Health Insurance (Variation of Fees and Medical Services) (No. 51) Regulations (Cth)

Case
No judgment structure available for this case.

Statutory Rules 1989 No. 2301

——————

Health Insurance (Variation of Fees and Medical Services) (No. 51) 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 29 August 1989.

BILL HAYDEN

Governor-General

By His Excellency's Command,

NEAL BLEWETT

Minister of State for Community Services and Health

–––––––––––

Citation

1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 51) Regulations.

Commencement

2. These Regulations commence on 1 September 1989.

Repeal

3. Statutory Rules 1988 No. 184 and 1989 No. 5 are repealed.

Table of medical services

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

SCHEDULE Regulation 4

TABLE OF MEDICAL SERVICES AND RULES FOR INTERPRETATION OF THAT TABLE

1A. In this Schedule:

"item" means an item in the table of medical services;

"Division" means a Division of the table of medical services;

"Part" means a Part of the table of medical services;

"the Act" means the Health Insurance Act 1973.

1. Where 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.

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; or

(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; or

(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 accordance with Rule 3.

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

(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 or her specialty where the patient is referred to him or her 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:

SCHEDULE—continued

(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.

SCHEDULE—continued

(2) This rule applies to each of the following items in Part 6, that is to say, items 770, 774, 777, 787, 790, 810, 811, 813, 814, 819, 821, 824, 831, 833, 836, 839, 851, 852, 856, 886, 887, 888, 889, 890, 893, 895, 897, 902, 904, 907, 916, 917, 918, 922, 923, 924, 925, 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 a medical practitioner 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 nursing home complex) at which residential accommodation or day care or both such accommodation and such care is made available to:

(a) disadvantaged children;

(b) juvenile offenders;

(c) aged persons;

(d) chronically ill psychiatric patients;

(e) homeless persons;

(f) unemployed persons;

(g) persons suffering from alcoholism;

(h) persons addicted to drugs; or

(i) physically or mentally handicapped persons.

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

13. Where an item, other than an item in Part 3, includes a symbol in brackets consisting of the letters "AU" followed by a number, that symbol is to be taken to refer to an item in Part 3 in respect of the administration of an anaesthetic in connection with the medical service to which the first-mentioned item relates, being:

(a) if the anaesthetic is administered by a medical practitioner other than specialist anaesthetist— the relevant item in Division 1 of Part 3; or

(b) if the anaesthetic is administered by a specialist anaesthetist—the relevant item in Division 2 of Part 3.

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 Common wealth;

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

SCHEDULE—continued

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

(d) radiology units operated by the Australian Capital Territory Community and Health Service;

(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) of the Act.

16. A reference in an item in Division 1 of Part 3 to the administration of an anaesthetic is 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 is a reference to the administration of an anaesthetic by a specialist anaesthetist.

18. A reference in an item in Division 3 of Part 3 to the administration of an anaesthetic is a reference to the administration of an anaesthetic in connection with a dental service other than a service that is a prescribed medical service for the purposes of paragraph (b) of the definition of "professional service" in subsection 3 (1) of the Act.

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

20. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is 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—$18.80;

(b) in the case of item 2782—$20.60; or

(c) in the case of item 2798—$12.00.

21. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is 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—$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 2877—$12.00 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(c) in the case of item 2881—$14.20 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(d) in the case of item 2889—$15.60 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(e) in the case of item 2893—$13.60 for each field separately treated in excess of one up to a maximum of 5 additional fields.

22. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is 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—$11.80 for each field separately treated in excess of one up to a maximum of 5 additional fields;

(b) in the case of item 2885—$30.00 for each field separately treated in excess of one up to a maximum of 5 additional fields.

23. A reference in a column in item 2953 to an amount under this rule, being an amount payable for assistance at an operation, is a reference to an amount equal to one-fifth of the

SCHEDULE—continued

aggregate of the fees payable under the Act for the services at that operation of the practitioner to whom the assistance was rendered.

23A. (1) A reference in a column in item 2957 to an amount under this rule, being an amount payable for assistance at a series or combination of operations, is a reference to an amount equal to one-fifth of the aggregate of the fees payable under the Act for the services at those operations of the practitioner to whom the assistance was rendered.

(2) In subrule (1), the amount payable for the Caesarean section component of the operations shall be taken to be the fee applicable to item 210.

24. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is 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; or

(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.

25. A reference in a column in item 482 or 553 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in 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).

26. A reference in a column in item 484 or 556 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in 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).

27. A reference in a column in item 483 or 554 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in 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).

28. A reference in a column in item 485 or 557 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in 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).

29. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to:

(a) in the case of item 488 or 560—85% of the fee set out in that column in 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).

30. A reference in a column in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to:

SCHEDULE—continued

(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.

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 as an orthodontist 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) of the Act.

36. A reference in items 8658 to 8669 (inclusive) to maxilla includes a reference to the zygoma.

37. A reference in a column in item 6931 to an amount under this rule is a reference to an amount equal to the aggregate of:

(a) the fee set out in that column in 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).

38. A reference in a column in item 2455 to an amount under this rule is a reference to 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) $102.00.

