Health Insurance (General Medical Services Table) Amendment Regulations 2007 (No. 4) (Cth)

Health Insurance (General Medical Services Table) Amendment Regulations 2007 (No. 4)¹

Select Legislative Instrument 2007 No. 100

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 26 April 2007

P. M. JEFFERY

Governor‑General

By His Excellency’s Command

TONY ABBOTT

Minister for Health and Ageing

Name of Regulations

These Regulations are the Health Insurance (General Medical Services Table) Amendment Regulations 2007 (No. 4).

Commencement

These Regulations commence on 1 May 2007.

Amendment of Health Insurance (General Medical Services Table) Regulations 2006

Schedule 1 amends the Health Insurance (General Medical Services Table) Regulations 2006.

Schedule 1 Amendments

(regulation 3)

[1] Schedule 1, Part 2, subrule 3 (1), definition of general practitioner, paragraph (e)

omit

GPET.

insert

GPET; or

[2] Schedule 1, Part 2, subrule 3 (1), definition of general practitioner, after paragraph (e)

insert

(f)a practitioner who is undertaking a placement in general practice as part of the Remote Vocational Training Scheme administered by Remote Vocational Training Scheme Limited.

[3] Schedule 1, Part 2, after rule 13

insert

Group T8 services may be provided by a specialist trainee

(1)An item in Group T8 applies to a medical service provided by:

(a)a medical practitioner; or

(b)a specialist trainee under the direct supervision of a medical practitioner.

(2)For paragraph (1) (b), a medical service provided by a specialist trainee is taken to have been provided by the supervising medical practitioner.

(3)In this regulation:

accredited advanced training placement means a placement in an advanced training position:

(a)accredited by the Royal Australasian College of Surgeons; and

(b)allowing a participant to undertake part of a training program leading to the attainment of a Fellowship of the Royal Australasian College of Surgeons.

specialist trainee means a medical practitioner who is:

(a)enrolled in and undertaking a training course with the Royal Australasian College of Surgeons; or

(b)undertaking an accredited advanced training placement, with access to Medicare benefits, that is limited to attendances provided at a practice nominated by the Royal Australasian College of Surgeons for a specified time period.

[4] Schedule 1, Part 2, paragraph 64C (1) (a)

omit

antenatal care; and

insert

an antenatal service; and

[5] Schedule 1, Part 2, paragraph 64C (1) (c)

omit

servive

insert

service

[6] Schedule 1, Part 2, rule 74

substitute

Restriction of telepsychiatry consultations to rural and remote areas

Each of items 353 to 358 applies only to a consultation that is provided to a patient located in an R1, R2, R3, Rem1 or Rem2 area within the meaning of the Rural, Remote and Metropolitan Areas Classification.

[7] Schedule 1, Part 2, rule 76A, heading

substitute

76AMeaning of expressions used in rules 77A to 78 and Group A20

[8] Schedule 1, Part 2, subrule 76A (1)

omit

rules 77

insert

rules 77A

[9] Schedule 1, Part 2, subrule 76A (1), before definition of mental disorder

insert

3 Step Mental Health Process means a service provided to a patient under item 2574, 2575, 2577, 2578, 2704, 2705, 2707 or 2708 of the Health Insurance (General Medical Services Table) Regulations 2006 as in force on 30 April 2007.

[10] Schedule 1, Part 2, paragraph 76A (2) (b)

after

patient’s

insert

care

[11] Schedule 1, Part 2, rule 77

omit

[12] Schedule 1, Part 2, paragraph 77A (4) (a)

substitute

(a)reviews the matters mentioned in subrule (1) as applicable; and

[13] Schedule 1, Part 2, paragraph 77A (4) (c)

after

appropriate

insert

and if not previously provided

[14] Schedule 1, Part 2, paragraph 77A (4) (d)

omit

or not previously used

[15] Schedule 1, Part 2, after rule 97

insert

Application of item 35412

(1)Intra‑operative imaging is taken to be part of the service associated with the coiling of an aneurysm and cannot be charged in addition to item 35412.

(2)Pre‑operative diagnostic imaging, including aftercare, under item 60009, 60072, 60075 or 60078 of the diagnostic imaging services table may be separately claimed.

[16] Schedule 1, Part 3, item 299, column 3

substitute

275.10

[17] Schedule 1, Part 3, items 353 to 370

substitute

353	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 15 minutes duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	50.60
355	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 15 minutes, but not more than 30 minutes, duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	101.10
356	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 30 minutes, but not more than 45 minutes, duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	148.25
357	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 45 minutes, but not more than 75 minutes, duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	204.55
358	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a telepsychiatry consultation of more than 75 minutes duration, if: (a) that attendance and any other attendance to which any of items 353 to 358 applies have not exceeded 12 attendances in a calendar year for the patient; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	249.15
364	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of not more than 15 minutes duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 applies: (i) before that attendance; or (ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	38.30
366	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of more than 15 minutes, but not more than 30 minutes, duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 applies: (i) before that attendance; or (ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	76.40
367	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of more than 30 minutes, but not more than 45 minutes, duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 apply: (i) before that attendance; or (ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	117.60
369	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of more than 45 minutes, but not more than 75 minutes, duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 apply: (i) before that attendance; or (ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	162.40
370	Professional attendance by a consultant physician in the practice of his or her specialty of psychiatry following referral of the patient to him or her by a medical practitioner — a face‑to‑face consultation of more than 75 minutes duration, if: (a) the patient has had a telepsychiatry consultation to which any of items 353 to 358 applies: (i) before that attendance; or (ii) if the patient has previously had a face‑to‑face consultation to which any of items 364 to 370 applies — since the patient’s last face‑to‑face consultation; and (b) that attendance and any other attendance to which any of items 300 to 308 and 353 to 370 applies have not exceeded 50 attendances in a calendar year for the patient	188.30

[18] Schedule 1, Part 3, Group A18, Subgroup 4

omit

[19] Schedule 1, Part 3, Group A19, Subgroup 4

omit

[20] Schedule 1, Part 3, after item 30061

insert

30062

Etonogestrel subcutaneous implant, removal of, as an independent procedure (Anaes.)

53.65

[21] Schedule 1, Part 3, items 31300, 31305, 31310, 31315, 31320, 31325, 31330 and 31335

omit

the primary tumour)

insert

excision)

[22] Schedule 1, Part 3, item 37227

omit

15327 or 15328

insert

15331 or 15332

[23] Schedule 1, Part 3, items 38200 to 38206

substitute

38200	Right heart catheterisation with any 1 or more of — fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection or exercise stress test (Anaes.)	393.60
38203	Left heart catheterisation by percutaneous arterial puncture, arteriotomy or percutaneous left ventricular puncture with any 1 or more of — fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection or exercise stress test (Anaes.)	469.65
38206	Right heart catheterisation with left heart catheterisation via the right heart or by any other procedure, with any 1 or more of — fluoroscopy, oximetry, dye dilution curves, cardiac output measurements by any method, shunt detection or exercise stress test (Anaes.)	567.85

[24] Schedule 1, Part 3, after item 45560

insert

45561

Microvascular anastomosis of artery or vein using microsurgical techniques, for supercharging of pedicled flaps (H) (Anaes.) (Assist.)

1 568.20

[25] Schedule 1, Part 3, items 45564 and 45565

after

anastomoses of

insert

up to 2

Note

All legislative instruments and compilations are registered on the Federal Register of Legislative Instruments kept under the Legislative Instruments Act 2003. See