Health Insurance (Variation of Fees and Medical Services) (No. 21) Regulations (Cth)

Statutory Rules 1981 No. 2461

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Health Insurance (Variation of Fees and Medical Services) (No. 21) Regulations

I, THE GOVERNOR-GENERAL of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulations under the Health Insurance Act 1973.

Dated 27 August 1981.

ZELMAN COWEN

Governor-General

By His Excellency’s Command,

MICHAEL MacKELLAR

Minister of State for Health

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Citation

1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 21) Regulations.

Commencement

2. These Regulations shall come into operation on 1 September 1981.

Amendments of Schedule to Health Insurance (Variation of Fees and Medical Services) (No. 17) Regulations

3. The Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 17) Regulations (being that Schedule as amended by the Health Insurance (Variation of Fees and Medical Services) (No. 18) Regulations, the Health Insurance (Variation of Fees and Medical Services) (No. 19) Regulations and the Health Insurance (Variation of Fees and Medical Services) (No. 20) Regulations) is amended as set out in the Schedule to these Regulations.

SCHEDULERegulations 3

AMENDMENTS OF THE SCHEDULE TO THE HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (NO. 17) REGULATIONS AMENDMENT OF THE RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL BENEFITS

Omit rule 32, substitute the following rule:

“32. A reference in a column in item 2953 to an amount under this rule shall be read as a reference to an amount equal to one-fifth of the fee or the aggregate of the fees in respect of which the medical benefit payable under the Act in relation to the operation or series or combination of operations for the professional services of the practitioner to whom the assistance was rendered is calculated and an amount equal to the amount so referred to shall be deemed to be set out in that column in the place of that reference.”.

AMENDMENTS OF THE TABLE OF MEDICAL SERVICES

1.	Omit items 69 and 71, substitute the following items:
“69	Professional attendance at a hospital or nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a nursing home complex (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 71—each attendance when only one patient is seen....................	16.20	15.40	15.20	15.20	15.20	15.40
“71	Professional attendance at a hospital or nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a nursing home complex (not being an attendance covered by any other item in this Part)—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, when only one patient is seen....................	23.00	21.00	21.00	21.00	21.00	21.00”.
2.	Omit items 76 and 78, substitute the following items:
“76	Professional attendance at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a nursing home complex, (not being an attendance covered by any other item in this Part)—an attendance on two patients in the one nursing home or aged persons’ accommodation on the one occasion—each patient.......................................	9.60	9.00	8.80	8.80	8.80	9.00

SCHEDULE—continued

“78	Professional attendance at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a nursing home complex, (not being an attendance covered by any other item in this Part)—an attendance on three or more patients in the one nursing home or aged persons’ accommotation on the one occasion—each patient...............................	8.10	7.70	7.70	7. 0	7.70	7.70”.
3.	After item 849 insert the following item:
“851	Attendance by a medical practitioner for the investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses and the issue of a prescription— one attendance in any period of thirty-six consecutive months..	49.00	49.00	49.00	49.00	49.00	49.00”.
4.	Omit items 877 and 879, substitute the following items:
“877	Impedance audiogram not associated with a service covered by item 863, 865, 870 or 874	14.60	14.60	14.60	14.60	14.60	14.60
“878	Impedance audiogram in association with a service covered by item 863, 865, 870 or 874	9.30	9.30	9.30	9.30	9.30	9.30”.
5.	After item 956 insert the following item:
“957	Intra-arterial cannulisation for purpose of taking multiple arterial blood samples for blood gas analysis.....................................	27.00	27.00	27.00	27.00	27.00	27.00”.
6.	Omit items 1111 to 1125 (inclusive), substitute the following items:
“1111	Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed—testing involving one or two units of blood (SP)	32.00	32.00	32.00	32.00	32.00	32.00
“1112	Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match

SCHEDULE—continued

and donor group check where performed—testing involving one or two units of blood (OP)	24.00	24.00	24.00	24.00	24.00	24.00
“1113	Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed—testing involving one or two units of blood (HP)	16.00	16.00	16.00	16.00	16.00	16.00
“1114	Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed—each unit of blood tested in excess of two (SP)	12.00	12.00	12.00	12.00	12.00	12.00
“1116	Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed—each unit of blood tested in excess of two (OP)	9.00	9.00	9.00	9.00	9.00	9.00
“1117	Compatibility testing by saline, papain, albumin or indirect Coombs techniques (by one or more of those techniques), including auto-cross-match and donor group check where performed—each unit of blood tested in excess of two (HP)	6.00	6.00	6.00	6.00	6.00	6.00
“1121	Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies—screening test (by one or more of those techniques) (SP)	12.00	12.00	12.00	12.00	12.00	12.00
“1122	Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies—screening test (by one or more of those techniques) (OP)	9.00	9.00	9.00	9.00	9.00	9.00