SCHEDULE—continued

39. A medical service specified in item 186 or 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 in one of the following classes of patients:

(a) patients with myopia of greater than 4.0 dioptres (spherical equivalent) in the dominant eye;

(b) patients with manifest hyperopia of greater than 5.0 dioptres (spherical equivalent) in the dominant eye;

(c) patients with astigmatism of greater than 4.0 dioptres in the dominant eye;

(d) patients with astigmatism of greater than 3.0 dioptres in the dominant eye, requiring, for distance correction, a lens of plus power plus 3.0 dioptres or greater in one meridian;

(e) patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by Keratometric observation, where the maximum visual acuity obtainable with spectacle correction is less than 6/12 and where that corrected acuity would be improved by more than 10 per cent by the use of a contact lens;

(f) patients with anisometropia of greater than 4.0 dioptres (difference between spherical equivalents);

(g) patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system;

(h) patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by:

(i) pathological mydriasis;

(ii) aniridia;

(iii) coloboma of the iris; or

(iv) pupillary malformation or distortion;

whether congenital, traumatic or surgical in origin;

(i) patients who, by reason of their physical deformity, are unable to wear spectacles and in respect of whom a medical practitioner has prescribed, or recommended the prescription of, contact lenses; and

(j) patients in respect of whom a participating optometrist in the case of a service specified in item 186 or a medical practitioner in the case of a service specified in item 851 has certified that the patient has an ocular or medical condition (other than a condition referred to in paragraphs (a) to (h) (inclusive)) requiring for correction the use of contact lenses.

40. In Parts 6 and 8 "report" means a report prepared by a medical practitioner.

41. A reference 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;

(d) management of multiple deliveries;

(e) episiotomy;

(f) repair of tears;

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

(h) evacuation of the products of conception by manual removal;

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.

SCHEDULE—continued

42. In Part 1, "attendance of a minor nature" means an attendance by a consultant physician on a person, being an attendance:

(a) that is a second or subsequent attendance (in this rule referred to as the "later attendance") in the course of a single course of treatment of that person by that consultant physician where it is not necessary for the consultant physician, in the course of the later attendance, to carry out a physical examination of the person; and

(b) that does not result in a substantial alteration to the treatment of that person.

43. (1) In Rules 3, 5a and 42 and items 88, 94, 100, 103, 110, 116, 119, 122, 128 and 131, a reference to a single course of treatment includes the initial attendance by a specialist or consultant physician and the continuing management or treatment up to and including the stage where the patient is referred back to the care of the referring practitioner and includes any subsequent review of the patient's condition by the specialist or consultant physician that may be necessary whether the review is initiated by either the referring practitioner or the specialist or consultant physician.

(2) For the purposes of subrule (1), occurrence in the patient of an unrelated illness, requiring referral of the patient to the specialist's or consultant physician's care, initiates a new course of treatment in which case a new referral is required.

(3) For the purposes of subrule (I), if:

(a) the referring practitioner considers it necessary for the patient's condition to be reviewed; and

(b) the patient is seen by the specialist or consultant physician outside the currency of the last referral; and

(c) the patient was last seen by the specialist or consultant physician more than 9 months before the attendance;

the attendance initiates a new course of treatment.

(4) In subrule (3), "currency", in relation to the referral of a patient to a specialist, means the period of 12 months, or lesser period, applicable under paragraph (b) or (c) of Rule 3 to that referral.

44. For the purposes of sections 15 and 16 of the Act, each operation referred to in items 204, 205, 210, 362, 363, 365 or 383 is a single operation.

45. A nuclear scanning service to which an item in Part 11 relates shall be taken to be a medical service for the purposes of the Act if, and only if, the preliminary examination of the patient, the estimation and administration of the dosage and performance of the scan, are undertaken by a medical practitioner, or on behalf of a medical practitioner in the practitioner's presence, and the compilation of the final report is undertaken by the medical practitioner.

46. A reference in a column in item 8748 or 8749 to an amount under this rule is a reference to 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 8748 or 8749 is performed (being a service in Part 11); and

(b) in the case of item 8748—$80.00; or

(c) in the case of item 8749—$60.00.

47. A reference in a column in item 8868 to an amount under this rule is a reference to 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 8868 is performed (being a service in Part 11); and

(b) $160.00.

SCHEDULE—continued

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 I OR SCHEDULE IA OF THE ACT

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

13.20

13.20

13.20

13.20

13.20

13.20

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........

13.20

13.20

13.20

13.20

13.20

13.20

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

19.60

19.60

19.60

19.60

19.60

19.60

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

19.60

19.60

19.60

19.60

19.60

19.60

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

35.00

35.00

35.00

35.00

35.00

35.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

S

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

35.00

35.00

35.00

35.00

35.00

35.00

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

56.00

56.00

56.00

56.00

56.00

56.00

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

56.00

56.00

56.00

56.00

56.00

56.00

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

22.00

22.00

22.00

22.00

22.00

22.00

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

22.00

22.00

22.00

22.00

22.00

22.00

 

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

29.00

29.00

29.00

29.00

29.00

29.00

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 

29.00

29.00

29.00

29.00

29.00

29.00

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

47.00

47.00

47.00

47.00

47.00

47.00

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 

47.00

47.00

47.00

47.00

47.00

47.00

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 

67.00

67.00

67.00

67.00

67.00

67.00

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

67.00

67.00

67.00

67.00

67.00

67.00

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

29.00

29.00

29.00

29.00

29.00

29.00

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...........

29.00

29.00

29.00

29.00

29.00

29.00

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..........

19.60

19.60

19.60

19.60

19.60

19.60

 

SCHEDULE—continued

Item No.

Fees

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 

19.60

19.60

19.60

19.60

19.60

19.60

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 

19.60

19.60

19.60

19.60

19.60

19.60

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

16.60

16.60

16.60

16.60

16.60

16.60

34

Professional attendance at a hospital (not being an attendance covered by any other item in this Part)—an attendance on each of three or more in-patients in the one hospital on the one occasion where at least one of those in-patients is a nursing-home type patient—each nursing-home type patient....

13.20

13.20

13.20

13.20

13.20

13.20

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

29.00

29.00

29.00

29.00

29.00

29.00

 

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..

