PRS Resource Material M - Department of Health · RESOURCE MATERIAL M Alignment meeting papers: ... PRS - National Centre ... (Project Manager) Mr George Rennie (Statistician) Apologies

National Centre for Classification inHealth

prepared forMedicare Schedule Review BoardDecember 2000

PRO FESSI O N A L RELATIVITIES STUDY

R E S O U R C E M A T E R I A L M

Alignment meeting papers: sample andintroductory letter

Background documentation, introductory letter andinstructions provided to the Consensus Group members in

preparation for the Between Group AlignmentProcess meetings.

16th September 1999

«Title» «M_1st_Name» «Surname»«Organisation»«Postal_Address»«Suburb» «State» «Post_Code»

Fax: «Fax_work»

Dear «Title» «Surname»

PROFESSIONAL RELATIVITIES STUDYConsensus Group Alignment Process

I am writing to you in your capacity as Consensus Group (CG) Co-ordinator/Advisory Panel onProfessional Relativities in Medical Services (APPRMS) member for «Specialty» about theurgent need to have ranking and rating data confirmed by all consensus groups so that thealignment stage of the Professional Relativities Study (PRS) can commence.

Ranking and Rating dataYou will recall that the NCCH sent a letter to all consensus group members dated 6.7.99requesting that ranking and rating data are confirmed with the NCCH by 31.8.99. In order toprogress the study, it is critical that your group send the ranking and rating data (includingconsultation items) to the NCCH as soon as possible (at the latest by 30.9.99). The data will needto be consistently ranked according to the study methods.

Some groups have forwarded their data and, if this is your group, please ignore this request.

Alignment ProcessThe alignment stage of the project is critical to the PRS. During this process, link items will beused to align the 23 specialty group rankings, time estimates and intensity ratings. The ultimategoal will be to have all groups consistently aligned on one relativity scale, whilst endeavouring toretain the within group rankings developed by Consensus Groups.

The NCCH is now planning meetings for the alignment process. The Board has agreed that thisprocess will involve the following:

? Representation from each CG (1 representative) , from the APPRMS (where different fromthe CG) and representation from the Consensus Group on Attendance Items (CGAI).

? Nomination of one person from each CG specialty group, ideally this would be the Co-ordinator. If this is not possible, a ‘shared’ arrangement could be put forward. Please bear inmind the obvious learning curve each nominee will experience.

? Representative(s) may need to be available for between 4-6 meetings between October andearly December 1999 in Sydney, Melbourne or Brisbane. This is to ensure that you arepresent whenever your groups’ rankings and ratings are discussed. The final meeting willinclude representation from all specialty groups. The NCCH is endeavouring to reduce thenumber of meetings by using other methods of communication (e.g. via correspondence)where feasible.

? Meetings will be scheduled for Thursdays and Fridays in morning and afternoon sessionswith Saturday meetings scheduled for the end stages of the process. We expect the meetingsto last no longer than 2-3 hours.

? At least one month’s notice will be given for each meeting scheduled.? All CG ranking and rating data received must be consistent for procedure and consultation

items.? If the data is not received, the CGs may forfeit their involvement in the early stages of the

alignment process and will therefore be aligned at the end stage of the process.

Again it must be stressed how critical it is that the data is confirmed with the NCCH byThursday 30 September 1999.

A few groups are not scheduled to meet until the end of September. This has been taken intoconsideration when planing meetings so that these groups are not disadvantaged during thealignment process.

Could you please let us know your nominee representative(s), available days and time of day infirst and second preferences on the attached proposed schedule by either faxing (02 9351 9722) orphoning (02 9351 9720) the details to the NCCH. We will take into consideration yourpreferences when finalising the dates for the meetings schedule.

This letter has not been sent to all members of your consensus group, however, please feel free todistribute copies of this letter to your colleagues.

Yours sincerely

Rosemary RobertsDirector

Prs\Cgs\Cgpi\Corro\Cglet09099

Professional Relativities Study

CG Alignment Meeting 1

Endocrinology/GeneralMedicine/Geriatrics/ Infectious Diseases/Nuclear Medicine/

Immunology/Occupational Medicine/Rheumatology/Rehabilitation Medicine

AND

Paediatric Medicine/ Thoracic Medicine

9th October 1999

National Centre For Classification In Health

PRS Alignment Group Meeting

PRS - National Centre for Classification in Health

Venue and Attendees

TIME: 9.00am to 1.00pm

DATE: Saturday 9th October 1999

VENUE: Kurnell RoomSheraton Sydney Airport HotelCnr O'Riordan and Robey StreetsSydney Airport MASCOTPh: 02 9317 2200 Fax: 02 9317 3855

FACILITATOR(S): A/ Professor Rosemary RobertsMs Lauren JonesMr George Rennie

ATTENDEES:

General Medicine GroupDr Julien de Jager (Australian Rheumatology Association)Dr Les Bolitho (Royal Australasian College of Physicians)

Paediatric/Thoracic MedicineDr Michael Rice (Australian College of Paediatrics/Australian

Assoc. of Consultant Physicians)

Advisory Panel on Professional Relativities in Medical Services RepresentativeDr Bruce Kinloch (Australasian Faculty of Rehabilitation Medicine)Dr Peter Lowthian (Australian Rheumatology Association)

Medicare Schedule Review BoardDr Geoffrey Metz (via teleconference)

National Centre for Classification in HealthA/Prof Rosemary Roberts (Director)Ms Lauren Jones (Project Manager)Mr George Rennie (Statistician)

ApologiesDr Jonathon Burdon (Thoracic Society of Australia and New Zealand)

ATTACHMENTS

1. Glossary of Terms and PRS Definitions

2. Individual Group work sheets

3. Link Item Rankings and Times Estimates

4. Theatre Times

Attachment 1

Glossary of Terms and PRS Definitions

PRS – Alignment Group Meeting

National Centre for Classification in Health 1

Attachment 1 GLOSSARY OF TERMS AND PRS DEFINITIONS

ANAESTHETIC TIME Anaesthetic time begins when the anaesthetist begins to preparethe patient for anaesthesia care in the operating room or in anequivalent area and ends when the anaesthetist is no longer inpersonal attendance, that is, when the patient may be safelyplaced under the supervision of other personnel.

COGNITIVE SKILLCLINICAL JUDGEMENTCOMMUNICATION SKILLS

First component of intensity (PRS)Rated for “intra service” time (with an average taken for preand post service times). Where intra service time is zero, theintensity rate applies to the pre or post component of timewhich contains the bulk of the professional work.

CORE ITEM MBS items to be selected for development of RVU estimates.PRS core item criteria:? Good map to CPT? Good spread among rankings? Item frequency

CURRENT PROCEDURALTERMINOLOGY – CPT

System for coding physician services developed by theAmerican Medical Association to file claims with Medicare andother third-party payers; level 3 of the HCFA CommonProcedure Coding System (HCPCS)1

The CPT is a listing of descriptive terms and identifying codesfor reporting medical services and procedures performed byphysicians2

DIRECT TIME Face-to-face time with patient.

EXTRAPOLATION Projection from known results to unknown cases where theunknown cases lie outside the range of the known cases

FLOOR TIME ***(WARD TIME)

Time dedicated to a patient service within a hospital, nursinghome or other institution, covering time that the medicalpractitioner is present in the patient’s ward, interview/treatmentroom, or at the bedside with the patient.



INDIRECT TIME Non face-to-face patient related time

INTERPOLATION Projection of known results to unknown cases where theunknown cases lie within the range of the known cases

INTENSITY The three components of intensity for the purpose of the PRSare:? cognitive skill, clinical judgement and communication skills? technical skill and physical effort? stress due to risk - risk to patient and/or difficulty of

procedure

Rated for “intra service” time (with an average taken forpre and post service times). Where intra service time is zero,the intensity rate applies to the pre or post component of timewhich contains the bulk of the professional work.

INTRA SERVICE TIME For procedures: time in which the service provider is in directcontact with the patient in the procedure room.? For most procedures this would be ‘skin to skin’ time ie.Opening to closing. Includes where positioning of the patientis an intrinsic part of the procedure eg lithotripsy, stereotacticprocedures.

For consultations: Face-to-face time with the patient(excluding pre-service time)

Hospital visits: time in the ward dedicated to the patient (ie thefloor time) which includes the time that the medical practitioneris present in the patient’s ward and at the bedside with thepatient.

LINKING SPECIALTIES Two approaches for data linking are possible:? same MBS items carried out by different specialties? linking different item numbers which are of equal professional work

PRS link item: same item reviewed by more than onespecialty.



MAPPING The term ‘mapping’ refers to the process of finding an‘equivalent’ code between two classifications enablinginterpretation of one classification to the other3

PRE-SERVICE TIME Time taken to prepare for a specific service.

For procedures: includes dress, scrub and wait.

For consultations: time spent in preparation of specific serviceprior to face to face consultation. Hospital visits: time spent inpreparation of specific service before the ‘on the floor’ time.

POST SERVICE TIME For procedures: Closure or end of service to completion of normal“after care”. Includes Recovery, ICU, CCU andfollow-up visits included in the item.

For consultations: Time spent on specific service aftercessation of face-to-face contact. Hospital visits: time spent onspecific service after cessation of ‘on the floor’ time.

All times must involve the doctor in direct or indirectactivity with respect to the specific patient and item

RANKING Placing items in order eg 1-N

RATING Giving a score on a predetermined scale e.g. 0-10 or1-100

REGRESSION ANALYSIS Determination of the relationship between a dependent variableand a number of other variables (independent variables) bystatistical means

RELATIVE VALUE SCALE(U.S. DEFINITION)

An index of physicians’ services ranked according to “value”,with value defined according to the basis for the scale. In acharge-based relative value scale, services are ranked accordingto the average fee for the service or some other charge basis. Aresource-based relative value scale ranks services according tothe relative costs of the resources required to provide them. 2

RELATIVE VALUE UNIT The unit of measure for the professional work component in theRelative Value Study.



REMAINING ITEM Non-core item

RESOURCE BASEDRELATIVE VALUE SCALE(U.S. DEFINITION)

A relative value scale based on the resource costs of providingphysician services; adopted in OBRA 89 as the basis forphysician payment for Medicare Part B services effectiveJanuary 1, 1992. The relative value of each service is the sumof relative value units (RVUs) representing physician work,practice expense, and professional liability insurance (PLI)adjusted for each locality by a geographic adjustment factor andconverted into dollar payment amounts by a conversion factor2

TECHNICAL SKILLPHYSICAL EFFORT

Second component of intensity (PRS)Rated for “intra service” time (with an average taken forpre and post service times). Where intra service time is zero,The intensity rate applies to the pre or post component of timeWhich contains the bulk of the professional work.

TIME Total service time incorporates both patient related (face-to-face) and (non face-to-face) direct and indirect time.

TOTAL WORK Time + Intensity

STRESS DUE TO RISK Third component of intensity (PRS)Includes stress due to risk to patient and/or difficulty ofprocedure.Rated for “intra service” time (with an average taken forpre and post service times). Where intra service time is zero,the intensity rate applies to the pre or post component of timewhich contains the bulk of the professional work.

1 American Medical Association - Medicare RBRVS: The Physicians Guide - 19972 American Medical Association - Physicians Current Procedural Terminology - 19973 National Coding Centre - Coding Matters Vol. 2, No.4 April 1996

PRS\CGs\consult package\PRS defintions..

Attachment 2

Individual Group work sheets

Paediatric Medicine / Thoracic Medicine CONFIRMED DATA 12.8.99 - Sorted by Rank

MBS Item Truncated MBS Descriptor HIC FreqMBS

Anaest Time

Schedule Fee

Rank [1-N]

Time Estimates (Mins) Ratings of Intensity (0-10) CG Meeting Rank Formula 1

1996/97 Mins $Based on rank

formulaPre Service Intra Service Post Service

Cogn skill/ Clin. judg/ Comm

skills

Techn skill/ Phys Effort

Stress due to risk

Comments

(20+total intensity) *

(pre+2intra+post)

13309 Blood transfusion with venesection and complete replacement of blood, using blood already collected

61 209.1 1 30 150 15 5 8 8 14145

91081 Home visit exceeding 75 minutes duration with a new patient seen on a referred basis.

2 8 75 25 10 7 10 8601

90781 Consultation in rooms exceeding 75 minutes duration with a new patient seen on a referred basis.

3 5 75 20 10 7 10 8225

90881 Consultation at a nursing home exceeding 75 minutes duration with a new patient seen on a referred basis.

4.5 7 75 10 10 8 10 8016

90981 Consultation at other institution exceeding 75 minutes duration with a new patient seen on a referred basis.

4.5 7 75 10 10 8 10 8016

91281 Consultation in a hospital of approximately 75 minutes duration with a new patient seen on a referred basis.

6 6 75 10 10 8 10 7968

91082 Home visit exceeding 75 minutes duration with an existing patient seen on a referred basis.

7 8 75 25 10 5 8 7869

90782 Consultation in rooms exceeding 75 minutes duration with an existing patient seen on a referred basis.

8 5 75 20 10 5 8 7525

41901 Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (Assist.)

49 150 443.65 9 10 60 30 8 9 9 CG: Need an item for bronchoscopy with brachytherapy. NCCH: Report to MSRB.

7360

90882 Consultation at a nursing home exceeding 75 minutes duration with an existing patient seen on a referred basis.

10.5 2 75 3 10 6 9 6975

90982 Consultation at other institution exceeding 75 minutes duration with an existing patient seen on a referred basis.

10.5 2 75 3 10 6 9 6975

91282 Consultation in a hospital of approximately 75 minutes duration with an existing patient seen on a referred basis.

12 1 75 3 10 6 9 6930

91071 Home visit of approximately 60 minutes duration with a new patient seen on a referred basis.

13 8 60 20 10 7 9 6808

90871 Consultation at a nursing home of approximately 60 minutes duration with a new patient seen on a referred basis.

14.5 6 60 9 10 8 10 6480

90971 Consultation at other institution of approximately 60 minutes duration with a new patient seen on a referred basis.

14.5 6 60 9 10 8 10 6480

90771 Consultation in rooms of approximately 60 minutes duration with a new patient seen on a referred basis.

16 5 60 15 10 7 9 6440


17 5 60 9 10 8 10 6432

91072 Home visit of approximately 60 minutes duration with an existing patient seen on a referred basis.

18 8 60 20 10 5 7 6216

90772 Consultation in rooms of approximately 60 minutes duration with an existing patient seen on a referred basis.

19 5 60 15 10 5 7 5880

90872 Consultation at a nursing home of approximately 60 minutes duration with an existing patient seen on a referred basis.

20.5 2 60 3 10 6 8 5500

90972 Consultation at other institution of approximately 60 minutes duration with an existing patient seen on a referred basis.

20.5 2 60 3 10 6 8 5500


22 1 60 3 10 6 8 5456

NCCH - Professional Relativities Study 9/02/2001 1 of 5



Anaest Time

Schedule Fee

Rank [1-N]





skills


Stress due to risk

Comments


(pre+2intra+post)

13309 Blood transfusion with venesection and complete replacement of blood, 61 209.1 1 30 150 15 5 8 8 1414538412 Percutaneous needle biopsy of lung 886 30 153.55 23.5 10 45 15 9 9 9 GC: Delete item. NCCH: CG please review; Although this is a diagnostic imaging item (specialty not covered by PRS) HIC data shows that 21 of 886 claims were by Thor Med.

5405

41898 Fibreoptic bronchoscopy with 1 or more transbronchial lung biopsies, with or without bronchial or broncho-alveolar lavage, with or without the use of

869 45 188.70 23.5 10 45 15 9 9 9 5405


25 5 45 20 10 7 8 5175


26 8 45 20 10 5 7 4956

41895 Bronchus, removal of foreign body in (Assist.) 62 45 270 27 10 40 15 8 9 9 CG: Add to list 4830


28 2 45 15 10 7 8 4815


29.5 5 45 5 10 8 9 4700


29.5 5 45 5 10 8 9 4700

13879 Mechanical ventilation, initiation of, by a specialist or consultant physician, in an Intensive Care Unit, including subsequent management of ventilatory

4413 162.55 31 15 10 60 9 10 10 4655


32 4 45 5 10 8 9 4653

38410 Intercostal drain, insertion of, with pleurodesis and not involving resection of rib (excluding aftercare)

93 45 120.90 33 20 30 30 6 8 8 CG: Add to list 4620


34 5 45 15 10 5 6 4510


35.5 2 45 3 10 6 7 4085


35.5 2 45 3 10 6 7 4085


37 1 45 3 10 6 7 4042

41892 Bronchoscopy with 1 or more endobronchial biopsies or other diagnostic or therapeutic procedures

4059 30 172.60 38 10 30 15 8 8 8 3740


39 5 30 15 10 7 7 3520


40 7 30 15 10 5 7 3444

13319 Central vein catheterisation in a neonate via peripheral vein 0 60 167 41 10 30 10 6 8 8 3360

38409 Intercostal drain, insertion of, not involving resection of rib (excluding after-care)

1343 30 98.10 42 20 20 20 5 8 8 3280


43.5 4 30 5 10 8 8 3174




Anaest Time

Schedule Fee

Rank [1-N]





skills


Stress due to risk

Comments


(pre+2intra+post)

13309 Blood transfusion with venesection and complete replacement of blood, 61 209.1 1 30 150 15 5 8 8 1414590951 Consultation at other institution of approximately 30 minutes duration with a new patient seen on a referred basis.

43.5 4 30 5 10 8 8 3174


45 2 30 10 10 7 7 3168


46 3 30 5 10 8 8 3128

38403 Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample

1861 56.50 47 15 30 10 4 5 6 2975


48 4 30 10 10 5 5 2960

41889 Bronchoscopy, as an independent procedure 1237 30 130.8 49 10 25 10 7 7 7 2870

13303 Umbilical artery catheterisation with or without infusion 332 62 50 10 30 5 3 8 7 2850

13300 Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein

2827 41.8 51 10 30 5 3 7 7 CG: This descriptor needs review as procedure varies according to the vein used. NCCH: Report to MSRB.

2775


52.5 2 30 3 10 6 6 2730


52.5 2 30 3 10 6 6 2730


54 1 30 3 10 6 6 2688

91040 Home visit of approximately 20 minutes duration with a new or existing patient seen on a referred basis.

55.5 5 20 13 9 6 7 2436

91043 Home visit of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new or existing patient seen on a

55.5 5 20 13 9 6 7 2436

13882 Ventilatory support in an Intensive Care Unit, management of, by a specialist or consultant physician - not being a service to which item 13879

33460 55.3 57 0 20 20 9 3 7 2340

30090 Biopsy of pleura, percutaneous - 1 or more biopsies on any 1 occasion 245 30 94.35 58 15 15 15 5 6 7 2280

90740 Consultation in rooms of approximately 20 minutes duration with a new or existing patient seen on a referred basis.

59.5 2 20 8 9 6 5 2000

90743 Consultation in rooms of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new or existing patient

59.5 2 20 8 9 6 5 2000

90840 Consultation at a nursing home of approximately 20 minutes duration with a new or existing patient seen on a referred basis.

62.5 3 20 2 9 7 6 1890

90843 Consultation at a nursing home of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new or existing

62.5 3 20 2 9 7 6 1890

90940 Consultation at other institution of approximately 20 minutes duration with a new or existing patient seen on a referred basis.

62.5 3 20 2 9 7 6 1890

90943 Consultation at other institution of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new or existing

62.5 3 20 2 9 7 6 1890




Anaest Time

Schedule Fee

Rank [1-N]





skills


Stress due to risk

Comments


(pre+2intra+post)

13309 Blood transfusion with venesection and complete replacement of blood, 61 209.1 1 30 150 15 5 8 8 1414512203 Overnight investigation for sleep apnoea for a period of at least 8 hours duration where:(a) continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG, EOG, submental EMG, anterior tibial EMG, respirat

27484 436.05 65.5 15 0 45 8 2 1 CG 1.5.99: Post time does not include staging by technicians but does include detailed review of the study and reporting

1860

12207 Overnight investigation for sleep apnoea for a period of at least 8 hours duration, where: (a) continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG, EOG, submental EMG, anterior tibial

0 436.05 65.5 15 0 45 8 2 1 CG 1.5.99: Post time does not include staging by technicians but does include detailed review of the study and reporting

1860

91240 Consultation in a hospital of approximately 20 minutes duration with a new or existing patient seen on a referred basis.

67.5 2 20 2 9 7 6 1848

91243 Consultation in a hospital of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new or existing

67.5 2 20 2 9 7 6 1848


69 5 15 10 8 5 6 1755


70 2 15 5 8 5 4 CG 1.5.99: Relevant to existing only 1369

39000 Lumbar puncture 3734 15 55.25 71 10 10 5 5 7 6 1330


72.5 2 15 1 8 6 5 1287


72.5 2 15 1 8 6 5 1287


74 5 10 10 7 4 5 1260


75 1 15 1 8 6 5 1248

38400 Thoracic cavity, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38403 applies

288 28.25 76 15 5 10 4 5 5 1190

12003 Skin sensitivity testing for allergens, using more than 20 allergens, not being a service associated with a service to which item 12012, 12015,

1020 43.2 77 5 10 10 6 4 2 CG: Add to list 1120


78 2 10 5 7 4 3 CG 1.5.99: Relevant to existing only 918

13839 Arterial puncture and collection of blood for diagnostic purposes 8750 16.9 79.5 5 5 10 6 6 4 CG: Should be additional item for peripheral arterial cannulation. NCCH: Report to MSRB.

900

13915 Chemotherapy, administration of, either by intravenous push technique (directly into a vein, or a butterfly needle, or the side-arm of an infusion) or

62979 47.75 79.5 10 5 5 7 3 6 900


81.5 2 10 1 7 5 4 828


81.5 2 10 1 7 5 4 828

12000 Skin sensitivity testing for allergens, using 1 to 20 allergens, not being a service associated with a service to which item 12012, 12015, 12018 or

3880 28.55 83 5 5 10 6 4 2 800


84 1 10 1 7 5 4 792

13312 Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants=20

270 20.9 85 5 5 5 2 6 5 660




Anaest Time

Schedule Fee

Rank [1-N]





skills


Stress due to risk

Comments


(pre+2intra+post)

13309 Blood transfusion with venesection and complete replacement of blood, 61 209.1 1 30 150 15 5 8 8 1414537041 Bladder aspiration, by needle=20 515 34.2 86 5 5 2 4 4 4 544

11506 Measurement of respiratory function involving a permanently recorded tracing performed before and after inhalation of bronchodilator - each

296769 15.05 87 4 4 2 5 5 1 434


88.5 2 5 1 6 4 3 429


88.5 2 5 1 6 4 3 429

13706 Administration of blood or bone marrow already collected=20 40073 61.25 90 10 0 5 5 1 2 420


91 1 5 1 6 4 3 396

11503 Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control

67970 101.75 92.5 6 0 4 6 2 1 290

11512 Continuous measurement of the relationship between flow and volume during expiration or inspiration involving a permanently recorded tracing and

34601 45.4 92.5 6 0 4 6 2 1 290

11509 Measurement of respiratory function involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory

20309 26.2 94 4 0 2 2 2 1 CG: Technician item - needs practice costs study to consider. NCCH: Report to MSRB.

150


Endocrinology, General Med, Geriatric Med, Infectious Dis, Immunology, Nuclear Med, Occup Med, Rehab Med, RheumatologyCONFIRMED 4.9.99 - Sorted by Rank


Anaest Time

Schedule Fee

Rank Time Estimates (Mins.) Ratings of Intensity (0-10)Weighted Intensity

Formula Value 4.9.99

1996/97 Mins $Pre

ServiceIntra

servicePost

Service

Cogn / Clin judg/

Comm

Tech skill/ Phys Effort

Stress due to risk

=d+(1/2*e)+(3/4*f)

=(a+3b+2c) * (18+5*(g-2))

a b c d e f g h


1 10 75 15 9.0 9.2 6.1 18 26201.9 159.1


2 8 75 15 9.0 9.2 5.1 17 25017.9 152.0


3.5 4 75 11 9.0 9.2 6.0 18 24723.5 150.2


3.5 4 75 11 9.0 9.2 6.0 18 24723.5 150.2


5 3 75 15 9.0 9.0 5.0 17 24316.5 147.7

91281 Consultationin hospiutal exceeding 75 minutes duration with a new patient seen on a referred basis.

6 3 75 10 9.0 9.0 6.0 18 24304.0 147.6


7 5 75 10 9.0 9.0 5.0 17 23562.5 143.1


8.5 3 75 6 9.0 9.2 5.0 17 22740.0 138.1


8.5 3 75 6 9.0 9.2 5.0 17 22740.0 138.1

38256 Temporary transvenous pacemaking electrode, insertion of 448 60 196.15 10 15 60 30 6.0 8.0 8.0 16 22440.0 136.3


11 2 75 5 9.0 9.0 5.0 17 22337.3 135.7


12 10 60 15 9.0 9.2 6.1 18 21752.5 132.1


13 8 60 15 9.0 9.2 5.1 17 20737.3 126.0


14.5 4 60 11 9.0 9.2 6.0 18 20291.0 123.2


14.5 4 60 11 9.0 9.2 6.0 18 20291.0 123.2


16 3 60 15 9.0 9.0 5.0 17 20075.3 121.9

91271 Consultation in hospital of approximately 60 minutes duration with a new patient seen on a referred basis.

17 3 60 10 9.0 9.0 6.0 18 19894.0 120.8


18 5 60 10 9.0 9.0 5.0 17 19321.3 117.4

11918 Cystometrography in conjunction with imaging, with measurement of any 1 or more of urine flow rate

11085 15 314.50 19 15 60 25 7.0 7.0 4.0 14 18497.5 112.4


20.5 3 60 6 9.0 9.2 5.0 17 18476.3 112.2


20.5 3 60 6 9.0 9.2 5.0 17 18476.3 112.2


22 2 60 5 9.0 9.0 5.0 17 18096.0 109.9

11912 Cystometrography with simultaneous measurement of rectal pressure

3673 15 121.20 23 15 45 20 9.0 9.0 5.0 17 17907.5 108.8


24 10 45 15 9.0 9.2 6.1 18 17303.1 105.1


25 3 45 15 9.0 9.0 6.0 18 16464.0 100.0


26 8 45 15 9.0 9.2 4.1 17 15807.9 96.0


27.5 3 45 8 9.0 9.2 6.0 18 15169.0 92.1

% Ratio of formula value to

item 90761




Anaest Time

Schedule Fee



1996/97 Mins $Pre

ServiceIntra

servicePost

Service

Cogn / Clin judg/

Comm


Stress due to risk

=d+(1/2*e)+(3/4*f)

=(a+3b+2c) * (18+5*(g-2))


item 90761


27.5 3 45 8 9.0 9.2 6.0 18 15169.0 92.1


29 2 45 7 9.0 9.0 6.0 18 14798.0 89.9


30 5 45 10 9.0 9.0 4.0 17 14480.0 87.9


31.5 3 45 8 9.0 9.2 4.0 17 14014.0 85.1


31.5 3 45 8 9.0 9.2 4.0 17 14014.0 85.1


33 2 45 7 9.0 9.0 4.0 17 13665.5 83.0


34 10 30 10 9.0 9.2 6.1 18 11865.0 72.1

38406 Pericardium, paracentesis of (excluding after-care) 76 30 98.1 35 10 30 10 8.0 8.0 8.0 18 11760.0 71.4

16000 Administration of a therapeutic dose of a radioisotope 398 2300.70 36.5 20 20 20 8.0 6.0 8.0 17 11160.0 67.8

16015 Administration of Strontium 89 for painful bony metastases from carcinoma of the prostate where hormone therapy has

35 3000.00 36.5 20 20 20 8.0 6.0 8.0 17 11160.0 67.8


38 3 30 10 9.0 9.0 6.0 18 11074.0 67.3

13290 Semen, collection of, from a patient with spinal injuries or medically induced impotence

1 150.00 39 15 30 20 7.0 7.0 4.0 14 10947.5 66.5


40 7 30 10 8.5 8.7 4.1 16 10252.1 62.3

16012 Intravenous administration of a therapeutic dose of Phosphorous 32

86 216.70 41 20 20 15 8.0 6.0 8.0 17 10230.0 62.1


42 5 30 10 8.5 8.5 4.0 16 9976.3 60.6


43.5 3 30 4 9.0 9.2 6.0 18 9948.5 60.4


43.5 3 30 4 9.0 9.2 6.0 18 9948.5 60.4

30094 Percutaneous aspiration biopsy of deep organ using interventional techniques - but not including imaging

13497 30 139.10 45 15 20 15 8.0 6.0 8.0 17 9765.0 59.3

16003 Intra-cavitary administration of a therapeutic dose of Yttrium 90 (not including preliminary paracentesis)

228 30 477.70 46 10 20 15 7.0 8.0 9.0 18 9675.0 58.8


47 2 30 3 9.0 9.0 6.0 18 9604.0 58.3

13818 Right heart balloon catheter, insertion of, pulmonary wedge pressure and cardiac output measurement

5900 30 83.55 48 10 25 5 8.0 9.0 8.0 19 9547.5 58.0

16006 Administration of a therapeutic dose of Iodine 131 for thyroid cancer by single dose technique

239 367.00 49 20 20 20 7.0 4.0 6.0 14 9060.0 55.0


50.5 3 30 4 8.5 8.7 4.0 16 8812.3 53.5


50.5 3 30 4 8.5 8.7 4.0 16 8812.3 53.5


52 2 30 3 8.5 8.5 4.0 16 8501.5 51.6

38403 Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample

1861 56.5 53 10 30 7 6.0 5.0 6.0 13 8322.0 50.5


54 7 20 10 8.5 8.7 5.1 17 7949.6 48.3

13815 Central vein catheterisation (via jugular, subclavian or femoral vein) by percutaneous or open exposure

17545 30 62.6 55 10 20 5 8.0 8.0 8.0 18 7840.0 47.6




Anaest Time

Schedule Fee



1996/97 Mins $Pre

ServiceIntra

servicePost

Service

Cogn / Clin judg/

Comm


Stress due to risk

=d+(1/2*e)+(3/4*f)

=(a+3b+2c) * (18+5*(g-2))


item 90761

11712 Multi channel ECG monitoring and recording during exercise 217801 111.65 56 10 20 8 8.0 6.0 7.0 16 7675.5 46.6

12203 Overnight investigation for sleep apnoea for a period of at least 8 hours duration

27484 436.05 57 5 10 30 6.0 8.0 5.0 14 7291.3 44.3

13400 Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery

2030 15 71.10 58 10 15 10 9.0 3.0 9.0 17 7068.8 42.9

38409 Intercostal drain, insertion of, not involving resection of rib (excluding after-care)

1343 30 98.1 59 10 15 10 7.0 8.0 8.0 17 6975.0 42.4


60 5 20 5 8.5 8.5 5.0 17 6787.5 41.2

90840 Consultation at a nursing home of approximately 20 minutes duration with a new or existing patient seen on a referred

61.5 3 20 4 8.5 8.7 5.0 17 6461.0 39.2

90940 Consultation at other institution of approximately 20 minutes duration with a new or existing patient seen on a referred

61.5 3 20 4 8.5 8.7 5.0 17 6461.0 39.2

11903 Cystometrography 1223 81.55 63 5 20 10 7.0 6.0 4.0 13 6205.0 37.7

91240 Consultation in a hospital of approximately 20 minutes duration with a new or existing patient seen on a referred

64 2 20 3 8.5 8.5 5.0 17 6154.0 37.4

18292 Nerve branch, destruction by a neurolytic agent 2287 91.70 65 5 20 5 6.0 7.0 7.0 15 6131.3 37.2

18232 Intrathecal or epidural injection of substance other than anaesthetic, contrast or neurolytic solutions

1819 139.45 66 10 15 10 5.0 7.0 7.0 14 5756.3 35.0

13939 Implanted pump or reservoir, loading of, with a therapeutic agent or agents,

1490 71.90 67 5 15 10 6.0 8.0 6.0 15 5635.0 34.2

39000 Lumbar puncture 3734 15 55.25 68 10 15 10 6.0 7.0 5.0 13 5568.8 33.8

50115 Joint or joints, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility

2204 30 103.75 69 15 10 10 6.0 7.0 7.0 15 5313.8 32.3

12503 Erythrocyte radioactive uptake survival time test or iron kinetic test

24 311.95 70 15 10 15 7.0 7.0 2.0 12 5100.0 31.0

30478 Oesophagoscopy, gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with 1 or more

2220 30 180.35 71 5 20 5 5.0 6.0 5.0 12 5006.3 30.4

14206 Hormone or living tissue implantation - by cannula 16703 26.15 72 5 20 5 5.0 5.0 4.0 11 4537.5 27.6

16009 Administration of a therapeutic dose of Iodine 131 for thyrotoxicosis by single dose technique

2418 250.50 73 20 10 5 6.0 4.0 7.0 13 4455.0 27.1

12306 Bone densitometry using dual energy X-ray absorptiometry - diagnosis of low bone mineral density

23484 77.30 77 5 30 5 4.0 4.0 1.0 7 4383.8 26.6

12309 Bone densitometry using quantitative computerised tomography, for diagnosis of low bone mineral density

1612 77.30 77 5 30 5 4.0 4.0 1.0 7 4383.8 26.6

12312 Bone densitometry using dual energy X-ray absorptiometry, for the diagnosis and monitoring of bone loss

17985 77.30 77 5 30 5 4.0 4.0 1.0 7 4383.8 26.6

12315 Bone densitometry using dual energy X-ray absorptiometry, for the diagnosis and monitoring of bone loss associated with

5418 77.30 77 5 30 5 4.0 4.0 1.0 7 4383.8 26.6

12318 Bone densitometry using quantitative computerised tomography, for the diagnosis and monitoring of bone loss

1707 77.30 77 5 30 5 4.0 4.0 1.0 7 4383.8 26.6

12321 Bone densitometry using dual energy X-ray absorptiometry, for the measurement of bone density 12 months following a

3446 77.30 77 5 30 5 4.0 4.0 1.0 7 4383.8 26.6

12324 Bone densitometry using dual energy X-ray absorptiometry or quantitative computerised tomography for the monitoring of

921 5.73 77 5 30 5 4.0 4.0 1.0 7 4383.8 26.6

30473 Oesophagoscopy, gastroscopy, duodenoscopy or panendoscopy (1 or more such procedures), with or without

195862 15 130.05 81 5 15 5 5.0 6.0 6.5 13 4342.5 26.4

30409 Liver biopsy, percutaneous 1662 30 128.15 82 10 10 5 6.0 6.0 8.0 15 4150.0 25.2

18256 Suprascapular nerve, injection of an anaesthetic agent 355 45.85 83 10 10 5 6.0 7.0 7.0 15 4087.5 24.8




Anaest Time

Schedule Fee



1996/97 Mins $Pre

ServiceIntra

servicePost

Service

Cogn / Clin judg/

Comm


Stress due to risk

=d+(1/2*e)+(3/4*f)

=(a+3b+2c) * (18+5*(g-2))


item 90761


84 3 15 3 7.0 7.0 4.0 14 4077.0 24.8

13918 Chemotherapy, administration of, by intravenous infusion of more than 1-6 hours

25256 71.9 85 10 15 5 5.0 3.0 5.0 10 3851.3 23.4

11312 Audiogram. air and bone conduction or air conduction and speech discrimination

28.15 86 5 15 8 5.0 5.0 2.0 9 3498.0 21.2

38400 Thoracic cavity, aspiration of, for diagnostic purposes 288 28.25 87 10 10 5 5.0 4.0 6.0 12 3275.0 19.9

12000 Skin sensitivity testing for allergens, using 1 to 20 allergens 37541 28.55 89 2 15 5 7.5 2.0 0.5 9 2985.4 18.1

12003 Skin sensitivity testing for allergens, using more than 20 allergens

66755 43.20 89 2 15 5 7.5 2.0 0.5 9 2985.4 18.1

12530 Whole body count - not being a service associated with a service to which another item applies

39 93.00 90 10 5 10 7.0 5.0 2.0 11 2835.0 17.2

30406 Paracentesis abdominis 1507 30 38.3 91 10 10 5 5.0 4.0 3.0 9 2712.5 16.5

30207 Skin lesions, multiple injections with hydrocortisone or similar preparations

26614 30 32.75 93 5 10 5 4.0 6.0 4.0 10 2610.0 15.9

50124 Joint or other synovial cavity, aspiration of, injection into 364022 15 21.75 93 5 10 5 4.0 6.0 4.0 10 2610.0 15.9

50125 Joint or other synovial cavity, aspiration of, or injection into, where it can be demonstrated that a 26th or subsequent

0 15 21.75 93 5 10 5 4.0 6.0 4.0 10 2610.0 15.9

32072 Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy

80917 35.15 95 5 10 2 5.0 5.0 5.0 11 2505.8 15.2

12015 Epicutaneous patch testing for allergic dermatitis - standard patch test battery

1449 45.80 96 5 5 15 7.5 0.5 0.5 8 2431.3 14.8

11309 Audiogram. air conduction 19.90 97 3 10 5 5.0 5.0 2.0 9 2279.0 13.8

11708 Continuous ECG recording of ambulatory patient for 12 or more hours

4088 93.85 98.5 2 8 5 6.0 4.0 2.0 10 1998.0 12.1

11709 Continuous ECG recording (Holter) of ambulatory patient for 12 or more hours

61710 122.95 98.5 2 8 5 6.0 4.0 2.0 10 1998.0 12.1

11900 Urine flow study including peak urine flow measurement, not being a service.. 11918 applies

23486 20.25 100 10 5 10 5.0 3.0 1.0 7 1991.3 12.1

12524 Renal function test (without imaging procedure) 395 116.25 101.5 5 5 5 6.0 6.0 3.0 11 1927.5 11.7

12527 Renal function test (with imaging and at least 2 blood samples)

835 62.35 101.5 5 5 5 6.0 6.0 3.0 11 1927.5 11.7

12500 Blood volume estimation 365 159.00 103.5 5 5 10 4.0 5.0 2.0 8 1920.0 11.7

12509 Gastrointestinal protein loss 8 159.00 103.5 5 5 10 4.0 5.0 2.0 8 1920.0 11.7

11700 Twelve-lead electrocardiography, tracing and report 1222245 22.90 105 5 8 4 6.0 3.0 1.0 8 1822.3 11.1

12515 Radioactive B12 absorption test - 2 isotopes 1161 168.85 106 5 2 10 6.0 5.0 2.0 10 1798.0 10.9

12512 Radioactive B12 absorption test - 1 isotope 522 77.05 107 5 2 10 5.0 4.0 2.0 9 1565.5 9.5

12521 Perchlorate discharge study 3 93.00 108 3 5 5 6.0 4.0 2.0 10 1554.0 9.4

11509 Measurement of respiratory function involving a permanently recorded tracing and written report

20309 26.20 109 3 9 5 3.0 3.0 1.0 5 1370.0 8.3

12533 Carbon-labelled urea breath test using oral C-13 or C-14 urea, including the measurement of exhaled 13CO2 or

44841 62.10 110 4 4 5 5.0 4.0 2.0 9 1313.0 8.0




Anaest Time

Schedule Fee



1996/97 Mins $Pre

ServiceIntra

servicePost

Service

Cogn / Clin judg/

Comm


Stress due to risk

=d+(1/2*e)+(3/4*f)

=(a+3b+2c) * (18+5*(g-2))


item 90761

11506 Measurement of respiratory function involving a permanently recorded tracing

296769 15.05 111 3 9 3 3.0 3.0 1.0 5 1233.0 7.5

11710 Ambulatory ECG monitoring, patient activated ..recording for at least 20 seconds

2169 38 112.5 2 5 3 5.0 5.0 2.0 9 1219.0 7.4

11711 Ambulatory ECG monitoring for 12 hours or more, patient activated.. recording for at least 30 seconds

216 20.8 112.5 2 5 3 5.0 5.0 2.0 9 1219.0 7.4

12518 Thyroid uptake (using probe) 7 77.05 114 5 2 5 5.0 3.0 2.0 8 1008.0 6.1

13839 Arterial puncture and collection of blood for diagnostic purposes

8750 16.9 115 2 3 2 3.0 4.0 3.0 7 663.8 4.0

11702 Twelve-lead electrocardiography, tracing only 37630 11.45 116 5 8 0 0.5 3.0 0.5 2 576.4 3.5

11701 Twelve-lead electrocardiography, report only 22334 11.45 117 0 0 4 6.0 0.0 1.0 7 334.0 2.0


Attachment 3

Link Item Rankings and Times Estimates

Link Items for Consensus Groups 16 & 17

CG Rank (1-94)

Link Item Rank (1-56)

Time Estimates (Mins.) CG Rank (1-117)


Time Estimates (Mins.) (C)onsult or (P)roc Item

Pre Service Intra service Post Service Pre Service Intra service Post Service

SPECIALTY 16 (Paed/Thoracic Med) SPECIALTY 17 (Gen Medicine....)