SCHEDULE—continued

“1124	Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies—screening test (by one or more of those techniques) and quantitative estimation of one antibody (SP).................................................	32.00	32.00	32.00	32.00	32.00	32.00
“1125	Examination of serum for Rh antibodies or other blood group antibodies or both Rh antibodies and other blood group antibodies—screening test (by one or more of those techniques) and quantitative estimation of one antibody (OP).................................................	24.00	24.00	24.00	24.00	24.00	24.00”.
7.	Omit items 1260, 1263 and 1264, substitute the following items:
“1261	Qualitative, quantitative or qualitative and quantitative estimation of fibrin degeneration products (SP)...........................	9.60	9.60	9.60	9.60	9.60	9.60
“1262	Qualitative, quantitative or qualitative and quantitative estimation of fibrin degeneration products (OP)...........................	7.20	7.20	7.20	7.20	7.20	7.20
“1263	Quantitative estimation of— platelet adhesion, prothrombin consumption or protamine sulphate—each procedure (SP)	12.00	12.00	12.00	12.00	12.00	12.00
“1264	Quantitative estimation of— platelet adhesion, prothrombin consumption or protamine sulphate—each procedure (OP)	9.00	9.00	9.00	9.00	9.00	9.00”.
8.	Omit items 1301, 1302 and 1303, substitute the following items:
“1301	Estimation by any method ovalbumin, alkaline phosphatase, ALT, AST, bicarbonate, bilirubin (direct), bilirubin (indirect), calcium, chloride, cholesterol, CK, CK isoenzymes, creatinine, GGTP, globulin, glucose, HBD, LD, phosphate, potassium, protein (total), sodium, triglycerides, urate or urea or estimation of a substance referred to in any other item in this Division other than items 1302 and 1303, where the estimation is performed on a multichannel analyser —one estimation (SP)	12.00	12.00	12.00	12.00	12.00	12.00

SCHEDULE—continued

“1302	Estimation by any method of— albumin, alkaline phosphatase, ALT, AST, bicarbonate, bilirubin (direct), bilirubin (indirect), calcium, chloride, cholesterol, CK, CK isoenzymes, creatinine, GGTP, globulin, glucose, HBD, LD, phosphate, potassium, protein (total), sodium, triglycerides, urate or urea or estimation of a substance referred to in any other item in this Division other than items 1301 and 1303 where the estimation is performed on a multichannel analyser—one estimation (OP)		9.00	9.00	9.00	9.00	9.00	9.00
“1303	Estimation by any method of— albumin, alkaline phosphatase, ALT, AST, bicarbonate, bilirubin (direct), bilirubin (indirect), calcium, chloride, cholesterol, CK, CK isoenzymes, creatinine, GGTP, globulin, glucose, HBD, LD, phosphate, potassium, protein (total), sodium, triglycerides, urate or urea or estimation of a substance referred to in any other item in this Division other than items 1301 and 1302 where the estimation is performed on a multichannel analyser—one estimation (HP)		6.00	6.00	6.00	6.00	6.00	6.00”.
9.	After item 1323 insert the following items:
“1324	Quantitative estimation of blood gases (including p02, oxygen saturation, pC02 and estimation of bicarbonate and pH) (SP)........		32.00	32.00	32.00	32.00	32.00	32.00
“1325	Quantitative estimation of blood gases (including p02, oxygen saturation, pC02 and estimation of bicarbonate and pH) (OP)........		24.00	24.00	24.00	24.00	24.00	24.00
“1326	Quantitative estimation of blood gases (including p02, oxygen saturation, pC02 and estimation of bicarbonate and pH) (HP)........		16.00	16.00	16.00	16.00	16.00	16.00”.
10.	Omit items 1345 and 1346, substitue the following items:
“1345	Quantitative estimation of— arsenic, copper, gold, lead, mercury, strontium, zinc, any other element not specified................

