Health Insurance (1999-2000 Diagnostic Imaging Services Table) Amendment Regulations 1999 (No. 1) (Cth)
Health Insurance (1999-2000 Diagnostic Imaging Services Table) Amendment Regulations 1999 (No. 1)
Statutory Rules 1999 No. 345
I, WILLIAM PATRICK DEANE, 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 15 December 1999.
WILLIAM DEANE
Governor-General
By His Excellency’s Command,
MICHAEL WOOLDRIDGE
Minister for Health and Aged Care
made under the
Page
• •
These Regulations are the
Health Insurance (1999-2000 Diagnostic Imaging Services Table) Amendment Regulations 1999 (No. 1) .
These Regulations commence, or are taken to have commenced, as follows:
(a) on 1 November 1999 — regulations 1 to 3 and Schedule 1;
(b) on 1 February 2000 — Schedule 2.
Subject to regulation 2, Schedules 1 and 2 amend the
Health Insurance (1999-2000 Diagnostic Imaging Services Table) Regulations 1999 .
(regulation 3)
omit , before 11 October 1999,
after subrule 20 (3)
insert or (4)
omit and eligible provider
(regulation 3)
insert
9C Computed tomography services — exclusion of acoustic neuroma Where axial scans are undertaken for the exclusion of acoustic neuroma, medicare benefits are payable under item 56001 or 56007.
9D Computed tomography — assessment of headache
(1) If the service described in item 56007 or 56047 is to be used for the assessment of headache of a patient to whom this rule applies, the fee mentioned in the item applies only if:
(a) a scan without intravenous contrast medium has been undertaken on the patient; and
(b) the service is required because the result of the scan mentioned in paragraph (a) is abnormal.
(2) This rule applies to a patient who:
(a) is under 50 years; and
(b) is (apart from the headache) otherwise well; and
(c) has no localising symptoms or signs; and
(d) has no history of malignancy or immunosuppression.
omit to 55603
insert to 55739
insert
10AB Obstetric and gynaecological ultrasound — limit on medicare benefits Medicare benefits are not payable for more than 3 items of NR-type diagnostic imaging services in Subgroup 5 of Group l1 in Part 2 that are performed on the same patient in any 1 pregnancy.
10AC Clinical indications
(1) For items where clinical conditions are listed, or where a clinical indication is required for performance of subsequent scans (items 55712, 55715, 55721 or 55725), the referral must identify the relevant clinical indication for the service.
(2) If the service is self-determined, the clinical condition or indication must be recorded in the medical practitioner's clinical notes.
[4] Schedule 1, Part 2, Group l1, items 55034 and 55035
omit
[5] Schedule 1, Part 2, Group l1, item 55036, paragraph (c)
omit 55042 or 55044
insert 55038, 55044 or 55731
[6] Schedule 1, Part 2, Group l1, item 55038, paragraph (b)
omit member (R)
insert member; and
[7] Schedule 1, Part 2, Group l1, item 55038, after paragraph (b)
insert
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[8] Schedule 1, Part 2, Group l1, items 55040, 55041, 55042 and 55043
omit
[9] Schedule 1, Part 2, Group l1, item 55044, paragraph (c)
after 55036
insert or 55038
[10] Schedule 1, Part 2, Group l1, items 55046 and 55047
omit
[11] Schedule 1, Part 2, Group l1, after item 55058
insert
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[12] Schedule 1, Part 2, Group l1, after Subgroup 4
insert
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substitute
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[14] Schedule 1, Part 2, Group l2, after item 56028
insert
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substitute
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substitute
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[17] Additional amendments of Schedule 1, Part 2, Group l1 The following provisions are amended by omitting ‘item 11240 or’:
• item 55028, paragraph (a)
• item 55029
• item 55030, paragraph (a)
• item 55031
• item 55032, paragraph (a)
• item 55033
• item 55036, paragraph (a)
• item 55037
• item 55038, paragraph (a)
• item 55039
• item 55044, paragraph (a)
• item 55045
• item 55048, paragraph (a)
• item 55049
• item 55050, paragraph (a)
• item 55051
• item 55052, paragraph (a)
• item 55053.
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1. These Regulations amend Statutory Rules 1999 No. 255.
2. Made by the Governor-General on 15 December 1999, and notified in the
Commonwealth of Australia Gazette
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