Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment and Repeal Determination 2013 (Cth)

Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment and Repeal Determination 2013

I, RICHARD BARTLETT, delegate of the Minister for Health, make this determination under subsection 3C(1) of the Health Insurance Act 1973.

Dated:   30th October 2013

____________________________________

Richard Bartlett

First Assistant Secretary

Medical Benefits Division

Department of Health

Contents

PART 1          PRELIMINARY3

1            Name of Determination3

2.           Commencement3

3.           Authority3

4.           Schedule   3

SCHEDULE 1 – AMENDMENTS4

SCHEDULE 2 – REPEALS   6

Part 1        Preliminary

1. Name of Determination

This Determination is the Health Insurance (Diagnostic Imaging Capital Sensitivity) Amendment and Repeal Determination 2013.

1. Commencement

This Determination commences as follows:

(a)        sections 1 to 4 and Schedule 1 on 1 November 2013;

(b) Schedule 2 on the cessation or earlier repeal of the Health Insurance (Diagnostic Imaging Services Table) Regulation 2012.

1. Authority

This Determination is made under the Health Insurance Act 1973.

1. Schedule

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule 1 – Amendments

Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011

1         After Subdivision E of Division 2.5 of Schedule 1

Add

Subdivision F         Subgroup 34 of Group I5

Group I5—Magnetic resonance imaging

Item	Health service	Fee ($) (for each State)
Subgroup 34 — Scan of body — for specified conditions
63552	Scan of head for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for any of the following: (a) unexplained seizure(s); (b) unexplained chronic headache with suspected intracranial pathology (R) (NK) (Contrast) (Anaes.)	201.60
63555	Scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical radiculopathy (R) (NK) (Contrast) (Anaes.)	179.20
63558	Scan of spine for a patient 16 years or older, after referral by a medical practitioner (other than a specialist or consultant physician), for suspected cervical spinal trauma (R) (NK) (Contrast) (Anaes.)	246.40
63561	Scan of knee following acute knee trauma, after referral by a medical practitioner (other than a specialist or consultant physician), for a patient 16 years or older with: (a) inability to extend the knee suggesting the possibility of acute meniscal tear; or (b) clinical findings suggesting acute anterior cruciate ligament tear (R) (NK) (Contrast) (Anaes.)	201.60

2         Schedule 2, table 1 – Diagnostic imaging services table - clauses, table item (q)

Omit “63523”, substitute “63523, 63552, 63555, 63558, 63561”.

3         Schedule 2, table 1 – Diagnostic imaging services table - clauses, table item (ff)

Omit “63520 and 63523”, substitute “63520, 63523, 63552, 63555, 63558, 63561”.

4         Schedule 2, table 3 – Dictionary, table item (b)

Omit “63523”, substitute “63523, 63552, 63555, 63558, 63561”.

Schedule 2 – Repeals

Health Insurance (Diagnostic Imaging Capital Sensitivity) Determination 2011

5         The whole of the determination

Repeal the determination.