbit with maxilla | Obstetrical Services | $256.40 |
| F200 | No reduction, brace (includes Halo orthosis), total care by operating surgeon | Obstetrical Services | $178.50 |
| F201 | Closed reduction, fracture/dislocation (Halo or caliper traction) | Obstetrical Services | $280.50 |
| G001 | Cholesterol, total | Diagnostic Imaging | $5.70 |
| G002 | Glucose, quantitative or semi-quantitative | Diagnostic Imaging | $2.26 |
| G004 | Occult blood | Diagnostic Imaging | $1.58 |
| G005 | Pregnancy test | Diagnostic Imaging | $3.88 |
| G009 | Urinalysis, routine | Diagnostic Imaging | $4.45 |
| G010 | One or more parts of urinalysis without microscopy | Diagnostic Imaging | $2.64 |
| G011 | Fungus culture including KOH preparation and smear | Diagnostic Imaging | $13.05 |
| G012 | Wet preparation for fungus, trichomonas, parasites | Diagnostic Imaging | $1.93 |
| G013 | No description | Diagnostic Imaging | $0.00 |
| G014 | Rapid streptococcal test | Diagnostic Imaging | $5.70 |
| G015 | FSH (pituitary gonadotrophins) | Diagnostic Imaging | $11.37 |
| G016 | TSH (thyroid stimulating hormone) | Diagnostic Imaging | $9.82 |
| G017 | Prolactin | Diagnostic Imaging | $14.48 |
| G018 | Estradiol | Diagnostic Imaging | $28.44 |
| G019 | LH (luteinizing hormone) | Diagnostic Imaging | $9.31 |
| G020 | Progesterone | Diagnostic Imaging | $14.48 |
| G021 | HCG (human chorionic gonadotrophins) quantitative | Diagnostic Imaging | $15.51 |
| G022 | Testosterone | Diagnostic Imaging | $14.48 |
| G023 | Testosterone, free | Diagnostic Imaging | $25.85 |
| G024 | Androstenedione | Diagnostic Imaging | $38.78 |
| G025 | Dehydroepiandrosterone sulphate (DHEAS) | Diagnostic Imaging | $20.68 |
| G026 | 17-OH progesterone | Diagnostic Imaging | $31.02 |
| G027 | Seminal fluid examination (complete) | Diagnostic Imaging | $11.37 |
| G028 | Cervicovaginal mucous specimen for postcoital testing | Diagnostic Imaging | $10.34 |
| G029 | Antithrombin III assay | Diagnostic Imaging | $28.44 |
| G030 | Circulating anticoagulant assay | Diagnostic Imaging | $5.17 |
| G031 | Prothrombin time | Diagnostic Imaging | $6.40 |
| G032 | Anti-DNA | Diagnostic Imaging | $23.27 |
| G033 | Anti-RNA | Diagnostic Imaging | $23.27 |
| G034 | Serial tube 4 or more antigens | Diagnostic Imaging | $15.51 |
| G035 | Titre - serial tube single antigen | Diagnostic Imaging | $7.76 |
| G036 | Sperm antibodies – screen | Diagnostic Imaging | $10.34 |
| G037 | Sperm antibodies – titre | Diagnostic Imaging | $20.68 |
| G039 | Creatinine | Diagnostic Imaging | $1.03 |
| G040 | Drugs of abuse screen, urine (≥4 drugs) | Diagnostic Imaging | $15.00 |
| G041 | Target drug testing, urine, qualitative or quantitative | Diagnostic Imaging | $3.70 |
| G042 | Target drug testing, urine, qualitative or quantitative | Diagnostic Imaging | $2.50 |
| G043 | Drugs of abuse screen, urine (≥4 drugs) | Diagnostic Imaging | $7.50 |
| G050 | Endobronchial ultrasound (EBUS) guided biopsy | Diagnostic Imaging | $203.05 |
| G060 | Peripheral nerve block, major | Diagnostic Imaging | $55.00 |
| G061 | Peripheral nerve block, minor | Diagnostic Imaging | $30.00 |
| G062 | Cervical epidural with catheter | Diagnostic Imaging | $160.00 |
| G063 | Initiation of outpatient continuous nerve block infusion | Diagnostic Imaging | $29.20 |
| G064 | Management of outpatient continuous nerve block infusion | Diagnostic Imaging | $20.00 |
| G065 | Epidural blood patch via existing epidural catheter | Diagnostic Imaging | $62.50 |
| G066 | Intrapleural block | Diagnostic Imaging | $55.00 |
| G067 | Intrapleural block with continuous catheter | Diagnostic Imaging | $80.00 |
| G068 | Epidural blood patch | Diagnostic Imaging | $125.00 |
| G075 | Test dose (bleomycin and l-asparatiginase) | Diagnostic Imaging | $30.50 |
| G082 | Continuous venovenous haemodiafiltration - initial and acute | Diagnostic Imaging | $380.75 |
| G083 | Continuous venovenous haemodialysis - initial and acute | Diagnostic Imaging | $380.75 |
| G085 | Continuous venovenous haemofiltration - initial and acute | Diagnostic Imaging | $369.65 |
| G090 | Venovenous slow continuous ultrafiltration - initial and acute | Diagnostic Imaging | $317.25 |
| G094 | Chronic continuous haemodiafiltration | Diagnostic Imaging | $67.00 |
| G096 | Chronic slow continuous ultrafiltration | Diagnostic Imaging | $67.00 |
| G098 | Transfusion support, per patient per week | Diagnostic Imaging | $32.35 |
| G099 | Percutaneous insertion of permanent dialysis catheter | Diagnostic Imaging | $168.40 |
| G100 | Haemophilia infusion, per patient per week | Diagnostic Imaging | $32.35 |
| G101 | Home/self-care ventilation, per patient per week | Diagnostic Imaging | $33.55 |
| G103 | Debridement of maxillectomy cavity | Diagnostic Imaging | $6.05 |
| G104 | Positional testing with electronystagmography (technical) | Diagnostic Imaging | $19.60 |
| G105 | Positional testing with electronystagmography (professional) | Diagnostic Imaging | $20.90 |
| G108 | Computerized rotation tests | Diagnostic Imaging | $20.20 |
| G111 | Dipyramidole Thallium stress test (technical) | Diagnostic Imaging | $53.60 |
| G112 | Dipyramidole Thallium stress test (professional) | Diagnostic Imaging | $74.25 |
| G115 | External cardiac pacing (temporary transthoracic) | Diagnostic Imaging | $46.30 |
| G117 | Thoracic epidural with catheter | Diagnostic Imaging | $170.00 |
| G118 | Thoracic epidural with catheter | Diagnostic Imaging | $130.00 |
| G119 | Cervical epidural with catheter | Diagnostic Imaging | $190.00 |
| G120 | Impedance plethysmography (professional) | Diagnostic Imaging | $7.00 |
| G121 | Impedance plethysmography (technical) | Diagnostic Imaging | $13.25 |
| G123 | Paravertebral nerve block additional nerve | Diagnostic Imaging | $17.10 |
| G125 | Caudal/lumbar epidural with catheter | Diagnostic Imaging | $100.00 |
| G126 | Digital photoplethysmography (professional) per extremity | Diagnostic Imaging | $7.00 |
| G127 | Digital photoplethysmography (technical) per extremity | Diagnostic Imaging | $13.25 |
| G138 | Brain stem evoked audiometry (professional) | Diagnostic Imaging | $71.65 |
| G140 | Evoked potential upper/lower limbs (technical) | Diagnostic Imaging | $42.40 |
| G141 | Cortical evoked audiometry (professional) | Diagnostic Imaging | $19.15 |
| G143 | Cortical evoked audiometry (technical) | Diagnostic Imaging | $38.00 |
| G144 | Brain stem evoked audiometry (technical) | Diagnostic Imaging | $19.15 |
| G146 | Brain stem evoked audiometry (technical) | Diagnostic Imaging | $38.00 |
| G147 | Visual evoked response - simple (professional) | Diagnostic Imaging | $12.30 |
| G149 | Visual evoked response - simple (technical) | Diagnostic Imaging | $18.55 |
| G150 | Visual evoked response - threshold (professional) | Diagnostic Imaging | $19.20 |
| G152 | Visual evoked response - threshold (technical) | Diagnostic Imaging | $31.80 |
| G153 | Cortical evoked audiometry, multiple frequency (minimum of 4 frequencies in each ear) as required by WSIB - technical component | Diagnostic Imaging | $10.30 |
| G154 | Cortical evoked audiometry, multiple frequency (minimum of 4 frequencies in each ear) as required by WSIB - professional component | Diagnostic Imaging | $41.70 |
| G166 | Hydrogen breath test (professional) | Diagnostic Imaging | $10.45 |
| G167 | Hydrogen breath test (technical) | Diagnostic Imaging | $7.00 |
| G174 | Dobutamine stress test (technical, outside hospital) | Diagnostic Imaging | $49.35 |
| G175 | Insertion of oesophageal electrode | Diagnostic Imaging | $21.85 |
| G176 | Atrial pacing and mapping | Diagnostic Imaging | $334.25 |
| G177 | Ventricular pacing and mapping | Diagnostic Imaging | $416.80 |
| G178 | Catheter ablation therapy | Diagnostic Imaging | $352.05 |
| G179 | Repeat pacing, mapping and catheter ablation | Diagnostic Imaging | $111.20 |
| G180 | Dual chamber reprogramming (professional) | Diagnostic Imaging | $16.95 |
| G181 | Dual chamber reprogramming (technical) | Diagnostic Imaging | $12.20 |
| G185 | Drug(s) desensitisation in hospital | Diagnostic Imaging | $184.95 |
| G190 | Serial oral/parenteral provocation testing in hospital | Diagnostic Imaging | $184.95 |
| G191 | Optokinetic tests | Diagnostic Imaging | $12.40 |
| G192 | Video fluoroscopic multichannel urodynamic assessment | Diagnostic Imaging | $73.65 |
| G193 | Complete multichannel urodynamic assessment | Diagnostic Imaging | $43.85 |
| G194 | Multichannel urodynamic assessment with EMG | Diagnostic Imaging | $8.35 |
| G195 | Local anaesthetic hypersensitivity skin test | Diagnostic Imaging | $17.00 |
| G196 | Hypersensitivity skin test for validated drugs/agents | Diagnostic Imaging | $17.00 |
| G197 | Skin testing professional component | Diagnostic Imaging | $0.37 |
| G198 | Patch test for industrial/occupational dermatoses | Diagnostic Imaging | $2.39 |
| G199 | Venom allergy testing | Diagnostic Imaging | $40.00 |
| G200 | Acute desensitisation | Diagnostic Imaging | $8.65 |
| G201 | Direct nasal tests | Diagnostic Imaging | $1.60 |
| G202 | Hyposensitisation injection | Diagnostic Imaging | $4.45 |
| G203 | Ophthalmic test direct | Diagnostic Imaging | $1.60 |
| G204 | Ophthalmic test quantitative | Diagnostic Imaging | $12.40 |
| G205 | Insect venom desensitisation injection | Diagnostic Imaging | $13.15 |
| G206 | Patch test | Diagnostic Imaging | $2.39 |
| G207 | Bronchial provocative testing | Diagnostic Imaging | $14.15 |
| G208 | Provocation testing per unit (hour) | Diagnostic Imaging | $21.25 |
| G209 | Skin testing technical component | Diagnostic Imaging | $0.72 |
| G210 | Hypothermia induction and management | Diagnostic Imaging | $190.75 |
| G211 | Endotracheal intubation for resuscitation | Diagnostic Imaging | $38.35 |
| G212 | Hyposensitisation when sole reason for visit | Diagnostic Imaging | $9.75 |
| G213 | Physical urticaria challenges | Diagnostic Imaging | $13.80 |
| G214 | Brachial plexus nerve block | Diagnostic Imaging | $54.65 |
| G217 | Percutaneous trigeminal ganglion block | Diagnostic Imaging | $200.00 |
| G218 | Ilioinguinal and iliohypogastric nerve block | Diagnostic Imaging | $54.65 |
| G219 | Infraorbital nerve block | Diagnostic Imaging | $34.20 |
| G220 | Intercostal nerve block | Diagnostic Imaging | $34.20 |
| G221 | Additional intercostal nerve block | Diagnostic Imaging | $16.95 |
| G223 | Additional somatic or peripheral nerve block | Diagnostic Imaging | $17.10 |
| G224 | Nerve block by same physician performing procedure | Diagnostic Imaging | $15.55 |
| G225 | Mental branch of mandibular nerve block | Diagnostic Imaging | $34.20 |
| G226 | Bilateral sciatic nerve block | Diagnostic Imaging | $82.45 |
| G227 | Other cranial nerve block | Diagnostic Imaging | $54.65 |
| G228 | Paravertebral nerve block | Diagnostic Imaging | $34.10 |
| G229 | Unilateral pudendal nerve block | Diagnostic Imaging | $54.65 |
| G230 | Unilateral sciatic nerve block | Diagnostic Imaging | $54.65 |
| G231 | One somatic or peripheral nerve block | Diagnostic Imaging | $34.10 |
| G232 | Percutaneous spheno-palatine ganglion block | Diagnostic Imaging | $150.00 |
| G233 | Percutaneous celiac, splanchnic or hypogastric ganglion/plexus block | Diagnostic Imaging | $200.00 |
| G234 | Percutaneous cervical sympathetic nerve block without guidance | Diagnostic Imaging | $55.10 |
| G235 | Supraorbital nerve block | Diagnostic Imaging | $34.10 |
| G236 | Percutaneous lumbar, thoracic or sacral sympathetic nerve block with guidance | Diagnostic Imaging | $150.00 |
| G238 | Transverse scapular nerve block | Diagnostic Imaging | $34.10 |
| G239 | Differential intrathecal spinal block | Diagnostic Imaging | $127.60 |
| G240 | Bilateral pudendal nerve block | Diagnostic Imaging | $82.45 |
| G241 | Unilateral obturator nerve block | Diagnostic Imaging | $54.65 |
| G242 | Bilateral obturator nerve block | Diagnostic Imaging | $82.45 |
| G243 | Unilateral femoral nerve block | Diagnostic Imaging | $54.65 |
| G244 | Bilateral femoral nerve block | Diagnostic Imaging | $81.95 |
| G245 | Lumbar epidural or intrathecal injection of sclerosing solution | Diagnostic Imaging | $180.00 |
| G246 | Lumbar percutaneous epidural injection | Diagnostic Imaging | $150.00 |
| G247 | Hospital visits for continuous catheter infusion management | Diagnostic Imaging | $30.10 |
| G248 | Caudal epidural single injection | Diagnostic Imaging | $55.00 |
| G249 | Electrophysiologic measurements | Diagnostic Imaging | $231.65 |
| G250 | Maxillary or mandibular division of trigeminal nerve block | Diagnostic Imaging | $75.10 |
| G251 | Oesophageal pH study for reflux with acid installation | Diagnostic Imaging | $27.05 |
| G254 | Management of post transplant immunosuppression visit | Diagnostic Imaging | $34.70 |
| G256 | Superior laryngeal nerve block | Diagnostic Imaging | $34.10 |
| G257 | Intrapleural block with catheter for continuous analgesia | Diagnostic Imaging | $77.25 |
| G258 | Intrapleural block single injection | Diagnostic Imaging | $44.25 |
| G259 | Ventricular arrhythmia induction | Diagnostic Imaging | $383.30 |
| G260 | Major plexus block | Diagnostic Imaging | $80.00 |
| G261 | Atrial arrhythmia induction | Diagnostic Imaging | $331.05 |
| G262 | Additional major vessel coronary catheterization | Diagnostic Imaging | $210.40 |
| G263 | Selective coronary catheterization with drug studies | Diagnostic Imaging | $96.45 |
| G264 | First occipital nerve block per day | Diagnostic Imaging | $34.10 |
| G265 | Additional occipital nerve block per spinal level | Diagnostic Imaging | $17.10 |
| G266 | Electrophysiological assessment of movement disorders | Diagnostic Imaging | $278.85 |
| G267 | Intra-operative evaluation during functional neurosurgery | Diagnostic Imaging | $270.05 |
| G268 | Cannulation of artery for pressure measurements | Diagnostic Imaging | $31.25 |
| G269 | Cannulation of central vein for pressure or feeding line | Diagnostic Imaging | $31.25 |
| G270 | Intraosseous infusion | Diagnostic Imaging | $23.90 |
| G271 | Anticoagulant supervision - long-term telephone advice | Diagnostic Imaging | $12.75 |
| G275 | Exchange transfusion | Diagnostic Imaging | $205.45 |
| G276 | Donor cell pheresis (platelets or leukocytes) | Diagnostic Imaging | $15.35 |
| G277 | Therapeutic plasma exchange initial/repeat | Diagnostic Imaging | $82.00 |
| G278 | Therapeutic plasma exchange beyond 5 per year | Diagnostic Imaging | $41.80 |
| G279 | Percutaneous nerve block catheter insertion | Diagnostic Imaging | $80.00 |
| G280 | Intra-uterine fetal transfusion | Diagnostic Imaging | $186.90 |
| G281 | Additional standard chemotherapy agent | Diagnostic Imaging | $7.70 |
| G282 | Umbilical vein catheterization including blood sample | Diagnostic Imaging | $19.90 |
| G283 | Single chamber pacemaker reprogramming professional | Diagnostic Imaging | $11.30 |
| G284 | Single chamber pacemaker reprogramming technical | Diagnostic Imaging | $9.30 |
| G285 | Dye dilution densitometry in cardiac cath lab | Diagnostic Imaging | $32.90 |
| G286 | Thermal dilution studies in cardiac cath lab | Diagnostic Imaging | $32.90 |
| G287 | LDL apheresis initial/repeat (max 5/year) | Diagnostic Imaging | $82.00 |
| G288 | Endomyocardial biopsy transvascular | Diagnostic Imaging | $200.00 |
| G289 | Fick determination | Diagnostic Imaging | $110.95 |
| G290 | LDL apheresis over 5 per year | Diagnostic Imaging | $41.80 |
| G291 | First ganglion/plexus block per day over 16/year | Diagnostic Imaging | $19.85 |
| G292 | Additional ganglion/plexus block same day | Diagnostic Imaging | $10.00 |
| G296 | Dye dilution/thermal dilution studies benefit | Diagnostic Imaging | $110.95 |
| G297 | Angiograms (max two per cath procedure) | Diagnostic Imaging | $117.55 |
| G298 | Coronary angioplasty stent per stent | Diagnostic Imaging | $78.95 |
| G299 | Oximetry studies by catheterization | Diagnostic Imaging | $110.95 |
| G300 | Metabolic studies during catheterization | Diagnostic Imaging | $110.95 |
| G301 | Exercise studies during catheterization | Diagnostic Imaging | $122.40 |
| G303 | Transthoracic pacemaker insertion | Diagnostic Imaging | $51.25 |
| G305 | Intracardiac phonocardiography | Diagnostic Imaging | $122.40 |
| G306 | Isotope studies during cardiac catheterization | Diagnostic Imaging | $110.95 |
| G307 | Pacemaker pulse wave analysis professional | Diagnostic Imaging | $9.55 |
| G308 | Pacemaker pulse wave analysis technical | Diagnostic Imaging | $9.30 |
| G309 | Umbilical artery catheterization with blood sample | Diagnostic Imaging | $45.55 |
| G310 | Electrocardiogram twelve lead technical | Diagnostic Imaging | $7.00 |
| G311 | ECG rhythm strip interpretation technical | Diagnostic Imaging | $2.03 |
| G312 | Thrombolytic instillation into catheters | Diagnostic Imaging | $15.40 |
| G313 | Electrocardiogram twelve lead professional | Diagnostic Imaging | $4.45 |
| G314 | Tilt table testing of vasomotor syncope | Diagnostic Imaging | $112.00 |
| G315 | Exercise stress test technical | Diagnostic Imaging | $45.95 |
| G317 | Automatic implantable defibrillator professional | Diagnostic Imaging | $27.80 |
| G319 | Exercise stress test professional | Diagnostic Imaging | $62.05 |
| G320 | ECG rhythm strip interpretation professional | Diagnostic Imaging | $4.30 |
| G321 | Programmable defibrillator interrogation professional | Diagnostic Imaging | $47.65 |
| G322 | Nasogastric intubation under general anaesthesia | Diagnostic Imaging | $9.60 |
| G323 | Acute haemodialysis first 3 services | Diagnostic Imaging | $177.10 |
| G324 | Subclavian/external jugular catheter insertion for dialysis | Diagnostic Imaging | $102.95 |
| G325 | Medical component haemodialysis alone | Diagnostic Imaging | $354.20 |
| G327 | Femoral catheter insertion for dialysis | Diagnostic Imaging | $77.30 |
| G328 | Aspiration of bursa or complex joint with/without injection | Diagnostic Imaging | $39.80 |
| G329 | Additional bursa or complex joint aspiration | Diagnostic Imaging | $20.25 |
| G330 | Acute peritoneal dialysis (up to 48 hours) | Diagnostic Imaging | $237.40 |
| G331 | Repeat acute peritoneal dialysis first 3 services | Diagnostic Imaging | $213.70 |
| G332 | Capsule endoscopy | Diagnostic Imaging | $122.25 |
| G334 | Telephone supervisory fee for ovulation induction | Diagnostic Imaging | $4.05 |
| G336 | Revision of subclavian/external jugular catheter | Diagnostic Imaging | $17.65 |
| G337 | Antidiuretic hormone response test | Diagnostic Imaging | $16.95 |
| G338 | Clonidine suppression test with physician present | Diagnostic Imaging | $24.90 |
| G340 | Histamine test including control cold pressor test | Diagnostic Imaging | $45.45 |
| G341 | Hypertonic saline infusion test | Diagnostic Imaging | $16.95 |
| G342 | Implantation of hormone pellets | Diagnostic Imaging | $31.05 |
| G344 | Phentolamine test | Diagnostic Imaging | $42.30 |
| G345 | Complex chemotherapy single/multi-agent therapy | Diagnostic Imaging | $75.00 |
| G347 | Renal perfusion with hypothermia for transplantation | Diagnostic Imaging | $96.35 |
| G348 | Renal preservation with continuous machine perfusion | Diagnostic Imaging | $96.35 |
| G349 | Oesophageal tamponade (Blakemore bag) insertion | Diagnostic Imaging | $45.30 |
| G350 | Oesophageal motility study with manometry | Diagnostic Imaging | $76.05 |
| G351 | Oesophageal pH study with acid installation 24 hour monitoring | Diagnostic Imaging | $31.85 |
| G352 | Biliary tract provocative test with cholecystokinin | Diagnostic Imaging | $9.60 |
| G353 | Oesophageal acid perfusion and/or provocative drug testing | Diagnostic Imaging | $28.75 |
| G354 | Anal-rectal manometry | Diagnostic Imaging | $38.50 |
| G355 | Diagnostic gastric lavage | Diagnostic Imaging | $9.60 |
| G356 | Therapeutic gastric lavage with/without ice water | Diagnostic Imaging | $33.80 |
| G357 | Gastric secretion studies procedure and supervision | Diagnostic Imaging | $19.55 |
| G358 | Growth hormone exercise stimulation test with physician | Diagnostic Imaging | $24.90 |
| G359 | Special chemotherapy single/multi-agent therapy | Diagnostic Imaging | $105.15 |
| G362 | Insertion of laminaria tent | Diagnostic Imaging | $6.25 |
| G363 | Cervical mucous penetration test | Diagnostic Imaging | $22.00 |
| G365 | Collection of cervical cancer screening specimen(s) | Diagnostic Imaging | $12.00 |
| G366 | Testing arrhythmia inducibility with drugs | Diagnostic Imaging | $148.50 |
| G369 | B.C.G. inoculation following tuberculin tests | Diagnostic Imaging | $5.30 |
| G370 | Injection/aspiration of joint, bursa, ganglion or tendon sheath | Diagnostic Imaging | $20.25 |
| G371 | Additional injection of joint, bursa, ganglion or tendon sheath | Diagnostic Imaging | $19.90 |
| G372 | Intramuscular/subcutaneous injection with visit | Diagnostic Imaging | $3.89 |
| G373 | Intramuscular/subcutaneous injection sole reason first | Diagnostic Imaging | $6.75 |
| G374 | I.V. regional guanethidine | Diagnostic Imaging | $54.30 |
| G375 | Intralesional infiltration one or two lesions | Diagnostic Imaging | $8.85 |
| G376 | Intravenous injection newborn or infant | Diagnostic Imaging | $10.20 |
| G377 | Intralesional infiltration three or more lesions | Diagnostic Imaging | $13.30 |
| G378 | Insertion of intrauterine contraceptive device | Diagnostic Imaging | $39.95 |
| G379 | Intravenous injection child, adolescent or adult | Diagnostic Imaging | $6.15 |
| G380 | Cutdown including cannulation as necessary | Diagnostic Imaging | $27.05 |
| G381 | Standard chemotherapy minor toxicity agents | Diagnostic Imaging | $54.25 |
| G382 | Monthly telephone supervision of chemotherapy | Diagnostic Imaging | $13.95 |
| G384 | Infiltration of tissues for trigger point | Diagnostic Imaging | $8.85 |
| G385 | Additional infiltration site for trigger point | Diagnostic Imaging | $4.55 |
| G387 | Intravenous local anaesthetic infusion for central neuropathic pain | Diagnostic Imaging | $125.00 |
| G388 | Management of special oral chemotherapy | Diagnostic Imaging | $25.75 |
| G389 | Infusion of gamma globulin per day | Diagnostic Imaging | $13.90 |
| G390 | Supervision of chemotherapy induction phase acute leukemia | Diagnostic Imaging | $262.40 |
| G391 | Other critical care per ¼ hour after first ½ hour | Diagnostic Imaging | $30.60 |
| G394 | Collection of additional cervical cancer screening specimen(s) | Diagnostic Imaging | $12.00 |
| G395 | Life threatening critical care first ¼ hour | Diagnostic Imaging | $57.45 |
| G396 | Injections of extensive keloids | Diagnostic Imaging | $24.90 |
| G398 | Pessary fitting initial or refitting | Diagnostic Imaging | $63.65 |
| G399 | Transvaginal sonohysterography with catheter and contrast | Diagnostic Imaging | $44.15 |
| G400 | Physician-in-charge critical care first day | Diagnostic Imaging | $223.10 |
| G401 | Physician-in-charge critical care 2nd to 30th day | Diagnostic Imaging | $146.45 |
| G402 | Physician-in-charge critical care 31st day onwards | Diagnostic Imaging | $58.60 |
| G403 | Particle repositioning maneuver for BPPV | Diagnostic Imaging | $21.15 |
| G404 | Chronic ventilatory care outside ICU | Diagnostic Imaging | $61.00 |
| G405 | Physician-in-charge ventilatory support first day | Diagnostic Imaging | $183.80 |
| G406 | Physician-in-charge ventilatory support 2nd to 30th day | Diagnostic Imaging | $96.45 |
| G407 | Physician-in-charge ventilatory support 31st day onwards | Diagnostic Imaging | $64.20 |
| G408 | Post renal transplant care 2nd to 10th day | Diagnostic Imaging | $155.90 |
| G409 | Post renal transplant care 11th to 21st day | Diagnostic Imaging | $77.95 |
| G410 | Amytal (Wada) test bilateral supervision | Diagnostic Imaging | $68.40 |
| G411 | Nephrological management of donor procurement | Diagnostic Imaging | $192.10 |
| G412 | Post renal transplant care 1st day | Diagnostic Imaging | $311.90 |
| G413 | Electrocorticogram supervision and interpretation | Diagnostic Imaging | $170.85 |
| G414 | Routine EEG technical component | Diagnostic Imaging | $25.75 |
| G415 | Routine EEG professional component | Diagnostic Imaging | $23.15 |
| G417 | Tensilon test | Diagnostic Imaging | $15.90 |
| G418 | Routine EEG professional component 16-21 channels | Diagnostic Imaging | $62.50 |
| G419 | Tensilon test | Diagnostic Imaging | $20.60 |
| G420 | Ear syringing and/or extensive curetting or debridement | Diagnostic Imaging | $13.15 |
| G421 | Subconjunctival or sub-Tenons capsule injection | Diagnostic Imaging | $27.70 |
| G422 | Retrobulbar injection (not local anaesthesia) | Diagnostic Imaging | $34.20 |
| G423 | Contact lens fitting one eye with follow-up | Diagnostic Imaging | $90.30 |
| G424 | Contact lens fitting with 3 months follow-up | Diagnostic Imaging | $201.00 |
| G425 | Fluorescein angiography professional component | Diagnostic Imaging | $44.40 |
| G426 | Glaucoma provocative tests including water drinking | Diagnostic Imaging | $9.70 |
| G427 | Ophthalmodynamometry | Diagnostic Imaging | $9.60 |
| G428 | Hess screen examination professional component | Diagnostic Imaging | $6.85 |
| G429 | Radioactive phosphorus exam anterior approach | Diagnostic Imaging | $42.45 |
| G430 | Radioactive phosphorus exam posterior approach | Diagnostic Imaging | $86.05 |
| G431 | Contact lens fitting under general anaesthesia add-on | Diagnostic Imaging | $41.60 |
| G432 | Visual fields kinetic technical component | Diagnostic Imaging | $26.95 |
| G433 | Tonography technical component | Diagnostic Imaging | $9.90 |
| G435 | Tonometry | Diagnostic Imaging | $5.10 |
| G436 | Visual fields kinetic professional component | Diagnostic Imaging | $14.50 |
| G437 | Dark adaptation curve professional component | Diagnostic Imaging | $22.90 |
| G438 | Screening test professional component | Diagnostic Imaging | $22.15 |
| G439 | Full field electro-retinography professional component | Diagnostic Imaging | $75.00 |
| G440 | Pure tone audiometry technical component | Diagnostic Imaging | $10.85 |
| G441 | Pure tone audiometry technical component advanced | Diagnostic Imaging | $18.90 |
| G442 | Impedance audiometry technical component | Diagnostic Imaging | $3.44 |
| G443 | Miscellaneous advanced hearing tests technical component | Diagnostic Imaging | $8.25 |
| G444 | Fluorescein angioscopy professional component | Diagnostic Imaging | $7.00 |
| G448 | Sound field audiometry technical component | Diagnostic Imaging | $22.90 |
| G450 | Sound field audiometry professional component | Diagnostic Imaging | $5.70 |
| G451 | Caloric testing with ENG technical component | Diagnostic Imaging | $19.60 |
| G453 | Electro-oculogram interpretation fee | Diagnostic Imaging | $41.60 |
| G454 | Stroboscopy | Diagnostic Imaging | $16.80 |
| G455 | EMG technical component | Diagnostic Imaging | $28.90 |
| G456 | EMG professional component | Diagnostic Imaging | $99.90 |
| G457 | Limited EMG professional component | Diagnostic Imaging | $61.95 |
| G458 | Single fibre electromyography | Diagnostic Imaging | $191.70 |
| G460 | Unilateral photodynamic therapy per patient per day | Diagnostic Imaging | $330.00 |
| G461 | Bilateral photodynamic therapy per patient per day | Diagnostic Imaging | $500.00 |
| G462 | Administration of oral polio vaccine | Diagnostic Imaging | $1.65 |
| G463 | Hydrophilic bandage lens fitting | Diagnostic Imaging | $90.30 |
| G466 | Limited EMG technical component | Diagnostic Imaging | $19.45 |
| G470 | Ultraviolet light therapy | Diagnostic Imaging | $7.85 |
| G471 | EMG technical component extended | Diagnostic Imaging | $28.90 |
| G473 | EMG professional component extended | Diagnostic Imaging | $275.00 |
| G475 | Cystometrogram and/or voiding pressure studies | Diagnostic Imaging | $23.75 |
| G476 | Prostatic massage | Diagnostic Imaging | $5.40 |
| G477 | Interpretation of comprehensive urodynamic studies | Diagnostic Imaging | $5.40 |
| G478 | Electroconvulsive therapy in-patient | Diagnostic Imaging | $89.70 |
| G479 | Electroconvulsive therapy out-patient | Diagnostic Imaging | $103.40 |
| G480 | Venipuncture infant | Diagnostic Imaging | $9.90 |
| G481 | Haemoglobin screen and/or haematocrit | Diagnostic Imaging | $1.37 |
| G482 | Venipuncture child | Diagnostic Imaging | $7.35 |
| G483 | Therapeutic venisection | Diagnostic Imaging | $9.70 |
| G485 | Chemodenervation injection first major nerve | Diagnostic Imaging | $45.45 |
| G486 | Chemodenervation additional major nerve same day | Diagnostic Imaging | $28.50 |
| G487 | Repeat chemodenervation first major nerve within 30 days | Diagnostic Imaging | $28.50 |
| G488 | Repeat chemodenervation additional major nerve same day | Diagnostic Imaging | $18.80 |
| G489 | Venipuncture adolescent or adult | Diagnostic Imaging | $3.54 |
| G490 | Saralasin test | Diagnostic Imaging | $42.30 |
| G493 | ACTH test single or multiple injections | Diagnostic Imaging | $6.25 |
| G494 | Glucagon test carbohydrate response | Diagnostic Imaging | $10.20 |
| G495 | Glucagon test hypertension/pheochromocytoma/insulinoma | Diagnostic Imaging | $42.30 |
| G496 | EEG professional component | Diagnostic Imaging | $120.00 |
| G497 | Insulin hypoglycemia pituitary function test | Diagnostic Imaging | $49.80 |
| G498 | Intravenous glucose tolerance test | Diagnostic Imaging | $10.20 |
| G499 | Intravenous tolbutamide test | Diagnostic Imaging | $49.80 |
| G500 | Month insulin therapy initiation | Diagnostic Imaging | $31.80 |
| G501 | TRH or LHRH test per injection | Diagnostic Imaging | $6.25 |
| G509 | Bypass graft angiogram maximum one per graft | Diagnostic Imaging | $80.40 |
| G510 | Management of parenteral alimentation physician in charge | Diagnostic Imaging | $21.00 |
| G511 | Telephone management palliative care per call | Diagnostic Imaging | $17.75 |
| G512 | Palliative care case management fee | Diagnostic Imaging | $67.75 |
| G513 | Pentagastrin stimulation for calcitonin | Diagnostic Imaging | $42.30 |
| G514 | Additional month insulin therapy 1-3 contacts | Diagnostic Imaging | $10.60 |
| G515 | Open circuit indirect calorimetry | Diagnostic Imaging | $46.30 |
| G516 | Measurement of thermic effect of feeding | Diagnostic Imaging | $36.90 |
| G517 | Ankle pressure determination with ankle-arm index | Diagnostic Imaging | $10.05 |
| G518 | Phlebography and/or carotid pulse tracing professional | Diagnostic Imaging | $11.20 |
| G519 | Phlebography and/or carotid pulse tracing technical | Diagnostic Imaging | $10.90 |
| G520 | Additional month insulin therapy 4 or more contacts | Diagnostic Imaging | $21.20 |
| G521 | Other critical care first ¼ hour | Diagnostic Imaging | $111.80 |
| G522 | Other critical care after first ½ hour per ¼ hour | Diagnostic Imaging | $38.00 |
| G523 | Other critical care second ¼ hour | Diagnostic Imaging | $57.65 |
| G524 | Multi-focal electro-retinography professional component | Diagnostic Imaging | $75.00 |
| G525 | Pure tone audiometry professional component | Diagnostic Imaging | $5.85 |
| G526 | Pure tone audiometry professional component advanced | Diagnostic Imaging | $16.45 |
| G529 | Impedance audiometry professional component | Diagnostic Imaging | $1.86 |
| G530 | Miscellaneous advanced hearing tests professional component | Diagnostic Imaging | $5.95 |
| G533 | Caloric testing with ENG professional component | Diagnostic Imaging | $18.30 |
| G536 | Sclerotherapy including post injection visit unilateral | Diagnostic Imaging | $77.85 |
| G537 | Repeat unilateral sclerotherapy | Diagnostic Imaging | $26.05 |
| G538 | Other immunizing agents | Diagnostic Imaging | $5.80 |
| G540 | Videotape recording of clinical signs (technical) | Diagnostic Imaging | $9.55 |
| G541 | EEG technical component (≥16 channels) | Diagnostic Imaging | $41.20 |
| G542 | Radiotelemetry EEG monitoring (technical) | Diagnostic Imaging | $24.40 |
| G543 | EEG professional component (≥16 channels) | Diagnostic Imaging | $120.00 |
| G544 | Polygraphic recording of parameters (technical) | Diagnostic Imaging | $8.75 |
| G545 | Videotape recording of clinical signs (professional) | Diagnostic Imaging | $14.70 |
| G546 | Radiotelemetry EEG monitoring (professional) | Diagnostic Imaging | $30.45 |
| G547 | Clinical programming of deep brain stimulator | Diagnostic Imaging | $185.70 |
| G548 | Additional DBS implantation site | Diagnostic Imaging | $278.85 |
| G549 | Additional DBS implantation site | Diagnostic Imaging | $157.85 |
| G550 | Pessary care - removal, care, reinsertion | Diagnostic Imaging | $10.00 |
| G551 | Katzman test including lumbar puncture | Diagnostic Imaging | $170.85 |
| G552 | Removal of intrauterine contraceptive device | Diagnostic Imaging | $20.00 |
| G554 | Ambulatory EEG monitoring (technical) | Diagnostic Imaging | $48.90 |
| G555 | Ambulatory EEG monitoring (professional) | Diagnostic Imaging | $120.00 |
| G556 | ICU/NICU admission assessment (night time) | Diagnostic Imaging | $136.40 |
| G557 | Physician-in-charge 1st day (per diem) | Diagnostic Imaging | $383.45 |
| G558 | Physician-in-charge 2nd to 30th day (per diem) | Diagnostic Imaging | $228.90 |
| G559 | Physician-in-charge 31st day onwards (per diem) | Diagnostic Imaging | $115.75 |
| G570 | Echocardiogram technical component | Diagnostic Imaging | $118.95 |
| G571 | Echocardiogram professional component | Diagnostic Imaging | $96.20 |
| G574 | Focused echocardiography technical component | Diagnostic Imaging | $16.95 |
| G575 | Focused echocardiography professional component | Diagnostic Imaging | $13.95 |
| G579 | Saline study (with venipuncture) add-on | Diagnostic Imaging | $11.35 |
| G580 | Insertion of oesophageal transducer | Diagnostic Imaging | $45.00 |
| G581 | Transoesophageal echocardiography professional | Diagnostic Imaging | $25.00 |
| G582 | Stress echocardiogram technical component | Diagnostic Imaging | $135.05 |
| G583 | Stress echocardiogram professional component | Diagnostic Imaging | $110.15 |
| G585 | Echocardiography contrast technical component add-on | Diagnostic Imaging | $133.90 |
| G590 | Influenza agent immunization | Diagnostic Imaging | $5.65 |
| G592 | Administration of intranasal influenza vaccine | Diagnostic Imaging | $1.65 |
| G593 | COVID-19 vaccine | Diagnostic Imaging | $13.00 |
| G600 | Level A ICU 1st day (full life support) | Diagnostic Imaging | $376.05 |
| G601 | Level A ICU 2nd day onwards (per diem) | Diagnostic Imaging | $187.95 |
| G603 | Neonatal low volume intensive care | Diagnostic Imaging | $564.00 |
| G604 | Neonatal low birth weight intensive care | Diagnostic Imaging | $536.95 |
| G610 | Level B intensive care 1st day | Diagnostic Imaging | $258.05 |
| G611 | Level B intensive care 2nd day onwards | Diagnostic Imaging | $129.00 |
| G620 | Level C intermediate care 1st day | Diagnostic Imaging | $162.95 |
| G621 | Level C intermediate care 2nd day onwards | Diagnostic Imaging | $81.50 |
| G647 | Technical component 14+ days recording (cardiac monitor) | Diagnostic Imaging | $119.00 |
| G648 | Technical component 14+ days scanning (cardiac monitor) | Diagnostic Imaging | $173.20 |
| G649 | Professional component 14+ days recording (cardiac monitor) | Diagnostic Imaging | $122.25 |
| G650 | Professional component 12-35 hours recording (cardiac monitor) | Diagnostic Imaging | $47.90 |
| G651 | Technical component 12-35 hours recording (cardiac monitor) | Diagnostic Imaging | $25.25 |
| G652 | Technical component 12-35 hours scanning (cardiac monitor) | Diagnostic Imaging | $34.55 |
| G653 | Technical component 12-35 hours recording (Level 2 monitor) | Diagnostic Imaging | $34.10 |
| G654 | Technical component 12-35 hours recording (Level 2 monitor) | Diagnostic Imaging | $24.05 |
| G655 | Technical component 12-35 hours scanning (Level 2 monitor) | Diagnostic Imaging | $16.45 |
| G656 | Technical component 36-59 hours recording (Level 2 monitor) | Diagnostic Imaging | $51.15 |
| G657 | Technical component 60 hours to 13 days recording (Level 2 monitor) | Diagnostic Imaging | $68.20 |
| G658 | Technical component 36-59 hours recording (cardiac monitor) | Diagnostic Imaging | $75.45 |
| G659 | Technical component 60 hours to 13 days scanning (cardiac monitor) | Diagnostic Imaging | $95.85 |
| G682 | Technical component 36-59 hours recording (cardiac monitor) | Diagnostic Imaging | $50.50 |
| G683 | Technical component 36-59 hours scanning (cardiac monitor) | Diagnostic Imaging | $69.05 |
| G684 | Technical component 60 hours to 13 days recording (cardiac monitor) | Diagnostic Imaging | $75.70 |
| G685 | Technical component 60 hours to 13 days scanning (cardiac monitor) | Diagnostic Imaging | $103.60 |
| G686 | Technical component 36-59 hours recording (Level 2 monitor) | Diagnostic Imaging | $48.15 |
| G687 | Technical component 36-59 hours scanning (Level 2 monitor) | Diagnostic Imaging | $32.95 |
| G688 | Technical component 60 hours to 13 days recording (Level 2 monitor) | Diagnostic Imaging | $72.20 |
| G689 | Technical component 60 hours to 13 days scanning (Level 2 monitor) | Diagnostic Imaging | $49.45 |
| G694 | Technical component 14+ days recording (Level 2 monitor) | Diagnostic Imaging | $113.05 |
| G695 | Technical component 14+ days scanning (Level 2 monitor) | Diagnostic Imaging | $83.15 |
| G696 | Professional component 14+ days recording (cardiac monitor) | Diagnostic Imaging | $86.80 |
| G700 | Basic fee-per-visit premium for procedures marked (+) | Diagnostic Imaging | $5.60 |
| G790 | Acquired acute brain injury management 1st day | Diagnostic Imaging | $223.10 |
| G791 | Acquired acute brain injury management 2nd to 30th day | Diagnostic Imaging | $146.45 |
| G792 | Acquired acute brain injury management 31st day onwards | Diagnostic Imaging | $58.60 |
| G800 | Physician in chamber first ¼ hour | Diagnostic Imaging | $83.80 |
| G801 | Physician in chamber after first ¼ hour | Diagnostic Imaging | $41.90 |
| G802 | Physician in chamber after 2 hours | Diagnostic Imaging | $83.80 |
| G804 | Physician in hyperbaric unit first ¼ hour | Diagnostic Imaging | $71.85 |
| G805 | Physician in hyperbaric unit after first ¼ hour | Diagnostic Imaging | $35.90 |
| G807 | Physician supervision not in hyperbaric unit | Diagnostic Imaging | $35.75 |
| G810 | Corneal topography professional component | Diagnostic Imaging | $4.80 |
| G811 | Keratometry professional component | Diagnostic Imaging | $4.80 |
| G812 | Specular photomicroscopy professional component | Diagnostic Imaging | $4.80 |
| G813 | Corneal pachymetry professional component | Diagnostic Imaging | $5.10 |
| G814 | Orthoptic examination | Diagnostic Imaging | $25.00 |
| G815 | Electrocochleography technical component | Diagnostic Imaging | $38.00 |
| G816 | Electrocochleography professional component | Diagnostic Imaging | $19.15 |
| G818 | Optical coherence tomography retinal disease | Diagnostic Imaging | $35.00 |
| G820 | Optical coherence tomography glaucoma | Diagnostic Imaging | $35.00 |
| G821 | OCT active management retinal disease | Diagnostic Imaging | $35.00 |
| G822 | OCT active management neovascularization | Diagnostic Imaging | $25.00 |
| G823 | OCT evaluation infant/child/adolescent retinal disease | Diagnostic Imaging | $35.00 |
| G840 | Diphtheria, Tetanus, acellular Pertussis vaccine (paediatric) | Diagnostic Imaging | $5.40 |
| G841 | DTaP-IPV-Hib vaccine (paediatric) | Diagnostic Imaging | $6.35 |
| G842 | Hepatitis B vaccine | Diagnostic Imaging | $5.40 |
| G843 | Human Papillomavirus vaccine | Diagnostic Imaging | $5.40 |
| G844 | Meningococcal C Conjugate vaccine | Diagnostic Imaging | $5.40 |
| G845 | Measles, Mumps, Rubella vaccine | Diagnostic Imaging | $5.40 |
| G846 | Pneumococcal Conjugate vaccine | Diagnostic Imaging | $5.40 |
| G847 | Diphtheria, Tetanus, acellular Pertussis vaccine (adult) | Diagnostic Imaging | $5.40 |
| G848 | Varicella vaccine | Diagnostic Imaging | $5.40 |
| G850 | Colour vision test technical component | Diagnostic Imaging | $21.50 |
| G851 | Dark adaptation curve technical component | Diagnostic Imaging | $32.30 |
| G852 | Electro-retinography technical component | Diagnostic Imaging | $35.00 |
| G853 | Fluorescein angiography technical component | Diagnostic Imaging | $23.20 |
| G854 | Fluorescein angioscopy technical component | Diagnostic Imaging | $6.80 |
| G855 | Hess screen examination technical component | Diagnostic Imaging | $6.65 |
| G856 | Tonography technical component | Diagnostic Imaging | $9.55 |
| G857 | Visual fields kinetic technical component | Diagnostic Imaging | $4.65 |
| G858 | Visual fields technical component | Diagnostic Imaging | $14.05 |
| G860 | Hospital haemodialysis weekly team fee | Diagnostic Imaging | $130.15 |
| G861 | Hospital peritoneal dialysis weekly team fee | Diagnostic Imaging | $130.15 |
| G862 | Hospital self-care haemodialysis weekly team fee | Diagnostic Imaging | $130.15 |
| G863 | ICHSC haemodialysis weekly team fee | Diagnostic Imaging | $130.15 |
| G864 | Home peritoneal dialysis weekly team fee | Diagnostic Imaging | $130.15 |
| G865 | Home haemodialysis weekly team fee | Diagnostic Imaging | $130.15 |
| G866 | Intermittent haemodialysis auxiliary centre per treatment | Diagnostic Imaging | $70.40 |
| G869 | Botulinum toxin injection bladder detrusor muscle | Diagnostic Imaging | $150.00 |
| G870 | Botulinum toxin injection extraocular muscle (unilateral) | Diagnostic Imaging | $120.00 |
| G871 | Botulinum toxin injection blepharospasm | Diagnostic Imaging | $120.00 |
| G872 | Botulinum toxin injection hemifacial spasm | Diagnostic Imaging | $120.00 |
| G873 | Botulinum toxin injection spasmodic dysphonia | Diagnostic Imaging | $120.00 |
| G874 | Botulinum toxin injection sialorrhea | Diagnostic Imaging | $50.00 |
| G875 | Botulinum toxin first injection for dystonia/spasticity | Diagnostic Imaging | $40.00 |
| G876 | Botulinum toxin additional injections | Diagnostic Imaging | $10.00 |
| G877 | Botulinum toxin injection with EMG guidance (one injection) | Diagnostic Imaging | $18.85 |
| G878 | Botulinum toxin injection with EMG guidance (multiple injections) | Diagnostic Imaging | $28.10 |
| G879 | Botulinum toxin injection with ultrasound guidance (one injection) | Diagnostic Imaging | $18.85 |
| G880 | Botulinum toxin injection with ultrasound guidance (multiple injections) | Diagnostic Imaging | $28.10 |
| G900 | Residual urine measurement by ultrasound | Diagnostic Imaging | $12.70 |
| G910 | Cervical vertebral facet injection first site | Diagnostic Imaging | $80.00 |
| G911 | Thoracic vertebral facet injection first site | Diagnostic Imaging | $80.00 |
| G912 | Lumbar/Sacral vertebral facet injection first site | Diagnostic Imaging | $80.00 |
| G913 | Additional vertebral facet injection site | Diagnostic Imaging | $20.00 |
| G914 | Lumbar facet injection with ultrasound guidance first site | Diagnostic Imaging | $56.00 |
| G915 | Additional lumbar facet injection site with ultrasound guidance | Diagnostic Imaging | $14.00 |
| G916 | Sacroiliac joint injection with fluoroscopic guidance unilateral | Diagnostic Imaging | $75.00 |
| G917 | Selective nerve root block with fluoroscopic guidance | Diagnostic Imaging | $160.00 |
| G918 | Caudal epidural injection | Diagnostic Imaging | $74.20 |
| G919 | Percutaneous epidural adhesiolysis with fluoroscopic guidance | Diagnostic Imaging | $400.00 |
| G920 | Cervical sympathetic nerve block with guidance unilateral | Diagnostic Imaging | $80.00 |
| G921 | Sphenopalatine ganglion block transnasal topical | Diagnostic Imaging | $12.50 |
| H001 | Newborn care in hospital and/or home | Nuclear Medicine | $52.20 |
| H002 | Low birth weight baby care initial visit | Nuclear Medicine | $34.10 |
| H003 | Low birth weight baby care subsequent visit | Nuclear Medicine | $16.90 |
| H007 | Attendance at maternal delivery for high risk baby | Nuclear Medicine | $61.65 |
| H055 | Consultation emergency medicine specialist | Nuclear Medicine | $106.80 |
| H065 | Consultation emergency medicine | Nuclear Medicine | $81.25 |
| H100 | Emergency department investigative ultrasound | Nuclear Medicine | $19.65 |
| H101 | Minor assessment daytime | Nuclear Medicine | $17.10 |
| H102 | Comprehensive assessment and care daytime | Nuclear Medicine | $43.05 |
| H103 | Multiple systems assessment daytime | Nuclear Medicine | $40.00 |
| H104 | Re-assessment daytime | Nuclear Medicine | $17.10 |
| H105 | In-patient interim admission orders | Nuclear Medicine | $26.25 |
| H112 | Premium nights (00:00-08:00) | Nuclear Medicine | $35.15 |
| H113 | Premium daytime/evenings weekends/holidays | Nuclear Medicine | $20.35 |
| H121 | Minor assessment nights | Nuclear Medicine | $30.70 |
| H122 | Comprehensive assessment and care nights | Nuclear Medicine | $76.95 |
| H123 | Multiple systems assessment nights | Nuclear Medicine | $68.00 |
| H124 | Re-assessment nights | Nuclear Medicine | $30.70 |
| H131 | Minor assessment evenings | Nuclear Medicine | $20.95 |
| H132 | Comprehensive assessment and care evenings | Nuclear Medicine | $52.55 |
| H133 | Multiple systems assessment evenings | Nuclear Medicine | $47.45 |
| H134 | Re-assessment evenings | Nuclear Medicine | $20.95 |
| H151 | Minor assessment weekends/holidays | Nuclear Medicine | $26.35 |
| H152 | Comprehensive assessment and care weekends/holidays | Nuclear Medicine | $66.15 |
| H153 | Multiple systems assessment weekends/holidays | Nuclear Medicine | $58.90 |
| H154 | Re-assessment weekends/holidays | Nuclear Medicine | $26.35 |
| H261 | Newborn care in hospital or home | Nuclear Medicine | $60.80 |
| H262 | Low birth weight newborn initial visit | Nuclear Medicine | $63.50 |
| H263 | Low birth weight newborn subsequent visit | Nuclear Medicine | $18.50 |
| H267 | Attendance at maternal delivery | Nuclear Medicine | $63.45 |
| H312 | Team management rehabilitation first 12 weeks | Nuclear Medicine | $42.70 |
| H313 | Rehabilitation counselling per unit | Nuclear Medicine | $84.20 |
| H317 | Team management rehabilitation 13-26 weeks | Nuclear Medicine | $42.70 |
| H319 | Team management rehabilitation 27 weeks onwards | Nuclear Medicine | $42.70 |
