Eye (not cataracts) - 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.

18366

Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of strabismus, including all such injections on any one day and associated electromyography (Anaes.)

18369

Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport) or IncobotulinumtoxinA (Xeomin), injection of, for the treatment of unilateral blepharospasm in a patient who is at least 18 years of age, including all such injections on any one day (Anaes.)

18370

Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of unilateral blepharospasm in a patient who is at least 12 years of age, including all such injections on any one day (Anaes.)

18372

Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), injection of, for the treatment of bilateral blepharospasm, in a patient who is at least 12 years of age; including all such injections on any one day (Anaes.)

18374

Clostridium Botulinum Type A Toxin-Haemagglutinin Complex (Dysport) or IncobotulinumtoxinA (Xeomin), injection of, for the treatment of bilateral blepharospasm in a patient who is at least 18 years of age, including all such injections on any one day (Anaes.)

41890

Orbit, decompression of, by fenestration of 2 or more walls, or by the removal of intraorbital peribulbar and retrobulbar fat from each quadrant of the orbit, one eye by endonasal approach (H) (Anaes.) (Assist.)

42503

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

42504

Implantation of a micro-bypass glaucoma surgery device or devices into the suprachoroidal space or the trabecular meshwork, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.)

42505

Complete removal of a micro-bypass glaucoma surgery device or devices from the suprachoroidal space or the trabecular meshwork, with or without replacement, following device-related medical complications necessitating complete removal (Anaes.)

42506

Eye, enucleation of, without insertion of implant (H) (Anaes.) (Assist.)

42509

Eye, enucleation of, with insertion of non-integrated implant, without muscle attachment (H) (Anaes.) (Assist.)

42510

Eye, enucleation of, with insertion of coralline or other integrated implant, including:(a) for a coralline implant—attachment of at least the 4 rectus muscles (with or without oblique muscles) to: (i) the implant; or(ii) the implant wrap; or (b) for another integrated implant—fashioning of myoconjunctival insertion of extraocular muscles(H) (Anaes.) (Assist.)

42512

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

42515

GLOBE, EVISCERATION OF, AND INSERTION OF INTRASCLERAL BALL OR CARTILAGE (Anaes.) (Assist.)

42518

ANOPHTHALMIC ORBIT, INSERTION OF CARTILAGE OR ARTIFICIAL IMPLANT as a delayed procedure, or REMOVAL OF IMPLANT FROM SOCKET, or PLACEMENT OF A MOTILITY INTEGRATING PEG by drilling into an existing orbital implant (Anaes.) (Assist.)

42521

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

42527

CONTRACTED SOCKET, RECONSTRUCTION INCLUDING MUCOUS MEMBRANE GRAFTING AND STENT MOULD (Anaes.) (Assist.)

42530

Orbit, exploration of, requiring removal of bone (orbitotomy) for access, with subsequent drainage or biopsy, including repair of any bone or soft tissue surgical defect, other than a service associated with a service to which item?45590 or 45594 applies on the same side (H) (Anaes.) (Assist.)

42533

Orbit, exploration of, without requiring removal of bone (orbitotomy) for access, with drainage or biopsy, including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.)

42536

Orbit, exenteration of, including repair of any bone or soft tissue surgical defect, with or without skin graft and with or without temporalis muscle transplant (H) (Anaes.) (Assist.)

42539

Orbit, exploration of, requiring removal of bone (orbitotomy) for access, with removal of tumour or foreign body (not incisional biopsy), including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.)

42542

Orbit, exploration of anterior aspect, with removal of tumour or foreign body (not incisional biopsy), including repair of any bone or soft tissue surgical defect (H) (Anaes.) (Assist.)

42543

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

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 (Anaes.) (Assist.)

42548

OPTIC NERVE MENINGES, incision of (Anaes.) (Assist.)

42551

Eye, penetrating wound or rupture of, not involving intraocular structures—repair involving suture of cornea or sclera, or both, other than a service to which item 42632 applies (H) (Anaes.) (Assist.)

42554

EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration or prolapse of uveal tissue repair (Anaes.) (Assist.)

42557

EYE, PENETRATING WOUND OR RUPTURE OF, with incarceration of lens or vitreous repair (Anaes.) (Assist.)

42563

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

42569

INTRAOCULAR FOREIGN BODY, removal from posterior segment (Anaes.) (Assist.)

42572

ORBITAL ABSCESS OR CYST, drainage of (Anaes.)

42573

DERMOID, periorbital, excision of, on a patient 10 years of age or over (Anaes.)

42574

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

42575

TARSAL CYST, extirpation of (Anaes.)

42576

Dermoid, periorbital, excision of, on a patient under 10 years of age (H) (Anaes.)

42581

ECTROPION OR ENTROPION, tarsal cauterisation of (Anaes.)

