HICAPS Item number guides

HICAPS works with health funds to ensure you have the latest list of approved item numbers ready on hand to assist you with processing claims.

Standard HICAPS item number guides

Use our item number guides when processing health care claims on your HICAPS terminal.Looking for a PDF version of the guides? Just open the guide and scroll to the button.

Use these item numbers when processing acupuncture and Chinese herbal medicine services on a HICAPS terminal.

Acupuncturists item number guide (PDF 57.2KB)

Acupuncture

Item number Full description Abbreviated description
103 Initial consultation INITIAL CONS
203 Standard consulatation STANDARD CONS

Chinese Herbal Medicine

Item number Full description Abbreviated description
303 Initial consultation INITIAL CONS
403 Standard consulatation STANDARD CONS
503 Medicaments MEDICAMENTS

Use these item numbers when processing chiropractic services on a HICAPS terminal.

Chiropractic item number guide (PDF, 117KB)

Consultation

Item number

Full description

Abbreviated description

1001

Initial consultation

INITIAL CONSULT

1002

Initial consultation and treatment

CONSULT/TREATMT

1003

Initial consultation – after hours

INITIAL CON A/H

1004

Consultation re-examination & treatment

CONSULT RE-EXAM

1005

Standard consultation Up to 15 mins

STD CONSULT 15M

1006

Long consultation 15-30 mins

LONG CONS 15-30M

1007

Standard consultation after hours

STD CONSUL A/H

1008

Long consultation after hours

LONG CONS A/H

1009

Home visit consultation and/or treatment

HOME VISIT

1010

Home visit consultation and/or treatment A/H

HOME VISIT A/H

1011

Excess travelling – metropolitan

TRAVEL METROPOL

1012

Excess travelling – country

TRAVEL COUNTRY

Chiropractic Concessional Services - Provided to under-privileged persons

Item number

Full description

Abbreviated description

1301

Initial consultation – history/examination

INITIAL CONS CS

1302

Initial consultation – history, examination and treatment

CONSUL/TREAT CS

1303

Standard consultation and treatment

STD CONSULT CS

1304

Long consultation and treatment

LONG CONSUL CS

Chiropractic Care

Item number

Full description

Abbreviated description

1501

Chiropractic Care Up to 15 mins

CHIROCARE 15MIN

1502

Chiropractic Care 16-30 mins

CHIROCARE 30MIN

1503

Chiropractic Care In excess of 30 mins

CHIROCARE 30+MIN

1504

Chiropractic Care A/H Up to 15 mins

CHIROCAREA/H 15MIN

1505

Chiropractic Care A/H 16-30 mins

CHIROCAREA/H 30MIN

1506

Chiropractic Care A/H In excess of 30 mins

CHIROCAREA/H 30+MIN

Radiology

Item number

Full description

Abbreviated description

1100

One extra view

1 EXTRA VIEW

1101

Two extra views

2 EXTRA VIEWS

1102

Three extra views

3 EXTRA VIEWS

1103

Four extra views

4 EXTRA VIEWS

1104

Cervical spine – apical and lateral 2 views

CERVSP 2VIEWS

1105

Cervical spine – 3 – 4 views

CERVSP3-4VIEWS

1106

Cervical spine – 5 – 6 views

CERVSP5-6VIEWS

1107

Thoracic spine – apical & lateral views

THORACIC SPINE

1108

Thoracic Spine – apical and lateral 2 views

THORAC AP2LATS

1109

Lumbar spine – apical and lateral 2 views

LUMBAR APLAT2VW

1110

Lumbo-sacral spine 3 – 4 views

LUMBOSACRAL3-4V

1111

Lumbo-sacral spine 5 – 6 views

LUMBOSACRAL5-6V

1112

Full spine (postural)

FULL SPINE POST

1113

Full spine (multiple views)

