Health Insurance (1992-1993 General Medical Services Table) Regulations (Amendment) (Cth)

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Statutory Rules 1993

No. 145 1

__________________

Health Insurance (1992-1993 General Medical Services Table) Regulations 2(Amendment)

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 22 June 1993.

 BILL HAYDEN

 Governor-General

By His Excellency’s Command,

R. KELLY

Minister for the Environment, Sport and Territories

for the

Minister for Health

____________

1.   Commencement

1.1   These Regulations commence on 1 July 1993.

2.   Amendment

2.1   The Health Insurance (1992-1993 General Medical Services Table) Regulations are amended as set out in these Regulations.

3.   Schedule (Table of general medical services)

3.1   Rules of Interpretation:

Subrule 1 (1):

Insert the following definition:

‘intensive care unit’ means a separate hospital area that:

  • (a)

    is equipped and staffed so as to be capable of providing to a patient:

    • (i)

      mechanical ventilation for a period of several days; and

    • (ii)

      invasive cardiovascular monitoring; and

  • (b)

    is supported by:

    • (i)

      at least one specialist or consultant physician in the speciality of Intensive Care who is immediately available during normal working hours; and

    • (ii)

      a registered medical practitioner who is present in the hospital and immediately available to the unit at all times; and

    • (iii)

      a Registered Nurse for at least 18 hours in each day; and

  • (c)

    has defined admission and discharge policies;”.

3.2   Rules of Interpretation:

Subrule 1 (5):

Add at the end:

 “; and

  • (d)

    if the referral:

    • (i)

      arises out of a dental service given by a dental practitioner who is approved by the Minister for the purposes of paragraph (b) of the definition of “professional service” in subsection 3 (1) of the Act; and

    • (ii)

      is given to a consultant physician;

 a dental practitioner.”.

3.3   Rules of Interpretation:

Subrule 11 (2):

After “13221,”, insert: “13915, 13918, 13921, 13924, 13927, 13930, 13933, 13936, 13939, 13942, 13945, 13948,”.

3.4   Item 11221:

Omit “67.00”, substitute “53.00”.

3.5   Item 11224:

Omit “40.00”, substitute “32.00”.

3.6   Item 11503:

Omit the item, substitute:

“11503

Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of various parameters including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood, electrical activity of muscles (the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital)—each occasion at which 1 or more such tests are performed

98.00”.

3.7   Item 11600:

Omit the item, substitute:

“11600

Blood pressure monitoring by intravascular cannula (not being a service associated with a service to which item 13818 or 13819 applies) (AU 4)

48.50”.

3.8   After item 11700, insert:

“11701

Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, including any consultation on the same day

12.20

11702

Twelve-lead electrocardiography, tracing only

12.20”.

3.9   Item 11703:

Omit the item.

3.10   After item 11706, insert:

“11708

Continuous ECG recording of ambulatory patient for 12 or more hours, including microprocessor based analysis, interpretation and report of recordings, not being a service to which item 11709 applies

100.00”.

3.11   Items 11709 and 11710:

Omit the items, substitute:

“11709

Continuous ECG recording (Holter) of ambulatory patient for 12 or more hours involving recording and storage on a device, utilising a system capable of superimposition and full disclosure printout of at least 12 hours of recorded ECG data, microprocessor based scanning analysis, interpretation and report, including resting ECG and the recording of parameters

132.00

11710

Ambulatory ECG monitoring, patient activated, single or multiple event recording, utilising a looping memory recording device which is connected continuously to the patient for 12 hours or more and is capable of recording for at least 20 seconds prior to each activation and for 15 seconds after each activation, including transmission, analysis, interpretation and report—payable once in any 4 week period

36.50

11711

Ambulatory ECG monitoring for 12 hours or more, patient activated, single or multiple event recording, utilising a memory recording device which is capable of recording for at least 30 seconds after each activation, including transmission, analysis, interpretation and report—payable once in any 4 week period

20.00”.