91081 Home visit exceeding 75 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or work content

2 1 8 75 25 1 1 10 75 15 C

90781 Consultation in rooms exceeding 75 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or work content

3 2 5 75 20 5 5 3 75 15 C

90881 Consultation in a nursing home exceeding 75 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

4.5 3.5 7 75 10 3.5 3.5 4 75 11 C

90981 Consultation in an institution exceeding 75 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

4.5 3.5 7 75 10 3.5 3.5 4 75 11 C

91281 Consultation in a hospital exceeding 75 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or work content

6 5 6 75 10 6 6 3 75 10 C

91082 Home visit exceeding 75 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or work content

7 6 8 75 25 2 2 8 75 15 C

90782 Consultation in rooms exceeding 75 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or work content

8 7 5 75 20 7 7 5 75 10 C

90882 Consultation in a nursing home exceeding 75 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

10.5 8.5 2 75 3 8.5 8.5 3 75 6 C

90982 Consultation in an institution exceeding 75 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

10.5 8.5 2 75 3 8.5 8.5 3 75 6 C

91282 Consultation in a hospital exceeding 75 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

12 10 1 75 3 11 10 2 75 5 C

91071 Home visit of approximately 60 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or work content

13 11 8 60 20 12 11 10 60 15 C

90871 Consultation in a nursing home of approximately 60 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous

14.5 12.5 6 60 9 14.5 13.5 4 60 11 C

90971 Consultation in an institution of approximately 60 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

14.5 12.5 6 60 9 14.5 13.5 4 60 11 C



CG Rank (1-94)







90771 Consultation in rooms of approximately 60 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

16 14 5 60 15 16 15 3 60 15 C

91271 Consultation in a hospital of approximately 60 minutes duration with a new patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

17 15 5 60 9 17 16 3 60 10 C

91072 Home visit of approximately 60 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or work content

18 16 8 60 20 13 12 8 60 15 C

90772 Consultation in rooms of approximately 60 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

19 17 5 60 15 18 17 5 60 10 C

90872 Consultation in a nursing home of approximately 60 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous

20.5 18.5 2 60 3 20.5 18.5 3 60 6 C

90972 Consultation in an institution of approximately 60 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

20.5 18.5 2 60 3 20.5 18.5 3 60 6 C

91272 Consultation in a hospital of approximately 60 minutes duration with an existing patient where the clinical record demonstrates that the consultation involves professional activities of clear and unambiguous complexity and/or

22 20 1 60 3 22 20 2 60 5 C

91061 Home visit of approximately 45 minutes duration with a new patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of professional consulting and other skills to the

25 21 5 45 20 24 21 10 45 15 C

91062 Home visit of approximately 45 minutes duration with an existing patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of professional consulting and other skills to

26 22 8 45 20 26 23 8 45 15 C

90761 Consultation in rooms of approximately 45 minutes duration with a new patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of professional consulting and

28 23 2 45 15 25 22 3 45 15 C

90861 Consultation in a nursing home of approximately 45 minutes duration with a new patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of

29.5 24.5 5 45 5 27.5 24.5 3 45 8 C

90961 Consultation in an institution of approximately 45 minutes duration with a new patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of professional consulting and

29.5 24.5 5 45 5 27.5 24.5 3 45 8 C

91261 Consultation in a hospital of approximately 45 minutes duration with a new patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of professional consulting and

32 26 4 45 5 29 26 2 45 7 C



CG Rank (1-94)







90762 Consultation in rooms of approximately 45 minutes duration with an existing patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of professional consulting and

34 27 5 45 15 30 27 5 45 10 C

90862 Consultation in a nursing home of approximately 45 minutes duration with an existing patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of

35.5 28.5 2 45 3 31.5 28.5 3 45 8 C

90962 Consultation in an institution of approximately 45 minutes duration with an existing patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of professional consulting and

35.5 28.5 2 45 3 31.5 28.5 3 45 8 C

91262 Consultation in a hospital of approximately 45 minutes duration with an existing patient where the clinical record demonstrates that the consultation is characterised by the application of a full range of professional consulting and

37 30 1 45 3 33 30 2 45 7 C

91051 Home visit of approximately 30 minutes duration with a new patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a comprehensive consultative, history

39 31 5 30 15 34 31 10 30 10 C

91052 Home visit of approximately 30 minutes duration with an existing patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a comprehensive

40 32 7 30 15 40 33 7 30 10 C

38409 Intercostal drain, insertion of, not involving resection of rib (excluding after-care)=20

42 33 20 20 20 59 44 10 15 10 P

90851 Consultation in a nursing home of approximately 30 minutes duration with a new patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a

43.5 34.5 4 30 5 43.5 35.5 3 30 4 C

90951 Consultation in an institution of approximately 30 minutes duration with a new patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a

43.5 34.5 4 30 5 43.5 35.5 3 30 4 C

90751 Consultation in rooms of approximately 30 minutes duration with a new patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a

45 36 2 30 10 38 32 3 30 10 C

91251 Consultation in a hospital of approximately 30 minutes duration with a new patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a

46 37 3 30 5 47 37 2 30 3 C

38403 Thoracic cavity, aspiration of, with therapeutic drainage (paracentesis), with or without diagnostic sample=20

47 38 15 30 10 53 41 10 30 7 P

90752 Consultation in rooms of approximately 30 minutes duration with an existing patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a

48 39 4 30 10 42 34 5 30 10 C



CG Rank (1-94)







90852 Consultation in a nursing home of approximately 30 minutes duration with an existing patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a

52.5 40.5 2 30 3 50.5 38.5 3 30 4 C

90952 Consultation in an institution of approximately 30 minutes duration with an existing patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a

52.5 40.5 2 30 3 50.5 38.5 3 30 4 C

91252 Consultation in a hospital of approximately 30 minutes duration with an existing patient where the clinical record demonstrates that more than two of the following professional work activities were rendered: . a

54 42 1 30 3 52 40 2 30 3 C

91040 Home visit of approximately 20 minutes duration where the clinical record demonstrates that more than two of the professional work activities of the type described in Item 91030 were rendered and that the consultation was of

55.5 43 5 20 13 54 42 7 20 10 C

90740 Consultation in rooms of approximately 20 minutes duration where the clinical record demonstrates that more than two of the professional work activities of the type described in Item 90730 were rendered and that the

59.5 44 2 20 8 60 45 5 20 5 C

90840 Consultation in a nursing home of approximately 20 minutes duration where the clinical record demonstrates that more than two of the professional work activities of the type described in Item 90830 were rendered and that

62.5 45.5 3 20 2 61.5 46.5 3 20 4 C

90940 Consultation in an institution of approximately 20 minutes duration where the clinical record demonstrates that more than two of the professional work activities of the type described in Item 90930 were rendered and that the

62.5 45.5 3 20 2 61.5 46.5 3 20 4 C

12203 Overnight investigation for sleep apnoea for a period of at least 8 hours duration where:(a) continuous monitoring of oxygen saturation and breathing using a multi-channel polygraph, and recordings of EEG, EOG, submental

65.5 47 15 0 45 57 43 5 10 30 P

91240 Consultation in a hospital of approximately 20 minutes duration where the clinical record demonstrates that more than two of the professional work activities of the type described in Item 91230 were rendered and that the

67.5 48 2 20 2 64 48 2 20 3 C

90730 Consultation in rooms of approximately 15 minutes duration where the clinical record demonstrates that more than two of the following professional work activities were rendered: . taking a problem focused history; . a

70 49 2 15 5 84 50 3 15 3 C

39000 Lumbar puncture 71 50 10 10 5 68 49 10 15 10 P

38400 Thoracic cavity, aspiration of, for diagnostic purposes, not being a service associated with a service to which item 38403 applies

76 51 15 5 10 87 51 10 10 5 P

12003 Skin sensitivity testing for allergens, using more than 20 allergens, not being a service associated with a service to which item 12012, 12015, 12018 or 12021 applies

77 52 5 10 10 89 53 2 15 5 P



CG Rank (1-94)







13839 Arterial puncture and collection of blood for diagnostic purposes

79.5 53 5 5 10 115 56 2 3 2 P

12000 Skin sensitivity testing for allergens, using 1 to 20 allergens, not being a service associated with a service to which item 12012, 12015, 12018 or 12021 applies

83 54 5 5 10 89 53 2 15 5 P

11506 Measurement of respiratory function involving a permanently recorded tracing performed before and after inhalation of bronchodilator - each occasion at which 1 or more such tests are performed

87 55 4 4 2 111 55 3 9 3 P

11509 Measurement of respiratory function involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory

94 56 4 0 2 109 54 3 9 5 P


Attachment 4

Theatre Times


THEATRE TIMES

GENERAL MEDICINE / ENDOCRINOLOGY / INFECTIOUS DISEASES / NUCLEAR MEDICINE / IMMUNOLOGY / OCCUPATIONAL MEDICINE /

RHEUMATOLOGY / REHABILITATION MEDICINE / PAEDIATRIC MEDICINE AND THORACIC MEDICINE

(16_17)

October 1999

National Centre for Classification in Health

COMPARISON OF GENERAL MED / ENDOCRINOLOGY / GERIATRICS / INFECTIOUS DISEASES / NUCLEAR MED / IMMUNOLOGY / OCCUPATIONAL MED / RHEUMATOLOGY / REHABILITATION MED / PAEDIATRIC MED AND

THORACIC MED (16_17) INTRA TIMES WITH OTHER ESTIMATES

ID Type Definition of Time * 16_17 OTEH4 Priv Knife to Skin -to- Dressing Applied 6 19.7 20.0 98.4H6 Priv Knife to Skin -to- Drapes Removed 1 10.0 20.0 50.0H11 Priv Pt Prepped -to- Drapes Removed 5 17.0 28.6 59.4H1 Priv Pt Positioned -to- Drapes Removed 7 18.3 14.4 126.7H8 Priv Pt Positioned -to- Drapes Removed 7 20.0 18.6 107.3H10 Priv Pt Positioned -to- Drapes Removed 4 23.8 19.1 124.1H13 Priv Pt Positioned -to- Drapes Removed 3 30.0 28.7 104.5H15 Priv Pt Positioned -to- Drapes Removed 13 23.3 23.1 100.9H16 Pub Pt Positioned -to- Dressing Applied 12 25.0 25.3 98.7H17 Pub Surgeon with Pt -to- Drapes Removed 7 14.7 26.6 55.3H18 Priv Pt Positioned -to- Drapes Removed 14 22.5 17.6 127.7H19 Pub Pt Positioned -to- Dressing Applied 12 20.8 16.5 126.3H20 Pub Pt Positioned -to- Dressing Applied 16 19.6 15.7 124.6APHA Priv Surgeon with Pt -to- Surgeon Leaves Pt 10 24.8 30.6 81.0CANS Pub & Priv Surgeon with Pt -to- Surgeon Leaves Pt 10 23.0 23.2 99.1Deloitte Pub & Priv Pt Positioned -to- Drapes Removed 8 16.6 23.4 71.1H8 Priv Pt Positioned -to- Trans. to Recovery Staff 8 18.8 19.8 94.7H9A Priv Pt Positioned -to- Trans. to Recovery Staff 10 18.6 28.7 64.9H9B Priv/Day Pt Positioned -to- Trans. to Recovery Staff 7 22.1 13.8 160.8H13 Priv Pt Positioned -to- Trans. to Recovery Staff 4 27.5 33.6 81.8H15 Priv Pt Positioned -to- Trans. to Recovery Staff 13 23.3 25.3 92.2H16 Pub Pt Positioned -to- Trans. to Recovery Staff 12 25.0 29.2 85.6H17 Pub Surgeon with Pt -to- Trans. to Recovery Staff 8 14.8 30.6 48.2H18 Priv Pt Positioned -to- Trans. to Recovery Staff 15 21.3 18.1 117.7H19 Pub Pt Positioned -to- Trans. to Recovery Staff 12 20.8 20.9 99.5H20 Pub Pt Positioned -to- Trans. to Recovery Staff 17 20.2 21.5 94.0CANS Pub & Priv Surgeon with Pt -to- Trans. to Recovery Staff 10 23.0 26.7 86.1H1 Priv Prep. Anaes. -to- Drapes Removed 7 18.3 19.2 95.1H4 Priv Anaesthetist with Pt -to- Dressing Applied 8 17.3 27.3 63.2H6 Priv Prep. Anaes. -to- Drapes Removed 1 10.0 25.0 40.0H8 Priv Prep. Anaes. -to- Drapes Removed 7 20.0 23.6 84.8H10 Priv Prep. Anaes. -to- Drapes Removed 4 23.8 23.7 100.1H13 Priv Anaesthetist with Pt -to- Drapes Removed 4 27.5 34.9 78.7H15 Priv Induction of Anaes -to- Drapes Removed 13 23.3 25.7 90.8H16 Pub Prep. Anaes. -to- Dressing Applied 13 24.2 35.3 68.6H17 Pub Prep. Anaes. -to- Drapes Removed 6 14.2 38.4 36.9H18 Priv Anaesthetist with Pt -to- Drapes Removed 15 22.0 20.2 109.0H19 Pub Prep. Anaes. -to- Dressing Applied 13 20.6 25.1 82.2H20 Pub Prep. Anaes. -to- Dressing Applied 15 17.9 26.0 68.8CANS Pub & Priv Prep. Anaes. -to- Surg.Leaves Pt 10 23.0 26.9 85.5Deloitte Pub & Priv Induction of Anaes. -to- Drapes Removed 7 16.1 23.3 69.3MBS Pub & Priv Anaesthetic Time Units as per MBS Schedule 28 26.7 34.3 77.9H5 Priv Prep. Anaes -to- Trans. to Recovery Staff 3 15.0 22.7 66.2H7 Priv/Day Prep. Anaes. -to- Trans. to Recovery Staff 7 20.0 15.3 130.5H8 Priv Prep. Anaes -to- Trans. to Recovery Staff 7 20.0 26.6 75.3H9A Priv Prep. Anaes. -to- Trans. to Recovery Staff 10 18.6 33.2 56.1H9B Priv/Day Prep. Anaes. -to- Trans. to Recovery Staff 8 21.3 22.2 95.7H11 Priv Prep. Anaes -to- Trans. to Recovery Staff 6 17.5 36.2 48.4H12 Pub Prep. Anaes. -to- Trans. to Recovery Staff 2 17.5 28.9 60.6H14 Pub Prep. Anaes. -to- Trans. to Recovery Staff 20 22.9 46.4 49.3H15 Priv Induction of Anaes. -to- Trans. to Recovery Staff 13 23.3 27.9 83.6H16 Pub Prep. Anaes. -to- Trans. to Recovery Staff 12 25.0 37.6 66.6H17 Pub Prep. Anaes. -to- Trans. to Recovery Staff 6 14.2 44.8 31.7H19 Pub Prep. Anaes -to- Trans. to Recovery Staff 14 23.4 31.9 73.5H20 Pub Prep. Anaes. -to- Trans. to Recovery Staff 16 19.6 31.8 61.4CANS Pub & Priv Prep. Anaes. -to- Trans. to Recovery Staff 10 23.0 30.4 75.6WAGroup Priv Induction of Anaes. -to- Trans. to Recovery Staff 23 21.7 22.8 94.8H2 Priv Anaesthetist with Pt -to- Trans.to Recovery Staff 13 23.5 28.1 83.6H3 Priv Anaesthetist with Pt -to- Trans.to Recovery Staff 1 15.0 10.8 139.5H11 Priv Anaesthetist with Pt -to- Trans. from Recovery 6 17.5 51.3 34.1H13 Priv Anaesthetist with Pt -to- Trans.to Recovery Staff 4 27.5 38.6 71.2H15 Priv Anaesthetist with Pt -to- Trans.to Recovery Staff 13 23.3 37.8 61.6H18 Priv Anaesthetist with Pt -to- Trans.to Recovery Staff 14 19.3 23.9 80.9H19 Pub Pt. Arrives in Theatre -to- Trans.to Recovery Staff 14 23.4 47.1 49.7C'mix Pub Anaesthetist with Pt -to- Trans.to Recovery Staff 23 20.9 25.9 80.8C'mix Priv Anaesthetist with Pt -to- Trans.to Recovery Staff 27 21.5 22.1 97.4C'mix OtherDay & Other Anaesthetist with Pt -to- Trans.to Recovery Staff 11 20.7 17.1 121.1

* Definition of Time - see Attachment A

TIM

E IN

TH

EA

TRE

(TH

T)A

NA

ES

THE

TIC

TIM

E

(O

AT)

AN

AE

STH

ETI

C T

IME

2

(O

AT

2)

Average Time in Minutes

OP

ER

ATI

ON

TIM

E *

*

(OP

T)

Ratio 100 x

16_17/OTE

OTHER TIME ESTIMATE (OTE)O

PE

RA

TIO

N T

IME

2

(OP

T 2)

OS

TTime

No. of items in common

** Median ratio of 16_17 intra time estimates to OPT Unweighted = 104.5 % Weighted (for number of items in common) = 104.5 %

NCCH - Professional Relativities Study Oct 99

THEATRE TIMES DEFINITIONS - STANDARDISED FROM HOSPITALS AND OTHER SOURCES

PATH - WAYS

PT ENTER

PT ENTERS ANAESTHETIC BAY OR OP ROOM

XFER TO RECOV

XFER FROM

RECOV

FOROP SUITE Start OP time

End OP Time

SURGEON AND ANAESTH

Anaesth. arrives to talk to pt

Anaes prepares pt for anaes- cannula/ lines insertion

Anaes. Commence admin/ induction of anaes

Surg. With pt after anaes induction

Pt is position

Pt is draped

Pt is prep'ed

Knife to skin

Wound Closure

Dressing Applied

Drapes Removed

Surgical Team leave pt

Reversal of anaes

Xfer of Pt to Recov. Staff

ID TimeType

Hosp4 H4OST Priv / /



Hosp1 H1OPT Priv / /

Hosp8 H8OPT Priv / /* /

Hosp10 H10OPT Priv / /* / /*


Hosp15 H15OPT Priv / /* /

Hosp16 H16OPT Pub / /* /

Hosp17 H17OPT Pub / /




APHA APHAOPT Priv / /

CANS CANSOPT Pub & Priv / /Deloitte DTOPT Pub & Priv / /* /** /

Hosp8 H8OPT2 Priv / /* /

Hosp9A H9AOPT2 Priv / /* /

Hosp9B H9BOPT2 Priv/Day / /* /

Hosp13 H13OPT2 Priv / /

Hosp15 H15OPT2 Priv / /* /** /

Hosp16 H16OPT2 Pub / /

Hosp17 H17OPT2 Pub / /

Hosp18 H18OPT2 Priv / /

Hosp19 H19OPT2 Pub / /* /** /

Hosp20 H20OPT2 Pub / /CANS CANSOPT2 Pub & Priv / /Hosp1 H1OAT Priv / /

Hosp4 H4OAT Priv / /



Hosp10 H10OAT Priv / / /*


Hosp15 H15OAT Pub / /





Hosp20 H20OAT Pub & Priv / /CAnS CANSOAT Pub & Priv / /Deloitte DTOAT Pub & Priv / /

MBS MBSOAT2 Pub & Priv / /Hosp5 H5OAT2 Priv / /

Hosp7 H7OAT2 Priv/Day / /

Hosp8 H8OAT2 Priv / /

Hosp9A H9AOAT2 Priv / /

Hosp9B H9BOAT2 Priv/Day / /


Hosp12 H12OAT2 Pub / /






Hosp20 H20OAT2 Pub / /CANS CANSOAT2 Pub & Priv / /WAGroup WA1OAT2 Priv / /

Hosp2 H2THT Priv / /

Hosp3 H3THT Pub / /

Hosp11 H11THT Pub / /




Hosp19 H19THT Day & Other / /

C'mix -Pub CMXPUTHT Priv / /

C'mix -Pte CMXPVTHT Priv / /

C'mix-oth CMXOTTHT Priv / /

prs\data\theatre\TTSurveydefinit project\Append1\attach TT Definitions */** Hospitals where start times > 1 pathway time option Oct 99

THEATRE TIMES - GENERAL MEDICINE / ENDOCRINOLOGY / GERIATRICS / INFECTIOUS DISEASES / NUCLEAR MEDICINE / IMMUNOLOGY / OCCUPATIONAL MEDICINE / RHEUMATOLOGY / REHABILITATION MED. / PAEDIATRIC MEDICINE AND THORACIC MEDICINE (16_17)

OPERATION TIME 2 ANAESTHETIC TIMEAnaesthetic

TimeTheatre

Time OPT 2 OAT

OST OPT OPT2 OAT OAT2 THT H4 H6 H11 H1 H8 H10 H13 H15 H16 H17 H18 H19 H20 APHA

CANS

Deloitte

H8 H9A H9B H13 H15 H16 H17 H18 H19 H20 CANS

H1 H4 H6 H8 H10 H13 H15 H16 H17 H18 H19 H20 CANS

Deloitte

11309 10 11312 15 11506 8 11700 8 25 25 10 25 11702 8 35 11708 8 11709 8 11710 5 11711 5 11712 20 50 11900 511903 20 40 11912 45 15 11918 60 15 10 12000 812003 10 2 5 2 5 2 5 2 12015 5 12306 30 12309 30 12312 30 12315 30 12318 30 12321 30 12324 30 12500 5 12503 10 12509 5 12512 2 12515 2 12518 2 12521 5 12524 5 12527 5 12530 5 12533 4 13290 30 13300 30 13303 30 13309 15013312 5 13319 30 60 13400 15 13 30 30 28 18 10 17 42 19 55 17 19 13815 20 35 31 32 36 41 51 35 26 20 35 34 38 21 26 27 48 22 21 39 39 50 24 30 32 29 23 38 40 59 25 31 41 13818 25 75 76 75 53 81 75 76 75 13839 5 60 13879 10 25 35 30 65 25 35 30 13882 20 13915 5 16 13918 15 40 13939 15 20 23 22 22 22 26 13 31 14 30 14 14206 20 10 13 16 19 18 10 13 16 16000 20 16003 20 30 16006 20 16009 10 16012 20 16015 20 18232 15 20 26 24 31 29 20 20 21 16 24 25 22 14 24 42 28 20 29 19 24 20 30 18256 10 9 10 12 15 9 10 12 18292 20 25 20 30 32 53 23 26 25 12 24 25 36 30090 15 29 20 22 26 18 33 25 10 30 13 30 30094 20 30 38 50 44 40 30 38 50 30207 10 15 16 20 21 27 15 7 26 16 20 30406 10 30 25 35 28 21 30 15 35 35 30409 10 18 19 22 23 23 14 20 20 16 20 20 18 17 30 23 18 2230473 15 15 13 17 16 21 22 8 21 6 19 7 10 9 22 28 9 13 10 14 13 21 17 13 12 11 29 34 12 16 12 16 10 19 20 10 14 13 25 13 21 16 16 1430478 20 16 19 22 27 28 29 16 14 14 11 17 29 28 17 37 17 16 15 22 34 19 46 19 23 15 28 33 31

OPERATION TIME

OPTMBS Item

Intra Service

Time 16_17

OP SKINTIME

OSTOperation Time

AVERAGES

NCCH - Professional Relativities Study Oct 1999 1 of 4


11309 1011312 1511506 811700 811702 811708 811709 811710 511711 511712 2011900 511903 2011912 4511918 6012000 812003 1012015 512306 3012309 3012312 3012315 3012318 3012321 3012324 3012500 512503 1012509 512512 212515 212518 212521 512524 512527 512530 512533 413290 3013300 3013303 3013309 15013312 513319 3013400 1513815 2013818 2513839 513879 1013882 2013915 513918 1513939 1514206 2016000 2016003 2016006 2016009 1016012 2016015 2018232 1518256 1018292 2030090 1530094 2030207 1030406 1030409 1030473 1530478 20

MBS Item

Intra Service

Time 16_17

ANAESTHETIC TIME 2 THEATRE TIME FREQUENCY

OAT 2 THT FQMBS

H5 H7 H8 H9A H9B H11 H12 H14 H15 H16 H17 H19 H20 CANS

WAGro

H2 H3 H11 H13 H15 H18 H19 C'mix Pub

C'mix Priv

C'mix Oth H1 H3 H4 H6 H7 H8 H9A H9B H10 H11 H12 H13 H14 H15 H16 H17 H18 H19 H20 APH

ACAN

SC'mix Pub

C'mix Priv

C'mix Other

Deloitte

25 10 1 6 35 1 50 1

40 1 15 15 10 2

5 1

60 15 20 32 52 21 17 20 23 223 1 3 5 44 130 25 21 45 41 42 45 71 41 46 61 57 28 59 7 2 31 2 68 2 7 4 4 80 10 530 76 81 1

60 1 90 40 1 1 20 13 17 244 1530 6 40 223 29 15 16 35 15 4 5 65 19 19 16 18 6 5

30 25 32 22 46 34 30 35 27 57 12 24 18 2 6 15 4 19 6 9 207 2 13 16 9 4 27 30 43 30 53 3 4 3 7

30 24 35 15 16 23 16 9 3 6 1 2 3 30 58 40 43 36 2 31 21 30 15 26 21 15 38 20 22 1 1 1 1 4 8 30 25 40 15 21 1 1 17 30 23 15 29 25 20 16 14 1 1 19 179 1215 8 22 24 21 31 15 19 14 32 23 19 18 30 15 11 46 15 19 16 47 24 16 11 143 8 441 236 13 6 21 275 12 171 291 957 586 4 4 1199 12 1137 416 1677 **** 258 94230 12 29 43 32 22 25 33 38 15 27 49 33 19 30 21 21 15 8 2 2 11 38 12 1 20 24 8 141 524 4 7



OPERATION TIME 2 ANAESTHETIC TIMEAnaesthetic

TimeTheatre

Time OPT 2 OAT

OST OPT OPT2 OAT OAT2 THT H4 H6 H11 H1 H8 H10 H13 H15 H16 H17 H18 H19 H20 APHA

CANS

Deloitte

H8 H9A H9B H13 H15 H16 H17 H18 H19 H20 CANS

H1 H4 H6 H8 H10 H13 H15 H16 H17 H18 H19 H20 CANS

Deloitte

11309 10

OPERATION TIME

OPTMBS Item

Intra Service

Time 16_17

OP SKINTIME

OSTOperation Time

AVERAGES

32072 10 15 22 25 31 33 7 10 21 20 12 23 13 28 30 17 20 12 19 38 35 25 37041 5 15 38256 60 42 49 45 60 47 43 50 29 66 22 64 55 32 72 23 43 50 30 79 22 38400 5 30 32 38403 30 27 31 14 37 34 36 27 37 13 43 14 37 38406 30 35 25 38409 20 46 23 23 46 38410 30 45 38412 45 38 40 42 38 39000 18 30 21 33 22 32 26 30 15 18 39 21 18 13 48 20 41 25 15 30 23 19 24 1941889 25 23 17 21 23 31 26 23 13 15 12 18 23 12 14 34 15 43 12 13 20 28 16 23 17 37 15 14 25 26 23 27 41892 30 36 23 23 30 32 35 36 16 18 27 24 14 29 28 27 15 22 30 29 22 15 31 21 54 23 33 30 26 18 36 3141895 40 26 32 43 48 33 35 25 15 30 45 29 20 32 50 37 30 55 41898 45 24 25 30 32 29 30 34 26 18 10 30 23 21 30 39 33 13 14 28 30 42 31 25 23 41901 60 38 40 43 68 43 38 40 43 50115 10 24 12 15 21 24 25 20 27 10 9 12 17 12 7 13 13 12 13 12 12 16 11 14 21 17 10 12 19 17 26 21 25 19 16 27 26 12 26 29 17 1450124 10 20 14 14 22 24 27 7 33 10 8 18 19 8 10 13 17 26 11 11 8 10 21 24 10 9 19 19 19 13 13 26 38 11 15 33 19 3250125 10 33



11309 10

MBS Item

Intra Service

Time 16_17

32072 1037041 538256 6038400 538403 3038406 3038409 2038410 3038412 4539000 1841889 2541892 3041895 4041898 4541901 6050115 1050124 1050125 10


OAT 2 THT FQMBS

H5 H7 H8 H9A H9B H11 H12 H14 H15 H16 H17 H19 H20 CANS

WAGro

H2 H3 H11 H13 H15 H18 H19 C'mix Pub

C'mix Priv

C'mix Oth H1 H3 H4 H6 H7 H8 H9A H9B H10 H11 H12 H13 H14 H15 H16 H17 H18 H19 H20 APH

ACAN

SC'mix Pub

C'mix Priv

C'mix Other

Deloitte

22 44 45 29 15 60 22 17 2 1 4 4 1 8 59 12 30 15

60 64 86 33 85 30 60 55 45 30 4 5 1 8 12 1 12 4 30 43 32 22 2 3 37 30 52 48 22 20 1 1 1 6 24 1

30 40 25 2 30 25 15 15 39 14 1 5 3 45 30 50 41 43 2 32 3 6 15 48 56 24 22 28 30 41 34 27 16 12 1 1 2 12 29 1 4 8 744 10 92 4 730 25 15 63 17 60 15 27 27 36 30 20 23 31 42 28 20 20 3 5 1 1 7 20 80 14 15 25 5 221 111 187 130 17 25 57 26 36 38 22 39 30 33 40 35 50 37 29 20 16 3 7 27 36 42 133 39 15 50 282 18 143 535 7 4545 60 65 41 35 57 30 45 16 39 1 2 1 1 1 2 4 45 27 31 43 30 47 21 18 28 30 30 30 38 40 24 22 17 1 19 10 1 43 7 2 133 32 2 98 233 5

150 45 45 30 60 25 1 2 1 30 13 17 22 21 20 36 27 18 31 31 25 34 20 15 13 51 40 15 41 14 15 13 6 12 1 14 23 17 5 40 36 19 16 19 28 7 6 6 18 26 498 8 6915 30 11 15 15 15 43 39 15 29 43 16 39 21 15 59 25 13 33 15 15 3 5 10 1 3 72 24 2 21 15 27 4 4 4 12 80 915 50 1



CG Alignment Meeting 2

Neurosurgery

And

Orthopaedic Surgery

21st October 1999

National Centre For Classification In Health


PRS - National Centre for Classification in HealthPrs\Alignment Process\mtgs\papers_agenda\Meeting 2

Venue and Attendees

TIME: 2.00pm – 4.00pm

DATE: Thursday 21st October 1999

VENUE: Hotel Furama Darling HarbourDickson Room

Opposite Sydney Entertainment Centre, 68 Harbour Street Sydney, NSW 2000 Phone: (02) 9281 0400 Fax: (02) 9281 1212

FACILITATOR(S): Ms Lauren JonesMr George Rennie

ATTENDEES:

Australian Orthopaedic AssociationProf Joe Ghabrial

Neurosurgical Society of AustraliaMr Peter Bentivoglio

Medicare Schedule Review Task ForceMr John Popplewell

National Centre for Classification in HealthMs Lauren Jones (Project Manager)Mr George Rennie (Statistician)

ApologiesDr Stephen Clarke (Medicare Schedule Review Task Force)


PRS - National Centre for Classification in Healthprs\Alignment Process\mtgs\Papers_Agenda\Meeting2

Background:

The main purpose of the Alignment Process is for Consensus Groups (CGs) to agree on time estimates and rank order of link items. In addition,alignment formula and rating transformations will need to be discussed to facilitate the alignment of the CGs data based on the agreed link items.Following this the CGs will need to agree on changes (if any) to the rank of items and these changes will be incorporated before the next alignmentmeeting.

This process correlates to Stage 5C of the PRS Method (refer to Appendix A, PRS Method Paper, October 1998, pg. A10) in ensuring that link itemsare ranked in the same order by different specialties. This will then allow for merging of the relativities developed by the groups during the CGprocess so that core items can be chosen to develop Relative Value Units (RVUs).

The Alignment Process:

(Within Session Process)

(Out of Session Process)

1. Agree on timeestimates for link

items

2. Adjust grouptime estimates

3. Agree on rankorder of link

items4. Confirm

adjustments onlink items

5. Discuss ratingstransformation andformula allignment

7. Agree on anychanges to

ranking

6. Alignranking and

ratings



CG Alignment Meeting Objectives and Process

Objective Implementation Process (Steps) KeyDocumentation

Timing Pre-meeting Work

WITHIN SESSION PROCESSStep 1 ? To agree on time

estimates for linkitems

? CGs to reach agreement on pre, intra and postservice time estimates for link items

Refer Attachments2, 3 & 4

90 mins Review link itemtimes using theatredata

Step 2 ? To adjust grouptime estimatesbased on linkitem adjustments

? Adjust each groups’ pre, intra and postservice times on the basis of link itemadjustments

Spreadsheet atmeeting.

10 mins

Step 3 ? To agree on rankorder of linkitems

? CGs to reach agreement on the rank order oflink items – (Level 3 consistency) and adjustratings accordingly within groups.

Refer toAttachment 3

40 mins Review currentrankings on linkitems for both groups

Step 4 ? Confirmadjustments onlink items andresultantchanges to grouprankings

? CGs to confirm the adjustments on link itemsand resultant changes to individual grouprankings

Spreadsheet atmeeting.

20 mins

Step 5 ? Discuss ratingstransformationsand formulaalignment

? Transformation of ratings and alignment offormula

10 mins



Objective Implementation Process (Steps) KeyDocumentation

Timing Pre-meeting Work

OUT OF SESSION PROCESSStep 6 ? To align ranking

and ratings? NCCH to align group data on the basis of

agreed link items and forward results ofalignment to groups

Step 7 ? To agree onchanges toranking (if any)followingalignmentprocess

? NCCH to incorporate any agreed changesfollowing alignment before the next alignmentmeeting

? Groups to discuss changes where applicablebefore step 1 at following meeting

ATTACHMENTS

1. Glossary of Terms and PRS Definitions

2. Individual Group Work Sheets

3. Link Item Rankings and Times Estimates

4. Theatre Times

PRS – National Centre for Classification in HealthPrs\Alignment Process\mtgs\Papers_Agenda\Meeting 2

Attachment 1

Glossary of Terms and PRS Definitions



Attachment 1 GLOSSARY OF TERMS AND PRS DEFINITIONS

ANAESTHETIC TIME Anaesthetic time begins when the anaesthetist begins to preparethe patient for anaesthesia care in the operating room or in anequivalent area and ends when the anaesthetist is no longer inpersonal attendance, that is, when the patient may be safelyplaced under the supervision of other personnel.

COGNITIVE SKILLCLINICAL JUDGEMENTCOMMUNICATION SKILLS

First component of intensity (PRS)Rated for “intra service” time (with an average taken for preand post service times). Where intra service time is zero, theintensity rate applies to the pre or post component of timewhich contains the bulk of the professional work.

CORE ITEM MBS items to be selected for development of RVU estimates.PRS core item criteria:? Good map to CPT? Good spread among rankings? Item frequency

CURRENT PROCEDURALTERMINOLOGY – CPT

System for coding physician services developed by theAmerican Medical Association to file claims with Medicare andother third-party payers; level 3 of the HCFA CommonProcedure Coding System (HCPCS)1

The CPT is a listing of descriptive terms and identifying codesfor reporting medical services and procedures performed byphysicians2

DIRECT TIME Face-to-face time with patient.

EXTRAPOLATION Projection from known results to unknown cases where theunknown cases lie outside the range of the known cases

FLOOR TIME ***(WARD TIME)

Time dedicated to a patient service within a hospital, nursinghome or other institution, covering time that the medicalpractitioner is present in the patient’s ward, interview/treatmentroom, or at the bedside with the patient.



INDIRECT TIME Non face-to-face patient related time

INTERPOLATION Projection of known results to unknown cases where theunknown cases lie within the range of the known cases

INTENSITY The three components of intensity for the purpose of the PRSare:? cognitive skill, clinical judgement and communication skills? technical skill and physical effort? stress due to risk - risk to patient and/or difficulty of

procedure

Rated for “intra service” time (with an average taken forpre and post service times). Where intra service time is zero,the intensity rate applies to the pre or post component of timewhich contains the bulk of the professional work.

INTRA SERVICE TIME For procedures: time in which the service provider is in directcontact with the patient in the procedure room.? For most procedures this would be ‘skin to skin’ time ie.Opening to closing. Includes where positioning of the patientis an intrinsic part of the procedure eg lithotripsy, stereotacticprocedures.

For consultations: Face-to-face time with the patient(excluding pre-service time)

Hospital visits: time in the ward dedicated to the patient (ie thefloor time) which includes the time that the medical practitioneris present in the patient’s ward and at the bedside with thepatient.

LINKING SPECIALTIES Two approaches for data linking are possible:? same MBS items carried out by different specialties? linking different item numbers which are of equal professional work

PRS link item: same item reviewed by more than onespecialty.



MAPPING The term ‘mapping’ refers to the process of finding an‘equivalent’ code between two classifications enablinginterpretation of one classification to the other3

PRE-SERVICE TIME Time taken to prepare for a specific service.

For procedures: includes dress, scrub and wait.

For consultations: time spent in preparation of specific serviceprior to face to face consultation. Hospital visits: time spent inpreparation of specific service before the ‘on the floor’ time.

POST SERVICE TIME For procedures: Closure or end of service to completion of normal“after care”. Includes Recovery, ICU, CCU andfollow-up visits included in the item.

For consultations: Time spent on specific service aftercessation of face-to-face contact. Hospital visits: time spent onspecific service after cessation of ‘on the floor’ time.

All times must involve the doctor in direct or indirectactivity with respect to the specific patient and item

RANKING Placing items in order eg 1-N

RATING Giving a score on a predetermined scale e.g. 0-10 or1-100

REGRESSION ANALYSIS Determination of the relationship between a dependent variableand a number of other variables (independent variables) bystatistical means

RELATIVE VALUE SCALE(U.S. DEFINITION)

An index of physicians’ services ranked according to “value”,with value defined according to the basis for the scale. In acharge-based relative value scale, services are ranked accordingto the average fee for the service or some other charge basis. Aresource-based relative value scale ranks services according tothe relative costs of the resources required to provide them. 2

RELATIVE VALUE UNIT The unit of measure for the professional work component in theRelative Value Study.



REMAINING ITEM Non-core item

RESOURCE BASEDRELATIVE VALUE SCALE(U.S. DEFINITION)

A relative value scale based on the resource costs of providingphysician services; adopted in OBRA 89 as the basis forphysician payment for Medicare Part B services effectiveJanuary 1, 1992. The relative value of each service is the sumof relative value units (RVUs) representing physician work,practice expense, and professional liability insurance (PLI)adjusted for each locality by a geographic adjustment factor andconverted into dollar payment amounts by a conversion factor2

TECHNICAL SKILLPHYSICAL EFFORT

Second component of intensity (PRS)Rated for “intra service” time (with an average taken forpre and post service times). Where intra service time is zero,The intensity rate applies to the pre or post component of timeWhich contains the bulk of the professional work.

TIME Total service time incorporates both patient related (face-to-face) and (non face-to-face) direct and indirect time.

TOTAL WORK Time + Intensity

STRESS DUE TO RISK Third component of intensity (PRS)Includes stress due to risk to patient and/or difficulty ofprocedure.Rated for “intra service” time (with an average taken forpre and post service times). Where intra service time is zero,the intensity rate applies to the pre or post component of timewhich contains the bulk of the professional work.

1 American Medical Association - Medicare RBRVS: The Physicians Guide - 19972 American Medical Association - Physicians Current Procedural Terminology - 19973 National Coding Centre - Coding Matters Vol. 2, No.4 April 1996

PRS\CGs\consult package\PRS defintions..

Attachment 2

Individual Group Work Sheets

CG on Neurosurgery revised time estimates, intensity ratings and rank formula Sorted by Rank 3


Anaesth Time

Schedule Fee

Rank 3 (final)

Time Estimates (mins.) Ratings of Intensity (0-10) Formula 3 Value

1996/97 mins. $Based on Formula 3

ValuePreservice Intra Service Post Service

Cogn skill/ Clin judg/ Comm skills

Tech skill/ Physical Effort

Stress due to risk

=(pre+3intra+post) x (4 + total intensity)

39654 Petro-clival and clival tumour, removal of, by supra and infratentorial approaches for radical or sub- total radical excision, (intracranial procedure), conjoint surgery, principal surgeon (Assist.)

6 630 2511.45 1 60 570 120 10 10 8 60480

39650 Tumour involving middle cranial fossa and infra- temporal fossa, removal of, craniotomy and radical or sub-total radical excision, with division and reconstruction of zygomatic arch, (intracranial procedure) (Assist.)

3 630 1940.65 2 60 500 120 9 10 9 53760

39658 Tumour involving the clivus, radical or sub-total radical excision of, involving transoral or transmaxillary approach (Assist.)

3 630 2226.05 3 60 510 120 9 9 9 53010

39653 Petro-clival and clival tumour, removal of, by supra and infratentorial approaches for radical or sub- total radical excision (intracranial procedure), not being a service to which item 39654 or 39656 applies (Assist.)

13 630 3453.25 4 45 470 100 10 10 8 49760

41578 Cerebello - pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach, (intracranial procedure) - conjoint surgery, principal surgeon (Assist.)

88 480 1788.45 5 60 420 120 9 10 9 46080

39660 Tumour or vascular lesion of cavernous sinus, radical excision of, involving craniotomy with or without intracranial carotid artery exposure (Assist.)

19 540 2226.05 6 60 390 120 10 10 10 45900

41579 Cerebello-pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid approach, (intracranial procedure) - conjoint surgery, co-surgeon (Assist.)

73 1341.35 7 60 420 60 9 10 10 45540

41575 Cerebello-pontine angle tumour, removal of by 2 surgeons operating conjointly, by transmastoid, translabyrinthine or retromastoid approach - transmastoid, translabyrinthine or retromastoid procedure (including aftercare) (Assist.)

99 480 1788.45 8 60 420 120 9 9 9 44640

39640 Tumour involving anterior cranial fossa, removal of, involving craniotomy, radical excision of the skull base, and dural repair (Assist.)

20 480 2226.05 9 60 420 120 8 9 8 41760

39646 Tumour involving anterior cranial fossa, removal of, involving frontal craniotomy with lateral rhinotomy and radical clearance of paranasal sinus and orbital fossa extensions, with intracranial decompression of the optic nerve, (intracranial procedure) (A

5 540 2682.70 11 60 360 120 10 10 9 41580

39662 Tumour or vascular lesion of foramen magnum, radical excision of, via transcondylar or far lateral suboccipital approach (Assist.)

10 540 2226.05 11 60 360 120 10 10 9 41580

39803 Intracranial arteriovenous malformation, excision of (Assist.) 73 360 2098.20 11 60 360 120 10 10 9 4158040706 Hemispherectomy for intractable epilepsy (Assist.) 0 420 1573.60 13 60 360 120 10 10 8 4032045785 Cranial vault reconstruction for oxycephaly, brachycephaly,

turricephaly or similar condition - (bilateral fronto-orbital advancement) (Assist.)

24 510 1224.80 14 60 360 150 9 9 9 39990




Anaesth Time

Schedule Fee

Rank 3 (final)






Stress due to risk


39654 Petro-clival and clival tumour, removal of, by supra and 6 630 2511.45 1 60 570 120 10 10 8 6048041576 Cerebello - pontine angle tumour, removal of, by transmastoid, translabyrinthine or retromastoid appoach - intracranial procedure (including aftercare) not being a service to which item 41578 or 41579 applies (Assist.)

61 480 2682.70 15.5 60 360 120 10 9 8 39060

50227 Malignant bone tumour, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (Assist.)

23 360 2419.50 15.5 60 360 120 9 9 9 39060

39642 Tumour involving anterior cranial fossa, removal of, involving frontal craniotomy with lateral rhinotomy for clearance of paranasal sinus extension, (intracranial procedure) (Assist.)

4 510 2340.25 17 60 350 120 9 9 9 38130

40318 Intramedullary tumour or arteriovenous malformation, laminectomy and radical excision of (Assist.)

35 180 1457.65 18 45 300 120 9.5 9.5 9.5 34612.5

39712 Craniotomy for removal of meningioma, pinealoma, cranio-pharyngioma, intraventricular tumour or any other intracranial tumour, not being a service to which another item in this Sub-group applies (Assist.)

396 270 2103.70 19 60 300 120 9 9 9 33480

48690 Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - more than 4 levels (Assist.)

11 255 1106.05 20 45 300 120 9 10 8 33015

40112 Tethered cord, release of, including lipomeningocele or diastematomyelia (Assist.)

36 400 1049.05 21 60 300 100 9 9 9 32860

48639 Vertebral body, total or sub-total excision of, including bone grafting or other form of fixation (Assist.)

140 345 1002.35 22 60 300 60 9.5 9.5 9 32640

50224 Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of, with reconstruction by prosthesis, allograft or autograft (Assist.)

32 285 2073.80 23 60 300 60 9.5 9 9 32130

39800 Aneurysm, clipping or reinforcement of sac (Assist.) 332 300 2098.20 24.5 60 240 120 9 10 10 2970040351 Thoraco-lumbar or high lumbar anterior decompression of spinal

cord, not including stabilisation procedure (Assist.)5 330 1272.50 24.5 60 240 120 10 10 9 29700

40348 Thoracic decompression of spinal cord via thoracotomy with vertebrectomy, not including stabilisation procedure (Assist.)

24 330 1272.50 26 90 240 120 9 8.5 8.5 27900

40345 Thoracic decompression of spinal cord with or without involvement of nerve roots, via pedicle or costotransversectomy (Assist.)

32 240 1002.35 27 45 240 120 9 9 8.5 26992.5

39821 Extracranial to intracranial bypass using saphenous vein graft (Assist.)

4 420 1593.15 28 60 240 120 9 8 8 26100

50221 Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of (Assist.)

38 240 1866.45 29 60 220 120 9 9 9 26040

40342 Hydromyelia, craniotomy and laminectomy for, with cavity packing and CSF shunt (Assist.)

5 270 1076.70 30 60 240 100 8.5 8.5 8.5 25960

48687 Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - 3 or 4 levels (Assist.)

113 225 967.75 31 45 240 120 8 9 8 25665




Anaesth Time

Schedule Fee

Rank 3 (final)






Stress due to risk


39654 Petro-clival and clival tumour, removal of, by supra and 6 630 2511.45 1 60 570 120 10 10 8 6048040801 Functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation and lesion production in the basal ganglia, brain stem or deep white matter tracts (Assist.)

170 195 1281.85 32 60 240 60 9 8 8 24360

40703 Corticectomy, topectomy or partial lobectomy for epilepsy (Assist.) 37 240 1076.70 33 60 200 100 9 9 8 22800

39818 Extracranial to intracranial bypass using superficial temporal artery (Assist.)

8 360 1341.75 34 60 240 60 8 8 7 22680

48657 Spinal fusion (posterior interbody), with laminectomy, more than 1 level (Assist.)

52 225 1106.05 35 45 200 100 9 9 8 22350

40315 Craniocervical junction lesion, transoral approach for (Assist.) 3 300 1165.05 36 60 180 120 8 9 8 2088039709 Craniotomy for removal of glioma, metastatic carcinoma or any

other tumour in cerebrum, cerebellum or brain stem - not being a service to which another item in this Sub-group applies (Assist.)

560 270 1165.05 37 45 200 100 8 8 8 20860

39715 Pituitary tumour, removal of, by transcranial or transphenoidal approach (Assist.)

180 270 1457.65 39 60 180 100 8 8 8 19600

40700 Corpus callosum, anterior section of, for epilepsy (Assist.) 1 270 1281.00 39 60 180 100 8 8 8 1960048669 Spinal fusion (anterior interbody) to cervical, thoracic or lumbar

regions - more than 1 level (Assist.)135 210 1071.50 39 60 180 100 8 8 8 19600

40334 Cervical decompression of spinal cord with or without involvement of nerve roots, without fusion, more than 1 level, by any approach, not being a service to which item 40330 applies (Assist.)

