Digestive system - MBS items

The following MBS item numbers are included in this clinical category. The following is an indicative list of MBS items that are covered in the clinical category. Other MBS items not listed here may also be covered. If you cannot find the item you are looking for, please speak with your insurer.

11800

Oesophageal motility test, manometric

11801

Clinical assessment of gastro-oesophageal reflux disease that involves 48 hour catheter-free wireless ambulatory oesophageal ph monitoring including administration of the device and associated endoscopy procedure for placement, analysis and interpretation of the data and all attendances for providing the service, if (a) a cathetter-based ambulatory oesophageal ph-mnitoring: (i) has been attempted on the patient but failed due to clinical complications, or (ii) is not clinically appropriate for the patient due to anatomical reasons (nasopharyngeal anatomy) preventing the use of catheter-based ph monitoring; and (b) the services is performed by a specialist or consultant physician with endoscopic training that is recognised by The Conjoint Committee for the Recognition of Training in Gastrointestinal Endoscopy. Not in association with another item in Category 2, sub-group 7 (Anaes.)

11810

Clinical assessment of gastro-oesophageal reflux disease involving 24-hour pH monitoring, including analysis, interpretation and report and including any associated consultation

13506

Gastro-oesophageal balloon intubation, for control of bleeding from gastric oesophageal varices

14212

Intussusception, management of fluid or gas reduction for (Anaes.)

30373

Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (Anaes.) (Assist.)

30375

Caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, on a person 10 years of age or over. reduction of intussusception, removal of meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty (adult) or drainage of pancreas (Anaes.) (Assist.)

30376

Laparotomy involving division of peritoneal adhesions (where no other intraabdominal procedure is performed) on a person 10 years of age or over (Anaes.) (Assist.)

30378

Laparotomy involving division of adhesions in conjunction with another intraabdominal procedure where the time taken to divide the adhesions is between 45 minutes and 2 hours, on a person 10 years of age or over (Anaes.) (Assist.)

30379

Laparotomy with division of extensive adhesions (duration greater than 2 hours) with or without insertion of long intestinal tube (Anaes.) (Assist.)

30382

Enterocutaneous fistula, radical repair of, involving extensive dissection and resection of bowel (Anaes.) (Assist.)

30384

Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (Anaes.) (Assist.)

30385

Laparotomy for control of postoperative haemorrhage, where no other procedure is performed (Anaes.) (Assist.)

30387

Laparotomy involving operation on abdominal viscera (including pelvic viscera), not being a service to which another item in this Group applies (Anaes.) (Assist.)

30392

Radical or debulking operation for advanced intra-abdominal malignancy, with or without omentectomy, as an independent procedure (Anaes.) (Assist.)

30393

Laparoscopic division of adhesions in association with another intra-abdominal procedure where the time taken to divide the adhesions exceeds 45 minutes (Anaes.) (Assist.)

30396

Laparotomy for gross intra peritoneal sepsis requiring debridement of fibrin, with or without removal of foreign material or enteric contents, with lavage of the entire peritoneal cavity via a major abdominal incision with or without closure of abdomen and with or without mesh or zipper insertion (Anaes.) (Assist.)

30397

Laparostomy, via wound previously made and left open or closed with zipper, involving change of dressings or packs, and with or without drainage of loculated collections (Anaes.)

30399

Laparostomy, final closure of wound made at previous operation, after removal of dressings or packs and removal of mesh or zipper if previously inserted (Anaes.) (Assist.)

30402

Retroperitoneal abscess, drainage of, not involving laparotomy (Anaes.) (Assist.)

30406

Paracentesis abdominis (Anaes.)

30408

Peritoneovenous shunt, insertion of (Anaes.) (Assist.)

30409

Liver biopsy, percutaneous (Anaes.)

30411

Liver biopsy by wedge excision when performed in association with another intraabdominal procedure (Anaes.)

30412

Liver biopsy by core needle, when performed in conjunction with another intra-abdominal procedure (Anaes.)

30414

Liver, subsegmental resection of, (local excision), other than for trauma (Anaes.) (Assist.)

30415

Liver, segmental resection of, other than for trauma (Anaes.) (Assist.)

30416

Liver cyst, laparoscopic marsupialisation of, where the size of the cyst is greater than 5cm in diameter (Anaes.) (Assist.)

30417

Liver cysts, laparoscopic marsupialisation of 5 or more, including any cyst greater than 5cm in diameter (Anaes.) (Assist.)

30418

Liver, lobectomy of, other than for trauma (Anaes.) (Assist.)

30419

Liver tumours, destruction of, by hepatic cryotherapy, not being a service associated with a service to which item 50950 or 50952 apply (Anaes.) (Assist.)

30421

Liver, tri-segmental resection (extended lobectomy) of, other than for trauma (Anaes.) (Assist.)

30422

Liver, repair of superficial laceration of, for trauma (Anaes.) (Assist.)

30425

Liver, repair of deep multiple lacerations of, or debridement of, for trauma (Anaes.) (Assist.)

