Health Insurance (Variation of Fees and Medical Services) (No. 24) Regulations (Cth)

Statutory Rules 1982 No. 1561

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Health Insurance (Variation of Fees and Medical Services) (No. 24) 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 25 June 1982.

ZELMAN COWEN

Governor-General

By His Excellency’s Command,

J. J. CARLTON

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. 24) Regulations.

Commencement

2. These Regulations shall come into operation on 1 July 1982.

Amendments of Schedule to Health Insurance (Variation of Fees and Medical Services) (No. 22) Regulations

3. The Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 22) Regulations (being that Schedule as amended by the Health Insurance (Variation of Fees and Medical Services) (No. 23) Regulations) is amended as set out in the Schedule to these Regulations.

SCHEDULERegulation 3

AMENDMENTS OF THE SCHEDULE TO THE HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (No. 22) REGULATIONS

AMENDMENT OF THE RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL BENEFITS

After Rule 5 insert the following rule:

“5a. In Part 1 ‘institution’ means a place (not being a hospital, nursing home, aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a nursing home complex) at which residential accommodation or day care or both such accommodation and such care is made available to—

(a) disadvantaged children;

(b) juvenile offenders;

(c) aged persons;

(d) chronically ill psychiatric patients;

(e) homeless persons;

(f) unemployed persons;

(g) persons suffering from alcoholism;

(h) persons addicted to drugs; or

(i) physically or mentally handicapped persons.”

AMENDMENTS OF THE TABLE OF MEDICAL SERVICES

1. Omit items 3, 4, 14, 19, 25, 26, 33, 35, 43, 44, 51, 53, 57, 59, 65, 66, 69, 71, 72, 74, 75, 76 and 78 and substitute the following items:

“ 1	Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 2—each attendance........................	8.70	8.30	8.30	8.30	8.30	8.30
“ 2	Professional attendance at consulting rooms of not more than 5 minutes duration (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	15.20	14.60	14.60	14.60	14.60	14.60
“ 5	Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 6—each attendance..............................................................	12.00	11.20	10.60	10.60	10.60	11.20
“ 6	Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (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........................................	18.20	17.20	17.00	17.00	17.00	17.20

SCHEDULE—continued

“ 7	Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 8—each attendance	22.50	21.50	20.50	20.50	20.50	21.50
“ 8	Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (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...........................................................	29.00	27.50	27.00	27.00	27.00	27.50
“ 9	Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by item 10—each attendance	34.50	32.50	31.00	31.00	31.00	32.50
“ 10	Professional attendance at consulting rooms of more than 45 minutes duration (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........	41.50	38.50	38.00	38.00	38.00	38.50
“ 11	Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 12—each attendance....	13.40	12.20	12.20	12.20	12.20	12.20
“ 12	Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of not more than 5 minutes duration (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	19.80	19.00	19.00	19.00	19.00	19.00
“ 15	Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 16—each attendance...........................................	17.40	16.60	16.40	16.40	16.40	16.60

SCHEDULE—continued

“ 16	Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 5 minutes duration but not more than 25 minutes duration (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......................	24.50	22.50	22.50	22.50	22.50	22.50
“ 17	Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 18—each attendance...........................................	29.00	28.50	27.50	27.50	27.50	28.50
“ 18	Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 25 minutes duration but not more than 45 minutes duration (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......................	35.50	34.50	33.50	33.50	33.50	34.50
“ 21	Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 22—each attendance................	41.50	38.50	38.50	38.50	38.50	38.50
“ 22	Professional attendance, not being an attendance at consulting rooms, a hospital or a nursing home or an attendance that is one of 2 or more attendances on the one occasion at an institution, of more than 45 minutes duration (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	47.50	45.50	43.50	43.50	43.50	45.50
“ 27	Professional attendance at a hospital (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 28—each attendance where only one in-patient is seen.................................................	17.40	16.60	16.40	16.40	16.40	16.60

