Health Insurance (1991-1992 Diagnostic Imaging Services Table) Regulations (Cth)

Statutory

Rules1991No. 352 1

__________________

  

Health Insurance (1991-1992 Diagnostic Imaging Services Table) Regulations 2

  

I, THE GOVERNOR-GENERAL of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.

 

 Dated 20 November 1991.

 

  BILL HAYDEN

 Governor-General

 By His Excellency’s Command,

   

B. HOWE

Minister of State for Health, Housing and Community Services

____________

 

Citation

1.

These Regulations may be cited as the Health Insurance (1991-1992 Diagnostic Imaging Services Table) Regulations.

  

Commencement

2.

These Regulations commence on 1 December 1991.

   

Repeal

3.

Statutory Rule 1991 No. 86 is repealed.

  

Diagnostic imaging services table

4.

The table of diagnostic imaging services in the Schedule is prescribed for the purposes of subsection 4aa (1) of the Health Insurance Act 1973.

SCHEDULE

Regulation 4

TABLE OF DIAGNOSTIC IMAGING SERVICES

RULES OF INTERPRETATION

 

 1. (1)  In this table, unless the contrary intention appears, “the Act” means the Health Insurance Act 1973.

 

 (2) In this table, a reference by number to an item in the series 11603 to 11612 (both inclusive) is a reference to the item so numbered in the table of general medical services.

  

 2. The symbol “(AU n)” (where n is a number) is explained in the general medical services table in items 17901 to 17959 (inclusive).

  3.

(1)  An item including the symbol “(C)” applies only to a service provided using a radioisotope imaging scanner at a nuclear medicine unit that has computerised processing facilities capable of being used for the service.

 

 (2) An item including the symbol “(NC)” applies only to a service provided using a radioisotope imaging scanner at a nuclear medicine unit that does not have computerised processing facilities capable of being used for the service.

  

 4. (1)  An item including the symbol “(HR)” applies only to a service provided using magnetic resonance imaging equipment in:

(a)

a recognised hospital; or

(b)

a prescribed radiology unit.

 

SCHEDULE— continued

 

 (2) In subrule (1), “prescribed radiology unit” means a radiology unit operated by:

(a)

the Commonwealth; or

(b)

a State; or

(c)

an authority of a State; or

(d)

the Northern Territory; or

(e)

the Australian Capital Territory; or

(f)

an Australian tertiary education institution.

 

 5. (1)  An item including the symbol “(R)” is an R-type diagnostic imaging service.

 

 (2) An item including the symbol “(NR)” is an NR-type diagnostic imaging service.

  

 6. An item including the symbol “(S)” applies only to a service given by a specialist in the practice of diagnostic radiology.

  

7. A diagnostic imaging service in this table is a diagnostic imaging service for the purposes of the Act, whether the service is given by:

(a)

a medical practitioner; or

(b)

a person, other than a medical practitioner, who:

 (i) is employed by a medical practitioner; or

 (ii) gives the service under the supervision of a medical  practitioner in accordance with accepted medical practice.

 

 8. In items 55000 to 55106 (inclusive) and 57500 to 60981 (inclusive), “report” means a report prepared by a medical practitioner.

  

 9. In item 55003, “group of practitioners” has the same meaning as in subsection 16A (10) of the Act.

  

 10. In item 57303, “amount under rule 10” means an amount equal to the sum of:

• (a)

  the fee set out in the item in items 56000 to 57406 (inclusive) in conjunction with which the service is given; and

(b)

$108.00.

   

SCHEDULE— continued

 

 11. In items 59103, 59739 and 60300, “amount under rule 11” means an amount equal to the sum of:

• (a)

  the fee set out in another item for the radiographic examination provided in conjunction with the service; and

(b)

the following amount:

 (i) for item 59103—$19.80; or

 (ii) for item 59739—$21.00; or

 (iii) for item 60300—$12.60.

  

 12. Items 60900 to 60981 (inclusive) apply only to the preparation of a patient for a radiological procedure by:

(a)

injecting opaque or contrast media; or

• (b)

  removing fluid and replacing it by air, oxygen or other contrast media; or

(c)

a similar method.

  

 13. Items 61300 to 61502 (inclusive) apply to a nuclear scanning service only if:

(a)

the performance of the scan is undertaken:

 (i) by a medical practitioner; or

 (ii) by a person acting on behalf of a medical practitioner in the practitioner’s presence; and

(b)

the compilation of the final report is undertaken by the medical practitioner who undertook the preliminary examination of the patient and the estimation and administration of the dosage.

  

 14. In items 61322 and 61323, “amount under rule 14” means an amount equal to the sum of:

• (a)

  the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which the service is given and:

(b)

the following amount:

 (i) for item 61322—$87.00; and

 (ii) for item 61323—$65.00.

  

 15. In item 61490, “amount under rule 15” means an amount equal to the sum of:

• (a)

  the fee set out in the item in items 61300 to 61502 (inclusive) in conjunction with which the service is given; and

(b)

$174.00.