National Health Act (No. 2) 1967 (Cth)

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National Health (No. 2)

No. 100 of 1967

An Act to amend the National Health Act 1953–1966, as amended by the National Health Act 1967, in relation to Medical Services in respect of which Commonwealth Benefits are Payable and in relation to the Provision of Hearing Aids.

[Assented to 10 November 1967]

BE it enacted by the Queen’s Most Excellent Majesty, the Senate, and the House of Representatives of the Commonwealth of Australia, as follows:—

Short title and citation.

1.—(1.) This Act may be cited as the National Health Act (No. 2) 1967.

(2.) The National Health Act 1953–1966, as amended by the National Health Act 1967, is in this Act referred to as the Principal Act.

 

(3.) Section 1 of the National Health Act 1967 is amended by omitting sub-section (3.).

(4.) The Principal Act, as amended by this Act, may be cited as the National Health Act 1953–1967.

Commencement.

2.—(1.) Subject to the next succeeding sub-section, this Act shall come into operation on the day on which it receives the Royal Assent.

(2.) Sections 4 and 5 of this Act shall come into operation on a date to be fixed by Proclamation.

Hearing aids.

3. Section 9a of the Principal Act is amended by omitting sub-section (2.) and inserting in its stead the following sub-sections:—

“(2.) The Minister may, through any acoustic laboratory established under the Acoustic Laboratories Act 1948 or in any other way, arrange for the supply by the Commonwealth of hearing aids to persons over the age of twenty-one years and suffering from defective hearing, being pensioners or dependants of pensioners, and for the maintenance, otherwise than by way of provision of replacement batteries, of hearing aids so supplied.

“(2a.) Subject to the next succeeding sub-section, a hearing aid shall not be supplied in pursuance of the last preceding sub-section unless a charge of Ten dollars is paid to the Director-General by or on behalf of the pensioner, or arrangements for payment of that charge are made to the satisfaction of the Director-General.

“(2b.) An amount is not payable under the last preceding sub-section where a hearing aid is supplied in substitution for a hearing aid previously supplied by the Commonwealth that has been returned to the Commonwealth undamaged.

“(2c.) A hearing aid supplied in pursuance of this section remains the property of the Commonwealth notwithstanding any purported disposition or pledging of the hearing aid by any person.

“(2d.) A person to whom a hearing aid has been supplied in pursuance of this section shall not part with possession of the hearing aid except with the consent of, or as directed by, the Director-General.

Penalty: Twenty Dollars.

“(2e.) Nothing in this section prevents or affects the supply of a hearing aid to a person, whether referred to in this section or not, in pursuance of a law of the Commonwealth other than this Act.”.

Commonwealth benefit not payable where medical expenses payable to public hospitals.

4. Section 19 of the Principal Act is amended by omitting from sub-section (2.) the definition of “professional service” and inserting in its stead the following definition:—

“‘professional service’ does not include a medical service specified in items six hundred and thirty to six hundred and sixty (inclusive) in Part 6 of the Schedule to this Act or in any item in Part 7 or 8 of that Schedule;”.

 

The Schedule.

5. The Schedule to the Principal Act is repealed and the following Schedule inserted in its stead:—

THE SCHEDULE Section 14.

Medical Services in respect of which Commonwealth Benefits are Payable

Item No.

Medical Service

Commonwealth Benefit

$

Part 1.—Professional Attendances not Covered by an Item in any other Part of this Schedule

1.

Professional attendance by a medical practitioner other than a specialist in the practice of his specialty—each attendance.........................................................................................................................................

0.80

5.

Professional attendance by a specialist in the practice of his specialty where patient is referred by another medical practitioner—for the first attendance

2.50

8.

Professional attendance by a specialist in the practice of his specialty where patient is referred by another medical practitioner—for each attendance subsequent to the first during a single course of treatment 

1.20

14.

Professional attendance by a specialist in the practice of his specialty where patient is not referred by another medical practitioner—each attendance.......................................................................................

0.80

27.

Prolonged attendance by a medical practitioner on a patient in a critical condition arising from electric shock, drowning, caisson disease, tetanus or respiratory paralysis, requiring constant attention to the exclusion of all other patients—

for the first two hours................................................................................................................

4.00

for each subsequent completed period of one hour..............................................................

2.00

44.

Pre-operative 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 

0.80

Part 2.—Midwifery

Division 1.—General

202.

Antenatal care (not including any service or services covered by item 222, 250, 254, 258, 262, 266 or 270 in this Schedule), where attendances do not exceed ten—each attendance.......................................................................

0.80

205.

Antenatal care (not including any service or services covered by item 222, 250, 254, 258, 262, 266 or 270 in this Schedule), where attendances exceed ten

8.00

208.

Confinement and postnatal care for nine days (not including any service or services covered by item 222, 262, 270, 274, 278, 282, 286 or 290 in this Schedule), where the medical practitioner has not given the antenatal care

10.00

222.

Antenatal care, confinement and postnatal care for nine days (not including any service or services covered by Division 2 of this Part)................................................................................................................................................

15.00

225.