SCHEDULE—continued

“ 28	Professional attendance at a hospital (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, where only one in-patient is seen........	24.50	22.50	22.50	22.50	22.50	22.50
“ 29	Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on each of two in-patients in the one hospital on the one occasion at a time other than a time covered by Item 30—each patient who is not a nursing-home type patient	12.00	11.20	10.60	10.60	10.60	11.20
“ 30	Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on each of two in-patients in the one hospital on the one occasion—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—each patient who is not a nursing-home type patient....................................................................	17.00	16.00	15.40	15.40	15.40	16.00
“ 31	Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on each of three or more in-patients in the one hospital on the one occasion—each patient who is not a nursing-home type patient..........................................	12.00	11.20	10.60	10.60	10.60	11.20
“ 32	Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on each of two in-patients in the one hospital on the one occasion where at least one of those inpatients is a nursing-home type patient— each nursing-home type patient	10.40	9.70	9.50	9.50	9.50	9.70
“ 34	Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on each of three or more in-patients in the one hospital on the one occasion where at least one of those in-patients is a nursing-home type patient—each nursing-home type patient....................................................................	8.70	8.30	8.30	8.30	8.30	8.30
“ 41	Professional attendance at 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 42—each attendance where only one patient is seen....................................................................	17.40	16.60	16.40	16.40	16.40	16.60
“ 42	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)—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, where only one patient is seen....................................................................	24.50	22.50	22.50	22.50	22.50	22.50

SCHEDULE-continued

“ 45	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	10.40	9.70	9.50	9.50	9.50	9.70
“ 46	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’ accommodation on the one occasion—each patient	8.70	8.30	8.30	8.30	8.30	8.30
“ 55	Professional attendance at an institution of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 56—an attendance on each of two or more patients at the one institution on the one occasion—each patient..................................	8.70	8.30	8.30	8.30	8.30	8.30
“ 56	Professional attendance at an institution of not more than 5 minutes duration (not being an attendance covered by any other item in this Part)— an attendance on each of two or more patients at the one institution on the one occasion 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—each patient..........................	15.20	14.60	14.60	14.60	14.60	14.60
“ 61	Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 62—an attendance on each of two or more patients at the one institution on the one occasion—each patient	12.00	11.20	10.60	10.60	10.60	11.20
“ 62	Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)—an attendance on each of two or more patients at the one institution on the one occasion 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-each patient	18.20	17.20	17.00	17.00	17.00	17.20
“ 63	Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 64—an attendance on each of two or more patients at the one institution on the one occasion—each patient	22.50	21.50	20.50	20.50	20.50	21.50

SCHEDULE—continued

“ 64	Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part)—an attendance on each of two or more patients at the one institution on the one occasion 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-each patient..................................................	29.00		27.50	27.00	27.00	27.00	27.50
“ 67	Professional attendance at an institution of more than 45 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 68—an attendance on each of two or more patients at the one institution on the one occasion—each patient...................	34.50		32.50	31.00	31.00	31.00	32.50
“ 68	Professional attendance at an institution of more than 45 minutes duration (not being an attendance covered by any other item in this Part)—an attendance on each of two or more patients at the one institution on the one occasion 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-each patient	41.50		38.50	38.00	38.00	38.00	38.50”
2. Omit item 196 and substitute the following item:
“196	Confinement and postnatal care for nine days (not including any service or services covered by Item 200 or 207 or by any item in Division 2) where the medical practitioner has not given the antenatal care (S)...........................................		152.00	116.00	116.00	116.00	116.00	116.00”
3. Omit item 207 and substitute the following item:
“207	Antenatal care, Confinement and postnatal care for nine days (not including services covered by Division 2) (S)...	230.00		198.00	174.00	198.00	174.00	174.00”
4. Omit item 209 and substitute the following item:
“209	Antenatal care, Confinement and postnatal care for nine days with midcavity forceps or vacuum extraction, breech delivery or management of multiple delivery (including any service or services covered by Item 295, 298 or 360 where performed at the time of delivery but not including any other service or services covered by Division 2) (S).............................	300.00		250.00	225.00	250.00	225.00	225.00”
5. Omit item 213 and substitute the following item:
“213	Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (S).......................	257.00		225.00	201.00	225.00	201.00	201.00”
6. Omit item 217 and substitute the following item:
“217	Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; including major regional or field block (S)......................................................	296.50		264.50	240.50	264.50	240.50	240.50”

