Health Insurance (General Medical Services Table) Amendment Regulations 2001 (No. 1) (Cth)

Health Insurance (General Medical Services Table) Amendment Regulations 2001 (No. 1)1

Statutory Rules 2001 No. 792

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 19 April 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 (General Medical Services Table) Amendment Regulations 2001 (No. 1).

2Commencement

 These Regulations commence on 1 May 2001.

3Amendment of Health Insurance (General Medical Services Table) Regulations 2000

Schedule 1 amends the Health Insurance (General Medical Services Table) Regulations 2000.

Schedule 1Amendments

  

(regulation 3)

[1]Schedule 1, Part 2, after rule 6

insert

6AAssistance at operations

• (1)

  If an item that describes a service includes the word ‘(Assist.)’, the item in Group T9 or O2 in Part 3 that describes the assistance given applies to the provision of that assistance.

• (2)

  An item that applies because of subrule (1) is in addition to:

  • (a)

    an item that applies to the practitioner who performs the operation; and

  • (b)

    for a service mentioned in rule 6 — an item that applies to the practitioner who administers the anaesthetic.

[2]Schedule 1, Part 2, rule 8

Provision	omit	insert
Subparagraph 8 (1) (b) (i)	$19.15	$19.55
Subparagraph 8 (1) (b) (ii)	$1.30	$1.35
Subparagraph 8 (2) (b) (i)	$19.15	$19.55
Subparagraph 8 (2) (b) (ii)	$1.30	$1.35
Subparagraph 8 (3) (b) (i)	$19.15	$19.55
Subparagraph 8 (3) (b) (ii)	$1.30	$1.35
Subparagraph 8 (4) (b) (i)	$19.15	$19.55
Subparagraph 8 (4) (b) (ii)	$1.30	$1.35
Subparagraph 8 (9) (b) (i)	$19.15	$19.55
Subparagraph 8 (9) (b) (ii)	$1.30	$1.35

[3]Schedule 1, Part 3, after item 417

insert

Group A16 — Attendance by a medical practitioner who is a sports physician in the practice of sports medicine and to which no other item applies
Subgroup 1 — Surgery consultations
444	Professional attendance at consulting rooms for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management	13.10
445	Professional attendance at consulting rooms involving taking a selective history, examination of the patient with implementation of a management plan in relation to 1 or more problems, or an attendance of less than 20 minutes duration involving components of a service to which item 446 applies	27.55
446	Professional attendance at consulting rooms involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more problems, and lasting at least 20 minutes, or an attendance of less than 40 minutes duration involving components of a service to which item 447 applies	49.80
447	Professional attendance at consulting rooms involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to 1 or more complex problems, and lasting at least 40 minutes, or an attendance of at least 40 minutes duration for implementation of a management plan	73.35
Subgroup 2 — Emergency attendances — after hours
448	Professional attendance at consulting rooms where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the practitioner to return to, and specially open, consulting rooms for the attendance — each attendance other than an attendance between 11 pm and 7 am, on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday, or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday	89.15
449	Professional attendance at consulting rooms where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment and where it is necessary for the practitioner to return to, and specially open, consulting rooms for the attendance — each attendance on any day of the week between 11 pm and 7 am	106.65

[4]Schedule 1, Part 3, items 49348, 49351, 49354 and 49357

omit

[5]Schedule 1, Part 3, items 30187, 30190, 30196, 32131, 35638, 35641, 35753, 36528, 36567, 36615, 36803, 36806, 36809, 37044, 37209, 45528, 45543, 45544, 45652, 45669 and 50351