| H960 | Travel premium max 2 per time period | Nuclear Medicine | $36.40 |
| H962 | Travel premium max 2 per time period | Nuclear Medicine | $36.40 |
| H963 | Travel premium max 4 per time period | Nuclear Medicine | $36.40 |
| H964 | Travel premium no max per time period | Nuclear Medicine | $36.40 |
| H980 | First person seen premium max 5 total | Nuclear Medicine | $20.00 |
| H981 | First person seen premium max 5 total | Nuclear Medicine | $20.00 |
| H984 | Additional person seen premium max 5 total | Nuclear Medicine | $60.00 |
| H985 | Additional person seen premium max 5 total | Nuclear Medicine | $60.00 |
| H986 | Additional person seen premium no max | Nuclear Medicine | $100.00 |
| H987 | Additional person seen premium no max | Nuclear Medicine | $100.00 |
| H988 | Additional person seen premium max 10 total | Nuclear Medicine | $75.00 |
| H989 | Additional person seen premium max 10 total | Nuclear Medicine | $75.00 |
| J001 | Arthrogram, tenogram or bursogram | Laboratory Medicine | $34.00 |
| J002 | Unilateral bronchogram | Laboratory Medicine | $27.00 |
| J003 | Unilateral bronchogram with intra-tracheal catheter | Laboratory Medicine | $68.00 |
| J004 | Fistula or sinus injection | Laboratory Medicine | $70.35 |
| J005 | Dacrocystogram | Laboratory Medicine | $45.40 |
| J006 | Discogram one disc | Laboratory Medicine | $105.30 |
| J007 | Intracavitary/intratumoural injections | Laboratory Medicine | $0.00 |
| J008 | Hydrostatic/pneumatic reduction of intussusception | Laboratory Medicine | $56.70 |
| J009 | Laryngogram | Laboratory Medicine | $33.50 |
| J010 | Lymphangiogram per side | Laboratory Medicine | $105.30 |
| J011 | Myelogram | Laboratory Medicine | $93.40 |
| J012 | Nephrotomogram | Laboratory Medicine | $0.00 |
| J013 | Percutaneous spinal cord puncture for syringogram | Laboratory Medicine | $121.25 |
| J014 | Hysterosalpingogram | Laboratory Medicine | $38.05 |
| J018 | Renal cyst puncture | Laboratory Medicine | $52.25 |
| J020 | Myelogram with posterior fossa views add-on | Laboratory Medicine | $23.85 |
| J021 | Insertion of catheter and injection | Laboratory Medicine | $121.40 |
| J022 | Selective catheterization per vessel | Laboratory Medicine | $60.15 |
| J023 | Intra-arterial drug infusion supervision | Laboratory Medicine | $34.00 |
| J024 | Unilateral bronchial brushing | Laboratory Medicine | $89.90 |
| J025 | Transluminal angioplasty with angiography | Laboratory Medicine | $398.15 |
| J026 | Peripheral venogram direct puncture | Laboratory Medicine | $70.80 |
| J027 | Peripheral arteriogram direct puncture | Laboratory Medicine | $76.55 |
| J028 | Urethrogram/urethrocystogram/cystogram | Laboratory Medicine | $34.00 |
| J029 | Vasogram | Laboratory Medicine | $69.00 |
| J030 | Each additional discogram | Laboratory Medicine | $54.05 |
| J031 | Carotid angiogram direct puncture | Laboratory Medicine | $89.90 |
| J032 | Vertebral angiogram direct puncture or injection | Laboratory Medicine | $111.50 |
| J033 | Splenoportogram | Laboratory Medicine | $128.35 |
| J034 | Trans-lumbar aortogram | Laboratory Medicine | $89.90 |
| J035 | Pressure measurements during angiography | Laboratory Medicine | $34.00 |
| J036 | Discogram one disc | Laboratory Medicine | $26.95 |
| J037 | Mammary ductography | Laboratory Medicine | $70.35 |
| J038 | Myelogram with supine views add-on | Laboratory Medicine | $21.75 |
| J039 | Unspecified angiographic procedure | Laboratory Medicine | $140.40 |
| J040 | Embolization first vessel | Laboratory Medicine | $121.25 |
| J041 | Percutaneous removal of intravascular/intraureteric foreign bodies | Laboratory Medicine | $339.90 |
| J042 | Bilateral bronchogram with intra-tracheal catheter | Laboratory Medicine | $82.20 |
| J043 | Bilateral bronchogram | Laboratory Medicine | $40.65 |
| J044 | Bilateral bronchial brushing | Laboratory Medicine | $135.00 |
| J045 | Percutaneous cholecystostomy | Laboratory Medicine | $140.55 |
| J046 | Percutaneous nephrostomy | Laboratory Medicine | $257.60 |
| J047 | Each additional embolized vessel | Laboratory Medicine | $56.80 |
| J048 | Percutaneous trans-hepatic catheter portal venography | Laboratory Medicine | $311.05 |
| J049 | Embolization of spinal AV malformation | Laboratory Medicine | $437.30 |
| J050 | Percutaneous carotid or vertebral artery occlusion | Laboratory Medicine | $297.30 |
| J051 | Percutaneous spinal cord puncture for syringogram | Laboratory Medicine | $108.90 |
| J052 | Positive contrast cisternogram | Laboratory Medicine | $99.90 |
| J053 | Cavernosography | Laboratory Medicine | $45.35 |
| J055 | Percutaneous jejunostomy | Laboratory Medicine | $257.60 |
| J056 | Selective catheterization for spinal/parathyroid angiography | Laboratory Medicine | $670.55 |
| J057 | Transjugular intrahepatic portosystemic shunt (TIPS) | Laboratory Medicine | $906.45 |
| J058 | Vascular stenting | Laboratory Medicine | $101.55 |
| J059 | Non-vascular stenting | Laboratory Medicine | $116.90 |
| J060 | Nephrostogram | Laboratory Medicine | $34.00 |
| J061 | Unspecified angiographic procedure | Laboratory Medicine | $257.60 |
| J062 | Unspecified angiographic procedure | Laboratory Medicine | $257.60 |
| J063 | Unspecified angiographic procedure | Laboratory Medicine | $298.80 |
| J064 | Exchange of drainage tubes with supervision | Laboratory Medicine | $72.65 |
| J065 | Dilation of non-vascular structures | Laboratory Medicine | $23.60 |
| J066 | Renal angioplasty | Laboratory Medicine | $504.40 |
| J067 | Spinal angiography per vessel | Laboratory Medicine | $44.00 |
| J068 | Unspecified angiographic procedure | Laboratory Medicine | $44.25 |
| J069 | Percutaneous focal thermal ablation of solid tumours | Laboratory Medicine | $515.70 |
| J102 | Quantitative ophthalmic A-mode echography | Laboratory Medicine | $23.65 |
| J103 | B-scan immersion ophthalmic echography | Laboratory Medicine | $46.40 |
| J105 | Face/neck ultrasound excluding vascular study | Laboratory Medicine | $49.95 |
| J107 | B-scan contact ophthalmic echography | Laboratory Medicine | $22.95 |
| J108 | Ophthalmic biometry (Axial length - A-mode) | Laboratory Medicine | $24.05 |
| J122 | Complete B-mode brain ultrasound | Laboratory Medicine | $49.85 |
| J125 | Thorax ultrasound for chest masses/pleural effusion | Laboratory Medicine | $51.50 |
| J127 | Breast B-mode ultrasound scan | Laboratory Medicine | $25.05 |
| J128 | Limited abdominal ultrasound study | Laboratory Medicine | $33.90 |
| J135 | Complete abdominal ultrasound scan | Laboratory Medicine | $51.50 |
| J138 | Intracavitary ultrasound (e.g. transrectal, transvaginal) | Laboratory Medicine | $51.50 |
| J149 | Ultrasonic guidance for biopsy/aspiration/drainage | Laboratory Medicine | $49.95 |
| J151 | Ultrasound compression of groin pseudoaneurysm | Laboratory Medicine | $0.00 |
| J157 | Gestational age ultrasound before 16 weeks | Laboratory Medicine | $33.90 |
| J158 | Limited ultrasound for high risk pregnancy | Laboratory Medicine | $33.90 |
| J159 | Complete pregnancy ultrasound after 16 weeks | Laboratory Medicine | $51.50 |
| J160 | Ultrasound for high risk or complicated pregnancy | Laboratory Medicine | $51.50 |
| J161 | Limited intracavitary ultrasound for non-pregnancy | Laboratory Medicine | $33.90 |
| J162 | Complete pelvic ultrasound | Laboratory Medicine | $51.50 |
| J163 | Limited pelvic ultrasound for non-pregnancy | Laboratory Medicine | $33.90 |
| J164 | Follicle monitoring ultrasound studies | Laboratory Medicine | $25.75 |
| J165 | Transvaginal sonohysterography without Echovist | Laboratory Medicine | $105.60 |
| J166 | Additional fetus ultrasound for multiple gestation | Laboratory Medicine | $43.75 |
| J167 | Fetal Doppler evaluation of MCA/ductus venosus | Laboratory Medicine | $33.90 |
| J168 | Nuchal translucency for prenatal genetic screening | Laboratory Medicine | $41.20 |
| J169 | Additional fetus nuchal translucency ultrasound | Laboratory Medicine | $35.00 |
| J180 | B-mode echography for radiation therapy field placement | Laboratory Medicine | $37.10 |
| J182 | Extremity ultrasound per limb excluding vascular study | Laboratory Medicine | $26.95 |
| J183 | Scrotal ultrasound scan | Laboratory Medicine | $49.95 |
| J186 | Transcranial Doppler with power mode | Laboratory Medicine | $0.00 |
| J187 | Prolonged transcranial Doppler study (≥50 minutes) | Laboratory Medicine | $0.00 |
| J188 | Follow-up transcranial Doppler within 4 weeks | Laboratory Medicine | $0.00 |
| J189 | Transcranial Doppler assessment of intracranial circulation | Laboratory Medicine | $0.00 |
| J190 | Doppler or B-scan of extracranial vessels | Laboratory Medicine | $45.05 |
| J193 | Unilateral peripheral vessel Doppler or B-scan | Laboratory Medicine | $23.30 |
| J196 | Ankle pressure with exercise/quantitative measurements | Laboratory Medicine | $8.45 |
| J197 | Penile pressure recordings | Laboratory Medicine | $7.25 |
| J198 | Bilateral venous assessment with functional maneuvers | Laboratory Medicine | $7.80 |
| J199 | Penile Doppler scan | Laboratory Medicine | $7.25 |
| J200 | Ankle pressure measurements with segmental recordings | Laboratory Medicine | $21.50 |
| J201 | Duplex scan of extracranial vessels | Laboratory Medicine | $58.15 |
| J202 | Unilateral duplex scan of peripheral vessels | Laboratory Medicine | $30.10 |
| J203 | Transcutaneous oxygen tension measurements | Laboratory Medicine | $25.45 |
| J204 | Transcutaneous tissue measurement | Laboratory Medicine | $13.90 |
| J205 | Doppler evaluation of organ transplantation vessels | Laboratory Medicine | $23.30 |
| J206 | Duplex evaluation of portal hypertension vessels | Laboratory Medicine | $23.30 |
| J207 | Duplex assessment of vascular shunts | Laboratory Medicine | $23.30 |
| J290 | Spinal sonography | Laboratory Medicine | $0.00 |
| J301 | Simple spirometry volume vs time study | Laboratory Medicine | $9.85 |
| J303 | Extrapulmonary airways resistance by plethysmography | Laboratory Medicine | $17.10 |
| J304 | Flow volume loop study | Laboratory Medicine | $19.60 |
| J305 | Lung compliance pressure-volume curve | Laboratory Medicine | $54.90 |
| J306 | Airways resistance by plethysmography or oesophageal catheter | Laboratory Medicine | $17.10 |
| J307 | Functional residual capacity by body plethysmography | Laboratory Medicine | $18.45 |
| J308 | Carbon dioxide ventilatory response | Laboratory Medicine | $21.00 |
| J310 | Carbon monoxide diffusing capacity single breath | Laboratory Medicine | $22.60 |
| J311 | Functional residual capacity by gas dilution | Laboratory Medicine | $17.25 |
| J313 | Mixed venous PCO2 by rebreathing method | Laboratory Medicine | $11.90 |
| J315 | Graded exercise to maximum tolerance | Laboratory Medicine | $65.95 |
| J316 | Repeated steady state graded exercise | Laboratory Medicine | $95.05 |
| J318 | Arterialized venous blood sample collection | Laboratory Medicine | $4.00 |
| J319 | Blood gas analysis (pH, PO2, PCO2, bicarbonate, base excess) | Laboratory Medicine | $11.90 |
| J320 | A-a oxygen gradient measurement | Laboratory Medicine | $29.10 |
| J322 | Standard O2 consumption and CO2 production | Laboratory Medicine | $5.60 |
| J323 | Oxygen saturation by oximetry at rest | Laboratory Medicine | $4.45 |
| J324 | Repeat spirometry after bronchodilator | Laboratory Medicine | $2.97 |
| J327 | Repeat flow volume loop after bronchodilator | Laboratory Medicine | $2.97 |
| J330 | Assessment of exercise induced asthma | Laboratory Medicine | $35.25 |
| J331 | Estimate of shunt breathing pure oxygen | Laboratory Medicine | $29.10 |
| J332 | Oximetry at rest and exercise or during sleep | Laboratory Medicine | $18.55 |
| J333 | Non-specific bronchial provocative test | Laboratory Medicine | $50.95 |
| J334 | Oximetry with two levels of supplemental oxygen | Laboratory Medicine | $32.30 |
| J335 | Antigen challenge test | Laboratory Medicine | $54.80 |
| J336 | Oximetry with single blind exercise assessment | Laboratory Medicine | $32.30 |
| J340 | Maximum inspiratory and expiratory pressures | Laboratory Medicine | $2.97 |
| J476 | Transvaginal sonohysterography with Echovist contrast | Laboratory Medicine | $246.00 |
| J700 | Solitary pulmonary nodule scintigraphy | Laboratory Medicine | $0.00 |
| J701 | Thyroid cancer scintigraphy | Laboratory Medicine | $0.00 |
| J702 | Germ cell tumour scintigraphy | Laboratory Medicine | $0.00 |
| J703 | Colorectal cancer scintigraphy | Laboratory Medicine | $0.00 |
| J704 | Lymphoma residual mass evaluation | Laboratory Medicine | $0.00 |
| J705 | Lymphoma treatment response assessment | Laboratory Medicine | $0.00 |
| J706 | Non-small cell lung cancer scintigraphy | Laboratory Medicine | $0.00 |
| J707 | Cardiac PET scan | Laboratory Medicine | $0.00 |
| J708 | Cardiac PET with quantitative analysis | Laboratory Medicine | $0.00 |
| J709 | Limited disease small cell lung cancer scintigraphy | Laboratory Medicine | $0.00 |
| J710 | Esophageal carcinoma scintigraphy | Laboratory Medicine | $0.00 |
| J711 | Metastatic squamous cell carcinoma neck nodes evaluation | Laboratory Medicine | $0.00 |
| J712 | Liver metastasis from colorectal cancer scintigraphy | Laboratory Medicine | $0.00 |
| J713 | Staging nasopharyngeal carcinoma scintigraphy | Laboratory Medicine | $0.00 |
| J802 | Peripheral and superior vena cava venography | Laboratory Medicine | $101.75 |
| J804 | First transit without blood pool images | Laboratory Medicine | $17.00 |
| J806 | Cardioangiography first pass for shunt detection | Laboratory Medicine | $100.45 |
| J807 | Myocardial perfusion scintigraphy resting/post stress | Laboratory Medicine | $229.80 |
| J808 | Myocardial perfusion scintigraphy with SPECT | Laboratory Medicine | $84.60 |
| J809 | Delayed myocardial perfusion scintigraphy | Laboratory Medicine | $45.95 |
| J810 | Myocardial scintigraphy acute infarction/injury | Laboratory Medicine | $93.20 |
| J811 | Myocardial wall motion studies | Laboratory Medicine | $100.45 |
| J812 | Repeat myocardial wall motion same day | Laboratory Medicine | $50.85 |
| J813 | Myocardial wall motion with ejection fraction | Laboratory Medicine | $142.75 |
| J814 | Repeat myocardial wall motion with ejection fraction | Laboratory Medicine | $50.85 |
| J815 | Venous thrombosis detection with radioiodinated fibrinogen | Laboratory Medicine | $139.10 |
| J816 | Adrenal scintigraphy with iodocholesterol | Laboratory Medicine | $407.60 |
| J817 | Thyroid uptake study | Laboratory Medicine | $30.25 |
| J818 | Thyroid scintigraphy with Tc99m or I-131 | Laboratory Medicine | $67.75 |
| J819 | SPECT tomography application to gallium scintigraphy | Laboratory Medicine | $45.95 |
| J820 | Parathyroid scintigraphy dual isotope technique | Laboratory Medicine | $247.90 |
| J821 | Schilling test single isotope | Laboratory Medicine | $47.20 |
| J823 | Schilling test dual isotope | Laboratory Medicine | $50.85 |
| J824 | Malabsorption test with C14 substrate | Laboratory Medicine | $60.55 |
| J825 | Gastrointestinal protein loss scintigraphy | Laboratory Medicine | $87.05 |
| J826 | Calcium absorption test with Ca45 | Laboratory Medicine | $65.40 |
| J827 | Oesophageal motility studies | Laboratory Medicine | $125.55 |
| J829 | Gastrointestinal transit study | Laboratory Medicine | $108.90 |
| J830 | Abdominal scintigraphy for gastrointestinal bleed | Laboratory Medicine | $91.90 |
| J831 | Biliary scintigraphy | Laboratory Medicine | $120.95 |
| J832 | Liver/spleen scintigraphy | Laboratory Medicine | $84.60 |
| J833 | Salivary gland scintigraphy | Laboratory Medicine | $101.65 |
| J834 | Dynamic renal imaging | Laboratory Medicine | $101.65 |
| J835 | Computer assessed renal function including first transit | Laboratory Medicine | $139.10 |
| J836 | Static renal scintigraphy | Laboratory Medicine | $35.15 |
| J837 | Effective renal plasma flow by blood sample | Laboratory Medicine | $42.40 |
| J838 | Glomerular filtration rate by blood sample | Laboratory Medicine | $42.40 |
| J839 | Cystography for vesicoureteric reflux | Laboratory Medicine | $127.30 |
| J840 | Testicular and scrotal scintigraphy including first transit | Laboratory Medicine | $87.05 |
| J841 | Plasma volume measurement | Laboratory Medicine | $45.95 |
| J843 | Red cell volume measurement | Laboratory Medicine | $50.85 |
| J847 | Ferrokinetics clearance, turnover, utilization | Laboratory Medicine | $423.50 |
| J848 | Red cell, white cell or platelet survival | Laboratory Medicine | $108.40 |
| J849 | Red cell survival with serial surface counts | Laboratory Medicine | $156.60 |
| J850 | Bone scintigraphy general survey | Laboratory Medicine | $109.50 |
| J851 | Bone scintigraphy single site | Laboratory Medicine | $89.60 |
| J852 | Gallium scintigraphy general survey | Laboratory Medicine | $187.55 |
| J853 | Gallium scintigraphy single survey | Laboratory Medicine | $130.65 |
| J857 | CSF circulation scintigraphy with Tc99m or I-131 HSA | Laboratory Medicine | $127.00 |
| J858 | Brain scintigraphy | Laboratory Medicine | $95.50 |
| J859 | Perfusion lung scintigraphy | Laboratory Medicine | $90.75 |
| J860 | Perfusion and ventilation lung scintigraphy same day | Laboratory Medicine | $181.55 |
| J861 | Radionuclide lymphangiogram | Laboratory Medicine | $118.50 |
| J862 | Ocular tumour localization scintigraphy | Laboratory Medicine | $79.85 |
| J863 | Scintimammography unilateral or bilateral | Laboratory Medicine | $105.60 |
| J864 | Tear duct scintigraphy | Laboratory Medicine | $102.85 |
| J865 | Total body counting scintigraphy | Laboratory Medicine | $198.50 |
| J866 | SPECT tomography application (non-cardiac, non-gallium) | Laboratory Medicine | $45.95 |
| J867 | First transit with blood pool images | Laboratory Medicine | $60.55 |
| J868 | Adrenal scintigraphy with iodocholesterol and dexamethasone | Laboratory Medicine | $476.70 |
| J869 | Adrenal scintigraphy with MIBG | Laboratory Medicine | $586.55 |
| J870 | Repeat thyroid uptake | Laboratory Medicine | $15.45 |
| J871 | Thyroid scintigraphy with I-123 | Laboratory Medicine | $108.90 |
| J872 | Metastatic survey with I-131 | Laboratory Medicine | $254.10 |
| J873 | Malabsorption test with whole body counting | Laboratory Medicine | $145.40 |
| J874 | Gastrointestinal blood loss using Cr51 | Laboratory Medicine | $65.40 |
| J875 | Calcium gastro-oesophageal reflux | Laboratory Medicine | $267.30 |
| J876 | Aspiration gastro-oesophageal reflux | Laboratory Medicine | $59.90 |
| J877 | Aspiration | Laboratory Medicine | $42.40 |
| J878 | Abdominal scintigraphy - labelled RBCs | Laboratory Medicine | $151.25 |
| J879 | LeVeen shunt patency | Laboratory Medicine | $70.05 |
| J880 | Repeat after pharmacological intervention | Laboratory Medicine | $47.40 |
| J881 | Bone marrow scintigraphy - whole body | Laboratory Medicine | $120.05 |
| J882 | Bone marrow scintigraphy - single site | Laboratory Medicine | $89.60 |
| J883 | In-111 leukocyte scintigraphy - whole body | Laboratory Medicine | $384.80 |
| J884 | In-111 leukocyte scintigraphy - single site | Laboratory Medicine | $338.85 |
| J885 | In-111 leukocyte scintigraphy with In-111 | Laboratory Medicine | $325.50 |
| J886 | In-111 leukocyte scintigraphy via shunt puncture | Laboratory Medicine | $93.55 |
| J887 | Ventilation lung scintigraphy | Laboratory Medicine | $113.75 |
| J889 | Specialized facility therapeutic sleep study | Laboratory Medicine | $391.60 |
| J890 | Specialized facility diagnostic sleep study | Laboratory Medicine | $391.60 |
| J893 | Multiple sleep latency test | Laboratory Medicine | $72.85 |
| J894 | Maintenance of wakefulness test | Laboratory Medicine | $72.85 |
| J895 | Therapeutic study for sleep breathing disorders | Laboratory Medicine | $391.55 |
| J896 | Initial diagnostic sleep study - Level 1 | Laboratory Medicine | $391.55 |
| J897 | Repeat diagnostic sleep study - Level 1 | Laboratory Medicine | $391.55 |
| J898 | Sleep study less than 1 hour | Laboratory Medicine | $97.90 |
| J899 | Sleep study between 1 and 4 hours | Laboratory Medicine | $195.80 |
| J990 | Sleep study more than 4 hours | Laboratory Medicine | $391.55 |
| K001 | Detention – per full quarter hour | Specific Specialties | $21.10 |
| K002 | Interviews with relatives/person authorized for consent | Specific Specialties | $70.10 |
| K003 | Interviews with CAS/legal guardian (non-consent) | Specific Specialties | $70.10 |
| K004 | Family care - 2 or more family members per unit | Specific Specialties | $76.10 |
| K005 | Individual care per unit | Specific Specialties | $70.10 |
| K006 | Hypnotherapy individual care per unit | Specific Specialties | $70.10 |
| K007 | Individual care per unit | Specific Specialties | $70.10 |
| K008 | Diagnostic interview/counselling child/parent | Specific Specialties | $70.10 |
| K010 | Additional units per member (max 6 per patient/day) | Specific Specialties | $11.20 |
| K012 | Group care - 4 people per unit | Specific Specialties | $17.65 |
| K013 | Counselling - first 3 units combined per patient/provider | Specific Specialties | $70.10 |
| K014 | Counselling for transplant recipients/donors/families | Specific Specialties | $70.10 |
| K015 | Counselling of relatives for catastrophically/terminally ill | Specific Specialties | $70.10 |
| K016 | Genetic assessment per unit | Specific Specialties | $74.05 |
| K017 | Periodic health visit - child | Specific Specialties | $45.25 |
| K018 | Periodic health visit - female | Specific Specialties | $326.00 |
| K019 | Group care - 2 people per unit | Specific Specialties | $35.10 |
| K020 | Group care - 3 people per unit | Specific Specialties | $23.35 |
| K021 | Periodic health visit - male | Specific Specialties | $257.15 |
| K022 | HIV primary care per unit | Specific Specialties | $70.10 |
| K023 | Palliative care support per unit | Specific Specialties | $74.70 |
| K024 | Group care - 5 people per unit | Specific Specialties | $14.55 |
| K025 | Group care - 6 to 12 people per unit | Specific Specialties | $12.35 |
| K026 | Certification of Medical Eligibility for OHCAP | Specific Specialties | $54.70 |
| K027 | Certification of Medical Eligibility for OHCAP - form only | Specific Specialties | $21.85 |
| K028 | STD management per unit | Specific Specialties | $70.10 |
| K029 | Insulin therapy support per unit | Specific Specialties | $70.10 |
| K030 | Diabetic Management Assessment | Specific Specialties | $40.55 |
| K031 | Completion of Form 1 - Mandatory Blood Testing Act | Specific Specialties | $102.50 |
| K032 | Specific neurocognitive assessment | Specific Specialties | $70.10 |
| K033 | Counselling - additional units per patient/provider | Specific Specialties | $49.35 |
| K034 | Telephone reporting - specified reportable disease to MOH | Specific Specialties | $36.00 |
| K035 | Mandatory reporting of medical condition to MTO | Specific Specialties | $36.25 |
| K036 | Completion of northern health travel grant application | Specific Specialties | $10.25 |
| K037 | Fibromyalgia/myalgic encephalomyelitis care per unit | Specific Specialties | $70.10 |
| K038 | Completion of Long-Term Care health report form | Specific Specialties | $45.15 |
| K039 | Smoking cessation follow-up visit | Specific Specialties | $33.45 |
| K040 | Group counselling - no group member >3 units | Specific Specialties | $70.10 |
| K041 | Group counselling - group member >3 units | Specific Specialties | $50.20 |
| K042 | Extended specific neurocognitive assessment | Specific Specialties | $140.20 |
| K044 | Genetic family counselling per unit | Specific Specialties | $62.75 |
| K045 | Diabetes management by a specialist | Specific Specialties | $76.20 |
| K046 | Diabetes team management | Specific Specialties | $115.00 |
| K050 | Health Status Report and Activities of Daily Living Index (completion of amalgamated forms for initial ODSP application) | Specific Specialties | $105.65 |
| K051 | Health Status Report (completed separately) for initial ODSP application | Specific Specialties | $84.50 |
| K052 | Activities of Daily Living Index (completed separately) for initial ODSP application | Specific Specialties | $21.10 |
| K053 | A Limitation to Participation Form | Specific Specialties | $15.85 |
| K054 | Mandatory Special Necessities Benefit Request Form | Specific Specialties | $26.40 |
| K055 | Application for Special Diet Allowance | Specific Specialties | $21.10 |
| K056 | Application for Pregnancy/Breast-feeding Nutritional Allowance | Specific Specialties | $21.10 |
| K057 | Medical Form Part A for Medical Review process | Specific Specialties | $37.00 |
| K058 | Medical Form Part B including both Health Status Report and Activities of Daily Living Index for Medical Review process | Specific Specialties | $132.00 |
| K059 | Health Status Report of Part B (completed separately) for Medical Review process | Specific Specialties | $105.65 |
| K060 | Activities of Daily Living Index of Part B (completed separately) for Medical Review process | Specific Specialties | $26.40 |
| K061 | Taking of blood samples in a hospital setting at the request of a police officer | Specific Specialties | $31.65 |
| K065 | Eye examination rendered to patients between the ages 20 and 64 who are recipients of income support under the Ontario Disability Support Program Act, 1997 | Specific Specialties | $51.65 |
| K066 | Eye examination rendered to patients between the ages 20 and 64 who are recipients of income assistance or benefits under the Ontario Works Act, 1997 | Specific Specialties | $51.65 |
| K070 | Application for home care | Specific Specialties | $31.75 |
| K071 | Acute home care supervision (first 8 weeks) | Specific Specialties | $21.40 |
| K072 | Chronic home care supervision (after 8 weeks) | Specific Specialties | $21.40 |
| K077 | Geriatric telephone support per unit | Specific Specialties | $40.05 |
| K090 | Pre-operative medical management bariatric surgery | Specific Specialties | $100.00 |
| K091 | Post-operative monthly management bariatric surgery | Specific Specialties | $25.00 |
| K099 | No description | Specific Specialties | $0.00 |
| K101 | Ground ambulance transfer with patient per quarter hour | Specific Specialties | $42.10 |
| K102 | Detention for transport of donor organs per quarter hour | Specific Specialties | $20.20 |
| K111 | Air ambulance transfer with patient per quarter hour | Specific Specialties | $126.40 |
| K112 | Return trip without patient following ambulance transfer | Specific Specialties | $25.05 |
| K119 | Paediatric developmental assessment incentive | Specific Specialties | $115.10 |
| K121 | Hospital in-patient case conference per unit | Specific Specialties | $32.45 |
| K122 | Individual developmental/behavioural care per unit | Specific Specialties | $89.70 |
| K123 | Family developmental/behavioural care per unit | Specific Specialties | $101.75 |
| K124 | Long-term care/CCAC case conference per unit | Specific Specialties | $32.45 |
| K130 | Periodic health visit - adolescent | Specific Specialties | $77.20 |
| K131 | Periodic health visit - adult 18 to 64 | Specific Specialties | $56.95 |
| K132 | Periodic health visit - adult 65 and older | Specific Specialties | $80.95 |
| K133 | Periodic health visit - adult with Intellectual/Developmental Disability | Specific Specialties | $160.00 |
| K140 | Chronic disease shared appointment - 2 patients per unit | Specific Specialties | $35.10 |
| K141 | Chronic disease shared appointment - 3 patients per unit | Specific Specialties | $23.35 |
| K142 | Chronic disease shared appointment - 4 patients per unit | Specific Specialties | $17.65 |
| K143 | Chronic disease shared appointment - 5 patients per unit | Specific Specialties | $14.55 |
| K144 | Chronic disease shared appointment - 6 to 12 patients per unit | Specific Specialties | $12.35 |
| K181 | Intravenous thrombolysis therapy and monitoring per 30 min | Specific Specialties | $90.00 |
| K187 | Acute post-discharge community psychiatric care premium | Specific Specialties | $0.01 |
| K188 | High risk community psychiatric care premium | Specific Specialties | $0.01 |
| K189 | Urgent community psychiatric follow-up premium | Specific Specialties | $216.30 |
| K190 | Individual in-patient psychotherapy per unit | Specific Specialties | $93.95 |
| K191 | Family psychiatric care - in-patient per unit | Specific Specialties | $117.40 |
| K192 | Individual hypnotherapy per unit | Specific Specialties | $89.70 |
| K193 | Family psychotherapy - in-patients per unit | Specific Specialties | $106.60 |
| K194 | Group hypnotherapy per member per unit | Specific Specialties | $16.30 |
| K195 | Family psychotherapy - out-patients per unit | Specific Specialties | $101.75 |
| K196 | Family psychiatric care - out-patient per unit | Specific Specialties | $101.75 |
| K197 | Individual out-patient psychotherapy per unit | Specific Specialties | $89.70 |
| K198 | Psychiatric care - out-patient per unit | Specific Specialties | $89.70 |
| K199 | Psychiatric care - in-patient per unit | Specific Specialties | $103.40 |
| K200 | Group psychotherapy in-patients - 4 people per unit | Specific Specialties | $23.45 |
| K201 | Group psychotherapy in-patients - 5 people per unit | Specific Specialties | $18.75 |
| K202 | Group psychotherapy in-patients - 6 to 12 people per unit | Specific Specialties | $16.95 |
| K203 | Group psychotherapy out-patients - 4 people per unit | Specific Specialties | $22.45 |
| K204 | Group psychotherapy out-patients - 5 people per unit | Specific Specialties | $17.90 |
| K205 | Group psychotherapy out-patients - 6 to 12 people per unit | Specific Specialties | $16.15 |
| K206 | Group psychotherapy out-patients additional units per member | Specific Specialties | $14.35 |
| K207 | Group psychotherapy in-patients additional units per member | Specific Specialties | $14.35 |
| K208 | Group psychotherapy out-patients - 2 people per unit | Specific Specialties | $44.85 |
| K209 | Group psychotherapy out-patients - 3 people per unit | Specific Specialties | $29.90 |
| K210 | Group psychotherapy in-patients - 2 people per unit | Specific Specialties | $47.05 |
| K211 | Group psychotherapy in-patients - 3 people per unit | Specific Specialties | $31.35 |
| K222 | Genetic care patient or family per unit | Specific Specialties | $79.30 |
| K223 | Clinical interpretation genetic reports | Specific Specialties | $40.00 |
| K224 | Clinical interpretation requested by midwife | Specific Specialties | $38.20 |
| K229 | Complex genetic test interpretation per unit | Specific Specialties | $65.85 |
| K267 | Periodic health visit - 2 to 11 years | Specific Specialties | $41.60 |
| K269 | Periodic health visit - 12 to 17 years | Specific Specialties | $77.20 |
| K300 | No description | Specific Specialties | $0.00 |
| K301 | No description | Specific Specialties | $0.00 |
| K303 | No description | Specific Specialties | $0.00 |
| K313 | Physiatric management | Specific Specialties | $8.10 |
| K399 | Clinical interpretation by an immunologist | Specific Specialties | $29.05 |
| K480 | Physician to allied professional telephone consultation | Specific Specialties | $31.35 |
| K481 | Rheumatoid arthritis management by specialist | Specific Specialties | $75.00 |
| K620 | Consultation for involuntary psychiatric treatment | Specific Specialties | $94.95 |
| K623 | Application for psychiatric assessment | Specific Specialties | $117.05 |
| K624 | Certification of involuntary admission | Specific Specialties | $144.15 |
| K629 | Re-certification of involuntary admission | Specific Specialties | $42.70 |
| K630 | Psychiatric consultation extension per unit | Specific Specialties | $117.40 |
| K680 | Substance abuse - extended assessment | Specific Specialties | $70.10 |
| K682 | Opioid Agonist Maintenance Program monthly management - intensive | Specific Specialties | $45.00 |
| K683 | Opioid Agonist Maintenance Program monthly management - maintenance | Specific Specialties | $38.00 |
| K684 | Opioid Agonist Maintenance Program team premium | Specific Specialties | $6.00 |
| K700 | Palliative care out-patient case conference | Specific Specialties | $32.45 |
| K701 | Mental health out-patient case conference | Specific Specialties | $32.45 |
| K702 | Bariatric out-patient case conference | Specific Specialties | $32.45 |
| K703 | Geriatric out-patient case conference | Specific Specialties | $32.45 |
| K704 | Paediatric out-patient case conference | Specific Specialties | $32.45 |
| K705 | Long-term care high risk patient case conference | Specific Specialties | $32.45 |
| K706 | Convalescent care program case conference | Specific Specialties | $32.45 |
| K707 | Chronic pain out-patient case conference | Specific Specialties | $32.45 |
| K708 | MCC Participant per patient | Specific Specialties | $32.45 |
| K709 | MCC Chairperson per patient | Specific Specialties | $41.85 |
| K710 | MCC Radiologist Participant per patient | Specific Specialties | $32.45 |
| K711 | MCC Nuclear Medicine Participant per patient | Specific Specialties | $32.45 |
| K730 | Physician to physician telephone consultation - Referring | Specific Specialties | $32.45 |
| K731 | Physician to physician telephone consultation - Consultant | Specific Specialties | $41.85 |
| K732 | CritiCall telephone consultation - Referring physician | Specific Specialties | $32.45 |
| K733 | CritiCall telephone consultation - Consultant physician | Specific Specialties | $41.85 |
| K734 | Physician to physician telephone consultation ED/Urgent Care - Referring | Specific Specialties | $32.45 |
| K735 | Physician to physician telephone consultation ED/Urgent Care - Consultant | Specific Specialties | $41.85 |
| K736 | CritiCall telephone consultation ED/Urgent Care - Referring physician | Specific Specialties | $32.45 |
| K737 | CritiCall telephone consultation ED/Urgent Care - Consultant physician | Specific Specialties | $41.85 |
| K738 | Physician to physician e-consultation - Referring | Specific Specialties | $16.00 |
| K739 | Physician to physician e-consultation - Consultant | Specific Specialties | $20.50 |
| K887 | CTO initiation per unit | Specific Specialties | $94.55 |
| K888 | CTO supervision per unit | Specific Specialties | $94.55 |
| K889 | CTO renewal per unit | Specific Specialties | $94.55 |
| K900 | Specialty consultation, specific specialty | Specific Specialties | $61.20 |
| K960 | Premium service fee (max 2 per time period) | Specific Specialties | $36.40 |
| K961 | Premium service fee (max 2 per time period) | Specific Specialties | $36.40 |
| K962 | Premium service fee (max 2 per time period) | Specific Specialties | $36.40 |
| K963 | Premium service fee (max 6 per time period) | Specific Specialties | $36.40 |
| K964 | Premium service fee (no max per time period) | Specific Specialties | $36.40 |
| K990 | Seen fee (max 10 total per time period) | Specific Specialties | $20.00 |
| K991 | Seen fee (max 10 total per time period) | Specific Specialties | $20.00 |
| K992 | Seen fee (max 10 total per time period) | Specific Specialties | $40.00 |
| K993 | Seen fee (max 10 total per time period) | Specific Specialties | $40.00 |
| K994 | Seen fee (max 10 total per time period) | Specific Specialties | $60.00 |
| K995 | Seen fee (max 10 total per time period) | Specific Specialties | $60.00 |
| K996 | Seen fee (no max per time period) | Specific Specialties | $100.00 |
| K997 | Seen fee (no max per time period) | Specific Specialties | $100.00 |
| K998 | Seen fee (max 20 total per time period) | Specific Specialties | $75.00 |
| K999 | Seen fee (max 20 total per time period) | Specific Specialties | $75.00 |
| L001 | Laboratory Medicine service | Laboratory Medicine | $1.55 |
| L002 | Laboratory Medicine service | Laboratory Medicine | $16.46 |
| L004 | Laboratory Medicine service | Laboratory Medicine | $1.55 |
| L005 | Laboratory Medicine service | Laboratory Medicine | $1.28 |
| L006 | Laboratory Medicine service | Laboratory Medicine | $10.34 |
| L008 | Laboratory Medicine service | Laboratory Medicine | $23.27 |
| L009 | Initial consultation | Laboratory Medicine | $15.51 |
| L013 | Follow-up consultation | Laboratory Medicine | $103.40 |
| L015 | Minor surgical procedure | Laboratory Medicine | $14.22 |
| L016 | Major surgical procedure | Laboratory Medicine | $10.34 |
| L017 | Diagnostic imaging service | Laboratory Medicine | $25.85 |
| L018 | Laboratory test | Laboratory Medicine | $2.25 |
| L019 | Electrocardiogram (ECG) | Laboratory Medicine | $15.78 |
| L022 | Anesthesia service | Laboratory Medicine | $0.00 |
| L026 | Pathology examination | Laboratory Medicine | $7.76 |
| L027 | Radiotherapy session | Laboratory Medicine | $21.45 |
| L029 | Physical therapy session | Laboratory Medicine | $1.55 |
| L030 | Occupational therapy session | Laboratory Medicine | $1.28 |
| L031 | Speech therapy session | Laboratory Medicine | $1.28 |
| L035 | Vaccination administration | Laboratory Medicine | $8.79 |
| L038 | Wound care management | Laboratory Medicine | $7.76 |
| L040 | Intravenous therapy | Laboratory Medicine | $10.34 |
| L041 | Blood transfusion | Laboratory Medicine | $21.45 |
| L044 | Endoscopy procedure | Laboratory Medicine | $103.40 |
| L045 | Colonoscopy procedure | Laboratory Medicine | $1.16 |
| L046 | Bronchoscopy procedure | Laboratory Medicine | $10.00 |
| L048 | Ultrasound examination | Laboratory Medicine | $9.12 |
| L049 | CT scan | Laboratory Medicine | $15.78 |
| L051 | MRI scan | Laboratory Medicine | $29.16 |
| L053 | Electroencephalogram (EEG) | Laboratory Medicine | $1.28 |
| L054 | Cardiac stress test | Laboratory Medicine | $17.06 |
| L055 | Holter monitor application | Laboratory Medicine | $1.28 |
| L057 | Pulmonary function test | Laboratory Medicine | $4.98 |
| L058 | Audiometry test | Laboratory Medicine | $25.85 |
| L059 | Vision test | Laboratory Medicine | $10.34 |
| L060 | Bone density test | Laboratory Medicine | $7.76 |
| L061 | Allergy testing | Laboratory Medicine | $1.28 |
| L063 | Immunization record update | Laboratory Medicine | $14.52 |
| L065 | Counseling session | Laboratory Medicine | $13.44 |
| L066 | Nutritional assessment | Laboratory Medicine | $1.28 |
| L067 | Diabetes management | Laboratory Medicine | $1.28 |
| L068 | Hypertension management | Laboratory Medicine | $1.03 |
| L069 | Asthma management | Laboratory Medicine | $4.14 |
| L070 | Chronic disease monitoring | Laboratory Medicine | $17.58 |
| L073 | Prenatal care visit | Laboratory Medicine | $2.59 |
| L074 | Postnatal care visit | Laboratory Medicine | $21.45 |
| L075 | Newborn examination | Laboratory Medicine | $15.51 |
| L076 | Child health supervision | Laboratory Medicine | $21.45 |
| L077 | Adolescent health visit | Laboratory Medicine | $10.34 |
| L078 | Geriatric assessment | Laboratory Medicine | $10.34 |
| L079 | Palliative care visit | Laboratory Medicine | $28.98 |
| L080 | Home visit | Laboratory Medicine | $13.44 |
| L085 | Telephone consultation | Laboratory Medicine | $17.58 |
| L086 | Telemedicine consultation | Laboratory Medicine | $25.04 |
| L092 | Mental health assessment | Laboratory Medicine | $10.34 |
| L093 | Psychiatric evaluation | Laboratory Medicine | $7.25 |
| L094 | Psychotherapy session | Laboratory Medicine | $20.68 |
| L095 | Addiction counseling | Laboratory Medicine | $37.22 |
| L097 | Cognitive behavioral therapy | Laboratory Medicine | $3.10 |
| L098 | Group therapy session | Laboratory Medicine | $3.10 |
| L099 | Crisis intervention | Laboratory Medicine | $12.93 |
| L101 | Vaccination counseling | Laboratory Medicine | $31.02 |
| L103 | Smoking cessation counseling | Laboratory Medicine | $10.34 |
| L104 | Weight management counseling | Laboratory Medicine | $15.51 |
| L105 | Exercise therapy | Laboratory Medicine | $8.27 |
| L106 | Pain management | Laboratory Medicine | $33.61 |
| L107 | Sleep study | Laboratory Medicine | $1.28 |
| L110 | Dermatology consultation | Laboratory Medicine | $5.17 |
| L111 | Ophthalmology consultation | Laboratory Medicine | $1.28 |
| L112 | ENT consultation | Laboratory Medicine | $1.55 |
| L113 | Orthopedic consultation | Laboratory Medicine | $5.17 |
| L114 | Neurology consultation | Laboratory Medicine | $10.34 |
| L115 | Cardiology consultation | Laboratory Medicine | $31.02 |
| L116 | Gastroenterology consultation | Laboratory Medicine | $20.68 |
| L117 | Endocrinology consultation | Laboratory Medicine | $2.00 |
| L118 | Rheumatology consultation | Laboratory Medicine | $46.53 |
| L119 | Urology consultation | Laboratory Medicine | $7.76 |
| L122 | Gynecology consultation | Laboratory Medicine | $18.23 |
| L124 | Oncology consultation | Laboratory Medicine | $5.17 |
| L130 | Dental examination | Laboratory Medicine | $19.10 |
| L131 | Dental cleaning | Laboratory Medicine | $77.55 |
| L132 | Dental filling | Laboratory Medicine | $12.93 |
| L135 | Tooth extraction | Laboratory Medicine | $20.68 |
| L137 | Root canal treatment | Laboratory Medicine | $10.86 |
| L139 | Orthodontic assessment | Laboratory Medicine | $1.28 |
| L143 | Hearing aid fitting | Laboratory Medicine | $11.37 |
| L145 | Speech-language pathology assessment | Laboratory Medicine | $9.84 |
| L146 | Physiotherapy assessment | Laboratory Medicine | $1.28 |
| L147 | Occupational therapy assessment | Laboratory Medicine | $14.99 |
| L148 | Dietitian assessment | Laboratory Medicine | $11.60 |
| L150 | Social work assessment | Laboratory Medicine | $2.37 |
| L151 | Psychological testing | Laboratory Medicine | $8.27 |
| L153 | Laboratory specimen collection | Laboratory Medicine | $10.34 |
| L154 | Blood draw | Laboratory Medicine | $25.85 |
| L157 | Urine analysis | Laboratory Medicine | $10.34 |
| L159 | Stool analysis | Laboratory Medicine | $18.10 |
| L160 | Sputum analysis | Laboratory Medicine | $10.34 |
| L161 | Biopsy procedure | Laboratory Medicine | $20.68 |
| L165 | Skin test | Laboratory Medicine | $1.28 |
| L168 | Electrocardiogram interpretation | Laboratory Medicine | $10.89 |
| L169 | Radiology report | Laboratory Medicine | $32.81 |
| L170 | Pathology report | Laboratory Medicine | $32.81 |
| L171 | Consultation report | Laboratory Medicine | $10.86 |
| L172 | Discharge summary | Laboratory Medicine | $5.22 |
| L173 | Referral letter | Laboratory Medicine | $12.93 |
| L174 | Medical certificate | Laboratory Medicine | $15.51 |
| L175 | Workplace injury report | Laboratory Medicine | $20.68 |
| L179 | Immunization administration (child) | Laboratory Medicine | $0.00 |
| L180 | Immunization administration (adult) | Laboratory Medicine | $12.93 |
| L181 | Flu vaccination | Laboratory Medicine | $1.28 |
| L183 | Travel vaccination | Laboratory Medicine | $2.73 |
| L184 | Tuberculosis screening | Laboratory Medicine | $6.02 |
| L185 | HIV testing | Laboratory Medicine | $20.68 |
| L187 | Sexually transmitted infection testing | Laboratory Medicine | $3.10 |
| L188 | Pregnancy test | Laboratory Medicine | $20.68 |
| L189 | Fertility assessment | Laboratory Medicine | $7.76 |
| L190 | Prenatal ultrasound | Laboratory Medicine | $7.76 |
| L191 | Fetal monitoring | Laboratory Medicine | $1.28 |
| L192 | Labor and delivery care | Laboratory Medicine | $6.02 |
| L194 | Postpartum care | Laboratory Medicine | $1.16 |
| L196 | Newborn hearing screening | Laboratory Medicine | $7.76 |
| L198 | Childhood developmental screening | Laboratory Medicine | $12.93 |
| L199 | School health assessment | Laboratory Medicine | $12.93 |
| L200 | Immunization record review | Laboratory Medicine | $5.17 |
| L201 | Medication review | Laboratory Medicine | $31.02 |
| L202 | Chronic disease education | Laboratory Medicine | $15.78 |
| L203 | Smoking cessation program | Laboratory Medicine | $46.53 |
| L204 | Weight loss program | Laboratory Medicine | $1.16 |
| L208 | Exercise prescription | Laboratory Medicine | $1.16 |
| L210 | Pain assessment | Laboratory Medicine | $13.96 |
| L211 | Mental health counseling | Laboratory Medicine | $10.34 |
| L212 | Substance abuse counseling | Laboratory Medicine | $10.34 |
| L213 | Family therapy | Laboratory Medicine | $10.34 |
| L215 | Group health education | Laboratory Medicine | $10.34 |
| L216 | Individual health education | Laboratory Medicine | $13.44 |
| L221 | Home care nursing | Laboratory Medicine | $10.34 |
| L222 | Palliative nursing care | Laboratory Medicine | $1.28 |
| L223 | Wound dressing change | Laboratory Medicine | $1.28 |
| L226 | Catheter care | Laboratory Medicine | $1.16 |
| L228 | Ostomy care | Laboratory Medicine | $10.86 |
| L229 | Incontinence care | Laboratory Medicine | $10.34 |
| L240 | Diabetic foot care | Laboratory Medicine | $7.76 |
| L243 | Respiratory therapy | Laboratory Medicine | $1.28 |
| L244 | Oxygen therapy | Laboratory Medicine | $11.37 |
| L250 | Blood pressure monitoring | Laboratory Medicine | $7.76 |
| L251 | Glucose monitoring | Laboratory Medicine | $1.28 |
| L252 | Cholesterol testing | Laboratory Medicine | $1.16 |
| L253 | Liver function testing | Laboratory Medicine | $2.15 |
| L254 | Kidney function testing | Laboratory Medicine | $1.44 |
| L256 | Thyroid function testing | Laboratory Medicine | $7.76 |
| L257 | Vitamin D testing | Laboratory Medicine | $10.34 |
| L260 | Bone marrow biopsy | Laboratory Medicine | $15.51 |
| L261 | Lumbar puncture | Laboratory Medicine | $24.98 |
| L265 | Joint injection | Laboratory Medicine | $3.10 |
| L266 | Arthrocentesis | Laboratory Medicine | $9.12 |
| L267 | Synovial fluid analysis | Laboratory Medicine | $3.62 |
| L300 | Emergency room visit | Laboratory Medicine | $25.85 |
| L301 | Urgent care visit | Laboratory Medicine | $10.34 |
| L303 | Hospital admission | Laboratory Medicine | $5.87 |
| L304 | Hospital discharge | Laboratory Medicine | $10.34 |
| L305 | Intensive care unit stay | Laboratory Medicine | $15.51 |
| L306 | Surgical ward stay | Laboratory Medicine | $10.34 |
| L307 | Medical ward stay | Laboratory Medicine | $20.68 |
| L308 | Maternity ward stay | Laboratory Medicine | $3.11 |
| L309 | Pediatric ward stay | Laboratory Medicine | $11.00 |
| L310 | Psychiatric ward stay | Laboratory Medicine | $7.08 |
