Health Insurance (General Medical Services Table) Regulations 2019 (Cth)
made under the
This is a compilation of the
The notes at the end of this compilation (the
The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register ( The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.
If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.
For more information about any editorial changes made in this compilation, see the endnotes.
If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.
If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.
Contents
This instrument is the
Health Insurance (General Medical Services Table) Regulations 2019 .
This instrument is made under the
Health Insurance Act 1973 .
For the purposes of subsection 4(1) of the Act, this instrument prescribes a table of medical services set out in Schedule 1.
The Dictionary in Part 3 of Schedule 1 defines certain words and expressions that are used in this instrument, and includes references to certain words and expressions that are defined elsewhere in this instrument.
Note: See section 4.
(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.
For the purposes of paragraph (c) of the definition of
general practitioner in subsection 3(1) of the Act, the following medical practitioners are specified for the purposes of the table:
(a) a medical 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;
(b) an eligible non‑vocationally recognised medical practitioner;
(c) a medical practitioner who is undertaking a placement in general practice as part of the Remote Vocational Training Scheme administered by Remote Vocational Training Scheme Limited.
Note: For other medical practitioners who are general practitioners, see the definition of
general practitioner in subsection 3(1) of the Act and section 22 of theHealth Insurance Regulations 2018 .
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) A
multidisciplinary case conference team for a patient:
(a) includes a medical practitioner; and
(b) either:
(i) for items 735 to 758, 825 to 828, 855 to 858, 6029 to 6042 and 6064 to 6075—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) one member may be another medical practitioner.
Example: Other members may be allied health professionals, home and community service providers and care organisers, including the following:
(a) Aboriginal and Torres Strait Islander health practitioners;
(b) asthma educators;
(c) audiologists;
(d) dental therapists;
(e) dentists;
(f) diabetes educators;
(g) dieticians;
(h) mental health workers;
(i) occupational therapists;
(j) optometrists;
(k) orthoptists;
(l) orthotists or prosthetists;
(m) pharmacists;
(n) physiotherapists;
(o) podiatrists;
(p) psychologists;
(q) registered nurses;
(r) social workers;
(s) speech pathologists;
(t) education providers;
(u) “meals on wheels” providers;
(v) personal care workers;
(w) probation officers.
(3) For the purposes of 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) Use this clause for items 104 to 131, 133, 384 to 388, 2799, 2801 to 2840, 3003, 3005 to 3028, 6004, 6007 to 6015, 6018, 6019, 6024, 6025, 6026, 6051, 6052, 6058, 6059, 6060, 6062, 6063, 16401, 16404, 16406, 51700 and 51703.
(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 section 102 of theHealth Insurance Regulations 2018 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.
Note: Division 4 of Part 11 of the
Health Insurance Regulations 2018 prescribes the manner in which patients are to be referred when an item in the table specifies a service that is to be rendered by a specialist or consultant physician to a patient who has been referred.
An item in the table including the symbol
(H) applies only to a service performed or provided in a hospital.
An item in the table does not apply to a service provided in contravention of a law of the Commonwealth, a State or Territory.
(1) Use this clause for items 99 to 137, 141 to 149, 288 to 389, 2799, 2801 to 2840, 3003, 3005 to 3028, 6004, 6007 to 6016, 6018 to 6028, 6051 to 6063, 13210, 16399, 16401, 16404, 16407, 16408, 16508, 16509, 16533, 16534, 17609 and 17640 to 17655.
(2) The item does not apply to an attendance on a patient by a specialist or consultant physician if:
(a) the attendance forms part of a single course of treatment for the patient; and
(b) the attendance is after the end of the period of validity (under section 102 of the
Health Insurance Regulations 2018 ) of the referral that was valid for the first attendance on the patient by the specialist or consultant physician in the single course of treatment; and(c) the attendance is not within the period of validity (under section 102 of the
Health Insurance Regulations 2018 ) of a later referral.Note: Division 4 of Part 11 of the
Health Insurance Regulations 2018 prescribes the manner in which patients are to be referred when an item in the table specifies a service that is to be rendered by a specialist or consultant physician to a patient who has been referred.
(1) Use this clause for items 105, 116, 119, 386, 2806, 2814, 3010, 3014, 6019, 6052 and 16404.
(2) The item does not apply to a service if:
(a) the service is an attendance on a patient by a specialist or a consultant physician on the same day as the day on which an operation is performed on the patient by the specialist or consultant physician; and
(b) the operation is a service to which an item in Group T8 applies; and
(c) the amount specified in the item in Group T8 as the fee for a service to which that item applies is $304.80 or more.
(1) Use this clause for items 3 to 338, 348 to 389, 410 to 417, 585 to 600, 900, 903, 2497 to 2840, 3003, 3005 to 3028, 5000 to 5267, 6004, 6007 to 6016, 6018 to 6026, 6051 to 6063, 13210, 13899, 16399, 16401, 16404, 16406, 16407, 16508, 16509, 16533, 16534, 17609 to 17690 and 90020 to 90096.
(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 65, 5000 to 5267 and 90020 to 90096; and
(b) the cost of the vaccine is not subsidised by the Commonwealth or a State.
(1) Use this clause for items 3 to 149, 173 to 338, 348 to 417, 585 to 600, 2100 to 2478, 2497 to 2840, 3003, 3005 to 3028, 4001 to 6016, 6018 to 6024, 6051 to 6058, 6062, 6063, 10801 to 10816, 11012 to 11021, 11304, 11600, 11627, 11701, 11724, 11921 to 12004, 12201, 13030 to 13104, 13106 to 13110, 13209, 13210, 13290 to 13700, 13815 to 13899, 14100 to 14124, 14203 to 14212, 14224, 14255 to 14288, 15600, 16003 to 16512, 16515 to 51318 and 90020 to 90096.
(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) participating in a video conferencing consultation referred to in items 99, 112 to 114, 149, 288, 384, 389, 2100, 2122, 2125, 2126, 2137, 2138, 2143, 2147, 2179, 2195, 2199, 2220, 2461, 2463, 2464, 2465, 2471, 2472, 2475, 2478, 2799, 2820, 3003, 3015, 6004, 6016, 6025, 6026, 6059, 6060, 13210, 16399 and 17609.
(1) Use this clause for items 3 to 723, 732, 900 to 6016, 6018 to 6024, 6028, 6051 to 6058, 6062, 6063, 10801 to 10816, 11012 to 11021, 11304, 11600, 11627, 11701, 11722, 11724, 11728, 11820, 11823, 11921, 12000, 12003, 12004, 12201, 13030 to 13104, 13106 to 13110, 13209, 13210, 13290 to 13700, 13815 to 13899, 14100 to 14124, 14203 to 14212, 14224, 14255 to 14288, 15600, 16003 to 16512, 16515 to 51318 and 90020 to 90096.
