Health Insurance Legislation Amendment (2023 Measures No. 3) Regulations 2023 (Cth)

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Health Insurance Legislation Amendment (2023 Measures No. 3) Regulations 2023

I, General the Honourable David Hurley AC DSC (Retd), Governor‑General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following regulations.

Dated 16 October 2023

David Hurley

Governor‑General

By His Excellency’s Command

Mark Butler

Minister for Health and Aged Care

Contents

1Name

This instrument is the Health Insurance Legislation Amendment (2023 Measures No. 3) Regulations 2023.

2Commencement
  1. (1)

    Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

Commencement information

Column 1

Column 2

Column 3

Provisions

Commencement

Date/Details

1.

Sections 1 to 4 and anything in this instrument not elsewhere covered by this table

The day after this instrument is registered.

17 October 2023

2.

Schedule 1

The day after this instrument is registered.

17 October 2023

3.

Schedule 2

1 November 2023.

1 November 2023

4.

Schedules 3 to 7

Immediately after the commencement of the provisions covered by table item 3.

1 November 2023

Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

  1. (2)

    Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3Authority

This instrument is made under the Health Insurance Act 1973.

4Schedules

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.

Schedule 1Amendments commencing day after registration

Health Insurance (General Medical Services Table) Regulations 2021

1

Schedule 1 (cell at item 32026, column 3)

Repeal the cell, substitute:

2,238.45

2

Schedule 1 (cell at item 32028, column 3)

Repeal the cell, substitute:

2,377.80

3

Schedule 1 (cell at item 32117, column 3)

Repeal the cell, substitute:

1,375.80

4

Schedule 1 (cell at item 32231, column 3)

Repeal the cell, substitute:

365.00

5

Schedule 1 (cell at item 32232, column 3)

Repeal the cell, substitute:

989.55

6

Schedule 1 (cell at item 32233, column 3)

Repeal the cell, substitute:

702.80

7

Schedule 1 (cell at item 32234, column 3)

Repeal the cell, substitute:

139.00

8

Schedule 1 (cell at item 32235, column 3)

Repeal the cell, substitute:

134.15

9

Schedule 1 (cell at item 32236, column 3)

Repeal the cell, substitute:

190.85

10

Schedule 1 (cell at item 32237, column 3)

Repeal the cell, substitute:

309.50

Schedule 2Indexation

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020

1

Clause 2.7.1 of Schedule 1 (heading)

Omit “1 July 2023”, substitute “1 November 2023”.

2

Subclause 2.7.1(1) of Schedule 1

Repeal the subclause, substitute:

  1. (1)

    At the start of 1 November 2023 (the indexation time), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

    Note: The indexed fees could in 2023 be viewed on the Department’s MBS Online website ( Insurance (General Medical Services Table) Regulations 2021

    3

    Paragraph 1.2.4(2)(c) of Schedule 1

    Omit “$328.55”, substitute “$330.20”.

    4

    Clause 1.3.1 of Schedule 1 (heading)

    Omit “1 July 2023”, substitute “1 November 2023”.

    5

    Subclauses 1.3.1(1) and (2) of Schedule 1

    Repeal the subclauses, substitute:

    1. (1)

      At the start of 1 November 2023 (the indexation time), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

      Note: The indexed fees could in 2023 be viewed on the Department’s MBS Online website ( amounts covered by this subclause are the fee for each item in a Group in this Schedule, other than the fee for the following:

      1. (a)

        an item in Group A2;

      2. (b)

        an item in Group A7 (other than items 193, 197 and 199);

      (c) an item in Group A23;

      1. (d)

        items 90092, 90093, 90095, 90096, 90098, 90183, 90188, 90202, 90212 and 90215 in Group A35;

      2. (e)

        items 90254, 90255, 90256, 90257, 90265, 90275 and 90277 in Group A36;

      (f) an item in Group T10.

    6

    Paragraph 1.3.1(3)(c) of Schedule 1

    Repeal the paragraph, substitute:

    1. (c)

      a table item of the following tables:

      1. (i)

        table 2.1.1;

      2. (ii)

        table 2.1.2;

      3. (iii)

        table 2.20.2;

      4. (iv)

        table 2.20.2A;

      5. (v)

        table 5.3.1.

    7

    Clause 2.1.1 of Schedule 1 (table 2.1.1)

    Repeal the table, substitute:

    Table 2.1.1—Amount under clause 2.1.1

    Item

    Column 1

    Items of this Schedule

    Column 2

    Fee

    Column 3

    Amount if not more than 6 patients (to be divided by the number of patients) ($)

    Column 4

    Amount if more than 6 patients ($)

    1

    4

    The fee for item 3

    29.00

    2.30

    2

    24

    The fee for item 23

    29.00

    2.30

    3

    37

    The fee for item 36

    29.00

    2.30

    4

    47

    The fee for item 44

    29.00

    2.30

    5

    58

    $8.50

    15.50

    0.70

    6

    59

    $16.00

    17.50

    0.70

    7

    60

    $35.50

    15.50

    0.70

    8

    65

    $57.50

    15.50

    0.70

    9

    124

    The fee for item 123

    29.00

    2.30

    10

    165

    $88.20

    15.50

    0.70

    11

    195

    The fee for item 193

    28.60

    2.25

    12

    414

    The fee for item 410

    28.50

    2.25

    13

    415

    The fee for item 411

    28.50

    2.25

    14

    416

    The fee for item 412

    28.50

    2.25

    15

    417

    The fee for item 413

    28.50

    2.25

    16

    5003

    The fee for item 5000

    28.60

    2.25

    17

    5010

    The fee for item 5000

    51.45

    3.65

    18

    5023

    The fee for item 5020

    28.60

    2.25

    19

    5028

    The fee for item 5020

    51.45

    3.65

    20

    5043

    The fee for item 5040

    28.60

    2.25

    21

    5049

    The fee for item 5040

    51.45

    3.65

    22

    5063

    The fee for item 5060

    28.60

    2.25

    23

    5067

    The fee for item 5060

    51.45

    3.65

    24

    5076

    The fee for item 5071

    28.60

    2.25

    25

    5077

    The fee for item 5071

    51.45

    3.65

    26

    5220

    $18.50

    15.50

    0.70

    27

    5223

    $26.00

    17.50

    0.70

    28

    5227

    $45.50

    15.50

    0.70

    29

    5228

    $67.50

    15.50

    0.70

    30

    5260

    $18.50

    27.95

    1.25

    31

    5261

    $112.20

    15.50

    0.70

    32

    5262

    $112.20

    27.95

    1.25

    33

    5263

    $26.00

    31.55

    1.25

    34

    5265

    $45.50

    27.95

    1.25

    35

    5267

    $67.50

    27.95

    1.25

    36

    90272

    The fee for item 90271

    28.60

    2.25

    37

    90274

    The fee for item 90273

    28.60

    2.25

    38

    90276

    The fee for item 90275

    22.85

    1.80

    39

    90278

    The fee for item 90277

    22.85

    1.80

    8

    Schedule 1 (item 111, column 2, paragraph (d))

    Omit “$328.55”, substitute “$330.20”.

    9

    Schedule 1 (item 115, column 2, paragraph (c))

    Omit “$328.55”, substitute “$330.20”.

    10

    Schedule 1 (item 117, column 2, paragraph (e))

    Omit “$328.55”, substitute “$330.20”.

    11

    Schedule 1 (item 120, column 2, paragraph (d))

    Omit “$328.55”, substitute “$330.20”.

    1. 12

      Clause 2.20.2 of Schedule 1 (table 2.20.2, items 1 to 4)

    Omit “28.45”, substitute “28.60”.

    13

    Subclause 2.30.1(1) of Schedule 1

    Omit “90043 or 90051 applies is the amount listed in the item plus $60.25”, substitute “90043, 90051 or 90054 applies is the amount listed in the item plus $60.55”.

    14

    Subclause 2.30.1(2) of Schedule 1

    Omit “90095 or 90096 applies is the amount listed in the item plus $43.75”, substitute “90095, 90096, 90098, 90183, 90188, 90202, 90212 or 90215 applies is the amount listed in the item plus $43.95”.

    1. 15

      Subclause 5.7.1(1) of Schedule 1 (paragraph (b) of the definition of amount under clause 5.7.1)

    Omit “$20.80”, substitute “$20.90”.

    1. 16

      Subclause 5.7.1(2) of Schedule 1 (paragraph (b) of the definition of amount under clause 5.7.1)

    Omit “$31.35”, substitute “$31.50”.

    1. 17

      Clause 5.9.2 of Schedule 1 (paragraph (a) of the definition of amount under clause 5.9.2)

    Omit “$108.50”, substitute “$109.05”.

    18

    Schedule 1 (cell at item 51300, column 2)

    Repeal the cell, substitute:

    Assistance at any operation mentioned in an item in Group T8 that includes “(Assist.)” for which the fee does not exceed $614.55 or at a series or combination of operations mentioned in an item in Group T8 that include “(Assist.)” for which the aggregate fee does not exceed $614.55

    19

    Schedule 1 (cell at item 51303, column 2)

    Repeal the cell, substitute:

    Assistance at any operation mentioned in an item in Group T8 that includes “(Assist.)” for which the fee exceeds $614.55 or at a series or combination of operations mentioned in an item in Group T8 that include “(Assist.)” for which the aggregate fee exceeds $614.55

    20

    Schedule 1 (cell at item 51800, column 2)

    Repeal the cell, substitute:

    Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee does not exceed $614.55 or at a series or combination of operations mentioned in an item in Groups O3 to O9 that include “(Assist.)” for which the aggregate fee does not exceed $614.55

    21

    Schedule 1 (cell at item 51803, column 2)

    Repeal the cell, substitute:

    Assistance by an approved dental practitioner in the practice of oral and maxillofacial surgery at any operation mentioned in an item that includes “(Assist.)” for which the fee exceeds $614.55 or at a series or combination of operations mentioned in an item that include “(Assist.)” if the aggregate fee exceeds $614.55

    1. 22

      Amendments of listed provisions—clause 5.3.1 of Schedule 1

    The items of the table in clause 5.3.1 of Schedule 1 listed in the following table are amended as set out in the table.

    Amendments relating to indexation—amendments of table 5.3.1

    Item

    Table item

    Omit

    Substitute

    1

    Table item 1

    18.70

    18.80

    2

    Table item 2

    20.30

    20.40

    3

    Table item 3

    20.55

    20.65

    4

    Table item 4

    24.85

    24.95

    5

    Table item 5

    51.80

    52.05

    6

    Table item 6

    34.95

    35.10

    7

    Table item 7

    41.60

    41.80

    8

    Table item 8

    41.60

    41.80

    9

    Table item 9

    41.60

    41.80

    10

    Table item 10

    41.60

    41.80

    11

    Table item 11

    41.60

    41.80

    12

    Table item 12

    41.60

    41.80

    13

    Table item 13

    41.60

    41.80

    14

    Table item 14

    41.60

    41.80

    15

    Table item 15

    41.60

    41.80

    16

    Table item 16

    41.60

    41.80

    1. 23

      Amendments of listed provisions—Group A36

    The items of Schedule 1 listed in the following table are amended as set out in the table.

    Amendments relating to indexation—amendments of Group A36

    Item

    Item of Schedule 1

    Omit

    Substitute

    1

    Item 90254

    62.85

    63.15

    2

    Item 90255

    92.50

    92.95

    3

    Item 90256

    79.75

    80.15

    4

    Item 90257

    117.50

    118.10

    5

    Item 90265

    62.85

    63.15

    6

    Item 90275

    81.30

    81.70

    7

    Item 90277

    116.30

    116.90

    24Amendments of listed provisions—Group T10

    The items of Schedule 1 listed in the following table are amended as set out in the table.

