Health Insurance (Section 3C General Medical Services – Medicare Indexation) Amendment Determination 2019 (Cth)

Case

Health Insurance (Section 3C General Medical Services – Medicare Indexation) Amendment Determination 2019


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I, ELIZABETH DOWD, delegate of the Minister for Health, make the following 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 (Section 3C General Medical Services – Blue Light Cystoscopy) Determination 2019

Health Insurance (Section 3C General Medical Services – Cryopreservation of Semen) Determination 2018

Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019

Health Insurance (Section 3C General Medical Services - General Practitioner Telehealth Services) Determination 2018

Health Insurance (Section 3C General Medical Services – MIGS Stent Implantation) Determination 2018

Health Insurance (Section 3C General Medical Services – Optical Coherence Tomography) Determination 2018

Health Insurance (Section 3C General Medical Services – Transcatheter Aortic Valve Implantation) Determination 2018

Health Insurance (Section 3C General Medical Services – Transvaginal repair of pelvic organ prolapse and procedures for the excision of graft material) Determination 2018

Health Insurance (Section 3C General Medical Services – Unscheduled specialist attendance) Determination 2019

Health Insurance (Section 3C General Medical Services – Vigilance Testing) Determination 2018

  1. Name

This Determination is the Health Insurance (Section 3C General Medical Services – Medicare Indexation) 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Note:          This table relates only to the provisions of this instrument as originally made.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 (Section 3C General Medical Services – Blue Light Cystoscopy) Determination 2019

  1. Subsection 6(2)

Repeal the subsection, substitute:

(2)Clause 2.46.2 of the general medical services table shall have effect as if items 36504, 36505, 36507 and 36508 contained in the Schedule were specified in clause 2.46.2.

  1. Schedule 1 (item 36504, column 3)

Omit “294.85”, substitute “299.55”.

  1. Schedule 1 (item 36505, column 3)

Omit “231.70”, substitute “235.40”.

  1. Schedule 1 (item 36507, column 3)

Omit “388.20”, substitute “394.40”.

  1. Schedule 1 (item 36508, column 3)

Omit “756.40”, substitute “768.50”.

Health Insurance (Section 3C General Medical Services – Cryopreservation of Semen) Determination 2018

  1. Subsection 6(1)

Omit “2.37.5”, substitute “2.38.5”.

  1. Schedule 1 (item 13260, column 3)

Omit “415.00”, substitute “421.65”.

Health Insurance (Section 3C General Medical Services – Heart Health Assessment No.2) Determination 2019

  1. Schedule 1 (item 699, column 3)

Omit “85.60”, substitute “86.95”.

  1. Schedule 1 (item 177, column 3)

Omit “68.50”, substitute “69.55”.

Health Insurance (Section 3C General Medical Services - General Practitioner Telehealth Services) Determination 2018

  1. Schedule 1 (item 2729, column 3)

Omit “92.75”, substitute “94.25”.

  1. Schedule 1 (item 2731, column 3)

Omit “132.75”, substitute “134.85”.

  1. Schedule 1 (item 2121, column 3)

Omit “44.20”, substitute “44.90”.

  1. Schedule 1 (item 2150, column 3)

Omit “85.60”, substitute “86.95”.

  1. Schedule 1 (item 2196, column 3)

Omit “126.05”, substitute “128.05”.

Health Insurance (Section 3C General Medical Services – MIGS Stent Implantation) Determination 2018

  1. Subsection 7(4)

Omit “2.45.2”, substitute “2.46.2”.

  1. Schedule 1 (item 42505, column 3)

Omit “300.75”, substitute “305.55”.

  1. Schedule 1 (item 42705, column 3)

Omit “911.10”, substitute “925.70”.

Health Insurance (Section 3C General Medical Services – Optical Coherence Tomography) Determination 2018

  1. Schedule 1 (item 11219, column 3)

Omit “40.00”, substitute “40.65”.

Health Insurance (Section 3C General Medical Services – Transcatheter Aortic Valve Implantation) Determination 2018

  1. Schedule 1 (item 6080, column 3)

Omit “50.90”, substitute “51.70”.