(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) participating in a video conferencing consultation referred to in items 99, 112 to 114, 149, 288, 384, 389, 2100, 2122, 2125, 2126, 2137, 2138, 2143, 2147, 2179, 2195, 2199, 2220, 2461, 2463, 2464, 2465, 2471, 2472, 2475, 2478, 2799, 2820, 3003, 3015, 6004, 6016, 6025, 6026, 6059, 6060, 13210, 16399 and 17609.
Items 3 to 10816 and 90020 to 90096 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.
An item in the table does not apply to a service mentioned in the item if the service is rendered in any of the following circumstances:
(a) the service is rendered in relation to the provision of chelation therapy, in the form of the intravenous administration of ethylenediamine tetra‑acetic acid or any of its salts, otherwise than for the treatment of heavy‑metal poisoning;
(b) the service is rendered in association with the injection of human chorionic gonadotrophin in the management of obesity;
(c) the service is rendered in relation to the use of hyperbaric oxygen therapy in the treatment of multiple sclerosis;
(d) the service is rendered for the purpose of, or in relation to, the removal of tattoos;
(e) the service is rendered for the purposes of, or in relation to, the removal from a cadaver of kidneys for transplantation;
(f) the service is rendered to a patient of a hospital for the purposes of, or in relation to:
(i) the transplantation of a thoracic or abdominal organ, other than a kidney, or of part of an organ of that kind; or
(ii) the transplantation of a kidney in conjunction with the transplantation of a thoracic or other abdominal organ, or of a part of an organ of that kind;
(g) the service is rendered for the purpose of administering microwave (UHF radiowave) cancer therapy, including the intravenous injection of drugs used immediately before or during the therapy;
(h) the service is rendered to a patient at the same time as, or in connection with, an injection of blood or a blood product that is autologous.
An item in the table does not apply to a service mentioned in the item if the service is provided to a patient at the same time as, or in connection with, the harvesting, storage, in vitro processing or injection of non‑haematopoietic stem cells.
(1) Use this clause for items 10983 to 10989, 10997, 11000, 11003, 11004, 11005, 11006, 11009, 11024, 11027, 11200, 11203, 11204, 11205, 11210, 11211, 11215, 11218, 11221, 11224, 11235, 11237, 11240, 11241, 11242, 11243, 11244, 11300, 11303, 11306, 11309, 11312, 11315, 11318, 11324, 11327, 11330, 11332, 11333, 11336, 11339, 11503, 11505, 11506, 11507, 11508, 11512, 11602, 11604, 11605, 11610, 11611, 11612, 11614, 11615, 11700, 11702, 11708, 11709, 11710, 11711, 11712, 11713, 11715, 11718, 11721, 11725, 11726, 11727, 11800, 11810, 11830, 11833, 11900, 11903, 11906, 11909, 11912, 11915, 11919, 12012, 12017, 12021, 12022, 12024, 12200, 12203, 12204, 12205, 12207, 12208, 12210, 12213, 12215, 12217, 12250, 12500 to 12530, 13015, 13020, 13025, 13200 to 13203, 13206, 13212, 13215, 13218, 13221, 13703, 13706, 13709, 13750, 13755, 13757, 13760, 13915 to 13948, 14050, 14218, 14221, 15000 to 15336, 15339 to 15357, 15500 to 15539 and 16514.
(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.
In an item of the table mentioned in column 1 of table 2.1.1:
amount under clause 2.1.1 means the sum of:
(a) the fee mentioned in column 2 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 3 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 4 for the item.
1 | 4 | The fee for item 3 | 26.75 | 2.10 |
2 | 24 | The fee for item 23 | 26.75 | 2.10 |
3 | 37 | The fee for item 36 | 26.75 | 2.10 |
4 | 47 | The fee for item 44 | 26.75 | 2.10 |
5 | 58 | $8.50 | 15.50 | 0.70 |
6 | 59, 2610, 2631, 2673 | $16.00 | 17.50 | 0.70 |
7 | 60, 2613, 2633, 2675 | $35.50 | 15.50 | 0.70 |
8 | 65, 2616, 2635, 2677 | $57.50 | 15.50 | 0.70 |
9 | 195 | The fee for item 193 | 26.35 | 2.05 |
10 | 414 | The fee for item 410 | 26.25 | 2.05 |
11 | 415 | The fee for item 411 | 26.25 | 2.05 |
12 | 416 | The fee for item 412 | 26.25 | 2.05 |
13 | 417 | The fee for item 413 | 26.25 | 2.05 |
14 | 2503 | The fee for item 2501 | 26.35 | 2.05 |
15 | 2506 | The fee for item 2504 | 26.35 | 2.05 |
16 | 2509 | The fee for item 2507 | 26.35 | 2.05 |
17 | 2518 | The fee for item 2517 | 26.35 | 2.05 |
18 | 2522 | The fee for item 2521 | 26.35 | 2.05 |
19 | 2526 | The fee for item 2525 | 26.35 | 2.05 |
20 | 2547 | The fee for item 2546 | 26.35 | 2.05 |
21 | 2553 | The fee for item 2552 | 26.35 | 2.05 |
22 | 2559 | The fee for item 2558 | 26.35 | 2.05 |
23 | 5003 | The fee for item 5000 | 26.35 | 2.05 |
24 | 5010 | The fee for item 5000 | 47.45 | 3.35 |
25 | 5023 | The fee for item 5020 | 26.35 | 2.05 |
26 | 5028 | The fee for item 5020 | 47.45 | 3.35 |
27 | 5043 | The fee for item 5040 | 26.35 | 2.05 |
28 | 5049 | The fee for item 5040 | 47.45 | 3.35 |
29 | 5063 | The fee for item 5060 | 26.35 | 2.05 |
30 | 5067 | The fee for item 5060 | 47.45 | 3.35 |
31 | 5220 | $18.50 | 15.50 | 0.70 |
32 | 5223 | $26.00 | 17.50 | 0.70 |
33 | 5227 | $45.50 | 15.50 | 0.70 |
34 | 5228 | $67.50 | 15.50 | 0.70 |
35 | 5260 | $18.50 | 27.95 | 1.25 |
36 | 5263 | $26.00 | 31.55 | 1.25 |
37 | 5265 | $45.50 | 27.95 | 1.25 |
38 | 5267 | $67.50 | 27.95 | 1.25 |
3 | Professional attendance at consulting rooms (other than a service to which another 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 | 17.50 |
4 | Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies) that requires a short patient history and, if necessary, limited examination and management—an attendance on one or more patients at one place on one occasion—each patient | Amount under clause 2.1.1 |
23 | Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant:
for one or more health‑related issues, with appropriate documentation—each attendance | 38.20 |
24 | Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting less than 20 minutes and including any of the following that are clinically relevant:
for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient | Amount under clause 2.1.1 |
36 | Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant:
for one or more health‑related issues, with appropriate documentation—each attendance | 73.95 |
37 | Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 20 minutes and including any of the following that are clinically relevant:
for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient | Amount under clause 2.1.1 |
44 | Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:
for one or more health‑related issues, with appropriate documentation—each attendance | 108.85 |
47 | Professional attendance by a general practitioner (other than attendance at consulting rooms or a residential aged care facility or a service to which another item in the table applies), lasting at least 40 minutes and including any of the following that are clinically relevant:
for one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one place on one occasion—each patient | Amount under clause 2.1.1 |
52 | Professional attendance at consulting rooms of not more than 5 minutes in duration (other than a service to which any other item applies)—each attendance, by:
| 11.00 |
53 | Professional attendance at consulting rooms of more than 5 minutes in duration but not more than 25 minutes (other than a service to which any other item applies)—each attendance, by:
| 21.00 |
54 | Professional attendance at consulting rooms of more than 25 minutes in duration but not more than 45 minutes (other than a service to which any other item applies)—each attendance, by:
| 38.00 |
57 | Professional attendance at consulting rooms of more than 45 minutes in duration (other than a service to which any other item applies)—each attendance, by:
| 61.00 |
58 | Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies), not more than 5 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by:
| Amount under clause 2.1.1 |
59 | Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:
| Amount under clause 2.1.1 |
60 | Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:
| Amount under clause 2.1.1 |
65 | Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in the table applies) of more than 45 minutes in duration—an attendance on one or more patients at one place on one occasion—each patient, by:
| Amount under clause 2.1.1 |
Items 99 and 113 do not apply if the patient or the specialist travels to a place to satisfy the requirement in:
(a) for item 99—sub‑subparagraph (d)(i)(B) of the item; and
(b) for item 113—sub‑subparagraph (c)(i)(B) of the item.