SPINE X VIEWS

1114

Pelvis – postural

PELVIS POSTURAL

1115

Pelvis and sacroiliac joints 3 views

PELVSACRO-ILIAC

1116

Sacrum and sacroiliac joints 3 – 4 views

SACRUMSACRO ILC

1117

Sacrum and coccyx 2 views

SACRUM/COCCYX2V

1118

Clavicle 2 views

CLAVICLE 2VIEWS

1119

Scapula 2 views

SCAPULA 2VIEWS

1120

Shoulder 2 views

SHOULDER 2VIEWS

1121

Shoulder 4 views

SHOULDER 4VIEWS

1122

Acromioclavicular joints 2 views

ACROMIOCLAVICUL

1123

Humerus 2 views

HUMERUS 2 VIEWS

1124

Humerus 2 views of one joint

HUMERUS 2VW1JNT

1125

Elbow 2 views

ELBOW 2 VIEWS

1126

Elbow 4 views

ELBOW 4 VIEWS

1127

Radius and ulna 2 views

RADIUS/ULNA 2VW

1128

Radius and ulna 2 views + 2 view 1 joint

RADIUS/ULNA2V1J

1129

Wrist 2 views

WRIST 2 VIEWS

1130

Wrist 4 views

WRIST 4 VIEWS

1131

Hand and fingers 2 views

HAND/FINGERS2VW

1132

Fingers 2 views

FINGERS 2VIEWS

1133

Hip 2 views

HIP 2 VIEWS

1134

Hip 3 views including pelvis

HIP3VINCLPELVIS

1135

Femur 2 views

FEMUR 2 VIEWS

1136

Femur 2 views + 2 views 1 joint

FEMUR2VIEWS1JNT

1137

Knee-2 views

KNEE 2 VIEWS

1138

Knee-4 views

KNEE 4 VIEWS

1139

Tibia and fibula 2 views

TIBIA/FIBULA2VW

1140

Tibia and fibula 2 view + 2 view 1 joint

TIBIA/FIBLA2V1J

1141

Ankle 2 views

ANKLE 2 VIEWS

1142

Ankle 4 views

ANKLE 4 VIEWS

1143

Foot and toes 2 views

FOOT/TOES 2VIEW

1144

Toes 2 views

TOES 2 VIEWS

1145

Chest 2 views

CHEST 2 VIEWS

1146

Skull 3 views

SKULL 3 VIEWS

1147

Interpretation of X-rays

INTERPRET XRAYS

1148

Laboratory procedures – urine

LAB PROC URINE

1149

Special services

SPECIAL SERVICE

1150

Reports and narrative

MEDICAL REPORT

1151

X-ray

XRAY

1152

Functional views of one area

VIEWS 1AREA

Specialist Chiropractic Radiology

Item number

Full description

Abbreviated description

1201

Full interpretation

FULL INTERPRET

Re-assessment

1601

Re-assessment up to 15 mins

RE-ASSESS 15MIN

1602

Re-assessment 16-30 mins

RE-ASSESS 30MIN

1603

Re-assessment in excess of 30 mins

RE-ASSESS 30+MIN

1604

Re-assessment A/H Up to 15 mins

RE-ASSESSA/H 15M

1605

Re-assessment A/H Up to 30 mins

RE-ASSESSA/H 30M

1606

Re-assessment A/H in excess of 30 mins

REASSESSA/H 30+M

Medico-legal examination

Item number

Full description

Abbreviated description

1401

Examination Up to 30 mins duration

EXAMTN 30MIN

1402

Examination 30 - 45 mins

EXAMTN 30-45MIN

1403

Examination 45 - 60 mins

EXAMTN 45-60MIN

1404

Medico/Legal Reports (Telephone/Oral)

MEDREPORTORAL

1405

Medico/Legal Reports (Comprehensive)

MEDREP COMPREH

1406

Medico/Legal Reports - Transcript

MEDREP TRANSCRP

1407 Consultative work CONSULTATV WORK
1408 Worksite Assessment WORKSITE ASSESS

Report Writing

Item number

Full description

Abbreviated description

1701

Brief Report – summary note

MEDREPT BRIEF

1702

Substantive report

MEDREPT COMPREH

 

Supportive Therapy

Item number

Full description

Abbreviated description

1901

Up to 30 min therapeutic massage

SHORT MASSAGE

1902

Up to 60 min therapeutic massage

LONG MASSAGE

1903

Nutritional support

NUTRIT SUPPORT

1904

Orthotic appliances

ORTHOTIC APPL

Use these item numbers when processing dental services on a HICAPS terminal.

Dental item number guide (PDF, 72.4KB)

Item number Full description Abbreviated description

012

Periodic oral examination

PERIODIC EXAM

022

Intraoral periapical or bitewing radiograph – per exposure

INTRAORAL EXPSR

114

Removal of calculus – first appointment

REM CALCULUS 1

121

Topical application of remineralisation and/or cariostatic agent, one treatment

TOPICAL AGENT

161

Fissure and/or tooth surface sealing – per tooth

FISSURE SEALING

213

Treatment of acute periodontal infection – per appointment

ACUTE PERIODONT

222

Root planning and subgingival curettage – per tooth

ROOT PLANING

311

Removal of tooth or part(s) thereof

REM PERM TOOTH

411

Direct pulp capping

PULP CAPPING

415

Complete chemo-mechanical preparation of root canal – one canal

ROOTCANALPREPN

416

Complete chemo-mechanical preparation of root canal – each additional canal

ROOTCANAL ADDTL

417

Root canal obturation – one canal

ROOT OBTURATION

418

Root canal obturation – each additional canal

OBTURATION ADDL

419

Extirpation of pulp or debridement of root canal(s) – emergency or palliative

EXTIRP PULP ROOT

455

Additional visit for irrigation and/or dressing of the root canal system – per tooth

IRRIGATE CANAL

511

Metallic restoration – one surface – direct

METAL RESTOR 1

512

Metallic restoration – two surfaces – direct

METAL RESTOR 2

513

Metallic restoration – three surfaces – direct

METAL RESTOR 3

514

Metallic restoration – four surfaces – direct

METAL RESTOR 4

515

Metallic restoration – five surfaces – direct

METAL RESTOR 5

521

Adhesive restoration – one surface – anterior tooth – direct

ADH REST 1 ANT

522

Adhesive restoration – two surfaces – anterior tooth – direct

ADH REST 2 ANT

531

Adhesive restoration – one surface – posterior tooth – direct

ADHREST1POST

532

Adhesive restoration – two surfaces – posterior tooth – direct

ADHREST2POST

572

Provisional (intermediate/temporary restoration) – per tooth

TEMP RESTORTN

575

Pin retention – per pin

PIN RENTENTION

577

Cusp capping – per cusp

CUSP CAPPING

965

Occlusal splint

OCCLUSAL SPLINT

Use these item numbers when processing dietitian services on a HICAPS terminal.

Dietitian item number guide (PDF 57.9KB)

Item number

Full description

Abbreviated description

500

Individual initial consultation

INDIVIDUAL INITIAL

600

Review individual consultation

INDIVIDUAL REVIEW

700

Group consultation

GROUP CONS

800

Home/Out of rooms consultation

OUT OF ROOMS

Use these item numbers when processing exercise physiology services on a HICAPS terminal.

Exercise physiologist item number guide (PDF, 60KB)

At the practitioner's room

Item number

Full description

Abbreviated description

102

Initial session – once only per course of treatment > 45 min

INDIVIDUAL INITIAL

202

Standard consultation 30 – 60 minutes

STANDARD CONS

302

Extended consultation > 60 minutes

EXTENDED CONS

402

Standard consultation requiring travel

TRAVEL CONS

502

Group session 60 minutes (maximum of 8 people)

GROUP SESSION

Use these item numbers when processing general and medical practitioner services on a HICAPS terminal.

General and medical practitioner item number guide (PDF 75.4KB)

Item number

Full description

Abbreviated description

2

Urgent after-hours surgery consultation

URGENT/AH CONS

3

Level ‘A’ short surgery consultation

BRIEF CONSULT

23

Level ‘B’ standard surgery consultation (<20 minutes)

STANDARD CONS

36

Level ‘C’ long surgery consultation (>20 minutes)

LONG CONSULT

44

Level ‘D’ comprehensive surgery consultation (>40 minutes)

PROLONGED CONS

52

Brief surgery consultation

BRIEF CONSULT

53

Standard surgery consultation

STANDARD CONS

54

Long surgery consultation

LONG CONSULT

57

Prolonged surgery consultation

PROLONGED CONS

104

Initial specialist consult

INT SPEC CONS

105

Subsequent specialist consult

SUB SPEC CONS

110

Initial physician consult

INT PHYS CONS

116

Subsequent physician consult

SUB PHYS CONS

585

Professional attendance by a general practitioner on one patient on one occasion – each attendance (other than an attendance in unsociable hours) in an after-hours period

