Health Insurance (Variation of Fees and Medical Services) (No. 47) Regulations (Cth)

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Statutory Rules 1987 No. 1601

________________

Health Insurance (Variation of Fees and Medical Services) (No. 47) 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 22 July 1987.

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. 47) Regulations.

Commencement

2. These Regulations shall come into operation on 1 August 1987.

Repeal

3. Statutory Rules 1986 Nos. 318 and 377 and 1987 No. 33 are repealed.

General medical services table

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

THE SCHEDULE Regulation 4

RULES FOR THE INTERPRETATION OF THE TABLE OF GENERAL 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 or her specialty.

2. Where an item in Part 1, in Division 3 of Part 3 or in Part 4 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 or her specialty.

3. Where an item, other than an item in Part 1, in Division 3 of Part 3 or in Part 4, 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 or her specialty:

(a) to a patient who has been referred to the specialist, where that service is the first service rendered to that patient by the specialist subsequent to his or her receipt of the referral;

(b) to a patient who has been referred to the specialist, where that service constitutes part of a single course of treatment rendered to that patient for the condition identified in the referral, or, if no condition was identified in the referral, for the condition identified by the specialist, and that service is rendered within the period of 12 months (or such lesser period, if any, specified by the medical practitioner who referred the patient) after the day on which the first service rendered pursuant to the referral was rendered;

(c) to a patient who has declared that a written referral was completed by a specified medical practitioner and that that referral has been lost, stolen or destroyed prior to the rendering of the service, where that service is the first service rendered by the specialist pursuant to that referral or where that service constitutes part of a single course of treatment rendered to that patient for the condition identified by the specialist when he or she rendered the first service rendered to that patient subsequent to the making of the declaration and that service is rendered within the period of 12 months after the day on which the first service rendered pursuant to the referral was rendered; or

(d) to a patient who has not been referred to the specialist, where the specialist was, at the time that that service was rendered, of the opinion that it was necessary that that service be rendered as quickly as possible.

4. Where an item, other than an item in Part 1, in Division 3 of Part 3 or in Part 4, 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 or her specialty:

(a) to a patient who has been referred to the person rendering the service, where that service is the first service rendered to that patient by the person rendering the service subsequent to the receipt of the referral;

(b) to a patient who has been referred to the person rendering the service, where that service constitutes part of a single course of treatment rendered to that patient for the condition identified in the referral, or, if no condition was identified in the referral, for the condition identified by the person rendering the service, and that service is rendered within the period of 12 months (or such lesser period, if any, specified by the medical practitioner who referred the patient) after the day on which the first service rendered pursuant to the referral was rendered;

(c) to a patient who has declared that a referral was completed by a specified medical practitioner and that that referral has been lost, stolen or destroyed prior to the rendering of the service, where that service is the first service rendered pursuant to that referral or constitutes part of a single course of treatment rendered to that patient for the condition identified by the person rendering the service when he or she rendered the first service rendered to that patient subsequent to the making of the declaration and that service is rendered within the period of 12 months after the day on which the first service rendered pursuant to the referral was rendered; or

(d) to a patient who has not been referred to the person rendering, the service, where that person was, at the time that that service was rendered, of the opinion that it was necessary that that service be rendered as quickly as possible.

5. A reference in rule 3 or 4 or in Part 1 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

THE SCHEDULE— continued

(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.

5A. A reference in an item in Part 1 to an attendance by a specialist or consultant physician in the practice of his specialty where the patient is referred to him shall be read as including a reference to an attendance by a specialist or consultant physician in the practice of his or her specialty where:

(a) the patient has declared that a written referral was completed by a medical practitioner in respect of the patient, the name of the medical practitioner who completed that referral, and that that referral has been lost, stolen or destroyed prior to the attendance specified in the item; or

(b) the patient has not been referred to the specialist or consultant physician and the specialist or consultant physician was, at the time of the attendance specified in the item, of the opinion that it was necessary that that service be rendered as quickly as possible;

but shall not be read as including a reference to an attendance by a specialist or consultant physician in the practice of his or her specialty where the service rendered forms part of a single course of treatment for which the first service was rendered on a day more than 12 months prior to the day on which that service was rendered, unless a subsequent referral has been made.

6. (1) In the items in Parts 1, 2, 6 and 10 to which this rule applies, "attendance" means a physical attendance on not more than one person on the one occasion, other than an attendance on a person in the course of a group session.

(2) This rule applies to each of the following items:

(a) items in Part 1, other than item 170, 171 or 172;

(b) items 190, 192, 198, 246, 247, 248 and 273 in Part 2;

(c) items 821, 824, 890, 893 and 980 in Part 6;

(d) items 5264, 6835, 6904, 7601, 7605, 7694, 7697, 7701, 7706, 7774, 7781 and 7785 in Part 10.

7. (1) A medical service specified in:

(a) an item in Part 2, 3, 4, 5, 9 or 10; or

(b) an item in Part 6 to which Rule 8 applies;

other than:

(c) item 290 in Part 2;

(d) item 887, 888 or 889 in Part 6;

(e) an item to which Rule 6 applies; or

(f) an item in Part 10 that includes the symbol "D";

shall be taken to be a medical service if, and only if, the medical service is performed physically by a medical practitioner on not more than one patient on the one occasion.

(2) A medical service specified in:

(a) item 170, 171 or 172 in Part 1; or

(b) item 887, 888 or 889 in Part 6;

shall be taken to be a medical service if, and only if, the medical service is performed physically by a medical practitioner.