29.00

29.00

29.00

29.00

29.00

29.00

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

16.60

16.60

16.60

16.60

16.60

16.60

46

Professional attendance at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in 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 

13.20

13.20

13.20

13.20

13.20

13.20

55

Professional attendance at an institution of not more than 5 minutes duration (not being an attendance covered by any other item in this

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

13.20

13.20

13.20

13.20

13.20

13.20

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 

13.20

13.20

13.20

13.20

13.20

13.20

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

19.60

19.60

19.60

19.60

19.60

19.60

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

19.60

19.60

19.60

19.60

19.60

19.60

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

35.00

35.00

35.00

35.00

35.00

35.00

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

35.00

35.00

35.00

35.00

35.00

35.00

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...........

56.00

56.00

56.00

56.00

56.00

56.00

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 

56.00

56.00

56.00

56.00

56.00

56.00

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

40.50

40.50

40.50

40.50

40.50

40.50

82

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

19.60

19.60

19.60

19.60

19.60

19.60

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

85

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

27.00

27.00

27.00

27.00

27.00

27.00

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

54.00

54.00

54.00

54.00

54.00

54.00

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 

27.00

27.00

27.00

27.00

27.00

27.00

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

79.00

79.00

79.00

79.00

79.00

79.00

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

50.00

50.00

50.00

50.00

50.00

50.00

110

Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him by a medical practitioner—initial attendance in a single course of treatment....................................................

95.00

95.00

95.00

95.00

95.00

95.00

116

Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him by a medical practitioner—each attendance (other than an attendance covered by item 119) subsequent to the first in a single course of treatment....................................................

47.50

47.50

47.50

47.50

47.50

47.50

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

119

Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him by a medical practitioner—each minor attendance subsequent to the first in a single course of treatment 

27.00

27.00

27.00

27.00

27.00

27.00

122

Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his specialty (other than in psychiatry) where the patient is referred to him by a medical practitioner—initial attendance in a single course of treatment 

116.00

116.00

116.00

116.00

116.00

116.00

128

Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his specialty (other than in psychiatry) where the patient is referred to him by a medical practitioner—each attendance (other than an attendance covered by item 131) subsequent to the first in a single course of treatment 

70.00

70.00

70.00

70.00

70.00

70.00

131

Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his specialty (other than in psychiatry) where the patient is referred to him by a medical practitioner—each minor attendance subsequent to the * first in a single course of treatment.............................................

50.00

50.00

50.00

50.00

50.00

50.00

134

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

27.50

27.50

27.50

27.50

27.50

27.50

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

55.00

55.00

55.00

55.00

55.00

55.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

80.00

80.00

80.00

80.00

80.00

80.00

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

110.00

110.00

110.00

110.00

110.00

110.00

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 

134.00

134.00

134.00

134.00

134.00

134.00

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

50.00

50.00

50.00

50.00

50.00

50.00

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 

79.00

79.00

79.00

79.00

79.00

79.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

110.00

110.00

110.00

110.00

110.00

110.00

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

132.00

132.00

132.00

132.00

132.00

132.00

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 

158.00

158.00

158.00

158.00

158.00

158.00

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

77.00

77.00

77.00

77.00

77.00

77.00

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

126.00

126.00

126.00

126.00

126.00

126.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

176.00

176.00

176.00

176.00

176.00

176.00

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

225.00

225.00

225.00

225.00

225.00

225.00

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

270.00

270.00

270.00

270.00

270.00

270.00

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

82.00

82.00

82.00

82.00

82.00

82.00

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

87.00

87.00

87.00

87.00

87.00

87.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

106.00

106.00

106.00

106.00

106.00

106.00

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 in respect of attendances by a participating optometrist at, or operating from, the same practice location, 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 

43.50

43.50

43.50

4150

43.50

43.50

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

22.00

22.00

22.00

22.00

22.00

22.00

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.........

22.00

22.00

22.00

22.00

22.00

22.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

WA.

Tas.

$

$

$

$

$

$

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

110.00

110.00

110.00

110.00

110.00

110.00

PART 2-OBSTETRICS

Division 1General

190

Antenatal care (not including any service or services covered by item 204 or 205) where the attendances do not exceed ten—each attendance

19.60

19.60

19.60

19.60

19.60

19.60

192

Antenatal care (not including any service or services covered by item 204 or 205) where the attendances exceed ten.........................................

196.00

196.00

196.00

196.00

196.00

196.00

194

Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (G)..........................................................

150.00

150.00

150.00

150.00

150.00

150.00

196

Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (S)..........................................................

255.00

255.00

255.00

255.00

255.00

255.00

198

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

220.00

220.00

220.00

220.00

220.00

220.00

201

Confinement, incomplete, with or without postnatal care for nine days where the patient is referred to a specialist in the practice of his or her specialty or the patient's care is transferred to another medical practitioner for completion of the delivery................

71.00

71.00

71.00

71.00

71.00

71.00

204

Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (G)............................................

305.00

305.00

305.00

305.00

305.00

305.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

205

Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (S)............................................

450.00

450.00

450.00

450.00

450.00

450.00

210

Caesarean section and postnatal care for nine days where the patient has been referred to a specialist in the practice of his or her specialty or the patient's care has been transferred to another medical practitioner for management of the confinement and the practitioner who performed the Caesarean section did not provide the antenatal care........................................................

395.00

395.00

395.00

395.00

395.00

395.00

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

14.00

14.00

14.00

14.00

14.00

14.00

246

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

14.00

14.00

14.00

14.00

14.00

14.00

247

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

14.00

14.00

14.00

14.00

14.00

14.00

248

Pregnancy complicated by acute inter-current infection, intrauterine growth retardation, 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 

14.00

14.00

14.00

14.00

14.00

14.00

250

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

104.00

104.00

104.00

104.00

104.00

104.00

258

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

138.00

138.00

138.00

138.00

138.00

138.00

267

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

40.00

40.00

40.00

40.00

40.00

40.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

273

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

14.00

14.00

14.00

14.00

14.00

14.00

274

Management of second trimester labour, with or without induction (G).......................................