27 210 773.70 41.5 60 180 100 7.5 8 7.5 18900

40339 Hydromyelia, plugging of obex for, with or without duroplasty (Assist.)

6 300 1165.05 41.5 60 180 100 7 8 8 18900

39112 Cranial nerve, intracranial decompression of, using microsurgical techniques (Assist.)

115 255 1131.90 43 45 180 100 8 8 7 18495

47699 Spine, treatment of fracture, dislocation or fracture-dislocation without cord involvement requiring open reduction with or without internal fixation (Assist.)

14 180 1106.05 44 60 160 100 8 8 8 17920

39124 Cordotomy or myelotomy, laminectomy for, or operation for dorsal root entry zone (Drez) lesion (Assist.)

7 120 1187.10 45 40 160 100 7 7 9 16740

39500 Vestibular nerve, section of, via posterior fossa (Assist.) 4 255 933.15 46 60 200 60 6 6 7 1656040109 Encephalocoele, excision and closure of (Assist.) 6 330 817.15 47 60 180 60 7 7 7 1650048684 Spine, segmental internal fixation of, other than for scoliosis, being

a service associated with a service to which any one of items 48642 to 48675 applies - 1 or 2 levels (Assist.)

741 165 691.25 48 60 150 100 8 8 7 16470

164 Professional attendance for a period of 5 hours or more (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other patients=20

500 49 15 300 30 5 3 5 16065

39903 Intracranial abscess, excision of (Assist.) 29 150 1165.05 50 60 150 90 7.5 7.5 7.5 15900




Anaesth Time

Schedule Fee

Rank 3 (final)






Stress due to risk


39654 Petro-clival and clival tumour, removal of, by supra and 6 630 2511.45 1 60 570 120 10 10 8 6048039615 Fractured skull with rhinorrhoea or otorrhoea, cranioplasty and repair of (Assist.)

25 165 877.90 51 60 160 90 7 7 7 15750

39806 Aneurysm, or arteriovenous malformation, intracranial proximal artery clipping of (Assist.)

4 240 944.20 52 60 150 60 8 6 8 14820

48660 Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - 1 level (Assist.)

260 180 794.95 53 45 120 100 8 9 8 14645

48654 Spinal fusion (posterior interbody), with laminectomy, 1 level (Assist.)

141 180 794.95 54.5 60 120 100 8 8 8 14560

48672 Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level (where an assisting surgeon performs the approach) - principal surgeon (Assist.)

3 210 801.95 54.5 60 120 100 8 8 8 14560

163 Professional attendance for a period of not less than 4 hours but less than 5 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other

450 56 15 270 30 5 3 5 14535

40321 Posterior spinal fusion, not being a service to which items 40324 and 40327 apply (Assist.)

40 195 800.60 57 60 150 60 7 7 7 14250

40332 Cervical decompression of spinal cord with or without involvement of nerve roots, including anterior fusion, 1 level, not being a service to which item 40330 applies (Assist.)

222 210 1144.25 58.5 45 120 100 8 8 8 14140

40335 Cervical decompression of spinal cord with or without involvement of nerve roots, including anterior fusion, more than 1 level, by any approach, not being a service to which item 40330 applies (Assist.)

101 270 1421.15 58.5 45 120 100 8 8 8 14140

48648 Spine, bone graft to, (postero-lateral fusion) - 1 or 2 levels (Assist.) 785 150 794.95 60 30 150 60 8 7 7 14040

39503 Facio-hypoglossal nerve or facio-accessory nerve, anastomosis of (Assist.)

10 315 701.25 61 20 160 60 7 7 7 14000

40312 Intradural lesion, laminectomy for, not being a service to which another item in this Group applies (Assist.)

122 90 1076.70 62 30 120 100 8 8 8 13720

40331 Cervical decompression of spinal cord with or without involvement of nerve roots, without fusion, 1 level, by any approach, not being a service to which item 40330 applies (Assist.)

27 150 701.25 63 30 120 90 8 8 8 13440

40106 Arnold-Chiari malformation, decompression of (Assist.) 22 345 756.40 64 60 120 90 7 7 7 1275039603 Intracranial haemorrhage, osteoplastic craniotomy or extensive

craniectomy and removal of haematoma (Assist.)244 165 877.90 65 45 120 100 7 7 7 12625

48675 Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level (where an assisting surgeon performs the approach) - assisting surgeon (Assist.)

6 483.90 66 60 120 30 8 8 8 12600

40600 Cranioplasty, reconstructive (Assist.) 150 150 701.25 67 30 150 40 7 7 6 1248039106 Neurectomy, intracranial, for trigeminal neuralgia (Assist.) 6 180 872.45 68 60 120 60 7 7 7 1200040103 Myelomeningocele, excision and closure of, including skin flaps or

Z plasty where performed (Assist.)3 165 745.45 69 30 120 90 7 7 6 11520




Anaesth Time

Schedule Fee

Rank 3 (final)






Stress due to risk


39654 Petro-clival and clival tumour, removal of, by supra and 6 630 2511.45 1 60 570 120 10 10 8 60480162 Professional attendance for a period of not less than 3 hours but less than 4 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other

350 70 15 210 30 5 3 5 11475

40316 Odontoid screw fixation (Assist.) 7 270 1527.00 71 45 100 60 8 8 8 1134040324 Laminectomy followed by posterior fusion, performed by

neurosurgeon and orthopaedic surgeon operating together - laminectomy, including aftercare (Assist.)

3 195 469.35 72.5 45 120 20 7 8 7 11050

40327 Laminectomy followed by posterior fusion, performed by neurosurgeon and orthopaedic surgeon operating together - posterior fusion, including aftercare (Assist.)

2 469.35 72.5 45 120 20 7 8 7 11050

34139 Cervical rib, removal of, or other operation for removal of thoracic outlet compression, not being a service to which another item in this Sub-group applies (Assist.)

33 120 657.05 74 30 120 30 7.5 7.5 7 10920

39718 Arachnoidal cyst, craniotomy for (Assist.) 23 120 640.55 75.5 60 120 60 6 6 6 1056040015 Subtemporal decompression (Assist.) 15 180 469.00 75.5 60 120 60 6 6 6 1056040301 Intervertebral disc or discs, microsurgical discectomy of (Assist.) 778 120 703.45 78 30 120 30 7 7 7 10500

40309 Extradural tumour or abscess, laminectomy for (Assist.) 117 90 800.60 78 30 100 90 7 7 7 1050048663 Spinal fusion (anterior interbody) to cervical, thoracic or lumbar

regions - 1 level (where an assisting surgeon performs the approach) - principal surgeon (Assist.)

17 180 594.45 78 30 120 30 7 7 7 10500

39721 Craniotomy, involving osteoplastic flap, for re- opening post-operatively for haemorrhage, swelling, etc (Assist.)

37 120 585.25 80.5 30 120 60 7 6 6 10350

40118 Craniostenosis, operation for - more than 1 suture (Assist.) 22 195 701.25 80.5 30 120 60 6 7 6 1035040306 Spinal stenosis, laminectomy for, involving more than 1 vertebral

interspace (disc level) (Assist.)2235 120 1054.60 82 30 100 60 7 8 7 10140

39612 Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (Assist.)

13 135 822.75 83 60 100 100 6 6 6 10120

40330 Spinal rhizolysis involving exposure of spinal nerve roots - for lateral recess, exit foraminal stenosis, adhesive radiculopathy or extensive epidural fibrosis, at 1 or more levels - with or without laminectomy (Assist.)

1734 150 701.25 84 30 90 60 8.5 8 7.5 10080

48681 Spine, non-segmental internal fixation of (Harrington or similar), other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies (Assist.)

6 165 691.25 85 30 120 60 6 6 6 9900

40012 Third ventriculostomy (open or endoscopic) with or without endoscopic septum pellucidotomy (Assist.)

45 150 756.40 86.5 30 100 60 7 7 7 9750

40712 Intracranial electrode placement via craniotomy (Assist.) 3 180 767.45 86.5 30 100 60 7 7 7 975040100 Meningocele, excision and closure of (Assist.) 9 135 508.00 88 30 120 60 7 5 5 945040303 Recurrent disc lesion or spinal stenosis, or both, laminectomy for -

1 level (Assist.)1189 90 800.60 89 30 105 30 7 7 7 9375




Anaesth Time

Schedule Fee

Rank 3 (final)






Stress due to risk


39654 Petro-clival and clival tumour, removal of, by supra and 6 630 2511.45 1 60 570 120 10 10 8 6048039706 Intracranial tumour, biopsy or decompression of via osteoplastic flap or biopsy and decompression of via osteoplastic flap (Assist.)

47 120 817.15 90 60 120 60 5 5 5 9120

39312 Nerve trunk, internal (interfascicular), neurolysis of, using microsurgical techniques (Assist.)

365 120 292.60 92.5 15 120 15 6 7 5 8580

40000 Ventriculo-cisternostomy (Torkildsen's operation) (Assist.) 1 150 673.60 92.5 30 100 60 6 6 6 858040333 Cervical discectomy (anterior), without fusion (Assist.) 28 210 585.25 92.5 30 100 60 6 6 6 858047717 Halo-thoracic traction - application of both halo and thoracic jacket

(Assist.)3 90 311.10 92.5 20 90 100 6 6 6 8580

39700 Skull tumour, benign or malignant, excision of, excluding cranioplasty (Assist.)

47 225 408.65 95.5 30 120 60 5 5 5 8550

48642 Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - 1 or 2 levels (Assist.)

31 165 587.60 95.5 30 120 60 5 5 5 8550

161 Professional attendance for a period of not less than 2 hours but less than 3 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other

250 97 15 150 30 5 3 5 8415

39139 Epidural electrode for management of pain, insertion of 1 or more of by laminectomy, including implantation of pulse generator (1 or 2 stages) (Assist.)

39 120 789.60 98.5 20 120 40 5 5 6 8400

40903 Neuroendoscopy, for inspection of an intraventricular lesion, with or without biopsy including burr hole (Assist.)

18 150 407.20 98.5 30 120 30 5 6 5 8400

39900 Intracranial infection, drainage of, via burr-hole - including burr-hole (Assist.)

15 75 381.00 100 60 100 100 5 4 5 8280

40115 Craniostenosis, operation for - single suture (Assist.) 48 165 530.05 101 30 100 60 6 6 5 819039327 Neurectomy, neurotomy or removal of tumour from deep peripheral

nerve, by open operation (Assist.)708 60 347.85 102 10 100 60 6 6 6 8140

40800 Stereotactic anatomical localisation, as an independent procedure (Assist.)

69 120 469.00 103.5 30 100 30 6 6 6 7920

40803 Intracranial stereotactic procedure by any method, not being a service to which item 40800 or 40801 applies (Assist.)

355 135 877.90 103.5 30 100 30 6 6 6 7920

39127 Subcutaneous reservoir and spinal catheter for pain, insertion of 44 60 347.85 105 15 90 100 5.5 5.5 5.5 7892.5

39906 Osteomyelitis of skull or removal of infected bone flap, craniectomy for (Assist.)

33 75 585.25 106 30 120 60 4 5 4 7650

39812 Intracranial aneurysm or arteriovenous fistula, ligation of cervical vessel or vessels (Assist.)

15 75 463.80 107 30 75 60 6 7 7 7560

39606 Fractured skull, depressed or comminuted, operation for (Assist.) 22 105 585.25 108 45 90 60 5 5 5 7125

39333 Brachial plexus, exploration of, not being a service to which another item in this Group applies (Assist.)

29 120 292.60 109 20 100 20 5 5 5 6460




Anaesth Time

Schedule Fee

Rank 3 (final)






Stress due to risk


39654 Petro-clival and clival tumour, removal of, by supra and 6 630 2511.45 1 60 570 120 10 10 8 6048040300 Intervertebral disc or discs, laminectomy for removal of (Assist.) 1640 90 701.25 110 30 60 30 7 6.5 6.5 5760

39128 Automated subcutaneous infusion device and spinal catheter, insertion of (Assist.)

77 105 484.55 111 15 90 15 5 5 5 5700

160 Professional attendance for a period of not less than 1 hour but less than 2 hours (not being a service to which any other item applies) on a patient in imminent danger of death requiring continuous attendance on the patient to the exclusion of all other

150 112 15 90 30 5 3 5 5355

39121 Percutaneous cordotomy (Assist.) 4 75 463.80 113 25 60 25 6 6.5 6.5 529040003 Cranial or cisternal shunt diversion, insertion of (Assist.) 336 135 673.60 114 15 60 30 6.5 6.5 6.5 5287.534100 Major artery of neck, elective ligation or exploration of, not being a

service associated with any other vascular procedure (Assist.)34 105 519.05 115 15 60 45 5 5 8 5280

40006 Lumbar shunt diversion, insertion of (Assist.) 35 135 530.05 116 30 60 30 6 5 5 480047720 Halo-femoral traction, as an independent procedure (Assist.) 0 75 311.10 117.5 15 45 90 5 5 5 456047723 Halo-femoral traction in conjunction with a major spine operation

(Assist.)2 75 311.10 117.5 15 45 90 5 5 5 4560

40009 Cranial, cisternal or lumbar shunt, revision or removal of (Assist.) 313 120 386.50 119 15 60 30 6 5 5 4500

39609 Fractured skull, compound, without dural penetration, operation for (Assist.)

8 105 701.25 120 10 50 60 5 5 5 4180

47711 Halo, application of, as an independent procedure (Assist.) 2 60 235.05 121.5 15 60 90 3 3 4 399047714 Halo, application of, in addition to spinal fusion for scoliosis, or

other conditions2 60 176.25 121.5 15 60 90 3 3 4 3990

34133 Scalenotomy (Assist.) 32 90 408.65 123 20 75 20 4 4 3 397541746 Frontal sinus, radical obliteration of (Assist.) 21 90 570.65 124 35 60 30 4 4 4 392039703 Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy

of, or drainage of, or both (Assist.)92 75 381.00 125 20 60 20 4 4 4 3520

39600 Intracranial haemorrhage, burr-hole craniotomy for - including burr holes (Assist.)

190 90 347.85 126 20 60 60 3 3 3 3380


n/a n/a n/a 127.5 5 75 10 4 2 4 3360


n/a n/a n/a 127.5 5 75 10 4 2 4 3360

39109 Trigeminal gangliotomy by radiofrequency, balloon or glycerol 114 75 325.75 129 30 45 20 4 6 4 333039133 Epidural stimulator or intrathecal infusion device, revision of 77 60 117.05 130 10 60 30 4 4 3 330090782 Consultation in rooms exceeding 75 minutes duration with an

existing patient seen on a referred basis.n/a n/a n/a 131.5 5 75 5 4 2 4 3290




Anaesth Time

Schedule Fee

Rank 3 (final)






Stress due to risk


39654 Petro-clival and clival tumour, removal of, by supra and 6 630 2511.45 1 60 570 120 10 10 8 6048091282 Consultation in a hospital of approximately 75 minutes duration with an existing patient seen on a referred basis.

n/a n/a n/a 131.5 5 75 5 4 2 4 3290

40709 Burr-hole placement of intracranial depth or surface electrodes (Assist.)

7 120 381.00 133 10 60 60 3 3 3 3250

39321 Nerve, transposition of (Assist.) 462 60 347.85 134 10 60 10 4 4 4 320048678 Spine, simple internal fixation of, involving 1 or more of facetal

screw, wire loop or similar, being a service associated with a service to which items 48642 to 48675 apply (Assist.)

55 165 415.15 135 10 60 30 3 3 3 2860

39015 Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of - including burr-hole (excluding after-care) (Assist.)

247 60 276.10 137.5 20 45 40 4 3 3 2730

39018 Cerebrospinal fluid reservoir, insertion of (Assist.) 47 75 276.10 137.5 20 45 40 4 3 3 273090771 Consultation in rooms of approximately 60 minutes duration with a

new patient seen on a referred basis.n/a n/a n/a 137.5 5 60 10 4 2 4 2730


n/a n/a n/a 137.5 5 60 10 4 2 4 2730


n/a n/a n/a 140.5 5 60 5 4 2 4 2660


n/a n/a n/a 140.5 5 60 5 4 2 4 2660

39134 Spinal neurostimulator receiver or pulse generator, subcutaneous placement of (Assist.)

105 60 250.10 142 10 45 10 4 4 4 2480

47729 Bone graft, harvesting of, via separate incision, in conjunction with another service - autogenous - large quantity

1172 45 172.85 143 15 45 15 3 3 3 2145


n/a n/a n/a 144.5 5 45 10 4 2 4 2100


n/a n/a n/a 144.5 5 45 10 4 2 4 2100


n/a n/a n/a 146.5 5 45 5 4 2 4 2030


n/a n/a n/a 146.5 5 45 5 4 2 4 2030

40018 Lumbar cerebrospinal fluid drain, insertion of 93 30 117.05 148 5 30 100 2 2 2 195039324 Neurectomy, neurotomy or removal of tumour from superficial

peripheral nerve, by open operation (Assist.)400 45 203.20 149 5 40 20 3 2 2 1595


n/a n/a n/a 150.5 5 30 10 4 2 4 1470


n/a n/a n/a 150.5 5 30 10 4 2 4 1470


n/a n/a n/a 152.5 5 30 5 4 2 4 1400




Anaesth Time

Schedule Fee

Rank 3 (final)






Stress due to risk


39654 Petro-clival and clival tumour, removal of, by supra and 6 630 2511.45 1 60 570 120 10 10 8 6048091252 Consultation in a hospital of approximately 30 minutes duration with an existing patient seen on a referred basis.

n/a n/a n/a 152.5 5 30 5 4 2 4 1400

39331 Carpal tunnel release (division of transverse carpal ligament), by any method

9060 30 203.20 154 10 20 20 4 4 3 1350

39323 Percutaneous neurotomy by cryoneurotomy or radiofrequency lesion generator, not being a service to which another item applies (Assist.)

191 75 203.20 155 10 30 30 2 2 2 1300

39136 Percutaneous epidural implant for management of pain, removal of 76 60 117.05 156 10 45 10 1 2 1 1240

39012 Burr-hole, single, preparatory to ventricular puncture or for inspection purpose - not being a service to which another item applies

14 60 174.50 157 15 30 15 2 2 2 1200

47726 Bone graft, harvesting of, via separate incision, in conjunction with another service - autogenous - small quantity

461 30 103.75 158 15 20 15 3 3 3 1170


n/a n/a n/a 159.5 5 20 5 4 2 4 980


n/a n/a n/a 159.5 5 20 5 4 2 4 980


n/a n/a n/a 161 2 15 5 4 2 4 728


n/a n/a n/a 162 0 15 3 4 2 4 672

45018 Dermis, dermofat or fascia graft (excluding transfer of fat by injection) (Assist.)

556 90 347.85 163 0 20 0 2 2 2 600

39003 Cisternal puncture 17 30 62.95 165 5 15 5 2 2 2 55039006 Ventricular puncture (not including burr-hole) 111 30 117.05 165 5 15 5 2 2 2 55039009 Subdural haemorrhage, tap for, each tap 6 30 43.60 165 5 15 5 2 2 2 55039100 Injection of primary branch of trigeminal nerve with alcohol,

cortisone, phenol, or similar substance84 60 174.50 167 10 15 10 2 1 1 520


n/a n/a n/a 168 1 10 4 4 2 4 490


n/a n/a n/a 169 0 10 2 4 2 4 448

39000 Lumbar puncture 3734 15 55.25 170 5 10 10 1 1 1 31591210 Consultation in a hospital of approximately 5 minutes duration with

a new or existing patient seen on a referred basis.n/a n/a n/a 171 0 5 0 4 2 4 210


Consensus Group on Orthopaedic SurgeryRevised Time Estimates, Intensity Ratings and Rank Formula - 23.7.99

MBS Item Truncated MBS DescriptorHIC Freq

MBS Anaes

Schedule Fee

Rank Time Estimates (mins) Ratings of Intensity (0-10)Comments at CG

MeetingsWtime Wint Formula Value

Number Item Id Partner item

1996/97 mins $ 15.9.99 Pre Service

Intra Service

Post Service

Cogn/ Clin judg/ Comm

Technical/ Physical

Stress due to risk

= pre + 2xintra +post

= 2xcog +2xtech +stress

Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo-thoracic (Assist.)

3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St Vincent's Melb) OR Prof Ian Dickinson (Brisbane)

900 50 90000

50227 Malignant bone tumour, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (Assist.)


880 50 88000

50306 Limb lengthening, where the lengthening is bipolar, or bone transport is performed or where the fixator is extended to correct an adjacent joint

16 420 1812.05 3 40 360 180 8 8 8 *Refer to John Fraser (Brisbane) or Peter Hannan (Monash). CG: Need to separate with and without

940 40 84600

49345 Hip, revision total replacement of, requiring anatomic specific allograft of both femur and acetabulum (Assist.)

31 330 2419.50 4 60 360 100 9 9 10 CG 16.3.99: Re ASSIST items, members asked NCCH to report to the MSRB that payment be made to all assisting surgeons.

880 46 84480

50414 Lower limb deficiency, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee fusion and rotationplasty (Assist.)

2 390 1297.95 5 60 360 100 8 8 10 *Refer to Ian Torode (Royal Childrens Hosp, Melb)

880 42 80960

48630 Scoliosis, requiring anterior decompression of spinal cord with resection of vertebrae including bone graft and instrumentation in the

9 370 2073.80 6.5 60 300 120 10 10 10 780 50 78000

48612 Scoliosis, spinal fusion for, using segmental instrumentation (C D, Zielke, Luque, or similar) (Assist.)

139 370 1797.35 6.5 60 300 120 10 10 10 780 50 78000

50224 Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of, with reconstruction by prosthesis, allograft or autograft (Assist.)


740 50 74000

48627 Scoliosis, spinal fusion for, combined with segmental instrumentation (C D, Zielke or similar) down to and including pelvis (Assist.)

12 370 1866.45 9 60 300 100 9 10 9 760 47 73720

50417 Lower limb deficiency, treatment of congenital deficiency of the tibia by reconstruction of the knee, involving transfer of fibula or tibia, and


730 50 73000

48624 Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke or similar) - more than 4 levels (Assist.)

15 370 1451.70 11 60 300 100 9 9 9 760 45 72200

49342 Hip, revision total replacement of, requiring anatomic specific allograft of acetabulum (Assist.)

36 270 2039.25 12 50 300 100 9 9 9 750 45 71250

50218 Malignant tumour of long bone, enbloc resection of, with replacement or arthrodesis of adjacent joint (Assist.)


680 50 68000

50399 Forearm, radial aplasia or dysplasia (radial club hand), centralisation or radialisation of (Assist.)

3 360 676.95 14.5 40 300 100 8 8 8 *Refer to hand surgeon 740 40 66600

50236 Malignant tumour, amputation for, hip disarticulation, shoulder disarticulation or proximal third femur (Assist.)

5 300 1244.30 14.5 40 300 100 8 8 8 *Refer to Prof Peter Choong (St Vincent's Melb) OR Prof Ian Dickinson (Brisbane)

740 40 66600

47510 Acetabulum, treatment of double column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy required for exposure and subsequent repair (Assist.)

5 270 1036.90 16 30 300 120 6.5 8 9 750 38 66000

49339 Hip, revision total replacement of, requiring anatomic specific allograft of proximal femur greater than 5 cm in length (Assist.)

60 270 2039.25 17 50 270 100 8 10 9 690 45 65550

49333 Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to both acetabulum and femur, including obtaining of graft

288 255 1797.35 18 50 280 100 8 8 10 710 42 65320

50215 Malignant or aggressive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of soft tissue, with intercalary reconstruction (prosthesis, allograft or autograft) (Assist.)


620 50 62000

49330 Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to femur, including obtaining of graft (Assist.)

139 225 1589.95 20.5 50 260 100 8 8 9 670 41 60970

49327 Hip, total replacement arthroplasty of, revision procedure requiring bone grafting to acetabulum, including obtaining of graft (Assist.)

288 225 1589.95 20.5 50 260 100 8 8 9 670 41 60970

48621 Scoliosis, anterior correction of, with fusion and segmental fixation (Dwyer, Zielke, or similar) - not more than 4 levels (Assist.)

6 315 1175.20 22 60 240 100 9 9 9 640 45 60800

50303 Limb lengthening, up to and including 5cm, requiring slow distraction under general anaesthesia in the operating theatre of a hospital or approved day hospital facility, with or without application of a ring

60 255 1160.50 23 30 240 150 8 8 8 *Refer to John Fraser (Brisbane) or Peter Hannon (Monash). CG: Need to separate with and without application of ring fixator etc.

660 40 59400

48632 Scoliosis, congenital, vertebral resection and fusion for (Assist.) 1 370 1146.35 24 40 240 100 9 9 9 620 45 58900

50411 Lower limb deficiency, treatment of congenital deficiency of the femur by resection of the distal femur and proximal tibia followed by knee


640 42 58880




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000047507 Acetabulum, treatment of transverse fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy

8 270 1036.90 26.5 30 300 120 5 5 8 750 28 58500

47504 Acetabulum, treatment of T-shape fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or capsulotomy

2 270 1036.90 26.5 30 300 120 5 5 8 750 28 58500

48639 Vertebral body, total or sub-total excision of, including bone grafting or other form of fixation (Assist.)

140 345 1002.35 28 60 240 100 8 8 9 640 41 58240

49319 Hip, total replacement arthroplasty of, including associated minor grafting, if performed - bilateral (Assist.)

20 285 1700.00 29 60 240 100 8 8 8 640 40 57600

49324 Hip, total replacement arthroplasty of, revision procedure including removal of prosthesis (Assist.)

585 210 1382.60 30 50 240 100 8 8 9 630 41 57330

50221 Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of (Assist.)


620 42 57040

47489 Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of posterior segment (including sacro-iliac joint), with or

8 270 1036.90 32 30 240 120 8 8 8 630 40 56700

49533 Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to both femur and tibia, including obtaining of graft and

103 270 1659.10 33 40 240 100 8 8 8 620 40 55800

48942 Shoulder, arthrodesis of, including removal of prosthesis, requiring bone grafting or internal fixation (Assist.)

5 240 1036.90 34 30 240 100 8 8 8 CG 16.3.99: This is an obsolete item that should be removed from schedule. NCCH: Report to MSRB.

610 40 54900

44334 Interscapulothoracic (Assist.) 2 150 876.85 35 30 210 90 10 10 10 540 50 54000

48609 Scoliosis or Kyphosis, spinal fusion for, using Harrington or other nonsegmental fixation (Assist.)

5 285 1209.75 36 60 195 120 8 8 9 570 41 51870

50423 Tibia, fibula or both, congenital deficiency of, transfer of the fibula to tibia, with internal fixation (Assist.)


540 44 50760

47702 Spine, treatment of fracture, dislocation or fracture-dislocation with cord involvement requiring open reduction with or without internal

16 180 1382.60 38.5 45 180 100 10 10 10 CG 16.3.99: Recommend combining items 47699 and 47702. NCCH: Report to MSRB.

505 50 50500

47699 Spine, treatment of fracture, dislocation or fracture-dislocation without cord involvement requiring open reduction with or without internal fixation (Assist.)

14 180 1106.05 38.5 45 180 100 10 10 10 CG 16.3.99: Item ADDED to list by CG.

505 50 50500

49530 Knee, total replacement arthroplasty of, revision procedure, requiring bone grafting to femur or tibia, including obtaining of graft and including

102 240 1451.70 40.5 40 210 100 8 8 8 560 40 50400

49519 Knee, total replacement arthroplasty of, including associated minor grafting, if performed - bilateral (Assist.)

148 270 1700.00 40.5 40 200 120 8 8 8 560 40 50400

48924 Shoulder, total replacement arthroplasty, revision of, requiring bone graft to scapula or humerus, or both (Assist.)

9 210 1313.45 42 30 210 90 8 9 9 540 43 50220

47591 Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar and tibial articular surfaces and requiring

1 225 1175.20 43 30 210 100 8 8 8 550 40 49500

46507 Digit or ray, transposition or transfer of, on vascular pedicle, complete procedure (Assist.)

19 210 944.40 44 30 210 75 8 10 8 525 44 49350

50300 Joint deformity, slow correction of, using ring fixator or similar device, including all associated attendances - payable only once in any 12

35 210 850.05 45 100 120 180 9 9 8 CG: Need to modify descriptor by deleting "12 month period" because of differences in cases. Rated as

520 44 48880

49554 Knee, revision of total replacement of, by anatomic specific allograft of tibia or femur (Assist.)

5 210 1382.60 46.5 40 200 100 8 8 8 540 40 48600

49527 Knee, total replacement arthroplasty of, revision procedure, including removal of prosthesis (Assist.)

394 210 1175.20 46.5 30 210 90 8 8 8 540 40 48600

49524 Knee, total replacement arthroplasty of, requiring major bone grafting to femur and tibia, including obtaining of graft (Assist.)

154 180 1382.60 48 40 200 90 8 8 8 530 40 47700

48606 Scoliosis or Kyphosis, spinal fusion for (without instrumentation) (Assist.)

8 285 967.75 49 40 180 120 8 8 9 520 41 47320

49321 Hip, total replacement arthroplasty of, including major bone grafting, including obtaining of graft (Assist.)

554 165 1175.20 50.5 50 180 100 8 8 8 510 40 45900

47486 Pelvic ring, treatment of fracture of, by open reduction and involving internal fixation of anterior segment, including diastasis of pubic

15 210 691.25 50.5 30 180 120 8 8 8 510 40 45900

50230 Benign tumour, resection of, requiring anatomic specific allograft, with or without internal fixation (Assist.)


500 40 45000

49115 Elbow, total joint replacement of (Assist.) 50 210 829.50 53 30 180 90 8 9 8 480 42 44160

50212 Malignant or aggressive soft tissue tumour affecting the long bones of leg or arm, enbloc resection of, with compartmental or wide excision of


490 40 44100

48921 Shoulder, total replacement arthroplasty, revision of (Assist.) 21 180 1140.60 55 30 180 90 8 8 9 480 41 43680




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000049512 Knee, arthrodesis of, with removal of prosthesis (Assist.) 15 180 794.95 56.5 30 180 90 8 8 8 480 40 43200

44331 At shoulder (Assist.) 0 120 431.45 56.5 30 180 90 8 8 8 480 40 43200

50420 Patella, congenital dislocation of, reconstruction of the quadriceps (Assist.)

1 240 794.05 58 30 160 90 9 9 8 440 44 41360

46321 Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy,

6 180 994.15 59 30 215 60 5 5 8 520 28 40560

50372 Knee, contracture of, posterior release involving multiple tendon lengthening with or without tenotomies and release of joint capsule with

4 240 839.85 60 30 160 80 9 9 8 430 44 40420

48618 Scoliosis, revision of failed scoliosis surgery, involving more than 1 of multiple osteotomy, fusion or instrumentation (Assist.)

13 315 1797.35 61 40 150 100 8 8 9 440 41 40040

40306 Spinal stenosis, laminectomy for, involving more than 1 vertebral interspace (disc level) (Assist.)

2235 120 1054.60 62 30 150 90 9 9 9 420 45 39900

47432 Humerus, proximal, treatment of intra-articular fracture of, by open reduction (Assist.)

65 150 397.50 63 30 180 60 6.5 8 8 450 37 39150

50327 Talipes equinovarus, bilateral procedures (Assist.) 22 225 1185.95 64 30 180 40 8 8 9 CG: Need a new item for BILATERAL"Talipes equinovarus, combined postero-medial release of,

430 41 39130

47501 Acetabulum, treatment of single column fracture of, by open reduction and internal fixation, including any osteotomy, osteectomy or

6 210 691.25 65 30 180 120 5 5 6.5 510 26.5 39015

49545 Knee, revision arthrodesis of (Assist.) 3 150 553.05 66 40 150 90 8 8 8 430 40 38700

50354 Tibia, pseudarthrosis of, congenital, resection and internal fixation (Assist.)

2 180 962.00 67 30 140 90 9 9 9 400 45 38000

49715 Ankle, total joint replacement of (Assist.) 6 210 829.50 71 30 150 90 8 8 8 420 40 37800

49551 Knee, revision of procedures to which item 49536, 49539 or 49542 applies (Assist.)

292 180 967.75 71 30 150 90 8 8 8 420 40 37800

49542 Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including notchplasty, meniscus repair,

3198 150 967.75 71 30 150 90 8 8 8 420 40 37800

49521 Knee, total replacement arthroplasty of, requiring major bone grafting to femur or tibia, including obtaining of graft (Assist.)

273 165 1175.20 71 30 150 90 8 8 8 420 40 37800

49312 Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (cemented, porous coated or similar) (Assist.)

68 150 691.25 71 30 150 120 5 8 8 450 34 37800

48939 Shoulder, arthrodesis of (Assist.) 11 150 794.95 71 30 150 90 8 8 8 420 40 37800

48918 Shoulder, total replacement arthroplasty of, including any associated rotator cuff repair (Assist.)

222 150 1106.05 71 30 150 90 8 8 8 420 40 37800

50239 Malignant tumour, amputation for, not being a service to which another item in this Group applies (Assist.)


430 37 37410

47588 Knee joint, treatment of fracture of, by internal fixation of intra-articular fractures of femoral condylar or tibial articular surfaces and requiring

27 180 967.75 76 30 180 90 5.5 5.5 5.5 480 27.5 37200

43518 Operation on spine or pelvic bones (for chronic osteomyelitis) - 1 bone (Assist.)

16 105 431.45 77 30 120 120 9 9 9 390 45 37050

48690 Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply -

11 255 1106.05 78 20 200 0 5 9 9 CG 16.3.99: Check these times & ratings with neurosurgery.

420 37 36540

49306 Hip - arthrodesis of (Assist.) 7 150 794.95 79 30 150 90 5 8 9 420 35 35700

48651 Spine, bone graft to, (postero-lateral fusion) - more than 2 levels (Assist.)

117 180 1106.05 80 40 130 100 8 8 7 400 39 35600

47696 Spine, reduction of fracture or dislocation of, without cord involvement, undertaken in the operating theatre of a hospital or approved day-

2 60 276.50 81 30 120 100 9 9 9 CG 16.3.99: Query the application (use) of this item and its relation to $value. NCCH: Report to MSRB.

370 45 35150

48669 Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level (Assist.)

135 210 1071.50 83 40 130 90 8 8 8 CG 13.3.99: RE 48672 and 48675 - obsolete items that should be removed from schedule. NCCH:

390 40 35100

47732 Vascularised pedicle bone graft, harvesting of, in conjunction with another service (Assist.)

9 60 276.50 83 30 120 120 8 8 8 CG 16.3.99: Refer also to plastic surgery.

390 40 35100

46318 Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy, tendon transfer or realignment - 4 joints (Assist.)

83 150 828.40 83 30 180 60 5 5 8 450 28 35100

47513 Sacro-iliac joint disruption, treatment of, requiring internal fixation, being a service associated with a service to which items 47501 to

0 150 276.50 85 30 120 120 6.5 8 9 390 38 34320




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000050387 Hip, iliopsoas tendon transfer to greater trochanter, or transfer of abdominal musculature to greater trochanter, or transfer or adductors

0 180 478.45 86.5 30 130 90 8 8 8 380 40 34200

50121 Greater Trochanter, transplantation of ileopsoas tendon to (Assist.) 3 135 622.15 86.5 30 130 90 8 8 8 380 40 34200

50408 Shoulder, congenital or developmental dislocation, open reduction of (Assist.)

10 240 732.95 88.5 30 120 90 9 9 8 360 44 33840

50378 Hip, contracture of, medial release, involving lengthening of, or division of the adductors and psoas with or without division of the obturator

14 210 641.35 88.5 40 120 80 9 9 8 360 44 33840

47549 Tibia, plateau of, treatment of medial or lateral fracture of, by open reduction (Assist.)

136 90 331.80 90 30 165 90 5 5 5 450 25 33750

47534 Femur, condylar region of, treatment of intra- articular (T-shaped condylar) fracture of, requiring internal fixation, with or without internal

108 180 794.95 91 30 150 90 5 6.5 6.5 420 29.5 33390

40303 Recurrent disc lesion or spinal stenosis, or both, laminectomy for - 1 level (Assist.)

1189 90 800.60 92 30 120 90 8.5 8.5 8.4 360 42.4 33264

50360 Knee, leg or thigh, combined medial and lateral hamstring tendon transfer (Assist.)

5 120 478.45 93 30 120 90 9 8 8 360 42 33120

50384 Hip, contracture of, anterior release, involving lengthening of, or division of the hip flexors and psoas with or without division of the joint capsule, bilateral (Assist.)

10 270 839.85 94 30 120 80 9 9 8 350 44 32900

50396 Hand, congenital abnormalities or duplication of digits, amputation or splitting of phalanx or phalanges, with ligament or joint reconstruction (Assist.)

18 120 341.05 95.5 30 120 90 8 8 8 *Refer to hand surgeon 360 40 32400

49518 Knee, total replacement arthroplasty of (Assist.) 5834 150 967.75 95.5 30 120 90 8 8 8 360 40 32400

49209 Wrist, total replacement arthroplasty of (Assist.) 5 210 553.05 97 30 120 90 8 7.5 8 360 39 32040

47618 Calcaneum or talus, treatment of intra-articular fracture of, by open reduction, with or without dislocation (Assist.)

77 90 432.05 98 30 150 80 5.5 5.5 5.5 CG 16.3.99: Need to separate items for calcaneum and talus. NCCH: Report to MSRB.

410 27.5 31775

47441 Humerus, proximal, treatment of intra-articular fracture of, and associated dislocation of shoulder, by open reduction (Assist.)

36 150 604.85 99 30 150 60 5 6.5 8 390 31 31590

48512 Epiphysiolysis, operation to prevent closure of plate (Assist.) 23 180 656.70 100 30 130 60 8 8 8 350 40 31500

50351 Hip, congenital or developmental dislocation of, open reduction of (Assist.)

35 210 732.95 102 40 120 60 8 8 8 340 40 30600

49354 Hip, congenital dislocation of, open reduction of (Assist.) 8 75 622.15 102 40 120 60 8 8 8 340 40 30600

43521 Operation on skull (for chronic osteomyelitis) (Assist.) 3 105 341.00 102 30 120 90 5 8 9 CG: Refer to neurosurgeons. NCCH: ORTHOP PLEASE REVIEW. Low freq item, 0 freq for neurosurg.

360 35 30600

40330 Spinal rhizolysis involving exposure of spinal nerve roots - for lateral recess, exit foraminal stenosis, adhesive radiculopathy or extensive epidural fibrosis, at 1 or more levels - with or without laminectomy

1734 150 701.25 104 30 100 90 9 9 9 CG 30.1.99: Refer to neurosurg. Find out multiplicity situation. NCCH: This has been allocated to Neuros (freq 1242, 72%) and Orth (freq 312,

320 45 30400

49815 Foot, triple arthrodesis of (Assist.) 149 135 553.05 105 30 110 90 9 8 5 340 39 30260

49300 Sacro-iliac joint - arthrodesis of (Assist.) 19 150 382.70 106 30 120 90 5 8 8 360 34 30240

47558 Tibia, plateau of, treatment of both medial and lateral fractures of, by open reduction (Assist.)

48 120 553.05 107 30 150 60 5 5.5 6.5 390 27.5 30225

47459 Humerus, distal (supracondylar or condylar), treatment of fracture of, by open reduction, undertaken in the operating theatre of a hospital or

387 90 387.10 108 30 150 60 3 6.5 8 390 27 30030

48221 Radius and ulna, bone graft to, with internal fixation of 1 or both bones (Assist.)

31 135 553.05 109 30 150 60 5 5 6.5 390 26.5 29835

46381 + 46378 Inter-phalangeal joint, joint capsule release when performed in conjunction with operation for Dupuytren's contracture - each procedure (Assist.) + Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves - 1

423 45 220.90 110 30 130 60 5 8.5 8 350 35 29750

49106 Elbow, arthrodesis of (Assist.) 0 90 691.25 111.5 30 120 90 5 8 6.5 360 32.5 29700

48427 Femur or pelvis, osteotomy or osteectomy of, with internal fixation (Assist.)

315 165 670.50 111.5 30 120 60 8 8 8 CG 16.3.99: Recommend separate items for osteotomy and osteectomy. NCCH: Report to MSRB.

330 40 29700




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000049318 Hip, total replacement arthroplasty of, including minor bone grafting (Assist.)

5754 150 967.75 113 50 120 90 5 6.5 5 380 28 29640

48687 Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - 3 or 4 levels (Assist.)


340 37 29580

50324 Talipes equinovarus, combined postero-medial release of, revision procedure (Assist.)

22 180 972.20 115 30 120 40 9 9 9 310 45 29450

47429 Humerus, proximal, treatment of fracture of, by open reduction (Assist.) 72 120 317.95 116 30 150 60 5 5 5 390 25 29250

50336 Talus, vertical, congenital, combined anterior and posterior reconstruction (Assist.)

8 195 676.95 117 30 120 40 9 9 8 CG: Need a new item for bilateral procedure. NCCH: Report to MSRB.

310 44 29140

48227 Radius or ulna, bone graft to, with internal fixation of 1 or both bones (Assist.)

93 120 359.50 118 30 145 60 5 5 6.5 380 26.5 29070

47693 Spine, treatment of fracture, dislocation or fracture-dislocation, with cord involvement, including immobilisation by calipers, requiring

1 967.75 119.5 30 100 100 6.5 8 9 330 38 29040

47690 Spine, treatment of fracture, dislocation or fracture-dislocation, without cord involvement, including immobilisation by calipers, requiring reduction by closed manipulation (Assist.)

7 60 760.40 119.5 30 100 100 6.5 8 9 330 38 29040

50393 Pelvis, bone graft or shelf procedures for acetabular dysplasia (Assist.) 13 210 621.00 122.5 30 100 90 8 8 8 320 40 28800

49539 Knee, reconstructive surgery of cruciate ligaments (open or arthroscopic, or both), including notchplasty when performed and surgery to other internal derangements, not being a service to which another item in this Group applies (Assist.)

1187 135 691.25 122.5 30 100 90 8 8 8 320 40 28800

49536 Knee, repair or reconstruction of, for chronic instability (open or arthroscopic, or both) involving either cruciate or collateral ligaments,

1009 120 691.25 122.5 30 100 90 8 8 8 320 40 28800

49534 Knee, patello-femoral joint of, total replacement arthroplasty as a primary procedure (Assist.)

26 120 330.00 122.5 30 100 90 8 8 8 320 40 28800

48215 Humerus, bone graft to, with internal fixation (Assist.) 41 120 532.25 125 30 120 90 5 6.5 6.5 360 29.5 28620

48645 Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - more than 2 levels (Assist.)

14 195 794.95 127 40 120 100 5 5 5 380 25 28500

48615 Scoliosis, re-exploration for, involving adjustment or removal of instrumentation or simple bone grafting procedure (Assist.)

99 150 324.90 127 40 120 100 5 5 5 380 25 28500


16 135 662.70 127 30 145 60 5 5 5 380 25 28500

47438 Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by open reduction (Assist.)

18 150 483.90 129 30 130 60 5 6.5 8 350 31 28350

48648 Spine, bone graft to, (postero-lateral fusion) - 1 or 2 levels (Assist.) 785 150 794.95 130 40 100 100 6.5 6.5 6.5 340 32.5 28050

48660 Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - 1 level (Assist.)

260 180 794.95 131.5 40 90 90 8 8 8 CG 13.3.99: RE 48663 and 48666 - obsolete items that should be removed from schedule. NCCH: Report to MSRB.

310 40 27900

48424 Femur or pelvis, osteotomy or osteectomy of (Assist.) 274 135 553.05 131.5 30 110 60 8 8 8 310 40 27900

47498 Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring internal fixation, with or without traction (Assist.)

3 150 518.45 133 30 120 120 3 5 5 390 21 27690

50369 Knee, contracture of, posterior release involving multiple tendon lengthening with or without tenotomies and release of joint capsule with or without cruciate ligaments, unilateral (Assist.)

3 150 478.45 134 30 90 80 9 9 8 290 44 27260

48236 Scaphoid, bone graft to, for mal-union, including osteotomy, bone graft and internal fixation (Assist.)

51 120 587.60 135 30 120 60 5 8 6.5 330 32.5 27225

50357 Knee, leg or thigh, rectus femoris tendon transfer or medial or lateral hamstring tendon transfer (Assist.)

11 120 412.30 141 30 90 90 8 8 8 300 40 27000

50209 Bone tumour, lesional or marginal excision of, combined with any 2 or more of: liquid nitrogen freezing, autograft, allograft or cementation


360 25 27000




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000049515 Knee, removal of prosthesis, cemented or uncemented, including associated cement, as the first stage of a 2 stage procedure (Assist.)

