Health Insurance (Variation of Fees and Medical Services) (No. 29) Regulations (Cth)

Statutory Rules 1983 No.2301

–––––––––

Health Insurance (Variation of Fees and Medical Services) (No. 29) 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 20 October 1983.

N. M. STEPHEN

Governor-General

By His Excellency’s Command,

NEAL BLEWETT

Minister of State for Health

–––––––––––

Citation

1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 29) Regulations.

Commencement

2. These Regulations shall come into operation on 1 November 1983.

Amendments of Schedule to Health Insurance (Variation of Fees and Medical Services) (No. 26) Regulations

3. The Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 26) Regulations (being that Schedule as amended by the Health Insurance (Variation of Fees and Medical Services) (No. 27) Regulations and the Health Insurance (Variation of Fees and Medical Services) (No. 28) Regulations) is amended as set out in the Schedule to these Regulations.

SCHEDULE Regulation3

AMENDMENTS OF THE SCHEDULE TO THE HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (No. 26) REGULATIONS

AMENDMENTS OF THE TABLE OF MEDICAL BENEFITS

1. Omit items 41, 42, 45 and 46, substitute the following items:
“41	Professional attendance at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit)—each in hours attendance where only one patient is seen	19.20	18.20	18.00	18.00	18.00	18.20
“42	Professional attendance at a nursing home, including aged persons’ accommodation attached to a nursing home or aged persons’ accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit)—each after hours attendance 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 complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit)—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 complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in

SCHEDULE—continued

the nursing home or aged persons’ accommodation (not being accommodation in a self-contained unit)—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”
2. Omit item 753, substitute the following item:
“753	Introduction at the end of an operation of a narcotic or local anaesthetic into the lumbar or thoracic epidural space for the control of post-operative pain, in association with general anaesthesia...........................	23.50	23.50	23,50	23.50	23.50	23.50”
3. Omit item 844, substitute the following item:
“844	Tonography—in the investigation or management of glaucoma, of one or both eyes—using an electrical tonography machine producing a directly recorded tracing...............................................	32.00	26.50	32.00	32.00	26.50	26.50”
4. Omit item 853, substitute the following item:
“853	Electroretinography of one or both eyes or electro-oculography of one or both eyes......	51.00	51.00	51.00	51.00	51.00	51.00”
5. After item 853 insert the following item:
“854	Electroretinography of one or both eyes and electro-oculography of one or both eyes......	76.00	76.00	76.00	76.00	76.00	76.00”
6. Omit item 908, substitute the following item:
“908	Twelve-lead electrocardiography, tracing
“908	Twelve-lead electrocardiography, tracing and report..........................................................	22.50	22.50	22.50	22.50	22.50	22.50”
7. Omit item 909, substitute the following item:
“909	Twelve-lead electrocardiography, tracing only, or twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not associated with an attendance item in Part 1	11.20	11.20	11.20	11.20	11.20	11.20”
8. Omit item 914
9. Omit item 915, substitute the following item:
1	“915	Continuous ECG monitoring (Holter) of an ambulatory patient for twelve or more hours involving recording, scanning analysis, interpretation and report, including resting ECG and the recording of other parameters..........................................................	86.00	86.00	86.00	86.00	86.00	86.00”
10. Omit items 927 and 929, substitute the following items:
“927	Fluids, intravenous drip infusion of— percutaneous..........................................................	16.60	16.60	16.60	16.60	16.60	16.60
929	Fluids, intravenous drip infusion of—by open exposure..........................................................	28.00	28.00	28.00	28.00	28.00	28.00”

