Health Insurance (Variation of Fees and Medical Services) (No. 26) Regulations (Cth)

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Statutory Rules 1982 No. 2861

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Health Insurance (Variation of Fees and Medical Services) (No. 26) 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 21 October 1982.

N. M. STEPHEN

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. 26) Regulations.

Commencement

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

Repeal

3. Statutory Rules 1981 Nos. 327 and 378, and Statutory Rules 1982 Nos. 156 and 191 are repealed.

Variation of table of medical services

4. The table of medical services, including rules of interpretation for the interpretation of that table, in the Schedule is prescribed for the purposes of sub-section 4 (2) of the Health Insurance Act 1973.

THE SCHEDULERegulation 4

RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL SERVICES

1. Where an item in Part 1, in Division 3 of Part 3 or in Part 4 of the table includes the symbol “(S)”, the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty.

2. Where an item in Part 1, in Division 3 of Part 3 or in Part 4 of the table includes the symbol “(G)”, the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty.

3. Where an item, other than an item in Part 1, in Division 3 of Part 3 or in Part 4 of the table, includes the symbol “(S)”, the item shall be taken to relate to the service specified in the item when rendered by a specialist in the practice of his specialty to a patient who has been referred to him.

4. Where an item, other than an item in Part 1, in Division 3 of Part 3 or in Part 4 of the table, includes the symbol “(G)”, the item shall be taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his specialty to a patient who has been referred to him.

5. A reference in rule 3 or 4 or in Part 1 of the table to the referring of a patient to a specialist shall be read as a reference to a referring by a medical practitioner and—

(a) where the specialist concerned is an ophthalmologist—shall be read as including a reference to a referring by a registered optometrist or by a registered optician; and

(b) where a referring arises out of a dental service rendered to the person who has been referred—shall be read as including a reference to a referring by a dental practitioner.

6. 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.

7. A reference in item 955 to venepuncture and the collection of blood for the performance by an approved pathology practitioner of a pathology service shall not be read as a reference to that procedure where—

(a) any of the blood collected is used in the rendering of a medical service specified in an item in Part 7 by a member of a group of medical practitioners of whom the medical practitioner who collected the blood is a member;

(b) the procedure is performed—

(i) in respect of a person who is, at the time the procedure is performed, an in-patient of a private hospital or a recognized hospital; or

(ii) in the course of the provision of an out-patient service at a private hospital or a recognized hospital; or

(c) in the rendering of the procedure—

(i) any equipment of a private hospital, a recognized hospital or a prescribed establishment is used; or

(ii) any member of the staff of a private hospital, a recognized hospital or a prescribed establishment participates.

8. (1) In rule 7 and in item 955 “pathology service” means a medical service specified in an item in Part 7, not being item 1504, 1505, 1511, 1512, 1516 or 1517 or an item in Division 9 of that Part.

THE SCHEDULE— continued

(2) In rule 7 “prescribed establishment” means—

(a) a laboratory or medical centre operated by the Commonwealth;

(b) a laboratory or medical centre operated by a State or an authority of a State;

(c) a laboratory or medical centre operated by the Northern Territory of Australia;

(d) a laboratory or medical centre operated by the Capital Territory Health Commission;

(e) a laboratory or medical centre operated by an Australian University; or

(f) a laboratory or medical centre (not being a laboratory or medical centre referred to in paragraphs (a) to (e) inclusive) operated on a non-profit basis.

9. Where an item in Part 7 includes the symbol “(SP)”, the item shall be taken to relate to a pathology service to which paragraph 16A (1) (a) applies when rendered by or on behalf of an approved pathology practitioner who—

(a) is a recognized pathologist; or

(b) employs a recognized pathologist by whom, or under whose supervision, the service is rendered,

other than a pathology service—

(c) rendered in pursuance of a request made in the course of the provision of an out-patient service at a recognized hospital;

(d) rendered in pursuance of a request made in respect of a person who was, at the time that the request was made, a private patient in a recognized hospital; or

(e) in the rendering of which—

(i) any pathology equipment of a recognized hospital or a laboratory included in a prescribed class of laboratories is used; or

(ii) any member of the staff of a recognized hospital or a laboratory included in a prescribed class of laboratories participates.

10. In rule 9 “recognized pathologist” means a medical practitioner who, by reason of a determination under section 61, is to be recognized for the purposes of the Act as a specialist in the specialty of pathology.

11. Where an item in Part 7 includes the symbol “(HP)”, the item shall be taken to relate to a pathology service–

(a) to which paragraph 16a (1) (a) or (b) applies when rendered—

(i) in the case of a service to which paragraph 16a (1) (a) applies—in pursuance of a request made in respect of a person who was, at the time that the request was made, a private patient in a recognized hospital; or

(ii) in the case of a service to which paragraph 16A (1) (b) applies—in respect of a patient who is a private patient in a recognized hospital; and

(b) in the rendering of which—

(i) any pathology equipment of a recognized hospital or a laboratory included in a prescribed class of laboratories is used; or

(ii) any member of the staff of a recognized hospital or a laboratory included in a prescribed class of laboratories participates.

12. For the purposes of rules 9 and 11, each of the following classes of laboratories is a prescribed class of laboratories:

(a) laboratories operated by the Commonwealth;

(b) laboratories operated by a State or an authority of a State;

(c) laboratories operated by the Northern Territory of Australia;

(d) laboratories operated by the Capital Territory Health Commission;

(e) laboratories operated by an Australian University.

13. Where an item in Part 7 includes the symbol “(OP)”, the item shall be taken to relate to—

(a) a pathology service to which paragraph 16a (1) (a) or (b) applies other than a service included in an item that includes the symbol “(SP)” or “(HP)”; or

(b) a pathology service rendered outside Australia.

14. Each item in Division 9 of Part 7 shall be taken to relate to a pathology service to which paragraph 16a (1) (c) applies.

THE SCHEDULE— continued

15. Where an item in Part 9a includes the symbol “(HR)”, the item shall be taken to relate to the service specified in the item when rendered with the use of any computerized axial tomography equipment of a recognized hospital or a radiology unit included in a prescribed class of radiology units.

16. Where an item in Part 9a includes the symbol “(OR)”, the item shall be taken to relate to the service specified in the item when rendered otherwise than with the use of any computerized axial tomography equipment of a recognized hospital or a radiology unit included in a prescribed class of radiology units.

17. For the purposes of rules 15 and 16, each of the following classes of radiology units is a prescribed class of radiology units:

(a) radiology units operated by the Commonwealth;

(b) radiology units operated by a State or an authority of a State;

(c) radiology units operated by the Northern Territory of Australia;

(d) radiology units operated by the Capital Territory Health Commission;

(e) radiology units operated by an Australian University.

18. Where an item includes the symbol “(D)”, the item shall be taken to relate to the service specified in the item when rendered in an operating theatre of a hospital in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of “professional service” in sub-section 3 (1).

19. A reference in an item in Division 1 of Part 3 of the table to the administration of an anaesthetic shall be read as a reference to the administration of an anaesthetic by a medical practitioner other than a specialist anaesthetist.

20. A reference in an item in Division 2 of Part 3 of the table to the administration of an anaesthetic shall be read as a reference to the administration of an anaesthetic by a specialist anaesthetist.

21. A reference in an item in Division 3 of Part 3 of the table to the administration of an anaesthetic shall be read as a reference to the administration of an anaesthetic in connection with a dental service other than a service that is a prescribed medical service for the purposes of paragraph (b) of the definition of “professional service” in sub-section 3 (1).

22. A reference in item 180 to the proclaimed date shall be read as a reference to the date fixed for the purposes of section 10.