AH CONSULT

588

Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion — each attendance (other than an attendance in unsociable hours) in an after-hours period

AH CONSULT

591

Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion – each attendance (other than an attendance in unsociable hours) in an after-hours period

AH CONSULT

594

Professional attendance by a medical practitioner – each additional patient at an attendance that qualifies for item 585, 588 or 591 in relation to the first patient

AH CONSULT ADDP

599

Professional attendance by a general practitioner on not more than 1 patient on 1 occasion – between 11pm – 7pm

AH CONSULT

600

Professional attendance by a medical practitioner on not more than one patient on one occasion - between 11pm – 7pm

AH CONSULT

701

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a brief health assessment, lasting not more than 30 minutes

HLTH ASSESS SRT

703

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes

HLTH ASSESS MED

705

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes

HLTH ASSESS EXT

707

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a prolonged health assessment (lasting at least 60 minutes)

HLTH ASSESS EXT

721

GP chronic disease plan

GP CD PLAN

723

Chronic disease plan

CD PLAN

732

Review of chronic disease plan

CD PLAN REVIEW

2501

Short consult with cervical smear test

CONS\SMEAR TEST

2504

Attendance with cervical smear - diabetes

EXT/SMEAR TEST

2507

Long consult with cervical smear test

LONG\SMEAR TEST

2700

GP mental health plan (<20mins)

GP MH PLAN

2701

GP mental health plan (>40mins)

GP MH PLAN LONG

2712

Review of GP mental health plan

MH PLAN REVIEW

2713

GP mental health attendance

GP MH CONSULT

2715

Mental health plan (<20mins)

MH PLAN

2717

Mental health plan (<40mins)

MH PLAN LONG

2725

Focused psychological strategies, extended attendance

FPS EXT ATTEND

5000

Level 'A' professional attendance

AH CONSULT

5020

Professional attendance by a general practitioner on not more than one patient on one occasion (<20 minutes)

BRIEF CONSULT

5040

Professional attendance by a general practitioner on not more than one patient on one occasion (>20 minutes)

LONG CONSULT

5060

Professional attendance by a general practitioner on not more than one patient on one occasion (<40 minutes)

PROLONGED CONS

5203

Standard consultation of more than 5 minutes duration but not more than 25 minutes duration

AH CONSULT

5207

Long consultation of more than 25 minutes duration but not more than 45 minutes duration

AH LONG CONSULT

10990

Additional bulk billing payment for general medical services – concession

CC BULK BILL

10991

Additional bulk billing payment for general medical services – rural

R/R BULK BILL

11506

Measurement of respiratory function

MEASURE RESP FC

11700

ECG tracing and report

ECG & REPORT

14203

Hormone or living tissue implantation, by direct implantation involving incision and suture

INCISION IMPLANT

14206

Implantation by cannula

CANNULA IMPLANT

16500

Antenatal attendance

A/NATAL CONSULT

16590

Planning and management of a pregnancy

P&M PREGNANCY

16591

Planning and management of a pregnancy

P&M PREGNANCY

30003

Localised burns, dressing of, (not involving grafting) each attendance at which the procedure is performed, including any associated consultation

DRESSING OF BURNS

30023

Wound of soft tissue, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed

REPAIR OF WOUND

30026

Skin and subcutaneous tissue or mucous membrane, repair of wound – not on face or neck, small, superficial (Aneas)

REPAIR OF WOUND

30029

Skin and subcutaneous tissue or mucous membrane, repair of wound – not on face or neck, small, deep tissue (Anaes)

REPAIR OF WOUND

30032

Skin and subcutaneous tissue or mucous membrane, repair of wound – on face or neck, small, superficial (Anaes)

REPAIR OF WOUND

30035

Skin and subcutaneous tissue or mucous membrane, repair of wound – on face or neck, small, deep tissue (Anaes)

REPAIR OF WOUND

30038

Skin and subcutaneous tissue or mucous membrane, repair of wound – not on face or neck, large, superficial

REPAIR OF WOUND

30045

Skin and subcutaneous tissue or mucous membrane, repair of wound on face or neck, large, superficial

REPAIR OF WOUND

30061

Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes)

FOREIGN BDY REM

30062

Etonogestrel subcutaneous implant, removal of, as an independent procedure

REMOVE IMPLANT

30064

Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure

REMOVE FB

30071

Diagnostic biopsy of skin as an independent procedure

BIOPSY SKIN

30186

Palmar or plantar warts (less than 10), definitive removal of, excluding ablative methods alone, not being a service to which item 30185 or 30187 applies

REMOVE WARTS

30219

Haematoma, furuncle, small abscess or similar lesion not requiring admission to a hospital - incision with drainage of (excluding aftercare)

ABCESS INCISION

47915

Ingrown toe nail, wedge resection

INGROWN TOE NAIL

47916

Ingrown toe nail, partial

INGROWN TOE NAIL

72205

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a brief health assessment, lasting not more than 30 minutes

HEALTH ASSESS SHORT

72215

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes

HEALTH ASSESS MEDIUM

72225

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes

HEALTH ASSESS LONG

72235

Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a prolonged health assessment (lasting at least 60 minutes)

HEALTH ASSESS EXT

73804

Simple pathology test

PATH TEST

73805

Basic urine test

URINE TEST

73806

Pregnancy test

PREGNANCY TEST

73828

Semen examination for presence of spermatozoa by a participating nurse practitioner

SEMEN EXAM

73829

Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count by a participating nurse practitioner – 1 test

BLOOD TEST

73830

2 tests described in item 73829 by a participating nurse practitioner

BLOOD TEST 2

73831

3 or more tests described in item 73829 by a participating nurse practitioner

BLOOD TEST 3

73832

Microscopy of urine, whether stained or not, or catalase test by a participating nurse practitioner

URINE MICRO

73833

Pregnancy test by 1 or more immunochemical methods by a participating nurse practitioner

PREGNANCY TEST

73834

Microscopy for wet film other than urine, including any relevant stain by a participating nurse practitioner

NON-URINE MICRO

73835

Microscopy of gram-stained film, including (if performed) a service described in item 73832 or 73834 by a participating nurse practitioner

FILM MICRO

73836

Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method by a participating nurse practitioner

CHEMICAL TESTS

73837

Microscopy for fungi in skin, hair or nails by a participating nurse practitioner – 1 or more sites

FUNGI MICRO

82200

Professional attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management

SHORT ATTEND

82205

Professional attendance for a patient presenting with clinical signs and symptoms with an easily identifiable underlying cause following a short consultation lasting less than 20 minutes duration

<20 MIN ATTEND

82210

Professional attendance by a participating nurse practitioner lasting at least 20 minutes

>20 MIN ATTEND

82215

Professional attendance by a participating nurse practitioner lasting at least 40 minutes

>40 MIN ATTEND

Use these item numbers when processing Myotherapy services on a HICAPS terminal.

