Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2004 (No. 2) (Cth)

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Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2004 (No. 2)1

Statutory Rules 2004 No. 762

I, PHILIP MICHAEL JEFFERY, 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 April 2004

P. M. JEFFERY

Governor-General

By His Excellency’s Command

TONY ABBOTT

Minister for Health and Ageing

1Name of Regulations

 These Regulations are the Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2004 (No. 2).

2Commencement

 These Regulations commence on 1 May 2004.

3Amendment of Health Insurance (Diagnostic Imaging Services Table) Regulations 2003

Schedule 1 amends the Health Insurance (Diagnostic Imaging Services Table) Regulations 2003.

Schedule 1Amendments

(regulation 3)

  

[1]Schedule 1, Part 2, paragraph 28 (b)

substitute

  • (b)

    $125.25.

[2]Schedule 1, Part 3, after item 55079

insert

55084

Urinary bladder, ultrasound scan of, by any or all approaches, if:

  • (a)

    the patient is referred by a medical practitioner for ultrasonic examination; and

  • (b)

    the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and

  • (c)

    the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

90.00

  • (d)

    within 24 hours of the service, a service described in item 11917, 55036, 55038, 55044, 55600, 55603, or 55731 is not performed on the same patient by the providing practitioner (R)

55085

Urinary bladder, ultrasound scan of, by any or all approaches, if:

  • (a)

    the patient is not referred by a medical practitioner; and

  • (b)

    the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and

  • (c)

    within 24 hours of the service, a service described in item 11917, 55037, 55039, 55045, 55600, 55603, or 55733 is not performed on the same patient by the providing practitioner (NR)

31.20

[3]Schedule 1, Part 3, item 55118, subparagraphs (a) (i) to (iii)

substitute

  • (i)

    real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and

  • (ii)

    recordings on video tape or digital medium; and

[4]Schedule 1, Part 3, item 55130, column 2

omit

surgical procedure

insert

surgical procedure, not being a service associated with a service to which item 55135 applies

[5]Schedule 1, Part 3, item 55130, column 3

omit

353.60

insert

170.00

[6]Schedule 1, Part 3, after item 55130

insert

55135

Intra-operative 2 dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac valve surgery (replacement or repair) incorporating sequential assessment of cardiac function and valve competence before and after the surgical procedure, not being a service associated with a service to which item 55130 applies (R) (Anaes.)

353.60

[7]Schedule 1, Part 3, item 56501

after

contrast medium,

insert

not for the purposes of virtual colonoscopy and

[8]Schedule 1, Part 3, item 56507

after

when performed,

insert

not for the purposes of virtual colonoscopy and

[9]Schedule 1, Part 3, item 56541

after

contrast medium,

insert

not for the purposes of virtual colonoscopy and

[10]Schedule 1, Part 3, item 56547

after

when performed,

insert

not for the purposes of virtual colonoscopy and

[11]Schedule 1, Part 3, items 59300 and 59303

substitute

59300

Mammography of both breasts if there is reason to suspect the presence of malignancy because of:

  • (a)

    the past occurrence of breast malignancy in the patient or members of the patient’s family; or

  • (b)

    symptoms or indications of malignancy found on examination of the patient by a medical practitioner (R)

82.00

59303

Mammography of one breast if:

  • (a)

    the patient is referred with a specific request for a unilateral mammogram; and

  • (b)

    there is reason to suspect the presence of malignancy because of:

    • (i)

      the past occurrence of breast malignancy in the patient or members of the patient’s family; or

    • (ii)

      symptoms or indications of malignancy found on examination of the patient by a medical practitioner (R)

49.45

[12]Schedule 1, Part 3, after item 63946

insert

Subgroup 31 — Scan of the pelvis and upper abdomen — for the further investigation of specified conditions

63960

MRI — scan of the pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Anaes.)

475.00

63963

MRI — scan of the pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Anaes.)

475.00

[13]Schedule 1, Part 3 — Amendment of fees

Item

omit

insert

61302

407.05

431.45

61303

512.65

543.40

61306

643.60

682.20

61307

757.10

802.55

61310

333.05

353.05

61313

275.10

291.60

61314

380.90

403.75

61316

345.65

366.40

61317

446.50

473.30

61320

207.60

220.05

61328

206.45

218.85

61340

229.45

243.20

61348

402.05

426.15

61352

235.20

249.30

61353

350.55

371.60

61356

356.20

377.55

61360

365.75

387.70

61361

418.45

443.55

61364

450.65

477.70

61368

202.30

214.45

61372

202.30

214.45

61373

444.10

470.75

61376

130.00

137.80

61381

520.85

552.10

61383

566.75

600.75

61384

623.65

661.05

61386

301.50

319.60

61387

390.65

414.10

61389

336.05

356.20

61390

371.80

394.10

61393

549.10

582.05

61397

223.85

237.30

61401

147.15

156.00

61402

548.70

581.60

61405

313.75

332.55

61409

792.10

839.65

61413

204.90

217.20

61417

107.75

114.20

61421

435.10

461.20

61425

544.75

577.45

61426

503.10

533.30

61429

492.40

521.95

61430

598.00

633.90

61433

450.65

477.70

61434

558.05

591.55

61437

492.20

521.75

61438

610.30

646.90

61441

444.10

470.75

61442

682.25

723.20

61445

260.10

275.70

61446

302.50

320.65

61449

413.75

438.55

61450

360.50

382.15

61453

466.75

494.75

61454

315.65

334.60

61457

426.65

452.25

61458

359.95

381.55

61461

478.70

507.40

61465

240.75

255.20

61469

315.65

334.60

61473

159.05

168.60

61480

350.80

371.85

61484

798.80

846.75

61485

906.15

960.50

61495

202.30

214.45

61499

229.45

243.20

Notes

1. These Regulations amend Statutory Rules 2003 No. 268, as amended by 2003 No. 358; 2004 No. 64.

2. Notified in the Commonwealth of Australia Gazette

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