8. (1) A medical service specified in:

(a) an item in Part 1, 2, 3, 4, 5, 9 or 10; or

(b) an item in Part 6 to which this rule applies;

other than:

(c) item 180, 182, 184 or 186 in Part 1; or

(d) an item in Part 10 that includes the symbol "D";

shall be taken to be a medical service for the purposes of the Act if, and only if, the medical service is rendered by a medical practitioner, being:

(e) a medical practitioner other than a medical practitioner employed by the proprietor of a hospital; or

(f) a medical practitioner who is employed by the proprietor of a hospital and renders that medical service otherwise than in the course of his or her employment by that proprietor;

whether or not essential assistance is provided, in accordance with accepted professional practice, to the medical practitioner rendering that medical service.

THE SCHEDULE—continued

(2) This rule applies to each of the following items in Part 6, that is to say, items 752, 770, 774, 777, 787, 790, 810, 811, 813, 814, 821, 824, 831, 833, 836, 839, 851, 856, 886, 887, 888, 889, 890, 893, 895, 897, 902, 904, 907, 916, 917, 918, 922, 923, 925, 927, 929, 931, 932, 934, 936, 938, 939, 940, 944, 947, 949, 950, 951, 953, 954, 956, 957, 960, 963, 968, 970, 974, 976, 977, 980, 987 and 989.

9. A medical service specified in item 290 in Part 2 or in an item in Part 6, 7A, 8, 8A, 9A or 11, other than an item in Part 6 to which Rule 8 applies, shall be taken to be a medical service for the purposes of the Act whether the medical service is rendered by:

(a) a medical practitioner; or

(b) a person, other than a medical practitioner, who is employed by, or in accordance with accepted medical practice, acts under the supervision of, a medical practitioner.

10. A medical service to which an item in Division 5 of Part 6 relates, other than item 862, 877, 878, 882, 883 or 884, shall be taken to be a medical service for the purposes of the Act if, and only if, it is rendered:

(a) in conditions that allow the establishment of determinate thresholds;

(b) in a sound attenuated environment with background noise conditions that comply with Australian Standard AS 1269-1983 of the Standards Association of Australia, being that Standard as in force or existing on 1 August 1987; and

(c) using calibrated equipment that complies with Australian Standard AS 2586-1983 of the Standards Association of Australia, being that standard as in force or existing on 1 August 1987.

11. 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 nusing 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.

12. Where an item in Part 9Aincludes the symbol "(HR)", the item shall be taken to relate to the service specified in the item when rendered with the use of magnetic reasonance imaging equipment of a recognised hospital or a radiology unit included in a prescribed class of radiology units.

14. For the purposes of rule 12, 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 Australian Capital Territory Health Authority;

(e) radiology units operated by an Australian University.

15. 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 subsection 3 (1).

16. A reference in an item in Division 1 of Part 3 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.

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

18. A reference in an item in Division 3 of Part 3 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

THE SCHEDULE—continued

a service that is a prescribed medical service for the purposes of paragraph (b) of the definition of "professional service" in subsection 3 (1).

19. In item 793 "group of practitioners" has the same meaning as in section 16A.

20. 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—$17.40;

(b) in the case of item 2782—$18.40; or

(c) in the case of item 2798—$11.00;

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

21. 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—$4.50 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(b) in the case of item 2867—$5.50 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(c) in the case of item 2877—$11.00 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(d) in the case of item 2881—$13.00 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(e) in the case of item 2889—$16.80 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(f) in the case of item 2893—$23.00 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.

22. 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—$10.80 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(b) in the case of item 2885—$27.50 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(c) in the case of item 2897—$39.00 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.

23. 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.

24. 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;

THE SCHEDULE—continued

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

25. 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.

26. 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.

27. 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.

28. 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.

29. 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 488 or 560—85% of 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 an amputation of the kind performed (being an item relating to an amputation that is included in items 4927 to 5055); or

(b) in the case of item 5057—75% of the fee set out in the column of the item relating to an amputation of the kind performed (being an item relating to an amputation that is included in items 4927 to 5055);

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

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:

(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.

THE SCHEDULE— continued

31. 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 computerised processing facilities capable of being used in the rendering of the service.

32. 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 computerised processing facilities capable of being used in the rendering of the service.

33. 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.

34. (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 recognised orthodontist.

(2) For the purposes of subrule (1) and Division 2 of Part 12, a person shall be taken to be a recognised 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 or her qualifications or experience, demonstrates to the Committee his or her competence in the field of orthodontics applicable to the rendering of the services specified in Division 1 of Part 12.

(3) In subrule (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.

35. 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).

36. A reference in items 8658, 8659, 8660, 8661, 8662, 8663, 8664, 8665, 8666, 8667, 8668 and 8669 to maxilla shall be read as including a reference to the zygoma.

37. A reference in a column in item 6931 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 squint operation performed (being an operation covered by item 6922, 6924 or 6930); and

(b) one-quarter 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 2455 to an amount under this rule shall be read as an amount equal to the aggregate of:

(a) the fee set out in that column in the item relating to the service in association with which the service referred to in item 2455 is performed (being a service in Part 7A); and

(b) $88.00;

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 medical service specified in item 851 shall be taken to be a medical service for the purposes of the Act if, and only if, the service is performed upon a patient with an optical condition, or a medical condition other than an optical condition, requiring the use of contact lenses.

40. In Part 8 "report" means a report prepared by a medical practitioner.

41. A reference in a medical service specified in item 194, 196, 198, 201, 204 or 205 to confinement includes a reference to:

(a) induction of labour by surgical or intravenous infusion methods;

(b) forceps or vacuum extraction;

(c) breech delivery;

THE SCHEDULE—continued

(d) management of multiple deliveries;

(e) episiotomy;

(f) repair of tears; or

(g) a medical service or services referred to in item 295 or 298 when performed at the time of delivery;

but does not include a reference to a service or services referred to in an item in Division 2 of Part 2, other than item 295 or 298.