Myotherapist item number guide (PDF 49.7KB)

For Medibank Private claims only

Item number Full description Abbreviated description

105

Consultation over 30 minutes

CONS OVER 30 MINS

205

Consultation up to 30 minutes

CONS TO 30 MINS

For all other health funds

Item number Full description Abbreviated description

105

Initial consultation

INITIAL CONS

205

Standard consultation

STANDARD CONS

Use these item numbers when processing occupational therapy services on a HICAPS terminal.

Occupational therapy item number guide (PDF 49.7KB)

Type of intervention

Item number Full description Abbreviated description

100

Initial individual assessment/treatment

INITIAL CONSULT

200

Individual assessment/treatment – subsequent to initial

CONSULTATION

250

Individual assessment/treatment – long consultation

>30M SUBSQ INDV

300

Group assessment/treatment

GROUP ASSESSMENT

Note: indicator codes representing the PRIMARY CONDITION and DIAGNOSTIC INTERVENTION must be keyed in the ‘Clinical Code’ field.

Primary condition

                                                                                                                                                        
  cise tolerance.

Use these item numbers when processing optical services on a HICAPS terminal.

Optical services item number guide (PDF, 91.5KB)

Item number

Full description

Abbreviated description

110

Spectacle frames

SPECTACL FRAMES

120

Replacement part/repair to frame

REPL/REP FRAMES

211

Single vision stock lens (single)

SV STOCK LENS 1

212

Single vision stock lens (pair)

SV STOCK LENS 2

222

Single vision specially worked lens (pair)

SV SPECWK LENS 2

225

Single vision stock glasses (complete)

SV STOCK GLASSES

228

Single vision specially worked glasses (complete)

SV WORKED GLASSES

311

Bifocal lens (single)

BIFOCAL LENS 1

312

Bifocal lens (pair)

BIFOCAL LENS 2

315

Bifocal glasses (complete)

BIFOCAL GLASSES

411

Trifocal lens (single)

TRIFOCAL LENS 1

412

Trifocal lens (pair)

TRIFOCAL LENS 2

415

Trifocal glasses (complete)

TRIFOCAL GLASSES

511

Progressive lens (single)

PROGRESS LENS 1

512

Progressive lens (pair)

PROGRESS LENS 2

515

Progressive glasses (complete)

PROGRESS GLASSES

611

High index material (single)

HIGHINDEX MATL1

612

High index material (pair)

HIGHINDEX MATL2

621

Aspheric design (single)

ASPHERIC DESGN1

622

Aspheric design (pair)

ASPHERIC DESGN2

631

Lens tinting (single)

LENS TINTING 1

632

Lens tinting (pair)

LENS TINTING 2

643

Photochromatic coating (single)

PHOTOCROMATIC1

644

Photochromatic coating (pair)

PHOTOCROMATIC2

651

Hard coating (single

HARD COATING 1

652

Hard coating (pair)

HARD COATING 2

661

Multi/anti-reflective coating (single)

MULTICOATING 1

662

Multi/anti-reflective coating (pair)

MULTICOATING 2

671

UV coating (single)

UV COATING 1

672

UV coating (pair)

UV COATING 2

710

Low vision aids

LOW VISION AIDS

811

RGP contact lens (spherical) (single)

RGP SPHERIC 1

812

RGP contact lens (spherical) (pair)

RGP SPHERIC 2

821

RGP contact lens (toric) (single)

RGP TORIC 1

822

RGP contact lens (toric) (pair)

RGP TORIC 2

831

Conventional soft contact lens (spherical) (single)

CONV SPHERIC 1

832

Conventional soft contact lens (spherical) (pair)

CONV SPHERIC 2

841

Conventional soft contact lens (toric) (single)

CONV TORIC 1

842

Conventional soft contact lens (toric) (pair)

CONV TORIC 2

851

Disposable contact lens supply (spherical) 3 months or less (single)

DISPOSBL SPHERIC1

852

Disposable contact lens supply (spherical) 3 months or less (pair)

DISPOSBL SPHER2

853

Disposable contact lens supply (toric) 3 months or less (single)

DISPOSBL TORIC1

854

Disposable contact lens supply (toric) 3 months or less (pair)

DISPOSBL TORIC2

861

Bifocal contact lens (single) (non-disposable)

BIFOCL CONTACT1

862

Bifocal contact lens (pair) (non-disposable)

BIFOCL CONTACT2

863

Disposable contact lens supply (multifocal) 3 months or less (single)

DISPOSBL MULTI1

864

Disposable contact lens supply (multifocal) 3 months or less (pair

DIPOSBL MULTI2

871

Other contact lens (single)

OTHER CONTACT 1

872

Other contact lens (pair)

OTHER CONTACT 2

873

Orthokeratology contact lens (single)

ORTHOK CONTACT1

874

Orthokeratology contact lens (pair)

ORTHOK CONTACT2

Use these item numbers when processing osteopathic services on a HICAPS terminal.

Osteopath services item number guide (PDF 81.5KB)

Item number Full description Abbreviated description

1801

Consultation/treatment and supportive therapy

CONSULT/TREATMT

1802

Consultation/treatment and additional supportive therapy

STD CONSULT

1803

Consultation/treatment and extended supportive therapy

LONG CONSULT

1804

Initial consultation examination treatment

INITIAL CONSULT

Use these item numbers when processing physiotherapist services on a HICAPS terminal.

