Statutory Rules 1985 No. 51
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Health Insurance (Variation of Fees and
Medical Services) (No. 36) 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
31 January 1985.
N. M. STEPHEN
Governor-General
By His Excellency’s Command,
DON GRIMES
Minister
of State for Community Services
for
and on behalf of the
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.
36) Regulations.
Commencement
2. These Regulations shall
come into operation on 1 February 1985.
Amendment of Schedule to
Health Insurance (Variation of Fees and Medical Services) (No. 35) Regulations
3. The Schedule to the
Health Insurance (Variation of Fees and Medical Services) (No. 35) Regulations
is amended as set out in the Schedule to these Regulations.
SCHEDULERegulation
3
AMENDMENT OF THE SCHEDULE TO THE
HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (NO. 35) REGULATIONS
Omit Part 12,
substitute the following Part:
PART 12 SERVICES FOR THE TREATMENT
OF CLEFT LIP AND CLEFT PALATE CONDITIONS
Division
I—Orthodontic Services
8901 | Professional
attendance not covered by Item 8902 (AO)
| 20.00 | 20.00 | 20.00 | 20.00 | 20.00 | 20.00 |
8902 | Professional
attendance and treatment-planning where treatment is deferred (AO)...............................
| 40.50 | 40.50 | 40.50 | 40.50 | 40.50 | 40.50 |
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)
| 20.00 | 20.00 | 20.00 | 20.00 | 20.00 | 20.00 |
8905 | Orthodontic
radiography orthopantomography (AO) | 33.50 | 33.50 | 33.50 | 33.50 | 33.50 | 33.50 |
8906 | Orthodontic
radiography anteroposterior cephalometric radiography with cephalometric
tracings or lateral cephalometric radiography with cephalometric tracings
(AO)........................................................
| 53.00 | 53.00 | 53.00 | 53.00 | 53.00 | 53.00 |
8907 | Orthodontic
radiography — anteroposterior and lateral cephalometric radiography, with
cephalometric tracings (AO)........................................................
| 73.00 | 73.00 | 73.00 | 73.00 | 73.00 | 73.00 |
8908 | Orthodontic
radiography anteroposterior and lateral cephalometric radiography, with
cephalometric tracings and orthopantomography (AO)................
| 93.00 | 93.00 | 93.00 | 93.00 | 93.00 | 93.00 |
8909 | Orthodontic
radiography anteroposterior and lateral cephalometric radiography, with
cephalometric tracings, orthopantomography and hand-wrist studies (including
growth prediction) (AO)...............................
| 114.00 | 114.00 | 114.00 | 114.00 | 114.00 | 114.00 |
8914 | Pre-surgical
infant maxillary arch repositioning, including supply of appliances and all
associated consultations where one appliance is used (AO)......................
| 270.00 | 270.00 | 270.00 | 270.00 | 270.00 | 270.00 |
8915 | Pre-surgical
infant maxillary arch repositioning, including supply of appliances and all
associated consultations where two appliances are used (AO)...................
| 320.00 | 320.00 | 320.00 | 320.00 | 320.00 | 320.00 |
8917 | Deciduous
dentition treatment-maxillary arch expansion, including supply of appliances
and all associated consultations, treatment planning and retention services
beyond the period of active treatment (AO)........................
| 360.00 | 360.00 | 360.00 | 360.00 | 360.00 | 360.00 |
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)................................................
| 590.00 | 590.00 | 590.00 | 590.00 | 590.00 | 590.00 |
SCHEDULE— continued
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)......................................
| 815.00 | 815.00 | 815.00 | 815.00 | 815.00 | 815.00 |
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).....................................................
| 270.00 | 270.00 | 270.00 | 270.00 | 270.00 | 270.00 |
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)
| 102.00 | 102.00 | 102.00 | 102.00 | 102.00 | 102.00 |
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).....................................................
| 530.00 | 530.00 | 530.00 | 530.00 | 530.00 | 530.00 |
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)
| 140.00 | 140.00 | 140.00 | 140.00 | 140.00 | 140.00 |
8928 | Pre-surgical or
post-surgical jaw growth guidance using removable appliances, including
supply of appliances and all associated consultations and treatment planning
(AO)
| 360.00 | 360.00 | 360.00 | 360.00 | 360.00 | 360.00 |
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)..............
| 27.00 | 27.00 | 27.00 | 27.00 | 27.00 | 27:00 |
SCHEDULE— continued
8932 | Removal of tooth
or tooth fragment under general anaesthesia, where the patient is referred by
a recognized orthodontist (AD)
| 40.50 | 40.50 | 40.50 | 40.50 | 40.50 | 40.50 |
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).......................................
| 13.40 | 13
40 | 13.40 | 13.40 | 13.40 | 1
3.40 |
Surgical Extractions |
8936 | Surgical removal
of erupted tooth, where the patient is referred by a recognized orthodontist
(AOS)................
| 81.00 | 81.00 | 81.00 | 81.00 | 81.00 | 81.00 |
8937 | Surgical removal
of tooth with soft tissue impaction, where the patient is referred by a
recognized orthodontist (AOS)
| 93.00 | 93.00 | 93.00 | 93.00 | 93.00 | 93.00 |
8938 | Surgical removal
of tooth with partial bone impaction, where the patient is referred by a
recognized orthodontist (AOS)
| 106.00 | 106.00 | 106.00 | 106.00 | 106
00 | 106.00 |
8939 | Surgical removal
of tooth with complete bone impaction, where the patient is referred by a
recognized orthodontist (AOS)
| 120.00 | 120.00 | 120.00 | 120.00 | 120.00 | 120.00 |
8940 | Surgical removal
of tooth fragment requiring incision of soft tissue only, where the patient
is referred by a recognized orthondontist (AOS)...................................................