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 SCHEDULE 1 OR SCHEDULE 1A

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

12.60

12.60

12.60

12.60

12.60

12.60

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

12.60

12.60

12.60

12.60

12.60

12.60

5

Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 6—each attendance 

17.60

17.60

17.60

17.60

17.60

17.60

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 

17.60

17.60

17.60

17.60

17.60

17.60

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 

32.00

32.00

32.00

32.00

32.00

32.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

32.00

32.00

32.00

32.00

32.00

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

50.00

50.00

50.00

50.00

50.00

50.00

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 

50.00

50.00

50.00

50.00

50.00

50.00

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 

21.00

21.00

21.00

21.00

21.00

21.00

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

21.00

21.00

21.00

21.00

21.00

21.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

26.00

26.00

26.00

26.00

26.00

26.00

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

26.00

26.00

26.00

26.00

26.00

26.00

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

42.50

42.50

42.50

42.50

42.50

42.50

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

42.50

42.50

42.50

42.50

42.50

42.50

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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 

60.00

60.00

60.00

60.00

60.00

60.00

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

60.00

60.00

60.00

60.00

60.00

60.00

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

26.00

26.00

26.00

26.00

26.00

26.00

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...........

26.00

26.00

26.00

26.00

26.00

26.00

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..........

17.60

17.60

17.60

17.60

17.60

17.60

THE SCHEDULE—continued

Item

Fees

No.

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

30

Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on each of two in-patients in the one hospital on the one occasion—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday—each patient who is not a nursing home type patient.....................................................

17.60

17.60

17.60

17.60

17.60

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

17.60

17.60

17.60

17.60

17.60

17.60

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...........

15.00

15.00

15.00

15.00

15.00

15.00

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 

12.60

12.60

12.60

12.60

12.60

12.60

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

26.00

26.00

26.00

26.00

26.00

26.00

 

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

26.00

26.00

26.00

26.00

26.00

26.00

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

15.00

15.00

15.00

15.00

15.00

15.00

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

12.60

12.60

12.60

12.60

12.60

12.60

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

12.60

12.60

12.60

12.60

12.60

12.60

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

12.60

12.60

12.60

12.60

12.60

12.60

61

Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) at a time other than a time covered by Item 62—an attendance on each of two or more patients at the one institution on the one occasion—each patient..........................................................

17.60

17.60

17.60

17.60

17.60

17.60

62

Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part)—an attendance on each of two or more patients at the one institution on the one occasion on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday—each patient.................................................

17.60

17.60

17.60

17.60

17.60

17.60

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

32.00

32.00

32.00

32.00

32.00

32.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

32.00

32.00

32.00

32.00

32.00

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

50.00

50.00

50.00

50.00

50.00

50.00

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

50.00

50.00

50.00

50.00

50.00

50.00

70

Professional attendance, being an attendance at other than consulting rooms, on not more than one patient on the one occasion—each attendance on a public holiday, on a Sunday, before 8 am or after 1 pm on a Saturday or at any time other than between 8 am and 8 pm on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment........

36.50

36.50

36.50

36.50

36.50

36.50

82

Preoperative 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)...........................................

17.60

17.60

17.60

17.60

17.60

17.60

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

85

Preoperative 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)

25.00

25.00

25.00

25.00

25.00

25.00

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

50.00

50.00

50.00

50.00

50.00

50.00

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

25.00

25.00

25.00

25.00

25.00

25.00

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 

72.00

72.00

72.00

72.00

72.00

72.00

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

46.00

46.00

46.00

46.00

46.00

46.00

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 (not covered by item 116 or 118 in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home...................................................................

87.00

87.00

87.00

87.00

87.00

87.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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—second or third attendance in a single course of treatment—each attendance— where that attendance is at consulting rooms, hospital or nursing home...........................................

43.50

43.50

43.50

43.50

43.50

43.50

118

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—fourth or subsequent attendance in a single course of treatment—each attendance—where that attendance is at consulting rooms, hospital or nursing home...........................................

25.00

25.00

25.00

25.00

25.00

25.00

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 (not covered by item 128 or 130 in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home.........................

106.00

106.00

106.00

106.00

106.00

106.00

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—second or third attendance in a single course of treatment—each attendance— where that attendance is at a place other than consulting rooms, hospital or nursing home.........................

64.00

64.00

64.00

64.00

64.00

64.00

130

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—fourth or subsequent attendance in a single course of treatment—each attendance—where that attendance is at a place other than consulting rooms, hospital or nursing home.........................

46.00

46.00

46.00

46.00

46.00

46.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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 

25.00

25.00

25.00

25.00

25.00

25.00

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

50.00

50.00

50.00

50.00

50.00

50.00

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

73.00

73.00

73.00

73.00

73.00

73.00

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

102.00

102.00

102.00

102.00

102.00

102.00

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 

124.00

124.00

124.00

124.00

124.00

124.00

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

46.00

46.00

46.00

46.00

46.00

46.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

72.00

72.00

72.00

72.00

72.00

72.00

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

100.00

100.00

100.00

100.00

100.00

100.00

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

120.00

120.00

120.00

120.00

120.00

120.00

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...

144.00

144.00

144.00

144.00

144.00

144.00

160

Professional attendance for a period of not less than 1 hour but less than 2 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients.......................................................

70.00

70.00

70.00

70.00

70.00

70.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

161

Professional attendance for a period of not less than 2 hours but less than 3 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients.........................................................