| L311 | Rehabilitation ward stay | Laboratory Medicine | $5.17 |
| L313 | Day surgery | Laboratory Medicine | $25.85 |
| L315 | Outpatient clinic visit | Laboratory Medicine | $4.61 |
| L316 | Specialist consultation | Laboratory Medicine | $25.85 |
| L317 | Diagnostic procedure | Laboratory Medicine | $10.34 |
| L318 | Therapeutic procedure | Laboratory Medicine | $3.29 |
| L319 | Follow-up visit | Laboratory Medicine | $10.25 |
| L321 | Preoperative assessment | Laboratory Medicine | $10.34 |
| L322 | Postoperative assessment | Laboratory Medicine | $23.27 |
| L325 | Medical imaging interpretation | Laboratory Medicine | $6.14 |
| L326 | Laboratory test interpretation | Laboratory Medicine | $41.36 |
| L328 | Medication administration | Laboratory Medicine | $4.71 |
| L329 | Intramuscular injection | Laboratory Medicine | $2.97 |
| L330 | Subcutaneous injection | Laboratory Medicine | $9.39 |
| L331 | Intravenous injection | Laboratory Medicine | $8.12 |
| L332 | Oral medication administration | Laboratory Medicine | $4.11 |
| L333 | Topical medication application | Laboratory Medicine | $14.48 |
| L334 | Nebulizer treatment | Laboratory Medicine | $8.75 |
| L335 | Respiratory suctioning | Laboratory Medicine | $20.68 |
| L336 | Tracheostomy care | Laboratory Medicine | $0.00 |
| L338 | Feeding tube care | Laboratory Medicine | $0.00 |
| L339 | Catheter insertion | Laboratory Medicine | $0.00 |
| L340 | Urinary catheter care | Laboratory Medicine | $14.48 |
| L341 | Colostomy care | Laboratory Medicine | $3.58 |
| L342 | Wound debridement | Laboratory Medicine | $25.85 |
| L343 | Suture removal | Laboratory Medicine | $10.34 |
| L345 | Cast application | Laboratory Medicine | $3.58 |
| L346 | Splint application | Laboratory Medicine | $21.87 |
| L347 | Traction application | Laboratory Medicine | $5.70 |
| L348 | Orthopedic device fitting | Laboratory Medicine | $75.00 |
| L350 | Physical therapy treatment | Laboratory Medicine | $0.00 |
| L351 | Occupational therapy treatment | Laboratory Medicine | $0.00 |
| L354 | Speech therapy treatment | Laboratory Medicine | $0.00 |
| L358 | Psychological therapy | Laboratory Medicine | $0.00 |
| L370 | Health promotion counseling | Laboratory Medicine | $28.44 |
| L373 | Infection control consultation | Laboratory Medicine | $20.06 |
| L374 | Environmental health assessment | Laboratory Medicine | $9.31 |
| L375 | Workplace health assessment | Laboratory Medicine | $5.70 |
| L378 | Disability assessment | Laboratory Medicine | $7.76 |
| L379 | Fitness for work assessment | Laboratory Medicine | $11.89 |
| L386 | Blood group, ABO typing | Laboratory Medicine | $5.17 |
| L387 | Blood group, Rh typing | Laboratory Medicine | $3.62 |
| L390 | Direct antiglobulin (Coombs) test | Laboratory Medicine | $4.14 |
| L391 | Indirect antiglobulin (Coombs) test | Laboratory Medicine | $3.98 |
| L393 | Antibody screen, blood | Laboratory Medicine | $3.98 |
| L395 | Hemoglobin estimation | Laboratory Medicine | $0.99 |
| L398 | Hematocrit (packed cell volume) | Laboratory Medicine | $3.30 |
| L400 | Complete blood count (CBC) | Laboratory Medicine | $10.34 |
| L402 | White blood cell count | Laboratory Medicine | $6.81 |
| L403 | Red blood cell count | Laboratory Medicine | $2.59 |
| L405 | Platelet count | Laboratory Medicine | $6.81 |
| L406 | Reticulocyte count | Laboratory Medicine | $2.59 |
| L410 | Erythrocyte sedimentation rate | Laboratory Medicine | $5.17 |
| L411 | Hemoglobin electrophoresis | Laboratory Medicine | $23.70 |
| L412 | Sickle cell screen | Laboratory Medicine | $33.61 |
| L415 | Blood smear, manual review | Laboratory Medicine | $3.18 |
| L416 | Leukocyte differential count | Laboratory Medicine | $7.76 |
| L419 | Bone marrow aspiration | Laboratory Medicine | $15.39 |
| L420 | Bone marrow biopsy | Laboratory Medicine | $10.34 |
| L421 | Blood film, routine | Laboratory Medicine | $3.10 |
| L422 | Blood film, special stain | Laboratory Medicine | $9.31 |
| L423 | Blood film, cytochemistry | Laboratory Medicine | $9.31 |
| L424 | Blood film, iron stain | Laboratory Medicine | $5.69 |
| L425 | Flow cytometry, blood | Laboratory Medicine | $28.44 |
| L431 | Coagulation, prothrombin time | Laboratory Medicine | $9.31 |
| L432 | Coagulation, partial thromboplastin time | Laboratory Medicine | $10.34 |
| L433 | Coagulation, factor assay | Laboratory Medicine | $28.44 |
| L436 | Fibrinogen assay | Laboratory Medicine | $6.20 |
| L437 | D-dimer assay | Laboratory Medicine | $12.93 |
| L439 | Bleeding time | Laboratory Medicine | $8.79 |
| L440 | Platelet function test | Laboratory Medicine | $12.93 |
| L441 | Thrombophilia screen | Laboratory Medicine | $18.10 |
| L445 | Urinalysis, routine | Laboratory Medicine | $2.66 |
| L447 | Urine protein, qualitative | Laboratory Medicine | $5.17 |
| L450 | Urine culture | Laboratory Medicine | $23.27 |
| L451 | Urine glucose, qualitative | Laboratory Medicine | $1.79 |
| L452 | Urine ketones, qualitative | Laboratory Medicine | $7.24 |
| L453 | Urine microscopy | Laboratory Medicine | $5.17 |
| L455 | Urine cytology | Laboratory Medicine | $38.78 |
| L456 | Urine cytology, special | Laboratory Medicine | $38.78 |
| L460 | Stool occult blood | Laboratory Medicine | $2.66 |
| L462 | Stool ova and parasites | Laboratory Medicine | $2.66 |
| L471 | Stool culture | Laboratory Medicine | $2.34 |
| L473 | Stool Clostridium difficile toxin | Laboratory Medicine | $23.27 |
| L481 | Sputum culture | Laboratory Medicine | $7.76 |
| L482 | Sputum cytology | Laboratory Medicine | $8.03 |
| L490 | Throat swab, culture | Laboratory Medicine | $8.03 |
| L492 | Nasal swab, culture | Laboratory Medicine | $5.17 |
| L493 | Wound swab, culture | Laboratory Medicine | $6.81 |
| L494 | Eye swab, culture | Laboratory Medicine | $4.14 |
| L495 | Ear swab, culture | Laboratory Medicine | $6.81 |
| L500 | Blood culture | Laboratory Medicine | $3.10 |
| L501 | Blood culture, anaerobic | Laboratory Medicine | $5.48 |
| L503 | Blood culture, fungal | Laboratory Medicine | $12.93 |
| L520 | CSF cell count | Laboratory Medicine | $15.51 |
| L524 | CSF culture, comprehensive | Laboratory Medicine | $103.40 |
| L525 | CSF viral PCR | Laboratory Medicine | $103.40 |
| L529 | CSF oligoclonal bands | Laboratory Medicine | $103.40 |
| L530 | CSF glucose | Laboratory Medicine | $2.34 |
| L531 | CSF protein | Laboratory Medicine | $31.02 |
| L535 | CSF Gram stain | Laboratory Medicine | $6.14 |
| L544 | CSF cytology | Laboratory Medicine | $6.42 |
| L545 | CSF cryptococcal antigen | Laboratory Medicine | $27.32 |
| L550 | Serum sodium | Laboratory Medicine | $5.22 |
| L551 | Serum potassium | Laboratory Medicine | $5.22 |
| L552 | Serum chloride | Laboratory Medicine | $5.22 |
| L553 | Serum bicarbonate | Laboratory Medicine | $5.22 |
| L554 | Serum calcium | Laboratory Medicine | $5.22 |
| L555 | Serum phosphate | Laboratory Medicine | $5.22 |
| L556 | Serum magnesium | Laboratory Medicine | $4.70 |
| L557 | Serum urea | Laboratory Medicine | $6.20 |
| L558 | Serum creatinine | Laboratory Medicine | $6.20 |
| L560 | Serum uric acid | Laboratory Medicine | $6.20 |
| L561 | Serum total protein | Laboratory Medicine | $3.29 |
| L568 | Serum albumin | Laboratory Medicine | $2.59 |
| L575 | Serum protein electrophoresis | Laboratory Medicine | $25.66 |
| L576 | Serum immunoglobulins | Laboratory Medicine | $15.51 |
| L580 | Serum immunofixation | Laboratory Medicine | $103.40 |
| L581 | Serum free light chains | Laboratory Medicine | $25.85 |
| L582 | Serum beta-2 microglobulin | Laboratory Medicine | $77.55 |
| L583 | Serum cryoglobulins | Laboratory Medicine | $25.85 |
| L585 | No description | Laboratory Medicine | $0.00 |
| L588 | Serum ferritin | Laboratory Medicine | $12.13 |
| L596 | Serum iron | Laboratory Medicine | $7.70 |
| L597 | Serum transferrin | Laboratory Medicine | $20.68 |
| L599 | Serum bilirubin, total | Laboratory Medicine | $2.33 |
| L600 | Serum bilirubin, direct | Laboratory Medicine | $2.33 |
| L601 | Serum alkaline phosphatase | Laboratory Medicine | $15.51 |
| L603 | Serum AST (SGOT) | Laboratory Medicine | $10.34 |
| L604 | Serum ALT (SGPT) | Laboratory Medicine | $5.17 |
| L606 | Serum GGT | Laboratory Medicine | $11.66 |
| L607 | Serum LDH | Laboratory Medicine | $3.53 |
| L608 | Serum amylase | Laboratory Medicine | $14.48 |
| L609 | Serum lipase | Laboratory Medicine | $11.78 |
| L620 | Serum cholesterol, total | Laboratory Medicine | $14.58 |
| L622 | Serum HDL cholesterol | Laboratory Medicine | $16.46 |
| L623 | Serum LDL cholesterol | Laboratory Medicine | $12.93 |
| L624 | Serum triglycerides | Laboratory Medicine | $14.66 |
| L625 | Serum apolipoprotein A1 | Laboratory Medicine | $11.09 |
| L626 | Serum apolipoprotein B | Laboratory Medicine | $10.16 |
| L627 | Serum Lp(a) | Laboratory Medicine | $12.41 |
| L628 | Serum homocysteine | Laboratory Medicine | $12.93 |
| L629 | Serum C-reactive protein | Laboratory Medicine | $11.09 |
| L630 | Serum troponin | Laboratory Medicine | $17.37 |
| L631 | Serum BNP | Laboratory Medicine | $19.95 |
| L634 | Serum CK | Laboratory Medicine | $10.34 |
| L636 | Serum myoglobin | Laboratory Medicine | $5.78 |
| L637 | Serum digoxin | Laboratory Medicine | $25.85 |
| L638 | Serum phenytoin | Laboratory Medicine | $10.34 |
| L639 | Serum carbamazepine | Laboratory Medicine | $7.25 |
| L640 | Serum valproic acid | Laboratory Medicine | $3.10 |
| L641 | Serum phenobarbital | Laboratory Medicine | $3.62 |
| L643 | Serum lithium | Laboratory Medicine | $2.12 |
| L646 | Serum theophylline | Laboratory Medicine | $20.68 |
| L647 | Serum gentamicin | Laboratory Medicine | $31.02 |
| L648 | Serum vancomycin | Laboratory Medicine | $33.61 |
| L649 | Serum cyclosporine | Laboratory Medicine | $67.21 |
| L650 | Serum methotrexate | Laboratory Medicine | $9.12 |
| L651 | Serum salicylate | Laboratory Medicine | $5.12 |
| L652 | Serum acetaminophen | Laboratory Medicine | $7.24 |
| L653 | Serum ethanol | Laboratory Medicine | $5.87 |
| L654 | Serum barbiturates | Laboratory Medicine | $9.12 |
| L655 | Serum benzodiazepines | Laboratory Medicine | $2.78 |
| L656 | Serum tricyclics | Laboratory Medicine | $4.31 |
| L658 | Serum cocaine | Laboratory Medicine | $3.10 |
| L659 | Serum amphetamines | Laboratory Medicine | $9.12 |
| L660 | Serum cannabinoids | Laboratory Medicine | $3.10 |
| L661 | Serum opiates | Laboratory Medicine | $7.76 |
| L662 | Serum HIV antibody | Laboratory Medicine | $10.34 |
| L663 | Serum hepatitis B surface antigen | Laboratory Medicine | $15.51 |
| L664 | Serum hepatitis C antibody | Laboratory Medicine | $25.85 |
| L665 | Serum syphilis serology | Laboratory Medicine | $3.72 |
| L667 | Serum rubella antibody | Laboratory Medicine | $6.20 |
| L668 | Serum toxoplasma antibody | Laboratory Medicine | $3.08 |
| L679 | Serum CMV antibody | Laboratory Medicine | $8.79 |
| L680 | Serum EBV antibody | Laboratory Medicine | $20.68 |
| L682 | Serum HSV antibody | Laboratory Medicine | $2.07 |
| L683 | Serum VZV antibody | Laboratory Medicine | $11.31 |
| L684 | Serum mumps antibody | Laboratory Medicine | $0.24 |
| L685 | Serum measles antibody | Laboratory Medicine | $71.49 |
| L686 | Serum RSV antibody | Laboratory Medicine | $7.94 |
| L688 | Serum influenza antibody | Laboratory Medicine | $31.02 |
| L690 | Serum COVID-19 antibody | Laboratory Medicine | $44.97 |
| L691 | Serum COVID-19 PCR | Laboratory Medicine | $9.31 |
| L693 | No description | Laboratory Medicine | $0.00 |
| L699 | No description | Laboratory Medicine | $0.00 |
| L700 | Blood group and Rh typing | Laboratory Medicine | $10.76 |
| L701 | Direct antiglobulin test | Laboratory Medicine | $36.19 |
| L702 | Red cell antibody identification | Laboratory Medicine | $155.10 |
| L703 | Crossmatch, complex | Laboratory Medicine | $245.58 |
| L704 | Hemoglobin estimation | Laboratory Medicine | $4.14 |
| L705 | Reticulocyte count | Laboratory Medicine | $12.03 |
| L706 | Sickling test | Laboratory Medicine | $12.03 |
| L707 | Erythrocyte sedimentation rate | Laboratory Medicine | $4.14 |
| L708 | White blood cell count | Laboratory Medicine | $12.03 |
| L709 | Platelet count | Laboratory Medicine | $17.06 |
| L710 | Manual differential count | Laboratory Medicine | $10.34 |
| L711 | Automated differential count | Laboratory Medicine | $10.34 |
| L713 | Blood smear examination | Laboratory Medicine | $7.52 |
| L714 | Packed cell volume | Laboratory Medicine | $4.14 |
| L715 | Red cell indices | Laboratory Medicine | $10.34 |
| L716 | Leukocyte alkaline phosphatase | Laboratory Medicine | $10.34 |
| L717 | Bone marrow examination | Laboratory Medicine | $116.33 |
| L718 | Coagulation profile | Laboratory Medicine | $15.00 |
| L719 | Bleeding time | Laboratory Medicine | $3.17 |
| L720 | Prothrombin time | Laboratory Medicine | $18.75 |
| L721 | Partial thromboplastin time | Laboratory Medicine | $7.76 |
| L722 | Fibrinogen estimation | Laboratory Medicine | $4.14 |
| L725 | Factor assay, single | Laboratory Medicine | $38.78 |
| L726 | D-dimer assay | Laboratory Medicine | $20.68 |
| L727 | Thrombophilia screen | Laboratory Medicine | $25.85 |
| L728 | Lupus anticoagulant test | Laboratory Medicine | $20.68 |
| L729 | Platelet function test | Laboratory Medicine | $6.72 |
| L730 | Von Willebrand factor assay | Laboratory Medicine | $38.78 |
| L731 | Protein C or S assay | Laboratory Medicine | $26.66 |
| L733 | Antithrombin III assay | Laboratory Medicine | $13.96 |
| L734 | No description | Laboratory Medicine | $0.00 |
| L750 | No description | Laboratory Medicine | $0.00 |
| L777 | Urinalysis, routine | Laboratory Medicine | $7.76 |
| L778 | Urine protein quantitation | Laboratory Medicine | $12.76 |
| L779 | Urine microalbumin | Laboratory Medicine | $14.26 |
| L800 | Blood film interpretation (Romanowsky stain) | Laboratory Medicine | $22.70 |
| L801 | Metabolic bone studies | Laboratory Medicine | $95.30 |
| L802 | Bone marrow interpretation (Romanowsky stain) | Laboratory Medicine | $62.75 |
| L803 | Karyotype | Laboratory Medicine | $73.95 |
| L804 | Smear, specific assessment e.g. eosinophils, asbestos bodies | Laboratory Medicine | $14.30 |
| L805 | Aspiration biopsy e.g. lung, breast, thyroid, prostate | Laboratory Medicine | $90.85 |
| L806 | Bronchial, oesophageal, gastric, endometrial or other brushings and washings | Laboratory Medicine | $36.35 |
| L807 | Smear for sex chromatin (Barr Body) or Neutrophil drumsticks | Laboratory Medicine | $4.95 |
| L808 | Imprint, touch preparation and/or direct smear | Laboratory Medicine | $36.35 |
| L810 | Fluids e.g. pleural, ascitic cyst, pericardial, C.S.F., urine and joint | Laboratory Medicine | $25.00 |
| L811 | Y chromosome | Laboratory Medicine | $6.05 |
| L812 | Cervical vaginal specimens including cellular abnormality assessment | Laboratory Medicine | $4.60 |
| L815 | Sputum per specimen for general and/or specific assessment | Laboratory Medicine | $36.35 |
| L816 | Electron microscopy by TEM, STEM or SEM technique | Laboratory Medicine | $97.95 |
| L817 | Anti-tissue antibodies and interpretation - per case | Laboratory Medicine | $6.05 |
| L819 | Seminal fluid analysis for infertility, including count, motility and morphology | Laboratory Medicine | $13.60 |
| L820 | Smear for spermatozoa | Laboratory Medicine | $8.50 |
| L822 | Operative consultation, with or without frozen section | Laboratory Medicine | $77.20 |
| L823 | Each subsequent frozen section or direct smear and/or tissue selection | Laboratory Medicine | $38.25 |
| L824 | Synovial fluid analysis with microscopy | Laboratory Medicine | $24.70 |
| L825 | Polarized light microscopy for synovial crystals | Laboratory Medicine | $25.20 |
| L826 | Blood film interpretation (special stain) | Laboratory Medicine | $15.60 |
| L827 | Interpretation of carcinoembryonic antigen (CEA) | Laboratory Medicine | $5.30 |
| L828 | Interpretation of hormone receptors for carcinoma | Laboratory Medicine | $7.95 |
| L829 | Haemoglobinopathy interpretation (abnormal results only) | Laboratory Medicine | $25.00 |
| L830 | Terminal transferase by immunofluorescence | Laboratory Medicine | $11.85 |
| L831 | Analytical electron microscopy, elemental detection | Laboratory Medicine | $49.35 |
| L832 | X-ray diffraction analysis and interpretation | Laboratory Medicine | $23.70 |
| L833 | Nerve teasing | Laboratory Medicine | $140.75 |
| L834 | Histochemistry of muscle - 1 to 3 enzymes | Laboratory Medicine | $15.60 |
| L835 | Each additional enzyme histochemistry | Laboratory Medicine | $15.60 |
| L836 | Morphometry per parameter | Laboratory Medicine | $24.70 |
| L837 | Immunohistochemistry and interpretation per marker | Laboratory Medicine | $15.55 |
| L838 | Leukocyte phenotyping by monoclonal antibody technique | Laboratory Medicine | $19.80 |
| L841 | Enzyme histochemistry and interpretation per enzyme | Laboratory Medicine | $15.60 |
| L842 | Anti-tissue antibodies screening and interpretation add-on | Laboratory Medicine | $8.45 |
| L843 | Special microscopy of tissues and interpretation | Laboratory Medicine | $24.05 |
| L844 | Special microscopy of fluids and interpretation | Laboratory Medicine | $25.05 |
| L845 | Specimen radiography or microradiography and interpretation | Laboratory Medicine | $10.40 |
| L846 | Flow cell cytometry and interpretation per marker | Laboratory Medicine | $12.60 |
| L847 | Caffeine-halothane contracture test for malignant hyperthermia | Laboratory Medicine | $65.15 |
| L848 | Special histochemistry for microorganism identification | Laboratory Medicine | $29.65 |
| L849 | Interpretation and handling of decalcified tissue | Laboratory Medicine | $15.60 |
| L861 | Surgical Pathology, Level 1 | Laboratory Medicine | $5.20 |
| L862 | Surgical Pathology, Level 2 | Laboratory Medicine | $8.45 |
| L863 | Surgical Pathology, Level 3 | Laboratory Medicine | $14.30 |
| L864 | Surgical Pathology, Level 4 | Laboratory Medicine | $48.65 |
| L865 | Surgical Pathology, Level 5 | Laboratory Medicine | $103.20 |
| L866 | Surgical Pathology, Level 6 | Laboratory Medicine | $181.65 |
| L867 | Surgical Pathology, Unlisted specimens | Laboratory Medicine | $46.65 |
| L868 | Special histochemistry for microorganism identification | Laboratory Medicine | $35.05 |
| L869 | Special histochemistry for non-microorganism elements | Laboratory Medicine | $15.55 |
| L999 | Specimen collection fee | Laboratory Medicine | $2.59 |
| M010 | Excision of intranasal lesions by lateral rhinotomy | Other | $493.90 |
| M012 | Septoplasty | Other | $293.95 |
| M013 | Partial septorhinoplasty (excluding osteotomies) | Other | $526.00 |
| M014 | Septorhinoplasty | Other | $541.65 |
| M015 | Septodermoplasty including grafts | Other | $306.85 |
| M016 | Repair of septal perforation | Other | $358.70 |
| M017 | Packing for localization of cerebrospinal rhinorrhea | Other | $39.60 |
| M018 | Endonasal augmentation for atrophic rhinitis unilateral | Other | $306.85 |
| M020 | Repair of choanal atresia unilateral or bilateral | Other | $360.45 |
| M021 | Puncture and insertion of tube for choanal atresia | Other | $123.70 |
| M023 | External or transantral ethmoidectomy unilateral | Other | $360.45 |
| M027 | Ligation of external carotid artery unilateral | Other | $297.25 |
| M028 | Dilation of choanal atresia unilateral or bilateral | Other | $73.80 |
| M030 | Complex rhinoplasty for cleft lip nasal deformity | Other | $1082.30 |
| M031 | Tip and septum rhinoplasty with minor lip repair | Other | $254.15 |
| M032 | Tip and septum rhinoplasty with total cleft lip takedown | Other | $432.45 |
| M033 | Closure or opening of nostril for atrophic rhinitis | Other | $254.15 |
| M054 | Intranasal maxillary antrostomy unilateral endoscopic | Other | $123.70 |
| M055 | Caldwell-Luc procedure unilateral | Other | $247.35 |
| M056 | Partial or complete maxillectomy | Other | $971.75 |
| M058 | Radical frontal sinusectomy for tumour | Other | $460.20 |
| M059 | External frontal-ethmoidal sinusectomy unilateral | Other | $460.20 |
| M061 | Trans-septal sphenoidectomy for tumour | Other | $355.65 |
| M063 | Coronal/osteoplastic frontal sinusectomy reconstruction | Other | $716.25 |
| M064 | External transethmoidal sphenoid sinusectomy | Other | $612.65 |
| M067 | Closure of antral fistula under general anaesthetic | Other | $345.15 |
| M080 | Teflon augmentation larynx | Other | $182.10 |
| M081 | Total laryngectomy | Other | $838.90 |
| M082 | Laryngofissure | Other | $444.80 |
| M083 | Intranasal ethmoidectomy with maxillary antrostomy unilateral | Other | $350.00 |
| M084 | Segmental laryngectomy including reconstruction | Other | $888.85 |
| M085 | Arytenoidectomy or arytenoidopexy or lateralization | Other | $395.05 |
| M086 | Trans-nasal endoscopic repair of CSF rhinorrhea | Other | $822.45 |
| M089 | Creation of tracheo-oesophageal fistula | Other | $234.60 |
| M090 | Laryngoplasty repair of stenosis/fractures | Other | $642.45 |
| M099 | Segmental resection of cervical trachea | Other | $918.60 |
| M100 | Tracheal rupture transcervical repair | Other | $654.30 |
| M101 | Tracheal-bronchial rupture transthoracic repair | Other | $868.15 |
| M103 | Segmental resection of trachea with sternotomy/thoracotomy | Other | $1294.20 |
| M104 | Carinal resection without pulmonary resection | Other | $825.40 |
| M105 | Chest wall tumour resection of 2 or 3 ribs/cartilages | Other | $650.00 |
| M106 | Mediastinal tumour resection | Other | $1004.00 |
| M107 | Total sternectomy | Other | $812.25 |
| M108 | Ligation of thoracic duct as sole procedure | Other | $410.45 |
| M111 | One stage thoracoplasty | Other | $304.20 |
| M112 | Sternal debridement and rewiring | Other | $500.00 |
| M116 | Fixation for trauma | Other | $350.00 |
| M117 | Sternal fixation for trauma | Other | $251.45 |
| M130 | Closure of broncho-pleural fistula | Other | $584.75 |
| M132 | Repair or plication of diaphragm by thoracic approach | Other | $900.00 |
| M133 | Thoracotomy for removal of foreign body | Other | $390.65 |
| M134 | Thoracotomy for post-operative haemorrhage or empyema | Other | $390.65 |
| M135 | Major decortication of lung for empyema or tumour | Other | $848.80 |
| M137 | Thoracotomy with or without biopsy | Other | $390.65 |
| M138 | Hilar lymph node or lung biopsy with full thoracotomy | Other | $534.10 |
| M142 | Pneumonectomy with possible mediastinal node dissection | Other | $1700.00 |
| M143 | Lobectomy with possible mediastinal node dissection | Other | $1402.60 |
| M144 | Segmental lung resection including segmental bronchus/artery | Other | $1441.75 |
| M145 | Wedge resection of lung | Other | $843.40 |
| M149 | Pleurectomy and/or apical bullectomy for pneumothorax | Other | $525.00 |
| M151 | Bullectomy for major bullous disease | Other | $725.00 |
| M155 | Lung transplant one lung | Other | $2054.25 |
| M156 | Repeat lung transplant one lung | Other | $2670.55 |
| M157 | Donor heart-lung removal | Other | $906.45 |
| M400 | No description | Other | $0.00 |
| N102 | Craniotomy for meningioma supratentorial | Other | $1862.85 |
| N103 | Craniotomy plus excision astrocytoma supratentorial | Other | $1686.05 |
| N104 | Craniotomy plus removal spontaneous intracerebral haemorrhage supratentorial | Other | $1230.00 |
| N105 | Craniotomy for intracranial aneurysm carotid circulation | Other | $2477.45 |
| N106 | Craniotomy for cerebral vascular malformation supratentorial | Other | $2006.05 |
| N107 | Endovascular approach for cerebral AV malformation obliteration | Other | $1456.95 |
| N108 | Obliteration of intracranial dural AV fistula including carotid cavernous fistula | Other | $1229.55 |
| N109 | Hemispherectomy | Other | $1878.35 |
| N110 | Lobectomy/excision of cortical scar for epilepsy | Other | $2184.20 |
| N111 | Transsphenoidal microscopic resection pituitary lesion | Other | $1879.00 |
| N112 | Endonasal endoscopic surgical access to sella turcica | Other | $1360.00 |
| N113 | Craniotomy for brain biopsy (non-tumour) | Other | $1019.15 |
| N114 | Transsphenoidal endonasal endoscopic resection pituitary lesion | Other | $1742.45 |
| N115 | Burr hole aspiration intracranial abscess | Other | $578.85 |
| N116 | Endonasal endoscopic resection non-pituitary lesion | Other | $2243.45 |
| N117 | Craniotomy for intracranial abscess | Other | $1416.50 |
| N118 | Endovascular approach for carotid-cavernous fistula embolization | Other | $952.05 |
| N119 | Intracranial implantation of chronic surface electrodes | Other | $1185.30 |
| N120 | Burr hole plus drainage | Other | $481.90 |
| N121 | Extracranial-intracranial long venous bypass | Other | $1711.40 |
| N122 | Endovascular intracranial aneurysm repair carotid circulation | Other | $2140.15 |
| N123 | Stereotaxis intracranial including ventriculography | Other | $559.60 |
| N124 | Functional stereotaxy | Other | $2040.15 |
| N125 | Endovascular intracranial aneurysm repair vertebrobasilar circulation | Other | $2140.15 |
| N126 | Intra-oral approach to skull base and upper cervical spine lesions | Other | $1442.95 |
| N127 | Re-opening craniotomy for post-op haematoma or bone flap removal | Other | $518.85 |
| N128 | Repair of encephalocoele | Other | $924.70 |
| N129 | Posterior fossa decompression for Arnold Chiari malformation | Other | $1284.95 |
| N130 | Craniotomy plus midline commissurotomy | Other | $1014.85 |
| N139 | Reduction of simple depressed skull fracture | Other | $634.90 |
| N140 | Reduction of compound skull fracture | Other | $895.00 |
| N143 | Drainage of extracerebral haematoma by burr hole unilateral | Other | $647.80 |
| N144 | Drainage/removal of extracerebral haematoma by craniotomy | Other | $999.30 |
| N148 | Removal of intracerebral haematoma and debridement | Other | $1204.65 |
| N149 | Removal of foreign body from brain | Other | $968.50 |
| N150 | Intracranial repair of CSF leak including trans-sphenoidal | Other | $1065.45 |
| N151 | Craniotomy plus excision astrocytoma infratentorial | Other | $1862.85 |
| N152 | Craniotomy plus lobectomy infratentorial | Other | $1575.80 |
| N153 | Craniotomy for meningioma infratentorial or basal | Other | $2529.80 |
| N154 | Craniotomy for intracranial aneurysm vertebrobasilar circulation | Other | $2477.45 |
| N155 | Craniotomy for cerebral vascular malformation infratentorial | Other | $2015.00 |
| N156 | Occipital artery procedure | Other | $1229.55 |
| N157 | Craniotomy plus removal spontaneous intracerebral haemorrhage infratentorial | Other | $1388.40 |
| N158 | Craniotomy plus evacuation intracranial cyst supratentorial | Other | $968.50 |
| N159 | Craniotomy plus evacuation intracranial cyst infratentorial | Other | $1065.05 |
| N160 | Burr hole plus aspiration intracranial cyst | Other | $426.95 |
| N161 | Acrylic or metal cranioplasty | Other | $600.85 |
| N162 | Morcellation procedure one suture | Other | $430.75 |
| N163 | Morcellation procedure multiple sutures | Other | $614.70 |
| N164 | Lateral canthal advancement unilateral one surgeon | Other | $696.35 |
| N165 | Lateral canthal advancement unilateral two surgeons major portion | Other | $430.75 |
| N166 | Lateral canthal advancement unilateral two surgeons lesser portion | Other | $345.35 |
| N167 | Lateral canthal advancement bilateral one surgeon | Other | $952.55 |
| N168 | Lateral canthal advancement bilateral two surgeons major portion | Other | $614.70 |
| N169 | Lateral canthal advancement bilateral two surgeons lesser portion | Other | $461.10 |
| N174 | Conversion of shunt including removal of existing shunt | Other | $585.90 |
| N177 | Sciatic nerve decompression in buttock | Other | $430.75 |
| N183 | Nerve graft minor sensory/cutaneous nerve | Other | $471.05 |
| N184 | Decompression of posterior tibial or common peroneal nerve | Other | $165.20 |
| N188 | Exploration/decompression minor nerve including digital | Other | $153.70 |
| N189 | Ulnar nerve transposition at elbow | Other | $279.25 |
| N190 | Exploration/decompression/neurolysis of ulnar nerve elbow | Other | $215.35 |
| N200 | Decompressive craniectomy frontal or sub-temporal | Other | $738.60 |
| N201 | Rib graft cranioplasty defect less than 7.5 cm | Other | $855.80 |
| N202 | Replacement of bone flap | Other | $540.95 |
| N203 | Skull tumour excision | Other | $408.30 |
| N206 | Craniosynostosis linear craniectomy one suture | Other | $430.75 |
| N207 | Craniosynostosis linear craniectomy multiple sutures | Other | $563.50 |
| N208 | Craniotomy for craniofacial repair | Other | $918.15 |
| N211 | Craniotomy plus removal of orbital tumour | Other | $1116.60 |
| N212 | Craniotomy plus orbital decompression | Other | $1045.45 |
| N213 | Craniotomy for optic nerve decompression | Other | $1116.60 |
| N218 | Extracranial-intracranial microvascular anastomosis superficial temporal artery | Other | $1364.05 |
| N223 | Vertebral endarterectomy | Other | $798.80 |
| N230 | CSF shunting procedures all types | Other | $1027.40 |
| N245 | Revision of CSF shunt operative | Other | $585.90 |
| N246 | Removal of shunt any type | Other | $289.70 |
| N249 | Third ventriculostomy | Other | $1084.25 |
| N258 | Percutaneous coagulation/glycerol injection of trigeminal ganglion | Other | $504.95 |
| N259 | Trigeminal nerve decompression or rhizotomy | Other | $671.75 |
| N265 | Differential section facial nerve for hemi-facial spasm | Other | $348.30 |
| N266 | Anastomosis hypoglossal or accessory to facial nerve | Other | $727.80 |
| N267 | Occipital/suboccipital craniectomy for cranial nerve decompression | Other | $1280.90 |
| N269 | Division of nerves to sternomastoid in neck | Other | $292.25 |
| N282 | Brachial plexus surgery excluding thoracic outlet syndrome | Other | $1000.00 |
| N283 | Decompression for thoracic outlet syndrome including rib excision | Other | $389.05 |
| N284 | Excision of first rib and/or cervical rib with scalenotomy | Other | $408.00 |
| N285 | Exploration/decompression major nerve excluding carpal tunnel/ulnar nerve | Other | $256.15 |
| N286 | Tumour or neuroma major nerve | Other | $317.85 |
| N287 | Nerve suture major mixed sensory and motor nerve | Other | $500.00 |
| N288 | Nerve graft major mixed sensory and motor nerve | Other | $927.55 |
| N289 | Nerve suture minor sensory/cutaneous nerve | Other | $250.00 |
| N290 | Carpal tunnel release | Other | $156.75 |
| N291 | Nerve transfer major mixed sensory and motor nerve | Other | $727.80 |
| N293 | Nerve transfer minor sensory/cutaneous nerve | Other | $363.90 |
| N295 | Excision of Morton’s or subcutaneous neuroma | Other | $109.95 |
| N500 | Cervical - Disc excision (one level) | Other | $918.00 |
| N501 | Cervical - Vertebrectomy (removal of vertebral body and excision of adjacent discs) | Other | $1100.40 |
| N502 | Thoracic - includes thoracotomy - Disc excision (one level) | Other | $1530.00 |
| N503 | Thoracic - includes thoracotomy - Vertebrectomy (removal of vertebral body and excision of adjacent discs) | Other | $1836.00 |
| N504 | Thoracic - thoracotomy by separate surgeon - Disc excision (one level) | Other | $1122.00 |
| N505 | Thoracic - thoracotomy by separate surgeon - Vertebrectomy (removal of vertebral body and excision of adjacent discs) | Other | $1428.00 |
| N506 | Lumbar - includes laparotomy/retroperitoneal approach - Disc excision (one level) | Other | $1224.00 |
| N507 | Lumbar - includes laparotomy/retroperitoneal approach - Vertebrectomy (removal of vertebral body and excision of adjacent discs) | Other | $1734.00 |
| N508 | Lumbar - laparotomy/retroperitoneal approach by separate surgeon - Disc excision (one level) | Other | $918.00 |
| N509 | Cervical / Thoracic - One level - unilateral | Other | $1004.70 |
| N510 | Cervical / Thoracic - One level - bilateral | Other | $1208.70 |
| N511 | Lumbar - One level - unilateral | Other | $800.70 |
| N512 | Lumbar - One level - bilateral | Other | $1004.70 |
| N513 | Cervical - with instrumentation - by separate surgeon - One disc level below C2 | Other | $867.00 |
| N514 | Cervical & Thoracic - without instrumentation - One disc level below C2 | Other | $408.00 |
| N515 | Cervical & Thoracic - with instrumentation - One disc level below C2 | Other | $1020.00 |
| N516 | Cervical - One disc level | Other | $510.00 |
| N517 | Thoracic - includes thoracotomy - One disc level | Other | $1224.00 |
| N518 | Thoracic - thoracotomy by separate surgeon - One disc level | Other | $765.00 |
| N519 | Cervical & Thoracic - without instrumentation - C1/C2 fusion using graft/posterior wires | Other | $612.00 |
| N520 | Cervical / Thoracic - One level - laminoplasty (includes fixation of lamina) | Other | $1514.70 |
| N521 | All levels - Re-opening of laminectomy for post-op haematoma/infection | Other | $357.00 |
| N522 | All levels - Re-opening of laminectomy for repair of CSF leak | Other | $535.50 |
| N523 | AV malformation of cord - excision/obliteration | Other | $1891.70 |
| N524 | Lumbar - One level bilateral canal enlargement - unilateral approach | Other | $1208.70 |
| N525 | Spinal decompression surgery | Other | $1734.00 |
| N526 | Artificial Disc Insertion - Artificial disc insertion (includes approach) | Other | $2040.00 |
| N527 | Percutaneous cordotomy or tractotomy | Other | $469.20 |
| N528 | Cervical - with instrumentation - by separate surgeon - C1/C2 screw fixation (transarticular, pedicle, lateral mass) | Other | $1020.00 |
| N529 | Medullary spinal trigeminal tractotomy | Other | $1020.00 |
| N530 | Implantation of spinal cord stimulating electrode by laminectomy | Other | $1008.90 |
| N531 | Removal of any stimulation pack or electrode | Other | $306.00 |
| N532 | Cervical & Thoracic - with instrumentation - C1/C2 screw fixation (transarticular, pedicle, lateral mass) | Other | $1224.00 |
| N533 | Lumbar - with instrumentation - Pars reconstruction for spondylolysis | Other | $1020.00 |
| N534 | Percutaneous radio frequency posterior dorsal root rhizotomy | Other | $379.45 |
| N535 | Repair of meningocoele | Other | $510.00 |
| N536 | Repair of myelomeningocoele (one surgeon) | Other | $1217.10 |
| N537 | Repair of myelomeningocoele (two surgeons) - neurosurgeon | Other | $510.00 |
| N538 | Repair of myelomeningocoele (two surgeons) - reconstructive surgeon | Other | $881.55 |
| N539 | Anterior scoliosis correction any number of levels (includes approach, disc excision and instrumentation) | Other | $3060.00 |
| N540 | Posterior scoliosis correction up to six levels (includes approach, disc excision and instrumentation) | Other | $2805.00 |
| N541 | Removal of posterior instrumentation | Other | $255.00 |
| N542 | Sympathectomy - unilateral - cervical | Other | $357.00 |
| N543 | Sympathectomy - unilateral - cervico-dorsal | Other | $586.50 |
| N544 | Sympathectomy - unilateral - thoracic-approach | Other | $433.50 |
| N545 | Sympathectomy - unilateral - lumbar | Other | $295.80 |
| N546 | Open vertebral biopsy - posterior approach sole procedure | Other | $244.80 |
| N547 | Open vertebral biopsy - anterior approach sole procedure | Other | $306.00 |
| N548 | Spinal osteomyelitis - incision and drainage only, posterior approach | Other | $102.00 |
| N549 | Spinal osteomyelitis - incision and drainage including sequestrectomy, anterior approach | Other | $632.40 |
| N550 | Spinal osteomyelitis - sequestrectomy, posterior approach | Other | $357.00 |
| N551 | Open vertebral biopsy - Excision spinous process sole procedure | Other | $229.50 |
| N552 | Open vertebral biopsy - Excision transverse process sole procedure | Other | $382.50 |
| N553 | Simple soft tissue tumour excision under 5cm | Other | $204.00 |
| N554 | Radical soft tissue tumour excision 5cm and greater | Other | $484.50 |
| N555 | Insertion / revision of implantable infusion pump | Other | $590.40 |
| N556 | First site percutaneous vertebral facet medial branch neurotomy | Other | $142.80 |
| N557 | Syringo-subarachnoid shunt | Other | $1224.00 |
| N558 | Syringopleural/syringoperitoneal shunt | Other | $1428.00 |
| N559 | Lumbar - includes laparotomy/retroperitioneal approach | Other | $1122.00 |
| N560 | Intradural extramedullary spinal tumour(s) partial or total removal | Other | $2132.80 |
| N561 | Intradural intramedullary spinal tumour(s) partial or total removal | Other | $2461.45 |
| N562 | Intradural neurolysis of unusual lesions e.g. diastematomyelia, tethered conus, intramedullary haematoma, etc. including laminectomy | Other | $1224.00 |
| N563 | Implantation of permanent subcutaneous reservoir including laminectomy | Other | $510.00 |
| N564 | Open myelotomy for lesion - unilateral or bilateral | Other | $1020.00 |
| N565 | Repair of lipomeningocoele including release of tethered cord | Other | $1622.80 |
| N566 | Repair of anterior sacral meningocoele including release of tethered cord | Other | $1020.00 |
| N567 | Repair of intraspinal meningocoele | Other | $1020.00 |
| N568 | Removal of anterior instrumentation | Other | $306.00 |
| N569 | Cervical - Anterior cervical decompression by intraoral approach | Other | $1442.95 |
| N570 | Vertebroplasty (injection of bone cement) as sole procedure, first level | Other | $655.25 |
| N571 | Lumbar - Percutaneous discotomy | Other | $255.00 |
| N572 | Open reduction, any single level, spine fracture/dislocation, anterior/posterior | Other | $1020.00 |
| N573 | Anterior odontoid screw fixation | Other | $1020.00 |
| N574 | Removal of Vertebral Body including Pedicles for Osteotomy - Above cord and conus (includes partial rib resection) each level | Other | $1020.00 |
| N575 | Removal of Vertebral Body including Pedicles for Osteotomy - Below conus each level | Other | $765.00 |
| N576 | Removal of Vertebral Body including Pedicles for Osteotomy - Smith Peterson Osteotomy each level | Other | $255.00 |
| N577 | Intradural rhizotomy anterior/posterior (uni/bilateral) any number of roots | Other | $1276.65 |
| N578 | Dorsal root entry zone lesions for pain relief any number of levels | Other | $1020.00 |
| N579 | Lumbar - laparotomy/retroperitoneal approach by separate surgeon - Vertebrectomy (removal of vertebral body and excision of adjacent discs) | Other | $1428.00 |
| N580 | Lumbar - laparotomy/retroperitoneal approach by separate surgeon - One disc level | Other | $765.00 |
| N581 | Lumbar - without instrumentation - One disc level | Other | $408.00 |
| N582 | Lumbar - with instrumentation - One disc level | Other | $1020.00 |
| N583 | Kyphoplasty (balloon tamp and injection of bone cement) as sole procedure, first level | Other | $1201.55 |
| P001 | Medical management of non-viable fetus 14-20 weeks | Pathology | $399.00 |
| P002 | High risk prenatal assessment | Pathology | $74.70 |
| P003 | General assessment (major prenatal visit) | Pathology | $80.35 |
| P004 | Minor prenatal assessment | Pathology | $38.15 |
| P005 | Antenatal preventative health assessment | Pathology | $47.70 |
| P006 | Vaginal delivery | Pathology | $498.70 |
| P007 | Postnatal care in hospital and/or home | Pathology | $55.15 |
| P008 | Postnatal care in office | Pathology | $36.85 |
| P009 | Attendance at labour and delivery | Pathology | $498.70 |
| P010 | Attendance of obstetric consultant(s) at delivery | Pathology | $211.20 |
| P013 | Obstetrical anaesthesia | Pathology | $0.00 |
| P014 | Obstetrical continuous conduction anaesthesia | Pathology | $0.00 |
| P016 | Obstetrical continuous conduction anaesthesia | Pathology | $0.00 |
| P018 | Caesarean section | Pathology | $579.80 |
| P020 | Operative delivery (mid-cavity or assisted breech) | Pathology | $535.60 |
| P023 | Oxytocin infusion for induction or augmentation of labour | Pathology | $67.75 |
| P025 | Non stress test | Pathology | $9.65 |
| P029 | Manual removal of retained placenta | Pathology | $54.40 |
| P030 | Cervical ripening using topical, oral or mechanical agents | Pathology | $58.60 |
| P031 | Prophylactic cervical cerclage | Pathology | $145.10 |
| P032 | Emergency cervical cerclage with open external os | Pathology | $250.00 |
| P034 | Uterine inversion, manual replacement | Pathology | $125.75 |
| P036 | Repair of vaginal laceration | Pathology | $54.40 |
| P038 | Attendance at labour when patient transferred | Pathology | $211.20 |
| P039 | Repair of cervical laceration | Pathology | $54.40 |
| P041 | Caesarean section including tubal interruption | Pathology | $609.20 |
| P042 | Caesarean section including hysterectomy | Pathology | $1004.60 |
| P045 | Repair of third degree tear or episiotomy extension | Pathology | $82.15 |
| P046 | Repair of fourth degree tear or episiotomy extension | Pathology | $200.00 |
| P050 | Therapeutic amnio-reduction | Pathology | $248.85 |
| P051 | Percutaneous fetal blood transfusion | Pathology | $348.40 |
| P052 | Percutaneous fetal blood sample | Pathology | $199.10 |
| P053 | Selective fetal reduction by umbilical cord cautery | Pathology | $248.85 |
| P054 | Intracardiac potassium chloride injection | Pathology | $248.85 |
| P055 | Insertion of fetal bladder to amniotic cavity shunt | Pathology | $398.10 |
| P056 | Insertion of fetal chest to amniotic cavity shunt | Pathology | $398.10 |
| P057 | Fine needle fetal body cavity aspiration | Pathology | $199.10 |
| P058 | In-utero ligation of umbilical cord vessels | Pathology | $464.45 |
| P059 | In-utero placental vessel ablation by YAG laser | Pathology | $464.45 |
| P060 | Percutaneous amnioinfusion | Pathology | $248.85 |
| Q006 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q011 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q014 | Diabetes care incentive | Miscellaneous | $15.05 |
| Q015 | Diabetes care incentive | Miscellaneous | $13.99 |
| Q017 | Diabetes care incentive | Miscellaneous | $0.01 |
| Q018 | Diabetes care incentive | Miscellaneous | $0.01 |
| Q020 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q021 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q022 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q023 | Diabetes care incentive | Miscellaneous | $150.00 |
| Q040 | Diabetes management incentive | Miscellaneous | $60.00 |
| Q042 | Diabetes care incentive | Miscellaneous | $7.50 |
| Q043 | Diabetes care incentive | Miscellaneous | $150.00 |
| Q050 | Diabetes care incentive | Miscellaneous | $125.00 |
| Q053 | Diabetes care incentive | Miscellaneous | $350.00 |
| Q060 | Diabetes care incentive | Miscellaneous | $80.00 |
| Q089 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q090 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q091 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q092 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q093 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q100 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q101 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q102 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q103 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q104 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q105 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q106 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q107 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q108 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q109 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q110 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q111 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q112 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q113 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q114 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q115 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q116 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q117 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q118 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q119 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q120 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q121 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q122 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q123 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q130 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q131 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q132 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q133 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q140 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q141 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q142 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q150 | Diabetes care incentive | Miscellaneous | $7.00 |
| Q152 | Diabetes care incentive | Miscellaneous | $5.00 |
| Q200 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q201 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q202 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q203 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q204 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q205 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q301 | Diabetes care incentive | Miscellaneous | $55.85 |
| Q302 | Diabetes care incentive | Miscellaneous | $60.70 |
| Q303 | Diabetes care incentive | Miscellaneous | $72.05 |
| Q304 | Diabetes care incentive | Miscellaneous | $80.25 |
| Q305 | Diabetes care incentive | Miscellaneous | $60.70 |
| Q401 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q402 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q403 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q525 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q526 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q527 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q528 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q529 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q530 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q531 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q532 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q536 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q538 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q540 | Diabetes care incentive | Miscellaneous | $0.00 |
| Q590 | Diabetes care incentive | Miscellaneous | $5.10 |
