Specialist Medical or Radiation Oncologist

Other Specialists and General Practitioner

Anaesthetic

U

R

U

R

U

R    T/M

The amounts in this section are calculated according to the Radiation Oncology unit values (unless otherwise specified)

20.10

Chemotherapy

Chemotherapy treatment (not in chemotherapy facilities)

Note: When patients are not treated in chemotherapy facilities, items 0213, 0214 and 0215 are used instead of items 5790 -5795

The amounts in this section are calculated according to the Clinical Procedure unit values.

0213

Treatment with cytostatic agents:Administering of chemotherapy: Intramuscular or subcutaneous: Per injection. For use by providers who do not make use of recognised chemotherapy facilities and/or who are not primarily responsible for managing the chemotherapy treatment

For use by medical practitioners who do not make use of recognised chemotherapy facilities or are not responsible for managing the chemotherapy treatment (Applicable for RMA clients)

5

162.30

5

162.30

0214

Intravenous treatment with cytostatic agents:Administering of chemotherapy: Intravenous bolus technique: Per injection. For use by providers who do not make use of recognised chemotherapy facilities and/or who are not primarily responsible for managing the chemotherapy treatment

For use by medical practitioners who do not make use of recognised chemotherapy facilities or are not responsible for managing the chemotherapy treatment (Applicable for RMA clients)

9

292.14

9

292.14

0215

Intravenous treatment with cytostatic agents:Administering of

chemotherapy: Intravenous infusion technique: Per injection. For use by providers who do not make use of recognised chemotherapy facilities and/or who are not primarily responsible for managing the chemotherapy treatment

For use by medical practitioners who do not make use of recognised chemotherapy facilities or are not responsible for managing the chemotherapy treatment (Applicable for RMA clients)

14

454.44

14

454.44

5782

Isotope therapy: Adminstration of low dose surface applicator up to five applications.Typically an out patient procedure.

MateriaI is not included

77.81

2 525.71

62.25

2 020.57

5783

lnfusional pharmacotherapy: Item to be used for the treatment of non cancerous conditions with bolus or infusional pharmacotherapy per treatment day (consultations to be coded separately)

42.65

1 384.42

42.65

1 384.42

5790

Non Infusional Chemotherapy: Global Fee for the management of and for related services delivered in the treatment of cancer with oral chemotherapy or hormonal therapy (per cycle), intramuscular (IMI), subcutaneous, intrathecal or bolus chemotherapy or oncology related drug administration per treatment day - for exclusive use by doctors with appropriate oncology training (consultations to be charged separately)

42.95

1 394.16

42.95

1 394.16

5791

Non Infusional Chemotherapy Facility Fee: A facility where oncology medicines are procured or scripted for oral chemotherapy, intramuscular (IMI), subcutaneous, intrathecal or bolus chemotherapy, per treatment day. This fee is chargeable by doctors with appropriate oncology training who owns or rents the facility, and by others e.g. hospitals or clinics that provide the services as per the appropriate billing structure. Said facilities are to be accredited under the auspices of SASMO and/or SASCRO (to be used in conjunction with item 5790) - only one of the parties are to charge this fee

24.49

794.95

24.49

794.95

5792

Non Infusional Chemotherapy Facility Fee: A facility where oncology medicines are purchased, stored and dispensed during oral chemotherapy or hormonal therapy (per cycle), intramuscular (IMI), subcutaneous, intrathecal or bolus chemotherapy per treatment day. This fee is chargeable by doctors with appropriate oncology training who owns or rents the facility, and by others e.g. hospitals or clinics that provide the services as per the appropriate billing structure. These facilities are to be accredited under the auspices of SASMO and/or SASCRO (to be used in conjunction with item 5790) - only one of the parties are to charge this fee

30.61

993.60

30.61

993.60

5793

Infusional Chemotherapy: Global fee for the management of and for services delivered during infusional chemotherapy per treatment day - for exclusive use by doctors with appropriate oncology training using recognised chemotherapy facilities (consultations to be charged separately)

