In 2025, the Department of Health and Aged Care removed the 85% rebate level for several procedural items. This followed a review which deemed certain procedures should be performed only in hospital or a hospital equivalent setting.
USANZ and ANZAUS advocated that the 85% rebate for certain items be reinstated. As part of this process, ANZAUS is seeking Member feedback on Item 18379, as performed outside of a hospital or hospital-equivalent setting.
Item 18379 refers to Botulinum Toxin Type A Purified Neurotoxin Complex (Botox), intravesical injection of, with cystoscopy, for the treatment of urinary incontinence.
For additional information on the 85% rebate,
access the Department's Guidance on Claiming 75 / 85 / 100% Benefits Under Medicare.Please complete the brief survey below to help inform ANZAUS's response to the Department.