150.00

150.00

150.00

150.00

150.00

150.00

275

Management of second trimester labour, with or without induction (S)........................................

186.00

186.00

186.00

186.00

186.00

186.00

278

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

40.00

40.00

40.00

40.00

40,00

40.00

280

Chorionic villus sampling including any associated imaging.............................................................

162.00

162.00

162.00

162.00

162.00

162.00

290

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

23.00

23.00

23.00

23.00

23.00

23.00

295

Version, external, under general anaesthesia (AU 6) 

40.00

40.00

40.00

40.00

40.00

40.00

298

Version, internal, under general anaesthesia (AU 6) 

72.00

72.00

72.00

72.00

72.00

72.00

362

Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances..........................

110.00

110.00

110.00

110.00

110.00

110.00

363

Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances 

110.00

110.00

110.00

110.00

110.00

110.00

365

Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances...........................................

220.00

220.00

220.00

220.00

220.00

220.00

383

Third degree tear, repair of, involving anal sphincter muscles as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances...........................................

164.00

164.00

164.00

164.00

164.00

164.00

 

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

10.40

10.40

10.40

10.40

10.40

10.40

403

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

20.50

20.50

20.50

20.50

20.50

20.50

404

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

31.00

31.00

31.00

31.00

31.00

31.00

405

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

41.50

41.50

41.50

41.50

41.50

41.50

406

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

52.00

52.00

52.00

52.00

52.00

52.00

407

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

62.00

62.00

62.00

62.00

62.00

62.00

408

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

73.00

73.00

73.00

73.00

73.00

73.00

409

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

83.00

83.00

83.00

83.00

83.00

83.00

443

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

93.00

93.00

93.00

93.00

93.00

93.00

450

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

104.00

104.00

104.00

104.00

104.00

104.00

453

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

114.00

114.00

114.00

114.00

114.00

114.00

454

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

124.00

124.00

124.00

124.00

124.00

124.00

457

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

134.00

134.00

134.00

134.00

134.00

134.00

 

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

146.00

146.00

146.00

146.00

146.00

146.00

459

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

156.00

156.00

156.00

156.00

156.00

156.00

460

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

166.00

166.00

166.00

166.00

166.00

166.00

461

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

176.00

176.00

176.00

176.00

176.00

176.00

462

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

186.00

186.00

186.00

186.00

186.00

186.00

463

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

198.00

198.00

198.00

198.00

198.00

198.00

464

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

205.00

205.00

205.00

205.00

205.00

205.00

465

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

220.00

220.00

220.00

220.00

220.00

220.00

466

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

230.00

230.00

230.00

230.00

230.00

230.00

467

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

240.00

240.00

240.00

240.00

240.00

240.00

468

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

250.00

250.00

250.00

250.00

250.00

250.00

469

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

260.00

260.00

260.00

260.00

260.00

260.00

470

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

270.00

270.00

270.00

270.00

270.00

270.00

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).....

280.00

280.00

280.00

280.00

280.00

280.00

472

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

290.00

290.00

290.00

290.00

290.00

290.00

473

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

300.00

300.00

300.00

300.00

300.00

300.00

474

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

310.00

310.00

310.00

310.00

310.00

310.00

475

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

330.00

330.00

330.00

330.00

330.00

330.00

476

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

375.00

375.00

375.00

375.00

375.00

375.00

477

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

395.00

395.00

395.00

395.00

395.00

395.00

478

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

405.00

405.00

405.00

405.00

405.00

405.00

479

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

415.00

415.00

415.00

415.00

415.00

415.00

480

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

62.00

62.00

62.00

62.00

62.00

62.00

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

73.00

73.00

73.00

73.00

73.00

73.00

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

 

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

10.40

10.40

10.40

10.40

10.40

10.40

487

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

104.00

104.00

104.00

104.00

104.00

104.00

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 

83.00

83.00

83.00

83.00

83.00

83.00

490

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

83.00

83.00

83.00

83.00

83.00

83.00

SCHEDULE— continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

S

$

492

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

355.00

355.00

355.00

355.00

355.00

355.00

493

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

365.00

365.00

365.00

365.00

365.00

365.00

497

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

490.00

490.00

490.00

490.00

490.00

490.00

Division 2Anaesthetic Administered by a Specialist Anaesthetist

500

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

11.60

11.60

11.60

11.60

11.60

11.60

505

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

23.00

23.00

23.00

23.00

23.00

23.00

506

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

34.50

34.50

34.50

34.50

34.50

34.50

509

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

46.00

46.00

46.00

46.00

46.00

46.00

510

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

58.00

58.00

58.00

58.00

58.00

58.00

513

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

69.00

69.00

69.00

69.00

69.00

69.00

514

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

81.00

81.00

81.00

81.00

81.00

81.00

517

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

92.00

92.00

92.00

92.00

92.00

92.00

518

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

104.00

104.00

104.00

104.00

104.00

104.00

521

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

116.00

116.00

116.00

116.00

116.00

116.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

WA.

Tas.

$

$

$

$

$

$

522

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

126.00

126.00

126.00

126.00

126.00

126.00

523

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

138.00

138.00

138.00

138.00

138.00

138.00

524

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

150.00

150.00

150.00

150.00

150.00

150.00

525

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

162.00

162.00

162.00

162.00

148.00

148.00

148.00

148.00

148.00

148.00

8585

Reduction of lower eyelid for herniation of orbital fat in exophthalmos, facial nerve palsy or post-traumatic scarring, or, in respect of one of these conditions, the restoration of symmetry of the contralateral lower eyelid (AU 8)................................................