SCHEDULE—continued

11. Omit item 955, substitute the following item:
“955	Venepuncture and the collection of blood for forwarding to an approved pathology practitioner for the performance of a pathology service, where the referring medical practitioner is not a member of a group of practitioners of which the approved pathology practitioner is a member—one or more such procedures during the one attendance..		2.90	2.90	2.90	2.90	2.90	2.90”
12. Omit item 980, substitute the following item:
“980	Attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed		13.20	12.40	11.60	11.60	11.60	12.40”
13. After Item 1280 insert the following items in Division 2 of Part 7:
“1296	Quantitative estimation of any substance by reagent strip with reflectance meter (not associated with Items 1301 to 1312) by or on behalf of an approved pathology practitioner where the patient is referred by a medical practitioner for the estimation and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member—one or more estimations (SP)		14.80	14.80	14.80	14.80	14.80	14.80
“1297	Quantitative estimation of any substance by reagent strip with reflectance meter (not associated with Items 1301 to 1312) by or on behalf of an approved pathology practitioner where the patient is referred by a medical practitioner for the estimation and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member—one or more estimations (OP)		11.10	11.10	11.10	11.10	11.10	11.10
“1298	Quantitative estimation of any substance by reagent strip with reflectance meter (not associated with Items 1301 to 1312) by or on behalf of an approved pathology practitioner where the patient is referred by a medical practitioner for the estimation and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member—one or more estimations (HP)		7.40	7.40	7.40	7.40	7.40	7.40”
14. Omit items 1301, 1302 and 1303, substitute the following items:
“1301	Estimation by any method, except by reagent strip with or without reflectance meter, of—albumin; alkaline phosphatase; ALT; AST; bicarbonate; bilirubin (direct); bilirubin (indirect); calcium............................................

SCHEDULE—continued

(including serum ionized calcium); chloride; cholesterol; CK; CK isoenzymes; creatinine; GGTP; globulin; glucose; HBD; LD; phosphate; potassium; protein (total); sodium; triglycerides; urate or urea or estimation of a substance referred to in any other item in this Division other than Items 1302 and 1303 where the estimation is performed on a multichannel analyser—one estimation (SP).................................	14.80	14.80	14.80	14.80	14.80	14.80
“1302	Estimation by any method, except by reagent strip with or without reflectance meter, of—albumin; alkaline phosphatase; ALT; AST; bicarbonate; bilirubin (direct); bilirubin (indirect); calcium (including serum ionized calcium); chloride; cholesterol; CK; CK isoenzymes; creatinine; GGTP; globulin; glucose; HBD; LD; phosphate; potassium; protein (total); sodium; triglycerides; urate or urea or estimation of a substance referred to in any other item in this Division other than Items 1301 and 1303 where the estimation is performed on a multichannel analyser—one estimation (OP)................................	11.10	11.10	11.10	11.10	11.10	11.10
“1303	Estimation by any method, except by reagent strip with or without reflectance meter, of—albumin; alkaline phosphatase; ALT; AST; bicarbonate; bilirubin (direct); bilirubin (indirect); calcium (including serum ionized calcium); chloride; cholesterol; CK; CK isoenzymes; creatinine; GGTP; globulin; glucose; HBD; LD; phosphate; potassium; protein (total); sodium; triglycerides; urate or urea or estimation of a substance referred to in any other item in this Division other than Items 1301 and 1302 where the estimation is performed on a multichannel analyser—one estimation (HP)................................	7.40	7.40	7.40	7.40	7.40	7.40”
15. Omit items 1345 and 1346, substitute the following items:
“1345	Quantitative estimation of—arsenic, copper, gold, lead, mercury, strontium, zinc, and any other element not specified in any other item in this Division, folic acid, vitamin B12, any other vitamin not specified in any other item in this Division, alcohol, ammonia, neonatal bilirubin (direct and indirect), cholinesterase, coproporphyrin, erythroporphyrin, uroporphyrin or any other porphyrin factor, delta ALA, 5HIAA, iron (including iron-binding capacity), oxalate, oxosteroids, oxogenic steroids, PBG, urine oestriol, transketolase or any other substance not specified in any other item in this Division—each estimation (SP)........................................................	29.50	29.50	29.50	29.50	29.50	29.50