3.12   Items 12000 and 12003:

Omit the items, substitute:

“12000

Skin sensitivity testing for allergens, using 1 to 20 allergens, not being a service associated with a service to which item 12006 or 12009 applies

27.50

12003

Skin sensitivity testing for allergens, using more than 20 allergens, not being a service associated with a service to which item 12006 or 12009 applies

41.50”.

3.13   Item 13800 to 13806:

Omit the items, substitute:

“13809

Management of a patient in an Intensive Care Unit by a specialist or consultant physician—including initial and subsequent attendances, electrocardiograms, arterial sampling, bladder catheterisation and blood sampling—management on the first day

215.00

13812

Management of a patient in an Intensive Care Unit by a specialist or consultant physician—including all attendances, electrocardiograms, arterial sampling, bladder catheterisation and blood sampling—management on each day subsequent to the first day

160.00

13815

Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure not being a service to which item 13318 applies (AU 6)

60.00

13818

Right heart balloon flotation using a pulmonary artery catheter, including pulmonary wedge pressure and cardiac output measurement and including monitoring of pulmonary arterial and central venous pressures on the day of insertion—management on the first day

168.00

13819

Central venous pressure, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter by a specialist or consultant physician in an Intensive Care Unit—each day of monitoring for each pressure up to a maximum of 4 pressures (not being a service to which item 11600 or 13818 applies)

48.00

13821

Mechanical ventilation, initiation of, by a specialist or consultant physician in conjunction with subsequent management of ventilatory support on the first day in an Intensive Care Unit

156.00

13824

Ventilatory support in an Intensive Care Unit, management of, by a specialist or consultant physician—not being a service to which item 13809 applies—each day

53.00

13827

Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices

130.00

13830

Intracranial pressure, monitoring of, by intraventricular or subdural catheter, subarachnoid bolt or similar, by a specialist or consultant physician—each day

53.00

13833

Continuous arterio-venous or veno-venous haemofiltration, management by a specialist or consultant physician—on the first day in an Intensive Care Unit

96.00

13836

Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician—on each day subsequent to the first day in an Intensive Care Unit

50.00”.

3.14   Items 13900 to 13912:

Omit the items, substitute:

“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 by intravenous infusion of not more than 1 hours duration—payable once only on the same day

46.00

13918

Chemotherapy, administration of, by intravenous infusion of more than 1 hours duration but not more than 6 hours duration—payable once only on the same day

69.00

13921

Chemotherapy, administration of, by intravenous infusion of more than 6 hours duration—for the first day of treatment

78.00

13924

Chemotherapy, administration of, by intravenous infusion of more than 6 hours duration—on each day subsequent to the first in the same continuous treatment episode

46.00

13927

Chemotherapy, administration of, either by intra-arterial push technique (directly into an artery, a butterfly needle or the side-arm of an infusion) or by intra-arterial infusion of not more than 1 hours duration—payable once only on the same day

60.00

13930

Chemotherapy, administration of, by intra-arterial infusion of more than 1 hours duration but not more than 6 hours duration—payable once only on the same day

83.00

13933

Chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration—for the first day of treatment

92.00

13936

Chemotherapy, administration of, by intra-arterial infusion of more than 6 hours duration—on each day subsequent to the first in the same continuous treatment episode

60.00

13939

Implanted pump or reservoir, loading of, with a therapeutic agent or agents, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933 or 13936 applies

69.00

13942

Ambulatory drug delivery device, loading of, with a therapeutic agent or agents for the infusion of the agent or agents via the intravenous, intra-arterial or spinal routes, not being a service associated with a service to which item 13915, 13918, 13921, 13924, 13927, 13930, 13933 or 13936 applies

46.00

13945

Long-term implanted drug delivery device, accessing of

37.00

13948

Cytotoxic agent, instillation of, into a body cavity

46.00”.

3.15   Item 14203:

Omit the item, substitute:

“14203

Hormone or living tissue implantation, by direct implantation involving incision and suture

36.00”.

3.16   After item 14206, insert:

“14209

Intra‑arterial infusion or retrograde intravenous perfusion of a sympatholytic agent

63.00”.