23. Where—

(a) a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed to apply in relation to one procedure) that includes the symbol “(SP)”;

(b) a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed to apply in relation to one procedure) that includes the symbol “(HP)”; or

(c) a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed to apply in relation to one procedure) that includes the symbol “(OP)”,

is rendered in respect of a person by or on behalf of an approved pathology practitioner in pursuance of a request, made on a day, addressed to that approved pathology practitioner (in this rule referred to as “the first-mentioned approved pathology practitioner”)—

(d) by the practitioner who determined that the procedure was necessary; or

(e) by another approved pathology practitioner who is not the practitioner who determined that the procedure was necessary,

being the only such request in respect of a procedure of that kind, or any other kind described in that item, made on that day in respect of that person to the first-mentioned approved pathology practitioner by that practitioner or that other approved pathology practitioner, that prodecure shall be treated as one service consisting of that procedure.

24. Where—

(a) 2 or more procedures each of which is a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed, whether directly or indirectly, to apply to that number of procedures) that includes the symbol “(SP)”;

(b) 2 or more procedures each of which is a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed, whether directly or indirectly, to apply to that number of procedures) that includes the symbol “(HP)”; or

(c) 2 or more procedures each of which is a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed, whether directly or indirectly, to apply to that number of procedures) that includes the symbol “(OP)”,

THE SCHEDULE— continued

are rendered in respect of a person by or on behalf of an approved pathology practitioner in pursuance of a request, or requests made on the one day, addressed to that approved pathology practitioner—

(d) by the practitioner who determined that the procedures were necessary; or

(e) by another approved pathology practitioner who is not the practitioner who determined that the procedures were necessary,

those procedures shall, unless the contrary intention appears, be treated as one service consisting of those procedures.

25. Where—

(a) a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed to apply in relation to one procedure) that includes the symbol “(OP)” or “(HP)”, being a procedure determined on a day to be necessary by an approved pathology practitioner (being a medical practitioner) or by an employee (being a medical practitioner) of an approved pathology practitioner in the course of that employment, is rendered in respect of a person by or on behalf of that approved pathology practitioner; and

(b) that procedure is the only procedure of that kind, or any other kind described in that item, that was so determined on that day to be necessary in respect of that person by that approved pathology practitioner, that employee or any other employee (being a medical practitioner) of that approved pathology practitioner,

that procedure shall be treated as one service consisting of that procedure.

26. Where 2 or more procedures each of which is a procedure of one of 2 or more kinds of procedure described in an item in Part 7 (being an item that is expressed, whether directly or indirectly, to apply to that number of procedures) that includes the symbol “(OP)” or “(HP)” being procedures determined on the one day to be necessary by an approved pathology practitioner (being a medical practitioner) or by an employee (being a medical practitioner) of an approved pathology practitioner in the course of that employment, are rendered in respect of a person by or on behalf of that approved pathology practitioner, those procedures shall, unless the contrary intention appears, be treated as one service consisting of those procedures.

27. Where—

(a) a procedure of one of the kinds of procedure described in item 2334 is rendered in respect of a person (in this rule referred to as “the first-mentioned person”) by or on behalf of a medical practitioner other than an approved pathology practitioner (in this rule referred to as “the first-mentioned practitioner”) and—

(i) the procedure was determined to be necessary by the first-mentioned practitioner; or

(ii) the procedure was rendered in pursuance of a request made by the person who determined that the procedure was necessary, being a medical practitioner (other than an approved pathology practitioner) who, at the time the request was made, was a member of a group of practitioners of which the first-mentioned practitioner was then a member; and

(b) that procedure is the only procedure of that kind, or any other kind included in that item, that, on the day on which the procedure was determined to be necessary or on which the request for the procedure was made, as the case may be, was—

(i) so determined to be necessary in respect of the first-mentioned person by the first-mentioned practitioner; or

(ii) so requested in respect of the first-mentioned person by a medical practitioner (other than an approved pathology practitioner) who, on that day, was a member of a group of practitioners of which the first-mentioned practitioner was then a member,

that procedure shall be treated as one service consisting of that procedure.

28. Where—

(a) 2 or more procedures each of which is a procedure of one of the kinds of procedure described in item 2335 or 2336 are rendered in respect of a person by or on behalf of a medical practitioner other than an approved pathology practitioner (in this rule referred to as “the first-mentioned practitioner”);

(b) each of the procedures was—

(i) determined to be necessary by the first-mentioned practitioner; or

(ii) rendered in pursuance of a request made by the person who determined that the procedure was necessary, being a medical practitioner (other than an approved pathology practitioner) who, at the time the request was made, was a member of a group of practitioners of which the first-mentioned practitioner was then a member; and

THE SCHEDULE— continued

(c) each of the procedures was so determined to be necessary, or so requested, on the one day, those procedures shall be treated as one service consisting of those procedures.

29. In rules 23 to 28 (inclusive), “procedure” includes an assay, an estimation and a test.

30. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a radiographic examination of the kind referred to in the first-mentioned item and—

(a) in the case of item 2732—$14.60;

(b) in the case of item 2782—$15.60; or

(c) in the case of item 2798—$9.20,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

31. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a course of radiotherapy treatment of the kind referred to in the first-mentioned item when given to one field only and—

(a) in the case of item 2863—$3.60 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(b) in the case of item 2867 or 2877—$4.40 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(c) in the case of item 2881—$5.20 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(d) in the case of item 2889—$6.70 for each field separately treated in excess of one up to a maximum of 5 additional fields; or

(e) in the case of item 2893—$9.20 for each field separately treated in excess of one up to a maximum of 5 additional fields,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

32. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to treatment by a single dose of radiotherapy of the kind referred to in the first-mentioned item when given to one field only and—

(a) in the case of item 2871—$8.70 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(b) in the case of item 2885—$11.20 for each field separately treated in excess of one up to a maximum of 5 additional fields; or

(c) in the case of item 2897—$15.60 for each field separately treated in excess of one up to a maximum of 5 additional fields,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

33. 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.

34. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to the aggregate of the fee set out in that column in the item that relates to a dislocation or fracture of the kind treated and—

(a) in the case of item 7483, 7809, 7812, 7817 or 7818—one-half of that fee;

(b) in the case of item 7803, 7804, 7847 or 7849—one-third of that fee; or

(c) in the case of item 7823 or 7824—three-quarters of that fee,

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

THE SCHEDULE— continued

35. A reference in a column in item 482 or 553 to an amount under this rule shall be read as a reference to an amount equal to the aggregate of—

(a) the fee set out in the column of the item relating to the administration of an anaesthetic that is referred to in the item relating to a dislocation of the kind treated (being an item relating to a dislocation that is included in items 7397 to 7472); and

(b) one-half of the fee referred to in paragraph (a),

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

36. A reference in a column in item 484 or 556 to an amount under this rule shall be read as a reference to an amount equal to the aggregate of—

(a) the fee set out in the column of the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is included in items 7505 to 7798); and

(b) one-half of the fee referred to in paragraph (a),

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

37. A reference in a column in item 483 or 554 to an amount under this rule shall be read as a reference to an amount equal to the aggregate of—

(a) the fee set out in the column of the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is included in items 7505 to 7798); and

(b) one-third of the fee referred to in paragraph (a),

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

38. A reference in a column in item 485 or 557 to an amount under this rule shall be read as a reference to an amount equal to the aggregate of—

(a) the fee set out in the column of the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is included in items 7505 to 7798); and

(b) three-quarters of the fee referred to in paragraph (a),

and an amount equal to that aggregate shall be deemed to be set out in that column in the place of that reference.

39. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule shall be read as a reference to an amount equal to—

(a) in the case of item 7828, 7831, 7834 or 7836—one-half of the fee set out in that column in the item that would, but for the first-mentioned item, relate to the reduction effected;

(b) in the case of item 7839 or 7841 —the fee set out in that column in the item that would, but for that first-mentioned item, relate to the reduction effected; or

(c) in the case of item 7844—the fee set out in that column in the item that relates to a simple and uncomplicated fracture of the part treated,

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.