Physiotherapists services item number guide (PDF, 60.4KB)

Physiotherapy practice

Item number

Full description

Abbreviated description

500

Assessment consultation

ASSMENT CONSULT

505

Subsequent consultation

SUB CONSULT

506

Long subsequent consult (2 areas)

LONG CONS 2A

 

Hospital

Item number

Full description

Abbreviated description

520

Assessment consultation

ASSMENT CONS HOS

525

Subsequent consultation

SUB CONSULT HOS

526

Long subsequent consult (2 areas)

LONG CONS 2A

Home

Item number

Full description

Abbreviated description

530

Assessment consultation

ASSMENT CONS HOM

535

Subsequent consultation

SUB CONSULT HOM

536

Long subsequent consult (2 areas)

LONG CONS 2A

Other

Item number

Full description

Abbreviated description

560

Group consultation

GROUP CONS

561

Class consultation

CLASS CONS

570

Lymphoedema

LYMPHOEDEMA

582

Neurological rehabilitation

NEURO REHAB

591

Custom made orthosis (upper limb) consultation

CUSTOM ORTHO/UL

592

Custom made orthosis (lower limb) consultation

CUSTOM ORTHO/LL

593

Pelvic floor physiotherapy

PELVIC FLR PHYS

595

Antenatal exercise class consultation

ANTENATAL CLASS

596

Postnatal exercise class consultation

POSTNATAL CLASS

Use these item numbers when processing podiatry services on a HICAPS terminal.

Podiatrist services item number guide (PDF, 155KB)

General Podiatric Services and Consultations

Item number

Full description

Abbreviated description

Clinic - New Patient

002

Intermediate service

INTERMEDIATE

004

Comprehensive service

COMPREHENSIVE

005

Comprehensive service – diabetes

COMP DIABETES

 

Clinic - Established Patient

010

Brief service

BRIEF SERVICE

012

Intermediate service

INTERMEDIATE

014

Comprehensive service

COMPREHENSIVE

015

Established patient – acute service – Diabetes

ACUTE SERVICE

016

Established patient – management service – diabetes

MANAGEMENT SERV

Podiatric Diagnostic Services

Item number

Full description

Abbreviated description

 

Vascular studies

101

Plethysmography, regional – arterial

PLETHYSMOGRAPHY

104

Peripheral Flow Study (including Doppler)

PERIPHERAL FLOW

Biomechanical Examination (pair) and/or assessment

111

Muscle testing (manual). anomalies to be recorded

MUSCLE TEST

114

Range of motion study. anomalies to be recorded

MOTION STUDY

115

Computerised gait analysis with detailed report (e.g. EDG, foot track)

COMP GAIT ANLYS

116

Treadmill and video gait analysis. Anomalies to be recorded

GAIT ANALYSIS

117

Visual gait appraisal. anomalies to be recorded

GAIT APPRAISE

118

Biomechanical assessment (includes F111, F114 and either F115, F116 or F117)

BIOMECH ASSESS

Physical therapy

Item number

Vascular studies

Abbreviated description

121

Hot/cold therapy (e.g. paraffin bath, hot or cold packs)

HOT/COLD THERPY

142

Neuromuscular re-education

NEUROMSCLR EDUC

145

Electrophysical therapy (e.g. ultrasound, T.E.N.S., Laser Therapy)

ELECTRO THERAPY

147

Manipulation/mobilisation

MANIP/MOBLISTN

148

Massage

MASSAGE

361

Padding, strapping or taping

PAD/STRAP/TAPE

Orthomechanical services and procedures

Item number

Full description

Abbreviated description

Impressions and models

301

Negative model of the foot (or part thereof)

NEGIMPRS ORTHIC

302

Positive model fabrication of the foot or part thereof (eg: plastercast, wax)

POSIMPRS ORTHIC

303

Negative impression of the foot and up to lower 1/3 of the lower leg – weight bearing

NEGIMPRSLWR1/3

304

Negative impression of the foot and up to lower 1/3 of lower leg – non weight bearing

NEGIMPRSLWR1/3

305

Positive model fabrication of the foot

POSIMPRS LWR1/3

Prescription orthoses (i.e. ‘made-to-measure’)

201

Ankle-foot orthosis (AFO)

ANKL/FT ORTHIC

211

Orthodigital traction device

ORTHIC TRACTN

221

Custom kinetic orthosis (functional foot orthosis)

CUSTOM ORTHIC

223

Custom orthotic made in the same day using new technology

CUSTOM NEW TECH

227

Heel stabiliser, made to plaster model of heel

HEEL STABILSER

261

Cushioning orthosis – simple (single)

CUSHION ORTHIC

263

Pressure relief orthosis – complex (single)

PRESSURE ORTHIC

265

Moulded cast orthosis (single)

MOULDCST ORTHIC

267

Moulded Non-Cast Orthosis (single)

THRMPLSTORTHIC

269

Heel lift made of thermoplastic or similar material

HEEL LIFT

271

Interior shoe padding (e.g. tri-planar wedge, toe-filler, met bars,met domes, felt heel lifts, valgus pacts)

SHOE PADDING

341

Protective device (e.g. otoform toe splint, latex bunion shield, interdigital wedge)

PROTECT DEVICE

344

Nail, brace, customised

NAILBRACE CUST

Prefabricated (‘off-the-shelf’) orthoses & modified orthoses

229

Heel stabiliser

PREFABHEEL STBL

240

Pre-moulded or pre-formed (off the shelf) orthosis

PREMOULD ORTHIC

Orthosis modifications and repairs

381

Orthosis cover – plain (single)

ORTHICCOVER PLN

383

Orthosis cover – with soft tissue supplement (single)

ORTHICCOVER SUP

385

Orthosis Post, extrinsic – forefoot or rearfoot (single)

ORTHIC POST

Prosthetic devices

351

Digital or partial foot prosthesis

PROSTHESIS

Splints

281

Denis Browne splint

BRWNE SPLNT

282

Ganley splint

GANLEY SPLNT

283

Counter rotation system

CNTRROTATE SYS

284

Infant foot deformity – correction shoe

CRRCT SHOE INF

311

Immobilisation splint, thermoplastic, plaster, or other; below knee

SPLNT BLOW KNEE

312

Immobilisation splint, thermoplastic, plaster, or other; ankle/foot

SPLNT ANKLE/FT

315

Immobilisation splint, thermoplastic, plaster, or other; above knee

SPLNT ABVE KNEE

331

Traction and Training devices

TRACTION DEVICE

Podiatric Surgery

Note: Item numbers for procedures not related to skin or nail tissues are restricted to Fellows of the Australian College of Podiatric Surgeons.

