Workers Rehabilitation and Compensation (Scales of Charges—Medical Practitioners) Variation Regulations 2008



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Ophthalmology


42503

Ophthalmological examination under general anaesthesia, not being a service associated with a service to which another item in this Group applies (Anaes.)

$166.40

42506

Eye, enucleation of, with or without sphere implant (Assist.) (Anaes.)

$762.70

42509

Eye, enucleation of, with insertion of integrated implant (Assist.) (Anaes.)

$941.40

42510

Eye, enucleation of, with insertion of hydroxy apatite implant or similar coralline implant (Assist.) (Anaes.)

$1,048.70

42512

Globe, evisceration of (Assist.) (Anaes.)

$762.70

42515

Globe, evisceration of, and insertion of intrascleral ball or cartilage (Assist.) (Anaes.)

$833.00

42518

Anophthalmic orbit, insertion of cartilage or artificial implant as a delayed procedure, or removal of implant from socket; or placement of a motility intergrating peg by drilling into existing orbital implant (Assist.) (Anaes.)

$538.50

42521

Anophthalmic socket, treatment of, by insertion of a wired-in conformer, integrated implant or dermofat graft, as a secondary procedure (Assist.) (Anaes.)

$1,723.90

42524

Orbit, skin graft to, as a delayed procedure (Anaes.)

$332.70

42527

Contracted socket, reconstruction including mucous membrane grafting and stent mould (Assist.) (Anaes.)

$666.60

42530

Orbit, exploration with or without biopsy, requiring removal of bone (Assist.) (Anaes.)

$941.40

42533

Orbit, exploration of, with drainage or biopsy not requiring removal of bone (Assist.) (Anaes.)

$564.30

42536

Orbit, exenteration of, with or without skin graft and with or without temporalis muscle transplant (Assist.) (Anaes.)

$1,339.50

42539

Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (Assist.) (Anaes.)

$1,916.10

42542

Orbit, exploration of anterior aspect with removal of tumour or foreign body (Assist.) (Anaes.)

$800.90

42543

Orbit, exploration of retrobulbar aspect with removal of tumour or foreign body (Assist.) (Anaes.)

$1,309.10

42545

Orbit, decompression of, for dysthyroid eye disease, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, 1 eye (Assist.) (Anaes.)

$1,788.10

42548

Optic nerve meninges, incision of (Assist.) (Anaes.)

$1,608.10

42551

Eyeball, perforating wound of, not involving intraocular structures repair involving suture of cornea or sclera, or both, not being a service to which item 42632 applies (Assist.) (Anaes.)

$1,019.10

42554

Eyeball, perforating wound of, with incarceration or prolapse of uveal tissue repair (Assist.) (Anaes.)

$1,197.80

42557

Eyeball, perforating wound of, with incarceration of lens or vitreous repair (Assist.) (Anaes.)

$1,666.00

42560

Intraocular foreign body, magnetic removal from anterior segment (Assist.) (Anaes.)

$666.60

42563

Intraocular foreign body, nonmagnetic removal from anterior segment (Assist.) (Anaes.)

$871.20

42566

Intraocular foreign body, magnetic removal from posterior segment (Assist.) (Anaes.)

$1,197.80

42569

Intraocular foreign body, nonmagnetic removal from posterior segment (Assist.) (Anaes.)

$1,666.00

42572

Orbital abscess or cyst, drainage of (Anaes.)

$158.90

42573

Dermoid, periorbital, excision of (Anaes.)

$320.40

42574

Dermoid, orbital, excision of (Assist.) (Anaes.)

$679.00

42575

Tarsal cyst, extirpation of (Anaes.)

$133.00

42581

Ectropion or entropion, tarsal cauterisation of (Anaes.)

$166.40

42584

Tarsorrhaphy (Assist.) (Anaes.)

$436.20

42587

Trichiasis, treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.)

$73.30

42590

Canthoplasty, medial or lateral (Assist.) (Anaes.)

$538.50

42593

Lacrimal gland, excision of palpebral lobe (Anaes.)

$332.70

42596

Lacrimal sac, excision of, or operation on (Assist.) (Anaes.)

$800.90

42599

Lacrimal canalicular system, establishment of patency by closed operation using silicone tubes or similar, 1 eye (Assist.) (Anaes.)

$858.90

42602

Lacrimal canalicular system, establishment of patency by open operation, 1 eye (Assist.) (Anaes.)

$1,019.10

42605

Lacrimal canaliculus, immediate repair of (Assist.) (Anaes.)

$724.50

42608

Lacrimal drainage by insertion of glass tube, as an independent procedure (Assist.) (Anaes.)

$436.20

42610

Nasolacrimal tube (unilateral), removal or replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage - under general anaesthesia (Anaes.)

