Health Insurance (Variation of Fees and Medical Services) (No. 53) Regulations (Cth)
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
Dated 26 April 1990.
BILL HAYDEN
Governor-General
By His Excellency's Command,
B. HOWE
Minister of State for Community Services and Health
(a) by omitting "sections 15 and" from Rule 44 of the rules for interpretation of the table of medical services and substituting "section";
(b) by omitting from the table of medical services items 201, 204, 205, 770, 895, 920, 921, 981, 982, 983, 984, 985, 2955, 2957, 3113, 3160, 3739, 3745, 4266, 4800, 5611, 6005, 6006, 6513, 6517, 6638, 6920, 6940, 7520, 7524, 7539 and 7886;
(c) by omitting item 8805, as amended by the. Health Insurance (Variation of Fees and Medical Services) (No. 52) Regulations3 ;
(d) by inserting after item 210 of the table of medical services the following heading:
(e) by inserting before item 2980 of the table of medical services the following heading:
"PART 9A—MAGNETIC RESONANCE IMAGING";
(f) by inserting in the table of medical services the following items:
"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 | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 |
204 | Antenatal care, confinement with delivery by any means (including caesarean section) and postnatal care for nine days (G)..................... | 425.00 | 425.00 | 425.00 | 425.00 | 425.00 | 425.00 |
205 | Antenatal care, confinement with delivery by any means (including caesarean section) and postnatal care for nine days (S)..................... | 550.00 | 550.00 | 550.00 | 550.00 | 550.00 | 550.00 |
770 | Blood pressure monitoring by intravascular cannula (AU 4)............................................... | 43.50 | 43.50 | 43.50 | 43.50 | 43.50 | 43.50 |
780 | Urine flow study including peak urine flow measurement, not associated with item 786 | 17.40 | 17.40 | 17.40 | 17.40 | 17.40 | 17.40 |
781 | Cystometrography, not associated with items 784, 785, 786, 810-817, 839, 5840 or any item in Part 8........................................................... | 70.00 | 70.00 | 70.00 | 70.00 | 70.00 | 70.00 |
782 | Urethral pressure profilometry, not associated with items 783, 786,810-817, 839, 5840 or any item in Part 8................................................. | 70.00 | 70.00 | 70.00 | 70.00 | 70.00 | 70.00 |
783 | Urethral pressure profilometry with simultaneous measurement of urethral sphincter electromyography, not associated with items 782, 785, 786, 5840 or any item in Part 8 | 104.00 | 104.00 | 104.00 | 104.00 | 104.00 | 104.00 |
784 | Cystometrography with simultaneous measurement of rectal pressure, not associated with items 781, 785, 786, 810-817, 839, 5840 or any item in Part 8 (AU 6)............................................... | 104.00 | 104.00 | 104.00 | 104.00 | 104.00 | 104.00 |
785 | Cystometrography with simultaneous measurement of urethral sphincter electromyography, not associated with items 781, 783, 784, 786, 810-817, 839, 5840 or any item in Part 8 (AU 6) | 104.00 | 104.00 | 104.00 | 104.00 | 104.00 | 104.00 |
786 | Cystometrography with simultaneous measurement of any one or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; and all associated fluoroscopic imaging, not associated with items 780-785, 810-817, 839 and 5840 (AU 6)............. | 270.00 | 270.00 | 270.00 | 270.00 | 270.00 | 270.00 |
895 | Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein in a neonate | 36.00 | 36.00 | 36.00 | 36.00 | 36.00 | 36.00 |
920 | Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of various parameters including pressures, volumes, flow, gas concentrations in |
inspired or expired air, alveolar gas or blood, electrical activity of muscles—each occasion at which one or more such tests are performed | 87.00 | 87.00 | 87.00 | 87.00 | 87.00 | 87.00 | |
921 | Measurement of respiratory function involving a permanently recorded tracing performed before and after inhalation of bronchodilator—each occasion at which one or more such tests are performed....................................... | 13.00 | 13.00 | 13.00 | 13.00 | 13.00 | 13.00 |
926 | Measurement of respiratory function involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex respiratory function tests; the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital—each occasion at which one or more such tests are performed | 22.50 | 22.50 | 22.50 | 22.50 | 22.50 | 22.50 |
928 | Continuous measurement of the relationship between flow and volume during expiration or inspiration involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex lung function tests; the tests being performed under the supervision of a specialist or consultant |
physician or in the respiratory laboratory of a hospital—each occasion at which one or more such tests are performed........................................ | 39.00 | 39.00 | 39.00 | 39.00 | 39.00 | 39.00 | |
2955 | Assistance at a delivery involving caesarean section............. | 79.00 | 79.00 | 79.00 | 79.00 | 79.00 | 79.00 |
2957 | Assistance at a series or combination of operations, one of which is a delivery involving caesarean section | Amount under Rule 23A | Amount under Rule 23A | Amount under Rule 23A | Amount under Rule 33A | Amount under Rule 23A | Amount under Rule 23A |
3113 | Superficial foreign body, removal of (including from cornea or sclera), as an independent procedure (AU 5) | 14.80 | 14.80 | 14.80 | 14.80 | 14.80 | 14.80 |