64 150 622.15 141 30 120 90 5 5 5 360 25 27000

49509 Knee, total synovectomy or arthrodesis of (Assist.) 207 120 553.05 141 30 120 90 5 5 5 CG: Need separate items for synovectomy and arthrodesis. NCCH: report to MSRB

360 25 27000

48915 Shoulder, hemi-arthroplasty of (Assist.) 239 120 553.05 141 30 120 90 5 5 5 360 25 27000

47573 Tibia, shaft of, treatment of intra-articular fracture of, by open reduction, with or without treatment of fibular fracture (Assist.)

83 105 501.15 141 30 120 90 5 5 5 360 25 27000

47566 Tibia, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation (Assist.)

185 120 666.80 141 30 120 90 5 5 5 360 25 27000

47531 Femur, treatment of fracture of shaft, by intramedullary fixation and cross fixation (Assist.)

260 120 705.10 141 30 120 90 5 5 5 360 25 27000

43524 Operation on any combination of adjoining bones, being bones referred to in item 43515, 43518 or 43521 (for chronic osteomyelitis) (Assist.)

15 105 431.45 141 30 120 90 5 5 5 360 25 27000

43515 Operation on humerus or femur (for chronic osteomyelitis) - 1 bone (Assist.)

35 90 261.65 141 30 120 90 5 5 5 360 25 27000

40300 Intervertebral disc or discs, laminectomy for removal of (Assist.) 1640 90 701.25 141 30 90 90 8 8 8 CG: Need to split by number of discs. NCCH: report to MSRB

300 40 27000

47687 Spine, treatment of fracture, dislocation or fracture-dislocation, with spinal cord involvement, including immobilisation by calipers, and including up to 14 days post-operative care (Assist.)

3 967.75 147.5 30 100 100 5 6.5 8 330 31 26730

47451 Humerus, shaft of, treatment of fracture of, by intramedullary fixation (Assist.)

71 150 400.00 147.5 30 120 60 5 6.5 8 330 31 26730

49569 Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (Assist.)

45 120 553.05 149 30 100 90 7 7 5 320 33 26560

47615 Calcaneum or talus, treatment of fracture of, by open reduction, with or without dislocation (Assist.)

14 90 345.60 150 30 120 80 5 5 5 CG 16.3.99: Need to separate items for calcaneum and talus. NCCH: Report to MSRB.

350 25 26250

49309 Hip, arthrectomy or excision arthroplasty of, including removal of prosthesis (Austin Moore or similar (non cement)) (Assist.)

58 120 553.05 151.5 30 90 120 5 6.5 6.5 330 29.5 26235

47468 Scapula, neck or glenoid region of, treatment of fracture of, by open reduction (Assist.)

30 120 317.95 151.5 30 120 60 5 6.5 6.5 330 29.5 26235

46417 Tendon transfer for restoration of hand function, each transfer (Assist.) 579 75 358.95 153.5 30 100 60 8 8 8 290 40 26100

46408 Tendon, reconstruction of, by tendon graft (Assist.) 108 105 508.10 153.5 30 100 60 8 8 8 290 40 26100

48933 Shoulder, stabilisation procedure for multi- directional instability, anterior or posterior (or both) repair when performed (Assist.)

584 120 725.85 155 30 100 90 5 6.5 8.5 320 31.5 26080

46378 Dupuytren's contracture, fasciectomy for, from 3 or more rays, including dissection of nerves - 1 hand (Assist.)

351 150 497.05 156 30 120 60 5 6 7 330 29 26070

48415 Humerus, osteotomy or osteectomy of, with internal fixation (Assist.) 59 120 587.60 157 30 120 60 5 6.5 5 330 28 25740

49517 Knee, hemiarthroplasty of (Assist.) 226 120 885.80 158 30 110 60 7 7 5 310 33 25730

48642 Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - 1 or 2 levels (Assist.)

31 165 587.60 159.5 40 100 100 5 5 5 340 25 25500

47528 Femur, treatment of fracture of, by internal fixation or external fixation (Assist.)

209 90 553.05 159.5 30 110 90 5 5 5 340 25 25500

48930 Shoulder, stabilisation procedure for recurrent anterior or posterior dislocation (Assist.)

529 105 553.05 161 30 100 90 5 6.5 6.5 320 29.5 25440

46360 Digit, synovectomy of flexor tendon or tendons - 5 digits (Assist.) 7 105 538.45 162 30 150 60 3 2 5 390 15 25350

47393 Radius and ulna, shafts of, treatment of fracture of, by open reduction (Assist.)

210 90 400.95 163 30 120 60 5 5 6.5 330 26.5 25245

50405 Elbow, flexorplasty, or tendon transfer to restore elbow function (Assist.)

10 150 422.45 164.5 30 80 90 8 8 8 280 40 25200

48957 Shoulder, arthroscopic stabilisation of, for recurrent instability including labral repair or reattachment when performed - not being a service associated with any other arthroscopic procedure of the shoulder region (Assist.)

256 150 794.95 164.5 30 80 90 8 8 8 280 40 25200

47684 Spine, treatment of fracture, dislocation or fracture-dislocation, without spinal cord involvement, including immobilisation by calipers (Assist.)

16 60 553.05 166 30 100 80 5 6.5 8 310 31 25110

49215 Wrist, reconstruction of, including repair of single or multiple ligaments or capsules, including associated arthrotomy (Assist.)

166 135 477.00 167 30 100 90 5 6.5 5 320 28 24960




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000049200 Wrist, arthrodesis of, including bone graft, with or without internal fixation of the radiocarpal joint (Assist.)

97 90 601.40 169.5 30 120 60 5 5 5 330 25 24750

48506 Femur, tibia and fibula, epiphysiodesis of (Assist.) 19 150 359.50 169.5 30 120 60 5 5 5 330 25 24750

48209 Tibia, bone graft to, with internal fixation (Assist.) 110 120 532.25 169.5 30 120 60 5 5 5 330 25 24750

48203 Femur, bone graft to, with internal fixation (Assist.) 82 150 670.50 169.5 30 120 60 5 5 5 330 25 24750

47483 Pelvic ring, treatment of fracture of, requiring control by external fixation (Assist.)

5 90 414.75 172 45 90 120 3 5 5 345 21 24495

50375 Hip, contracture of, medial release, involving lengthening of, or division of the adductors and psoas with or without division of the obturator

21 150 366.50 173 40 70 80 9 9 8 260 44 24440

47420 Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by open reduction (Assist.)

18 120 380.20 174 30 120 60 3 5 8 330 24 24420

49563 Knee, arthroscopic surgery of, involving 1 or more of: meniscus repair,; osteochondral graft; or chondral graft - not associated with any other arthroscopic procedure of the knee region (Assist.)

2022 75 585.00 176 30 90 60 8 8 8 270 40 24300

49506 Knee, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral stabilisation or single transfer of ligament or tendon or any other single procedure (not being a service to which another

838 120 539.20 176 30 90 60 8 8 8 270 40 24300

48960 Shoulder, reconstruction or repair of, including repair of rotator cuff by arthroscopic, arthroscopic assisted or mini open means; arthroscopic acromioplasty; or resection of acromioclavicular joint by separate

457 150 691.25 176 30 90 60 8 8 8 270 40 24300

48936 Shoulder, synovectomy of, as an independent procedure (Assist.) 10 105 553.05 178 30 100 90 5 5 5 320 25 24000

44361 Foot at ankle (Syme, Pirogoff types) (Assist.) 7 75 261.65 179 30 100 60 6.5 6.5 6.5 290 32.5 23925

50366 Knee, contracture of, posterior release involving multiple tendon lengthening or tenotomies, bilateral (Assist.)

26 210 641.35 180 30 80 80 8 8 6.5 270 38.5 23895

48212 Humerus, bone graft to (Assist.) 42 90 415.15 181 30 90 90 5 6.5 6.5 300 29.5 23850

49112 Elbow, silastic or other replacement of radial head (Assist.) 17 135 518.45 182 30 100 75 5 6.5 5 305 28 23790

50381 Hip, contracture of, anterior release, involving lengthening of, or division of the hip flexors and psoas with or without division of the joint capsule, unilateral (Assist.)

10 150 478.45 183 30 70 80 9 9 8 250 44 23500

49842 Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty - bilateral (Assist.)

30 120 656.70 185 30 100 60 8 5 5 290 31 23490

49227 Wrist, arthroscopic pinning of osteochondral fragment or stabilisation procedure for ligamentous disruption - not being a service associated with any other arthroscopic procedure of the wrist joint (Assist.)

14 90 518.45 185 30 100 60 5 8 5 290 31 23490

47450 Humerus, shaft of, treatment of fracture of, by internal or external (Assist.)

116 120 331.80 185 30 100 60 5 6.5 8 290 31 23490

47519 Femur, treatment of trochanteric or subcapital fracture of, by internal fixation (Assist.)

2466 90 636.00 187 30 120 90 3 3 3 360 15 23400

49346 Hip, revision arthroplasty with replacement of acetabular liner or ceramic head, not requiring removal of femoral component or

64 120 622.15 188.5 40 90 90 5 5 5 310 25 23250


34 105 497.05 188.5 30 110 60 5 5 5 310 25 23250

49724 Ankle, Achilles' tendon, secondary repair or reconstruction of (Assist.) 223 120 483.90 190 30 80 90 6.5 6.5 6.5 280 32.5 23100

50321 Talipes equinovarus, combined postero-medial release of (Assist.) 51 90 682.05 191 30 100 30 8 8 6.5 260 38.5 23010

50342 Foot and ankle, tibialis or tibialis posterior tendon transfer, through the interosseous membrane to anterior or posterior aspect of foot (Assist.)

24 120 478.45 192 30 80 60 9 8 8 250 42 23000

48909 Shoulder, repair of rotator cuff, including decompression of subacromial space by acromioplasty, excision of coraco-acromial ligament and distal clavicle, or any combination, not being a service associated with a service to which item 48903 applies (Assis

2336 120 553.05 193 30 100 75 5 5 5 305 25 22875




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000046357 Digit, synovectomy of flexor tendon or tendons - 4 digits (Assist.) 22 90 447.35 194 30 125 60 3 3 5 340 17 22780

43509 Operation on spine or pelvic bones (for acute osteomyelitis) - 1 bone (Assist.)

6 105 261.65 195 30 100 90 3 5 5 320 21 22720

47624 Tarso-metatarsal, treatment of fracture of, by open reduction, with or without dislocation (Assist.)

46 75 414.75 196.5 30 90 80 5 6.5 5 290 28 22620

46325 Carpal bone replacement or resection arthroplasty using adjacent tendon or other soft tissue including associated tendon transfer or realignment when performed (Assist.)

389 150 618.55 196.5 30 100 60 5 6.5 5 290 28 22620

50206 Bone tumour, lesional or marginal excision of, combined with any 1 of: liquid nitrogen freezing, autograft, allograft or cementation (Assist.)

82 90 449.35 200.5 30 90 90 5 5 5 *Refer to Prof Peter Choong (St Vincent's Melb) OR Prof Ian Dickinson (Brisbane)

300 25 22500

50203 Bone or malignant deep soft tissue tumour, lesional or marginal excision of (Assist.)

264 75 304.20 200.5 30 90 90 5 5 5 *Refer to Prof Peter Choong (St Vincent's Melb) OR Prof Ian

300 25 22500

49566 Knee, arthroscopic total synovectomy of (Assist.) 538 120 553.05 200.5 30 90 90 5 5 5 300 25 22500

49315 Hip, arthroplasty of, unipolar or bipolar (Assist.) 426 90 622.15 200.5 30 90 90 5 5 5 300 25 22500

47570 Tibia, shaft of, treatment of fracture of, by open reduction, with or without treatment of fibular fracture (Assist.)

35 90 400.95 200.5 30 90 90 5 5 5 CG 16.3.99: Recommend to combine this item with 47565. NCCH: Report to MSRB

300 25 22500

47565 Tibia, shaft of, treatment of fracture of, by internal fixation or external fixation (Assist.)

177 105 523.00 200.5 30 90 90 5 5 5 300 25 22500

46435 Flexor tendon of hand, secondary repair of, distal to A1 pulley, each tendon (Assist.)

147 90 386.60 204.5 30 90 60 6.5 6.5 6.5 270 32.5 22275

46375 Dupuytren's contracture, fasciectomy for, from 2 rays, including dissection of nerves - 1 hand (Assist.)

614 120 372.80 204.5 30 90 60 5 8 6.5 270 32.5 22275

49103 Elbow, ligamentous stabilisation of (Assist.) 83 75 518.45 206 30 90 75 5 6.5 5 285 28 22230

47012 Shoulder, treatment of dislocation of, requiring general anaesthesia, open reduction (Assist.)

10 75 248.85 207 30 100 60 5 5 6.5 290 26.5 22185

47051 Hip, treatment of dislocation of, by open reduction (Assist.) 21 75 317.95 208 30 90 60 5 7 8 270 32 22140

48954 Shoulder, arthroscopic total synovectomy of, including release of contracture when performed - not being a service associated with any other arthroscopic procedure of the shoulder region (Assist.)

276 120 691.25 209 30 75 90 5 8 5 270 31 21870

50127 Joint or joints, arthroplasty of, by any technique not being a service to which another item applies (Assist.)

143 165 515.85 210.5 30 100 60 5 5 5 CG: This item is not specific enough. It should be deleted; the $ is high and might encourage use of this non-

290 25 21750

46405 Phalanx or metacarpal, bone grafting of, for pseudarthrosis (non-union), involving internal fixation and including obtaining of graft

35 90 463.90 210.5 30 100 60 5 5 5 290 25 21750

47603 Ankle joint, treatment of fracture of, by internal fixation of more than 1 of malleolus, fibula or diastasis (Assist.)

954 90 414.75 212 30 100 90 3.5 3.5 3.5 320 17.5 21600

46447 Boutonniere deformity with joint contracture, reconstruction of (Assist.) 31 90 447.35 213 30 90 60 5 6.5 6.5 270 29.5 21465

49206 Wrist, proximal carpectomy of, including styloidectomy when performed (Assist.)

34 90 414.75 214 30 90 75 5 5 5 285 25 21375

43506 Operation on humerus or femur (for acute osteomyelitis) - 1 bone (Assist.)

15 90 261.65 215 30 90 90 3 5 5 300 21 21300

46414 Artificial tendon prosthesis, insertion of in preparation for tendon grafting (Assist.)

37 90 386.50 216 30 80 60 7 7 7 250 35 21250

48242 Bone graft, with internal fixation, not being a service to which another item in this Group applies (Assist.)

466 90 449.35 217 30 90 60 5 6.5 5 270 28 21060

49712 Ankle, arthrodesis of (Assist.) 237 105 553.05 218.5 30 90 70 5 5 5 280 25 21000

49548 Knee, revision of patello-femoral stabilisation (Assist.) 120 105 691.25 218.5 30 80 90 5 5 5 280 25 21000

49836 Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed - bilateral (Assist.)

414 105 656.70 220.5 30 90 60 6 5 5 270 27 20790

49830 Foot, correction of hallux valgus and transfer of adductor hallucis tendon - bilateral (Assist.)

43 105 604.85 220.5 30 90 60 6 5 5 270 27 20790

48951 Shoulder, arthroscopic division of coraco-acromial ligament including acromioplasty - not being a service associated with any other

2280 90 656.70 222 30 80 75 5 6.5 5 265 28 20670




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000047612 Calcaneum or talus, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Assist.)


280 23 20440

49203 Wrist, limited arthrodesis of the intercarpal joint, including bone graft (Assist.)

104 90 449.35 230.5 30 90 60 5 5 5 270 25 20250

48418 Tibia, osteotomy or osteectomy of (Assist.) 328 60 463.15 230.5 30 90 60 5 5 5 270 25 20250

48412 Humerus, osteotomy or osteectomy of (Assist.) 190 75 463.15 230.5 30 90 60 5 5 5 270 25 20250

47630 Tarsus (excluding calcaneum or talus), treatment of fracture of, by open reduction, with or without dislocation (Assist.)

45 75 248.85 230.5 30 80 80 5 5 5 270 25 20250

47585 Patella, treatment of fracture of, by internal fixation (Assist.) 185 90 311.10 230.5 30 90 90 3.5 3.5 3.5 300 17.5 20250

47357 Carpal scaphoid, treatment of fracture of, by open reduction (Assist.) 161 105 276.50 230.5 30 90 60 5 5 5 270 25 20250

47351 Carpus (excluding scaphoid), treatment of fracture of, by open reduction

35 90 172.85 230.5 30 90 60 5 5 5 270 25 20250

47066 Ankle or tarsus, treatment of dislocation of, by open reduction (Assist.) 23 105 248.85 230.5 30 90 60 5 5 5 270 25 20250

46345 Distal radioulnar joint, reconstruction or stabilisation of, including fusion, or ligamentous arthroplasty and excision of distal ulna, when performed (Assist.)

100 90 414.20 230.5 30 90 60 5 5 5 270 25 20250

44328 Hand, forearm or through arm (Assist.) 3 75 261.65 230.5 30 90 60 5 5 5 270 25 20250

44325 Hand, midcarpal or transmetacarpal (Assist.) 4 60 217.10 230.5 30 90 60 5 5 5 270 25 20250

43512 Operation on scapula, sternum, clavicle, rib, ulna, radius, metacarpus, carpus, phalanx, tibia, fibula, metatarsus, tarsus, mandible or maxilla (other than alveolar margins) (for chronic osteomyelitis) - 1 bone or any combination of adjoining bones (Assis

192 45 261.65 230.5 30 75 90 5 5 5 270 25 20250

39327 Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation (Assist.)

708 60 347.85 230.5 30 90 60 5 5 5 CG: Need to split item; neurectomy/ neurotomy is one item and removal of tumor as a separate item. NCCH:

270 25 20250

30241 Bone tumour, innocent, excision of, not being a service to which another item in this Group applies (Assist.)

231 45 261.65 230.5 30 90 60 5 5 5 CG: Need to split item - difficult/not so difficult. NCCH: report to MSRB

270 25 20250

50118 Subtalar joint, arthrodesis of (Assist.) 149 120 317.95 238 30 75 60 8 6.5 5 240 34 20160

48218 Radius and ulna, bone graft to (Assist.) 8 105 415.15 239 30 100 60 5 3 3 290 19 20010

48233 Scaphoid, bone graft to, for non-union, with internal fixation (Assist.) 212 105 449.35 240 30 80 60 5 6.5 6.5 250 29.5 19875

46384 + 46372 Z plasty (or similar local flap procedure) when performed in conjunction with operation for Dupuytren's contracture - 1 such procedure (Assist.) + Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves - 1 hand (A

3807 45 220.90 241 30 75 60 5 8.5 5 240 32 19680

47414 Humerus, treatment of fracture of tuberosity of, by open reduction 22 90 165.95 242 30 90 60 3 5 6.5 270 22.5 19575

48421 Tibia, osteotomy or osteectomy of, with internal fixation (Assist.) 1038 75 587.60 244.5 30 105 60 3 3 3 300 15 19500

47537 Femur, condylar region of, treatment of fracture of, requiring internal fixation of 1 or more osteochondral fragments, not being a service associated with a service to which item 47534 applies (Assist.)

34 135 317.95 244.5 30 90 90 3 3 3 300 15 19500

46432 Flexor tendon of hand, primary repair of, distal to A1 pulley, each tendon (Assist.)

400 75 331.40 244.5 30 80 60 5 6.5 5 250 28 19500

46324 Carpal bone replacement arthroplasty including associated tendon transfer or realignment when performed (Assist.)

73 120 592.80 244.5 30 85 60 5 5 5 260 25 19500

50339 Foot and ankle, tibialis anterior tendon (split or whole) transfer to lateral column (Assist.)

26 105 412.30 247.5 30 60 60 9 8 8 210 42 19320

48636 Percutaneous lumbar discectomy, 1 or more levels (Assist.) 84 90 594.45 247.5 30 70 60 6.5 6.5 8 230 34 19320




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000047525 Femur, treatment of fracture of, for slipped capital femoral epiphysis (Assist.)

123 90 636.00 249 30 90 60 3 5 5 CG 16.3.99: New item needed for bilateral procedure. NCCH:Report to MSRB.

270 21 19170

50333 Tarsal coalition, excision of, with interposition of muscle, fat graft or similar graft (Assist.)

76 120 453.00 250 30 60 60 8 8 8 210 40 18900

47657 Metatarsals, 3 or more of, treatment of fracture of, by open reduction (Assist.)

18 90 345.60 252 30 90 80 3 3 3 290 15 18850

47386 Radius or ulna, shaft of, treatment of fracture of, in conjunction with dislocation of distal radioulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by open reduction or internal fixation

131 120 345.60 252 30 100 60 3 3 3 290 15 18850


49709 Ankle, ligamentous stabilisation of (Assist.) 640 75 518.45 255 30 75 70 5 5 5 250 25 18750

47333 Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction (Assist.)

251 60 207.35 255 30 80 60 5 5 5 CG: Should split item to involve PIP joint and MCP joint as separate items. NCCH: report to MSRB

250 25 18750

46442 Mallet finger with intra-articular fracture involving more than one-third of base of terminal phalanx - open reduction (Assist.)

33 60 206.20 255 30 80 60 5 5 5 250 25 18750

49863 Foot, synovectomy of metatarso-phalangeal joint, 2 or more joints (Assist.)

42 75 311.10 257.5 30 75 60 6.5 5 5 CG: This items should be deleted and the multiple rule applied to 49860 for 2 or more joints. NCCH: Report to the MSRB.

240 28 18720

48948 Shoulder, arthroscopic surgery of, involving any 1 or more of: removal of loose bodies; decompression of calcium deposit; debridement of labrum, synovium or rotator cuff; or chondroplasty - not being a service associated with any other arthroscopic proced

801 75 449.35 257.5 30 75 60 5 6.5 5 240 28 18720

48409 Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy, with internal fixation (Assist.)

387 75 380.20 260 30 90 60 3 5 3 270 19 18630

47006 Clavicle, treatment of dislocation of, by open reduction 32 60 125.05 260 30 90 60 3 5 3 270 19 18630

46333 Inter-phalangeal joint or metacarpophalangeal joint, ligamentous repair of, using free tissue graft or implant (Assist.)

101 60 414.20 260 30 90 60 3 5 3 270 19 18630

46444 Boutonniere deformity without joint contracture, reconstruction of (Assist.)

45 75 358.95 262 30 70 60 5 6.5 6.5 230 29.5 18285

49812 Foot, tendon or ligament transplantation of, not being a service to which another item in this Group applies (Assist.)

378 90 317.95 263 30 60 60 8 8 5 210 37 18270

40336 Intradiscal injection of chymopapain (discase) - 1 disc (Assist.) 136 60 231.95 264 30 60 60 5 9 8 210 36 18060


267 15 75 25 9 9 9 190 45 18050


267 15 75 25 9 9 9 190 45 18050


267 15 75 25 9 9 9 190 45 18050


267 15 75 25 9 9 9 190 45 18050


267 15 75 25 9 9 9 190 45 18050

50309 Ring fixator or similar device, adjustment of, with or without insertion or removal of fixation pins, performed under general anaesthesia in the operating theatre of a hospital or approved day hospital facility, not being a service to which item 50303 or

79 75 223.95 274 30 75 60 5 5 5 240 25 18000

48927 Shoulder prosthesis, removal of (Assist.) 3 90 269.55 274 30 60 90 5 5 5 240 25 18000

48503 Tibia and fibula, epiphysiodesis of (Assist.) 32 90 242.00 274 30 75 60 5 5 5 240 25 18000

47975 Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (Assist.)

97 75 271.00 274 30 75 60 5 5 5 240 25 18000

47465 Clavicle, treatment of fracture of, by open reduction 125 75 165.95 274 30 75 60 5 5 5 240 25 18000

47330 Proximal phalanx of finger or thumb, treatment of fracture of, by open reduction

175 60 165.95 274 30 75 60 5 5 5 240 25 18000




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000046309 Interphalangeal joint or metacarpophalangeal joint, total replacement arthroplasty or hemiarthroplasty of, including associated synovectomy,

105 90 386.60 274 30 75 60 5 5 5 240 25 18000

46307 Interphalangeal joint or metacarpophalangeal joint - volar plate arthroplasty for traumatic deformity including tendon transfers or realignment on the 1 ray (Assist.)

91 90 386.60 274 30 75 60 5 5 5 240 25 18000

46306 Inter-phalangeal joint or metacarpophalangeal joint - interposition arthroplasty of and including tendon transfers or realignment on the 1 ray (Assist.)

51 90 386.60 274 30 75 60 5 5 5 240 25 18000

48906 Shoulder, repair of rotator cuff, including excision of coraco-acromial ligament or removal of calcium deposit from cuff, or both - not being a service associated with a service to which item 48900 applies (Assist.)

379 105 414.75 279 30 80 60 3 5 5 250 21 17750

50363 Knee, contracture of, posterior release involving multiple tendon lengthening or tenotomies, unilateral (Assist.)

18 120 366.50 280 30 45 80 8 8 6.5 200 38.5 17700

50112 Cicatricial flexion or extension contraction of joint, correction of, involving tissues deeper than skin and subcutaneous tissue, not being a service to which another item in this Group applies (Assist.)

161 90 265.10 281.5 30 60 60 6.5 8 5 210 34 17640

47456 Minimum rating is 1 346 45 290.40 281.5 30 60 60 6.5 6.5 8 210 34 17640

48200 Femur, bone graft to (Assist.) 114 120 553.05 285.5 30 90 60 3 3 3 270 15 17550

47717 Halo-thoracic traction - application of both halo and thoracic jacket (Assist.)

3 90 311.1 285.5 30 60 120 3 3 3 CG 16.3.99: Item ADDED to list by CG.

270 15 17550

47600 Ankle joint, treatment of fracture of, by internal fixation of 1 of malleolus, fibula or diastasis (Assist.)

728 60 317.95 285.5 30 75 90 3 3 3 270 15 17550

47522 Femur, treatment of subcapital fracture of, by hemiarthroplasty (Assist.)

768 90 553.05 285.5 30 60 120 3 3 3 270 15 17550

47495 Acetabulum, treatment of fracture of, and associated dislocation of hip, requiring traction (Assist.)

11 45 345.60 285.5 30 60 120 3 3 3 270 15 17550

47375 Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by open reduction (Assist.)

482 75 276.50 285.5 30 90 60 3 3 3 270 15 17550

49366 Hip, arthroscopic surgery of (Assist.) 85 90 449.35 289.5 30 75 30 5 9 5 210 33 17430

49363 Hip, diagnostic arthroscopy of, with synovial biopsy (Assist.) 15 75 304.15 289.5 30 75 30 5 9 5 CG 16.3.99: Recommend merge of items 49360 and 49366.

210 33 17430

50345 Hyperextension deformity of toe, release incorporating V-Y plasty of skin, lengthening of extensor tendons and release of capsule

36 75 254.50 291.5 30 60 60 6.5 6.5 6.5 210 32.5 17325

50312 Ankle, synovectomy of (Assist.) 32 120 514.10 291.5 30 60 60 6.5 6.5 6.5 210 32.5 17325

46453 Flexor tendon, tenolysis of, following tendon injury, repair or graft (Assist.)

303 90 276.15 293 30 70 60 5 5 5 230 25 17250

46399 Phalanx or metacarpal of the hand, osteotomy of, with internal fixation (Assist.)

55 60 380.20 294.5 30 75 60 3 5 5 240 21 17040

43503 Operation on sternum, clavicle, rib, ulna, radius, carpus, tibia, fibula, tarsus, skull, mandible or maxilla (other than alveolar margins) (for

49 75 150.30 294.5 30 60 90 3 5 5 240 21 17040

49839 Foot, correction of hallux rigidus or hallux valgus by prosthetic arthroplasty - unilateral (Assist.)

141 90 380.20 297 30 60 60 8 5 5 210 31 17010

49827 Foot, correction of hallux valgus and transfer of adductor hallucis tendon - unilateral (Assist.)

183 75 345.60 297 30 60 60 8 5 5 210 31 17010

46372 Dupuytren's contracture, fasciectomy for, from 1 ray, including dissection of nerves - 1 hand (Assist.)

902 105 314.20 297 30 60 60 5 8 5 210 31 17010

47920 Bone growth stimulator, insertion of (Assist.) 1 60 279.60 300.5 30 75 80 3 3 3 260 15 16900

47678 Phalanx of toe (other than great toe), more than 1 of, treatment of fracture of, by open reduction

46 90 124.45 300.5 30 75 80 3 3 3 260 15 16900

47582 Patella, treatment of fracture of, by excision of patella or pole with reattachment of tendon (Assist.)

29 75 242.00 300.5 30 75 80 3 3 3 260 15 16900

47480 Pelvic ring, treatment of fracture of, requiring traction (Assist.) 12 30 345.60 300.5 20 60 120 3 3 3 260 15 16900

48224 Radius or ulna, bone graft to (Assist.) 51 90 276.50 303 30 75 60 3 5 3 240 19 16560

50402 Torticollis, bipolar release of sternocleidomastoid muscle and associated soft tissue (Assist.)

15 105 310.50 304.5 30 45 80 6.5 6.5 6.5 200 32.5 16500

30235 Muscle, ruptured, repair of (extensive), not associated with external wound (Assist.)

32 45 217.10 304.5 30 90 90 1 1 1 300 5 16500




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000050109 Joint, arthrodesis of, not being a service to which another item in this Group applies (Assist.)

639 90 345.60 308.5 30 60 60 6.5 5 5 210 28 16380

50104 Joint, synovectomy of, not being a service to which another item in this Group applies (Assist.)

113 75 229.25 308.5 30 60 60 6.5 5 5 CG: More specificity is needed in the description of this item. NCCH: Report to the MSRB.

210 28 16380

50103 Joint, arthrotomy of, not being a service to which another item in this Group applies (Assist.)

388 75 242.00 308.5 30 60 60 6.5 5 5 210 28 16380

49854 Foot, radical plantar fasciotomy or fasciectomy of (Assist.) 500 75 276.50 308.5 30 60 60 6.5 5 5 210 28 16380

49121 Elbow, arthroscopic surgery involving any 1 or more of: drilling of defect, removal of loose body; release of contracture or adhesions;

360 75 449.35 308.5 30 60 60 5 6.5 5 210 28 16380

30023 Wound of soft tissue, deep or extensively contaminated, debridement of, under general anaesthesia or regional or field block, including

6956 45 239.40 308.5 30 60 60 5 5 8 210 28 16380

47384 Radius or ulna, shaft of, treatment of fracture of, by open reduction (Assist.)

144 75 248.85 312 30 80 60 3 3 3 250 15 16250

50200 Aggressive or potentially malignant bone or deep soft tissue tumour, biopsy of (not including aftercare)

277 30 138.25 313 30 60 30 8 8 8 *Refer to Prof Peter Choong (St Vincent's Melb) OR Prof Ian

180 40 16200

47408 Radius, treatment of fracture of head or neck of, open management of, including internal fixation and excision where performed (Assist.)

159 105 276.50 314 30 75 60 3 3 5 CG: Separate items for treatment of fracture of radius by excision and treatment of fracture by internal

240 17 16080

50318 Talipes equinovarus, medial release of (Assist.) 12 60 509.00 315.5 30 60 30 8 8 6.5 180 38.5 15930

50315 Talipes equinovarus, posterior release of (Assist.) 25 60 509.00 315.5 30 60 30 8 8 6.5 180 38.5 15930

48903 Shoulder, decompression of subacromial space by acromionectomy, excision of coraco-acromial ligament and distal clavicle, or any

640 105 414.75 317.5 30 70 60 3 5 3 230 19 15870

47345 Metacarpal, treatment of intra-articular fracture of, by open reduction (Assist.)

204 75 207.35 317.5 30 70 60 3 5 3 230 19 15870

50130 Joint or joints, application of external fixator to, other than for treatment of fractures (Assist.)

12 75 229.25 326.5 30 60 60 5 5 5 210 25 15750

50106 Joint, stabilisation of, involving 1 or more of: repair of capsule, repair of ligament or internal fixation, not being a service to which another item

1380 45 345.60 326.5 30 60 60 5 5 5 CG: More specificity is needed in the description of this item. NCCH: Report to the MSRB.

210 25 15750

49718 Ankle, Achilles' tendon or other major tendon, repair of (Assist.) 738 90 276.50 326.5 30 60 60 5 5 5 210 25 15750

49703 Ankle, arthroscopic surgery of (Assist.) 1522 60 449.35 326.5 30 60 60 5 5 5 210 25 15750

49503 Knee, meniscectomy of, repair of collateral or cruciate ligament, patellectomy of, chondroplasty of, osteoplasty of, patello-femoral

561 90 359.50 326.5 30 60 60 5 5 5 210 25 15750

49500 Knee, arthrotomy of, involving 1 or more of; capsular release, biopsy or lavage, or removal of loose body or foreign body (Assist.)

609 45 276.50 326.5 30 60 60 5 5 5 210 25 15750

49303 Hip, arthrotomy of, including lavage, drainage or biopsy when performed (Assist.)

205 60 400.95 326.5 30 60 60 5 5 5 210 25 15750

49212 Wrist, arthrotomy of 128 60 172.85 326.5 30 60 60 5 5 5 210 25 15750

49109 Elbow, total synovectomy of (Assist.) 66 105 518.45 326.5 30 60 60 5 5 5 210 25 15750

49100 Elbow, arthrotomy of, involving 1 or more of lavage, removal of loose body or division of contracture (Assist.)

393 60 242.00 326.5 30 60 60 5 5 5 210 25 15750

48912 Shoulder, arthrotomy of (Assist.) 93 45 242.00 326.5 30 60 60 5 5 5 210 25 15750

48500 Femur, epiphysiodesis of (Assist.) 34 90 242.00 326.5 30 60 60 5 5 5 210 25 15750

48239 Bone graft, not being a service to which another item in this Group applies (Assist.)

316 75 324.90 326.5 30 60 60 5 5 5 210 25 15750

48230 Scaphoid, bone graft to, for non-union (Assist.) 29 75 311.10 326.5 30 60 60 5 5 5 210 25 15750

47951 Tendon, repair of, not being a service to which another item in this Group applies (Assist.)

135 30 138.25 326.5 30 60 60 5 5 5 NCCH: CG please review - new allocate

210 25 15750

46492 Contracture of digits of hand, flexor or extensor, correction of, involving tissues deeper than skin and subcutaneous tissue (Assist.)

128 75 265.10 326.5 30 60 60 5 5 5 CG: Need description clarification. NCCH: report to MSRB

210 25 15750




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000091281 Consultation in a hospital of approximately 75 minutes duration with a new patient seen on a referred basis.

337 5 75 10 9 9 9 165 45 15675


337 5 75 10 9 9 9 165 45 15675


337 5 75 10 9 9 9 165 45 15675


337 5 75 10 9 9 9 165 45 15675


337 5 75 10 9 9 9 165 45 15675

48684 Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies - 1 or 2 levels (Assist.)

741 165 691.25 340 20 80 0 5 9 9 CG 16.3.99: Check these times & ratings with neurosurgery. RE 48681- obsolete item that should be removed from schedule. NCCH: Report to MSRB.

180 37 15660

49224 Wrist, arthroscopic debridement of 2 or more distinct areas; or osteoplasty including excision of the distal ulna; or total synovectomy

111 90 518.45 343 30 70 30 5 6.5 5 200 28 15600

48206 Tibia, bone graft to (Assist.) 312 90 415.15 343 30 75 60 3 3 3 240 15 15600

47966 Tendon or ligament transfer, not being a service to which another item in this Group applies (Assist.)

596 75 317.95 343 30 75 60 3 3 3 240 15 15600


46330 Inter-phalangeal joint or metacarpophalangeal joint, arthrotomy of, with ligamentous or capsular repair (Assist.)

477 90 254.10 343 30 75 60 3 3 3 240 15 15600

49857 Foot, metatarso-phalangeal joint replacement (Assist.) 26 90 255.75 347.5 30 50 60 8 5 5 190 31 15390

49845 Foot, arthrodesis of, first metatarso-phalangeal joint (Assist.) 541 60 345.60 347.5 30 50 60 8 5 5 190 31 15390

49833 Foot, correction of hallux valgus by osteotomy of first metatarsal including internal fixation where performed - unilateral (Assist.)

1101 60 380.20 347.5 30 50 60 8 5 5 190 31 15390

47981 Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, not being a service to which another item applies

170 45 110.45 347.5 30 50 60 8 5 5 190 31 15390

49562 Knee, arthroscopic surgery of, involving 1 or more of: meniscectomy, removal of loose body or lateral release; where the procedure includes chondroplasty requiring multiple drilling or carbon fibre (or similar)

1102 150 540.00 350.5 30 65 45 5 5 5 CG: Descriptor needs to be modified by taking out 'carbon fibre implant'. This item may then be combined with 49561 (would need to add multiple

205 25 15375

49561 Knee, arthroscopic surgery of, involving 1 or more of; meniscectomy, removal of loose body or lateral release; where the procedure includes associated debridement, osteoplasty or chrondoplasty - not associated with any other arthroscopic procedure of the

11756 120 495.00 350.5 30 65 45 5 5 5 205 25 15375

39321 Nerve, transposition of (Assist.) 462 60 347.85 352 30 75 60 3 3 2 240 14 15360

50102 Joint, arthroscopic surgery of, not being a service to which another item in this Group applies (Assist.)

31 90 449.35 353 30 60 45 6.5 5 5 CG: More specificity is needed in the description of this item. NCCH: Report to the MSRB.

195 28 15210

49824 Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) - bilateral (Assist.)

126 90 556.50 354.5 30 60 60 6.5 3 3 210 22 15120

47399 Olecranon, treatment of fracture of, by open reduction (Assist.) 286 90 276.50 354.5 30 75 60 2 3 3 240 13 15120

47648 Metatarsals, 2 of, treatment of fracture of, by open reduction (Assist.) 10 75 221.15 356 30 75 60 2.5 2.5 2.5 240 12.5 15000

47954 Tendon, repair of, not being a service to which another item in this Group applies (Assist.)

541 90 276.50 360.5 30 70 60 3 3 3 230 15 14950

47666 Phalanx of great toe, treatment of fracture of, by open reduction 55 60 172.85 360.5 30 60 80 3 3 3 230 15 14950

47567 Tibia, shaft of, treatment of intra-articular fracture of, by closed reduction, with or without treatment of fibular fracture (Assist.)

53 45 349.05 360.5 20 60 90 3 3 3 CG Need a new item for percutaneous fixation of fractures (eg Colles, metacarpal, supracondular

230 15 14950

47564 Tibia, shaft of, treatment of fracture of, by closed reduction, with or without treatment of fibular fracture

460 30 300.70 360.5 20 60 90 3 3 3 230 15 14950

47516 Femur, treatment of fracture of, by closed reduction or traction (Assist.) 252 60 317.95 360.5 20 60 90 3 3 3 230 15 14950

47021 Elbow, treatment of dislocation of, by open reduction (Assist.) 18 75 193.55 360.5 30 70 60 3 3 3 230 15 14950




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000046342 Distal radioulnar joint or carpometacarpal joint or joints, synovectomy of (Assist.)

58 75 342.40 360.5 30 70 60 3 3 3 230 15 14950

46339 Extensor tendons or flexor tendons of hand or wrist, synovectomy of (Assist.)

929 45 342.40 360.5 30 70 60 3 3 3 230 15 14950

49360 Hip, diagnostic arthroscopy of (Assist.) 17 60 252.55 365 30 60 30 5 9 5 180 33 14940

47033 Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by open reduction (Assist.)

38 75 193.55 366 30 60 60 3 5 5 210 21 14910

47435 Humerus, proximal, treatment of fracture of, and associated dislocation of shoulder, by closed reduction (Assist.)

35 45 304.20 367 30 45 60 5 8 6.5 180 32.5 14850

49860 Foot, synovectomy of metatarso-phalangeal joint, single joint (Assist.) 103 60 207.35 368 30 50 60 6.5 5 5 190 28 14820

49559 Knee, arthroscopic surgery of, involving chrondroplasty requiring multiple drilling or carbon fibre (or similar) implant; including any associated debridement or oestoplasty - not associated with any other arthroscopic procedure of the knee region (Assist

259 120 300.00 369 30 60 45 5 5 5 195 25 14625

49803 Foot, flexor or extensor tendon, secondary repair of 45 75 124.45 372 30 60 60 5 3 3 210 19 14490

47978 Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue

458 75 164.65 372 30 60 60 5 3 3 CG 16.3.99: Recommend revision of descriptor by deleting the component that reads "requiring excision of

210 19 14490

47963 Tenotomy, open, with or without tenoplasty, not being a service to which another item in this Group applies

1121 30 158.95 372 30 60 60 3 5 3 210 19 14490

47957 Tendon, large, lengthening of, not being a service to which another item in this Group applies (Assist.)

295 90 207.35 372 30 60 60 3 5 3 210 19 14490

47540 Hip spica or shoulder spica, application of, as an independent procedure

47 60 158.95 372 30 60 60 3 5 3 210 19 14490

47609 Calcaneum or talus, treatment of fracture of, by closed reduction, with or without dislocation (Assist.)


220 15 14300

47555 Tibia, plateau of, treatment of both medial and lateral fractures of, by closed reduction

19 60 414.75 376 20 70 60 3 3 3 220 15 14300

47477 Pelvic ring, treatment of fracture of, with disruption of pelvic ring or acetabulum

55 172.85 376 20 40 120 3 3 3 CG 16.3.99: This is non-operative - should be covered by consultation items except in multi-trauma cases.

220 15 14300


381.5 10 60 20 9 9 9 150 45 14250


381.5 10 60 20 9 9 9 150 45 14250


381.5 10 60 20 9 9 9 150 45 14250


381.5 10 60 20 9 9 9 150 45 14250


381.5 10 60 20 9 9 9 150 45 14250

50426 Diaphyseal aclasia, removal of lesion or lesions from bone - 1 approach (Assist.)

35 120 341.05 381.5 30 50 60 5 5 5 190 25 14250

49560 Knee, arthroscopic surgery of, involving 1 or more of: meniscectomy, removal of loose body or lateral release - not being a service associated with any other arthroscopic procedure of the knee region

21461 75 405.00 381.5 30 60 40 5 5 5 190 25 14250

48509 Epiphysiodesis, staple arrest of hemi-epiphysis 25 75 172.85 381.5 30 50 60 5 5 5 190 25 14250

49221 Wrist, arthroscopic surgery of, involving any 1 or more of: drilling of defect; removal of loose body, release of adhesions; local synovectomy; or debridement of one area - not being a service associated with any other arthroscopic procedure of the wrist

244 75 449.35 386 30 60 30 5 6.5 5 180 28 14040

47982 Forage (Drill decompression), of neck or head of femur, or both (Assist.)

0 60 267.95 387.5 30 60 60 5 2 2 210 16 13860

46303 Carpometacarpal joint, arthrodesis of (Assist.) 76 60 276.15 387.5 30 60 60 3 3.5 3 210 16 13860

47366 Radius or ulna, distal end of, treatment of fracture of, by open reduction (Assist.)

78 75 193.55 389.5 30 70 60 2 2 2 230 10 13800




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000046423 Extensor tendon of hand or wrist, secondary repair of, each tendon (Assist.)

