Medicare Benefits Schedule - Note TN.1.15

All laser equipment used for services under items 14100-14124 must be listed on the Australian Register of Therapeutic Goods.  

The Australasian College of Dermatologists has advised that the following ranges (applicable to an average 4 year old child and an adult) should be used as a reference to the treatment areas specified in Items 14106 - 14124:

Related Items: 14100 14106 14115 14118 14124

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Laser photocoagulation using laser radiation in the treatment of vascular abnormalities of the head or neck, including any associated consultation, if:

(a) the abnormality is visible from 3 metres; and

(b) photographic evidence demonstrating the need for this service is documented in the patient notes;

to a maximum of 4 sessions (including any sessions to which this item or any of items 14106 to 14118 apply) in any 12 month period

(Anaes.)

Fee: $167.85 Benefit: 75% = $125.90 85% = $142.70

(See para TN.1.15 of explanatory notes to this Category)

Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), if the abnormality is visible from 3 metres, including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment less than 150 cm²

(Anaes.)

Fee: $176.30 Benefit: 75% = $132.25 85% = $149.90

(See para TN.1.15 of explanatory notes to this Category)

Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14118 apply) in any 12 month period—area of treatment 150 cm² to 300 cm²

(Anaes.)

Fee: $282.30 Benefit: 75% = $211.75 85% = $240.00

(See para TN.1.15 of explanatory notes to this Category)

Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café au lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, up to a maximum of 6 sessions (including any sessions to which this item or any of items 14100 to 14115 apply) in any 12 month period—area of treatment more than 300 cm²

(Anaes.)

Fee: $358.50 Benefit: 75% = $268.90 85% = $304.75

(See para TN.1.15 of explanatory notes to this Category)

Laser photocoagulation using laser radiation in the treatment of vascular malformations, infantile haemangiomas, café‑au‑lait macules and naevi of Ota, other than melanocytic naevi (common moles), including any associated consultation, if:

(a) a seventh or subsequent session (including any sessions to which this item or any of items 14100 to 14118 apply) is indicated in a 12 month period commencing on the day of the first session; and

(b) photographic evidence demonstrating the need for this service is documented in the patient notes

(Anaes.)

Fee: $167.85 Benefit: 75% = $125.90 85% = $142.70

(See para TN.1.15 of explanatory notes to this Category)