Health Insurance (General Medical Services Table) Regulations 2010 (Cth)
Health Insurance (General Medical Services Table) Regulations 2010
Select Legislative Instrument 2010 No. 264 as amended
made under the
Health Insurance Act 1973
This compilation was prepared on 1
October 2011
taking into account amendments up to SLI 2011 No. 120
Prepared by the Office of
Legislative Drafting and Publishing,
Attorney-General’s Department, Canberra
Contents
1Name of Regulations [see Note 1] 12
2Commencement 12
3Repeal 12
4Dictionary 12
5General medical services table 12
Schedule 1General medical services table 13
Part 1Preliminary 13
Division 1.1 Interpretation
1.1.1Meaning of eligible non‑vocationally recognised medical practitioner 13
1.1.2Meaning of general practitioner 15
1.1.3Meaning of multidisciplinary case conference 16
1.1.4Meaning of multidisciplinary case conference team 16
1.1.5Meaning of single course of treatment 17
1.1.6Meaning of symbol (G) 18
1.1.7Meaning of symbol (H) 18
1.1.8Meaning of symbol (S) 19
Division 1.2 General application provisions
1.2.1Application 20
1.2.2Attendance by specialist or consultant physician 20
1.2.3Professional attendance services 21
1.2.4Personal attendance by medical practitioners generally 21
1.2.5Personal attendance by medical practitioners 23
1.2.6Consultant occupational physicians 24
1.2.7Application of items 3 to 10943 24
1.2.8Services that may be provided by persons other than medical practitioners 25
Part 2Services and fees 26
Division 2.1 Groups A1 to A10
2.1.1Meaning of amount under clause 2.1.1 26
Division 2.2 Group A1 — General practitioner attendances to which no other item applies
Division 2.3 Group A2 — Other non‑referred attendances to which no other item applies
2.3.1Effect of determination under section 106TA of Act 32
Division 2.4 Group A3 — Specialist attendances to which no other item applies
Division 2.5 Group A4 — Consultant physician attendances to which no other item applies
Division 2.5A Group A29 — Early intervention services for children with autism, pervasive developmental disorder or disability
2.5A.1Meaning of eligible allied health provider and risk assessment 40
2.5A.2Meaning of eligible disability 41
Division 2.6 Group A28 — Geriatric medicine
Division 2.7 Group A5 — Prolonged attendances to which no other item applies
2.7.1Application of items 160 to 164 48
Division 2.8 Group A6 — Group therapy
Division 2.9 Group A7 — Acupuncture
2.9.1Meaning of qualified medical acupuncturist 49
Division 2.10 Group A8 — Consultant psychiatrist attendances to which no other item applies
2.10.1Application of items 291, 293 and 359 52
2.10.2Application of items 342, 344 and 346 52
2.10.3Restriction of telepsychiatry consultations to regional, rural and remote areas 52
2.10.4Meaning of eligible allied health provider and risk assessment 65
Division 2.11 Group A12 — Consultant occupational physician attendances to which no other item applies
Division 2.12 Group A13 — Public health physician attendances to which no other item applies
2.12.1Public health physicians 67
Division 2.14 Group A21 — Emergency physician attendances to which no other item applies
2.14.1Meaning of recognised emergency department 70
2.14.2Meaning of problem focussed history 70
2.14.3Attendance for emergency evaluation of critically ill patients 70
Division 2.15 Group A11 — Urgent attendances after hours
2.15.1Meaning of patient’s medical condition requires urgent treatment 74
2.15.2Meaning of responsible person 74
2.15.3Application of Group A11 75
2.15.4Effect of determination under section 106TA of Act 75
Division 2.16 Group A14 — Health assessments
2.16.1Application of Group A14 77
2.16.2Types of health assessments 77
2.16.3Application of item 715 to certain patients only 79
2.16.4Healthy Kids Check 80
2.16.5Type 2 Diabetes Risk Evaluation 81
2.16.645 year old Health Assessment 82
2.16.7Older Person’s Health Assessment 83
2.16.8Comprehensive Medical Assessment for permanent resident of residential aged care facility 84
2.16.9Health assessment for a person with an intellectual disability 85
2.16.10Health assessment for a refugee or other humanitarian entrant 87
2.16.11Aboriginal and Torres Strait Islander child health assessment 88
2.16.12Aboriginal and Torres Strait Islander adult health assessment 90
2.16.13Aboriginal and Torres Strait Islander Older Person’s Health Assessment 92
2.16.14Restrictions on health assessments for Group A14 93
Division 2.17 Group A15 — GP management plans, team care arrangements and multidisciplinary care plans and case conferences
Subdivision A General
2.17.1Service by medical practitioners 95
Subdivision B Subgroup 1 of Group A15
2.17.2Meaning of associated medical practitioner 96
2.17.3Meaning of contribute to a multidisciplinary care plan 96
2.17.4Meaning of coordinating the development of team care arrangements 97
2.17.5Meaning of coordinating a review of a GP management plan 98
2.17.6Meaning of multidisciplinary care plan 99
2.17.7Meaning of preparing a GP management plan 99
2.17.8Meaning of reviewing a GP management plan 100
2.17.9Application of items 721, 723, 729, 731 and 732 101
2.17.10Application of items 701 to 723 and 732 102
2.17.11Limitation on items 721, 723, 729, 731 and 732 102
Subdivision C Subgroup 2 of Group A15
2.17.12Meaning of multidisciplinary discharge case conference 106
2.17.13Meaning of multidisciplinary case conference in a residential aged care facility 106
2.17.14Meaning of organise and coordinate 106
2.17.15Meaning of participate 107
2.17.16Meaning of coordinating 108
2.17.17Meaning of case conference team 108
2.17.18Application of item 880 109
Division 2.18 Group A17 — Domiciliary and residential medication management reviews
2.18.1Meaning of living in a community setting 115
2.18.2Meaning of residential medication management review 116
2.18.3Application of items 900 and 903 117
Division 2.19 Groups A18 (General practitioner attendances associated with PIP payments) and A19 (Other non‑referral attendances associated with PIP payments to which no other item applies)
2.19.1Application of Subgroup 1 of Groups A18 and A19 118
2.19.2Application of Subgroup 2 of Groups A18 and A19 118
2.19.3Application of Subgroup 3 of Groups A18 and A19 120
Division 2.20 Group A20 — Mental health care
2.20.1Definitions 132
2.20.2Meaning of amount under clause 2.20.2 133
2.20.3Meaning of preparation of a GP mental health treatment plan 133
2.20.4Meaning of review of a GP mental health treatment plan 135
2.20.5Meaning of associated medical practitioner 136
2.20.6Application of Subgroup 1 of Group A20 136
2.20.7Application of items 2710 and 2712 137
2.20.8Focussed psychological strategies 138
Division 2.21 Group A24 — Palliative and pain medicine
2.21.1Meaning of organise and coordinate 141
2.21.2Meaning of participate 141
2.21.3Application of Group A24 142
2.21.4Limitation on items 142
Division 2.22 Group A27 — Pregnancy support counselling
2.22.1Application of item 4001 149
Division 2.23 Group A22 — General practitioner after‑hours attendances to which no other item applies
2.23.1Application of Group A22 150
Division 2.24 Group A23 — Other non‑referred after‑hours attendances to which no other item applies
2.24.1Application of Group A23 155
Division 2.25 Group A25 — Outer metropolitan specialist trainee attendances
2.25.1Meaning of outer metropolitan specialist trainee 158
Division 2.26 Group A26 — Neurosurgery attendances to which no other item applies
Division 2.27 Group A9 — Contact lenses
2.27.1Application of item 10809 160
Division 2.28 Group A10 — Optometric services provided by participating optometrist
2.28.1Application of items 10900, 10940 and 10941 163
2.28.2Application of item 10929 163
2.28.3Limitation on items 163
2.28.4Application of items 10931, 10932 and 10933 164
2.28.5Limitation of item 10943 164
Division 2.29 Miscellaneous services
Division 2.30 Group M12 — Services provided by a practice nurse or a registered Aboriginal health worker on behalf of a medical practitioner
2.30.1Definitions for item 10997 171
2.30.2Application of item 10986 172
2.30.3Restrictions on item 10986 172
2.30.4Application of item 10988 173
2.30.5Application of item 10989 173
Division 2.31 Group M1 — Management of bulk‑billed services
2.31.1Definitions for Division 2.31 175
2.31.2Application of items 10990, 10991 and 10992 177
Division 2.32 Group M2 — Services provided by a practice nurse on behalf of a medical practitioner
2.32.1Definition 178
2.32.2Application of item 10993 179
2.32.3Application of items 10994 and 10995 179
2.32.4Application of item 10996 179
2.32.5Application of items 10998 and 10999 180
Division 2.33 Diagnostic Procedures and investigations
Division 2.34 Group D1 — Miscellaneous diagnostic procedures and investigations
2.34.1Meaning of report 181
2.34.2Meaning of qualified sleep medicine practitioner 182