30427

Liver, segmental resection of, for trauma (Anaes.) (Assist.)

30428

Liver, lobectomy of, for trauma (Anaes.) (Assist.)

30430

Liver, extended lobectomy (tri-segmental resection) of, for trauma (Anaes.) (Assist.)

30431

Liver abscess, open abdominal drainage of (Anaes.) (Assist.)

30433

Liver abscess (multiple), open abdominal drainage of (Anaes.) (Assist.)

30434

Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles (Anaes.) (Assist.)

30436

Hydatid cyst of liver, peritoneum or viscus, complete removal of contents of, with or without suture of biliary radicles, with omentoplasty or myeloplasty (Anaes.) (Assist.)

30437

Hydatid cyst of liver, total excision of, by cysto-pericystectomy (membrane plus fibrous wall) (Anaes.) (Assist.)

30438

Hydatid cyst of liver, excision of, with drainage and excision of liver tissue (Anaes.) (Assist.)

30439

Operative cholangiography or operative pancreatography or intra operative ultrasound of the biliary tract (including 1 or more examinations performed during the 1 operation) (Anaes.) (Assist.)

30440

Cholangiogram, percutaneous transhepatic, and insertion of biliary drainage tube, using interventional imaging techniques - but not including imaging, not being a service associated with a service to which item 30451 applies (Anaes.) (Assist.)

30441

Intra operative ultrasound for staging of intra abdominal tumours (Anaes.)

30442

Choledochoscopy in conjunction with another procedure (Anaes.)

30443

Cholecystectomy (Anaes.) (Assist.)

30445

Laparoscopic cholecystectomy (Anaes.) (Assist.)

30446

Laparoscopic cholecystectomy when procedure is completed by laparotomy (Anaes.) (Assist.)

30448

Laparoscopic cholecystectomy, involving removal of common duct calculi via the cystic duct (Anaes.) (Assist.)

30449

Laparoscopic cholecystectomy with removal of common duct calculi via laparoscopic choledochotomy (Anaes.) (Assist.)

30450

Calculus of biliary or renal tract, extraction of, using interventional imaging techniques - not being a service associated with a service to which items 36627, 36630, 36645 or 36648 applies (Anaes.) (Assist.)

30451

Biliary drainage tube, exchange of, using interventional imaging techniques - but not including imaging, not being a service associated with a service to which item 30440 applies (Anaes.) (Assist.)

30452

Choledochoscopy with balloon dilatation of a stricture or passage of stent or extraction of calculi (Anaes.) (Assist.)

30454

Choledochotomy (with or without cholecystectomy), with or without removal of calculi (Anaes.) (Assist.)

30455

Choledochotomy (with or without cholecystectomy), with removal of calculi including biliary intestinal anastomosis (Anaes.) (Assist.)

30457

Choledochotomy, intrahepatic, involving removal of intrahepatic bile duct calculi (Anaes.) (Assist.)

30458

Transduodenal operation on sphincter of Oddi, involving 1 or more of, removal of calculi, sphincterotomy, sphincteroplasty, biopsy, local excision of peri-ampullary or duodenal tumour, sphincteroplasty of the pancreatic duct, pancreatic duct septoplasty, with or without choledochotomy (Anaes.) (Assist.)

30460

Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-Y as a bypass procedure when no prior biliary surgery performed (Anaes.) (Assist.)

30461

Radical resection of porta hepatis with biliary-enteric anastomoses, not being a service associated with a service to which item 30443, 30454, 30455, 30458 or 30460 applies (Anaes.) (Assist.)

30463

Radical resection of common hepatic duct and right and left hepatic ducts, with 2 duct anastomoses (Anaes.) (Assist.)

30464

Radical resection of common hepatic duct and right and left hepatic ducts, involving more than 2 anastomoses or resection of segment or major portion of segment of liver (Anaes.) (Assist.)

30466

Intrahepatic biliary bypass of left hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes.) (Assist.)

30467

Intraheptic bypass of right hepatic ductal system by Roux-en-Y loop to peripheral ductal system (Anaes.) (Assist.)

30469

Biliary stricture, repair of, after 1 or more operations on the biliary tree (Anaes.) (Assist.)

30472

Hepatic or common bile duct, repair of, as the primary procedure subsequent to partial or total transection of bile duct or ducts (Anaes.) (Assist.)

30481

PERCUTANEOUS GASTROSTOMY (initial procedure): (a) including any associated imaging services; and (b) excluding the insertion of a device for the purpose of facilitating weight loss (Anaes.)

30482

PERCUTANEOUS GASTROSTOMY (repeat procedure): (a) including any associated imaging services; and (b) excluding the insertion of a device for the purpose of facilitating weight loss (Anaes.)

30483

GASTROSTOMY BUTTON, CAECOSTOMY ANTEGRADE ENEMA DEVICE (CHAIT etc.) or STOMAL INDWELLING DEVICE: (a) non-endoscopic insertion of; or (b)non-endoscopic replacement of; on a person 10 years of age or over, excluding the insertion of a device for the purpose of facilitating weight loss (Anaes.)