Caesarean section and postnatal care for nine days....................................................................................

25.00

Division 2.—Special Services

242.

Treatment of habitual miscarriage by injection of hormones—each injection up to a maximum of twelve injections 

0.80

246.

Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance......................................................................................................................................

0.80

250.

Cervix, purse string ligation of, for threatened miscarriage........................................................................

5.00

254.

Cervix. removal of purse string ligature of, under general anaesthesia......................................................

3.00

258.

Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each attendance.............................

0.80

262.

Amniocentesis.............................................................................................................................................

4.00

266.

Version, external or internal, under anaesthesia..........................................................................................

4.00

270.

Surgical induction of labour........................................................................................................................

4.00

274.

Decapitation, craniotomy, cleidotomy or evisceration of foetus or any two or more of those services.....

15.00

278.

Evacuation by intrauterine manual removal of the products of conception such as retained foetus, placenta, membranes or mole.......................................................................................................................................................

5.00

282.

Manipulative correction of acute inversion of uterus, with or without incision of cervix..........................

16.00

286.

Postpartum haemorrhage requiring special procedures such as packing, treatment of..............................

4.00

290.

Third degree tear, repair of. Involving anal sphincter muscles...................................................................

7.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 3.—Anaesthetics

Division 1.—Anaesthetics other than Gaseous Anaesthetics not Covered by an Item in any other Part of this Schedule

300.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable does not exceed $8.00 and where an anaesthetic referred to in Division 2 of this Part is not given..............................................

2.00

304.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable exceeds $8.00 but does not exceed $18.00 and where an anaesthetic referred to in Division 2 of this Part is not given........

3.00

308.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable exceeds $18.00 but does not exceed $30.00 and where an anaesthetic referred to in Division 2 of this Part is not given........

4.00

312.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable exceeds $30.00 but does not exceed $40.00 and where an anaesthetic referred to in Division 2 of this Part is not given........

5.00

316.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable exceeds $40.00 and where an anaesthetic referred to in Division 2 of this Part is not given..............................................

6.00

320.

Administration of an anaesthetic other than gaseous, in addition to an anaesthetic referred to in Division 2 of this Part.........................................................................................................................................

1.00

Division 2.—Gaseous Anaesthetics

350.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable does not exceed $8.00 

3.00

354.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable exceeds $8.00 but does not exceed $18.00............................................................................................................................................

4.00

358.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable exceeds $18.00 but does not exceed $30.00............................................................................................................................................

6.00

362.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable exceeds $30.00 but does not exceed $40.00............................................................................................................................................

8.00

366.

Administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable exceeds $40.00...

10.00

Division 3.—Dental Anaesthetics

380.

Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connexion with a dental operation...........................................................................................

2.00

385.

Administration by a medical practitioner of an endotracheal anaesthetic in connexion with a dental operation........................................................................................................................................................

4.00

Part 4.—Regional Nerve Block or Field Block

450.

Major regional or field block, including abdominal; brachial plexus; caudal; cervical plexus; epidural (peridural); paravertebral (thoracic or lumbar); pudendal; sacral; spinal..........................

6.00

Part 5.—Assistance in Administration of an Anaesthetic

500.

Assistance in the administration of an anaesthetic in connexion with a professional service or a series or combination of professional services for which the Commonwealth benefit payable is not less than $50.00........................................................................................................................................................

3.00

 

Item No.

Medical Service

Common, wealth Benefit

$

Part 6.—Miscellaneous Procedures

600.

Electrocardiography, phonocardiography, stethography or ballistocardiography....................................

2.00

610.

Continuous electrocardiographic monitoring during anaesthesia............................................................

3.00

615.

Restoration of cardiac rhythm by electrical stimulation, other than in the course of cardiac surgery....

4.00

620.

Intracardiac pressure recording at operation............................................................................................

10.00

630.

Echoencephalography or echography......................................................................................................

4.00

640.

Electroencephalography, not covered by item 630, 650 or 660 in this Schedule.....................................

6.00

650.

Electroencephalography, temporosphenoidal..........................................................................................

9.00

660.

Electrocorticography.................................................................................................................................

11.00

680.

Electromyography—involving estimation of nerve conduction times or stimulating response recording 

4.00

690.

Electromyography—involving sampling of muscle activity—each attendance at which procedure is performed 

2.00

700.

Tonography, in the management of glaucoma.........................................................................................

3.00

710.

Audiography............................................................................................................................................

2.00

720.

Test of ear, or tests of ears on the same occasion, for integrity of static labyrinth..................................

3.00

730.

Bronchospirometry, including gas analysis.............................................................................................

10.00

740.

Estimation of respiratory function by spirometer or other simple techniques— each attendance at which one or more tests are performed.....................................................................................................................................

4.00

750.

Estimation of respiratory function requiring complicated techniques—each attendance at which one or more tests are performed...........................................................................................................................................

8.00

760.

Perfusion of limb or organ using heart-lung machine or equivalent........................................................

30.00

770.

Whole body perfusion, cardiac by-pass, using heart-lung machine or equivalent...................................

40.00

780.