  1. Schedule 1 (item 6081, column 3)

Omit “37.95”, substitute “38.55”.

  1. Schedule 1 (item 38495, column 3)

Omit “1,432.20”, substitute “1,455.10”.

Health Insurance (Section 3C General Medical Services – Transvaginal repair of pelvic organ prolapse and procedures for the excision of graft material) Determination 2018

  1. Schedule 1 (below the heading)

Repeal the table, substitute:

Group T8 – Surgical Operations
Subgroup 4—Gynaecological
Item Service Fee ($)
35570 Anterior vaginal compartment repair by vaginal approach for pelvic organ prolapse (involving repair of urethrocele and cystocele), using native tissue without graft, other than a service associated with a service to which item 35573, 35577 or 35578 applies (H) (Anaes.) (Assist.) 562.70
35571

Posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse involving repair of one or more of the following:

(a) perineum;

(b) rectocoele;

(c) enterocoele;
using native tissue without graft, other than a service associated with a service to which item 35573, 35577 or 35578 applies (H) (Anaes.) (Assist.)

 562.70
35573 Anterior and posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse (involving anterior and posterior compartment defects), using native tissue without graft, other than a service associated with a service to which item 35577 or 35578 applies (H) (Anaes.) (Assist.) 844.20
35577 Manchester (Donald Fothergill) operation for pelvic organ prolapse (includes cervical amputation, anterior and posterior native tissue vaginal wall repairs without graft) (H) (Anaes.) (Assist.) 685.30
35581 Vaginal procedure for excision of graft material in symptomatic patients with graft related complications, including graft related pain or discharge and bleeding related to graft exposure, less than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35582 or 35585 applies (H) (Anaes.) (Assist.) 562.70
35582 Vaginal procedure for excision of graft material in symptomatic patients with graft related complications, including graft related pain or discharge and bleeding related to graft exposure, more than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35581 or 35585 applies (H) (Anaes.) (Assist.) 844.20
35585 Abdominal procedure either open, laparoscopic or robotic, for removal of graft material in patients symptomatic with graft related complications, including graft related pain or discharge and bleeding related to graft exposure or where the graft has penetrated adjacent organs such as the bladder (including urethra) or bowel, including retroperitoneal dissection and mobilisation of bladder and/or bowel, other than a service associated with a service to which item 35581 or 35582 applies (H) (Anaes.) (Assist.) 1,496.75

Health Insurance (Section 3C General Medical Services – Unscheduled specialist attendance) Determination 2019

  1. Schedule 1 (item 115, column 3)

Omit “43.65”, substitute “44.35”.

Health Insurance (Section 3C General Medical Services – Vigilance Testing) Determination 2018

  1. Section 6 (below the heading)

Repeal the subsections, substitute:

(1)     Clause 1.2.10 of the general medical services table shall have effect as if item 12254, 12258, 12261, 12265, 12268 and 12272 were also specified in the clause.

(2)     Clause 2.36.2 of the general medical services table shall have effect as if item 12261 and 12265 were also specified in subclause 2.36.2(1).

(3)     Clause 2.36.2 of the general medical services table shall have effect as if item 12268 and 12272 were also specified in subclause 2.36.2(2).

(4)     Clause 2.36.2 of the general medical services table shall have effect as if item 12254 and 12258 were also specified in subclause 2.36.2(3).

  1. Schedule 1 (item 12254, column 3)

Omit “913.70”, substitute “928.30”.

  1. Schedule 1 (item 12258, column 3)

Omit “913.70”, substitute “928.30”.

  1. Schedule 1 (item 12261, column 3)

Omit “958.00”, substitute “973.35”.

  1. Schedule 1 (item 12265, column 3)

Omit “958.00”, substitute “973.35”.

  1. Schedule 1 (item 12268, column 3)

Omit “1,027.55”, substitute “1,044.00”.

  1. Schedule 1 (item 12272, column 3)

Omit “1,027.55”, substitute “1,044.00”.

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