99 | Professional attendance on a patient by a specialist practising in the specialist’s specialty if:
| 50% of the fee for item 104 or 105 |
104 | Professional attendance at consulting rooms or hospital by a specialist in the practice of the specialist’s specialty after referral of the patient to the specialist—each attendance, other than a second or subsequent attendance, in a single course of treatment, other than a service to which item 106, 109 or 16401 applies | 88.25 |
105 | Professional attendance by a specialist in the practice of the specialist’s specialty following referral of the patient to the specialist—an attendance after the first in a single course of treatment, if that attendance is at consulting rooms or hospital, other than a service to which item 16404 applies | 44.35 |
106 | Professional attendance by a specialist in the practice of the specialist’s specialty of ophthalmology and following referral of the patient to the specialist—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 (other than a service to which any of items 104, 109 and 10801 to 10816 applies) | 73.20 |
107 | Professional attendance by a specialist in the practice of the specialist’s specialty following referral of the patient to the specialist—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 | 129.45 |
108 | Professional attendance by a specialist in the practice of the specialist’s specialty following referral of the patient to the specialist—each attendance after the first in a single course of treatment, if that attendance is at a place other than consulting rooms or hospital | 81.95 |
109 | Professional attendance by a specialist in the practice of the specialist’s specialty of ophthalmology following referral of the patient to the specialist—an attendance (other than a second or subsequent attendance in a single course of treatment) at which a comprehensive eye examination, including pupil dilation, is performed on:
(other than a service to which any of items 104, 106 and 10801 to 10816 applies) | 198.85 |
111 | Professional attendance at consulting rooms or in hospital by a specialist in the practice of the specialist’s specialty following referral of the patient to the specialist by a referring practitioner—an attendance after the first attendance in a single course of treatment, if:
For any particular patient, once only on the same day | 44.35 |
113 | Initial professional attendance of 10 minutes or less in duration on a patient by a specialist in the practice of the specialist’s speciality if:
| 66.20 |
Items 112 and 114 do not apply if the patient, specialist or physician travels to a place to satisfy the requirement in:
(a) for item 112—sub‑subparagraph (d)(i)(B) of the item; and
(b) for item 114—sub‑subparagraph (c)(i)(B) of the item.
110 | Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—initial attendance in a single course of treatment | 155.60 |
112 | Professional attendance on a patient by a consultant physician practising in the consultant physician’s specialty if:
| 50% of the fee for item 110, 116, 119, 132 or 133 |
114 | Initial professional attendance of 10 minutes or less in duration on a patient by a consultant physician practising in the consultant physician’s specialty if:
| 116.75 |
116 | Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—each attendance (other than a service to which item 119 applies) after the first in a single course of treatment | 77.90 |
117 | Professional attendance at consulting rooms or in hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—an attendance after the first attendance in a single course of treatment, if:
For any particular patient, once only on the same day | 77.90 |
119 | Professional attendance at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—each minor attendance after the first in a single course of treatment | 44.35 |
120 | Professional attendance at consulting rooms or in hospital by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—an attendance after the first attendance in a single course of treatment, if:
For any particular patient, once only on the same day | 44.35 |
122 | Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—initial attendance in a single course of treatment | 188.80 |
128 | Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—each attendance (other than a service to which item 131 applies) after the first in a single course of treatment | |
114.20 | ||
131 | Professional attendance at a place other than consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) following referral of the patient to the consultant physician by a referring practitioner—each minor attendance after the first in a single course of treatment | 82.25 |
132 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 45 minutes in 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 the consultant physician by a referring practitioner, if:
| 272.15 |
133 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty (other than psychiatry) of at least 20 minutes in 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:
| 136.25 |
In items 135, 137 and 139:
eligible allied health provider means any of the following:
(a) an audiologist;
(b) an occupational therapist;
(c) an 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.
An
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) deafblindness;
(d) cerebral palsy;
(e) Down syndrome;
(f) Fragile X syndrome;
(g) Prader‑Willi syndrome;
(h) Williams syndrome;
(i) Angelman syndrome;
(j) Kabuki syndrome;
(k) Smith‑Magenis syndrome;
(l) CHARGE syndrome;
(m) Cri du Chat syndrome;
(n) Cornelia de Lange syndrome;
(o) microcephaly, if a child has:
(i) a head circumference less than the third percentile for age and sex; and
(ii) a functional level at or below 2 standard deviations below the mean for age on a standard development test or an IQ score of less than 70 on a standardised test of intelligence;
(p) Rett’s disorder.
135 | Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty of paediatrics, following referral of the patient to the consultant by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient aged under 13 years with autism or another pervasive developmental disorder, if the consultant paediatrician does all of the following:
(other than attendance on a patient for whom payment has previously been made under this item or item 137, 139 or 289) | 272.15 |
137 | Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a specialist or consultant physician (not including a general practitioner) following referral of the patient to the specialist or consultant physician by a referring 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:
(other than attendance on a patient for whom payment has previously been made under this item or item 135, 139 or 289) | 272.15 |
139 | Professional attendance of at least 45 minutes in 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:
(other than attendance on a patient for whom payment has previously been made under this item or item 135, 137 or 289) | 136.65 |
Item 149 does not apply if the patient, physician or specialist travels to a place to satisfy the requirement in sub‑subparagraph (d)(i)(B) of the item.