SCHEDULE—continued

7. Omit item 489 and substitute the following item:
“ 489	Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study	48.00	47.50	47.50	46.50	46.50	41.00”
8. Omit item 561 and substitute the following item:
“ 561	Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study	58.00	57.00	57.00	57.00	57.00	51.00”
9. After item 752 insert the following item:
“ 753	Epidural injection in lumbar or thoracic region for the control of post-operative pain, in association with general anaesthesia......................................	21.50	21.50	21.50	21.50	21.50	21.50”
10. Omit items 818,821 and 824 and substitute the following items:
“ 821	Haemodialysis in hospital, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in the one day......................................	57.00	57.00	57.00	57.00	57.00	57.00
“ 824	Haemodialysis in hospital, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in the one day	30.00	30.00	30.00	30.00	30.00	30.00”
11. Omit item 921 and substitute the following item:

“ 921	Estimation of respiratory function involving a directly recorded tracing, performed before and after inhalation of a bronchodilator, a cholinergic substance or a sensitising agent, or before and after exercise—one or more such tests performed on the one occasion.........	8.70	8.70	8.70	8.70	8.70	8.70”
12. Omit item 980 and substitute the following item:
“ 980	Attendance by a medical practitioner at which acupuncture is performed by application of stimuli on or through the surface of the skin by any means, including any associated consultation on the same day............	12.00	11.20	10.60	10.60	10.60	11.20”
12A. Omit Item 994 and substitute the following item:
“ 994	Multiphasic health screening service involving the performance of ten or more medical services specified in items in Parts 6, 7 and 8 (including any associated consultation)....................................	130.00	130.00	130.00	130.00	130.00	130.00”
13. After item 994 insert the following Division and items:
“Division 11”
“ 996	Family group therapy (including associated consultation) of not less than one hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family, where the group consists of two patients-each patient	27.50	27.50	27.50	27.50	27.50	27.50

SCHEDULE—continued

“ 997	Family group therapy (including associated consultation) of not less than one hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family, where the group consists of three patients—each patient...................................................	19.00	19.00	19.00	19.00	19.00	19.00
“ 998	Family group therapy (including associated consultation) of not less than one hour’s duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that. family, where the group consists of four to six patients—each patient...........................................	14.20	14.20	14.20	14.20	14.20	14.20”
14. After item 1312 insert the following items:
“1313	Glycosylated haemoglobin, estimation of, in the management of established diabetes, with a maximum of three estimations in any twelve month period (SP).......................	15.80	15.80	15.80	15.80	15.80	15.80
“1314	Glycosylated haemoglobin, estimation of, in the management of established diabetes, with a maximum of three estimations in any twelve month period (OP).......................	11.85	11.85	11.85	11.85	11.85	11.85”
15. After item 1398 insert the following items:
“1401	HDL cholesterol, estimation of, in proven cases of hyperlipidaemia—one estimation in any twelve month period (SP)	17.40	17.40	17.40	17.40	17.40	17.40
“1402	HDL cholesterol, estimation of, in proven cases of hyperlipidaemia—one estimation in any twelve month period (OP)	13.05	13.05	13.05	13.05	13.05	13.05”
16. Omit items 1419,1420,1427,1428,1434,1435, 1441,1442, 1452 and 1453 and substitute the following items:
“1421	Assay of T3 resin uptake, thyroxine (T4) or normalised thyroxine (effective thyroxine ratio)—using any technique—one estimation (SP)......................................................	13.00	13.00	13.00	13.00	13.00	13.00
“1422	Assay of T3 resin uptake, thyroxine (T4) or normalised thyroxine (effective thyroxine ratio)—using any technique—one estimation (OP)......................................................	9.75	9.75	9.75	9.75	9.75	9.75
“1424	Assay of T3 resin uptake, thyroxine (T4) or normalised thyroxine (effective thyroxine ratio)—using any technique—two or more estimations (SP).....................................	22.00	22.00	22.00	22.00	22.00	22.00
“1425	Assay of T3 resin uptake, thyroxine (T4) or normalised thyroxine (effective thyroxine ratio)—using any technique—two or more estimations (OP)....................................	16.50	16.50	16.50	16.50	16.50	16.50
“1452	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 thyroid hormone covered by Item 1421 or 1424) using gamma emitting labels or any other unspecified technique—one estimation of any one hormone (SP)	26.00	26.00	26.00	26.00	26.00	26.00