| 67.00 | 67.00 | 67.00 | 67.00 | 67.00 | 67.00 |
8941 | Surgical removal
of tooth fragment requiring removal of bone, where the patient is referred by
a recognized orthodontist (AOS)
| 81.00 | 81.00 | 81.00 | 81.00 | 81.00 | 81.00 |
Other Surgical Procedures |
8945 | Surgical
exposure, stimulation and packing of unerupted tooth, where the patient is
referred by a recognized orthodontist (AOS)
| 114.00 | 114.00 | 114.00 | 114.00 | 114.00 | 114.00 |
8946 | Surgical exposure
of unerupted tooth for the purpose of fitting a traction device, where the
patient is referred by a recognized orthodontist (AOS)................................
| 134.00 | 134.00 | 134.00 | 134.00 | 134.00 | 134.00 |
8947 | Surgical
repositioning of unerupted tooth, where the patient is referred by a
recognized orthodontist (AOS).........
| 134.00 | 134.00 | 134.00 | 134.00 | 134.00 | 134.00 |
8948 | Transplantation
of tooth bud. where the patient is referred by a recognized orthodontist
(AOS)................
| 200.00 | 200.00 | 200.00 | 200.00 | 200.00 | 200.00 |
Division 3—General and Prosthodontic Services |
8960 | Attendance
comprising consultation, preventive treatment and prophylaxis, of not less
than thirty minutes duration each attendance to a maximum of three
attendances in any period of twelve months (AD).....................................................
| 40.50 | 40.50 | 40.50 | 40.50 | 40.50 | 40.50 |
8961 | Provision and
fitting of acrylic base partial denture, including retainers one tooth (AD)
| 162.00 | 162.00 | 162.00 | 162.00 | 162.00 | 162.00 |
8962 | Provision and
fitting of acrylic base partial denture, including retainers two teeth (AD)
| 190.00 | 190.00 | 190.00 | 190.00 | 190.00 | 190.00 |
8963 | Provision and
fitting of acrylic base partial denture, including retainers three teeth (AD)
| 225.00 | 225.00 | 225.00 | 225.00 | 225.00 | 225.00 |
8964 | Provision and
fitting of acrylic base partial denture, including retainers four teeth (AD)
| 250.00 | 250.00 | 250.00 | 250.00 | 250.00 | 250.00 |
SCHEDULE- continued
8965 | Provision and
fitting of acrylic base partial denture, including retainers five to nine
teeth (AD)..............
| 305.00 | 305.00 | 305.00 | 305.00 | 305.00 | 305.00 |
8966 | Provision and
fitting of acrylic base partial denture, including retainers -ten to twelve
teeth (AD)...........
| 360.00 | 360.00 | 360.00 | 360.00 | 360.00 | 360.00 |
8971 | Provision and
fitting of cast metal base (cobalt chromium alloy) partial denture including
casting and retainers one tooth (AD).............................................................
| 290.00 | 290.00 | 290.00 | 290.00 | 290.00 | 290.00 |
8972 | Provision and
fitting of cast metal base (cobalt chromium alloy) partial denture including
casting and retainers two teeth (AD).............................................................
| 335.00 | 335.00 | 335.00 | 335.00 | 335.00 | 335.00 |
8973 | Provision and
fitting of cast metal base (cobalt chromium alloy) partial denture including
casting and retainers three teeth (AD).............................................................
| 385.00 | 385.00 | 385.00 | 385.00 | 385.00 | 385.00 |
8974 | Provision and
fitting of cast metal base (cobalt chromium alloy) partial denture including
casting and retainers - four teeth (AD).............................................................
| 425.00 | 425.00 | 425.00 | 425.00 | 425.00 | 425.00 |
8975 | Provision and
fitting of cast metal base (cobalt chromium alloy) partial denture including
casting and retainers - five to nine teeth (AD).............................................
| 520.00 | 520.00 | 520
00 | 520.00 | 520.00 | 520.00 |
89?6 | Provision and
fitting of cast metal base (cobalt chromium alloy) partial denture including
casting and retainers ten to twelve teeth (AD).............................................
| 595.00 | 595.00 | 595.00 | 595.00 | 595.00 | 595.00 |
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)
| 13.40 | 13.40 | 13.40 | 13.40 | 13.40 | 1
3.40 |
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)
| 20.00 | 20.00 | 20.00 | 20.00 | 20.00 | 20:00 |
8984 | Refining of
partial denture by laboratory process and associated fitting (AD)
| 100.00 | 100.00 | 100
00 | 100.00 | 100
00 | 100.00 |
8986 | Remodelling and
fitting of partial denture of more than four teeth (AD).....................................................
| 120.00 | 120.00 | 120.00 | 120.00 | 120.00 | 120.00 |
8988 | Repair to cast
metal base of partial denture one or more points (AD).....................................................
| 60.00 | 60.00 | 60.00 | 60.00 | 60.00 | 60.00 |
8990 | Addition of a
tooth or teeth to a partial denture to replace extracted tooth or teeth,
including taking of necessary impression (AD)....................................
| 60.00 | 60.00 | 60.00 | 60.00 | 60.00 | 60.00 |
NOTE
1. Notified in the Commonwealth of Australia Gazette