141 | Professional attendance of more than 60 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine, if:
| 466.80 |
143 | Professional attendance of more than 30 minutes in duration at consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under item 141 or 145, if:
| 291.80 |
145 | Professional attendance of more than 60 minutes in duration at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine, if:
| 566.00 |
147 | Professional attendance of more than 30 minutes in duration at a place other than consulting rooms or hospital by a consultant physician or specialist in the practice of the consultant physician’s or specialist’s specialty of geriatric medicine to review a management plan previously prepared by that consultant physician or specialist under items 141 or 145, if:
| 353.80 |
149 | Professional attendance on a patient by a consultant physician or specialist practising in the consultant physician’s or specialist’s specialty of geriatric medicine if:
| 50% of the fee for item 141 or 143 |
(1) Items 160 to 164 apply only to a service provided in the course of a personal attendance by one or more general practitioners, specialists or consultant physicians on a single patient on a single occasion.
(2) If the personal attendance is provided by one or more general practitioners, specialists or consultant physicians concurrently, each general practitioner, specialist or consultant physician may claim an attendance fee.
(3) However, if the personal attendance is not continuous, the occasion on which the service is provided is taken to be the total time of the attendance.
160 | Professional attendance for a period of not less than 1 hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death | 225.05 |
161 | Professional attendance for a period of not less than 2 hours but less than 3 hours (other than a service to which another item applies) on a patient in imminent danger of death | 375.05 |
162 | Professional attendance for a period of not less than 3 hours but less than 4 hours (other than a service to which another item applies) on a patient in imminent danger of death | 524.90 |
163 | Professional attendance for a period of not less than 4 hours but less than 5 hours (other than a service to which another item applies) on a patient in imminent danger of death | 675.20 |
164 | Professional attendance for a period of 5 hours or more (other than a service to which another item applies) on a patient in imminent danger of death | 750.20 |
170 | Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician’s specialty of psychiatry) involving members of a family and persons with close personal relationships with that family—each group of 2 patients | 119.45 |
171 | Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician’s specialty of psychiatry) involving members of a family and persons with close personal relationships with that family—each group of 3 patients | 125.85 |
172 | Professional attendance for the purpose of group therapy of not less than 1 hour in duration given under the direct continuous supervision of a general practitioner, specialist or consultant physician (other than a consultant physician in the practice of the consultant physician’s specialty of psychiatry) involving members of a family and persons with close personal relationships with that family—each group of 4 or more patients | 153.10 |
A general practitioner is a
qualified medical acupuncturist , for an item, if the Chief Executive Medicare has received a written notice from the Royal Australian College of General Practitioners stating that the general practitioner meets the skills requirements for providing the service described in the item.
173 | Professional attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture was performed | 21.65 |
193 | Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, lasting less than 20 minutes and including any of the following that are clinically relevant: | |
for one or more health‑related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed | 37.65 | |
195 | Professional attendance by a general practitioner who is a qualified medical acupuncturist, on one or more patients at a hospital, lasting less than 20 minutes and including any of the following that are clinically relevant:
for one or more health‑related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed | Amount under clause 2.1.1 |
197 | Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, lasting at least 20 minutes and including any of the following that are clinically relevant:
for one or more health‑related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed | 72.85 |
199 | Professional attendance by a general practitioner who is a qualified medical acupuncturist, at a place other than a hospital, lasting at least 40 minutes and including any of the following that are clinically relevant:
for one or more health‑related issues, with appropriate documentation, at which acupuncture is performed by the qualified medical acupuncturist by the application of stimuli on or through the skin by any means, including any consultation on the same occasion and another attendance on the same day related to the condition for which the acupuncture is performed | 107.25 |
Items 291, 293 and 359 may only apply once in a 12 month period.
Items 342, 344 and 346 apply only to a service provided in the course of a personal attendance by a single medical practitioner.
Items 353 to 361 apply only to a consultation that is provided to a patient in a regional, rural or remote area.
Item 288 does not apply if the patient or physician travels to a place to satisfy the requirement in sub‑subparagraph (d)(i)(B) of the item.
In item 289:
eligible allied health provider means any of the following:
(a) an audiologist;
(b) an occupational therapist;
(c) an 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.
288 | Professional attendance on a patient by a consultant physician practising in the consultant physician’s specialty of psychiatry if:
| 50% of the fee for item 291, 293, 296, 300, 302, 304, 306, 308, 310, 312, 314, 316, 318, 319, 348, 350 or 352 |
289 | Professional attendance of at least 45 minutes in duration at consulting rooms or hospital, by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, following referral of the patient to the consultant physician by a referring practitioner, for assessment, diagnosis and preparation of a treatment and management plan for a patient under 13 years with autism or another pervasive developmental disorder, if the consultant physician does all of the following:
(other than attendance on a patient for whom payment has previously been made under this item or item 135, 137 or 139) | 272.15 |
291 | Professional attendance of more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:
| 466.80 |
293 | Professional attendance of more than 30 minutes but not more than 45 minutes in duration at consulting rooms by a consultant physician in the practice of the consultant physician’s specialty of psychiatry, if:
| 291.80 |
296 | Professional attendance of more than 45 minutes in duration by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance at consulting rooms if the patient:
other than attendance on a patient in relation to whom this item, item 297 or 299, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months | 268.45 |
297 | Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance at hospital if the patient:
other than attendance on a patient in relation to whom this item, item 296 or 299, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months (H) | 268.45 |
299 | Professional attendance of more than 45 minutes by a consultant physician in the practice of the consultant physician’s speciality of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance at a place other than consulting rooms or a hospital if the patient:
other than attendance on a patient in relation to whom this item, item 296 or 297, or any of items 300 to 346, 353 to 358 and 361 to 370, has applied in the preceding 24 months | 321.00 |
300 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient | 44.70 |
302 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient | 89.15 |
304 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient | 137.25 |
306 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient | 189.40 |
308 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 75 minutes in duration at consulting rooms), if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies have not exceeded 50 attendances in a calendar year for the patient | 219.80 |
310 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of not more than 15 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient | 22.25 |
312 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 15 minutes, but not more than 30 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient | 44.70 |
314 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 30 minutes, but not more than 45 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient | 68.75 |
316 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 45 minutes, but not more than 75 minutes, in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient | 94.85 |
318 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 75 minutes in duration at consulting rooms, if that attendance and another attendance to which any of items 296, 300 to 308, 353 to 358 and 361 to 370 applies exceed 50 attendances in a calendar year for the patient | 109.95 |
319 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 45 minutes in duration at consulting rooms, if the patient has:
if that attendance and another attendance to which any of items 296, 300 to 319, 353 to 358 and 361 to 370 applies have not exceeded 160 attendances in a calendar year for the patient | 189.40 |
320 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of not more than 15 minutes in duration at hospital | 44.70 |
322 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 15 minutes, but not more than 30 minutes, in duration at hospital | 89.15 |
324 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 30 minutes, but not more than 45 minutes, in duration at hospital | 137.25 |
326 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 45 minutes, but not more than 75 minutes, in duration at hospital | 189.40 |
328 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 75 minutes in duration at hospital | 219.80 |
330 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of not more than 15 minutes in duration if that attendance is at a place other than consulting rooms or hospital | 82.05 |
332 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 15 minutes, but not more than 30 minutes, in duration if that attendance is at a place other than consulting rooms or hospital | 128.50 |
334 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 30 minutes, but not more than 45 minutes, in duration if that attendance is at a place other than consulting rooms or hospital | 187.30 |
336 | Professional attendance by a consultant physician in the practice of the consultant physician’s specialty of psychiatry following referral of the patient to the consultant physician by a referring practitioner—an attendance of more than 45 minutes, but not more than 75 minutes, in duration if that attendance is at a place other than consulting rooms or hospital | |
855.75 | ||
53439 | Mandible, treatment of a closed fracture of, involving a joint surface (Anaes.) | 242.60 |
53453 | Orbital cavity, reconstruction of a wall or floor with or without foreign implant (Anaes.) (Assist.) | 491.00 |
53455 | Orbital cavity, bone or cartilage graft to orbital wall or floor including reduction of prolapsed or entrapped orbital contents (Anaes.) (Assist.) | 576.75 |
53458 | Nasal bones, treatment of fracture of, other than a service to which item 53459 or 53460 applies | 43.75 |
53459 | Nasal bones, treatment of fracture of, by reduction (Anaes.) | 239.25 |
53460 | Nasal bones, treatment of fractures of, by open reduction involving osteotomies (Anaes.) (Assist.) | 488.05 |
53700 | Trigeminal nerve, primary division of, injection of an anaesthetic agent | 126.85 |
53702 | Trigeminal nerve, peripheral branch of, injection of an anaesthetic agent | 63.50 |
53704 | Facial nerve, injection of an anaesthetic agent | 38.25 |
53706 | Nerve branch in the oral and maxillofacial region, destruction by a neurolytic agent, other than a service to which another item in this Group applies | 126.85 |
Note: All references in this clause to a provision are references to a provision in the table, unless otherwise indicated.