SCHEDULE—continued

in any other item in this Division, folic acid, vitamin B12, any other vitamin not specified in any other item in this Division, alcohol, ammonia, neo-natal bilirubin (direct and indirect) cholinesterase, coproporphyrin, erythroporphyrin, uroporphyrin, or any other porphyrin factor, delta ALA, 5HIAA, iron (including iron-binding capacity), oxalate, oxosteroids, oxogenic steroids, PBG, urine oestriol, transketolase, urinary or serum HCG (other than in diagnosis of pregnancy), or any other substance not specified in any other item in this Division—each estimation (SP)		24.00	24.00	24.00	24.00	24.00	24.00
“1346	Quantitative estimation of—arsenic, copper, gold, lead, mercury, strontium, zinc, any other element not specified in any other item in this Division, folic acid, vitamin B12, any other vitamin not specified in any other item in this Division, alcohol, ammonia, neo-natal bilirubin (direct and indirect), cholinesterase, coproporphyrin, erythroporphyrin, uroporphyrin, or any other porphyrin factor, delta ALA, 5HIAA, iron (including iron-binding capacity), oxalate, oxosteroids, oxogenic steroids, PBG, urine oestriol, transketolase, urinary or serum HCG (other than in diagnosis of pregnancy), or any other substance not specified in any other item in this Division—each estimation (OP)		18.00	18.00	18.00	18.00	18.00	18.00”.
11.	Omit items 1364 and 1366, substitute the following items:
“1364	Quantitative estimation of—catecholamines (each component), faecal fat, HMMA, hydroxyproline, non-pregnancy oestrogens, pregnanediol, pregnanetriol, any other steroid fraction (where not estimated in the same process as................................

SCHEDULE—continued

another steroid fraction) or multiple steroid fractions estimated in the same process —each estimation (SP)........................	32.00	32.00	32.00	32.00	32.00	32.00
“1366	Quantitative estimation of— catecholamines (each component), faecal fat, HMMA, hydroxyproline, non-pregnancy oestrogens, pregnandiol, pregnanetriol, any other steroid fraction (where not estimated in the same process as another steroid fraction) or multiple steroid fractions estimated in the same process —each estimation (OP)...........	24.00	24.00	24.00	24.00	24.00	24.00”.
12.	Omit items 1376 and 1378, substitute the following items:
“1376	Drug assays—qualitative estimations or screening procedures, by colorimetric methods—one or more estimations or procedures on each specimen (SP)	8.00	8.00	8.00	8.00	8.00	8.00
“1378	Drug assays—qualitative estimations or screening procedures, by colorimetric methods—one or more estimations or procedures on each specimen (OP)	6.00	6.00	6.00	6.00	6.00	6.00”.
13.	Omit items 1419, 1420, 1427, and 1428, substitute the following items:
“1419	Assay of T3 resin uptake or thyroxine (T4) (or equivalent function test)—using any technique (SP)..........................................	12.00	12.00	12.00	12.00	12.00	12.00
“1420	Assay of T3 resin uptake or thyroxine (T4) (or equivalent function test)—using any technique (OP).........................................	9.00	9.00	9/00	9.00	9.00	9.00
“1427	Assay of T3 resin uptake and thyroxine (T4) (or equivalent function test)—using any technique (SP)..........................................	20.00	20.00	20.00	20.00	20.00	20.00
“1428	Assay of T3 resin uptake and thyroxine (T4) (or equivalent function test)—using any technique (OP).........................................	15.00	15.00	15.00	15.00	15.00	15.00”.
14.	Omit items 1452 and 1453, substitute the following items:
“1452	Hormone assays (including assay of insulin, growth hormone, TSH, LH, FSH, T3, prolactin, renin, gastrin,

SCHEDULE—continued

cortisol (selenium labelled), ACTH or HPL but not including assay of a thyroid hormone covered by item 1419, 1427, 1434 or 1441) using gamma emitting labels or any other unspecified technique—one estimation of any one hormone (SP)....................	24.00	24.00	24.00	24.00	24.00	24.00
“1453	Hormone assays (including assay of insulin, growth hormone, TSH, LH, FSH, T3, prolactin, renin, gastrin, Cortisol (selenium labelled), ACTH or HPL but not including assay of a thyroid hormone covered by item 1420, 1428, 1435 or 1442) using gamma emitting labels or any other unspecified technique—one estimation of any one hormone (OP)	18.00	18.00	18.00	18.00	18.00	18.00”.
15.	Omit items 1609, 1610 and 1611, substitute the following items:
“1609	Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures —examination of material from one site (SP).................................................	16.00	16.00	16.00	16.00	16.00	16.00
“1610	Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures—examination of material from one site (OP).................................................	12.00	12.00	12.00	12.00	12.00	12.00
“1611	Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures —examination of material from one site (HP).................................................	10.10	10.10	10.10	10.10	10.10	10.10”.