114.00

114.00

114.00

114.00

114.00

114.00

162

Professional attendance for a period of not less than 3 hours but less than 4 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients.........................................................

158.00

158.00

158.00

158.00

158.00

158.00

163

Professional attendance for a period of not less than 4 hours but less than 5 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients.........................................................

205.00

205.00

205.00

205.00

205.00

205.00

164

Professional attendance for a period of 5 hours or more (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients..........

245.00

245.00

245.00

245.00

245.00

245.00

170

Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of two patients.

75.00

75.00

75.00

75.00

75.00

75.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

171

Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of three patients...................................

80.00

80.00

80.00

80.00

80.00

80.00

172

Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of four or more patients.......................

97.00

97.00

97.00

97.00

97.00

97.00

Professional Attendances by Participating Optometrists

180

Professional attendance by a participating optometrist that is the sole or first attendance in a single course of attention of a patient. The Medicare benefit is payable only once in a period of twenty four consecutive months unless the examining optometrist has certified that, in his professional opinion, the patient had an ocular condition which necessitated a further course of attention being commenced within twenty four months of the previous initial consultation..........................................

39.50

39.50

39.50

39.50

39.50

39.50

182

Professional attendance by a participating optometrist (not being an attendance relating to the prescription and fitting of contact lenses) that is the second attendance in a single course of attention in respect of which the first attendance is covered by item 180........................

19.80

19.80

19.80

19.80

19.80

19.80

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

184

Professional attendance by a participating optometrist (not being an attendance relating to the prescription and fitting of contact lenses) that is the third or a subsequent attendance in a single course of attention of a patient in respect of whom the attending optometrist has certified on the patient's account that, in his professional opinion, there is a need for that attendance, being a course of attention in respect of which the first attendance is covered by item 180 

19.80

19.80

19.80

19.80

19.80

19.80

186

Professional attendances by a participating optometrist 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 The Medicare benefit is payable only once in a period of thirty six consecutive months unless the examining optometrist has certified on the patient's account that, in his professional opinion, the patient had an ocular condition which necessitated a further course of attention being commenced within thirty six months of the previous initial consultation.............................................................

99.00

99.00

99.00

99.00

99.00

99.00

PART 2—OBSTETRICS

Division 1—General

190

Antenatal care (not including any service or services covered by item 204 or 205 or by any item in Division 2 of this Part) where the attendances do not exceed ten—each attendance.............................................................

17.60

17.60

17.60

17.60

17.60

17.60

192

Antenatal care (not including any service or services covered by item 204 or 205 or by any item in Division 2 of this Part) where the attendances exceed ten

176.00

176.00

176.00

176.00

176.00

176.00

194

Confinement and postnatal care for nine days (not including any service or services covered by item 204 or 205 or by any item in Division 2 of this Part) where the medical practitioner has not given the antenatal care (G)....

138.00

138.00

138.00

138.00

138.00

138.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

196

Confinement and postnatal care for nine days (not including any service or services covered by Item 204 or 205 or by any item in Division 2 of this Part) where the medical practitioner has not given the antenatal care (S).............

235.00

235.00

235.00

235.00

235.00

235.00

198

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

200.00

200.00

200.00

200.00

200.00

200.00

201

Confinement, incomplete, with or without postnatal care for nine days where the patient is referred to a specialist for completion of the confinement...............................

65.00

65.00

65.00

65.00

65.00

65.00

204

Antenatal care, confinement and postnatal care for nine days (G)............................................................

280.00

280.00

280.00

280.00

280.00

280.00

205

Antenatal care, confinement and postnatal care for nine days (S)............................................................

410.00

410.00

410.00

410.00

410.00

410.00

210

Caesarean section and postnatal care for nine days where the patient has been referred for management of the confinement and the practitioner does not provide the antenatal care 

360.00

360.00

360.00

360.00

360.00

360.00

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

12.60

12.60

12.60

12.60

12.60

12.60

246

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

12.60

12.60

12.60

12.60

12.60

12.60

247

Intra-uterine growth retardation, polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital—each attendance that is not a routine antenatal attendance, to a maximum of two attendances in any seven day period 

12.60

12.60

12.60

12.60

12.60

12.60

248

Pregnancy complicated by acute inter-current infection, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital—each attendance that is not a routine antenatal attendance, to a maximum of one visit per day......................................................

12.60

12.60

12.60

12.60

12.60

12.60

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

250

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

95.00

95.00

95.00

95.00

95.00

95.00

258

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

126.00

126.00

126.00

126.00

126.00

126.00

267

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

36.50

36.50

36.50

36.50

36.50

36.50

273

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

12.60

12.60

12.60

12.60

12.60

12.60

274

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

138.00

138.00

138.00

138.00

138.00

138.00

275

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

170.00

170.00

170.00

170.00

170.00

170.00

278

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

36.50

36.50

36.50

36.50

36.50

36.50

290

Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement)...........................................................

21.00

21.00

21.00

21.00

21.00

21.00

295

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

36.50

36.50

36.50

36.50

36.50

36.50

298

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

66.00

66.00

66.00

66.00

66.00

66.00

362

Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal as an independent procedure where the patient has been referred by another medical practitioner for this procedure...............................

44.00

44.00

44.00

44.00

44.00

44.00

363

Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the patient has been referred by another medical practitioner for this procedure 

44.00

44.00

44.00

44.00

44.00

44.00

365

Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix as an independent procedure where the patient has been referred by another medical practitioner for this procedure...........................................................

160.00

160.00

160.00

160.00

160.00

160.00

383

Third degree tear, repair of, involving anal sphincter muscles as an independent procedure where the patient has been referred by another medical practitioner for this procedure...........................................