Item number

Vascular studies

Abbreviated description

119

Surgical assessment

SURGERY ASSESS

421

Incision and drainage of infected or non-infected lesion

INCISN/DRAINAGE

429

Foreign body removal (subcutaneous)

F/O RMVL SUBC

438

Debridement of post-operative wound

DEBRIDE

440

Avulsion of toenail

TOENAIL AVULSN

445

Excision, benign lesion

LESION EXCISN

541

Electrocautery, chemocautery or cryocautery of benign or quiescent lesion or verrucae, with or without curettage

LESION CAUTERY

546

Nail root and matrix resection with matrix sterilisation (single edge)

NAIL RESECT EDG

547

Nail root and matrix resection with matrix sterilisation (total nail)

NAIL RESECT TTL

548

Nail root and matrix resection with matrix sterilisation (each addition edge)

NAIL RESECT TTL

561

Incision of soft tissue abscess (superficial)

INCISN ABCESS

Other procedures

401

Collection and handling of specimen for transfer to a laboratory

HANDLE SPECIMEN

404

Extended telephone consultation

EXT TELE CNSLT

405

Consultation outside normal practice hours

AFTER HRS CNSLT

411

Medical/surgical supplies (e.g. dressings, list drugs)

SUPPLIES

412

Written podiatric report

WRITTEN REPORT

413

Theatre fee

THEATRE FEE

414

Post-operative equipment (e.g. post-op. shoe, crutches, walker, etc.)

POSTOP EQUIP

985

Unlisted podiatry service or procedure

UNLISTED SRVCE

Use these item numbers when processing remedial massage therapist services on a HICAPS terminal.

Remedial massage therapist services item number guide (PDF 815KB)

Physical Therapy

Item number Full description Abbreviated description

105

Consultation over 30 minutes

CONS OVER 30 MINS

205

Consultation up to 30 minutes

CONS TO 30 MINS

For all other health funds

Item number Full description Abbreviated description

105

Initial consultation

INITIAL CONS

205

Consultation up to 30 minutes

STANDARD CONS

Use these item numbers when processing speech pathology services on a HICAPS terminal.

Speech pathologist services item number guide (PDF, 51.7KB)

Item number Vascular studies Abbreviated description

310

Initial individual consultation/assessment up to 45 minutes

INITIAL TO 45 MINS

320

Initial individual consultation/assessment 46 – 90 minutes

INITIAL 46 – 90 MINS

330

Initial individual consultation/assessment over 90 minutes

INITIAL OVER 90 MINS

340

Subsequent individual consultation/ assessment/treatment up to 45 minutes

SUBS TO 45 MINS

350

Subsequent individual consultation/ assessment/treatment 46 – 90 minutes

SUBS 46 – 90 MINS

360

Subsequent individual consultation/ assessment/treatment over 90 minutes

SUBS OVER 90 MINS

370

Group treatment up to 45 minutes

GROUP TO 45 MINS

380

Group treatment 46 - 90 minutes

GROUP 46 – 90 MINS

390

Group treatment over 90 minutes

GROUP OVER 90 MINS

 

Use these item numbers when processing audiology services on a HICAPS terminal.

Audiology item guide (PDF, 51.7KB)

Item number Full description Abbreviated description

901

Left Ear Hearing Aid Device

L/H HEARING AID

902

Right Ear Hearing Aid Device

R/H HEARING AID

903

Repair of Hearing Aid Device

REPAIR HEAR AID

904

Audiology Consultation

AUDIO CONSULT

905

Pair of Hearing Aid Devices

PAIR HEARING

Use these item numbers when processing counselling services on a HICAPS terminal.

Counselling Item Guide (PDF 815KB)

Item number Full description Abbreviated description

500

Counselling Individual Consultation

INDIVIDUAL CONSULT

600

Counselling Couple or Family Consultation

FAMILY CONSULT

700 Counselling Group Consultation GROUP CONSULT

Telehealth item numbers

Item number Full description Abbreviated description

800

Counselling Individual Telehealth Consultation

INDIVIDUAL CONSULT T/H

900

Counselling Couple or Family Telehealth Consultation

FAMILY CONSULT T/H

Use these item numbers when processing psychologist services on a HICAPS terminal.

Psychology Item Guide (PDF, 815KB)

Type of intervention

Item number Full description Abbreviated description

100

Individual Assessment

INDIVIDUAL ASSESS

200

Individual Treatment/Management

INDIVIDUAL TRMT

300 Couple/Family Treatment/Management COUPLE/FAMILY TRMT

400 Group Treatment GROUP TREATMENT

Note: In addition to the relevant Item Number (see above), a 2 digit indicator code representing the PRIMARY CONDITION must be keyed in the Clinical Code field.

The Primary Condition is based upon the Primary Presenting Issue or Indicator for Intervention (“IFI”). The Indicators are at ‘B’ IFI level.

Note: This refers to the ‘Report on the Development of the Allied Health Indicator for Intervention (“IFI”) and Performance Indicators (“PI’s”) and Revision of the Allied Health-Sensitive ICD-10-AM Codes (Source: National Allied Health Casemix Committee and the Commonwealth
of Australia 2000).

Primary condition

Item number Primary Condition
10 Cognition
20 Relationships
30 Behavioural Issues - Conduct
40 Behavioural Issues - Thought/Perception Disturbance

50

Adjustment

60

Affect

70 Other Psychosocial Factors not otherwise specified

Overseas visitors HICAPS item number guides

Got an overseas patient? Use these item numbers guides when processing their claims.

Use these item numbers when processing chiropractic services for overseas visitors on a HICAPS terminal.

Chiropractor services item number guide (overseas visitor cover) (PDF 75.1KB)

Item number Vascular studies Abbreviated description 
10964 Chiropractic health service provided to a person by an eligible chiropractor – 20 minute duration Consult 29mins

 

Use these item numbers when processing dietician services for overseas visitors on a HICAPS terminal.

Dietician service item number guide (overseas visitor cover) (PDF 80.4KB)

Item number Vascular studies  abbreviated description

10954

Dietetics health service provided to a person by an eligible dietitian

STANDARD CONS

81120

Dietetics health service provided to a person by an eligible dietitian for the purposes of assessing a person’s suitability for group services for the management of type 2 diabetes – 45-minute duration

DIABETES 45 MIN

81125

Dietetics health service provided to a person by an eligible dietitian, as a group service for the management of type 2 diabetes – 60-minute duration

GRP CONS 60 MIN

 

Use these item numbers when processing physiology services for overseas visitors on a HICAPS terminal.