| Q593 | Diabetes care incentive | Miscellaneous | $5.60 |
| Q601 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q602 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q603 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q604 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q605 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q606 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q607 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q608 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q609 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q610 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q611 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q613 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q614 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q615 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q617 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q618 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q619 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q620 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q621 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q622 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q623 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q624 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q625 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q626 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q627 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q628 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q629 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q630 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q631 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q632 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q634 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q635 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q636 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q637 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q638 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q639 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q640 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q641 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q642 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q643 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q645 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q646 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q647 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q648 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q649 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q650 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q651 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q652 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q655 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q658 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q659 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q660 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q661 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q662 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q664 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q666 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q667 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q669 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q670 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q671 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q672 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q673 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q674 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q676 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q677 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q678 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q679 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q680 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q682 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q683 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q684 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q685 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q686 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q688 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q690 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q692 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q693 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q694 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q695 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q698 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q700 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q701 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q702 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q703 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q706 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q707 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q708 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q709 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q712 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q714 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q715 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q716 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q717 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q722 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q728 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q729 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q730 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q734 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q735 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q736 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q737 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q738 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q739 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q740 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q741 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q742 | OHIP service code (specific description not in excerpt) | Miscellaneous | $0.00 |
| Q888 | OHIP service code (specific description not in excerpt) | Miscellaneous | $37.95 |
| Q960 | Premium fee code | Miscellaneous | $36.40 |
| Q961 | Premium fee code | Miscellaneous | $36.40 |
| Q962 | Premium fee code | Miscellaneous | $36.40 |
| Q963 | Premium fee code | Miscellaneous | $36.40 |
| Q964 | Premium fee code, no max per period | Miscellaneous | $36.40 |
| Q990 | Service fee, max 1 per period | Miscellaneous | $20.00 |
| Q992 | Service fee, max 1 per period | Miscellaneous | $40.00 |
| Q994 | Service fee, max 1 per period | Miscellaneous | $60.00 |
| Q996 | Service fee, no max per period | Miscellaneous | $100.00 |
| Q998 | Service fee, max 1 per period | Miscellaneous | $75.00 |
| R002 | Laceration repair other areas defect 2.1-5 cm | Rehabilitation | $67.40 |
| R003 | Laceration repair other areas defect 5.1-10 cm | Rehabilitation | $161.75 |
| R004 | Laceration repair code (unspecified) | Rehabilitation | $242.70 |
| R005 | Myocutaneous/muscle flap (various muscles) | Rehabilitation | $545.00 |
| R006 | Pectoralis major flap | Rehabilitation | $734.95 |
| R008 | Lower transverse rectus abdominus flap | Rehabilitation | $984.55 |
| R009 | Myocutaneous osseous flap with bone graft | Rehabilitation | $783.40 |
| R010 | Wide excision malignant melanoma with closure | Rehabilitation | $124.10 |
| R011 | Laceration repair face/neck/scalp defect 2.1-5 cm | Rehabilitation | $89.85 |
| R012 | Laceration repair face/neck/scalp defect 5.1-10 cm | Rehabilitation | $247.15 |
| R013 | Free jejunum artery and vein transplantation | Rehabilitation | $338.85 |
| R014 | Preparation microvascular recipient site jejunum | Rehabilitation | $925.85 |
| R015 | Transplant free jejunum artery and vein | Rehabilitation | $925.85 |
| R016 | Prep microvascular site post-ablative jejunum | Rehabilitation | $544.95 |
| R017 | Scar revision face or neck >10 cm | Rehabilitation | $417.05 |
| R018 | Curettage/electrodesiccation/cryosurgery single lesion face/neck | Rehabilitation | $68.55 |
| R019 | Curettage/electrodesiccation/cryosurgery two lesions face/neck | Rehabilitation | $112.90 |
| R020 | Curettage/electrodesiccation/cryosurgery three+ lesions face/neck | Rehabilitation | $225.75 |
| R021 | Scar revision face/neck up to 2.5 cm | Rehabilitation | $115.60 |
| R022 | Scar revision face/neck 2.6-5 cm | Rehabilitation | $194.85 |
| R023 | Scar revision face/neck 5.1-10 cm | Rehabilitation | $277.90 |
| R024 | Acute laceration earlobe unilateral | Rehabilitation | $100.65 |
| R026 | Scar revision other areas up to 2.5 cm | Rehabilitation | $77.35 |
| R027 | Scar revision other areas 2.6-5 cm | Rehabilitation | $130.10 |
| R028 | Scar revision other areas 5.1-10 cm | Rehabilitation | $185.60 |
| R029 | Scar revision other areas >10 cm | Rehabilitation | $288.20 |
| R030 | Minor burns | Rehabilitation | $75.06 |
| R031 | Curettage/electrodesiccation/cryosurgery single lesion other areas | Rehabilitation | $55.05 |
| R032 | Curettage/electrodesiccation/cryosurgery two lesions other areas | Rehabilitation | $90.70 |
| R033 | Curettage/electrodesiccation/cryosurgery three+ lesions other areas | Rehabilitation | $181.55 |
| R034 | Congenital dermoid cyst adult | Rehabilitation | $124.40 |
| R035 | Pilonidal cyst simple excision/marsupialization | Rehabilitation | $200.00 |
| R036 | Pilonidal cyst excision and skin shift | Rehabilitation | $280.00 |
| R037 | Giant cell tumour excision | Rehabilitation | $200.00 |
| R038 | Moderate burns | Rehabilitation | $75.06 |
| R039 | Major burns | Rehabilitation | $100.08 |
| R040 | Simple excision two lesions other areas | Rehabilitation | $95.70 |
| R041 | Simple excision three+ lesions other areas | Rehabilitation | $191.40 |
| R042 | Congenital dermoid cyst midline (e.g. nasal) | Rehabilitation | $272.80 |
| R043 | Congenital dermoid cyst infant or child | Rehabilitation | $201.10 |
| R045 | Laceration repair face/neck/scalp defect <2 cm | Rehabilitation | $203.70 |
| R046 | Laceration repair face/neck/scalp defect 2.1-5 cm | Rehabilitation | $335.15 |
| R047 | Laceration repair face/neck/scalp defect 5.1-10 cm | Rehabilitation | $477.45 |
| R048 | Simple excision single lesion face/neck | Rehabilitation | $92.15 |
| R049 | Simple excision two lesions face/neck | Rehabilitation | $139.20 |
| R050 | Simple excision three+ lesions face/neck | Rehabilitation | $233.00 |
| R054 | Pilonidal cyst excision BMI >40 | Rehabilitation | $250.00 |
| R055 | Prep microvascular recipient site free island flap post-ablative | Rehabilitation | $544.95 |
| R056 | Prep microvascular recipient site innervated free island flap post-ablative | Rehabilitation | $605.15 |
| R059 | Inguinal/perineal/axillary skin excision unilateral | Rehabilitation | $248.80 |
| R060 | Inguinal/perineal/axillary skin excision with graft/rotation flap | Rehabilitation | $377.90 |
| R061 | Neurovascular island transfer minor (e.g. fingertip) | Rehabilitation | $140.25 |
| R062 | Neurovascular island transfer intermediate (finger to thumb) | Rehabilitation | $259.20 |
| R063 | Neurovascular island transfer major (foot to heel) | Rehabilitation | $430.85 |
| R064 | Elevation free island skin/subcutaneous flap and closure | Rehabilitation | $874.60 |
| R065 | Prep microvascular recipient site free island skin flap | Rehabilitation | $925.85 |
| R066 | Transplant free island skin/subcutaneous flap with anastomosis | Rehabilitation | $925.85 |
| R067 | Elevation innervated free island skin/subcutaneous flap and closure | Rehabilitation | $1028.20 |
| R068 | Prep microvascular recipient site innervated free island skin flap | Rehabilitation | $1028.20 |
| R069 | Transplant innervated free island skin flap with anastomosis and nerve repair | Rehabilitation | $961.60 |
| R070 | Pedicle flap small/intermediate (e.g. cross finger) | Rehabilitation | $293.75 |
| R071 | Each subsequent stage pedicle flap small/intermediate | Rehabilitation | $223.35 |
| R072 | Laceration repair other areas defect <2 cm | Rehabilitation | $133.40 |
| R073 | Laceration repair other areas defect 5.1-10 cm | Rehabilitation | $318.45 |
| R074 | Laceration repair other areas defect >10 cm | Rehabilitation | $477.85 |
| R075 | Laceration repair other areas defect 2.1-5 cm | Rehabilitation | $223.35 |
| R076 | Laceration repair face/neck/scalp defect >10 cm | Rehabilitation | $709.90 |
| R078 | Each subsequent stage pedicle flap large | Rehabilitation | $311.45 |
| R080 | Pedicle flap large (e.g. cross leg, deltopectoral) | Rehabilitation | $416.30 |
| R081 | Mohs surgery initial cut including debulking | Rehabilitation | $315.45 |
| R083 | Full thickness skin graft major >5 cm | Rehabilitation | $280.15 |
| R084 | Split thickness graft very minor areas | Rehabilitation | $92.30 |
| R085 | Split thickness graft minor/medium areas | Rehabilitation | $140.25 |
| R086 | Split thickness graft intermediate/large areas | Rehabilitation | $259.10 |
| R087 | Split thickness graft major/complex areas | Rehabilitation | $388.00 |
| R088 | Split thickness graft extensive very large areas | Rehabilitation | $567.95 |
| R089 | Webbed fingers one web space | Rehabilitation | $400.00 |
| R090 | Webbed toes one web space | Rehabilitation | $250.00 |
| R091 | Full thickness graft complex (eyelid, nose, lip, face) | Rehabilitation | $263.95 |
| R092 | Full thickness graft minor <1 cm | Rehabilitation | $116.65 |
| R093 | Full thickness graft intermediate 1-5 cm | Rehabilitation | $178.90 |
| R094 | Simple excision single lesion other areas | Rehabilitation | $58.15 |
| R100 | Delay major flap | Rehabilitation | $291.90 |
| R101 | Delay, Small/Intermediate flap | Rehabilitation | $132.45 |
| R102 | Level 1 oncoplastic breast conserving lumpectomy | Rehabilitation | $350.00 |
| R107 | Tumour or tissue diagnostic biopsy/treatment breast | Rehabilitation | $169.95 |
| R108 | Simple mastectomy female | Rehabilitation | $330.00 |
| R109 | Radical or modified radical mastectomy female | Rehabilitation | $685.00 |
| R110 | Reduction mammoplasty female unilateral | Rehabilitation | $472.15 |
| R111 | Partial mastectomy or wedge resection breast disease | Rehabilitation | $269.40 |
| R112 | Augmentation mammoplasty unilateral | Rehabilitation | $350.00 |
| R114 | Revision of breast mound | Rehabilitation | $230.30 |
| R117 | Subcutaneous mastectomy with nipple preservation | Rehabilitation | $273.95 |
| R118 | Breast skin reconstruction by local flaps or grafts | Rehabilitation | $405.60 |
| R119 | Breast mound creation by prosthesis sole procedure | Rehabilitation | $350.00 |
| R120 | Nipple-areola reconstruction by grafts and/or flaps | Rehabilitation | $300.00 |
| R122 | Preparation microvascular recipient site free island skin and muscle flap post-ablative surgery | Rehabilitation | $544.95 |
| R123 | Preparation microvascular recipient site muscle, tendon, nerve anastomosis post-ablative surgery | Rehabilitation | $696.40 |
| R124 | Preparation microvascular recipient site free island bone flap post-ablative surgery | Rehabilitation | $544.95 |
| R125 | Elevation free island skin and muscle flap and closure | Rehabilitation | $874.60 |
| R126 | Preparation microvascular recipient site free island skin and muscle flap | Rehabilitation | $925.85 |
| R127 | Transplantation free island skin and muscle flap with microvascular anastomosis | Rehabilitation | $874.60 |
| R128 | Elevation free island muscle flap with tendon and nerve and closure | Rehabilitation | $1183.50 |
| R129 | Preparation microvascular recipient site muscle, tendon, nerve anastomosis | Rehabilitation | $1183.20 |
| R130 | Transplantation free island muscle flap with tendon, nerve and microvascular anastomosis | Rehabilitation | $1183.50 |
| R131 | Elevation free island bone flap and closure | Rehabilitation | $874.60 |
| R132 | Preparation microvascular recipient site free island bone flap | Rehabilitation | $925.85 |
| R133 | Transplantation free island bone flap with microvascular anastomosis and fixation | Rehabilitation | $1028.20 |
| R134 | Elevation free island skin and bone flap and closure | Rehabilitation | $1048.60 |
| R135 | Preparation microvascular recipient site free island skin and bone flap | Rehabilitation | $1048.60 |
| R136 | Transplantation free island skin and bone flap with microvascular anastomosis and fixation | Rehabilitation | $1048.60 |
| R137 | Elevation free toe or finger and closure | Rehabilitation | $1048.60 |
| R138 | Preparation microvascular recipient site free toe or finger transplant | Rehabilitation | $1048.60 |
| R139 | Transplantation free island toe or finger with microvascular anastomosis and tendon nerve bone repair | Rehabilitation | $1233.75 |
| R140 | Preparation microvascular recipient site free island skin and bone flap post-ablative surgery | Rehabilitation | $617.10 |
| R141 | Preparation microvascular recipient site free toe or finger transplant post-ablative surgery | Rehabilitation | $617.10 |
| R142 | Nipple-areola tattooing unilateral | Rehabilitation | $175.00 |
| R143 | Contralateral balancing mastopexy or reduction | Rehabilitation | $472.15 |
| R144 | Contralateral balancing augmentation mammoplasty | Rehabilitation | $350.00 |
| R145 | Mandibular condylotomy | Rehabilitation | $204.80 |
| R146 | Simple male breast mastectomy | Rehabilitation | $177.50 |
| R147 | Subcutaneous male breast mastectomy with nipple preservation | Rehabilitation | $273.95 |
| R148 | Simple male mastectomy for pathological disease | Rehabilitation | $273.95 |
| R149 | Subcutaneous male mastectomy with nipple preservation | Rehabilitation | $273.95 |
| R150 | Very minor plastic surgery procedure | Rehabilitation | $92.30 |
| R151 | Minor plastic surgery procedure | Rehabilitation | $75.06 |
| R152 | Intermediate plastic surgery procedure | Rehabilitation | $75.06 |
| R153 | Major plastic surgery procedure | Rehabilitation | $75.06 |
| R154 | Extensive major plastic surgery procedure | Rehabilitation | $75.06 |
| R155 | Latissimus dorsi or unilateral rectus abdominus flap | Rehabilitation | $734.95 |
| R156 | Breast mound creation by insertion of tissue expander | Rehabilitation | $425.00 |
| R158 | Level 2 oncoplastic breast conserving lumpectomy | Rehabilitation | $547.45 |
| R159 | Level 3 oncoplastic breast conserving lumpectomy | Rehabilitation | $701.15 |
| R160 | Simple excision single lesion face or neck | Rehabilitation | $53.20 |
| R161 | Simple excision two lesions face or neck | Rehabilitation | $87.40 |
| R162 | Simple excision three or more lesions face or neck | Rehabilitation | $174.75 |
| R163 | Simple excision single lesion other areas | Rehabilitation | $43.60 |
| R164 | Simple excision two lesions other areas | Rehabilitation | $71.80 |
| R165 | Simple excision three or more lesions other areas | Rehabilitation | $143.55 |
| R181 | Excision nasopharyngeal/oropharyngeal lesion with palatal split | Rehabilitation | $508.20 |
| R182 | Excision nasopharyngeal/oropharyngeal lesion with mandibulotomy/glossotomy/palatal split | Rehabilitation | $1216.80 |
| R200 | Cadaver allograft per long bone | Rehabilitation | $144.80 |
| R201 | Sequestrectomy bone | Rehabilitation | $193.00 |
| R202 | Saucerization and bone graft | Rehabilitation | $387.00 |
| R209 | Basal thumb first carpometacarpal joint arthroplasty | Rehabilitation | $363.05 |
| R210 | Fibular head excision | Rehabilitation | $193.00 |
| R214 | Malignant tumour excision with reconstruction | Rehabilitation | $484.35 |
| R215 | Osteotomy supracondylar | Rehabilitation | $387.00 |
| R216 | Radical resection tumour bone | Rehabilitation | $1007.35 |
| R217 | Saucerization and bone graft phalanx/metacarpal/carpus | Rehabilitation | $242.25 |
| R218 | Sequestrectomy phalanx/metacarpal/carpus | Rehabilitation | $144.80 |
| R219 | Incision and drainage phalanx/metacarpal/carpus | Rehabilitation | $182.90 |
| R220 | Incision and drainage bone | Rehabilitation | $227.40 |
| R222 | Incision and drainage humerus/clavicle/scapula | Rehabilitation | $262.60 |
| R223 | Saucerization with bone graft | Rehabilitation | $387.90 |
| R225 | Sequestrectomy bone | Rehabilitation | $290.55 |
| R226 | Biopsy/resection complex bone/soft tissue tumour | Rehabilitation | $125.10 |
| R228 | Acute incision and drainage | Rehabilitation | $302.55 |
| R229 | Saucerization and bone grafting | Rehabilitation | $452.90 |
| R231 | Sequestrectomy | Rehabilitation | $355.35 |
| R235 | Osteotomy glenoid | Rehabilitation | $279.35 |
| R236 | Carpal replacement | Rehabilitation | $322.05 |
| R237 | Incision and drainage bone | Rehabilitation | $308.10 |
| R238 | Saucerization and bone grafting | Rehabilitation | $411.20 |
| R239 | Sequestrectomy | Rehabilitation | $329.40 |
| R240 | Revision total arthroplasty shoulder | Rehabilitation | $942.95 |
| R241 | Revision total arthroplasty acetabular or femoral | Rehabilitation | $1304.80 |
| R242 | Incision and drainage bone | Rehabilitation | $325.75 |
| R243 | Saucerization and graft | Rehabilitation | $619.90 |
| R244 | Revision total arthroplasty knee | Rehabilitation | $1174.30 |
| R245 | Sequestrectomy | Rehabilitation | $395.25 |
| R246 | Excision bony ridge with interpositional materials | Rehabilitation | $385.15 |
| R248 | Total knee replacement with take down of fusion | Rehabilitation | $838.00 |
| R249 | Sequestrectomy | Rehabilitation | $379.50 |
| R250 | Saucerization and bone graft | Rehabilitation | $627.30 |
| R253 | Extensive tumour excision with repair | Rehabilitation | $648.20 |
| R255 | Late open reduction | Rehabilitation | $484.35 |
| R256 | Injection into bone cysts | Rehabilitation | $117.00 |
| R257 | Terminal osteotomy phalanx | Rehabilitation | $162.65 |
| R258 | Middle proximal or metacarpal osteotomy | Rehabilitation | $193.20 |
| R259 | Osteotomy ulna or os calcis | Rehabilitation | $433.80 |
| R260 | Osteotomy humerus | Rehabilitation | $559.25 |
| R261 | Osteotomy radius with or without ulna | Rehabilitation | $841.40 |
| R262 | Osteotomy femoral shaft | Rehabilitation | $727.15 |
| R263 | Osteotomy hip | Rehabilitation | $578.55 |
| R265 | Infant pelvis osteotomy | Rehabilitation | $399.00 |
| R266 | Tumour foot bone | Rehabilitation | $241.30 |
| R267 | Removal internal fixation device general anaesthetic | Rehabilitation | $158.65 |
| R268 | Removal internal fixation device local anaesthetic | Rehabilitation | $54.85 |
| R269 | Incision and drainage bone | Rehabilitation | $290.55 |
| R273 | Other pelvis osteotomy | Rehabilitation | $623.35 |
| R276 | Osteotomy metatarsals and phalanx | Rehabilitation | $144.80 |
| R277 | Osteotomy midtarsal/tarsal | Rehabilitation | $242.25 |
| R278 | Excision maxilla with orbit exenteration and skin graft | Rehabilitation | $532.95 |
| R279 | Maxilla advancement | Rehabilitation | $440.15 |
| R280 | Mandible excision | Rehabilitation | $353.10 |
| R281 | Ulna replacement lower end | Rehabilitation | $296.90 |
| R282 | Exostosis dorsal or subungual | Rehabilitation | $100.15 |
| R283 | Phalanx/metacarpal excision | Rehabilitation | $193.00 |
| R284 | Mandibular condyle excision | Rehabilitation | $276.55 |
| R285 | Carpal bone excision | Rehabilitation | $214.45 |
| R286 | Radial styloid excision | Rehabilitation | $234.75 |
| R287 | Radial head excision | Rehabilitation | $217.95 |
| R288 | Implant radial head | Rehabilitation | $269.90 |
| R289 | Osteotomy tibia and fibula adult or child | Rehabilitation | $376.80 |
| R290 | Olecranon excision | Rehabilitation | $207.90 |
| R291 | Olecranon with fascial repair | Rehabilitation | $309.00 |
| R292 | Humerus head excision | Rehabilitation | $299.75 |
| R293 | Extensive bone tumour excision with replacement | Rehabilitation | $677.50 |
| R294 | Exostosis bone tumour | Rehabilitation | $165.20 |
| R295 | Simple bone tumour excision | Rehabilitation | $289.50 |
| R297 | Malignant tumour excision with reconstruction humerus | Rehabilitation | $681.10 |
| R298 | Simple clavicle or acromion excision | Rehabilitation | $250.25 |
| R299 | Phalanx excision | Rehabilitation | $127.15 |
| R301 | Sesamoid excision one or both | Rehabilitation | $142.00 |
| R302 | Bunion/bunionette excision | Rehabilitation | $150.30 |
| R304 | Hallux valgus e.g. Mayo, Keller | Rehabilitation | $217.15 |
| R305 | Accessory navicular excision | Rehabilitation | $155.90 |
| R306 | Tarsal bar excision | Rehabilitation | $230.20 |
| R307 | Calcaneal spur excision | Rehabilitation | $139.25 |
| R308 | Os calcis or talus excision | Rehabilitation | $283.95 |
| R309 | Metatarsal head excision | Rehabilitation | $175.45 |
| R311 | Exostosis/cyst excision | Rehabilitation | $201.40 |
| R312 | Patella excision including fascial repair | Rehabilitation | $276.55 |
| R313 | Complex club foot reconstruction or revision | Rehabilitation | $468.65 |
| R314 | Simple cyst/exostosis bone | Rehabilitation | $225.50 |
| R315 | Head and neck femur excision | Rehabilitation | $452.90 |
| R316 | Proximal row carpectomy | Rehabilitation | $338.75 |
| R317 | Dorsal exostosis triquetrum excision | Rehabilitation | $189.75 |
| R318 | Excision exostosis/cyst patella | Rehabilitation | $126.25 |
| R319 | Graft to nose autologous bone or cartilage | Rehabilitation | $360.45 |
| R320 | Non-autologous or prosthetic nasal implant | Rehabilitation | $232.00 |
| R321 | Phalanx/metacarpal pseudoarthrosis reconstruction | Rehabilitation | $260.75 |
| R322 | Scaphoid pseudoarthrosis reconstruction | Rehabilitation | $588.20 |
| R323 | Radius or ulna pseudoarthrosis reconstruction | Rehabilitation | $582.30 |
| R324 | Radius and/or ulna osteotomy with reconstruction congenital abnormality | Rehabilitation | $398.10 |
| R325 | Humerus pseudoarthrosis reconstruction | Rehabilitation | $632.05 |
| R326 | Tibia/fibula excision | Rehabilitation | $696.00 |
| R327 | By-pass fibular graft | Rehabilitation | $341.45 |
| R328 | Bone graft with or without external fixation | Rehabilitation | $872.65 |
| R329 | Clavicle pseudoarthrosis reconstruction | Rehabilitation | $514.80 |
| R330 | Major bone tumour resection | Rehabilitation | $629.65 |
| R331 | Tibial lengthening | Rehabilitation | $470.50 |
| R332 | Femoral lengthening | Rehabilitation | $541.95 |
| R333 | Femoral shortening | Rehabilitation | $480.70 |
| R334 | Partial mandibular reconstruction | Rehabilitation | $409.55 |
| R335 | Complete mandibular reconstruction | Rehabilitation | $819.15 |
| R337 | One metatarsal shortening | Rehabilitation | $225.50 |
| R338 | Two or more metatarsal shortening | Rehabilitation | $272.80 |
| R339 | Tibial epiphysiodesis | Rehabilitation | $322.05 |
| R340 | Femoral epiphysiodesis | Rehabilitation | $301.60 |
| R341 | Tibial and femoral epiphysiodesis | Rehabilitation | $426.90 |
| R342 | One side tibial stapling | Rehabilitation | $193.00 |
| R343 | Femoral stapling | Rehabilitation | $313.65 |
| R344 | Tibial and femoral stapling | Rehabilitation | $387.00 |
| R345 | Carpal bone pseudoarthrosis reconstruction other than scaphoid | Rehabilitation | $260.75 |
| R347 | Bicoronal flaps | Rehabilitation | $200.00 |
| R349 | Posterior dento-alveolar osteotomy maxilla one side | Rehabilitation | $803.80 |
| R351 | Posterior dento-alveolar osteotomy maxilla both sides single segment | Rehabilitation | $932.10 |
| R352 | Pectus excavatum or carinatum repair by reconstruction | Rehabilitation | $832.30 |
| R353 | Scapulopexy congenital elevation | Rehabilitation | $385.15 |
| R354 | Interdental wiring for temporomandibular joint disorder | Rehabilitation | $154.00 |
| R355 | Hallux valgus e.g. Joplin, McBride | Rehabilitation | $413.65 |
| R360 | Major forefoot reconstruction including first MP joint and 2 others | Rehabilitation | $711.15 |
| R363 | Malleoli pseudoarthrosis reconstruction | Rehabilitation | $296.05 |
| R364 | Pelvis pseudoarthrosis reconstruction | Rehabilitation | $580.90 |
| R372 | Congenital pseudoarthrosis | Rehabilitation | $484.35 |
| R376 | Hypertelorism correction intracranial approach | Rehabilitation | $2334.85 |
| R377 | Hypertelorism correction subcranial U osteotomies | Rehabilitation | $1950.15 |
| R378 | LeFort III total maxillary advancement | Rehabilitation | $2037.35 |
| R379 | LeFort I maxillary advancement one segment | Rehabilitation | $803.80 |
| R380 | Orbital cranial osteotomy intracranial approach | Rehabilitation | $1495.50 |
| R381 | Orbital cranial osteotomy extracranial approach | Rehabilitation | $1121.50 |
| R382 | Anterior dento-alveolar osteotomy maxilla or mandible one segment | Rehabilitation | $803.80 |
| R383 | Anterior dento-alveolar osteotomy maxilla or mandible two segments | Rehabilitation | $932.10 |
| R384 | Mandibular osteotomy vertical ramus | Rehabilitation | $932.10 |
| R385 | Posterior dento-alveolar osteotomy maxilla both sides separate segments | Rehabilitation | $1187.50 |
| R386 | Genioplasty one segment | Rehabilitation | $384.60 |
| R387 | Genioplasty two segments or laterognathia | Rehabilitation | $575.45 |
| R388 | Genioplasty three segments | Rehabilitation | $767.85 |
| R389 | LeFort II maxillary osteotomy and advancement | Rehabilitation | $1443.95 |
| R390 | Bilateral periorbital correction Treacher-Collins syndrome extracranial | Rehabilitation | $1699.45 |
| R391 | Orbital dystopia intracranial approach | Rehabilitation | $1950.15 |
| R392 | Orbital dystopia - extracranial approach | Rehabilitation | $1485.10 |
| R393 | LeFort II maxillary osteotomy and advancement | Rehabilitation | $1443.95 |
| R394 | Cranial vault reshaping - anterior/posterior half | Rehabilitation | $1525.30 |
| R395 | Construction glenoid fossa and zygomatic arch (Obwegeser technique) | Rehabilitation | $1402.75 |
| R396 | Construction absent condyle and ascending ramus | Rehabilitation | $803.80 |
| R398 | Medial transnasal canthopexy - unilateral | Rehabilitation | $414.30 |
| R399 | Lateral canthoplasty - unilateral | Rehabilitation | $204.80 |
| R400 | Repair chronic, recurrent dislocation | Rehabilitation | $379.50 |
| R401 | Open reduction - recurrent | Rehabilitation | $419.65 |
| R402 | Recurrent dislocation and/or subluxation | Rehabilitation | $367.45 |
| R403 | Osteotomy repair recurrent dislocation (includes inspection of joint) | Rehabilitation | $422.15 |
| R404 | Congenital hip closed reduction (includes tenotomy and cast) | Rehabilitation | $190.20 |
| R405 | Repeat congenital hip closed reduction (includes cast) | Rehabilitation | $131.80 |
| R406 | Congenital hip open reduction (includes tenotomy and arthrotomy) | Rehabilitation | $472.35 |
| R407 | Synovectomy of extensor or flexor tendons | Rehabilitation | $224.45 |
| R408 | Posterior or medial release (club foot) | Rehabilitation | $312.70 |
| R409 | Finger arthrotomy - open | Rehabilitation | $168.00 |
| R410 | Wrist arthrotomy - open | Rehabilitation | $212.50 |
| R411 | Shoulder arthrotomy - open | Rehabilitation | $223.65 |
| R412 | Knee arthrotomy with or without removal of loose body | Rehabilitation | $207.90 |
| R413 | Osteochondritis dissecans with drilling and/or internal fixation | Rehabilitation | $267.25 |
| R414 | Synovectomy/capsulectomy/debridement - two or more joints | Rehabilitation | $339.65 |
| R415 | Hip joint arthrotomy - open with removal of loose body | Rehabilitation | $301.60 |
| R416 | Rotator cuff exploration including acromioplasty and excision of coraco-acromial ligament and subacromial bursa | Rehabilitation | $206.90 |
| R417 | Debridement of joint without synovectomy | Rehabilitation | $290.55 |
| R418 | Synovectomy/debridement - wrist | Rehabilitation | $342.55 |
| R420 | Ankle synovectomy | Rehabilitation | $273.75 |
| R421 | Synovectomy/capsulectomy/debridement joint contents | Rehabilitation | $407.25 |
| R422 | Synovectomy and debridement - joint | Rehabilitation | $425.10 |
| R423 | Synovectomy/debridement - joint | Rehabilitation | $470.50 |
| R424 | Synovectomy | Rehabilitation | $430.65 |
| R425 | Synovectomy/capsulectomy/debridement - finger joint | Rehabilitation | $226.40 |
| R426 | Denervation - elbow | Rehabilitation | $258.00 |
| R427 | Denervation of hip | Rehabilitation | $387.00 |
| R428 | Temporomandibular meniscectomy | Rehabilitation | $249.75 |
| R429 | Meniscectomy | Rehabilitation | $241.30 |
| R430 | Claw and hammer toe correction | Rehabilitation | $220.30 |
| R431 | Baker's cyst excision - simple | Rehabilitation | $148.50 |
| R432 | Joint arthrotomy - open | Rehabilitation | $171.45 |
| R433 | Temporomandibular joint arthroplasty - unilateral | Rehabilitation | $349.30 |
| R434 | Baker's cyst excision - extensive | Rehabilitation | $264.50 |
| R435 | Hand arthrodesis - single interposition | Rehabilitation | $254.35 |
| R436 | Hand arthrodesis - multiple interposition | Rehabilitation | $459.40 |
| R437 | Wrist arthrodesis - interposition | Rehabilitation | $374.00 |
| R438 | Humeral prosthesis | Rehabilitation | $449.20 |
| R439 | Unipolar arthroplasty - hip | Rehabilitation | $490.95 |
| R440 | Total hip replacement - acetabulum and femur | Rehabilitation | $708.70 |
| R441 | Total knee replacement - both compartments | Rehabilitation | $631.20 |
| R442 | Replacement liner - knee | Rehabilitation | $353.25 |
| R443 | Removal of non-cemented prosthesis | Rehabilitation | $447.30 |
| R444 | Incision and drainage - joint | Rehabilitation | $193.00 |
| R445 | Elbow arthrotomy - loose body removal | Rehabilitation | $199.55 |
| R446 | Overlapping 5th toe correction | Rehabilitation | $136.35 |
| R448 | Posteromedial release, lateral shortening, tendon transfers and fusion (club foot) | Rehabilitation | $371.20 |
| R453 | Metatarsophalangeal arthrodesis - multiple | Rehabilitation | $289.50 |
| R454 | Metatarsophalangeal arthrodesis - multiple | Rehabilitation | $387.00 |
| R456 | Metatarsophalangeal interposition - single | Rehabilitation | $144.80 |
| R458 | Tibial shortening | Rehabilitation | $387.00 |
| R460 | Tibial stapling - both sides | Rehabilitation | $242.25 |
| R462 | Posterior dento-alveolar osteotomy - one side | Rehabilitation | $803.80 |
| R463 | Posterior dento-alveolar osteotomy - both sides | Rehabilitation | $1187.50 |
| R465 | Finger-thumb arthrodesis | Rehabilitation | $321.30 |
| R466 | Wrist arthrodesis | Rehabilitation | $714.70 |
| R467 | Shoulder arthrodesis | Rehabilitation | $468.65 |
| R468 | Knee arthrodesis | Rehabilitation | $402.75 |
| R469 | Sacro-iliac joint arthrodesis | Rehabilitation | $395.25 |
| R470 | Hip arthrodesis | Rehabilitation | $703.45 |
| R471 | Interphalangeal arthrodesis | Rehabilitation | $151.85 |
| R472 | Open reduction - late | Rehabilitation | $580.90 |
| R473 | Radius and ulna pseudoarthrosis reconstruction | Rehabilitation | $786.65 |
| R475 | Pan-talar arthrodesis - one stage | Rehabilitation | $836.45 |
| R476 | Repair fascial defect - small | Rehabilitation | $144.80 |
| R477 | Metatarsophalangeal arthrodesis | Rehabilitation | $468.35 |
| R478 | Repair fascial defect - large with or without graft or flap | Rehabilitation | $290.55 |
| R479 | Removal of prosthesis without replacement | Rehabilitation | $193.00 |
| R480 | Subcondylar mandibular osteotomy | Rehabilitation | $420.10 |
| R481 | Reattachment of greater trochanter (late) | Rehabilitation | $290.55 |
| R482 | Hemiarthroplasty - single component | Rehabilitation | $351.70 |
| R483 | Hemiarthroplasty - double component | Rehabilitation | $619.90 |
| R485 | Total wrist arthrodesis | Rehabilitation | $679.95 |
| R486 | Complete arthroplasty replacement | Rehabilitation | $927.70 |
| R487 | Total prosthesis | Rehabilitation | $784.05 |
| R488 | Removal of cemented prosthesis | Rehabilitation | $557.75 |
| R489 | Single joint total arthrodesis/arthroplasty | Rehabilitation | $290.55 |
| R491 | Replacement acetabular liner and/or femoral head | Rehabilitation | $353.25 |
| R492 | Radio-ulnar meniscectomy | Rehabilitation | $231.10 |
| R493 | Ankle total replacement | Rehabilitation | $1199.00 |
| R495 | Fasciotomy for compartment syndrome | Rehabilitation | $320.20 |
| R496 | Removal of hemiarthroplasty without replacement | Rehabilitation | $242.25 |
| R497 | Removal of total arthroplasty without replacement | Rehabilitation | $368.40 |
| R498 | Removal prosthesis without replacement | Rehabilitation | $397.20 |
| R499 | Removal of total replacement | Rehabilitation | $402.75 |
| R500 | Removal only | Rehabilitation | $144.80 |
| R501 | Cysts of meniscus excision | Rehabilitation | $126.25 |
| R502 | Total U dento-alveolar osteotomy - mandible | Rehabilitation | $1228.70 |
| R503 | Removal of loose body - ankle | Rehabilitation | $167.10 |
| R504 | Midtarsals arthrotomy | Rehabilitation | $144.80 |
| R505 | Metatarsal/phalangeal arthrotomy | Rehabilitation | $144.80 |
| R506 | Prepatellar bursae excision | Rehabilitation | $149.45 |
| R507 | Total U dento-alveolar osteotomy - maxilla | Rehabilitation | $1315.70 |
| R508 | Suturing of medial or lateral meniscus | Rehabilitation | $242.25 |
| R509 | Interposition arthroplasty | Rehabilitation | $241.60 |
| R510 | Interposition arthroplasty | Rehabilitation | $435.20 |
| R511 | Mandibular or maxillary visor osteotomy for alveolar hypoplasia | Rehabilitation | $1146.40 |
| R512 | Excision of subacromial bursa | Rehabilitation | $211.60 |
| R514 | Symphysis pubis arthrodesis | Rehabilitation | $387.00 |
| R515 | Congenital dislocation - knee (open) | Rehabilitation | $484.35 |
| R516 | Release patellar retinaculum | Rehabilitation | $161.45 |
| R517 | Excision of foreign body | Rehabilitation | $107.70 |
| R518 | Sagittal split mandibular osteotomy | Rehabilitation | $932.10 |
| R519 | Simple muscle/tendon release (e.g. tennis elbow) | Rehabilitation | $136.35 |
| R520 | Mandibular osteotomy for retrognathia - advancement up to 10 mm | Rehabilitation | $932.10 |
| R521 | Muscle/tendon release (other than biceps) | Rehabilitation | $314.60 |
| R522 | Simple muscle repair | Rehabilitation | $193.00 |
| R523 | Complex muscle repair | Rehabilitation | $484.35 |
| R524 | Excision of myositis ossificans | Rehabilitation | $289.50 |
| R525 | Simple muscle repair including skin repair | Rehabilitation | $88.60 |
| R526 | Sternomastoid muscle release | Rehabilitation | $296.05 |
| R527 | Muscle transplant - pectoralis major | Rehabilitation | $434.25 |
| R529 | Mandibular osteotomy for retrognathia - advancement 10 to 20 mm | Rehabilitation | $1058.40 |
| R530 | Quadricepsplasty - all types | Rehabilitation | $381.40 |
| R531 | Static slings for facial paralysis | Rehabilitation | $307.15 |
| R532 | Dynamic slings for facial paralysis | Rehabilitation | $399.00 |
| R533 | Composite repair for facial paralysis | Rehabilitation | $511.90 |
| R534 | Incision and drainage - tendon sheath | Rehabilitation | $225.00 |
| R535 | Mandibular osteotomy for retrognathia - advancement greater than 20 mm | Rehabilitation | $1356.90 |
| R536 | Tendon release - finger/palm (open) | Rehabilitation | $156.50 |
| R537 | Tendon release - wrist (open) | Rehabilitation | $175.00 |
| R538 | LeFort I intrusion osteotomy in one segment | Rehabilitation | $1059.35 |
| R539 | Removal of synthetics | Rehabilitation | $213.45 |
| R540 | Open reduction - recurrent radial head | Rehabilitation | $227.40 |
| R541 | Flexor tenolysis with pulley preservation | Rehabilitation | $309.00 |
| R542 | Extensive ligament reconstruction including notch preparation | Rehabilitation | $517.85 |
| R543 | Tenotomy of hamstrings - single | Rehabilitation | $168.85 |
| R544 | Achilles or tibialis anterior/posterior tenotomy - open | Rehabilitation | $171.70 |
| R545 | Iliopsoas tenotomy | Rehabilitation | $266.35 |
| R546 | Plantar fascia release (Steindler) | Rehabilitation | $165.20 |
| R547 | Sacro-iliac joint arthrotomy | Rehabilitation | $290.55 |
| R548 | Extensive/multiple ligament repair - wrist | Rehabilitation | $511.45 |
| R549 | Ganglion excision - simple or complex | Rehabilitation | $177.80 |
| R551 | Excision of fascia for Dupuytren's - single ray | Rehabilitation | $322.15 |
| R552 | Revision of arthrodesis | Rehabilitation | $506.65 |
| R553 | Total hip replacement with take down of fusion | Rehabilitation | $972.90 |
| R554 | Silicone rod insertion - one | Rehabilitation | $294.20 |
| R555 | Achilles or tibialis anterior/posterior tenotomy - closed | Rehabilitation | $132.70 |
| R556 | Tenolysis - one digit extensive release | Rehabilitation | $202.25 |
| R557 | Tenoplasty - one tendon | Rehabilitation | $223.65 |
| R558 | Open reduction - late radial head | Rehabilitation | $357.20 |
| R559 | Tendon graft - one | Rehabilitation | $306.30 |
| R560 | Tendon graft | Rehabilitation | $253.30 |
| R561 | Ilio-tibial band procedure | Rehabilitation | $190.10 |
| R562 | Tenotomy of hamstrings - multiple | Rehabilitation | $193.00 |
| R563 | Tendon transplant/transfer - single | Rehabilitation | $284.95 |
| R564 | Tenotomy - open - one | Rehabilitation | $232.00 |
| R565 | Tendon transfer foot and ankle - single | Rehabilitation | $253.30 |
| R566 | Tenotomy - open - multiple | Rehabilitation | $253.30 |
| R567 | LeFort I extrusion osteotomy in one segment | Rehabilitation | $1315.70 |
| R568 | Trapezius/sternomastoid muscle transplant | Rehabilitation | $338.65 |
| R569 | Abductor tendon transfer | Rehabilitation | $339.65 |
| R570 | Iliopsoas tendon transfer | Rehabilitation | $520.60 |
| R571 | Tendon or muscle transfer | Rehabilitation | $307.15 |
| R572 | Tenodesis | Rehabilitation | $258.90 |
| R573 | Mallet finger - open | Rehabilitation | $147.20 |
| R574 | Mallet finger - K-wire | Rehabilitation | $133.95 |
| R575 | Tenolysis - flexor/extensor tendon one digit | Rehabilitation | $194.05 |
| R576 | Excision of fascia for Dupuytren's - plantar fibromatosis | Rehabilitation | $322.15 |
| R577 | Boutonniere deformity - open | Rehabilitation | $147.30 |
| R578 | Suture extensor tendon - single | Rehabilitation | $164.10 |
| R579 | Tenotomy - open - one toe | Rehabilitation | $87.20 |
| R580 | LeFort I cleft palate osteotomy in one segment | Rehabilitation | $1525.30 |
| R581 | Tenotomy - open - more than one toe | Rehabilitation | $193.00 |
| R582 | Boutonniere deformity - late | Rehabilitation | $246.65 |
| R583 | Steindler flexoplasty | Rehabilitation | $344.85 |
| R584 | Tenoplasty - one | Rehabilitation | $144.80 |
| R585 | Suture flexor tendon - single | Rehabilitation | $307.60 |
| R586 | Reconstruction of flexor tendon pulley per finger | Rehabilitation | $97.35 |
| R587 | Quadriceps tendon repair - late | Rehabilitation | $387.00 |
| R588 | Naso-maxillary osteotomy without LeFort I | Rehabilitation | $803.80 |
| R589 | Tendon repair or release - biceps | Rehabilitation | $227.40 |
| R590 | Trochanteric/ischial bursae excision | Rehabilitation | $201.40 |
| R591 | Excision of superficial soft tissue tumour | Rehabilitation | $196.05 |
| R592 | Excision of deep soft tissue tumour | Rehabilitation | $484.35 |
| R593 | Rotator cuff repair - simple | Rehabilitation | $345.35 |
| R594 | Rotator cuff repair - complex | Rehabilitation | $498.30 |
| R595 | Olecranon bursae excision | Rehabilitation | $101.25 |
| R596 | Open reduction - tuberosity fracture | Rehabilitation | $286.70 |
| R597 | Simple/single ligament repair - wrist | Rehabilitation | $301.60 |
| R598 | Removal of extensive external fixation device under general anaesthetic | Rehabilitation | $48.25 |
| R599 | Simple ligament repair - knee | Rehabilitation | $361.95 |
| R600 | Delayed/staged graft | Rehabilitation | $289.50 |
| R601 | Metacarpal phalangeal ligament repair | Rehabilitation | $316.75 |
| R602 | Pollicization | Rehabilitation | $596.35 |
| R603 | Digital reimplantation with microvascular and neuro anastomosis | Rehabilitation | $1586.20 |
| R606 | Phalanx amputation | Rehabilitation | $161.45 |
| R607 | Closed reduction/traction for slipped epiphysis | Rehabilitation | $387.00 |
| R608 | Metacarpal or metaphalangeal joint amputation | Rehabilitation | $190.20 |
| R609 | Combined LeFort I and LeFort III osteotomy in hemifacial microsomia | Rehabilitation | $1586.20 |
| R610 | Transmetacarpal 2nd to 5th ray amputation | Rehabilitation | $279.35 |
| R611 | Hand amputation - all metacarpals | Rehabilitation | $289.50 |
| R612 | Wrist amputation | Rehabilitation | $289.50 |
| R613 | Through radius and ulna amputation | Rehabilitation | $351.05 |
| R614 | Elbow disarticulation amputation | Rehabilitation | $289.50 |
| R615 | High humerus amputation | Rehabilitation | $423.30 |
| R616 | Shoulder disarticulation amputation | Rehabilitation | $373.10 |
| R617 | Forequarter amputation | Rehabilitation | $490.95 |
| R618 | Coronoidotomy | Rehabilitation | $204.80 |
| R619 | Terminal Symes amputation | Rehabilitation | $144.80 |
| R620 | Metatarsal/phalanx disarticulation | Rehabilitation | $155.90 |
| R621 | Ray (single) amputation | Rehabilitation | $217.15 |
| R622 | Transmetatarsal/transtarsal amputation | Rehabilitation | $235.75 |
| R623 | Symes amputation | Rehabilitation | $285.80 |
| R624 | Tibia/fibula amputation | Rehabilitation | $328.65 |
| R625 | Gritti-Stokes or Callander amputation | Rehabilitation | $349.85 |
| R626 | Through femur amputation | Rehabilitation | $306.30 |
| R627 | Open reduction/fixation of slipped epiphysis | Rehabilitation | $580.90 |
| R628 | Late open reduction of hip fracture | Rehabilitation | $774.90 |
| R629 | Revision of amputated finger tip | Rehabilitation | $241.55 |
| R630 | Hip disarticulation amputation | Rehabilitation | $514.80 |
| R631 | Hemipelvectomy - hindquarter amputation | Rehabilitation | $796.20 |
| R632 | Simple fascial reconstruction | Rehabilitation | $193.00 |
| R633 | Complex fascial reconstruction with graft or flap | Rehabilitation | $402.75 |
| R637 | Debridement/excision per % total body (non-hand/head/neck) | Rehabilitation | $29.65 |
| R639 | Simple bone cyst excision | Rehabilitation | $338.75 |
| R640 | Exploration of tendon sheath | Rehabilitation | $126.25 |
