SUMMARY OF CHANGES
FOR
1 NOVEMBER 2015
AMA LIST OF MEDICAL SERVICES AND FEES
This document sets out the changes made to the AMA List in the 12 months to
1 November 2015 and the date the changes took effect. These changes have been
included in the printed version of the 1 November 2015 AMA List.
15 June 2015
Therapeutic Procedures
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Assisted Reproductive Services – items BH620 for oocyte retrieval, BH625 for
transfer of embryos or both ova and sperm, and BH635 for preparation of semen
have been amended by replacing the word “conjunction” with “connection”.
Haematology – items BJ710 and BJ720 for autologous blood injection services
have been amended by replacing the word “administration” with “transfusion”
Botulinum Toxin:
o 18 items (BM800 – BM845) have been collapsed into 13 items by
specifying the full name of the applicable medicine i.e. Botulinum Toxin
Type A Purified Neurotoxin Complex (Botox), Clostridium Botulinum
Toxin Type A Toxin-Haemagglutin Complex (Dysport) or
IncobotulinumtoxinA (Xeomin) and removing the age requirement;
o As a result, three items BM801 for treatment of hemifacial spasm, BM825
for blepharospasm and BM835 for bilateral blephasrospasm in patients 18
years of age or older have been deleted; and
o items BM806 for equinovarus foot deformity and BM808 for
equinovalgus have been consolidated into item BM804 for enquinus; and
o new item BM842 for intravesical injection of Botox for the treatment of
urinary incontinence due to idiopathic overactive bladder.
Surgical Operations

Gynaecological:
o item HA140 for vulvoplasty or labioplasty has been amended to cover the
surgical repair of female genital mutilation and major congenital
anomalies of the uro-gynaecological tract; and
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o new item HA142 for localised gigantism which is causing significant
functional impairment.
Urological – items HC370 for cystoscopy and HE670 for periurethral or
transurethral injection for the treatment of urinary incontinence have been
amended to ensure that a service to which item BM842 applies cannot be claimed
with these items.
Plastic and Reconstructive – five items MJ475, MJ485, MJ505, MJ515 and
MJ555 for rhinoplasty have been amended to include reference to clinical
indications to clarify not for cosmetic purposes.
Diagnostic Imaging

Computed Tomography - item OD038 for cone beam CT of teeth and supporting
bone structure has been amended to specify for dental and temporo-mandibular
joint imaging.
Pathology
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Chemical:
o items PB090 and PB095 for HbA1c testing has been amended by
replacing the word “glycosylated” with “glycated”;
o new item PB097 for diagnosis of diabetes mellitus;
o items PB170 and PB175 for serum B12 and/or red cell folate testing have
been replaced by separating out vitamin B12 and folate testing into three
new items PB655 and PB656 for vitamin B12 and item PB657 for folate
testing; and
o items PB185 and PB186 for vitamin D testing have been replaced with
four new items PB650 and PB651 for 25-hydroxyvitamin D, and PB652
and PB653 for 1,25-hydroxyvitamin D testing.
Genetics:
o item PG055 for Kirsten ras (KRAS) gene mutation testing in patients with
metastatic colorectal cancer has been amended to include testing for rat
sarcoma oncogene (RAS) gene mutation and to clarify stage of colorectal
cancer, including a fee increase; and
o two new items for testing for RET gene mutation; item PG065 for patients
with a suspected clinical diagnosis of multiple endocrine neoplasia type 2
(MEN2) and item PG066 for asymptomatic relative of a patient with a
documented pathogenic germline RET mutation.
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1 November 2015
Professional Attendances

Consultant Physician in Geriatric or Rehabilitation Medicine:
o Case conference – item AJ200 to coordinate a case conference has been
amended to include attendance by a specialist and restriction to the
number of times the attendance can be billed to any particular patient over
a 7 day period.
Diagnostic Procedures
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Cardiovascular:
o items AV210, AV220 and AV235 for implanted pacemaker and
defibrillator testing involving electrocardiography have been amended to
reflect new items AV213, AV216, AV233 and AV234 for remote
monitoring of implanted cardiac device; and
o four new items AV213 for implanted pacemaker remote monitoring,
AV216 for implanted pacemaker testing, AV233 for implanted
defibrillator remote monitoring, and AV234 for implanted defibrillator
testing.
Gastroenterology and Colorectal – new item BB006 for catheter-free ambulatory
pH monitoring for gastro-oesophageal reflux disease.
Radiation Oncology

Brachytherapy Planning and Verification – new item BR875 for targeted
intraoperative radiotherapy using an intrabeam device for treatment of early-stage
breast cancer.
Anaesthesia