Exercise physiology item number guide (overseas visitor cover) (PDF, 80.1KB)

Item number Vascular studies  Abbreviation description

10953

Exercise physiology service provided to a person by an eligible exercise physiologist

STANDARD CONS

81110

Exercise physiology health service provided to a person by an eligible exercise physiologist for the purposes of assessing a person’s suitability for group services for the management of type 2 diabetes – 45 min duration

DIABETES 45 MIN

81115

Exercise physiology health service provided to a person by an eligible exercise physiologist, as a group service for the management of type 2 diabetes – 60 min duration

GRP CONS <61 MIN

 

 

Use these item numbers when processing physiology services for overseas visitors on a HICAPS terminal.

Occupational therapist item number guide (overseas visitor cover) (PDF, 85.6KB)

Item number Vascular studies Abbreviation description

10958

Occupational therapy health service provided to a person by an eligible occupational therapist

STANDARD CONS

80125

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes

CONS 21-50 MINS

80130

Professional attendance at a place other than consulting rooms as per requirements outlined for item 80125.

EXTERNAL VISIT

80135

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes

CONSULT > 50MIN

80140

Professional attendance at a place other than consulting rooms as per requirements outlined for 80135.

EXTERNAL VISIT

80145

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by an occupational therapist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes

CONSULT <61MIN

 

Use these item numbers when processing osteopath services for overseas visitors on a HICAPS terminal.

Osteopath item number guide (overseas visitor cover) (PDF, 85.6KB)

Item numbers Vascular description Abbreviated description
10966

Osteopathy health service provided to a person by an eligible osteopath – 20-minute duration.

 

CONSULT 20 MINS

 

Use these item numbers when processing physiotherapy services for overseas visitors on a HICAPS terminal.

Physiotherapy item number guide (overseas visitor cover) (PDF 85.6KB)

Item number Vascular studies Abbreviated description

1096

Physiotherapy health service provided to a person by an eligible physiotherapist – 20-minute duration.

CONSULT 20 MINS

 

Use these item numbers when processing podiatry services for overseas visitors on a HICAPS terminal.

Podiatry item number guide (overseas visitor cover) (PDF, 75KB)

Item numbers Vascular studies Abbreviated description
10962

Podiatry health service provided to a person by an eligible podiatrist – 20-min duration

CONSULT 20 MINS

 

Use these item numbers when processing psychology services for overseas visitors on a HICAPS terminal.

Psychologist item number guide (overseas visitor cover) (PDF, 91KB)

Item number Full description

10968

Psychology health service provided to a person by an eligible psychologist.

80000

Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting more than 30 minutes but less than 50 minutes.

80005

Professional attendance at a place other than consulting rooms as per requirements for item 80000.

80010

Professional attendance for the purpose of providing psychological assessment and therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting at least 50 minutes.

80015

Professional attendance at a place other than consulting rooms as per requirements for item 80010.

80020

Professional attendance for the purpose of providing psychological therapy for a mental disorder by a clinical psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes.

80100

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 20 minutes, but not more than 50 minutes.

80105

Professional attendance at a place other than consulting rooms as per requirements for item 80100.

80110

Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service - lasting more than 50 minutes.

80115

Professional attendance at a place other than consulting rooms as per requirements for item 80110.

80120

Group Service-Professional attendance for the purpose of providing focussed psychological strategies services for an assessed mental disorder by a psychologist registered with Medicare Australia as meeting the credentialing requirements for provision of this service, lasting for at least 60 minutes duration.

 

Use these item numbers when processing psychology services for overseas visitors on a HICAPS terminal.

Speech pathologist item number guide (overseas visitor cover) (PDF ,71KB)

Item number Vascular studies Abbreviated description
10970 Speech pathology health service provided to a person by an eligible speech pathologist – 20 min duration

CONSULT 20 MINS

 

This item number guide is for General and Medical Practitioners processing services on a HICAPS terminal.

General and Medical Practitioner Item Guide - Overseas Cover (PDF, 135KB)

Item number Full Description Abbreviated Description
3 Level ‘A’ Short Surgery Consultation Brief Consult
23 Level ‘B’ Standard Surgery Consultation (<20 minutes) Standard Cons
36 Level ‘C’ Long Surgery Consultation (>20 minutes) Long Consult
44 Level ‘D’ Comprehensive Surgery Consultation (>40 minutes)  Prolonged Cons
52 Brief Surgery Consultation Brief consult
53 Standard Surgery Consultation Standard Cons
54 Long Surgery Consultation Long Consult
57 Prolonged Surgery Consultation Prolonged Cons
104 Initial Specialist Consult Int Spec Cons
105 Subsequent Specialist Consult Sub Spec Cons
110 Initial Physician Consult Int Phys Cons
116 Subsequent Physician Consult Sub Phys Cons
585 Professional attendance by a general practitioner on one patient on one occasion - each attendance (other than an attendance in unsociable hours) in an after-hours period  AH Consult
588 Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion—each attendance (other than an attendance in unsociable hours) in an after-hours period  AH Consult
591 Professional attendance by a medical practitioner (other than a general practitioner) on one patient on one occasion - each attendance (other than an attendance in unsociable hours) in an after-hours period AH Consult AddP
594 Professional attendance by a medical practitioner - each additional patient at an attendance that qualifies for item 585, 588 or 591 in relation to the first patient AH Consult
599 Professional attendance by a general practitioner on not more than 1 patient on 1 occasion - between 11pm - 7am AH Consult
600 Professional attendance by a medical practitioner on not more than 1 patient on 1 occasion - between 11pm - 7am AH Consult
701 Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a brief health assessment, lasting not more than 30 minutes Hlth Assess Srt
703 Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes Hlth Assess Med
705 Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes Hlth Assess Ext
707 Professional attendance by a medical practitioner (other than a specialist or consultant physician) to perform a prolonged health assessment (lasting at least 60 minutes) Hlth Assess Ext
721 GP Chronic Disease Plan GP CD plan
723 Chronic Disease Plan CD plan
732 Review of Chronic Disease Plan CD plan Review
2501 Short Consult with cervical smear test Cons\smear test
2504 Attendance with cervical smear - diabetes Ext/Smear Test
2507 Long Consult with cervical smear test Long\smear test
2700 GP Mental Health Plan (<20mins) GP MH Plan
2701 GP Mental Health Plan (>40mins) GP MH Plan Long
2712 Review of GP Mental Health Plan MH Plan Review
2713 GP Mental Health Attendance GP MH Consult
2715 Mental Health Plan (<20mins) MH Plan
2717 Mental Health Plan (<40mins) MH Plan Long
2725 Focused Psychological Strategies, extended attendance FPS Ext Attend
5000 level 'a' professional attendance AH Consult
5020 professional attendance by a general practitioner on not more than 1 patient on 1 occasion (<20 minutes) Brief Consult
5040 professional attendance by a general practitioner on not more than 1 patient on 1 occasion (>20 minutes) Long Consult
5060 professional attendance by a general practitioner on not more than 1 patient on 1 occasion (<40 minutes) Prolonged Cons
5203 Standard consultation of more than 5 minutes duration but not more than 25 minutes duration AH Consult
5207 Long consultation of more than 25 minutes duration but not more than 45 minutes duration AH Long Consult
10981 A medical service to which an item in this table (other than this item, item 10982 or item 10990, 10991 or 10992) applies