3.17   Item 18212:

Omit the item, substitute:

“18212

Maintenance of narcotic analgesia referred to in item 18206 by the administration of a narcotic or maintenance of local anaesthetic referred to in item 18209 through an in situ needle or catheter, when performed other than by the operating surgeon

28.50”.

3.18   Item 30213:

Omit the item, substitute:

“30213

Telangiectases or starburst vessels on the head or neck, diathermy or sclerosant injection of, including associated consultation—for a session of at least 20 minutes duration

77.00”.

3.19   Item 30309:

Omit “(AU 10)”, substitute “(AU 14)”.

3.20   Item 30479:

Omit the item, substitute:

“30479

Endoscopic laser therapy for neoplasia and benign vascular lesions or strictures of the gastrointestinal tract (AU 12)

335.00”.

3.21   Item 30514:

Omit the item substitute:

“30514

Morbid obesity, surgical reversal of procedure to which item 30511 or 30512 applies (AU 22)

1,085.00”.

3.22   Items 30535 to 30539:

Omit the items, substitute:

“30535

Oesophagectomy with gastric reconstruction by abdominal mobilisation and thoracotomy (AU 27)

1,195.00

30536

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck—1 surgeon (AU 31)

1,210.00

30538

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck—conjoint surgery, principal surgeon (including aftercare) (AU 31)

840.00

30539

Oesophagectomy involving gastric reconstruction by abdominal mobilisation, thoracotomy and anastomosis in the neck— conjoint surgery, co-surgeon

615.00”.

3.23   Item 32760:

Omit the item, substitute:

“32760

Vein, harvesting of, from leg or arm for bypass or replacement graft when not performed on the limb which is the subject of the bypass or graft—each vein (AU 9)

285.00”.

3.24   Item 35625:

Omit the item, substitute:

“35625

Endometrium, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage, not being a service associated with a service to which item 30390 applies (AU 9)

425.00.”

3.25   Item 38221:

Omit the item, substitute:

“38250

Single chamber permanent transvenous electrode, insertion of (AU 12)

450.00

38253

Permanent pacemaker, insertion or replacement of (AU 12)

180.00

38256

Temporary transvenous pacemaking electrode, insertion of (AU 11)

188.00

38259

Permanent dual chamber transvenous electrodes, insertion of (AU 12)

590.00”.

3.26   After item 38409, insert:

“38410

Intercostal drain, insertion of, with pleurodesis and not involving resection of rib (excluding aftercare) (AU 7)

116.00”.

3.27   Items 38432 and 38434:

Omit the items.

3.28   After item 38446, insert:

“38447

Pericardiectomy via sternotomy or anterolateral thoracotomy without cardiopulmonary bypass (AU 28)

1,080.00”.

3.29   After item 38448, insert:

“38449

Pericardiectomy via sternotomy or anterolateral thoracotomy with cardiopulmonary bypass (AU 32)

1,510.00”.

3.30   Item 38454:

Omit the item, substitute:

“38455

Tracheal excision and repair, with cardiopulmonary bypass (AU 40)

1,640.00”.

38456

Intrathoracic operation on heart, lungs, great vessels, bronchial tree, oesophagus or mediastinum, or on more than 1 of those organs, not being a service to which another item in this Group applies (AU 28)

1,080.00

38457

Pectus excavatum or pectus carinatum, repair or radical correction of (AU 16)

1,010.00

38458

Pectus excavatum, repair of, with implantation of subcutaneous prosthesis (AU 16)

535.00

38460

Sternal wire or wires, removal of (AU 8)

194.00

38462

Sternotomy wound, débridement of, not involving reopening of the mediastinum (AU 12)

230.00

38464

Sternotomy wound, débridement of, involving curettage of infected bone with or without removal of wires but not involving reopening of the mediastinum (AU 12)

250.00

38466

Sternum, reoperation on for dehiscence or infection involving reopening of the mediastinum, with or without rewiring (AU 18)

675.00

38468

Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps or greater omentum (AU 28)

1,040.00

38469

Sternum and mediastinum, reoperation for infection of, involving muscle advancement flaps and greater omentum (AU 32)

1,210.00”.