    Amendments relating to indexation—amendments of Group T10

    Item

    Item of Schedule 1

    Omit

    Substitute

    1

    Item 20100

    108.50

    109.00

    2

    Item 20102

    130.20

    130.80

    3

    Item 20104

    86.80

    87.20

    4

    Item 20120

    108.50

    109.00

    5

    Item 20124

    86.80

    87.20

    6

    Item 20140

    108.50

    109.00

    7

    Item 20142

    108.50

    109.00

    8

    Item 20143

    130.20

    130.80

    9

    Item 20144

    151.90

    152.60

    10

    Item 20145

    151.90

    152.60

    11

    Item 20146

    108.50

    109.00

    12

    Item 20147

    130.20

    130.80

    13

    Item 20148

    86.80

    87.20

    14

    Item 20160

    130.20

    130.80

    15

    Item 20162

    151.90

    152.60

    16

    Item 20164

    86.80

    87.20

    17

    Item 20170

    130.20

    130.80

    18

    Item 20172

    151.90

    152.60

    19

    Item 20174

    195.30

    196.20

    20

    Item 20176

    217.00

    218.00

    21

    Item 20190

    108.50

    109.00

    22

    Item 20192

    217.00

    218.00

    23

    Item 20210

    325.50

    327.00

    24

    Item 20212

    108.50

    109.00

    25

    Item 20214

    195.30

    196.20

    26

    Item 20216

    434.00

    436.00

    27

    Item 20220

    217.00

    218.00

    28

    Item 20222

    130.20

    130.80

    29

    Item 20225

    260.40

    261.60

    30

    Item 20230

    260.40

    261.60

    31

    Item 20300

    108.50

    109.00

    32

    Item 20305

    325.50

    327.00

    33

    Item 20320

    130.20

    130.80

    34

    Item 20321

    217.00

    218.00

    35

    Item 20330

    173.60

    174.40

    36

    Item 20350

    217.00

    218.00

    37

    Item 20352

    108.50

    109.00

    38

    Item 20355

    260.40

    261.60

    39

    Item 20400

    65.10

    65.40

    40

    Item 20401

    86.80

    87.20

    41

    Item 20402

    108.50

    109.00

    42

    Item 20403

    108.50

    109.00

    43

    Item 20404

    130.20

    130.80

    44

    Item 20405

    173.60

    174.40

    45

    Item 20406

    282.10

    283.40

    46

    Item 20410

    86.80

    87.20

    47

    Item 20420

    108.50

    109.00

    48

    Item 20440

    86.80

    87.20

    49

    Item 20450

    108.50

    109.00

    50

    Item 20452

    130.20

    130.80

    51

    Item 20470

    130.20

    130.80

    52

    Item 20472

    217.00

    218.00

    53

    Item 20474

    282.10

    283.40

    54

    Item 20475

    217.00

    218.00

    55

    Item 20500

    325.50

    327.00

    56

    Item 20520

    130.20

    130.80

    57

    Item 20522

    86.80

    87.20

    58

    Item 20524

    86.80

    87.20

    59

    Item 20526

    217.00

    218.00

    60

    Item 20528

    173.60

    174.40

    61

    Item 20540

    282.10

    283.40

    62

    Item 20542

    325.50

    327.00

    63

    Item 20546

    325.50

    327.00

    64

    Item 20548

    325.50

    327.00

    65

    Item 20560

    434.00

    436.00

    66

    Item 20600

    217.00

    218.00

    67

    Item 20604

    282.10

    283.40

    68

    Item 20620

    217.00

    218.00

    69

    Item 20622

    282.10

    283.40

    70

    Item 20630

    173.60

    174.40

    71

    Item 20632

    151.90

    152.60

    72

    Item 20634

    217.00

    218.00

    73

    Item 20670

    282.10

    283.40

    74

    Item 20680

    65.10

    65.40

    75

    Item 20690

    108.50

    109.00

    76

    Item 20700

    65.10

    65.40

    77

    Item 20702

    86.80

    87.20

    78

    Item 20703

    86.80

    87.20

    79

    Item 20704

    217.00

    218.00

    80

    Item 20706

    151.90

    152.60

    81

    Item 20730

    108.50

    109.00

    82

    Item 20740

    108.50

    109.00

    83

    Item 20745

    151.90

    152.60

    84

    Item 20750

    108.50

    109.00

    85

    Item 20752

    130.20

    130.80

    86

    Item 20754

    151.90

    152.60

    87

    Item 20756

    195.30

    196.20

    88

    Item 20770

    325.50

    327.00

    89

    Item 20790

    173.60

    174.40

    90

    Item 20791

    217.00

    218.00

    91

    Item 20792

    282.10

    283.40

    92

    Item 20793

    325.50

    327.00

    93

    Item 20794

    260.40

    261.60

    94

    Item 20798

    217.00

    218.00

    95

    Item 20799

    130.20

    130.80

    96

    Item 20800

    65.10

    65.40

    97

    Item 20802

    108.50

    109.00

    98

    Item 20803

    86.80

    87.20

    99

    Item 20804

    217.00

    218.00

    100

    Item 20806

    151.90

    152.60

    101

    Item 20810

    86.80

    87.20

    102

    Item 20815

    130.20

    130.80

    103

    Item 20820

    108.50

    109.00

    104

    Item 20830

    86.80

    87.20

    105

    Item 20832

    130.20

    130.80

    106

    Item 20840

    130.20

    130.80

    107

    Item 20841

    173.60

    174.40

    108

    Item 20842

    86.80

    87.20

    109

    Item 20844

    217.00

    218.00

    110

    Item 20845

    217.00

    218.00

    111

    Item 20846

    217.00

    218.00

    112

    Item 20847

    217.00

    218.00

    113

    Item 20848

    217.00

    218.00

    114

    Item 20850

    260.40

    261.60

    115

    Item 20855

    325.50

    327.00

    116

    Item 20860

    130.20

    130.80

    117

    Item 20862

    151.90

    152.60

    118

    Item 20863

    217.00

    218.00

    119

    Item 20864

    217.00

    218.00

    120

    Item 20866

    217.00

    218.00

    121

    Item 20867

    217.00

    218.00

    122

    Item 20868

    217.00

    218.00

    123

    Item 20880

    325.50

    327.00

    124

    Item 20882

    217.00

    218.00

    125

    Item 20884

    108.50

    109.00

    126

    Item 20886

    130.20

    130.80

    127

    Item 20900

    65.10

    65.40

    128

    Item 20902

    86.80

    87.20

    129

    Item 20904

    151.90

    152.60

    130

    Item 20905

    217.00

    218.00

    131

    Item 20906

    86.80

    87.20

    132

    Item 20910

    86.80

    87.20

    133

    Item 20911

    108.50

    109.00

    134

    Item 20912

    108.50

    109.00

    135

    Item 20914

    151.90

    152.60

    136

    Item 20916

    151.90

    152.60

    137

    Item 20920

    86.80

    87.20

    138

    Item 20924

    86.80

    87.20

    139

    Item 20926

    86.80

    87.20

    140

    Item 20928

    130.20

    130.80

    141

    Item 20930

    86.80

    87.20

    142

    Item 20932

    86.80

    87.20

    143

    Item 20934

    130.20

    130.80

    144

    Item 20936

    173.60

    174.40

    145

    Item 20938

    86.80

    87.20

    146

    Item 20940

    86.80

    87.20

    147

    Item 20942

    108.50

    109.00

    148

    Item 20943

    86.80

    87.20

    149

    Item 20944

    130.20

    130.80

    150

    Item 20946

    173.60

    174.40

    151

    Item 20948

    86.80

    87.20

    152

    Item 20950

    108.50

    109.00

    153

    Item 20952

    86.80

    87.20

    154

    Item 20954

    217.00

    218.00

    155

    Item 20956

    86.80

    87.20

    156

    Item 20958

    108.50

    109.00

    157

    Item 20960

    151.90

    152.60

    158

    Item 21100

    65.10

    65.40

    159

    Item 21110

    108.50

    109.00

    160

    Item 21112

    86.80

    87.20

    161

    Item 21114

    108.50

    109.00

    162

    Item 21116

    130.20

    130.80

    163

    Item 21120

    130.20

    130.80

    164

    Item 21130

    65.10

    65.40

    165

    Item 21140

    325.50

    327.00

    166

    Item 21150

    217.00

    218.00

    167

    Item 21155

    217.00

    218.00

    168

    Item 21160

    86.80

    87.20

    169

    Item 21170

    173.60

    174.40

    170

    Item 21195

    65.10

    65.40

    171

    Item 21199

    86.80

    87.20

    172

    Item 21200

    86.80

    87.20

    173

    Item 21202

    86.80

    87.20

    174

    Item 21210

    130.20

    130.80

    175

    Item 21212

    217.00

    218.00

    176

    Item 21214

    217.00

    218.00

    177

    Item 21215

    325.50

    327.00

    178

    Item 21216

    303.80

    305.20

    179

    Item 21220

    86.80

    87.20

    180

    Item 21230

    130.20

    130.80

    181

    Item 21232

    108.50

    109.00

    182

    Item 21234

    173.60

    174.40

    183

    Item 21260

    86.80

    87.20

    184

    Item 21270

    173.60

    174.40

    185

    Item 21272

    86.80

    87.20

    186

    Item 21274

    130.20

    130.80

    187

    Item 21275

    217.00

    218.00

    188

    Item 21280

    325.50

    327.00

    189

    Item 21300

    65.10

    65.40

    190

    Item 21321

    86.80

    87.20

    191

    Item 21340

    86.80

    87.20

    192

    Item 21360

    108.50

    109.00

    193

    Item 21380

    65.10

    65.40

    194

    Item 21382

    86.80

    87.20

    195

    Item 21390

    65.10

    65.40

    196

    Item 21392

    86.80

    87.20

    197

    Item 21400

    86.80

    87.20

    198

    Item 21402

    151.90

    152.60

    199

    Item 21403

    217.00

    218.00

    200

    Item 21404

    108.50

    109.00

    201

    Item 21420

    65.10

    65.40

    202

    Item 21430

    86.80

    87.20

    203

    Item 21432

    108.50

    109.00

    204

    Item 21440

    173.60

    174.40

    205

    Item 21445

    217.00

    218.00

    206

    Item 21460

    65.10

    65.40

    207

    Item 21461

    86.80

    87.20

    208

    Item 21462

    65.10

    65.40

    209

    Item 21464

    86.80

    87.20

    210

    Item 21472

    108.50

    109.00

    211

    Item 21474

    108.50

    109.00

    212

    Item 21480

    86.80

    87.20

    213

    Item 21482

    108.50

    109.00

    214

    Item 21484

    108.50

    109.00

    215

    Item 21486

    151.90

    152.60

    216

    Item 21490

    65.10

    65.40

    217

    Item 21500

    173.60

    174.40

    218

    Item 21502

    130.20

    130.80

    219

    Item 21520

    86.80

    87.20

    220

    Item 21522

    108.50

    109.00

    221

    Item 21530

    325.50

    327.00

    222

    Item 21532

    173.60

    174.40

    223

    Item 21535

    217.00

    218.00

    224

    Item 21600

    65.10

    65.40

    225

    Item 21610

    108.50

    109.00

    226

    Item 21620

    86.80

    87.20

    227

    Item 21622

    108.50

    109.00

    228

    Item 21630

    108.50

    109.00

    229

    Item 21632

    130.20

    130.80

    230

    Item 21634

    195.30

    196.20

    231

    Item 21636

    325.50

    327.00

    232

    Item 21638

    217.00

    218.00

    233

    Item 21650

    173.60

    174.40

    234

    Item 21652

    217.00

    218.00

    235

    Item 21654

    173.60

    174.40

    236

    Item 21656

    217.00

    218.00

    237

    Item 21670

    86.80

    87.20

    238

    Item 21680

    65.10

    65.40

    239

    Item 21682

    86.80

    87.20

    240

    Item 21685

    217.00

    218.00

    241

    Item 21700

    65.10

    65.40

    242

    Item 21710

    86.80

    87.20

    243

    Item 21712

    108.50

    109.00

    244

    Item 21714

    108.50

    109.00

    245

    Item 21716

    108.50

    109.00

    246

    Item 21730

    65.10