2.34.3Application of Group D1 183
Division 2.35 Group D2 — Nuclear medicine (non‑imaging)
2.35.1Application of Group D2 207
Division 2.36 Therapeutic procedures
2.36.1Definition 208
2.36.2Medical services that may be provided by medical practitioner or specialist trainee 209
Division 2.37 Group T1 — Miscellaneous therapeutic procedures
2.37.1Meaning of comprehensive hyperbaric medicine facility 209
2.37.2Meaning of embryology laboratory services 210
2.37.3Meaning of treatment cycle 211
2.37.4Items provided as part of treatment cycle relating to assisted reproductive services not to apply 211
2.37.5Application of items 13020 to 14245 211
2.37.6Limitation on item 13104 211
2.37.7Items relating to assisted reproductive services not to apply in certain pregnancy‑related circumstances 212
2.37.8Application of items 14227 to 14242 212
2.37.9Application of item 14245 212
Division 2.38 Group T2 — Radiation oncology
2.38.1Meaning of amount under clause 2.38.1 226
2.38.2Meaning of approved site 226
2.38.3Application of Group T2 227
2.38.4Application of items 15556, 15559 and 15562 227
Division 2.39 Group T3 — Therapeutic nuclear medicine
2.39.1Application of Group T3 239
Division 2.40 Group T4 — Obstetrics
2.40.1Definitions for item 16400 240
2.40.2Meaning of amount under clause 2.40.2 240
2.40.3Meaning of delivery 241
2.40.4Application of Group T4 241
2.40.5Application of item 16400 241
2.40.6Limitation of items 16590 and 16591 242
Division 2.41 Group T6 — Examination by anaesthetist
2.41.1Application of Group T6 247
Division 2.42 Group T7 — Regional or field nerve blocks
2.42.1Meaning of amount under clause 2.42.1 250
2.42.2Application of Group T7 251
Division 2.42A Group T11 — Botulinum toxin
2.42A.1Injection of botulinum toxin 254
2.42A.2Limitation of items 18360 and 18364 254
Division 2.43 Group T10 — Anaesthesia performed in connection with certain services (Relative Value Guide)
2.43.1Meaning of amount under clause 2.43.1 257
2.43.2Meaning of amount under clause 2.43.2 258
2.43.3Meaning of complex paediatric case 258
2.43.4Meaning of service time 259
2.43.5Application of Group T10 259
2.43.6Application of Subgroup 21 of Group T10 260
2.43.7Services mentioned in Subgroups 21 to 25 of Group T10 260
2.43.8Application of Subgroups 22 and 23 of Group T10 260
2.43.9Application of Subgroups 24 and 25 of Group T10 261
Division 2.44 Group T8 — Surgical operations
Subdivision A General
2.44.1Meaning of approved site 300
2.44.2Application of Group T8 300
Subdivision B Subgroup 1 of Group T8
2.44.4Meaning of amount under clause 2.44.4 300
2.44.5Meaning of amount under clause 2.44.5 300
2.44.6Meaning of qualified surgeon 301
2.44.7Meaning of qualified radiologist 301
2.44.8Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures 301
2.44.9Application of items 30299 and 30300 301
2.44.10Application of items 30440, 30451, 30492 and 30495 302
2.44.11Application of items 30688, 30690, 30692 and 30694 302
2.44.12Application of item 35412 302
Subdivision C Subgroups 2 and 3 of Group T8
2.44.13Meaning of foreign body in items 35360 to 35363 354
2.44.14Application of items 32500 to 32517 and 35321 355
2.44.15Application of items 35404, 35406 and 35408 355
Subdivision D Subgroups 4, 5 and 6 of Group T8
2.44.16Application of items 38365, 38368 and 38654 382
2.44.17Application of items 38470 to 38766 382
Subdivision E Subgroups 7 to 11 of Group T8
Subdivision F Subgroups 12 and 13
2.44.18Meaning of amount under clause 2.44.18 469
2.44.19Meaning of maxilla 469
Subdivision G Subgroup 14
2.44.20Items 46300 to 46534 apply only in certain circumstances 496
Subdivision H Subgroup 15
2.44.21Limitation of item 50303 503
Division 2.45 Group T9 — Assistance at operations
2.45.1Meaning of amount under clause 2.45.1 551
2.45.2Meaning of amount under clause 2.45.2 551
2.45.3Meaning of amount under clause 2.45.3 552
2.45.4Meaning of previous significant surgical complication 552
2.45.5Application of Group T9 552
2.45.6Assistance at operations 552
Division 2.46 Oral and Maxillofacial services
2.46.1Application of Groups O1 to O11 554
Division 2.47 Group O1 — Consultations
Division 2.48 Group O2 — Assistance at operation
2.48.1Meaning of amount under clause 2.48.1 554
2.48.2Assistance at operations 555
Division 2.49 Group O3 — General surgery
Division 2.50 Group O4 — Plastic and reconstructive
2.50.1Meaning of maxilla 562
Division 2.51 Group O5 — Preprosthetic
Division 2.52 Group O6 — Neurosurgical
Division 2.53 Group O7 — Ear, nose and throat
Division 2.54 Group O8 — Temporomandibular joint
Division 2.55 Group O9 — Treatment of fractures
Division 2.56 Group O10 — Diagnostic procedures and investigations
Division 2.57 Group O11 — Regional or field nerve blocks
Division 2.58 Cleft lip and cleft palate services
Division 2.59 Group C1 — Orthodontic services
2.59.1Cleft lip and cleft palate services 574
2.59.2Orthodontic services 574
Division 2.60 Group C2 — Oral and maxillofacial services
2.60.1Meaning of symbol (AD) 578
2.60.2Meaning of symbol (AOS) 578
2.60.3Meaning of accredited orthodontist 578
2.60.4Cleft lip and cleft palate services 579
Division 2.61 Group C3 — General and prosthodontic services
2.61.1Meaning of symbol (AD) 581
2.61.2Cleft lip and cleft palate services 582
Dictionary
Notes 594
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Name of Regulations [see Note 1]
These Regulations are the Health Insurance (General Medical Services Table) Regulations 2010.
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Commencement
These Regulations commence on 1 November 2010.
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Repeal
The Health Insurance(General Medical Services Table) Regulations 2009 are repealed.
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Dictionary
The Dictionary at the end of these Regulations defines certain words and expressions that are used in these Regulations, and includes references to certain words and expressions that are defined elsewhere in these Regulations.
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General medical services table
For subsection 4 (1) of the Act, these Regulations prescribe a table of medical services set out in Schedule 1.
Note Under section 4 of the Act, the table of medical services sets out the following:
(a)items of medical services;
(b)the amount of fees applicable for each item;
(c)rules for the interpretation of the table.
Schedule 1 General medical services table
(regulation 5)
Part 1 Preliminary
Division 1.1 Interpretation
1.1.1Meaning of eligible non‑vocationally recognised medical practitioner
(1)In the table:
eligible non‑vocationally recognised medical practitioner means:
(a)a medical practitioner (including an overseas trained practitioner or a temporary resident medical practitioner) who:
(i)is registered as a medical practitioner under the Rural Other Medical Practitioners’ Program; and
(ii)is providing general medical services in accordance with that Program; or
(b)a medical practitioner who:
(i)is registered as a medical practitioner under the Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program; and
(ii)is providing general medical services in accordance with that Program; and
(iii)is not vocationally registered under section 3F of the Act, but is required under that Program to undertake additional training or other activities:
(A)that could enable vocational registration within 4 years or, on written application, 5 years, after commencing the training or other activities; and
(B)of which the Chief Executive Medicare has written notice; or
(c)a medical practitioner who:
(i)is registered as a medical practitioner under the MedicarePlus for Other Medical Practitioners Program; and
(ii)is providing general medical services in accordance with that Program; and
(iii)is not vocationally registered under section 3F of the Act; or
(d)a medical practitioner who:
(i)is registered as a medical practitioner under the After Hours Other Medical Practitioners Program; and
(ii)is providing general medical services in accordance with that Program; and
(iii)is not vocationally registered under section 3F of the Act.
(2)In subclause (1):
After Hours Other Medical Practitioners Program means a program administered by the Chief Executive Medicare that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits.
MedicarePlus for Other Medical Practitioners Program means a program administered by the Chief Executive Medicare that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits.
Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program means a program administered by the Department that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits.
Rural Other Medical Practitioners’ Program means a program administered by the Chief Executive Medicare that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits.
