Health Insurance (Variation of Fees and Medical Services) (No. 9) Regulations (Cth)

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Statutory Rules

1978 No. 206

REGULATIONS UNDER THE HEALTH INSURANCE ACT 1973*

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 this twenty-sixth day of October 1978.

ZELMAN COWEN

Governor-General

By His Excellency’s Command,

RALPH J. HUNT

Minister of State for Health

HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (NO.9) REGULATIONS

Citation

1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 9) Regulations.

Commencemen t

2. These Regulations shall come into operation on 1 November 1978.

Health Insurance (Variation of Fees and Medical Services) (No. 7) Regulations— amendment of Schedule

3. The Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 7) Regulations (being that schedule as amended by the Health Insurance (Variation of Fees and Medical Services) (No. 8) Regulations) is amended as set out in the Schedule to these Regulations.

* Notified in the Commonwealth of Australia Gazette on 31 October 1978.

SCHEDULE

AMENDMENTS OF THE SCHEDULE TO THE HEALTH INSURANCE (VARIATION OF FEES AND MEDICAL SERVICES) (No. 7) REGULATIONS

AMENDMENT OF THE RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL SERVICES

After rule 11, insert the following rules:

“ 11a. 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 any computerised axial tomography equipment of a recognized hospital or a radiology unit included in a prescribed class of radiology units.

“ 11b. Where an item in Part 9a includes the symbol ‘ (OR) ’, the item shall be taken to relate to the service specified in the item when rendered otherwise than with the use of any computerised axial tomography equipment of a recognized hospital or a radiology unit included in a prescribed class of radiology units.

“ 11c. For the purposes of rules 11a and 11b, each of the following classes of radiology units is a prescribed class of radiology units:

(a) radiology units operated by the Commonwealth;

(b) radiology units operated by the Capital Territory Health Commission;

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

(d) radiology units operated by an Australian University.”.

AMENDMENTS OF THE TABLE OF MEDICAL SERVICES

1. After Division 9 of Part 6, insert the following Division:

Division 10

“ 994 Multiphasic health screening service involving the performance of 10 or more medical services specified in items in Parts 6, 7 and 8 (including any associated consultation) ...................................

100.00

97.00

97.00

97.00

97.00

97.00

  • “ 998 Radiographic examination of one or both breasts (with or without thermography), all associated screening services (other than echography) and report where the patient is referred for the radiographic examination with

     a specific request for that examination and there is reason to suspect the presence of malignancy in the breast or breasts because of the past occurrence of breast malignancy in the patient or members of the patient’s family or because symptoms or indications of malignancy were found on an examination of the patient by a medical practitioner(S) ....................................

43.00

43.00

43.00

43.00

43.00

43.00 ”.

2. After Part 9, insert the following Part:

“ PART 9a—COMPUTERISED AXIAL TOMOGRAPHY

“ 2960 Computerised axial tomography— brain scan on a brain scanner, plain study (OR) ........................

59.00

59.00

59.00

59.00

59.00

59.00

SCHEDULE— continued

“ 2961

Computerised axial tomography— brain scan on a brain scanner, plain study (HR)

23.50

59.00

59.00

59.00

59.00

59.00

“ 2962

Computerised axial tomography— brain scan on a brain scanner, plain study and contrast medium study (OR) .............

134.00

134.00

134.00

134.00

134.00

134.00

“ 2963

Computerised axial tomography— brain scan on a brain scanner, plain study and contrast medium study (HR) .............

54.00

134.00

134.00

134.00

134.00

134.00

“ 2964

Computerised axial tomography— brain scan on a body scanner, plain study (OR)

86.00

86.00

86.00

86.00

86.00

86.00

“ 2965

Computerised axial tomography— brain scan on a body scanner, plain study (HR)

34.50

86.00

86.00

86.00

86.00

86.00

“ 2966

Computerised axial tomography— brain scan on a body scanner, plain study and contrast medium study (OR) .............

176.00

176.00

176.00

176.00

176.00

176.00

“ 2967

Computerised axial tomography— brain scan on a body scanner, plain study and contrast medium study (HR) .............

70.00

176.00

176.00

176.00

176.00

176.00

“ 2968

Computerised axial tomography— body scan on a body scanner, plain study (OR)

215.00

215.00

215.00

215.00

215.00

215.00

“ 2969

Computerised axial tomography— body scan on a body scanner, plain study (HR)

86.00

215.00

215.00

215.00

215.00

215.00

“ 2970

Computerised axial tomography— body scan on a body scanner, plain study and intravenous contrast medium study (OR)

280.00

280.00

280.00

280.00

280.00

280.00

“ 2971

Computerised axial tomography— body scan on a body scanner, plain study and intravenous contrast medium study (HR)

112.00

280.00

280.00

280.00

280.00

280.00 ”

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