Therapeutic and Diagnostic Services – item CV230 for pundendal nerve has
been amended by including the words “and or dorsal nerve”.
Surgical Operations
Paediatric Surgery Services
37 items have been amended to specify the eligibility age by including the words “on a
person 10 years of age or older”. As a result, new items have been included to mirror
the existing items, with a 30% fee increase, for when performed on a child under 10 years
of age.
 General Surgery:
o General:
 item EA345 and new item EA346 for excision of pre-auricular
sinus;
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item EA985 and new item EA986 for removal of branchial cyst;
and
 item EA995 and new item EM996 for removal of branchial fistula.
Endocrine surgery - item EC570 and new item EC571 for removal of
thyroglossal cyst and/or fistula.
Upper gastrointestinal surgery:
 item EJ015 and new item EJ016 for caecostomy, enterostomy,
colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy
or gastrotomy;
 item EJ025 and new item EJ026 for laparotomy involving division
of peritoneal adhesions where no other intra-abdomnal procedure
is performed;
 item EJ035 and new item EJ036 for laparotomy involving division
of adhesions in conjunction with another intra-abdominal
procedure;
 item EJ105 and new item EJ106 for diagnostic laparoscopy;
 amended item EJ686 and included new item EJ687 for nonendoscopic insertion of gastrostomy button;
 item EK215 and new item EK216 for closure of enterostomy or
colostomy;
 item EK225 and new item EK226 for refashioning of colostomy or
ileostomy;
 item EK255 and new item EK256 for resection of small intestine
with anastomosis;
 item EK285 and new item EK286 for appendicectomy;
 item EK295 and new item EK296 for laparoscopic
appendicectomy; and
 item EK485 and new item EK486 for repair of congenital
diaphragmatic hernia.
Hernia and hydrocele:
 item EM210 and new item EM211 for repair of femoral or inguinal
hernia or infantile hydrocele; and
 item EM220 and new item EM221 for repair of strangulated,
incarcerated or obstructed hernia.
Miscellaneous:
 item EM720 and new item EM721 for exploration of spermatic
cord;
 item EM760 and new item EM761 for arrest of haemorrhage
following circumcision;
 item EN155 and new item EN156 for removal of benign tumour of
soft tissue by surgical excision;
 item EO035 and new item EO036 for removal of soft tissue and
lymph nodes from one side of the neck; and
 item EO250 and new item EO251 for laparoscopic splenectomy.
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Vascular:
o Operations for vascular access:
 item EW690 and new item EW691 for central vein catheterisation
by open technique;
 item EW700 and new item EW701 for central vein catheterisation
by percutaneous technique; and
 item EW710 and new item EW711 for removal of central venous
line or other chemotherapy device by open technique.
Urological:
o Paediatric genitourinary surgery:
 item HF400 and new item HF401 for excision of patent urachus;
 item HF410 and new item HF411 for orchidopexy for undescended
testis;
 item HF420 and new item HF421 for orchidopexy for undescended
testis in inguinal canal.
 item HF430 and new item HF431 for revision of orchidopexy for
undescended testis;
 item HF440 and new item HF441 for exploration of groin for
impalpable testis;
 item HF450 and new item HF451 for examination under
anaesthesia for hypospadias with erection test;
 item HF460 and new item HF461 for glanuloplasty hypospadias
incorporating meatal advancement;
 item HF470 and new item HF471 for first stage distal repair of
hypospadias;
 item HF480 and new item HF481 for first stage proximal repair of
hypospadias;
 item HF490 and new item HF491 for first stage repair of
hypospadias; and
 item HF510 and new item HF511 for repair of post-operative
urethral fistula for hypospadias.
Ophthalmology - item MC020 and new item MC021 for excision of periorbital
dermoid cyst.
Other Surgical Changes
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General Surgery:
o Miscellaneous - item EM770 for reduction of paraphimosis has been
amended to include the words “or phimosis”.
o Breast surgery - new item EO516 for complete local excision of
malignant tumour of the breast with targeted intraoperative radiotherapy.
Urological:
o Operations on bladder (open) - item HC815 for formation of mitrofanoff
continent valve has been amended by replacing the words “mitrofanoff
continent valve” with “continent catheterisation bladder stomas (e.g.
Mitrofanoff)”.
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Paediatric:
o Neonatal surgery:
 items MD310, ME400, ME410, ME420 and ME430 for
hirschsprung’s disease have been amended by replacing the words
“hirschsprung’s disease” with “aganglionosis coli”; and
 item MD470 for secondary operation for gastroschisis has been
amended by including the words “or exomphalos”.
o Abdominal surgery:
 2 items ME440 for examination of the rectum and ME450 for
submucosal or perirectal injection for rectal prolapse have been
amended to restrict the eligibility age to over 2 years of age;
 As a result, 2 new items ME441 and ME451 have been mirrored
for where the service is performed on a patient under 2 years of
age; and
 3 items ME460, ME470 and ME480 for inguinal hernia repair
have been amended to extend the age eligibility from less than 3
months to less than 12 months.
Diagnostic Imaging

Computed Tomography - items OD376 and OD377 for computed tomography
colonography (CTC) have been consolidated into new item OD378 for CTC for
exclusion or diagnosis of colorectal neoplasia.
Pathology
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
Tissue Pathology – 2 new items PE085 for second expert opinion and detailed
written report on a patient sample for no more than 30 mins and item PE086 for
greater than 30 mins; and
Genetics - item PG067 for fluorescence in situ hybridisation (FISH) testing in
patients with non-small cell lung cancer to identify anaplastic lymphoma kinase
(ALK) gene rearrangement status.
14 October 2015
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