42584

TARSORRHAPHY (Anaes.) (Assist.)

42587

TRICHIASIS (due to causes other than trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.)

42588

TRICHIASIS (due to trachoma), treatment of by cryotherapy, laser or electrolysis - each eyelid (Anaes.)

42590

Canthoplasty, medial or lateral, excluding when performed in conjunction with cosmetic blepharoplasty (Anaes.) (Assist.)

42596

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

42599

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

42602

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

42605

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

42608

LACRIMAL DRAINAGE by insertion of glass tube, as an independent procedure (Anaes.) (Assist.)

42610

NASOLACRIMAL TUBE (unilateral), removal or replacement of, or LACRIMAL PASSAGES, probing for obstruction, unilateral, with or without lavage - under general anaesthesia (Anaes.)

42611

NASOLACRIMAL TUBE (bilateral), removal or replacement of, or LACRIMAL PASSAGES, probing for obstruction, bilateral, with or without lavage - under general anaesthesia (Anaes.)

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)

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)

42617

PUNCTUM SNIP operation (Anaes.)

42620

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

42622

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

42623

Dacryocystorhinostomy, external or endonasal approach, including any sinus, turbinate or uncinate operation performed by same surgeon for access, with or without silicone intubation/stenting (H) (Anaes.) (Assist.)

42626

Dacryocystorhinostomy, if a previous dacryocystorhinostomy has been performed, external or endonasal approach, including any sinus, turbinate or uncinate operation performed by same surgeon for access, with or without silicone intubation/stenting (H) (Anaes.) (Assist.)

42629

Dacryocystorhinostomy, with placement of a permanent bypass tube from the conjunctival sac to the nasal cavity (H) (Anaes.) (Assist.)

42632

Conjunctival peritomy or repair of corneal laceration by conjunctival flap, other than a service associated with a service to which item 42686 applies (Anaes.)

42635

CORNEAL PERFORATIONS, sealing of, with tissue adhesive (Anaes.) (Assist.)

42638

CONJUNCTIVAL GRAFT OVER CORNEA (Anaes.) (Assist.)

42641

AUTOCONJUNCTIVAL TRANSPLANT, or mucous membrane graft (Anaes.) (Assist.)

42644

CORNEA OR SCLERA, complete removal of embedded foreign body from - not more than once on the same day by the same practitioner (excluding aftercare) (Anaes.)

42647

Corneal scars, removal of, by partial keratectomy, other than a service associated with a service to which item 42686 or 42650 applies (Anaes.)

42650

Cornea, epithelial debridement for corneal ulcer or corneal erosion (excluding after-care), other than a service associated with a service to which item 42647 applies (Anaes.)

42651

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

42652

Corneal collagen cross linking, on a patient with a corneal ectatic disorder, with evidence of progression—per eye (Anaes.)

42653

CORNEA transplantation of (Anaes.) (Assist.)

42656

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

42662

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

42665

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

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

42668

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

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 (H) (Anaes.) (Assist.)

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 (H) (Anaes.) (Assist.)

42676

CONJUNCTIVA, biopsy of, as an independent procedure

42677

CONJUNCTIVA, CAUTERY OF, INCLUDING TREATMENT OF PANNUS each attendance at which treatment is given including any associated consultation (Anaes.)

42680

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

42683

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

42686

Pterygium, removal of, other than a service associated with a service to which item 42632 or 42647 applies (Anaes.)

42689

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

42692

LIMBIC TUMOUR, removal of, excluding Pterygium (Anaes.) (Assist.)

42695

LIMBIC TUMOUR, excision of, requiring keratectomy or sclerectomy, excluding Pterygium (Anaes.) (Assist.)

42719

Either or both of the following, via a limbal approach by any method: (a) removal of capsular or lens material; (b) removal of vitreous; other than a service associated with a service to which item 42698, 42702, 42705, 42716, 42725 or 42731 applies (H) (Anaes.) (Assist.)

42725

Vitrectomy via pars plana sclerotomy, including one or more of the following:(a) removal of vitreous; (b) division of vitreous bands; (c) removal of epiretinal membranes; (d) capsulotomy (Anaes.) (Assist.)

42731

LIMBAL OR PARS PLANA LENSECTOMY combined with vitrectomy, not being a service associated with items 42698, 42702, 42719, or 42725 (Anaes.) (Assist.)

42734

Capsulotomy, other than by laser, and other than a service associated with a service to which item 42725 or 42731 applies (H) (Anaes.) (Assist.)

42743

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

42744

Needle revision of glaucoma filtration bleb, following glaucoma filtering surgery (Anaes.)

42746

Glaucoma filtering surgery, if conservative therapies have failed, are likely to fail, or are contraindicated (H) (Anaes.) (Assist.)