$144.20

42611

Nasolacrimal tube (bilateral), removal or replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage - under general anaesthesia (Anaes.)

$232.90

42614

Nasolacrimal tube (unilateral), removal or replacement of, or lacrimal passages, probing to establish patency of the lacrimal passage and/or site of obstruction, unilateral, including lavage, not being a service associated with a service to which item 42610 applies (excluding aftercare)

$75.80

42615

Nasolacrimal tube (bilateral), removal or replacement of, or lacrimal passages, probing to establish patency of the lacrimal passage and/or site of obstruction, bilateral, including lavage, not being a service associated with a service to which item 42611 applies (excluding aftercare)

$108.40

42617

Punctum snip operation (Anaes.)

$173.80

42620

Punctum, occlusion of, by use of a plug (Anaes.)

$122.00

42621

Punctum, temporary occlusion of, by use of electrical cautery (Anaes.)

$79.50

42622

Punctum, permanent occlusion of, by use of electrical cautery (Anaes.)

$124.50

42623

Dacryocystorhinostomy (Assist.) (Anaes.)

$1,390.00

42626

Dacryocystorhinostomy where a previous dacryocystorhinostomy has been performed (Assist.) (Anaes.)

$1,589.60

42629

Conjunctivorhinostomy including dacryocystorhinostomy and fashioning of conjunctival flaps (Assist.) (Anaes.)

$1,473.80

42632

Conjunctival peritomy or repair of corneal laceration by conjunctival flap (Anaes.)

$158.90

42635

Corneal perforations, sealing of, with tissue adhesive (Assist.) (Anaes.)

$929.10

42638

Conjunctival graft over cornea (Assist.) (Anaes.)

$602.60

42641

Autoconjunctival transplant, or mucous membrane graft (Assist.) (Anaes.)

$646.90

42644

Cornea or sclera, removal of imbedded foreign body from (excluding aftercare) (Anaes.)

$116.50

42647

Corneal scars, removal of, by partial keratectomy, not being a service associated with a service to which item 42686 applies (Anaes.)

$332.70

42650

Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding aftercare) (Anaes.)

$116.50

42651

Cornea, epithelial debridement for eliminating band keratopathy (Anaes.)

$238.20

42653

Cornea, transplantation of, full thickness (Assist.) (Anaes.)

$1,992.60

42656

Cornea, transplantation of, second and subsequent procedures (Assist.) (Anaes.)

$2,210.70

42659

Cornea, transplantation of, superficial or lamellar (Assist.) (Anaes.)

$1,197.80

42662

Sclera, transplantation of, full thickness, including collection of donor material (Assist.) (Anaes.)

$1,147.30

42665

Sclera, transplantation of, superficial or lamellar, including collection of donor material (Assist.) (Anaes.)

$858.90

42667

Running corneal suture, manipulation of, performed within 4 months of corneal grafting, to reduce astigmatism where a reduction of 2 dioptres of astigmatism is obtained, including any associated consultation

$179.80

42668

Corneal sutures, removal of, not earlier than 6 weeks after operation requiring use of slit lamp or operating microscope (Anaes.)

$115.20

42672

Corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres following anterior segment surgery, including appropriate measurements and calculations, performed as an independent procedure (Assist.) (Anaes.)

$1,283.50

42673

Additional corneal incisions, to correct corneal astigmatism of more than 11/2 dioptres, including appropriate measurements and calculations, performed in conjunction with other anterior segment surgery (Assist.) (Anaes.)

$641.70

42676

Conjunctiva, biopsy of, as an independent procedure

$146.60

42677

Conjunctiva, cautery of, including treatment of pannus each attendance at which treatment is given including any associated consultation (Anaes.)

$83.20

42680

Conjunctiva, cryotherapy to, for melanotic lesions or similar using CO2 or N20 (Anaes.)

$436.20

42683

Conjunctival cysts, removal of, requiring admission to hospital or approved day-hospital facility (Anaes.)

$177.50

42686

Pterygium, removal of (Anaes.)

$396.80

42689

Pinguecula, removal of, not being a service associated with the fitting of contact lenses (Anaes.)

$166.40

42692

Limbic tumour, removal of, excluding Pterygium (Assist.) (Anaes.)

$436.20

42695

Limbic tumour, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Assist.) (Anaes.)

$666.60

42698

Lens extraction, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye (Anaes.)

$1,838.60

42701

Artificial lens, insertion of, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye (Anaes.)

$1,019.10

42702

Lens extraction and insertion of artificial lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye (Anaes.)

$2,347.50

42703

Artificial lens, insertion of, into the posterior chamber and suture to the iris and sclera (Assist.) (Anaes.)

