Health Insurance (Duplex Scanning for Erectile Dysfunction) Determination 2010 (No. 1) (Cth)

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Health Insurance (Duplex Scanning for Erectile Dysfunction) Determination 2010 (No. 1)

as amended

made under subsection 3C(1) of the Health Insurance Act 1973

Compilation start date:   27 November 2013

Includes amendments up to: Health Insurance (MRI for Patients 16 Years and Over and Capital Sensitivity Consequential Amendments) Determination 2013

About this compilation

This compilation

This is a compilation of the Health Insurance (Duplex Scanning for Erectile Dysfunction) Determination 2010 (No. 1) as in force on 27 November 2013. It includes any commenced amendment affecting the legislation to that date.

This compilation was prepared on 4 December 2013.

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of each amended provision.

Uncommenced amendments

The effect of uncommenced amendments is not reflected in the text of the compiled law but the text of the amendments is included in the endnotes.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Modifications

If a provision of the compiled law is affected by a modification that is in force, details are included in the endnotes.

Provisions ceasing to have effect

If a provision of the compiled law has expired or otherwise ceased to have effect in accordance with a provision of the law, details are included in the endnotes.

Contents

1          Name of Determination                  1

2          Commencement   1

3          Revocation                                  1

4          Interpretation               1

5          Treatment of a relevant service (Act s. 3C (1))               2

6          Specified circumstances (Act s. 3C (1))               2

Schedule 1       Specified health services   3

Schedule 2       Specified medical practitioner               4

1          Name of Determination

This Determination is the Health Insurance (Duplex Scanning for Erectile Dysfunction) Determination 2010 (No. 1).

2          Commencement

This Determination commences on 1 July 2010. 

3          Revocation

This Determination revokes the Health Insurance Determination HS/5/1997.

4          Interpretation

(1)        In this Determination:

relevant medical practitioner means a medical practitioner, as defined in subsection 3 (1) of the Act, who is specified in Schedule 2.

relevant service means a health service, as defined in subsection 3C (8) of the Act, that is specified in Schedule1.

the Act means the Health Insurance Act 1973.

the Schedule means the Schedule to this Determination.

Note       Unless the contrary intention appears, expressions used in this Determination have the same meanings as in the Act—see section 13 of the Legislative Instruments Act 2003.

(2)        Unless the contrary intention appears, in this Determination a reference to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.

5          Treatment of a relevant service

Subject to section 6, for provisions of the Act and regulations made under the Act and the National Health Act 1953 and regulations made under that Act that relate to professional or medical services, a relevant service shall be treated as if:

(a)        it were both a professional service and a medical service; and

(b)        there were an item in Group I1 of the diagnostic imaging services table that related to the relevant service and specified in respect of the service a fee in relation to a State, being the fee specified in the Schedule in relation to the State specified.

6          Specified circumstances (Act s.3C(1))

Section 5 applies to a relevant service if it is rendered by a relevant medical practitioner in the following circumstances:

(a)        the relevant medical practitioner:

(i)         attends the patient in person at the practice location where the service is performed, immediately before or for a period during the performance of the service; and

(ii)        interprets the results and prepares a report; and

(b)        the patient is referred to the relevant medical practitioner by another medical practitioner; and

(c)        the service is not one to which an item in Group I1 of the diagnostic imaging services table applies.

Schedule 1     Specified health services

(Subsection 4(1))

Item

Health Service

Fee ($)

55208

DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of cavernosal artery of the penis following
intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of
the injected agent to confirm a diagnosis of vascular aetiology for impotence (R)(K).

A fee equal to the fee in item 55282 of the diagnostic imaging services table, as specified in that item from time to time.

55211

DUPLEX SCANNING involving B mode ultrasound

imaging and integrated Doppler flow measurement by

spectral analysis of cavernosal tissue of the penis to confirm

a diagnosis and, where indicated, assess the progress and

management of: (a) priapism; or (b) fibrosis of any type; or

(c) fracture of the tunica; or (d) arteriovenous malformations (R)(K).

A fee equal to the fee in item 55284 of the diagnostic imaging services table, as specified in that item from time to time.

55209

DUPLEX SCANNING involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis

of cavernosal artery of the penis following intracavernosal administration of a vasoactive agent, performed during the period of pharmacological activity of the injected agent to confirm a diagnosis of vascular aetiology for impotence (R)(NK).