| R641 | Major bone tumour excision | Rehabilitation | $290.55 |
| R642 | Closed reduction/internal fixation of slipped epiphysis | Rehabilitation | $387.00 |
| R643 | Ulna lower end bone procedure | Rehabilitation | $193.00 |
| R644 | Coronoidectomy | Rehabilitation | $307.15 |
| R645 | Partial bilateral mandibular procedure | Rehabilitation | $819.15 |
| R646 | Complete bilateral mandibular procedure | Rehabilitation | $1023.95 |
| R647 | Oral vestibuloplasty with secondary epithelization | Rehabilitation | $204.80 |
| R648 | Oral vestibuloplasty with skin graft | Rehabilitation | $307.15 |
| R649 | Temporomandibular ankylosis excision bone/fibrous block | Rehabilitation | $461.30 |
| R650 | Temporomandibular ankylosis with prosthetic/muscle flap | Rehabilitation | $511.90 |
| R651 | Temporomandibular ankylosis with condyle/ramus construction | Rehabilitation | $666.00 |
| R652 | Removal intermaxillary fixation devices under GA | Rehabilitation | $102.35 |
| R653 | Bilateral periorbital correction with skull/muscle transpositions | Rehabilitation | $2196.35 |
| R654 | Unilateral pericranial flap to orbit or face | Rehabilitation | $307.15 |
| R655 | Bilateral pericranial flap to orbit or face | Rehabilitation | $409.55 |
| R656 | LeFort III and subcranial hypertelorism correction | Rehabilitation | $2590.35 |
| R657 | LeFort III and LeFort I maxillary advancement | Rehabilitation | $2334.85 |
| R658 | LeFort II, subcranial hypertelorism correction and LeFort I | Rehabilitation | $2928.10 |
| R659 | Unilateral upper LeFort III advancement without occlusal change | Rehabilitation | $932.10 |
| R660 | Burn debridement/excision hand - each digit | Rehabilitation | $28.90 |
| R661 | Burn debridement/excision dorsum or palm - each | Rehabilitation | $47.95 |
| R662 | Burn debridement/excision nose, cheek, lip, ear, forehead, scalp, neck, eyelid - each | Rehabilitation | $28.90 |
| R675 | Bilateral upper LeFort III advancement without occlusal change | Rehabilitation | $1443.95 |
| R676 | Unilateral forehead advancement (bone grafts not included) | Rehabilitation | $1187.50 |
| R677 | Total cranial vault reshaping | Rehabilitation | $2078.35 |
| R678 | Medial orbital wall osteotomies | Rehabilitation | $1228.70 |
| R679 | Medial and lateral orbital wall osteotomies | Rehabilitation | $1612.30 |
| R680 | Intracranial late correction traumatic enophthalmos | Rehabilitation | $1997.05 |
| R681 | Extracranial late correction traumatic enophthalmos | Rehabilitation | $1443.95 |
| R682 | Wrist arthroscopy setup with debridement etc. | Rehabilitation | $400.00 |
| R683 | Elbow arthroscopy setup with debridement etc. | Rehabilitation | $400.00 |
| R684 | Shoulder arthroscopy setup with debridement etc. | Rehabilitation | $400.00 |
| R685 | Tendon release with tenodesis - biceps | Rehabilitation | $314.60 |
| R686 | Hip arthroscopy setup with debridement etc. | Rehabilitation | $669.80 |
| R687 | Knee arthroscopy setup, degenerative disease | Rehabilitation | $97.35 |
| R688 | Ankle arthroscopy setup with debridement etc. | Rehabilitation | $400.00 |
| R689 | Excision of Os Trigonum (sole procedure) | Rehabilitation | $230.00 |
| R690 | Skin allograft procurement per % total body harvested | Rehabilitation | $17.25 |
| R691 | Minor burn debridement/excision in Operating Room per unit | Rehabilitation | $75.00 |
| R692 | Moderate burn debridement/excision in Operating Room per unit | Rehabilitation | $87.50 |
| R693 | Major burn debridement/excision in Operating Room per unit | Rehabilitation | $100.00 |
| R694 | Ankle liner replacement | Rehabilitation | $353.25 |
| R695 | Subtalar joint surgery | Rehabilitation | $627.35 |
| R696 | Midtarsal single joint surgery | Rehabilitation | $500.00 |
| R697 | Metatarsal-tarsal fusion of one or more joints | Rehabilitation | $300.00 |
| R698 | Debridement/excision/fasciotomy for necrotizing fasciitis per unit | Rehabilitation | $100.00 |
| R699 | Knee arthroscopy setup, non-degenerative or acutely locked knee | Rehabilitation | $97.35 |
| R700 | Basic fee for cardiovascular procedures with hypothermia no bypass | Rehabilitation | $0.00 |
| R701 | Uni-ventricular assist device insertion | Rehabilitation | $721.60 |
| R702 | Bi-ventricular assist device insertion | Rehabilitation | $1334.80 |
| R703 | Paracorporeal ventricular assist device insertion | Rehabilitation | $1443.05 |
| R704 | Implantable ventricular assist device insertion | Rehabilitation | $2163.35 |
| R705 | Removal of ventricular assist device | Rehabilitation | $508.55 |
| R706 | Right and left atrial ablative procedure for atrial arrhythmia | Rehabilitation | $1245.85 |
| R708 | Internal iliac artery ligation unilateral or bilateral | Rehabilitation | $409.55 |
| R709 | Left atrial ablative procedure for atrial arrhythmia | Rehabilitation | $778.65 |
| R710 | Resection/ablation for ventricular tachycardia | Rehabilitation | $1112.15 |
| R711 | Division of accessory conduction pathway | Rehabilitation | $741.55 |
| R712 | Cardiotomy with exploration | Rehabilitation | $525.75 |
| R713 | Cardiotomy with removal of foreign body | Rehabilitation | $635.45 |
| R714 | Cardiotomy with removal of tumour | Rehabilitation | $525.75 |
| R715 | Closure of secundum atrial septal defect | Rehabilitation | $755.80 |
| R716 | Closure of endocardial cushion and valve defect | Rehabilitation | $1124.70 |
| R717 | Closure with anomalous pulmonary venous drainage | Rehabilitation | $948.75 |
| R718 | Closure of ventricular septal defect | Rehabilitation | $948.75 |
| R720 | Total repair Tetralogy of Fallot | Rehabilitation | $1285.00 |
| R721 | Arterial repair of transposition | Rehabilitation | $1739.20 |
| R722 | Total anomalous pulmonary venous drainage repair | Rehabilitation | $1152.30 |
| R723 | Total correction transposition of great vessels | Rehabilitation | $1152.30 |
| R724 | Pulmonary valvotomy | Rehabilitation | $663.10 |
| R725 | Pulmonary valvotomy and infundibular resection | Rehabilitation | $758.80 |
| R726 | Tricuspid valvotomy | Rehabilitation | $778.25 |
| R727 | Tricuspid annuloplasty | Rehabilitation | $678.80 |
| R728 | Tricuspid valve replacement | Rehabilitation | $777.40 |
| R729 | Mitral valvotomy | Rehabilitation | $717.25 |
| R730 | Mitral valvotomy - restenosis | Rehabilitation | $798.80 |
| R731 | Tricuspid valvuloplasty | Rehabilitation | $770.55 |
| R733 | Mitral valvuloplasty | Rehabilitation | $963.40 |
| R734 | Mitral annuloplasty | Rehabilitation | $789.60 |
| R735 | Mitral valve replacement | Rehabilitation | $1200.00 |
| R736 | Aortic valvotomy | Rehabilitation | $707.85 |
| R737 | Aortic infundibular resection (ventriculomyotomy) | Rehabilitation | $869.70 |
| R738 | Aortic valve replacement | Rehabilitation | $1049.20 |
| R740 | Left atrial appendage occlusion/excision sole procedure | Rehabilitation | $400.00 |
| R741 | Coronary artery endarterectomy and/or gas endarterectomy | Rehabilitation | $730.70 |
| R742 | One coronary artery repair | Rehabilitation | $895.55 |
| R743 | Two coronary artery repairs | Rehabilitation | $1278.10 |
| R746 | Ventricular aneurysm repair | Rehabilitation | $864.50 |
| R747 | Aneurysm of sinus of Valsalva repair | Rehabilitation | $783.55 |
| R748 | One side open pericardiectomy | Rehabilitation | $635.45 |
| R749 | Both sides open or sternal split pericardiectomy | Rehabilitation | $1001.40 |
| R750 | Open biopsy and drainage of pericardium | Rehabilitation | $317.85 |
| R751 | Implantation of epicardial electrode(s) plus pack | Rehabilitation | $465.00 |
| R752 | Atrio-ventricular sequential pacemaker implantation | Rehabilitation | $454.55 |
| R753 | Implantation of cardioverter defibrillator by thoracotomy | Rehabilitation | $720.30 |
| R754 | Ligation of patent ductus arteriosus infant/child | Rehabilitation | $525.75 |
| R755 | Ligation of patent ductus arteriosus adolescent/adult | Rehabilitation | $730.70 |
| R756 | Resection of coarctation in child | Rehabilitation | $755.80 |
| R757 | Resection of coarctation in infant | Rehabilitation | $785.90 |
| R758 | Resection of coarctation in adolescent/adult | Rehabilitation | $984.90 |
| R759 | Congenital heart procedures e.g. Blalock, Glenn, Potts | Rehabilitation | $774.35 |
| R760 | Regional isolation perfusion e.g. iliac | Rehabilitation | $410.45 |
| R761 | Implantation of cardioverter defibrillator by transvenous approach | Rehabilitation | $587.35 |
| R762 | Creation of ASD by thoracotomy or Sterling Edwards | Rehabilitation | $755.80 |
| R763 | Creation of ASD by balloon septostomy | Rehabilitation | $317.85 |
| R764 | Exploration of major artery | Rehabilitation | $271.60 |
| R765 | Open cardiac massage | Rehabilitation | $231.30 |
| R766 | First surgeon tibial in-situ saphenous vein arterial bypass | Rehabilitation | $125.10 |
| R767 | Second surgeon tibial in-situ saphenous vein arterial bypass | Rehabilitation | $1303.00 |
| R768 | Pulmonary artery banding | Rehabilitation | $628.95 |
| R769 | Pulmonary artery banding with pressure studies | Rehabilitation | $0.00 |
| R770 | Correction of cor triatriatum | Rehabilitation | $885.60 |
| R771 | Vascular ring repair | Rehabilitation | $755.80 |
| R772 | Pulmonary valve replacement | Rehabilitation | $758.80 |
| R773 | Simple mitral valve reconstruction | Rehabilitation | $1648.25 |
| R774 | Complex mitral valve reconstruction | Rehabilitation | $2058.20 |
| R775 | Cannulation superficial temporal artery for infusion chemotherapy | Rehabilitation | $95.80 |
| R776 | Cannulation hepatic artery for infusion chemotherapy | Rehabilitation | $263.05 |
| R778 | Cannulation carotid artery for infusion chemotherapy | Rehabilitation | $148.50 |
| R780 | Femoro-anterior/posterial tibial/peroneal bypass graft with prosthetic graft | Rehabilitation | $878.00 |
| R781 | Ligation of artery as sole procedure | Rehabilitation | $170.10 |
| R783 | Aorto-iliac repair including common iliac repair | Rehabilitation | $2002.00 |
| R784 | Aorto-iliac repair plus unilateral common femoral repair | Rehabilitation | $2102.00 |
| R785 | Aorto-iliac repair plus bilateral common femoral repair | Rehabilitation | $2327.50 |
| R786 | Iliac repair including internal iliac aneurysm | Rehabilitation | $805.65 |
| R787 | Femoro-anterior/posterial tibial/peroneal bypass graft with saphenous or arm vein | Rehabilitation | $1265.00 |
| R788 | Ligation of internal maxillary artery unilateral | Rehabilitation | $408.10 |
| R789 | Ligation of anterior ethmoidal artery unilateral | Rehabilitation | $299.85 |
| R790 | Suture of lacerated major artery | Rehabilitation | $316.85 |
| R791 | Femoro-popliteal bypass with saphenous vein | Rehabilitation | $1077.25 |
| R792 | Carotid endarterectomy with or without bypass graft | Rehabilitation | $841.00 |
| R794 | Femoro-popliteal bypass with prosthetic graft | Rehabilitation | $733.15 |
| R795 | Repair of lacerated major artery or microscopic digital artery repair | Rehabilitation | $598.40 |
| R796 | Carotid artery repair | Rehabilitation | $769.85 |
| R797 | In-situ saphenous vein arterial bypass popliteal | Rehabilitation | $1414.15 |
| R798 | Carotid artery repair | Rehabilitation | $820.70 |
| R799 | Ascending thoracic aorta aneurysm repair or excision with graft | Rehabilitation | $1473.15 |
| R800 | Aortic arch aneurysm repair or excision with graft | Rehabilitation | $1840.35 |
| R801 | Descending thoracic aorta aneurysm repair or excision with graft | Rehabilitation | $1260.30 |
| R802 | Abdominal aorta aneurysm repair alone or with unilateral common femoral repair | Rehabilitation | $1585.50 |
| R803 | Thoraco-abdominal aneurysm repair or excision with graft | Rehabilitation | $2859.30 |
| R804 | Tibial in-situ saphenous vein arterial bypass | Rehabilitation | $1643.00 |
| R805 | Renal artery aneurysm reconstruction or excision with graft | Rehabilitation | $867.35 |
| R806 | Renal artery repair | Rehabilitation | $867.35 |
| R807 | Splenic artery aneurysm reconstruction or excision with graft | Rehabilitation | $411.05 |
| R808 | Femoral aneurysm reconstruction or excision with graft | Rehabilitation | $600.30 |
| R809 | Femoral-popliteal endarterectomy | Rehabilitation | $759.60 |
| R810 | Popliteal aneurysm repair | Rehabilitation | $805.65 |
| R811 | Mesenteric or celiac artery aneurysm repair | Rehabilitation | $410.85 |
| R812 | Peripheral arteries aneurysm repair other than listed | Rehabilitation | $410.45 |
| R813 | Embolectomy artery or graft as sole procedure | Rehabilitation | $490.00 |
| R814 | Embolectomy or thrombectomy of aortic bifurcation or graft | Rehabilitation | $461.50 |
| R815 | Arterioplasty with or without patch graft including microvascular anastomosis | Rehabilitation | $581.85 |
| R817 | Arterial repair | Rehabilitation | $2327.50 |
| R818 | Lacerated major vein repair including patch | Rehabilitation | $596.70 |
| R819 | Lacerated major vein repair by vein graft | Rehabilitation | $793.55 |
| R820 | Lacerated major vein repair e.g. femoral, popliteal, vena cava | Rehabilitation | $396.95 |
| R821 | Spleno-renal shunt transthoracic approach | Rehabilitation | $1117.90 |
| R822 | Porto-caval anastomosis | Rehabilitation | $919.10 |
| R823 | Spleno-renal shunt abdominal approach | Rehabilitation | $1117.90 |
| R824 | Meso-caval anastomosis | Rehabilitation | $866.55 |
| R825 | Excision of major AV aneurysm | Rehabilitation | $975.50 |
| R826 | Excision of minor AV aneurysm | Rehabilitation | $497.25 |
| R827 | Creation of A.V. fistula | Rehabilitation | $490.15 |
| R828 | Ilio-femoral thrombectomy with or without femoral vein ligation | Rehabilitation | $446.50 |
| R829 | Thrombectomy other than above | Rehabilitation | $302.80 |
| R830 | Aortic arch innominate reconstruction | Rehabilitation | $910.70 |
| R831 | Aortic arch subclavian reconstruction | Rehabilitation | $910.70 |
| R832 | Aortic arch vertebral reconstruction | Rehabilitation | $867.35 |
| R833 | Ligation or removal of by-pass graft | Rehabilitation | $82.55 |
| R834 | I.V.C. transabdominal | Rehabilitation | $446.50 |
| R835 | S.V.C. bypass graft | Rehabilitation | $758.40 |
| R836 | Pulmonary embolectomy | Rehabilitation | $866.55 |
| R837 | Multiple ligation and avulsion | Rehabilitation | $200.00 |
| R838 | I.V.C. transvenous (umbrella) | Rehabilitation | $303.00 |
| R839 | Internal iliac artery ligation | Rehabilitation | $394.85 |
| R840 | Bypass graft for haemodialysis - autogenous vein | Rehabilitation | $496.60 |
| R841 | Obliteration of A.V. fistula | Rehabilitation | $82.55 |
| R842 | Extra fascial and sub-fascial incompetent perforators by full fascial technique | Rehabilitation | $384.75 |
| R843 | Removal of cannula or A.V. shunt | Rehabilitation | $101.00 |
| R844 | Recurrent varicose veins - multiple ligation and/or stripping | Rehabilitation | $353.80 |
| R845 | Multiple ligation and skin graft - per leg | Rehabilitation | $341.55 |
| R846 | Micro lympho-lympho or lymphovenous anastomosis | Rehabilitation | $691.40 |
| R847 | Stasis ulcer with skin graft - per leg | Rehabilitation | $195.85 |
| R848 | Dialysis cannula insertion under vision into central line (excluding percutaneous) | Rehabilitation | $219.15 |
| R851 | Bypass graft for haemodialysis - synthetic | Rehabilitation | $482.70 |
| R852 | Insertion of peritoneal cannula by laparotomy or laparoscopy | Rehabilitation | $352.50 |
| R853 | Insertion of Tenckhoff type peritoneal catheter, chronic by trocar | Rehabilitation | $154.40 |
| R854 | Removal of Tenckhoff type peritoneal catheter | Rehabilitation | $63.10 |
| R855 | Common femoral/profunda femoris repair - as sole procedure | Rehabilitation | $559.20 |
| R856 | Extended profundoplasty | Rehabilitation | $818.80 |
| R857 | Interruption of bronchial collateral arteries as sole procedure | Rehabilitation | $730.70 |
| R858 | Total removal of infected aortic graft (stem and limbs) | Rehabilitation | $918.35 |
| R859 | Partial removal of infected aortic graft (one limb only) | Rehabilitation | $344.00 |
| R860 | Per-obturator ilio-femoral graft with saphenous vein | Rehabilitation | $898.55 |
| R861 | Per-obturator ilio-femoral graft with prosthetic graft | Rehabilitation | $876.85 |
| R862 | Repair of lacerated major artery or microscopic repair of digital artery (including patch angioplasty) | Rehabilitation | $834.30 |
| R863 | Replacement of aortic valve, ascending aorta, and coronary reimplantation (Modified Bentall) | Rehabilitation | $2070.60 |
| R864 | Repair of false aneurysm at groin anastomosis | Rehabilitation | $893.20 |
| R865 | Distal spleno-renal shunt | Rehabilitation | $1259.55 |
| R866 | Gastric devascularization as sole procedure | Rehabilitation | $549.65 |
| R867 | Thrombectomy - artery or graft as sole procedure | Rehabilitation | $490.00 |
| R868 | High ligation and stripping of long saphenous vein with groin dissection | Rehabilitation | $200.00 |
| R869 | Stripping of short saphenous vein with popliteal dissection | Rehabilitation | $107.50 |
| R870 | Orthotopic cardiac transplantation | Rehabilitation | $1443.05 |
| R872 | Donor cardiectomy | Rehabilitation | $481.40 |
| R873 | Thrombin injection of femoral artery pseudoaneurysm | Rehabilitation | $68.20 |
| R874 | Cardiopulmonary transplantation | Rehabilitation | $2565.30 |
| R875 | Endovascular aneurysm repair using stent grafting | Rehabilitation | $1396.90 |
| R876 | Valve sparing aortic root replacement or remodelling | Rehabilitation | $2144.95 |
| R877 | Aneurysm with repair of iliac artery aneurysm (unilateral or bilateral) | Rehabilitation | $2116.90 |
| R878 | Subintimal dissection for recanalization of femoral/popliteal/tibial arterial occlusive disease | Rehabilitation | $759.60 |
| R879 | Subintimal dissection for recanalization of iliac/aorta arterial occlusive disease | Rehabilitation | $759.60 |
| R880 | Abdominal surgical exposure - supraceliac aortic cross clamp | Rehabilitation | $0.00 |
| R881 | Abdominal surgical exposure - infraceliac aortic cross clamp | Rehabilitation | $0.00 |
| R882 | Thoracic surgical exposure | Rehabilitation | $0.00 |
| R883 | Thoraco-abdominal surgical exposure | Rehabilitation | $0.00 |
| R885 | Removal of peritoneal cannula by laparotomy or laparoscopy | Rehabilitation | $256.10 |
| R905 | Splenectomy - partial or complete | Rehabilitation | $493.90 |
| R907 | Excision of cystic hygroma unilateral | Rehabilitation | $408.65 |
| R910 | Neck lymph nodes - limited dissection (2 levels unilateral or central compartment) | Rehabilitation | $568.70 |
| R912 | Ileoinguinal radical resection | Rehabilitation | $489.30 |
| R913 | Axillary or inguinal lymph nodes - radical resection unilateral | Rehabilitation | $367.95 |
| R914 | Axillary or inguinal lymph nodes - limited resection unilateral | Rehabilitation | $207.30 |
| R915 | Neck lymph nodes - comprehensive dissection (3 or more levels unilateral) | Rehabilitation | $1120.80 |
| R916 | Re-exploration of vascular graft and closure of lymph fistula in groin | Rehabilitation | $207.30 |
| R920 | Excision of ventricular tumour | Rehabilitation | $712.15 |
| R921 | Complete A-V canal repair | Rehabilitation | $1480.40 |
| R922 | Single ventricle repair | Rehabilitation | $1687.50 |
| R923 | Double outlet right/left ventricle repair | Rehabilitation | $1516.70 |
| R924 | Double outlet ventricle with transposition repair | Rehabilitation | $1728.90 |
| R925 | Truncus arteriosus repair | Rehabilitation | $1718.55 |
| R926 | Interrupted aortic arch repair | Rehabilitation | $1516.70 |
| R927 | Aorto-pulmonary window repair | Rehabilitation | $960.40 |
| R928 | Right ventricle outflow tract repair with valve and tubular graft | Rehabilitation | $1064.55 |
| R929 | Debanding arterioplasty of pulmonary artery | Rehabilitation | $943.45 |
| R930 | Aortic valvoloplasty | Rehabilitation | $837.70 |
| R932 | Axillo-bifemoral graft | Rehabilitation | $1200.00 |
| R933 | Axillo-femoral, femoro-femoral or axillo-axillary graft | Rehabilitation | $656.55 |
| R934 | Aorto-femoral unilateral graft | Rehabilitation | $867.35 |
| R935 | Removal of band only (celiac ganglion excision) | Rehabilitation | $410.85 |
| R936 | Endarterectomy or graft | Rehabilitation | $954.10 |
| R937 | Ilio-femoral bypass graft | Rehabilitation | $805.65 |
| R940 | Pulmonary thromboendarterectomy (PTE) with circulatory arrest and hypothermia | Rehabilitation | $2021.05 |
| R941 | Thrombectomy by open technique | Rehabilitation | $350.00 |
| R942 | Ligation, removal or obliteration of AV fistula or graft for haemodialysis | Rehabilitation | $250.00 |
| R943 | Revision/repair of AV fistula or graft by plication, imbrication, and/or resection with/without thrombectomy | Rehabilitation | $400.00 |
| R944 | Revision/repair of AV fistula or graft by angioplasty, patch or graft, and/or segment replacement with/without thrombectomy | Rehabilitation | $650.00 |
| R945 | Resection or repair of AV fistula aneurysm(s) with/without thrombectomy | Rehabilitation | $975.50 |
| R946 | Brachio-basilic vein AV fistula transposition for haemodialysis | Rehabilitation | $975.50 |
| R950 | Radius and ulna - circular external fixation | Rehabilitation | $291.40 |
| R951 | Single level correction - circular external fixation | Rehabilitation | $638.40 |
| R952 | Double level correction - circular external fixation | Rehabilitation | $798.10 |
| R953 | Bone transport - circular external fixation (≤ 6 cm) | Rehabilitation | $655.15 |
| R954 | Bone transport - circular external fixation (> 6 cm) | Rehabilitation | $763.80 |
| R956 | Humerus - circular external fixation | Rehabilitation | $291.40 |
| R957 | Single level correction - circular external fixation | Rehabilitation | $510.35 |
| R958 | Double level correction - circular external fixation | Rehabilitation | $638.40 |
| R959 | Bone transport - circular external fixation (≤ 6 cm) | Rehabilitation | $655.15 |
| R960 | Bone transport - circular external fixation (> 6 cm) | Rehabilitation | $763.80 |
| R961 | Humeral lengthening - circular external fixation (≤ 6 cm) | Rehabilitation | $438.00 |
| R962 | Humeral lengthening - circular external fixation (> 6 cm) | Rehabilitation | $655.15 |
| R963 | Single level correction - circular external fixation | Rehabilitation | $638.40 |
| R964 | Double level correction - circular external fixation | Rehabilitation | $798.10 |
| R965 | Bone transport - circular external fixation (≤ 6 cm) | Rehabilitation | $655.15 |
| R966 | Bone transport - circular external fixation (> 6 cm) | Rehabilitation | $763.80 |
| R967 | Circular external fixation | Rehabilitation | $291.40 |
| R968 | Lengthening with circular external fixation (≤ 6 cm) | Rehabilitation | $546.55 |
| R969 | Lengthening with circular external fixation (> 6 cm) | Rehabilitation | $763.80 |
| R970 | Circumferential external fixation | Rehabilitation | $291.40 |
| R971 | Single level correction - circular external fixation | Rehabilitation | $510.35 |
| R972 | Double level correction - circular external fixation | Rehabilitation | $638.40 |
| R973 | Bone transport - circular external fixation (≤ 6 cm) | Rehabilitation | $634.70 |
| R974 | Bone transport - circular external fixation (> 6 cm) | Rehabilitation | $763.80 |
| R975 | Lengthening with circular external fixation (≤ 6 cm) | Rehabilitation | $438.00 |
| R976 | Lengthening with circular external fixation (> 6 cm) | Rehabilitation | $655.15 |
| R977 | Circular external fixation without osteotomy | Rehabilitation | $583.75 |
| R978 | Circular external fixation with osteotomy | Rehabilitation | $729.45 |
| R979 | Circular external fixation with multiple osteotomies | Rehabilitation | $911.30 |
| R990 | Independent consideration for unusual surgical procedures | Rehabilitation | $0.00 |
| R992 | No description | Rehabilitation | $0.00 |
| R993 | Excision of tumours not specifically listed (IC code) | Rehabilitation | $0.00 |
| R999 | No description | Rehabilitation | $0.00 |
| S000 | No description | Selected Laboratory Procedures | $0.00 |
| S002 | Excision of parapharyngeal space lesions with parotid gland mobilization | Selected Laboratory Procedures | $907.05 |
| S003 | Composite resection of lesion of oral cavity and/or oropharynx with partial mandible resection | Selected Laboratory Procedures | $75.06 |
| S004 | Ranula excision | Selected Laboratory Procedures | $165.80 |
| S005 | Composite resection of oral cavity/oropharynx lesion with partial mandible resection | Selected Laboratory Procedures | $1030.70 |
| S006 | Excision of lesion over 4 cm | Selected Laboratory Procedures | $431.15 |
| S007 | Extended composite resection of oral cavity/oropharynx lesion with mandible and maxilla resection | Selected Laboratory Procedures | $125.10 |
| S010 | Wedge resection of lip with plastic repair | Selected Laboratory Procedures | $275.00 |
| S011 | Wedge resection of vermilion | Selected Laboratory Procedures | $98.45 |
| S012 | Lip shave vermilionectomy | Selected Laboratory Procedures | $225.00 |
| S013 | Cleft lip reconstruction unilateral | Selected Laboratory Procedures | $363.30 |
| S014 | Cleft lip reconstruction with lip switch flap | Selected Laboratory Procedures | $444.40 |
| S018 | Partial glossectomy | Selected Laboratory Procedures | $197.45 |
| S020 | Glossoplasty | Selected Laboratory Procedures | $197.45 |
| S023 | Extraction of single tooth (complete care) | Selected Laboratory Procedures | $24.90 |
| S024 | Excision of torus palatinus | Selected Laboratory Procedures | $197.45 |
| S028 | Dentigerous cyst excision | Selected Laboratory Procedures | $98.80 |
| S030 | Closure of anterior alveolar fistula | Selected Laboratory Procedures | $197.45 |
| S031 | Palatal fenestration | Selected Laboratory Procedures | $197.55 |
| S032 | Bone graft to palate | Selected Laboratory Procedures | $335.65 |
| S033 | Closure of palate fistula | Selected Laboratory Procedures | $281.95 |
| S034 | Cleft palate repair | Selected Laboratory Procedures | $369.25 |
| S035 | Removal of sutures under general anaesthesia | Selected Laboratory Procedures | $41.25 |
| S036 | Uvulopalatopharyngoplasty (includes tonsillectomy) | Selected Laboratory Procedures | $239.75 |
| S042 | Excision of submandibular or sublingual gland | Selected Laboratory Procedures | $391.05 |
| S043 | Total parotid gland excision with facial nerve preservation | Selected Laboratory Procedures | $885.75 |
| S044 | Total parotid gland excision without facial nerve preservation | Selected Laboratory Procedures | $593.00 |
| S045 | Subtotal parotid gland excision with facial nerve preservation | Selected Laboratory Procedures | $752.10 |
| S047 | Repeat subtotal parotid gland excision with facial nerve preservation | Selected Laboratory Procedures | $774.50 |
| S049 | Plastic repair of duct | Selected Laboratory Procedures | $202.25 |
| S050 | Cryotherapy for pre-malignant or malignant oral cavity/sinus lesions | Selected Laboratory Procedures | $148.60 |
| S057 | Submandibular duct relocation | Selected Laboratory Procedures | $360.75 |
| S058 | Excision of branchial cleft lesion | Selected Laboratory Procedures | $306.85 |
| S059 | Repeat excision of branchial cleft lesion | Selected Laboratory Procedures | $435.30 |
| S061 | Excision of thyroglossal duct remnant | Selected Laboratory Procedures | $340.15 |
| S062 | Repeat excision of thyroglossal duct remnant | Selected Laboratory Procedures | $410.40 |
| S063 | Tonsillectomy (may include adenoidectomy) | Selected Laboratory Procedures | $178.35 |
| S065 | Adenoidectomy | Selected Laboratory Procedures | $101.25 |
| S066 | Secondary suture or cauterization after tonsillectomy/adenoidectomy hemorrhage | Selected Laboratory Procedures | $121.05 |
| S067 | Partial pharyngectomy transthyroid or lateral | Selected Laboratory Procedures | $1017.20 |
| S068 | Pharyngo-laryngectomy | Selected Laboratory Procedures | $1155.45 |
| S069 | Pharyngoplasty | Selected Laboratory Procedures | $360.45 |
| S073 | Oesophageal surgery - cervical approach | Selected Laboratory Procedures | $75.06 |
| S074 | Oesophageal surgery - thoracic approach | Selected Laboratory Procedures | $125.10 |
| S075 | Oesophageal surgery - abdominal approach | Selected Laboratory Procedures | $87.57 |
| S079 | Massive paraesophageal hernia repair | Selected Laboratory Procedures | $1200.00 |
| S080 | Oesophageal-gastric devascularization including splenectomy and oesophageal division/anastomosis | Selected Laboratory Procedures | $898.15 |
| S081 | Trans-oesophageal division of oesophageal varices | Selected Laboratory Procedures | $558.05 |
| S082 | Intrathoracic oesophageal stent via laparotomy | Selected Laboratory Procedures | $410.55 |
| S083 | Intrathoracic oesophageal stent via oesophagoscope | Selected Laboratory Procedures | $304.20 |
| S084 | Cervical oesophagostomy (non-neonatal) | Selected Laboratory Procedures | $212.35 |
| S085 | Cervical oesophagostomy (neonatal) | Selected Laboratory Procedures | $304.20 |
| S086 | Cricopharyngeal myotomy open approach | Selected Laboratory Procedures | $300.00 |
| S087 | Excision of intrathoracic diverticulum | Selected Laboratory Procedures | $507.00 |
| S088 | Cricopharyngeal diverticulum excision | Selected Laboratory Procedures | $390.05 |
| S089 | Partial oesophageal resection and reconstruction | Selected Laboratory Procedures | $1180.50 |
| S090 | Total thoracic oesophageal resection | Selected Laboratory Procedures | $1912.30 |
| S091 | Oesophageal hiatus hernia repair abdominal or transthoracic with fundal plication | Selected Laboratory Procedures | $750.00 |
| S092 | Recurrent oesophageal hiatus hernia repair | Selected Laboratory Procedures | $1100.00 |
| S093 | Enucleation of benign oesophageal tumour | Selected Laboratory Procedures | $584.15 |
| S095 | Oesophageal stricture (Thal) repair | Selected Laboratory Procedures | $676.05 |
| S096 | Ruptured oesophagus suture and drainage | Selected Laboratory Procedures | $1200.00 |
| S097 | Oesophago-gastrostomy for bypass | Selected Laboratory Procedures | $608.30 |
| S098 | Oesophageal bypass abdomen to neck with stomach | Selected Laboratory Procedures | $912.60 |
| S099 | Oesophageal bypass abdomen to neck with colon or jejunum | Selected Laboratory Procedures | $1264.05 |
| S100 | Total thoracic oesophageal myotomy as sole procedure | Selected Laboratory Procedures | $738.90 |
| S103 | Closure of H-type tracheo-oesophageal fistula | Selected Laboratory Procedures | $923.05 |
| S104 | Repair of oesophageal atresia with or without tracheal fistula | Selected Laboratory Procedures | $2203.20 |
| S113 | Removal of gastric band | Selected Laboratory Procedures | $300.00 |
| S114 | Sleeve gastrectomy | Selected Laboratory Procedures | $820.00 |
| S115 | Reversal of previous vertical banded gastroplasty | Selected Laboratory Procedures | $820.00 |
| S116 | Gastrotomy with removal of tumour or foreign body | Selected Laboratory Procedures | $406.85 |
| S117 | Pyloromyotomy (Ramstedt's) for newborns/infants | Selected Laboratory Procedures | $536.90 |
| S118 | Gastrostomy | Selected Laboratory Procedures | $467.85 |
| S120 | Gastric bypass with Roux-en-Y anastomosis for morbid obesity | Selected Laboratory Procedures | $1350.00 |
| S121 | Transabdominal vagotomy after previous vagotomy | Selected Laboratory Procedures | $416.50 |
| S122 | Wedge resection of stomach for ulcer | Selected Laboratory Procedures | $520.00 |
| S123 | Partial or subtotal distal gastrectomy | Selected Laboratory Procedures | $840.00 |
| S124 | Highly selective vagotomy | Selected Laboratory Procedures | $503.10 |
| S125 | Partial or subtotal proximal gastrectomy | Selected Laboratory Procedures | $900.00 |
| S128 | Total gastrectomy with or without splenectomy | Selected Laboratory Procedures | $1235.00 |
| S129 | Conversion of previous gastrectomy to Roux-en-Y | Selected Laboratory Procedures | $910.00 |
| S131 | Truncal or selective vagotomy | Selected Laboratory Procedures | $375.80 |
| S132 | Pyloroplasty | Selected Laboratory Procedures | $406.85 |
| S133 | Pyloroplasty and vagotomy | Selected Laboratory Procedures | $528.85 |
| S134 | Gastroduodenostomy or gastrojejunostomy | Selected Laboratory Procedures | $406.85 |
| S137 | Pyloroplasty or gastroenterostomy plus vagotomy and cholecystectomy | Selected Laboratory Procedures | $678.90 |
| S138 | Closure of gastrostomy or other external fistula of stomach | Selected Laboratory Procedures | $345.85 |
| S139 | Gastrorrhaphy for perforated gastric or duodenal ulcer or wound | Selected Laboratory Procedures | $672.75 |
| S140 | Closure of gastrocolic fistula | Selected Laboratory Procedures | $574.40 |
| S149 | Ileostomy | Selected Laboratory Procedures | $470.65 |
| S150 | Small intestine excision including polyps or biopsy | Selected Laboratory Procedures | $406.85 |
| S151 | Insertion of feeding enterostomy | Selected Laboratory Procedures | $356.50 |
| S152 | Bowel lengthening procedure (pediatric) | Selected Laboratory Procedures | $1700.00 |
| S154 | Large intestine excision including polyp removal | Selected Laboratory Procedures | $406.85 |
| S155 | Colonoscopy with laparotomy | Selected Laboratory Procedures | $387.40 |
| S156 | Exteriorization of intestine (Mickulicz) | Selected Laboratory Procedures | $406.85 |
| S157 | Colostomy | Selected Laboratory Procedures | $470.65 |
| S158 | Cecostomy | Selected Laboratory Procedures | $387.40 |
| S159 | Meckel’s diverticulum excision with small bowel resection | Selected Laboratory Procedures | $406.85 |
| S160 | Entero-enterostomy | Selected Laboratory Procedures | $470.65 |
| S161 | Oesophageal myotomy, partial (below aortic arch) | Selected Laboratory Procedures | $584.15 |
| S162 | Local excision of lesion of intestine | Selected Laboratory Procedures | $528.85 |
| S164 | Small intestine resection - duodenum | Selected Laboratory Procedures | $1015.15 |
| S165 | Small intestine resection - other | Selected Laboratory Procedures | $741.45 |
| S166 | Right hemicolectomy (terminal ileum, cecum, ascending colon) | Selected Laboratory Procedures | $899.85 |
| S167 | Large intestine resection - any portion | Selected Laboratory Procedures | $877.95 |
| S168 | Subtotal colectomy with ileostomy | Selected Laboratory Procedures | $1260.40 |
| S169 | Total colectomy with ileo-rectal anastomosis | Selected Laboratory Procedures | $1313.65 |
| S170 | Total colectomy plus abdomino-perineal resection | Selected Laboratory Procedures | $2183.65 |
| S171 | Left hemicolectomy with anterior resection or proctosigmoidectomy | Selected Laboratory Procedures | $1128.10 |
| S172 | Total colectomy with mucosal proctectomy and ileal pouch | Selected Laboratory Procedures | $2247.70 |
| S173 | Two-surgeon abdominal team procedure | Selected Laboratory Procedures | $1812.00 |
| S174 | Two-surgeon perineal team procedure | Selected Laboratory Procedures | $533.80 |
| S175 | Intestinal obstruction without resection | Selected Laboratory Procedures | $712.35 |
| S176 | Intestinal obstruction with entero-enterostomy | Selected Laboratory Procedures | $894.85 |
| S177 | Intestinal obstruction with resection | Selected Laboratory Procedures | $1055.25 |
| S178 | Intestinal atresia repair (newborn) | Selected Laboratory Procedures | $1512.75 |
| S179 | Meconium ileus repair | Selected Laboratory Procedures | $1512.75 |
| S180 | Intestinal obstruction with enterotomy | Selected Laboratory Procedures | $824.80 |
| S181 | Revision of ileostomy or colostomy - skin level | Selected Laboratory Procedures | $131.75 |
| S182 | Revision of ileostomy or colostomy - full thickness | Selected Laboratory Procedures | $467.90 |
| S183 | Cecopexy or sigmoidopexy | Selected Laboratory Procedures | $314.80 |
| S184 | Suture of intestine | Selected Laboratory Procedures | $314.80 |
| S185 | Closure of colostomy or enterostomy | Selected Laboratory Procedures | $504.70 |
| S187 | Plication of small intestine for adhesions | Selected Laboratory Procedures | $528.85 |
| S188 | Bowel resection without anastomosis (colostomy/mucous fistula) | Selected Laboratory Procedures | $770.55 |
| S189 | Intestinal bypass for morbid obesity | Selected Laboratory Procedures | $951.20 |
| S191 | Complete reconstruction of continent ileostomy with valve repair | Selected Laboratory Procedures | $951.20 |
| S192 | Simple revision of continent ileostomy pouch | Selected Laboratory Procedures | $387.40 |
| S193 | Revision of standard ileostomy into continent ileostomy pouch | Selected Laboratory Procedures | $793.50 |
| S194 | Meckel’s diverticulum excision | Selected Laboratory Procedures | $356.50 |
| S195 | Local excision of mesentery lesion | Selected Laboratory Procedures | $305.05 |
| S196 | Multivisceral transplant donor | Selected Laboratory Procedures | $2748.75 |
| S197 | Multivisceral transplant recipient without evisceration | Selected Laboratory Procedures | $7934.35 |
| S199 | Resection of mesentery | Selected Laboratory Procedures | $325.40 |
| S201 | Small bowel transplant donor | Selected Laboratory Procedures | $964.50 |
| S202 | Small bowel transplant recipient | Selected Laboratory Procedures | $2748.75 |
| S203 | Insertion of peritoneo-jugular shunt for ascites - primary | Selected Laboratory Procedures | $281.85 |
| S204 | Incision and drainage of abscess | Selected Laboratory Procedures | $239.20 |
| S207 | Appendectomy with or without perforation | Selected Laboratory Procedures | $458.60 |
| S209 | Insertion of peritoneo-jugular shunt for ascites - revision | Selected Laboratory Procedures | $208.15 |
| S213 | Anterior resection or proctosigmoidectomy | Selected Laboratory Procedures | $1204.50 |
| S214 | Abdomino-perineal resection or pull through | Selected Laboratory Procedures | $1524.20 |
| S215 | Abdominal surgeon in two-surgeon team | Selected Laboratory Procedures | $1107.50 |
| S216 | Perineal surgeon in two-surgeon team | Selected Laboratory Procedures | $459.05 |
| S217 | Hartmann procedure | Selected Laboratory Procedures | $1063.60 |
| S218 | Colon reconstruction following Hartmann procedure | Selected Laboratory Procedures | $1086.75 |
| S222 | Presacral or trans-sacral proctotomy and lesion excision | Selected Laboratory Procedures | $474.35 |
| S223 | Anastomosis of rectum | Selected Laboratory Procedures | $488.20 |
| S225 | Excision of mucous membrane for rectal prolapse | Selected Laboratory Procedures | $239.20 |
| S226 | Perineal repair for rectal prolapse - major | Selected Laboratory Procedures | $356.50 |
| S227 | Abdominal approach for rectal prolapse | Selected Laboratory Procedures | $688.75 |
| S228 | Insertion of Thiersch wire for rectal prolapse | Selected Laboratory Procedures | $190.85 |
| S229 | Suture of rectum, trauma-external approach | Selected Laboratory Procedures | $355.45 |
| S231 | Rectovaginal fistula repair | Selected Laboratory Procedures | $338.55 |
| S233 | Percutaneous trans-hepatic catheter drainage of bile ducts | Selected Laboratory Procedures | $394.25 |
| S234 | Replacement of percutaneous trans-hepatic catheter | Selected Laboratory Procedures | $64.85 |
| S236 | Linear or radial echo-endoscope excluding biliary/pancreatic exam | Selected Laboratory Procedures | $203.05 |
| S237 | Linear or radial echo-endoscope including biliary/pancreatic exam | Selected Laboratory Procedures | $253.80 |
| S241 | Sphincterotomy under local anaesthesia | Selected Laboratory Procedures | $88.20 |
| S243 | Sphincterotomy under general anaesthesia | Selected Laboratory Procedures | $200.00 |
| S247 | Haemorrhoidectomy with or without sigmoidoscopy or fissure repair | Selected Laboratory Procedures | $260.15 |
| S248 | Peter Lord procedure | Selected Laboratory Procedures | $43.60 |
| S249 | Local excision for malignancy (rectal/anal) | Selected Laboratory Procedures | $291.05 |
| S251 | Fistula-in-ano surgery | Selected Laboratory Procedures | $213.15 |
| S253 | Low imperforate anus repair | Selected Laboratory Procedures | $1224.00 |
| S256 | Excision of scar for stenosis | Selected Laboratory Procedures | $142.40 |
| S257 | Anoplasty for stenosis | Selected Laboratory Procedures | $275.05 |
| S258 | Repair of anal sphincter | Selected Laboratory Procedures | $275.05 |
| S259 | Repair of anal sphincter and ano-rectal ring | Selected Laboratory Procedures | $356.50 |
| S260 | High imperforate anus repair (supra-levator) | Selected Laboratory Procedures | $1801.00 |
| S265 | Living donor hepatectomy | Selected Laboratory Procedures | $4760.60 |
| S266 | Living donor orthotopic liver transplant | Selected Laboratory Procedures | $5289.55 |
| S267 | Formal anatomical liver resection - three or four segments | Selected Laboratory Procedures | $1652.15 |
| S268 | Insertion of implantable pump for continuous liver perfusion | Selected Laboratory Procedures | $604.95 |
| S269 | Hepatectomy - local excision of lesion (<5 cm) | Selected Laboratory Procedures | $350.65 |
| S270 | Formal anatomical liver resection - one or two segments | Selected Laboratory Procedures | $1426.05 |
| S271 | Formal anatomical liver resection - five or more segments | Selected Laboratory Procedures | $1938.50 |
| S272 | Laparotomy, cholangiogram and biopsy (neonatal jaundice) | Selected Laboratory Procedures | $387.40 |
| S273 | Marsupialization/decompression of cyst(s) or abscess(es) | Selected Laboratory Procedures | $434.80 |
| S274 | Deceased donor liver removal | Selected Laboratory Procedures | $964.50 |
| S275 | Partial lobectomy of liver (>5 cm excision) | Selected Laboratory Procedures | $585.05 |
| S276 | Choledochotomy (previous cholecystectomy) | Selected Laboratory Procedures | $610.20 |
| S278 | Cholecystostomy | Selected Laboratory Procedures | $408.05 |
| S280 | Transduodenal sphincterotomy and choledochotomy | Selected Laboratory Procedures | $844.65 |
| S281 | Choledochoduodenostomy or choledochoenterostomy | Selected Laboratory Procedures | $721.70 |
| S282 | Cholecystogastrostomy | Selected Laboratory Procedures | $447.45 |
| S283 | Cholecystoenterostomy | Selected Laboratory Procedures | $447.45 |
| S285 | Intrahepatic choledochoenterostomy | Selected Laboratory Procedures | $915.30 |
| S287 | Cholecystectomy | Selected Laboratory Procedures | $478.00 |
| S291 | Choledochectomy for tumour | Selected Laboratory Procedures | $406.85 |
| S292 | Common duct stricture dissection/resection | Selected Laboratory Procedures | $203.40 |
| S294 | Deceased donor liver transplant | Selected Laboratory Procedures | $2748.75 |
| S295 | Repeat liver transplant | Selected Laboratory Procedures | $3776.20 |
| S297 | Drainage of acute pancreatitis or abscess or marsupialization | Selected Laboratory Procedures | $406.85 |
| S298 | Complete pancreatectomy with splenectomy | Selected Laboratory Procedures | $1270.20 |
| S299 | Distal pancreatectomy with spleen preservation | Selected Laboratory Procedures | $1250.00 |
| S300 | Whipple type procedure | Selected Laboratory Procedures | $2457.35 |
| S301 | Local complete excision of pancreatic tumour or lesion | Selected Laboratory Procedures | $508.55 |
| S302 | Donor pancreas removal | Selected Laboratory Procedures | $679.50 |
| S303 | Back-bench pancreas graft preparation | Selected Laboratory Procedures | $339.75 |
| S304 | Lateral pancreatoduodenostomy (Puestow procedure) | Selected Laboratory Procedures | $813.60 |
| S305 | Pancreatic cyst gastrostomy | Selected Laboratory Procedures | $589.95 |
| S306 | Pancreatic cyst duodenostomy | Selected Laboratory Procedures | $589.95 |
| S307 | Pancreatic cyst jejunostomy | Selected Laboratory Procedures | $589.95 |
| S308 | Pancreas transplant | Selected Laboratory Procedures | $2378.30 |
| S309 | Distal pancreatectomy with splenectomy | Selected Laboratory Procedures | $986.05 |
| S310 | Insertion of intraperitoneal chemotherapy port | Selected Laboratory Procedures | $215.10 |
| S311 | Umbilical vein intra-abdominal dissection and catheterization | Selected Laboratory Procedures | $232.50 |
| S312 | Laparotomy with or without biopsy (excluding certain biopsies) | Selected Laboratory Procedures | $485.25 |
| S313 | Incision and drainage of subphrenic abscess | Selected Laboratory Procedures | $370.95 |
| S314 | Incision and drainage of abdominal abscess | Selected Laboratory Procedures | $264.45 |
| S315 | Removal of intraperitoneal chemotherapy port | Selected Laboratory Procedures | $215.10 |
| S317 | Umbilectomy - plastic | Selected Laboratory Procedures | $111.45 |
| S318 | Panniculectomy including diastasis repair | Selected Laboratory Procedures | $500.00 |
| S319 | Mesenteric cyst excision | Selected Laboratory Procedures | $335.15 |
| S320 | Insertion of antabuse into abdominal wall | Selected Laboratory Procedures | $58.15 |
| S321 | Laparotomy for acute trauma | Selected Laboratory Procedures | $587.10 |
| S322 | Inguinal/femoral hernia repair - infants | Selected Laboratory Procedures | $487.50 |
| S323 | Inguinal/femoral hernia repair - adolescents/adults | Selected Laboratory Procedures | $357.80 |
| S325 | Omentopexy as sole procedure | Selected Laboratory Procedures | $305.05 |
| S326 | Inguinal/femoral hernia repair - children | Selected Laboratory Procedures | $412.50 |
| S328 | Unilateral inguinal hernia repair with exploration of other side - infants/children | Selected Laboratory Procedures | $458.40 |
| S329 | Strangulated/incarcerated inguinal hernia without bowel resection | Selected Laboratory Procedures | $425.00 |
| S330 | Strangulated/incarcerated inguinal hernia with bowel resection | Selected Laboratory Procedures | $660.50 |
| S332 | Umbilical hernia repair - adolescent/adult | Selected Laboratory Procedures | $300.00 |
| S333 | Umbilical hernia repair - child | Selected Laboratory Procedures | $222.75 |
| S340 | Ventral/incisional hernia repair with primary closure (<5 cm defect) | Selected Laboratory Procedures | $370.95 |
| S342 | Epigastric hernia repair | Selected Laboratory Procedures | $239.20 |
| S343 | Secondary closure for evisceration - abdomen | Selected Laboratory Procedures | $350.00 |
| S344 | Ventral/incisional hernia repair with mesh closure (≥5 cm defect) | Selected Laboratory Procedures | $500.00 |