73.00

73.00

73.00

73.00

73.00

73.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

PART 3—ANAESTHETICS

Division 1Anaesthetics 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)...................................................

9.50

9.50

9.50

9.50

9.50

9.50

403

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

19.00

19.00

19.00

19.00

19.00

19.00

404

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

28.50

28.50

28.50

28.50

28.50

28.50

405

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

38.00

38.00

38.00

38.00

38.00

38.00

406

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

47.50

47.50

47.50

47.50

47.50

47.50

407

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

57.00

57.00

57.00

57.00

57.00

57.00

408

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

67.00

67.00

67.00

67.00

67.00

67.00

409

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

76.00

76.00

76.00

76.00

76.00

76.00

443

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

86.00

86.00

86.00

86.00

86.00

86.00

450

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

95.00

95.00

95.00

95.00

95.00

95.00

453

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

104.00

104.00

104.00

104.00

104.00

104.00

454

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

114.00

114.00

114.00

114.00

114.00

114.00

457

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

124.00

124.00

124.00

124.00

124.00

124.00

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).....

134.00

134.00

134.00

134.00

134.00

134.00

459

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

142.00

142.00

142.00

142.00

142.00

142.00

460

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

152.00

152.00

152.00

152.00

152.00

152.00

461

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

162.00

162.00

162.00

162.00

162.00

162.00

462

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

172.00

172.00

172.00

172.00

172.00

172.00

463

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

180.00

180.00

180.00

180.00

180.00

180.00

464

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

190.00

190.00

190.00

190.00

190.00

190.00

465

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

200.00

200.00

200.00

200.00

200.00

200.00

466

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

210.00

210.00

210.00

210.00

210.00

210.00

467

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

220.00

220.00

220.00

220.00

220.00

220.00

468

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

230.00

230.00

230.00

230.00

230.00

230.00

469

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

240.00

240.00

240.00

240.00

240.00

240.00

470

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

245.00

245.00

245.00

245.00

245.00

245.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

471

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

255.00

255.00

255.00

255.00

255.00

255.00

472

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

265.00

265.00

265.00

265.00

265.00

265.00

473

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

275.00

275.00

275.00

275.00

275.00

275.00

474

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

285.00

285.00

285.00

285.00

285.00

285.00

475

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

305.00

305.00

305.00

305.00

305.00

305.00

476

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

340.00

340.00

340.00

340.00

340.00

340.00

477

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

360.00

360.00

360.00

360.00

360.00

360.00

478

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

370.00

370.00

370.00

370.00

370.00

370.00

479

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 40).....................

380.00

380.00

380.00

380.00

380.00

380.00

480

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

57.00

57.00

57.00

57.00

57.00

57.00

481

Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, delivery of second twin by manipulation, rotation of head followed by delivery—where an epidural needle or catheter has not been inserted earlier in labour......................................................

67.00

67.00

67.00

67.00

67.00

67.00

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 25

Amount Under Rule 25

Amount Under Rule 25

Amount Under Rule 25

Amount Under Rule 25

Amount Under Rule 25

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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 27

Amount Under Rule 27

Amount Under Rule 27

Amount Under Rule 27

Amount Under Rule 27

Amount Under Rule 27

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 26

Amount Under Rule 26

Amount Under Rule 26

Amount Under Rule 26

Amount Under Rule 26

Amount Under Rule 26

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 28

Amount Under Rule 28

Amount Under Rule 28

Amount Under Rule 28

Amount Under Rule 28

Amount Under Rule 28

486

Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units.....................................................

9.50

9.50

9.50

9.50

9.50

9.50

487

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

95.00

95.00

95.00

95.00

95.00

95.00

488

Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 5057.............................................

Amount Under Rule 29

Amount Under Rule 29

Amount Under Rule 29

Amount Under Rule 29

Amount Under Rule 29

Amount Under Rule 29

489

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

76.00

76.00

76.00

76.00

76.00

76.00

490

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

76.00

76.00

76.00

76.00

76.00

76.00

492

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 34)....

325.00

325.00

325.00

325.00

325.00

325.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

493

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 35)......

335.00

335.00

335.00

335.00

335.00

335.00

497

Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 47)......

445.00

445.00

445.00

445.00

445.00

445.00

Division 2Anaesthetic Administered by a Specialist

500

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

10.60

10.60

10.60

10.60

10.60

10.60

505

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

21.00

21.00

21.00

21.00

21.00

21.00

506

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

31.50

31.50

31.50

31.50

31.50

31.50

509

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

42.50

42.50

42.50

42.50

42.50

42.50

510

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

53.00

53.00

53.00

53.00

53.00

53.00

513

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

63.00

63.00

63.00

63.00

63.00

63.00

514

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

74.00

74.00

74.00

74.00

74.00

74.00

517

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

85.00

85.00

85.00

85.00

85.00

85.00

518

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

95.00

95.00

95.00

95.00

95.00

95.00

521

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

106.00

106.00

106.00

106.00

106.00

106.00

522

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

116.00

116.00

116.00

116.00

116.00

116.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

523

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

126.00

126.00

126.00

126.00

126.00

126.00

524

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

138.00

138.00

138.00

138.00

138.00

138.00

525

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

148.00

148.00

148:00

148.00

148.00

148.00

526

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

158.00

158.00

158.00

158.00

158.00

1SR00

527

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

170.00

170.00

170.00

170.00

170.00

170.00

528

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

180.00

180.00

180.00

180.00

180.00

180.00

529

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

190.00

190.00

190.00

190.00

190.00

190.00

531

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

200.00

200.00

200.00

200.00

200.00

200.00

533

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

210.00

210.00

210.00

210.00

210.00

210.00

535

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

220.00

220.00

720.00

220.00

220.00

220.00

537

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

235.00

235.00

235.00

235.00

235.00

235.00

538

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

245.00

245.00

245.00

245.00

245.00

245.00

539

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

255.00

255.00

255.00

255.00

255.00

255.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

WA.