159.47

5 176.40

127.58

4 141.25

5794

Infusional Chemotherapy Facility Fee: A facility where oncology medicines are procured, stored, admixed and administered, and in which appropriately-trained medical, nursing and support staff are in attendance. This fee is chargeable by doctors with appropriate oncology training who owns or rents the facility, and by others e.g. hospitals or clinics that provide the services as per the appropriate billing structure. Said facilities are to be accredited under the auspices of SASMO and/or SASCRO (to be used in conjunction with item 5793) - only one of the parties are to charge this fee

90.03

2 922.37

90.03

2 922.37

5795

Infusional Chemotherapy Facility Fee: A facility where oncology medicines are purchased, stored, dispensed, admixed and administered and in which appropriately- trained medical, nursing and support staff are in attendance. This fee is chargeable by doctors with appropriate oncology training who owns or rents the facility, and by others e.g. hospitals or clinics that provide the services as per the appropriate billing structure. These facilities are to be accredited under the auspices of SASMO and/or SASCRO (to be used in conjunction with item 5793) - only one of the  parties are to charge this fee

112.54

3 653.05

112.54

3 653.05

20.11

Radiation therapy

20.11.1

Manual Radiotherapy Planning Procedures

5801

Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Single Volume of Interest - PROFESSIONAL COMPONENT.

42.56

1 381.50

5601

Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Single Volume of Interest -TECHNICAL COMPONENT

99.32

3 223.93

5802

Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Multiple Volumes of Interest - PROFESSIONAL COMPONENT

56.18

1 823.60

5602

Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Multiple Volumes of Interest - TECHNICAL COMPONENT

131.10

4 255.51

5803

Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Special Technique - PROFESSIONAL COMPONENT

76.62

2 487.09

5603

Manual Radiotherapy Planning Procedures: No Simulation, Limited Graphic Planning, Special Technique - TECHNICAL COMPONENT

178.77

5 802.87

20.11.2

Conventional Radiotherapy Planning Procedures

5808

Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Single Volume of Interest - PROFESSIONAL COMPONENT

170.26

5 526.64

5809

Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Multiple Volumes of Interest - PROFESSIONAL COMPONENT

238.36

7 737.17

5810

Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Special Technique - PROFESSIONAL COMPONENT

297.95

9 671.46

5608

Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Multiple Volumes of Interest - TECHNICAL COMPONENT.

397.27

12 895.38

5609

Conventional Radiotherapy Planning: Simulation, Limited Graphic Planning, Special Technique - TECHNICAL COMPONENT

556.18

18 053.60

5610

Conventional Radiotherapy  Planning: Simulation, Limited Graphic Planning, Special Technique - TECHNICAL COMPONENT

695.22

22 566.84

20.11.3

Three Dimensional Radiotherapy Planning Procedures

5820

Three Dimensional Radiotherapy Planning Procedures: 3-Dimensional Simulation and Graphic Planning, Single Volume of Interest - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI)

240.23

7 797.87

5620

Three dimensional radiotherapy planning procedures: 3-dimensional simulation and graphic planning, single volume of interest - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI)

977.20

31 719.91

5821

Three Dimensional Radiotherapy Planning Procedures: 3-Dimensional Simulation and Graphic Planning, Multiple Volumes of Interest - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI)

407.75

13 235.57

5621

Three dimensional radiotherapy planning procedures: 3-dimensional simulation and graphic planning, multiple volumes of interest - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI)

1 368.07

44 407.55

5822

Three Dimensional Radiotherapy Planning Procedures: 3-Dimensional Simulation and Graphic Planning, Special Technique - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI)

554.33

17 993.55

5622

Three dimensional radiotherapy planning procedures: 3-dimensional simulation and graphic planning, special technique - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI)

1 710.09

55 509.52

20.11.4

Intensity Modulated Radiotherapy Planning Procedures

5823

Intensity Modulated Radiotherapy Planning Procedures: Intensity Modulated Radiotherapy Simulation, Inverse Planning, Radical Course - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI)

642.92

20 869.18

5623

Intensity modulated radiotherapy (IMRT) planning procedures: Intensity modulated radiotherapy simulation, inverse planning, radical course - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI)