SCHEDULE—continued

“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 1422 or 1425) using gamma emitting labels or any other unspecified technique— one estimation of any one hormone (OP)............................	19.50	19.50	19.50	19.50	19.50	19.50”
17. Omit items 1612,1613 and 1614 and substitute 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 where processed independently (SP).............................................................	30.50	30.50	30.50	30.50	30.50	30.50
“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 where processed independently (OP).............................................................	22.90	22.90	22.90	22.90	22.90	22.90
“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 where processed independently (HP).............................................................	15.25	15.25	15.25	15.25	15.25	15.25”
18. Omit items 1619,1620 and 1621 and substitute the following items:
“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 where processed independently (SP)......................................................	46.00	46.00	46.00	46.00	46.00	46.00
“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 where processed independently (OP)......................................................	34.50	34.50	34.50	34.50	34.50	34.50
“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 where processed independently (HP)......................................................	23.00	23.00	23.00	23.00	23.00	23.00”

SCHEDULE—continued

19. Omit items 2081 and 2082 and substitute the following items:
“2081	Cytological examination for pathological change of smears from cervix and vagina, skin or mucous membrane, excluding nasal smears for cell count covered by item 1545, 1546, 1548 or 1549—each examination (SP).............................................................	13.00	13.00	13.00	13.00	13.00	13.00
“2082	Cytological examination for pathological change of smears from cervix and vagina, skin or mucous membrane, excluding nasal smears for cell count covered by item 1545, 1546, 1548 or 1549—each examination (OP).............................................................	9.75	9.75	9.75	9.75	9.75	9.75”
20. Omit Items 3219,3220,3221,3222,3223,3224, 3225,3226,3229 and 3230 and substitute the following items:
“3219	Tumour, cyst, ulcer or scar, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by item 3221, 3223, 3225, 3226, 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 6).............................................................	40.50	40.50	40.50	40.50	40.50	40.50
“3220	Tumour, cyst, ulcer or scar, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by item 3222, 3224, 3225, 3226, 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 6).............................................................	54.00	54.00	54.00	54.00	54.00	54.00
“3221	Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by item 3330, 3332, 3338, 3342, 3346, or 3349 (G)(AU 9)	108.00	108.00	108.00	108.00	108.00	108.00
“3222	Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by item 3330, 3332, 3338, 3342, 3346 or 3349 (S)(AU 9)	138.00	138.00	138.00	138.00	138.00	138.00
“3223	Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more 20 lesions, not covered by item 3330, 3332, 3338, 3342, 3346 or 3349 (G)(AU 13)	144.00	144.00	144.00	144.00	144.00	144.00
“3224	Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by item 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 13)	172.00	172.00	172.00	172.00	172.00	172.00

SCHEDULE—continued

“3225	Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 20 but not more than 50 lesions, not covered by item 3330, 3332, 3338, 3342, 3346 or 3349 (AU 15)...................	215.00	215.00	215.00	215.00	215.00	215.00
“3226	Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 50 lesions, not covered by item 3330, 3332, 3338,3342, 3346 or 3349 (AU 17)........................................................	290.00	290.00	290.00	290.00	290.00	290.00
“3229	Tumour, cyst, ulcer or scar, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by item 3230 or 3331 (D) (AU 6)	54.00	54.00	54.00	54.00	54.00	54.00
“3230	Tumours, cysts, ulcers or scars, up to 3 centimeters in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by item 3331, (D) (AU 9).............................................................	138.00	138.00	138.00	138.00	138.00	138.00”
21. After item 3301 insert the following items:
“3306	Lipectomy—transverse wedge excision of abdominal apron (AU 10)........................................................	192.00	192.00	192.00	192.00	192.00	192.00
“3307	Lipectomy—wedge excision of skin or fat not covered by item 3306—one excision (AU 10)...................	192.00	192.00	192.00	192.00	192.00	192.00
“3308	Lipectomy—wedge excision of skin or fat not covered by item 3306—two or more excisions (AU 10).....	290.00	290.00	290.00	290.00	290.00	290.00”
22. Omit item 3309.
23. Omit items 3330,3331,3332,3338, 3342 and 3346 and substitute the following items:
“3330	Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal—each attendance at which the procedure is performed on not more than 5 lesions (including any associated consultation) (AU 4)	22.50	27.00	20.50	20.50	20.50	20.50
“3331	Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal—each attendance at which the procedure is performed on not more than 5 lesions (including any associated consultation) (D) (AU 4)	22.50	27,00	20.50	20.50	20.50	20.50
“3332	Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal—each attendance at which the procedure is performed on more than 5 but not more than 10 lesions (including any associated consultation) (AU 5)..................................................	29.50	29.50	22.50	22.50	22.50	22.50