SCHEDULE—continued

16.	After item 1611 insert the following items:
“1612	Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures —examination of material from two or more sites (SP)	28.00	28.00	28.00	28.00	28.00	28.00
“1613	Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures —examination of material from two or more sites (OP)	21.00	21.00	21.00	21.00	21.00	21.00
“1614	Cultural examination of material other than urine for aerobic micro-organisms (including fungi) with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures —examination of material from two or more sites (HP)	14.00	14.00	14.00	14.00	14.00	14.00”.
17.	Omit items 1615, 1616 and 1618, substitute the following items:
“1615	Cultural examination of material other than blood or urine for aerobic and anaerobic micro-organisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures—examination of material from one site (SP)...................................	24.00	24.00	24.00	24.00	24.00	24.00
“1616	Cultural examination of material other than blood or urine for aerobic and anaerobic micro-organisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures—examination of material from one site (OP)...................................	18.00	18.00	18.00	18.00	18.00	18.00

SCHEDULE—continued

“1618	Cultural examination of material other than blood or urine for aerobic and anaerobic micro-organisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures—examination of material from one site (HP)...................................	15.15	15.15	15.15	15.15	15.15	15,15.
“1619	Cultural examination of material other than blood or urine for aerobic and anaerobic micro-organisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures—examination of material from two or more sites (SP).........................	42.00	42.00	42.00	42.00	42.00	42.00
“1620	Cultural examination of material other than blood or urine for aerobic and anaerobic micro-organisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures—examination of material from two or more sites (OP)........................

31.50	31.50	31.50	31.50	31.50	31.50
“1621	Cultural examination of material other than blood or urine for aerobic and anaerobic micro-organisms using an anaerobic atmosphere for the culture of anaerobes, with, where indicated, the use of relevant stains, selective media or sensitivity testing or any two or more of those procedures—examination of material from two or more sites (HP)........................	21.00	21.00	21.00	21.00	21.00	21.00”.
18.	After item 1942 insert the following items:
“1943	Modified Rose Waaler test using stabilised sheep cells, not associated with item 1941 (SP)	8.00	8.00	8.00	8.00	8.00	8.00

SCHEDULE—continued

“1944		Modified Rose Waaler test using stabilised sheep cells, not associated with item 1942 (OP).........................................		6.00		6.00		6.00		6.00	6.00	6.00”
19.	Omit items 2264, 2265, 2272 and 2273, substitute the following items:
“2264		Sperm penetrability, one or more tests for—not associated with item 2211 (SP)		16.00		16.00		16.00		16.00	16.00	16.00
“2265		Sperm penetrability, one or more tests for—not associated with item 2212 (OP)		12.00		12.00		12.00		12.00	12.00	12.00
“2272		Chorionic gonadotrophin, qualitative estimation of for diagnosis of pregnancy or hormone producing neoplasm by one or more methods including estimation of beta-HCG in serum or urine (SP)....		8.00		8.00		8.00		8.00	8.00	8.00
“2273		Chorionic gonadotrophin, qualitative estimation of for diagnosis of pregnancy or hormone producing neoplasm by one or more methods including estimation of beta-HCG in serum or urine (OP)...		6.00		6.00		6.00		6.00	6.00	6.00”
20.	Omit item 2950.
21.	In Part 9 insert the following item:
“2953		Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified is $100.00 or more.......................		Amount under rule 32		Amount , under rule 32		Amount under rule 32		Amount under rule 32	Amount under rule 32	Amount under rule 32”.
22.	Omit item 2955.
23.	After item 3106 insert the following item:
“3110		Control of post-operative haemorrhage under general anaesthesia following perineal or vaginal operations (AU 6).......		57.00		57.00		57.00	57.00	57.00	57.00”.
24.		Omit items 3713 and 3718, substitute the following items:
“3713		Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (G) (AU 9)..............................................		152.00		152.00		152.00	152.00	152.00	152.00

