New Items for Cataract Surgery - 1 November 2009

Page last updated: 30 October 2009

On 28 October 2009 the Senate passed a motion to disallow MBS items 42698, 42701, 42702 and 42718 relating to cataract surgery, from the Health Insurance (General Medical Services Table) Regulations 2009 . This effectively meant there would have been no Medicare rebates available for those services from 1 November 2009. On 29 October 2009, the Minister for Health and Ageing the Hon Nicola Roxon MP, signed a Determination, in accordance with section 3C of the Health Insurance Act 1973 reinstating those items. As such, rebates will be available from 1 November 2009 at the following rates:





Item
Health service
Schedule Fee
75% rebate
85% rebate
42698Lens extraction, excluding surgery performed to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (Anaes.)
$350.95

$263.25

$298.35

42701Artificial lens, insertion of, excluding surgery performed
to correct a refractive error, other than anisometropia that exceeds 3 dioptres and develops after the removal of cataract in the first eye (Anaes.)
$206.75

$155.10

$175.75


42702

Lens extraction and insertion of artificial lens, excluding
surgery performed to correct a refractive error, other than
anisometropia that exceeds 3 dioptres and develops after
the removal of cataract in the first eye (Anaes.)


$454.35


$340.80


$386.20
42718Complex lens extraction and insertion of artificial lens,
with a surgical procedure time of 40 minutes or more,
excluding surgery performed for the correction of
refractive error (other than anisometropia greater than
3 dioptres following the removal of cataract in the first eye) (Anaes.)
$900.75


$675.60


$831.65