MBS Companion
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41647

Micro inspection of tympanic membrane and auditory canal, requiring use…

Therapeutic procedures · Group T8 — Surgical operations

Schedule fee
$131.55
BenefitAmountGap to fee
85%$111.85$19.70
75%$98.70$32.85

Benefit amounts as published in the schedule, not recalculated.

Fee current from 1 Jul 2026.

Descriptor · law
Micro inspection of tympanic membrane and auditory canal, requiring use of operating microscope or endoscope, including any removal of wax, with or without general anaesthesia, other than a service associated with a service to which item 41509 applies. Not applicable for the removal of uncomplicated wax in the absence of other disorders of the ear (Anaes.)
Markers in this descriptor · Computed by this tool from the schedule

(Anaes.) — anaesthesia may be claimed separately in association with this item.

Descriptor current from 1 Mar 2023.
Written by AI — no clinician has checked this

41647 is expressly not applicable for removing uncomplicated wax where there is no other ear disorder, and it requires an operating microscope or endoscope. There is no MBS item for simple ear syringing at all - item 41500 covers foreign body removal other than by simple syringing. Wax removal in a GP room is claimed on the attendance.

Not applicable for the removal of uncomplicated wax in the absence of other disorders of the ear — descriptor
Drafted by AI, 28 Aug 2026. Not clinically reviewed.

Claiming with other items

Cannot be claimed with
41509External auditory meatus, surgical removal of keratosis obturans from…

Explanatory notes · departmental guidance · 1

TN.8.255 Otology - (Item 41647)
Note TN.8.255

Item 41647 applies where use of an operating microscope or endoscope is clinically necessary, such as where examination by conventional means (hand-held or spectacle-mounted auroscope) does not provide sufficient detail.

In addition, item 41647 cannot be claimed for the removal of uncomplicated wax in the absence of other disorders of the ear.

The removal of uncomplicated wax in the absence of other disorders of the ear by operating microscope or endoscope, or the removal of wax by microsuction or syringing using any visualisation method may be claimed as part of an MBS general attendance item provided all other requirements of the item have been met.

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Item number41647
Category3 — Therapeutic procedures
GroupT8 — Surgical operations
Subheading—
Item typeS (schedule code)
Fee typeN (normal)
In schedule since1 Dec 1991
Fee current from1 Jul 2026
GP scopeIn scope
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As at 1 Aug 2026 · Shows what the schedule publishes. Not billing advice. · page built 15 Sep 2026