    65.40

    247

    Item 21732

    86.80

    87.20

    248

    Item 21740

    108.50

    109.00

    249

    Item 21756

    130.20

    130.80

    250

    Item 21760

    151.90

    152.60

    251

    Item 21770

    173.60

    174.40

    252

    Item 21772

    130.20

    130.80

    253

    Item 21780

    86.80

    87.20

    254

    Item 21785

    217.00

    218.00

    255

    Item 21790

    325.50

    327.00

    256

    Item 21800

    65.10

    65.40

    257

    Item 21810

    86.80

    87.20

    258

    Item 21820

    65.10

    65.40

    259

    Item 21830

    86.80

    87.20

    260

    Item 21832

    151.90

    152.60

    261

    Item 21834

    86.80

    87.20

    262

    Item 21840

    173.60

    174.40

    263

    Item 21842

    130.20

    130.80

    264

    Item 21850

    86.80

    87.20

    265

    Item 21860

    65.10

    65.40

    266

    Item 21865

    217.00

    218.00

    267

    Item 21870

    325.50

    327.00

    268

    Item 21872

    173.60

    174.40

    269

    Item 21878

    65.10

    65.40

    270

    Item 21879

    108.50

    109.00

    271

    Item 21880

    151.90

    152.60

    272

    Item 21881

    195.30

    196.20

    273

    Item 21882

    238.70

    239.80

    274

    Item 21883

    282.10

    283.40

    275

    Item 21884

    325.50

    327.00

    276

    Item 21885

    368.90

    370.60

    277

    Item 21886

    412.30

    414.20

    278

    Item 21887

    455.70

    457.80

    279

    Item 21900

    65.10

    65.40

    280

    Item 21906

    108.50

    109.00

    281

    Item 21908

    130.20

    130.80

    282

    Item 21910

    195.30

    196.20

    283

    Item 21912

    108.50

    109.00

    284

    Item 21914

    130.20

    130.80

    285

    Item 21915

    108.50

    109.00

    286

    Item 21916

    108.50

    109.00

    287

    Item 21918

    108.50

    109.00

    288

    Item 21922

    130.20

    130.80

    289

    Item 21925

    86.80

    87.20

    290

    Item 21926

    86.80

    87.20

    291

    Item 21930

    130.20

    130.80

    292

    Item 21935

    108.50

    109.00

    293

    Item 21936

    108.50

    109.00

    294

    Item 21939

    65.10

    65.40

    295

    Item 21941

    151.90

    152.60

    296

    Item 21942

    217.00

    218.00

    297

    Item 21943

    108.50

    109.00

    298

    Item 21945

    108.50

    109.00

    299

    Item 21949

    108.50

    109.00

    300

    Item 21952

    86.80

    87.20

    301

    Item 21955

    108.50

    109.00

    302

    Item 21959

    108.50

    109.00

    303

    Item 21962

    108.50

    109.00

    304

    Item 21965

    108.50

    109.00

    305

    Item 21969

    173.60

    174.40

    306

    Item 21970

    325.50

    327.00

    307

    Item 21973

    108.50

    109.00

    308

    Item 21976

    108.50

    109.00

    309

    Item 21980

    108.50

    109.00

    310

    Item 21990

    65.10

    65.40

    311

    Item 21992

    86.80

    87.20

    312

    Item 21997

    86.80

    87.20

    313

    Item 22002

    86.80

    87.20

    314

    Item 22007

    86.80

    87.20

    315

    Item 22008

    86.80

    87.20

    316

    Item 22012

    65.10

    65.40

    317

    Item 22014

    65.10

    65.40

    318

    Item 22015

    130.20

    130.80

    319

    Item 22020

    86.80

    87.20

    320

    Item 22025

    86.80

    87.20

    321

    Item 22031

    108.50

    109.00

    322

    Item 22036

    65.10

    65.40

    323

    Item 22041

    43.40

    43.60

    324

    Item 22042

    21.70

    21.80

    325

    Item 22051

    195.30

    196.20

    326

    Item 22055

    260.40

    261.60

    327

    Item 22060

    651.00

    654.00

    328

    Item 22065

    108.50

    109.00

    329

    Item 22075

    325.50

    327.00

    330

    Item 22900

    130.20

    130.80

    331

    Item 22905

    130.20

    130.80

    332

    Item 23010

    21.70

    21.80

    333

    Item 23025

    43.40

    43.60

    334

    Item 23035

    65.10

    65.40

    335

    Item 23045

    86.80

    87.20

    336

    Item 23055

    108.50

    109.00

    337

    Item 23065

    130.20

    130.80

    338

    Item 23075

    151.90

    152.60

    339

    Item 23085

    173.60

    174.40

    340

    Item 23091

    195.30

    196.20

    341

    Item 23101

    217.00

    218.00

    342

    Item 23111

    238.70

    239.80

    343

    Item 23112

    260.40

    261.60

    344

    Item 23113

    282.10

    283.40

    345

    Item 23114

    303.80

    305.20

    346

    Item 23115

    325.50

    327.00

    347

    Item 23116

    347.20

    348.80

    348

    Item 23117

    368.90

    370.60

    349

    Item 23118

    390.60

    392.40

    350

    Item 23119

    412.30

    414.20

    351

    Item 23121

    434.00

    436.00

    352

    Item 23170

    455.70

    457.80

    353

    Item 23180

    477.40

    479.60

    354

    Item 23190

    499.10

    501.40

    355

    Item 23200

    520.80

    523.20

    356

    Item 23210

    542.50

    545.00

    357

    Item 23220

    564.20

    566.80

    358

    Item 23230

    585.90

    588.60

    359

    Item 23240

    607.60

    610.40

    360

    Item 23250

    629.30

    632.20

    361

    Item 23260

    651.00

    654.00

    362

    Item 23270

    672.70

    675.80

    363

    Item 23280

    694.40

    697.60

    364

    Item 23290

    716.10

    719.40

    365

    Item 23300

    737.80

    741.20

    366

    Item 23310

    759.50

    763.00

    367

    Item 23320

    781.20

    784.80

    368

    Item 23330

    802.90

    806.60

    369

    Item 23340

    824.60

    828.40

    370

    Item 23350

846.30

850.20

371

Item 23360

868.00

872.00

372

Item 23370

889.70

893.80

373

Item 23380

911.40

915.60

374

Item 23390

933.10

937.40

375

Item 23400

954.80

959.20

376

Item 23410

976.50

981.00

377

Item 23420

998.20

1002.80

378

Item 23430

1019.90

1024.60

379

Item 23440

1041.60

1046.40

380

Item 23450

1063.30

1068.20

381

Item 23460

1085.00

1090.00

382

Item 23470

1106.70

1111.80

383

Item 23480

1128.40

1133.60

384

Item 23490

1150.10

1155.40

385

Item 23500

1171.80

1177.20

386

Item 23510

1193.50

1199.00

387

Item 23520

1215.20

1220.80

388

Item 23530

1236.90

1242.60

389

Item 23540

1258.60

1264.40

390

Item 23550

1280.30

1286.20

391

Item 23560

1302.00

1308.00

392

Item 23570

1323.70

1329.80

393

Item 23580

1345.40

1351.60

394

Item 23590

1367.10

1373.40

395

Item 23600

1388.80

1395.20

396

Item 23610

1410.50

1417.00

397

Item 23620

1432.20

1438.80

398

Item 23630

1453.90

1460.60

399

Item 23640

1475.60

1482.40

400

Item 23650

1497.30

1504.20

401

Item 23660

1519.00

1526.00

402

Item 23670

1540.70

1547.80

403

Item 23680

1562.40

1569.60

404

Item 23690

1584.10

1591.40

405

Item 23700

1605.80

1613.20

406

Item 23710

1627.50

1635.00

407

Item 23720

1649.20

1656.80

408

Item 23730

1670.90

1678.60

409

Item 23740

1692.60

1700.40

410

Item 23750

1714.30

1722.20

411

Item 23760

1736.00

1744.00

412

Item 23770

1757.70

1765.80

413

Item 23780

1779.40

1787.60

414

Item 23790

1801.10

1809.40

415

Item 23800

1822.80

1831.20

416

Item 23810

1844.50

1853.00

417

Item 23820

1866.20

1874.80

418

Item 23830

1887.90

1896.60

419

Item 23840

1909.60

1918.40

420

Item 23850

1931.30

1940.20

421

Item 23860

1953.00

1962.00

422

Item 23870

1974.70

1983.80

423

Item 23880

1996.40

2005.60

424

Item 23890

2018.10

2027.40

425

Item 23900

2039.80

2049.20

426

Item 23910

2061.50

2071.00

427

Item 23920

2083.20

2092.80

428

Item 23930

2104.90

2114.60

429

Item 23940

2126.60

2136.40

430

Item 23950

2148.30

2158.20

431

Item 23960

2170.00

2180.00

432

Item 23970

2191.70

2201.80

433

Item 23980

2213.40

2223.60

434

Item 23990

2235.10

2245.40

435

Item 24100

2256.80

2267.20

436

Item 24101

2278.50

2289.00

437

Item 24102

2300.20

2310.80

438

Item 24103

2321.90

2332.60

439

Item 24104

2343.60

2354.40

440

Item 24105

2365.30

2376.20

441

Item 24106

2387.00

2398.00

442

Item 24107

2408.70

2419.80

443

Item 24108

2430.40

2441.60

444

Item 24109

2452.10

2463.40

445

Item 24110

2473.80

2485.20

446

Item 24111

2495.50

2507.00

447

Item 24112

2517.20

2528.80

448

Item 24113

2538.90

2550.60

449

Item 24114

2560.60

2572.40

450

Item 24115

2582.30

2594.20

451

Item 24116

2604.00

2616.00

452

Item 24117

2625.70

2637.80

453

Item 24118

2647.40

2659.60

454

Item 24119

2669.10

2681.40

455

Item 24120

2690.80

2703.20

456

Item 24121

2712.50

2725.00

457

Item 24122

2734.20

2746.80

458

Item 24123

2755.90

2768.60

459

Item 24124

2777.60

2790.40

460

Item 24125

2799.30

2812.20

461

Item 24126

2821.00

2834.00

462

Item 24127

2842.70

2855.80

463

Item 24128

2864.40

2877.60

464

Item 24129

2886.10

2899.40

465

Item 24130

2907.80

2921.20

466

Item 24131

2929.50

2943.00

467

Item 24132

2951.20

2964.80

468

Item 24133

2972.90

2986.60

469

Item 24134

2994.60

3008.40

470

Item 24135

3016.30

3030.20

471

Item 24136

3038.00

3052.00

472

Item 25000

21.70

21.80

473

Item 25005

43.40

43.60

474

Item 25010

65.10

65.40

475

Item 25013

21.70

21.80

476

Item 25014

21.70

21.80

477

Item 25020

43.40

43.60

Health Insurance (Pathology Services Table) Regulations 2020

25

Clause 2.14.1 of Schedule 1 (heading)

Omit “1 July 2023”, substitute “1 November 2023”.

26

Subclause 2.14.1(1) of Schedule 1

Repeal the subclause, substitute:

  1. (1)

    At the start of 1 November 2023 (the indexation time), the amount of a fee for an item in Group P12 is replaced by the amount worked out using the following formula:

    Note: The indexed fees could in 2023 be viewed on the Department’s MBS Online website ( level="6" section-type="Schedule">Schedule 3Diagnostic imaging services

    Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020

    1

    Subclause 1.2.18(3) of Schedule 1

    Omit “or 63549”, substitute “, 61466 or 61485”.

    2

    Clause 2.1.7 of Schedule 1

    Repeal the clause.

    3

    Schedule 1 (item 56219, column 2)

    Omit “or 59275”.

    4

    Subclause 2.4.2(1) of Schedule 1

    Omit “Items 61523 to 61647 apply”, substitute “An item in Subgroup 2 of Group I4 applies”.

    1. 5

      Schedule 1 (item 61321, column 2, paragraphs (d) and (e))

    Omit “61332, 61345, 61380, 61398, 61406 or 61422”, substitute “61345, 61398 or 61406”.

    1. 6

      Schedule 1 (item 61324, column 2, paragraph (e))

    Omit “61311, 61321, 61325, 61329, 61332, 61377, 61345, 61357, 61380, 61394, 61398, 61406, 61414 or 61422”, substitute “61321, 61325, 61329, 61345, 61357, 61394, 61398, 61406 or 61414”.

    1. 7

      Schedule 1 (item 61324, column 2, paragraph (f))

    Omit “61311, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61414”, substitute “61329, 61345, 61357, 61394, 61398, 61406 or 61414”.

    1. 8

      Schedule 1 (item 61325, column 2, paragraph (d))

    Omit “61332, 61345, 61380, 61398, 61406 or 61422”, substitute “61345, 61398 or 61406”.

    1. 9

      Schedule 1 (item 61325, column 2, subparagraph (e)(i))

    Omit “61332, 61345, 61380, 61398, 61406 or 61442,”, substitute “61345, 61398 or 61406”.

    1. 10

      Schedule 1 (item 61329, column 2, paragraph (e))

    Omit “61311, 61321, 61324, 61325, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422”, substitute “61321, 61324, 61325, 61345, 61357, 61394, 61398, 61406 or 61414”.