3.31   Item 38476 to 38488:

Omit the items, substitute:

“38486

Aortic valve, decalcification of (AU 32)

1,210.00

38487

Mitral valve, open valvotomy of (AU 32)

1,210.00

38488

Valve replacement with bioprosthesis, mechanical prosthesis or unstented xenograft (AU 32)

1,345.00”.

3.32   Item 38491:

Omit the item, substitute:

“38492

Valve replacement with allograft, subcoronary or cylindrical implant (AU 36)

1,600.00”.

3.33   After item 38571, insert:

“38572

Operative management of acute rupture or dissection, in conjunction with procedures on the thoracic aorta (AU 25)

1,400.00”.

3.34   Items 38600 and 38603:

Omit the items, substitute:

“38600

Central cannulation for cardiopulmonary bypass excluding post-operative management, not being a service associated with a service to which another item in this Subgroup applies (AU 16)

1,080.00

38603

Peripheral cannulation for cardiopulmonary bypass excluding post-operative management (AU 13)

675.00”.

3.35   Items 38609 and 38612:

Omit the items, substitute:

“38609

Intra-aortic balloon pump, insertion of, by arteriotomy (AU 14)

340.00

38612

Intra-aortic balloon pump, removal of, with closure of artery by direct suture (AU 14)

380.00

38613

Intra-aortic balloon pump, removal of, with closure of artery by patch graft (AU 20)

475.00”.

3.36   After item 39012, insert:

“39013

Injection under image intensification with 1 or more of contrast media, local anaesthetic or corticosteroid into 1 or more zygo-apophyseal or costo-transverse joints or 1 or more primary posterior rami of spinal nerves

77.00”.

3.37   Item 39015:

Omit the item, substitute:

“39015

Ventricular reservoir, external ventricular drain or intracranial pressure monitoring device, insertion of—including burr-hole (excluding after-care) (AU 12)

265.00”.

3.38   Item 39115:

Omit the item, substitute:

“39115

Percutaneous neurotomy of posterior divisions (or rami) of spinal nerves by any method, including any associated spinal, epidural or regional nerve block (payable once only in a 30 day period) (AU 6)

70.00”.

3.39   After item 39124, insert:

“39125

Spinal catheter, insertion of—for an automated infusion device (AU 8)

210.00

39126

Automated subcutaneous infusion device, insertion of (AU 8)

255.00”.

3.40   After item 39127, insert:

“39128

Automated subcutaneous infusion device and spinal catheter, insertion of (AU 11)

465.00”.

3.42   Item 39130:

Omit the item, substitute:

39130

Percutaneous epidural electrode, insertion of 1 or more of—for spinal stimulation (AU 10)

430.00

39131

Percutaneous epidural electrodes, management, adjustment, electronic programming and trial of stimulation of, by a medical practitioner—each day

90.00

3.42   After item 39133, insert:

39134

Spinal neurostimulator receiver or pulse generator, subcutaneous placement of (AU 8)

240.00

3.43   Items 39136 and 39139:

Omit the items, substitute:

“39136

Percutaneous epidural implant for management of pain, removal of (AU 7)

112.00

39139

Epidural electrode for management of pain, insertion of 1 or more of by laminectomy, including implantation of pulse generator (1 or 2 stages) (AU 18)

760.00”.

3.44   After item 39321, insert:

“39323

Percutaneous neurotomy by cryoneurotomy or radiofrequency lesion generator, not being a service to which another item applies (AU 8)

194.00”.

3.45   Items 39324 and 39327:

Omit the items, substitute:

“39324

Neurectomy, neurotomy or removal of tumour from superficial peripheral nerve, by open operation (AU 8)

194.00

39327

Neurectomy, neurotomy or removal of tumour from deep peripheral nerve, by open operation (AU 10)

335.00”.

3.46   After item 39330, insert:

“39331

Carpal tunnel release (division of transverse carpal ligament), by any method (AU 7)

194.00”.

3.47   Item 39612:

Omit the item, substitute:

“39612

Fractured skull, compound, depressed or complicated, with dural penetration and brain laceration, operation for (AU 14)

790.00”.

