Billing Codes

MBS ↔ DVA Fee Comparison

Every item with both an MBS schedule fee and a DVA fee, side by side — with the dollar and percentage difference. Search an item number or sort by the biggest gaps.

5793 items with both fees
Item Description MBS fee DVA fee Difference
5209 Professional attendance at consulting rooms lasting more than 60 minutes (other … $122.40 $125.35 +2.95 (+2.4%)
5208 Professional attendance at consulting rooms lasting more than 45 minutes, but no… $71.00 $72.70 +1.70 (+2.4%)
5207 Professional attendance at consulting rooms of more than 25 minutes in duration … $48.00 $49.15 +1.15 (+2.4%)
5203 Professional attendance at consulting rooms of more than 5 minutes in duration b… $31.00 $31.75 +0.75 (+2.4%)
5200 Professional attendance at consulting rooms of not more than 5 minutes in durati… $21.00 $21.50 +0.50 (+2.4%)
66585 Quantification of laboratory‑based BNP or NT‑proBNP testing in a patient with sy… $58.50 $58.50 +0.00 (+0.0%)
61646 Whole body FDG PET study for the evaluation of patients with suspected residual … $999.00 $999.00 +0.00 (+0.0%)
66500 Quantitation in serum, plasma, urine or other body fluid (except amniotic fluid)… $9.70 $9.70 +0.00 (+0.0%)
61620 Whole body FDG PET study for the initial staging of newly diagnosed or previousl… $953.00 $953.00 +0.00 (+0.0%)
61541 Whole body FDG PET study, following initial therapy, for the evaluation of suspe… $953.00 $953.00 +0.00 (+0.0%)
61612 Whole body FDG PET study for the initial staging of cancer, for a patient who is… $953.00 $953.00 +0.00 (+0.0%)
61632 Whole body FDG PET study to assess response to second-line chemotherapy if haemo… $953.00 $953.00 +0.00 (+0.0%)
61610 Whole body FDG PET study performed for the evaluation of metastatic squamous cel… $953.00 $953.00 +0.00 (+0.0%)
61647 Whole body 68Ga DOTA peptide PET study, if:(a) a gastro entero pancreatic neuroe… $953.00 $953.00 +0.00 (+0.0%)
61640 Whole body FDG PET study for initial staging of patients with biopsy-proven bone… $999.00 $999.00 +0.00 (+0.0%)
61571 Whole body FDG PET study, for the further primary staging of patients with histo… $953.00 $953.00 +0.00 (+0.0%)
61577 Whole body FDG PET study, performed for the staging of proven oesophageal or GEJ… $953.00 $953.00 +0.00 (+0.0%)
61614 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $953.00 $953.00 +0.00 (+0.0%)
61527 Whole body study using PET, if the service is performed because the services to … $752.35 $752.35 +0.00 (+0.0%)
61538 FDG PET study of the brain for evaluation of suspected residual or recurrent mal… $901.00 $901.00 +0.00 (+0.0%)
61575 Whole body FDG PET study, for the further staging of patients with confirmed loc… $953.00 $953.00 +0.00 (+0.0%)
61559 FDG PET study of the brain, performed for the evaluation of refractory epilepsy … $918.00 $918.00 +0.00 (+0.0%)
61598 Whole body FDG PET study performed for the staging of biopsy-proven newly diagno… $953.00 $953.00 +0.00 (+0.0%)
61336 Cerebral study, with PET, if the service is performed because the service to whi… $605.05 $605.05 +0.00 (+0.0%)
61525 Whole body FDG PET study, performed for the evaluation of suspected metastatic o… $953.00 $953.00 +0.00 (+0.0%)
61563 Whole body prostate-specific membrane antigen PET study performed for the initia… $1300.00 $1300.00 +0.00 (+0.0%)
54 Professional attendance at consulting rooms of more than 25 minutes in duration … $38.00 $38.00 +0.00 (+0.0%)
61505 CT scan performed at the same time and covering the same body area as single pho… $100.00 $100.00 +0.00 (+0.0%)
61341 Bone study – whole body with PET, with delayed imaging when undertaken, if the s… $600.70 $600.70 +0.00 (+0.0%)
61604 Whole body FDG PET study performed for the evaluation of patients with suspected… $953.00 $953.00 +0.00 (+0.0%)
61560 FDG PET study of the brain, performed for the diagnosis of Alzheimer’s disease, … $605.05 $605.05 +0.00 (+0.0%)
61564 Whole body prostate-specific membrane antigen PET study performed for the restag… $1300.00 $1300.00 +0.00 (+0.0%)
61565 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $953.00 $953.00 +0.00 (+0.0%)
61524 Whole body FDG PET study, performed for the staging of locally advanced (Stage I… $953.00 $953.00 +0.00 (+0.0%)
57 Professional attendance at consulting rooms lasting more than 45 minutes, but no… $61.00 $61.00 +0.00 (+0.0%)
61528 Whole body PSMA PET study, performed for the assessment of suitability for Lutet… $1300.00 $1300.00 +0.00 (+0.0%)
61622 Whole body FDG PET study to assess response to first line therapy either during … $953.00 $953.00 +0.00 (+0.0%)
61333 Lung ventilation study using Galligas and lung perfusion study using gallium-68 … $443.35 $443.35 +0.00 (+0.0%)
52 Professional attendance at consulting rooms of not more than 5 minutes in durati… $11.00 $11.00 +0.00 (+0.0%)
61628 Whole body FDG PET study for restaging following confirmation of recurrence of H… $953.00 $953.00 +0.00 (+0.0%)
151 Professional attendance at consulting rooms lasting more than 60 minutes (other … $98.40 $98.40 +0.00 (+0.0%)
69325 A test described in item 69324 if rendered by a receiving APP (Item is subject t… $43.00 $43.00 +0.00 (+0.0%)
61523 Whole body FDG PET study, performed for evaluation of a solitary pulmonary nodul… $953.00 $953.00 +0.00 (+0.0%)
61530 Whole body 68Ga-DOTA-somatostatin receptor agonist PET study for: a) staging of … $953.00 $953.00 +0.00 (+0.0%)
61553 Whole body FDG PET study, following initial therapy, performed for the evaluatio… $999.00 $999.00 +0.00 (+0.0%)
61529 Whole body FDG PET study, performed for the staging of proven non-small cell lun… $953.00 $953.00 +0.00 (+0.0%)
53 Professional attendance at consulting rooms of more than 5 minutes in duration b… $21.00 $21.00 +0.00 (+0.0%)
61644 Single rest myocardial perfusion study for the assessment of the extent and seve… $329.00 $329.00 +0.00 (+0.0%)
16060 177Lutetium-DOTA-somatostatin receptor agonist treatment cycle for patients with… $9999.95 $9999.95 +0.00 (+0.0%)
66503 2 tests described in item 66500 $11.65 $11.65 +0.00 (+0.0%)
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What this means for billing: a positive (green) difference means DVA pays more than the MBS schedule fee for that item, so a DVA-eligible patient generally has no gap, or a smaller one, than a private MBS patient would. A negative (red) difference means DVA pays less — there may be a gap unless the service is bulk-billed or the difference is otherwise absorbed. Rows marked material have a difference of more than $5, which is more likely to be worth checking before billing.

Data sourced from Australian Government publications · Not an official government service.

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