SCHEDULE—continued

“1346	Quantitative estimation of—arsenic, copper, gold, lead, mercury, strontium, zinc, and any other element not specified in any other item in this Division, folic acid, vitamin B12, any other vitamin not specified in any other item in this Division, alcohol, ammonia, neonatal bilirubin (direct and indirect), cholinesterase, coproporphyrin erythroporphyrin, uroporphyrin or any other porphyrin factor, delta ALA, 5HIAA, iron (including iron-binding capacity), oxalate, oxosteroids, oxogenic steroids, PBG, urine oestriol, transketolase or any other substance not specified in any other item in this Division—each estimation (OP)	22.15	22.15	22.15	22.15	22.15	22.15”
16. Omit items 1364 and 1366, substitute the following items:
“1364	Quantitative estimation of — catecholamines (one or more components), faecal fat, HMMA, hydroxy proline, non-pregnancy oestrogens, pregnanediol, pregnanetriol, any other steroid fraction (where not estimated in the same process as another steroid fraction) or multiple steroid fractions estimated in the same process—each estimation (SP)	39.00	39.00	39.00	39.00	39.00	39.00
“1366	Quantitative estimation of — catecholamines (one or more components), faecal fat, HMMA, hydroxy proline, non-pregnancy oestrogens, pregnanediol, pregnanetriol, any other steroid fraction (where not estimated in the same process as another steroid fraction) or multiple steroid fractions estimated in the same process—each estimation (OP)	29.25	29.25	29.25	29.25	29.25	29.25”
17. Omit items 1452 and 1453, substitute the following items:
“1452	Hormone assays—assay of inuslin, growth hormone, TSH, LH, FSH, T3, prolactin, renin, gastrin, Cortisol (selenium labelled), ACTH, HPL but not inlcuding assay of a thyroid hormone covered by Item 1421 or 1424, using gamma emitting labels or other unspecified technique—one estimation of any one hormone (SP)...................................	29.50	29.50	29.50	29.50	29.50	29.50
“1453	Hormone assays—assay of insulin, growth hormone, TSH, LH, FSH, T3, prolactin,” renin, gastrin, Cortisol (selenium labelled), ACTH, HPL but not including assay of a thyroid hormone covered by Item 1422 or 1425, using gamma emitting labels or other unspecified technique—one estimation of any one hormone (OP)............................	22.15	22.15	22.15	22.15	22.15	22.15”

SCHEDULE—continued

18. Omit items 2272, 2273, 2285 and 2286, substitute the following items and heading:
“2272	Chorionic gonadotrophin (beta-HCG), qualitative estimation or quantitative estimation or qualitative and quantitative estimation by one or more methods for any purpose not covered by Item 2285 or 2286 (SP).................	9.80	9.80	9.80	9.80	9.80	9.80
“2273	Chorionic gonadotrophin (beta-HCG), qualitative estimation or quantitative estimation or qualitative and quantitative estimation by one or more methods for any purpose not covered by Item 2285 or 2286 (OP)................	7.35	7.35	7.35	7.35	7.35	7.35
“2285	Chorionic gonadotrophin quantitative estimation of (including serial dilutions) for assessments of hormone levels in the case of proven hormone producing neoplasms by one or more methods (SP)	29.50	29.50	29.50	29^50	29.50	29.50
“2286	Chorionic gonadotrophin quantitative estimation of (including serial dilutions) for assessment of hormone levels in the case of proven hormone producing neoplasms by one or more methods (OP)	22.15	22.15	22.15	22.15	22.15	22.15
Division 8A—Examination not otherwise covered
“2294	Pathology examination of any body fluid or tissue not covered by any other item in this Part (SP)...........	3.90	3.90	3.90	3.90	3.90	3.90
“2295	Pathology examination of any body fluid or tissue not covered by any other item in this Part (OP)..........	2.95	2.95	2.95	2.95	2.95	2.95”
19. Omit items 2650 and 2654.
20. After item 2646 insert the following items:
“2655	Sternum or ribs on one side...................	30.50	30.50	30.50	30.50	30.50	30.50
2656	Sternum and ribs on one side, or ribs on both sides	40.50	40.50	40.50	40.50	40.50	40.50
2657	Sternum and ribs on both sides..............	50.00	50.00	50.00	50.00	50.00	50.00”
21. Omit items 2659 and 2662.
22. After item 2802 insert the following heading and item:
Division 15A—Examination not otherwise covered
“2804	Radiographic examination of any part and report not covered by any other item in this Part..................	14.60	14.60	14.60	14.60	14.60	14.60”
23. After item 2941 insert the following item in Part 9:
“2951	Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees exceeds $118.00 but does not exceed $205.00	40.50	40.50	40.50	40.50	40.50	40.50”