SCHEDULE—continued

“3338	Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal—each attendance at which the procedure is performed on more than 10 but not more than 15 lesions (including any associated consultation) (AU 6)..................................................	37.00	35.00	35.00	35.00	35.00	35.00
“3342	Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal—each attendance at which the procedure is performed on more than 15 but not more than 20 lesions (including any associated consultation) (AU 7)..................................................	39.00	37.00	37.00	37.00	37.00	37.00
“3346	Keratoses, warts or similar lesions, treatment by electrosurgical destruction, cryosurgery or surgical removal—each attendance at which the procedure is performed on more than 20 lesions (including any associated consultation) (AU 8)	46.50	40.50	40.50	40.50	40.50	40.50”
24. Omit items 3350, 3351 and 3352 and substitute the following items:
“3350	Cancer of skin or mucous membrane, removal by serial curettage excision or cryosurgery using liquid nitrogen (not covered by item 3349) (AU 6).................................	54.00	54.00	54.00	54.00	54.00	54.00
“3351	Cancer of skin or mucous membrane, removal by serial curettage excision or cryosurgery using liquid nitrogen (not covered by item 3349)—more than 3 but not more than 10 lesions (AU 9).............................................................	134.00	134.00	134.00	134.00	134.00	134.00
“3352	Cancer of skin or mucous membrane, removal by serial curettage excision or cryosurgery using liquid nitrogen (not covered by item 3349)—more than 10 lesions (AU 13)	172.00	172.00	172.00	172.00	172.00	172.00”
25. Omit items 3379 and 3884 and substitute the following items:
“3379	Large haematoma, large abscess, (including ischiorectal abscess), carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (G) (AU 5)..................................................	50.00	50.00	42.00	42.00	42.00	42.00
“3384	Large haematoma, large abscess, (including ischiorectal abscess), carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of (excluding after-care) (S) (AU 5)..................................................	69.00	69.00	57.00	53.00	53.00	53.00”
26. After item 3698 insert the following item:
“3700	Subcutaneous mastectomy with or without frozen section biopsy (AU 12)................................................	230.00	230.00	230.00	230.00	230.00	230.00”
27. Omit item 3722 and substitute the following item:
“3722	Laparotomy involving caecostomy, enterostomy, colostomy, enterotomy, colotomy, cholecystostomy, gastrostomy, gastrotomy, reduction of intussusception, removal of Meckel’s diverticulum, suture of perforated peptic ulcer, simple repair of ruptured viscus, reduction of volvulus or pyloroplasty (adult) (AU 11)................................................	225.00	225.00	225.00	225.00	225.00	225.00”