SCHEDULE—continued

“3718	Laparotomy (exploratory), including associated biopsies, where no other intra-abdominal procedure is performed (S) (AU 9)..............................................	190.00	190.00	190.00	190.00	190.00	190.00”.
25.	After item 3726 insert the following items:
“3730	Laparotomy for grading of lymphoma, including splenectomy, liver biopsies, lymph node biopsies and oophoropexy (AU 14)............................................	440.00	440.00	440.00	440.00	440.00	440.00
“3734	Laparotomy for control of postoperative haemorrhage, where no other procedure is performed (AU 11)..................	132.00	132.00	132.00	132.00	132.00	132.00”.
26.	Omit item 3846, substitute the following items:
“3847	Oesophagoscopy (not covered by item 5464), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures) (AU 6)..................	90.00	90.00	90.00	90.00	90.00	90.00
“3849	Oesophagoscopy (not covered by item 5464), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures) with biopsy or with endoscopic sclerosing injection of oesophageal or gastric varices (AU 7)..............	110.00	110.00	110.00	110.00	110.00	110.00
“3851	Oesophagoscopy (not covered by item 5464), gastroscopy, duodenoscopy or panendoscopy (one or more such procedures) with polypectomy, with or without removal of foreign body, with or without diathermy coagulation of bleeding oesophageal, gastric or duodenal lesions (AU 7)......................................	140.00	140.00	140.00	140.00	140.00	140.00”.
27.	Omit items 3855, 3857, 3858 and 3860, substitute the following items:
“3860	Endoscopic pancreatochol-angiography (AU 8)..............................................	146.00	146.00	146.00	146.00	146.00	146.00
“3862	Endoscopic sphincterotomy with or without extraction of stones from common bile duct (AU 8)......................................	200.00	200.00	200.00	200.00	200.00	200.00”.
28.	After item 3891 insert the following items:
“3892	Gastric reduction or gastroplasty for obesity, by any method (AU 13)...........	345.00	345.00	345.00	345.00	345.00	345.00
“3893	Gastric by-pass for obesity, including anastomosis, by any method (AU 21)	480.00	480.00	480.00	480.00	480.00	480.00”.

SCHEDULE—continued

29.	After item 4214 insert the following item:
“4217	Abdomino-perineal pull through resection with colo-anal anastomosis (one or two stages), including associated colostomy (AU 30).................................................	600.00	600.00	600.00	600.00	600.00	600.00”.
30.	Omit items 4258 and 4262, substitute the following items:
“4258	Ventral, incisional, lumbar or recurrent hernia or burst abdomen, repair of (G) (AU 10)	176.00	176.00	176.00	176.00	176.00	176.00
“4262	Ventral, incisional, lumbar or recurrent hernia or burst abdomen, repair of (S) (AU 10)	210.00	210.00	210.00	210.00	210.00	210.00”.
31.	After item 4397 insert the following item:
“4399	Rectal tumour, excision of, via transsphincteric approach (AU 12)....................	250.00	250.00	250.00	250.00	250.00	250.00”.
32.	Omit item 4455, substitute the following item:
“4455	Anus, dilatation of, under general anaesthesia, with or without disimpaction of faeces, not associated with any other item in this Part (AU 4)..............................................	27.50	27.50	27.50	27.50	27.50	27.50”.
33.	Omit item 4461
34.	After item 4490 insert the following item:
“4492	Anal incontinence, operation for, by Parkes intersphincteric procedure or by direct repair of anal sphincters, not covered by item 383 in Part 2 (AU 11).........................	225.00	225.00	225.00	225.00	225.00	225.00”
35.	, Omit item 4602
36.	, After item 4798 insert the following item :
“4800	Transluminal arterioplasty including associated radiological services and preparation (AU 12).................................................	200.00	200 00	200.00	200.00	200.00	200.00”.
37.	Omit items 4828 and 4832, substitute the following item:
“4832	Operation on phalanx (AU 7)......	49.50	49.50	49.50	49.50	49.50	49.50”.
38.	Omit item 5348, substitute the following item:
“5348	Postnasal spaces, direct examination of, with biopsy, nasendoscopy or sinoscopy (unilateral) (AU 7)...................	49.50	49.50	49.50	49.50	49.50	49.50”
39	. Omit items 5464, 5470, 5474, 5480 and 5486, substitute the following items:
“5464	Oesophagoscopy (with rigid oesophagoscope) (AU 6)......................................	73.00	73.00	73.00	73.00	73.00	73.00