40. Where an item in Part 11 includes the symbol “(C)”, the item shall be taken to relate to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit that has computerized processing facilities capable of being used in the rendering of the service.

41. Where an item in Part 11 includes the symbol “(NC)”, the item shall be taken to relate to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit other than a nuclear medicine unit that has computerized processing facilities capable of being used in the rendering of the service.

42. Where an item in Part 12 includes the symbol “(AD)”, the item shall be taken to relate to the service specified in the item when rendered by an accredited dental practitioner.

43. (1) Where an item in Part 12 includes the symbol “(AO)”, the item shall be taken to relate to the service specified in the item when rendered by a recognized orthodontist.

THE SCHEDULE— continued

(2) For the purposes of sub-rule (1) and Division 2 of Part 12, a person shall be taken to be a recognized orthodontist if the person is an accredited dental practitioner and—

(a) the person is registered or licensed under a relevant law; or

(b) in the case of a person who is not so registered or licensed—the person, by means of his qualifications or experience, demonstrates to the Committee his competence in the field of orthodontics applicable to the rendering of the services specified in Division 1 of Part 12.

(3) In sub-rule (2)—

“Committee” means the Medical Benefits (Dental Practitioners) Advisory Committee established under section 136 of the National Health Act 1953;

“relevant law” means a law of the State or Territory in which the service is rendered that provides for the registration or licensing of dental practitioners or dentists as orthodontists.

44. Where an item in Part 12 includes the symbol “(AOS)”, the item shall be taken to relate to the service specified in the item when rendered by an accredited dental practitioner who is a dental practitioner approved by the Minister for the purposes of the definition of “professional service” in subsection 3 (1).

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THE SCHEDULE—continued

TABLE OF MEDICAL SERVICES

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

PART 1 -PROFESSIONAL ATTENDANCES NOT COVERED BY AN ITEM IN ANY OTHER PART OF THE SCHEDULE

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

9.60

9.10

9.10

9.10

9.10

9.10

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.............................................

16.80

16.00

16.00

16.00

16.00

16.00

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

13.20

12.40

11.60

11.60

11.60

12.40

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...

20.00

19.00

18.60

18.60

18.60

19.00

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

24.50

23.50

22.50

22.50

22.50

23.50

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...

32.00

30.00

29.50

29.50

29.50

30.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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............................................

38.00

35.50

34.00

34.00

34.00

35.50

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.

45.50

42.50

42.00

42.00

42.00

42.50

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............................................

14.80

13.40

13.40

13.40

13.40

13.40

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.......................................

22.00

21.00

21.00

21.00

21.00

21.00

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 

19.20

18.20

18.00

18.00

18.00

18.20

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 

27.00

24.50

24.50

24.50

24.50

24.50

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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............................................

32.00

31.50

30.00

30.00

30.00

31.50

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........................

39.00

38.00

37.00

37.00

37.00

38.00

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.................

45.50

42.50

42.50

42.50

42.50

42.50

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

52.00

50.00

48.00

48.00

48.00

50.00

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..................................................

19.20

18.20

18.00

18.00

18.00

18.20

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..............................

27.00

24.50

24.50

24.50

24.50

24.50

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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..........................................................

13.20

12.40

11.60

11.60

11.60

12.40

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.

18.60

17.60

17.00

17.00

17.00

17.60

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...............................................

13.20

12.40

11.60

11.60

11.60

12.40

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 in-patients is a nursing-home type patient—each nursing-home type patient..........................................................

11.40

10.60

10.40

10.40

10.40

10.60

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...............................................

9.60

9.10

9.10

9.10

9.10

9.10

41

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) at a time other than a time covered by Item 42—each attendance where only one patient is seen..........................................................

19.20

18.20

18.00

18.00

18.00

18.20

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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.............................................................

27.00

24.50

24.50

24.50

24.50

24.50

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...........................................

11.40

10.60

10.40

10.40

10.40

10.60

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..........................

9.60

9.10

9.10

9.10

9.10

9.10

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 

9.60

9.10

9.10

9.10

9.10

9.10

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

16.80

16.00

16.00

16.00

16.00

16.00

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...........................................

13.20

12.40

11.60

11.60

11.60

12.40

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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 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..............

20.00

19.00

18.60

18.60

18.60

19.00

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..................................................

24.50

23.50

22.50

22.50

22.50

23.50

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...........................................

32.00

30.00

29.50

29.50

29.50

30.00

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...........

38.00

35.50

34.00

34.00

34.00

35.50

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. 

45.50

42.50

42.00

42.00

42.00

42.50

82

Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (G).

13.20

12.40

11.60

11:60

11.60

12.40

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

85

Pre-operative examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (S)..........

18.80

17.80

17.80

17.80

17.80

15.80

88

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him— an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home 

38.00

35.00

35.00

35.00

35.00

31.50

94

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him— each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home...................

18.80

17.80

17.80

17.80

17.80

15.80

100

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him— an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home................................................

55.00

52.00

52.00

52.00

52.00

47.00

103

Professional attendance by a specialist in the practice of his specialty where the patient is referred to him— each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home 

35.00

34.50

34.50

34.50

34.50

32.00

110

Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner— an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home. 

66.00

60.00

60.00

60.00

60.00

60.00

116

Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner— each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home...................

33.00

33.00

33.00

33.00

33.00

33.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

122

Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner— an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home........................................

81.00

77.00

77.00

77.00

77.00

77.00

128

Professional attendance by a consultant physician in the practice of his specialty (not being psychiatry) where the patient is referred to him by a medical practitioner— each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home.

49.00

49.00

49.00

49.00

49.00

49.00

134

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner— an attendance of not more than 15 minutes duration where that attendance is at consulting rooms, hospital or nursing home.

18.80

17.80

17.80

17.80

17.80

17.80

136

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner— an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at consulting rooms, hospital or nursing home

38.00

35.00

35.00

35.00

35.00

35.00

138

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner— an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at consulting rooms, hospital or nursing home

56.00

53.00

53.00

53.00

53.00

53.00

140

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner— an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home

77.00

70.00

70.00

70.00

70.00

70.00

142

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner— an attendance of more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home

94.00

89.00

89.00

89.00

89.00

89.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

144

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home 

35.00

34.50

34.50

34.50

34.50

34.50

146

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner-an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home......................................

55.00

52.00

52.00

52.00

52.00

52.00

148

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home......................................

76.00

69.00

69.00

69.00

69.00

69.00

150

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home......................................

92.00

87.00

87.00

87.00

87.00

87.00

152

Professional attendance by a consultant physician in the practice of his specialty of psychiatry where the patient is referred to him by a medical practitioner—an attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home............

110.00

106.00

106.00

106.00

106.00

106.00

160

Professional attendance for a period of not less than 1 hour but less than 2 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients............................................................

53.00

53.00

53.00

53.00

53.00

53.00

161

Professional attendance for a period of not less than 2 hours but less than 3 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients............................................................

86.00

86.00

86.00

86.00

86.00

86.00

162

Professional attendance for a period of not less than 3 hours but less than 4 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients............................................................

120.00

120.00

120.00

120.00

120.00

120.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

163

Professional attendance for a period of not less than 4 hours but less than 5 hours on a patient in a critical condition that requires constant attention to the exclusion of all other patients...............................................

154.00

154.00

154.00

154.00

154.00

154.00

164

Professional attendance for a period of 5 hours or more on a patient in a critical condition that requires constant attention to the exclusion of all other patients.......

184.00

184.00

184.00

184.00

184.00

184.00

Professional Attendances by Participating Optometrists

180

Professional attendance by a participating optometrist—an attendance that is the sole or first attendance in a single course of attention that commenced on or after the proclaimed date, being—(a) the first or only course of attention of the patient by a participating optometrist since the proclaimed date; or (b) the second or a subsequent course of attention of the patient by a participating optometrist since the proclaimed date, being a course of attention commencing not earlier than 12 months after the commencement of the preceding course of attention 

29.00

29.00

29.00

29.00

29.00

29.00

182

Professional attendance by a participating optometrist— an attendance (not being an attendance covered by Item 186) that is the second attendance in a single course of attention in respect of which the first attendance is covered by Item 180.