3159 | Biopsy of bone marrow by aspiration or punch biopsy of synovial membrane (AU 5)..................................... | 18.60 | 18.60 | 18.60 | 18.60 | 18.60 | 18.60 |
3161 | Biopsy of pleura, percutaneous—one or more biopsies on any one occasion (AU 5)..................................... | 81.00 | 81.00 | 81.00 | 81.00 | 81.00 | 81.00 |
3739 | Laparotomy involving operation or abdominal and pelvic viscera, not covered by any other item in this Part (G) (AU 12)........................... | 325.00 | 325.00 | 325.00 | 325.00 | 325.00 | 325.00 |
3745 | Laparotomy involving operation or abdominal and pelvic viscera, not covered by any other item in this Part (S) (AU 12)........................... | 400.00 | 400.00 | 400.00 | 400.00 | 400.00 | 400.00 |
4266 | Hydrocele, removal of, when not associated with items 4288, 4293 and 4296 (AU 7).................... | 150.00 | 150.00 | 150.00 | 150.00 | 150.00 | 150.00 |
4813 | Transluminal balloon angioplasty of coronary artery and dilation of vessel, using interventional imaging techniques (AU 12)........................... | 325.00 | 325.00 | 325.00 | 325.00 | 325.00 | 325.00 |
4814 | Transluminal balloon angioplasty of peripheral vessel and dilatation of vessel, using interventional imaging techniques (AU 12)........................... | 325.00 | 325.00 | 325.00 | 325.00 | 325.00 | 325.00 |
5611 | Bronchoscopy with one or more endobronchial biopsies or other |
diagnostic or therapeutic procedures (AU 8) | 148.00 | 148.00 | 148.00 | 148.00 | 148.00 | 148.00 | |
5615 | Fibreoptic bronchoscopy with one or more transbronchial lung biopsies, with or without bronchial or broncho-alveolar lavage, with or without the use of interventional imaging (AU 8) | 162.00 | 162.00 | 162.00 | 162.00 | 162.00 | 162.00 |
5617 | Endoscopic laser resection of endobronchial tumours for relief of obstruction including any associated endoscopic procedures (AU 15).... | 380.00 | 380.00 | 380.00 | 380.00 | 380.00 | 380.00 |
6005 | Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by item 5881, 6039, 6066 or 6069 (AU 10) | 730.00 | 730.00 | 730.00 | 730.00 | 730.00 | 730.00 |
6006 | Prostatectomy (endoscopic), with or without cystoscopy, and with or without urethroscopy, and including services covered by items 5881, 6039, 6066 and 6069, continuation of, within 10 days of initial procedure which had to be discontinued for medical reasons (AU 9)................................ | 350.00 | 350.00 | 350.00 | 350.00 | 350.00 | 350.00 |
6513 | Hysterectomy, abdominal, sub-total or total, with or without removal of uterine adnexae (G) (AU 11).......................................................... | 340.00 | 340.00 | 340.00 | 340.00 | 340.00 | 340.00 |
6517 | Hysterectomy, abdominal, sub-total or total, with or without removal of uterine adnexae (S) (AU 11).......................................................... | 425.00 | 425.00 | 425.00 | 425.00 | 425.00 | 425.00 |
6518 | Hysterectomy, vaginal with or without uterine curettage, not covered by item 6544 (G) (AU 11) | 340.00 | 340.00 | 340.00 | 340.00 | 340.00 | 340.00 |
6519 | Hysterectomy, vaginal, with or without uterine curettage, not covered by item 6544 (S) (AU 11) | 425.00 | 425.00 | 425.00 | 425.00 | 425.00 | 425.00 |
6613 | Sterilisation by interruption of fallopian tubes when performed in conjunction with caesarean section (AU 5)....................................................... | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 |
6638 | Hydrotubation of fallopian tubes as a non-repetitive procedure not associated with any other item in this Part (AU 7). | 42.50 | 42.50 | 42.50 | 42.50 | 42.50 | 42.50 |
6639 | Rubin test for patency of fallopian tubes (AU 7).................................................. | 42.50 | 42.50 | 42.50 | 42,50 | 42.50 | 42.50 |
6920 | Injection of botulinus toxin for blepharospasm or stabismus including all such injections on any one day............................... | 28.50 | 28.50 | 28.50 | 28.50 | 28.50 | 28.50 |
6939 | Thoracic cavity, aspiration of, for diagnostic purposes, not associated with item 6941 | 25.00 | 25.00 | 25.00 | 25.00 | 25.00 | 25.00 |
6941 | Thoracic cavity, aspiration of, with therapuetic drainage (paracentesis), with or without diagnostic sample...... | 43.50 | 43.50 | 43.50 | 43.50 | 43.50 | 43.50 |
7520 | One or more metacarpals, not involving base of first metacarpal joint (G) (AU 4) | 86.00 | 86.00 | 86.00 | 86.00 | 86.00 | 86.00 |
7524 | One or more metacarpals, not involving base of first metacarpal joint (S) AU 4) | 118.00 | 118.00 | 118.00 | 118.00 | 118.00 | 118.00 |
7886 | Removal of one or more buried wire, pin, screw, rod, nail or plate requiring incision under regional or general anaesthesia (AU 8)..................................................... | 118.00 | 118.00 | 118.00 | 118.00 | 118.00 | 118.00 |
7980 | Carpal scaphoid, fracture of, reduction and screw fixation (AU 10)............ | 305.00 | 305.00 | 305.00 | 305.00 | 305.00 | 305.00 |
8805 | Renal study with or without dynamic flow study and with or without computer extraction of functional parameters (C)... | 235.00 | 235.00 | 235.00 | 235.00 | 235.00 | 235.00" |
1. Notified in the
2. Statutory Rules 1989 No. 230.
3. Statutory Rules 1989 No. 329.
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