1.1.2Meaning of general practitioner
In the table:
general practitioner means:
(a)a practitioner who is vocationally registered under section 3F of the Act; or
(b)a practitioner who:
(i)is a Fellow of the RACGP; and
(ii)participates in the quality assurance and continuing medical education program of the RACGP; and
(iii)meets the RACGP requirements for quality assurance and continuing education; or
(c)a practitioner in relation to whom a determination is in force under regulation 6DA of the Health Insurance Regulations 1975 recognising that he or she meets the fellowship standards of the ACRRM; or
(d)a practitioner who is undertaking a placement in general practice that is approved by the RACGP:
(i)as part of a training program for general practice leading to the award of Fellowship of the RACGP; or
(ii)as part of another training program recognised by the RACGP as being of an equivalent standard; or
(iii)as part of the Rural and Remote Area Placement Program administered by the ACRRM; or
(e)an eligible non‑vocationally recognised medical practitioner; or
(f)a practitioner who is undertaking a placement in general practice as part of the Pre‑vocational General Practice Placements Program administered by the ACRRM, RACGP or GPET; or
(g)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.
1.1.3Meaning of multidisciplinary case conference
In the table:
multidisciplinary case conference means a process by which a multidisciplinary case conference team carries out all of the following activities:
(a)discussing a patient’s history;
(b)identifying the patient’s multidisciplinary care needs;
(c)identifying outcomes to be achieved by members of the multidisciplinary case conference team giving care and service to the patient;
(d)identifying tasks that need to be undertaken to achieve these outcomes, and allocating those tasks to members of the multidisciplinary case conference team;
(e)assessing whether previously identified outcomes (if any) have been achieved.
1.1.4Meaning of multidisciplinary case conference team
(1)In the table, multidisciplinary case conference team, for a patient:
(a)includes a medical practitioner; and
(b)either:
(i)for items 735 to 758 — includes at least 2 other members; or
(ii)for an item mentioned in subclause (3) — includes at least 3 other members; and
(c)may also include a family member of the patient.
(2)For the members mentioned in paragraph (b):
(a)each member must provide a different kind of care or service to the patient; and
(b)each member must not be a family carer of the patient; and
(c)1 member may be another medical practitioner.
Examples
Other members may include the following:
(a)allied health professionals, including:
· Aboriginal health care workers
· asthma educators
· audiologists
· dental therapists
· dentists
· diabetes educators
· dieticians
· mental health workers
· occupational therapists
· optometrists
· orthoptists
· orthotists or prosthetists
· pharmacists
· physiotherapists
· podiatrists
· psychologists
· registered nurses
· social workers
· speech pathologists
(b)home and community service providers, or care organisers, including:
· education providers
· ‘meals on wheels’ providers
· personal care workers
· probation officers.
(3)For subparagraph (1) (b) (ii), the items are items 820, 822, 823, 830, 832, 834, 2946, 2949, 2954, 2978, 2984, 2988, 3032, 3040, 3044, 3069 and 3074.
1.1.5Meaning of single course of treatment
(1)Use this clause for:
(a)items 104 to 131, 133, 385 to 388, 2801 to 2840, 3005 to 3028, 6007 to 6015, 16401, 16404, 16406, 51700 and 51703; and
(b)the meaning of attendance in clause 1.1.1; and
(c)the meaning of symbol (S) in clause 1.1.10; and
(d)the definition of minor attendance in the Dictionary.
(2)A single course of treatment, for a patient:
(a)includes:
(i)the initial attendance on the patient by a specialist or consultant physician; and
(ii)the continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and
(iii)any subsequent review of the patient’s condition by the specialist or consultant physician that may be necessary, whether the review is initiated by the referring practitioner or by the specialist or consultant physician; but
(b)does not include:
(i)referral of the patient to the specialist or consultant physician; or
(ii)an attendance (the later attendance) on the patient by the specialist or consultant physician, after the end of the period of validity of the last referral to have application under regulation 31 of the Health Insurance Regulations 1975 if:
(A)the referring practitioner considers the later attendance necessary for the patient’s condition to be reviewed; and
(B)the patient was most recently attended by the specialist or consultant physician more than 9 months before the later attendance.
1.1.6Meaning of symbol (G)
An item including the symbol (G) applies only to a service not provided by a specialist.
1.1.7Meaning of symbol (H)
An item including the symbol (H) applies only to a service performed or provided in a hospital.
1.1.8Meaning of symbol (S)
(1)An item including the symbol (S) applies only to a service performed by a specialist in the practice of his or her specialty, if:
(a)the service is:
(i)provided to a patient who has been referred to the specialist; and
(ii)the first service performed by the specialist in accordance with the referral; or
(b)the service is:
(i)provided to a patient who has been referred to the specialist; and
(ii)part of a single course of treatment given for the condition identified in the referral or, if no condition was identified in the referral, part of a single course of treatment for the condition identified by the specialist; and
(iii)provided within the period of validity of the referral that is applicable under regulation 31 of the Health Insurance Regulations 1975; or
(c)the service is:
(i)provided to a patient who has declared that a written referral completed by a named referring practitioner has been lost, stolen or destroyed before the service was provided; and
(ii)the first service performed by the specialist in accordance with the referral; or
(d)the service is:
(i)provided to a patient who has not been referred to the specialist; and
(ii)a service that, in an emergency, the specialist decides is necessary in the patient’s interests to be provided as soon as practicable without a referral.
(2)In this clause:
emergency has the same meaning as in subregulation 30 (5) of the Health Insurance Regulations 1975.
Division 1.2 General application provisions
1.2.1Application
An item in Part 2 does not apply to a service provided in contravention of a law of the Commonwealth, a State or Territory.
1.2.2Attendance by specialist or consultant physician
(1)Use this clause for items 104 to 137, 141 to 147, 289 to 388, 2801 to 2840, 3005 to 3028, 6007 to 6015, 16401, 16404, 17640, 17645, 17650 and 17655.
(2)An attendance on a patient by a specialist or consultant physician:
(a)includes an attendance on a patient if:
(i)the patient declares that a written referral of the patient was completed by a medical practitioner; or
(ii)in an emergency, the patient has not been referred to the specialist, or consultant physician, if the specialist or consultant physician decides that it is necessary in the patient’s interests to provide the service mentioned in the item as soon as practicable without a referral; but
(b)does not include an attendance on a patient if:
(i)the attendance forms part of a single course of treatment for the patient in which the first service was provided to the patient more than 12 months (or another period, if any, set by the referring practitioner in, or in connection with, the referral) before the attendance; and
(ii)a later referral has not been made.
(3)In this clause:
emergency has the same meaning as in subregulation 30 (5) of the Health Insurance Regulations 1975.
1.2.3Professional attendance services
(1)Use this clause for items 3 to 96, 104 to 338, 348 to 388, 410 to 417, 501 to 536, 597 to 600, 900 to 903, 2497 to 2727, 2801 to 2840, 3005 to 3028, 5000 to 5267, 6007 to 6015, 10900 to 10929, 13209, 16401, 16404, 16406, 16590, 16591 and 17610 to 17690.
(2)A professional attendance includes the provision, for a patient, of any of the following services:
(a)evaluating the patient’s condition or conditions including, if applicable, evaluation using a health screening service mentioned in subsection 19 (5) of the Act;
(b)formulating a plan for the management and, if applicable, for the treatment of the patient’s condition or conditions;
(c)giving advice to the patient about the patient’s condition or conditions and, if applicable, about treatment;
(d)if authorised by the patient — giving advice to another person, or other persons, about the patient’s condition or conditions and, if applicable, about treatment;
(e)providing appropriate preventive health care;
(f)recording the clinical details of the service or services provided to the patient.
(3)However, a professional attendance does not include the supply of a vaccine to a patient if:
(a)the vaccine is supplied to the patient in connection with a professional attendance mentioned in any of items 3 to 96 and 5000 to 5267; and
(b)the cost of the vaccine is not subsidised by the Commonwealth or a State.
1.2.4Personal attendance by medical practitioners generally
(1)Use this clause for items 3 to 96, 104 to 111, 113 to 147, 173 to 287, 289 to 338, 348 to 388, 390 to 536, 597 to 600, 2497 to 2819, 2821 to 2840, 3005 to 3014, 3016 to 3028, 4001 to 6015, 6017 to 10816, 11012, 11015, 11018, 11021, 11212, 11304, 11500, 11600, 11627, 11701, 11724, 11921, 12000, 12003, 12201, 13030, 13100, 13103, 13104, 13106, 13109, 13110, 13112, 13209, 13290, 13292, 13300, 13303, 13306, 13309, 13312, 13318, 13319, 13400, 13500, 13503, 13506, 13700, 13815, 13818, 13830, 13839, 13842, 13847, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13881, 13882, 13885, 13888, 14100, 14106, 14109, 14112, 14115, 14118, 14124, 14200, 14203, 14206, 14209, 14212, 14215, 14224, 15600, 16003 to 16398, 16400 to 16512, 16515 to 17608 and 17610 to 51318.
(2)The item applies to a service provided in the course of a personal attendance by a single medical practitioner on a single patient on a single occasion.