30492

Bile duct, percutaneous stenting of (including dilatation when performed), using interventional imaging techniques - but not including imaging (Anaes.)

30495

Percutaneous biliary dilatation for biliary stricture, using interventional imaging techniques - but not including imaging (Anaes.)

30496

Vagotomy, truncal or selective, with or without pyloroplasty or gastroenterostomy (Anaes.) (Assist.)

30497

Vagotomy and antrectomy (Anaes.) (Assist.)

30499

Vagotomy, highly selective (Anaes.) (Assist.)

30500

Vagotomy, highly selective with duodenoplasty for peptic stricture (Anaes.) (Assist.)

30502

Vagotomy, highly selective, with dilatation of pylorus (Anaes.) (Assist.)

30503

Vagotomy or antrectomy, or both, for peptic ulcer following previous operation for peptic ulcer (Anaes.) (Assist.)

30505

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision (Anaes.) (Assist.)

30506

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and vagotomy and pyloroplasty or gastroenterostomy (Anaes.) (Assist.)

30508

Bleeding peptic ulcer, control of, involving suture of bleeding point or wedge excision, and highly selective vagotomy (Anaes.) (Assist.)

30509

Bleeding peptic ulcer, control of, involving gastric resection (other than wedge resection) (Anaes.) (Assist.)

30515

Gastroenterostomy (including gastroduodenostomy) or enterocolostomy or enteroenterostomy not being a service to which any of items 31569 to 31581 apply (Anaes.) (Assist.)

30517

Gastroenterostomy, pyloroplasty or gastroduodenostomy, reconstruction of (Anaes.) (Assist.)

30518

Partial gastrectomy, not being a service associated with a service to which any of items 31569 to 31581 apply (Anaes.) (Assist.)

30520

Gastric tumour, removal of, by local excision, not being a service to which item 30518 applies (Anaes.) (Assist.)

30521

Gastrectomy, total, for benign disease (Anaes.) (Assist.)

30523

Gastrectomy, subtotal radical, for carcinoma, (including splenectomy when performed) (Anaes.) (Assist.)

30524

Gastrectomy, total radical, for carcinoma (including extended node dissection and distal pancreatectomy and splenectomy when performed) (Anaes.) (Assist.)

30526

Gastrectomy, total, and including lower oesophagus, performed by left thoraco-abdominal incision or opening of diaphragmatic hiatus, (including splenectomy when performed) (Anaes.) (Assist.)

30527

Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus not being a service to which item 30601 applies (Anaes.) (Assist.)

30529

Antireflux operation by fundoplasty, with oesophagoplasty for stricture or short oesophagus (Anaes.) (Assist.)

30530

Antireflux operation by cardiopexy, with or without fundoplasty (Anaes.) (Assist.)

30532

Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus by laparoscopy or open operation (Anaes.) (Assist.)

30533

Oesophagogastric myotomy (Heller's operation) via abdominal or thoracic approach, with fundoplasty, with or without closure of the diaphragmatic hiatus by laparoscopy or open operation (Anaes.) (Assist.)

30535

Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy (Anaes.) (Assist.)

30536

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest - 1 surgeon (Anaes.) (Assist.)

30538

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest- conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)

30539

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck or chest - conjoint surgery, co-surgeon (Assist.)

30541

Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement - 1 surgeon (Anaes.) (Assist.)

30542

Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement - conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)

30544

Oesophagectomy, by trans-hiatal oesophagectomy (cervical and abdominal mobilisation, anastomosis) with posterior or anterior mediastinal placement - conjoint surgery, co-surgeon (Assist.)

30545

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) - 1 surgeon (Anaes.) (Assist.)

30547

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) - conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)

30548

Oesophagectomy with colon or jejunal anastomosis, (abdominal and thoracic mobilisation with thoracic anastomosis) - conjoint surgery, co-surgeon (Assist.)

30550

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) - 1 surgeon (Anaes.) (Assist.)

30551

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) - conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)

30553

Oesophagectomy with colon or jejunal replacement (abdominal and thoracic mobilisation with anastomosis of pedicle in the neck) - conjoint surgery, co-surgeon (Assist.)

30554

Oesophagectomy with reconstruction by free jejunal graft - 1 surgeon (Anaes.) (Assist.)

30556

Oesophagectomy with reconstruction by free jejunal graft - conjoint surgery, principal surgeon (including aftercare) (Anaes.) (Assist.)

30557

Oesophagectomy with reconstruction by free jejunal graft - conjoint surgery, co-surgeon (Assist.)

30559

Oesophagus, local excision for tumour of (Anaes.) (Assist.)

30560

Oesophageal perforation, repair of, by thoracotomy (Anaes.) (Assist.)

30562

Enterostomy or colostomy, closure of (not involving resection of bowel), on a person 10 years of age or over (Anaes.) (Assist.)

30563

Colostomy or ileostomy, refashioning of, on a person 10 years of age or over (Anaes.) (Assist.)