    1. 11

      Schedule 1 (item 61329, column 2, paragraph (f))

    Omit “61311, 61321, 61324, 61325, 61332, 61345, 61357, 61380, 61394, 61398, 61406, 61414 or 61422”, substitute “61321, 61324, 61325, 61345, 61357, 61394, 61398, 61406 or 61414”.

    1. 12

      Schedule 1 (item 61345, column 2, paragraphs (e) and (f))

    Omit “61311, 61321, 61324, 61325, 61329, 61332, 61357, 61377, 61380, 61394, 61398, 61406, 61414 or 61422”, substitute “61321, 61324, 61325, 61329, 61357, 61394, 61398, 61406 or 61414”.

    1. 13

      Schedule 1 (item 61349, column 2, subparagraph (a)(i))

    Omit “61311, 61324, 61329, 61332, 61337, 61345, 61357, 61365, 61380, 61394, 61398, 61406, 61410, 61414 or 61418”, substitute “61324, 61329, 61345, 61357, 61394, 61398, 61406, 61410 or 61414”.

    1. 14

      Schedule 1 (item 61349, column 2, paragraph (e))

    Omit “, 61365, 61410 or 61418”, substitute “or 61410”.

    1. 15

      Schedule 1 (item 61349, column 2, paragraph (f))

    Omit “61365, 61410 or 61418”, substitute “61410”.

    1. 16

      Schedule 1 (item 61357, column 2, paragraph (e))

    Omit “61311, 61321, 61324, 61325, 61329, 61332, 61345, 61377, 61380, 61394, 61398, 61406, 61414 or 61422”, substitute “61321, 61324, 61325, 61329, 61345, 61394, 61398, 61406 or 61414”.

    1. 17

      Schedule 1 (item 61357, column 2, paragraph (f))

    Omit “61311, 61324, 61329, 61332, 61345, 61377, 61380,”, substitute “61324, 61329, 61345,”.

    1. 18

      Schedule 1 (item 61394, column 2, paragraph (f))

    Omit “61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61398, 61406, 61414 or 61422”, substitute “61321, 61324, 61325, 61329, 61345, 61357, 61398, 61406 or 61414”.

    1. 19

      Schedule 1 (item 61394, column 2, paragraph (g))

    Omit “61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380,”, substitute “61324, 61329, 61345, 61357,”.

    1. 20

      Schedule 1 (item 61398, column 2, paragraphs (f) and (g))

    Omit “61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61406, 61414 or 61422”, substitute “61321, 61324, 61325, 61329, 61345, 61357, 61394, 61406 or 61414”.

    1. 21

      Schedule 1 (item 61406, column 2, paragraph (f))

    Omit “61311, 61321, 61324, 61325, 61329, 61332, 61377, 61345, 61357, 61380, 61394, 61398, 61414 or 61422”, substitute “61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61414”.

    1. 22

      Schedule 1 (item 61406, column 2, paragraph (g))

    Omit “61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61414 or 61422”, substitute “61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61414”.

    1. 23

      Schedule 1 (item 61410, column 2, subparagraph (a)(i))

    Omit “61311, 61324, 61329, 61332, 61345, 61349, 61357, 61365, 61377, 61380, 61394, 61398, 61406, 61414 or 61418”, substitute “61324, 61329, 61345, 61349, 61357, 61394, 61398, 61406 or 61414”.

    1. 24

      Schedule 1 (item 61410, column 2, paragraph (e))

    Omit “11729, 11730 or 61418”, substitute “11729 or 11730”.

    1. 25

      Schedule 1 (item 61410, column 2, paragraph (f))

    Omit “, 61365 or 61418”.

    1. 26

      Schedule 1 (item 61414, column 2, paragraph (f))

    Omit “61311, 61321, 61324, 61325, 61329, 61332, 61345, 61357, 61377, 61380, 61394, 61398, 61406 or 61422”, substitute “61321, 61324, 61325, 61329, 61345, 61357, 61394, 61398 or 61406”.

    1. 27

      Schedule 1 (item 61414, column 2, paragraph (g))

    Omit “61311, 61324, 61329, 61332, 61345, 61357, 61377, 61380,”, substitute “61324, 61329, 61345, 61357,”.

    28

    Schedule 1 (item 61485, column 3)

    Omit “999.20”, substitute “3,364.00”.

    Schedule 4General medical servicesPart 1General amendments

    Health Insurance (General Medical Services Table) Regulations 2021

    1

    Subclause 1.2.3(1) of Schedule 1

    Omit “and 105”, substitute “, 105 and 151”.

    2

    Subclause 1.2.5(1) of Schedule 1

    Repeal the subclause, substitute:

    1. (1)

      Use this clause for items 3 to 338, 348 to 388, 410 to 417, 585 to 600, 733, 737, 741, 745, 761, 763, 766, 769, 772, 776, 788, 789, 792, 900, 903, 969, 971, 972, 973, 975, 986, 2497 to 2840, 3005 to 3028, 5000 to 5267, 6007 to 6015, 6018 to 6024, 6051 to 6063, 13899, 16401, 16404, 16406, 16407, 16508, 16509, 16533, 16534, 17610 to 17690, 90020 to 90096, 90098, 90183, 90188, 90202, 90212, 90215 and 90250 to 90278”.

    3

    Paragraph 1.2.5(3)(a) of Schedule 1

    Repeal the paragraph, substitute:

    1. (a)

      the vaccine is supplied to the patient in connection with a professional attendance mentioned in any of items 3 to 65, 123, 124, 151, 165, 179, 181, 185, 187, 189, 191, 203, 206, 301, 303, 5000 to 5267 and 90020 to 90098; and

    4

    Subclause 1.2.6(1) of Schedule 1

    Repeal the subclause, substitute:

    1. (1)

      Use this clause for items 3 to 147, 151, 165, 177, 179, 181, 185, 187, 189, 191, 193 to 338, 348 to 417, 585 to 600, 733, 737, 741, 745, 761, 763, 766, 769, 772, 776, 788, 789, 792, 2497 to 2840, 3005 to 3028, 35570, 35571, 35573, 35577, 35581, 35582, 35585, 4001 to 6015, 6018 to 6024, 6051 to 6058, 6062, 6063, 10801 to 10816, 11012 to 11021, 11304, 11600, 11627, 11705, 11724, 11731, 12000 to 12004, 12201, 13030 to 13104, 13106 to 13110, 13209, 13290 to 13700, 13815 to 13899, 14100 to 14124, 14203 to 14212, 14216, 14219, 14224, 14255 to 14288, 15600, 16003 to 16512, 16515 to 51318, 90020 to 90096, 90098, 90183, 90188, 90202, 90212,90215 and 90250 to 90278.

    5

    Subclause 1.2.7(1) of Schedule 1

    Repeal the subclause, substitute:

    1. (1)

      Use this clause for items 3 to 230, 233, 245 to 723, 732, 733, 737, 741, 745, 761, 763, 766, 769, 772, 776, 788, 789, 792, 900, 903, 2700 to 6015, 6018 to 6024, 6028, 6051 to 6058, 6062, 6063, 10801 to 10816, 11012 to 11021, 11304, 11600, 11627, 11705, 11724, 11728, 11731, 11820, 11823, 12000, 12003, 12004, 12201, 13030 to 13104, 13106 to 13110, 13209, 13290 to 13700, 13815 to 13899, 14100 to 14124, 14203 to 14212, 14216, 14219, 14224, 14255 to 14288, 15600, 16003 to 16512, 16515 to 51318, 90020 to 90096, 90098, 90183, 90188, 90202, 90212, 90215 and 90250 to 90278.

    6

    Clause 1.2.8 of Schedule 1

    After “90096”, insert “, 90098, 90183, 90188, 90202, 90212, 90215”.

    7

    Subclause 1.2.11(1) of Schedule 1

    Omit “11332, 11342,”, substitute “11332, 11340, 11341, 11342, 11343,”.

    8

    Schedule 1 (items 23 and 24, column 2)

    After “lasting”, insert “at least 6 minutes and”.

    1. 9

      Clause 2.3.1 of Schedule 1 (Group A2 table, headings)

    Repeal the headings, substitute:

    Group A2—Other non‑referred attendances to which no other item applies

    Column 1

    Item

    Column 2

    Description

    Column 3

    Fee ($)

    Subgroup 1—Other medical practitioner attendances

    10

    Schedule 1 (item 946, column 2)

    After “member of”, insert “a”.

    11

    Schedule 1 (item 900, column 2)

    After “each 12 month period,”, insert “and only if item 245 does not apply in the same 12 month period,”.

    12

    Schedule 1 (item 903, column 2)

    After “this item”, insert “or item 249”.

    1. 13

      Clause 2.23.1 of Schedule 1 (Group A21 table, headings)

    Repeal the headings, substitute:

    Group A21—Professional attendances at recognised emergency departments of private hospitals

    Column 1

    Item

    Column 2

    Description

    Column 3

    Fee ($)

    Subgroup 1—Consultations

    14

    Schedule 1 (after item 5036)

    Insert:

    Subgroup 2—Prolonged professional attendances to which no other Group applies

    1. 15

      Schedule 1 (items 5020, 5023 and 5028, column 2)

    After “lasting”, insert “at least 6 minutes and”.

    16

    Schedule 1 (item 11332, column 2)

    Omit “cochlear”, substitute “cochlea”.

    1. 17

      Schedule 1 (items 11729 and 11730, column 2, subparagraph (e)(ii))

    Omit “61311, 61324, 61329, 61332, 61345, 61349, 61357, 61365, 61377, 61380, 61394, 61398, 61406, 61410, 61414 or 61418”, substitute “61324, 61329, 61345, 61349, 61357, 61394, 61398, 61406, 61410 or 61414”.

    1. 18

      Schedule 1 (item 38477, column 2, paragraph (b))

    Omit “to which item”, substitute “item”.

    19

    Schedule 1 (item 41603, column 2)

    Omit “applies”, substitute “applies (Anaes.)”.

    20

    Schedule 1 (item 41671, column 2)

    After “(Anaes.)”, insert “(Assist.)”.

    21

    Schedule 1 (item 41693, column 2)

    After “(Anaes.)”, insert “(Assist.)”.

    22

    Schedule 1 (items 41740 and 41743, column 2)

    After “applies”, insert “on the same side”.

    23

    Schedule 1 (item 41870, column 2)

    Omit “item 41861 or 41879 applies”, substitute “item 41879 applies or item 41861 applies on the same side”.

    24

    Schedule 1 (item 45571, column 2)

    Omit “or 45567”, substitute “, 45567, 46080, 46082, 46084, 46086, 46088 or 46090”.

    25

    Schedule 1 (items 45794 and 45797, column 2)

    Omit “or 41604”.

    26

    Schedule 1 (item 46108, column 2)

    Omit “surface”, substitute “surface, excluding aftercare”.

    27

    Schedule 1 (item 46116, column 2)

    Omit “not more”, substitute “less”.

    1. 28

      Schedule 1 (items 46120 and 46122, column 2, paragraph (a))

    Omit “or contracture release”.

    29

    Schedule 1 (item 90035, column 2)

    After “lasting”, insert “at least 6 minutes and”.

    1. 30

      Clause 5.10.29 of Schedule 1 (Group T8 table, Subgroup 16, heading)

    Repeal the heading, substitute:

    Subgroup 16—Tissue ablation

    Part 2Bulk‑billing incentive

    Health Insurance (General Medical Services Table) Regulations 2021

    31

    Clause 3.2.1 of Schedule 1

    Insert:

    general practice support service means a service to which an item specified in subclause 3.2.2A(2) applies.

    MyMedicare means the registration program by that name administered by the Department.

    MyMedicare service means a service to which an item specified in subclause 3.2.2B(2) applies that is provided:

    1. (a)

      to a person enrolled in MyMedicare; and

    2. (b)

      at the general practice at which the person is so enrolled.

    32

    After clause 3.2.2 of Schedule 1

    Insert:

    3.2.2AApplication of items 75870, 75871, 75872, 75873, 75874, 75875 and 75876

    1. (1)

      If item 75870, 75871, 75872, 75873, 75874, 75875 or 75876 applies to a medical service, the fee mentioned in that item applies in addition to the fee mentioned in an item specified in subclause (2) that applies to the service.