| S345 | Massive sliding inguinal hernia repair | Selected Laboratory Procedures | $431.35 |
| S346 | Primary repair of congenital diaphragmatic hernia | Selected Laboratory Procedures | $1300.55 |
| S347 | Second or subsequent repair of congenital diaphragmatic hernia | Selected Laboratory Procedures | $472.15 |
| S348 | Primary or first stage repair of omphalocele/gastroschisis | Selected Laboratory Procedures | $1112.35 |
| S349 | Second or subsequent stage repair of omphalocele/gastroschisis | Selected Laboratory Procedures | $1408.35 |
| S400 | Laparoscopic placement of probe(s) for renal tumour ablation | Selected Laboratory Procedures | $404.95 |
| S401 | Drainage of kidney abscess | Selected Laboratory Procedures | $411.30 |
| S402 | Drainage of perinephric abscess | Selected Laboratory Procedures | $267.60 |
| S403 | Exploration of renal and peri-renal tissues | Selected Laboratory Procedures | $356.70 |
| S405 | Open nephrolithotomy | Selected Laboratory Procedures | $482.40 |
| S408 | Open pyelolithotomy | Selected Laboratory Procedures | $437.20 |
| S410 | Calycectomy with urine diversion | Selected Laboratory Procedures | $512.00 |
| S411 | Partial or heminephrectomy | Selected Laboratory Procedures | $907.00 |
| S412 | Nephrectomy - ectopic kidney | Selected Laboratory Procedures | $467.00 |
| S413 | Nephrectomy - lumbar | Selected Laboratory Procedures | $467.00 |
| S415 | Nephroureterectomy | Selected Laboratory Procedures | $522.50 |
| S416 | Nephroureterectomy with vena cava repair | Selected Laboratory Procedures | $907.00 |
| S420 | Nephroureterectomy with ureterovesical junction resection | Selected Laboratory Procedures | $673.10 |
| S422 | Pyeloplasty with or without nephropexy | Selected Laboratory Procedures | $907.00 |
| S423 | Partial or heminephrectomy with total ureterectomy | Selected Laboratory Procedures | $757.85 |
| S424 | Extrophy repair with bladder and abdominal wall closure | Selected Laboratory Procedures | $1237.25 |
| S427 | Bladder flap (Boari) with ureter re-implantation | Selected Laboratory Procedures | $502.45 |
| S428 | Symphysiotomy for horseshoe kidney with nephropexy | Selected Laboratory Procedures | $494.90 |
| S429 | Repair or removal of ruptured/lacerated kidney | Selected Laboratory Procedures | $437.20 |
| S430 | Removal of staghorn calculus open | Selected Laboratory Procedures | $657.75 |
| S431 | Excision of retroperitoneal tumour | Selected Laboratory Procedures | $381.60 |
| S432 | Exploration of retroperitoneal tumour | Selected Laboratory Procedures | $260.85 |
| S433 | Sacrococcygeal teratoma excision | Selected Laboratory Procedures | $437.20 |
| S434 | Kidney re-transplant | Selected Laboratory Procedures | $1858.15 |
| S435 | Kidney transplant | Selected Laboratory Procedures | $1553.15 |
| S436 | Donor nephrectomy unilateral or bilateral | Selected Laboratory Procedures | $653.20 |
| S437 | Renal autotransplantation | Selected Laboratory Procedures | $1161.60 |
| S438 | Retroperitoneal lymph node dissection for bladder cancer | Selected Laboratory Procedures | $630.00 |
| S440 | Creation of continent urinary diversion | Selected Laboratory Procedures | $1475.70 |
| S441 | Creation of continent urinary diversion | Selected Laboratory Procedures | $1013.45 |
| S445 | Ureterotomy upper 2/3 with calculus removal | Selected Laboratory Procedures | $376.80 |
| S446 | Ureterotomy lower 1/3 with calculus removal | Selected Laboratory Procedures | $482.40 |
| S447 | Ureterotomy upper 2/3 previously opened | Selected Laboratory Procedures | $437.20 |
| S448 | Ureterotomy lower 1/3 previously opened | Selected Laboratory Procedures | $522.50 |
| S449 | Ureterectomy including ureterovesical junction | Selected Laboratory Procedures | $445.40 |
| S450 | Partial ureterectomy | Selected Laboratory Procedures | $331.70 |
| S451 | Ureterovesical anastomosis or re-implantation unilateral | Selected Laboratory Procedures | $490.25 |
| S452 | Ureteroileal conduit | Selected Laboratory Procedures | $788.15 |
| S453 | Ureteroileal conduit with ureterectomy and ileal replacement | Selected Laboratory Procedures | $1250.30 |
| S454 | Ureteroileal conduit with ureterectomy and ileal replacement | Selected Laboratory Procedures | $893.50 |
| S455 | Ureterointestinal anastomosis unilateral | Selected Laboratory Procedures | $331.70 |
| S457 | Ureteroureterostomy | Selected Laboratory Procedures | $552.30 |
| S458 | Cutaneous ureterostomy unilateral | Selected Laboratory Procedures | $494.90 |
| S459 | Ureterovaginal fistula repair | Selected Laboratory Procedures | $557.85 |
| S460 | Ureterolysis for periureteral fibrosis unilateral | Selected Laboratory Procedures | $448.00 |
| S461 | Ureteroplasty (Hutch) unilateral | Selected Laboratory Procedures | $331.70 |
| S462 | Ureterointestinal anastomosis bilateral | Selected Laboratory Procedures | $438.35 |
| S463 | Cutaneous ureterostomy with lower third ureterotomy | Selected Laboratory Procedures | $381.60 |
| S465 | Immediate repair of traumatic rupture upper 2/3 ureter | Selected Laboratory Procedures | $381.60 |
| S466 | Immediate repair of traumatic rupture lower 1/3 ureter | Selected Laboratory Procedures | $437.20 |
| S467 | Late repair of traumatic rupture upper 2/3 ureter | Selected Laboratory Procedures | $437.20 |
| S468 | Late repair of traumatic rupture lower 1/3 ureter | Selected Laboratory Procedures | $482.40 |
| S470 | Cystoscopy with calculus manipulation/removal and retrograde pyelogram | Selected Laboratory Procedures | $240.65 |
| S471 | Excision of urachal cyst or sinus with umbilical hernia repair | Selected Laboratory Procedures | $296.30 |
| S476 | Cutaneous vesicostomy | Selected Laboratory Procedures | $437.20 |
| S478 | Cystotomy or cystostomy | Selected Laboratory Procedures | $215.80 |
| S481 | Cystolithotomy - sole operative procedure | Selected Laboratory Procedures | $260.65 |
| S482 | Partial cystectomy for tumour or diverticulum | Selected Laboratory Procedures | $381.60 |
| S483 | Partial cystectomy with ureter reimplantation | Selected Laboratory Procedures | $552.30 |
| S484 | Complete cystectomy without transplant | Selected Laboratory Procedures | $791.85 |
| S485 | Complete cystectomy with ureterointestinal transplant | Selected Laboratory Procedures | $984.65 |
| S488 | Excision of bladder extrophy with graft | Selected Laboratory Procedures | $215.80 |
| S490 | Partial cystectomy with ureter reimplantation (bilateral) | Selected Laboratory Procedures | $733.50 |
| S491 | Plastic repair of extrophy with skin flaps | Selected Laboratory Procedures | $657.75 |
| S512 | Repair of ruptured bladder | Selected Laboratory Procedures | $346.45 |
| S513 | Cystoplasty using intestine | Selected Laboratory Procedures | $692.85 |
| S518 | Plastic repair of bladder neck - child | Selected Laboratory Procedures | $494.90 |
| S519 | Plastic repair of bladder neck - adolescent or adult | Selected Laboratory Procedures | $437.20 |
| S521 | Litholapaxy and removal of fragments | Selected Laboratory Procedures | $215.80 |
| S522 | Closure of external suprapubic fistula | Selected Laboratory Procedures | $260.85 |
| S523 | Closure of vesicovaginal fistula vaginal approach | Selected Laboratory Procedures | $791.85 |
| S524 | Closure of vesicovaginal fistula transvesical approach | Selected Laboratory Procedures | $544.40 |
| S525 | Closure of vesicorectal or vesicosigmoid fistula | Selected Laboratory Procedures | $446.90 |
| S530 | External urethrotomy | Selected Laboratory Procedures | $215.80 |
| S531 | Urethrostomy | Selected Laboratory Procedures | $215.80 |
| S532 | Transurethral (visual) urethrotomy | Selected Laboratory Procedures | $166.05 |
| S535 | One stage urethroplasty repair with possible skin graft | Selected Laboratory Procedures | $618.25 |
| S536 | Excision of urethral caruncle | Selected Laboratory Procedures | $118.80 |
| S537 | Excision of urethral papilloma | Selected Laboratory Procedures | $118.80 |
| S538 | Repeat transurethral urethrotomy within 6 months | Selected Laboratory Procedures | $95.75 |
| S539 | Insertion of artificial urinary sphincter | Selected Laboratory Procedures | $776.70 |
| S540 | Revision or removal of artificial urinary sphincter | Selected Laboratory Procedures | $239.75 |
| S541 | Diverticulectomy of urethra | Selected Laboratory Procedures | $260.85 |
| S542 | Posterior urethral valve excision | Selected Laboratory Procedures | $331.70 |
| S543 | Prolapse of urethra repair | Selected Laboratory Procedures | $118.80 |
| S544 | Radical urethrectomy | Selected Laboratory Procedures | $296.95 |
| S545 | First stage posterior urethroplasty | Selected Laboratory Procedures | $381.60 |
| S546 | Repeat retropubic urethropexy for failed surgery | Selected Laboratory Procedures | $496.25 |
| S547 | Removal of foreign body or calculus | Selected Laboratory Procedures | $170.65 |
| S548 | Urethral sling repair | Selected Laboratory Procedures | $381.60 |
| S549 | Primary retropubic urethropexy | Selected Laboratory Procedures | $391.55 |
| S550 | First stage anterior urethroplasty | Selected Laboratory Procedures | $293.35 |
| S551 | Suture of anterior urethra rupture with urine diversion | Selected Laboratory Procedures | $170.65 |
| S552 | Immediate posterior urethra repair | Selected Laboratory Procedures | $437.20 |
| S553 | Late posterior urethra repair | Selected Laboratory Procedures | $643.35 |
| S554 | Penile urethra fistula repair with urine diversion | Selected Laboratory Procedures | $92.10 |
| S555 | Perineal urethra fistula repair | Selected Laboratory Procedures | $325.95 |
| S556 | Rectourethral fistula repair with diversion and colostomy | Selected Laboratory Procedures | $552.30 |
| S557 | Urethrovesicolysis destruction procedure | Selected Laboratory Procedures | $215.80 |
| S558 | Second stage urethroplasty | Selected Laboratory Procedures | $235.35 |
| S561 | Ureter reimplantation with extensive tapering | Selected Laboratory Procedures | $693.45 |
| S562 | Reimplantation of bifid ureter | Selected Laboratory Procedures | $539.50 |
| S564 | Transurethral incision/resection of external sphincter | Selected Laboratory Procedures | $325.95 |
| S566 | Revision including removal of penile prosthesis | Selected Laboratory Procedures | $239.75 |
| S567 | Slit of prepuce - newborn | Selected Laboratory Procedures | $61.35 |
| S568 | Slit of prepuce - infant | Selected Laboratory Procedures | $62.45 |
| S569 | Slit of prepuce - adult or child | Selected Laboratory Procedures | $65.30 |
| S571 | Hypospadias repair with meatus advancement into glans | Selected Laboratory Procedures | $614.40 |
| S572 | Hypospadias repair into glans using island flap | Selected Laboratory Procedures | $872.45 |
| S573 | Circumcision for physical symptomatology (age 1+) | Selected Laboratory Procedures | $210.80 |
| S574 | Partial amputation of penis | Selected Laboratory Procedures | $284.15 |
| S575 | Partial amputation with inguinal glands 1 or 2 stages | Selected Laboratory Procedures | $437.20 |
| S576 | Radical amputation with inguinal and femoral glands | Selected Laboratory Procedures | $719.30 |
| S577 | Circumcision for infants under one year | Selected Laboratory Procedures | $188.05 |
| S578 | One stage hypospadias/epispadias repair meatus to glans | Selected Laboratory Procedures | $593.80 |
| S579 | Chordee repair | Selected Laboratory Procedures | $215.80 |
| S580 | Plastic reconstruction of urethra | Selected Laboratory Procedures | $331.70 |
| S581 | Closure of urethro-cutaneous fistula | Selected Laboratory Procedures | $296.95 |
| S588 | Surgical removal of penile prosthesis | Selected Laboratory Procedures | $148.45 |
| S589 | Unilateral orchidectomy | Selected Laboratory Procedures | $170.65 |
| S590 | Retroperitoneal lymph node dissection for testicular tumour | Selected Laboratory Procedures | $834.25 |
| S591 | Orchidopexy for undescended testis | Selected Laboratory Procedures | $433.95 |
| S593 | Exploration for undescended testicle without orchidopexy | Selected Laboratory Procedures | $433.95 |
| S595 | Repair of ruptured testicle | Selected Laboratory Procedures | $418.55 |
| S596 | Insertion of testicular prosthesis | Selected Laboratory Procedures | $197.95 |
| S597 | Penile prosthesis for impotence | Selected Laboratory Procedures | $395.90 |
| S598 | Unilateral radical orchidectomy for malignancy | Selected Laboratory Procedures | $337.15 |
| S599 | Excision of plaque for Peyronie's disease | Selected Laboratory Procedures | $286.20 |
| S600 | Reduction of testicular torsion and orchidopexy | Selected Laboratory Procedures | $426.25 |
| S601 | Excision of spermatocele or spermatic granuloma | Selected Laboratory Procedures | $207.85 |
| S602 | Unilateral epididymectomy | Selected Laboratory Procedures | $170.65 |
| S611 | Unilateral hydrocele excision | Selected Laboratory Procedures | $207.85 |
| S616 | Unilateral abscess or haematocele exploration | Selected Laboratory Procedures | $99.00 |
| S618 | Resection of scrotum | Selected Laboratory Procedures | $215.80 |
| S623 | Unilateral vasovasostomy or vasoepididymostomy | Selected Laboratory Procedures | $215.80 |
| S625 | Vasovasostomy with biopsy and vasography | Selected Laboratory Procedures | $260.85 |
| S626 | Vasectomy uni- or bilateral by any technique | Selected Laboratory Procedures | $107.40 |
| S630 | Single hydrocele excision | Selected Laboratory Procedures | $205.35 |
| S631 | Single varicocele excision | Selected Laboratory Procedures | $205.35 |
| S636 | Vesiculectomy | Selected Laboratory Procedures | $552.30 |
| S644 | Open perineal biopsy | Selected Laboratory Procedures | $215.80 |
| S645 | Perineal prostatectomy | Selected Laboratory Procedures | $574.60 |
| S646 | Perineal prostatectomy with vesiculectomy | Selected Laboratory Procedures | $875.00 |
| S647 | Suprapubic prostatectomy with/without bladder stones removal | Selected Laboratory Procedures | $643.35 |
| S650 | Simple retropubic prostatectomy | Selected Laboratory Procedures | $643.35 |
| S651 | Radical retropubic prostatectomy | Selected Laboratory Procedures | $1008.35 |
| S652 | Staging pelvic lymphadenectomy for prostate cancer | Selected Laboratory Procedures | $431.20 |
| S653 | Laparoscopic radical prostatectomy | Selected Laboratory Procedures | $1411.70 |
| S654 | Transurethral resection of prostate for residual tissue | Selected Laboratory Procedures | $411.20 |
| S655 | Transurethral resection of prostate including cystoscopy etc. | Selected Laboratory Procedures | $450.60 |
| S656 | Transurethral drainage of abscess | Selected Laboratory Procedures | $85.30 |
| S701 | Repair of infibulation from female genital mutilation | Selected Laboratory Procedures | $115.00 |
| S702 | Excision of congenital vaginal septum | Selected Laboratory Procedures | $159.55 |
| S703 | Simple vulvectomy | Selected Laboratory Procedures | $257.05 |
| S704 | Radical vulvectomy without gland dissection | Selected Laboratory Procedures | $431.45 |
| S706 | Excision of Bartholin’s gland cyst | Selected Laboratory Procedures | $129.85 |
| S707 | Hymenectomy or hymenotomy | Selected Laboratory Procedures | $97.20 |
| S709 | Urethrovaginal fistula closure | Selected Laboratory Procedures | $374.85 |
| S710 | Oophorectomy | Selected Laboratory Procedures | $820.40 |
| S712 | Culdotomy, drainage or needle puncture | Selected Laboratory Procedures | $115.00 |
| S714 | Second look exploratory laparotomy with biopsies | Selected Laboratory Procedures | $431.45 |
| S715 | Excision of cyst(s) or benign tumour(s) | Selected Laboratory Procedures | $140.45 |
| S716 | Anterior or posterior vaginal repair | Selected Laboratory Procedures | $250.65 |
| S717 | Anterior and posterior vaginal repair | Selected Laboratory Procedures | $396.80 |
| S718 | Repair of enterocoele and/or vault prolapse | Selected Laboratory Procedures | $432.45 |
| S719 | Posterior repair of enterocoele and/or vault prolapse | Selected Laboratory Procedures | $366.55 |
| S720 | Anterior repair with/without posterior repair and uterine prolapse | Selected Laboratory Procedures | $432.45 |
| S721 | Anterior/posterior repair with cervical stump excision | Selected Laboratory Procedures | $432.45 |
| S722 | Post hysterectomy vault prolapse repair vaginal approach | Selected Laboratory Procedures | $432.45 |
| S723 | Anal sphincter repair | Selected Laboratory Procedures | $305.90 |
| S724 | Perineorrhaphy | Selected Laboratory Procedures | $127.35 |
| S725 | Colpocleisis (LeFort or modification) | Selected Laboratory Procedures | $300.35 |
| S727 | Ovarian debulking for advanced ovarian carcinoma | Selected Laboratory Procedures | $1081.80 |
| S728 | Primary combined abdominal/vaginal approach for stress incontinence (one surgeon) | Selected Laboratory Procedures | $429.10 |
| S729 | Ureterovaginal fistula closure | Selected Laboratory Procedures | $560.95 |
| S730 | Vaginal surgeon for combined abdominal/vaginal stress incontinence (two surgeons) | Selected Laboratory Procedures | $330.50 |
| S731 | One surgeon following failed stress incontinence procedure | Selected Laboratory Procedures | $557.95 |
| S732 | Vaginal surgeon following failed stress incontinence procedure (two surgeons) | Selected Laboratory Procedures | $429.65 |
| S733 | Abdominal surgeon following failed stress incontinence procedure | Selected Laboratory Procedures | $429.65 |
| S735 | Tubal fimbriolysis | Selected Laboratory Procedures | $334.35 |
| S736 | Salpingostomy | Selected Laboratory Procedures | $359.55 |
| S738 | Salpingectomy or salpingo-oophorectomy uni- or bilateral | Selected Laboratory Procedures | $366.20 |
| S739 | Fimbriolysis and salpingostomy | Selected Laboratory Procedures | $434.55 |
| S740 | Abdominal surgeon for combined abdominal/vaginal stress incontinence | Selected Laboratory Procedures | $330.50 |
| S741 | Tubal occlusion/interruption/removal for sterilization | Selected Laboratory Procedures | $155.70 |
| S742 | Colpectomy e.g. for carcinoma | Selected Laboratory Procedures | $365.55 |
| S743 | Laparotomy for repair of extensive tubal/peritubal disease | Selected Laboratory Procedures | $657.00 |
| S744 | Cervix cone biopsy with or without D&C | Selected Laboratory Procedures | $190.25 |
| S745 | Oophorectomy and/or oophorocystectomy | Selected Laboratory Procedures | $366.20 |
| S747 | Para ovarian cystectomy | Selected Laboratory Procedures | $306.85 |
| S748 | One surgeon following two or more failed stress incontinence procedures | Selected Laboratory Procedures | $686.70 |
| S749 | Vaginal surgeon following two or more failed stress incontinence procedures | Selected Laboratory Procedures | $528.75 |
| S750 | Radical resection pelvic and para-aortic nodes for cancer | Selected Laboratory Procedures | $797.45 |
| S751 | Abdominal surgeon following two or more failed stress incontinence procedures | Selected Laboratory Procedures | $528.75 |
| S752 | Induced abortion up to 14 weeks gestation | Selected Laboratory Procedures | $112.40 |
| S754 | Diagnostic curettage with biopsy or polyp removal | Selected Laboratory Procedures | $97.20 |
| S756 | Missed abortion or evacuation of molar pregnancy | Selected Laboratory Procedures | $120.45 |
| S757 | Abdominal total or subtotal hysterectomy | Selected Laboratory Procedures | $643.35 |
| S758 | Hysterectomy with anterior and posterior vaginal repair | Selected Laboratory Procedures | $733.45 |
| S759 | Hysterectomy with vaginal repair including prolapse repair | Selected Laboratory Procedures | $655.05 |
| S760 | Vaginal sacropexy for vaginal vault prolapse | Selected Laboratory Procedures | $432.45 |
| S761 | Combined abdominal/vaginal approach for vaginal vault prolapse | Selected Laboratory Procedures | $431.45 |
| S762 | Omentectomy | Selected Laboratory Procedures | $801.10 |
| S763 | Omentectomy | Selected Laboratory Procedures | $1081.80 |
| S764 | Myomectomy | Selected Laboratory Procedures | $406.90 |
| S765 | Amputation of cervix | Selected Laboratory Procedures | $206.30 |
| S766 | Abdominal cervical stump amputation | Selected Laboratory Procedures | $339.80 |
| S767 | Vaginal cervical stump amputation | Selected Laboratory Procedures | $339.80 |
| S768 | Spontaneous incomplete abortion including D&C | Selected Laboratory Procedures | $113.40 |
| S770 | Hysterotomy | Selected Laboratory Procedures | $245.40 |
| S772 | Endometrial ablation by any method | Selected Laboratory Procedures | $225.90 |
| S774 | Repair of incompetent cervix not associated with pregnancy | Selected Laboratory Procedures | $142.50 |
| S775 | Unification of double uterus (Strassman) | Selected Laboratory Procedures | $431.45 |
| S776 | Staging pelvic lymphadenectomy for carcinoma | Selected Laboratory Procedures | $462.30 |
| S777 | Operative uterine inversion repair | Selected Laboratory Procedures | $349.00 |
| S778 | Presacral neurectomy with or without ovarian neurectomy | Selected Laboratory Procedures | $349.00 |
| S779 | Excision of uterine septum | Selected Laboratory Procedures | $349.00 |
| S780 | Ovarian biopsy by laparotomy | Selected Laboratory Procedures | $257.05 |
| S781 | Staging para-aortic lymphadenectomy for carcinoma | Selected Laboratory Procedures | $431.20 |
| S782 | Oophorectomy with total omentectomy | Selected Laboratory Procedures | $410.40 |
| S783 | Hysterotomy with tubal interruption | Selected Laboratory Procedures | $257.05 |
| S784 | Management of ectopic pregnancy by any surgical technique | Selected Laboratory Procedures | $382.10 |
| S785 | Induced abortion after 14 weeks gestation | Selected Laboratory Procedures | $189.85 |
| S786 | Abscess excision | Selected Laboratory Procedures | $82.25 |
| S787 | Surgical biopsy | Selected Laboratory Procedures | $213.15 |
| S788 | Total thyroidectomy | Selected Laboratory Procedures | $777.30 |
| S789 | Subtotal thyroidectomy | Selected Laboratory Procedures | $656.25 |
| S790 | Hemithyroidectomy | Selected Laboratory Procedures | $525.15 |
| S792 | Re-exploration of neck for hyperparathyroidism | Selected Laboratory Procedures | $685.00 |
| S793 | Completion thyroidectomy after subtotal or hemithyroidectomy | Selected Laboratory Procedures | $650.00 |
| S795 | Exploration/removal of parathyroids or parathyroid tumour | Selected Laboratory Procedures | $605.45 |
| S796 | Exploration/removal of parathyroids requiring sternum splitting | Selected Laboratory Procedures | $687.60 |
| S797 | Thymectomy | Selected Laboratory Procedures | $615.10 |
| S798 | Unilateral adrenalectomy or exploration | Selected Laboratory Procedures | $646.30 |
| S799 | Bilateral adrenalectomy with or without oophorectomy | Selected Laboratory Procedures | $1032.70 |
| S800 | Unilateral adrenalectomy for pheochromocytoma | Selected Laboratory Procedures | $871.80 |
| S811 | Rectus abdominus myocutaneous neovaginostomy | Selected Laboratory Procedures | $829.40 |
| S812 | Repeat post hysterectomy vault prolapse repair vaginal approach | Selected Laboratory Procedures | $515.05 |
| S813 | Repeat vaginal sacropexy | Selected Laboratory Procedures | $515.05 |
| S815 | Tension free vaginal tape mid-urethral sling | Selected Laboratory Procedures | $393.30 |
| S816 | Vaginal hysterectomy | Selected Laboratory Procedures | $643.35 |
| S900 | Basic anaesthesia units for unlisted dental surgical procedure | Selected Laboratory Procedures | $0.00 |
| T022 | No description | Other | $299.89 |
| T023 | No description | Other | $600.73 |
| T024 | No description | Other | $299.89 |
| T025 | No description | Other | $600.73 |
| T026 | No description | Other | $299.89 |
| T027 | No description | Other | $600.73 |
| T028 | No description | Other | $258.68 |
| T029 | No description | Other | $517.44 |
| T030 | No description | Other | $206.97 |
| T031 | No description | Other | $310.52 |
| T040 | No description | Other | $387.86 |
| T041 | No description | Other | $245.58 |
| T042 | No description | Other | $517.44 |
| T043 | No description | Other | $245.58 |
| T099 | General assessment | Other | $0.00 |
| T100 | Basic diagnostic ultrasound | Other | $0.00 |
| T101 | Advanced diagnostic ultrasound | Other | $307.20 |
| T102 | Ultrasound-guided biopsy | Other | $394.90 |
| T105 | Electrocardiogram (ECG) | Other | $307.20 |
| T106 | Holter monitor application | Other | $394.90 |
| T109 | Pulmonary function test | Other | $263.00 |
| T110 | Spirometry | Other | $350.60 |
| T111 | Cardiac stress test | Other | $350.60 |
| T112 | Echocardiogram | Other | $350.60 |
| T113 | Doppler ultrasound | Other | $350.60 |
| T114 | Venous Doppler study | Other | $438.25 |
| T117 | Nerve conduction study | Other | $350.60 |
| T118 | Electromyography (EMG) | Other | $438.25 |
| T121 | Radiology - X-ray | Other | $150.94 |
| T122 | Radiology - CT scan | Other | $242.36 |
| T125 | MRI scan | Other | $326.68 |
| T126 | Nuclear medicine scan | Other | $128.52 |
| T200 | Laboratory blood test | Other | $2059.22 |
| T201 | Urinalysis | Other | $432.85 |
| T202 | Microbiology culture | Other | $628.78 |
| T204 | Pathology specimen analysis | Other | $218.40 |
| T210 | Immunology test | Other | $208.00 |
| T211 | Serology test | Other | $75.00 |
| T212 | Biopsy pathology | Other | $1379.30 |
| T213 | Cytology test | Other | $1875.85 |
| T214 | Genetic testing | Other | $1765.50 |
| T219 | Therapeutic injection | Other | $134.38 |
| T220 | Intravenous therapy | Other | $96.58 |
| T225 | Wound care | Other | $96.58 |
| T230 | Minor surgical procedure | Other | $0.00 |
| T231 | Skin lesion removal | Other | $487.78 |
| T232 | Incision and drainage | Other | $390.23 |
| T233 | Joint aspiration | Other | $45.53 |
| T234 | Casting and splinting | Other | $311.75 |
| T235 | Fracture reduction | Other | $390.23 |
| T236 | Suture removal | Other | $292.67 |
| T237 | Burn treatment | Other | $195.11 |
| T238 | Cryotherapy | Other | $260.15 |
| T239 | Electrocautery | Other | $487.78 |
| T260 | Physiotherapy assessment | Other | $168.35 |
| T261 | Physiotherapy treatment | Other | $247.53 |
| T262 | Occupational therapy assessment | Other | $274.34 |
| T263 | Occupational therapy treatment | Other | $274.34 |
| T264 | Speech therapy assessment | Other | $274.34 |
| T265 | Speech therapy treatment | Other | $274.34 |
| T266 | Respiratory therapy | Other | $247.53 |
| T267 | Dietitian consultation | Other | $78.56 |
| T268 | Psychological assessment | Other | $78.56 |
| T269 | Psychotherapy session | Other | $118.47 |
| T270 | Counseling session | Other | $118.47 |
| T271 | Social work service | Other | $118.47 |
| T272 | Home care nursing | Other | $118.47 |
| T273 | Palliative care visit | Other | $195.16 |
| T274 | Chronic disease management | Other | $247.53 |
| T310 | Vaccination administration | Other | $145.00 |
| T311 | Immunization record update | Other | $71.50 |
| T312 | Travel medicine consultation | Other | $196.00 |
| T330 | Prenatal visit | Other | $34.60 |
| T331 | Postnatal visit | Other | $124.54 |
| T332 | Newborn assessment | Other | $179.00 |
| T333 | Child health supervision | Other | $126.40 |
| T334 | Adolescent health visit | Other | $161.79 |
| T335 | Adult health check-up | Other | $126.40 |
| T336 | Geriatric assessment | Other | $234.90 |
| T337 | Mental health evaluation | Other | $234.90 |
| T338 | Addiction counseling | Other | $234.90 |
| T339 | Smoking cessation counseling | Other | $234.90 |
| T341 | Diabetes management | Other | $131.70 |
| T342 | Hypertension management | Other | $263.30 |
| T343 | Asthma management | Other | $131.70 |
| T344 | COPD management | Other | $263.30 |
| T345 | Heart failure management | Other | $395.20 |
| T346 | Stroke rehabilitation | Other | $234.00 |
| T347 | Cancer follow-up | Other | $234.00 |
| T348 | Pain management | Other | $234.00 |
| T349 | Pediatric immunization | Other | $309.20 |
| T350 | Adult immunization | Other | $309.20 |
| T351 | Travel vaccination | Other | $552.80 |
| T352 | Tuberculosis screening | Other | $552.80 |
| T353 | HIV testing | Other | $618.70 |
| T354 | Sexually transmitted infection testing | Other | $618.70 |
| T359 | Laboratory test panel | Other | $1074.66 |
| T360 | Blood glucose monitoring | Other | $1074.66 |
| T361 | Cholesterol testing | Other | $1175.92 |
| T362 | Thyroid function test | Other | $1605.99 |
| T363 | Liver function test | Other | $2048.00 |
| T364 | Kidney function test | Other | $243.20 |
| T368 | Electroencephalogram (EEG) | Other | $790.27 |
| T369 | Sleep study | Other | $206.50 |
| T370 | Audiology assessment | Other | $172.31 |
| T371 | Vision screening | Other | $252.29 |
| T372 | Hearing aid fitting | Other | $220.33 |
| T373 | Orthotic device fitting | Other | $375.08 |
| T374 | Prosthetic device fitting | Other | $220.33 |
| T375 | Dental examination | Other | $375.08 |
| T376 | Dental cleaning | Other | $220.33 |
| T377 | Dental X-ray | Other | $375.08 |
| T378 | Oral surgery | Other | $528.58 |
| T382 | Eye examination | Other | $1175.92 |
| T383 | Contact lens fitting | Other | $1449.78 |
| T384 | Glaucoma screening | Other | $1605.99 |
| T385 | Cataract assessment | Other | $2532.63 |
| T386 | Retinal photography | Other | $2062.08 |
| T387 | Fluorescein angiography | Other | $283.57 |
| T388 | Visual field testing | Other | $341.63 |
| T389 | Corneal topography | Other | $543.12 |
| T390 | Ophthalmic ultrasound | Other | $172.31 |
| T391 | Intraocular pressure measurement | Other | $220.33 |
| T392 | Laser eye treatment | Other | $375.08 |
| T393 | Eye injection therapy | Other | $492.83 |
| T394 | Eye surgery follow-up | Other | $465.59 |
| T395 | Orthoptic assessment | Other | $228.30 |
| T396 | Strabismus evaluation | Other | $140.15 |
| T401 | Cardiology consultation | Other | $37.12 |
| T402 | Neurology consultation | Other | $87.42 |
| T403 | Endocrinology consultation | Other | $186.37 |
| T404 | Gastroenterology consultation | Other | $159.74 |
| T405 | Pulmonology consultation | Other | $359.94 |
| T406 | Rheumatology consultation | Other | $386.24 |
| T407 | Dermatology consultation | Other | $787.97 |
| T408 | Ophthalmology consultation | Other | $1182.21 |
| T409 | Otolaryngology consultation | Other | $1773.06 |
| T410 | Urology consultation | Other | $139.78 |
| T412 | Nephrology consultation | Other | $48.90 |
| T413 | Hematology consultation | Other | $48.90 |
| T414 | Oncology consultation | Other | $48.90 |
| T415 | Psychiatry consultation | Other | $48.90 |
| T416 | Geriatric medicine consultation | Other | $48.90 |
| T419 | Infectious disease consultation | Other | $203.78 |
| T420 | Allergy consultation | Other | $275.33 |
| T422 | Physical medicine consultation | Other | $93.70 |
| T423 | Pain medicine consultation | Other | $215.14 |
| T424 | Addiction medicine consultation | Other | $2490.47 |
| T425 | Palliative medicine consultation | Other | $1680.65 |
| T426 | Sports medicine consultation | Other | $140.94 |
| T427 | Occupational medicine consultation | Other | $787.97 |
| T428 | Preventive medicine consultation | Other | $1182.21 |
| T429 | Genetics consultation | Other | $1773.06 |
| T430 | Clinical pharmacology consultation | Other | $483.57 |
| T431 | Rehabilitation medicine consultation | Other | $802.56 |
| T432 | Sleep medicine consultation | Other | $1095.19 |
| T433 | Transplant medicine consultation | Other | $1680.65 |
| T435 | Emergency medicine consultation | Other | $150.77 |
| T436 | Family medicine consultation | Other | $148.97 |
| T437 | Internal medicine consultation | Other | $243.20 |
| T438 | Pediatrics consultation | Other | $892.68 |
| T439 | Obstetrics consultation | Other | $107.57 |
| T440 | Gynecology consultation | Other | $483.57 |
| T441 | Neonatology consultation | Other | $802.56 |
| T442 | Anesthesiology consultation | Other | $1095.19 |
| T443 | Radiology consultation | Other | $1680.65 |
| T445 | Pathology consultation | Other | $297.92 |
| T450 | Surgical consultation | Other | $604.13 |
| T451 | Preoperative assessment | Other | $802.56 |
| T452 | Postoperative follow-up | Other | $1680.65 |
| T454 | Chiropractic assessment | Other | $331.76 |
| T455 | Chiropractic treatment | Other | $529.45 |
| T456 | Massage therapy | Other | $771.14 |
| T457 | Acupuncture treatment | Other | $1138.64 |
| T458 | Naturopathic consultation | Other | $214.74 |
| T460 | Dietary counseling | Other | $896.99 |
| T461 | Exercise therapy | Other | $679.90 |
| T462 | Health education | Other | $1000.76 |
| T463 | Smoking cessation program | Other | $290.85 |
| T464 | Weight management program | Other | $621.56 |
| T465 | Stress management program | Other | $1001.19 |
| T468 | Home visit | Other | $140.94 |
| T470 | Telephone consultation | Other | $679.90 |
| T471 | Telemedicine consultation | Other | $684.97 |
| T480 | Hospital admission assessment | Other | $339.75 |
| T481 | Hospital discharge assessment | Other | $679.90 |
| T488 | Long-term care assessment | Other | $573.54 |
| T489 | Rehabilitation assessment | Other | $782.63 |
| T491 | Palliative care assessment | Other | $283.60 |
| T493 | Mental health assessment | Other | $743.42 |
| T494 | Addiction assessment | Other | $619.52 |
| T495 | Developmental assessment | Other | $185.86 |
| T496 | Functional capacity evaluation | Other | $124.03 |
| T501 | Diagnostic imaging interpretation | Other | $57.09 |
| T504 | Laboratory test interpretation | Other | $131.51 |
| T505 | Pathology report interpretation | Other | $292.22 |
| T507 | Consultation report | Other | $112.70 |
| T508 | Second opinion consultation | Other | $173.99 |
| T510 | Medical certificate | Other | $238.85 |
| T511 | Disability assessment | Other | $783.00 |
| T512 | Fitness to work assessment | Other | $1201.50 |
| T513 | Return to work assessment | Other | $1201.50 |
| T514 | Workplace injury assessment | Other | $783.00 |
| T520 | Medical report preparation | Other | $90.09 |
| T521 | Insurance medical examination | Other | $144.21 |
| T522 | Independent medical examination | Other | $288.26 |
| T523 | Forensic medical examination | Other | $513.65 |
| T524 | Pre-employment medical examination | Other | $628.57 |
| T525 | Pre-surgical medical examination | Other | $591.60 |
| T526 | Post-surgical medical examination | Other | $1188.00 |
| T527 | Medical legal consultation | Other | $1010.42 |
| T528 | Expert witness testimony | Other | $1562.20 |
| T530 | Health screening | Other | $350.00 |
| T531 | Preventive health visit | Other | $1127.33 |
| T532 | Removal of foreign body from eye | Other | $1321.18 |
| T533 | Removal of foreign body from ear | Other | $1127.33 |
| T534 | Removal of foreign body from nose | Other | $1321.18 |
| T535 | Removal of foreign body from skin | Other | $174.15 |
| T536 | Removal of foreign body from respiratory tract | Other | $1399.81 |
| T537 | Removal of foreign body from digestive tract | Other | $0.00 |
| T538 | Removal of foreign body from urinary tract | Other | $1541.73 |
| T540 | Incision and drainage of abscess | Other | $913.14 |
| T541 | Incision of cyst | Other | $1321.18 |
| T542 | Incision of hematoma | Other | $1321.18 |
| T543 | Incision of blister | Other | $1321.18 |
| T544 | Incision of other lesion | Other | $1321.18 |
| T545 | Excision of skin lesion | Other | $564.84 |
| T546 | Excision of subcutaneous lesion | Other | $564.84 |
| T547 | Excision of nail | Other | $1321.18 |
| T548 | Excision of other lesion | Other | $1321.18 |
| T550 | Suturing of skin wound | Other | $1321.18 |
| T551 | Suturing of mucous membrane wound | Other | $1321.18 |
| T553 | Application of skin graft | Other | $792.71 |
| T554 | Removal of skin graft | Other | $1493.09 |
| T555 | Debridement of wound | Other | $1178.79 |
| T556 | Dressing of wound | Other | $1321.18 |
| T558 | Removal of sutures | Other | $1178.79 |
| T559 | Removal of staples | Other | $1321.18 |
| T560 | Application of splint | Other | $1321.18 |
| T561 | Application of cast | Other | $1321.18 |
| T562 | Removal of cast | Other | $1321.18 |
| T565 | Incision of abscess under anesthesia | Other | $552.56 |
| T567 | Drainage of abscess under anesthesia | Other | $659.42 |
| T568 | Excision of lesion under anesthesia | Other | $607.50 |
| T569 | Suturing under anesthesia | Other | $742.50 |
| T570 | Debridement under anesthesia | Other | $1201.50 |
| T579 | Minor surgical procedure | Other | $792.71 |
| T580 | Major surgical procedure | Other | $55.10 |
| T581 | Biopsy of skin lesion | Other | $91.00 |
| T582 | Biopsy of mucous membrane | Other | $163.70 |
| T583 | Biopsy of subcutaneous tissue | Other | $268.30 |
| T589 | Removal of foreign body under anesthesia | Other | $892.68 |
| T590 | Incision and drainage under anesthesia | Other | $491.17 |
| T591 | Excision under anesthesia | Other | $44.61 |
| T592 | Suturing under anesthesia | Other | $106.53 |
| T593 | Debridement under anesthesia | Other | $491.17 |
| T594 | Dressing change under anesthesia | Other | $491.17 |
| T595 | Removal of sutures under anesthesia | Other | $491.17 |
| T596 | Removal of staples under anesthesia | Other | $491.17 |
| T598 | Application of splint under anesthesia | Other | $718.01 |
| T599 | Application of cast under anesthesia | Other | $562.18 |
| T601 | Removal of cast under anesthesia | Other | $236.80 |
| T602 | Application of traction | Other | $73.70 |
| T603 | Removal of traction | Other | $143.70 |
| T605 | Reduction of dislocation | Other | $0.00 |
| T606 | Reduction of fracture | Other | $118.45 |
| T607 | Closed reduction of fracture | Other | $676.20 |
| T608 | Open reduction of fracture | Other | $1044.93 |
| T609 | Internal fixation of fracture | Other | $67.38 |
| T610 | External fixation of fracture | Other | $152.40 |
| T611 | Removal of fixation device | Other | $327.40 |
| T612 | Application of splint for fracture | Other | $673.20 |
| T613 | Application of cast for fracture | Other | $444.00 |
| T614 | Removal of cast for fracture | Other | $329.20 |
| T618 | Application of traction for fracture | Other | $0.00 |
| T619 | Removal of traction for fracture | Other | $265.21 |
| T620 | Bone grafting | Other | $113.80 |
| T622 | Arthrocentesis | Other | $168.40 |
| T623 | Arthroscopy | Other | $68.20 |
| T624 | Joint injection | Other | $68.20 |
| T625 | Joint aspiration | Other | $192.80 |
| T628 | Tendon repair | Other | $80.10 |
| T629 | Nerve repair | Other | $111.48 |
| T630 | Muscle repair | Other | $75.52 |
| T631 | Ligament repair | Other | $16.77 |
| T632 | Capsule repair | Other | $37.12 |
| T633 | Synovectomy | Other | $289.47 |
| T634 | Bursa removal | Other | $681.39 |
| T635 | Excision of ganglion | Other | $86.61 |
| T636 | Carpal tunnel release | Other | $349.86 |
| T637 | Trigger finger release | Other | $232.75 |
| T638 | De Quervain's release | Other | $306.25 |
| T639 | Other hand surgery | Other | $67.38 |
| T643 | Skin flap procedure | Other | $0.00 |
| T644 | Skin graft procedure | Other | $0.00 |
| T645 | Tissue expansion | Other | $32.00 |
| T646 | Scar revision | Other | $64.00 |
| T647 | Removal of tattoo | Other | $738.00 |
| T650 | Incision of abscess in oral cavity | Other | $67.57 |
| T651 | Excision of lesion in oral cavity | Other | $54.89 |
| T652 | Biopsy in oral cavity | Other | $36.70 |
| T653 | Suturing in oral cavity | Other | $36.70 |
| T654 | Removal of foreign body in oral cavity | Other | $31.36 |
| T655 | Drainage of abscess in oral cavity | Other | $67.57 |
| T656 | Other oral surgical procedure | Other | $54.89 |
| T660 | Incision of abscess in nose | Other | $75.52 |
| T662 | Excision of lesion in nose | Other | $25.15 |
| T663 | Biopsy in nose | Other | $232.59 |
| T664 | Suturing in nose | Other | $122.85 |
| T665 | Removal of foreign body in nose | Other | $32.38 |
| T666 | Drainage of abscess in nose | Other | $101.25 |
| T667 | Other nasal surgical procedure | Other | $48.45 |
| T668 | Incision of abscess in ear | Other | $96.00 |
| T669 | Excision of lesion in ear | Other | $121.60 |
| T670 | Biopsy in ear | Other | $500.00 |
| T671 | Suturing in ear | Other | $1000.00 |
| T672 | Removal of foreign body in ear | Other | $750.00 |
| T673 | Drainage of abscess in ear | Other | $1250.00 |
| T674 | Other ear surgical procedure | Other | $500.00 |
| T675 | Incision of abscess in eye | Other | $1000.00 |
| T676 | Excision of lesion in eye | Other | $750.00 |
| T677 | Biopsy in eye | Other | $1250.00 |
| T678 | Suturing in eye | Other | $500.00 |
| T679 | Removal of foreign body in eye | Other | $1000.00 |
| T680 | Drainage of abscess in eye | Other | $500.00 |
| T681 | Other eye surgical procedure | Other | $1000.00 |
| T682 | Incision of abscess in skin | Other | $800.00 |
| T683 | Excision of lesion in skin | Other | $1600.00 |
| T684 | Biopsy in skin | Other | $800.00 |
| T685 | Suturing in skin | Other | $1600.00 |
| T686 | Removal of foreign body in skin | Other | $800.00 |
| T687 | Drainage of abscess in skin | Other | $1600.00 |
| T688 | Other skin surgical procedure | Other | $800.00 |
| T689 | Incision of abscess in subcutaneous tissue | Other | $1600.00 |
| T690 | Excision of lesion in subcutaneous tissue | Other | $250.00 |
| T701 | Biopsy in subcutaneous tissue | Other | $171.30 |
| T702 | Suturing in subcutaneous tissue | Other | $205.00 |
| T703 | Removal of foreign body in subcutaneous tissue | Other | $239.60 |
| T704 | Drainage of abscess in subcutaneous tissue | Other | $274.20 |
| T705 | Other subcutaneous surgical procedure | Other | $111.40 |
| T706 | Incision of abscess in muscle | Other | $136.65 |
| T707 | Excision of lesion in muscle | Other | $171.30 |
| T708 | Biopsy in muscle | Other | $222.80 |
| T709 | Suturing in muscle | Other | $205.00 |
| T710 | Removal of foreign body in muscle | Other | $274.20 |
| T711 | Drainage of abscess in muscle | Other | $274.20 |
| T712 | Other muscle surgical procedure | Other | $325.70 |
| T740 | Incision of abscess in bone | Other | $792.71 |
| T741 | Excision of lesion in bone | Other | $792.71 |
| T742 | Biopsy in bone | Other | $792.71 |
| T743 | Suturing in bone | Other | $792.71 |
| T744 | Removal of foreign body in bone | Other | $792.71 |
| T747 | Drainage of abscess in bone | Other | $792.71 |
| T748 | Other bone surgical procedure | Other | $792.71 |
| T750 | Incision of abscess in joint | Other | $792.71 |
| T751 | Excision of lesion in joint | Other | $792.71 |
| T760 | Biopsy in joint | Other | $74.25 |
| T761 | Suturing in joint | Other | $74.25 |
| T800 | General assessment | Other | $0.00 |
| T809 | Consultation | Other | $0.00 |
| T810 | Minor assessment | Other | $0.00 |
| T811 | Intermediate assessment | Other | $0.01 |
| T812 | Major assessment | Other | $0.01 |
| T813 | Comprehensive assessment | Other | $0.01 |
| T814 | Detailed assessment | Other | $0.01 |
| T815 | Follow-up assessment | Other | $0.01 |
| T816 | Repeat assessment | Other | $0.01 |
| T901 | Electrocardiogram | Other | $39.16 |
| T902 | Holter monitor | Other | $20.25 |
| T903 | Stress test | Other | $92.20 |
| T904 | Echocardiogram | Other | $92.20 |
| T905 | Cardiac catheterization | Other | $139.05 |
| T906 | Pacemaker insertion | Other | $184.48 |
| T907 | Defibrillator insertion | Other | $211.15 |
| T908 | Cardiac ablation | Other | $79.66 |
| T909 | Cardiac biopsy | Other | $92.20 |
| T910 | Cardiac surgery | Other | $35.60 |
| T911 | Cardiac consultation | Other | $126.41 |
| T912 | Cardiac follow-up | Other | $251.60 |
| T925 | Pulmonary function test | Other | $67.87 |
| T926 | Bronchoscopy | Other | $67.87 |
| T927 | Thoracentesis | Other | $67.87 |
| T928 | Chest tube insertion | Other | $67.87 |
| T936 | Lung biopsy | Other | $42.46 |
| U021 | Minor e-assessment | Other | $11.00 |
| U023 | Repeat e-assessment | Other | $29.00 |
| U025 | Initial e-assessment | Other | $44.45 |
| U026 | Follow-up e-assessment | Other | $21.90 |
| U231 | Minor e-assessment | Other | $15.00 |
| U233 | Repeat e-assessment | Other | $43.30 |
| U235 | Initial e-assessment | Other | $45.85 |
| U236 | Follow-up e-assessment | Other | $28.95 |
| U960 | Travel premium (max 2 per period) | Other | $36.40 |
| U961 | Travel premium (max 2 per period) | Other | $36.40 |
| U962 | Travel premium (max 2 per period) | Other | $36.40 |
| U963 | Travel premium (max 6 per period) | Other | $36.40 |
| U964 | Travel premium (no max per period) | Other | $36.40 |
| U990 | Travel premium $20 (max 10 per period) | Other | $20.00 |
| U991 | Travel premium $20 (max 10 per period) | Other | $20.00 |
| U992 | Travel premium $40 (max 10 per period) | Other | $40.00 |
| U993 | Travel premium $40 (max 10 per period) | Other | $40.00 |
| U994 | Travel premium $60 (max 10 per period) | Other | $60.00 |
| U995 | Travel premium $60 (max 10 per period) | Other | $60.00 |
| U996 | Travel premium $100 (no max per period) | Other | $100.00 |
| U997 | Travel premium $100 (no max per period) | Other | $100.00 |
| U998 | Travel premium $75 (max 20 per period) | Other | $75.00 |
| U999 | Travel premium $75 (max 20 per period) | Other | $75.00 |
| V302 | Vaccination administration | Other | $14.00 |
| V303 | Vaccination counseling | Other | $11.45 |
| V304 | Vaccination follow-up | Other | $7.00 |
| V305 | Vaccination record update | Other | $16.40 |
| V310 | Immunization assessment | Other | $11.00 |
| V311 | Immunization counseling | Other | $11.00 |
| V312 | Immunization follow-up | Other | $5.50 |
| V402 | No description | Other | $25.15 |
| V404 | No description | Other | $51.00 |
| V406 | No description | Other | $80.00 |
| V407 | No description | Other | $80.00 |
| V408 | No description | Other | $25.15 |
| V409 | No description | Other | $55.00 |
| V410 | No description | Other | $25.15 |
| V411 | No description | Other | $30.80 |
| V412 | No description | Other | $25.00 |
| V413 | No description | Other | $40.00 |
| V415 | No description | Other | $25.15 |
| V450 | No description | Other | $48.00 |
| V451 | No description | Other | $48.00 |
| V842 | No description | Other | $0.00 |
| V843 | No description | Other | $0.00 |
| V844 | No description | Other | $0.00 |
| V845 | No description | Other | $0.00 |
