Health Insurance (Section 3C General Medical Services – Cleft Lip and Cleft Palate Services) Amendment Determination 2019 (Cth)

Case

Health Insurance (Section 3C General Medical Services – Cleft Lip and Cleft Palate Services) Amendment Determination 2019

I, ELIZABETH DOWD, delegate of the Minister for Health, make this Determination. 

Dated          5 April 2019

Elizabeth Dowd

Assistant Secretary

MBS Policy and Specialist Services Branch

Medical Benefits Division

Health Financing Group

Department of Health

Contents

1.           Name

2.           Commencement

3.           Authority

4.           Schedules

Schedule 1 – Amendments

Health Insurance (Cleft Lip and Cleft Palate Services) Determination 2012

  1. Name

This Determination is the Health Insurance (Section 3C General Medical Services – Cleft Lip and Cleft Palate Services) Amendment Determination 2019.

  1. Commencement

(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.  The whole of this instrument 1 July 2019

Note:          This table relates only to the provisions of this instrument as originally made.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.

(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.

  1. Authority

This Determination is made under subsection 3C(1) of the Health Insurance Act 1973.

  1. Schedules

Each instrument that is specified in a Schedule to this Determination is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this Determination has effect according to its terms.

Schedule 1 – Amendments

Health Insurance (Cleft Lip and Cleft Palate Services) Determination 2012

  1. Part 1 of the Schedule (below the heading)

Repeal the table, substitute:

Category 7 – Cleft Lip and Cleft Palate Services
Group C1 – Orthodontic Services
Item Service Fee ($)
75001 Initial professional attendance in a single course of treatment by an eligible orthodontist (AO) 86.90
75004 Professional attendance by an eligible orthodontist after the first professional attendance by the orthodontist in a single course of treatment (AO) 43.70
75006

Production of dental study models (other than a service associated with a service to which item 75004 applies) before provision of a service to which:

    (a)   item 75030, 75033, 75034, 75036, 75037, 75039, 75045 or 75051 applies; or

    (b)   an item in Group T8 or Groups O3 to O9 applies;

in a single course of treatment (AO)

77.45
75009 Orthodontic radiography — orthopantomography (panoramic radiography), including any consultation on the same occasion (AOS) (AO) 69.25
75012 Orthodontic radiography — anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings including any consultation on the same occasion (AOS) (AO) 109.80
75015 Orthodontic radiography — anteroposterior and lateral cephalometric radiography, with cephalometric tracings including any consultation on the same occasion (AOS) (AO) 150.95
75018 Orthodontic radiography — anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography including any consultation on the same occasion (AOS) (AO) 192.30
75021 Orthodontic radiography — hand‑wrist studies (including growth prediction) including any consultation on the same occasion (AOS) (AO) 235.75
75023 Intraoral radiography — single area, periapical or bitewing film (AOS) (AO) 47.20
75024 Pre‑surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision — if 1 appliance is used (AO) 609.70
75027 Pre‑surgical infant maxillary arch repositioning, including supply of appliances and all adjustments of appliances and supervision — if 2 appliances are used (AO) 836.05
75030 Maxillary ach expansion other than a service associated with a service to which item 75039, 75042, 75045 or 75048 applies, including supply of appliances, all adjustments of the appliances, removal of the appliances and retention (AO) 744.40
75033 Mixed dentition treatment — incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of the appliances and retention (AO) 1,220.15
75034 Mixed dentition treatment — incisor alignment with or without lateral arch expansion using a removable appliance in the maxillary arch, including supply of appliances, associated adjustments and retention (AO) 621.05
75036 Mixed dentition treatment — lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances, all adjustments of appliances, removal of appliances and retention (AO) 1,685.30
75037 Mixed dentition treatment — lateral arch expansion and incisor correction — 2 arch (maxillary and mandibular) using fixed appliances in both maxillary and mandibular arches, including supply of appliances, all adjustments of appliances, removal of appliances and retention (AO) 2,122.60
75039 Permanent dentition treatment — single arch (mandibular or maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances — initial 3 months of active treatment (AO) 564.15
75042 Permanent dentition treatment — single arch (mandibular or maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances — each 3 months of active treatment (including all adjustments and maintenance and removal of the appliances) after the first for a maximum of a further 33 months (AO) 210.85
75045 Permanent dentition treatment — 2 arch (mandibular and maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances — initial 3 months of active treatment (AO) 1,129.35
75048 Permanent dentition treatment — 2 arch (mandibular and maxillary) treatment (correction and alignment) using fixed appliances, including supply of appliances — each subsequent 3 months of active treatment (including all adjustments and maintenance, and removal of the appliances) after the first for a maximum of a further 33 months (AO) 289.60
75049 Retention, fixed or removable, single arch (mandibular or maxillary) — supply of retainer and supervision of retention (AO) 338.95
75050 Retention, fixed or removable, 2‑arch (mandibular and maxillary) — supply of retainers and supervision of retention (AO) 654.35
75051 Jaw growth guidance using removable or functional appliances, including supply of appliances and all adjustments to appliances (AO) 1,004.45
  1. Part 2 of the Schedule (below the heading)

Repeal the table, substitute:

Category 7 – Cleft Lip and Cleft Palate Services
Group C2 – Oral and Maxillofacial Services
Item Service Fee ($)
75150 Initial professional attendance in a single course of treatment by an eligible oral and maxillofacial surgeon if the patient is referred to the surgeon by an eligible orthodontist (AOS) 86.90
75153 Professional attendance by an eligible oral and maxillofacial surgeon after the first professional attendance by the surgeon in a single course of treatment if the patient is referred to the surgeon by an eligible orthodontist (AOS) 43.70
75156

Production of dental study models (other than a service associated with a service to which item 75153 applies) before provision of a service:

    (a)   to which item 52321, 53212 or 75618 applies; or

    (b)   to which an item in the series 52330 to 52382, 52600 to 52630, 53400 to 53409 or 53415 to 53429 applies;

in a single course of treatment, if the patient is referred by an eligible orthodontist (AOS)

77.45
75200 Removal of tooth or tooth fragment (other than treatment to which item 75400, 75403, 75406, 75409, 75412 or 75415 applies), if the patient is referred by an eligible orthodontist (AD) 55.80
75203 Removal of tooth or tooth fragment under general anaesthesia, if the patient is referred by an eligible orthodontist (AD) 83.75
75206 Removal of each additional tooth or tooth fragment at the same attendance at which a service to which item 75200 or 75203 applies is rendered, if the patient is referred by an eligible orthodontist (AD) 27.80
75400 Surgical removal of erupted tooth, if the patient is referred by an eligible orthodontist (AOS) 167.40
75403 Surgical removal of tooth with soft tissue impaction, if the patient is referred by an eligible orthodontist (AOS) 192.30
75406 Surgical removal of tooth with partial bone impaction, if the patient is referred by an eligible orthodontist (AOS) 219.10
75409 Surgical removal of tooth with complete bone impaction, if the patient is referred by an eligible orthodontist (AOS) 248.15
75412 Surgical removal of tooth fragment requiring incision of soft tissue only, if the patient is referred by an eligible orthodontist (AOS) 138.60
75415 Surgical removal of tooth fragment requiring removal of bone, if the patient is referred by an eligible orthodontist (AOS) 167.40
75600 Surgical exposure, stimulation and packing of unerupted tooth, if the patient is referred by an eligible orthodontist (AOS) 235.75
75603 Surgical exposure of unerupted tooth for the purpose of fitting a traction device, if the patient is referred by an eligible orthodontist (AOS) 277.10
75606 Surgical repositioning of unerupted tooth, if the patient is referred by an eligible orthodontist (AOS) 277.10
75609 Transplantation of tooth bud, if the patient is referred by an eligible orthodontist (AOS) 413.65
75612 Surgical procedure for intra oral implantation of osseointegrated fixture (first stage), if the patient is referred by an eligible orthodontist (AOS) 511.90
75615 Surgical procedure for fixation of trans‑mucosal abutment (second stage of osseointegrated implant), if the patient is referred by an eligible orthodontist (AOS) 189.50
75618 Provision and fitting of a bite rising appliance or dental splint for the management of temporomandibular joint dysfunction syndrome, if the patient is referred by an eligible orthodontist (AOS) 235.30
75621

The provision and fitting of surgical template in conjunction with orthognathic surgical procedures in association with:

    (a)   an item in the series:

            (i)   45720 to 45754; or

           (ii)   52342 to 52375; or

    (b)   item 52380 or 52382;

if the patient is referred by an eligible orthodontist (AOS)

235.30
  1. Part 3 of the Schedule (below the heading)

Repeal the table, substitute:

Category 7 – Cleft Lip and Cleft Palate Services
Group C3 – General and Prosthodontic Services
Item Service Fee ($)
75800 Attendance comprising consultation, preventive treatment and prophylaxis, of not less than 30 minutes in duration — each attendance to a maximum of 3 attendances in any period of 12 months (AD) 83.75
75803 Provision and fitting of acrylic base partial denture, including retainers — 1 tooth (AD) 335.05
75806 Provision and fitting of acrylic base partial denture, including retainers — 2 teeth (AD) 392.95
75809 Provision and fitting of acrylic base partial denture, including retainers — 3 teeth (AD) 465.30
75812 Provision and fitting of acrylic base partial denture, including retainers — 4 teeth (AD) 517.00
75815 Provision and fitting of acrylic base partial denture, including retainers — 5 to 9 teeth (AD) 630.85
75818 Provision and fitting of acrylic base partial denture, including retainers — 10 to 12 teeth (AD) 744.40
75821 Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 1 tooth (AD) 599.60
75824 Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 2 teeth (AD) 692.70
75827 Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 3 teeth (AD) 796.30
75830 Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 4 teeth (AD) 878.95
75833 Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 5 to 9 teeth (AD) 1,075.30
75836 Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers — 10 to 12 teeth (AD) 1,230.45
75839 Provision and fitting of retainers (other than treatment associated with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies) — each retainer (AD) 27.80
75842 Adjustment of partial denture (other than treatment associated with treatment to which item 75803, 75806, 75809, 75812, 75815, 75818, 75821, 75824, 75827, 75830, 75833 or 75836 applies) (AD) 41.40
75845 Relining of partial denture by laboratory process and associated fitting (AD) 206.90
75848 Remodelling and fitting of partial denture of more than 4 teeth (AD) 248.15
75851 Repair to cast metal base of partial denture — 1 or more points (AD) 124.10
75854 Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD) 124.10
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