    2. (2)

      For the purposes of subclause (1), items 23, 24, 36, 37, 44, 47, 53, 54, 57, 59, 60, 65, 123, 124, 151, 165, 185, 187, 189, 191, 203, 206, 301, 303, 737, 741, 745, 763, 766, 769, 776, 788, 789, 2197, 2198, 2200, 5020, 5023, 5028, 5040, 5043, 5049, 5060, 5063, 5067, 5071, 5076, 5077, 5203, 5207, 5208, 5209, 5223, 5227, 5228, 5261, 5262, 5263, 5265, 5267, 90035, 90043, 90051, 90054, 90093, 90095, 90096, 90098, 90188, 90202, 90212, 90215, 91800, 91803, 91806, 91891 and 91893 are specified.

    3.2.2BApplication of items 75880, 75881, 75882, 75883, 75884 and 75885

    1. (1)

      If item 75880, 75881, 75882, 75883, 75884 or 75885applies to a medical service, the fee mentioned in that item applies in addition to the fee mentioned in an item specified in subclause (2) that applies to the service.

    2. (2)

      For the purposes of subclause (1), items 91801, 91802, 91804, 91805, 91807, 91808, 91900, 91903, 91906, 91910, 91913, 91916, 91920, 91923 and 91926 are specified.

    1. 33

      Clause 3.2.3 of Schedule 1 (Group M1 table, headings)

    Repeal the headings, substitute:

    Group M1—Management of bulk‑billed services

    Column 1

    Item

    Column 2

    Description

    Column 3

    Fee ($)

    Subgroup 1—Management of general bulk‑billed services

    34Schedule 1 (cell at item 10990, column 2)

    Repeal the cell, substitute:

    A medical service to which an item in this Schedule (other than this item) applies, if:

    (a) the service is an unreferred service; and

    (b) the service is provided to a person who is:

    (i) under the age of 16; or

    (ii) a concessional beneficiary; and

    (c) the person is not an admitted patient of a hospital; and

    (d) the service is bulk‑billed in relation to the fees for:

    (i) this item; and

    (ii) any other item in this Schedule applying to the service;

    other than a service associated with a service:

    (e) to which another item in this Group applies; or

    (f) that is a general practice support service; or

    (g) that is a MyMedicare service

    35

    Schedule 1 (cell at item 10991, column 2)

    Repeal the cell, substitute:

    A medical service to which an item in this Schedule (other than this item) applies, if:

    (a) the service is an unreferred service; and

    (b) the service is provided to a person who is:

    (i) under the age of 16; or

    (ii) a concessional beneficiary; and

    (c) the person is not an admitted patient of a hospital; and

    (d) the service is bulk‑billed in relation to the fees for:

    (i) this item; and

    (ii) any other item in this Schedule applying to the service; and

    (e) the service is provided at, or from, a practice location in a Modified Monash 2 area;

    other than a service associated with a service:

    (f) to which another item in this Group applies; or

    (g) that is a general practice support service; or

    (h) that is a MyMedicare service

    1. 36

      Schedule 1 (item 10992, column 2, paragraphs (a) and (b))

    Repeal the paragraphs, substitute:

    (a) item 585, 588, 591, 594, 599, 600, 5003, 5010, 5220 or 5260 applies; or

    (b) item 761 or 772 applies (see the Health Insurance (Section 3C General Medical Services – Other Medical Practitioner) Determination 2018);

    37

    Schedule 1 (cell at item 75855, column 2)

    Repeal the cell, substitute:

    A medical service to which an item in this Schedule (other than this item) applies, if:

    (a) the service is an unreferred service; and

    (b) the service is provided to a person who is:

    (i) under the age of 16; or

    (ii) a concessional beneficiary; and

    (c) the person is not an admitted patient of a hospital; and

    (d) the service is bulk‑billed in relation to the fees for:

    (i) this item; and

    (ii) any other item in this Schedule applying to the service; and

    (e) the service is provided at, or from, a practice location in:

    (i) a Modified Monash 3 area; or

    (ii) a Modified Monash 4 area;

    other than a service associated with a service:

    (f) to which another item in this Group applies; or

    (g) that is a general practice support service; or

    (h) that is a MyMedicare service

    38

    Schedule 1 (cell at item 75856, column 2)

    Repeal the cell, substitute:

    A medical service to which an item in this Schedule (other than this item) applies, if:

    (a) the service is an unreferred service; and

    (b) the service is provided to a person who is:

    (i) under the age of 16; or

    (ii) a concessional beneficiary; and

    (c) the person is not an admitted patient of a hospital; and

    (d) the service is bulk‑billed in relation to the fees for:

    (i) this item; and

    (ii) any other item in this Schedule applying to the service; and

    (e) the service is provided at, or from, a practice location in a Modified Monash 5 area;

    other than a service associated with a service:

    (f) to which another item in this Group applies; or

    (g) that is a general practice support service; or

    (h) that is a MyMedicare service

    39

    Schedule 1 (cell at item 75857, column 2)

    Repeal the cell, substitute:

    A medical service to which an item in this Schedule (other than this item) applies, if:

    (a) the service is an unreferred service; and

    (b) the service is provided to a person who is:

    (i) under the age of 16; or

    (ii) a concessional beneficiary; and

    (c) the person is not an admitted patient of a hospital; and

    (d) the service is bulk‑billed in relation to the fees for:

    (i) this item; and

    (ii) any other item in this Schedule applying to the service; and

    (e) the service is provided at, or from, a practice location in a Modified Monash 6 area;

    other than a service associated with a service:

    (f) to which another item in this Group applies; or

    (g) that is a general practice support service; or

    (h) that is a MyMedicare service

    40

    Schedule 1 (cell at item 75858, column 2)

    Repeal the cell, substitute:

A medical service to which an item in this Schedule (other than this item) applies, if:

(a) the service is an unreferred service; and

(b) the service is provided to a person who is:

(i) under the age of 16; or

(ii) a concessional beneficiary; and

(c) the person is not an admitted patient of a hospital; and

(d) the service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) any other item in this Schedule applying to the service; and

(e) the service is provided at, or from, a practice location in a Modified Monash 7 area;

other than a service associated with a service:

(f) to which another item in this Group applies; or

(g) that is a general practice support service; or

(h) that is a MyMedicare service

  1. 41

    Clause 3.2.3 (at the end of the Group M1 table)

Add:

Subgroup 2—General support service

75870

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:

(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the general practice support service item applying to the attendance service;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies

24.25

75871

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:

(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the general practice support service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies

36.90

75872

Professional attendance (the attendance service) if:

(a) item 763, 766, 769, 776, 788, 789, 2198, 2200, 5023, 5028, 5043, 5049, 5063, 5067, 5076, 5077, 5223, 5227, 5228, 5261, 5263, 5265, 5267 or 5262 applies; and

(b) the attendance service is an unreferred service; and

(c) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and

(d) the patient is not an admitted patient of a hospital; and

(e) the attendance service is not provided in consulting rooms; and

(f) the attendance service is provided in any of the following areas:

(i) a Modified Monash 2 area;

(ii) a Modified Monash 3 area;

(iii) a Modified Monash 4 area;

(iv) a Modified Monash 5 area;

(v) a Modified Monash 6 area;

(vi) a Modified Monash 7 area; and

(g) the attendance service is provided by, or on behalf of, a general practitioner, a medical practitioner or a prescribed medical practitioner whose practice location is not in an area mentioned in paragraph (f); and

(h) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) an item mentioned in paragraph (a) that applies to the service

36.90

75873

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:

(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the general practice support service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in:

(i) a Modified Monash 3 area; or

(ii) a Modified Monash 4 area;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75874, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies

39.20

75874

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:

(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the general practice support service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area;

other than an attendance service associated with a service which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75875, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies

41.65

75875

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:

(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the general practice support service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75876, 75880, 75881, 75882, 75883, 75884 or 75885 applies

43.95

75876

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a general practice support service is provided, if:

(a) the attendance service is provided to a patient who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the general practice support service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75880, 75881, 75882, 75883, 75884 or 75885 applies

46.65

Subgroup 3—Patients enrolled in MyMedicare

75880

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:

(a) the attendance service is provided to a patient:

(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and

(ii) who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the MyMedicare service item applying to the attendance service;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75881, 75882, 75883, 75884 or 75885 applies

24.25

75881

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:

(a) the attendance service is provided to a patient:

(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and

(ii) who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the MyMedicare service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in a Modified Monash 2 area;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75882, 75883, 75884 or 75885 applies

36.90

75882

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:

(a) the attendance service is provided to a patient:

(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and

(ii) who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the MyMedicare service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in:

(i) a Modified Monash 3 area; or

(ii) a Modified Monash 4 area;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75883, 75884 or 75885 applies

39.20

75883

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:

(a) the attendance service is provided to a patient:

(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and

(ii) who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the MyMedicare service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in a Modified Monash 5 area;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75884 or 75885 applies

41.65

75884

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:

(a) the attendance service is provided to a patient:

(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and

(ii) who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the MyMedicare service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in a Modified Monash 6 area;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883 or 75885 applies

43.95

75885

Professional attendance (the attendance service) by a general practitioner, a medical practitioner or a prescribed medical practitioner, at which a MyMedicare service is provided, if:

(a) the attendance service is provided to a patient:

(i) who is enrolled in MyMedicare at the general practice through which the attendance service is provided; and

(ii) who is under the age of 16 or who is a concessional beneficiary; and

(b) the patient is not an admitted patient of a hospital; and

(c) the attendance service is bulk‑billed in relation to the fees for:

(i) this item; and

(ii) the MyMedicare service item applying to the attendance service; and

(d) the attendance service is provided at, or from, a practice location in a Modified Monash 7 area;

other than an attendance service associated with a service to which item 10990, 10991, 10992, 75855, 75856, 75857, 75858, 75870, 75871, 75872, 75873, 75874, 75875, 75876, 75880, 75881, 75882, 75883 or 75884 applies

46.65

Part 3Consultations lasting 60 minutes or more

Health Insurance (General Medical Services Table) Regulations 2021

  1. 42

    Clause 2.2.1 of Schedule 1 (at the end of the Group A1 table)

Add:

123

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 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 one or more health related issues, with appropriate documentation

191.20

124

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 this Schedule applies), lasting at least 60 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 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

43

Schedule 1 (item 57, column 2)

After “45 minutes”, insert “, but not more than 60 minutes”.

44

Schedule 1 (after item 57)

Insert:

151

Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item applies) by:

(a) a medical practitioner who is not a general practitioner; or

(b) a Group A1 disqualified general practitioner

98.40

45

Schedule 1 (item 65, column 2)

After “45 minutes”, insert “, but not more than 60 minutes”.

  1. 46

    Clause 2.3.1 of Schedule 1 (at the end of the Group A2 table)

Add:

165

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item in this Schedule applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion—each patient, by:

(a) a medical practitioner who is not a general practitioner; or

(b) a Group A1 disqualified general practitioner

Amount under clause 2.1.1

47

Subclause 2.24.1(1) of Schedule 1

Omit “5040 and 5060”, substitute “5040, 5060 and 5071”.

48

Subclause 2.24.1(2) of Schedule 1

Omit “5063 and 5067”, substitute “5063, 5067, 5076 and 5077”.

  1. 49

    Clause 2.24.2 of Schedule 1 (at the end of the Group A22 table)

Add:

5071

Professional attendance by a general practitioner at consulting rooms (other than a service to which another item in this Schedule applies), lasting at least 60 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 one or more health‑related issues, with appropriate documentation

220.25

5076

Professional attendance by a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting at least 60 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 one or more health‑related issues, with appropriate documentation—an attendance on one or more patients on one occasion—each patient

Amount under clause 2.1.1

5077

Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item in this Schedule applies, lasting at least 60 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 one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

Amount under clause 2.1.1

50

Subclause 2.25.1(1) of Schedule 1

Omit “and 5208”, substitute “, 5208 and 5209”.

51

Schedule 1 (item 5208, column 2)

After “45 minutes”, insert “, but not more than 60 minutes,”.

52

Schedule 1 (after item 5208)

Insert:

5209

Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which another item applies) by a medical practitioner (other than a general practitioner)

122.40

53

Schedule 1 (item 5228, column 2)

After “45 minutes”, insert “, but not more than 60 minutes”.

54

Schedule 1 (after item 5228)

Insert:

5261

Professional attendance by a medical practitioner who is not a general practitioner (other than attendance at consulting rooms, a hospital or a residential aged care facility or a service to which another item in this Schedule applies), lasting more than 60 minutes—an attendance on one or more patients on one occasion—each patient

Amount under clause 2.1.1

55

Schedule 1 (item 5267, column 2)

After “45 minutes”, insert “, but not more than 60 minutes,”.