In this table:
2013 estimated resident population means the preliminary estimated resident population as at 30 June 2013, as published by the Australian Bureau of Statistics.
Aboriginal and Torres Strait Islander health practitioner means a person:
(a) who is registered under a law of a State or Territory as an Aboriginal and Torres Strait Islander health practitioner; and
(b) who is employed by, or whose services are otherwise retained by, a medical practitioner in a general practice or a health service to which a direction made under subsection 19(2) of the Act applies.
aboriginal health worker means a person:
(a) who holds a Certificate III in Aboriginal or Torres Strait Islander Health Worker Primary Health Care (Clinical) or other appropriate qualification; and
(b) who is engaged by a medical practitioner in a general practice or a health service to which a direction made under subsection 19(2) of the Act applies.
Act means theHealth Insurance Act 1973 .
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.
after‑hours rural area has the meaning given by clause 2.16.4.
amount under clause 2.1.1 has the meaning given by clause 2.1.1.
amount under clause 2.22.2 has the meaning given by clause 2.22.2.
amount under clause 2.39.1 has the meaning given by clause 2.39.1.
amount under clause 2.43.1 has the meaning given by clause 2.43.1.
amount under clause 2.45.1 has the meaning given by clause 2.45.1.
amount under clause 2.45.2 has the meaning given by clause 2.45.2.
amount under clause 2.46.3 has the meaning given by clause 2.46.3.
amount under clause 2.46.4 has the meaning given by clause 2.46.4.
amount under clause 2.46.20 has the meaning given by clause 2.46.20.
amount under clause 2.47.1 has the meaning given by clause 2.47.1.
amount under clause 2.47.2 has the meaning given by clause 2.47.2.
amount under clause 2.47.3 has the meaning given by clause 2.47.3.
amount under clause 2.50.1 has the meaning given by clause 2.50.1.
approved site :
(a) for item 15338—has the meaning given by clause 2.39.2; and
(b) for items 37220 and 37227—has the meaning given by clause 2.46.1.
ASGC , for Division 2.34, has the meaning given by clause 2.34.1.
ASGS means the July 2016 edition of the Australian Statistical Geography Standard, published by the Australian Bureau of Statistics, as existing on 1 January 2020.Note: The ASGS could in 2019 be viewed on the Australian Bureau of Statistics’ website ( general practitioner:
(a) for item 732—has the meaning given by clause 2.18.2; and
(b) for item 2712—has the meaning given by clause 2.22.5.
Australian Type 2 Diabetes Risk Assessment Tool means theAustralian Type 2 Diabetes Risk Assessment Tool , developed by the Baker Heart and Diabetes Institute, as existing on 1 July 2019.Note: The
Australian Type 2 Diabetes Risk Assessment Tool could in 2019 be viewed on the Department’s website ( in items 16515, 16519, 16522, 16527, 16528, 16590, 20855, 20946, 20958, 51306 and 51309, includes the following:
(a) induction of labour by surgical or intravenous infusion methods;
(b) forceps or vacuum extraction;
(c) caesarean section;
(d) breech birth;
(e) management of multiple births;
(f) episiotomy;
(g) repair of tears;
(h) evacuation of the products of conception by manual removal.
brachytherapy treatment verification means a quality assurance procedure:
(a) that is designed to facilitate accurate and reproducible delivery of brachytherapy to a site or region of the body as specified in a treatment prescription or in a dose plan generated from a treatment prescription; and
(b) that utilises the capture and assessment of appropriate images using any of the following:
(i) x‑rays;
(ii) computed tomography;
(iii) ultrasound, if the ultrasound equipment is capable of producing images in 3 dimensions; and
(c) that includes making a record of the assessment and correcting any significant treatment delivery inaccuracies detected.
bulk‑billed , for Division 2.34, has the meaning given by clause 2.34.1.
care recipient means a person receiving residential care under section 21‑2 of theAged Care Act 1997 .
case conference team , for item 880, has the meaning given by clause 2.18.18.
cervical screening service means a service to which item 73070, 73071, 73072, 73073, 73074, 73075 or 73076 of the pathology services table applies.
cervical smear service means a service to which former item 73053, 73055, 73057 or 73069 of the pathology services table applied.
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 2.34, has the meaning given by clause 2.34.1.
community case conference means a case conference for community based patients.
completes the minimum requirements for a cycle of care of a patient with established diabetes mellitus has the meaning given by clause 2.21.1.
completes the minimum requirements of the Asthma Cycle of Care has the meaning given by clause 2.21.2.
complex paediatric case , for item 25205, has the meaning given by clause 2.45.3.
comprehensive hyperbaric medicine facility , for items 13015, 13020, 13025 and 13030, has the meaning given by clause 2.38.1.
contribute to a multidisciplinary care plan , for items 729 and 731, has the meaning given by clause 2.18.3.
coordinating , for item 880, has the meaning given by clause 2.18.17.
coordinating a review of team care arrangements , for item 732, has the meaning given by clause 2.18.5.
coordinating the development of team care arrangements , for item 723, has the meaning given by clause 2.18.4.
designated area , for Division 2.34, has the meaning given by clause 2.34.1.
eligible allied health provider :
(a) for items 135, 137 and 139—has the meaning given by clause 2.6.1; and
(b) for item 289—has the meaning given by clause 2.11.5.
eligible area , for Division 2.34, has the meaning given by clause 2.34.1.
eligible disability has the meaning given by clause 2.6.2.
eligible non‑vocationally recognised medical practitioner has the meaning given by clause 1.1.1.
eligible stroke centre has the meaning given by clause 2.46.18.
embryology laboratory services , for items 13200, 13201 and 13206, has the meaning given by clause 2.38.2.