SCHEDULE—continued

28. Omit item 3789 and substitute the following item:
“3789	Operative cholangiography (including one or more cholegrams performed during the one operation) or operative pancreatography (AU 10)..	78.00		78.00	78.00	78.00	78.00	78.00”
29. Omit items 3802, 3809, 3815 and 3820 and substitute the following item:
“3820	Choledochotomy (with or without cholecystectomy), including dilatation of sphincter of Oddi and removal of calculi (AU 13)................................		370.00	370.00	370.00	350.00	350.00	350.00”
30. After item 3820 insert the following item:
“3822	Choledochotomy (with or without cholecystectomy), including dilatation of sphincter of Oddi and removal of calculi with choledochoduodenostomy, choledochogastrostomy or choledochoenterostomy (AU 18)...................................................	430.00		430.00	430.00	430.00	430.00	430.00”
31. Omit items 3825, 3831 and 3834 and substitute the following items:
“3825	Transduodenal operation on sphincter of Oddi, including dilatation, removal of calculi, sphincterotomy and sphincteroplasty with or without choledochotomy, with or without cholecystectomy (AU 15).....	430.00		430.00	430.00	430.00	430.00	430.00
“3831	Cholecystoduodenostomy, cholecystogastrostomy or cholecystoenterostomy with or without enteroenterostomy (AU 15)...........................................	370.00		370.00	370.00	370.00	370.00	370.00
“3834	Operation for reconstruction of hepatic duct or common bile duct for correction of strictures or atresia including all necessary anastomoses, not associated with item 3793, 3798, 3820, 3822, 3825 or 3831 (AU 19)	625.00		625.00	625.00	625.00	625.00	625.00”
32. Omit items 4354 and 4363 and substitute and following items:
“4354	Sigmoidoscopic examination (with rigid sigmoidoscope), with or without biopsy.....................	23.00		23.00	23.00	23.00	23.00	23.00
“4363	Sigmoidoscopic examination (with rigid sigmoidoscope), under general anaesthesia, with or without biopsy, not associated with any other item in this Part (AU 5)	35.50		35.50	35.50	35.50	35.50	35.50”
33. Omit item 4365
34. After item 4363 insert the following items:
“4366	Sigmoidoscopic examination with diathermy or resection of one or more rectal polyps or tumours (G) (AU 7)	60.00		60.00	60.00	60.00	60.00	60.00
“4367	Sigmoidoscopic examination with diathermy or resection of one or more rectal polyps or tumours (S) (AU 7)	78.00		78.00	78.00	78.00	78.00	78.00”
35. Omit items 4383 and 4385 and substitute the following items:

“4383	Flexible fibreoptic sigmoidoscopy with or without short fibreoptic colonoscopy up to splenic flexure (AU 6)........................................................	37.50		37.50	37.50	37.50	37.50	37.50
“4385	Flexible fibreoptic sigmoidoscopy with or without short fibreoptic colonoscopy up to splenic flexure, with biopsy (AU 7).............................................	54.00		54.00	54.00	54.00	54.00	54.00”

SCHEDULE—continued

36. After item 4385 insert the following item:
“4386	Flexible fibreoptic sigmoidoscopy with or without short fibreoptic colonoscopy up to splenic flexure, with removal of one or more colonic polyps, not covered by Item 4366or4367 (AU8)...................	96.00	96.00	96.00	96.00	96.00	96.00”
37. Omit item 4394 and substitute the following item:
“4394	Fibreoptic colonoscopy—examination of colon up to and beyond splenic flexure (long colonoscopy) with removal of one or more colonic polyps (AU 10)	225.00	225.00	225.00	225.00	225.00	225.00”
38. Omit item 4407
39. Omit item 4413 and substitute the following item:
“4413	Rectum, radical operation for prolapse of, involving laparotomy (AU 13).........................	350.00	350.00	350.00	350.00	350.00	350.00”
40. Omit items 4427,4434 and 4442
41. Omit item 4473
42. Omit item 4482 and substitute the following item:
“4482	Anal stricture, repair of (AU 7)............	118.00	118.00	118.00	118.00	118.00	118.00”
43. Omit items 4509,4523,4527,4534,4537 and 4544 and substitute the following items:
“4509	Haemorrhoids, rubber band ligation of, or incision of thrombosed external haemorrhoids (AU 5)	23.00	23.00	23.00	23.00	23.00	23.00
“4523	Haemorrhoidectomy, radical (G) (AU 7)	122.00	122.00	122.00	122.00	122.00	122.00
“4527	Haemorrhoidectomy, radical (S) (AU 7)	154.00	154.00	154.00	154.00	154.00	154.00
“4534	Removal of external haemorrhoids, removal of anal skin tags, injection of rectal prolapse or injection of anal prolapse—under general anaesthesia— one or more of these procedures (AU 5)...................	43.00	43.00	43.00	43.00	43.00	43.00
“4537	Operation for fissure-in-ano including excision, posterior sphincterotomy or lateral sphincterotomy but excluding dilatation only (G) (AU 6)................	86.00	86.00	86.00	86.00	86.00	86.00
“4544	Operation for fissure-in-ano including excision, posterior sphincterotomy or lateral sphincterotomy but excluding dilation only (S) (AU 6)....................	108.00	108.00	108.00	108.00	108.00	108.00”
44. Omit items 4578 and 4585
45. Omit item 5237 and substitute the following item:
“5237	Turbinectomy (AU 6)..........................	57.00	57.00	57.00	57.00	57.00	57.00”
46. After item 6244 insert the following item:
“6245	Vaso-vasostomy or vaso-epididymostomy, unilateral, using operating microscope (AU 14)..........	320.00	320.00	320.00	320.00	320.00	320.00”
47. Omit item 6411 and substitute the following item:
“6411	Cervix, cauterisation, ionisation, diathermy or biopsy of, with or without removal of cervical polyp and with or without dilatation of cervix (AU 5)...	27.50	27.50	27.50	27.50	27.50	27.50”