(3)A personal attendance by the medical practitioner on the patient includes any of the following:
(a)a telepsychiatry consultation to which any of items 353 to 361 applies;
(b)the planning, management and supervision of the patient on home dialysis to which item 13104 applies;
(c)a video conferencing consultation to which any of the items in the following table apply.
Table 1.2.4 Items 104 141 304 318 2801 6009 16406 17625 105 143 306 319 2806 6011 16500 17640 110 291 308 348 2814 6013 16590 17645 116 293 310 350 3005 6015 16591 17650 119 296 312 352 3010 13209 17610 17655 132 300 314 385 3014 16401 17615 17690 133 302 316 386 6007 16404 17620
1.2.5Personal attendance by medical practitioners
(1)Use this clause for items 3 to 98, 100 to 111, 113 to 148, 150 to 287, 289 to 388, 390 to 723, 732, 900 to 2819, 2821 to 3014, 3016 to 6015, 6017 to 10816, 11012, 11015, 11018, 11021, 11212, 11304, 11500, 11600, 11627, 11701, 11722, 11724, 11820, 11823, 11921, 12000, 12003, 12201, 13030, 13100, 13103, 13104, 13106, 13109, 13110, 13112, 13209, 13290, 13292, 13300, 13303, 13306,13309, 13312, 13318, 13319, 13400, 13500, 13503, 13506, 13700, 13815, 13818, 13830, 13839, 13842, 13847, 13848, 13851, 13854, 13857, 13870, 13873, 13876, 13881, 13882, 13885, 13888, 14100, 14106, 14109, 14112, 14115, 14118, 14124, 14200, 14203, 14206, 14209, 14212, 14215, 14224, 15600, 16003 to 16398, 16400 to 16512, 16515 to 16573, 16590, 16591, 16600 to 17608 and 17610 to 51318.
(2)The item applies to a service provided during a personal attendance by:
(a)a medical practitioner (other than a medical practitioner employed by the proprietor of a hospital that is not a private hospital); or
(b)a medical practitioner who:
(i)is employed by the proprietor of a hospital that is not a private hospital; and
(ii)provides the service otherwise than in the course of employment by that proprietor.
(3)Subclause (2) applies whether or not another person provides essential assistance to the medical practitioner in accordance with accepted medical practice.
(4)A personal attendance by the medical practitioner on the patient includes any of the following:
(a)a telepsychiatry consultation to which any of items 353 to 361 applies;
(b)the planning, management and supervision of the patient on home dialysis to which item 13104 applies;
(c)a video conferencing consultation to which any of the items in the following table apply.
Table 1.2.5 Items 104 141 304 318 2801 6009 16406 17625 105 143 306 319 2806 6011 16500 17640 110 291 308 348 2814 6013 16590 17645 116 293 310 350 3005 6015 16591 17650 119 296 312 352 3010 13209 17610 17655 132 300 314 385 3014 16401 17615 17690 133 302 316 386 6007 16404 17620
1.2.6Consultant occupational physicians
A fee specified for an attendance by a consultant occupational physician applies only if the attendance relates to 1 or more of the following matters:
(a)evaluating and assessing a patient’s rehabilitation requirements when, in the consultant’s opinion, the patient has an accepted medical condition that:
(i)may be affected by the patient’s working environment; or
(ii)affects the patient’s capacity to be employed;
(b)managing an accepted medical condition that, in the consultant’s opinion, may affect a patient’s capacity for continued employment, or return to employment, following a non‑compensable accident, injury or ill‑health;
(c)evaluating and forming an opinion about, including management as the case requires, a patient’s medical condition when causation may be related to acute or chronic exposure to scientifically acknowledged environmental hazards or toxins.
1.2.7Application of items 3 to 10943
Items 3 to 10943 do not apply to a service mentioned in the item if the service is provided at the same time as, or in connection with, a non‑medicare service.
1.2.8Services that may be provided by persons other than medical practitioners
(1)Use this clause for items 11000, 11003, 11004, 11005, 11006, 11009, 11024, 11027, 11200, 11203, 11204, 11205, 11210, 11211, 11215, 11218, 11221, 11222, 11224, 11225, 11235, 11237, 11240, 11241, 11242, 11243, 11300, 11303, 11306, 11309, 11312, 11315, 11318, 11321, 11324, 11327, 11330, 11332, 11333, 11336, 11339, 11503, 11506, 11509, 11512, 11602, 11604, 11605, 11610, 11611, 11612, 11614, 11615, 11700, 11702, 11708, 11709, 11710, 11711, 11712, 11713, 11715, 11718, 11721, 11800, 11810, 11830, 11833, 11900, 11903, 11906, 11909, 11912, 11915, 11919, 12012, 12015, 12018, 12021, 12200, 12203, 12207, 12210, 12213, 12215, 12217, 12250, 12500 to 12530, 13020, 13025, 13200 to 13203, 13206, 13212, 13215, 13218, 13221, 13703, 13706, 13709, 13750, 13755, 13757, 13760, 13915 to 13948, 14050, 14053, 14218, 14221, 15000 to 15336, 15339 to 15357, 15500 to 15539, 16514 and 17610 to 17690.
(2)The item applies whether the medical service is given by:
(a)a medical practitioner; or
(b)a person, other than a medical practitioner, who:
(i)is employed by a medical practitioner; or
(ii)in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
Part 2 Services and fees
Division 2.1 Groups A1 to A10
Note Groups A1 to A10 include Groups A1, A2, A3, A4, A28, A5, A6, A7, A8, A12, A13, A21, A11, A14, A15, A17, A18, A19, A20, A24, A27, A22, A23, A25, A26, A9 and A10.
2.1.1Meaning of amount under clause 2.1.1
In an item of the table mentioned in column 2 of Table 2.1.1:
amount under clause 2.1.1 means the sum of:
(a)the fee mentioned in column 3 for the item; and
(b)either:
(i)if a practitioner attends not more than 6 patients in a single attendance — the amount mentioned in column 4 for the item, divided by the number of patients attended; or
(ii)if a practitioner attends more than 6 patients in a single attendance — the amount mentioned in column 5 for the item.
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Table 2.1.1 |
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|
Item |
Item/s of the table |
Fee |
Amount if not more than 6 patients (to be divided by the number of patients) |
Amount if more than 6 patients |
| 1 | 4 | The fee for item 3 | $24.50 | $1.85 |
| 2 | 20 | The fee for item 3 | $44.05 | $3.15 |
| 3 | 24 | The fee for item 23 | $24.50 | $1.85 |
| 4 | 35 | The fee for item 23 | $44.05 | $3.15 |
| 5 | 37 | The fee for item 36 | $24.50 | $1.85 |
| 6 | 43 | The fee for item 36 | $44.05 | $3.15 |
| 7 | 47 | The fee for item 44 | $24.50 | $1.85 |
| 8 | 51 | The fee for item 44 | $44.05 | $3.15 |
| 9 | 58 | $8.50 | $15.50 | $0.70 |
| 10 | 59, 2610, 2631, 2673 | $16.00 | $17.50 | $0.70 |
| 11 | 60, 2613, 2633, 2675 | $35.50 | $15.50 | $0.70 |
| 12 | 65, 2616, 2635, 2677 | $57.50 | $15.50 | $0.70 |
| 13 | 92 | $8.50 | $27.95 | $1.25 |
| 14 | 93 | $16.00 | $31.55 | $1.25 |
| 15 | 95 | $35.50 | $27.95 | $1.25 |
| 16 | 96 | $57.50 | $27.95 | $1.25 |
| 17 | 195 | The fee for item 193 | $24.50 | $1.85 |
| 18 | 414 | The fee for item 410 | $24.50 | $1.85 |
| 19 | 415 | The fee for item 411 | $24.50 | $1.85 |
| 20 | 416 | The fee for item 412 | $24.50 | $1.85 |
| 21 | 417 | The fee for item 413 | $24.50 | $1.85 |
| 22 | 2503 | The fee for item 2501 | $24.50 | $1.85 |
| 23 | 2506 | The fee for item 2504 | $24.50 | $1.85 |
| 24 | 2509 | The fee for item 2507 | $24.50 | $1.85 |
| 25 | 2518 | The fee for item 2517 | $24.50 | $1.85 |
| 26 | 2522 | The fee for item 2521 | $24.50 | $1.85 |
| 27 | 2526 | The fee for item 2521 | $24.50 | $1.85 |
| 28 | 2547 | The fee for item 2546 | $24.50 | $1.85 |
| 29 | 2553 | The fee for item 2552 | $24.50 | $1.85 |
| 30 | 2559 | The fee for item 2558 | $24.50 | $1.85 |
| 31 | 5003 | The fee for item 5000 | $24.50 | $1.85 |
| 32 | 5010 | The fee for item 5000 | $44.05 | $3.15 |
| 33 | 5023 | The fee for item 5020 | $24.50 | $1.85 |
| 34 | 5028 | The fee for item 5020 | $44.05 | $3.15 |
| 35 | 5043 | The fee for item 5040 | $24.50 | $1.85 |
| 36 | 5049 | The fee for item 5040 | $44.05 | $3.15 |
| 37 | 5063 | The fee for item 5060 | $24.50 | $1.85 |
| 38 | 5067 | The fee for item 5060 | $44.05 | $3.15 |
| 39 | 5220 | $18.50 | $15.50 | $0.70 |
| 40 | 5223 | $26.00 | $17.50 | $0.70 |
| 41 | 5227 | $45.50 | $15.50 | $0.70 |
| 42 | 5228 | $67.50 | $15.50 | $0.70 |
| 43 | 5260 | $18.50 | $27.95 | $1.25 |
| 44 | 5263 | $26.00 | $31.55 | $1.25 |
| 45 | 5265 | $45.50 | $27.95 | $1.25 |
| 46 | 5267 | $67.50 | $27.95 | $1.25 |
Division 2.2 Group A1 — General practitioner attendances to which no other item applies
|
Group A1 — General practitioner attendances to which no other item applies |
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|
Item |
Description |
Amount ($) |
| 3 | Professional attendance at consulting rooms (not being a service to which any other item applies) by a general practitioner 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 — each attendance | 16.00 |
| 4 | Professional attendance by a general practitioner (not being an attendance at consulting rooms or a residential aged care facility and not being a service to which any other item in the table applies) that requires a short patient history and, if necessary, limited examination and management — an attendance on 1 or more patients at 1 place on 1 occasion — each patient | Amount under clause 2.1.1 |
| 20 | Professional attendance (not being a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex if the patient is accommodated in a residential aged care facility (not being accommodation in a self‑contained unit) by a general practitioner 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 — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient | Amount under clause 2.1.1 |
| 23 |
Professional attendance by a general practitioner at consulting rooms (not being a service to which any other item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; |
34.90 |
|
(e) providing appropriate preventive health care; for 1 or more health‑related issues, with appropriate documentation — each attendance |
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| 24 | Professional attendance by a general practitioner (not being an attendance at consulting rooms or a residential aged care facility and not being a service to which any other item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: | Amount under clause 2.1.1 |
|
(a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; |
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|
(d) implementing a management plan; (e) providing appropriate preventive health care; for 1 or more health‑related issues, with appropriate documentation — an attendance on 1 or more patients at 1 place on 1 occasion — each patient |
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| 35 |
Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (not being a service to which any other item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant: (a) taking a patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for 1 or more health‑related issues, with appropriate documentation — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient |
Amount under clause 2.1.1 |
| 36 |
Professional attendance by a general practitioner at consulting rooms (not being a service to which any other item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; |
67.65 |
|
(b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for 1 or more health‑related issues, with appropriate documentation — each attendance |
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| 37 | Professional attendance by a general practitioner (not being an attendance at consulting rooms or a residential aged care facility and not being a service to which any other item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: | Amount under clause 2.1.1 |
|
(a) taking a detailed patient history; (b) performing a clinical examination; |
||
| (c) arranging any necessary investigation; | ||
|
(d) implementing a management plan; (e) providing appropriate preventive health care; for 1 or more health‑related issues, with appropriate documentation — an attendance on 1 or more patients at 1 place on 1 occasion — each patient |
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| 43 |
Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (not being a service to which any other item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant: (a) taking a detailed patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for 1 or more health‑related issues, with appropriate documentation — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient |
Amount under clause 2.1.1 |
| 44 |
Professional attendance by a general practitioner at consulting rooms (not being a service to which any other item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; (e) providing appropriate preventive health care; for 1 or more health‑related issues, with appropriate documentation — each attendance |
99.55 |
| 47 |
Professional attendance by a general practitioner (not being an attendance at consulting rooms or a residential aged care facility and not being a service to which any other item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; |
Amount under clause 2.1.1 |
|
(d) implementing a management plan; (e) providing appropriate preventive health care; for 1 or more health‑related issues, with appropriate documentation — an attendance on 1 or more patients at 1 place on 1 occasion — each patient |
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| 51 |
Professional attendance by a general practitioner at a residential aged care facility to residents of the facility (not being a service to which any other item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant: (a) taking an extensive patient history; (b) performing a clinical examination; (c) arranging any necessary investigation; (d) implementing a management plan; |
Amount under clause 2.1.1 |
|
(e) providing appropriate preventive health care; for 1 or more health‑related issues, with appropriate documentation — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient |
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Division 2.3 Group A2 — Other non‑referred attendances to which no other item applies
2.3.1Effect of determination under section 106TA of Act
(1)This clause applies to a general practitioner if:
(a)the practitioner is the subject of a final determination that is in force under section 106TA of the Act; and
(b)the determination contains a direction, given under subparagraph 106U (1) (g) (i) of the Act, that the practitioner be disqualified for a professional service; and
(c)the determination states that the practitioner is disqualified for a service mentioned in an item in Group A1; and
(d)the practitioner provides a service mentioned in an item in Group A2.
(2)The determination applies to the service mentioned in paragraph (1) (d).
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Group A2 — Other non‑referred attendances to which no other item applies |
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|
Item |
Description |
Fee ($) |
| 52 |
Professional attendance at consulting rooms of not more than 5 minutes duration (not being a service to which any other item applies) — each attendance, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
11.00 |
| 53 |
Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being a service to which any other item applies) — each attendance, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
21.00 |
| 54 |
Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being a service to which any other item applies) — each attendance, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
38.00 |
| 57 |
Professional attendance at consulting rooms of more than 45 minutes duration (not being a service to which any other item applies) — each attendance, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
61.00 |
| 58 |
Professional attendance (not being an attendance at consulting rooms or a residential aged care facility and not being a service to which any other item in the table applies), lasting not more than 5 minutes — an attendance on 1 or more patients at 1 place on 1 occasion — each patient, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
Amount under clause 2.1.1 |
| 59 |
Professional attendance (not being an attendance at consulting rooms or a residential aged care facility and not being a service to which any other item in the table applies), lasting more than 5 minutes but not more than 25 minutes — an attendance on 1 or more patients at 1 place on 1 occasion — each patient, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
Amount under clause 2.1.1 |
| 60 |
Professional attendance (not being an attendance at consulting rooms or a residential aged care facility and not being a service to which any other item in the table applies) lasting more than 25 minutes, but not more than 45 minutes — an attendance on 1 or more patients at 1 place on 1 occasion — each patient, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
Amount under clause 2.1.1 |
| 65 |
Professional attendance (not being an attendance at consulting rooms or a residential aged care facility and not being a service to which any other item in the table applies) lasting more than 45 minutes — an attendance on 1 or more patients at 1 place on 1 occasion — each patient, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
Amount under clause 2.1.1 |
| 92 |
Professional attendance (not being a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (not being accommodation in a self‑contained unit) of not more than 5 minutes duration — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
Amount under clause 2.1.1 |
| 93 |
Professional attendance (not being a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (not being accommodation in a self‑contained unit) of more than 5 minutes duration but not more than 25 minutes duration — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
Amount under clause 2.1.1 |
| 95 |
Professional attendance (not being a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (not being accommodation in a self‑contained unit) of more than 25 minutes duration but not more than 45 minutes — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient, by: (a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
Amount under clause 2.1.1 |
| 96 | Professional attendance (not being a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (not being accommodation in a self‑contained unit) of more than 45 minutes duration — an attendance on 1 or more patients at 1 residential aged care facility on 1 occasion — each patient, by: | Amount under clause 2.1.1 |
|
(a) a medical practitioner (not being a general practitioner); or (b) a general practitioner to whom clause 2.3.1 applies |
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Division 2.4 Group A3 — Specialist attendances to which no other item applies
|
Group A3 — Specialist attendances to which no other item applies |
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|
Item |
Description |
Fee ($) |
| 104 | Professional attendance at consulting rooms or hospital by a specialist in the practice of his or her specialty after referral of the patient to him or her — each attendance, other than a second or subsequent attendance, in a single course of treatment, not being a service to which item 106, 109 or 16401 applies | 82.30 |
| 105 | Professional attendance by a specialist in the practice of his or her specialty following referral of the patient to him or her — an attendance after the first in a single course of treatment, if that attendance is at consulting rooms or hospital | 41.35 |
| 106 |
Professional attendance by a specialist in the practice of his or her specialty of ophthalmology and following referral of the patient to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment) at which the only service provided is refraction testing for the issue of a prescription for spectacles or contact lenses, if that attendance is at consulting rooms or hospital (not being a service to which any of items 104, 109 and 10801 to 10816 applies) |
68.35 |
| 107 | Professional attendance by a specialist in the practice of his or her specialty following referral of the patient to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment), if that attendance is at a place other than consulting rooms or hospital | 120.75 |
| 108 | Professional attendance by a specialist in the practice of his or her specialty following referral of the patient to him or her — each attendance after the first in a single course of treatment, if that attendance is at a place other than consulting rooms or hospital | 76.40 |
| 109 |
Professional attendance by a specialist in the practice of his or her specialty of ophthalmology following referral of the patient to him or her — an attendance (other than a second or subsequent attendance in a single course of treatment) at which a comprehensive eye examination is performed on: (a) a patient younger than 9 years; or (b) a patient younger than 15 years with developmental delay (not being a service to which any of items 104, 106 and 10801 to 10816 applies) |
123.65 |
Division 2.5 Group A4 — Consultant physician attendances to which no other item applies
|
