Health Insurance (Allied Health Services) Amendment Determination 2012 (No. 4) (Cth)
Health Insurance (Allied Health Services) Amendment Determination 2012 (No. 4)
Health Insurance Act 1973
I, RICHARD BARTLETT, First Assistant Secretary, Medical Benefits Division, Department of Health and Ageing, make this Determination under subsection 3C (1) of the Health Insurance Act 1973.
Dated 23 October 2012
Richard Bartlett
RICHARD BARTLETT
First Assistant Secretary
Medical Benefits Division
Department of Health and Ageing
Name of Determination
This Determination is the Health Insurance (Allied Health Services) Amendment Determination 2012 (No. 4).
Commencement
This Determination commences on 1 November 2012.
Amendment of Health Insurance (Allied Health Services) Determination 2011
Schedule 1 amends the Health Insurance (Allied Health Services) Determination 2011.
Schedule 1 Amendments
(section 3)
[1] After section 11
insert
12 Requests for diagnostic audiology services
(1)This section applies to items 82300 to 82332 in Schedule 2.
(2)The request must be in writing and must contain:
(a) the date of the request; and
(b) the name of the eligible practitioner who requested the service and either the address of his or her place of practice or the provider number in respect of his or her place of practice; and
(c) a description of the service which provides sufficient information to identify the service as relating to a particular item mentioned in subsection (1) but need not specify the item number.
(3)A request may be for the performance of more than one diagnostic audiology service making up a single audiological assessment but cannot be for more than one audiological assessment.
[2] Schedule 1, item 7, Focussed psychological strategies health service
omit
Until midnight 31 October 2012, a person is also an allied health professional in relation to the provision of a focused psychological strategies health service if he or she was such a person on 30 June 2012 because of paragraph (c) of item 7 of Schedule 1 of this Determination as in force on that date.
[3] Schedule 1, item 8, Mental health service
omit
Until midnight 31 October 2012, a person is also an allied health professional in relation to the provision of a mental health service if he or she was such a person on 30 June 2012 because of paragraph (c) of item 8 of Schedule 1 of this Determination as in force on that date.
[4] Schedule 1, item 10, Occupational therapy health service
omit
Until midnight 31 October 2012, a person is also an allied health professional in relation to the provision of an occupational therapy health service if he or she was such a person on 30 June 2012.
[5] Schedule 2
Item no.
omit
insert
10950
61.10
62.25
10951
61.10
62.25
10952
61.10
62.25
10953
61.10
62.25
10954
61.10
62.25
10956
61.10
62.25
10958
61.10
62.25
10960
61.10
62.25
10962
61.10
62.25
10964
61.10
62.25
10966
61.10
62.25
10968
61.10
62.25
10970
61.10
62.25
80000
97.90
99.75
80005
122.35
124.65
80010
143.70
146.45
80015
168.15
171.35
80020
36.50
37.20
80100
69.35
70.65
80105
94.35
96.15
80110
97.90
99.75
80115
122.95
125.30
80120
25.00
25.45
80125
61.10
62.25
80130
86.05
87.70
80135
86.30
87.95
80140
111.25
113.35
80145
21.95
22.35
80150
61.10
62.25
80155
86.05
87.70
80160
86.30
87.95
80165
111.25
113.35
80170
21.95
22.35
81000
71.80
73.15
81005
71.80
73.15
81010
71.80
73.15
81100
78.35
79.85
81105
19.55
19.90
81110
78.35
79.85
81115
19.55
19.90
81120
78.35
79.85
81125
19.55
19.90
82000
97.90
99.75
82005
86.30
87.95
82010
86.30
87.95
82015
97.90
99.75
82020
86.30
87.95
82025
86.30
87.95
82030
86.30
87.95
82035
86.30
87.95
81300
61.10
62.25
81305
61.10
62.25
81310
61.10
62.25
81315
61.10
62.25
81320
61.10
62.25
81325
61.10
62.25
81330
61.10
62.25
81335
61.10
62.25
81340
61.10
62.25
81345
61.10
62.25
81350
61.10
62.25
81355
61.10
62.25
81360
61.10
62.25
[6] Schedule 2, after Part 6
insert
Part 7 Services and fees — audiology services (diagnostic)
| Item | Service | Fee ($) |
| 82300 | Audiology health service, consisting of brain stem evoked response audiometry, performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is a specialist in the specialty of otolaryngology head and neck surgery; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11300 applies has not been performed on the person on the same day. This item is subject to sections 9 and 12. | 153.95 |