3.48   Item 39703:

Omit the item, substitute:

“39703

Intracranial tumour, cyst or other brain tissue, burr-hole and biopsy of, or drainage of, or both (AU 10)

365.00”.

3.49   Item 39715:

Omit the item, substitute:

“39715

Pituitary tumour, removal of, by transcranial or transphenoidal approach (AU 25)

1,400.00”.

3.50   Item 40015:

Omit “168.00”, substitute “450.00”.

3.51   Items 40300 to 40306:

Omit the items, substitute:

“40300

Intervertebral disc or discs, laminectomy for removal of (AU 12)

675.00

40301

Intervertebral disc or discs, microsurgical dissectomy of (AU 12)

675.00

40303

Recurrent disc lesion or spinal stenosis, or both, laminectomy for—1 level (AU 13)

770.00

40306

Spinal stenosis, laminectomy for, involving more than 1 vertebral interspace (disc level) (AU 16)

1,010.00”.

3.52   Item 40800:

Omit the item, substitute:

“40800

Stereotactic anatomical localisation, as an independent procedure (AU 17)

450.00

40801

Functional stereotactic procedure including computer assisted anatomical localisation, physiological localisation and lesion production in the basal ganglia, brain stem or deep white matter tracts (AU 25)

1,230.00”.

3.53   Item 40900:

Omit the item.

3.54   Insert after item 41907:

“41910

Duct of major salivary gland, transposition of (AU 16)

275.00”.

3.55   Item 45033:

Omit the item, substitute:

“45033

Angioma, large or involving deeper tissue including facial muscle or breast, excision and suture of (AU 9)

170.00”.

3.56   Item 45045:

Omit the item, substitute:

“45045

Arteriovenous malformation on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals, excision of (AU 16)

215.00”.

3.57   Item 45051:

Omit the item, substitute:

“45051

Contour reconstruction for pathological deformity, insertion of foreign implant (non biological but excluding injection of liquid or semisolid material) by open operation (AU 10)

335.00”.

3.58   Item 45206:

Omit the item, substitute:

“45206

Single stage local flap where indicated to repair 1 defect, on eyelid, nose, lip, ear, neck, hand, thumb, finger or genitals (AU 12)

270.00”.

3.59   After item 45500, insert:

“45502

Microvascular anastomosis of artery or vein using microsurgical techniques, for reimplantation of limb or digit or free transfer of tissue (AU 38)

1,250.00”.

3.60   Items 45506 to 45518:

Omit the items, substitute:

“45506

Scar, of face or neck, not more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her specialty (AU 8)

154.00

45512

Scar, of face or neck, more than 3 cm in length, revision of, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her specialty (AU 9)

210.00

45515

Scar, other than on face or neck, not more than 7 cm in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her specialty (AU 10)

132.00

45518

Scar, other than on face or neck, more than 7 cm in length, revision of, as an independent procedure, where undertaken in the operating theatre of a hospital or approved day-hospital facility, or where performed by a specialist in the practice of his or her speciality (AU 12)

158.00”.

3.61   Items 45551 and 45554:

Omit the items, substitute:

“45551

Breast prosthesis, removal of, with complete excision of fibrous capsule as an independent procedure (AU 10)

315.00

45552

Breast prosthesis, removal of, with complete excision of fibrous capsule and replacement of prosthesis (AU 13)

450.00

45554

Breast prosthesis, replacement of, following medical complications (such as rupture, migration of prosthetic material, or capsule formation), where new pocket is formed, including excision of fibrous capsule (AU 15)

495.00”.

3.62   Item 45623:

Omit the item, substitute:

“45623

Ptosis of eyelid (unilateral), correction of (AU 12)

550.00”.

3.63   After item 45752, insert:

“45753

Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III—involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site (AU 50)

1,535.00

45754

Midfacial osteotomies—Le Fort II, Modified Le Fort III (Nasomalar), Modified Le Fort III (Malar-Maxillary), Le Fort III—involving 3 or more osteotomies of the midface including transposition of nerves and vessels and bone grafts taken from the same site and rigid fixation by bone plates, screws or both (AU 58)

1,840.00”.