Tas.

$

$

$

$

$

$

540

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

265.00

265.00

265.00

265.00

265.00

265.00

541

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

275.00

275.00

275.00

275.00

275.00

275.00

542

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

285.00

285.00

285.00

285.00

285.00

285.00

543

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

295.00

295.00

295.00

295.00

295.00

295.00

544

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

305.00

305.00

305.00

305.00

305.00

305.00

545

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

315.00

315.00

315.00

315.00

115.00

315.00

546

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

340.00

340.00

340.00

340.00

340.00

340.00

547

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

380.00

380.00

380.00

380.00

380.00

380.00

548

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

585.00

585.00

585.00

585.00

585.00

585.00

8600

Rhinoplasty involving autogenous bone or cartilage graft (excluding nasal or septal cartilage) (AU 13) 

740.00

740.00

740.00

740.00

740.00

740.00

8601

Contour restoration of one region of face using autogenous bone or cartilage graft (not covered by item 8600) (AU 18).................................................

740.00

740.00

740.00

740.00

740.00

740.00

8602

Rhinoplasty, secondary revision of (AU10) 

85.00

85.00

85.00

85.00

85.00

85.00

8604

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

205.00

205.00

205.00

205.00

205.00

205.00

8606

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

290.00

290.00

290.00

290.00

290.00

290.00

8608

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

300.00

300.00

300.00

300.00

300.00

300.00

8612

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

405.00

405.00

405.00

405.00

405.00

405.00

8614

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

188.00

188.00

188.00

188.00

188.00

188.00

8616

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

188.00

188.00

188.00

188.00

188.00

188.00

8618

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

480.00

480.00

480.00

480.00

480.00

480.00

8620

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

140.00

140.00

140.00

140.00

140.00

140.00

8622

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

365.00

365.00

365.00

365.00

365.00

365.00

8624

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

500.00

500.00

500.00

500.00

500.00

500.00

8628

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

158.00

158.00

158.00

158.00

158.00

158.00

8630

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

295.00

295.00

295.00

295.00

295.00

295.00

8632

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

690.00

690.00

690.00

690.00

690.00

690.00

8634

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

205.00

205.00

205.00

205.00

205.00

205.00

8636

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

365.00

365.00

365.00

365.00

365.00

365.00

8638

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

365.00

365.00

365.00

365.00

365.00

365.00

8640

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

475.00

475.00

475.00

475.00

475.00

475.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W A.

Tas.

$

$

$

$

$

$

8642

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

475.00

475.00

475.00

475.00

475.00

475.00

8644

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

235.00

235.00

235.00

235.00

235.00

235.00

8646

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

235.00

235.00

235.00

235.00

235.00

235.00

8648

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

340.00

340.00

340.00

340.00

340.00

340.00

8650

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

340.00

340.00

340.00

340.00

340.00

340.00

8652

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

340.00

340.00

340.00

340.00

340.00

340.00

8654

Cleft palate, partial repair, complex cleft (D) (AU13)...........................................................

340.00

340.00

340.00

340.00

340.00

340.00

8656

Pharyngeal flap or pharyngoplasty, with or without tonsillectomy (AU 15)......................

425.00

425.00

425.00

425.00

425.00

425.00

8658

Unilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (AU 14) 

560.00

560.00

560.00

560.00

560.00

560.00

8659

Unilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 14) 

560.00

560.00

560.00

560.00

560.00

560.00

8660

Bilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (AU 18) 

710.00

710.00

710.00

710.00

710.00

710.00

8661

Bilateral osteotomy or osteectomy of mandible or maxilla, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 18) 

710.00

710.00

710.00

710.00

710.00

710.00

8662

Osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (AU 22) 

810.00

810.00

810.00

810.00

810.00

810.00

8663

Osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures on the one jaw, including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 22) 

810.00

810.00

810.00

810.00

810.00

810.00

THE SCHEDULE— continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8664

Bilateral osteotomies or osteectomies of mandible or maxilla involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (AU 26).............

930.00

930.00

930.00

930.00

930.00

930.00

8665

Bilateral osteotomies or osteectomies of mandible or maxilla involving two such procedures of each jaw including transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 26)........

930.00

930.00

930.00

930.00

930.00

930.00

8666

Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 32)................................................

1025.00

1025.00

1025.00

1025.00

1025.00

1025.00

8667

Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of one jaw and two such procedures of the other jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 32).........................................

1025.00

1025.00

1025.00

1025.00

1025.00

1025.00

8668

Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (AU 34).............

1115.00

1115.00

1115.00

1115.00

1115.00

1115.00

8669

Complex bilateral osteotomies or osteectomies of mandible or maxilla, involving three or more such procedures of each jaw, including genioplasty (when performed) and transposition of nerves and vessels and bone grafts taken from the same site (D) (AU 34)........

1115.00

1115.00

1115.00

1115.00

1115.00

1115.00

8670

Genioplasty not associated with Item 8658, 8660, 8662, 8664, 8666, or 8668 including transposition of nerves and vessels and bone grafts taken from the site (AU 10) 

430.00

430.00

430.00

430.00

430.00

430.00

8671

Genioplasty not associated with Item 8659, 8661, 8663, 8665, 8667 or 8669 including transposition of nerves and vessels and bone grafts taken from; the site (D) (AU 10) 

430.00

430.00

430.00

430.00

430.00

430.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8672

Genioplasty associated with Item 8658. 8660, 8662 or 8664 (AU 8).............................................