Group A4 — Consultant physician attendances to which no other item applies |
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|
Item |
Description |
Fee ($) |
| 110 | Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment | 145.20 |
| 116 | Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — each attendance (not being a service to which item 119 applies) after the first in a single course of treatment | 72.65 |
| 119 | Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — each minor attendance after the first in a single course of treatment | 41.35 |
| 122 | Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — initial attendance in a single course of treatment | 176.20 |
| 128 | Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — each attendance (other than a service to which item 131 applies) after the first in a single course of treatment | 106.55 |
| 131 | Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of his or her specialty (other than psychiatry) following referral of the patient to him or her by a medical practitioner — each minor attendance after the first in a single course of treatment | 76.70 |
| 132 | Professional attendance by a consultant physician in the practice of his or her specialty (other than psychiatry) of at least 45 minutes duration for an initial assessment of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) following referral of the patient to him or her by a medical practitioner, if: | 253.90 |
|
(a) an assessment is undertaken that covers: (i) a comprehensive history, including psychosocial history and medication review; and (ii) comprehensive multi or detailed single organ system assessment; and |
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| (iii) the formulation of differential diagnoses; and | ||
|
(b) a consultant physician treatment and management plan of significant complexity is prepared and provided to the referring practitioner that involves: (i) an opinion on diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) medication recommendations; and |
||
| (c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and | ||
| (d) this item has not applied to an attendance on the patient in the preceding 12 months by the same consultant physician | ||
| 133 | Professional attendance by a consultant physician in the practice of his or her specialty (other than psychiatry) of at least 20 minutes duration after the first attendance in a single course of treatment for a review of a patient with at least 2 morbidities (which may include complex congenital, developmental and behavioural disorders) if: | 127.10 |
|
(a) a review is undertaken that covers: (i) review of initial presenting problems and results of diagnostic investigations; and (ii) review of responses to treatment and medication plans initiated at time of initial consultation; and (iii) comprehensive multi or detailed single organ system assessment; and (iv) review of original and differential diagnoses; and |
||
|
(b) the modified consultant physician treatment and management plan is provided to the referring practitioner that involves, if appropriate: (i) a revised opinion on the diagnosis and risk assessment; and (ii) treatment options and decisions; and (iii) revised medication recommendations; and |
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| (c) an attendance on the patient to which item 110, 116 or 119 applies did not take place on the same day by the same consultant physician; and | ||
|
(d) item 132 has applied for an attendance by same consultant physician on the patient in the preceding 12 months; and (e) this item has not applied more than twice in any 12 month period |
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Division 2.5A Group A29 — Early intervention services for children with autism, pervasive developmental disorder or disability
2.5A.1Meaning of eligible allied health provider and risk assessment
In items 135, 137 and 139:
eligible allied health provider means any of the following:
(a)an audiologist;
(b)an occupational therapist;
(c)a participating optometrist;
(d)an orthoptist;
(e)a physiotherapist;
(f)a psychologist;
(g)a speech pathologist.
risk assessment means an assessment of:
(a)the risk to the patient of a contributing co‑morbidity; and
(b)environmental, physical, social and emotional risk factors that may apply to the patient or to another individual.
2.5A.2Meaning of eligible disability
In items 137 and 139:
eligible disability means any of the following:
(a)sight impairment that results in vision of less than or equal to 6/18 vision or equivalent field loss in the better eye, with correction;
(b)hearing impairment that results in:
(i)a hearing loss of 40 decibels or greater in the better ear, across 4 frequencies; or
(ii)permanent conductive hearing loss and auditory neuropathy;
(c)cerebral palsy;
(d)Down syndrome;
(e)Fragile X syndrome.
|
Group A29 — Early intervention services for children with autism, pervasive developmental disorder or disability |
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|
Item |
Description |
Fee ($) |
|
| 135 | Professional attendance of at least 45 minutes duration at consulting rooms or hospital, by a consultant physician in the practice of his or her specialty of paediatrics, following referral of the patient to the consultant by a medical practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or any other pervasive developmental disorder, if the consultant paediatrician does all of the following: | 253.90 | |
| (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); | |||
|
(b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary — medical recommendations; (c) provides a copy of the treatment and management plan to: (i) the referring medical practitioner; and |
|||
|
(ii) one or more allied health providers, if appropriate, for the treatment of the patient; (not being an attendance on a patient for whom payment has previously been made under this item or item 137, 139 or 289) |
|||
| 137 | Professional attendance of at least 45 minutes duration at consulting rooms or hospital, by a specialist or consultant physician (not including a general practitioner) following referral of the patient to the consultant by a medical practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the specialist or consultant physician does all of the following: | 253.90 | |
| (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); | |||
|
(b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary — medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (not being an attendance on a patient for whom payment has previously been made under this item or item 135, 139 or 289) |
|||
| 139 |
Professional attendance of at least 45 minutes duration at consulting rooms only, by a general practitioner (not including a specialist or consultant physician) for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with an eligible disability if the general practitioner does all of the following: (a) undertakes a comprehensive assessment and makes a diagnosis (if appropriate, using information provided by an eligible allied health provider); |
125.00 | |
|
(b) develops a treatment and management plan, which must include the following: (i) an assessment and diagnosis of the patient’s condition; (ii) a risk assessment; (iii) treatment options and decisions; (iv) if necessary — medication recommendations; (c) provides a copy of the treatment and management plan to one or more allied health providers, if appropriate, for the treatment of the patient; (not being an attendance on a patient for whom payment has previously been made under this item or item 135, 137 or 289) |
|||
Division 2.61 Group C3 — General and prosthodontic services
2.61.1 Meaning of symbol (AD)
Items 75800 to 75854 that include the symbol (AD) apply only to a service provided by a dental practitioner.
2.61.2 Cleft lip and cleft palate services
Items 75800 to 75854 apply only to a service provided to a prescribed dental patient.
Note For the meaning of prescribed dental patient, see section 3BA of the Act.
|
Group C3 — General and prosthodontic services |
|||
|
Item |
Description |
Fee ($) |
|
| 75800 | Attendance comprising consultation, preventive treatment and prophylaxis, of not less than 30 minutes duration — each attendance to a maximum of 3 attendances in any period of 12 months (AD) | 79.30 | |
| 75803 | Provision and fitting of acrylic base partial denture, including retainers — 1 tooth (AD) | 317.25 | |
| 75806 | Provision and fitting of acrylic base partial denture, including retainers — 2 teeth (AD) | 372.10 | |
| 75809 | Provision and fitting of acrylic base partial denture, including retainers — 3 teeth (AD) | 440.60 | |
| 75812 | Provision and fitting of acrylic base partial denture, including retainers — 4 teeth (AD) | 489.55 | |
| 75815 | Provision and fitting of acrylic base partial denture, including retainers — 5 to 9 teeth (AD) | 597.35 | |
| 75818 | Provision and fitting of acrylic base partial denture, including retainers — 10 to 12 teeth (AD) | 704.95 | |
| 75821 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 1 tooth (AD) | 567.80 | |
| 75824 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 2 teeth (AD) | 656.00 | |
| 75827 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 3 teeth (AD) | 754.05 | |
| 75830 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 4 teeth (AD) | 832.30 | |
| 75833 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 5 to 9 teeth (AD) | 1018.25 | |
| 75836 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 10 to 12 teeth (AD) | 1165.15 | |
| 75839 | Provision and fitting of retainers (not being treatment associated with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies) — each retainer (AD) | 26.30 | |
| 75842 | Adjustment of partial denture (not being treatment associated with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies) (AD) | 39.20 | |
| 75845 | Relining of partial denture by laboratory process and associated fitting (AD) | 195.95 | |
| 75848 | Remodelling and fitting of partial denture of more than 4 teeth (AD) | 235.00 | |
| 75851 | Repair to cast metal base of partial denture — 1 or more points (AD) | 117.50 | |
| 75854 | Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD) | 117.50 | |
Dictionary
Note All references in the Dictionary to a provision are references to a provision in Schedule 1 of these Regulations unless otherwise indicated.
(AD):
(a)for Division 2.60 — see clause 2.60.1.
(b)for Division 2.61 — see clause 2.61.1.
(AO), for Division 2.59 — see clause 2.59.2.