179 75 240.25 389.5 30 55 60 3 5 3 200 19 13800


393 5 60 20 9 9 9 145 45 13775


393 5 60 20 9 9 9 145 45 13775


393 5 60 20 9 9 9 145 45 13775


393 5 60 20 9 9 9 145 45 13775


393 5 60 20 9 9 9 145 45 13775

49727 Ankle, Achilles' tendon, operation for lengthening (Assist.) 157 90 207.35 396 30 40 60 6.5 6.5 5 170 31 13770

49706 Ankle, arthrotomy of, involving 1 or more of: lavage, removal of loose body or division of contracture (Assist.)

440 45 242.00 405.5 30 60 60 3 3 3 210 15 13650

48900 Shoulder, excision of coraco-acromial ligament or removal of calcium deposit from cuff or both (Assist.)

168 75 207.35 405.5 30 60 60 3 3 3 210 15 13650

48406 Fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, osteotomy or osteectomy of (Assist.)

1752 60 242.00 405.5 30 60 60 3 3 3 210 15 13650

47714 Halo, application of, in addition to spinal fusion for scoliosis, or other conditions

2 60 176.25 405.5 30 60 60 3 3 3 CG 16.3.99: Item ADDED to list by CG. Recommend combining items 47705, 47711 and 47714. NCCH:

210 15 13650

47711 Halo, application of, as an independent procedure (Assist.) 2 60 235.05 405.5 30 60 60 3 3 3 CG 16.3.99: Item ADDED to list by CG. Recommend combining items 47705, 47711 and 47714. NCCH:

210 15 13650

47705 Skull calipers, insertion of, as an independent procedure (Assist.) 20 45 207.35 405.5 30 60 60 3 3 3 CG 16.3.99: Recommend combining items 47705, 47711 and 47714. NCCH: Report to MSRB.

210 15 13650

47342 Metacarpal, treatment of fracture of, by open reduction 311 60 165.95 405.5 30 60 60 3 3 3 210 15 13650

47321 Middle phalanx of finger, treatment of intra- articular fracture of, by open reduction

107 60 155.50 405.5 30 60 60 3 3 3 210 15 13650

47318 Middle phalanx of finger, treatment of fracture of, by open reduction 65 60 124.45 405.5 30 60 60 3 3 3 210 15 13650

47309 Distal phalanx of finger or thumb, treatment of intra-articular fracture of, by open reduction

101 60 103.75 405.5 30 60 60 3 3 3 210 15 13650

47072 Toe, treatment of dislocation of, by open reduction 14 45 69.10 405.5 30 60 60 3 3 3 210 15 13650

47045 Metacarpophalangeal joint, treatment of dislocation of, by open reduction

23 45 110.60 405.5 30 60 60 3 3 3 210 15 13650

47039 Interphalangeal joint, treatment of dislocation of, by open reduction 60 45 82.90 405.5 30 60 60 3 3 3 210 15 13650

47027 Radioulnar joint, distal or proximal, treatment of dislocation of, by open reduction, not being a service associated with fracture or dislocation in

5 75 193.55 405.5 30 60 60 3 3 3 210 15 13650

46462 Operation for osteomyelitis on middle or proximal phalanx, metacarpal or carpus (Assist.)

35 60 220.90 405.5 30 60 60 3 3 3 210 15 13650

46396 Phalanx or metacarpal of the hand, osteotomy or osteectomy of (Assist.)

107 45 242.00 405.5 30 60 60 3 3 3 210 15 13650

39330 Neurolysis by open operation without transposition, not being a service associated with a service to which item 39312 applies (Assist.)

3413 30 203.20 405.5 30 60 60 3 3 3 210 15 13650

30672 Coccyx, excision of (Assist.) 99 60 327.10 405.5 30 60 60 1 5 3 210 15 13650

49118 Elbow, diagnostic arthroscopy of, including biopsy (Assist.) 61 60 200.45 415.5 30 45 60 5 5 5 180 25 13500

48945 Shoulder, diagnostic arthroscopy of (including biopsy) - not being a service associated with any other arthroscopic procedure of the shoulder region (Assist.)

680 45 200.45 415.5 30 60 30 5 5 5 180 25 13500

30114 Bursa, semimembranosus (Baker's cyst), excision of (Assist.) 465 60 272.75 417 30 70 60 1 2 2 230 8 13340

49866 Foot, neurectomy for plantar or digital neuritis (Morton's or Bett's syndrome) (Assist.)

980 60 221.15 418 30 40 60 6.5 5 5 170 28 13260

30226 Muscle, excision of (limited) or fasciotomy 215 30 109.95 419 30 60 60 5 1 1 210 13 13230




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000047597 Ankle joint, treatment of fracture of, by closed reduction 534 30 238.50 420 20 60 80 2 2 2 220 10 13200

47546 Tibia, plateau of, treatment of medial or lateral fracture of, by closed reduction

66 45 248.85 421 20 60 60 3 3 3 200 15 13000

47402 Olecranon, treatment of fracture of, involving excision of olecranon fragment and reimplantation of tendon (Assist.)

3 90 207.35 422 30 60 60 2 2 3 210 11 12810

47639 Metatarsal, 1 of, treatment of fracture of, by open reduction 119 60 165.95 424 30 60 60 2 2 2 210 10 12600

46441 Mallet finger, open repair of, including pin fixation when performed (Assist.)

154 60 240.25 424 30 60 60 2 2 2 210 10 12600

46369 Dupuytren's contracture, palmar fasciectomy for - 1 hand 210 60 154.65 424 30 60 60 2 2 2 210 10 12600

49851 Foot, correction of claw or hammer toe with internal fixation 2235 45 152.05 426 30 35 60 6.5 5 5 160 28 12480

30238 Fascia, deep, repair of, for herniated muscle 42 45 109.95 427 30 60 60 2 2 1 210 9 12390

49357 Hip spica, initial application of, for congenital dislocation of hip (excluding aftercare) (Assist.)

57 45 260.50 428 30 45 30 6.5 6.5 6.5 CG 16.3.99: These times and ratings are based on the assumption that the item IS NOT associated with 49354.

150 32.5 12375

46348 Digit, synovectomy of flexor tendon or tendons - 1 digit 210 45 179.45 429 30 50 60 3 3 3 190 15 12350

49821 Foot, correction of hallux valgus or hallux rigidus by excision arthroplasty (Keller's or similar procedure) - unilateral (Assist.)

597 60 317.95 430 30 40 60 6.5 3 3 170 22 12240

46468 Amputation of 2 digits, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover (Assist.)

20 45 289.95 431 30 60 60 1 2 2 210 8 12180

49700 Ankle, diagnostic arthroscopy of, including biopsy (Assist.) 132 45 200.45 432.5 30 45 40 5 5 5 160 25 12000

47654 Metatarsals, 3 or more of, treatment of fracture of, by closed reduction (Assist.)

22 30 259.25 432.5 20 60 60 2 2 2 200 10 12000

50100 Joint, diagnostic arthroscopy of (including biopsy), not being a service to which another item in this Group applies and not being a service

51 60 200.45 440 30 45 30 6.5 5 5 150 28 11700

49800 Foot, flexor or extensor tendon, primary repair of 141 60 96.80 440 30 45 60 3 3 3 180 15 11700

48403 Phalanx or metatarsal, osteotomy or osteectomy of, with internal fixation (Assist.)

730 60 380.20 440 20 60 40 3 3 3 180 15 11700

47936 Exostosis of large bone, excision of (Assist.) 739 30 186.65 440 30 60 45 2 2 2 195 10 11700

47903 Epicondylitis, open operation for 359 30 172.85 440 30 45 60 3 3 3 180 15 11700

47426 Humerus, proximal, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day

95 45 238.50 440 30 45 60 3 3 3 180 15 11700

47417 Humerus, treatment of fracture of tuberosity of, and associated dislocation of shoulder, by closed reduction (Assist.)

32 45 193.55 440 30 45 60 3 3 3 180 15 11700

47385 Radius or ulna, shaft of, treatment of fracture of, in conjunction with dislocation of distal radioulnar joint or proximal radio-humeral joint (Galeazzi or Monteggia injury), by closed reduction undertaken in the operating theatre of a hospital or appro

96 60 214.30 440 30 45 60 3 3 3 180 15 11700

47306 Distal phalanx of finger or thumb, treatment of fracture of, by open reduction

238 60 82.90 440 30 45 60 3 3 3 180 15 11700

46522 Flexor tendon sheath of finger or thumb - open operation and drainage for infection (Assist.)

93 45 309.25 440 30 45 60 3 3 3 180 15 11700

46420 Extensor tendon of hand or wrist, primary repair of, each tendon 947 60 150.20 440 30 45 60 3 3 3 180 15 11700




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000046336 Inter-phalangeal joint or metacarpophalangeal joint, synovectomy, capsulectomy or debridement of, not being a service associated with any other procedure related to that joint (Assist.)

438 60 193.30 440 30 45 60 3 3 3 180 15 11700

46300 Inter-phalangeal joint or metacarpophalangeal joint, arthrodesis of (Assist.)

433 45 248.50 440 30 45 60 3 3 3 180 15 11700

47561 Tibia, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47564, 47567, 47570 or 47573 applies

1453 45 200.45 447 20 45 90 2 1 2 200 8 11600

30093 Needle biopsy of vertebra 89 60 125.95 448 30 30 30 8 10 10 120 46 11520

47621 Tarso-metatarsal, treatment of intra-articular fracture of, by closed reduction, with or without dislocation (Assist.)

27 30 300.70 449.5 20 45 80 2 2 2 190 10 11400

46483 Revision of amputation stump to provide adequate soft tissue cover (Assist.)

106 30 220.90 449.5 30 50 60 2 2 2 190 10 11400

49558 Knee, arthroscopic surgery of, involving 1 or more of: debridement, osteoplasty or chrondroplasty - not associated with any other

1568 75 200.45 451.5 30 45 30 5 5 5 150 25 11250

49218 Wrist, diagnostic arthroscopy of, including radiocarpal or midcarpal joints, or both (including biopsy) - not being a service associated with

84 60 200.45 451.5 30 45 30 5 5 5 150 25 11250

47390 Radius and ulna, shafts of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved

1466 45 300.70 453 30 45 60 2 3 2 180 12 11160


456 10 45 20 8.5 8.5 8.5 120 42.5 11100


456 10 45 20 8.5 8.5 8.5 120 42.5 11100


456 10 45 20 8.5 8.5 8.5 120 42.5 11100


456 10 45 20 8.5 8.5 8.5 120 42.5 11100


456 10 45 20 8.5 8.5 8.5 120 42.5 11100

47552 Tibia, plateau of, treatment of both medial and lateral fractures of, not being a service to which item 47555 or 47558 applies (Assist.)

19 45 276.50 459.5 20 45 60 3 3 3 170 15 11050

47492 Acetabulum, treatment of fracture of, and associated dislocation of hip 10 30 172.85 459.5 20 45 60 3 3 3 170 15 11050

49336 Hip, treatment of a fracture of the femur where revision total hip replacement is required as part of the treatment of the fracture (not

58 225 262.70 461 0 60 0 8 8 10 120 42 11040

46480 Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover, including metacarpal

60 60 276.15 462 30 50 60 1 2 2 190 8 11020

47969 Tenosynovectomy, not being a service to which another item in this Group applies (Assist.)

431 60 193.55 464 30 45 60 2 2 2 180 10 10800

47447 Humerus, shaft of, treatment of fracture of, by closed reduction, undertaken in the operating theatre of a hospital or approved day

38 45 248.85 464 30 45 60 2 2 2 180 10 10800

47327 Proximal phalanx of finger or thumb, treatment of intra-articular fracture of, by closed reduction

560 30 145.15 464 30 45 60 2 2 2 180 10 10800

47708 Plaster jacket, application of, as an independent procedure 31 60 158.95 466 15 60 30 3 3 3 165 15 10725

47594 Ankle joint, treatment of fracture of, not being a service to which item 47597 applies

3051 30 158.95 467 20 45 80 1 1 1 190 5 10450

47372 Radius, distal end of, treatment of Colles', Smith's or Barton's fracture, by closed reduction

3598 30 207.35 468.5 30 45 60 1 2 2 180 8 10440

47363 Radius or ulna, distal end of, treatment of fracture of, by closed reduction

2051 30 145.15 468.5 30 45 60 1 2 2 180 8 10440

47381 Radius or ulna, shaft of, treatment of fracture of, by closed reduction undertaken in the operating theatre of a hospital or approved day hospital facility

219 30 186.65 471 30 40 60 1 3 2 170 10 10200

47339 Metacarpal, treatment of intra-articular fracture of, by closed reduction 516 30 145.15 471 30 40 60 2 2 2 170 10 10200




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000046450 Extensor tendon, tenolysis of, following tendon injury, repair or graft 277 75 165.70 471 30 40 60 2 2 2 170 10 10200


475 5 45 15 8.5 8.5 8.5 110 42.5 10175


475 5 45 15 8.5 8.5 8.5 110 42.5 10175


475 5 45 15 8.5 8.5 8.5 110 42.5 10175


475 5 45 15 8.5 8.5 8.5 110 42.5 10175


475 5 45 15 8.5 8.5 8.5 110 42.5 10175

49848 Foot, correction of claw or hammer toe 1190 45 117.55 478 30 30 40 6.5 5 5 CG: Description needs clarification - procedure is covered by other items. NCCH: Report to MSRB.

130 28 10140

47930 Plate, rod or nail and associated wires, pins or screws, 1 or more of, all of which were inserted for internal fixation purposes, removal of, not being a service associated with a service to which item 47924 or 47927 applies - per bone (Assist.)

3356 45 193.55 479 15 45 50 3 3 3 155 15 10075

49348 Hip, congenital dislocation of, treatment of, by closed reduction 31 45 117.55 480.5 30 30 20 8 8 8 110 40 9900

47009 Shoulder, treatment of dislocation of, requiring general anaesthesia, not being a service to which item 47012 applies

245 30 124.45 480.5 30 45 45 2 2 2 165 10 9900

46465 Amputation of single digit, proximal to nail bed, involving section of bone or joint and requiring soft tissue cover

250 30 165.70 482 30 40 60 1 2 2 170 8 9860

46503 Recurrent ganglion of volar wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies

83 75 277.85 483 30 50 30 1 3 3 160 11 9760

50348 Knee, deformity of, post-operative manipulation and change of plaster, performed under general anaesthesia in the operating theatre of a

15 60 167.95 485 20 35 40 5 5 5 130 25 9750

49818 Foot, excision of calcaneal spur (Assist.) 261 45 200.45 485 30 30 60 3 3 3 150 15 9750

49721 Ankle, Achilles' tendon rupture managed by non- operative treatment 83 172.85 485 30 20 60 8 3 3 130 25 9750

50330 Talipes equinovarus, or talus, vertical congenital - post operative manipulation and change of plaster, performed under general anaesthesia in the operating theatre of a hospital or approved day hospital facility, not being a service to which item 50315,

126 60 167.95 487 30 30 20 8 8 6.5 110 38.5 9735

47579 Patella, treatment of fracture of, not being a service to which item 47582 or 47585 applies

557 30 117.55 488 20 45 60 2 1 1 170 7 9690

47063 Ankle or tarsus, treatment of dislocation of, by closed reduction 117 30 186.65 490 30 35 60 2 2 2 160 10 9600

47054 Knee, treatment of dislocation of, by closed reduction (Assist.) 31 30 238.5 490 30 35 60 2 2 2 160 10 9600

47048 Hip, treatment of dislocation of, by closed reduction 579 30 238.50 490 30 35 60 2 2 2 160 10 9600

47030 Carpus, or carpus on radius and ulna, or carpometacarpal joint, treatment of dislocation of, by closed reduction

100 30 145.15 492 30 30 60 2 3 3 150 13 9450

46438 Mallet finger, closed pin fixation of 23 45 99.40 493.5 30 40 60 1 1 1 170 5 9350

46327 Inter-phalangeal joint or metacarpophalangeal joint, arthrotomy of 130 45 149.15 493.5 30 40 60 1 1 1 170 5 9350

47444 Humerus, shaft of, treatment of fracture of, not being a service to which item 47447 or 47450 applies

393 45 165.95 495 30 35 60 1 2 2 160 8 9280

46519 Middle palmar, thenar or hypothenar spaces of hand, drainage of (excluding aftercare)

41 30 103.75 496 30 45 20 3 3 3 140 15 9100

39331 Carpal tunnel release (division of transverse carpal ligament), by any method

9060 30 203.20 497 30 45 30 1 3 2.5 150 10.5 9075

49557 Knee, diagnostic arthroscopy of (including biopsy, simple trimming of meniscal margin or plica) - not being a service associated with any other arthroscopic procedure of the knee region (Assist.)

4300 45 200.45 499.5 30 30 30 5 5 5 120 25 9000




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000047018 Elbow, treatment of dislocation of, by closed reduction 606 30 145.15 499.5 30 30 60 2 2 2 150 10 9000

46502 Recurrent ganglion of dorsal wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies

143 60 222.35 499.5 30 45 30 1 3 2 150 10 9000

46501 Ganglion of volar wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies (Assist.)

640 60 241.65 499.5 30 45 30 1 3 2 150 10 9000

43500 Operation on phalanx (for acute osteomyelitis) 16 45 90.55 502 30 30 60 1 3 1 150 9 8850

47627 Tarsus (excluding calcaneum or talus), treatment of fracture of 618 30 117.55 504 20 30 80 1 1 1 CG 16.3.99: Item ADDED to list by CG.

160 5 8800

44342 2 digits of 1 foot 38 45 161.45 504 30 45 40 1 1 1 160 5 8800

30111 Bursa (large), including olecranon, calcaneum or patella, excision of (Assist.)

1684 45 272.75 504 30 50 30 1 1 1 160 5 8800

49806 Foot, subcutaneous tenotomy of, 1 or more tendons 425 15 96.80 506 30 30 40 3 3 3 130 15 8450

47900 Bone cyst, injection into or aspiration of 38 30 124.45 507.5 20 30 60 2 2 2 140 10 8400

47543 Tibia, plateau of, treatment of medial or lateral fracture of, not being a service to which item 47546 or 47549 applies

453 45 165.95 507.5 20 30 60 2 2 2 140 10 8400

49809 Foot, open tenotomy of, with or without tenoplasty 1542 45 158.95 509 30 20 45 6.5 3 3 115 22 8280

47423 Humerus, proximal, treatment of fracture of, not being a service to which item 47426, 47429 or 47432 applies

1160 45 158.95 511.5 30 30 60 1 1 1 150 5 8250

46459 Operation for osteomyelitis on distal phalanx 19 45 138.10 511.5 30 30 60 1 1 1 150 5 8250

46366 Dupuytren's contracture, subcutaneous fasciotomy for - each band 43 45 93.85 511.5 30 30 60 1 1 1 150 5 8250

46363 Tendon sheath of hand or wrist, open operation on, for stenosing tenovaginitis

3446 30 154.65 511.5 30 30 60 1 1 1 150 5 8250

47729 Bone graft, harvesting of, via separate incision, in conjunction with another service - autogenous - large quantity

1172 45 172.85 514 5 60 10 2.2 2.2 2.2 135 11 8235

48400 Phalanx, metatarsal, accessory bone or sesamoid bone, osteotomy or osteectomy of, excluding services to which item 49848 or 49851

2792 45 242.00 515 20 40 30 2.5 2.5 2.5 130 12.5 8125

49878 Talipes equinovarus, calcaneo valgus or metatarsus varus, treatment by cast, splint or manipulation - each attendance

426 30 41.50 516.5 30 30 0 8 8 5 90 37 7830

47933 Exostosis of small bone, excision of, including simple removal of bunion and any associated bursa

1349 30 152.05 516.5 30 30 45 1 2 2 135 8 7830

47972 Tendon sheath, open operation for teno-vaginitis, not being a service to which another item in this Group applies

370 45 154.65 518.5 30 30 40 2 2 2 130 10 7800

46456 Finger, percutaneous tenotomy of 14 15 71.80 518.5 30 30 30 3 3 3 120 15 7800

48603 Spine, manipulation of, under epidural anaesthesia, with or without steroid injection, where the manipulation and the administration of the epidural anaesthetic are performed by the same medical practitioner in the operating theatre of a hospital or appro

29 30 103.75 520 20 30 45 3 2 2 125 12 7750

46500 Ganglion of dorsal wrist joint, excision of, not being a service associated with a service to which item 30106 or 30107 applies

1073 45 193.30 521 30 40 30 1 1 1 140 5 7700


524 10 30 15 8 8 8 85 40 7650


524 10 30 15 8 8 8 85 40 7650


524 10 30 15 8 8 8 85 40 7650


524 10 30 15 8 8 8 85 40 7650


524 10 30 15 8 8 8 85 40 7650

30107 Ganglion or small bursa, excision of, not being a service associated with a service to which an item in this Group applies

1532 30 161.45 527 30 40 30 0.5 1 1 140 4 7560




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000050390 Perthes, cerebral palsy, or other neuromuscular conditions, affecting hips or knees, application of cast under general anaesthesia, performed in the operating theatre of a hospital or approved day

19 90 167.95 528 20 40 0 5 5 5 100 25 7500

47948 External fixation, removal of, in the operating theatre of a hospital or approved day hospital facility

141 30 117.55 529 20 30 40 2 2 2 120 10 7200

44338 1 digit of foot 544 30 105.75 530 30 30 40 1 1 1 CG: Make specific item for removing digit including the ray. NCCH: report to MSRB

130 5 7150

50115 Joint or joints, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility, not being a service associated with a service to which another item in this Group applies

2204 30 103.75 531 20 15 40 6.5 5 3 90 26 6840


534 5 30 10 8 8 8 75 40 6750


534 5 30 10 8 8 8 75 40 6750


534 5 30 10 8 8 8 75 40 6750


534 5 30 10 8 8 8 75 40 6750


534 5 30 10 8 8 8 75 40 6750

46498 Ganglion of flexor tendon sheath, excision of, not being a service associated with a service to which item 30106 or 30107 applies

622 30 161.45 537 30 30 30 1 1.5 1 120 6 6720

47474 Pelvic ring, treatment of fracture of, not involving disruption of pelvic ring or acetabulum

178 138.25 538.5 20 20 60 1 1 1 CG 16.3.99: This is non-operative - should be covered by consultation items except in multi-trauma cases.

120 5 6600

46495 Ganglion or mucous cyst of distal digit, excision of, not being a service associated with a service to which item 30106 or 30107 applies

994 30 149.15 538.5 30 30 30 1 1 1 120 5 6600

47387 Radius and ulna, shafts of, treatment of fracture of, by cast immobilisation, not being a service to which item 47390 or 47393

1257 45 200.45 540 20 30 45 0.5 0.5 0.5 125 2.5 6562.5

47960 Tenotomy, subcutaneous, not being a service to which another item in this Group applies

623 15 96.80 541 20 20 40 3 3 3 100 15 6500

47927 Buried wire, pin or screw, 1 or more of, which were inserted for internal fixation purposes, removal of, in the operating theatre of a hospital or

5253 30 103.75 542 15 30 30 2 2 2 105 10 6300

48600 Spine, manipulation of, performed in the operating theatre of a hospital or approved day hospital facility

380 15 69.10 543 20 15 45 3 2 2 95 12 5890

47576 Fibula, treatment of fracture of 3972 30 82.9 544 15 15 60 1 1 1 CG 16.3.99: Item ADDED to list by CG.

105 5 5775

48678 Spine, simple internal fixation of, involving 1 or more of facetal screw, wire loop or similar, being a service associated with a service to which


65 34 5460

91243 Consultation in a hospital of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new or

550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620


550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620

91043 Home visit of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new or existing patient seen

550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620


550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620

90943 Consultation at other institution of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new

550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620


550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620

90843 Consultation at a nursing home of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new or existing patient seen on a referred basis.

550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620


550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620

90743 Consultation in rooms of approximately 20 minutes duration and the nature of the service requires breaks in continuity with a new or

550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620


550.5 6 20 10 6.5 6.5 6.5 56 32.5 4620




MBS Anaes

Schedule Fee





Intra Service

Post Service


Technical/ Physical

Stress due to risk



Wtime x (50+Wint)

50233 Malignant tumour, amputation for, hemipelvectomy or interscapulo- 3 360 1589.95 1 60 360 120 10 10 10 *Refer to Prof Peter Choong (St 900 50 9000047906 Digital nail of toe, removal of, in the operating theatre of a hospital or approved day hospital facility

512 15 82.90 556.5 20 20 20 0.5 0.5 0.5 80 2.5 4200

47726 Bone graft, harvesting of, via separate incision, in conjunction with another service - autogenous - small quantity

461 30 103.75 556.5 5 30 5 2 2 2 70 10 4200

47636 Metatarsal, 1 of, treatment of fracture of, by closed reduction 438 30 124.45 558 15 15 30 0.5 0.5 0.5 CG 16.3.99: Item ADDED to list by CG.

75 2.5 3937.5

47921 Orthopaedic pin or wire, insertion of, as an independent procedure 166 30 82.90 559.5 5 20 20 2 2 2 65 10 3900

47681 Spine (excluding sacrum), treatment of fracture of transverse process, vertebral body, or posterior elements - each attendance

423 31.50 559.5 30 0 30 3 3 3 CG 16.3.99: Should this be covered with the consultation items? NCCH: Refer to the MSRB at its next meeting.

60 15 3900

49351 Hip, congenital dislocation of, treatment of, involving supervision of splint, harness or cast - each attendance

539 45 41.50 561 5 15 8 8 8 8 CG 16.3.99: Non operative item, consultation item only.

43 40 3870

47924 Buried wire, pin or screw, 1 or more of, which were inserted for internal fixation purposes, removal of requiring incision and suture, not being a

434 30 27.65 562 10 20 20 1 1 1 70 5 3850


565 5 15 8 6.5 6.5 6.5 43 32.5 3547.5


565 5 15 8 6.5 6.5 6.5 43 32.5 3547.5


565 5 15 8 6.5 6.5 6.5 43 32.5 3547.5


565 5 15 8 6.5 6.5 6.5 43 32.5 3547.5


565 5 15 8 6.5 6.5 6.5 43 32.5 3547.5

18272 Saphenous, sural, popliteal or posterior tibial nerve, main trunk of, 1 or more of, injection of an anaesthetic agent

936 45.85 568.5 10 10 20 1 1 2 50 6 2800

18266 Ulnar, radial or median nerve, main trunk of, 1 or more of, injection of an anaesthetic agent, not being associated with a brachial plexus block

659 45.85 568.5 10 10 20 1 1 2 50 6 2800


572 5 10 6 6.5 6.5 6.5 31 32.5 2557.5


572 5 10 6 6.5 6.5 6.5 31 32.5 2557.5


572 5 10 6 6.5 6.5 6.5 31 32.5 2557.5


572 5 10 6 6.5 6.5 6.5 31 32.5 2557.5


572 5 10 6 6.5 6.5 6.5 31 32.5 2557.5


577 5 5 5 6.5 6.5 6.5 20 32.5 1650


577 5 5 5 6.5 6.5 6.5 20 32.5 1650


577 5 5 5 6.5 6.5 6.5 20 32.5 1650


577 5 5 5 6.5 6.5 6.5 20 32.5 1650


577 5 5 5 6.5 6.5 6.5 20 32.5 1650


2

Attachment 3

Link Item Rankings and Times Estimates

Alignment Meeting 2 - Neurosurgery Othopaedic Surgery Link Items

STAGE 1Specialty 6 (Neuro) Specialty 7 (Ortho) Link Item Rank

MBS No. Truncated MBS Descriptor Pre Int Post Cog Tech Str Pre Int Post Cog Tech Str C/P L/N Rank 6 Rank 739321 Nerve, transposition of (Assist.) 10 60 10 4.0 4.0 4.0 30 75 60 3.0 3.0 2.0 P L 25 2339327 Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation (Assist.)10 100 60 6.0 6.0 6.0 30 90 60 5.0 5.0 5.0 P L 17 1639331 Carpal tunnel release (division of transverse carpal ligament), by any method10 20 20 4.0 4.0 3.0 30 45 30 1.0 3.0 2.5 P L 40 3440300 Intervertebral disc or discs, laminectomy for removal of (Assist.) 30 60 30 7.0 6.5 6.5 30 90 90 8.0 8.0 8.0 P L 18 1440303 Recurrent disc lesion or spinal stenosis, or both, laminectomy for - 1 level (Assist.)30 105 30 7.0 7.0 7.0 30 120 90 8.5 8.5 8.4 P L 14 940306 Spinal stenosis, laminectomy for, involving more than 1 vertebral interspace (disc level) (Assist.)30 100 60 7.0 8.0 7.0 30 150 90 9.0 9.0 9.0 P L 12 640330 Spinal rhizolysis involving exposure of spinal nerve roots - for lateral recess, exit foraminal stenosis, adhesive radiculopathy or extensive epidural fibrosis, at 1 or more levels - with or without laminectomy (Assist.)30 90 60 8.5 8.0 7.5 30 100 90 9.0 9.0 9.0 P L 13 1047699 Spine, treatment of fracture, dislocation or fracture-dislocation without cord involvement requiring open reduction with or without internal fixation (Assist.)60 160 100 8.0 8.0 8.0 45 180 100 10.0 10.0 10.0 P L 8 547711 Halo, application of, as an independent procedure (Assist.) 15 60 90 3.0 3.0 4.0 30 60 60 3.0 3.0 3.0 P L 19.5 28.547714 Halo, application of, in addition to spinal fusion for scoliosis, or other conditions15 60 90 3.0 3.0 4.0 30 60 60 3.0 3.0 3.0 P L 19.5 28.547717 Halo-thoracic traction - application of both halo and thoracic jacket (Assist.)20 90 100 6.0 6.0 6.0 30 60 120 3.0 3.0 3.0 P L 15 1947726 Bone graft, harvesting of, via separate incision, in conjunction with another service - autogenous - small quantity15 20 15 3.0 3.0 3.0 5 30 5 2.0 2.0 2.0 P L 41 4347729 Bone graft, harvesting of, via separate incision, in conjunction with another service - autogenous - large quantity15 45 15 3.0 3.0 3.0 5 60 10 2.2 2.2 2.2 P L 31 3548639 Vertebral body, total or sub-total excision of, including bone grafting or other form of fixation (Assist.)60 300 60 9.5 9.5 9.0 60 240 100 8.0 8.0 9.0 P L 3 348642 Spine, posterior, bone graft to, not being a service to which item 48648 or 48651 applies - 1 or 2 levels (Assist.)30 120 60 5.0 5.0 5.0 40 100 100 5.0 5.0 5.0 P L 16 1548648 Spine, bone graft to, (postero-lateral fusion) - 1 or 2 levels (Assist.)30 150 60 8.0 7.0 7.0 40 100 100 6.5 6.5 6.5 P L 11 1248660 Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - 1 level (Assist.)45 120 100 8.0 9.0 8.0 40 90 90 8.0 8.0 8.0 P L 10 1348669 Spinal fusion (anterior interbody) to cervical, thoracic or lumbar regions - more than 1 level (Assist.)60 180 100 8.0 8.0 8.0 40 130 90 8.0 8.0 8.0 P L 7 848678 Spine, simple internal fixation of, involving 1 or more of facetal screw, wire loop or similar, being a service associated with a service to which items 48642 to 48675 apply (Assist.)10 60 30 3.0 3.0 3.0 5 30 0 5.0 8.0 8.0 P L 26 4048684 Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which any one of items 48642 to 48675 applies - 1 or 2 levels (Assist.)60 150 100 8.0 8.0 7.0 20 80 0 5.0 9.0 9.0 P L 9 2248687 Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - 3 or 4 levels (Assist.)45 240 120 8.0 9.0 8.0 20 160 0 5.0 9.0 9.0 P L 6 1148690 Spine, segmental internal fixation of, other than for scoliosis, being a service associated with a service to which items 48642 to 48675 apply - more than 4 levels (Assist.)45 300 120 9.0 10.0 8.0 20 200 0 5.0 9.0 9.0 P L 2 750221 Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of (Assist.)60 220 120 9.0 9.0 9.0 40 240 100 8.0 8.0 10.0 P L 5 450224 Malignant or aggressive soft tissue tumour of pelvis, sacrum or spine; or scapula and shoulder, enbloc resection of, with reconstruction by prosthesis, allograft or autograft (Assist.)60 300 60 9.5 9.0 9.0 40 300 100 10.0 10.0 10.0 P L 4 250227 Malignant bone tumour, enbloc resection of, with massive anatomic specific allograft or autograft, with or without prosthetic replacement (Assist.)60 360 120 9.0 9.0 9.0 40 360 120 10.0 10.0 10.0 P L 1 1

D16D17Theatre

Freq

PRS - National Centre for Classification in Health 19/10/1999 Page 1

Alignment Meeting 2 - Neurosurgery Othopaedic Surgery Link Items

STAGE 1Specialty 6 (Neuro) Specialty 7 (Ortho) Link Item Rank

MBS No. Truncated MBS Descriptor Pre Int Post Cog Tech Str Pre Int Post Cog Tech Str C/P L/N Rank 6 Rank 7

D16D17Theatre

Freq

90720 Consultation in rooms of approximately 10 minutes duration with a new or existing patient seen on a referred basis.1 10 4 4.0 2.0 4.0 5 10 6 6.5 6.5 6.5 C L 46 46.590730 Consultation in rooms of approximately 15 minutes duration with a new or existing patient seen on a referred basis.2 15 5 4.0 2.0 4.0 5 15 8 6.5 6.5 6.5 C L 44 44.590740 Consultation in rooms of approximately 20 minutes duration with a new or existing patient seen on a referred basis.5 20 5 4.0 2.0 4.0 6 20 10 6.5 6.5 6.5 C L 42.5 41.590751 Consultation in rooms of approximately 30 minutes duration with a new patient seen on a referred basis.5 30 10 4.0 2.0 4.0 5 30 10 8.0 8.0 8.0 C L 36.5 38.590752 Consultation in rooms of approximately 30 minutes duration with an existing patient seen on a referred basis.5 30 5 4.0 2.0 4.0 10 30 15 8.0 8.0 8.0 C L 38.5 36.590761 Consultation in rooms of approximately 45 minutes duration with a new patient seen on a referred basis.5 45 10 4.0 2.0 4.0 5 45 15 8.5 8.5 8.5 C L 32.5 32.590762 Consultation in rooms of approximately 45 minutes duration with an existing patient seen on a referred basis.5 45 5 4.0 2.0 4.0 10 45 20 8.5 8.5 8.5 C L 34.5 30.590771 Consultation in rooms of approximately 60 minutes duration with a new patient seen on a referred basis.5 60 10 4.0 2.0 4.0 5 60 20 9.0 9.0 9.0 C L 27.5 26.590772 Consultation in rooms of approximately 60 minutes duration with an existing patient seen on a referred basis.5 60 5 4.0 2.0 4.0 10 60 20 9.0 9.0 9.0 C L 29.5 24.590781 Consultation in rooms exceeding 75 minutes duration with a new patient seen on a referred basis.5 75 10 4.0 2.0 4.0 5 75 10 9.0 9.0 9.0 C L 21.5 20.590782 Consultation in rooms exceeding 75 minutes duration with an existing patient seen on a referred basis.5 75 5 4.0 2.0 4.0 15 75 25 9.0 9.0 9.0 C L 23.5 17.591210 Consultation in a hospital of approximately 5 minutes duration with a new or existing patient seen on a referred basis.0 5 0 4.0 2.0 4.0 5 5 5 6.5 6.5 6.5 C L 48 4891220 Consultation in a hospital of approximately 10 minutes duration with a new or existing patient seen on a referred basis.0 10 2 4.0 2.0 4.0 5 10 6 6.5 6.5 6.5 C L 47 46.591230 Consultation in a hospital of approximately 15 minutes duration with a new or existing patient seen on a referred basis.0 15 3 4.0 2.0 4.0 5 15 8 6.5 6.5 6.5 C L 45 44.591240 Consultation in a hospital of approximately 20 minutes duration with a new or existing patient seen on a referred basis.5 20 5 4.0 2.0 4.0 6 20 10 6.5 6.5 6.5 C L 42.5 41.591251 Consultation in a hospital of approximately 30 minutes duration with a new patient seen on a referred basis.5 30 10 4.0 2.0 4.0 5 30 10 8.0 8.0 8.0 C L 36.5 38.591252 Consultation in a hospital of approximately 30 minutes duration with an existing patient seen on a referred basis.5 30 5 4.0 2.0 4.0 10 30 15 8.0 8.0 8.0 C L 38.5 36.591261 Consultation in a hospital of approximately 45 minutes duration with a new patient seen on a referred basis.5 45 10 4.0 2.0 4.0 5 45 15 8.5 8.5 8.5 C L 32.5 32.591262 Consultation in a hospital of approximately 45 minutes duration with an existing patient seen on a referred basis.5 45 5 4.0 2.0 4.0 10 45 20 8.5 8.5 8.5 C L 34.5 30.591271 Consultation in a hospital of approximately 60 minutes duration with a new patient seen on a referred basis.5 60 10 4.0 2.0 4.0 5 60 20 9.0 9.0 9.0 C L 27.5 26.591272 Consultation in a hospital of approximately 60 minutes duration with an existing patient seen on a referred basis.5 60 5 4.0 2.0 4.0 10 60 20 9.0 9.0 9.0 C L 29.5 24.591281 Consultation in a hospital of approximately 75 minutes duration with a new patient seen on a referred basis.5 75 10 4.0 2.0 4.0 5 75 10 9.0 9.0 9.0 C L 21.5 20.591282 Consultation in a hospital of approximately 75 minutes duration with an existing patient seen on a referred basis.5 75 5 4.0 2.0 4.0 15 75 25 9.0 9.0 9.0 C L 23.5 17.5

PRS - National Centre for Classification in Health 19/10/1999 Page 2

3

Attachment 4

Theatre Times


THEATRE TIMES

Neurosurgery

October 1999


COMPARISON OF NEUROSURGERY (NEUS)INTRA TIME ESTIMATES WITH OTHER ESTIMATES

ID Type Definition of Time NEUS OTEH1 Priv Op Start to Op End 3 43.3 46.7 92.8H4 Priv Op Start to Op End 5 46.0 37.2 123.6H6 Priv Op Start to Op End 1 20.0 20.7 96.5H8 Priv Surgeon Start to Drapes Removed 18 86.4 89.6 96.4H9A Priv Inpatient, Surgery Start to Surgery Finish 54 138.3 112.1 123.4H9B Day Day Surgery, Surgery Start to Surgery Finish 3 60.0 33.7 178.2H10 Priv Op Start to Op End 1 20.0 14.0 142.9H11 Priv Knife to Skin - Application of Dressing 9 101.7 119.9 84.8H13 Priv Surgeon Start to Surgeon Finish 1 20.0 17.0 117.7H15 Priv Op Start to Op End 49 130.6 89.2 146.4H16 Pub Proc Start to Proc End 66 145.8 148.6 98.1H17 Pub Surgical Start to Surgical End 81 158.5 184.3 86.0H18 Priv Proc Start to Proc End 49 127.4 90.4 140.8H19 Pub Positioning to Dressings Applied 77 159.4 156.8 101.7H20 Pub Preparation/Positioning to End Dressings 10 63.5 51.6 123.1APHA Priv Procedure Time 43 140.5 109.7 128.0CANS Pub & Priv Op Start to Op Finish 49 147.5 117.3 125.7Deloitte Pub & Priv Procedure Time 19 118.2 92.5 127.8H8 Priv Surgeon Start to Xfer from OR 19 84.0 92.9 90.4H13 Priv Surgeon Start to Xfer from OR 1 20.0 22.0 90.9H15 Priv Op Start to Recovery Admission 49 130.8 99.7 131.3H16 Pub Proc Start to Recovery Admission 66 145.8 158.8 91.8H17 Pub Surgical Start to Xfer from OR 86 159.0 200.8 79.2H18 Priv Proc Start to Xfer from OR 48 129.1 100.1 128.9H19 Pub Positioning to Ex Theatre 85 156.5 165.9 94.3H20 Pub Preparation/Positioning to Admit Recovery/ICU 11 63.2 58.4 108.2CANS Pub & Priv Operation Start to Anaesthetist Finish 49 147.5 125.2 117.7MBS Pub & Priv Anaesthetic Time 140 154.0 198.7 77.5H1 Priv Anaesthetic Start to Op End 3 43.3 54.9 78.9H4 Priv Anaesthetic Start to Op End 5 46.0 54.8 83.9H5 Priv Anaesthetic Start to Surgery End 37 125.0 130.3 95.9H6 Priv Anaesthetic Start to Op End 1 20.0 29.9 66.9H8 Priv Patient in Theatre to Drapes Removed 19 88.2 112.7 78.2H9A Priv Inpatient in A. Bay to Surgery Finish 54 140.0 135.3 103.5H9B Day Day Surgery, Anaesthetist Start to Surgery Finish 3 60.0 43.4 138.1H10 Priv Anaesthetic Start to Op End 1 20.0 24.1 83.0H13 Priv Anaesthetic Start to Surgeon End 1 20.0 29.0 69.0H15 Priv Anaesthetic Start to Op End 50 131.2 111.6 117.5H16 Pub Anaesthetic Start to Proc End 66 146.7 169.1 86.8H17 Pub Anaesthetic Start to Surgical End 85 164.7 232.2 70.9H18 Priv Anaesthetic Start to Proc End 50 126.8 110.3 115.0H19 Pub Anaesthetic Start to Dressings Applied 81 154.6 185.8 83.2H20 Pub Anaesthetist Start to End Dressings 11 63.2 70.1 90.1CANS Pub & Priv Anaesthetist Start to Operation Finish 49 147.5 132.6 111.2Deloitte Pub & Priv Anaesthetic Time 19 118.2 108.8 108.6H8 Priv Patient in Theatre to Xfer from OR 20 91.0 125.6 72.5H11 Priv Anaesthetic Start to Xfer to Recovery 9 101.7 141.9 71.7H12 Pub Anaesthetic Start to Xfer to Recovery 0H13 Priv Anaesthetic Start to Xfer from OR 1 20.0 34.0 58.8H14 Pub Anaesthetic Start to Recovery Admission 81 157.9 190.4 82.9H15 Priv Anaesthetic Start to Recovery Admission 52 137.3 133.3 103.0H16 Pub Anaesthetic Start to Recovery Admission 66 146.7 179.4 81.8H17 Pub Anaesthetic Start to Xfer from OR 87 165.2 248.8 66.4H18 Priv Anaesthetic Start to Xfer from OR 50 126.8 118.5 107.0H19 Pub Anaesthetic Start to Ex Theatre 86 154.0 197.2 78.1H20 Pub Anaesthetist Start to Admit Recovery/ICU 11 63.2 79.8 79.2CANS Pub & Priv Anaesthetist Start to Anaesthetist Finish 49 147.5 140.5 104.9H2 Priv Total Time in Theatre 19 114.5 99.6 115.0H3 Priv Total Time in Theatre 1 20.0 50.3 39.8H7 Day Total Time in Theatre 4 55.0 30.5 180.4H11 Priv Dress, scrub etc. to Xfer to Recovery 9 101.7 163.8 62.1H15 Priv Theatre Reception to Recovery Admission 52 137.3 155.6 88.3H19 Pub In Op Suite to Ex Theatre 88 152.8 218.3 70.0C'mix Pub Pub Casemix Public Theatre Time 7 80.0 52.5 152.4C'mix Priv Priv Casemix Private Theatre Time 16 61.3 42.6 143.7C'mix OtherDay & Other Casemix Other Theatre Time 2 15.0 20.6 72.9WA Priv WA Group Total Time in Theatre 71 135.4 127.0 106.6

TimeNo. of

items in common


Ratio 100 x

NEUS/OTE

OTHER TIME ESTIMATE (OTE)

TIM

E IN

TH

EA

TRE

(TH

T)O

PE

RA

TIO

N T

IME

(OP

T) *

OP

ER

ATI

ON

TIM

E 2

(O

PT

2)A

NA

ES

THE

TIC

TIM

E (O

AT)

AN

AE

STH

ETI

C T

IME

2 (O

AT

2)

* Median ratio of NEUS intra time estimates to OPT (excluding H4, H6, H9A, H9B and H11) Unweighted = 123.1 % Weighted (for number of items in common) = 101.7 %

NCCH - Professional Relativities Study 18/10/1999

THEATRE TIMES - NEUROSURGERY (NEUS)