BB MGMT

TeleH

10982 A medical service to which an item in this table (other than this item, item 10981 or item 10990, 10991 or 10992) applies

BB MGMT

TeleH

10990 Additional bulk billing payment for general medical services - concession CC Bulk Bill
10991 Additional bulk billing payment for general medical services - rural R/R Bulk Bill
11506 Measurement of Respiratory Function Measure RESP FC
11700 ECG Tracing & Report ECG & Report
14203 Hormone or living tissue implantation, by direct implantation involving incision and suture Incision implant
14206 Implantation by cannula Cannula Implant
16500 Antenatal Attendance A/Natal Consult
16590 Planning & Management of A Pregnancy P&M Pregnancy
16591 Planning & Management of A Pregnancy P&M Pregnancy
30003 Localised Burns, dressing of, (not involving grafting) each attendance at which the procedure is performed, including any associated consultation Dressing of Burns
30023 WOUND OF SOFT TISSUE, traumatic, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field nerve block, including suturing of that wound when performed Repair of Wound
30026 Skin and subcutaneous tissue or mucous membrane, repair of wound - not on face or neck, small, superficial (Aneas.) Repair of Wound
30029 Skin and subcutaneous tissue or mucous membrane, repair of wound - not on face or neck, small, deep tissue (Anaes.) Repair of Wound
30032 Skin and subcutaneous tissue or mucous membrane, repair of wound - on face or neck, small, superficial (Anaes.) Repair of Wound
30035 Skin and subcutaneous tissue or mucous membrane, repair of wound - on face or neck, small, deep tissue (Anaes.) Repair of Wound
30038 Skin and subcutaneous tissue or mucous membrane, repair of wound - not on face or neck, large, superficial Repair of Wound
30045 Skin and subcutaneous tissue or mucous membrane, repair of wound on face or neck, large, superficial Repair of Wound
30061 Superficial foreign body, removal of, (including from cornea or sclera) as an independent procedure (Anaes.) Foreign Bdy Rem
30062 Etonogestrel subcutaneous implant, removal of, as an independent procedure Remove implant
30064 Subcutaneous foreign body, removal of, requiring incision and exploration, including closure of wound if performed, as an independent procedure Remove FB
30071 Diagnostic biopsy of skin as an independent procedure Biopsy Skin
30186 Palmar or plantar warts (less than 10), definitive removal of, excluding ablative methods alone, not being a serviceto which item 30185 or 30187 applies  Remove warts
30219 Haematoma, furuncle, small abscess or similar lesion not requiring admission to a hospital - incision with drainage of (excluding aftercare) Abcess Incision
47915 Ingrowing nail of toe, wedge resection Ingrown toe nail
47916 Ingrowing nail of toe, partial Ingrown toe nail
73805 Simple pathology test Path test
73805 Basic Urine Test Urine Test
73806 Pregnancy Test Pregnancy Test
73828 Semen examination for presence of spermatozoa by a participating nurse practitioner Semen Exam
73829 Leucocyte count, erythrocyte sedimentation rate, examination of blood film (including differential leucocyte count), haemoglobin, haematocrit or erythrocyte count by a participating nurse practitioner - 1 test Blood test
73830 2 tests described in item 73829 by a participating nurse practitioner Blood test 2
73831 3 or more tests described in item 73829 by a participating nurse practitioner Blood test 3
73832 Microscopy of urine, whether stained or not, or catalase test by a participating nurse practitioner Urine Micro
73833 Pregnancy test by 1 or more immunochemical methods by a participating nurse practitioner Pregnancy test
73834 Microscopy for wet film other than urine, including any relevant stain by a participating nurse practitioner Non-urine Micro
73835 Microscopy of Gram-stained film, including (if performed) a service described in item 73832 or 73834 by a participating nurse practitioner Film Micro
73836 Chemical tests for occult blood in faeces by reagent stick, strip, tablet or similar method by a participating nurse practitioner Chemical tests
73837 Microscopy for fungi in skin, hair or nails by a participating nurse practitioner - 1 or more sites Fungi Micro
82200 Professional attendance by a participating nurse practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management Short Attend
82205 Professional attendance for a patient presenting with clinical signs and symptoms with an easily identifiable underlying cause following a short consultation lasting less than 20 minutes duration <20 min Attend
82210 Professional attendance by a participating nurse practitioner lasting at least 20 minutes <20 min Attend
82215 Professional attendance by a participating nurse practitioner lasting at least 40 minutes >40 min Attend

 

Helpful hints for your HICAPS terminal

Explore some of our top tips for using your HICAPS terminal:

  • Your HICAPS terminal can process up to 24 item numbers in one transaction. The actual number of items per transaction will vary from health fund to health fund.
  • Once the patient's health fund card is swiped through the terminal, the screen will display the maximum number of items available for the health fund. Or you can check this by viewing our Maximum Item Number Guide(PDF,66KB).
  • If the card does not have the patient IDs, start with 01.
  • Print your HICAPS Totals daily. Your terminal will prompt you to complete the process before the first claim of the day can be processed.
  • Terminal rolls can be ordered via your terminal – see HICAPS Terminal User Guide (PDF, 1,997KB) and for all other stationery requests contact the Help Desk Monday – Saturday (AEDT) on 1300 650 852.
  • Descriptions relating to the transaction response codes are available in the HICAPS Terminal User Guide above.