(AOS):
(a)for Division 2.59 — see clause 2.59.2; and
(b)for Division 2.60 — see clause 2.60.2.
(G) — see clause 1.1.6.
(H) — see clause 1.1.7.
(S) — see clause 1.1.8.
3 Step Mental Health Process, for Division 2.20 — see clause 2.20.1.
accredited orthodontist , for Division 2.60 — see clause 2.60.3.
ACRRM means the Australian College of Rural and Remote Medicine.
after‑hours period means any of the following:
(a)a public holiday;
(b)a Sunday;
(c)before 8 am, or after 12 noon, on a Saturday;
(d)before 8 am, or after 6 pm, on any day other than a Saturday, Sunday or public holiday.
amount under clause 2.1.1, for Divisions 2.2, 2.3, 2.9, 2.12, 2.19, 2.23 and 2.24 — see clause 2.1.1.
amount under clause 2.19.1, for Division 2.19 — see clause 2.19.1.
amount under clause 2.20.2, for Division 2.20 — see clause 2.20.2.
amount under clause 2.38.1, for Division 2.38 — see clause 2.38.1.
amount under clause 2.40.2:
(a)for item 16633 — see clause 2.40.2; and
(b)for item16636 — see clause 2.40.2.
amount under clause 2.42.1, for items 18219 and 18227 — see clause 2.42.1.
amount under clause 2.43.1, for items 25025, 25030 and 25050 — see clause 2.43.1.
amount under clause 2.43.2, for items 25200 and 25205 — see clause 2.43.2.
amount under clause 2.44.4, for item 30001 — see clause 2.44.4.
amount under clause 2.44.5, for item 31340 — see clause 2.44.5.
amount under clause 2.44.18, for item 44376 — see clause 2.44.18.
amount under clause 2.45.1, for item 51303 — see clause 2.45.1.
amount under clause 2.45.2, for item 51309 — see clause 2.45.2.
amount under clause 2.45.3, for item 51312 — see clause 2.45.3.
amount under clause 2.48.1, for item 51803 — see clause 2.48.1.
approved site:
(a)for item 15338 — see clause 2.38.2; and
(b)for items 37220 and 37227 — see clause 2.44.1.
ASGC, for Division 2.31 — see clause 2.31.1.
associated medical practitioner:
(a)for item 732 — see clause 2.17.2; and
(b)for item 2712 — see clause 2.20.5.
bulk‑billed:
(a)for items 10931, 10932 and 10933 — see clause 2.28.4; and
(b)for Division 2.31 — see clause 2.31.1.
case conference team, for item 880 — see clause 2.17.17.
closed reduction means treatment of a dislocation or fracture by non‑operative reduction, including the use of percutaneous fixation, or external splintage by cast or splints.
Commonwealth concession card holder, for Division 2.31 — see clause 2.31.1.
community case conference means a case conference for community based patients.
complex paediatric case, for item 25205 — see clause 2.43.3.
comprehensive hyperbaric medicine facility, for items 13015 to 13030 — see clause 2.37.1.
completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus — see clause 2.19.2.
completes the minimum requirements of the Asthma Cycle of Care — see clause 2.19.3.
contribute to a multidisciplinary care plan, for items 729 and 731 — see clause 2.17.3.
coordinating, for item 880 — see clause 2.17.16.
coordinating a review of a GP management plan, for item 732 — see clause 2.17.5.
coordinating the development of team care arrangements, for item 723 — see clause 2.17.4.
delivery, for items 16515, 16519, 16522, 16527, 16590 and 16591 — see clause 2.40.3.
eligible allied health provider:
(a)for items 135, 137 and 139 — see clause 2.5A.1; and
(b)for item 289 — see clause 2.10.4.
eligible area for Division 2.31 — see clause 2.31.1.
eligible disability, for items 137 and 139 — see clause 2.5A.2.
eligible non‑vocationally recognised medical practitioner — see clause 1.1.1.
embryology laboratory services, for items 13200, 13201 and 13206 — see clause 2.37.2.
family carer, of a patient, includes a person if the person is:
(a)a relative or friend of the patient; and
(b)providing care to the patient other than for payment.
focussed psychological strategies, for Division 2.20 — see clause 2.20.1.
foreign body, for items 35360 to 35363 — see clause 2.44.13.
general intensive care unit means a separate hospital area that:
(a)is equipped and staffed so that it is capable of providing to a patient:
(i)mechanical ventilation for a period of several days; and
(ii)invasive cardiovascular monitoring; and
(b)is supported by:
(i)during normal working hours — at least 1 specialist, or consultant physician, in the specialty of intensive care, who is immediately available, and exclusively rostered, to that area; and
(ii)at all times — at least 1 registered medical practitioner who is present in the hospital and immediately available to that area; and
(iii)at least 18 hours each day — at least 1 registered nurse; and
(c)has admission and discharge policies in operation.
general practice means a business, consisting of one or more medical practitioners, that provides a general practice of medical services.
general practitioner — see clause 1.1.2.
GPET means the body registered under the Corporations Act 2001 as General Practice Education and Training Limited (ACN 095 433 140).
GP management plan, for item 10997 — see clause 2.30.1.
immunisation means the administration of a registered vaccine to a person for any purpose other than as part of a mass immunisation of persons.
immunisation recommended for a 4 year old child means the immunisation recommended for a 4 year old child by the National Immunisation Program Schedule as in effect on 1 July 2007.
Note The National Immunisation Program Schedule can be viewed at
institution means a place (other than a hospital or residential aged care facility) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:
(a)disadvantaged children; or
(b)juvenile offenders; or
(c)aged persons; or
(d)chronically ill psychiatric patients; or
(e)homeless persons; or
(f)unemployed persons; or
(g)persons suffering from alcoholism; or
(h)persons addicted to drugs; or
(i)physically or intellectually disabled persons.
intensive care unit means a general intensive care unit or a neo‑natal intensive care unit.
item means:
(a)an item mentioned, by number, in column 1 of:
(i)Part 2; or
(ii)Part 2 of the diagnostic imaging services table; or
(iii)Part 2 of the pathology services table; and
(b)in a reference immediately followed by a number — the item so numbered.
Note Because of the determination about allied health services under subsection 3C (1) of the Act, certain health services are treated as if there were an item for the service mentioned in the table. A note is included at the end of a provision of these Regulations if an item mentioned in the provision is that kind of item: see subclause 2.20.3 (2) for an example.
living in a community setting, for item 900 — see clause 2.18.1.
maxilla:
(a)for items 45720 to 45752 — see clause 2.44.19; and
(b)for items 52342 to 52375 — see clause 2.50.1.
mental disorder, for Division 2.20 — see clause 2.20.1.
midwife, for item 16400 — see clause 2.40.1.
minor attendance, for an attendance on a patient by a consultant physician, means an attendance that:
(a)is a second or subsequent attendance on the patient, in the course of a single course of treatment by the consultant physician, during which it is not necessary for the consultant physician to carry out a physical examination of the patient; and
(b)does not result in a substantial alteration to the treatment of the patient.
multidisciplinary care plan:
(a)for items 729 and 731 — see clause 2.17.6; and
(b)for item 10997 — see clause 2.30.1.
multidisciplinary case conference — see clause 1.1.3.
multidisciplinary case conference in a residential aged care facility, for items 735, 739, 743, 747, 750 and 758 — see clause 2.17.13.
multidisciplinary case conference team — see clause 1.1.4.
multidisciplinary discharge case conference, for items 735, 739, 743, 747, 750 and 758 — see clause 2.17.12.
non‑directive pregnancy support counselling, for item 4001 — see clause 2.22.1.
neo‑natal intensive care unit means a separate hospital area that:
(a)is equipped and staffed so that it is capable of providing to a patient who is a newly born child:
(i)mechanical ventilation for a period of several days; and
(ii)invasive cardiovascular monitoring; and
(b)is supported by:
(i)during normal working hours — at least 1 consultant physician in paediatric medicine who is immediately available, and exclusively rostered, to that area; and
(ii)at all times — at least 1 registered medical practitioner who is present in the hospital and immediately available to that area; and
(iii)at least 18 hours each day — at least 1 registered nurse; and
(c)has admission and discharge policies in operation.
non‑medicare service means any of the following:
(a)endoluminal gastroplication, for the treatment of gastro‑oesophageal reflux disease;
(b)endovenous laser treatment, for varicose veins;
(c)gamma knife surgery;
(d)intradiscal electro thermal arthroplasty;
(e)intravascular ultrasound, except if used in conjunction with intravascular brachytherapy;
(f)intro‑articular viscosupplementation, for the treatment of osteoarthritis of the knee;
(g)low intensity ultrasound treatment, for the acceleration of bone fracture healing, using a bone growth stimulator;
(h)lung volume reduction surgery, for advanced emphysema;
(i)photodynamic therapy, for skin and mucosal cancer;
(j)placement of artificial bowel sphincters, in the management of faecal incontinence;
(k)sacral nerve stimulation, for urinary incontinence;
(l)selective internal radiation therapy for any condition other than hepatic metastases that are secondary to colorectal cancer;
(m)specific mass measurement of bone alkaline phosphatise;
(n)transmyocardial laser revascularisation;
(o)vertebral axial decompression therapy, for chronic back pain.