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 has the meaning given by clause 2.22.1.
foreign body , for items 35360 and 35363, has the meaning given by clause 2.46.13.
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 one 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 one 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 one 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 has a meaning affected by clause 1.1.2.
GP management plan , for item 10997, has the meaning given by clause 2.33.1.
gravely ill patient lacking current goals of care means a patient to whom all of the following apply:
(a) the patient either:
(i) is suffering a life‑threatening acute illness or injury; or
(ii) is suffering acute illness or injury and, apart from the illness or injury, has a high risk of dying within 12 months;
(b) one or more alternatives to management of the illness or injury are clinically appropriate for the patient;
(c) either:
(i) there is not a record of goals of care for the patient that can readily be retrieved by providers of health care for the patient and that identifies interventions that should, or should not, be made in care of the patient; or
(ii) there is such a record but it is reasonable to expect that, due to changes in the patient’s condition, the goals recorded will change substantially.
Group A1 disqualified general practitioner means a general practitioner:
(a) who is partly disqualified under an agreement that is in effect under section 92 of the Act in respect of a service to which an item in Group A1 applies; or
(b) in relation to whom a final determination under section 106TA of the Act containing a direction under paragraph 106U(1)(g) that the practitioner be partly disqualified is in effect in respect of a service to which an item in Group A1 applies.
(H) has the meaning given by clause 1.1.6.
IGRT , for items 15275 and 15715, has the meaning given by clause 2.39.3.
immunisation means the administration of a registered vaccine to a person for any purpose other than as part of a mass immunisation of persons.
IMRT , for items 15275, 15555, 15565 and 15715, has the meaning given by clause 2.39.4.
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.
living in a community setting , for item 900, has the meaning given by clause 2.19.1.
maxilla :
(a) for items 45720 to 45752—has the meaning given by clause 2.46.22; and
(b) for items 52342 to 52375—has the meaning given by clause 2.52.1.
mental disorder , for Division 2.22, has the meaning given by clause 2.22.1.
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.
Modified Monash 2 area means a Statistical Area Level 1 under the ASGS that:
(a) is categorised under the ASGS as RA 1 (Inner Regional Australia) or RA 2 (Outer Regional Australia); and
(b) satisfies any of the following criteria:
(i) the area is in an Urban Centre and Locality with a 2013 estimated resident population of more than 50,000;
(ii) the area is in an Urban Centre and Locality, the geographic centre of which is no more than 20 kilometres road distance from the boundary of another Urban Centre and Locality with a 2013 estimated resident population of more than 50,000;
(iii) the area is not in an Urban Centre and Locality, but the geographic centre of the area is no more than 20 kilometres road distance from the boundary of an Urban Centre and Locality with a 2013 estimated resident population of more than 50,000; and
(c) is not a Modified Monash 7 area.
Modified Monash 3 area means a Statistical Area Level 1 under the ASGS that:
(a) is categorised under the ASGS as RA 1 (Inner Regional Australia) or RA 2 (Outer Regional Australia); and
(b) satisfies any of the following criteria:
(i) the area is in an Urban Centre and Locality with a 2013 estimated resident population of more than 15,000 but no more than 50,000;
(ii) the area is in an Urban Centre and Locality, the geographic centre of which is no more than 15 kilometres road distance from the boundary of another Urban Centre and Locality with a 2013 estimated resident population of more than 15,000 but no more than 50,000;
(iii) the area is not in an Urban Centre and Locality, but the geographic centre of the area is no more than 15 kilometres road distance from the boundary of an Urban Centre and Locality with a 2013 estimated resident population of more than 15,000 but no more than 50,000; and
(c) is not a Modified Monash 2 area or Modified Monash 7 area.
Modified Monash 4 area means a Statistical Area Level 1 under the ASGS that:
(a) is categorised under the ASGS as RA 1 (Inner Regional Australia) or RA 2 (Outer Regional Australia); and
(b) satisfies any of the following criteria:
(i) the area is in an Urban Centre and Locality with a 2013 estimated resident population of at least 5,000 but no more than 15,000;
(ii) the area is in an Urban Centre and Locality, the geographic centre of which is no more than 10 kilometres road distance from the boundary of another Urban Centre and Locality with a 2013 estimated resident population of at least 5,000 but no more than 15,000;
(iii) the area is not in an Urban Centre and Locality, but the geographic centre of the area is no more than 10 kilometres road distance from the boundary of an Urban Centre and Locality with a 2013 estimated resident population of at least 5,000 but no more than 15,000; and
(c) is not a Modified Monash 2 area, Modified Monash 3 area or Modified Monash 7 area.
Modified Monash 5 area means a Statistical Area Level 1 under the ASGS that:
(a) is categorised under the ASGS as RA 1 (Inner Regional Australia) or RA 2 (Outer Regional Australia); and
(b) is not a Modified Monash 2 area, Modified Monash 3 area, Modified Monash 4 area or Modified Monash 7 area.
Modified Monash 6 area means a Statistical Area Level 1 under the ASGS that:
(a) is categorised under the ASGS as RA 3 (Remote Australia); and
(b) is not a Modified Monash 7 area.
Modified Monash 7 area means a Statistical Area Level 1 under the ASGS that:
(a) is entirely located on an island or islands more than 5 kilometres from the Australian mainland or Tasmania, as measured between coastlines at the low water mark; or
(b) is located on Magnetic Island; or
(c) is categorised under the ASGS as RA 4 (Very Remote Australia).
multidisciplinary care plan :
(a) for items 729 and 731—has the meaning given by clause 2.18.6; and
(b) for item 10997—has the meaning given by clause 2.33.1.
multidisciplinary case conference has the meaning given by clause 1.1.3.
multidisciplinary case conference in a residential aged care facility , for items 735, 739, 743, 747, 750 and 758, has the meaning given by clause 2.18.14.
multidisciplinary case conference team has the meaning given by clause 1.1.4.
multidisciplinary discharge case conference , for items 735, 739, 743, 747, 750 and 758, has the meaning given by clause 2.18.13.