AVERAGE TIMES OPERATION TIME OPERATION TIME 2 ANAESTHETIC TIMEOperation

TimeAnaesthetic

TimeTheatre

Time OPT OPT 2 OAT

OPT OPT2 OAT OAT2 THT H1 H4 H6 H8 H9A H9B H10 H11 H13 H15 H16 H17 H18 H19 H20 APHA

CANS

Deloitte

H8 H13 H15 H16 H17 H18 H19 H20 CANS

MBS

H1 H4 H5 H6 H8 H9A H9B H10 H13 H15 H16 H17 H18 H19 H20 CANS

Deloitte

160 90 161 150 162 210 163 270 164 300

34100 60 60 90 95 106 150 60 115 65 105 85 34133 75 91 98 107 121 125 73 110 80 115 90 90 140 34139 120 81 95 129 136 145 88 100 89 79 55 95 60 106 97 89 145 65 65 120 205 196 98 119 119 104 185 80 65 39000 10 25 29 24 32 27 15 30 48 18 39 21 18 13 20 41 25 15 15 30 48 23 19 24 1939003 15 30 30 39006 15 30 30 39009 15 79 75 78 102 110 80 77 95 56 30 105 100 39012 30 39 50 59 70 108 37 45 37 49 53 48 60 52 53 70 39015 45 53 57 63 70 78 57 29 64 56 51 43 69 53 34 74 68 58 52 55 60 67 42 78 75 73 58 53 39018 45 49 57 72 82 89 65 46 37 70 59 43 75 75 70 68 39100 15 17 13 25 23 43 9 11 12 36 9 13 14 15 60 25 9 14 22 20 39106 120 71 180 71 180 39109 45 44 49 55 59 57 44 43 37 42 23 61 55 49 43 49 27 66 58 75 27 59 55 47 56 32 77 65 39112 180 150 161 196 191 200 180 127 147 170 155 121 150 138 163 184 162 160 255 200 153 179 207 197 183 39121 60 50 75 50 40 50 75 39124 160 106 116 146 233 215 71 140 83 149 120 171 39127 90 70 76 80 95 100 64 65 91 60 64 70 98 73 60 90 65 103 80 39128 90 79 88 92 104 121 95 68 80 101 68 61 100 90 103 73 75 105 70 114 80 95 110 81 85 39133 60 44 51 54 62 73 30 33 35 55 65 36 58 65 47 60 30 50 42 66 78 39134 45 72 99 84 101 75 50 46 104 130 29 52 106 140 60 57 59 112 163 54 39136 45 50 54 59 62 54 40 68 46 45 45 70 48 60 50 74 54 39139 120 117 129 135 146 162 95 110 115 150 113 103 117 140 170 118 120 70 226 114 125 130 180 115 39312 120 47 39 70 46 51 67 34 41 39 120 40 4939321 60 51 50 62 66 67 71 39 67 33 70 48 69 45 40 45 30 46 47 61 42 50 71 50 44 50 40 50 60 95 45 50 75 45 64 79 70 57 65 45 49 6639323 30 18 21 35 24 40 22 17 15 23 19 20 75 26 18 20 39324 40 34 39 46 51 38 35 28 50 37 31 34 15 31 59 19 16 31 55 45 35 39 25 63 45 55 25 41 58 55 41 57 35 62 2939327 100 39 59 59 60 60 34 76 25 27 26 40 48 39 35 31 29 116 45 91 43 60 53 76 91 32 42 40 51 118 44 4439331 20 23 26 34 40 42 11 16 21 18 27 43 14 37 17 21 24 27 18 26 18 31 29 21 22 25 27 31 22 29 21 35 30 23 41 35 30 29 38 53 24 29 31 30 46 29 38 32 37 3639333 100 111 97 127 175 98 88 135 93 149 50 120 135 100 151 39500 200 181 199 227 231 168 195 178 220 255 202 225 39503 160 231 254 276 306 210 184 270 240 221 285 255 315 217 330 240 39600 60 57 63 72 82 75 51 47 33 80 74 42 70 56 54 64 39 90 86 49 77 35 63 90 67 70 59 46 100 102 67 93 40 57 39603 120 91 103 122 135 112 78 39 143 137 40 76 88 125 47 152 147 50 90 130 165 165 93 58 159 163 70 94 130 39606 90 125 138 145 205 262 133 150 93 170 105 105 144 185 39609 50 94 106 105 124 100 83 146 54 95 158 66 105 70 103 178 68 39612 100 113 122 137 141 175 118 90 131 129 90 147 135 137 130 146 39615 160 130 187 181 195 221 184 76 228 211 123 165 243 216 100 39640 420 518 544 537 613 333 770 267 790 298 480 840 292 39642 350 409 421 469 459 483 403 415 411 430 510 446 450 39646 360 485 495 525 438 485 495 540 510 39650 500 196 207 360 236 275 117 287 127 630 310 140 39653 470 426 436 510 440 360 320 531 333 539 630 333 566 39654 570 518 528 598 538 518 528 630 566 39658 510 630 630 39660 390 188 195 383 233 248 188 195 540 225 39662 360 250 285 447 425 315 250 285 540 530 270 39700 120 86 88 125 106 87 100 40 79 118 92 40 90 134 80 95 225 115 70 96 135 107 39703 60 57 63 73 81 79 49 59 58 62 54 67 67 75 59 77 82 39706 120 108 120 135 139 165 100 161 55 143 92 100 107 171 70 141 110 120 110 206 75 192 110 39709 200 147 165 190 194 200 138 120 188 165 140 167 110 148 150 130 199 176 149 174 159 270 198 162 143 213 202 172 203 163 17239712 300 205 225 244 262 218 239 197 210 278 177 187 182 170 211 220 290 192 212 270 208 277 231 239 322 206 225 22339715 180 130 149 173 194 150 115 146 139 112 109 141 173 102 158 148 123 126 189 270 147 160 172 180 137 153 209 12739718 120 145 152 168 185 216 130 200 131 97 168 135 208 142 101 173 120 145 234 171 127 213 39721 120 94 112 117 122 141 74 105 118 82 111 127 98 120 97 111 140 116 39800 240 205 225 247 251 245 192 147 224 256 222 217 176 210 160 236 273 240 226 215 300 248 225 177 250 294 261 247 225 39803 360 287 313 330 367 348 175 329 252 348 330 335 260 282 375 360 235 371 285 386 345 39806 150 291 300 308 306 299 345 237 365 235 240 402 283 39812 75 295 75 313 295 75 39818 240 310 320 348 320 405 310 320 360 335 39821 240 420 420 39900 100 75 75 39903 150 106 115 129 133 165 80 117 95 132 87 133 100 138 150 102 142 110 142 39906 120 93 100 107 116 120 85 100 96 105 75 115 130 40000 100 115 125 165 190 180 115 125 150 180 40003 60 76 88 95 105 107 52 58 98 77 84 70 83 85 67 109 86 92 82 88 135 66 61 78 117 105 100 97 92 40006 60 58 60 95 91 118 75 46 53 58 63 135 90 67 88

MBS Item

Intra Service

Time NEUS



160 90161 150162 210163 270164 300

34100 6034133 7534139 12039000 1039003 1539006 1539009 1539012 3039015 4539018 4539100 1539106 12039109 4539112 18039121 6039124 16039127 9039128 9039133 6039134 4539136 4539139 12039312 12039321 6039323 3039324 4039327 10039331 2039333 10039500 20039503 16039600 6039603 12039606 9039609 5039612 10039615 16039640 42039642 35039646 36039650 50039653 47039654 57039658 51039660 39039662 36039700 12039703 6039706 12039709 20039712 30039715 18039718 12039721 12039800 24039803 36039806 15039812 7539818 24039821 24039900 10039903 15039906 12040000 10040003 6040006 60

MBS Item

Intra Service

Time NEUS


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix Pub

C'mix Priv

C'mix Other WA H1 H3 H4 H6 H7 H8 H9A H9B H10 H11 H12 H13 H14 H15 H16 H17 H18 H19 H20 APH

ACAN

SC'mix Pub

C'mix Priv

C'mix Other

Deloitte

85 142 90 150 1 1 1 98 145 125 2 1

199 195 125 127 114 170 90 70 95 149 190 1 2 1 4 2 3 1 1 5 2 56 24 22 28 41 34 27 16 12 30 1 1 2 12 29 1 4 8 744 10 92 4 7 113 120 72 110 3 1 1 75 64 61 82 108 1 2 1 3 63 47 88 87 80 68 55 58 86 90 3 65 7 6 64 1 39 5 2 91 80 83 72 89 7 1 2 6 16 24 30 43 1 2 1 1 11 8

64 48 52 63 36 82 68 65 97 34 30 1 8 16 15 9 9 11 2 8 174 164 195 221 201 193 183 217 1 10 19 4 11 11 30 2 50 50 30 1 285 180 325 200 120 1 1 2 112 90 70 110 95 131 120 60 90 8 2 1 3 1 1

119 103 105 112 86 99 115 127 120 1 2 5 1 1 6 7 53 65 76 55 81 65 1 6 3 4 2 65 114 172 54 90 60 1 10 2 3 1 54 76 56 89 28 45 7 2 3 8 5 121 132 155 200 120 136 230 120 1 4 1 1 1 2 46 45 48 60 25 4 1 18 9

53 81 69 66 81 75 61 70 55 52 52 44 97 89 80 50 60 3 1 4 3 1 6 4 6 5 1 8 1 1 77 5 42 8 27 20 25 33 41 45 3 22 1 1 33

21 51 45 63 63 45 62 45 66 24 20 55 85 17 32 30 2 1 2 26 4 3 10 9 5 1 66 4 1 51 6 56 46 43 56 111 48 37 24 73 134 41 54 60 2 1 1 1 5 7 1 5 3 4 153 5 3 50 5

32 58 34 41 34 33 51 33 42 36 41 35 50 34 72 53 59 27 34 29 30 28 4 57 29 34 115 29 3 21 79 29 156 84 98 135 138 107 78 89 149 2373 30 181 255 105 166 123 50 120 1 2 2 1 1 212 250 2 1 370 254 345 255 210 1 1 1 1

83 85 52 109 114 74 100 55 65 64 63 115 60 4 7 54 3 32 31 4 50 1 29 2 219 126 66 168 174 80 114 135 97 126 1 6 192 6 12 55 1 23 22 1

205 210 485 90 2 1 2 1 111 115 191 80 100 4 2 8 2 127 148 130 161 175 6 1 1 6 144 243 243 150 278 164 10 1 5 2 655 860 324 333 1 1 3 458 455 465 483 2 4 1 355 520 2 2 322 150 2 1 400 345 574 360 2 2 5 500 576 1 4 233 248 2 430 541 305 315 2 2 1 95 70 107 151 103 110 80 123 55 90 1 2 1 1 4 2 1 2 85 64 85 91 115 43 6 3 5 7 16 2 106 117 217 90 182 120 132 198 22 1 6 1 3 7 1 199 154 224 213 181 210 175 191 229 180 18 104 11 12 127 16 63 74 6 9 272 244 250 335 221 248 110 277 268 16 73 9 21 58 14 28 98 7 248 183 189 148 167 226 179 120 7 11 9 22 2 24 13 3 9 187 150 242 182 131 218 205 227 3 1 1 8 1 2 92 117 149 130 141 5 6 2 5 3 221 190 262 311 279 261 230 212 278 2 154 11 47 70 2 44 11 1 453 377 294 321 390 348 1 8 4 9 10 1 215 422 281 299 5 2 5 210 415 1 1 295 345 405 1 1

109 138 158 115 147 180 150 1 9 1 1 3 88 126 135 120 10 3 1 190 180 1 97 87 128 114 108 108 95 110 103 125 90 6 56 19 18 51 6 58 31 3 97 78 98 118 1 35 3 2




TimeAnaesthetic

TimeTheatre

Time OPT OPT 2 OAT


CANS

Deloitte

H8 H13 H15 H16 H17 H18 H19 H20 CANS

MBS


Deloitte

160 90

MBS Item

Intra Service

Time NEUS

40009 60 58 69 80 87 77 41 53 72 71 50 63 60 63 51 58 83 80 55 69 67 120 58 64 70 92 100 65 83 80 6640012 100 76 84 110 102 70 83 77 90 150 85 95 40015 120 20 98 25 20 180 15 40018 30 15 25 68 78 15 15 30 20 40100 120 100 107 125 130 121 60 121 143 75 63 126 150 90 135 82 130 164 115 40103 120 165 280 165 40106 120 180 204 240 229 266 138 202 195 185 210 210 193 345 178 222 238 218 40109 180 80 85 218 110 135 80 85 330 105 40112 300 156 163 223 187 190 152 70 238 165 160 80 244 170 400 170 95 269 180 40115 100 94 102 135 128 154 108 80 119 85 165 125 115 40118 120 121 127 177 165 182 121 127 195 160 40300 60 78 87 96 112 111 71 55 100 66 91 99 58 114 73 77 64 68 77 73 101 108 66 121 84 71 90 106 92 67 84 109 136 75 139 105 72 8240301 120 90 104 108 127 117 94 61 110 80 117 88 85 82 102 120 89 125 95 91 120 76 114 81 127 109 140 115 96 10140303 105 91 102 104 125 139 53 64 119 79 150 112 63 122 93 89 71 74 59 86 160 120 71 130 105 81 90 70 73 76 101 168 142 80 151 123 78 9740306 100 112 125 128 155 169 115 96 73 159 99 133 154 93 140 113 110 86 91 105 106 149 165 102 152 128 92 120 127 106 115 84 123 153 188 115 172 152 96 11440309 100 106 111 121 138 143 66 131 73 116 144 102 118 98 105 71 76 126 158 114 123 110 90 78 95 136 90 136 182 140 151 115 40312 120 161 184 180 210 185 130 128 154 258 102 214 125 180 138 166 269 108 227 195 90 153 137 177 291 121 245 225 40315 180 205 195 336 343 257 209 201 221 169 300 232 540 270 40316 100 133 142 212 186 156 110 163 120 270 192 175 40318 300 224 258 257 290 258 140 157 297 325 200 317 153 207 168 309 336 215 304 215 180 160 178 316 358 275 353 237 40321 150 151 209 201 219 237 60 185 236 170 122 135 194 246 259 138 195 230 120 208 293 208 155 40324 120 349 403 379 429 273 464 425 159 486 320 195 483 460 40327 120 162 162 40330 90 94 108 120 133 135 99 77 92 73 126 63 135 85 99 109 99 88 134 70 149 109 150 114 116 89 114 99 159 77 171 111 40331 120 102 121 130 145 160 97 62 135 96 120 103 148 107 127 150 112 80 175 118 147 40332 120 149 166 178 186 166 221 108 209 102 135 120 227 219 109 152 125 210 181 246 121 246 117 177 123 40333 100 105 111 124 113 93 119 60 149 159 40 75 154 168 45 210 132 70 171 193 45 50 40334 180 102 117 142 139 155 75 134 120 103 78 140 130 113 85 210 160 90 177 133 140 88 40335 120 172 198 209 242 169 152 105 316 148 139 160 328 160 145 270 179 110 355 169 170 40339 180 181 201 256 255 268 130 233 150 253 300 150 319 40342 240 205 208 255 243 205 208 270 240 40345 240 156 147 196 195 145 212 169 154 89 176 162 103 240 237 205 193 107 40348 240 232 240 297 290 310 223 240 229 250 330 272 290 40351 240 166 172 254 223 215 121 210 129 215 330 138 295 40600 150 95 109 121 131 122 80 63 123 120 97 94 102 83 68 147 130 110 110 88 150 120 109 98 139 141 119 116 95 40700 180 270 270 40703 200 293 303 295 346 305 282 316 291 240 322 323 40706 360 40 40 235 50 55 40 40 420 50 40709 60 120 75 120 40712 100 140 150 168 165 140 150 180 155 40800 100 82 98 124 135 74 89 98 120 129 122 40801 240 166 169 207 186 171 185 244 150 85 258 160 90 195 260 286 194 100 40803 100 87 97 117 115 121 96 71 55 102 95 88 87 105 75 69 110 105 100 120 135 149 119 66 124 98 117 130 40903 120 91 101 128 126 90 93 103 99 150 105 128 41575 420 350 411 419 496 509 288 325 613 366 260 250 350 626 409 260 480 316 351 655 403 310 41576 360 356 475 382 495 495 250 531 288 547 302 575 480 248 270 567 347 41578 420 392 456 475 508 455 345 614 475 382 223 315 627 486 384 329 480 385 702 500 415 366 41579 420 631 637 671 677 680 632 630 639 635 677 665 41746 60 146 160 128 172 154 139 160 90 166 45018 20 105 125 105 140 82 85 125 125 90 85 140 45785 360 510 240 510 47699 160 150 161 195 213 150 265 80 105 275 94 115 180 370 120 110 47711 60 39 49 60 68 39 49 60 70 50 47714 60 60 60 47717 90 45 48 70 44 45 45 48 90 50 47720 45 75 75 47723 45 75 75 47726 20 30 30 30 47729 45 45 30 45 48639 300 156 150 220 311 173 184 110 185 115 345 196 120 48642 120 150 180 168 193 144 110 151 155 185 170 190 165 120 190 195 48648 150 151 143 163 161 202 160 162 150 145 120 168 160 125 150 187 180 155 130 17548654 120 176 239 196 255 303 110 212 255 135 144 199 221 290 145 300 180 180 120 233 280 160 21648657 200 204 242 240 283 288 268 187 243 168 155 199 285 225 272 274 227 278 16548660 120 123 133 150 164 156 113 133 109 201 95 91 200 111 85 90 120 215 105 99 161 97 180 128 126 119 216 145 126 265 93 10648663 120 140 160 163 175 90 174 105 204 115 180 205 105 48669 180 150 162 201 187 204 137 148 148 193 113 190 115 159 157 203 118 170 210 255 148 173 205 148 290 18148672 120 205 150 210 200 48675 120 48678 60 56 63 113 68 56 63 165 61 48681 120 165 180 165



160 90

MBS Item

Intra Service

Time NEUS

40009 6040012 10040015 12040018 3040100 12040103 12040106 12040109 18040112 30040115 10040118 12040300 6040301 12040303 10540306 10040309 10040312 12040315 18040316 10040318 30040321 15040324 12040327 12040330 9040331 12040332 12040333 10040334 18040335 12040339 18040342 24040345 24040348 24040351 24040600 15040700 18040703 20040706 36040709 6040712 10040800 10040801 24040803 10040903 12041575 42041576 36041578 42041579 42041746 6045018 2045785 36047699 16047711 6047714 6047717 9047720 4547723 4547726 2047729 4548639 30048642 12048648 15048654 12048657 20048660 12048663 12048669 18048672 12048675 12048678 6048681 120


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS


C'mix Priv


ACAN

SC'mix Pub

C'mix Priv

C'mix Other

Deloitte

79 74 103 109 70 89 83 45 98 108 45 90 10 28 3 18 40 6 44 20 7 1 5 110 93 103 1 10 2 25 1 66 70 78 1 6 1 85 135 171 130 100 143 3 2 3 2 280 1 210 230 253 225 293 240 2 2 3 2 2 110 120 150 1 178 105 278 185 289 90 1 1 6 1 136 120 154 2 1 165 182 3

98 125 114 91 119 145 83 148 116 79 102 145 110 167 50 90 55 157 18 42 51 21 60 214 51 8 1424 66 1 217122 136 138 119 148 123 103 145 90 10 1 45 29 36 7 42 4 6

79 144 120 108 178 150 88 159 135 88 131 166 133 174 90 6 124 7 13 19 7 27 70 11 3 435 18 32124 191 155 130 168 199 124 185 168 102 145 218 157 206 120 4 22 175 6 38 27 19 92 67 28 6 325 54 51100 143 94 145 195 152 157 120 168 111 175 120 1 2 19 4 9 25 2 12 38 1

199 147 189 302 127 262 240 153 281 120 3 9 3 5 11 4 14 30 1 244 545 239 257 1 1 4 173 199 185 4 5 1 258 190 328 369 290 348 245 190 227 358 2 9 3 2 6 1 3 5 3 125 217 302 292 158 155 315 240 1 8 10 2 16 2 505 353 365 180 2 1 106 5

126 149 121 114 167 84 184 121 144 201 60 5 15 12 38 2 51 14 12 42 8 118 138 188 129 154 170 150 3 7 2 7 8 5 252 163 256 124 193 128 212 120 6 3 39 17 18 8 4

111 85 176 202 49 55 90 70 120 2 7 1 2 9 1 1 126 183 143 150 95 160 150 1 4 8 2 2 2

187 301 367 181 175 189 150 5 1 8 20 16 14 170 339 190 345 1 2 243 1 247 212 201 121 170 120 1 3 1 5 2 293 278 300 310 2 5 1 146 300 310 120 1 1 135 103 163 151 132 133 100 123 130 145 90 4 34 2 2 4 3 15 17 2 373 333 332 5 3 8 50 55 1 75 165 1 140 130 1 1 19 138 299 204 105 216 178 120 1 2 10 4 1 1 94 123 75 133 108 127 145 135 138 90 7 16 3 4 6 1 7 8 1 118 134 1 2 451 715 376 669 448 320 735 463 330 6 10 1 1 4 8 11 1 430 583 361 605 630 360 1 4 5 2 1 715 511 425 380 455 7 1 3 3 23 5 684 670 680 2 1

172 1 6 140 145 41 60 1 1 27 240 216 380 134 120 150 5 1 1 1 75 60 1 2 35 53 45 1 1 30 30 340 207 572 125 1 2 2 7 1 173 205 200 198 90 1 4 1 1 184 165 135 210 215 180 3 15 1 458 1 16 215 242 315 170 335 365 240 1 1 4 1 1 1 35 34 239 327 336 240 2 2 4 70 6 157 156 130 230 155 134 248 105 97 180 159 256 90 30 5 6 4 4 1 2 1 327 3 14

235 115 90 1 1 164 160 182 215 153 245 188 199 280 150 2 3 1 7 1 6 1 92 32 150 68 1 180




TimeAnaesthetic

TimeTheatre

Time OPT OPT 2 OAT


CANS

Deloitte

H8 H13 H15 H16 H17 H18 H19 H20 CANS

MBS


Deloitte

160 90

MBS Item

Intra Service

Time NEUS

48684 150 171 169 206 218 223 152 190 156 181 165 180 273 48687 240 189 384 355 428 228 189 572 195 225 615 225 48690 300 165 255 275 210 165 255 50221 220 165 245 180 240 315 165 245 240 170 95 215 50224 300 158 237 263 258 230 135 180 158 145 454 185 163 285 160 485 215 170 50227 360 255 269 328 326 314 265 245 280 258 360 315 308



160 90

MBS Item

Intra Service

Time NEUS

48684 15048687 24048690 30050221 22050224 30050227 360


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS


C'mix Priv


ACAN

SC'mix Pub

C'mix Priv

C'mix Other

Deloitte

184 251 266 180 1 2 625 232 245 210 2 3 275 210 1 9 300 112 308 315 1 1 1 230 170 494 220 175 215 235 240 1 1 1 1 2 330 322 328 300 1 3



THEATRE TIMES

Orthopaedic Surgery

October 1999


COMPARISON OF ORTHOPAEDIC SURGERY (ORTH)INTRA TIME ESTIMATES WITH OTHER ESTIMATES

ID Type Definition of Time ORTH OTEH1 Priv Op Start to Op End 93 76.4 44.6 171.2H4 Priv Op Start to Op End 118 80.6 50.5 159.4H6 Priv Op Start to Op End 67 67.5 44.0 153.5H8 Priv Surgeon Start to Drapes Removed 231 81.3 57.9 140.4H9A Priv Inpatient, Surgery Start to Surgery Finish 102 98.4 85.5 115.2H9B Day Day Surgery, Surgery Start to Surgery Finish 58 58.5 41.3 141.9H10 Priv Op Start to Op End 46 82.5 49.8 165.7H11 Priv Knife to Skin - Application of Dressing 147 77.0 81.4 94.5H13 Priv Surgeon Start to Surgeon Finish 71 66.3 44.4 149.3H15 Priv Op Start to Op End 173 87.9 59.5 147.7H16 Pub Proc Start to Proc End 236 85.7 75.6 113.4H17 Pub Surgical Start to Surgical End 266 90.6 73.7 122.9H18 Priv Proc Start to Proc End 253 88.0 64.1 137.3H19 Pub Positioning to Dressings Applied 171 96.0 79.3 121.1H20 Pub Preparation/Positioning to End Dressings 199 79.8 62.3 128.1APHA Priv Procedure Time 121 75.5 63.7 118.7CANS Pub & Priv Op Start to Op Finish 246 92.2 72.5 127.2Deloitte Pub & Priv Procedure Time 121 76.6 55.0 139.2H8 Priv Surgeon Start to Xfer from OR 233 81.2 63.1 128.6H13 Priv Surgeon Start to Xfer from OR 73 66.6 49.4 134.7H15 Priv Op Start to Recovery Admission 179 88.7 65.2 136.1H16 Pub Proc Start to Recovery Admission 237 85.6 80.4 106.4H17 Pub Surgical Start to Xfer from OR 275 91.1 84.2 108.2H18 Priv Proc Start to Xfer from OR 261 87.4 69.7 125.3H19 Pub Positioning to Ex Theatre 229 92.6 84.3 109.9H20 Pub Preparation/Positioning to Admit Recovery/ICU 205 80.0 71.8 111.4CANS Pub & Priv Operation Start to Anaesthetist Finish 245 91.4 78.0 117.2MBS Pub & Priv Anaesthetic Time 506 97.5 107.5 90.6H1 Priv Anaesthetic Start to Op End 98 78.2 66.2 118.1H4 Priv Anaesthetic Start to Op End 126 78.9 79.8 98.9H5 Priv Anaesthetic Start to Surgery End 173 75.3 68.2 110.3H6 Priv Anaesthetic Start to Op End 69 68.8 56.8 121.1H8 Priv Patient in Theatre to Drapes Removed 241 81.0 71.6 113.2H9A Priv Inpatient in A. Bay to Surgery Finish 102 98.4 98.5 100.0H9B Day Day Surgery, Anaesthetist Start to Surgery Finish 62 58.3 53.0 110.0H10 Priv Anaesthetic Start to Op End 45 81.7 64.4 126.9H13 Priv Anaesthetic Start to Surgeon End 72 66.9 60.2 111.2H15 Priv Anaesthetic Start to Op End 180 89.0 75.3 118.1H16 Pub Anaesthetic Start to Proc End 238 86.5 92.4 93.6H17 Pub Anaesthetic Start to Surgical End 275 90.9 103.2 88.0H18 Priv Anaesthetic Start to Proc End 258 89.3 82.7 108.0H19 Pub Anaesthetic Start to Dressings Applied 181 95.4 107.4 88.8H20 Pub Anaesthetist Start to End Dressings 207 80.1 88.3 90.7CANS Pub & Priv Anaesthetist Start to Operation Finish 250 93.1 79.5 117.1Deloitte Pub & Priv Anaesthetic Time 121 76.6 66.5 115.2H8 Priv Patient in Theatre to Xfer from OR 242 81.0 76.3 106.2H11 Priv Anaesthetic Start to Xfer to Recovery 153 77.8 101.0 77.1H12 Pub Anaesthetic Start to Xfer to Recovery 21 51.9 54.4 95.4H13 Priv Anaesthetic Start to Xfer from OR 74 69.6 71.0 98.0H14 Pub Anaesthetic Start to Recovery Admission 305 91.2 100.0 91.1H15 Priv Anaesthetic Start to Recovery Admission 185 89.0 82.0 108.5H16 Pub Anaesthetic Start to Recovery Admission 241 85.0 97.0 87.6H17 Pub Anaesthetic Start to Xfer from OR 277 90.5 111.3 81.3H18 Priv Anaesthetic Start to Xfer from OR 262 89.4 89.4 100.0H19 Pub Anaesthetic Start to Ex Theatre 233 92.4 111.9 82.6H20 Pub Anaesthetist Start to Admit Recovery/ICU 209 81.1 98.1 82.7CANS Pub & Priv Anaesthetist Start to Anaesthetist Finish 250 93.1 85.0 109.5H2 Priv Total Time in Theatre 161 80.2 71.6 111.9H3 Priv Total Time in Theatre 6 59.2 51.7 114.5H7 Day Total Time in Theatre 81 65.0 46.4 140.0H11 Priv Dress, scrub etc. to Xfer to Recovery 153 77.6 118.3 65.5H15 Priv Theatre Reception to Recovery Admission 185 88.8 102.9 86.3H19 Pub In Op Suite to Ex Theatre 234 90.8 128.7 70.5C'mix PubPub Casemix Public Theatre Time 127 55.8 36.6 152.5C'mix PrivPriv Casemix Private Theatre Time 251 65.8 43.5 151.4C'mix OtherDay & OtherCasemix Other Theatre Time 42 53.2 37.4 142.2WA Priv WA Group Total Time in Theatre 429 97.3 81.2 119.8

TimeNo. of

items in common


Ratio 100 x

ORTH/OTE

OTHER TIME ESTIMATE (OTE)

TIM

E IN

TH

EA

TRE

(TH

T)O

PE

RA

TIO

N T

IME

(OP

T) *

OP

ER

ATI

ON

TIM

E 2

(O

PT

2)A

NA

ES

THE

TIC

TIM

E (O

AT)

AN

AE

STH

ETI

C T

IME

2 (O

AT

2)

* Median ratio of ORTH intra time estimates to OPT (excluding H4, H6, H9A, H9B and H11) Unweighted = 137.3 % Weighted (for number of items in common) =

NCCH - Professional Relativities Study 9/02/2001

THEATRE TIMES - ORTHOPAEDIC SURGERY (ORTH)


TimeAnaestheti

c TimeTheatre

Time OPT OPT 2 OAT

OPT OPT2 OAT OAT2 THT H1 H4 H6 H8 H9A

H9B

H10

H11

H13

H15

H16

H17

H18

H19

H20

APHA

CANS

Deloitt

H8 H13

H15

H16

H17

H18

H19

H20

CANS

MBS

H1 H4 H5 H6 H8 H9A

H9B

H10

H13

H15

H16

H17

H18

H19

H20

CANS

Deloitt

18266 10 9 20 15 9 20 18272 10 16 15 15 15 16 18 15 15 15 30023 60 36 38 47 57 55 31 53 27 25 35 29 41 65 26 25 36 57 32 34 24 40 37 25 29 30 29 40 64 38 37 32 44 45 44 79 38 33 35 43 41 63 38 35 50 80 45 50 40 43 3630093 30 45 60 20 45 60 30107 40 31 32 40 43 48 20 36 23 50 45 28 35 21 20 23 37 22 53 23 30 33 29 27 23 23 29 42 26 55 27 37 30 16 42 32 44 31 60 60 43 31 33 33 56 33 68 32 37 3530111 50 29 33 42 52 46 31 22 31 31 33 31 14 39 26 38 21 24 29 26 38 34 26 34 29 41 25 28 33 32 39 45 49 50 40 42 40 43 42 20 44 62 29 47 41 42 40 3430114 70 42 46 55 60 49 39 29 47 45 50 31 53 33 63 31 36 50 55 36 60 38 34 60 55 53 66 57 55 65 42 86 46 34 4830226 60 30 32 41 48 41 23 45 27 12 43 51 32 14 33 30 38 52 38 48 30235 90 45 75 67 45 30238 60 45 38 57 46 46 50 31 41 57 32 43 45 60 90 40 50 30241 90 40 58 55 72 64 28 30 41 30 36 31 45 70 49 40 36 76 48 39 78 50 75 40 45 23 55 50 40 81 55 40 44 65 81 72 75 50 4830672 60 48 55 65 71 60 39 70 29 48 52 74 35 56 60 85 52 90 40 64 39321 75 51 50 62 66 67 71 39 67 33 70 48 69 45 40 45 30 46 47 61 42 50 71 50 44 50 40 50 60 95 45 50 75 45 64 79 70 57 65 45 49 6639327 90 39 59 59 60 60 34 76 25 27 26 40 48 39 35 31 29 116 45 91 43 60 53 76 91 32 42 40 51 118 44 4439330 60 38 39 48 56 54 33 49 31 47 43 25 63 22 29 38 52 32 51 28 34 33 29 34 26 32 43 60 36 54 33 36 30 54 54 56 43 62 60 33 31 39 49 75 43 67 45 38 3739331 45 23 26 34 40 42 11 16 21 18 27 43 14 37 17 21 24 27 18 26 18 31 29 21 22 25 27 31 22 29 21 35 30 23 41 35 30 29 38 53 24 29 31 30 46 29 38 32 37 3640300 90 78 87 96 112 111 71 55 100 66 91 99 58 114 73 77 64 68 77 73 101 108 66 121 84 71 90 106 92 67 84 109 136 75 139 105 72 8240303 120 91 102 104 125 139 53 64 119 79 150 112 63 122 93 89 71 74 59 86 160 120 71 130 105 81 90 70 73 76 101 168 142 80 151 123 78 9740306 150 112 125 128 155 169 115 96 73 159 99 133 154 93 140 113 110 86 91 105 106 149 165 102 152 128 92 120 127 106 115 84 123 153 188 115 172 152 96 11440330 100 94 108 120 133 135 99 77 92 73 126 63 135 85 99 109 99 88 134 70 149 109 150 114 116 89 114 99 159 77 171 111 40336 60 30 25 45 35 41 20 25 60 30 43500 30 45 30 37 45 43503 60 42 35 50 61 87 30 85 35 25 30 47 38 28 40 75 30 59 43 45 43506 90 40 45 68 80 60 40 45 90 45 43509 100 98 105 160 122 98 105 43512 75 38 38 52 53 49 40 40 50 25 45 23 23 26 46 60 30 52 33 29 30 31 62 45 59 70 45 50 55 53 31 38 70 43515 120 72 136 70 73 79 72 136 90 50 43518 120 40 45 78 70 90 45 35 50 40 105 70 60 43521 120 62 25 105 19 43524 120 105 60 105 44325 90 48 52 59 65 43 75 25 46 80 30 60 62 80 35 44328 90 95 100 113 130 60 95 100 75 150 44331 180 120 135 90 120 44334 210 150 120 150 44338 30 23 24 34 41 45 25 18 26 41 26 18 18 22 15 20 20 29 29 21 20 27 19 25 26 21 21 30 31 30 51 28 27 29 39 28 36 43 24 37 43 34 2944342 45 30 27 51 53 48 50 25 23 23 30 27 24 45 80 45 53 33 44361 100 84 92 85 93 60 84 92 75 95 46300 45 47 54 61 78 59 20 44 65 55 59 56 42 39 48 71 58 40 65 45 45 41 56 57 80 66 89 49 6246303 60 60 61 65 74 55 37 73 103 53 35 41 106 58 40 60 46 108 75 35 46306 75 55 61 81 90 90 54 57 61 62 90 78 75 46307 75 76 79 93 93 87 68 90 95 79 50 74 95 103 86 65 50 90 78 100 145 93 50 46309 75 72 70 84 95 92 88 96 72 38 76 65 93 77 43 68 90 102 104 84 54 69 46312 110 85 102 108 119 68 94 76 102 105 111 46315 145 121 126 124 143 120 120 78 165 125 79 175 135 70 155 93 165 46318 180 136 141 157 169 203 132 140 135 136 147 140 150 150 173 155 46321 215 95 100 148 120 131 95 100 180 115 46324 85 71 89 96 102 74 44 64 81 75 65 86 80 94 80 94 120 67 97 98 100 101 9146325 100 74 76 98 97 93 70 66 109 82 40 46 39 64 110 105 83 69 90 41 54 49 72 115 109 88 150 110 72 79 92 64 64 78 140 135 89 46327 40 32 34 39 43 46 50 18 30 31 30 38 30 21 35 40 38 35 45 32 26 40 45 47 35 46330 75 49 50 69 68 63 30 85 45 35 55 46 66 38 41 50 35 58 48 68 42 90 50 120 41 56 60 61 86 88 45 6146333 90 52 59 61 72 68 49 50 56 54 60 64 60 40 59 75 73 46336 45 34 31 45 43 38 26 31 28 40 28 31 35 50 30 44 36 35 20 18 60 45 41 36 54 47 41 31 5346339 70 39 47 53 63 58 55 26 66 23 35 51 30 51 40 30 23 69 40 55 34 54 45 34 45 65 40 42 80 32 45 61 50 69 90 34 3846342 70 80 90 88 110 55 80 90 75 100 46345 90 59 56 73 65 51 65 53 56 90 94 45 62 46348 50 49 58 47 57 45 48 60 39 53 63 45 25 57 73 35 46351 75 28 35 52 72 53 30 25 35 60 67 30 46354 100 33 75 68 33 75 46357 125 90 60 90 46360 150 35 45 79 102 109 35 45 105 52 46363 30 21 24 32 39 37 10 18 22 18 20 21 40 14 20 24 24 18 20 14 27 28 21 20 18 24 26 29 22 24 20 32 30 17 48 25 30 29 33 28 32 28 30 48 29 28 33 37 3446366 30 55 50 58 64 61 60 53 45 62 62 50 37 45 63 63 60 46369 60 52 63 68 69 51 48 60 76 25 50 65 80 31 85 55 60 83 60 73 84 40 90 55 46372 60 52 61 70 78 72 23 38 55 37 75 75 53 75 48 36 60 59 39 40 82 60 80 61 40 64 105 31 70 73 65 48 86 83 85 93 53 69 5046375 90 55 46 68 81 72 52 56 75 50 45 92 48 43 35 53 47 40 120 72 85 83 32 60 50 73 64 40 46378 120 88 89 109 109 93 96 120 52 84 62 110 84 96 95 80 54 87 69 114 89 108 100 150 125 160 65 94 70 137 93 109 110 8946381 130 58 61 59 76 37 58 61 45 73 46384 75 48 52 61 66 46 48 52 45 75 62 46396 60 28 36 45 54 33 38 18 48 23 45 53 36 46399 75 66 63 70 78 67 84 66 56 58 70 58 62 60 81 67 72 46405 100 36 40 57 66 95 31 40 34 45 90 44 60 35

MBS Item

Intra Service Time ORTH



18266 1018272 1030023 6030093 3030107 4030111 5030114 7030226 6030235 9030238 6030241 9030672 6039321 7539327 9039330 6039331 4540300 9040303 12040306 15040330 10040336 6043500 3043503 6043506 9043509 10043512 7543515 12043518 12043521 12043524 12044325 9044328 9044331 18044334 21044338 3044342 4544361 10046300 4546303 6046306 7546307 7546309 7546312 11046315 14546318 18046321 21546324 8546325 10046327 4046330 7546333 9046336 4546339 7046342 7046345 9046348 5046351 7546354 10046357 12546360 15046363 3046366 3046369 6046372 6046375 9046378 12046381 13046384 7546396 6046399 7546405 100

MBS Item



OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix

C'mix

C'mix WA H1 H3 H4 H6 H7 H8 H9A H9B H10 H11 H12 H13 H14 H15 H16 H17 H18 H19 H20 AP

HACANS

C'mix

C'mix

C'mix

Deloitte

15 15 2 1 3 15 17 15 2 1 3

40 81 70 42 66 39 55 88 51 54 48 49 53 44 97 61 72 52 35 53 30 43 7 5 19 77 24 10 2 85 2 14 621 61 143 239 64 144 175 415 47 72 383 3 94 25 15 7 1

35 57 38 33 44 35 38 61 37 67 37 41 43 71 49 81 36 34 37 30 3 6 9 14 1 1 5 10 2 4 17 4 13 11 7 2 13 276 6 22 349 3 2743 58 85 47 58 64 32 51 45 48 46 37 42 72 69 33 37 47 30 4 7 3 1 23 3 6 3 3 1 4 13 3 4 5 15 5 80 13 4 173 2 1560 65 70 47 92 51 38 110 36 36 33 30 4 3 3 3 2 1 3 3 2 20 3 3 39 2 5

50 57 43 43 64 29 30 1 1 3 3 14 2 12 75 88 45 1 5

41 60 52 30 60 47 30 1 1 2 1 1 7 5 85 55 73 86 77 80 50 90 95 35 42 60 2 3 1 4 1 1 2 4 2 4 1 58 1 1 39 594 46 72 60 2 4 2 3 25 53 81 69 66 81 75 61 70 55 52 52 44 97 89 80 50 60 3 1 4 3 1 6 4 6 5 1 8 1 1 77 5 42 8

56 46 43 56 111 48 37 24 73 134 41 54 60 2 1 1 1 5 7 1 5 3 4 153 5 3 50 546 80 35 62 42 54 83 47 72 50 42 54 37 96 51 91 28 35 35 60 10 3 18 18 7 4 2 30 3 41 11 6 37 26 26 2 1030 38 31 363 2 6632 58 34 41 34 33 51 33 42 36 41 35 50 34 72 53 59 27 34 29 30 28 4 57 29 34 115 29 3 21 79 29 156 84 98 135 138 107 78 89 149 2373 30 18198 125 114 91 119 145 83 148 116 79 102 145 110 167 50 90 55 157 18 42 51 21 60 214 51 8 1424 66 1 21779 144 120 108 178 150 88 159 135 88 131 166 133 174 90 6 124 7 13 19 7 27 70 11 3 435 18 32

124 191 155 130 168 199 124 185 168 102 145 218 157 206 120 4 22 175 6 38 27 19 92 67 28 6 325 54 51126 149 121 114 167 84 184 121 144 201 60 5 15 12 38 2 51 14 12 42 8

35 62 3 30 37 1 2 97 45 62 45 55 114 60 1 1 2 3 2 1 12 110 50 60 1 1 160 184 60 1 66 40 55 61 63 37 40 43 72 30 80 60 65 28 30 1 1 2 1 1 3 3 2 1 3 23 1 6 95 50 112 65 60 2 1 1 75 65 90 1 1 25 1 60 65 70 85 40 1 4 1 1 105 155 60 2 1 135 90 1 120

29 56 45 40 44 29 43 47 30 41 53 36 39 70 74 58 33 29 13 3 6 2 7 1 1 51 4 13 6 9 13 17 40 7 2 34 2 15 55 69 57 34 82 15 1 12 1 2 1 1 83 103 60 2 2

61 68 138 86 69 53 95 52 75 65 53 45 2 8 2 3 4 3 2 1 197 5 23 750 93 70 111 80 40 110 28 37 45 1 1 2 1 2 1 1 3

105 85 80 90 1 2 2 84 72 105 153 100 90 50 75 117 68 90 3 3 1 2 1 1 1 8

109 140 103 89 59 72 115 46 162 46 90 2 2 3 3 2 2 14 5 6 119 45 90 1 28 1

160 94 175 120 1 1 1 180 154 180 160 285 120 2 1 3 1 120 142 120 1 1 82 111 105 109 98 35 90 3 2 2 1 27 4 1 8

82 125 100 90 65 71 65 86 145 139 94 99 53 145 70 150 46 90 2 2 7 2 2 4 1 5 1 4 1 5 4 5 18 60 29 45 54 55 40 76 44 33 30 1 1 2 2 2 3 29 1 2 17 61 65 60 64 88 90 49 45 110 51 45 1 1 1 5 3 1 2 1 1 5 54 864 60 85 80 84 60 60 4 2 1 2 17 45 46 35 58 54 45 25 40 30 62 35 20 35 45 3 1 6 1 3 3 1 1 2 15 1 63 583 45 50 65 54 72 95 38 63 70 60 39 60 1 1 1 2 1 1 4 1 3 2 4 1 133 21

110 65 41 60 1 4 65 42 60 2 2 4

62 55 76 35 45 2 2 3 1 20 72 45 60 1 1 7

75 60 185 1 60 62 142 35 232 60 1 1 1

31 55 37 36 42 32 33 52 33 40 39 41 31 29 69 46 52 26 28 22 30 5 19 3 13 32 3 2 25 3 5 20 9 24 20 30 6 12 271 24 48 930 11 4665 65 62 68 50 65 60 1 4 1 2 17 5 4 78 48 88 46 95 60 80 57 24 33 60 1 1 3 2 11 3 1 1 2 9 51 90 60 93 90 90 101 57 74 75 55 107 121 63 53 27 75 4 5 1 3 3 1 1 5 5 1 1 4 199 2 4 108 4 1434 104 134 103 78 68 45 65 122 32 65 75 75 3 3 2 1 1 1 1 1 1 7 4 5 3 3 68 267 97 155 77 141 98 120 115 113 85 84 90 2 1 1 1 1 1 2 2 2 2 1 1 33 5

76 35 45 30 1 1 1 66 52 33 53 45 2 1 11 58 63 41 36 30 2 1 1 10 100 85 60 69 76 118 67 53 30 1 1 1 1 3 1 2