1 916.81

62 219.65

5825

Intensity Modulated Radiotherapy Planning Procedures: Intensity Modulated Radiotherapy Simulation, Inverse Planning, Booster Volumes (not for use with other IMRT planning codes) - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI)

232.18

7 536.56

5625

Intensity modulated radiotherapy (IMRT) planning procedures: Intensity modulated radiotherapy simulation, inverse planning, booster volumes (not for use with other IMRT planning codes) - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI)

958.40

31 109.66

5826

Intensity Modulated Radiotherapy Planning Procedures: Intensity Modulated Radiotherapy Simulation, Inverse Planning, CT Scan with Magnetic Resonance Imaging or other Similar Imaging Fusion Techniques - PROFESSIONAL COMPONENT (excludes imaging costs for CT and MRI)

753.35

24 453.74

5626

Intensity modulated radiotherapy (IMRT) planning procedures: Intensity modulated radiotherapy simulation, inverse planning, CT scan with magnetic resonance imaging or other similar imaging fusion techniques - TECHNICAL COMPONENT (excludes imaging costs for CT and MRI)

2 174.48

70 583.62

20.11.5

Kilovolt Radiation Treatment

5834

Kilovoltage Radiation Treatment: Weekly Treatment, Kilovolt or Similar, per week or part thereof - PROFESSIONAL COMPONENT

49.08

1 593.14

5634

Kilovoltage Radiation Treatment: Weekly Treatment, Kilovolt or Similar, per week or part thereof - TECHNICAL COMPONENT

114.52

3 717.32

20.11.6

Short course radiation treatment

5835

Short Course Radiation Treatment: Short course treatment, Single Volume of Interest - PROFESSIONAL COMPONENT

5635

Short Course Radiation Treatment: Short course treatment, Single Volume of Interest - TECHNICAL COMPONENT

246.73

8 008.86

5836

Short Course Radiation Treatment: Short course treatment, Multiple Volumes of Interest - PROFESSIONAL COMPONENT

148.04

4 805.38

5636

Short Course Radiation Treatment: Short course treatment, Multiple Volumes of Interest - TECHNICAL COMPONENT

345.41

11 212.01

5837

Short Course Radiation Treatment: Short course Treatment, Special Technique - PROFESSIONAL COMPONENT

190.33

6 178.11

5637

Short Course Radiation Treatment: Short course Treatment, Special Technique - TECHNICAL COMPONENT

444.11

14 415.81

20.11.7

Weekly radiation treatment sessions

20.11.7.1

Conventional Techniques

5839

Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Single Volume of Interest - PROFESSIONAL COMPONENT.

193.86

6 292.70

5639

Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Single Volume of Interest - TECHNICAL COMPONENT.

452.33

14 682.63

5840

Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Multiple Volumes of Interest - PROFESSIONAL COMPONENT

246.73

8 008.86

5640

Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Multiple Volumes of Interest - TECHNICAL COMPONENT

575.69

18 686.90

5841

Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Special Technique - PROFESSIONAL COMPONENT

317.22

10 296.96

5641

Weekly Radiation Treatment Sessions - Conventional Techniques: Weekly Treatment, Special Technique - TECHNICAL COMPONENT

740.18

24 026.24

20.11.7.2

Advanced Techniques

5849

Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leaf Collimators, Single Volume of Interest - PROFESSIONAL COMPONENT

236.24

7 668.35

5649

Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leaf Collimators, Single Volume of Interest - TECHNICAL COMPONENT.

551.21

17 892.28

5850

Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leaf Collimators, Multiple Volumes of Interest - PROFESSIONAL COMPONENT

330.73

10 735.50

5650

Weekly Radiation Treatment Sessions - Advanced Techniques:  Weekly Treatment, Multi Leaf Collimators, Multiple Volumes of Interest - TECHNICAL COMPONENT

771.71

25 049.71

5851

Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Multi Leal Collimators, Special Technique - PROFESSIONAL COMPONENT

425.23

13 802.97

5651

Weekly Radiation Treatment Sessions - Advanced Techniques:  Weekly Treatment, Multi Leaf Collimators, Special Technique - TECHNICAL COMPONENTS

992.19

32 206.49

5854

Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Intensity Modulated Radiotherapy - PROFESSIONAL COMPONENT