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 one consultant physician in paediatric medicine who is immediately available, and exclusively rostered, to that area; and
(ii) at all times—at least one 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 one registered nurse; and
(c) has admission and discharge policies in operation.
non‑directive pregnancy support counselling , for item 4001, has the meaning given by clause 2.26.1.
non‑medicare service means any of the following:
(a) endoluminal gastroplication, for the treatment of gastro‑oesophageal reflux disease;
(b) gamma knife surgery;
(c) intradiscal electro thermal arthroplasty;
(d) intravascular ultrasound, except if used in conjunction with intravascular brachytherapy;
(e) intro‑articular viscosupplementation, for the treatment of osteoarthritis of the knee;
(f) low intensity ultrasound treatment, for the acceleration of bone fracture healing, using a bone growth stimulator;
(g) lung volume reduction surgery, for advanced emphysema;
(h) photodynamic therapy, for skin and mucosal cancer;
(i) placement of artificial bowel sphincters, in the management of faecal incontinence;
(j) selective internal radiation therapy for any condition other than hepatic metastases that are secondary to colorectal cancer;
(k) specific mass measurement of bone alkaline phosphatise;
(l) transmyocardial laser revascularisation;
(m) vertebral axial decompression therapy, for chronic back pain;
(n) autologous chondrocyte implantation and matrix‑induced autologous chondrocyte implantation;
(o) vertebroplasty;
(p) extracorporeal magnetic innervation.
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, 822, 823, 825, 826, 828, 830, 832, 834, 835, 837, 838, 855, 857, 858, 861, 864 and 866—has the meaning given by clause 2.18.15; and
(b) for items mentioned in Subgroups 2 and 4 of Group A24—has the meaning given by clause 2.23.1; and
(c) for items 6029 to 6042—has the meaning given by clause 2.24.1; and
(d) for items 6064 to 6075—has the meaning given by clause 2.25.1.
outcome measurement tool , for Division 2.22, has the meaning given by clause 2.22.1.
participate :
(a) for items 747, 750, 758, 825, 826, 828, 835, 837 and 838—has the meaning given by clause 2.18.16; and
(b) for items 2958, 2972, 2974, 2992, 2996, 3000, 3051, 3055, 3062, 3083, 3088 and 3093—has the meaning given by clause 2.23.2; and
(c) for items 6035 to 6042—has the meaning given by clause 2.24.2; and
(d) for items 6071 to 6075—has the meaning given by clause 2.25.2.
participating in a video conferencing consultation : a medical practitioner isparticipating in a video conferencing consultation if:
(a) the medical practitioner attends a patient who is receiving a service under an item in the table from a specialist or consultant physician; and
(b) the specialist or consultant physician is providing the service:
(i) in relation to the specialist’s or consultant physician’s speciality to the patient; and
(ii) by way of a video conferencing consultation.
patient’s medical condition requires urgent assessment has the meaning given by clause 2.16.1.
patient’s usual general practitioner means a general 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, has the meaning given by clause 2.33.1.
pharmaceutical benefits scheme means the scheme for the supply of pharmaceutical benefits established under Part VII of theNational Health Act 1953 .
practice location has the meaning given by clause 2.34.1.
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 made under subsection 19(2) of the Act applies.
preparation of a GP mental health treatment plan has the meaning given by clause 2.22.3.
preparation of goals of care for a patient, by a medical practitioner, means the carrying out of all of the following activities by the practitioner:
(a) comprehensively evaluating the patient’s medical, physical, psychological and social issues;
(b) identifying major issues that require goals of care for the patient to be set;
(c) assessing the patient’s capacity to make decisions about goals of care for the patient;
(d) discussing care of the patient with the patient, or a person (the
surrogate ) who can make decisions on the patient’s behalf about care for the patient, and as appropriate with any of the following:
(i) members of the patient’s family;
(ii) other persons who provide care for the patient;
(iii) other health practitioners;
(e) offering in that discussion reasonable options for care of the patient, including alternatives to intensive or escalated care;
(f) agreeing with the patient or the surrogate on goals of care for the patient that address all major issues identified;
(g) recording the agreed goals so that:
(i) the record can be readily retrieved by other providers of health care for the patient; and
(ii) interventions that should, or should not, be made in care of the patient are identified.
preparing a GP management plan , for item 721, has the meaning given by clause 2.18.7.
previous significant surgical complication , for item 51318, has the meaning given by clause 2.47.4.
qualified medical acupuncturist has the meaning given by clause 2.10.1.
qualified radiologist , for item 31542, has the meaning given by clause 2.46.6.
qualified sleep medicine practitioner :
(a) for items 12203, 12207, 12213 and 12217—has the meaning given by subclause 2.36.2(1); and
(b) for items 12210 and 12215—has the meaning given by subclause 2.36.2(2); and
(c) for item 12250—has the meaning given by subclause 2.36.2(3).
qualified surgeon , for items 31539 and 31545, has the meaning given by clause 2.46.5.
RACGP means the Royal Australian College of General Practitioners.
radiation oncology treatment verification means a quality assurance procedure:
(a) that is designed to facilitate accurate and reproducible delivery of radiation therapy to a site or region of the body as specified in a treatment prescription or a dose plan generated from a treatment prescription; and
(b) that utilises the capture and assessment of appropriate images using any of the following:
(i) x‑rays;
(ii) computed tomography;
(iii) ultrasound, if the ultrasound equipment is capable of producing images in 3 dimensions; and
(c) that includes making a record of the assessment and correcting any significant treatment delivery inaccuracies detected.
recognised emergency department of a private hospital means a department of the hospital that is licensed, under a law of the State or Territory in which the hospital is located, to operate as an emergency department.
referring practitioner , in relation to a referral, means the person making the referral.Note: Division 4 of Part 11 of the
Health Insurance Regulations 2018 prescribes the manner in which patients are to be referred when an item in the table specifies a service that is to be rendered by a specialist or consultant physician to a patient who has been referred.
regional, rural or remote area means either of the following:
(a) an area classified as RRMAs 3‑7 under the Rural, Remote and Metropolitan Areas Classification;
(b) Norfolk Island.
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 theTherapeutic Goods Act 1989 .
report , for Division 2.36, has the meaning given by clause 2.36.1.
residential aged care facility means a facility where residential care (as defined in section 41‑3 of theAged Care Act 1997 ) is provided.
residential care service has the meaning given by clause 1 of Schedule 1 to theAged Care Act 1997 .
residential medication management review , for item 903, has the meaning given by clause 2.19.2.
responsible person , for items 585 to 600, has the meaning given by clause 2.16.2.
reviewing a GP management plan , for item 732, has the meaning given by clause 2.18.8.
review of a GP mental health treatment plan has the meaning given by clause 2.22.4.
risk assessment :
(a) for items 135, 137 and 139—has the meaning given by clause 2.6.1; and
(b) for item 289—has the meaning given by clause 2.11.5.
Rural, Remote and Metropolitan Areas Classification means the document so titled, as existing on 1 July 2019, 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 an item in Subgroups 21, 24, 25 and 26 of Group T10, has the meaning given by clause 2.45.4.
single course of treatment has the meaning given by clause 1.1.5.
SLA , for Division 2.34, has the meaning given by clause 2.34.1.