47 115 65 38 145 80 60 1 1 1 1 1




TimeAnaestheti

c TimeTheatre

Time OPT OPT 2 OAT


H9B

H10

H11

H13

H15

H16

H17

H18

H19

H20

APHA

CANS

Deloitt

H8 H13

H15

H16

H17

H18

H19

H20

CANS

MBS

H1 H4 H5 H6 H8 H9A

H9B

H10

H13

H15

H16

H17

H18

H19

H20

CANS

Deloitt

18266 10 9 20 15 9 20

MBS Item


46408 100 93 106 122 129 98 82 95 120 55 69 130 98 101 126 63 135 105 118 146 95 160 10846414 80 85 65 91 73 74 134 75 45 80 50 90 90 140 85 50 46417 100 81 93 92 109 85 73 48 90 79 113 80 76 84 119 95 75 60 89 60 95 146 120 46420 45 36 43 49 53 55 34 17 27 35 39 48 73 25 23 46 34 34 30 52 78 29 29 48 39 60 61 33 68 35 36 57 91 36 32 40 4246423 55 44 41 56 67 61 27 104 50 27 28 46 39 35 39 53 28 32 51 40 75 62 45 79 40 69 35 4446432 80 73 76 84 89 78 85 102 77 61 78 88 53 43 72 70 108 67 83 99 57 48 70 75 95 119 73 92 109 62 53 75 46435 90 65 62 73 89 100 85 60 41 122 62 53 78 39 46 44 63 53 80 90 45 90 105 74 61 52 71 68 95 61 5646438 40 27 39 41 55 24 13 30 38 35 43 45 20 60 40 46441 60 41 46 49 53 50 56 31 43 40 32 44 40 60 39 47 45 35 49 60 72 30 43 50 52 57 57 25 4646442 80 55 49 54 64 59 52 81 37 49 55 39 53 60 60 40 56 46444 70 43 32 60 46 47 30 55 32 75 44 60 46447 90 70 73 78 74 81 64 75 70 75 90 70 75 46450 40 37 39 54 45 32 22 35 44 45 27 40 50 75 27 89 34 45 46453 70 49 58 67 75 50 60 48 25 57 76 39 37 50 63 80 38 90 60 75 60 30 74 100 4646456 30 18 23 19 27 30 18 20 25 15 22 46459 30 18 21 37 31 26 18 21 45 28 46462 60 25 28 42 35 40 25 25 30 25 60 40 25 46465 40 32 36 44 47 50 27 20 50 23 38 32 25 40 24 29 47 49 35 27 45 30 57 50 29 35 46 45 55 45 46468 60 21 25 36 37 58 19 26 25 15 20 28 30 20 45 27 38 50 20 46480 50 45 47 61 66 41 45 46 44 45 46 43 49 55 48 23 55 50 60 66 55 87 61 27 90 46 46483 50 25 26 33 39 41 21 20 15 20 48 20 19 30 25 25 25 28 22 20 22 36 30 25 25 30 29 39 25 30 30 28 57 36 30 25 3646492 60 23 26 44 45 34 17 18 34 19 21 37 75 29 27 46495 30 29 29 37 43 33 35 21 27 39 22 22 38 21 17 43 30 25 22 25 42 26 19 22 48 30 37 25 45 30 36 35 28 50 37 39 52 3846498 30 23 24 31 39 44 25 16 15 54 21 18 22 24 14 21 25 23 18 25 23 25 28 17 25 25 29 30 37 26 26 29 30 33 30 53 23 18 39 30 3646500 40 31 33 41 49 40 22 24 25 36 52 25 35 33 22 30 27 39 27 30 39 37 26 30 30 45 45 27 42 40 36 47 36 42 49 32 41 50 48 46501 45 33 37 44 51 41 30 30 24 24 41 29 47 23 28 48 37 28 34 47 27 32 53 60 37 44 35 35 34 46 50 40 39 58 4646502 45 29 30 41 43 30 35 29 26 20 34 34 28 21 24 41 60 35 43 65 37 34 30 29 35 46503 50 50 72 72 88 69 35 60 56 59 85 75 47 95 72 46507 210 80 160 184 178 198 80 235 85 210 238 105 46519 45 32 47 45 110 68 18 45 47 30 20 23 105 46522 45 30 39 41 53 60 20 20 16 65 25 30 31 37 20 28 38 68 34 45 45 53 24 30 26 30 48 75 44 41 47006 90 74 86 87 107 67 50 72 49 124 77 56 124 60 65 82 78 148 47009 45 19 19 24 32 36 23 19 42 18 7 15 18 20 10 23 25 10 15 23 30 33 25 37 13 23 17 1447012 100 45 106 76 112 90 52 39 106 75 99 54 47018 30 18 13 31 30 24 9 15 31 11 17 11 30 23 41 47021 70 52 61 78 99 43 26 90 40 40 94 50 75 73 100 65 47027 60 75 50 43 75 47030 30 18 27 26 33 50 16 19 20 25 35 30 23 26 47033 60 72 91 75 100 107 55 106 55 65 108 60 132 75 50 55 121 75 47039 60 50 55 70 110 34 50 55 45 95 47045 60 48 65 57 75 30 40 55 65 45 55 70 47048 35 14 16 21 27 28 7 7 28 12 13 13 15 8 10 12 25 14 20 12 15 16 20 19 13 11 20 21 30 10 18 13 22 16 29 24 16 20 25 20 2647051 90 66 64 73 90 110 51 60 86 65 55 73 75 63 65 87 47054 35 5 7 17 13 5 7 7 30 11 10 47063 35 40 50 40 44 34 40 50 30 50 47066 90 32 42 71 65 45 38 25 39 45 105 54 55 47072 60 19 30 32 48 30 12 25 30 45 21 30 47306 45 40 37 52 54 52 36 18 74 17 23 59 56 39 18 75 21 31 60 40 47 82 35 35 6447309 60 50 59 50 61 56 50 35 64 63 75 40 60 31 60 50 47318 60 72 70 77 91 65 46 88 80 76 49 91 85 43 81 60 54 94 95 65 93 47321 60 55 57 66 76 55 30 68 87 49 40 40 41 67 73 37 96 55 43 47 53 71 60 64 40 80 87 65 55 60 58 77 7747327 45 38 37 42 57 48 23 67 45 30 33 31 24 56 35 34 30 33 65 37 43 47330 75 61 69 73 83 76 64 39 55 80 57 61 59 30 74 82 72 68 84 63 73 63 37 85 77 60 50 78 50 93 74 89 71 55 94 88 47333 80 57 65 69 77 72 62 49 93 49 54 40 63 46 66 53 96 55 59 59 68 60 81 72 58 103 66 65 66 66 5347339 40 30 31 34 48 45 20 27 33 23 47 26 30 46 22 30 30 30 21 33 49 41 47342 60 50 55 60 72 72 28 49 76 47 43 69 54 45 53 40 47 58 49 52 74 62 52 48 58 46 60 45 58 63 66 52 80 84 58 45 69 41 5647345 70 50 59 65 75 52 25 45 60 50 80 56 48 33 48 67 55 89 62 37 56 75 48 58 65 96 69 65 4147351 90 76 44 88 108 30 42 110 44 90 48 125 47357 90 85 89 98 112 94 68 58 108 139 91 86 47 62 142 97 94 53 105 73 82 76 159 111 103 62 115 47363 45 19 22 30 38 33 14 15 10 18 17 18 45 26 15 18 14 20 17 20 20 31 18 26 20 30 21 18 15 31 23 55 56 32 30 24 2647366 70 65 69 81 83 64 54 64 64 62 79 59 71 57 67 69 66 75 72 80 75 100 68 78 83 71 97 83 74 47372 45 23 25 29 38 36 17 19 13 22 45 21 17 25 30 15 20 18 34 25 17 23 20 28 38 20 22 24 31 30 24 20 23 21 29 31 24 35 52 24 28 30 31 47375 90 58 65 77 94 86 54 73 34 77 71 61 49 55 49 58 81 41 84 76 57 65 57 75 102 66 91 56 97 87 81 75 60 5647381 40 24 26 30 36 35 18 16 37 18 13 28 11 30 20 45 24 18 19 17 32 18 27 26 50 30 20 22 21 19 46 20 39 33 50 3247384 80 73 78 90 95 80 63 101 85 58 77 65 86 56 68 67 108 85 64 89 72 83 63 73 75 74 116 115 71 101 85 106 80 73 47385 45 31 21 35 39 35 59 21 14 12 26 23 23 60 18 36 24 47386 100 75 78 94 100 90 80 83 73 89 75 63 65 87 77 95 55 72 80 120 95 92 107 95 82 70 47387 30 14 23 40 46 39 15 14 23 23 45 55 20 47390 45 23 24 31 40 37 30 19 48 20 16 20 14 20 17 29 18 22 21 21 30 18 20 24 32 45 34 28 26 23 55 22 29 27 30 2547393 120 92 95 102 118 119 95 107 133 75 77 118 85 115 99 49 55 110 80 82 122 93 122 107 78 65 90 105 117 95 88 134 100 134 117 68 70 47399 75 56 66 75 81 77 67 44 48 48 46 57 64 73 58 54 68 44 72 55 51 63 74 81 58 62 75 90 85 49 67 61 90 88 98 69 74 73 55



18266 10

MBS Item


46408 10046414 8046417 10046420 4546423 5546432 8046435 9046438 4046441 6046442 8046444 7046447 9046450 4046453 7046456 3046459 3046462 6046465 4046468 6046480 5046483 5046492 6046495 3046498 3046500 4046501 4546502 4546503 5046507 21046519 4546522 4547006 9047009 4547012 10047018 3047021 7047027 6047030 3047033 6047039 6047045 6047048 3547051 9047054 3547063 3547066 9047072 6047306 4547309 6047318 6047321 6047327 4547330 7547333 8047339 4047342 6047345 7047351 9047357 9047363 4547366 7047372 4547375 9047381 4047384 8047385 4547386 10047387 3047390 4547393 12047399 75


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix

C'mix


HACANS

C'mix

C'mix

C'mix

Deloitte

15 15 2 1 3 101 124 152 103 165 76 119 106 90 3 2 4 1 1 24 1 3 5 90 55 70 93 60 2 1 1 1 4

92 105 73 100 152 135 121 123 61 59 60 2 2 1 2 5 3 4 1 2 21 38 54 35 58 60 96 40 45 57 45 83 45 71 61 33 31 60 4 2 2 24 1 13 1 10 20 8 4 3 3 23 1 5 26 14

120 82 39 44 74 40 39 47 140 36 45 3 6 1 1 8 1 4 3 24 1 20 6125 102 79 84 97 120 66 58 75 105 57 120 65 59 60 2 3 2 5 2 7 5 11 3 2 19 1 1 14

55 140 72 103 68 97 110 67 150 61 162 83 120 110 53 60 1 1 4 2 1 1 3 1 2 1 3 1 9 5 65 45 30 30 21 15 1 1 1 1 2 4

76 51 38 53 57 60 62 30 43 36 90 46 33 55 45 2 1 1 1 2 3 2 1 3 1 3 35 1 963 90 42 60 107 55 44 30 2 1 1 1 1 11 46 45 49 45 2 1 1 6 76 70 75 130 54 60 1 1 1 4 39 50 19 32 45 1 2 1 17 1 1 17 62 80 110 104 28 63 35 44 78 49 41 42 60 1 4 4 1 2 1 1 1 1 46 2 30 3 5

24 30 45 15 2 1 31 23 30 1 2

45 25 50 30 1 1 1 33 65 25 41 41 55 54 48 57 50 36 79 63 42 30 3 3 19 3 1 2 8 5 1 7 2 1 12 28 40 55 25 85 30 1 1 1 1 59 55 96 65 33 100 52 52 30 2 1 7 2 1 1 22 2 4 32 59 30 31 63 41 30 25 45 29 67 40 47 28 30 2 2 1 6 1 2 1 4 2 2 1 1 7 6

31 75 30 33 38 30 5 1 1 4 2 12 34 58 36 48 31 54 42 24 44 56 20 27 66 39 24 29 28 30 1 1 2 5 1 2 2 2 10 2 2 1 3 4 1 163 2 528 64 34 38 33 57 26 35 43 34 24 78 68 57 39 29 30 30 2 8 5 1 3 1 2 7 2 5 2 3 5 5 165 1 838 67 52 40 46 53 36 46 53 54 35 33 81 51 50 24 35 21 30 6 2 2 18 2 2 11 3 18 15 17 2 5 12 13 284 738 59 51 58 50 43 43 63 55 38 67 40 36 20 30 2 1 5 3 7 2 2 3 1 5 6 1 5 157 1 2769 42 43 36 35 33 43 15 35 25 45 1 2 2 2 3 2 3 2 1 27 1

75 100 120 55 40 60 1 1 1 1 1 14 1 245 110 275 120 1 1 110 110 120 23 60 1 1 1 1 3

30 80 32 55 78 48 49 60 96 90 29 23 60 2 1 4 1 8 2 2 6 3 3 4 87 85 148 45 95 60 1 1 1 1

29 54 33 43 16 34 28 20 15 71 57 27 16 30 2 3 1 9 3 3 1 3 5 1 1 19 7112 90 1 1 15

22 25 18 54 36 16 15 30 2 3 1 2 6 2 6 87 130 104 75 55 30 1 1 3 1

50 37 32 60 1 1 2 27 40 32 85 35 30 1 2 1 1 1

60 65 123 80 170 75 185 60 1 1 1 1 1 120 100 38 30 1 1 3 70 80 30 1 2 1

17 39 25 29 20 36 28 21 24 33 27 16 54 36 28 17 13 30 6 2 15 7 3 31 15 9 12 19 1 11 42 4 1 2 867 110 90 95 129 90 1 1 1 1 2

14 12 1 1 28 45 60 42 31 30 1 2 1 2 55 75 45 1 1

60 35 30 1 1 50 84 39 43 80 43 63 35 47 45 8 1 3 1 3 7 2 14 633 45 73 100 55 110 33 51 43 45 1 1 2 3 1 22 2 9 157 90 97 100 103 97 110 35 71 45 3 1 2 1 1 3 1 8 47 115 96 71 58 67 70 81 74 39 60 45 1 1 1 1 3 1 2 2 2 2 5 534 84 61 76 42 44 17 100 28 1 2 1 6 2 1 2 20 14 82 65 73 96 80 102 75 65 104 93 79 132 93 59 48 45 11 1 2 3 2 3 8 6 1 7 12 3 3 13 76 75 62 106 72 70 86 70 47 96 77 85 53 1 6 4 5 3 6 4 6 3 1 22 536 57 37 61 47 49 30 62 87 20 24 1 1 8 3 6 1 4 18 2 10 72 90 68 66 60 84 92 65 75 74 47 50 107 88 91 50 45 2 10 2 2 20 3 7 18 6 1 12 4 33 761 73 70 105 75 72 73 43 95 40 54 35 45 1 1 9 1 13 2 4 4 1 5 1 31 1 650 165 31 30 1 1 1 2 80 125 113 162 117 111 68 120 145 76 60 3 5 2 6 2 5 6 3 1 5 24 30 34 46 25 63 61 32 38 30 20 45 43 46 24 25 30 18 1 1 1 6 33 2 6 5 7 22 1 15 45 1971 81 87 75 91 96 83 55 106 50 45 8 6 5 2 6 5 2 1 25 57 30 33 50 27 38 60 29 31 36 38 24 23 71 49 43 32 18 30 12 2 2 108 3 20 1 7 79 28 4 17 23 22 143 130 11 233 170 190 99 86 64 104 92 79 90 62 53 86 217 81 99 37 55 60 1 18 2 2 29 4 17 5 8 14 1 16 1 624 46 22 37 22 50 26 35 40 55 18 62 51 56 23 21 15 2 7 6 1 3 6 3 5 4 20 1 7 48 878 123 89 115 77 113 92 100 88 78 120 130 43 48 60 12 2 16 1 6 8 3 2 6 4 2 2 21 68 41 33 33 15 82 47 30 19 38 15 1 1 1 3 4 2 21 1

102 87 92 165 96 113 71 91 85 75 103 165 80 57 60 2 2 12 1 2 6 1 5 1 1 63 29 78 25 15 1 4 6

31 60 55 27 49 27 65 26 31 35 34 32 31 76 45 44 17 20 30 7 4 34 12 1 3 8 28 1 12 8 69 4 25 137 30120 151 100 149 94 138 108 141 124 96 80 86 174 111 146 108 90 1 4 1 1 10 3 13 2 2 9 10 2 2

90 71 40 74 86 66 96 98 106 83 81 80 64 86 81 104 39 90 12 1 7 1 2 38 7 8 10 4 5 5 3 4 5




TimeAnaestheti

c TimeTheatre

Time OPT OPT 2 OAT


H9B

H10

H11

H13

H15

H16

H17

H18

H19

H20

APHA

CANS

Deloitt

H8 H13

H15

H16

H17

H18

H19

H20

CANS

MBS

H1 H4 H5 H6 H8 H9A

H9B

H10

H13

H15

H16

H17

H18

H19

H20

CANS

Deloitt

18266 10 9 20 15 9 20

MBS Item


47402 60 59 73 81 75 83 59 66 80 90 72 47408 75 63 62 77 80 71 55 62 72 77 78 36 67 65 45 78 66 30 82 39 76 60 59 83 105 95 74 80 40 92 48 86 85 62 83 47414 90 73 81 92 106 75 66 86 88 78 50 72 71 92 103 83 55 80 90 92 79 103 120 97 80 72 47417 45 15 15 33 20 15 15 15 45 20 47420 120 89 94 111 112 60 107 49 110 114 52 115 120 127 75 120 47423 30 45 63 45 47426 45 43 35 43 48 43 19 65 38 36 58 26 42 15 17 42 66 45 27 56 20 48 63 47429 150 81 80 102 104 72 74 88 105 79 59 79 113 87 58 63 120 82 105 129 118 61 47432 180 77 84 118 119 120 100 53 77 110 57 86 150 140 83 98 47435 45 10 10 30 30 30 10 10 45 15 47438 130 116 86 139 133 60 116 122 50 150 128 47441 150 127 134 150 154 60 152 102 159 108 150 178 123 47444 35 45 45 47447 45 25 35 35 49 24 19 26 30 27 29 50 45 24 32 40 47450 100 96 121 123 144 111 65 101 124 85 145 55 108 90 155 64 188 120 80 115 108 173 71 195 47451 120 81 92 111 126 114 75 119 75 90 101 76 71 63 62 128 100 107 86 80 76 66 150 108 100 137 82 105 137 123 104 109 72 47456 60 27 33 38 45 36 19 30 32 15 45 20 25 35 32 35 20 55 19 35 45 24 36 39 22 70 36 41 25 4247459 150 74 87 90 108 94 45 75 85 93 69 44 81 132 73 55 70 89 52 94 79 52 89 142 83 68 79 98 90 50 97 95 108 87 55 98 155 84 61 91 113 7647465 75 68 75 99 103 68 70 57 65 70 60 60 60 102 65 72 68 65 70 107 75 162 85 71 96 81 89 78 150 104 47468 120 118 124 134 135 100 80 85 130 175 120 85 94 135 180 125 120 90 100 155 185 155 47474 20 47477 40 47480 60 25 30 35 43 25 30 30 40 47483 90 75 84 95 98 75 84 90 100 47486 180 99 119 181 156 162 118 81 119 210 153 47489 240 270 113 180 270 47492 45 30 15 30 47495 60 45 65 73 85 135 45 48 105 42 45 100 47498 120 176 187 175 250 420 176 187 150 199 47501 180 162 177 203 212 120 162 177 210 195 47504 300 350 350 356 380 450 354 345 350 270 359 440 47507 300 450 495 400 418 585 450 495 270 530 47510 300 165 171 225 252 199 145 185 150 193 270 170 235 47513 120 105 82 140 116 89 105 82 150 130 47516 60 39 41 57 64 68 35 25 30 36 77 45 25 25 40 49 42 50 60 35 90 35 105 50 48 3147519 120 61 64 86 97 99 67 49 55 60 80 53 50 67 61 60 56 51 83 69 53 62 57 56 72 69 69 60 61 75 90 99 90 86 80 75 99 73 91 95 88 91 89 78 7347522 60 65 71 89 96 94 40 59 83 60 44 77 69 72 62 65 80 64 65 68 50 83 77 79 59 72 90 90 70 95 82 88 65 104 98 91 95 95 94 8547525 90 58 68 83 90 92 30 76 70 55 64 55 60 54 82 55 71 62 77 61 90 65 90 70 77 75 120 73 47528 110 97 105 117 129 113 122 118 80 69 79 125 61 99 96 127 87 129 72 87 131 71 106 109 137 90 75 146 129 92 104 158 89 149 125 134 119

47531 120 111 117 135 145 143 92 77 108 123 129 86 110 120 120 144 98 111 130 138 98 100 129 128 120 110 92 155 152 160 105 147 152 127 16447534 150 118 126 138 144 128 122 110 114 125 146 92 125 108 123 124 132 158 102 130 117 180 138 115 149 177 163 107 140 147 65 47537 90 117 123 149 139 137 115 115 120 120 125 135 137 175 47540 60 36 37 48 45 49 36 33 39 32 39 42 60 44 45 43 47543 30 35 23 33 36 29 18 53 23 45 20 47546 60 45 46 51 53 41 52 56 27 63 29 45 79 30 47549 165 93 106 112 120 116 45 75 128 95 72 60 78 131 155 49 133 109 78 70 99 146 165 90 57 145 116 92 75 112 160 158 47552 45 83 90 84 108 145 83 90 45 123 47555 70 38 43 58 55 60 15 65 20 60 70 45 47558 150 128 189 147 205 206 80 165 75 123 195 175 250 138 195 120 93 185 108 163 215 47561 45 17 19 29 27 18 17 15 22 45 15 28 47564 60 32 37 40 54 55 30 23 40 24 46 37 26 40 25 38 22 27 46 27 54 44 31 37 31 40 30 35 33 45 31 55 54 34 55 40 43 3147565 90 79 85 96 105 108 71 76 50 108 123 50 111 64 55 76 53 115 140 56 105 75 59 105 80 63 128 151 57 139 81 63 47566 120 89 95 111 118 126 91 109 60 121 85 83 89 74 91 97 65 125 94 88 100 94 95 120 113 95 142 111 103 115 101 99 47567 60 42 41 43 59 48 59 24 45 40 28 50 45 45 34 55 40 47570 90 78 86 92 98 90 69 105 74 65 75 112 78 78 90 81 123 80 88 47573 120 98 108 118 127 105 66 45 49 139 158 101 140 90 70 47 55 150 165 121 155 100 105 75 59 64 156 188 121 195 95 47576 15 60 63 58 75 30 33 87 36 90 30 44 100 47579 45 64 69 73 87 105 40 61 65 88 43 67 70 95 30 68 76 100 93 47582 75 69 83 86 100 88 31 63 41 62 106 120 58 44 68 107 135 63 75 39 70 75 121 135 86 47585 90 60 67 78 87 83 42 44 69 53 62 84 71 61 57 59 49 74 60 66 90 77 65 64 61 90 85 58 40 78 90 107 86 85 83 62 47588 180 155 90 94 180 130 47591 210 90 105 179 148 120 90 105 225 133 47594 45 53 63 60 78 100 40 65 53 55 70 30 65 85 47597 60 26 27 32 42 41 20 20 47 14 35 23 30 26 20 23 23 18 39 28 31 29 30 26 31 17 29 17 53 28 55 41 2847600 75 54 58 69 75 66 55 47 53 70 52 35 44 68 57 53 61 59 48 52 57 45 50 73 64 59 59 66 51 60 85 46 69 65 67 90 62 55 61 85 81 68 85 79 53 63



18266 10

MBS Item


47402 6047408 7547414 9047417 4547420 12047423 3047426 4547429 15047432 18047435 4547438 13047441 15047444 3547447 4547450 10047451 12047456 6047459 15047465 7547468 12047474 2047477 4047480 6047483 9047486 18047489 24047492 4547495 6047498 12047501 18047504 30047507 30047510 30047513 12047516 6047519 12047522 6047525 9047528 110

47531 12047534 15047537 9047540 6047543 3047546 6047549 16547552 4547555 7047558 15047561 4547564 6047565 9047566 12047567 6047570 9047573 12047576 1547579 4547582 7547585 9047588 18047591 21047594 4547597 6047600 75


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix

C'mix


HACANS

C'mix

C'mix

C'mix

Deloitte

15 15 2 1 3 60 79 85 105 60 1 1 1 78 90 100 50 96 51 95 73 76 88 107 65 88 48 45 1 9 1 1 4 1 7 4 2 1 8 2 6 84 145 109 135 101 85 80 130 35 60 1 3 1 2 3 1 1 1

20 15 1 134 78 125 60 1 1 1 65 60 1

34 72 42 60 25 27 53 72 87 38 16 30 1 4 3 1 1 3 4 3 2 87 127 138 126 82 65 98 45 1 1 7 3 4 6 2

133 150 87 107 180 60 4 1 2 1 45 15 30 1 1 134 132 60 1 3 1

149 185 129 60 4 2 2 70 32 35 60 21 22 30 1 1 1 1 2 1 122 144 149 113 183 92 208 80 166 109 90 1 4 2 10 1 2 4 2 146 160 115 143 133 113 123 76 106 145 90 2 2 1 6 1 4 3 1 6 2

38 35 43 73 26 80 30 50 28 17 50 30 52 16 56 30 2 1 12 1 2 3 3 1 7 25 2 3 16 7117 132 97 112 63 106 165 94 80 101 121 85 80 153 83 90 79 90 1 2 2 5 7 1 13 8 1 6 2 3 13 3 3 6

79 109 83 97 83 160 109 76 60 1 8 2 10 3 5 2 1 3 3 95 93 109 160 190 160 139 60 1 3 1 1 1 1

40 45 1 1 87 109 6 1 166 145 162 5 2 140 113 180 3 15 47 103 135 54 135 3 1 1 2 126 415 210 420 4 1 1 215 210 120 10 1 315 445 450 1 2 1 261 575 585 15 1 339 175 243 278 120 11 1 2 125 107 117 60 1 1 62 35 115 65 56 53 55 82 1 7 1 1 5 4 27 2 8

87 114 111 103 98 79 96 103 97 96 98 85 65 133 98 111 90 16 4 60 10 29 4 6 360 107 36 140 20 64 116 206 27 5388 100 93 96 92 71 110 107 98 92 102 104 62 118 88 109 90 1 1 24 1 2 1 133 26 17 48 5 16 39 10 1896 105 70 84 82 112 80 60 123 100 117 60 1 4 1 1 1 1 1 3

153 97 136 95 112 164 99 152 138 143 80 114 111 168 90 6 2 1 30 4 36 6 5 4 4 3 17116 136 158 159 169 117 151 161 135 107 176 169 120 5 1 42 5 13 27 3 13 19 3 7139 145 159 184 174 117 145 155 75 80 165 175 90 1 1 10 4 1 2 1 1 6 1

145 90 142 180 167 185 60 2 3 3 1 39 51 46 59 58 30 2 6 2 1 48 25 35 38 15 4 1 23 1 60 35 86 32 20 74 30 1 3 2 1

61 100 101 150 130 98 85 129 175 168 75 118 150 146 90 3 1 9 1 4 3 1 3 2 2 85 130 145 1 1 40 75 50 1 1 1 154 195 283 178 215 200 298 120 1 7 1 2 2 1 20 33 21 15 1 2 3

37 109 51 55 34 63 61 39 50 47 45 30 127 54 69 28 25 1 9 4 1 18 8 3 8 3 10 22 2 1 23 985 101 138 66 135 168 63 133 92 66 119 74 149 90 6 2 19 3 6 4 1 6 5 2

119 137 104 100 146 119 108 127 121 102 88 158 118 146 120 11 2 52 2 7 31 2 20 7 2 66 85 40 60 45 20 80 58 35 3 4 2 1 1 1

87 88 129 84 100 90 4 4 13 1 2 79 61 115 70 167 195 141 210 105 100 156 60 1 1 12 2 5 2 4 1 1 47 75 103 30 4 3 5

80 70 81 105 100 105 1 2 2 1 1 80 73 82 122 150 91 96 107 60 1 1 1 3 1 1 1

63 87 101 82 84 94 112 92 88 90 64 58 103 106 105 65 60 1 11 4 1 19 3 3 6 4 4 6 5 1 90 98 91 2 2 148 120 2 64 80 90 100 5 1 3 116

29 63 38 41 25 57 33 50 44 40 27 77 44 80 25 17 15 1 4 2 1 2 2 21 5 1 3 4 5 1 14 871 65 65 80 68 90 88 74 81 86 56 67 60 90 103 40 42 60 2 3 1 70 2 1 2 1 1 67 17 30 25 16 8 22 8 1 3 26




TimeAnaestheti

c TimeTheatre

Time OPT OPT 2 OAT


H9B

H10

H11

H13

H15

H16

H17

H18

H19

H20

APHA

CANS

Deloitt

H8 H13

H15

H16

H17

H18

H19

H20

CANS

MBS

H1 H4 H5 H6 H8 H9A

H9B

H10

H13

H15

H16

H17

H18

H19

H20

CANS

Deloitt

18266 10 9 20 15 9 20

MBS Item


47603 100 75 86 90 107 114 50 46 66 71 62 102 99 74 107 69 82 89 62 76 65 70 102 83 111 77 87 86 73 89 90 63 80 75 78 87 72 120 86 127 94 105 119 88 80 7747609 60 45 45 47612 90 25 35 50 65 25 35 45 55 47615 120 69 75 89 97 98 65 41 55 70 115 65 70 49 59 74 120 75 90 82 61 115 78 120 80 47618 150 86 93 112 120 151 90 108 73 75 93 40 115 79 151 80 90 205 108 79 133 87 80 47621 45 42 43 42 59 35 36 56 40 45 30 50 46 47624 90 69 77 85 99 68 65 50 65 95 70 68 65 105 75 90 60 85 115 47627 30 25 27 30 32 15 25 27 30 30 47630 80 55 55 66 81 66 38 55 53 83 59 42 56 62 47 75 64 65 60 73 60 47636 15 53 60 48 82 25 53 60 30 66 47639 60 49 55 58 67 59 37 38 43 65 35 57 45 72 43 45 70 45 62 48 73 60 40 42 48 61 65 55 72 60 75 47648 75 74 85 98 103 110 61 105 55 110 59 75 110 110 47654 60 24 32 31 37 30 13 40 20 20 41 35 30 17 21 56 30 47657 90 78 82 97 105 100 55 103 60 90 112 90 47666 60 54 57 60 68 37 41 58 62 44 62 64 60 50 52 67 72 47678 75 39 35 57 52 49 55 29 32 31 38 90 40 42 47681 0 222 229 250 257 222 229 250 47684 100 85 90 75 95 120 85 90 60 90 47687 100 47690 100 60 20 60 47693 100 158 169 184 195 158 169 184 47696 120 60 15 60 47699 180 150 161 195 213 150 265 80 105 275 94 115 180 370 120 110 47702 180 208 234 220 234 250 255 143 225 265 153 285 180 270 190 240 47705 60 45 45 47708 60 29 23 38 30 31 18 20 50 20 27 60 23 30 47711 60 39 49 60 68 39 49 60 70 50 47714 60 60 60 47717 60 45 48 70 44 45 45 48 90 50 47726 30 30 30 30 47729 60 45 30 45 47732 120 60 90 60 47900 30 29 33 38 62 46 29 30 31 35 30 44 40 47903 45 25 34 35 47 39 15 15 25 24 27 31 26 34 35 21 27 29 23 34 25 62 38 30 20 30 46 35 28 41 35 39 40 40 3147906 20 16 17 22 28 24 15 17 16 10 20 20 21 22 9 15 12 22 15 20 15 22 44 15 30 15 20 2747920 75 60 60 47921 20 30 35 36 46 38 20 21 13 15 48 40 38 23 52 24 17 53 45 47 27 30 35 30 31 18 30 58 55 39 47924 20 29 31 42 42 39 35 38 25 45 16 30 27 18 30 50 19 31 32 23 30 70 28 50 37 65 26 45 41 24 47927 30 22 26 32 41 39 12 18 25 17 20 19 10 46 31 22 24 26 18 22 18 23 21 34 26 29 31 22 25 23 27 30 21 39 37 36 26 26 29 24 40 36 34 43 28 37 37 28 47930 45 42 47 54 65 55 36 41 32 48 31 35 61 31 37 57 56 35 50 37 39 47 34 35 34 40 63 62 40 52 42 51 45 53 61 50 43 54 42 45 43 49 73 79 50 68 58 55 4447933 30 29 31 36 46 46 13 23 30 29 15 20 59 17 22 32 40 22 14 51 45 29 32 20 24 35 45 25 17 49 30 20 50 35 40 39 23 25 33 30 43 59 34 23 52 4147936 60 39 40 50 59 59 25 34 25 26 88 33 28 63 27 38 42 39 28 33 28 68 31 46 45 30 30 61 100 34 36 45 37 92 36 55 40 47948 30 22 23 28 34 40 16 44 12 27 24 23 13 15 20 19 17 29 31 27 14 25 25 30 21 24 37 37 30 20 26 25 47951 60 13 18 31 29 15 11 18 30 40 23 47954 70 50 60 67 77 69 38 45 63 30 53 70 55 59 38 62 40 50 30 57 75 59 67 73 68 90 58 50 58 77 38 66 93 60 89 69 5247957 60 44 53 77 60 42 34 59 38 38 68 90 55 85 47960 20 17 19 21 24 19 22 12 12 13 27 26 14 19 18 15 28 17 28 15 47963 60 28 33 40 52 47 25 48 18 31 15 36 30 19 17 27 50 22 53 20 40 30 37 31 43 75 28 42 45 50 2447966 75 70 76 90 95 77 55 50 92 82 58 83 60 102 65 58 54 66 87 67 107 75 75 90 61 97 73 94 95 112 110 47969 45 32 34 46 54 49 19 28 45 35 45 20 43 23 40 24 31 20 49 28 43 60 44 30 39 50 50 25 75 38 57 3647972 30 28 29 33 44 47 20 45 19 28 23 35 21 24 31 27 40 45 24 21 37 27 36 40 37 47975 75 50 66 67 83 56 30 50 71 67 50 30 63 87 75 60 45 75 44 50 63 87 83 80 55 47978 60 31 37 46 39 60 40 20 21 50 25 26 55 30 75 51 53 23 66 30 32 60 25 47981 50 42 61 49 67 40 20 29 76 62 25 82 72 29 45 33 30 34 96 70 33 47982 60 43 54 59 65 30 55 48 60 60 58 60 48200 90 100 97 121 123 120 118 96 95 85 105 100 94 120 147 110 120 110 48203 120 132 142 176 186 180 130 166 105 127 177 112 136 150 200 204 155 173 48206 75 71 73 84 88 59 65 52 68 80 91 70 55 69 87 80 90 98 65 80 80 97 80



18266 10

MBS Item


47603 10047609 6047612 9047615 12047618 15047621 4547624 9047627 3047630 8047636 1547639 6047648 7547654 6047657 9047666 6047678 7547681 047684 10047687 10047690 10047693 10047696 12047699 18047702 18047705 6047708 6047711 6047714 6047717 6047726 3047729 6047732 12047900 3047903 4547906 2047920 7547921 2047924 2047927 3047930 4547933 3047936 6047948 3047951 6047954 7047957 6047960 2047963 6047966 7547969 4547972 3047975 7547978 6047981 5047982 6048200 9048203 12048206 75


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix

C'mix


HACANS

C'mix

C'mix

C'mix

Deloitte

15 15 2 1 3 82 127 123 108 95 131 103 110 110 99 93 83 147 117 133 90 2 1 14 3 1 6 3 83 26 27 39 13 11 57 7 24 65 1

87 106 69 119 82 125 90 165 40 90 2 5 1 1 1 1 1 1 111 138 85 140 93 185 85 148 125 210 120 1 8 11 2 2 4 1 1

68 55 55 3 1 1 6 114 95 78 85 125 65 120 43 45 6 1 3 1 1 1

32 15 1 63 101 99 75 65 119 35 45 21 1 1 1 4 2 2 3

90 73 25 1 1 1 53 63 71 70 65 77 63 77 110 37 43 45 1 5 1 5 1 2 5 2 3 1 4

80 115 114 96 124 1 1 1 19 28 57 45 30 1 1 1 1

115 95 1 1 55 73 72 74 30 50 30 5 2 2 1 2 1

65 42 48 79 63 23 30 1 2 1 1 257 1 95 120 1 20 1 195 1 15 216 380 134 120 150 5 1 1 1 155 280 200 303 290 310 150 2 1 3 1 25 35 41 22 30 1 1 6 2 75 60 1 2 35 53 45 1 1 30 30 90 95 46 45 56 55 46 26 1 2 1 4 12

37 43 45 43 42 45 76 43 41 40 54 25 30 40 45 1 3 1 5 1 3 1 2 4 1 2 54 5 1 52 1 1026 25 50 18 35 20 22 25 41 15 30 20 15 1 4 1 1 2 1 1 1 4 47 1 5

34 43 32 62 60 44 40 52 64 25 33 15 1 2 2 5 1 18 1 3 3 36 4 24

30 42 70 29 45 46 29 62 35 30 30 1 1 15 25 1 11 6 11 4 8 17 30 62 43 43 39 39 48 32 41 42 32 24 27 76 65 54 38 25 15 30 18 27 6 14 115 55 42 7 23 13 255 42 95 98 128 28 70 41 67 1353 1846 78 85 46 62 52 79 86 55 69 62 59 44 38 93 74 86 35 47 30 45 11 6 4 97 16 14 1 23 1 12 202 36 45 74 65 33 40 838 30 27 369 3 7742 76 36 32 45 64 37 25 56 45 46 91 47 31 32 30 2 10 1 4 15 1 1 18 1 3 10 6 9 3 8 5 10 142 3037 104 45 60 37 97 40 63 46 44 122 47 38 45 1 1 9 6 3 3 1 2 5 2 8 6 71 4 41 24 50 35 29 39 44 34 24 36 30 67 51 46 18 26 30 7 2 43 5 9 11 1 2 6 1 6 43

28 30 1 2 1 63 81 38 71 98 64 99 102 75 74 53 116 41 60 2 10 2 9 2 12 8 1 2 5 41 5 13 659 67 20 94 55 29 23 60 2 3 1 3 37 1 5 32 19 12 35 20 8 20 30 1 2 1 1 1 15 3 14 35 45 78 32 67 50 60 86 41 31 30 2 2 2 6 2 1 72 1 3 69 565 96 83 81 98 103 117 120 35 113 105 42 90 1 1 5 1 6 3 4 1 2 1 1 105 16 42 70 55 25 82 43 61 25 38 85 60 69 33 30 3 5 5 1 1 1 1 1 2 5 1 27 738 65 50 43 32 39 44 42 22 79 49 77 28 30 1 5 1 5 1 3 3 3 2 2 50

65 76 86 102 92 88 70 98 40 30 1 1 3 9 3 3 1 1 1 24 37 65 30 85 36 60 1 1 1 2 2 1 1 2

50 102 80 37 50 30 2 1 3 1 1 6 9 55 76 65 2 1 1 114 135 119 120 1 1 1 1 1 21 215 162 182 180 1 2 1 3

83 83 81 103 90 58 60 2 1 2 2 3 28 1 2




TimeAnaestheti

c TimeTheatre

Time OPT OPT 2 OAT


H9B

H10

H11

H13

H15

H16

H17

H18

H19

H20

APHA

CANS

Deloitt

H8 H13

H15

H16

H17

H18

H19

H20

CANS

MBS

H1 H4 H5 H6 H8 H9A

H9B

H10

H13

H15

H16

H17

H18

H19

H20

CANS

Deloitt

18266 10 9 20 15 9 20

MBS Item


48209 120 86 79 113 121 68 127 106 96 53 72 60 111 55 76 75 120 175 110 126 118 78 93 85 48212 90 195 220 163 260 195 220 90 235 48215 120 121 188 180 186 135 154 95 113 163 275 125 120 164 305 133 48218 100 74 105 93 74 105 48221 150 98 88 170 164 50 146 135 60 70 48224 75 82 93 60 55 109 90 95 48227 145 97 102 113 117 129 63 60 112 115 135 69 65 117 120 140 120 75 75 125 127 155 48230 60 77 82 88 94 92 77 28 79 120 70 88 84 31 98 122 75 75 91 42 95 140 75 10148233 80 81 88 99 104 89 69 85 104 65 102 90 83 60 75 88 106 72 103 95 89 62 105 113 78 100 119 92 114 105 112 60 8948236 120 110 116 124 132 90 147 99 98 96 150 105 108 103 120 151 119 125 106 48239 60 64 60 75 68 75 80 68 50 79 45 70 55 55 75 93 95 79 62 45 48242 90 96 96 98 119 123 62 84 148 105 93 85 86 110 99 87 90 94 92 97 115 108 90 48400 40 31 34 42 52 50 20 29 26 44 24 15 58 40 19 31 49 23 22 39 32 29 30 43 22 35 56 28 30 30 36 45 30 53 44 36 54 33 20 61 32 48 70 32 47 37 3748403 60 49 57 77 81 76 75 37 57 35 50 55 49 64 48 35 37 60 60 55 68 43 60 85 60 135 67 55 75 66 143 98 39 4548406 60 44 45 56 66 61 44 46 31 72 24 42 48 34 41 45 54 47 48 35 28 47 53 40 51 53 51 60 55 62 45 43 43 54 74 47 64 71 53 6248409 90 78 95 88 113 94 41 65 89 115 77 64 99 73 69 93 120 87 108 75 143 90 45 72 35 101 170 40 113 7948412 90 80 92 102 128 83 120 40 134 50 75 172 60 48415 120 84 108 104 125 115 51 65 120 100 85 130 110 120 67 85 150 100 48418 90 70 67 71 93 91 55 98 129 72 42 68 75 65 53 42 76 47 75 80 56 60 57 60 110 28 98 55 91 110 59 5648421 105 86 85 100 108 119 79 58 122 84 74 104 85 85 80 104 63 94 62 92 79 109 90 95 90 68 75 72 95 73 148 99 88 143 107 105 115 65 10948424 110 63 66 85 83 76 45 41 42 85 83 81 44 48 92 87 58 135 65 67 51 55 116 109 48427 120 118 130 158 177 188 80 93 142 140 151 108 103 120 125 88 145 161 120 112 157 130 165 181 97 108 168 181 127 134 160 285 135 48500 60 67 71 84 82 82 27 105 65 70 33 110 65 75 90 43 125 80 80 48503 75 39 41 61 56 60 39 41 90 40 54 48506 120 68 70 97 81 109 70 90 45 70 93 48 150 85 107 45 48509 50 55 59 71 70 30 55 59 75 66 48512 130 79 100 141 106 90 95 64 100 180 101 48600 15 7 12 13 7 15 948603 30 16 18 30 29 20 18 14 18 30 29 48606 180 155 169 215 194 180 139 170 153 185 285 164 195 48609 195 285 240 285 48612 300 240 258 306 310 337 298 214 183 215 293 310 227 196 256 303 370 353 287 226 295 303 48615 120 64 52 107 78 82 48 51 64 45 112 52 58 45 150 66 80 13448618 150 189 199 263 243 285 180 205 183 185 213 315 210 263 48621 240 174 181 242 213 240 186 161 195 167 315 219 191 48624 300 163 158 257 208 263 160 140 188 165 150 370 205 195 48627 300 280 317 332 418 290 140 420 145 357 450 370 185 440 48630 300 218 228 290 260 240 135 300 145 310 370 185 315 48632 240 120 124 260 154 120 124 370 150 48636 70 83 106 107 141 105 80 108 70 143 48 48 80 122 75 148 90 85 161 80 175 5248639 240 156 150 220 311 173 184 110 185 115 345 196 120 48642 100 150 180 168 193 144 110 151 155 185 170 190 165 120 190 195 48645 120 120 195 152 148 120 195 48648 100 151 143 163 161 202 160 162 150 145 120 168 160 125 150 187 180 155 130 17548651 130 160 171 183 195 240 257 63 273 68 180 288 80 48660 90 123 133 150 164 156 113 133 109 201 95 91 200 111 85 90 120 215 105 99 161 97 180 128 126 119 216 145 126 265 93 10648669 130 150 162 201 187 204 137 148 148 193 113 190 115 159 157 203 118 170 210 255 148 173 205 148 290 18148678 30 56 63 113 68 56 63 165 61 48684 80 171 169 206 218 223 152 190 156 181 165 180 273 48687 160 189 384 355 428 228 189 572 195 225 615 225 48690 200 165 255 275 210 165 255 48900 60 43 45 56 63 53 20 49 58 45 45 75 40 64 45 48903 70 51 65 72 83 80 29 48 34 55 53 63 39 49 53 59 70 70 48 62 45 55 60 66 93 74 105 51 87 75 43 72 66 56 65 82 83 101 73 5748906 80 64 75 88 102 105 26 53 76 47 116 55 66 50 60 72 80 82 53 123 60 72 63 70 77 105 41 91 63 90 66 138 85 85 105 105 81 9048909 100 74 84 94 108 103 89 53 65 80 71 48 93 79 46 107 74 83 73 70 87 71 65 89 90 54 117 82 91 75 82 76 120 125 86 78 83 105 83 57 93 63 133 107 105 113 98 76 7848912 60 42 40 62 62 55 35 34 31 50 61 37 34 50 45 88 44 59 75 48915 120 106 107 122 146 156 78 99 103 98 211 60 128 92 98 90 123 97 104 106 70 132 99 106 110 134 104 120 110 126 123 115 85 149 130 119 130 159 109 11048918 150 120 142 148 172 162 55 110 115 143 80 99 150 105 120 145 192 139 113 124 106 158 110 135 150 205 144 150 65 170 120 147 155 95 117 177 185 135 195 227 149 132