14.60

14.60

14.60

14.60

14.60

14.60

184

Professional attendance by a participating optometrist— an attendance (not being an attendance covered by Item 186) that is the third or a subsequent attendance in a single course of attention of a patient, who, in the professional opinion of the attending optometrist, has a need for that attendance, being a course of attention in respect of which the first attendance is covered by Item 180.........

14.60

14.60

14.60

14.60

14.60

14.60

186

Professional attendance by a participating optometrist— all attendances after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is covered by Item 180............................

146.00

146.00

146.00

146.00

146.00

146.00

PART 2-OBSTETRICS

Division I-General

190

Antenatal care (not including any service or services covered by Item 200 or 207 or by any item in Division 2) where the attendances do not exceed ten— each attendance. 

13.20

12.40

11.60

11.60

11.60

12.40

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

192

Antenatal care (not including any service or services covered by Item 200 or 207 or by any item in Division 2) where the attendances exceed ten.........................

132.00

124.00

116.00

116.00

116.00

124.00

194

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 (G)................................

112.00

102.00

102.00

87.00

87.00

87.00

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).................................

166.00

128.00

128.00

128.00

128.00

128.00

198

Confinement as an independent procedure, including all related attendances (S)....................................

112.00

102.00

102.00

102.00

102.00

102.00

200

Antenatal care, confinement and postnatal care for nine days (not including services covered by Division 2) (G). 

192.00

174.00

166.00

154.00

154.00

154.00

207

Antenatal care, confinement and postnatal care for nine days (not including services covered by Division 2) (S). 

255.00

215.00

192.00

215.00

192.00

192.00

208

Antenatal care, confinement and postnatal care for nine days with mid-cavity 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) (G)...................

270.00

240.00

225.00

220.00

205.00

205.00

209

Antenatal care, confinement and postnatal care for nine days with mid-cavity 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)....................

330.00

275.00

245.00

275.00

245.00

245.00

Division 2-Special Services

211

Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (G).....

221.50

203.50

195.50

183.50

183.50

183.50

213

Antenatal care, confinement and postnatal care for nine days with surgical induction of labour (S)......

284.50

244.50

221.50

244.50

221.50

221.50

216

Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; including major regional or field block (G).....................................

264.50

246.50

238.50

226.50

226.50

226.50

217

Antenatal care, confinement and postnatal care for nine days with surgical induction of labour; including major regional or field block (S).....................................

327.50

287.50

264.50

287.50

264.50

264.50

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

234

Caesarean section and postnatal care for nine days (G) (AU 10)...........................................................

240.00

240.00

225.00

225.00

225.00

215.00

241

Caesarean section and postnatal care for nine days (S) (AU 10)...........................................................

320.00

280.00

280.00

280.00

280.00

255.00

242

Treatment of habitual miscarriage by injection of hormones— each injection up to a maximum of twelve injections, where the injection is not administered during a routine antenatal attendance

9.60

9.10

9.10

9.10

9.10

9.10

246

Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of— each attendance that is not a routine antenatal attendance...........................................................

9.60

9.10

9.10

9.10

9.10

9.10

250

Cervix, purse string ligation of, for threatened miscarriage (G) (AU 6)................................................

77.00

77.00

77.00

77.00

77.00

77.00

258

Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6)................................................

102.00

102.00

102.00

102.00

102.00

102.00

267

Cervix, removal of purse string ligature of, under general anaesthesia (AU 5)..............................

29.50

29.50

29.50

29.50

29.50

29.50

273

Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of— each attendance that is not a routine antenatal attendance...........................................................

9.60

9.10

9.10

9.10

9.10

9.10

274

Induction and management of second trimester labour (G)............................................................

112.00

112.00

112.00

112.00

112.00

112.00

275

Induction and management of second trimester labour (S)...........................................................

138.00

138.00

138.00

138.00

138.00

138.00

278

Amnioscopy or amniocentesis..................

29.50

29.50

29.50

29.50

29.50

29.50

284

Amnioscopy with surgical induction of labour (AU 6) 

41.00

41.00

41.00

41.00

41.00

41.00

295

Version, external, under general anaesthesia (AU 6) 

29.50

29.50

29.50

29.50

29.50

29.50

298

Version, internal, under general anaesthesia (AU 6). 

53.00

53.00

53.00

53.00

53.00

53.00

354

Surgical induction of labour (AU 5)..........

29.50

29.50

29.50

29.50

29.50

29.50

360

Decapitation, craniotomy, cleidotomy or evisceration of foetus or any two or more of those services (AU 8).

112.00

112.00

112.00

112.00

112.00

112.00

362

Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal or treatment of postpartum haemorrhage by special procedures such as packing of uterus (AU 7)...........

35.50

35.50

35.50

35.50

35.50

35.50

365

Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix (AU 8) 

128.00

128.00

128.00

128.00

128.00

128.00

368

Manipulative correction of acute inversion of uterus, by abdominal approach, with or without incision of cervix (AU 9)...........................................................

192.00

192.00

192.00

192.00

192.00

192.00

383

Third degree tear, repair of, involving anal sphincter muscles (AU 7).......................................................

59.00

59.00

59.00

59.00

59.00

59.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

PART 3-ANAESTHETICS

Division1I-Anaesthetics Administered by a Medical Practitioner other than a Specialist Anaesthetist

401

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1)................................................

6.60

6.40

6.40

6.30

6.30

5.60

403

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2)................................................

13.20

12.80

12.80

12.60

12.60

11.20

404

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3)................................................

19.60

19.40

19.40

19.00

19.00

16.60

405

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4)................................................

26.00

25.50

25.50

25.50

25.50

22.00

406

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 5)................................................

33.00

32.00

32.00

31.50

31.50

28.00

407

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6)................................................

39.50

38.50

38.50

38.00

38.00

33.50

408

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7)................................................

46.00

45.00

45.00

44.00

44.00

39.00

409

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8)................................................

52.00

51.00

51.00

51.00

51.00

44.50

443

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9)................................................

59.00

58.00

58.00

57.00

57.00

50.00

450

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10)..............................................

66.00

64.00

64.00

63.00

63.00

56.00

453

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11)..............................................

72.00

71.00

71.00

69.00

69.00

61.00

454

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12)..............................................

79.00

77.00

77.00

76.00

76.00

67.00

457

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13)..............................................

85.00

84.00

84.00

82.00

82.00

72.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

458

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14)..............................................

92.00

90.00

90.00

88.00

88.00

78.00

459

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15)..............................................

98.00

97.00

97.00

95.00

95.00

83.00

460

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16)..............................................

104.00

102.00

102.00

102.00

102.00

89.00

461

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17)..............................................

112.00

110.00

110.00

108.00

108.00

94.00

462

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18)..............................................

118.00

116.00

116.00

114.00

114.00

100.00

463

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19)..............................................

124.00

122.00

122.00

120.00

120.00

106.00

464

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20)..............................................

132.00

128.00

128,00

126.00

126.00

112.00

465

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21)..............................................

138.00

136.00

136.00

132.00

132.00

116.00

466

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22)..............................................

144.00

142.00

142.00

138.00

138.00

122.00

467

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23)..............................................

150.00

148.00

148.00

146.00

146.00

128.00

468

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24)..............................................

158.00

154.00

154.00

152.00

152.00

134.00

469

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25)..............................................

164.00

160.00

160.00

158.00

158.00

138.00

470

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26)..............................................

170.00

168.00

168.00

164.00

164.00

144.00

471

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27)..............................................

178.00

174.00

174.00

170.00

170.00

150.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

472

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28)..............................................