A fee equal to the fee in item 55230 of the diagnostic imaging services table, as specified in that item from time to time.

55212

DUPLEX SCANNING involving B model ultrasound imaging and integrated Doppler flow measurement by spectral analysis
of cavernosal tissue of the penis to confirm a diagnosis and, where indicated, assess the progress and management of:
(a) priapism; or (b) fibrosis of any type; or (c) fracture of the tunica; or (d) arteriovenous malformations (R)(NK).

A fee equal to the fee in item 55232 of the diagnostic imaging services table, as specified in that item from time to time.

Schedule 2     Specified medical practitioner

(Subsection 4(1))

Number Medical Practitioner
1 Dr Christopher McMahon, provider number 045449 of Australian Centre for Sexual Health, Berry Road Medical Centre, St Leonards NSW 2065

Endnotes

Endnote 1—About the endnotes

The endnotes provide details of the history of this legislation and its provisions. The following endnotes are included in each compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Endnote 5—Uncommenced amendments

Endnote 6—Modifications

Endnote 7—Misdescribed amendments

Endnote 8—Miscellaneous

If there is no information under a particular endnote, the word “none” will appear in square brackets after the endnote heading.

Abbreviation key—Endnote 2

The abbreviation key in this endnote sets out abbreviations that may be used in the endnotes.

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

The legislation history in endnote 3 provides information about each law that has amended the compiled law. The information includes commencement information for amending laws and details of application, saving or transitional provisions that are not included in this compilation.

The amendment history in endnote 4 provides information about amendments at the provision level. It also includes information about any provisions that have expired or otherwise ceased to have effect in accordance with a provision of the compiled law.

Uncommenced amendments—Endnote 5

The effect of uncommenced amendments is not reflected in the text of the compiled law, but the text of the amendments is included in endnote 5.

Modifications—Endnote 6

If the compiled law is affected by a modification that is in force, details of the modification are included in endnote 6.

Misdescribed amendments—Endnote 7

An amendment is a misdescribed amendment if the effect of the amendment cannot be incorporated into the text of the compilation. Any misdescribed amendment is included in endnote 7.

Miscellaneous—Endnote 8

Endnote 8 includes any additional information that may be helpful for a reader of the compilation.

Endnote 2—Abbreviation key

ad = added or inserted pres = present
am = amended prev = previous
c = clause(s) (prev) = previously
Ch = Chapter(s) Pt = Part(s)
def = definition(s) r = regulation(s)/rule(s)
Dict = Dictionary Reg = Regulation/Regulations
disallowed = disallowed by Parliament reloc = relocated
Div = Division(s) renum = renumbered
exp = expired or ceased to have effect rep = repealed
hdg = heading(s) rs = repealed and substituted
LI = legislative instrument s = section(s)
LIA = Legislative Instruments Act 2003 Sch = Schedule(s)
mod = modified/modification Sdiv = Subdivision(s)
No = Number(s) SLI = Select Legislative Instrument
o = order(s) SR = Statutory Rules
Ord = Ordinance Sub-Ch = Sub-Chapter(s)
orig = original SubPt = Subpart(s)
par = paragraph(s)/subparagraph(s)
          /sub-subparagraph(s)

Endnote 3—Legislation history

Name FRLI registration or gazettal Commencement Application, saving and transitional provisions
Health Insurance (Duplex Scanning for Erectile Dysfunction) Determination 2010 (No. 1) 24 June 2010 (see F2010L01659) 1 July 2010
Health Insurance (Duplex Scanning for Erectile Dysfunction) Amendment Determination 2011 (No. 1) 9 May 2011 (see  F2011L00723) 1 July 2011 ____

Health Insurance (MRI for Patients 16 Years and Over and Capital Sensitivity Consequential Amendments) Determination 2013

31 October 2013 (see F2013L01863) Sch 2 (items 12 – 16): 27 November 2013 ____

Endnote 4—Amendment history

Provision affected How affected
s 5………………………….. am F2011L00723
rs F2013L01863
Sch 1………………………. am F2011L00723; F2013L01863

Endnote 5—Uncommenced amendments [none]

Endnote 6—Modifications [none]

Endnote 7—Misdescribed amendments [none]

Endnote 8—Miscellaneous [none]

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