Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2001 (No. 3) (Cth)

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Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2001 (No. 3)1

Statutory Rules 2001 No. 1412

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 13 June 2001

WILLIAM DEANE

Governor-General

By His Excellency’s Command

MICHAEL WOOLDRIDGE

Minister for Health and Aged Care

1Name of Regulations

 These Regulations are the Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2001 (No. 3).

2Commencement

 These Regulations commence on 1 July 2001.

3Amendment of Health Insurance (Diagnostic Imaging Services Table) Regulations 2000

Schedule 1 amends the Health Insurance (Diagnostic Imaging Services Table) Regulations 2000.

Schedule 1Amendments

(regulation 3)

  

[1]Schedule 1, Part 2, after rule 9

insert

9AAngiography services — meaning of (K) and (NK) in items

  • (1)

    An item that includes the symbol (NK) at the end of the item applies to a service that is performed on equipment that is at least 10 years old.

  • (2)

    An item that includes the symbol (K) at the end of the item applies to a service that is performed on equipment that is less than 10 years old.

  • (3)

    The date from which the age of equipment is worked out for this rule is:

    • (a)

      the date that the equipment was first installed in Australia; or

    • (b)

      if the equipment was imported as used equipment, the date of manufacture of the oldest component of the equipment.

[2]Schedule 1, Part 3, items 55112, 59900, 59906, 59915, 59918, 59921, 59924, 60903, 60915

omit

[3]Schedule 1, Part 3, item 55130

omit

372.20

insert

353.60

[4]Schedule 1, Part 3, items 55116, 55117, 55118, 59903, 59912, 59970, 60918, 60927

substitute each of the following items in its correct numerical position

55116

Exercise stress echocardiography performed in conjunction with item 11712:

  • (a)

    with:

    • (i)

      two-dimensional recordings before exercise (baseline) from at least 3 acoustic windows; and

    • (ii)

      matching recordings from the same windows at, or immediately after, peak exercise; and

    • (iii)

      recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and

  • (b)

    not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup, applies (R)

244.75

55117

Pharmacological stress echocardiography performed in conjunction with item 11712:

  • (a)

    with:

    • (i)

      two-dimensional recordings before drug infusion (baseline) from at least 3 acoustic windows; and

    • (ii)

      matching recordings from the same windows at least twice during drug infusion, including a recording at the peak drug dose or immediately after peak exercise; and

    • (iii)

      recordings on digital media with equipment permitting display of baseline and matching peak images on the same screen; and

  • (b)

    not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup, applies (R)

244.75

55118

Heart, two-dimensional real time transoesophageal examination of, from at least 2 levels, and in more than 1 plane at each level:

  • (a)

    with:

    • (i)

      pulsed wave Doppler examination; and

    • (ii)

      real time colour flow mapping; and

    • (iii)

      recordings on video tape or digital media; and

  • (b)

    not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup, applies (R)

(Anaes. 17708 = 6B + 2T)

244.20

59903

Angiocardiography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59912 or 59925 applies (R) (K)

(Anaes. 17711 = 7B + 4T)

120.60

59912

Selective coronary arteriography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59903 or 59925 applies (R) (K)

321.25

59970

Angiography or digital subtraction angiography, or both, with fluoroscopy and image acquisition, using a mobile image intensifier, including any preliminary plain films, preparation and contrast injection — 1 or more regions (R) (K)

158.65

60918

Arteriography (peripheral) or phlebography —1 vessel, when used in association with a service to which item 59903, 59912, 59925, 59970, 59971, 59972, 59973 or 59974 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR)

(Anaes. 17708 = 5B + 3T)

49.65

60927

Selective arteriogram or phlebogram, when used in association with a service to which item 59903, 59912, 59925, 59970, 59971, 59972, 59973 or 59974 applies, not being a service associated with a service to which any of items 60000 to 60078 apply (NR)

(Anaes. 17708 = 5B + 3T)

40.05

[5]Schedule 1, Part 3

insert each of the following items in its correct numerical position

55113

M-mode and two-dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of cardiac failure, or suspected or known ventricular hypertrophy or dysfunction, or chest pain:

  • (a)

    with:

    • (i)

      measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and

    • (ii)

      real time colour flow mapping from at least 2 acoustic windows; and

    • (iii)

      recordings on video tape or digital media; and

  • (b)

    not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup, applies (R)

244.75

55114

M-mode and two-dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of suspected or known acquired valvular, aortic, pericardial, thrombotic or embolic disease or heart tumour:

  • (a)

    with:

    • (i)

      measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and

    • (ii)

      real time colour flow mapping from at least 2 acoustic windows; and

    • (iii)

      recordings on video tape or digital media; and

  • (b)

    not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup, applies (R)

244.75

55115

M-mode and two-dimensional real time echocardiographic examination of the heart from at least 2 acoustic windows for the investigation of symptoms or signs of congenital heart disease:

  • (a)

    with:

    • (i)

      measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques; and

    • (ii)

      real time colour flow mapping from at least 2 acoustic windows; and

    • (iii)

      recordings on video tape or digital media; and

  • (b)

    not being a service associated with a service to which an item in Subgroup 1 (except item 55054) or 3, or another item in this Subgroup, applies (R)

244.75

59925

Selective coronary arteriography and angiocardiography, including a service described in item 59903, 59912, 59970, 59974 or 61109 (R) (K)

(Anaes. 17711 = 7B + 4T)

381.55

59971

Angiocardiography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59972 or 59973 applies (R) (NK)

(Anaes. 17711 = 7B + 4T)

60.30

59972

Selective coronary arteriography, including the service described in item 59970, 59974 or 61109, not being a service to which item 59971 or 59973 applies (R) (NK)

160.65

59973

Selective coronary arteriography and angiocardiography, including a service described in item 59970, 59971, 59972, 59974 or 61109 (R) (NK)

(Anaes. 17711 = 7B + 4T)

190.80

59974

Angiography or digital subtraction angiography, or both, with fluoroscopy and image acquisition using a mobile image intensifier, including any preliminary plain films, preparation and contrast injection — 1 or more regions (R) (NK)

79.35

Notes

1. These Regulations amend Statutory Rules 2000 No. 291, as amended by 2001 Nos. 78 and 122.

2. Notified in the Commonwealth of Australia Gazette

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