184.00

180.00

180.00

176.00

176.00

156.00

473

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29)..............................................

190.00

186.00

186.00

184.00

184.00

162.00

474

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30)..............................................

196.00

194.00

194.00

190.00

190.00

166.00

475

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32)..............................................

210.00

205.00

205.00

200.00

200.00

178.00

476

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36)..............................................

235.00

230.00

230.00

225.00

225.00

200.00

477

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38)..............................................

250.00

245.00

245.00

240.00

240.00

210.00

478

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39)..............................................

255.00

250.00

250.00

245.00

245.00

215.00

479

Administration of an anaesthetic in connection with electroconvulsive therapy.....................

16.40

16.00

16.00

15.80

15.80

13.80

480

Administration of an anaesthetic in connection with radio-therapy...............................................

39.50

38.50

38.50

38.00

38.00

33.50

481

Administration of an anaesthetic in connection with a forceps delivery of a foetus..............................

46.00

45.00

45.00

44.00

44.00

39.00

482

Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in Items 7397 to 7472 

Amount Under Rule 35

Amount Under Rule 35

Amount Under Rule’35

Amount Under Rule 35

Amount Under Rule 35

Amount Under Rule 35

483

Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in Items 7505 to 7798...................................................

Amount Under Rule 37

Amount Under Rule 37

Amount Under Rule 37

Amount Under Rule 37

Amount Under Rule 37

Amount Under Rule 37

484

Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in Items 7505 to 7798 

Amount Under Rule 36

Amount Under Rule 36

Amount Under Rule 36

Amount Under Rule 36

Amount Under Rule 36

Amount Under Rule 36

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

485

Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in Items 7505 to 7798

Amount Under Rule 38

Amount Under Rule 38

Amount Under Rule 38

Amount Under Rule 38

Amount Under Rule 38

Amount Under Rule 38

487

Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure.

66.00

64.00

64.00

63.00

63.00

56.00

489

Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study

52.00

51.00

51.00

51.00

51.00

44.50

490

Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study

52.00

51.00

51.00

51.00

51.00

44.50

Division 2-Anaesthetic Administered by a Specialist Anaesthetist

500

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1)................................................

7.90

7.80

7.80

7.70

7.70

6.90

505

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2)................................................

15.80

15.60

15.60

15.40

15.40

13.80

506

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3)................................................

24.00

23.50

23.50

23.00

23.00

21.00

509

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4)................................................

32.00

31.50

31.50

31.00

31.00

27.50

510

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 5)................................................

39.50

39.00

39.00

38.50

38.50

34.50

513

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6)................................................

47.50

47.00

47.00

46.00

46.00

41.50

514

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7)................................................

56.00

55.00

55.00

54.00

54.00

48.50

517

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8)................................................

64.00

63.00

63.00

62.00

62.00

55.00

518

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9)................................................

72.00

70.00

70.00

69.00

69.00

62.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

521

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10)..............................................

79.00

78.00

78.00

77.00

77.00

69.00

522

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11)..............................................

87.00

86.00

86.00

85.00

85.00

76.00

523

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12)..............................................

95.00

94.00

94.00

92.00

92.00

83.00

524

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13)..............................................

104.00

102.00

102.00

100.00

100.00

90.00

525

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14)..............................................

112.00

110.00

110.00

108.00

108.00

97.00

526

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15)..............................................

120.00

118.00

118.00

116.00

116.00

104.00

527

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16)..............................................

128.00

126.00

126.00

124.00

124.00

110.00

528

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17)..............................................

136.00

134.00

134.00

130.00

130.00

118.00

529

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18)..............................................

144.00

140.00

140.00

138.00

138.00

124.00

531

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19)..............................................

152.00

148.00

148.00

146.00

146.00

132.00

533

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20)..............................................

158.00

156.00

156.00

154.00

154.00

138.00

535

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21)..............................................

166.00

164.00

164.00

162.00

162.00

146.00

537

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22)..............................................

174.00

172.00

172.00

170.00

170.00

152.00

538

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23)..............................................

182.00

180.00

180.00

178.00

178.00

160.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

539

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24)..............................................

190.00

188.00

188.00

184.00

184.00

166.00

540

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25)..............................................

198.00

196.00

196.00

192.00

192.00

174.00

541

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26)..............................................

205.00

205.00

205.00

200.00

200.00

180.00

542

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27)..............................................

215.00

210.00

210.00

210.00

210.00

188.00

543

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28)..............................................

225.00

220.00

220.00

215.00

215.00

194.00

544

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29)..............................................

230.00

225.00

225.00

225.00

225.00

200.00

545

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30)..............................................

240.00

235.00

235.00

230.00

230.00

210.00

546

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32)..............................................

255.00

250.00

250.00

245.00

245.00

220.00

547

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36)..............................................

285.00

280.00

280.00

275.00

275.00

250.00

548

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38)..............................................

300.00

300.00

300.00

295.00

295.00

265.00

549

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39)..............................................

310.00

305.00

305.00

300.00

300.00

270.00

550

Administration of an anaesthetic in connection with electroconvulsive therapy.....................

19.80

19.60

19.60

19.20

19.20

17.40

551

Administration of an anaesthetic in connection with radio-therapy...............................................

47.50

47.00

47.00

46.00

46.00

41.50

552

Administration of an anaesthetic in connection with a forceps delivery of a foetus...............................

56.00

55.00

55.00

54.00

54.00

48.50

553

Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in Items 7397 to 7472 

Amount Under Rule 35

Amount Under Rule 35

Amount Under Rule 35

Amount Under Rule 35

Amount Under Rule 35

Amount Under Rule 35

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

554

Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in Items 7505 to 7798...................................................

Amount Under Rule 37

Amount Under Rule 37

Amount Under Rule 37

Amount Under Rule 37

Amount Under Rule 37

Amount Under Rule 37

556

Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in Items 7505 to 7798 

Amount Under Rule 36

Amount Under Rule 36

Amount Under Rule 36

Amount Under Rule 36

Amount Under Rule 36

Amount Under Rule 36

557

Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in Items 7505 to 7798.

Amount Under Rule 38

Amount Under Rule 38

Amount Under Rule 38

Amount Under Rule 38

Amount Under Rule 38

Amount Under Rule 38

559

Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure.

79.00

78.00

78.00

77.00

77.00

69.00

561

Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study

64.00

63.00

63.00

62.00

62.00

55.00

562

Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study

64.00

63.00

63.00

62.00

62.00

55.00

Division 3-Dental Anaesthetics

566

Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (G)

26.00

25.50

25.50

25.50

25.50

22.00

567

Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (S).

32.00

31.50

31.50

31.00

31.00

27.50

568

Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by Item 570 (G)............

39.50

38.50

38.50

38.00

38.00

33.50

569

Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by Item 571 (S)............

47.50

47.00

47.00

46.00

46.00

41.50

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

570

Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (G)........

102.00

102.00

102.00

8524

Revision under general anaesthesia of facial or neck scar more than 3 cm. in length (AU 9)...............

138.00

138.00

138.00

138.00

138.00

138.00

8528

Mammaplasty, reduction including repositioning of nipple (unilateral) (AU 10).........................

415.00

415.00

415.00

415.00

415.00

415.00

8530

Augumentation mammaplasty for significant breast asymmetry or following mastectomy, where the mammaplasty is limited to one breast (AU 10)...........................

345.00

345.00

345.00

345.00

345.00

345.00

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).......................................................

220.00

220.00

220.00

220.00

220.00

220.00

8540

Digit, transplantation of - complete procedure (AU 16)

600.00

600.00

600.00

600.00

600.00

600.00

8542

Neurovascular island flap, including repair of secondary defect, excluding Map for male pattern baldness (AU 15) 

515.00

515.00

515.00

515.00

515.00

515.00

8544

Macrodactyly, plastic reduction of, each finger (AU 8)

154.00

154.00

154.00

154.00

154.00

154.00

8546

Facial nerve paralysis, free fascia graft for (AU 12) 

335.00

335.00

335.00

335.00

335.00

335.00

8548

Facial nerve paralysis, muscle transfer or graft for (AU 13).......................................................