205.00

205.00

205.00

205.00

205.00

205.00

8586

Correction of ptosis (unilateral) (AU 12) 

490.00

490.00

490.00

490.00

490.00

490.00

8588

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

205.00

205.00

205.00

205.00

205.00

205.00

8592

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

300.00

300.00

300.00

300.00

300.00

300.00

8594

Rhinoplasty, correction of lateral or alar cartilages or columella, one or more (AU 10)........

325.00

325.00

325.00

325.00

325.00

325.00

8596

Rhinoplasty, correction of bony vault only (AU 10) 

370.00

370.00

370.00

370.00

370.00

370.00

8598

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

640.00

640.00

640.00

640.00

640.00

640.00

8600

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

805.00

805.00

805.00

805.00

805.00

805.00

8601

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

810.00

810.00

810.00

810.00

810.00

810.00

8602

Rhinoplasty, secondary revision of (AU 10) 

93.00

93.00

93.00

93.00

93.00

93.00

8604

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

225.00

225.00

225.00

225.00

225.00

225.00

8606

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

315.00

315.00

315.00

315.00

315.00

315.00

8608

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

330.00

330.00

330.00

330.00

330.00

330.00

8612

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

440.00

440.00

440.00

440.00

440.00

440.00

8614

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

205.00

205.00

205.00

205.00

205.00

205.00

8616

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

205.00

205.00

205.00

205.00

205.00

205.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8618

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

525.00

525.00

525.00

525.00

525.00

525.00

8620

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

152.00

152.00

152.00

152.00

152.00

152.00

8622

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

400.00

400.00

400.00

400.00

400.00

400.00

8624

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

545.00

545.00

545.00

545.00

545.00

545.00

8628

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

172.00

172.00

172.00

172.00

172.00

172.00

8630

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

325.00

325.00

325.00

325.00

325.00

325.00

8632

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

755.00

755.00

755.00

755.00

755.00

755.00

8634

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

225.00

225.00

225.00

225.00

225.00

225.00

8636

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

400.00

400.00

400.00

400.00

400.00

400.00

8638

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

400.00

400.00

400.00

400.00

400.00

400.00

8640

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

520.00

520.00

520.00

520.00

520.00

520.00

8642

  • Cleft palate, primary repair, complete cleft or cleft requiring major repair

     (D) (AU 14)

520.00

520.00

520.00

520.00

520.00

520.00

8644

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

255.00

255.00

255.00

255.00

255.00

255.00

8646

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

255.00

255.00

255.00

255.00

255.00

255.00

8648

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

370.00

370.00

370.00

370.00

370.00

370.00

8650

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

370.00

370.00

370.00

370.00

370.00

370.00

8652

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

370.00

370.00

370.00

370.00

370.00

370.00

8654

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

370.00

370.00

370.00

370.00

370.00

370.00

8656

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

465.00

465.00

465.00

465.00

465.00

465.00

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

610.00

610.00

610.00

610.00

610.00

610.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

610.00

610.00

610.00

610.00

610.00

610.00

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

775.00

775.00

775.00

775.00

775.00

775.00

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

775.00

775.00

775.00

775.00

775.00

775.00

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) 

885.00

885.00

885.00

885.00

885.00

885.00

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

885.00

885.00

885.00

885.00

885.00

885.00

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) 

1015.00

1015.00

1015.00

1015.00

1015.00

1015.00

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

1015.00

1015.00

1015.00

1015.00

1015.00

1015.00

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) 

1115.00

1115.00

1115.00

1115.00

1115.00

1115.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

1115.00

1115.00

1115.00

1115.00

1115.00

1115.00

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

1220.00

1220.00

1220.00

1220.00

1220.00

1220.00

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).........

1220.00

1220.00

1220.00

1220.00

1220.00

1220.00

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

470.00

470.00

470.00

470.00

470.00

470.00

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

470.00

470.00

470.00

470.00

470.00

470.00

8672

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

275.00

275.00

275.00

275.00

275.00

275.00

8673

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

275.00

275.00

275.00

275.00

275.00

275.00

8675

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

1590.00

1590.00

1590.00

1590.00

1590.00

1590.00

8676

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

1215.00

1215.00

1215.00

1215.00

1215.00

1215.00

8677

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

1105.00

1105.00

1105.00

1105.00

1105.00

1105.00

8678

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

1105.00

1105.00

1105.00

1105.00

1105.00

1105.00

8679

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

810.00

810.00

810.00

810.00

810.00

810.00

8680

Unilateral fronto-orbital advancement (AU 19) 

620.00

620.00

620.00

620.00

620.00

620.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8681

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

1050.00

1050.00

1050.00

1050.00

1050.00

1050.00

8682

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

1040.00

1040.00

1040.00

1040.00

1040.00

1040.00

8683

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

560.00

560.00

560.00

560.00

560.00

560.00

PART 11—NUCLEAR MEDICINE

8701

Blood volume estimation.....................

136.00

136.00

136.00

136.00

136.00

136.00

8703

Erythrocyte radioactive uptake survival time test or iron kinetic test........................................

270.00

270.00

270.00

270.00

270.00

270.00

8705

Gastrointestinal blood loss estimation involving examination of stool specimens............................

192.00

192.00

192.00

192.00

192.00

192.00

8707

Gastrointestinal protein loss.................

136.00

136.00

136.00

136.00

136.00

136.00

8714

Radioactive B12 absorption test—one isotope 

66.00

66.00

66.00

66.00

66.00

66.00

8715

Radioactive B12 absorption test—two isotopes 

144.00

144.00

144.00

144.00

144.00

144.00

8718

Thyroid uptake (using probe)...............