30564

Small bowel strictureplasty for chronic inflammatory bowel disease (Anaes.) (Assist.)

30565

Small intestine, resection of, without anastomosis (including formation of stoma) (Anaes.) (Assist.)

30566

Small intestine, resection of, with anastomosis, on a person 10 years of age or over (Anaes.) (Assist.)

30575

Pancreatic abscess, laparotomy and external drainage of, not requiring retro-pancreatic dissection (Anaes.) (Assist.)

30577

Pancreatic necrosectomy for pancreatic necrosis or abscess formation requiring major pancreatic or retro-pancreatic dissection, excluding aftercare (Anaes.) (Assist.)

30578

Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of pancreatic tumour (Anaes.) (Assist.)

30580

Endocrine tumour, exploration of pancreas or duodenum, followed by local excision of duodenal tumour (Anaes.) (Assist.)

30581

Endocrine tumour, exploration of pancreas or duodenum for, but no tumour found (Anaes.) (Assist.)

30583

Distal pancreatectomy (Anaes.) (Assist.)

30584

Pancreatico-duodenectomy, Whipple's operation, with or without preservation of pylorus (Anaes.) (Assist.)

30586

Pancreatic cyst anastomosis to stomach or duodenum - by open or endoscopic means (Anaes.) (Assist.)

30587

Pancreatic cyst, anastomosis to Roux loop of jejunum (Anaes.) (Assist.)

30589

Pancreatico-jejunostomy for pancreatitis or trauma (Anaes.) (Assist.)

30590

Pancreatico-jejunostomy following previous pancreatic surgery (Anaes.) (Assist.)

30593

Pancreatectomy, near total or total (including duodenum), with or without splenectomy (Anaes.) (Assist.)

30594

Pancreatectomy for pancreatitis following previously attempted drainage procedure or partial resection (Anaes.) (Assist.)

30596

Splenorrhaphy or partial splenectomy (Anaes.) (Assist.)

30597

Splenectomy (Anaes.) (Assist.)

30599

Splenectomy, for massive spleen (weighing more than 1500gms) or involving thoraco-abdominal incision (Anaes.) (Assist.)

30600

Diaphragmatic hernia, traumatic, repair of (Anaes.) (Assist.)

30601

Diaphragmatic hernia, congential repair of, by thoracic or abdominal approach, not being a service to which any of items 31569 to 31581 apply, on a person 10 years of age or over (Anaes.) (Assist.)

30602

Portal hypertension, porto-caval shunt for (Anaes.) (Assist.)

30603

Portal hypertension, meso-caval shunt for (Anaes.) (Assist.)

30605

Portal hypertension, selective spleno-renal shunt for (Anaes.) (Assist.)

30606

Portal hypertension, oesophageal transection via stapler or oversew of gastric varices with or without devascularisation (Anaes.) (Assist.)

30608

Small intestine, resection of, with anastomosis, on a person under 10 years of age (Anaes.) (Assist.)

30619

Laparoscopic splenectomy, on a person under 10 years of age (Anaes.) (Assist.)

30621

Repair of symptomatic umbilical, epigastric or linea alba hernia requiring mesh or other formal repair of, in a person 10 years of age or over, other than a service to which item 30403 or 30405 applies (Anaes.) (Assist.)

30622

Caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of meckel's diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus, pyloroplasty or drainage of pancreas on a person under 10 years of age (Anaes.) (Assist.)

30623

Laparotomy involving division of peritoneal adhesions (where no other intraabdominal procedure is performed) on a person under 10 years of age (Anaes.) (Assist.)

30626

Laparotomy involving division of adhesions in conjunction with another intraabdominal procedure where the time taken to divide the adhesions is between 45 minutes and 2 hours, on a person under 10 years of age (Anaes.) (Assist.)

30627

Laparoscopy, diagnostic, not being a service associated with any other laparoscopic procedure, on a person under 10 years of age (Anaes.)

30636

Gastrostomy button, caecostomy antegrade enema device (chait etc) and/or stomal indwelling device, non-endoscopic insertion of, or non-endoscopic replacement of, on a person under 10 years of age (Anaes.)

30637

Enterostomy or colostomy, closure of not involving resection of bowel, on a person under 10 years of age (Anaes.) (Assist.)

30639

Colostomy or ileostomy, refashioning of, on a person under 10 years of age (Anaes.) (Assist.)

31450

Laparoscopic division of adhesions, as an independent procedure, where the time taken is 1 hour or less (Anaes.) (Assist.)

31452

Laparoscopic division of adhesions, as an independent procedure, where the time taken is more than 1 hour (Anaes.) (Assist.)

31454

Laparoscopy with drainage of pus, bile or blood, as an independent procedure (Anaes.) (Assist.)

31456

Gastroscopy and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition (Anaes.)

31458

Gastroscopy and insertion of nasogastric or nasoenteral feeding tube, where blind insertion of the feeding tube has failed or is inappropriate due to the patient's medical condition, and where the use of imaging intensification is clinically indicated (Anaes.)