390.00

390.00

390.00

390.00

390.00

390.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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)....................

410.00

410.00

410.00

410.00

410.00

410.00

8552

Orbital cavity, reconstruction of floor or roof of (AU 12).......................................................

225.00

225.00

225.00

225.00

225.00

225.00

8554

Maxilla, resection of (AU 17)...............

415.00

415.00

415.00

415.00

415.00

415.00

8556

Mandible, resection of (AU 15)............

325.00

325.00

325.00

325.00

325.00

325.00

8558

Mandible, resection of (D) (AU 15).......

325.00

325.00

325.00

325.00

325.00

325.00

8560

Mandible, segmental resection of, for tumours (AU 13)

275.00

275.00

275.00

275.00

275.00

275.00

8562

Mandible, segmental resection of, for tumours (D) (AU 13).......................................................

275.00

275.00

275.00

275.00

275.00

275.00

8564

Mandible, section-fixation for prognathism or retrognathism (AU 14).....................

275.00

275.00

275.00

275.00

275.00

275.00

8566

Mandible, section-fixation for prognathism or retrognathism (D) (AU 14)................

275.00

275.00

275.00

275.00

275.00

275.00

8568

Mandible, hemi-mandibular reconstruction with bone graft, not associated with Item 8556 (AU 15)

385.00

385.00

385.00

385.00

385.00

385.00

8570

Mandible, condylectomy (AU 11).........

220.00

220.00

220.00

220.00

220.00

220.00

8572

Mandible, condylectomy (D) (AU 11)

220.00

220.00

220.00

220.00

220.00

220.00

8574

Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital or post-traumatic malformation, not covered by any other item in this Part (AU 11) 

240.00

240.00

240.00

240.00

240.00

240.00

8576

Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital or post-traumatic malformation, not covered by any other item in this Part (D) (AU 11).......................................................

240.00

240.00

240.00

240.00

240.00

240.00

8578

Osteotomy or osteectomy of maxilla (other than alveolar margins) or zygoma or both for congenital or post-traumatic malformation, not covered by any other item in this Part (AU 11).............................

275.00

275.00

275.00

275.00

275.00

275.00

8580

Osteotomy or osteectomy of maxilla (other than alveolar margins) or zygoma or both for congenital or post-traumatic malformation, not covered by any other item in this Part (D) (AU 11)........................

275.00

275.00

275.00

275.00

275.00

275.00

8582

Whole thickness reconstruction of eyelid other than by direct suture only (AU 10)................

275.00

275.00

275 00

275.00

275.00

275.00

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).

110.00

110.00

110.00

110.00

110.00

110.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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) 

152.00

152.00

152.00

152.00

1.52.00

152.00

8586

Correction of ptosis (unilateral) (AU 12)

360.00

320.00

320.00

320.00

320.00

320.00

8588

Ectropion or entropion, correction of (unilateral) (AU 9).......................................................

152.00

152.00

152.00

152.00

152.00

152.00

8592

Symblepharon, grafting for (AU 8)........

220.00

220.00

220.00

220.00

220.00

220.00

8594

Rhinoplasty, correction of lateral or alar cartilages or both (AU 10)..................................................

240.00

240.00

240.00

240.00

240.00

240.00

8596

Rhinoplasty, correction of bony vault only (AU 10) 

275.00

275.00

275.00

275.00

275.00

275.00

8598

Rhinoplasty, total, including correction of all bony and cartilaginous elements of the external nose (AU 12) 

470.00

470.00

470.00

470.00

470.00

470.00

8600

Rhinoplasty or similar contour restoration of the face, involving autogenous bone or costal cartilage graft (AU 13) 

595.00

595.00

595.00

595.00

595.00

595.00

8602

Rhinoplasty, secondary revision of (AU 10)

69.00

69.00

69.00

69.00

69.00

69.00

8604

Rhinophyma, correction of (AU 9)........

164.00

164.00

164.00

164.00

164.00

164.00

8606

Composite graft (chondrocutaneous or chondro-mucosal) to nose, ear or eyelid (AU 11)...............

235.00

235.00

235.00

235.00

235.00

235.00

8608

Lop ear, bat ear or similar deformity, correction of (AU 8).......................................................

245.00

245.00

245.00

245.00

245.00

245.00

8612

Congenital atresia, reconstruction of external auditory canal (AU 11)..................................................

325.00

325.00

325.00

325.00

325.00

325.00

8614

Full thickness wedge excision of lip or eyelid, with repair by direct sutures (AU 8)........................

152.00

152.00

152.00

152.00

152.00

152.00

8616

Vermilionectomy (AU 8).....................

152.00

152.00

152.00

152.00

152.00

152.00

8618

Lip or eyelid reconstruction using full thickness flap (Abbe or similar), first stage (AU 11)...............

390.00

390.00

390.00

390.00

390.00

390.00

8620

Lip or eyelid reconstruction using full thickness flap (Abbe or similar), second stage (AU 4)............

114.00

114.00

114.00

114.00

114.00

114.00

8622

Cleft lip, unilateral—- primary repair, (AU 12) 

295.00

295.00

295.00

295.00

295.00

295.00

8624

Cleft lip, complete primary repair, one stage, bilateral (AU 14).......................................................

405.00

405.00

405.00

405.00

405.00

405.00

8628

Cleft lip, secondary correction, partial or incomplete (AU 10).......................................................

126.00

126.00

126.00

126.00

126.00

126.00

8630

Cleft lip, secondary correction, complete revision (AU 12).......................................................

240.00

240.00

240.00

240.00

240.00

2.40.00

8632

Cleft lip, secondary correction, Abbe flap (AU 12) 

555.00

555.00

555.00

555.00

555.00

555.00

8634

Cleft lip, secondary correction of nostril or nasal tip (AU 10).......................................................

164.00

164.00

164.00

164.00

164.00

164.00

8636

Cleft palate, primary repair, partial cleft (AU 13) 

295.00

295.00

295.00

295.00

295.00

295.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8638

Cleft palate, primary repair, partial cleft (D) (AU 13) 

295.00

295.00

295.00

295.00

295.00

295.00

8640

Cleft palate, primary repair, complete cleft or cleft requiring major repair (AU 14)

385.00

385.00

385.00

385.00

385.00

385.00

8642

Cleft palate, primary repair, complete cleft or cleft requiring major repair (D) (AU 14)..................

385.00

385.00

385.00

385.00

385.00

385.00

8644

Cleft palate, secondary repair, closure of fistula (AU 13).......................................................

192.00

192.00

192.00

192.00

192.00

192.00

8646

Cleft palate, secondary repair, closure of fistula (D) (AU 13).......................................................

192.00

192.00

192.00

192.00

192.00

192.00

8648

Cleft palate, secondary repair, lengthening procedure (AU 12).......................................................

275.00

275.00

275.00

275.00

275.00

275.00

8650

Cleft palate, secondary repair, lengthening procedure (D) (AU 12)..................................................

275.00

275.00

275.00

275.00

275.00

275.00

8652

Cleft palate, partial repair, complex cleft (AU 13) 

275.00

275.00

275.00

275.00

275.00

275.00

8654

Cleft palate, partial repair, complex cleft (D) (AU 13) 

275.00

275.00

275.00

275.00

275.00

275.00 345.00

8656

Pharyngeal flap or pharyngoplasty (AU 15)

345.00

345.00

345.00

345.00

345.00

PART 11-NUCLEAR MEDICINE

8700

Erythrocyte radioactive uptake survival time test 

61.00

61.00

61.00

61.00

61.00

61.00

8702

Blood volume estimation using radioactive chromium 

24.50

24.50

24.50

24.50

21.50

24.50

8704

Gastrointestinal blood loss estimation with radioactive chromium involving serial examinations of stool specimens 

49.00

49.00

49.00

49.00

49.00

49.00

8706

Radioiodine, urinary estimation............

