Health Insurance (Radiation Oncology) Determination 2008 (Cth)
Health Insurance (Radiation Oncology) Determination 2008
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I, NICOLA ROXON, Minister for Health and Ageing, make this Determination under subsection 3C (1) of the Health Insurance Act 1973.
Dated 23 June 2008
NICOLA ROXON
________________________________
Minister for Health and Ageing
Contents
1.Name of Determination 3
2.Commencement 3
3.Interpretation 3
4.Treatment of a relevant service 4
5.Meaning of non-contiguous in items 15700, 15705 and 15800 4
Schedule New Radiation Oncology Items 5
Name of Determination
This Determination is the Health Insurance (Radiation Oncology) Determination 2008.
Commencement
This Determination commences on 1 July 2008.
Interpretation
In this Determination:
brachytherapy treatment verification means a quality assurance procedure designed to facilitate accurate and reproducible delivery of brachytherapy to a site or region of the body prescribed in the treatment prescription or associated dose plan and which utilises the capture and assessment of appropriate images using:
(a) x-rays;
(b) computed tomography; or
(c) ultrasound, where the ultrasound equipment is capable of producing images in three dimensions;
together with a record of the assessment and any correction of significant treatment delivery inaccuracies detected.
radiation oncology treatment verification means a quality assurance procedure designed to facilitate accurate and reproducible delivery of radiation therapy to a site or region of the body prescribed in the treatment prescription or associated dose plan and which utilises the capture and assessment of appropriate images using:
(a) x-rays;
(b) computed tomography; or
(c) ultrasound, where the ultrasound equipment is capable of producing images in three dimensions;
together with a record of the assessment and any correction of significant treatment delivery inaccuracies detected.
relevant provisions means all provisions, relating to professional services or to medical services, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under that Act.
relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in the Schedule.
the Act means the Health Insurance Act 1973.
the Schedule means the Schedule to this Determination.
Note Unless the contrary intention appears, expressions used in this Determination have the same meanings as in the Act—see section 13 of the Legislative Instruments Act 2003.
Unless the contrary intention appears, a reference in this Determination to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.
Treatment of a relevant service
A relevant service provided in accordance with this Determination is to be treated, for the relevant provisions, as if:
(a)it were both a professional service and a medical service; and
(b)there were an item in Group T2 of the general medical services table that:
i. related to the service; and
ii.specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.
Meaning of non-contiguous in Items 15700 and 15705
For the purposes of items 15700 and 15705 treatment sites are
non-contiguous if each site encompasses a separate and distinct planning tumour volume and the treatment plan for each site is independent of other treatment sites.
Schedule New Radiation Oncology Items
| Item | Health Service | Fee for all States |
| Subgroup 7- Radiation Oncology Treatment Verification | ||
| 15700 | RADIATION ONCOLOGY TREATMENT VERIFICATION - single projection (with single or double exposures) – each non-contiguous treatment site verified. | 43.90 |
| 15705 | RADIATION ONCOLOGY TREATMENT VERIFICATION - multiple projection or volumetric acquisition – each non-contiguous treatment site verified to a maximum of 3 sites per attendance. | 73.20 |
| Subgroup 8 – Brachytherapy Planning and Verification | ||
| 15800 | BRACHYTHERAPY TREATMENT VERIFICATION – maximum of one only for each attendance. | 92.05 |
| 15850 | RADIATION SOURCE LOCALISATION using a simulator, x-ray machine, CT or ultrasound of a single area, where views in more than one plane are required, for brachytherapy treatment planning, not being a service to which item 15513 applies. | 190.60 |
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