31460

Percutaneous gastrostomy tube, jejunal extension to, including any associated imaging services (Anaes.) (Assist.)

31462

Operative feeding jejunostomy performed in conjunction with major upper gastro-intestinal resection (Anaes.) (Assist.)

31464

Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, by laparoscopic technique - not being a service to which item 30601 applies (Anaes.) (Assist.)

31466

Antireflux operation by fundoplasty, via abdominal or thoracic approach, with or without closure of the diaphragmatic hiatus, revision procedure, by laparoscopy or open operation (Anaes.) (Assist.)

31468

Para-oesophageal hiatus hernia, repair of, with complete reduction of hernia, resection of sac and repair of hiatus, with or without fundoplication (Anaes.) (Assist.)

31470

Laparoscopic splenectomy, on a person 10 years of age or over (Anaes.) (Assist.)

31472

Cholecystoduodenostomy, cholecystoenterostomy, choledochojejunostomy or Roux-en-y as a bypass procedure where prior biliary surgery has been performed (Anaes.) (Assist.)

32000

Large intestine, resection of, without anastomosis, including right hemicolectomy (including formation of stoma) (Anaes.) (Assist.)

32003

Large intestine, resection of, with anastomosis, including right hemicolectomy (Anaes.) (Assist.)

32004

Large intestine, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) without anastomosis, not being a service associated with a service to which item 32000, 32003, 32005 or 32006 applies (Anaes.) (Assist.)

32005

Large intestine, subtotal colectomy (resection of right colon, transverse colon and splenic flexure) with anastomosis, not being a service associated with a service to which item 32000, 32003, 32004 or 32006 applies (Anaes.) (Assist.)

32006

Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma) (Anaes.) (Assist.)

32009

Total colectomy and ileostomy (Anaes.) (Assist.)

32012

Total colectomy and ileorectal anastomosis (Anaes.) (Assist.)

32015

Total colectomy with excision of rectum and ileostomy 1 surgeon (Anaes.) (Assist.)

32018

Total colectomy with excision of rectum and ileostomy, combined synchronous operation; abdominal resection (including aftercare) (Anaes.) (Assist.)

32021

Total colectomy with excision of rectum and ileostomy, combined synchronous operation; perineal resection (Assist.)

32024

Rectum, high restorative anterior resection with intraperitoneal anastomosis (of the rectum) greater than 10cm from the anal verge excluding resection of sigmoid colon alone not being a service associated with a service to which item 32103, 32104 or 32106 applies (Anaes.) (Assist.)

32025

Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 cm from the anal verge, with or without covering stoma not being a service associated with a service to which item 32103, 32104 or 32106 applies (Anaes.) (Assist.)

32026

Rectum, ultra low restorative resection, with or without covering stoma, where the anastomosis is sited in the anorectal region and is 6cm or less from the anal verge (Anaes.) (Assist.)

32028

Rectum, low or ultra low restorative resection, with peranal sutured coloanal anastomosis, with or without covering stoma (Anaes.) (Assist.)

32029

Colonic reservoir, construction of, being a service associated with a service to which any other item in this Subgroup applies (Anaes.) (Assist.)

32030

Rectosigmoidectomy (Hartmann's operation) (Anaes.) (Assist.)

32033

Restoration of bowel following Hartmann's or similar operation, including dismantling of the stoma (Anaes.) (Assist.)

32039

Rectum and anus, abdominoperineal resection of - 1 surgeon (Anaes.) (Assist.)

32042

Rectum and anus, abdominoperineal resection of, combined synchronous operation, abdominal resection (Anaes.) (Assist.)

32045

Rectum and anus, abdominoperineal resection of, combined synchronous operation - perineal resection (Assist.)

32046

Rectum and anus, abdomino-perineal resection of, combined synchronous operation - perineal resection where the perineal surgeon also provides assistance to the abdominal surgeon (Assist.)

32047

Perineal proctectomy (Anaes.) (Assist.)

32051

Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy 1 surgeon (Anaes.) (Assist.)

32054

Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir, with or without creation of temporary ileostomy conjoint surgery, abdominal surgeon (including aftercare) (Anaes.) (Assist.)

32057

Total colectomy with excision of rectum and ileoanal anastomosis with formation of ileal reservoir conjoint surgery, perineal surgeon (Assist.)

32060

Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy 1 surgeon (Anaes.) (Assist.)

32063

Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy conjoint surgery, abdominal surgeon (including aftercare) (Anaes.) (Assist.)

32066

Ileostomy closure with rectal resection and mucosectomy and ileoanal anastomosis with formation of ileal reservoir, with or without temporary loop ileostomy conjoint surgery, perineal surgeon (Assist.)

32069

Ileostomy reservoir, continent type, creation of, including conversion of existing ileostomy where appropriate (Anaes.)

32096

Rectal biopsy, full thickness, under general anaesthesia, or under epidural or spinal (intrathecal) nerve block where undertaken in a hospital (Anaes.) (Assist.)