66.00

66.00

66.00

66.00

66.00

66.00

8719

Perchlorate discharge study.................

80.00

80.00

80.00

80.00

80.00

80.00

8722

Renal function test (without imaging procedure) 

100.00

100.00

100.00

100.00

100.00

100.00

8725

Renal function test (associated with imaging and at least 2 blood -samples)...............................

54.00

54.00

54.00

54.00

54.00

54.00

8726

Whole body count—not associated with any other item........................................................

80.00

80.00

80.00

80.00

80.00

80.00

8727

Myocardial perfusion study using thallium—single study for stress OR re-perfusion (C)................

325.00

325.00

325.00

325.00

325.00

325.00

8728

Myocardial perfusion study using thallium—single study for stress OR re-perfusion (NC).............

240.00

240.00

240.00

240.00

240.00

240.00

8732

Myocardial perfusion study using thallium—combined study for stress AND reperfusion (C).........

515.00

515.00

515.00

515.00

515.00

515.00

8733

Myocardial perfusion study using thallium—combined study for stress AND reperfusion (NC)......

385.00

385.00

385.00

385.00

385.00

385.00

8734

Myocardial infarct-avid imaging study (C) 

192.00

192.00

192.00

192.00

192.00

192.00

8735

Myocardial infarct-avid imaging study (NC) 

142.00

142.00

142.00

142.00

142.00

142.00

8740

Gated cardiac blood pool (equilibrium) study (C) 

220.00

220.00

220.00

220.00

220.00

220.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8741

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

275.00

275.00

275.00

275.00

275.00

275.00

8744

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study (not part of other investigation) (C).......................................................

166.00

166.00

166.00

166.00

166.00

166.00

8745

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study (not part of other investigation) (NC).......................................................

124.00

124.00

124.00

124.00

124.00

124.00

8748

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study when associated with another item in this Part (C).....................................

Amount under rule 46

Amount under rule 46

Amount under rule 46

Amount under rule 46

Amount under rule 46

Amount under rule 46

8749

Cardiac first pass blood flow study, cardiac shunt study or cardiac output study when associated with another item in this Part (NC)..................................

Amount under rule 46

Amount under rule 46

Amount under rule 46

Amount under rule 46

Amount under rule 46

Amount under rule 46

8751

Lung perfusion study (C)....................

158.00

158.00

158.00

158.00

158.00

158.00

8752

Lung perfusion study (NC).................

118.00

118.00

118.00

118.00

118.00

118.00

8753

Lung ventilation study using Xe127 gas (C) 

260.00

260.00

260.00

260.00

260.00

260.00

8754

Lung ventilation study using Xel27 gas (NC) 

198.00

198.00

198.00

198.00

198.00

198.00

8757

Lung ventilation study using Xel33 gas (C) 

146.00

146.00

146.00

146.00

146.00

146.00

8758

Lung ventilation study using Xel33 gas (NC) 

110.00

110.00

110.00

110.00

110.00

110.00

8761

Lung ventilation study using aerosol (Q) 

182.00

182.00

182.00

182.00

182.00

182.00

8762

Lung ventilation study using aerosol (NC)

136.00

136.00

136.00

136.00

136.00

136.00

8765

Lung perfusion study and lung ventilation study using either Xel27 or Xel33 gas (C)....................

285.00

285.00

285.00

285.00

285.00

285.00

8766

Lung perfusion study and lung ventilation study using either Xel27 or Xel33 gas (NC).................

210.00

210.00

210.00

210.00

210.00

210.00

8767

Lung perfusion study and lung ventilation study using aerosol (C)......................................

315.00

315.00

315.00

315.00

315.00

315.00

8768

Lung perfusion study and lung ventilation study using aerosol (NC)....................................

235.00

235.00

235.00

235.00

235.00

235.00

8771

Liver and spleen study (colloid) (C)....

186.00

186.00

186.00

186.00

186.00

186.00

8772

Liver and spleen study (colloid) (NC).

140.00

140.00

140.00

140.00

140.00

140.00

8775

Red blood cell spleen study (C)...........

192.00

192.00

192.00

192.00

192.00

192.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8776

Red blood cell spleen study (NC)..................

142.00

142.00

142.00

142.00

142.00

142.00

8777

Hepatobiliary study (C)................................

305.00

305.00

305.00

305.00

305.00

305.00

8778

Hepatobiliary study (NC)

225.00

225.00

225.00

225.00

225.00

225.00

8781

Bowel haemorrhage study (C).......................

350.00

350.00

350.00

350.00

350.00

350.00

8782

Bowel haemorrhage study (NC)....................

260.00

260.00

260.00

260.00

260.00

260.00

8785

Meckel's diverticulum study (C)...................

162.00

162.00

162.00

162.00

162.00

162.00

8786

Meckel's diverticulum study (NC).................

122.00

122.00

122.00

122.00

122.00

122.00

8789

Salivary study (C)........................................

162.00

162.00

162.00

162.00

162.00

162.00

8790

Salivary study (NC)......................................

122.00

122.00

122.00

122.00

122.00

122.00

8791

Gastro-oesophageal reflux study (C).............

345.00

345.00

345.00

345.00

345.00

345.00

8792

Gastro-oesophageal reflux study (NC)..........

255.00

255.00

255.00

255.00

255.00

255.00

8795

Oesophageal clearance study (C)..................

104.00

104.00

104.00

104.00

104.00

104.00

8796

Oesophageal clearance study (NC)................

78.00

78.00

78.00

78.00

78.00

78.00

8801

Gastric emptying study using single tracer (C) 

515.00

515.00

515.00

515.00

515.00

515.00

8802

Gastric emptying study using dual tracer (C).