  1. 56

    Clause 2.25.2 of Schedule 1 (at the end of the Group A23 table)

Add:

5262

Professional attendance (other than a service to which another 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 a care recipient at the facility and is not a resident of a self‑contained unit, lasting more than 60 minutes by a medical practitioner (other than a general practitioner)—an attendance on one or more patients at one residential aged care facility on one occasion—each patient

Amount under clause 2.1.1

57

Schedule 1 (after item 90051)

Insert:

90054

Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 60 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 one or more health‑related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1)

191.20

58

Schedule 1 (item 90096, column 2)

After “45 minutes”, insert “, but less than 60 minutes”.

  1. 59

    Clause 2.30.1 of Schedule 1 (at the end of the Group A35 table)

Add:

90098

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self‑contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a medical practitioner who is not a general practitioner—each patient (subject to subclause 2.30.1(2))

88.20

90183

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self‑contained unit, lasting not more than 5 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

15.15

90188

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self‑contained unit, lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

33.10

90202

Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self‑contained unit, lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

64.10

90212

Professional attendance (other than a service to which another 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 a care recipient in the facility who is not a resident of a self‑contained unit, lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

94.40

90215

Professional attendance (other than a service to which another 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 a care recipient in the facility who is not a resident of a self‑contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))

152.95

Part 4Leadless permanent pacemaker services

Health Insurance (General Medical Services Table) Regulations 2021

60

Schedule 1 (after item 38368)

Insert:

38372

Leadless permanent cardiac pacemaker, single‑chamber ventricular, percutaneous insertion of, for the treatment of bradycardia, including cardiac electrophysiological services (other than a service associated with a service to which item 38350 applies) (H) (Anaes.)

830.30

38373

Leadless permanent cardiac pacemaker, single‑chamber ventricular, percutaneous retrieval and replacement of, including cardiac electrophysiological services, during the same percutaneous procedure, if:

(a) the service is performed:

(i) by a specialist or consultant physician who has undertaken training to perform the service; and

(ii) in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and

(b) if the service is performed by an interventional cardiologist at least 4 weeks after the leadless permanent cardiac pacemaker was inserted—a cardiothoracic surgeon is in attendance during the service;

other than a service associated with a service to which item 38350 applies (H) (Anaes.)

830.30

38374

Leadless permanent cardiac pacemaker, single‑chamber ventricular, percutaneous retrieval of, if:

(a) the service is performed:

(i) by a specialist or consultant physician who has undertaken training to perform the service; and

(ii) in a facility where cardiothoracic surgery is available and a thoracotomy can be performed immediately and without transfer; and

(b) if the service is performed by an interventional cardiologist at least 4 weeks after the leadless permanent cardiac pacemaker was inserted—a cardiothoracic surgeon is in attendance during the service

(H) (Anaes.)

830.30

38375

Leadless permanent cardiac pacemaker, single‑chamber ventricular, explantation of, by open surgical approach (H) (Anaes.) (Assist.)

3,107.15

61

Schedule 1 (cell at item 90300, column 2)

Repeal the cell, substitute:

Professional attendance by a cardiothoracic surgeon in the practice of the surgeon’s speciality, if:

(a) the service is:

(i) performed in conjunction with a service (the lead extraction service) to which item 38358 applies; or

(ii) performed in conjunction with a service (the leadless pacemaker extraction service) to which item 38373 or 38374 applies; and

(b) the surgeon:

(i) is providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing the lead extraction service or the leadless pacemaker extraction service; and

(ii) is present for the duration of the lead extraction service or the leadless pacemaker extraction service, other than during the low risk pre and post extraction phases; and

(iii) is able to immediately scrub in and perform a thoracotomy if major complications occur

(H)

Schedule 5Prescribed medical practitioner services

Health Insurance (General Medical Services Table) Regulations 2021

1

Subparagraph 1.1.5(1)(b)(i)

Omit “735 to 758, 825 to 828, 930, 933, 935, 937, 943, 945, 946, 948, 959, 961, 962, 964,”, substitute “235, 236, 237, 238, 239, 240,735 to 758, 825 to 828, 930, 933, 935, 937, 943, 945, 946, 948, 959, 961, 962, 964, 969, 971, 972, 973, 975, 986,”.

2

At the end of Division 2.1 of Schedule 1

Add:

2.1.2Meaning of amount under clause 2.1.2

In an item of this Schedule mentioned in column 1 of table 2.1.2:

amount under clause 2.1.2 means the sum of:

  1. (a)

    the fee mentioned in column 2 for the item; and

  2. (b)

    either:

    1. (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

    2. (ii)

      if a practitioner attends more than 6 patients in a single attendance—the amount mentioned in column 4 for the item.

Table 2.1.2—Amount under clause 2.1.2

Item

Column 1

Items of this Schedule

Column 2

Fee

Column 3

Amount if not more than 6 patients (to be divided by the number of patients) ($)

Column 4

Amount if more than 6 patients ($)

1

181

The fee for item 179

23.20

1.85

2

187

The fee for item 185

23.20

1.85

3

191

The fee for item 189

23.20

1.85

4

206

The fee for item 203

23.20

1.85

5

303

The fee for item 301

23.20

1.85

3

Division 2.10 of Schedule 1 (after the heading)

Insert:

Note 1: Various restrictions, limitations and other requirements apply to items in Subgroups 5, 6, 7, 9 and 11 of Group A7. The restrictions, limitations and other requirements are set out in the following Divisions:

(a) for items in Subgroup 5—Division 2.15;

(b) for items in Subgroup 6—Division 2.16;

(c) for items in Subgroup 7—Division 2.17;

(d) for items in Subgroup 9—Division 2.20;

(e) for items in Subgroup 11—Division 2.22.

Note 2: A number of expressions used in Subgroups 6, 7 and 9 of Group A7 are defined in Divisions 2.16, 2.17 and 2.20, including the following:

(a) contribute to a multidisciplinary care plan (see clause 2.16.3);

(b) coordinating a review of team care arrangements (see clause 2.16.5);

(c) multidisciplinary care plan (see clause 2.16.6);

(d) organise and coordinate (see clause 2.16.15);

(e) participate (see clause 2.16.16);

(f) preparing a GP management plan (see clause 2.16.7);

(g) residential medication management review (see clause 2.17.2);

(h) review of a GP mental health treatment plan (see clause 2.20.4).

4

After clause 2.10.1 of Schedule 1

Insert:

2.10.1AApplication of items 214 to 220

  1. (1)

    Items 214 to 220 apply only to a service provided in the course of a personal attendance by one or more prescribed medical practitioners on a single patient on a single occasion.

  2. (2)

    If the professional attendance is provided by one or more prescribed medical practitioners concurrently, each prescribed medical practitioner may claim an attendance fee.

  3. (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.

5

Clause 2.10.2 of Schedule 1 (note)

Repeal the note, substitute:

Note: The fees in items 193, 197 and 199 of Group A7 are indexed in accordance with clause 1.3.1.

  1. 6

    Schedule 1 (Group A7 table, at the end of the table)

Add:

Subgroup 2—Prescribed medical practitioner attendance to which no other item applies

179

Professional attendance at consulting rooms lasting not more than 5 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance

15.15

181

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting not more than 5 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

Amount under clause 2.1.2

185

Professional attendance at consulting rooms lasting more than 5 minutes but not more than 25 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance

33.10

187

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

Amount under clause 2.1.2

189

Professional attendance at consulting rooms lasting more than 25 minutes but not more than 45 minutes (other than a service to which any other applies) by a prescribed medical practitioner in an eligible area—each attendance

64.10

191

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

Amount under clause 2.1.2

203

Professional attendance at consulting rooms lasting more than 45 minutes but not more than 60 minutes (other than a service to which any other item applies) by a prescribed medical practitioner in an eligible area—each attendance

94.40

206

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

Amount under clause 2.1.2

301

Professional attendance at consulting rooms lasting more than 60 minutes (other than a service to which any other item in this Schedule applies) by a prescribed medical practitioner in an eligible area—each attendance

152.95

303

Professional attendance (other than an attendance at consulting rooms or a residential aged care facility or a service to which any other item applies) lasting more than 60 minutes—an attendance on one or more patients at one place on one occasion by a prescribed medical practitioner in an eligible area—each patient

Amount under clause 2.1.2

Subgroup 3—Prescribed medical practitioner prolonged attendances to which no other item applies

214

Professional attendance by a prescribed medical practitioner for a period of not less than one hour but less than 2 hours (other than a service to which another item applies) on a patient in imminent danger of death

195.10

215

Professional attendance by a prescribed medical practitioner 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

325.10

218

Professional attendance by a prescribed medical practitioner 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

454.90

219

Professional attendance by a prescribed medical practitioner 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

585.20

220

Professional attendance by a prescribed medical practitioner 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

650.20

Subgroup 4—Prescribed medical practitioner group therapy

221

Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 2 patients

103.50

222

Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 3 patients

109.10

223

Professional attendance for the purpose of Group therapy lasting at least one hour given under the direct continuous supervision of a prescribed medical practitioner, involving members of a family and persons with close personal relationships with that family—each Group of 4 or more patients

132.70

Subgroup 5—Prescribed medical practitioner health assessments

224

Professional attendance by a prescribed medical practitioner to perform a brief health assessment, lasting not more than 30 minutes and including:

(a) collection of relevant information, including taking a patient history; and

(b) a basic physical examination; and

(c) initiating interventions and referrals as indicated; and

(d) providing the patient with preventive health care advice and information

52.25

225

Professional attendance by a prescribed medical practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:

(a) detailed information collection, including taking a patient history; and

(b) an extensive physical examination; and

(c) initiating interventions and referrals as indicated; and

(d) providing a preventive health care strategy for the patient

121.45

226

Professional attendance by a prescribed medical practitioner to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:

(a) comprehensive information collection, including taking a patient history; and

(b) an extensive examination of the patient’s medical condition and physical function; and

(c) initiating interventions and referrals as indicated; and

(d) providing a basic preventive health care management plan for the patient

167.55

227

Professional attendance by a prescribed medical practitioner to perform a prolonged health assessment, lasting at least 60 minutes, including:

(a) comprehensive information collection, including taking a patient history; and

(b) an extensive examination of the patient’s medical condition, and physical, psychological and social function; and

(c) initiating interventions and referrals as indicated; and

(d) providing a comprehensive preventive health care management plan for the patient

236.70

228

Professional attendance by a prescribed medical practitioner at consulting rooms or in a place other than a hospital or a residential aged care facility, for a health assessment of a patient who is of Aboriginal or Torres Strait Islander descent—applicable not more than once in a 9 month period and only if the following items are not applicable within the same 9 month period:

(a) item 715;

(b) item 92004 or 92011 of the Telehealth and Telephone Determination

186.90

Subgroup 6—Prescribed medical practitioner management plans, team care arrangements and multidisciplinary care plans and case conferences

229

Attendance by a prescribed medical practitioner, for preparation of a GP management plan for a patient (other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply)

127.05

230

Attendance by a prescribed medical practitioner, to coordinate the development of team care arrangements for a patient (other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply)

100.70

231

Either:

(a) contribution to a multidisciplinary care plan, for a patient, prepared by another provider; or

(b) contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;

by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply

62.00

232

Either:

(a) contribution to a multidisciplinary care plan, for a patient in a residential aged care facility, prepared by that facility, or contribution to a review of a multidisciplinary care plan, for a patient, prepared by such a facility; or

(b) contribution to a multidisciplinary care plan, for a patient, prepared by another provider before the patient is discharged from a hospital or contribution to a review of a multidisciplinary care plan, for a patient, prepared by another provider;

by a prescribed medical practitioner, other than a service associated with a service to which any of items 235 to 240 and 735 to 758 apply

62.00

233

Attendance by a prescribed medical practitioner:

(a) to review a GP management plan prepared by a medical practitioner (or an associated medical practitioner); or

(b) to coordinate a review of team care arrangements which have been coordinated by the medical practitioner (or the associated medical practitioner)

63.45

235

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 15 minutes but less than 20 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply

62.30

236

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts for at least 20 minutes but less than 40 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply

106.50

237

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to organise and coordinate:

(a) a community case conference; or

(b) a multidisciplinary case conference in a residential aged care facility; or

(c) a multidisciplinary discharge case conference;

if the conference lasts at least 40 minutes, other than a service associated with a service to which any of items 229 to 233 and 721 to 732 apply

177.50

238

Attendance by a prescribed medical practitioner, as a member of a multidisciplinary case conference team, to participate in:

(a) a community case conference; or

After “by a general practitioner”, insert “(for item 4001) or a prescribed medical practitioner (for item 729)”.