32099

Rectal tumour of 5cm or less in diameter, per anal submucosal excision of (Anaes.) (Assist.)

32102

Rectal tumour of greater than 5cm in diameter, indicated by pathological examination, per anal submucosal excision of (Anaes.) (Assist.)

32103

rectal tumour, of less than 4 cm in diameter, per anal excision of, using rectoscopy incorporating either 3 dimensional or 2 dimensional optic viewing systems, if removal is unable to be performed during colonoscopy or by local excision, other than a service associated with a service to which item 32024, 32025, 32104 or 32106 applies (Anaes.) (Assist.)

32104

rectal tumour, of 4 cm or greater in diameter, per anal excision of, using rectoscopy incorporating either 3 dimensional or 2 dimensional optic viewing systems, if removal is unable to be performed during colonoscopy or by local excision, other than a service associated with a service to which item 32024, 32025, 32103 or 32106 applies (Anaes.) (Assist.)

32105

Anorectal carcinoma per anal full thickness excision of (Anaes.) (Assist.)

32106

anterolateral intraperitoneal rectal tumour, per anal excision of, using rectoscopy incorporating either 3 dimensional or 2 dimensional optic viewing systems, if removal is unable to be performed during colonoscopy and if removal requires dissection within the peritoneal cavity, other than a service associated with a service to which item 32024, 32025, 32103 or 32104 applies (Anaes.) (Assist.)

32108

Rectal tumour, transsphincteric excision of (Kraske or similar operation) (Anaes.) (Assist.)

32111

Rectal prolapse, Delorme procedure for (Anaes.) (Assist.)

32112

Rectal prolapse, perineal recto-sigmoidectomy for (Anaes.) (Assist.)

32114

Rectal stricture, per anal release of (Anaes.)

32115

Rectal stricture, dilatation of (Anaes.)

32117

Rectal prolapse, abdominal rectopexy of (Anaes.) (Assist.)

32120

Rectal prolapse, perineal repair of (Anaes.) (Assist.)

32123

Anal stricture, anoplasty for (Anaes.) (Assist.)

32126

Anal incontinence, Parks' intersphincteric procedure for (Anaes.) (Assist.)

32129

Anal sphincter, direct repair of (Anaes.) (Assist.)

32131

Rectocele, transanal repair of rectocele (Anaes.) (Assist.)

32132

Haemorrhoids or rectal prolapse sclerotherapy for (Anaes.)

32135

Haemorrhoids or rectal prolapse rubber band ligation of, with or without sclerotherapy, cryotherapy or infra red therapy for (Anaes.)

32138

Haemorrhoidectomy including excision of anal skin tags when performed (Anaes.)

32139

Haemorrhoidectomy involving third or fourth degree haemorrhoids, including excision of anal skin tags when performed (Anaes.) (Assist.)

32142

Anal skin tags or anal polyps, excision of 1 or more of (Anaes.)

32145

Anal skin tags or anal polyps, excision of 1 or more of, undertaken in the operating theatre of a hospital (Anaes.)

32147

Perianal thrombosis, incision of (Anaes.)

32150

Operation for fissureinano, including excision or sphincterotomy but excluding dilatation only (Anaes.) (Assist.)

32153

Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not being a service associated with a service to which another item in this Group applies (Anaes.)

32156

Fistula-in-ano, subcutaneous, excision of (Anaes.)

32159

Anal fistula, treatment of, by excision or by insertion of a seton, or by a combination of both procedures, involving the lower half of the anal sphincter mechanism (Anaes.) (Assist.)

32162

Anal fistula, treatment of, by excision or by insertion of a seton, or by a combination of both procedures, involving the upper half of the anal sphincter mechanism (Anaes.) (Assist.)

32165

Anal fistula, repair of by mucosal flap advancement (Anaes.) (Assist.)

32166

Anal fistula - readjustment of Seton (Anaes.)

32168

Fistula wound, review of, under general or regional anaesthetic, as an independent procedure (Anaes.)

32171

Anorectal examination, with or without biopsy, under general anaesthetic, not being a service associated with a service to which another item in this Group applies (Anaes.)

32174

Intra-anal, perianal or ischiorectal abscess, drainage of (excluding aftercare) (Anaes.)

32175

Intra-anal, perianal or ischio-rectal abscess, draining of, undertaken in the operating theatre of a hospital (excluding aftercare) (Anaes.)

32177

Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is less than or equal to 45 minutes - not being a service associated with a service to which item 35507 or 35508 applies (Anaes.)

32180

Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block) requiring admission to a hospital, where the time taken is greater than 45 minutes - not being a service associated with a service to which item 35507 or 35508 applies (Anaes.)

32183

Intestinal sling procedure prior to radiotherapy (Anaes.) (Assist.)

32186

Colonic lavage, total, intraoperative (Anaes.) (Assist.)

32200

Distal muscle, devascularisation of (Anaes.) (Assist.)

32203

Anal or perineal graciloplasty (Anaes.) (Assist.)

32206

Stimulator and electrodes, insertion of, following previous graciloplasty (Anaes.) (Assist.)