SCHEDULE—continued

24. Omit item 2953, substitute the following item:
“2953	Assistance at any operation, or series or combination of operations, for which the fee, or the aggregate of the fees, specified exceeds $205.00....................	Amount Under Rule 33	Amount Under Rule 33	Amount Under Rule 33	Amount Under Rule 33	Amount Under Rule 33	Amount Under Rule 33”
25. After item 2971 insert the following item in Division 1 of Part 10:
“3004	Operative procedure on tissue, organ or region not covered by any other item in this Part, including any consultation on the same occasion............................	8.50	8.50	8.50	8.50	8.50	8.50”
26. Omit item 3041, substitute the following item:
“3041	Debridement, under general anaesthesia, of deep or extensive contaminated wound of soft tissue, including suturing of that wound when performed (AU 10)	152.00	152.00	152.00	152.00	152.00	152.00”
27. Omit items 3219, 3220, 3221, 3222, 3223, 3224, 3225, 3226, 3229, 3230, 3233, 3237, 3245, 3247, 3253, 3258, 3261, 3265, 3268 and 3271, substitute the following items:
“3219	Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by Item 3221, 3223, 3225, 3226, 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 6).................................	44.50	44.50	44.50	44.50	44.50	44.50
“3220	Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by Item 3222, 3224, 3225, 3226, 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 6)..................................	59.00	59.00	59.00	59.00	59.00	59.00
“3221	Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 9)...............	118.00	118.00	118.00	118.00	118.00	118.00
“3222	Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (S) (AU 9)...............	152.00	152.00	152.00	152.00	152.00	152.00

SCHEDULE—continued

“3223	Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (G) (AU 13)	158.00	158.00	158.00	158.00	158.00	158.00
“3224	Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 10 but not more than 20 lesions, not covered by Item 3330, 3332, 3338, 3342,3346 or 3349 (S) (AU 13)

188.00	188.00	188.00	188.00	188.00	188.00
“3225	Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 20 but not more than 50 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (AU 15)	235.00	235.00	235.00	235.00	235.00	235.00
“3226	Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 50 lesions, not covered by Item 3330, 3332, 3338, 3342, 3346 or 3349 (AU 17).......................	320.00	320.00	320.00	320.00	320.00	320.00
“3229	Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, not covered by Item 3230 or 3331 (D) (AU 6)..................................................	5900	59.00	59.00	59.00	59.00	59.00
“3230	Tumours, cysts, ulcers or scars (other than a scar removed during the surgical approach at an operation), up to 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane, where the removal is by surgical excision and suture, and the procedure is performed on more than 3 but not more than 10 lesions, not covered by Item 3331 (D) (AU 9)......................................	152.00	152.00	152.00	152.00	152.00	152.00