348.87

11 324.32

5654

Weekly Radiation Treatment Sessions - Advanced Techniques:  Weekly Treatment, Intensity Modulated Radiotherapy - TECHNICAL COMPONENT

814.03

26 423.41

5855

Weekly Radiation Treatment Sessions - Advanced Techniques:  Weekly Treatment, Total Body Radiotherapy or Similar - PROFESSIONAL COMPONENTS

826.83

26 838.90

5655

Weekly Radiation Treatment Sessions - Advanced Techniques: Weekly Treatment, Total Body Radiotherapy or Similar - TECHNICAL COMPONENT

1 929.26

62 623.78

20.11.8

Stereotactic Radiation

5860

Stereotactic Radiation: Stereotactic Radiation, Single or up to 4 (four) Fractions, Global Fee - PROFESSIONAL COMPONENT

3 719.34

120 729.78

5660

Stereotactic Radiation: Stereotactic Radiation, Single Fraction, Global Fee - TECHNICAL COMPONENT

8 678.46

281 207.81

5861

Stereotactic Radiation: Stereotactic Radiation, 5 (five) or more Fractions, Full course, Global Fee - PROFESSIONAL COMPONENT

4 277.24

138 839.21

5661

Stereotactic Radiation: Stereotactic Radiation, Fractionated, Full course, Global Fee - TECHNICAL COMPONENT

9 980.23

323 958.27

20.12

Brachytherapy

20.12.1

Isotope / Applicator Therapy

5870

Isotope / Applicator Therapy: Isotopes - Low Complexity, administration of low dose oral isotopes or use of surface applicators, up to five applications. Typically an out patient procedure. The cost of any isotopes and materials are not included

108.40

3 518.66

5872

Isotope / Applicator Therapy: Isotopes - Intermediate Complexity, administration of isotopes requiring invasive techniques such as intravenous, intracavitary or intra-articular radioactive isotopes. Typical out patient procedure or admission and monitoring less than 48 hours. The cost of any isotopes and materials are not included

216.80

7 037.33

5873

Isotope / Applicator Therapy: Isotopes - High Complexity, surface application of seed arrays requiring dosimetric assessment and/or high dose radio-active isotopes requiring admission and monitoring. Typically requires the patient admission and monitoring for more than 48 hours. The cost of any isotopes and materials are not included

601.16

19 513.65

20.12.2

Brachytherapy Implants

5882

Brachytherapy Implants: Implants - Low Complexity, placement of a single guide tube for the administration of brachytherapy requiring <8 dwell points. The cost of materials are not included

216.80

7 037.33

5883

Brachytherapy Implants: Implants - Intermediate Complexity, planar implants requiring >1 guide tube for the administration of brachytherapy, or the use of >8 dwell  points in a single guide tube, or any procedure requiring <8 dwell points but which requires general anaesthesia for insertion. The cost of materials are not included

786.80

25 539.53

5885

Brachytherapy Implants: Implants - High Complexity requiring complex volumetric studies. Inclusive fee for implant under local or general anaesthetic. The cost of materials are not included

1 049.07

34 052.81

20.12.3

Brachytherapy Treatment

5890

Brachytherapy Treatment: Global fee for manual afterloading - includes storage, handling, calibration, planning (manual for computerized), manual loading, daily treatment, monitoring, removal and disposal of the isotopes. The cost of any isotopes and materials are not included

613.04

19 899.28

5892

Brachytherapy Treatment: Global fee for remote afterloading - includes input in calibration, graphic planning, daily treatment, monitoring, removal and disposal of implant materials on completion. The cost of any isotopes and materials are not included - PROFESSIONAL COMPONENT

415.96

13 502 06

5893

Global fee for remote afterloading - includes input in calibration, graphic planning, daily treatment, monitoring, removal and disposal of implant materials on completion. The cost of any isotopes and materials are not included - TECHNICAL COMPONENT

970.56

31 504.38

20.12.4

Brachytherapy Imaging

5895

Brachytherapy Imaging: Brachytherapy: Special imaging where needed and if used, unusual to be added to any code other than items 5883 or 5885

156.77

5 088.78