82306 | Audiology health service, consisting of non-determinate audiometry performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is a specialist in the specialty of otolaryngology head and neck surgery; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11306 applies has not been performed on the person on the same day. This item is subject to sections 9 and 12. | 17.50 |
| 82309 | Audiology health service, consisting of an air conduction audiogram performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11309 applies has not been performed on the person on the same day. This item is subject to sections 9 and 12. | 21.05 |
| Item | Service | Fee ($) |
| 82312 | Audiology health service, consisting of an air and bone conduction audiogram or air conduction and speech discrimination audiogram performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11312 applies has not been performed on the person on the same day. This item is subject to sections 9 and 12. | 29.70 |
| 82315 | Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11315 applies has not been performed on the person on the same day. This item is subject to sections 9 and 12. | 39.35 |
| 82318 | Audiology health service, consisting of an air and bone conduction and speech discrimination audiogram with other cochlear tests performed on a person by an eligible audiologist if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11318 applies has not been performed on the person on the same day. This item is subject to sections 9 and 12. | 48.60 |
| 82324 | Audiology health service, consisting of an impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed on a person by an eligible audiologist (not being a service associated with a service to which item 82309, 82312, 82315 or 82318 applies) if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11324 applies has not been performed on the person on the same day. This item is subject to sections 9 and 12. | 26.30 |
| 82327 | Audiology health service, consisting of an impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed on a person by an eligible audiologist (being a service associated with a service to which item 82309, 82312, 82315 or 82318 applies) if: (a) the service is performed pursuant to a written request made by an eligible practitioner to assist the eligible practitioner in the diagnosis and/or treatment and/or management of ear disease or a related disorder in the person; and (b) the eligible practitioner is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (c) the service is not performed for the purpose of a hearing screening; and (d) the person is not an admitted patient of a hospital; and (e) the service is performed on the person individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11327 applies has not been performed on the person on the same day. This item is subject to sections 9 and 12. | 15.80 |
| 82332 | Audiology health service, consisting of an oto-acoustic emission audiometry for the detection of permanent congenital hearing impairment performed by an eligible audiologist on an infant or child in circumstances in which: (a) the service is performed pursuant to a written request made by an eligible practitioner who is: (i) a specialist in the specialty of otolaryngology head and neck surgery; or (ii) a specialist or consultant physician in the specialty of neurology; and (b) the infant or child is at risk due to 1 or more of the following factors: (i) admission to a neonatal intensive care unit; (ii) family history of hearing impairment; (iii) intra-uterine or perinatal infection (either suspected or confirmed); (iv) birthweight less than 1.5kg; (v) craniofacial deformity; (vi) birth asphyxia; (vii) chromosomal abnormality, including Down Syndrome; (viii) exchange transfusion; and (c) middle ear pathology has been excluded by specialist opinion; and (d) the infant or child is not an admitted patient of a hospital; and (e) the service is performed on the infant or child individually and in person; and (f) after the service, the eligible audiologist provides a copy of the results of the service performed, together with relevant comments in writing that the eligible audiologist has on those results, to the eligible practitioner who requested the service; and (g) a service to which item 11332 applies has not been performed on the infant or child on the same day. This item is subject to sections 9 and 12. | $46.85 |
Note
1. All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See
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