16.60

16.60

16.60

16.60

16.60

16.60

8708

Protein bound radioactive iodine test.....

24.50

24.50

24.50

24.50

24.50

24.50

8710

Radioactive B12 absorption test (Schilling test) — one isotope.......................................................

27.00

27.00

27.00

27.00

27.00

27.00

8711

  • Radioactive B12 absorption test (Schilling test) —

     two isotopes........................................................

40.50

40.50

40.50

40.50

40.50

40.50

8712

Thallium myocardial study or thallium myocardial redistribution study (C).........................................

110.00

110.00

110.00

110.00

110.00

110.00

8713

Thallium myocardial study or thallium myocardial redistribution study (NC)......................................

97.00

97.00

97.00

97.00

97.00

97.00

8716

Myocardial infarct avid imaging study, cardiac blood pool study or cardiac output estimation (C).............

84.00

84.00

84.00

84.00

84.00

84.00

8717

Myocardial infarct avid imaging study, cardiac blood pool study or cardiac output estimation (NC)..........

73.00

73.00

73.00

73.00

73.00

73.00

8720

Gated cardiac blood pool (equilibrium) study (C). 

138,00

138.00

138.00

138.00

138.00

138.00

8721

Gated cardiac blood pool (equilibrium) study (NC) 

73.00

73.00

73.00

73.00

73.00

73.00

8723

Gated cardiac blood pool study with intervention (C) 

166.00

166.00

166.00

166.00

166.00

166.00

8724

Cardiac first pass blood flow study (gated or ungated) or cardiac shunt study (C)................................

84.00

84.00

84.00

84.00

84.00

84.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8730

Lung perfusion study, lung ventilation study or lung aerosol study (C).........................................

84.00

84.00

84.00

84.00

84.00

84.00

8731

Lung perfusion study, lung ventilation study or lung aerosol study (NC)......................................

73.00

73.00

73.00

73.00

73.00

73.00

8736

Liver and spleen study, hepato biliary study or Meckel’s diverticulum study (C)......................

112.00

112.00

112.00

112.00

112.00

112.00

8737

Liver and spleen study, hepato biliary study or Meckel’s diverticulum study (NC)...................

100.00

100.00

100.00

100.00

100.00

100.00

8738

Spleen study, red blood cell spleen study, pancreas study, gastroesophageal reflux study, salivary study or bowel haemorrhage study (C).....................

86.00

86.00

86.00

86.00

86.00

86.00

8739

Spleen study, red blood cell spleen study, pancreas study, gastroesophageal reflux study, salivary study or bowel haemorrhage study (NC)...................  

76.00

76.00

76.00

76.00

76.00

76.00

8742

Liver and lung study (C)......................

166.00

166.00

166.00

166.00

166.00

166.00

8743

Liver and lung study (NC)....................

144.00

144.00

144.00

144.00

144.00

144.00

8746

Le Veen shunt study (C)......................

58.00

58.00

58.00

58.00

58.00

58.00

8747

Le Veen shunt study (NC)....................

51.00

51.00

51.00

51.00

51.00

51.00

8750

Gastric emptying study........................

86.00

86.00

86.00

86.00

86.00

86.00

8755

Renal study (static) or placental study (C) 

86.00

86.00

86.00

86.00

86.00

86.00

8756

Renal study (static) or placental study (NC)

76.00

76.00

76.00

76.00

76.00

76.00

8759

Cystoureterogram or quantitative renogram (C) 

112.00

112.00

112.00

112.00

112.00

112.00

8760

Cystoureterogram or quantitative renogram (NC) 

99.00

99.00

99.00

99.00

99.00

99.00

8763

Testicular study (C).............................

59.00

59.00

59.00

59.00

59.00

59.00

8764

Testicular study (NC)..........................

52.00

52.00

52.00

52.00

52.00

52.00

8769

Brain study (static) or cerebro spinal fluid study (static) (C).......................................................

114.00

114.00

114.00

114.00

114.00

114.00

8770

Brain study (static) or cerebro spinal fluid study (static) (NC).......................................................

100.00

100.00

100.00

100.00

100.00

100.00

8773

Shunt patency study (C).......................

86.00

86.00

86.00

86.00

86.00

86.00

8774

Shunt patency study (NC)....................

77.00

77.00

77.00

77.00

77.00

77.00

8779

Dynamic flow study or regional blood volume quantitative study (C).........................................

33.00

33.00

33.00

33.00

33.00

33.00

8780

Dynamic flow study or regional blood volume quantitative study (NC)......................................

29.50

29.50

29.50

29.50

29.50

29.50

8783

Venography, lymphoscintigraphy, labelled platelets thrombus study or labelled white cell study (C) 

112.00

112.00

112.00

112.00

112.00

112.00

8784

Venography, lymphoscintigraphy, labelled platelets thrombus study or labelled white cell study (NC) 

99.00

99.00

99.00

99.00

99.00

99.00

8787

Peripheral perfusion study (C)..............

84.00

84.00

84.00

84.00

84.00

84.00

8788

Peripheral perfusion study (NC)............

73.00

73.00

73.00

73.00

73.00

73.00

8793

Bone study— 4 or more areas (C).........  

225.00

225.00

225.00

225.00

225.00

225.00

8794

Bone study —4 or more areas (NC).......

196.00

196.00

196.00

196.00

196.00

196.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8797

Bone study—less than 4 areas (C).........

114.00

114.00

114.00

114.00

114.00

114.00

8798

Bone study— less than 4 areas (NC).....

100.00

100.00

100.00

100.00

100.00

100.00

8799

Joint study of two or more joints (C).....

114.00

114.00

114.00

114.00

114.00

114.00

8800

Joint study of two or more joints (NC)

100.00

100.00

100.00

100.00

100.00

100.00

8803

Tumour seeking study— 3 or more areas (C)

225.00

225.00

225.00

225.00

225.00

225.00

8804

Tumour seeking study— 3 or more areas (NC) 

196.00

196.00

196.00

196.00

196.00

196.00

8807

Tumour seeking study— less than 3 areas (C) 

114.00

114.00

114.00

114.00-

114.00

114.00

8808

Tumour seeking study— less than 3 areas (NC) 

100.00

100.00

100.00

100.00

100.00

100.00

8813

Thyroid study (using technetium, iodine or caesium) perchlorate discharge study (C).........

57.00

57.00

57.00

57.00

57.00

57.00

8814

Thyroid study (using technetium, iodine or caesium) perchlorate discharge study (NC).......

50.00

50.00

50.00

50.00

50.00

50.00

8817

Thyroid uptake study (C).....................

29.50

29.50

29.50

29.50

29.50

29.50

8818

Thyroid uptake study (NC)...................

26.00

26.00

26.00

26.00

26.00

26.00

8821

Parathyroid study................................

84.00

84.00

84.00

84.00

84.00

84.00

8824

Adrenal study (C)................................

88.00

88.00

88.00

88.00

88.00

88.00

8825

Adrenal study (NC).............................

78.00

78.00

78.00

78.00

78.00

78.00

8828

Study of region or organ not covered by any other item in this Part (C)...........................................

84.00

84.00

84.00

84.00

84.00

84.00

8829

Study of region or organ not covered by any other item in this Part (NC).........................................

73.00

73.00

73.00

73.00

73.00

73.00

PART 12-SERVICES FOR THE TREATMENT OF CLEFT LIP AND CLEFT PALATE CONDITIONS

Division 1-Orthodontic Services

8901

Professional attendance not covered by Item 8902 (AO)

15.00

15.00

15.00

15.00

15.00

15.00

8902

Professional attendance and treatmentplanning where treatment is deferred (AO)..................................