substitute each of the following items in its correct numerical position

30187	Palmar or plantar warts, removal of, by carbon dioxide laser or erbium laser, requiring admission to a hospital or day-hospital facility, or when performed by a specialist in the practice of his or her specialty (5 or more warts) (Anaes. 17707 = 3B + 4T)	200.05
30190	Angiofibromas, trichoepitheliomas or other severely disfiguring tumours of the face or neck, suitable for laser excision as confirmed by specialist opinion — removal of, by serial curettage or carbon dioxide laser or erbium laser excision-ablation, including any associated resurfacing (10 or more tumours) (Anaes. 17710 = 4B + 6T)	309.70
30196	Cancer of skin or mucous membrane proven by histopathology or confirmed by specialist opinion — removal of, by serial curettage or carbon dioxide laser or erbium laser excision-ablation, including any associated cryotherapy, or diathermy, not being a service to which item 30197 applies (Anaes. 17706 = 4B + 2T)	98.35
32131	Rectocele, transanal repair of rectocele (Anaes. 17710 = 4B + 6T) (Assist.)	415.45
35638	Complicated operative laparoscopy, including use of laser when required, for 1 or more of the following procedures — oophorectomy, ovarian cystectomy, myomectomy, salpingectomy or salpingostomy, ablation of moderate or severe endometriosis requiring more than 1 hour’s operating time, or division of utero-sacral ligaments for significant dysmenorrhoea — not being a service associated with any other intraperitoneal or retroperitoneal procedure except item 30393 (Anaes. 17714 = 6B + 8T) (Assist.)	554.00
35641	Endometriosis level 4 or 5, laparoscopic resection of, involving any 2 of the following procedures: (a) resection of the pelvic side wall including dissection of endometriosis or scar tissue from the ureter; (b) resection of the Pouch of Douglas; (c) resection of an ovarian endometrioma greater than 2 cms in diameter; (d) dissection of bowel from uterus from the level of the endocervical junction or above; where the operating time exceeds 90 minutes (Anaes. 17722 = 6B + 16T) (Assist.)	967.45
35753	Laparoscopically assisted hysterectomy, with 1 or more of the following procedures — salpingectomy, oophorectomy, excision of ovarian cyst or treatment of moderate endometriosis, 1 or both sides, including any associated laparoscopy (Anaes. 17719 = 6B + 13T) (Assist.)	675.50
36528	Nephrectomy, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour less than 10 cms in diameter (Anaes. 17720 = 10B + 10T) (Assist.)	1 005.20
36567	Pyeloplasty in a kidney that is congenitally abnormal in addition to the presence of pelvic-ureteric junction obstruction, or in a solitary kidney, by open exposure (Anaes. 17717 = 7B + 10T) (Assist.)	791.25
36615	Ureterolysis, with or without repositioning of ureter, for obstruction of the ureter, evident either radiologically or by proximal ureteric dilatation at operation, secondary to retroperitoneal fibrosis, or similar condition (Anaes. 17713 = 6B + 7T) (Assist.)	577.25
36803	Ureteroscopy, of 1 ureter, with or without any 1 or more of cystoscopy, ureteric meatotomy, or ureteric dilatation, not being a service associated with a service to which item 36652, 36654, 36656, 36806, 36809, 36812, 36824, 36848 or 36857 applies (Anaes. 17706 = 3B + 3T) (Assist.)	363.10
36806	Ureteroscopy, of 1 ureter, with or without any 1 or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus 1 or more of extraction of stone from the ureter, or biopsy or diathermy of the ureter, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36809, 36824, 36848 or 36857 applies to a procedure performed on the same ureter (Anaes. 17706 = 3B + 3T) (Assist.)	505.90
36809	Ureteroscopy, of 1 ureter, with or without any 1 or more of, cystoscopy, ureteric meatotomy or ureteric dilatation, plus destruction of stone in the ureter with ultrasound, electrohydraulic or kinetic lithotripsy or laser, with or without extraction of fragments, not being a service associated with a service to which item 36803 or 36812 applies, or a service associated with a service to which item 36806, 36824, 36848 or 36857 applies to a procedure performed on the same ureter (Anaes. 17707 = 3B + 4T) (Assist.)	648.55
37044	Bladder stress incontinence, suprapubic procedure for, eg. Burch colposuspension, not being a service to which item 35599 applies (Anaes. 17711 = 6B + 5T) (Assist.)	538.65
37209	Total excision (not being a service associated with a service to which item number 37210 or 37211 applies) of any, or all of: (a) prostate; or (b) seminal vesicle, unilateral or bilateral; or (c) ampulla of vas, unilateral or bilateral (Anaes. 17723 = 7B + 16T) (Assist.)	1 005.20
45528	Mammaplasty, augmentation, bilateral, not being a service to which item 45524 or 45527 applies, where it can be demonstrated that surgery is indicated because of disease, trauma or congenital malformation of the breast (Anaes. 17713 = 5B + 8T) (Assist.)	866.05
45543	Breast ptosis, correction of (unilateral), to match the position of the contralateral breast (Anaes. 17713 = 5B + 8T) (Assist.)	596.35
45544	Breast ptosis, correction of (bilateral), following pregnancy and lactation, when performed within 6 years of the most recent pregnancy, and where it can be demonstrated that the nipple is inferior to the infra-mammary groove (Anaes. 17713 = 5B + 8T) (Assist.)	894.50
45652	Rhinophyma, carbon dioxide laser or erbium laser excision — ablation of (Anaes. 17710 = 5B + 5T)	277.45
45669	Vermilionectomy, using carbon dioxide laser or erbium laser excision — ablation (Anaes. 17709 = 5B + 4T)	253.80
50351	Hip, developmental dislocation of, open reduction of (Anaes. 17720 = 6B + 14T) (Assist.)	777.15