SCHEDULE—continued

“5470	Oesophagoscopy with dilatation or insertion of prosthesis —each occasion (AU 7)	142.00	142.00	142.00	142.00	142.00	142.00
“5480	Oesophagoscopy (with rigid oesophagoscope) with biopsy (AU 7)..................	95.00	95.00	95.00	95.00	95.00	95.00
“5486	Oesophagoscopy (with rigid oesophagoscope) with removal of foreign body (AU 7)	140.00	140.00	140.00	140.00	140.00	140.00”.
40.	After item 5490 insert the following item:
“5492	Oesophagus, pneumatic dilatation of (AU 8).................................................	90.00	90.00	90.00	90.00	90.00	90.00”.
41.	Omit item 6170.
42.	Omit item 6216.
43.	Omit item 6267.
44.	Omit items 6274, 6277, 6278 and 6280, substitute the following items:
“6274	Bartholin’s cyst, excision of (G) (AU 7).................................................	72.00	72.00	72.00	72.00	72.00	72.00
“6277	Bartholin’s cyst, excision of (S) (AU 7)	90.00	90.00	90.00	90.00	90.00	90.00
“6278	Bartholin’s cyst or gland, mar-supialisation of (G) (AU 6)...............................	47.50	47.50	47.50	47.50	47.50	47.50
“6280	Bartholin’s cyst or gland, mar-supialisation of (S) (AU 6)................................	60.00	60.00	60.00	60.00	60.00	60.00”.
45.	Omit item 6286.
46.	Omit items 6415, 6418, 6424, 6436 and 6441, substitute the following item:
“6415	Examination of the uterine cervix by a magnifying coloscope of the Hinselmann type or similar instrument (AU 5)	13.80	13.80	13.80	13.80	13.80	13.80
“6430	Cervix, cone biopsy, amputation or repair of, not covered by item 6367 or 6373 (G) (AU 7).................................................	70.00	70.00	70.00	70.00	70.00	70.00
“6431	Cervix, cone biopsy, amputation or repair of, not covered by item 6367 or 6373 (S) (AU 7).................................................	87.00	87.00	87.00	87.00	87.00	87.00”.
47.	Omit item 6451, substitute the following item:
“6451	Hysteroscopy under general anaesthesia or culdoscopy (AU 7)...................	43.50	43.50	43.50	43.50	43.50	43.50”.
48.	Omit item 6599.
49.	. Omit item 6636, substitute the following items:
“6633	Fallopian tubes, unilateral microsurgical anastomosis of, using operating microscope (AU 18)....................................	300.00	300.00	300.00	300.00	300.00	300.00

SCHEDULE—continued

“6638	Fallopian tubes, hydrotubation of, as an isolated procedure, or Rubin test for patency of (AU 7).............................	27.00	27.00	27.00	27.00	27.00	27.00”.
50.	Omit item 6782.
51.	Omit item 6807, substitute the following item:
“6807	Conjunctival peritomy or repair of corneal laceration by conjunctival flap (AU 6)	47.00	47.00	47.00	47.00	47.00	47.00”.
52.	Omit item 6861, substitute the following items:
“6861	Capsulectomy or removal of vitreous via the anterior chamber (AU 9).....	210.00	210.00	210.00	210.00	210.00	210.00
“6863	Vitrectomy via posterior chamber sclerotomy with removal of vitreous by cutting and suction and replacement by saline, Hartmann’s or similar solution (AU 25)............................................	530.00	530.00	530.00	530.00	530.00	530.00”.
53.	After item 8316 insert the following item :
“8318	Operation for the prevention of closure of epiphysial plate (AU 8).......	450.00	450.00	450.00	450.00	450.00	450.00”.
54.	, Omit item 8614, substitute the following item:
“8614	Full thickness wedge excision of lip or eyelid, with repair by direct sutures (AU 8)	128.00	128.00	128.00	128.00	128.00	128.00”.
55.	. Omit item 8710, substitute the following items:
“8710	Radioactive B12 absorption test (Schilling test)—one isotope...............	23.00	23.00	23.00	23.00	23.00	23.00
“8711	Radioactive B12 absorption test (Schilling test)—two isotopes.............	34.50	34.50	34.50-	34.50	34.50	34.50”.

NOTE

1. Notified in the Commonwealth of Australia Gazette