30.00

30.00

30.00

30.00

30.00

30.00

8903

Production of dental study models not associated with Item 8902 or with a service covered by Item 8914, 8915, 8917, 8918, 8919, 8922, 8923, 8924, 8925, or 8928 (AO) 

15.00

15.00

15.00

15.00

15.00

15.00

8905

Orthodontic radiography— orthopantomograph (AO) 

25.00

25.00

25.00

25.00

25.00

25.00

8906

Orthodontic radiography— anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings (AO).......................................................

40.00

40.00

40.00

40.00

40.00

40.00

8907

Orthodontic radiography— anteroposterior and lateral cephalometric radiography, with cephalometric tracings (AO).......................................................

55.00

55.00

55.00

55.00

55.00

55.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8908

Orthodontic radiography— anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography (AO)..........

70.00

70.00

70.00

70.00

70.00

70.00

8909

Orthodontic radiography—- anteroposterior and lateral cephalometric radiography, with cephalometric tracings, orthopantomography and hand-wrist studies (including growth prediction) (AO)...................

85.00

85.00

85.00

85.00

85.00

85.00

8914

Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations— where one appliance is used (AO)......

200.00

200.00

200.00

200.00

200.00

200.00

8915

Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations— where two appliances are used (AO)..

240.00

240.00

240.00

240.00

240.00

240.00

8917

Deciduous dentition treatment— maxillary arch expansion, including supply of appliances and all associated consultations, treatmentplanning and retention services beyond the period of active treatment (AO) 

270.00

270.00

270.00

270.00

270.00

270.00

8918

Deciduous and permanent dentition treatment-incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment (AO) 

440.00

440.00

440.00

440.00

440.00

440.00

8919

Deciduous and permanent dentition treatment (not being treatment associated with treatment covered by Item 8918)— lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated attendances, treatment-planning and retention services beyond the period of active treatment (AO)................................

610.00

610.00

610.00

610.00

610.00

610.00

8922

Permanent dentition treatment (not being treatment associated with treatment covered by Item 8924 or 8925)— single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment— initial three months of active treatment (AO).......................................................

200.00

200.00

200.00

200.00

200.00

200.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8923

Permanent dentition treatment (not being treatment associated with treatment covered by Item 8924 or 8925)— single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment— each three months of active treatment after the first for a maximum of a further 33 months (AO)

77.00

77.00

77.00

77.00

77.00

77.00

8924

Permanent dentition treatment (not being treatment associated with treatment covered by Item 8922 or 8923)— two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment— initial three months of active treatment (AO).......................................................

400.00

400.00

400.00

400.00

400.00

400.00

8925

Permanent dentition treatment (not being treatment associated with treatment covered by Item 8922 or 8923)— two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment— each three months of active treatment after the first for a maximum of a further 33 months (AO)

105.00

105.00

105.00

105.00

105.00

105.00

8928

Pre-sugical or post-sugrical jaw growth guidance using removable appliances, including supply of appliances and all associated consultations and treatment-planning (AO)

270.00

270.00

270.00

270.00

270.00

270.00

Division 2-Oral Surgical Services

8931

Removal of tooth or tooth fragment (not being treatment covered by Item 8936, 8937, 8938, 8939, 8940 or 8941), where the patient is referred by a recognized orthodontist (AD)

20.00

20.00

20.00

20.00

20.00

20.00

8932

Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by a recognized orthodontist (AD).......................................................

30.00

30.00

30.00

30.00

30.00

30.00

8933

Removal of each additional tooth or tooth fragment at the same attendance at which a service referred to in Item 8931 or 8932 is rendered (AD)..............................

10.00

10.00

10.00

10.00

10.00

10.00

Surgical Extractions

8936

Surgical removal of erupted tooth, where the patient is referred by a recognized orthodontist (AOS)...

60.00

60.00

60.00

60.00

60.00

60.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8937

Surgical removal of tooth with soft tissue impaction, where the patient is referred by a recognized orthodontist (AOS)

70.00

70.00

70.00

70.00

70.00

70.00

8938

Surgical removal of tooth with partial bone impaction, where the patient is referred by a recognized orthodontist (AOS)

80.00

80.00

80.00

80.00

80.00

80.00

8939

Surgical removal of tooth with complete bone impaction, where the patient is referred by a recognized orthodontist (AOS).......................................................

90.00

90.00

90.00

90.00

90.00

90.00

8940

Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by a recognized orthodontist (AOS)..........................

50.00

50.00

50.00

50.00

50.00

50.00

8941

Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by a recognized orthodontist (AOS).............................................

60.00

60.00

60.00

60.00

60.00

60.00

Other Surgical Procedures

8945

Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS).............................................

85.00

85.00

85.00

85.00

85.00

85.00

8946

Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by a recognized orthodontist (AOS)..........................

100.00

100.00

100.00

100.00

100.00

100.00

8947

Surgical repositioning of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS) 

100.00

100.00

100.00

100.00

100.00

100.00

8948

Transplantation of tooth bud, where the patient is referred by a recognized orthodontist (AOS)..........

150.00

150.00

150.00

150.00

150.00

150.00

Division 3-General and Prosthodontic Services

8960

Attendance comprising consultation, preventive treatment and prophylaxis, of not more than thirty minutes duration— each attendance to a maximum of three attendances in any period of twelve months (AD).........................

30.00

30.00

30.00

30.00

30.00

30.00

8961

Provision and fitting of acrylic base partial denture, including retainers— one tooth (AD)................

121.00

121.00

121.00

121.00

121.00

121.00

8962

Provision and fitting of acrylic base partial denture, including retainers— two teeth (AD)................

141.00

141.00

141.00

141.00

141.00

141.00

8963

Provision and fitting of acrylic base partial denture, including retainers- — three teeth (AD)............

166.00

166.00

166.00

166.00

166.00

166.00

8964

Provision and fitting of acrylic base partial denture, including retainers—- four teeth (AD)..............

188.00

188.00

188.00

188.00

188.00

188.00

8965

Provision and fitting of acrylic base partial denture, including retainers— five to nine teeth (AD).....

229.00

229.00

229.00

229.00

229.00

229.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8966

Provision and fitting of acrylic base partial denture, including retainers— ten to twelve teeth (AD)...

269.00

269.00

269.00

269.00

269.00

269.00

8971

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers— one tooth (AD)...............................................

214.00

214.00

214.00

214.00

214.00

214.00

8972

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers— two teeth (AD)...............................................

248.00

248.00

248.00

248.00

248.00

248.00

8973

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—three teeth (AD)...............................................

289.00

289.00

289.00

289.00

289.00

289.00

8974

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—four teeth (AD)...............................................

316.00

316.00

316.00

316.00

316.00

316.00

8975

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—five to nine teeth (AD).......................................

388.00

388.00

388.00

388.00

388.00

388.00

8976

Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers—ten to twelve teeth (AD).......................................

446.00

446.00

446.00

446.00

446.00

446.00

8980

Provision and fitting of retainers (not being treatment associated with treatment covered by Item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976)—each retainer (AD)...............................................

10.00

10.00

10.00

10.00

10.00

10.00

8982

Adjustment of partial denture (not being treatment associated with treatment covered by Item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976) (AD) 

15.00

15.00

15.00

15.00

15.00

15.00

8984

Relining of partial denture by laboratory process and associated fitting (AD).....................................

75.00

75.00

75.00

75.00

75.00

75.00

8986

Remodelling and fitting of partial denture of more than four teeth (AD)...............................................

90.00

90.00

90.00

90.00

90.00

90.00

8988

Repair to cast metal base of partial denture—one or more points (AD)

45.00

45.00

45.00

45.00

45.00

45.00

8990

Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD)..............................

45.00

45.00

45.00

45.00

45.00

45.00

NOTE

1. Notified in the Commonwealth of Australia Gazette

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