32209

Anal or perineal graciloplasty with insertion of stimulator and electrodes (Anaes.) (Assist.)

32210

Gracilis neosphincter pacemaker, replacement of (Anaes.)

32212

Ano-rectal application of formalin in the treatment of radiation proctitis, where performed in the operating theatre of a hospital, excluding aftercare (Anaes.)

32213

Sacral nerve lead or leads, percutaneous placement using fluoroscopic guidance (or open placement) and intraoperative test stimulation, to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months (Anaes.)

32214

Neurostimulator or receiver, subcutaneous placement of, involving placement and connection of an extension wire to a sacral nerve electrode using fluoroscopic guidance, to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months   (Anaes.) (Assist.)

32215

Sacral nerve electrode or electrodes, management, adjustment and electronic programming of the neurostimulator by a medical practitioner, to manage faecal incontinence, other than in a patient who: a) is medically unfit for surgery; or b) is pregnant or planning pregnancy; or c) has irritable bowel syndrome; or d) has congenital anorectal malformations; or e) has active anal abscesses or fistulas; or f) has anorectal organic bowel disease, including cancer; or g) has functional effects of previous pelvic irradiation; or h) has congenital or acquired malformations of the sacrum; or i) has had rectal or anal surgery within the previous 12 months –each day

32216

Sacral nerve lead or leads, percutaneous surgical repositioning of, using fluoroscopic guidance (or open surgical repositioning of) and interoperative test stimulation, to correct displacement or unsatisfactory positioning, if the lead was inserted to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months;  other than a patient who:  c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months other than a service to which item 32213 applies   (Anaes.)

32217

Neurostimulator or receiver, removal of, if the neurostimulator or receiver was inserted to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months   (Anaes.)

32218

Sacral nerve lead or leads, removal of, if the lead was inserted to manage faecal incontinence in a patient who:a) has an anatomically intact but functionally deficient anal sphincter; and b) has faecal incontinence that has been refractory to conservative non-surgical treatment for at least 12 months; other than a patient who: c) is medically unfit for surgery; or d) is pregnant or planning pregnancy; or e) has irritable bowel syndrome; or f) has congenital anorectal malformations; or g) has active anal abscesses or fistulas; or h) has anorectal organic bowel disease, including cancer; or i) has functional effects of previous pelvic irradiation; or j) has congenital or acquired malformations of the sacrum; or k) has had rectal or anal surgery within the previous 12 months   (Anaes.)

32220

Insertion of an artificial bowel sphincter for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed. contraindicated in: (a) patients with inflammatory bowel disease, pelvic sepsis, pregnancy, progressive degenerative diseases or a scarred or fragile perineum; and (b) patients who have had an adverse reaction or radiopaque solution; and (c) patients who enage in receptive anal intercourse (Anaes.) (Assist.)

32221

Removal or revision of an artificial bowel sphincter (with or without replacement) for severe faecal incontinence in the treatment of a patient for whom conservative and other less invasive forms of treatment are contraindicated or have failed. contraindicated in: (a) patients with inflammatory bowel disease, pelvic sepsis, pregnancy, progressive degenerative diseases or a scarred or fragile perineum; and (b) patients who have had an adverse reaction to radiopaque solution; and (c) patients who engage in receptive anal intercourse (Anaes.) (Assist.)

41816

Oesophagoscopy (with rigid oesophagoscope) (Anaes.)

41822

Oesophagoscopy (with rigid oesophagoscope) with biopsy (Anaes.)

41825

Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body (Anaes.) (Assist.)

41828

Oesophageal stricture, dilatation of, without oesophagoscopy (Anaes.)

41831

Oesophagus, endoscopic pneumatic dilatation of,for treatment of achalasia (Anaes.) (Assist.)

41832

Oesophagus, balloon dilatation of, using interventional imaging techniques (Anaes.)

43801

Intestinal malrotation with or without volvulus, laparotomy for, not involving bowel resection (Anaes.) (Assist.)

43804

Intestinal malrotation with or without volvulus, laparotomy for, with bowel resection and anastomosis, with or without formation of stoma (Anaes.) (Assist.)

43807

Duodenal atresia or stenosis, duodenoduodenostomy or duodenojejunostomy for (Anaes.) (Assist.)

43810

Jejunal atresia, bowel resection and anastomosis for, with or without tapering (Anaes.) (Assist.)

43813

Meconium ileus, laparotomy for, complicated by 1 or more of associated volvulus, atresia, intestinal perforation with or without meconium peritonitis (Anaes.) (Assist.)

43816

Ileal atresia, colonic atresia or meconium ileus not being a service associated with a service to which item 43813 applies, laparotomy for (Anaes.) (Assist.)

43819

Agangliosis coli, laparotomy for, with or without frozen section biopsies and formation of stoma (Anaes.) (Assist.)

43822

Anorectal malformation, laparotomy and colostomy for (Anaes.) (Assist.)