$1,566.20

42704

Artificial lens, removal or repositioning of by open operation not being a service associated with a service to which item 42701 applies (Anaes.)

$614.90

42707

Artificial lens, removal of and replacement with a different lens, excluding surgery performed for the correction of refractive error except for anisometropia greater than 3 dioptres following the removal of cataract in the first eye (Anaes.)

$1,069.60

42710

Artificial lens, removal of, and replacement with a lens inserted into the posterior chamber and sutured to the iris or sclera (Assist.) (Anaes.)

$1,153.40

42713

Intraocular lenses, repositioning of, by the use of a McCannell suture or similar (Assist.) (Anaes.)

$500.30

42716

Cataract, juvenile, removal of, including subsequent needlings (Assist.) (Anaes.)

$1,852.00

42719

Capsulectomy or removal of vitreous, or both, via the anterior chamber by any method, not being a service associated with a service to which item 42698, 42702 or 42716 applies (Assist.) (Anaes.)

$833.00

42722

Capsulectomy by posterior chamber sclerotomy or removal of vitreous or vitreous bands, or both, from the anterior chamber by posterior chamber sclerotomy, by cutting and suction and infusion, not being a service associated with a service to which item 42698, 42702 or 42716 applies - 1 or both procedures (Assist.) (Anaes.)

$884.70

42725

Vitrectomy by posterior chamber sclerotomy including the removal of vitreous, division of bands or removal of preretinal membranes where performed, by cutting and suction and infusion (Assist.) (Anaes.)

$1,992.60

42728

Cryotherapy of retina or other intraocular structures with an internal probe, being a service associated with a service to which item 42725 applies (Anaes.)

$294.50

42731

Capsulectomy or lensectomy, or both, by posterior chamber sclerotomy in conjunction with the removal of vitreous or division of vitreous bands or removal of preretinal membrane from the posterior chamber by cutting and suction and infusion, not being a service associated with any other intraocular operation (Assist.) (Anaes.)

$2,262.40

42734

Capsulotomy, other than by laser (Assist.) (Anaes.)

$500.30

42737

Needling of posterior capsule (Assist.) (Anaes.)

$500.30

42740

Paracentesis of anterior or posterior segment (including the vitreous) or both, for the injection of therapeutic substances, or the removal of aqueous or vitreous for diagnostic purposes, 1 or more of (Assist.) (Anaes.)

$500.30

42743

Anterior chamber, irrigation of blood from, as an independent procedure (Assist.) (Anaes.)

$1,019.10

42744

Needling for drainage of encysted bleb, following trabeculectomy (Anaes.)

$445.20

42746

Glaucoma, filtering operation for (Assist.) (Anaes.)

$1,486.10

42749

Glaucoma, filtering operation for, where previous filtering operation has been performed (Assist.) (Anaes.)

$1,845.90

42752

Glaucoma, insertion of Molteno valve for, 1 or more stages (Assist.) (Anaes.)

$2,062.80

42755

Glaucoma, removal of Molteno valve (Anaes.)

$256.30

42758

Goniotomy (Assist.) (Anaes.)

$1,089.30

42761

Division of anterior or posterior synechiae, as an independent procedure, other than by laser (Assist.) (Anaes.)

$833.00

42764

Iridectomy (including excision of tumour of iris) or iridotomy, as an independent procedure, other than by laser (Assist.) (Anaes.)

$724.50

42767

Tumour, involving ciliary body or ciliary body and iris, excision of (Assist.) (Anaes.)

$1,666.00

42770

Cyclodestructive procedures for the treatment of intractable glaucoma, treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Assist.) (Anaes.)

$436.20

42771

Cyclodestructive procedures for the treatment of intractable glaucoma, treatment to one eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which 42770 applies) is indicated in a 2 year period (Assist.)

$429.40

42773

Detached retina, diathermy or cryotherapy for, not being a service associated with a service to which item 42776 applies (Assist.) (Anaes.)

$1,197.80

42776

Detached retina, buckling or resection operation for (Assist.) (Anaes.)

$1,813.90

42779

Detached retina, revision operation for (Assist.) (Anaes.)

$1,990.10

42782

Laser trabeculoplasty - each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Assist.) (Anaes.)

$474.40

42783

Laser trabeculoplasty - each treatment to 1 eye - where it can be demonstrated that a 5th or subsequent treatment to that eye (including any treatments to which item 42782 applies) is indicated in a 2 year period (Assist.) (Anaes.)

$598.90

42785

Laser iridotomy - each treatment episode to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Assist.) (Anaes.)

$474.40

42786

Laser iridotomy - each treatment episode to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42785 applies) is indicated in a 2 year period (Assist.) (Anaes.)

$474.40

42788

Laser capsulotomy - each treatment episode to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Assist.) (Anaes.)