  1. 86

    Subclause 2.22.1(3) of Schedule 1 (paragraph (b) of the definition of non‑directive pregnancy support counselling)

Omit “the general” (wherever occurring), substitute “the medical”.

87

Subclause 2.22.1(4) of Schedule 1

After “4001”, insert “or 729”.

88

Clause 2.31.5 of Schedule 1 (note 1)

Omit “Note 1”, substitute “Note”.

89

Clause 2.31.5 of Schedule 1 (note 2)

Repeal the note.

90

Schedule 1 (item 11607, note)

Omit “, 224 to 228, 229 to 244”.

91

Clause 7.1.1 of Schedule 1

Insert:

amount under clause 2.1.2has the meaning given by clause 2.1.2.

amount under clause 2.20.2A has the meaning given by clause 2.20.2A.

associated medical practitioner:

  1. (a)

    for item 233—has the meaning given by subclause 2.16.2(2); and

  2. (b)

    for item 277—has the meaning given by subclause 2.20.5(2).

  1. 92

    Clause 7.1.1 of Schedule 1 (definition of contribute to a multidisciplinary care plan)

    Omit “and 731”, substitute “, 731, 231 and 232”.

  2. 93

    Clause 7.1.1 of Schedule 1 (definition of coordinating a review of team care arrangements)

    Omit “item 732”, substitute “items 732 and 233”.

  3. 94

    Clause 7.1.1 of Schedule 1 (definition of coordinating the development of team care arrangements)

    Omit “item 723”, substitute “items 723 and 230”.

95

Clause 7.1.1 of Schedule 1

Insert:

eligible area means a Modified Monash 2 area, a Modified Monash 3 area, a Modified Monash 4 area, a Modified Monash 5 area, a Modified Monash 6 area or a Modified Monash 7 area.

  1. 96

    Clause 7.1.1 of Schedule 1 (definition of living in a community setting)

Omit “item 900”, substitute “items 245 and 900”.

  1. 97

    Clause 7.1.1 of Schedule 1 (paragraph (a) of the definition of multidisciplinary care plan)

    Omit “for items 729 and 731”, substitute “for items 231, 233, 729 and 731”.

  2. 98

    Clause 7.1.1 of Schedule 1 (definition of multidisciplinary discharge case conference)

Before “735”, insert “235, 236, 237, 238, 239, 240,”.

  1. 99

    Clause 7.1.1 of Schedule 1 (paragraph (a) of the definition of organise and coordinate)

Omit “735, 739, 743, 820, 822, 823, 825, 826, 828, 830, 832, 834, 835, 837, 838, 855, 857, 858, 861, 864 and 866”, substitute “235, 236, 237, 735, 739, 743, 820, 822, 823, 825, 826, 828, 830, 832, 834, 835, 837, 838, 855, 857, 858, 861, 864, 866, 969, 971 and 972”.

  1. 100

    Clause 7.1.1 of Schedule 1 (paragraph (a) of the definition of participate)

Omit “747, 750, 758, 825, 826, 828, 835, 837 and 838”, substitute “238, 239, 240, 747, 750, 758, 825, 826, 828, 835, 837, 838, 973, 975 and 986”.

  1. 101

    Clause 7.1.1 of Schedule 1 (definition of preparing a GP management plan)

Omit “item 721”, substitute “items 229 and 721”.

102

Clause 7.1.1 of Schedule 1

Insert:

prescribed medical practitioner means a medical practitioner:

  1. (a)

    who is not a general practitioner, specialist or consultant physician; and

  2. (b)

    who:

    (i) is registered under section 3GA of the Act and is practising during the period, and in the location, in respect of which the medical practitioner is registered, and insofar as the circumstances specified for the purposes of paragraph 19AA(3)(b) of the Act apply; or

    1. (ii)

      is covered by an exemption under subsection 19AB(3) of the Act; or

    (iii) first became a medical practitioner before 1 November 1996.

  1. 103

    Clause 7.1.1 of Schedule 1 (definition of residential medication management review

Omit “item 903”, substitute “items 249 and 903”.

  1. 104

    Clause 7.1.1 of Schedule 1 (definition of reviewing a GP management plan)

Omit “item 732”, substitute “items 233 and 732”.

105

Clause 7.1.1 of Schedule 1

Insert:

Telehealth and Telephone Determination means the Health Insurance (Section 3C General Medical Services – Telehealth and Telephone Attendances) Determination 2021.

Schedule 6Pathology servicesPart 1—Genetic testinggeneral

Health Insurance (Pathology Services Table) Regulations 2020

1

Clause 1.2.13 of Schedule 1

Repeal the clause, substitute:

1.2.13Restriction on items 66551, 73812 and 73826—timing

For any patient, items 66551, 73812 and 73826 cannot be claimed more than 4 times in 12 months, whether claimed individually or in any combination of the items.

2

Schedule 1 (after item 73340)

Insert:

73343

Detection of 17p chromosomal deletions by fluorescence in situ hybridisation or genome wide micro‑array, in a patient with chronic lymphocytic leukaemia or small lymphocytic lymphoma, on a peripheral blood, bone marrow or lymph node sample, requested by a specialist or consultant physician

For any particular patient:

(a) at initial diagnosis; or

(b) at disease relapse; or

(c) on disease progression;

but only where initiation of, or change in, therapy is anticipated

589.90

  1. 3

    Division 2.7 of Schedule 1 (Group P7 table, at the end of the table)

Add:

73440

Genomic testing and copy number variant analysis of genes known to be causative or likely causative of childhood hearing loss in a patient, if:

(a) the testing and analysis is requested by a specialist or consultant physician; and

(b) the patient has congenital or childhood onset hearing loss that presented before the patient was 18 years of age and is permanent moderate, severe, or profound (>40 dB in the worst ear over 3 frequencies) and classified as sensorineural, auditory neuropathy or mixed; and

(c) the patient is not eligible for a service to which item 73358 or 73359 applies; and

(d) the testing and analysis is not associated with a service to which item 73441 applies

Applicable once per lifetime

1,200.00

73441

Genomic testing and copy number variant analysis of relevant genes known to be causative or likely causative of childhood hearing loss in a patient, if:

(a) the testing and analysis is requested by a specialist or consultant physician; and

(b) the patient has congenital or childhood onset hearing loss that presented before the patient was 18 years of age and is permanent bilateral moderate, severe, or profound (>40 dB in the worst ear over 3 frequencies) and classified as sensorineural, auditory neuropathy or mixed; and

(c) the testing and analysis is performed using a sample from the patient and a sample from each of the patient’s biological parents; and

(d) the patient is not eligible for a service to which item 73358 or 73359 applies; and

(e) the testing and analysis is not associated with a service to which item 73440 applies

Applicable once per lifetime

2,100.00

73442

Re‑analysis of whole exome or genome data obtained under a service to which item 73440 or 73441 applies, for characterisation of previously unreported germline gene variants for childhood hearing loss in a patient, if:

(a) the re‑analysis is requested by a specialist or consultant physician; and

(b) the re‑analysis is performed at least 24 months after:

(i) the service to which items 73440 or 73441 applies has been provided to the patient; or

(ii) a service to which this item applies is performed for the patient

Applicable twice per lifetime

500.00

73443

Characterisation of one or more familial germline gene variants known to be causative or likely causative of childhood hearing loss in a person, if:

(a) the person tested is a biological relative of a patient with a germline gene variant known to be causative or likely causative of hearing loss confirmed by laboratory findings; and

(b) the result of a previous proband testing is made available to the laboratory undertaking the characterisation

400.00

73444

Characterisation of all germline variants in one or more genes known to cause hearing loss in a person, if:

(a) the characterisation is requested by a specialist or consultant physician; and

(b) the characterisation is for the reproductive partner of a patient with a pathogenic or likely pathogenic recessive germline gene variant known to cause hearing loss confirmed by laboratory findings; and

(c) the result of the patient’s previous testing is made available to the laboratory undertaking the characterisation

1,200.00

73445

Characterisation of a variant or variants in a panel of at least 25 genes using DNA and RNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of myeloid origin

Applicable once per diagnostic episode, at diagnosis, disease progression or relapse

1,100.00

73446

Characterisation of a variant or variants in a panel of at least 25 genes using DNA and RNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin

Applicable once per diagnostic episode, at diagnosis, disease progression or relapse

1,100.00

73447

Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of myeloid origin

Applicable once per diagnostic episode, at diagnosis, disease progression or relapse

927.90

73448

Characterisation of a variant or variants in a panel of at least 25 genes using DNA, requested by a specialist or consultant physician, to determine the diagnosis, prognosis and/or management of a patient presenting with a clinically suspected haematological malignancy of lymphoid origin

Applicable once per diagnostic episode, at diagnosis, disease progression or relapse

927.90

73451

Testing of a patient who is pregnant, or planning pregnancy, to identify carrier status for pathogenic or likely pathogenic variants in the following genes, for the purpose of determining reproductive risk of cystic fibrosis, spinal muscular atrophy or fragile X syndrome:

(a) CFTR;

(b) SMN1;

(c) FMR1

One test per lifetime

400.00

73452

Testing of the reproductive partner of a patient who has been found to be a carrier of a pathogenic or likely pathogenic variant in the CFTR or SMN1 gene identified by testing under item 73451, for the purpose of determining the couple’s reproductive risk of cystic fibrosis or spinal muscular atrophy

One test per condition per lifetime

400.00

73453

Characterisation of germline pathogenic or likely pathogenic gene variants:

(a) in at least the following genes:

(i) ASPA;

(ii) BLM;

(iii) CFTR;

(iv) ELP1;

(v) FANCA;

(vi) FANCC;

(vii) FANCG;

(viii) FMR1;

(ix) G6PC1;

(x) GBA1;

(xi) HEXA;

(xii) MCOLN1;

(xiii) SLC37A4;

(xiv) SMN1;

(xv) SMPD1; and

(b) in a patient of reproductive age who is of Ashkenazi Jewish descent, for the purpose of ascertaining the patient’s carrier status for the following:

(i) Bloom syndrome;

(ii) Canavan disease;

(iii) Cystic fibrosis;

(iv) Familial dysautonomia;

(v) Fanconi anaemia type C;

(vi) Fragile‑X syndrome;

(vii) Gaucher disease;

(viii) Glycogen storage disease type I;

(ix) Mucolipidosis type IV;

(x) Niemann‑Pick disease type A 7;

(xi) Spinal muscular atrophy;

(xii) Tay‑Sachs disease

Applicable once per lifetime

425.00

73454

Whole gene sequencing of a gene or genes described in item 73453, in a patient who is the reproductive partner of an individual who is affected by, or is a known genetic carrier of, one or more conditions described in item 73453 (other than cystic fibrosis, fragile‑X syndrome or spinal muscular atrophy), for the purpose of determining the couple’s combined reproductive risk of the conditions, if:

(a) the patient is not eligible for a service to which item 73453 applies; and

(b) the patient has not received a service to which item 73453 applies; and

(c) the patient has not received a service to which this item applies for the purpose of determining the patient’s reproductive risk with the patient’s current reproductive partner

Applicable once per couple per lifetime

1,200.00

73455

Testing of a pregnant patient, if at least one prospective parent is known to be affected by, or is a genetic carrier of, one or more conditions described in item 73453, for the purpose of determining whether a familial variant or variants are present in the fetus, if:

(a) the testing is requested by a specialist or consultant physician; and

(b) there is at least a 25% risk of the fetus inheriting a condition described in paragraph (b) of item 73453

1,600.00

73456

Characterisation by whole genome sequencing, or by either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA of a patient with a strong suspicion of a mitochondrial disease, if:

(a) the characterisation is requested by a specialist or consultant physician; and

(b) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following:

(i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system;

(ii)evident mitochondrial dysfunction or decompensation;

(iii) unexplained hypotonia or weakness, profound hypoglycaemia or “failure to thrive” in the presence of a metabolic acidosis;

(iv) unexplained single or multi‑organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure);

(v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy;

(vi) cardiomyopathy and/or cardiac arrythmias;

(vii) rapid hearing or painless visual loss or ptosis;

(viii) stroke‑like episodes or nonvasculitic strokes;

(ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness;

(x) external ophthalmoplegia;

(xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy;

(xii) family history of mitochondrial disease, or any of the above; and

(c) the service is not a service associated with a service to which item 73358, 73359 or 73457 applies

Applicable only once per lifetime

2,100.00

73457

Characterisation by whole genome sequencing, or either or both whole exome sequencing and mitochondrial DNA sequencing, of germline variants present in nuclear DNA and in mitochondrial DNA, of a patient with a strong suspicion of a mitochondrial disease, if:

(a) the characterisation is performed using a sample from the patient and a sample from each of the patient’s biological parents; and

(b) the request for the characterisation states that singleton testing is inappropriate; and

(c) the characterisation is requested by a specialist or consultant physician; and

(d) the characterisation is requested because of the onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following:

(i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system;

(ii) evident mitochondrial dysfunction or decompensation;

(iii) unexplained hypotonia or weakness, profound hypoglycaemia or “failure to thrive” in the presence of a metabolic acidosis;

(iv) unexplained single or multi‑organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure);

(v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy;

(vi) cardiomyopathy and/or cardiac arrythmias;

(vii) rapid hearing or painless visual loss or ptosis;

(viii) stroke‑like episodes or nonvasculitic strokes;

(ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness;

(x) external ophthalmoplegia;

(xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy;

(xii) family history of mitochondrial disease; and

(e) the service is not a service associated with a service to which item 73358, 73359 or 73456 applies

Applicable only once per lifetime

3,300.00

73458

Re‑analysis of whole genome or whole exome or mitochondrial DNA data obtained in performing a service to which item 73456 or 73457 applies, for characterisation of previously unreported germline variants related to the clinical phenotype, if:

(a) the re‑analysis is requested by a specialist or consultant physician; and

(b) the patient is strongly suspected of having a monogenic mitochondrial disease; and

(c) the re‑analysis is performed at least 24 months after:

(i) the service to which item 73456 or 73457 applies; or

(ii) a service to which this item applies

Applicable twice per lifetime

500.00

73459

Testing for diagnostic purposes of a pregnant patient, for detection in the fetus of a gene variant or variants present in the parents, if:

(a) the gene variant or variants are:

(i) a variant or variants in the mitochondrial genome identified in the oocyte donating parent; or

(ii) autosomal recessive variants identified in both biological parents within the same gene; or

(iii) an autosomal dominant or X‑linked variant identified in either biological parent; or

(iv) identified in a biological sibling of the fetus; and

(b) the causative variant or variants for the condition of the fetus’ first‑degree relative have been confirmed by laboratory findings; and

(c) the detection is requested by a specialist or consultant physician; and

(d) the service is not a service associated with a service to which item 73361, 73362, 73363 or 73462 applies

1,600.00

73460

Characterisation of mitochondrial DNA deletion or variant for diagnostic purposes in a patient suspected to have mitochondrial disease, if:

(a) the characterisation is requested by the specialist or consultant physician managing the patient’s treatment; and

(b) the patient displays onset of one or more clinical features indicative of mitochondrial disease, including at least one or more of the following:

(i) meeting the clinical criteria of a probable indicator of mitochondrial disease on a relevant scoring system;

(ii) evident mitochondrial dysfunction or decompensation;

(iii) unexplained hypotonia or weakness, profound hypoglycaemia or ‘failure to thrive’ in the presence of a metabolic acidosis;

(iv) unexplained single or multi‑organ dysfunction or fulminant failure (including, but not limited to, neuropathies, myopathies, hepatopathy, pancreatic and/or bone marrow failure);

(v) refractory or atypical seizures, developmental delays or cognitive regression, or progressive encephalopathy or progressive encephalomyopathy;

(vi) cardiomyopathy and/or cardiac arrythmias;

(vii) rapid hearing or painless visual loss or ptosis;

(viii) stroke‑like episodes or nonvasculitic strokes;

(ix) ataxia, encephalopathy, seizures, muscle fatigue or weakness;

(x) external ophthalmoplegia;

(xi) hearing loss, diabetes, unexplained short stature, or endocrinopathy;

(xii) family history of mitochondrial disease; and

(c) the service is performed following a service to which items 73292, 73358, 73359, 73456 or 73457 applies for the same patient if the results were non‑informative

Applicable 3 times per lifetime

450.00

73461

Whole gene testing of a person for the characterisation of all germline gene variants within the same gene in which the person’s reproductive partner has a pathogenic or likely pathogenic germline recessive gene variant for mitochondrial disease, if:

(a) the partner’s germline recessive gene variant is confirmed by laboratory findings; and

(b) the characterisation is requested by a specialist or consultant physician

1,200.00

73462

Testing of a person for the detection of a single gene variant, if:

(a) the person tested has a biological relative with a known pathogenic or likely pathogenic mitochondrial disease variant confirmed by laboratory findings; and

(b) the testing is requested by a specialist or consultant physician; and

(c) the service is not a service associated with a service to which item 73361, 73362 or 73363 applies

400.00

Part 2Genetic testing for cardiac arrhythmias

Health Insurance (Pathology Services Table) Regulations 2020

4

Schedule 1 (item 73418, column 2)

Omit “once per variant”, substitute “once per gene”.

5

Schedule 1 (item 73418, column 3)

Omit “400.00”, substitute “1,200.00”.

Part 3NT‑proBNP testing in patients with systemic sclerosis

Health Insurance (Pathology Services Table) Regulations 2020

6

Schedule 1 (after item 66584)

Insert:

66585

Quantification of laboratory‑based BNP or NT‑proBNP testing in a patient with systemic sclerosis (scleroderma) to assess risk of pulmonary arterial hypertension

Maximum of 2 tests in a 12 month period

58.50

Part 4Prostate specific antigen testing

Health Insurance (Pathology Services Table) Regulations 2020

7

Schedule 1 (after item 66653)

Insert:

66654

Prostate specific antigen—quantitation in the monitoring of high risk patients

For any particular patient, applicable not more than once in 11 months

20.15

8

Schedule 1 (item 66655, column 2)

Omit “12”, substitute “23”.

9

Schedule 1 (item 66656, column 2)

Omit “a test to which item 66655 applies”, substitute “prostate cancer, prostatitis or a premalignant condition such as atypical small acinar proliferation”.

10

Schedule 1 (cell at item 66659, column 2)

Repeal the cell, substitute:

Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, including, if performed, a test described in item 66656, in the follow up of a PSA result under item 66654 or 66655 that lies at:

(a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or

(b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or

(c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age

For any particular patient, applicable not more than once in 11 months

11

Schedule 1 (cell at item 66660, column 2)

Repeal the cell, substitute:

Prostate specific antigen (PSA), quantitation of 2 or more fractions of PSA and any derived index, in the monitoring of previously diagnosed prostatic disease, including, if performed, a test described in item 66656, if the current PSA level lies at:

(a) more than 2.0 ug/L but less than or equal to 5.5 ug/L for patients with a family history of prostate cancer; or

(b) more than 3.0 ug/L but less than or equal to 5.5 ug/L for patients who are at least 50 years of age but under 70 years of age; or

(c) more than 5.5 ug/L but less than or equal to 10.0 ug/L for patients who are at least 70 years of age

For any particular patient, applicable not more than 4 times in 11 months

Part 5Detection of measurable residual disease in acute lymphoblastic leukaemia

Health Insurance (Pathology Services Table) Regulations 2020

12

Schedule 1 (after item 71200)

Insert:

71202

Measurable residual disease (MRD) testing by flow cytometry, performed on bone marrow from a patient diagnosed with acute lymphoblastic leukaemia, for the purpose of determining baseline MRD, or facilitating the determination of MRD following combination chemotherapy or after salvage therapy, requested by a specialist or consultant physician practising as a haematologist or oncologist

550.00

13

Schedule 1 (after item 73309)

Insert:

73310

Measurable residual disease (MRD) testing by next‑generation sequencing, performed on bone marrow (or a peripheral blood sample if bone marrow cannot be collected) from a patient diagnosed with acute lymphoblastic leukaemia, for the purpose of determining baseline MRD, or facilitating the determination of MRD following combination chemotherapy or after salvage therapy, requested by a specialist or consultant physician practising as a haematologist or oncologist

1,550.00

Part 6Prognostic gene expression profile testing

Health Insurance (Pathology Services Table) Regulations 2020

14

Schedule 1 (after item 73305)

Insert:

73306

Gene expression profiling testing using EndoPredict, for the purpose of profiling gene expression in formalin‑fixed, paraffin‑embedded primary breast cancer tissue from core needle biopsy or surgical tumour sample to estimate the risk of distant recurrence of breast cancer within 10 years, if:

(a) the sample is from a new primary breast cancer, which is suitable for adjuvant chemotherapy; and

(b) the sample has been determined to be oestrogen receptor positive and HER2 negative by IHC and ISH respectively on surgically removed tumour; and

(c) the sample is axillary node negative or positive (up to 3 nodes) with a tumour size of at least 1 cm and no more than 5 cm determined by histopathology on surgically removed tumour; and

(d) the sample has no evidence of distal metastasis; and

(e) pre‑testing of intermediate risk of distant metastases has shown that the tumour is defined by at least one of the following characteristics:

(i) histopathological grade 2 or 3;

(ii) one to 3 lymph nodes involved in metastatic disease (including micrometastases but not isolated tumour cells); and

(f) the service is not administered for the purpose of altering treatment decisions

Applicable once per new primary breast cancer diagnosis for any particular patient

1,200.00

Part 7Improved access for certain pathology testing

Health Insurance (Pathology Services Table) Regulations 2020

15

Schedule 1 (cell at item 73296, column 2)

Repeal the cell, substitute:

Characterisation of germline gene variants, including copy number variation where appropriate, requested by a specialist or consultant physician:

(a) in genes associated with breast, ovarian, fallopian tube or primary peritoneal cancer, which must include at least:

(i) BRCA1 and BRCA2 genes; and

(ii) one or more STK11, PTEN, CDH1, PALB2 and TP53 genes; and

(b) in a patient:

(i) with breast, ovarian, fallopian tube or primary peritoneal cancer; and

(ii) for whom clinical and family history criteria place the patient at greater than 10% risk of having a pathogenic or likely pathogenic gene associated with breast, ovarian, fallopian tube or primary peritoneal cancer

Once per cancer diagnosis

16

Schedule 1 (cell at item 73297, column 2)

Repeal the cell, substitute:

Characterisation of germline gene variants, including copy number variation where appropriate, requested by a specialist or consultant physician:

(a) in genes associated with breast, ovarian, fallopian tube or primary peritoneal cancer, which may include the following genes:

(i) BRCA1 or BRCA2;

(ii) STK11, PTEN, CDH1, PALB2 and TP53; and

(b) in a patient:

(i) who has a biological relative who has had a pathogenic or likely pathogenic gene variant identified in one or more of the genes mentioned in paragraph (a); or

(ii) who has not previously received a service to which item 73295, 73296 or 73302 applies

Once per variant

Schedule 7Medicare benefits

Health Insurance Regulations 2018

  1. 1

    Subsection 28(1) (at the end of the cell at table item 1, column 2)

Add “, 123, 124”.

  1. 2

    Subsection 28(1) (at the end of the cell at table item 2, column 2)

Add “, 151, 165”.

  1. 3

    Subsection 28(1) (at the end of the cell at table item 6, column 2)

Add “, 301, 303”.

  1. 4

    Subsection 28(1) (at the end of the cell at table item 14, column 2)

Add “, 2197, 2198, 2200”.

  1. 5

    Subsection 28(1) (at the end of the cell at table item 24, column 2)

Add “, 5071, 5076, 5077”.

  1. 6

    Subsection 28(1) (cell at table item 25, column 2)

Repeal the cell, substitute:

5200, 5203, 5207, 5208, 5209, 5220, 5223, 5227, 5228, 5260, 5261, 5262, 5263, 5265, 5267

  1. 7

    Subsection 28(1) (cell at table item 28A, column 2)

Repeal the cell, substitute:

90020, 90035, 90043, 90051, 90054, 90092, 90093, 90095, 90096, 90098, 90183, 90188, 90202, 90212, 90215

  1. 8

    Subsection 28(1) (at the end of the cell at table item 28C, column 2)

Add “, 91920, 91923, 91926”.

  1. 9

    Subsection 28(1) (at the end of the cell at table item 28D, column 2)

Add “, 91900, 91903, 91906, 91910, 91913, 91916”.

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