SCHEDULE— continued

“3233	Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (G) (AU 6)....	66.00	66.00	66.00	66.00	66.00	66.00
“3237	Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (S) (AU 6).....	81.00	81.00	72.00	72.00	72.00	72.00
“3245	Tumour, cyst, ulcer or scar (other than a scar removed during the surgical approach at an operation), more than 3 centimetres in diameter, removal from cutaneous or subcutaneous tissue or from mucous membrane (D) (AU 6)....	81.00	81.00	72.00	72.00	72.00	72.00
“3247	Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not covered by any other item in this Part, involving muscle, bone, or other deep tissue (G) (AU 8).........................................................	92.00	92.00	82.00	82.00	82.00	82.00
“3253	Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not covered by any other item in this Part, involving muscle, bone, or other deep tissue (S) (AU 8).........................................................	116.00	116.00	106.00	106.00	106.00	106.00
“3258	Tumour, cyst (other than a cyst associated with a tooth or tooth fragment unless it has been established by radiological examination that there is a minimum of 5 mm separation between the cyst lining and tooth structure), ulcer or scar (other than a scar removed during the surgical approach at an operation), removal of, not covered by any other item in this Part, involving muscle, bone, or other deep tissue (D) (AU 8).........................................................	116.00	116.00	106.00	106.00	106.00	106.00
“3261	Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in this Part (G) (AU 8)	126.00	152.00	126.00	126.00	126.00	110.00
“3265	Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in this Part (S) (AU 8)	152.00	172.00	152.00	152.00	152.00	138.00

SCHEDULE—continued

“3268	Tumour or deep cyst (other than a cyst associated with a tooth or tooth fragment), removal of, requiring wide excision, not covered by any other item in this Part (D) (AU 8)	152.00	172.00	152.00	152.00	152.00	138.00
“3271	Malignant tumour, removal of, from skin, requiring wide and deep excision, other than removal of basal cell carcinoma (AU 8)............................................	184.00	184.00	184.00	184.00	184.00	184.00”
28. Omit item 3301, substitute the following item:
“3301	Malignant tumour, removal of, from any region involving a limited operation, other than removal of basal cell carcinoma (not being an operation covered by any other item in this Part) (AU 8)..................	184.00	184.00	184.00	184.00	184.00	184.00”
29. Omit items 3654 and 3664, substitute the following items:
“3654	Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (G) (AU 7).......................................................	91.00	91.00	91.00	91.00	91.00	91.00
“3664	Breast, excision of cyst, fibro adenoma or other local lesion or segmental resection for any other reason (S) (AU 7).......................................................	118.00	118.00	118.00	118.00	118.00	118.00”
30. Omit item 3851, substitute the following item:
“3851	Oesophagoscopy (not covered by Item 5464), gastroscopy, duodenoscopy or panendoscopy (one or more such prodecures) with one or more of the following procedures—polypectomy, removal of foreign body, diathermy coagulation of bleeding upper gastrointestinal lesions (AU 7).................................	164.00	164.00	164.00	164.00	164.00	164.00”
31. Omit item 4399, substitute the following item:
“4399	Rectal tumour, excision of, via transsphincteric approach (AU 13)	295.00	295.00	295.00	295.00	295.00	295.00”
32. Omit item 4492, substitute the following item:
“4492	Anal incontinence, operation for, by Parkes intersphincteric procedure or by direct repair of anal sphincters, not covered by Item 383 in Part 2 (AU 12).........	265.00	265.00	265.00	265.00	265.00	265.00”
33. Omit item 4676, substitute the following item:
“4676	Ligation of medium artery, medium vein or medium artery and medium vein by elective operation, or repair of artificial arterio-venous fistula (AU 6)	118.00	118.00	118.00	118.00	118.00	118.00”
34. Omit items 5229 and 5230, substitute the following items:
“5229	Cauterisation (other than by chemical means) or diathermy of septum, turbinates or pharynx—one or more of these procedures (including any consultation on the same occasion) not associated with any other operation in the nose (AU 6)....................................	47.00	47.00	47.00	47.00	47.00	47.00”