SCHEDULE—continued

48. Omit item 6446 and substitute the following item:
“6446	Cervix, dilatation of, under general anaesthesia, not covered by Item 6460, 6464 or 6469 (AU 5)..	35.50	35.50	35.50	35.50	35.50	35.50”
49. Omit item 6460 and 6464 and substitute the following items:
“6460	Uterus, curettage of, under general anaesthesia, with or without dilatation (including curettage for incomplete miscarriage) (G) (AU 5)...................	58.00	58.00	58.00	58.00	58.00	58.00
“6464	Uterus, curettage of, under general anaesthesia, with or without dilatation (including curettage for incomplete miscarriage) (S) (AU 5)....................	75.00	79.00	75.00	75.00	75.00	75.00”
50. After item 6649 insert the following item:
“6655	Radical or debulking operation for ovarian tumour including omentectomy (AU 16)......................	290.00	290.00	290.00	290.00	290.00	290.00”
51. After item 7042 insert the following item:
“7044	Open heart surgery for congenital heart disease in children up to two years, excluding patent ductus arteriosus (AU 38)........................................................	815.00	815.00	815.00	815.00	815.00	815.00”
52. Omit item 7046 and substitute the following item:
“7046	Open heart surgery for single valve replacement, atrial septal defect, pulmonary valvotomy, congenital heart disease (not covered by Item 7044) or any other open heart operation not covered by any other item in this Part (AU 32)	815.00	815.00	815.00	815.00	815.00	815.00”
53. After item 7156 insert the following item:
“7157	Radiofrequency trigeminal gangliotomy (AU 8)	186.00	186.00	186.00	186.00	186.00	186.00”
54. After item 7170 insert the following item:
“7171	Intracranial microsurgical decompression of cranial nerve, posterior cranial fossa approach including Jannetta’s operation (AU25)	655.00	655.00	655.00	655.00	655.00	655.00”
55. Omit items 7911 and 7915 and substitute the following items:
“7911	Manipulation of joint, joints, spine, joint and spine or joints and spine, under general anaesthesia, not associated with any other item in this Part (G) (AU 4)	48.00	48.00	48.00	48.00	48.00	48.00
“7915	Manipulation of joint, joints, spine, joint and spine or joints and spine, under general anaesthesia, not associated with any other item in this Part (S) (AU 4)	60.00	60.00	60.00	60.00	60.00	60.00”
56. Omit items 7919 and 7923
57. Omit item 8061
58. Omit item 8069 and substitute the following item:
“8069	Joint—arthroplasty, total replacement of hip--(McKee-Farrer, Charnley or similar procedure), knee, elbow, shoulder or ankle (AU 17)..................................	500.00	500.00	500.00	500.00	500.00	500.00”