43825

Neonatal alimentary obstruction, laparotomy for, not being a service to which any other item in this Subgroup applies (Anaes.) (Assist.)

43828

Acute neonatal necrotising enterocolitis, laparotomy for, with resection, including any anastomoses or stoma formation (Anaes.) (Assist.)

43831

Acute neonatal necrotising enterocolitis where no definitive procedure is possible, laparotomy for (Anaes.) (Assist.)

43834

Bowel resection for necrotising enterocolitis stricture or strictures, including any anastomoses or stoma formation (Anaes.) (Assist.)

43840

Congenital diaphragmatic hernia, repair by thoracic or abdominal approach, diagnosed after the first day of life and before 20 days of age (Anaes.) (Assist.)

43843

Oesophageal atresia (with or without repair of tracheo-oesophageal fistula), complete correction of, not being a service to which item 43846 applies (Anaes.) (Assist.)

43846

Oesophageal atresia (with or without repair of tracheo-oesophageal fistula), complete correction of, in infant of birth weight less than 1500 grams (Anaes.) (Assist.)

43849

Oesophageal atresia, gastrostomy for (Anaes.) (Assist.)

43852

Oesophageal atresia, thoracotomy for, and division of tracheo-oesophageal fistula without anastomosis (Anaes.) (Assist.)

43855

Oesophageal atresia, delayed primary anastomosis for (Anaes.) (Assist.)

43858

Oesophageal atresia, cervical oesophagostomy for (Anaes.) (Assist.)

43864

Gastroschisis, operation for (Anaes.) (Assist.)

43867

Gastroschisis or exomphalos, secondary operation for, with removal of silo (Anaes.) (Assist.)

43870

Exomphalos containing small bowel only, operation for (Anaes.) (Assist.)

43873

Exomphalos containing small bowel and other viscera, operation for (Anaes.) (Assist.)

43900

Tracheo-oesophageal fistula without atresia, division and repair of (Anaes.) (Assist.)

43903

Oesophageal atresia or corrosive oesophageal stricture, oesophageal replacement for, utilizing gastric tube, jejunum or colon (Anaes.) (Assist.)

43906

Oesophagus, resection of congenital, anastomic or corrosive stricture and anastomosis, not being a service to which item 43903 applies (Anaes.) (Assist.)

43930

Hypertrophic pyloric stenosis, pyloromyotomy for (Anaes.) (Assist.)

43933

Idiopathic intussusception, laparotomy and manipulative reduction of (Anaes.) (Assist.)

43936

Intussusception, laparotomy and resection with anastomosis (Anaes.) (Assist.)

43942

Abdominal wall vitello intestinal remnant, excision of (Anaes.)

43945

Patent vitello intestinal duct, excision of (Anaes.) (Assist.)

43948

Umbilical granuloma, excision of, under general anaesthesia (Anaes.)

43951

Gastro-oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, without gastrostomy (Anaes.) (Assist.)

43954

Gastro-oesophageal reflux with or without hiatus hernia, laparotomy and fundoplication for, with gastrostomy (Anaes.) (Assist.)

43957

Gastro-oesophageal reflux, laparotomy and fundoplication for, with or without hiatus hernia, in child with neurological disease, with gastrostomy (Anaes.) (Assist.)

43960

Anorectal malformation, perineal anoplasty of (Anaes.) (Assist.)

43963

Anorectal malformation, posterior sagittal anorectoplasty of (Anaes.) (Assist.)

43966

Anorectal malformation, posterior sagittal anorectoplasty of, with laparotomy (Anaes.) (Assist.)

43969

Persistent cloaca, total correction of, with genital repair using posterior sagittal approach, with or without laparotomy (Anaes.) (Assist.)

43972

Choledochal cyst, resection of, with 1 duct anastomosis (Anaes.) (Assist.)

43975

Choledochal cyst, resection of, with 2 duct anastomoses (Anaes.) (Assist.)

43978

Biliary atresia, portoenterostomy for (Anaes.) (Assist.)

43990

Aganglionosis coli, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends to sigmoid colon (Anaes.) (Assist.)

43993

Aganglionosis coli, definitive resection with pull-through anastomosis, with or without frozen section biopsies, when aganglionic segment extends into descending or transverse colon with or without resiting of stoma (Anaes.) (Assist.)

43996

Aganglionosis coli, total colectomy for total colonic aganglionosis with ileoanal pull-through, with or without side to side ileocolic anastomosis (Anaes.) (Assist.)

43999

Aganglionosis coli, anal sphincterotomy as an independent procedure for (Anaes.) (Assist.)

44101

Rectum, examination of, on a person under 2 years of age, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)

44102

Rectum, examination of, on a person 2 years of age or over, under general anaesthesia with full thickness biopsy or removal of polyp or similar lesion (Anaes.) (Assist.)

44104

Rectal prolapse, submucosal or perirectal injection for, on a person under 2 years of age, under general anaesthesia (Anaes.)

44105

Rectal prolapse, submucosal or perirectal injection for, on a person 2 years of age or over, under general anaesthesia (Anaes.)

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