550.00

550.00

550.00

550.00

550.00

550.00

8805

Renal study involving dynamic flow study and computer extraction of functional parameters (C)......................

235.00

235.00

235.00

235.00

235.00

235.00

8809

Renal study with intervention (C).................

290.00

290.00

290.00

290.00

290.00

290.00

8810

Renal study with intervention (NC)...............

215.00

215.00

215.00

215.00

215.00

215.00

8811

Cystoureterogram (C)...................................

178.00

178.00

178.00

178.00

178.00

178.00

8812

Cystoureterogram (NC)................................

134.00

134.00

134.00

134.00

134.00

134.00

8815

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

118.00

118.00

118.00

118.00

118.00

118.00

8816

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

88.00

88.00

88.00

88.00

88.00

88.00

8819

Brain study with blood brain barrier agent (C)

160.00

160.00

160.00

160.00

160.00

160.00

8820

Brain study with blood brain barrier agent (NC) 

120.00

120.00

120.00

120.00

120.00

120.00

8822

Cerebro-spinal fluid transport study (C)........

625.00

625.00

625.00

625.00

625.00

625.00

8823

Cerebro-spinal fluid transport study (NC).....

465.00

465.00

465.00

465.00

465.00

465.00

8826

Cerebro-spinal fluid shunt patency study (C)

164.00

164.00

164.00

164.00

164.00

164.00

8827

Cerebro-spinal fluid shunt patency study (NC) 

122.00

122.00

122.00

122.00

122.00

122.00

8830

Dynamic blood flow study or regional blood volume quantitative study (not associated with any other item in this Part) (C) 

86.00

86.00

86.00

86.00

86.00

86.00

8831

Dynamic blood flow study or regional blood volume quantitative study (not associated with any other item in this Part) (NC) 

64.00

64.00

64.00

64.00

64.00

64.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8832

Bone study—whole body (C).....................

345.00

345.00

345.00

345.00

345.00

345.00

8833

Bone study—whole body (NC)...................

255.00

255.00

255.00

255.00

255.00

255.00

8834

Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (C)........

430.00

430.00

430.00

430.00

430.00

430.00

8835

Bone study—whole body and dynamic blood flow or regional blood volume quantitative study (NC).....

325.00

325.00

325.00

325.00

325.00

325.00

8836

Whole body study using iodine (C).............

395.00

395.00

395.00

395.00

395.00

395.00

8837

Whole body study using iodine (NC)..........

295.00

295.00

295.00

295.00

295.00

295.00

8838

Whole body study using gallium (C)...........

395.00

395.00

395.00

395.00

395.00

395.00

8839

Whole body study using gallium (NC)........

295.00

295.00

295.00

295.00

295.00

295.00

8840

Whole body study using cells labelled with technetium (C) 

350.00

350.00

350.00

350.00

350.00

350.00

8841

Whole body study using cells labelled with technetium (NC) 

260.00

260.00

260.00

260.00

260.00

260.00

8842

Bone marrow study—whole body (C).........

345.00

345.00

345.00

345.00

345.00

345.00

8843

Bone marrow study—whole body (NC)......

255.00

255.00

255.00

255.00

255.00

255.00

8844

Repeat whole body study on different occasion using same administration of radiopharmaceutical (C)

160.00

160.00

160.00

160.00

160.00

160.00

8845

Repeat whole body study on different occasion using same administration of radiopharmaceutical (NC) 

120.00

120.00

120.00

120.00

120.00

120.00

8846

Localised bone or joint study including flow and blood pool studies (C)..........................................................

240.00

240.00

240.00

240.00

240.00

240.00

8847

Localised bone or joint study including flow and blood pool studies (NC).......................................................

180.00

180.00

180.00

180.00

180.00

180.00

8848

Localised bone, joint, tumour, infection or inflammation seeking study using gallium (C)...........................

290.00

290.00

290.00

290.00

290.00

290.00

8849

Localised bone, joint, tumour, infection or inflammation seeking study using gallium (NC).........................

215.00

215.00

215.00

215.00

215.00

215.00

8851

Localised bone, joint, tumour, infection or inflammation seeking study using technetium (C)......................

245.00

245.00

245.00

245.00

245.00

245.00

8852

Localised bone, joint, tumour, infection or inflammation seeking study using technetium (NC)...................

184.00

184.00

184.00

184.00

184.00

184.00

8853

Repeat localised bone, joint, tumour, infection or inflammation seeking study on different occasion using same administration of radiopharmaceutical (C)

108.00

108.00

108.00

108.00

108.00

108.00

8854

Repeat localised bone, joint, tumour, infection or inflammation seeking study on different occasion using same administration of radiopharmaceutical (NC).......................

80.00

80.00

80.00

80.00

80.00

80.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8855

Venography (including blood pool study, active uptake study or dynamic blood flow study) (C)

192.00

192.00

192.00

192.00

192.00

192.00

8856

Venography (including blood pool study, active uptake study or dynamic blood flow study) (NC) 

142.00

142.00

142.00

142.00

142.00

142.00

8857

Lymphoscintigraphy (C).....................

245.00

245.00

245.00

245.00

245.00

245.00

8858

Lymphoscintigraphy (NC)..................

184.00

184.00

184.00

184.00

184.00

184.00

8859

Thyroid Study (C)...............................

110.00

110.00

110.00

110.00

110.00

110.00

8860

Thyroid Study (NC)............................

82.00

82.00

82.00

82.00

82.00

82.00

8861

Thyroid uptake study performed on gamma camera (C).......................................................

54.00

54.00

54.00

54.00

54.00

54.00

8862

Thyroid uptake study performed on gamma camera (NC).......................................................

40.00

40.00

40.00

40.00

40.00

40.00

8863

Parathyroid (C)...................................