SCHEDULE—continued

59. After item 8069 insert the following item:
“8070	Joint—arthroplasty, revision operation for total replacement of hip, knee, elbow, shoulder or ankle with removal of prosthesis and replacement with new prosthesis (AU 20)	655.00	655.00	655.00	655.00	655.00	655.00”
60. Omit item 8079
61. After item 8074 insert the following item:
“8080	Knee—diagnostic arthroscopy not associated with a procedure performed through the arthroscope (AU 5)	94.00	94.00	94.00	94.00	94.00	94.00”
62. Omit items 8081,8084,8087,8089, 8095,8097 and 8100 and insert the following items:
“8082	Knee—arthrotomy, including one or more of, removal of loose body, removal of foreign body, biopsy or lateral capsular release, not associated with Item 8085, 8088, 8090 or 8092 (AU 6)............................................	172.00	172.00	172.00	172.00	172.00	172.00
“8085	Knee—single meniscectomy, repair of one collateral ligament, patellectomy, operation for recurrent dislocation of patella, single transfer of ligament for rotary instability, single transfer of tendon for rotary instability or any other single procedure not covered by any other item in this Part—one procedure (AU 7)...................................................	205.00	205.00	205.00	205.00	205.00	205.00
“8088	Knee—total synovectomy, arthrectomy, arthrodesis, repair of cruciate ligaments, replacement of cruciate ligaments, reconstruction of cruciate ligaments, arthroscopic surgery for meniscectomy, chondroplasty removal of loose body or removal of foreign body-one procedure (AU 9)	320.00	320.00	320.00	320.00	320.00	320.00
“8090	Knee—operation comprising two or more procedures covered by Item 8082, 8085 or 8088, but not covered by Item 8092 (AU 11).................................................	320.00	320.00	320.00	320.00	320.00	320.00
“8092	Knee - three or more procedures for correction of rotary instability involving injury to cruciate ligaments, comprising as a minimum, medial, lateral and intra-articular procedures (AU 12)..........................................	405.00	405.00	405.00	405.00	405.00	405.00”
63. Omit item 8480 and substitute the following item:
“8480	Single stage local flap repair, simple, small, excluding flap for male pattern baldness (AU 7)............	120.00	120.00	120.00	120.00	120.00	120.00”
64. Omit item 8484 and substitute the following item:
“8484	Single stage local flap repair, complicated or large, excluding flap for male pattern baldness (AU 10).....	174.00	174.00	174.00	174.00	174.00	174.00”
65. Omit item 8518 and substitute the following item:
“8518	Free full thickness grafts, excluding grafts for male pattern baldness (AU 9)..............................	200.00	200.00	200.00	200.00	200.00	200.00”
66. Omit items 8530 and 8532 and substitute the following item:
“8530	Augmentation mammaplasty for significant breast asymmetry or following mastectomy, where the mammaplasty is limited to one breast (AU 10)..........................	315.00	315.00	315.00	315.00	315.00	315.00”

SCHEDULE—continued

67. After item 8530 insert the following item:
“8535	Hair transplantation for the treatment of alopecia of congenital or traumatic origin or due to disease, excluding male pattern baldness, not covered by any other item in this Part (AU 11)......	200.00	200.00	200.00	200.00	200.00	200.00”
68. Omit item 8542 and substitute the following item:
“8542	Neurovascular island flap, including repair of secondary defect, excluding flap for male pattern baldness (AU 15)..................................................	470.00	470.00	470.00	470.00	470.00	470.00”
69. After item 8548 insert the following item:
“8551	Meloplasty for correction of facial asymmetry due to soft tissue abnormality where the meloplasty is limited to one side of the face (AU 14).........	375.00	375.00	375.00	375.00	375.00	375.00”
70. After item 8582 insert the following items:
“8584	Reduction of upper eyelid for skin redundancy obscuring vision, herniation of orbital fat in exophthalmos, facial nerve palsy or post traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral upper eyelid (AU 7)	100.00	100.00	100.00	100.00	100.00	100.00
“8585	Reduction of lower eyelid for herniation of orbital fat in exophthalmos, facial nerve palsy or post traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral lower eyelid (AU 8).................................	138.00	138.00	138.00	138.00	138.00	138.00”

NOTE

1. Notified in the Commonwealth of Australia Gazette