3.64   Item 47006:

Omit “80.00”, substitute “120.00”.

3.65   Item 47360:

Omit the item, substitute:

“47360

Radius or ulna, distal end of, treatment of fracture of, by cast immobilisation, not being a service to which item 47363 or 47366 applies (AU 6)

93.00”.

3.66   Item 47369:

Omit the item, substitute:

“47369

Radius, distal end of, treatment of Colles’, Smith’s or Barton’s fracture of, by cast immobilisation, not being a service to which item 47372 or 47375 applies (AU 6)

120.00”.

3.67   Item 47378:

Omit the item, substitute:

“47378

Radius or ulna, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47381, 47384, 47385 or 47386 applies (AU 6)

120.00”.

3.68   Item 47387:

Omit the item, substitute:

“47387

Radius and ulna, shafts of, treatment of fracture of, by cast immobilisation, not being a service to which item 47390 or 47393 applies (AU 6)

192.00”.

3.69   Item 47540:

Omit the item, substitute:

“47540

Hip spica or shoulder spica, application of, as an independent procedure (AU 9)

152.00”.

3.70   Item 47561:

Omit the item, substitute:

“47561

Tibia, shaft of, treatment of fracture of, by cast immobilisation, not being a service to which item 47564, 47567, 47570 or 47573 applies (AU 10)

192.00”.

3.71   Item 47660:

Omit the item.

3.72   Item 47669:

Omit the item.

3.73   Item 47675:

Omit the item.

3.74   Item 47915:

Omit the item, substitute:

“47915

Ingrowing nail of finger or toe, wedge resection for, including removal of segment of nail, ungual fold and portion of the nail bed (AU 6)

120.00

47916

Ingrowing nail of finger or toe, partial resection of nail, including phenolisation but not including excision of nail bed (AU 5)

60.00”.

3.75   Item 47939:

Omit the item, substitute:

“47939

Limb lengthening (first stage) osteotomy for, including application of distracting apparatus (AU 12)

565.00”.

3.76   After item 47942, insert:

“47943

Limb lengthening requiring slow distraction and application of ring fixator, not being a service to which item 47939 applies (AU 26)

900.00”.

3.77   After item 47972, insert:

“47975

Forearm or calf, decompression fasciotomy of, for acute compartment syndrome, requiring excision of muscle and deep tissue (AU 9)

260.00

47978

Forearm or calf, decompression fasciotomy of, for chronic compartment syndrome, requiring excision of muscle and deep tissue (AU 7)

158.00

47981

Forearm, calf or interosseous muscle space of hand, decompression fasciotomy of, not being a service to which another item applies (AU 5)

106.00”.

3.78   After item 48630, insert:

“48632

Scoliosis, congenital, vertebral resection and fusion for (AU 30)

1,100.00”.

3.79   Item 49348:

Omit the item, substitute:

“49348

Hip, congenital dislocation of, treatment of, by closed reduction (AU 5)

112.00”.

3.80   After item 49354, insert:

“49357

Hip spica, initial application of, for congenital dislocation of hip (excluding aftercare) (AU 8)

250.00”.

3.81   Items 49503 to 49509:

Omit the items, substitute:

“49503

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 item in this Group applies—any 1 procedure (AU 10)

345.00

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 item in this Group applies—any 2 or more procedures (AU 12)

515.00

49509

Knee, total synovectomy or arthrodesis of (AU 12)

530.00”.

3.82   After item 49515, insert:

“49517

Knee, hemiarthroplasty of (AU 20)

850.00”.

3.83   After item 50103, insert:

“50104

Joint, synovectomy of, not being a service to which another item in this Group applies (AU 9)

220.00”.

3.84   After item 50124, insert:

“50127

Joint or joints, arthroplasty of, by any technique not being a service to which another item applies (AU 15)

495.00

50130

Joint or joints, application of external fixator to, other than for treatment of fractures (AU 9)

220.00”.

____________________________________________________________

NOTES

1. Notified in the Commonwealth of Australia Gazette on 29 June 1993.

2. Statutory Rules 1992 No. 338 as amended by 1992 Nos. 347 and 398.

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