SCHEDULE—continued

“5230	Cauterisation (other than by chemical means) of blood vessels in nose during an episode of epistaxis, one or both sides (AU 7)...................................	41.50	41.50	41.50	41.50	41.50	41.50”
35. After item 5233 insert the following item:
“5235	Dislocation of turbinate or turbinates, one or both sides, not associated with any other item in this Part (AU 6)	33.50	33.50	33.50	33.50	33.50	33.50”
36. Omit items 5337 and 5339.
37. After item 5540 insert the following item:
“5542	Teflon injection into vocal cord (AU 9)	210.00	210.00	210.00	210.00	210.00	210.00”
38. Omit item 5647, substitute the following item:
“5647	Donor nephrectomy (cadaver), one or both kidneys	385.00	385.00	385.00	385.00	385.00	385.00”
39. Omit items 6238, 6241 and 6244.
40. After item 6246 insert the following item:
“6247	Vaso-vasostomy or vaso-epididymostomy (unilateral) (AU 9)....................................................	230.00	230.00	230.00	230.00	230.00	230.00”
41. Omit item 6262, substitute the following item:
“6262	Intra-uterine contraceptive device, introduction of, not associated with any other item in this Part (AU 5)	25.50	25.50	25.50	25.50	25.50	25.50”
42. After item 6262 insert the following item:
“6264	Intra-uterine contraceptive device, removal of under general anaesthesia, not associated with any other item in this Part (AU 5)............................................	25.50	25.50	25.50	25.50	25.50	25.50”
43. Omit items 6347, 6352, 6358, 6363, 6367 and 6373, substitute the following items:
“6347	Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by Item 6358, 6363, 6367 or 6373 (G) (AU 10)	164.00	140.00	140.00	140.00	140.00	140.00”
“6352	Anterior vaginal repair or posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by Item 6358, 6363, 6367 or 6373 (S) (AU 10)	200.00	174.00	174.00	174.00	174.00	174.00”
“6358	Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by Item 6367 or 6373 (G) (AU 10)	200.00	200.00	200.00	200.00	200.00	200.00”
“6363	Anterior vaginal repair and posterior vaginal repair (involving repair of rectocele or enterocele or both) not covered by Item 6367 or 6373 (S) (AU 10)	255.00	255.00	255.00	255.00	255.00	255.00
“6367	Donald-Fothergill or Manchester operation for genital prolapse (G) (AU 10)......................	245.00	245.00	245.00	245.00	245.00	245.00
“6373	Donald-Fothergill or Manchester operation for genital prolapse (S) (AU 10).......................	300.00	300.00	300.00	300.00	320.00	300.00”

SCHEDULE—continued

44. Omit item 6411, substitute the following item:
“6411	Cervix, cauterisation (other than by chemical means) ionisation, diathermy or biopsy of, with or without removal of cervical polyp, and with or without dilatation of cervix (AU 5).............................	30.00	30.00	30.00	30.00	30.00	30.00”
45. Omit item 6638, substitute the following item:
“6638	Rubin test for patency of Fallopian tubes, or hydrotubation of Fallopian tubes, as a non-repetitive procedure not associated with any other item in this Part(AU 7)	32.00	32.00	32.00	32.00	32.00	32.00”
46. Omit item 6722, substitute the following item:
“6722	Orbit, exploration of, with removal of tumour or foreign body, requiring removal of bone (AU 12)	550.00	550.00	550.00	550.00	550.00	550.00”
47. Omit item 6728, substitute the following item:
“6728	Eyeball, perforating wound of, not involving intraocular structures—repair involving suture of cornea or sclera, or both, not covered by Item 6807 (AU 10)	295.00	295.00	295.00	295.00	295.00	295.00”
48. Omit item 7001, substitute the following item:
“7001	Measurement of intracardiac conduction times or right heart catherterisation, including fluoroscopy, oximetry, dye dilution curves, cardiac output measurement by any method, shunt detection and exercise stress test (AU 12).......................................................	205.00	205.00	205.00	205.00	205.00	205.00”
49. After item 7001, insert the following item:
“7002	Intracardiac electrophysiological investigations not covered by Item 7001 (AU 16).....................	295.00	295.00	295.00	295.00	295.00	295.00”
50. Omit item 7112, substitute the following item:
“7112	Cutaneous nerve (other than digital nerve), primary suture of, using the operating microscope (AU 9)	102.00	102.00	102.00	102.00	102.00	102.00”
51. Omit item 7120 and 7121, substitute the following items:
“7120	Repair of divided digital nerve to thumb or finger using the operating microscope—primary repair (AU 9)	164.00	164.00	164.00	164.00	164.00	164.00
“7121	Repair of divided digital nerve to thumb or finger using the operating microscope —secondary repair (AU 10)	215.00	215.00	215.00	215.00	215.00	215.00”
52. Omit item 7129, substitute the following item:
“7129	Nerve trunk, primary suture of, using the operating microscope (AU 11)........................	330.00	330.00	330.00	330.00	330.00	330.00”
53. After item 7132, insert the following item:
“7133	Neurolysis of nerve trunk, internal (interfascicular), using the operating microscope (AU 11)...	210.00	210.00	210.00	210.00	210.00	210.00”

