Fees and item numbers

From

Below is a list of common services and procedures with their corresponding item numbers, fees, rebates, and gaps. Please note that these fees are subject to change and may not include all possible services. Medicare's rules are complex, especially when multiple item numbers are involved, which is often the case. Please ask reception for a quote if you would like to know exactly what your fee will be.

Standard consultations (skin checks)

Standard consultations (skin checks)— fees and item numbers
DurationItem numberFee ($)Rebate ($)Gap ($)
<20min2316045.05114.95
>20min3620087.1112.9

Duration: <20min

Item number
23
Fee
$160
Rebate
$45.05
Gap
$114.95

Duration: >20min

Item number
36
Fee
$200
Rebate
$87.1
Gap
$112.9

Excisions

Excisions— fees and item numbers
Body siteDefect (mm)Lesion typeItem numberFee ($)Rebate ($)Gap ($)
Nose, Ear, Eyelid, Lip, Brow, Digit<6Benign31357470111.6358.4
BCC or SCC31356470225.2244.8
Melanoma31371680363.25316.75
Suspected melanoma31377470111.6358.4
Nose, Ear, Eyelid, Lip, Brow, Digit>6Benign31360560170.95389.05
BCC or SCC31358560275.6284.4
Melanoma31371680363.25316.75
Suspected melanoma31378560170.95389.05
Face, neck, scalp, dist limbs, areola<14Benign31362470136.3333.7
BCC or SCC31361470189.95280.05
Melanoma31372580314.1265.9
Suspected melanoma31379470136.3333.7
Face, neck, scalp, dist limbs, areola>14Benign31364560170.95389.05
BCC or SCC31363560248.5311.5
Melanoma31373660363297
Suspected melanoma31380560170.95389.05
Rest of body<15Benign3136644097.2342.8
BCC or SCC31365440161.05278.95
Melanoma31374560286.8273.2
Suspected melanoma3138144097.2342.8
Rest of body15-30Benign31368490127.8362.2
BCC or SCC31367490217.35272.65
Melanoma31375610308.65301.35
Suspected melanoma31382490127.8362.2
Rest of body>30Benign31370790146.15643.85
BCC or SCC31369790250.2539.8
Melanoma31376930357.75572.25
Suspected melanoma31383790146.15643.85

Nose, Ear, Eyelid, Lip, Brow, Digit

Defect (mm): <6

Scroll table sideways to see all rows.

Nose, Ear, Eyelid, Lip, Brow, Digit — Defect (mm): <6— fees and item numbers
Lesion typeItem numberFee ($)Rebate ($)Gap ($)
Benign31357470111.6358.4
BCC or SCC31356470225.2244.8
Melanoma31371680363.25316.75
Suspected melanoma31377470111.6358.4

Nose, Ear, Eyelid, Lip, Brow, Digit

Defect (mm): >6

Scroll table sideways to see all rows.

Nose, Ear, Eyelid, Lip, Brow, Digit — Defect (mm): >6— fees and item numbers
Lesion typeItem numberFee ($)Rebate ($)Gap ($)
Benign31360560170.95389.05
BCC or SCC31358560275.6284.4
Melanoma31371680363.25316.75
Suspected melanoma31378560170.95389.05

Face, neck, scalp, dist limbs, areola

Defect (mm): <14

Scroll table sideways to see all rows.

Face, neck, scalp, dist limbs, areola — Defect (mm): <14— fees and item numbers
Lesion typeItem numberFee ($)Rebate ($)Gap ($)
Benign31362470136.3333.7
BCC or SCC31361470189.95280.05
Melanoma31372580314.1265.9
Suspected melanoma31379470136.3333.7

Face, neck, scalp, dist limbs, areola

Defect (mm): >14

Scroll table sideways to see all rows.

Face, neck, scalp, dist limbs, areola — Defect (mm): >14— fees and item numbers
Lesion typeItem numberFee ($)Rebate ($)Gap ($)
Benign31364560170.95389.05
BCC or SCC31363560248.5311.5
Melanoma31373660363297
Suspected melanoma31380560170.95389.05

Rest of body

Defect (mm): <15

Scroll table sideways to see all rows.

Rest of body — Defect (mm): <15— fees and item numbers
Lesion typeItem numberFee ($)Rebate ($)Gap ($)
Benign3136644097.2342.8
BCC or SCC31365440161.05278.95
Melanoma31374560286.8273.2
Suspected melanoma3138144097.2342.8

Rest of body

Defect (mm): 15-30

Scroll table sideways to see all rows.

Rest of body — Defect (mm): 15-30— fees and item numbers
Lesion typeItem numberFee ($)Rebate ($)Gap ($)
Benign31368490127.8362.2
BCC or SCC31367490217.35272.65
Melanoma31375610308.65301.35
Suspected melanoma31382490127.8362.2

Rest of body

Defect (mm): >30

Scroll table sideways to see all rows.

Rest of body — Defect (mm): >30— fees and item numbers
Lesion typeItem numberFee ($)Rebate ($)Gap ($)
Benign31370790146.15643.85
BCC or SCC31369790250.2539.8
Melanoma31376930357.75572.25
Suspected melanoma31383790146.15643.85

Other procedures

Scroll table sideways to see all rows.

Other procedures— fees and item numbers
ProcedureItem numberFee ($)Rebate ($)Gap ($)
Biopsy - skin3007116053.2106.8
Biopsy - mucous membrane3007216053.2106.8
Cryo >10 AKs301925040.259.75
Cryo to neoplasm302027549.1525.85
Serial curettage30196260128.45131.55
Incision & drainage3021913027.85102.15
Lipoma >50mm31345780214.65565.35
Flap45201900421.1478.9
Flap - 2nd stage45202900421.1478.9
Full thickness skin graft45451730482248
Split skin graft - small45440630289.3340.7
Split skin graft - large45443900597.5302.5
Wedge excision45665810331.75478.25
Steroid injection3020716045.35114.65
Excision of muscle/bone/cartilage with malignant tumour excision31340-75% of fee-

Discussion of results over phone

Discussion of results over phone— fees and item numbers
DurationItem numberFee
<6min91890Bulk billed
6-20min91891Bulk billed
>20min91900Bulk billed

* Fees listed are approximate and may vary based on individual circumstances. Medicare rebates apply to most services as shown.