250.00

250.00

250.00

250.00

250.00

250.00

8673

Genioplasty associated with Item 8659. 8661, 8663 or 8665 (D) (AU 8).......................................

250.00

250.00

250.00

250.00

250.00

250.00

8675

Hypertelorism, correction of, intra-cranial (AU 47) 

1455.00

1455.00

1455.00

1455.00

1455.00

1455.00

8676

Hypertelorism, correction of, sub-cranial (AU 26) 

1110.00

1110.00

1110.00

1110.00

1110.00

1110.00

8677

Peri-orbital correction of Treacher Collins Syndrome, with rib and iliac bone grafts (AU 30)......

1010.00

1010.00

1010.00

1010.00

1010.00

1010.00

8678

Correction of unilateral orbital dystopia—total repositioning of one orbit intra-cranial (AU 35).....

1010.00

1010.00

1010.00

1010.00

1010.00

1010.00

8679

Correction of unilateral orbital dystopia—sub-total repositioning of one orbit, extra-cranial (AU 18) 

745.00

745.00

745.00

745.00

745.00

745.00

8680

Unilateral fronto-orbital advancement (AU 19) 

570.00

570.00

570.00

570.00

570.00

570.00

8681

Cranial vault reconstruction for oxycephaly, brachycephaly, turricephaly or similar condition—(bilateral fronto-orbital advancement) (AU 39).....................

965.00

965.00

965.00

965.00

965.00

965.00

8682

Reconstruction of glenoid fossa, zygomatic arch and temporal bone (Obwegeser technique) (AU 19) 

950.00

950.00

950.00

950.00

950.00

950.00

8683

Construction of absent condyle and ascending ramus in hemifacial microsomia (AU 15).......

515.00

515.00

515.00

515.00

515.00

515.00

PART 11—NUCLEAR MEDICINE

8700

Erythrocyte radioactive uptake survival time test 

77.00

77.00

77.00

77.00

77.00

77.00

8702

Blood volume estimation using radioactive chromium........................................................

30.00

30.00

30.00

30.00

30.00

30.00

8704

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

60.00

60.00

60.00

60.00

60.00

60.00

8706

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

21.00

21.00

2i.00

21.00

21.00

21.00

8708

Protein bound radioactive iodine test...

30.00

30.00

30.00

30.00

30.00

30.00

8710

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

33.50

33.50

33.50

33.50

33.50

33.50

8711

Radioactive B12 absorption test (Schilling test)—two isotopes...........................................

50.00

50.00

50.00

50.00

50.00

50.00

8712

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

136.00

136.00

136.00

136.00

136.00

136.00

8713

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

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.

$

$

$

$

$

$

8716

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

106.00

106.00

106.00

106.00

106.00

106.00

8717

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

91.00

91.00

91.00

91.00

91.00

91.00

8720

Gated cardiac blood pool (equilibrium) study (C)

170.00

170.00

170.00

170.00

170.00

170.00

8721

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

91.00

91.00

91.00

91.00

91.00

91.00

8723

Gated cardiac blood pool study with intervention (C)........................................................

210.00

210.00

210.00

210.00

210.00

210.00

8724

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

106.00

106.00

106.00

106.00

106.00

106.00

8730

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

106.00

106.00

106.00

106.00

106.00

106.00

8731

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

91.00

91.00

91.00

91.00

91.00

91.00

8736

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

138.00

138.00

138.00

138.00

138.00

138.00

8737

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

124.00

124.00

124.00

124.00

124.00

124.00

8738

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

108.00

108.00

108.00

108.00

108.00

108.00

8739

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

94.00

94.00

94.00

94.00

94.00

94.00

8742

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

210.00

210.00

210.00

210.00

210.00

210.00

8743

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

180.00

180.00

180.00

180.00

180.00

180.00

8746

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

71.00

71.00

71.00

71.00

71.00

71.00

8747

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

64.00

64.00

64.00

64.00

64.00

64.00

8750

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

108.00

108.00

108.00

108.00

108.00

108.00

8755

Renal study (static) or placental study (C) 

108.00

108.00

108.00

108.00

108.00

108.00

8756

Renal study (static) or placental study (NC) 

94.00

94.00

94.00

94.00

94.00

9400

8759

Cystoureterogram or quantitative renogram (C) 

138.00

138.00

138.00

138.00

138.00

138.00

8760

Cystoureterogram or quantitative renogram (NC)

124.00

124.00

124.00

124.00

124.00

124.00

8763

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

73.00

73.00

73.00

73.00

73.00

73.00

8764

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

65.00

65.00

65.00

65.00

65.00

65.00

8769

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

140.00

140.00

140.00

140.00

140.00

140.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8770

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

124.00

124.00

124.00

124.00

124.00

124.00

8773

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

108.00

108.00

108.00

108.00

108.00

108.00

8774

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

95.00

95.00

95.00

95.00

95.00

95.00

8779

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

41.00

41.00

41.00

41.00

41.00

41.00

8780

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

36.50

36.50

36.50

36.50

36.50

36.50

8783

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

138.00

138.00

138.00

138.00

138.00

138.00

8784

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

124.00

124.00

124.00

124.00

124.00

124.00

8787

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

106.00

106.00

106.00

106.00

106.00

106.00

8788

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

91.00

91.00

91.00

91.00

91.00

91.00

8793

Bone study—4 or more areas (C)......

280.00

280.00

280.00

280.00

280.00

280.00

8794

Bone study—4 or more areas (NC)...