SCHEDULE—continued

54. Omit item 7138, substitute the following item:
“7138	Nerve trunk, secondary suture of, using the operating microscope (AU 12)...................	360.00	360.00	360.00	360.00	360.00	360.00”
55. After item 7186, insert the following item:
“7190	Insertion of ventricular reservoir, or insertion of intracranial pressure monitoring device, including burr-hole, as an independent procedure (excluding after-care) (AU 12).................................................	178.00	178.00	178.00	178.00	178.00	178.00”
56. Omit item 7203, substitute the following item:
“7203	Intracranial extracerebral tumour, craniotomy and removal; or hemispherectomy for any reason, not associated with Item 7204 (AU 25)............................	1130.00	1130.00	1130.00	1130.00	1130.00	1130.00”
57. After item 7203, insert the following item:
“7204	Hypophysectomy or removal of pituitary tumour by transcranial or transphenoidal approach (AU 25)	825.00	825.00	825.00	825.00	825.00	825.00”
58. Omit item 7312, substitute the following item:
“7312	Intracranial stereotactic procedure by any method, including burr-holes, preparation for ventriculography and localisation of lesion (AU 17).......................	510.00	510.00	510.00	510.00	510.00	510.00”
59. Omit items 7336, 7341, 7346 and 7353, substitute the following items:
“7336	Laminectomy for recurrent disc lesion or spinal stenosis (AU 13)............................................	510.00	510.00	510.00	510.00	510.00	510.00
“7341	Laminectomy for extradural tumour or abscess (AU 12)	510.00	510.00	510.00	510.00	510.00	510.00
“7346	Laminectomy for intradural lesion or open cordotomy (AU 13).................................................	625.00	625.00	625.00	625.00	625.00	625.00
“7353	Laminectomy and radical excision of intramedullary tumour or arteriovenous malformation (AU 14)	755.00	755.00	755.00	755.00	755.00	755.00”
60. After item 8022, insert the following item:
“8024	Metacarpophalangeal joint, prosthetic arthroplasty (AU 5).................................................	205.00	205.00	205.00	205.00	205.00	205.00”
61. Omit item 8080, substitute the following item:
“8080	Knee diagnostic arthroscopy not associated with a procedure performed through the arthroscope (AU 6)	104.00	104.00	104.00	104.00	104.00	104.00”
62. Omit item 8085, substitute the following item:
“8085	Knee single meniscectomy, repair of one collateral ligamnet, patellectomy, operation for recurrent dislocation of patella, single transfer of ligament for rotary instability, single transfer of tendon for rotary instability or any other single procedure not covered by any other item in this Part—one procedure (AU 8).......................	225.00	225.00	225.00	225.00	225.00	225.00”
63. After item 8444, insert the following items in Division 13 of Part 10:
“8448	Single stage local muscle flap repair, simple, small (AU 11).................................................	176.00	176.00	176.00	176.00	176.00	176.00”

SCHEDULE— continued

“8449	Single stage large muscle flap repair (pectoralis major, gastrocnemius, gracilis or similar large muscle) (AU 17)	295.00	295.00	295.00	295.00	295.00	295.00”
64. Omit item 8528, substitute the following item:
“8528	Mammaplasty, reduction (unilateral), with or without repositioning of nipple (AU 10)	415.00	415.00	415.00	415.00	415.00	415.00”

NOTE

1. Notified in the Commonwealth of Australia Gazette