18266 10

MBS Item


48209 12048212 9048215 12048218 10048221 15048224 7548227 14548230 6048233 8048236 12048239 6048242 9048400 4048403 6048406 6048409 9048412 9048415 12048418 9048421 10548424 11048427 12048500 6048503 7548506 12048509 5048512 13048600 1548603 3048606 18048609 19548612 30048615 12048618 15048621 24048624 30048627 30048630 30048632 24048636 7048639 24048642 10048645 12048648 10048651 13048660 9048669 13048678 3048684 8048687 16048690 20048900 6048903 7048906 8048909 10048912 6048915 12048918 150


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix

C'mix


HACANS

C'mix

C'mix

C'mix

Deloitte

15 15 2 1 3 131 198 80 97 100 45 90 1 1 1 2 1 3 1 1 260 1 173 115 310 145 150 120 1 1 1 2

95 90 69 170 176 195 120 1 1 60 1 16

81 80 130 132 160 145 100 100 195 105 1 1 1 1 1 1 98 87 45 115 142 80 65 162 82 60 2 3 1 2 1 1 1 5

103 106 122 98 115 110 117 62 115 61 90 2 10 5 3 2 1 1 3 1 2 13 154 125 135 113 105 75 1 2 1 2

81 67 55 60 90 1 2 1 81 1 5 99 169 120 114 92 193 140 67 90 3 2 3 1 6 1 2 40 73 64 54 35 52 77 37 44 55 41 44 29 88 57 54 27 45 60 1 5 1 23 2 3 1 17 2 8 9 3 5 23 4 7 141 9 2 143 1870 71 59 80 72 148 101 47 61 57 86 151 43 60 1 1 1 4 1 3 9 3 6 1 4 38 2 9 547 87 69 47 59 79 53 87 79 57 45 50 103 53 115 35 41 45 2 4 1 11 9 19 3 3 7 24 4 5 122 5 1 87 2376 87 140 105 175 146 55 121 123 83 145 61 60 1 2 3 2 6 1 3 1 3 1 25 4 4 11

186 70 145 45 60 1 1 8 105 160 110 95 125 165 75 1 1 1 1 150 121 33 103 60 98 115 62 63 173 37 90 1 2 2 5 2 5 2 2 1 73 2 12 8

77 126 107 92 148 112 115 125 70 122 145 90 8 27 4 4 6 3 4 4 1 1 80 2 1054 67 61 122 113 83 102 88 90 52 32 90 1 1 5 6 3 2 2 12 1 6

105 192 210 173 191 140 143 183 290 140 219 219 194 120 1 4 2 4 2 1 2 5 1 1 2 65 50 130 80 85 65 150 38 75 1 3 1 1 1 2 56 60 1 85 110 48 115 123 90 1 1 1 70 30 2 106 90 1 6 15 11 10 15 1 59 1 14 29 20 10 30 1 548 1 8 178 210 180 1 1 240 365 300 240 334 313 368 344 300 2 2 13 1 2 69 87 82 4 1 43 1 7 215 270 240 330 1 2 119 228 197 240 1 5 210 205 225 300 3 1 46 365 470 400 180 1 1 1 195 325 240 1 2 154 1 180 85 175 85 180 90 200 40 90 1 1 3 1 1 5 4 21 340 207 572 125 1 2 2 7 1 173 205 200 198 90 1 4 1 1 152 175 120 1 184 165 135 210 215 180 3 15 1 458 1 16 304 85 240 1 1 157 156 130 230 155 134 248 105 97 180 159 256 90 30 5 6 4 4 1 2 1 327 3 14 164 160 182 215 153 245 188 199 280 150 2 3 1 7 1 6 1 92 32 68 1 184 251 266 180 1 2 625 232 245 210 2 3 275 210 1 9 80 45 60 40 60 1 1 1 105 1 1

79 82 77 63 71 88 90 124 77 54 98 89 68 90 4 30 2 5 8 9 13 15 4 15 6 4 11 2 2296 107 72 145 90 91 118 115 86 103 123 90 2 2 2 9 5 4 1 6 2 1 2 14

114 113 104 111 70 142 115 113 113 110 81 65 85 132 100 129 90 120 13 1 53 2 10 35 9 20 1 19 32 2 28 13 3 3 287 65 7 35 75 47 61 65 30 57 75 60 1 1 2 2 1 52 133 235 139 95 153 138 127 155 170 116 124 261 105 170 120 3 3 3 2 1 11 1 4 7 4 2 4 5 5156 148 124 185 190 150 200 240 154 125 154 220 150 1 1 3 3 1 3 7 4 1 1 1 3 5 5




TimeAnaestheti

c TimeTheatre

Time OPT OPT 2 OAT


H9B

H10

H11

H13

H15

H16

H17

H18

H19

H20

APHA

CANS

Deloitt

H8 H13

H15

H16

H17

H18

H19

H20

CANS

MBS

H1 H4 H5 H6 H8 H9A

H9B

H10

H13

H15

H16

H17

H18

H19

H20

CANS

Deloitt

18266 10 9 20 15 9 20

MBS Item


48921 180 139 147 164 144 180 127 150 139 155 180 161 150 48924 210 210 250 180 210 48927 60 90 95 60 90 48930 100 88 102 108 127 117 89 48 97 91 75 118 77 100 92 95 80 113 90 71 104 83 105 96 103 106 126 96 105 123 63 124 102 93 92 119 124 116 130 150 97 8148933 100 92 114 117 138 147 100 66 53 105 67 115 108 100 100 140 75 93 76 80 117 115 104 133 150 97 120 113 95 105 58 88 153 130 121 170 175 101 9048936 100 80 60 105 55 48939 150 115 158 120 150 80 48942 240 275 280 280 325 150 275 280 240 320 48945 60 45 49 60 73 58 26 45 56 45 39 70 33 49 44 31 25 64 50 50 89 38 45 43 44 52 70 40 81 70 59 95 75 5148948 75 51 57 69 80 64 29 36 50 73 30 61 50 51 45 52 80 55 56 59 56 56 50 59 61 75 41 67 66 76 101 49 74 67 60 95 64 6748951 80 66 77 87 100 83 49 76 42 68 110 42 70 45 116 54 57 57 83 65 60 75 50 127 60 65 64 106 70 90 61 113 69 54 97 120 87 60 135 85 76 83 119 71 7348954 75 88 76 88 107 101 170 44 57 110 57 51 69 120 63 120 125 58 47 62 72 160 61 48957 80 101 126 122 138 85 95 52 178 110 71 188 115 76 150 155 90 67 192 129 74 48960 90 83 94 103 111 96 73 92 64 91 80 127 49 81 93 99 85 131 58 90 101 150 85 85 120 80 90 148 70 102 99 49100 60 43 49 58 62 70 55 23 21 50 53 41 47 55 44 52 42 43 38 26 46 50 62 46 62 48 48 60 80 49 60 30 55 57 53 71 49 74 66 44 6149103 90 34 40 56 49 52 30 35 38 39 40 75 60 53 38 49106 120 90 190 120 90 49109 60 82 91 95 98 88 84 77 69 99 80 102 105 85 87 104 49112 100 123 128 140 135 81 166 80 166 90 135 174 110 49115 180 186 184 216 213 206 168 182 207 174 163 215 210 213 229 212 49118 45 62 70 73 92 61 99 38 50 60 99 43 55 90 65 60 114 69 64 60 49121 60 56 74 74 86 77 28 50 63 69 45 80 64 61 48 67 50 133 85 68 60 54 75 38 52 60 81 60 155 85 81 55 49200 120 102 131 121 144 124 57 108 85 90 135 130 114 97 114 95 141 139 121 175 90 102 136 131 93 105 149 155 135 11149203 90 65 88 79 89 87 41 55 64 107 57 113 62 90 65 60 115 65 49206 90 38 43 75 73 73 45 30 50 35 90 100 35 49209 120 210 155 120 210 49212 60 41 60 55 68 40 20 26 30 60 70 28 63 65 85 60 32 38 65 65 70 49215 100 70 75 93 95 87 98 70 50 60 73 105 75 55 62 80 135 85 106 85 85 67 87 49218 45 42 54 54 58 46 44 50 29 45 41 49 55 61 50 60 59 59 62 42 45 5349221 60 48 54 64 70 44 57 38 53 45 60 43 58 75 45 72 52 80 6349224 70 52 59 60 74 75 55 48 55 60 43 60 53 63 55 63 90 34 75 60 40 60 65 5449227 100 93 110 112 120 72 92 106 80 157 95 109 80 90 168 93 118 90 49300 120 132 185 170 158 60 84 180 185 150 190 49303 60 63 68 74 87 80 40 69 97 51 40 75 70 35 57 114 68 46 76 54 47 85 79 63 67 73 60 73 63 85 115 76 53 101 81 48 80 70 5749306 150 121 174 182 208 188 102 140 112 235 150 130 265 49309 90 54 64 87 93 84 62 57 43 40 66 67 62 50 65 76 120 75 83 80 65 101 49312 150 141 132 168 165 185 165 161 195 155 95 105 110 145 140 162 95 113 113 168 119 155 150 210 185 212 120 137 155 177 165 49315 90 80 96 116 125 112 43 45 60 60 85 88 131 78 92 83 97 94 63 90 96 141 87 98 101 90 70 100 200 95 81 110 126 166 114 129 110 11549318 120 113 125 142 161 158 70 87 84 124 80 134 125 102 122 127 112 111 143 133 125 124 91 129 109 129 137 120 123 154 132 150 109 136 130 111 140 117 161 134 147 166 146 152 186 142 14949319 240 162 169 213 196 240 160 121 207 166 130 212 285 184 169 215 49321 180 141 140 172 187 178 103 175 125 165 115 121 96 190 200 120 192 122 126 103 100 213 123 165 138 220 210 140 148 155 124 240 232 122 49324 240 171 170 200 233 215 235 90 147 170 246 132 163 176 166 133 209 161 200 155 137 168 188 179 143 221 169 210 260 143 200 175 198 158 186 212 203 182 260 182 22649327 260 184 185 237 226 196 237 192 233 136 182 201 161 170 165 163 249 143 191 210 155 180 169 225 345 280 227 281 171 224 235 211 228 183 49330 260 181 207 242 258 253 123 173 166 160 255 210 177 172 171 239 277 225 198 202 206 220 314 330 23849333 280 245 272 278 308 294 143 357 184 253 249 272 298 202 368 259 256 283 223 306 210 255 197 365 205 299 293 307 358 222 49336 60 131 126 184 162 165 168 126 155 75 129 165 85 225 186 147 198 165 49339 270 217 191 295 383 300 275 146 230 147 235 270 300 161 315 430 49342 300 166 173 219 197 261 195 138 201 145 270 216 329 185 95 49345 360 249 259 291 292 240 245 360 256 124 260 373 265 130 270 330 265 415 305 154 280 49346 90 77 101 102 124 189 35 118 93 60 126 106 70 120 50 150 121 70 49348 30 33 44 48 46 54 33 44 45 50 49351 15 48 45 56 40 48 45 49354 120 69 103 83 121 148 58 80 63 143 75 75 98 49357 45 50 47 54 55 55 35 69 45 45 52 45 45 40 79 50 49360 60 58 65 90 98 69 55 60 65 65 60 135 65 100 49363 75 64 69 72 89 61 25 103 30 108 75 38 70 105 49366 75 48 69 83 92 82 35 57 51 35 62 120 60 90 45 100 130 52 49500 60 40 43 53 61 59 50 24 23 42 38 63 24 27 38 49 37 65 42 46 41 35 46 26 29 42 56 43 52 49 47 45 70 51 33 54 62 44 37 54 71 49 70 61 44 44



18266 10

MBS Item


48921 18048924 21048927 6048930 10048933 10048936 10048939 15048942 24048945 6048948 7548951 8048954 7548957 8048960 9049100 6049103 9049106 12049109 6049112 10049115 18049118 4549121 6049200 12049203 9049206 9049209 12049212 6049215 10049218 4549221 6049224 7049227 10049300 12049303 6049306 15049309 9049312 15049315 9049318 12049319 24049321 18049324 24049327 26049330 26049333 28049336 6049339 27049342 30049345 36049346 9049348 3049351 1549354 12049357 4549360 6049363 7549366 7549500 60


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix

C'mix


HACANS

C'mix

C'mix

C'mix

Deloitte

15 15 2 1 3 173 105 155 180 2 1 1 250 180 1 95 60 1 131 138 113 98 124 129 124 150 163 103 115 159 118 170 50 90 8 2 12 7 2 4 13 3 5 4 6 1 5 7 2 10

131 128 102 156 138 125 171 185 105 216 152 128 181 115 90 2 3 2 2 7 3 3 4 4 1 2 18 11 2 8 60 158 120 2 325 150 1

57 54 53 89 74 70 111 80 47 65 126 23 44 45 1 4 1 4 2 5 8 5 1 2 148 2 32 1085 81 77 80 72 71 102 70 61 58 97 82 40 48 60 5 5 1 8 7 8 5 6 22 11 1 5 14 25 1 100 9

104 90 115 65 146 90 84 92 143 76 67 51 107 85 112 49 99 90 3 12 41 44 59 1 1 86 9 2 4 16 68 3 4 48 152 1 23 190 65 69 84 170 67 40 217 56 90 1 1 1 1 5 4 1 9 14 202 134 79 100 64 90 1 8 2 1 5 25 127 107 95 153 80 111 107 78 85 125 115 52 120 24 1 48 1 3 1 4 10 50 18 8

35 67 68 62 56 78 51 84 72 49 105 41 81 73 104 58 39 60 1 4 1 2 1 5 6 2 1 6 1 5 6 3 2 21 5 50 57 40 51 33 33 90 1 1 2 1 1 2 190 120 1 98 90 107 115 100 45 90 2 1 107 2 1 110 174 120 73 90 3 1 1 219 180 234 220 263 150 2 4 1 3

135 114 74 69 95 65 55 100 49 41 1 1 1 2 2 1 1 2 8 85 85 73 65 159 90 85 75 61 57 101 70 120 40 63 90 2 2 9 1 4 1 1 1 8 1 5 4 2 67

137 85 110 155 164 142 215 140 240 65 55 120 1 1 2 2 1 4 3 4 1 1 3 5 77 121 70 78 92 90 1 1 2 1 1 105 40 55 90 1 1 1 155 120 2 50 39 98 70 85 36 45 1 1 2 2 1 1 8 113 112 90 90 69 94 71 95 64 120 1 3 1 1 1 3 10

64 35 67 74 50 27 52 60 1 6 1 1 2 2 15 575 63 57 85 53 28 29 50 60 4 8 2 3 14 1 71 25

80 65 98 60 68 75 113 52 60 1 5 1 1 4 23 5172 96 121 90 69 75 1 2 2 1 3

120 195 60 1 5 1 92 108 79 60 111 90 78 89 75 63 99 100 60 2 1 3 14 4 2 4 5 1 7 21 2 8

140 275 285 90 1 1 6 80 103 88 87 90 111 68 120 29 120 1 14 6 3 1 4 2

186 190 154 120 145 158 200 148 180 217 150 194 180 1 1 1 1 12 1 3 1 1 3 1 124 84 116 134 176 122 135 113 60 97 141 150 2 1 1 33 10 29 16 23 7 23 121 6 11118 172 165 183 141 154 176 154 166 198 149 108 197 163 187 141 150 22 51 175 142 25 18 21 160 181 24 107 188 21 92 1898 144 1 236

190 178 220 240 2 2 3 227 202 239 155 160 131 203 245 125 225 178 230 75 180 2 1 1 2 12 15 4 3 1 3 3 1 183 281 428 228 163 191 224 216 192 272 190 156 312 188 206 210 2 2 21 5 4 1 31 14 9 15 17 3 8 8 31292 183 273 178 233 244 204 238 190 110 209 200 222 240 1 5 3 1 1 5 7 7 9 5 6 330 3 206 273 213 231 273 352 238 280 240 1 2 8 9 1 1 1 8376 286 305 299 318 283 366 230 320 293 270 1 1 4 8 15 4 6 1 4 3

115 150 208 175 180 150 20 1 3 1 1 390 320 440 300 3 3 1 1 1 130 222 337 193 105 223 300 1 4 2 2 2 269 427 314 160 290 240 2 4 2 2 1 1 158 134 80 228 150 1 3 3 4 1 30 62 78 30 1 4 56 64 16 2 2 80 161 176 120 1 2 50 64 50 60 75 28 56 1 2 1 3 2 113 75 105 100 47 60 1 2 1 1 2 43 75 130 110 63 60 2 1 1 1 113 45 105 135 62 55 150 62 60 3 1 1 1 3 4

58 81 46 74 39 57 79 55 65 68 49 55 30 97 54 94 60 38 45 1 4 2 1 12 6 12 1 9 5 5 14 9 1 4 88 10 2 32 11




TimeAnaestheti

c TimeTheatre

Time OPT OPT 2 OAT


H9B

H10

H11

H13

H15

H16

H17

H18

H19

H20

APHA

CANS

Deloitt

H8 H13

H15

H16

H17

H18

H19

H20

CANS

MBS

H1 H4 H5 H6 H8 H9A

H9B

H10

H13

H15

H16

H17

H18

H19

H20

CANS

Deloitt

18266 10 9 20 15 9 20

MBS Item


49503 60 46 54 64 71 76 47 43 64 32 48 53 27 52 52 47 42 50 77 51 58 30 58 52 90 68 65 60 79 53 60 75 45 72 52 5149506 90 67 83 87 106 79 49 50 47 51 96 69 98 95 57 105 50 65 43 54 71 100 105 62 115 71 120 63 100 60 57 62 96 117 120 73 140 70 5349509 120 50 45 66 93 86 35 33 91 48 45 40 50 120 45 49 50 49512 180 140 150 179 184 90 140 150 180 176 180 49515 120 108 112 134 156 119 75 100 127 113 137 120 86 78 143 132 96 150 125 129 170 144 87 49517 110 106 99 131 124 103 140 132 132 60 78 91 110 137 60 85 100 115 120 190 166 145 75 113 118 120 49518 120 111 119 147 155 140 83 80 109 78 137 108 111 127 118 101 145 133 115 107 86 112 119 132 126 108 127 140 121 150 220 129 104 126 126 138 139 155 154 136 190 176 130 12949519 200 128 121 171 167 152 220 105 73 111 108 101 179 80 116 113 111 185 270 253 135 97 136 134 143 198 49521 150 123 128 151 153 151 108 117 125 142 120 126 127 123 145 165 133 143 157 158 49524 200 163 229 198 251 180 65 204 89 287 170 206 302 178 180 140 222 140 330 178 49527 210 114 130 151 173 177 60 86 118 141 73 125 117 139 118 108 128 100 162 124 126 142 129 115 166 109 210 95 156 115 144 165 132 150 178 156 140 157 120 18949530 210 159 182 192 205 231 70 137 134 146 229 227 112 220 215 125 135 140 233 235 120 229 224 135 139 240 100 190 147 155 257 250 141 264 245 170 150 49533 240 172 201 210 230 210 231 176 170 109 241 188 175 270 279 200 185 11749534 100 86 93 107 115 150 65 108 44 95 120 68 110 51 115 120 120 74 127 85 115 120 49536 100 93 104 106 126 114 92 98 48 93 85 131 112 87 91 92 94 109 76 96 114 94 97 94 117 114 120 117 128 76 63 106 98 133 112 106 118 116 8849539 100 95 112 111 130 131 87 58 73 102 103 130 100 103 76 125 98 83 77 108 136 108 112 122 133 102 135 109 70 71 86 118 151 126 119 103 153 103 9649542 150 109 116 125 131 116 104 110 91 118 86 103 152 104 89 140 131 91 101 94 109 157 120 95 108 144 97 150 136 96 118 103 132 115 123 163 124 103 160 160 98 10249545 150 220 227 200 257 120 220 227 150 250 49548 80 69 65 71 83 129 69 119 28 36 68 95 72 33 40 75 107 105 40 81 39 51 82 96 49551 150 95 99 122 127 89 81 112 92 118 131 48 99 180 94 90 125 148 95 49554 200 170 238 205 274 286 122 218 129 219 365 210 147 258 49557 30 29 33 40 50 48 27 19 23 22 25 28 20 50 28 24 38 28 22 31 32 38 33 35 26 32 27 41 34 26 34 39 38 45 36 33 30 32 41 37 30 45 36 52 48 33 51 54 38 4349558 45 32 36 47 54 49 23 23 27 39 51 33 24 40 31 25 35 32 36 30 38 28 44 36 29 40 39 39 75 49 34 34 37 49 50 37 55 55 36 45 58 40 49559 60 34 36 58 58 58 20 38 27 46 42 32 36 35 30 25 46 36 43 39 120 65 53 35 54 41 63 43 58 46 49560 60 37 40 50 57 55 31 25 23 28 45 33 54 61 41 33 41 38 27 43 38 38 33 31 44 36 44 44 31 45 44 42 75 42 57 37 32 37 50 47 64 57 46 54 57 38 64 61 43 4249561 65 35 40 52 57 57 26 28 25 26 32 36 35 57 45 33 30 38 30 40 40 38 29 48 37 33 43 34 45 47 42 120 35 57 37 35 37 52 49 44 64 45 41 57 41 56 64 43 49562 65 45 50 67 62 58 64 30 50 38 49 44 38 32 65 37 33 83 41 52 50 45 36 70 40 150 76 38 58 97 48 63 53 50 47 85 44 49563 90 51 62 66 75 71 39 27 63 45 45 60 42 55 82 48 45 48 47 65 46 60 102 86 75 63 39 34 73 56 58 79 52 70 112 87 5549566 90 44 47 61 65 55 30 42 50 66 38 39 33 55 51 44 40 43 36 42 35 61 57 41 45 46 120 38 65 65 84 48 51 39 72 67 64 50 45 4449569 100 63 75 83 89 76 45 80 50 85 90 120 68 63 80 49700 45 44 43 52 61 67 22 35 82 40 61 30 40 40 25 42 63 38 46 35 50 45 60 33 50 50 74 53 53 50 49703 60 44 50 59 72 72 17 28 32 40 36 105 48 53 72 43 34 30 35 48 42 44 50 58 82 49 38 39 40 53 60 57 46 42 51 48 67 69 89 64 45 90 45 54 5149706 60 42 43 53 64 59 45 24 34 50 68 26 51 35 38 40 46 42 44 38 32 52 40 42 49 48 45 55 45 46 44 63 36 73 63 54 65 49 5049709 75 58 65 74 83 64 73 51 38 45 94 55 59 69 55 46 55 52 97 62 62 76 52 75 93 58 64 53 58 116 79 66 95 53 49712 90 102 98 116 137 120 45 102 92 126 198 60 101 79 88 104 123 94 70 108 84 93 111 128 105 95 152 105 104 134 75 122 101 108 144 148 49715 150 124 131 173 161 180 131 118 137 125 210 148 160 49718 60 45 50 62 70 67 28 60 34 40 57 48 33 45 45 37 58 39 50 59 45 43 51 39 50 55 43 55 50 66 90 62 63 49 70 51 52 64 46 63 75 48 85 64 63 5449721 20 28 15 38 25 55 45 10 15 55 20 49724 80 59 66 80 84 85 35 29 38 80 75 45 57 97 80 45 73 31 54 62 99 85 50 80 120 60 45 55 90 65 85 110 95 78 73 49727 40 31 40 48 54 51 22 19 22 41 40 35 44 25 33 25 43 43 40 53 38 90 46 25 31 29 56 63 50 59 45 35 49800 45 41 44 56 57 45 29 53 53 31 33 56 60 41 69 49803 60 75 45 75 49806 30 23 29 31 42 24 35 24 10 45 27 15 15 33 50 42 15 49809 20 21 20 33 33 32 31 18 12 15 22 25 16 18 27 15 15 30 45 41 40 22 20 47 21 25 35 49812 60 50 56 81 74 56 27 59 65 33 65 70 90 70 84 49815 110 105 111 126 140 132 82 109 105 170 97 119 90 68 85 120 180 109 80 129 73 135 98 119 120 205 106 155 73 49818 30 34 32 47 57 58 25 27 40 75 17 40 21 35 25 41 29 29 23 45 26 40 30 45 60 55 47 40 34 57 46 55 40 3649821 40 36 41 51 56 62 35 30 33 37 23 22 43 51 30 51 56 34 29 33 46 24 51 56 26 55 39 60 58 50 37 48 33 31 64 67 60 74 38 3849824 60 50 57 71 69 54 45 59 55 90 57 86 50 49827 60 62 58 70 67 54 55 84 63 45 66 50 75 60 90 75 50 49830 90 67 67 87 72 105 65 73 63 67 105 95 80 68 49833 50 43 45 55 62 67 30 34 51 33 47 64 41 33 42 39 49 39 45 60 42 32 36 45 38 45 43 52 47 51 45 60 43 58 61 63 41 55 64 43 53 62 60 60 59 48 4349836 90 56 58 71 73 86 43 58 45 74 40 60 57 60 90 45 57 47 46 40 63 61 66 73 48 64 105 48 75 73 62 42 77 78 71 110 60 60 5749839 60 49 52 64 62 80 44 51 58 47 43 47 58 51 53 90 51 70 57 50 49842 100 66 66 95 92 106 92 76 50 46 93 55 51 120 103 60 97 49845 50 54 57 66 75 80 56 35 44 77 49 35 81 35 62 64 49 59 61 51 47 47 40 65 69 54 64 65 53 60 63 55 54 82 66 47 50 76 90 62 73 91 59 5549848 30 27 29 41 41 40 17 35 34 27 16 22 32 34 17 36 30 28 41 20 28 37 39 17 21 32 45 55 40 50 43 47 28 30 50 46 31 33 3749851 35 32 36 43 53 55 15 27 48 21 65 22 13 49 18 48 34 26 32 36 27 26 24 19 51 38 30 58 37 30 45 25 52 40 31 75 38 18 29 61 54 34 78 32 33



18266 10

MBS Item


49503 6049506 9049509 12049512 18049515 12049517 11049518 12049519 20049521 15049524 20049527 21049530 21049533 24049534 10049536 10049539 10049542 15049545 15049548 8049551 15049554 20049557 3049558 4549559 6049560 6049561 6549562 6549563 9049566 9049569 10049700 4549703 6049706 6049709 7549712 9049715 15049718 6049721 2049724 8049727 4049800 4549803 6049806 3049809 2049812 6049815 11049818 3049821 4049824 6049827 6049830 9049833 5049836 9049839 6049842 10049845 5049848 3049851 35


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix

C'mix


HACANS

C'mix

C'mix

C'mix

Deloitte

15 15 2 1 3 67 80 98 64 80 48 78 57 113 168 33 40 40 60 5 12 2 10 3 4 3 1 1 3 247 5 3 31 1 1065 117 118 99 120 130 78 150 75 53 136 111 37 60 4 3 9 4 4 4 2 2 1 21 1 624 8 43 1856 115 145 55 134 35 90 1 1 3 1 2074 1 1

177 190 90 1 1 151 248 110 176 156 97 95 174 115 90 1 1 1 2 2 1 1 4 1 171 75 120 127 125 85 120 1 3 5 1 11 1 5 110 171 142 178 148 161 162 143 171 183 136 90 196 167 188 50 150 17 107 191 150 22 56 11 140 58 41 104 184 10 60 149 2 196

263 103 141 139 153 204 123 180 2 1 2 3 3 4 4 9 130 145 152 159 170 161 173 218 65 150 1 4 3 1 3 4 1 224 345 185 180 1 1 4 1 2 150 166 247 158 181 167 147 209 129 126 190 177 212 180 2 5 18 10 3 8 11 7 3 11 33 2 11 9153 261 165 258 149 273 254 180 154 292 190 210 1 1 3 10 1 1 3 1 4 5 1 2

289 212 190 210 2 2 1 677 135 130 92 135 120 150 1 3 3 2 1 1

109 152 125 135 119 112 119 143 121 87 175 132 56 120 1 5 8 12 13 4 12 3 17 22 6 5 255 16 2 2590 122 134 123 157 134 128 150 161 107 125 142 160 162 75 120 6 26 74 19 14 2 15 15 32 2 7 13 4 20

106 125 129 169 140 109 128 173 103 120 95 169 141 77 93 120 24 2 1 6 2 5 24 8 5 15 31 1 15 65 181 1 64 257 120 1

84 145 55 44 55 89 108 167 90 2 1 1 1 1 2 2 190 131 153 61 102 80 68 120 1 1 2 4 3 3 17 154 268 259 415 421 150 1 2 1 1

36 70 35 49 65 40 56 54 37 54 62 43 28 47 44 85 59 72 38 32 32 45 7 1 44 10 15 185 4 14 8 38 1 20 138 35 106 126 98 23 56 1000 33 95 1005 11 23240 70 55 74 41 59 60 40 50 64 43 48 30 85 68 61 20 34 45 33 19 3 101 8 8 8 17 10 12 28 104 1 7 53 6 371 38 63 90 48 67 47 65 49 108 37 30 1 1 4 3 2 2 1 4 8 2 3 69 40 75 49 60 66 50 57 63 42 65 66 47 45 54 39 90 71 81 35 39 38 60 23 4 174 68 104 388 1 64 42 166 12 25 225 135 46 205 209 23 104 119 113 6025 71 98440 75 50 67 76 49 45 62 45 62 70 47 46 41 90 74 84 62 38 35 45 26 120 113 62 444 1 137 2 42 5 38 88 48 6 50 564 5 67 299 24 3500 2141 101 56 50 66 60 57 51 90 47 35 60 72 46 45 90 3 2 6 1 1 4 8 2 4 16 3 1 11 248 153 76 59 61 84 56 75 118 91 85 92 75 85 59 47 68 60 9 3 4 2 11 13 5 12 19 1 3 10 11 277 2 8

108 60 76 55 41 78 73 59 55 49 50 46 74 70 78 31 35 60 3 1 1 4 1 3 1 1 5 3 1 6 4 2 1 7 5 57 6 68 110 90 89 118 36 60 2 2 1 1

36 98 58 52 77 60 59 50 60 115 76 55 45 45 2 1 2 2 3 2 2 5 1 1 3 55 125 69 74 74 99 71 49 74 50 58 67 50 145 104 80 32 54 53 60 2 2 2 1 48 133 2 2 10 4 1 14 69 1 1 22 3 303 3 1748 95 66 42 74 68 58 74 55 53 112 50 39 42 60 1 3 5 2 1 5 3 1 3 3 3 159 2 1 15 868 100 65 119 86 69 102 58 78 88 28 60 1 3 16 4 3 1 6 3 4 222 5 14

106 219 171 85 129 106 113 150 153 93 243 115 60 90 1 3 5 3 2 10 1 4 5 7 5 2 1 154 168 180 2 2

60 82 67 70 52 68 84 54 84 75 69 53 40 98 76 102 41 60 1 1 1 1 41 4 12 5 22 13 10 13 18 2 9 154 6 11 26 25 55 1 1

47 96 75 74 90 112 100 83 80 64 113 94 135 45 60 2 1 5 1 2 2 6 1 2 1 2 2 1 37 73 59 65 55 68 35 40 74 58 34 31 60 2 2 1 3 5 2 1 2 1 1 4 11 45 71 40 72 86 28 20 45 3 8 1 2 7 1 1

45 60 45 20 17 30 1 1 1 8

26 23 52 30 30 40 30 38 40 24 30 30 2 1 1 1 1 3 1 1 1 2 38 93 38 76 89 80 44 45 2 2 4 4 5 101 174 135 215 118 135 165 78 153 155 145 75 1 13 5 1 2 4 1 2 70 2

49 95 40 63 51 60 45 112 70 32 29 45 1 3 1 2 1 2 3 1 1 42 3 12 740 60 44 56 33 72 72 59 78 43 63 74 82 89 31 34 60 1 10 3 1 8 6 2 12 3 1 2 321 5 1 15 20

57 91 60 8 12 1 79 55 63 45 2 2 2 1 72 90 120 1 4 3

44 82 68 70 48 56 66 63 68 65 51 77 98 68 81 35 50 60 2 9 4 6 2 3 1 14 3 5 15 9 4 5 86 5 1 15 1263 85 81 42 81 82 77 90 63 67 101 45 108 90 2 1 2 1 7 1 3 10 8 1 1 6 854 66 70 61 60 89 80 90 60 4 3 1 4 2

104 95 65 102 112 145 60 1 1 1 1 57 93 71 55 80 95 67 78 95 62 110 92 80 44 75 2 3 10 3 4 2 2 6 3 6 4 5 1 2 3 8 850 40 37 32 36 56 51 38 35 35 35 48 56 33 28 1 1 5 1 1 10 6 1 15 2 5 5 158 5 8 62 1834 63 52 30 64 59 38 72 83 35 34 77 49 96 55 33 45 1 4 2 2 11 2 5 2 12 6 4 2 9 13 2 3 119 3 2 51 10




TimeAnaestheti

c TimeTheatre

Time OPT OPT 2 OAT


H9B

H10

H11

H13

H15

H16

H17

H18

H19

H20

APHA

CANS

Deloitt

H8 H13

H15

H16

H17

H18

H19

H20

CANS

MBS

H1 H4 H5 H6 H8 H9A

H9B

H10

H13

H15

H16

H17

H18

H19

H20

CANS

Deloitt

18266 10 9 20 15 9 20

MBS Item


49854 60 26 32 38 49 46 22 34 34 18 25 35 22 34 20 15 24 20 30 42 25 55 25 75 30 30 43 31 35 48 35 25 2349857 50 34 40 62 54 39 25 42 35 44 90 45 51 49860 50 38 41 48 54 35 35 41 41 60 25 58 49863 75 43 30 56 41 60 60 26 30 75 37 49866 40 26 29 40 45 40 14 15 18 32 29 48 27 14 22 23 26 45 25 31 21 30 17 26 28 30 47 33 33 60 29 50 27 40 39 41 26 27 41 35 60 50 34 49878 30 28 22 31 29 26 28 22 30 32 50100 45 24 39 53 59 47 24 29 50 60 60 38 50102 60 58 52 70 70 38 82 54 38 56 48 90 35 96 66 61 50103 60 26 33 41 40 37 15 30 32 20 26 22 36 34 28 28 42 75 55 46 35 41 28 22 35 32 44 50104 60 70 75 92 84 38 70 75 75 108 50106 60 43 51 60 74 67 25 35 29 47 94 64 41 26 21 53 35 41 53 71 47 56 30 58 45 30 90 46 40 67 115 86 54 34 60 5650109 60 58 63 73 76 56 30 45 65 61 57 80 72 59 79 35 65 73 68 82 50 40 90 45 55 55 90 71 69 90 82 73 91 60 50112 60 54 57 75 73 54 37 78 32 64 59 40 80 38 69 90 78 45 87 65 84 50115 15 14 15 21 26 24 10 20 9 16 11 27 12 17 12 7 13 13 12 13 12 12 14 21 17 10 12 19 17 30 26 21 13 25 19 21 20 16 27 26 12 26 29 17 1450118 75 77 84 100 101 78 65 67 50 113 65 75 73 105 69 54 118 69 80 115 120 105 82 59 126 87 115 105 50121 130 135 90 135 50127 100 64 59 83 76 62 90 56 70 41 58 79 41 165 73 45 89 41 50130 60 75 93 60 75 50200 60 42 46 57 64 63 15 31 33 64 66 29 61 46 48 38 30 38 34 69 51 49 45 35 30 70 54 33 79 41 88 65 78 57 31 50203 90 56 59 73 76 71 35 80 35 40 65 59 45 79 71 43 38 74 60 41 52 83 79 50 43 40 82 65 75 45 105 78 50 51 82 66 89 92 63 49 115 65 50206 90 63 68 100 95 63 55 65 68 60 70 75 90 85 133 91 50209 120 117 125 137 155 105 102 115 135 110 120 145 105 132 165 145 50212 180 138 154 175 168 150 98 170 225 145 96 94 176 154 102 240 98 165 159 181 230 173 115 273 104 50215 240 198 208 219 238 210 198 208 210 228 50218 270 365 370 315 395 240 365 370 240 390 50221 240 165 245 180 240 315 165 245 240 170 95 215 50224 300 158 237 263 258 230 135 180 158 145 454 185 163 285 160 485 215 170 50227 360 255 269 328 326 314 265 245 280 258 360 315 308 50230 180 66 68 126 74 66 68 180 72 50233 360 360 300 360 50236 300 82 224 273 210 82 300 148 50239 150 38 160 150 210 120 38 160 150 50300 120 92 95 161 153 240 92 95 210 112 50303 240 51 56 170 180 120 51 56 255 85 50306 360 143 148 250 170 180 111 175 118 178 420 150 180 50309 75 33 38 44 47 57 18 29 69 17 48 20 22 33 76 22 52 25 75 30 21 32 80 23 65 30 50312 60 23 24 78 37 52 23 24 120 36 50315 60 60 60 60 50318 60 55 60 50 50321 100 106 114 120 136 142 123 106 118 85 98 138 111 119 102 103 90 133 121 147 117 113 50324 120 199 210 212 255 120 199 210 180 244 50327 180 131 158 180 184 205 125 138 140 176 225 142 173 50330 30 19 24 30 32 29 20 21 19 16 18 25 26 27 22 22 60 20 25 27 25 31 23 50333 60 49 47 67 63 79 48 37 51 70 37 60 41 39 41 62 44 120 63 42 63 44 90 45 50336 120 195 45 195 50339 60 105 105 50342 80 120 75 120 50345 60 40 44 54 51 37 70 15 35 75 19 38 75 80 26 35 50348 35 60 60 50351 120 120 129 178 154 177 120 129 210 145 50354 140 180 180 50357 90 120 120 50360 120 120 120 120 50363 45 50 55 97 78 50 55 120 73 50366 80 210 210 50369 90 150 150 50372 160 240 240 50375 70 61 71 94 87 99 61 71 150 55 77



18266 10

MBS Item


49854 6049857 5049860 5049863 7549866 4049878 3050100 4550102 6050103 6050104 6050106 6050109 6050112 6050115 1550118 7550121 13050127 10050130 6050200 6050203 9050206 9050209 12050212 18050215 24050218 27050221 24050224 30050227 36050230 18050233 36050236 30050239 15050300 12050303 24050306 36050309 7550312 6050315 6050318 6050321 10050324 12050327 18050330 3050333 6050336 12050339 6050342 8050345 6050348 3550351 12050354 14050357 9050360 12050363 4550366 8050369 9050372 16050375 70


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix

C'mix


HACANS

C'mix

C'mix

C'mix

Deloitte

15 15 2 1 3 32 49 33 78 40 55 38 85 30 40 30 40 65 40 105 48 26 20 45 1 2 4 4 4 1 3 1 3 2 1 26 1 1 33 1 7 55 53 45 33 1 2 1 45 63 25 34 45 3 4 7 1 6 41 60 1 1

30 66 40 44 64 29 30 46 39 62 58 36 28 28 80 55 64 28 31 16 30 7 6 3 26 9 7 7 1 4 10 6 4 6 27 1 2 11 5 171 2 29 43 18 27 15 2 3 3 43 75 90 27 40 30 3 1 1 2 68 71 33 36 45 1 5 3 1 5

43 24 50 38 38 50 29 45 2 1 2 1 1 2 4 3 5 23 55 113 30 20 43 60 1 2 1 1 3

52 73 73 141 93 60 72 43 65 59 85 96 44 42 75 1 2 8 4 27 4 2 8 9 1 2 7 4 82 1775 55 83 83 94 75 65 100 25 37 60 3 1 1 7 26 1 1 1 5 3 1 1 1 15 48 70 89 71 89 70 62 30 1 1 1 2 2 24 10 22 36 27 18 31 31 15 25 34 20 13 17 51 40 41 14 15 13 15 6 12 1 14 23 17 5 40 36 19 16 19 28 7 6 6 18 26 498 8 6984 63 130 91 120 115 133 40 60 2 2 3 3 3 1 10 1 1

90 104 90 75 50 98 41 38 122 26 60 1 7 1 3 1 2 1 5 93 60 2

38 87 64 46 95 70 78 63 36 103 101 49 31 30 1 3 1 2 2 13 5 8 3 8 8 1 3 20 52 72 73 72 93 100 70 54 62 123 70 87 101 75 33 60 1 1 1 1 1 6 1 5 2 6 6 5 1 3 1 31

55 90 138 98 95 34 60 1 1 2 3 2 140 170 155 150 60 1 1 1 187 130 183 121 280 108 150 1 1 1 1 3 2 2 2

238 210 2 395 240 1 300 112 308 315 1 1 1 230 170 494 220 175 215 235 240 1 1 1 1 2 330 322 328 300 1 3 74 1 300 395 150 210 1 1 210 120 1 1 190 115 240 1 1 270 90 120 2 1 157 183 180 1 1

25 46 36 87 28 70 35 47 100 19 60 2 18 6 1 8 4 1 5 37 80 32 45 1 2

60 148 126 155 133 118 165 170 90 2 1 3 3 2 255 120 2 157 212 231 180 1 3 30 32 33 37 27 45 46 17 26 25 15 1 7 6 3 3 7 32 1

44 85 48 92 48 101 102 39 75 1 2 2 1 1 1 1 1 45 115 35 1 85 31 38 30 45 1 2 1 5 154 177 2 120 78 1 87 99 1




TimeAnaestheti

c TimeTheatre

Time OPT OPT 2 OAT


H9B

H10

H11

H13

H15

H16

H17

H18

H19

H20

APHA

CANS

Deloitt

H8 H13

H15

H16

H17

H18

H19

H20

CANS

MBS

H1 H4 H5 H6 H8 H9A

H9B

H10

H13

H15

H16

H17

H18

H19

H20

CANS

Deloitt

18266 10 9 20 15 9 20

MBS Item


50378 120 62 70 135 106 65 34 90 40 100 210 45 150 50381 70 75 85 135 130 123 75 85 150 120 50384 120 123 135 188 160 263 160 85 179 90 270 205 90 50387 130 180 180 50390 40 36 45 59 53 55 38 35 40 50 90 45 43 50393 100 130 134 198 189 120 130 134 210 185 50396 120 120 71 120 50399 300 360 120 360 50402 45 51 54 73 66 70 50 38 65 50 43 70 105 65 53 70 50405 80 75 83 112 100 90 75 75 85 80 150 95 90 50408 120 79 80 167 95 79 80 240 94 50411 240 240 240 50414 360 390 390 50417 300 330 330 50420 160 240 240 50423 200 240 240 50426 50 35 38 67 44 45 20 49 25 51 120 25 55



18266 10

MBS Item


50378 12050381 7050384 12050387 13050390 4050393 10050396 12050399 30050402 4550405 8050408 12050411 24050414 36050417 30050420 16050423 20050426 50


OAT 2 THT FQ

H8 H11 H12 H13 H14 H15 H16 H17 H18 H19 20 CANS

H2 H3 H7 H11 H15 H19 C'mix

C'mix


HACANS

C'mix

C'mix

C'mix

Deloitte

15 15 2 1 3 51 160 65 1 1 1 130 155 90 1 224 95 263 1 1 48 58 68 42 2 2 3 189 120 2 82 60 3 120 65 58 75 70 1 1 1 105 95 90 1 1 95 1 30 57 45 1 1


Documents

PRS Resource Material M - Department of Health · RESOURCE MATERIAL M Alignment meeting papers: ... PRS - National Centre ... (Project Manager) Mr George Rennie (Statistician) Apologies