$474.40

42789

Laser capsulotomy - each treatment episode to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42788 applies) is indicated in a 2 year period (Assist.) (Anaes.)

$474.40

42791

Laser vitreolysis or corticolysis of lens material or fibrinolysis - each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Assist.) (Anaes.)

$474.40

42792

Laser vitreolysis or corticolysis of lens material or fibrinolysis - each treatment to 1 eye - where it can be demonstrated that a 3rd or subsequent treatment to that eye (including any treatments to which item 42791 applies) is indicated in a 2 year period (Assist.) (Anaes.)

$474.40

42794

Division of suture by laser following trabeculoplasty, each treatment to 1 eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.)

$88.80

42797

Laser coagulation of corneal or scleral blood vessels - each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.)

$88.80

42801

Episcleral radioactive plaque (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Assist.) (Anaes.)

$1,497.70

42802

Episcleral radioactive plaque (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, removal of (Assist.) (Anaes.)

$748.50

42805

Tantalum markers, surgical insertion to the sclera to localise the tumour base to assist in planning of radiotherapy of choroidal melanomas, 1 or more (Assist.) (Anaes.)

$868.60

42806

Iris tumour, laser photocoagulation of (Assist.) (Anaes.)

$474.40

42807

Photomydriasis, laser

$450.70

42808

Photoiridosyneresis, laser

$450.70

42809

Retina, photocoagulation of, not being a service associated with photodynamic therapy with verteporfin (Assist.) (Anaes.)

$653.10

42810

Phototherapeutic keratectomy, by laser, for corneal scarring or disease, excluding surgery for refractive error (Anaes.)

$857.70

42811

Transpupillary thermotherapy, for treatment of choroidal and retinal tumours or vascular malformations (Anaes.)

$668.30

42812

Detached retina, removal of encircling silicone band from (Anaes.)

$268.50

42815

Posterior chamber, removal of silicone oil from (Assist.) (Anaes.)

$865.10

42818

Retina, cryotherapy to, as an independent procedure, with external probe (Anaes.)

$800.90

42821

Ocular Transillumination, for the diagnosis and measurement of intraocular tumours (Anaes.)

$133.00

42824

Retrobulbar injection of alcohol or other drug, as an independent procedure

$101.10

42833

Squint, operation for, on 1 or both eyes, the operation involving a total of 1 or 2 muscles on a patient aged 15 years or over (Assist.) (Anaes.)

$941.40

42836

Squint, operation for, on 1 or both eyes, the operation involving a total of 1 or 2 muscles, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Assist.) (Anaes.)

$1,115.20

42839

Squint, operation for, on 1 or both eyes, the operation involving a total of 3 or more muscles on a patient aged 15 years or over (Assist.) (Anaes.)

$1,089.30

42842

Squint, operation for, on 1 or both eyes, the operation involving a total of 3 or more muscles, on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Assist.) (Anaes.)

$1,325.90

42845

Readjustment of adjustable sutures, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.)

$276.00

42848

Squint, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 15 years or over (Assist.) (Anaes.)

$1,089.30

42851

Squint, muscle transplant for (Hummelsheim type, or similar operation) on a patient aged 14 years or under, or where the patient has had previous squint, retinal or extra ocular operations on the eye or eyes, or on a patient with concurrent thyroid eye disease (Assist.) (Anaes.)

$1,089.30

42854

Ruptured medial palpebral ligament or ruptured extraocular muscle, repair of (Assist.) (Anaes.)

$544.70

42857

Resuturing of wound following intraocular procedures with or without excision of prolapsed iris (Assist.) (Anaes.)

$602.60

42860

Eyelid (upper or lower), scleral or Goretex or other non-autogenous graft to, with recession of the lid retractors (Assist.) (Anaes.)

$1,287.70

42863

Eyelid, recession of (Assist.) (Anaes.)

$1,217.40

42866

Entropion or tarsal ectropion, repair of, by tightening, shortening or repair of inferior retractors by open operation across the entire width of the eyelid (Assist.) (Anaes.)

$1,083.10

42869

Eyelid closure in facial nerve paralysis, insertion of foreign implant for (Assist.) (Anaes.)

$762.70

42872

Eyebrow, elevation of, for paretic states (Anaes.)

$364.80

43021

Photodynamic therapy, one eye, including the infusion of verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation.

$616.40

43022

Photodynamic therapy, both eyes, including the infusion of verteporfin continuously through a peripheral vein, using a non-thermal laser at a wavelength of 689nm, for the treatment of choroidal neovascularisation.

$739.80

43023

Infusion of verteporfin for discontinued photodynamic therapy, where a session of therapy which would have been provided under item 43021 or 43022 has been discontinued on medical grounds.

$119.90

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