| V846 | No description | Other | $0.00 |
| V847 | No description | Other | $0.00 |
| V848 | No description | Other | $0.00 |
| V849 | No description | Other | $0.00 |
| V850 | No description | Other | $0.00 |
| V851 | No description | Other | $0.00 |
| V852 | No description | Other | $0.00 |
| V853 | No description | Other | $0.00 |
| V854 | No description | Other | $0.00 |
| V855 | No description | Other | $0.00 |
| V856 | No description | Other | $0.00 |
| V857 | No description | Other | $0.00 |
| V858 | No description | Other | $0.00 |
| V859 | No description | Other | $0.00 |
| W001 | Additional subsequent visits (max 4 per month) | Palliative Care | $34.10 |
| W002 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W003 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W004 | General re-assessment of patient in nursing home | Palliative Care | $38.35 |
| W008 | Additional subsequent visits (max 2 per month) | Palliative Care | $34.10 |
| W010 | Monthly management fee (per patient per month) | Palliative Care | $115.25 |
| W021 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W022 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W023 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W025 | Consultation | Palliative Care | $147.30 |
| W026 | Repeat consultation | Palliative Care | $44.45 |
| W028 | Additional subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W031 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W032 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W033 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W035 | Consultation | Palliative Care | $96.20 |
| W036 | Repeat consultation | Palliative Care | $64.10 |
| W038 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W045 | Consultation | Palliative Care | $107.00 |
| W046 | Repeat consultation | Palliative Care | $51.45 |
| W050 | Special community medicine consultation | Palliative Care | $144.75 |
| W051 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W052 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W053 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W054 | General re-assessment of patient in nursing home | Palliative Care | $20.60 |
| W055 | Consultation | Palliative Care | $125.60 |
| W056 | Repeat consultation | Palliative Care | $84.20 |
| W058 | Additional subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W061 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W062 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W063 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W065 | Consultation | Palliative Care | $83.85 |
| W066 | Repeat consultation | Palliative Care | $51.70 |
| W068 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W071 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W072 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W073 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W074 | General reassessment of patient in nursing home | Palliative Care | $20.60 |
| W075 | Consultation | Palliative Care | $232.10 |
| W076 | Repeat consultation | Palliative Care | $105.25 |
| W078 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W085 | Consultation | Palliative Care | $91.35 |
| W086 | Repeat consultation | Palliative Care | $54.00 |
| W095 | Consultation | Palliative Care | $94.30 |
| W096 | Repeat consultation | Palliative Care | $62.65 |
| W102 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W104 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W105 | Consultation | Palliative Care | $87.75 |
| W106 | Repeat consultation | Palliative Care | $45.90 |
| W107 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W109 | Periodic health visit | Palliative Care | $70.50 |
| W113 | Complex neuromuscular assessment | Palliative Care | $93.95 |
| W121 | Additional visits due to intercurrent illness | Palliative Care | $34.10 |
| W130 | Comprehensive internal medicine consultation | Palliative Care | $310.45 |
| W131 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W132 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W133 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W134 | General re-assessment of patient in nursing home | Palliative Care | $20.60 |
| W138 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W150 | Comprehensive endocrinology consultation | Palliative Care | $310.45 |
| W151 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W152 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W153 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W154 | General re-assessment of patient in nursing home | Palliative Care | $20.60 |
| W155 | Consultation | Palliative Care | $165.30 |
| W156 | Repeat consultation | Palliative Care | $105.25 |
| W158 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W160 | Comprehensive nephrology consultation | Palliative Care | $310.45 |
| W161 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W162 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W163 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W164 | General re-assessment of patient in nursing home | Palliative Care | $20.60 |
| W165 | Consultation | Palliative Care | $162.90 |
| W166 | Repeat consultation | Palliative Care | $105.25 |
| W168 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W171 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W172 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W173 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W175 | Consultation | Palliative Care | $107.45 |
| W176 | Repeat consultation | Palliative Care | $60.00 |
| W178 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W180 | Special neurology consultation | Palliative Care | $310.45 |
| W181 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W182 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W183 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W184 | General re-assessment of patient in nursing home | Palliative Care | $20.60 |
| W185 | Consultation | Palliative Care | $184.40 |
| W186 | Repeat consultation | Palliative Care | $87.70 |
| W188 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W190 | Special psychiatric consultation | Palliative Care | $310.45 |
| W196 | Repeat consultation | Palliative Care | $105.25 |
| W220 | Special genetic consultation | Palliative Care | $310.45 |
| W221 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W222 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W223 | Extended special genetic consultation | Palliative Care | $401.30 |
| W224 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W225 | Consultation | Palliative Care | $167.90 |
| W226 | Repeat consultation | Palliative Care | $105.25 |
| W228 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W231 | Neuro-Ophthalmology Consultation | Palliative Care | $148.50 |
| W232 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W234 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W235 | Consultation | Palliative Care | $164.90 |
| W236 | Repeat consultation | Palliative Care | $105.25 |
| W237 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W239 | Periodic health visit | Palliative Care | $65.05 |
| W252 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W254 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W255 | Limited consultation | Palliative Care | $105.25 |
| W257 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W259 | Periodic health visit | Palliative Care | $65.05 |
| W260 | Special paediatric consultation | Palliative Care | $310.45 |
| W261 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W262 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W265 | Consultation | Palliative Care | $181.45 |
| W266 | Repeat consultation | Palliative Care | $82.90 |
| W269 | Periodic health visit | Palliative Care | $30.70 |
| W272 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W274 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W275 | Limited consultation | Palliative Care | $105.25 |
| W277 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W279 | Periodic health visit | Palliative Care | $65.05 |
| W292 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W294 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W297 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W299 | Periodic health visit | Palliative Care | $65.05 |
| W305 | Consultation | Palliative Care | $111.70 |
| W306 | Repeat consultation | Palliative Care | $59.45 |
| W310 | Limited consultation | Palliative Care | $95.25 |
| W311 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W312 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W313 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W314 | General re-assessment of patient in nursing home | Palliative Care | $20.60 |
| W318 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W325 | Limited consultation | Palliative Care | $105.25 |
| W345 | Consultation | Palliative Care | $83.95 |
| W346 | Repeat consultation | Palliative Care | $48.85 |
| W355 | Consultation | Palliative Care | $84.70 |
| W356 | Repeat consultation | Palliative Care | $59.00 |
| W375 | Limited consultation | Palliative Care | $105.25 |
| W385 | Limited consultation | Palliative Care | $87.70 |
| W395 | Limited consultation | Palliative Care | $105.25 |
| W400 | Comprehensive community medicine consultation | Palliative Care | $240.55 |
| W402 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W404 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W405 | Limited consultation | Palliative Care | $84.20 |
| W407 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W409 | Periodic health visit | Palliative Care | $65.05 |
| W419 | Periodic health visit | Palliative Care | $65.05 |
| W425 | Comprehensive physical medicine consultation | Palliative Care | $310.45 |
| W435 | Limited consultation | Palliative Care | $105.25 |
| W441 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W442 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W443 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W444 | General re-assessment of patient in nursing home | Palliative Care | $20.60 |
| W445 | Consultation | Palliative Care | $166.50 |
| W446 | Consultation | Palliative Care | $105.25 |
| W448 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W460 | Comprehensive infectious disease consultation | Palliative Care | $310.45 |
| W461 | Additional subsequent visits (max 6 per month) | Palliative Care | $34.10 |
| W462 | First 4 subsequent visits per patient per month | Palliative Care | $34.10 |
| W463 | First 2 subsequent visits per patient per month | Palliative Care | $34.10 |
| W464 | General re-assessment of patient in nursing home | Palliative Care | $20.60 |
| W465 | Consultation | Palliative Care | $181.65 |
| W466 | Repeat consultation | Palliative Care | $109.40 |
| W468 | Subsequent visits (max 3 per month) | Palliative Care | $34.10 |
| W510 | Complex neuromuscular assessment | Palliative Care | $93.70 |
| W511 | Complex physiatry assessment | Palliative Care | $102.55 |
| W512 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W514 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W515 | Consultation | Palliative Care | $208.75 |
| W516 | Repeat consultation | Palliative Care | $95.25 |
| W517 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W535 | Consultation | Palliative Care | $82.20 |
| W536 | Repeat consultation | Palliative Care | $45.85 |
| W562 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W564 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W565 | Limited consultation | Palliative Care | $91.35 |
| W567 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W645 | Consultation | Palliative Care | $98.55 |
| W646 | Repeat consultation | Palliative Care | $60.00 |
| W662 | Extended special paediatric consultation | Palliative Care | $401.30 |
| W667 | Neurodevelopmental consultation | Palliative Care | $401.30 |
| W682 | Extended special neurology consultation | Palliative Care | $401.30 |
| W695 | Neurodevelopmental consultation | Palliative Care | $414.35 |
| W760 | Complex endocrine neoplastic disease assessment | Palliative Care | $90.75 |
| W765 | Consultation, patient 16 years and under | Palliative Care | $167.00 |
| W770 | Extended comprehensive geriatric consultation | Palliative Care | $401.30 |
| W771 | Certification of death | Palliative Care | $20.60 |
| W775 | Comprehensive geriatric consultation | Palliative Care | $310.45 |
| W777 | Intermediate assessment - Pronouncement of death | Palliative Care | $37.95 |
| W795 | Geriatric psychiatric consultation | Palliative Care | $310.45 |
| W842 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W844 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W845 | Consultation | Palliative Care | $105.25 |
| W847 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W849 | Periodic health visit | Palliative Care | $65.05 |
| W862 | Admission assessment Type 1 | Palliative Care | $69.35 |
| W864 | Admission assessment Type 2 | Palliative Care | $20.60 |
| W865 | Limited consultation | Palliative Care | $105.25 |
| W867 | Admission assessment Type 3 | Palliative Care | $30.70 |
| W869 | Periodic health visit | Palliative Care | $65.05 |
| W872 | Palliative care subsequent visit | Palliative Care | $34.10 |
| W882 | Palliative care subsequent visit | Palliative Care | $34.10 |
| W895 | Consultation | Palliative Care | $259.90 |
| W903 | Pre-dental/pre-operative general assessment | Palliative Care | $65.05 |
| W904 | Pre-dental/pre-operative assessment | Palliative Care | $33.70 |
| W911 | Special family and general practice consultation | Palliative Care | $150.70 |
| W912 | Comprehensive family and general practice consultation | Palliative Care | $226.05 |
| W930 | Uveitis and ocular inflammatory diseases consultation | Palliative Care | $150.00 |
| W960 | Premium (max. 2 per time period) | Palliative Care | $36.40 |
| W961 | Premium (max. 2 per time period) | Palliative Care | $36.40 |
| W962 | Premium (max. 2 per time period) | Palliative Care | $36.40 |
| W963 | Premium (max. 6 per time period) | Palliative Care | $36.40 |
| W964 | Premium (no max. per time period) | Palliative Care | $36.40 |
| W972 | Palliative care subsequent visit | Palliative Care | $34.10 |
| W982 | Palliative care subsequent visit | Palliative Care | $34.10 |
| W990 | Premium (max. 10 per time period) | Palliative Care | $20.00 |
| W991 | Premium (max. 10 per time period) | Palliative Care | $20.00 |
| W992 | Premium (max. 10 per time period) | Palliative Care | $40.00 |
| W993 | Premium (max. 10 per time period) | Palliative Care | $40.00 |
| W994 | Premium (max. 10 per time period) | Palliative Care | $60.00 |
| W995 | Premium (max. 10 per time period) | Palliative Care | $60.00 |
| W996 | Premium (no max. per time period) | Palliative Care | $100.00 |
| W997 | Premium (no max. per time period) | Palliative Care | $100.00 |
| W998 | Premium (max. 20 per time period) | Palliative Care | $75.00 |
| W999 | Premium (max. 20 per time period) | Palliative Care | $75.00 |
| X001 | Skull - four views | Specific Elements of Assessment | $34.00 |
| X003 | Sella turcica (when skull not examined) | Specific Elements of Assessment | $16.95 |
| X004 | Facial bones - three views | Specific Elements of Assessment | $24.70 |
| X005 | Nose - two views | Specific Elements of Assessment | $16.95 |
| X006 | Mandible - three views | Specific Elements of Assessment | $24.70 |
| X007 | Temporomandibular joints - four views | Specific Elements of Assessment | $24.70 |
| X009 | Skull - five or more views | Specific Elements of Assessment | $42.40 |
| X010 | Mastoids - bilateral six views | Specific Elements of Assessment | $32.60 |
| X011 | Internal auditory meati (when skull not examined) | Specific Elements of Assessment | $24.70 |
| X012 | Mandible - four or more views | Specific Elements of Assessment | $34.00 |
| X016 | Eye, for foreign body | Specific Elements of Assessment | $16.90 |
| X017 | Eye, for localization, additional | Specific Elements of Assessment | $17.40 |
| X018 | Optic foramina | Specific Elements of Assessment | $19.20 |
| X019 | Salivary gland region | Specific Elements of Assessment | $15.65 |
| X020 | Neck for soft tissues - two views | Specific Elements of Assessment | $15.65 |
| X025 | Cervical spine - two or three views | Specific Elements of Assessment | $29.50 |
| X027 | Thoracic spine - two views | Specific Elements of Assessment | $26.90 |
| X028 | Lumbar or lumbosacral spine - two or three views | Specific Elements of Assessment | $29.50 |
| X031 | Orthoroentgenogram (3 foot film) - two or more views | Specific Elements of Assessment | $33.75 |
| X032 | Entire spine (scoliosis series) - four views | Specific Elements of Assessment | $60.90 |
| X033 | Orthoroentgenogram - single view | Specific Elements of Assessment | $24.70 |
| X034 | Sacrum and/or coccyx - two views | Specific Elements of Assessment | $27.25 |
| X035 | Sacro-iliac joints - two or three views | Specific Elements of Assessment | $24.70 |
| X036 | Pelvis and/or hip(s) - one view | Specific Elements of Assessment | $16.95 |
| X037 | Pelvis and/or hip(s) - two views | Specific Elements of Assessment | $31.55 |
| X038 | Pelvis and/or hip(s) - three or more views | Specific Elements of Assessment | $36.25 |
| X039 | Ribs - two or more views | Specific Elements of Assessment | $20.40 |
| X040 | Sternum - two or more views | Specific Elements of Assessment | $20.40 |
| X045 | Clavicle - two views | Specific Elements of Assessment | $16.95 |
| X046 | Acromioclavicular joints (bilateral) - two views | Specific Elements of Assessment | $24.70 |
| X047 | Sternoclavicular joints (bilateral) - two or three views | Specific Elements of Assessment | $20.40 |
| X048 | Shoulder - two views | Specific Elements of Assessment | $20.40 |
| X049 | Scapula - two views | Specific Elements of Assessment | $20.40 |
| X050 | Humerus including one joint - two views | Specific Elements of Assessment | $16.95 |
| X051 | Elbow - two views | Specific Elements of Assessment | $16.95 |
| X052 | Forearm including one joint - two views | Specific Elements of Assessment | $16.95 |
| X053 | Wrist - two or three views | Specific Elements of Assessment | $16.95 |
| X054 | Hand - two or three views | Specific Elements of Assessment | $16.95 |
| X055 | Wrist and hand - two or three views | Specific Elements of Assessment | $24.70 |
| X056 | Finger or thumb - two views | Specific Elements of Assessment | $13.05 |
| X057 | Skeletal survey for bone age - single film | Specific Elements of Assessment | $16.95 |
| X058 | Skeletal survey for bone age - two or more films or views | Specific Elements of Assessment | $24.70 |
| X060 | Hip (unilateral) - two or more views | Specific Elements of Assessment | $27.05 |
| X063 | Femur including one joint - two views | Specific Elements of Assessment | $16.95 |
| X064 | Leg length studies (orthoroentgenogram) | Specific Elements of Assessment | $24.70 |
| X065 | Knee including patella - two views | Specific Elements of Assessment | $16.95 |
| X066 | Tibia and fibula including one joint - two views | Specific Elements of Assessment | $16.95 |
| X067 | Ankle - two or three views | Specific Elements of Assessment | $16.95 |
| X068 | Calcaneus - two views | Specific Elements of Assessment | $16.95 |
| X069 | Foot - two or three views | Specific Elements of Assessment | $16.95 |
| X072 | Toe - two views | Specific Elements of Assessment | $13.05 |
| X080 | Other survey studies - single view | Specific Elements of Assessment | $8.45 |
| X081 | Other survey studies - each additional film or view | Specific Elements of Assessment | $8.45 |
| X090 | Chest - single view | Specific Elements of Assessment | $16.95 |
| X091 | Chest - two views | Specific Elements of Assessment | $24.90 |
| X092 | Chest - three or more views | Specific Elements of Assessment | $32.05 |
| X096 | Thoracic inlet - two or more views | Specific Elements of Assessment | $16.95 |
| X100 | Abdomen - single view | Specific Elements of Assessment | $16.95 |
| X101 | Abdomen - two or more views | Specific Elements of Assessment | $25.90 |
| X103 | Oesophagus, stomach and duodenum - double contrast including survey film | Specific Elements of Assessment | $69.30 |
| X104 | Oesophagus, stomach and duodenum - double contrast including survey film | Specific Elements of Assessment | $55.20 |
| X105 | Palatopharyngeal analysis - cine or videotape | Specific Elements of Assessment | $33.55 |
| X106 | Pharynx and oesophagus - cine or videotape | Specific Elements of Assessment | $33.55 |
| X107 | Oesophagus when X103, X104, X108 or X109 not claimed | Specific Elements of Assessment | $30.35 |
| X108 | Oesophagus, stomach and duodenum including survey film | Specific Elements of Assessment | $52.70 |
| X109 | Oesophagus, stomach and small bowel | Specific Elements of Assessment | $67.20 |
| X110 | Hypotonic duodenogram | Specific Elements of Assessment | $44.80 |
| X111 | Small bowel only examination | Specific Elements of Assessment | $30.05 |
| X112 | Colon - barium enema including survey film | Specific Elements of Assessment | $55.05 |
| X113 | Colon - air contrast including survey films | Specific Elements of Assessment | $69.70 |
| X114 | Gallbladder - one or multiple day examinations | Specific Elements of Assessment | $34.05 |
| X116 | T-tube cholangiogram | Specific Elements of Assessment | $24.70 |
| X117 | Operative cholangiogram | Specific Elements of Assessment | $24.70 |
| X120 | Gallbladder - one or multiple day examinations with preliminary plain film | Specific Elements of Assessment | $45.30 |
| X121 | Stereotactic core breast biopsy | Specific Elements of Assessment | $0.00 |
| X122 | Cholangiogram, percutaneous trans-hepatic | Specific Elements of Assessment | $33.55 |
| X123 | Operative pancreatogram or ERCP | Specific Elements of Assessment | $24.70 |
| X124 | Neck CT with and without IV contrast | Specific Elements of Assessment | $0.00 |
| X125 | Thorax CT with and without IV contrast | Specific Elements of Assessment | $0.00 |
| X126 | Abdomen CT with and without IV contrast | Specific Elements of Assessment | $0.00 |
| X127 | Extremities CT with and without IV contrast | Specific Elements of Assessment | $0.00 |
| X128 | Spine(s) CT with and without IV contrast | Specific Elements of Assessment | $0.00 |
| X129 | Retrograde pyelogram, unilateral or bilateral | Specific Elements of Assessment | $24.70 |
| X130 | Intravenous pyelogram including preliminary film | Specific Elements of Assessment | $56.45 |
| X131 | Cystourethrogram (non-catheter) | Specific Elements of Assessment | $6.55 |
| X132 | Vertebral angiogram unilateral | Specific Elements of Assessment | $55.60 |
| X133 | Vertebral angiogram bilateral | Specific Elements of Assessment | $90.90 |
| X134 | Retrograde urethrogram | Specific Elements of Assessment | $20.40 |
| X135 | Cystourethrogram, stress or voiding (catheter) | Specific Elements of Assessment | $31.25 |
| X136 | Vasogram | Specific Elements of Assessment | $20.40 |
| X137 | Cystogram (catheter) | Specific Elements of Assessment | $27.15 |
| X138 | Percutaneous antegrade pyelogram | Specific Elements of Assessment | $24.70 |
| X139 | Percutaneous nephrostogram | Specific Elements of Assessment | $24.70 |
| X140 | Abdominal angiogram selective (5 or more vessels) | Specific Elements of Assessment | $360.95 |
| X141 | Cavernosography | Specific Elements of Assessment | $23.50 |
| X142 | Subsequent bone density test - low risk patient one site | Specific Elements of Assessment | $48.70 |
| X145 | Baseline bone density test - one site | Specific Elements of Assessment | $48.70 |
| X146 | Baseline bone density test - two or more sites | Specific Elements of Assessment | $62.80 |
| X147 | Hysterosalpingogram | Specific Elements of Assessment | $33.90 |
| X148 | Subsequent bone density test - low risk patient two or more sites | Specific Elements of Assessment | $62.80 |
| X149 | Subsequent bone density test - high risk patient one site | Specific Elements of Assessment | $48.70 |
| X150 | Mechanical evaluation of knee | Specific Elements of Assessment | $28.95 |
| X151 | Cordotomy, percutaneous | Specific Elements of Assessment | $55.05 |
| X152 | Second bone density test - low risk patient one site | Specific Elements of Assessment | $48.70 |
| X153 | Second bone density test - low risk patient two or more sites | Specific Elements of Assessment | $62.80 |
| X154 | Penis x-ray | Specific Elements of Assessment | $18.15 |
| X155 | Subsequent bone density test - high risk patient two or more sites | Specific Elements of Assessment | $62.80 |
| X156 | Arthrogram, tenogram or bursogram with fluoroscopy | Specific Elements of Assessment | $29.85 |
| X158 | Bronchogram unilateral | Specific Elements of Assessment | $32.95 |
| X159 | Bronchogram bilateral | Specific Elements of Assessment | $43.65 |
| X160 | Carotid angiogram by direct puncture unilateral | Specific Elements of Assessment | $55.60 |
| X161 | Carotid angiogram by direct puncture bilateral | Specific Elements of Assessment | $89.40 |
| X162 | Cerebral stereotaxis | Specific Elements of Assessment | $67.35 |
| X163 | Dacrocystogram | Specific Elements of Assessment | $33.65 |
| X164 | Discogram one or more levels | Specific Elements of Assessment | $32.95 |
| X165 | Photographic subtraction | Specific Elements of Assessment | $0.00 |
| X166 | Examination using portable machine in home | Specific Elements of Assessment | $73.65 |
| X167 | Fistula or sinus | Specific Elements of Assessment | $24.45 |
| X168 | CT guidance of biopsy | Specific Elements of Assessment | $0.00 |
| X169 | Laminogram, planigram, tomogram | Specific Elements of Assessment | $45.40 |
| X170 | Laryngogram | Specific Elements of Assessment | $32.95 |
| X171 | Lymphangiogram | Specific Elements of Assessment | $55.75 |
| X172 | Mammogram - unilateral no signs or symptoms | Specific Elements of Assessment | $31.95 |
| X173 | Myelogram - spine and/or posterior fossa | Specific Elements of Assessment | $39.75 |
| X174 | Peripheral angiogram unilateral | Specific Elements of Assessment | $33.90 |
| X175 | Peripheral angiogram bilateral | Specific Elements of Assessment | $44.80 |
| X176 | Sialogram | Specific Elements of Assessment | $33.90 |
| X177 | Skin thickness measurement | Specific Elements of Assessment | $17.75 |
| X178 | Mammogram - bilateral no signs or symptoms | Specific Elements of Assessment | $42.30 |
| X179 | Abdominal, thoracic, cervical or cranial angiogram non-selective | Specific Elements of Assessment | $33.65 |
| X180 | Abdominal, thoracic, cervical or cranial angiogram selective | Specific Elements of Assessment | $44.25 |
| X181 | Abdominal, thoracic, cervical or cranial angiogram non-selective cine | Specific Elements of Assessment | $67.85 |
| X182 | Abdominal, thoracic, cervical or cranial angiogram selective cine | Specific Elements of Assessment | $90.20 |
| X183 | Ventriculogram | Specific Elements of Assessment | $55.05 |
| X184 | Mammogram - unilateral signs or symptoms | Specific Elements of Assessment | $31.95 |
| X185 | Mammogram - bilateral signs or symptoms | Specific Elements of Assessment | $42.30 |
| X188 | Complex head CT with and without IV contrast | Specific Elements of Assessment | $0.00 |
| X189 | Fluoroscopic control of clinical procedures by another physician per ¼ hour | Specific Elements of Assessment | $8.30 |
| X190 | Mammary ductography | Specific Elements of Assessment | $20.20 |
| X191 | Intestinal conduit examination or nephrostogram | Specific Elements of Assessment | $24.70 |
| X192 | Microradioscopy of the hands | Specific Elements of Assessment | $28.50 |
| X193 | Pantomography | Specific Elements of Assessment | $16.45 |
| X194 | Additional coned views with or without magnification | Specific Elements of Assessment | $6.80 |
| X195 | Chest x-ray | Specific Elements of Assessment | $10.50 |
| X196 | Skeleton x-ray | Specific Elements of Assessment | $10.50 |
| X197 | Abdomen x-ray | Specific Elements of Assessment | $10.50 |
| X198 | Splenoportogram | Specific Elements of Assessment | $67.20 |
| X199 | Translumbar aortogram | Specific Elements of Assessment | $67.20 |
| X200 | Arthrogram, tenogram or bursogram with fluoroscopy | Specific Elements of Assessment | $41.70 |
| X201 | Breast biopsy specimen x-ray, per specimen | Specific Elements of Assessment | $6.80 |
| X202 | Cervical spine, four or five views | Specific Elements of Assessment | $38.00 |
| X203 | Cervical spine, six or more views | Specific Elements of Assessment | $45.90 |
| X204 | Thoracic spine, three or more views | Specific Elements of Assessment | $34.00 |
| X205 | Lumbar or lumbosacral spine, four or five views | Specific Elements of Assessment | $38.00 |
| X206 | Lumbar or lumbosacral spine, six or more views | Specific Elements of Assessment | $45.90 |
| X207 | Sacrum and/or coccyx, three or more views | Specific Elements of Assessment | $35.30 |
| X208 | Sacro-iliac joints, four or more views | Specific Elements of Assessment | $32.95 |
| X209 | Clavicle, three or more views | Specific Elements of Assessment | $26.05 |
| X210 | Acromioclavicular joints (bilateral), three or more views | Specific Elements of Assessment | $33.65 |
| X211 | Sternoclavicular joints (bilateral), four or more views | Specific Elements of Assessment | $29.10 |
| X212 | Shoulder, three or more views | Specific Elements of Assessment | $29.10 |
| X213 | Scapula, three or more views | Specific Elements of Assessment | $29.35 |
| X214 | Humerus including one joint, three or more views | Specific Elements of Assessment | $25.85 |
| X215 | Elbow, three or four views | Specific Elements of Assessment | $26.05 |
| X216 | Elbow, five or more views | Specific Elements of Assessment | $35.10 |
| X217 | Forearm including one joint, three or more views | Specific Elements of Assessment | $26.05 |
| X218 | Wrist, four or more views | Specific Elements of Assessment | $26.05 |
| X219 | Hand, four or more views | Specific Elements of Assessment | $26.05 |
| X220 | Wrist and hand, four or more views | Specific Elements of Assessment | $31.45 |
| X221 | Finger or thumb, three or more views | Specific Elements of Assessment | $16.95 |
| X223 | Femur including one joint, three or more views | Specific Elements of Assessment | $25.25 |
| X224 | Knee including patella, three or four views | Specific Elements of Assessment | $26.05 |
| X225 | Knee including patella, five or more views | Specific Elements of Assessment | $35.10 |
| X226 | Tibia and fibula including one joint, three or more views | Specific Elements of Assessment | $26.05 |
| X227 | Ankle, four or more views | Specific Elements of Assessment | $26.05 |
| X228 | Calcaneus, three or more views | Specific Elements of Assessment | $26.05 |
| X229 | Foot, four or more views | Specific Elements of Assessment | $26.05 |
| X230 | Toe, three or more views | Specific Elements of Assessment | $16.95 |
| X231 | Pelvis without IV contrast | Specific Elements of Assessment | $0.00 |
| X232 | Pelvis with IV contrast | Specific Elements of Assessment | $0.00 |
| X233 | Pelvis with and without IV contrast | Specific Elements of Assessment | $0.00 |
| X234 | CT colonography | Specific Elements of Assessment | $0.00 |
| X235 | Cardio-thoracic CT angiography | Specific Elements of Assessment | $0.00 |
| X302 | Teleradiotherapy - x-ray 150 KVP or higher per treatment | Specific Elements of Assessment | $15.90 |
| X304 | Minor teleradiotherapy - x-ray 150 KVP or less per treatment | Specific Elements of Assessment | $11.95 |
| X305 | Intracavitary treatment - first application | Specific Elements of Assessment | $170.85 |
| X306 | Intracavitary treatment - repeat application | Specific Elements of Assessment | $85.50 |
| X310 | Level 1 - Simple Treatment Planning | Specific Elements of Assessment | $215.35 |
| X311 | Level 2 Treatment Planning | Specific Elements of Assessment | $374.60 |
| X312 | Level 3 Treatment Planning | Specific Elements of Assessment | $680.45 |
| X313 | Level 4 Treatment Planning | Specific Elements of Assessment | $811.15 |
| X322 | Treatment planning, dosage calculation, special device prep | Specific Elements of Assessment | $71.30 |
| X323 | Intracavitary application of radium - first application | Specific Elements of Assessment | $223.65 |
| X324 | Interstitial application of radium or sealed radioisotope | Specific Elements of Assessment | $223.65 |
| X325 | Application of radium or radioisotope plaque or mould | Specific Elements of Assessment | $69.80 |
| X326 | Thyroid malignancy treatment | Specific Elements of Assessment | $100.00 |
| X327 | Hyperthyroidism treatment | Specific Elements of Assessment | $80.00 |
| X328 | Polycythemia treatment | Specific Elements of Assessment | $100.00 |
| X329 | Metastatic bone disease treatment | Specific Elements of Assessment | $100.00 |
| X330 | Ascites and/or pleural effusion due to malignancy | Specific Elements of Assessment | $100.00 |
| X332 | Arthritis treatment - single or multiple sites | Specific Elements of Assessment | $80.00 |
| X334 | Intracavitary application of radium - repeat application | Specific Elements of Assessment | $111.90 |
| X335 | Induction of hypothyroidism | Specific Elements of Assessment | $80.00 |
| X336 | Prostate malignancy treatment | Specific Elements of Assessment | $100.00 |
| X400 | Head CT without IV contrast | Specific Elements of Assessment | $0.00 |
| X401 | Head CT with IV contrast | Specific Elements of Assessment | $0.00 |
| X402 | Complex head CT without IV contrast | Specific Elements of Assessment | $0.00 |
| X403 | Neck CT without IV contrast | Specific Elements of Assessment | $0.00 |
| X404 | Neck CT with IV contrast | Specific Elements of Assessment | $0.00 |
| X405 | Complex head CT with IV contrast | Specific Elements of Assessment | $0.00 |
| X406 | Thorax CT without IV contrast | Specific Elements of Assessment | $0.00 |
| X407 | Thorax CT with IV contrast | Specific Elements of Assessment | $0.00 |
| X408 | Complex head CT with and without IV contrast | Specific Elements of Assessment | $0.00 |
| X409 | Abdomen CT without IV contrast | Specific Elements of Assessment | $0.00 |
| X410 | Abdomen CT with IV contrast | Specific Elements of Assessment | $0.00 |
| X411 | No description | Specific Elements of Assessment | $0.00 |
| X412 | Extremities CT without IV contrast | Specific Elements of Assessment | $0.00 |
| X413 | Extremities CT with IV contrast | Specific Elements of Assessment | $0.00 |
| X415 | Spine CT without IV contrast | Specific Elements of Assessment | $0.00 |
| X416 | Spine CT with IV contrast | Specific Elements of Assessment | $0.00 |
| X417 | 3D CT acquisition sequencing and postprocessing | Specific Elements of Assessment | $0.00 |
| X421 | Head MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X425 | Head MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X431 | Neck MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X435 | Neck MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X441 | Thorax MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X445 | Thorax MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X446 | Breast MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X447 | Breast MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X451 | Abdomen MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X455 | Abdomen MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X461 | Pelvis MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X465 | Pelvis MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X471 | Extremity/joint MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X475 | Extremity/joint MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X480 | MRI guidance of biopsy or lesion ablation, breast | Specific Elements of Assessment | $0.00 |
| X481 | MRI guidance of biopsy or lesion ablation, internal organ | Specific Elements of Assessment | $0.00 |
| X486 | Cardiac gating with MRI (includes ECG application) | Specific Elements of Assessment | $0.00 |
| X487 | Cardiac gating with MRI (includes ECG interpretation) | Specific Elements of Assessment | $0.00 |
| X488 | Multislice MRI two or more extremities/joints | Specific Elements of Assessment | $0.00 |
| X489 | MRI repeat sequence for two or more extremities/joints | Specific Elements of Assessment | $0.00 |
| X490 | Limited spine MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X492 | Limited spine MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X493 | Intermediate spine MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X495 | Intermediate spine MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X496 | Complex spine MRI multislice sequence | Specific Elements of Assessment | $0.00 |
| X498 | Complex spine MRI repeat sequence | Specific Elements of Assessment | $0.00 |
| X499 | 3D MRI acquisition sequence and postprocessing | Specific Elements of Assessment | $0.00 |
| Y802 | No description | Other | $101.75 |
| Y804 | No description | Other | $17.00 |
| Y806 | No description | Other | $100.45 |
| Y807 | No description | Other | $229.80 |
| Y808 | No description | Other | $84.60 |
| Y810 | No description | Other | $93.20 |
| Y811 | No description | Other | $100.45 |
| Y812 | No description | Other | $50.85 |
| Y813 | No description | Other | $142.75 |
| Y814 | No description | Other | $50.85 |
| Y815 | No description | Other | $139.10 |
| Y816 | No description | Other | $407.60 |
| Y817 | No description | Other | $30.25 |
| Y820 | No description | Other | $247.90 |
| Y823 | No description | Other | $50.85 |
| Y824 | No description | Other | $60.55 |
| Y825 | No description | Other | $87.05 |
| Y826 | No description | Other | $65.40 |
| Y827 | No description | Other | $125.55 |
| Y829 | No description | Other | $108.90 |
| Y830 | No description | Other | $91.90 |
| Y831 | No description | Other | $120.95 |
| Y832 | No description | Other | $84.60 |
| Y833 | No description | Other | $101.65 |
| Y836 | No description | Other | $35.15 |
| Y837 | No description | Other | $42.40 |
| Y838 | No description | Other | $42.40 |
| Y839 | No description | Other | $127.30 |
| Y840 | No description | Other | $87.05 |
| Y841 | No description | Other | $45.95 |
| Y843 | No description | Other | $50.85 |
| Y847 | No description | Other | $423.50 |
| Y848 | No description | Other | $108.40 |
| Y849 | No description | Other | $156.60 |
| Y850 | No description | Other | $109.50 |
| Y851 | No description | Other | $89.60 |
| Y852 | No description | Other | $187.55 |
| Y853 | No description | Other | $130.65 |
| Y857 | No description | Other | $127.00 |
| Y858 | No description | Other | $95.50 |
| Y859 | No description | Other | $90.75 |
| Y860 | No description | Other | $181.55 |
| Y861 | No description | Other | $118.50 |
| Y862 | No description | Other | $79.85 |
| Y864 | No description | Other | $102.85 |
| Y865 | No description | Other | $198.50 |
| Y867 | No description | Other | $60.55 |
| Y868 | No description | Other | $476.70 |
| Y869 | No description | Other | $586.55 |
| Y870 | No description | Other | $15.45 |
| Y871 | No description | Other | $108.90 |
| Y872 | No description | Other | $254.10 |
| Y873 | No description | Other | $145.40 |
| Y874 | No description | Other | $65.40 |
| Y875 | No description | Other | $267.30 |
| Y876 | No description | Other | $59.90 |
| Y877 | No description | Other | $42.40 |
| Y878 | No description | Other | $151.25 |
| Y879 | No description | Other | $70.05 |
| Y881 | No description | Other | $120.05 |
| Y882 | No description | Other | $89.60 |
| Y883 | No description | Other | $384.80 |
| Y884 | No description | Other | $338.85 |
| Y885 | No description | Other | $325.50 |
| Y886 | No description | Other | $93.55 |
| Y887 | No description | Other | $113.75 |
| Z080 | Debridement of one wound/ulcer into subcutaneous tissue | Premiums and Special Visit | $20.00 |
| Z081 | Debridement of two wounds/ulcers into subcutaneous tissue | Premiums and Special Visit | $30.00 |
| Z082 | Debridement of three wounds/ulcers into subcutaneous tissue | Premiums and Special Visit | $45.00 |
| Z083 | Debridement of four or more wounds/ulcers into subcutaneous tissue | Premiums and Special Visit | $60.00 |
| Z084 | Debridement of one wound/ulcer into tendon, ligament, bursa or bone | Premiums and Special Visit | $60.00 |
| Z085 | Debridement of two or more wounds/ulcers into tendon, ligament, bursa or bone | Premiums and Special Visit | $90.00 |
| Z094 | Removal tissue expander injection port - general anaesthetic | Premiums and Special Visit | $75.45 |
| Z095 | Removal tissue expander injection port - local anaesthetic | Premiums and Special Visit | $37.70 |
| Z096 | Lipoma excision 5 to 10 cm | Premiums and Special Visit | $80.00 |
| Z097 | Lipoma excision over 10 cm | Premiums and Special Visit | $160.00 |
| Z101 | Incision abscess or hematoma - local anaesthetic subcutaneous one | Premiums and Special Visit | $25.75 |
| Z102 | Incision abscess or hematoma - general anaesthetic subcutaneous one | Premiums and Special Visit | $44.35 |
| Z103 | Incision abscess or hematoma - palmar or plantar spaces | Premiums and Special Visit | $44.35 |
| Z104 | Incision abscess or hematoma - perianal | Premiums and Special Visit | $20.10 |
| Z105 | Incision abscess or hematoma - perianal general anaesthetic | Premiums and Special Visit | $66.00 |
| Z106 | Incision abscess or hematoma - ischiorectal or pilonidal | Premiums and Special Visit | $44.35 |
| Z107 | Incision abscess or hematoma - ischiorectal or pilonidal general anaesthetic | Premiums and Special Visit | $108.00 |
| Z108 | Incision abscess or hematoma - palmar or plantar spaces general anaesthetic | Premiums and Special Visit | $72.00 |
| Z110 | Extensive debridement of onychogryphotic nail | Premiums and Special Visit | $17.45 |
| Z111 | Tongue tie release - simple | Premiums and Special Visit | $15.35 |
| Z112 | Tongue tie release - complex or general anaesthetic | Premiums and Special Visit | $50.90 |
| Z113 | Biopsy any method without sutures | Premiums and Special Visit | $29.60 |
| Z114 | Foreign body removal under local anaesthetic | Premiums and Special Visit | $25.25 |
| Z115 | Foreign body removal under general anaesthetic | Premiums and Special Visit | $88.80 |
| Z116 | Biopsy any method with sutures | Premiums and Special Visit | $29.60 |
| Z117 | Chemical and/or cryotherapy treatment of one or more lesions | Premiums and Special Visit | $11.65 |
| Z118 | Aspiration of superficial lump for cytology | Premiums and Special Visit | $28.25 |
| Z119 | Cryotherapy of at least 5 pre-malignant actinic keratosis lesions | Premiums and Special Visit | $29.00 |
| Z122 | Removal cyst/haemangioma/lipoma face/neck, single lesion, local anaesthetic | Premiums and Special Visit | $38.50 |
| Z123 | Removal cyst/haemangioma/lipoma face/neck, two lesions, local anaesthetic | Premiums and Special Visit | $67.80 |
| Z124 | Removal cyst/haemangioma/lipoma face/neck, three or more lesions, local anaesthetic | Premiums and Special Visit | $78.00 |
| Z125 | Removal cyst/haemangioma/lipoma other areas, single lesion, local anaesthetic | Premiums and Special Visit | $32.00 |
| Z126 | Removal cyst/haemangioma/lipoma other areas, two lesions, local anaesthetic | Premiums and Special Visit | $45.00 |
| Z127 | Removal cyst/haemangioma/lipoma other areas, three or more lesions, local anaesthetic | Premiums and Special Visit | $60.00 |
| Z128 | Simple nail plate excision, one, requires anaesthesia | Premiums and Special Visit | $33.10 |
| Z129 | Simple nail plate excision, multiple, requires anaesthesia | Premiums and Special Visit | $35.70 |
| Z130 | Radical nail bed destruction, one | Premiums and Special Visit | $62.75 |
| Z131 | Radical nail bed destruction, multiple | Premiums and Special Visit | $82.65 |
| Z132 | Insertion of tissue expander | Premiums and Special Visit | $304.10 |
| Z135 | Open capsulotomy with or without breast prosthesis replacement | Premiums and Special Visit | $195.95 |
| Z137 | Percutaneous inflation of first tissue expander | Premiums and Special Visit | $23.05 |
| Z138 | Replacement of tissue expander by permanent prosthesis | Premiums and Special Visit | $195.85 |
| Z139 | Aspiration of cyst, one or more | Premiums and Special Visit | $37.20 |
| Z140 | Drainage of intramammary abscess or haematoma, local anaesthetic | Premiums and Special Visit | $33.00 |
| Z141 | Needle biopsy, one or more | Premiums and Special Visit | $37.20 |
| Z142 | Removal of breast prosthesis | Premiums and Special Visit | $150.00 |
| Z143 | Large core breast biopsy (14 gauge or larger needle) | Premiums and Special Visit | $132.75 |
| Z145 | Removal cyst/haemangioma/lipoma face/neck, single lesion, general anaesthetic | Premiums and Special Visit | $65.35 |
| Z146 | Removal cyst/haemangioma/lipoma face/neck, two lesions, general anaesthetic | Premiums and Special Visit | $98.55 |
| Z147 | Removal cyst/haemangioma/lipoma face/neck, three or more lesions, general anaesthetic | Premiums and Special Visit | $162.55 |
| Z149 | Removal cyst/haemangioma/lipoma other areas, single lesion, general anaesthetic | Premiums and Special Visit | $50.00 |
| Z150 | Removal cyst/haemangioma/lipoma other areas, two lesions, general anaesthetic | Premiums and Special Visit | $65.55 |
| Z151 | Removal cyst/haemangioma/lipoma other areas, three or more lesions, general anaesthetic | Premiums and Special Visit | $98.55 |
| Z154 | Suture of laceration up to 5 cm on face or requires bleeder tying/layered closure | Premiums and Special Visit | $35.90 |
| Z156 | Removal by excision and suture, single lesion, Group 1 | Premiums and Special Visit | $20.00 |
| Z157 | Removal by excision and suture, two lesions, Group 1 | Premiums and Special Visit | $26.50 |
| Z158 | Removal by excision and suture, three or more lesions, Group 1 | Premiums and Special Visit | $44.25 |
| Z159 | Removal by electrocoagulation/curetting, single lesion | Premiums and Special Visit | $10.55 |