275.00

275.00

275.00

275.00

275.00

275.00

8864

Adrenal Study using Selenocholesterol (C) 

630.00

630.00

630.00

630.00

630.00

630.00

8865

Adrenal Study using Selenocholesterol (NC) 

470.00

470.00

470.00

470.00

470.00

470.00

8866

Adrenal Study (not covered by Item 8864/8865) (C)

320.00

320.00

320.00

320.00

320.00

320.00

8867

Adrenal Study (not covered by Item 8864/8865) (NC).......................................................

240.00

240.00

240.00

240.00

240.00

240.00

8868

Single photon emission tomography when associated with another item in this Part (C).............

Amount under rule 47

Amount under rule 47

Amount under rule 47

Amount under rule 47

Amount under rule 47

Amount under rule 47

8869

Tear Duct Study (C)............................

162.00

162.00

162.00

162.00

162.00

162.00

8870

Tear Duct Study (NC).........................

122.00

122.00

122.00

122.00

122.00

122.00

8871

Particle perfusion study (intra-arterial) or Le Veen Shunt study (C).........................................

182.00

182.00

182.00

182.00

182.00

182.00

8872

Particle perfusion study (intra-arterial) or Le Veen Shunt study (NC)......................................

136.00

136.00

136.00

136.00

136.00

136.00

8873

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

10.40

10.40

10.40

10.40

10.40

10.40

8874

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

7.90

7.90

7.90

7.90

7.90

7.90

8875

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

2.00

2.00

2.00

2.00

2.00

2.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

Division 1Orthodontic Services

8901

Professional attendance not covered by item 8902 (AO) 

25.50

25.50

25.50

25.50

25.50

25.50

8902

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

52.00

52.00

52.00

52.00

52.00

52.00

8903

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

25.50

25.50

25.50

25.50

25.50

25.50

8905

Orthodontic radiography—orthopantomography (AO) 

43.00

43.00

43.00

43.00

43.00

43.00

8906

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

68.00

68.00

68.00

68.00

68.00

68.00

8907

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

94.00

94.00

94.00

94.00

94.00

94.00

8908

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

120.00

120.00

120.00

120.00

120.00

120.00

8909

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

146.00

146.00

146.00

146.00

146.00

146.00

8914

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

345.00

345.00

345.00

345.00

345.00

345.00

8915

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

410.00

410.00

410.00

410.00

410.00

410.00

8917

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

460.00

460.00

460.00

460.00

460.00

460.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

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

755.00

755.00

755.00

755.00

755.00

755.00

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)...

1045.00

1045.00

1045.00

1045.00

1045.00

1045.00

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

345.00

345.00

345.00

345.00

345.00

345.00

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

130.00

130.00

130.00

130.00

130.00

130.00

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)......

680.00

680.00

680.00

680.00

680.00

680.00

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

180.00

180.00

180.00

180.00

180.00

180.00

8928

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

460.00

460.00

460.00

460.00

460.00

460.00

Division 2Oral 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)..................................................

34.50

34.50

34.50

34.50

34.50

34.50

8932

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

52.00

52.00

52.00

52.00-

52.00

52.00

8933

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

17.20

17.20

17.20

17.20

17.20

17.20

Surgical Extractions

8936

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

104.00

104.00

104.00

104.00

104.00

104.00

 

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) 

120.00

120.00

120.00

120.00

120.00

120.00

8938

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

136.00

136.00

136.00

136.00

136.00

136.00

8939

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

154.00

154.00

154.00

154.00

154.00

154.00

8940

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

86.00

86.00

86.00

86.00

86.00

86.00

8941

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

104.00

104.00

104.00

104.00

104.00

104.00

Other Surgical Procedures

8945

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

146.00

146.00

146.00

146.00

146.00

146.00

8946

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

172.00

172.00

172.00

172.00

172.00

172.00

8947

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

172.00

172.00

172.00

172.00

172.00

172.00

8948

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

255.00

255.00

255.00

255.00

255.00

255.00

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

52.00

52.00

52.00

52.00

52.00

52.00

8961

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

210.00

210.00

210.00

210.00

210.00

210.00

8962

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

245.00

245.00

245.00

245.00

245.00

245.00

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8963

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

290.00

290.00

290.00

290.00

290.00

290.00

8964

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

320.00

320.00

320.00

320.00

320.00

320sOO

8965

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

390.00

390.00

390.00

390.00

390.00

390.00

8966

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

460.00

460.00

460.00

460.00

460.00

460.00

8971

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

370.00

370.00

370.00

370.00

370.00

370.00

8972

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

430.00

430.00

430.00

430.00

430.00

430.00

8973

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

495.00

495.00

495.00

495.00

495.00

495.00

8974

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

545.00

545.00

545.00

545.00

545.00

545.00

8975

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

665.00

665.00

665.00

665.00

665.00

665.00

8976

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

765.00

765.00

765.00

765.00

765.00

765.00

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

17.20

17.20

17.20

17.20

17.20

17.20

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)

25.50

25.50

25.50

25.50

25.50

25.50

8984

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

128.00

128.00

128.00

128.00

128.00

128.00

8986

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

154.00

154.00

154.00

154.00

154.00

154.00

 

SCHEDULE—continued

Item No.

Fees

Medical service

N.S.W.

Vic.

Qld

S.A.

W.A.

Tas.

$

$

$

$

$

$

8988

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

77.00

77.00

77.00

77.00

77.00

77.00

8990

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

77.00

77.00

77.00

77.00

77.00

77.00

NOTE

1. Notified in the Commonwealth of Australia Gazette

Actions
Download as PDF Download as Word Document


Cases Citing This Decision

0

Cases Cited

0

Statutory Material Cited

0