nurse, for item 16400 — see clause 2.40.1.
open reduction means treatment of a dislocation or fracture by either:
(a)operative exposure, including the use of any internal or external fixation; or
(b)non‑operative (closed) reduction using intra‑medullary fixation or external fixation.
organise and coordinate:
(a)for items 735, 739, 743, 820 to 823, 830 to 838, 855 to 858 and 861 to 866 — see clause 2.17.14; and
(b)for Division 2.21 — see clause 2.21.1
outer metropolitan specialist trainee, for Division 2.25 — see clause 2.25.1.
outcome measurement tool, for Division 2.20 — see clause 2.20.1.
participate:
(a)for items 747, 750, 758, 825 to 828 and 835 to 838 — see clause 2.17.15; and
(b)for items 2958, 2972, 2974, 2992, 2996, 3000, 3051, 3055, 3062, 3083, 3088, 3093 — see clause 2.21.2.
patient’s medical condition requires urgent treatment, for Division 2.15 — see clause 2.15.1.
patient’s usual medical practitioner means a medical practitioner:
(a)who has provided the majority of services to the patient in the past 12 months; or
(b)who is likely to provide the majority of services to the patient in the following 12 months; or
(c)located at a medical practice that:
(i)has provided the majority of services to the patient in the past 12 months; or
(ii)is likely to provide the majority of services to the patient in the next 12 months.
person with a chronic disease, for item 10997 — see clause 2.30.1.
practice location:
(a)for Division 2.31 — see clause 2.31.1; and
(b)for item 16400 — see clause 2.40.1.
practice nurse means a registered or an enrolled nurse who is employed by, or whose services are otherwise retained by, a general practice or by a health service to which a direction under subsection 19 (2) of the Health Insurance Act 1973 applies.
preparation of a GP mental health treatment plan, for items 2702 and 2710 — see clause 2.20.3.
preparing a GP management plan, for item 721 — see clause 2.17.7.
preventive check, for Division 2.32 — see clause 2.32.1.
previous significant surgical complication, for item 51318 — see clause 2.45.4.
problem focussed history, for items 501, 503 and 507 — see clause 2.14.2.
qualified medical acupuncturist, for items 193, 195, 197 and 199 — see clause 2.9.1.
qualified radiologist, for item 31542 — see clause 2.44.7.
qualified sleep medicine practitioner, for items 12203 to 12250 — see clause 2.34.2.
qualified surgeon, for items 31539 and 31545 — see clause 2.44.6.
RACGP means the Royal Australian College of General Practitioners.
recognised emergency department, for Division 2.14 — see clause 2.14.1.
referral means referral by a referring practitioner.
referring practitioner, for the referral of a patient, means:
(a)for all referrals — a medical practitioner; and
(b)for a referral made to a specialist who is an ophthalmologist — an optometrist; and
(c)for a referral that arises out of a dental service provided by a dental practitioner and that is made to a specialist (but not a consultant physician) — a dental practitioner; and
(d)for a referral that arises out of a dental service provided by a dental practitioner who is approved by the Minister for the purposes of paragraph (b) of the definition of professional service in subsection 3 (1) of the Act and that is made to a consultant physician — a dental practitioner; and
(e)for a referral made to a specialist in the specialty of obstetrics or paediatrics (however described) that arises out of a midwifery service provided by a participating midwife — a participating midwife; and
(f)for a referral made to a specialist or consultant physician that arises out of a nurse practitioner service provided by a participating nurse practitioner — a participating nurse practitioner.
regional, rural or remote area means an area classified as RRMAs 3‑7 under the Rural, Remote and Metropolitan Areas Classification.
registered Aboriginal Health Worker means a person:
(a)who is registered, and holds a current registration issued by a State or Territory regulatory authority, as an Aboriginal Health Worker; and
(b)who is employed by, or whose services are otherwise retained by, a medical practitioner, a practice operated by a medical practitioner or a health service in relation to which the Minister has made a direction under subsection 19 (2) of the Act.
registered vaccine means a vaccine that is included in the part of the Australian Register of Therapeutic Goods for registered goods, being the Register maintained under section 9A of the Therapeutic Goods Act 1989.
report, for Division 2.34 — see clause 2.34.1.
residential aged care facility means a facility where residential care (within the meaning given by section 41‑3 of the Aged Care Act 1997) is provided.
residential medication management review, for item 903 — see clause 2.18.2.
responsible person, for Division 2.15 — see clause 2.15.2.
review of a GP mental health treatment plan, for item 2712 — see clause 2.20.4.
reviewing a GP management plan, for item 732 — see clause 2.17.8.
risk assessment:
(a)for items 135, 137 and 139 — see clause 2.5A.1; and
(b)for item 289 — see clause 2.10.4.
Rural, Remote and Metropolitan Areas Classification means the document so titled, as in force on 1 January 2001, setting out certain categories of areas in Australia that have been determined by the Department by reference to population size and remoteness of locality on the basis of 1991 census data published by the Australian Bureau of Statistics in 1994.
service time, for Subgroups 21, 24, 25 and 26 of Group T10 — see clause 2.43.4.
single course of treatment — see clause 1.1.5.
SLA, for Division 2.31 — see clause 2.31.1.
specialist trainee under the supervision of a medical practitioner, for Division 2.36 — see clause 2.36.1.
SSD, for Division 2.31 — see clause 2.31.1.
team care arrangements means a plan under item 723 or 732 (for a review of team care arrangements under item 723).
treatment cycle, for items 13200 to 13209 and 13215 to 13221 — see clause 2.37.3.
unreferred service, for Division 2.31 — see clause 2.31.1.
unsociable hours means the period starting at 11 pm and ending at 7 am on any day.
Notes to the Health Insurance (General Medical Services Table) Regulations 2010
Note 1
The Health Insurance (General Medical Services Table) Regulations 2010 (in force under the Health Insurance Act 1973) as shown in this compilation comprise Select Legislative Instrument 2010 No. 264 amended as indicated in the Tables below.
Table of Instruments
|
Year and
|
Date of FRLI registration |
Date of
|
Application, saving or
|
| 2010 No. 264 | 29 Oct 2010 (see F2010L02791) | 1 Nov 2010 | — |
| 2011 No. 100 | 21 June 2011 (see F2011L01091) |
Rr 1–3 and Schedule
1: 1 July 2011 R. 4 and Schedule 2: 1 Oct 2011 |
— |
| 2011 No. 120 | 30 June 2011 (see F2011L01364) | 1 July 2011 | — |
Table of Amendments
| ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted | |
|
Provision affected |
How affected |
| Schedule 1 | |
| Part 1 | |
| Division 1.1 | |
| Division 1.1............................... | am. 2011 No. 120 |
| Division 1.2 | |
| Division 1.2............................... | am. 2011 No. 100 |
| Part 2 | |
| Division 2.5 | |
| Division 2.5............................... | am. 2011 No. 100 |
| Division 2.5A | |
| Division 2.5A............................ | ad. 2011 No. 100 |
| Division 2.9 | |
| Division 2.9............................... | am. 2011 No. 120 |
| Division 2.10 | |
| Division 2.10............................ | am. 2011 No. 100 |
| Division 2.18 | |
| Heading to Div. 2.18............... | rs. 2011 No. 100 |
| Division 2.18............................ | am. 2011 No. 100 |
| Division 2.20 | |
| Division 2.20............................ | am. 2011 Nos. 100 and 120 |
| Division 2.22 | |
| Division 2.22............................ | am. 2011 No. 120 |
| Division 2.28 | |
| Division 2.28............................ | am. 2011 No. 100 |
| Division 2.31 | |
| Division 2.31............................ | am. 2011 Nos. 100 and 120 |
| Division 2.34 | |
| Division 2.34............................ | am. 2011 No. 100 |
| Division 2.36 | |
| Division 2.36............................ | rs. 2011 No. 100 |
| Division 2.37 | |
| Division 2.37............................ | am. 2011 No. 120 |
| Division 2.38 | |
| Division 2.38............................ | am. 2011 No. 100 |
| Division 2.42 | |
| Division 2.42............................ | am. 2011 Nos. 100 and 120 |
| Division 2.42A | |
| Division 2.42A.......................... | ad. 2011 No. 100 |
| Division 2.43 | |
| Division 2.43............................ | am. 2011 No. 100 |
| Division 2.44 | |
| Division 2.44............................ | am. 2011 Nos. 100 and 120 |
| Dictionary | |
| Dictionary.................................. | am. 2011 No. 100 |
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