| Z160 | Removal by electrocoagulation/curetting, two lesions | Premiums and Special Visit | $15.85 |
| Z161 | Removal by electrocoagulation/curetting, three or more lesions | Premiums and Special Visit | $26.20 |
| Z162 | Removal by excision and suture, single lesion, Group 2 nevus | Premiums and Special Visit | $20.00 |
| Z163 | Removal by excision and suture, two lesions, Group 2 nevus | Premiums and Special Visit | $26.50 |
| Z164 | Removal by excision and suture, three or more lesions, Group 2 nevus | Premiums and Special Visit | $44.25 |
| Z172 | Abscess or haematoma subcutaneous two or more, general anaesthetic | Premiums and Special Visit | $66.60 |
| Z173 | Abscess or haematoma subcutaneous one, local anaesthetic | Premiums and Special Visit | $30.35 |
| Z174 | Abscess or haematoma subcutaneous three or more, local anaesthetic | Premiums and Special Visit | $40.80 |
| Z175 | Suture of laceration 5.1 to 10 cm | Premiums and Special Visit | $35.90 |
| Z176 | Suture of laceration up to 5 cm | Premiums and Special Visit | $20.00 |
| Z177 | Suture of laceration 5.1 to 10 cm on face or requires bleeder tying/layered closure | Premiums and Special Visit | $71.30 |
| Z179 | Suture of laceration 10.1 to 15 cm | Premiums and Special Visit | $50.40 |
| Z180 | Wound care - first day | Premiums and Special Visit | $106.25 |
| Z181 | Wound care - continuing care, 2nd to 4th day inclusive, per day | Premiums and Special Visit | $53.10 |
| Z182 | Breast capsulectomy | Premiums and Special Visit | $255.05 |
| Z187 | Complex laceration repair, face | Premiums and Special Visit | $92.30 |
| Z188 | Complex laceration repair, anatomical area other than face (except digit zone 1) | Premiums and Special Visit | $92.30 |
| Z189 | Complex repair, digit, zone 1 repair, without soft tissue loss, per digit | Premiums and Special Visit | $92.30 |
| Z190 | Suture of laceration 10.1 to 15 cm on face or requires bleeder tying/layered closure | Premiums and Special Visit | $101.45 |
| Z191 | Suture of laceration more than 15.1 cm, other than face | Premiums and Special Visit | $77.30 |
| Z192 | Suture of laceration more than 15.1 cm on face | Premiums and Special Visit | $154.95 |
| Z196 | Repair of abdominal defect, different surgeon | Premiums and Special Visit | $377.65 |
| Z197 | Closed release of ilio-tibial band | Premiums and Special Visit | $49.20 |
| Z198 | Application of plaster cast to toes | Premiums and Special Visit | $10.25 |
| Z199 | Application of plaster cast to foot | Premiums and Special Visit | $14.90 |
| Z200 | Application of Unna's paste | Premiums and Special Visit | $14.90 |
| Z201 | Application of plaster cast to finger | Premiums and Special Visit | $10.25 |
| Z202 | Application of plaster cast to hand | Premiums and Special Visit | $14.90 |
| Z203 | Application of plaster cast to arm, forearm or wrist | Premiums and Special Visit | $24.10 |
| Z204 | Removal of plaster (not associated with fractures/dislocations within 2 weeks) | Premiums and Special Visit | $10.25 |
| Z205 | Application of plaster cast to head and torso | Premiums and Special Visit | $97.35 |
| Z206 | Application of body cast | Premiums and Special Visit | $57.50 |
| Z207 | Application of unilateral hip spica cast | Premiums and Special Visit | $97.35 |
| Z208 | Application of shoulder spica cast | Premiums and Special Visit | $97.35 |
| Z209 | Application of bilateral hip spica cast | Premiums and Special Visit | $121.60 |
| Z210 | Insertion traction pin (excludes fractures and dislocations) | Premiums and Special Visit | $33.35 |
| Z211 | Application of plaster cast to whole leg (mid thigh to toes) | Premiums and Special Visit | $28.80 |
| Z212 | Bone punch needle biopsy | Premiums and Special Visit | $89.70 |
| Z213 | Application of below knee or knee splints (stove pipe etc.) | Premiums and Special Visit | $24.10 |
| Z214 | Open bone biopsy or bone graft by other than operating surgeon | Premiums and Special Visit | $144.80 |
| Z216 | Wedging of casts in other than fracture treatment | Premiums and Special Visit | $10.25 |
| Z217 | Bone punch needle biopsy under general anaesthetic | Premiums and Special Visit | $72.35 |
| Z219 | Muscle needle biopsy, soft tissue, per site | Premiums and Special Visit | $31.20 |
| Z220 | Bone needle/punch biopsy with x-ray control | Premiums and Special Visit | $89.70 |
| Z221 | Joint needle biopsy | Premiums and Special Visit | $49.20 |
| Z222 | Manipulation under general anaesthetic | Premiums and Special Visit | $134.10 |
| Z223 | Manipulation under general anaesthetic | Premiums and Special Visit | $49.20 |
| Z224 | Club foot manipulation with anaesthetic | Premiums and Special Visit | $39.00 |
| Z225 | Bone tenotomy or fasciotomy closed, finger, one | Premiums and Special Visit | $72.35 |
| Z226 | Incision and drainage of soft tissue or bursa | Premiums and Special Visit | $97.35 |
| Z227 | Intramuscular abscess or haematoma removal | Premiums and Special Visit | $101.65 |
| Z228 | Open soft tissue biopsy | Premiums and Special Visit | $97.35 |
| Z229 | Closed tenotomy, one toe | Premiums and Special Visit | $49.20 |
| Z230 | Bone punch biopsy with x-ray control | Premiums and Special Visit | $89.70 |
| Z231 | Tenotomy palmar or plantar | Premiums and Special Visit | $73.70 |
| Z232 | Closed tenotomy adductors | Premiums and Special Visit | $49.20 |
| Z233 | Open tenotomy adductors | Premiums and Special Visit | $97.35 |
| Z234 | Mandibular sequestrectomy | Premiums and Special Visit | $281.25 |
| Z235 | Club foot manipulation without anaesthetic | Premiums and Special Visit | $19.45 |
| Z237 | Closed tenotomy, one | Premiums and Special Visit | $49.20 |
| Z238 | Closed tenotomy, multiple | Premiums and Special Visit | $72.35 |
| Z239 | Application of one dental arch bar or splint for facial osteotomy | Premiums and Special Visit | $133.00 |
| Z240 | Application of two dental arch bars or splints for facial osteotomy | Premiums and Special Visit | $204.80 |
| Z242 | Open bone biopsy | Premiums and Special Visit | $193.00 |
| Z243 | Closed tenotomy, more than one toe | Premiums and Special Visit | $97.35 |
| Z245 | Biopsy for malignant hyperthermia, three or more | Premiums and Special Visit | $152.85 |
| Z247 | Tenotomy or fasciotomy closed, finger, one | Premiums and Special Visit | $49.20 |
| Z248 | Tenotomy or fasciotomy closed, finger, two | Premiums and Special Visit | $72.35 |
| Z249 | Tenotomy or fasciotomy closed, finger, three or more | Premiums and Special Visit | $99.15 |
| Z250 | Chronic electrical stimulation external or internal (not T.E.N.S.) | Premiums and Special Visit | $193.00 |
| Z251 | Catheter insertion | Premiums and Special Visit | $49.20 |
| Z252 | Manipulation under general anaesthetic | Premiums and Special Visit | $39.00 |
| Z253 | Onlay bone graft unilateral mandible | Premiums and Special Visit | $394.80 |
| Z254 | Onlay bone graft bilateral mandible | Premiums and Special Visit | $507.45 |
| Z255 | Onlay bone graft unilateral maxilla | Premiums and Special Visit | $394.80 |
| Z256 | Onlay bone graft bilateral maxilla | Premiums and Special Visit | $507.45 |
| Z257 | Onlay bone graft unilateral zygoma | Premiums and Special Visit | $337.85 |
| Z258 | Onlay bone graft bilateral zygoma | Premiums and Special Visit | $450.50 |
| Z259 | Onlay bone graft unilateral temporal bone | Premiums and Special Visit | $450.50 |
| Z260 | Onlay bone graft bilateral temporal bone | Premiums and Special Visit | $563.10 |
| Z261 | Onlay bone graft unilateral frontal bone | Premiums and Special Visit | $450.50 |
| Z262 | Onlay bone graft bilateral frontal bone | Premiums and Special Visit | $563.10 |
| Z263 | Iliac bone graft harvesting | Premiums and Special Visit | $102.35 |
| Z264 | Rib graft harvesting, one rib | Premiums and Special Visit | $154.00 |
| Z265 | Costochondral or chondral graft, one rib | Premiums and Special Visit | $230.65 |
| Z266 | Split cranial graft | Premiums and Special Visit | $204.80 |
| Z267 | Augmentation of zygoma with prosthetic implant | Premiums and Special Visit | $184.60 |
| Z268 | Augmentation of zygoma with autogenous bone or cartilage | Premiums and Special Visit | $230.65 |
| Z269 | Augmentation of chin with prosthetic implant | Premiums and Special Visit | $154.00 |
| Z270 | Augmentation of chin with autogenous bone or cartilage | Premiums and Special Visit | $189.45 |
| Z271 | Horizontal resection, red lower lip | Premiums and Special Visit | $184.60 |
| Z273 | Muscle core biopsy using 6mm or larger Bergstrom needle | Premiums and Special Visit | $63.35 |
| Z279 | Repair of abdominal defect, different surgeon | Premiums and Special Visit | $193.00 |
| Z280 | Adjustment of circumferential external fixation without general anaesthetic | Premiums and Special Visit | $72.35 |
| Z281 | Adjustment of circumferential external fixation with general anaesthetic | Premiums and Special Visit | $145.70 |
| Z290 | Hip aspiration infant or child under general anaesthesia | Premiums and Special Visit | $63.95 |
| Z291 | Application Pavlik Harness or C.D.H. Splint | Premiums and Special Visit | $24.10 |
| Z292 | Fiberoptic endoscopy of upper airway without biopsy | Premiums and Special Visit | $61.30 |
| Z293 | Fiberoptic endoscopy of upper airway with biopsy | Premiums and Special Visit | $61.30 |
| Z296 | Fiberoptic endoscopy of upper airway with flexible endoscope, operative only | Premiums and Special Visit | $20.10 |
| Z297 | Insertion of prosthesis for nasal septal perforation | Premiums and Special Visit | $18.30 |
| Z298 | EUGA of nasopharynx for malignant disease including biopsies | Premiums and Special Visit | $41.25 |
| Z299 | Fiberoptic endoscopy of upper airway with rigid endoscope | Premiums and Special Visit | $8.55 |
| Z301 | Drainage of abscess or haematoma, nose | Premiums and Special Visit | $55.60 |
| Z302 | Turbinate reduction, unilateral or bilateral | Premiums and Special Visit | $55.60 |
| Z303 | Removal of laryngeal stent or keel | Premiums and Special Visit | $240.20 |
| Z304 | Excision of single nasal polyp | Premiums and Special Visit | $21.00 |
| Z305 | Excision of multiple nasal polyps or with general anaesthetic unilateral | Premiums and Special Visit | $55.60 |
| Z306 | Excision of middle turbinate concha bullosa unilateral | Premiums and Special Visit | $55.60 |
| Z308 | Choanal polypectomy unilateral | Premiums and Special Visit | $55.60 |
| Z309 | Biopsy single nasal lesion | Premiums and Special Visit | $18.30 |
| Z310 | Biopsy multiple nasal lesions or with general anaesthetic | Premiums and Special Visit | $50.90 |
| Z311 | Removal of foreign body, local anaesthetic, nose | Premiums and Special Visit | $10.55 |
| Z312 | Removal of foreign body, general anaesthetic, nose | Premiums and Special Visit | $50.90 |
| Z313 | Endoscopic transnasal ligation of sphenopalatine artery for posterior epistaxis unilateral | Premiums and Special Visit | $123.70 |
| Z314 | Cauterization for epistaxis unilateral | Premiums and Special Visit | $11.50 |
| Z315 | Anterior nasal packing unilateral | Premiums and Special Visit | $15.35 |
| Z316 | Posterior nasal packing unilateral or bilateral | Premiums and Special Visit | $35.50 |
| Z317 | Examination under anaesthesia of nose including suction cautery for posterior epistaxis | Premiums and Special Visit | $112.05 |
| Z318 | Trephine or endoscopic frontal sinusotomy | Premiums and Special Visit | $133.30 |
| Z319 | Antral puncture and/or lavage unilateral or bilateral | Premiums and Special Visit | $43.15 |
| Z320 | Insertion of voice prosthesis | Premiums and Special Visit | $25.85 |
| Z322 | Fiberoptic endoscopy of upper airway with removal of foreign body | Premiums and Special Visit | $106.45 |
| Z323 | Fiberoptic endoscopy of upper airway with removal of lesion(s) | Premiums and Special Visit | $226.35 |
| Z324 | Indirect laryngoscopy with biopsy or removal of foreign body | Premiums and Special Visit | $44.70 |
| Z325 | Emergency tracheotomy | Premiums and Special Visit | $474.65 |
| Z326 | Change of tracheostomy tube | Premiums and Special Visit | $12.50 |
| Z327 | Flexible or rigid bronchoscopy with or without biopsy, suction or injection | Premiums and Special Visit | $124.90 |
| Z328 | Mediastinotomy with bronchoscopy | Premiums and Special Visit | $475.80 |
| Z329 | Mediastinoscopy | Premiums and Special Visit | $380.00 |
| Z330 | Mediastinoscopy with bronchoscopy | Premiums and Special Visit | $490.00 |
| Z331 | Thoracentesis aspiration for diagnostic sample | Premiums and Special Visit | $37.35 |
| Z332 | Thoracentesis aspiration with therapeutic drainage | Premiums and Special Visit | $68.10 |
| Z333 | Mediastinoscopy with transbronchial biopsy under image intensification | Premiums and Special Visit | $317.20 |
| Z334 | Total unilateral lung lavage with or without bronchoscopy | Premiums and Special Visit | $304.60 |
| Z335 | Thoracoscopy (pleuroscopy) with or without pleural biopsy | Premiums and Special Visit | $242.35 |
| Z336 | Biopsy of pleura, needle including diagnostic aspiration | Premiums and Special Visit | $59.15 |
| Z337 | Rib resection for drainage | Premiums and Special Visit | $133.10 |
| Z338 | Biopsy of pleura or lung with limited thoracotomy | Premiums and Special Visit | $202.80 |
| Z339 | Intercostal drainage with insufflation of sclerosing agent under general anaesthesia | Premiums and Special Visit | $182.90 |
| Z340 | Biopsy of lung, needle | Premiums and Special Visit | $158.70 |
| Z341 | Tube thoracostomy for closed drainage (chest tube) | Premiums and Special Visit | $76.80 |
| Z342 | Limited bronchoscopy with placement of endobronchial blocker/double lumen tube | Premiums and Special Visit | $112.55 |
| Z343 | Fiberoptic endoscopy of upper airway with dilatation of larynx | Premiums and Special Visit | $202.35 |
| Z344 | First tracheo-bronchial aspiration procedure | Premiums and Special Visit | $45.95 |
| Z345 | Subsequent tracheo-bronchial aspiration procedures | Premiums and Special Visit | $18.60 |
| Z346 | Transtracheal aspiration | Premiums and Special Visit | $22.35 |
| Z347 | Anterior mediastinotomy when sole procedure performed | Premiums and Special Visit | $300.00 |
| Z348 | Mediastinoscopy with bronchoscopy and mediastinotomy | Premiums and Special Visit | $605.85 |
| Z349 | Intrapleural administration of chemotherapy or sclerosing agent | Premiums and Special Visit | $23.25 |
| Z350 | Endoscopic sphenoidotomy unilateral | Premiums and Special Visit | $123.70 |
| Z351 | Endoscopic septoplasty | Premiums and Special Visit | $122.40 |
| Z352 | Intrapleural administration of thrombolytic or fibrinolytic agent via chest tube | Premiums and Special Visit | $50.00 |
| Z353 | Incisional biopsy of chest wall tumour | Premiums and Special Visit | $110.90 |
| Z354 | Excisional biopsy of rib for tumour | Premiums and Special Visit | $142.20 |
| Z355 | Quadroscopy or panendoscopy with or without biopsy | Premiums and Special Visit | $321.45 |
| Z356 | Closure of persistent tracheostoma | Premiums and Special Visit | $133.95 |
| Z357 | Thoracic window closure | Premiums and Special Visit | $228.25 |
| Z358 | Incisional biopsy of chest wall tumour | Premiums and Special Visit | $111.20 |
| Z359 | Repeat bronchoscopy for tracheobronchial toilet within one week | Premiums and Special Visit | $56.65 |
| Z360 | Emergency rigid bronchoscopy for obstructed airway | Premiums and Special Visit | $474.65 |
| Z361 | Insertion of chronic indwelling pleural catheter | Premiums and Special Visit | $200.00 |
| Z362 | Removal of chronic indwelling pleural catheter | Premiums and Special Visit | $200.00 |
| Z363 | Removal of thoracostomy tube (chest tube) | Premiums and Special Visit | $20.00 |
| Z399 | Elective oesophagoscopy | Premiums and Special Visit | $92.50 |
| Z400 | Oesophagoscopy for active bleeding | Premiums and Special Visit | $125.10 |
| Z401 | Aspiration of pericardium | Premiums and Special Visit | $131.70 |
| Z402 | Arteriotomy | Premiums and Special Visit | $117.30 |
| Z403 | Bone marrow aspiration and/or core biopsy | Premiums and Special Visit | $101.25 |
| Z404 | Splenic puncture and aspiration | Premiums and Special Visit | $100.45 |
| Z405 | Anterior cervical lymph node biopsy | Premiums and Special Visit | $186.90 |
| Z406 | Scalene/posterior cervical lymph node biopsy | Premiums and Special Visit | $247.75 |
| Z407 | Percutaneous retroperitoneal biopsy one group | Premiums and Special Visit | $108.05 |
| Z409 | Percutaneous retroperitoneal biopsy two or more groups | Premiums and Special Visit | $162.20 |
| Z410 | Drainage of sub-fascial abscess | Premiums and Special Visit | $92.40 |
| Z411 | Axillary or inguinal lymph node biopsy | Premiums and Special Visit | $62.95 |
| Z412 | Replacement or repair of pacemaker lead | Premiums and Special Visit | $110.75 |
| Z413 | Scalene node fine needle aspiration | Premiums and Special Visit | $31.25 |
| Z414 | Injection of pericardial sclerosing agents | Premiums and Special Visit | $23.10 |
| Z415 | Removal/replacement of implantable cardioverter defibrillator | Premiums and Special Visit | $339.45 |
| Z422 | Retrograde aortic left heart catheterization | Premiums and Special Visit | $210.55 |
| Z423 | Ventricular pacing and mapping with advanced mapping system | Premiums and Special Visit | $690.25 |
| Z424 | Transseptal left heart catheterization | Premiums and Special Visit | $297.15 |
| Z425 | Bone marrow aspiration from donor | Premiums and Special Visit | $506.75 |
| Z426 | Bone marrow infusion into recipient | Premiums and Special Visit | $62.55 |
| Z427 | Sentinel node biopsy per draining basin | Premiums and Special Visit | $330.45 |
| Z428 | Pacemaker lead extraction | Premiums and Special Visit | $598.50 |
| Z429 | Implantation of coronary sinus lead for biventricular pacing | Premiums and Special Visit | $299.25 |
| Z430 | Anaesthetic services for MRI | Premiums and Special Visit | $0.00 |
| Z431 | Repositioning of temporary endocardial electrode | Premiums and Special Visit | $64.25 |
| Z432 | Examination under anaesthesia (EUA) with/without intubation | Premiums and Special Visit | $54.10 |
| Z433 | Replacement of pacemaker pack | Premiums and Special Visit | $146.45 |
| Z434 | Transluminal coronary angioplasty one or more sites | Premiums and Special Visit | $467.05 |
| Z435 | Insertion of permanent endocardial electrode(s) | Premiums and Special Visit | $154.10 |
| Z436 | Exposure of vein and implantation of pacemaker pack | Premiums and Special Visit | $166.55 |
| Z437 | Cardioversion (electrical and/or chemical) | Premiums and Special Visit | $92.45 |
| Z438 | Insertion of Swan-Ganz catheter | Premiums and Special Visit | $162.50 |
| Z439 | Right heart catheterization pressures only | Premiums and Special Visit | $166.90 |
| Z440 | Left heart retrograde aortic catheterization | Premiums and Special Visit | $208.50 |
| Z441 | Left heart transeptal catheterization | Premiums and Special Visit | $297.15 |
| Z442 | Selective coronary catheterization both arteries | Premiums and Special Visit | $286.75 |
| Z443 | Insertion of temporary endocardial electrode | Premiums and Special Visit | $154.10 |
| Z444 | Insertion of permanent endocardial electrode and pack | Premiums and Special Visit | $323.75 |
| Z445 | Repositioning of permanent endocardial electrode | Premiums and Special Visit | $323.75 |
| Z446 | Insertion of subcutaneous venous access reservoir | Premiums and Special Visit | $168.00 |
| Z447 | Revision of subcutaneous venous access reservoir | Premiums and Special Visit | $85.25 |
| Z448 | Percutaneous angioplasty aortic/pulmonic valve or pulmonary branch | Premiums and Special Visit | $487.90 |
| Z449 | Percutaneous angioplasty for coarctation of aorta | Premiums and Special Visit | $415.15 |
| Z455 | Injections of extensive keloids under general anaesthesia | Premiums and Special Visit | $44.70 |
| Z456 | Insertion of implantable central venous catheter | Premiums and Special Visit | $193.40 |
| Z457 | Surgical removal or repair of implanted central venous catheter | Premiums and Special Visit | $48.90 |
| Z459 | Arterial puncture for blood gas analysis | Premiums and Special Visit | $10.20 |
| Z460 | Closure of patent ductus arteriosus with umbrella device | Premiums and Special Visit | $377.55 |
| Z461 | Mitral valvuloplasty for rheumatic stenosis | Premiums and Special Visit | $566.20 |
| Z463 | Removal of Norplant contraceptive implant | Premiums and Special Visit | $65.30 |
| Z464 | Declotting of AV fistula or graft for haemodialysis | Premiums and Special Visit | $150.00 |
| Z465 | Percutaneous closure of single arterial septal defect | Premiums and Special Visit | $198.55 |
| Z466 | Percutaneous closure of two or more arterial septal defects | Premiums and Special Visit | $347.45 |
| Z475 | Biopsy when sole procedure (general anaesthetic) | Premiums and Special Visit | $56.70 |
| Z477 | Biopsy when sole procedure (local anaesthetic) | Premiums and Special Visit | $39.60 |
| Z478 | Premenarchal vaginoscopy with/without medication | Premiums and Special Visit | $56.70 |
| Z480 | Cystotomy with trocar and cannula insertion of tube | Premiums and Special Visit | $85.30 |
| Z491 | Follow-up of incomplete polyp resection colonoscopy | Premiums and Special Visit | $51.95 |
| Z492 | Five year follow-up normal colonoscopy | Premiums and Special Visit | $51.95 |
| Z493 | Ten year follow-up normal colonoscopy | Premiums and Special Visit | $51.95 |
| Z494 | Colonoscopy for hereditary bowel disorders | Premiums and Special Visit | $51.95 |
| Z495 | Follow-up of unsatisfactory colonoscopy | Premiums and Special Visit | $51.95 |
| Z496 | Colonoscopy for signs or symptoms | Premiums and Special Visit | $51.95 |
| Z497 | Confirmatory colonoscopy sigmoid to descending colon | Premiums and Special Visit | $51.95 |
| Z498 | Follow-up of abnormal colonoscopy | Premiums and Special Visit | $51.95 |
| Z499 | Colonoscopy absence of signs or symptoms with family history | Premiums and Special Visit | $51.95 |
| Z500 | Sialolithotomy incision | Premiums and Special Visit | $30.65 |
| Z501 | Biopsy | Premiums and Special Visit | $35.50 |
| Z502 | Excision of lesion less than 2 cm | Premiums and Special Visit | $71.00 |
| Z503 | Biopsy | Premiums and Special Visit | $35.40 |
| Z504 | Excision of lesion | Premiums and Special Visit | $61.15 |
| Z505 | Cricopharyngeal myotomy endoscopic or with surgery | Premiums and Special Visit | $37.20 |
| Z506 | Drainage of oral abscess or hematoma | Premiums and Special Visit | $50.90 |
| Z510 | Drainage of pharyngeal abscess or hematoma | Premiums and Special Visit | $91.10 |
| Z511 | Dilation and/or probing of duct | Premiums and Special Visit | $43.15 |
| Z512 | Endoscopy of ileostomy or colostomy | Premiums and Special Visit | $36.80 |
| Z513 | Hydrostatic-pneumatic dilatation of colon stricture | Premiums and Special Visit | $107.50 |
| Z514 | Endoscopy of ileostomy or colostomy with biopsy | Premiums and Special Visit | $44.55 |
| Z515 | Oesophagoscopy with or without biopsy | Premiums and Special Visit | $68.25 |
| Z516 | Excision of first polyp 20-29 mm | Premiums and Special Visit | $150.15 |
| Z517 | Excision of first polyp 10-19 mm | Premiums and Special Visit | $150.15 |
| Z518 | Excision of first polyp 6-9 mm | Premiums and Special Visit | $150.15 |
| Z520 | Change of gastrostomy tube | Premiums and Special Visit | $10.65 |
| Z521 | Sialolithotomy requiring general anaesthesia | Premiums and Special Visit | $103.60 |
| Z522 | Excision small tumour | Premiums and Special Visit | $51.25 |
| Z523 | Pneumatic dilation with rigid dilators | Premiums and Special Visit | $52.90 |
| Z524 | Drainage of hematoma or deep neck abscess external approach | Premiums and Special Visit | $271.05 |
| Z525 | Pneumatic dilation as sole procedure | Premiums and Special Visit | $110.85 |
| Z526 | Biopsy by gastrostomy | Premiums and Special Visit | $73.60 |
| Z527 | Gastroscopy may include biopsies and polyp removal ≤1 cm | Premiums and Special Visit | $82.90 |
| Z528 | Subsequent gastroscopy within 3 months | Premiums and Special Visit | $67.85 |
| Z529 | Initial session passive bougie dilation of oesophagus | Premiums and Special Visit | $40.55 |
| Z530 | Repeat session passive bougie dilation of oesophagus | Premiums and Special Visit | $27.35 |
| Z531 | Repeat dilations during same admission | Premiums and Special Visit | $26.40 |
| Z532 | Percutaneous endoscopic gastrostomy | Premiums and Special Visit | $172.95 |
| Z533 | Biopsy by intubation | Premiums and Special Visit | $36.80 |
| Z535 | Sigmoidoscopy with rigid scope | Premiums and Special Visit | $36.80 |
| Z536 | Sigmoidoscopy with biopsy | Premiums and Special Visit | $44.55 |
| Z537 | Biopsy requiring general anaesthetic | Premiums and Special Visit | $97.05 |
| Z538 | Reduction of prolapse | Premiums and Special Visit | $25.25 |
| Z539 | Dilation of gastrostomy, enterostomy, colostomy | Premiums and Special Visit | $25.25 |
| Z540 | Intubation of small intestine | Premiums and Special Visit | $79.80 |
| Z541 | Dilation/disimpaction/removal of foreign body under GA | Premiums and Special Visit | $58.15 |
| Z542 | Intubation of bile duct for obstruction | Premiums and Special Visit | $85.25 |
| Z543 | Anoscopy (proctoscopy) | Premiums and Special Visit | $8.70 |
| Z544 | Biopsy | Premiums and Special Visit | $34.90 |
| Z545 | Thrombosed haemorrhoid(s) | Premiums and Special Visit | $25.25 |
| Z546 | Barron ligation(s) | Premiums and Special Visit | $34.60 |
| Z547 | Gastroscopy with removal of foreign body | Premiums and Special Visit | $99.75 |
| Z548 | Cauterization of fissure | Premiums and Special Visit | $34.90 |
| Z549 | Fulguration of condylomata local anaesthetic | Premiums and Special Visit | $30.95 |
| Z550 | Dilation of anal sphincter | Premiums and Special Visit | $12.05 |
| Z551 | Needle biopsy incisional | Premiums and Special Visit | $87.80 |
| Z552 | Peritoneoscopy, culdoscopy or laparoscopy without biopsy | Premiums and Special Visit | $149.65 |
| Z553 | Peritoneoscopy, culdoscopy or laparoscopy with biopsy/lysis | Premiums and Special Visit | $196.65 |
| Z554 | Incisional biopsy | Premiums and Special Visit | $102.10 |
| Z555 | Colonoscopy absence of signs or symptoms age 50+ | Premiums and Special Visit | $51.95 |
| Z558 | ERCP including sphincterotomy and stone removal | Premiums and Special Visit | $300.25 |
| Z560 | Duodenoscopy | Premiums and Special Visit | $92.10 |
| Z561 | ERCP with cannulation of bile or pancreatic duct | Premiums and Special Visit | $213.15 |
| Z562 | Biliary duct calculus manipulation/removal via T-tube tract | Premiums and Special Visit | $116.20 |
| Z563 | Needle biopsy of peritoneum | Premiums and Special Visit | $48.00 |
| Z564 | Open lavage of peritoneal cavity for diagnosis | Premiums and Special Visit | $73.60 |
| Z565 | Complete haemorrhoidectomy with cryotherapy/Barron ligation | Premiums and Special Visit | $99.60 |
| Z566 | Barron ligation plus cryotherapy | Premiums and Special Visit | $39.10 |
| Z569 | Pelvic abscess incision and drainage rectal/vaginal approach | Premiums and Special Visit | $122.05 |
| Z571 | Excision of first polyp 3-5 mm | Premiums and Special Visit | $150.15 |
| Z574 | Removal of infected sutures or wound re-exploration GA | Premiums and Special Visit | $94.85 |
| Z575 | Haemorrhoid injections | Premiums and Special Visit | $27.05 |
| Z576 | Injections for anal fissure | Premiums and Special Visit | $35.90 |
| Z577 | Incisional biopsy | Premiums and Special Visit | $122.05 |
| Z578 | Multiple para-aortic lymph nodes biopsy | Premiums and Special Visit | $93.00 |
| Z580 | Sigmoidoscopy using 60 cm flexible endoscope | Premiums and Special Visit | $57.70 |
| Z582 | Diagnostic hysteroscopy | Premiums and Special Visit | $111.50 |
| Z583 | Hysteroscopy with uterine biopsy and/or D&C | Premiums and Special Visit | $133.70 |
| Z584 | Duodenoscopy | Premiums and Special Visit | $185.15 |
| Z585 | Hysteroscopy with cannulization/lysis of adhesions | Premiums and Special Visit | $149.60 |
| Z586 | Hysteroscopy with lysis of adhesions >60 minutes | Premiums and Special Visit | $368.75 |
| Z587 | Hysteroscopy with resection of endometrial polyps | Premiums and Special Visit | $206.35 |
| Z590 | Paracentesis for diagnostic sample | Premiums and Special Visit | $31.30 |
| Z591 | Paracentesis with therapeutic drainage | Premiums and Special Visit | $57.65 |
| Z592 | Sigmoidoscopy with decompression of volvulus | Premiums and Special Visit | $49.40 |
| Z593 | Nasobiliary catheter insertion | Premiums and Special Visit | $55.25 |
| Z594 | Percutaneous abdominal abscess drainage | Premiums and Special Visit | $331.90 |
| Z595 | Replacement of drainage catheter in abdominal abscess | Premiums and Special Visit | $54.05 |
| Z596 | Extracorporeal shock wave lithotripsy for bile duct calculi | Premiums and Special Visit | $314.20 |
| Z597 | Bronchial brushing | Premiums and Special Visit | $103.75 |
| Z600 | Change of nephrostomy tube | Premiums and Special Visit | $44.00 |
| Z601 | Renal biopsy needle | Premiums and Special Visit | $143.55 |
| Z602 | Office catheterization | Premiums and Special Visit | $8.55 |
| Z603 | Home catheterization | Premiums and Special Visit | $16.25 |
| Z604 | Meatotomy and plastic repair | Premiums and Special Visit | $39.60 |
| Z605 | Aspiration | Premiums and Special Visit | $12.50 |
| Z606 | Diagnostic cystoscopy with/without urethroscopy | Premiums and Special Visit | $71.85 |
| Z607 | Repeat cystoscopy within 30 days | Premiums and Special Visit | $35.50 |
| Z608 | Manual catheter declotting and bladder irrigation | Premiums and Special Visit | $58.65 |
| Z609 | Periurethral abscess | Premiums and Special Visit | $31.60 |
| Z610 | Intravesical instillation for bladder cancer | Premiums and Special Visit | $25.65 |
| Z611 | Hospital catheterization | Premiums and Special Visit | $8.55 |
| Z612 | Endoscopic urethral realignment for trauma | Premiums and Special Visit | $250.00 |
| Z615 | Filiform and follower urethral dilation | Premiums and Special Visit | $59.75 |
| Z616 | Biopsy of urethra without endoscopy | Premiums and Special Visit | $23.55 |
| Z617 | Diagnostic urethroscopy | Premiums and Special Visit | $35.50 |
| Z618 | Urethroscopy with biopsy | Premiums and Special Visit | $77.70 |
| Z619 | Male urethral stricture dilation general anaesthetic | Premiums and Special Visit | $52.70 |
| Z620 | Female urethral dilation general anaesthetic | Premiums and Special Visit | $41.65 |
| Z621 | Male urethral stricture dilation local anaesthetic | Premiums and Special Visit | $19.20 |
| Z622 | Female urethral dilation | Premiums and Special Visit | $9.90 |
| Z623 | Insertion of stent | Premiums and Special Visit | $95.10 |
| Z624 | Dilatation of tract | Premiums and Special Visit | $105.25 |
| Z625 | Selective catheterization of calyces | Premiums and Special Visit | $52.70 |
| Z626 | Nephroscopy percutaneous or retrograde | Premiums and Special Visit | $95.95 |
| Z627 | Removal of renal calculi | Premiums and Special Visit | $168.25 |
| Z628 | Cystoscopy and diagnostic ureteroscopy above intramural | Premiums and Special Visit | $125.70 |
| Z629 | Percutaneous nephrostomy | Premiums and Special Visit | $153.35 |
| Z630 | Extracorporeal shock wave lithotripsy | Premiums and Special Visit | $314.20 |
| Z631 | Fine needle aspiration of renal transplant | Premiums and Special Visit | $45.15 |
| Z632 | Excision of single tumour 1-2 cm diameter | Premiums and Special Visit | $271.35 |
| Z633 | Excision of single tumour over 2 cm diameter | Premiums and Special Visit | $437.20 |
| Z634 | Excision of multiple tumours | Premiums and Special Visit | $437.20 |
| Z636 | Endoscopic ureterotomy or pyelotomy | Premiums and Special Visit | $273.25 |
| Z637 | Percutaneous ablation of calyceal diverticulum | Premiums and Special Visit | $262.75 |
| Z638 | Endoscopic treatment of vesicoureteral reflux | Premiums and Special Visit | $450.00 |
| Z700 | Intracorporeal injection for impotence | Premiums and Special Visit | $27.80 |
| Z701 | Condylomata local anaesthetic | Premiums and Special Visit | $32.60 |
| Z702 | Biopsy | Premiums and Special Visit | $39.60 |
| Z703 | Abscess incision | Premiums and Special Visit | $55.15 |
| Z704 | Single biopsy | Premiums and Special Visit | $55.15 |
| Z705 | Bilateral biopsy | Premiums and Special Visit | $83.35 |
| Z706 | Biopsy with vasography | Premiums and Special Visit | $120.80 |
| Z707 | Epididymis abscess incision | Premiums and Special Visit | $55.15 |
| Z708 | Hydrocele aspiration | Premiums and Special Visit | $19.80 |
| Z709 | Abscess or hematocoele local anaesthetic | Premiums and Special Visit | $39.60 |
| Z710 | Vasography | Premiums and Special Visit | $55.15 |
| Z711 | Seminal vesicles abscess incision | Premiums and Special Visit | $120.80 |
| Z712 | Needle biopsy | Premiums and Special Visit | $85.45 |
| Z713 | Biopsy with abscess drainage | Premiums and Special Visit | $92.10 |
| Z714 | Bartholin's gland abscess incision local anaesthetic | Premiums and Special Visit | $25.40 |
| Z715 | Bartholin's gland abscess incision general anaesthetic | Premiums and Special Visit | $56.70 |
| Z716 | Marsupialization of Bartholin’s cyst or abscess | Premiums and Special Visit | $89.80 |
| Z720 | Biopsy with or without fulguration | Premiums and Special Visit | $20.00 |
| Z721 | Pharmacological suppression of premature labour IV therapy | Premiums and Special Visit | $67.75 |
| Z722 | Biopsy local anaesthetic | Premiums and Special Visit | $39.60 |
| Z723 | Biopsy general anaesthetic | Premiums and Special Visit | $97.20 |
| Z724 | Electro cauterization | Premiums and Special Visit | $8.55 |
| Z725 | Dilatation and cauterization under general anaesthesia | Premiums and Special Visit | $50.90 |
| Z726 | Aspiration, thyroid cyst | Premiums and Special Visit | $38.00 |
| Z727 | Percutaneous silicone core needle biopsy | Premiums and Special Visit | $71.30 |
| Z728 | Incision and drainage of cyst, abscess or haematoma | Premiums and Special Visit | $97.20 |
| Z729 | Cryoconization, electroconization or CO2 laser therapy | Premiums and Special Visit | $38.35 |
| Z730 | Follow up colposcopy without biopsy | Premiums and Special Visit | $28.35 |
| Z731 | Initial colposcopy with or without biopsy | Premiums and Special Visit | $53.50 |
| Z732 | Cryotherapy | Premiums and Special Visit | $17.30 |
| Z733 | Chemical and/or cryosurgery of condylomata | Premiums and Special Visit | $12.00 |
| Z734 | Double set up exam to rule out placenta previa | Premiums and Special Visit | $58.00 |
| Z735 | Manipulation under general anaesthetic | Premiums and Special Visit | $56.70 |
| Z736 | Surgical excision or electrodesiccation of condylomata | Premiums and Special Visit | $32.60 |
| Z737 | Laser treatment of extensive pelvic disease | Premiums and Special Visit | $215.80 |
| Z738 | Insertion of Montgomery “T” Tube or similar stent | Premiums and Special Visit | $216.10 |
| Z740 | Drainage of intramammary abscess - general anaesthetic | Premiums and Special Visit | $133.80 |
| Z741 | Tracheotomy | Premiums and Special Visit | $273.15 |
| Z742 | Phrenicotomy | Premiums and Special Visit | $106.45 |
| Z743 | Open circulatory assist device insertion | Premiums and Special Visit | $307.80 |
| Z744 | Open decannulation of circulatory assist device | Premiums and Special Visit | $123.05 |
| Z745 | Saphenous vein ligation/stripping | Premiums and Special Visit | $53.20 |
| Z746 | Femoral vein ligation/stripping | Premiums and Special Visit | $74.25 |
| Z747 | Popliteal vein ligation/stripping | Premiums and Special Visit | $74.25 |
| Z748 | Internal jugular vein ligation/stripping | Premiums and Special Visit | $148.60 |
| Z749 | Subsequent endoscopic procedure within 3 months | Premiums and Special Visit | $72.55 |
| Z750 | Resection of exteriorized intestine | Premiums and Special Visit | $82.35 |
| Z751 | Open repositioning of intra-aortic balloon pump | Premiums and Special Visit | $127.95 |
| Z752 | Biopsy of rectosigmoid or above for Hirschsprung’s disease | Premiums and Special Visit | $82.35 |
| Z753 | Electrocoagulation of rectal polyp under 2 cm | Premiums and Special Visit | $24.25 |
| Z754 | Excision of rectal polyp under 2 cm | Premiums and Special Visit | $82.35 |
| Z755 | Electrocoagulation of rectal polyp 2 to 5 cm | Premiums and Special Visit | $142.40 |
| Z756 | Fecal disimpaction without anaesthetic | Premiums and Special Visit | $36.80 |
| Z757 | Excision of benign anal lesion(s) | Premiums and Special Visit | $47.15 |
| Z758 | Excision of benign anal lesion(s) under general anaesthetic | Premiums and Special Visit | $97.65 |
| Z759 | Removal of failed vascular graft without arterial reconstruction when sole procedure | Premiums and Special Visit | $189.55 |
| Z760 | Manipulation through gastrojejunostomy | Premiums and Special Visit | $251.85 |
| Z761 | Electrocoagulation of rectal polyp over 5 cm | Premiums and Special Visit | $219.90 |
| Z762 | Needle biopsy | Premiums and Special Visit | $102.10 |
| Z763 | Paracentesis with lavage for diagnosis | Premiums and Special Visit | $38.70 |
| Z764 | Excision of obstructive tumour or stricture <2 cm | Premiums and Special Visit | $69.80 |
| Z765 | Excision of obstructive tumour or stricture ≥2 cm | Premiums and Special Visit | $131.75 |
| Z766 | Loop Electrosurgical Excision Procedure (LEEP) | Premiums and Special Visit | $85.65 |
| Z767 | Excision of condylomata under general anaesthetic | Premiums and Special Visit | $78.60 |
| Z768 | Excision of abscess or haematocele under general anaesthetic | Premiums and Special Visit | $99.00 |
| Z769 | Excision or electrodesiccation of condylomata under general anaesthetic | Premiums and Special Visit | $124.60 |
| Z770 | Endometrial sampling | Premiums and Special Visit | $37.85 |
| Z771 | Aspiration biopsy, thyroid gland or nodule fine needle | Premiums and Special Visit | $38.00 |
| Z772 | Thymus transplant | Premiums and Special Visit | $81.45 |
| Z773 | Fetoscopy including fetal blood sample or amniocentesis | Premiums and Special Visit | $165.40 |
| Z774 | Postpartum haemorrhage exploration and uterine curettage | Premiums and Special Visit | $113.65 |
| Z775 | Pharmacological management of pregnancy-induced hypertension | Premiums and Special Visit | $67.75 |
| Z776 | Fetal blood sampling | Premiums and Special Visit | $40.80 |
| Z777 | External cephalic version for breech presentation | Premiums and Special Visit | $60.35 |
| Z778 | Amniocentesis - diagnostic or genetic | Premiums and Special Visit | $102.00 |
| Z779 | Chorionic villus sampling | Premiums and Special Visit | $153.00 |
| Z780 | Percutaneous circulatory assist device insertion | Premiums and Special Visit | $219.80 |
| Z781 | Percutaneous decannulation of circulatory assist device | Premiums and Special Visit | $39.00 |
| Z782 | Percutaneous repositioning of intra-aortic balloon pump | Premiums and Special Visit | $82.55 |
| Z783 | Secondary closure of wound | Premiums and Special Visit | $97.35 |
| Z784 | Excision and suture of rectal polyp 2 to 5 cm | Premiums and Special Visit | $213.50 |
| Z785 | Excision and suture of rectal polyp over 5 cm | Premiums and Special Visit | $582.95 |
| Z787 | Follow-up colposcopy with biopsy | Premiums and Special Visit | $53.50 |
| Z788 | Extracorporeal Membrane Oxygenator (ECMO) procedure | Premiums and Special Visit | $366.50 |
| Z801 | Non-operative CSF shunt procedure | Premiums and Special Visit | $51.50 |
| Z802 | Ventricular puncture through burr hole or fontanelle | Premiums and Special Visit | $81.65 |
| Z803 | Unilateral subdural tap | Premiums and Special Visit | $53.10 |
| Z804 | Lumbar puncture including injection and image guidance | Premiums and Special Visit | $150.00 |
| Z807 | Removal of Selverstone clamp | Premiums and Special Visit | $266.60 |
| Z808 | Progressive carotid occlusion by Selverstone clamp | Premiums and Special Visit | $317.85 |
| Z809 | Insertion of CSF reservoir (Ommaya) including burr holes | Premiums and Special Visit | $428.90 |
| Z811 | Intravenous drug test for pain | Premiums and Special Visit | $54.10 |
| Z812 | Subsequent revisions or replacements of intracranial device | Premiums and Special Visit | $279.55 |
| Z813 | Needling of brain for biopsy | Premiums and Special Visit | $560.85 |
| Z815 | Temporal artery biopsy, ligation or cryosurgery | Premiums and Special Visit | $200.00 |
| Z816 | Implantation of electrode for peripheral nerve stimulation | Premiums and Special Visit | $241.00 |
| Z818 | Subsequent aspiration through existing burr hole | Premiums and Special Visit | $215.35 |
| Z820 | Insertion of intracranial pressure monitor or external ventricular drainage | Premiums and Special Visit | $367.95 |
| Z821 | Injection into shunt apparatus | Premiums and Special Visit | $53.10 |
| Z823 | Implantation or revision of stimulation pack or leads | Premiums and Special Visit | $404.30 |
| Z824 | Removal of chronic surface or depth electrodes | Premiums and Special Visit | $266.60 |
| Z825 | Ventriculoscopy including burr hole | Premiums and Special Visit | $731.20 |
| Z826 | Inferior dental neurectomy | Premiums and Special Visit | $184.00 |
| Z827 | Infraorbital or supraorbital neurectomy | Premiums and Special Visit | $158.45 |
| Z844 | Diagnostic paracentesis for intraocular conditions | Premiums and Special Visit | $100.00 |
| Z846 | General anaesthetic for ear canal biopsy | Premiums and Special Visit | $50.90 |
| Z847 | Removal of one embedded foreign body - local anaesthetic | Premiums and Special Visit | $33.00 |
| Z848 | Removal of two embedded foreign bodies - local anaesthetic | Premiums and Special Visit | $45.00 |
| Z849 | Chelation of band keratopathy with EDTA - local anaesthetic | Premiums and Special Visit | $153.80 |
| Z850 | Examination (sole procedure or with minor procedures) | Premiums and Special Visit | $200.00 |
| Z851 | Therapeutic paracentesis | Premiums and Special Visit | $70.00 |
| Z852 | General anaesthetic for removal of embedded foreign body | Premiums and Special Visit | $74.20 |
| Z853 | Ulcer cautery under general anaesthetic | Premiums and Special Visit | $74.20 |
| Z854 | Drainage of abscess - local anaesthetic | Premiums and Special Visit | $60.00 |
| Z855 | Drainage of abscess - general anaesthetic | Premiums and Special Visit | $225.00 |
| Z856 | Excision of chalazion - general anaesthetic | Premiums and Special Visit | $150.00 |
| Z857 | Epilation by hyfrecator or electrolysis | Premiums and Special Visit | $26.60 |
| Z858 | Epilation by cryopexy | Premiums and Special Visit | $65.70 |
| Z860 | Zeigler punctures for entropion/ectropion | Premiums and Special Visit | $26.60 |
| Z861 | Biopsy | Premiums and Special Visit | $26.60 |
| Z862 | Dacryocystotomy under general anaesthetic | Premiums and Special Visit | $52.40 |
| Z863 | Chelation of band keratopathy with EDTA - general anaesthetic | Premiums and Special Visit | $150.00 |
| Z864 | Probing and dilation of nasolacrimal duct - general anaesthetic | Premiums and Special Visit | $200.00 |
| Z865 | Probing and dilation with insertion of tube or filament | Premiums and Special Visit | $250.00 |
| Z866 | Removal of foreign body - complicated, general anaesthetic | Premiums and Special Visit | $50.90 |
| Z869 | Bone biopsy - punch | Premiums and Special Visit | $48.50 |
| Z870 | Bone biopsy - punch with x-ray control or general anaesthetic | Premiums and Special Visit | $120.70 |
| Z871 | Ulcer cautery including laser/electrocautery - local anaesthetic | Premiums and Special Visit | $26.60 |
| Z873 | Application of cast brace with hinge | Premiums and Special Visit | $67.75 |
| Z874 | Excision of chalazion - local anaesthetic | Premiums and Special Visit | $70.00 |
| Z901 | Irrigation of nasolacrimal system | Premiums and Special Visit | $27.00 |
| Z902 | Probing and dilation of anal sphincter - local anaesthetic | Premiums and Special Visit | $27.00 |
| Z903 | Pre-auricular sinus | Premiums and Special Visit | $62.95 |
| Z904 | Local excision of polyp - office | Premiums and Special Visit | $25.85 |
| Z905 | Local excision of polyp - hospital | Premiums and Special Visit | $50.90 |
| Z906 | Removal of drainage tube under general anaesthetic | Premiums and Special Visit | $66.50 |
| Z907 | Debridement of mastoid cavities and/or ears- unilateral | Premiums and Special Visit | $27.40 |
| Z908 | Under general anaesthetic, with or without repair of small perforation when sole ear procedure(s) performed unilateral | Premiums and Special Visit | $50.90 |
| Z909 | Biopsy, ear canal | Premiums and Special Visit | $25.85 |
| Z912 | Myringotomy, to include aspiration when indicated - unilateral | Premiums and Special Visit | $42.15 |
| Z913 | Repair of small perforation under local anaesthesia, with or without debridement, unilateral | Premiums and Special Visit | $39.00 |
| Z914 | Myringotomy, to include aspiration when indicated - with insertion of ventilation tube using operating microscope unilateral | Premiums and Special Visit | $78.60 |
| Z915 | Removal of foreign body - simple | Premiums and Special Visit | $10.55 |
| Z916 | Intratympanic injection, with or without myringotomy - unilateral | Premiums and Special Visit | $75.90 |
| Z917 | Three “Snip” punctum procedure per punctum | Premiums and Special Visit | $65.70 |
| Z918 | Re-insertion of Lester Jones tube | Premiums and Special Visit | $52.40 |
| Z940 | Vertebral needle biopsy | Premiums and Special Visit | $177.05 |
| Z941 | Percutaneous diagnostic stimulation of spinal cord, trigeminal nerve root and /or ganglion | Premiums and Special Visit | $331.50 |
| Z942 | Implantation or revision of stimulation pack or leads | Premiums and Special Visit | $306.00 |
| Z943 | Programming infusion pump or dorsal column stimulator | Premiums and Special Visit | $142.20 |
| Z944 | Lumbar subarachnoid drainage of CSF | Premiums and Special Visit | $89.75 |
Need to manage OHIP billing in your practice?
Start Free Trial with Fabric EMR