245.00

245.00

245.00

245.00

245.00

245.00

8797

Bone study—less than 4 areas (C)....

140.00

140.00

140.00

140.00

140.00

140.00

8798

Bone study—less than 4 areas (NC).

124.00

124.00

124.00

124.00

124.00

124.00

8799

Joint study of two or more joints (C)

140.00

140.00

140.00

140.00

140.00

140.00

8800

Joint study of two or more joints (NC) 

124.00

124.00

124.00

124.00

124.00

124.00

8803

Tumour seeking study—3 or more areas (C) 

280.00

280.00

280.00

280.00

280.00

280.00

8804

Tumour seeking study—3 or more areas (NC) 

245.00

245.00

245.00

245.00

245.00

245.00

8807

Tumour seeking study—less than 3 areas (C) 

140.00

140.00

140.00

140.00

140.00

140.00

8808

Tumour seeking study—less than 3 areas (NC) 

124.00

124.00

124.00

124.00

124.00

124.00

8813

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

70.00

70.00

70.00

70.00

70.00

70.00

8814

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

62.00

62.00

62.00

62.00

62.00

62.00

8817

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

36.50

36.50

36.50

36.50

36.50

36.50

8818

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

32.50

32.50

32.50

32.50

32.50

32.50

8821

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

106.00

106.00

106.00

106.00

106.00

106.00

8824

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

110.00

110.00

110.00

110.00

110.00

110.00

8825

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

96.00

96.00

96.00

96.00

96.00

96.00

8828

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

106.00

106.00

106.00

106.00

106.00

106.00

8829

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

91.00

91.00

91.00

91.00

91.00

91.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8850

Procedural service associated with the administration of a radionuclide in relation to a service covered by an item in Part 8A or Part 11........................

1.80

1.80

1.80

1.80

1.80

1.80

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

Division 1Orthodontic Services

8901

Professional attendance not covered by Item 8902 (AO)..........................................................

23.50

23.50

23.50

23.50

23.50

23.50

8902

Professional attendance and treatment-planning where treatment is deferred (AO)...............

47.50

47.50

47.50

47.50

47.50

47.50

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

23.50

23.50

23.50

23.50

23.50

23.50

8905

Orthodontic radiography- orthopantomography (AO)..........................................................

39.50

39.50

39.50

39.50

39.50

39.50

8906

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

62.00

62.00

62.00

62.00

62.00

62.00

8907

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

86.00

86.00

86.00

86.00

86.00

86.00

8908

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

110.00

110.00

110.00

110.00

110.00

110.00

8909

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

134.00

134.00

134.00

134.00

134.00

134.00

8914

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

315.00

315.00

315.00

315.00

315.00

315.00

8915

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

375.00

375.00

375.00

375.00

375.00

375.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

425.00

425.00

425.00

425.00

425.00

425.00

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

695.00

695.00

695.00

695.00

695.00

695.00

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)....

955.00

955.00

955.00

955.00

955.00

955.00

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

315.00

315.00

315.00

315.00

315.00

315.00

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

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.

$

$

$

$

$

$

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

625.00

625.00

625.00

625.00

625.00

625.00

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

164.00

164.00

164.00

164.00

164.00

164.00

8928

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

425.00

425.00

425.00

425.00

425.00

425.00

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

31.50

31.50

31.50

31.50

31.50

31.50

8932

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

47.50

47.50

47.50

47.50

47.50

47.50

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)......

15.80

15.80

15.80

15.80

15.80

15.80

Surgical Extractions

8936

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

95.00

95.00

95.00

95.00

95.00

95.00

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

110.00

110.00

110.00

110.00

110.00

110.00

8938

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

124.00

124.00

124.00

124.00

124.00

124.00

8939

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

140.00

140.00

140.00

140.00

140.00

140.00

8940

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

79.00

79.00

79.00

79.00

79.00

79.00

8941

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

95.00

95.00

95.00

95.00

95.00

95.00

Other Surgical Procedures

8945

Surgical exposure, stimulation and packing 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

8946

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

158.00

158.00

158.00

158.00

158.00

158.00

8947

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

158.00

158.00

158.00

158.00

158.00

158.00

8948

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

235.00

235.00

235.00

235.00

235.00

235.00

Division 3General 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)........................................................

47.50

47.50

47.50

47.50

47.50

47.50

8961

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

190.00

190.00

190.00

190.00

190.00

190.00

8962

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

225.00

225.00

225.00

225.00

225.00

225.00

8963

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

265.00

265.00

265.00

265.00

265.00

265.00

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

8964

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

295.00

295.00

295.00

295.00

295.00

295.00

8965

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

360.00

360.00

360.00

360.00

360.00

360.00

8966

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

425.00

425.00

425.00

425.00

425.00

425.00

8971

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

340.00

340.00

340.00

340.00

340.00

340.00

8972

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

395.00

395.00

395.00

395.00

395.00

395.00

8973

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

450.00

450.00

450.00

450.00

450.00

450.00

8974

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

500.00

500.00

500.00

500.00

500.00

500.00

8975

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

610.00

610.00

610.00

610.00

610.00

610.00

8976

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

700.00

700.00

700.00

700.00

700.00

700.00

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

15.80

15.80

15.80

15.80

15.80

15.80

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

23.50

23.50

23.50

23.50

23.50

23.50

8984

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

118.00

118.00

118.00

118.00

118.00

118.00

8986

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

140.00

140.00

140.00

140.00

140.00

140.00

8988

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

70.00

70.00

70.00

70.00

70.00

70.00

 

THE SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8990

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

70.00

70.00

70.00

70.00

70.00

70.00

NOTE

1. Notified in the Commonwealth of Australia Gazette

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