[6]Schedule 1, Part 3

insert each of the following items in its correct numerical position

35616	Endometrium, endoscopic examination of and ablation of, by microwave, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage (Anaes. 17708 = 4B + 4T)	350.00
35754	Laparoscopically assisted hysterectomy which requires dissection of endometriosis, or other pathology, from the ureter, 1 or both sides, including any associated laparoscopy, including when performed with 1 or more of the following procedures — salpingectomy, oophorectomy, excision of ovarian cyst or treatment of endometriosis, not being a service to which item 35641 applies (Anaes. 17720 = 6B + 14T) (Assist.)	850.00
36529	Nephrectomy, radical with en bloc dissection of lymph nodes, with or without adrenalectomy, for a tumour 10 cms or more in diameter, or complicated by previous open or laparoscopic surgery on the same kidney (Anaes. 17722 = 10B + 12T) (Assist.)	1 240.55
36532	Nephro-ureterectomy, for tumour, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures (Anaes. 17723 = 10B + 13T) (Assist.)	1 293.85
36533	Nephro-ureterectomy, for tumour, with or without en bloc dissection of lymph nodes, including associated bladder repair and any associated endoscopic procedures, complicated by previous open or laparoscopic surgery on the same kidney or ureter (Anaes. 17724 = 10B + 14T) (Assist.)	1 529.15
36652	Pyeloscopy, retrograde, of 1 collecting system, with or without any 1 or more of, cystoscopy, ureteric meatotomy, ureteric dilatation, not being a service associated with a service to which item 36803, 36812 or 36824 applies (Anaes. 17706 = 3B + 3T) (Assist.)	505.90
36654	Pyeloscopy, retrograde, of 1 collecting system, being a service to which item 36652 applies, plus 1 or more of extraction of stone from the renal pelvis or calyces, or biopsy or diathermy of the renal pelvis or calyces (Anaes. 17707 = 3B + 4T) (Assist.)	648.55
36656	Pyeloscopy, retrograde, of 1 collecting system, being a service to which item 36652 applies, plus extraction of 2 or more stones in the renal pelvis or calyces or destruction of stone with ultrasound, electrohydraulic or kinetic lithotripsy or laser in the renal pelvis or calyces, with or without extraction of fragments (Anaes. 17708 = 3B + 5T) (Assist.)	830.10
37042	Bladder stress incontinence — sling procedure for, using autologous fascial sling, including harvesting of sling, not being a service to which item 35599 applies (Anaes. 17713 = 6B + 7T) (Assist.)	709.55
37043	Bladder stress incontinence, Stamey or similar type needle colposuspension, not being a service to which item 35599 applies (Anaes. 17711 = 6B + 5T) (Assist.)	525.15
37340	Urethral sling, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence — vaginal approach, not being a service associated with a service to which item 37341 applies (Anaes. 17706 = 3B + 3T) (Assist.)	330.90
37341	Urethral sling, division or removal of, for urethral obstruction or erosion, following previous surgery for urinary incontinence — suprapubic or vaginal approach, not being a service associated with a service to which item 37340 applies (Anaes. 17708 = 3B + 5T) (Assist.)	709.55
37343	Urethroplasty, single stage operation, transpubic approach via separate incisions above and below the symphysis pubis, excluding laparotomy, symphysectomy and suprapubic cystotomy, with or without re-routing of the urethra around the crura (Anaes. 17712 = 3B + 9T) (Assist.)	1 083.05
37418	Penis, correction of chordee, with or without excision of fibrous plaque or plaques and with or without grafting, involving mobilisation of the urethra (Anaes. 17708 = 3B + 5T) (Assist.)	577.25
50349	Hip, congenital dislocation of, treatment of, by closed reduction (Anaes. 17707 = 4B + 3T) (Assist.)	124.65
50350	Hip, congenital dislocation of, open reduction of (Anaes. 17710 = 5B + 5T) (Assist.)	659.70
50352	Hip, congenital dislocation of, treatment of, involving supervision of splint, harness or cast — each attendance (Anaes. 17707 = 4B + 3T)	44.00
50353	Hip spica, initial application of, for congenital dislocation of hip (excluding after care) (Anaes. 17707 = 4B + 3T) (Assist.)	276.25

[7]Further amendments — Schedule 1, Part 3

Item	omit	insert
1	59.45	89.15
2	59.45	89.15
3	12.85	13.10
23	27.00	27.55
36	48.75	49.80
44	71.85	73.35
160	164.05	167.55
161	273.45	279.25
162	382.85	390.95
163	492.30	502.75
164	547.05	558.65
193	27.00	27.55
601	71.10	106.65
602	71.10	106.65

Notes

1. These Regulations amend Statutory Rules 2000 No. 292, as amended by 2000 No. 356.

2. Notified in the Commonwealth of Australia Gazette