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Skin Surgery Item Numbers - effective 1st November 2016

Flap repair * Note Lesion size below (not Defect size)


Skin, muscle, or myocutaneous Tumour, cyst, ulcer, scar Lesion size item no.
Mucous membrane <10mm 31206
>10 to 20mm 31211
(a) Additional Excision of one >20mm 31216
flap with 45201 4 to 10 lesions - skin each <10mm 31220
or more of
1 defect (b) With scarring,
muscle, bone or
atrophy, etc (ref 4 to 10 lesions - mucous membrane each <10mm 31221
cartilage >10 lesions - skin or mucous membrane
MBS details) each <10mm 31255

* Note Defect size below (not Lesion size) Large lesions Lesion size
Giant Hairy or Compound Naevus
Benign skin lesions Defect size item no. 45201 45202 31340 >1% body area 31250
Nose, eyelid, eyebrow, lip, ear, digit or Lipoma
genitalia, etc <6mm 31357 50mm + 31345
6mm + 31360 ü ü
Skin surgery other
Face, neck, scalp, nipple-areola, knee and
distal, wrist and distal <14mm 31362 item no.
14mm + 31364 ü ü Skin Flap Surgery NOT associated with items 31356 to 31376
45200 if indicated to repair one defect, simple and small
Body other than above <15mm 31366 45203 if indicated to repair one defect, complicated or large
15 to 30mm 31368 45206 if indicated to repair one defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals
>30mm 31370 ü ü 45207 H-flap or double advancement flap if indicated to repair one defect, on eyelid, eyebrow or forehead
BCC, SCC (incl KA), cutaneous
lymphoma or metastasis Defect size Skin Graft and Wedge exicsion
Nose, eyelid, eyebrow, lip, ear, digit or
genitalia, etc <6mm 31356 ü FREE GRAFTING (split skin)
6mm + 31358 ü ü ü 45400 of a granulating area, small
1/3 area + 31359 ü ü ü 45403 of a granulating area, extensive
45439 to 1 defect, small
Face, neck, scalp, nipple-areola, knee and <14mm 31361 ü 45442 to 1 defect, extensive
distal, wrist and distal to 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals
14mm + 31363 ü ü ü 45448

Body other than above <15mm 31365 ü FREE GRAFTING (full thickness)
15 to 30mm 31367 ü 45451 to 1 defect
>30mm 31369 ü ü ü
WEDGE EXCISION (full thickness)

Melanoma etc. Defect size 45665 Lip, Eyelid or Ear


Nose, eyelid, eyebrow, lip, ear, digit or
genitalia, etc
6mm + 31371 ü ü ü Minor procedures
item no.
Face, neck, scalp, nipple-areola, knee and <14mm 31372 ü 30071 Biopsy skin
distal, wrist and distal
14mm + 31373 ü ü ü 30072 Biopsy mucous membrane
30074 Biopsy muscle/lymph gland or other deep tissue
Body other than above <15mm 31374 ü
15 to 30mm 31375 ü 30192 Solar keratoses > 10 - N2
>30mm 31376 ü ü ü 30195 Neoplasm D&C/Shave

30196 Skin Cancer - serial curettage


Note: 30197 Skin Cancer - serial curettage >10
* In the spreadsheet on your computer, hover the mouse pointer over the blue shaded boxes for item number description 30202 Skin Cancer - Cryotherapy
* This is is an indicative tool only 30203 Skin Cancer - Cryotherapy >10
* Not all items may be applicable to your practice
* Please refer to the MBS schedule for full detail 30207 Hydrocortisone Injection - to multiple skin lesions
* While all care has been taken, no responsibility will be taken for any errors contained within this document 18236 Trigeminal nerve, peripheral branch nerve block
Skin Surgery Item Numbers - Page 1
effective 1st November 2016

Flap repair
Skin, muscle, or myocutaneous

(a) Additional
flap with 45201 Excision of one
(b) With or more of
1 defect scarring, muscle, bone or
atrophy, etc. (ref cartilage
MBS details)

* Note Defect size below (not Lesion size)


Benign skin lesions Defect size item no. 45201 45202 31340
Nose, eyelid, eyebrow, lip, ear, digit or
genitalia, etc <6mm 31357
6mm + 31360 ü ü

Face, neck, scalp, nipple-areola, knee and


distal, wrist and distal <14mm 31362
14mm + 31364 ü ü

Body other than above <15mm 31366


15 to 30mm 31368
>30mm 31370 ü ü
BCC, SCC (incl KA), cutaneous
lymphoma or metastasis Defect size
Nose, eyelid, eyebrow, lip, ear, digit or
genitalia, etc <6mm 31356 ü
6mm + 31358 ü ü ü
1/3 area + 31359 ü ü ü

Face, neck, scalp, nipple-areola, knee and <14mm 31361 ü


distal, wrist and distal
14mm + 31363 ü ü ü

Body other than above <15mm 31365 ü


15 to 30mm 31367 ü
>30mm 31369 ü ü ü

Melanoma etc. Defect size


Nose, eyelid, eyebrow, lip, ear, digit or
genitalia, etc
6mm + 31371 ü ü ü

Face, neck, scalp, nipple-areola, knee and <14mm 31372 ü


distal, wrist and distal
14mm + 31373 ü ü ü

Body other than above <15mm 31374 ü


15 to 30mm 31375 ü
>30mm 31376 ü ü ü

Note:
* In the spreadsheet on your computer, hover the mouse pointer over the blue shaded boxes for item number description
* This is is an indicative tool only
* Not all items may be applicable to your practice
* Please refer to the MBS schedule for full detail
* While all care has been taken, no responsibility will be taken for any errors contained within this document
Skin Surgery Item Numbers - Page 2
effective 1st November 2016
* Note Lesion size below (not Defect size)
Tumour, cyst, ulcer, scar Lesion size item no.
Mucous membrane <10mm 31206
>10 to 20mm 31211
>20mm 31216
4 to 10 lesions - skin each <10mm 31220
4 to 10 lesions - mucous membrane each <10mm 31221
>10 lesions - skin or mucous membrane each <10mm 31255

Large lesions Lesion size


Giant Hairy or Compound Naevus
>1% body area 31250
Lipoma
50mm + 31345

Skin surgery other


item no.
Skin Flap Surgery NOT associated with items 31356 to 31376
45200 if indicated to repair one defect, simple and small
45203 if indicated to repair one defect, complicated or large
45206 if indicated to repair one defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals
45207 H-flap or double advancement flap if indicated to repair one defect, on eyelid, eyebrow or forehead

Skin Graft and Wedge exicsion


FREE GRAFTING (split skin)
45400 of a granulating area, small
45403 of a granulating area, extensive
45439 to 1 defect, small
45442 to 1 defect, extensive
45448 to 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals

FREE GRAFTING (full thickness)


45451 to 1 defect

WEDGE EXCISION (full thickness)

45665 Lip, Eyelid or Ear

Minor procedures
item no.
30071 Biopsy skin
30072 Biopsy mucous membrane
30074 Biopsy muscle/lymph gland or other deep tissue

30192 Solar keratoses > 10 - N2


30195 Neoplasm D&C/Shave

30196 Skin Cancer - serial curettage


30197 Skin Cancer - serial curettage >10
30202 Skin Cancer - Cryotherapy
30203 Skin Cancer - Cryotherapy >10

30207 Hydrocortisone Injection - to multiple skin lesions


18236 Trigeminal nerve, peripheral branch nerve block