42749

Glaucoma filtering surgery, if previous filtering surgery has been performed (H) (Anaes.) (Assist.)

42750

Subconjunctival injection of antifibrotic agent following glaucoma filtering surgery, as an independent procedure (Anaes.)

42752

Insertion of glaucoma drainage device incorporating an extraocular reservoir (H) (Anaes.) (Assist.)

42755

Any of the following:(a) removal of glaucoma drainage device incorporating an extraocular reservoir;(b) insertion or removal of intraluminal stent;(c) tying off of lumenOne eye (H) (Anaes.) (Assist.)

42758

Goniotomy for the treatment of primary congenital glaucoma, excluding the minimally invasive implantation of glaucoma drainage devices (Anaes.) (Assist.)

42761

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

42764

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

42767

TUMOUR, INVOLVING CILIARY BODY OR CILIARY BODY AND IRIS, excision of (Anaes.) (Assist.)

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 (Anaes.) (Assist.)

42773

Detached retina, pneumatic retinopexy for, as an independent procedure (H) (Anaes.) (Assist.)

42776

DETACHED RETINA, buckling or resection operation for (Anaes.) (Assist.)

42779

DETACHED RETINA, revision of scleral buckling operation for (Anaes.) (Assist.)

42782

LASER TRABECULOPLASTY, for the treatment of glaucoma. Each treatment to 1 eye, to a maximum of 4 treatments to that eye in a 2 year period (Anaes.) (Assist.)

42785

LASER IRIDOTOMY - each treatment episode to 1 eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)

42788

Laser capsulotomy—each treatment episode to one eye, to a maximum of 2 treatments to that eye in a 2 year period—other than a service associated with a service to which item 42702 applies (Anaes.) (Assist.)

42791

Laser vitreolysis or corticolysis of lens material or fibrinolysis, excluding vitreolysis in the posterior vitreous cavity—each treatment to one eye, to a maximum of 3 treatments to that eye in a 2 year period (Anaes.) (Assist.)

42794

Division of suture by laser following glaucoma filtering surgery, each treatment to one eye, to a maximum of 2 treatments to that eye in a 2 year period (Anaes.)

42801

EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, insertion of (Anaes.) (Assist.)

42802

EPISCLERAL RADIOACTIVE PLAQUE (Ruthenium 106 or Iodine 125), for the treatment of choroidal melanomas, removal of (Anaes.) (Assist.)

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 (Anaes.) (Assist.)

42808

Laser iridoplasty

42809

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

42810

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

42811

TRANSPUPILLARY THERMOTHERAPY, for treatment of choroidal and retinal tumours or vascular malformations (Anaes.)

42812

Removal of scleral buckling material, from an eye having undergone previous scleral buckling surgery (Anaes.)

42815

VITREOUS CAVITY, removal of silicone oil or other liquid vitreous substitutes from, during a procedure other than that in which the vitreous substitute is inserted (Anaes.) (Assist.)

42818

Retina or ciliary body, cryotherapy to, as an independent procedure, or when performed in conjunction with item 42809 (Anaes.)

42821

OCULAR TRANSILLUMINATION, for the diagnosis and measurement of intraocular tumours (Anaes.)

42824

RETROBULBAR INJECTION OF ALCOHOL OR OTHER DRUG, as an independent procedure

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 (Anaes.) (Assist.)

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 (Anaes.) (Assist.)

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 (Anaes.) (Assist.)

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 (Anaes.) (Assist.)

42845

READJUSTMENT OF ADJUSTABLE SUTURES, 1 or both eyes, as an independent procedure following an operation for correction of squint (Anaes.)

42848

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

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 (Anaes.) (Assist.)

42854

Ruptured medial palpebral ligament or ruptured extra-ocular muscle, repair of (H) (Anaes.) (Assist.)

42857

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

42869

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

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.

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.

43030

Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the left eye

43032

Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the right eye

43034

Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the left eye, for a patient requiring the administration of anaesthetic by an anaesthetist (Anaes.)

43036

Paracentesis of anterior chamber or vitreous cavity, or both, for either or both of the following:(a) the injection of therapeutic substances;(b) the removal of aqueous or vitreous humours for diagnostic or therapeutic purposes;as an independent procedure of the right eye, for a patient requiring the administration of anaesthetic by an anaesthetist (Anaes.)

43038

Intravitreal injection of therapeutic substances, or the removal of vitreous humour for diagnostic purposes, one or more of, as a procedure associated with other intraocular surgery of the left eye (Anaes.)

43040

Intravitreal injection of therapeutic substances, or the removal of vitreous humour for diagnostic purposes, one or more of, as a procedure associated with other intraocular surgery of the right eye (Anaes.)

43050

Choroidal detachment, repair by external drainage (H) (Anaes.) (Assist.)

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