SSD , for Division 2.34, has the meaning given by clause 2.34.1.
team care arrangements means a plan under item 723 or 732 (for a review of team care arrangements under item 723).
telehealth eligible area means an area classified as a telehealth eligible area by the Minister.Note: Maps showing telehealth eligible areas could in 2019 be viewed on the Department’s Medicare Benefits Schedule website ( cycle, for clause 2.38.4 and items 13200 to 13209, 13215 and 13218, has the meaning given by clause 2.38.3.
unreferred service , for Division 2.34, has the meaning given by clause 2.34.1.
unsociable hours means the period starting at 11 pm and ending at 7 am on any day.
Urban Centre and Locality means an area defined as an Urban Centre and Locality under the ASGS.
Endnotes Endnote 1 About the endnotes The endnotes provide information about this compilation and the compiled law.
The following endnotes are included in every compilation:
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
Abbreviation key—Endnote 2 The abbreviation key sets out abbreviations that may be used in the endnotes.
Legislation history and amendment history—Endnotes 3 and 4 Amending laws are annotated in the legislation history and amendment history.
The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.
The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.
Editorial changes The
Legislation Act 2003 authorises First Parliamentary Counsel to make editorial and presentational changes to a compiled law in preparing a compilation of the law for registration. The changes must not change the effect of the law. Editorial changes take effect from the compilation registration date.If the compilation includes editorial changes, the endnotes include a brief outline of the changes in general terms. Full details of any changes can be obtained from the Office of Parliamentary Counsel.
Misdescribed amendments A misdescribed amendment is an amendment that does not accurately describe the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.
If a misdescribed amendment cannot be given effect as intended, the abbreviation “(md not incorp)” is added to the details of the amendment included in the amendment history.
Endnote 2 Abbreviation key
ad = added or inserted
o = order(s)
am = amended
Ord = Ordinance
amdt = amendment
orig = original
c = clause(s)
par = paragraph(s)/subparagraph(s)
C[x] = Compilation No. x
/sub‑subparagraph(s)
Ch = Chapter(s)
pres = present
def = definition(s)
prev = previous
Dict = Dictionary
(prev…) = previously
disallowed = disallowed by Parliament
Pt = Part(s)
Div = Division(s)
r = regulation(s)/rule(s)
ed = editorial change
reloc = relocated
exp = expires/expired or ceases/ceased to have
renum = renumbered
effect
rep = repealed
F = Federal Register of Legislation
rs = repealed and substituted
gaz = gazette
s = section(s)/subsection(s)
LA =
Legislation Act 2003 Sch = Schedule(s)
LIA =
Legislative Instruments Act 2003 Sdiv = Subdivision(s)
(md) = misdescribed amendment can be given
SLI = Select Legislative Instrument
effect
SR = Statutory Rules
(md not incorp) = misdescribed amendment
Sub‑Ch = Sub‑Chapter(s)
cannot be given effect
SubPt = Subpart(s)
mod = modified/modification
underlining = whole or part notNo. = Number(s)
commenced or to be commenced
Endnote 3 Legislation history
Name
Registration
Commencement
Application, saving and transitional provisions Health Insurance (General Medical Services Table) Regulations 2019
9 Apr 2019 (F2019L00588)
1 July 2019 (s 2(1) item 1)
Health Insurance (General Medical Services Table) Amendment (Indexation) Regulations 2019
17 June 2019 (F2019L00827)
1 July 2019 (s 2(1) item 1)
—
Health Insurance Legislation Amendment (2019 Measures No. 1) Regulations 2019
24 Sept 2019 (F2019L01256)
Sch 1 (items 1–5, 10–53, 57–76): 1 Nov 2019 (s 2(1) item 2)
Sch 2: 1 Jan 2020 (s 2(1) item 3)
—
Health Insurance Legislation Amendment (Intensive Care and Emergency Medicine) Regulations 2020
25 Feb 2020 (F2020L00165)
Sch 1, Sch 2 (items 2–4) and Sch 3–5: 1 Mar 2020 (s 2(1) item 1)
—
Health Insurance Legislation Amendment (Bulk
‑ billing Incentive) Regulations 202029 Mar 2020 (F2020L00341)
Sch 1 (items 3, 4): 30 Mar 2020 (s 2(1) item 2)
—
Endnote 4 Amendment history
Provision affected
How affected s 2.............................................
rep LA s 48D
s 6.............................................
rep LA s 48C
Schedule 1
Part 1
Division 1.2 c 1.2.4........................................
am F2020L00165
c 1.2.5........................................
am F2019L01256; F2020L00165
c 1.2.6........................................
am F2019L01256; F2020L00165
Part 2
Division 2.1 c 2.1.1........................................
am F2019L00827
Division 2.3 c 2.3.1........................................
rep F2019L01256
Group A2 Table..........................
am F2019L01256
Division 2.8 Group A5 Table..........................
am F2019L00827
Division 2.9 Group A6 Table..........................
am F2019L00827
Division 2.10 Group A7 Table..........................
am F2019L00827
Division 2.15 Division 2.15..............................
rs F2020L00165
Group A21 Table........................
rs F2020L00165
Division 2.16 Group A11 Table........................
am F2019L00827; F2019L01256
Division 2.17 Group A14 Table........................
am F2019L00827
Division 2.18 Group A15 Table........................
am F2019L00827
Division 2.19 Group A17 Table........................
am F2019L00827
Division 2.20 c 2.20.3......................................
am F2019L00827
c 2.20.5......................................
ad F2019L01256
Group A30 Table........................
am F2019L00827; F2019L01256
Division 2.21 Group A18 Table........................
am F2019L00827
Division 2.22 c 2.22.2......................................
am F2019L00827
Group A20 Table........................
am F2019L00827
Division 2.26 Group A27 Table........................
am F2019L00827
Division 2.27 Group A22 Table........................
am F2019L00827
Division 2.31 Group A35 Table........................
am F2019L01256
Division 2.34 c 2.34.1......................................
am F2019L01256
Group M1 Table.........................
am F2019L01256; F2020L00341
Division 2.36 Group D1 Table..........................
am F2019L01256
Division 2.38 Group T1 Table..........................
am F2020L00165
c 2.38.11....................................
ad F2020L00165
Division 2.43 Group T7 Table..........................
am F2019L01256
Division 2.45 c 2.45.1......................................
am F2019L01256
c 2.45.2......................................
am F2019L01256
Group T10 Table.........................
am F2019L01256
Division 2.46 c 2.46.14....................................
am F2019L01256
c 2.46.25....................................
am F2019L01256
Group T8 Table..........................
am F2019L01256
Division 2.47 Group T9 Table..........................
am F2019L00827
Division 2.50 Group O2 Table..........................
am F2019L00827
Division 2.51 Group O3 Table..........................
am F2019L01256
Part 3 c 3.1..........................................
am F2019L01256; F2020L00165
Schedule 2..................................
rep LA s 48C
0
0
0