Dialysis involving use of artificial kidney...............................................................................................

30.00

790.

Dialysis, peritoneal, for acute renal failure..............................................................................................

7.00

800.

Induced controlled hypothermia—total body..........................................................................................

7.00

830.

Fluids, intravenous or subcutaneous infusion of—percutaneous.............................................................

2.00

840.

Fluids, intravenous or subcutaneous infusion of—by open exposure.....................................................

3.00

850.

Intravenous infusion of a substance incorporating a cytotoxic agent......................................................

4.00

860.

Intraarterial infusion of a substance incorporating a cytotoxic agent, preparation for............................

5.00

865.

Intralymphatic infusion of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium 

8.00

870.

Blood transfusion, including collection from donor................................................................................

6.00

880.

Blood transfusion, using pooled blood or blood already collected..........................................................

4.00

890.

Blood transfusion with venesection and complete replacement of blood, including collection from donor 

14.00

900.

Blood transfusion with venesection and complete replacement of blood, using pooled blood or blood already collected 

12.00

905.

Intrauterine foetal blood transfusion using pooled blood or blood already collected, including necessary amniocentesis 

14.00

910.

Blood for purposes of transfusion, collection of.....................................................................................

3.00

920.

Venesection, not covered by item 890 or 900 in this Schedule—each attendance at which venesection is performed 

1.50

930.

Blood specimen for pathological test, intravenous collection of.............................................................

0.80

940.

Blood for pathological test, collection of by arterial puncture................................................................

2.00

950.

Hormone or living tissue implantation—by incision...............................................................................

3.00

960.

Hormone or living tissue implantation—by cannula...............................................................................

2.00

970.

Intragastric freezing.................................................................................................................................

6.00

975.

Intragastric cooling (for a minimum of eight hours)...............................................................................

12.00

980.

Electroconvulsive therapy—each attendance at which treatment is given..............................................

3.00

Part 7.—Pathological Services

Division 1.—Pathological Services in Relation to Blood

1005.

Haemoglobin estimation (where patient is referred by another medical practitioner for this service)....

0.80

1009.

Red cell count..........................................................................................................................................

0.80

1013.

White cell count.......................................................................................................................................

0.80

1017.

Examination of blood film for abnormal red cells...................................................................................

0.80

1021.

Red cell count and estimation of haemoglobin........................................................................................

1.00

1025.

Red cell count and examination of blood film.........................................................................................

1.00

1029.

White cell count and differential leucocyte count...................................................................................

1.00

1033.

Haemoglobin estimation and examination of blood film.........................................................................

1.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 7.—Pathological Servicescontinued

Division 1.—Pathological Services in Relation to Blood—continued

1037.

Red cell count, white cell count, estimation of haemoglobin and examination of blood film....................

2.00

1041.

Platelet or reticulocyte count.......................................................................................................................

1.00

1045.

Wet eosinophil count...................................................................................................................................

1.00

1049.

Estimation of coagulation time....................................................................................................................

0.80

1053.

Estimation of bleeding time.........................................................................................................................

0.80

1057.

Estimation of blood sedimentation rate (where patient is referred by another medical practitioner for this service) 

1.00

1061.

Haematocrit estimation.................................................................................................................................

1.00

1065.

Recalcified plasma clotting time..................................................................................................................

2.00

1069.

Determination of fragility of red blood cells...............................................................................................

3.00

1071.

Estimation of mean diameter of red blood cells..........................................................................................

2.00

1073.

Estimation of prothrombin time...................................................................................................................

2.00

1077.

Qualitative test for cryoglobulin..................................................................................................................

1.00

1081.

Clot retraction (quantitative test).................................................................................................................

2.00

1085.

Prothrombin consumption test.....................................................................................................................

3.00

1089.

Two-stage prothrombin estimation..............................................................................................................

3.00

1093.

Thrombin generation test.............................................................................................................................

3.00

1097.

Thromboplastin generation screening test...................................................................................................

3.00

1101.

Thromboplastin generation test (full)..........................................................................................................

5.00

1105.

Platelet function test.....................................................................................................................................

3.00

1109.

Assay of antihaemophilic globulin or other blood coagulation factors—quantitative.................................

6.00

1113.

Blood grouping A.B.O................................................................................................................................

0.80

1117.

Compatibility testing—for each bottle tested up to five bottles..................................................................

1.00

1121.

Compatibility testing—where more than five bottles are tested..................................................................

5.00

1125.

M.N. or Rh typing........................................................................................................................................

1.00

1129.

Examination of blood serum for Anti-Rh or other blood group antibodies.................................................

2.00

1133.

Determination and titration of cold agglutinins in blood.............................................................................

1.00

1137.

Determination of anti-streptolysin titre or Rose-Waaler test.......................................................................

2.00

1141.

Examination of blood for malarial, filarial or other parasites......................................................................

1.00

1145.

Examination of blood for lupus erythematosus cells...................................................................................

2.00

1149.

Determination of Paul-Bunnell reaction......................................................................................................

1.50

1153.

Blood culture................................................................................................................................................

2.00

1157.

Blood sugar estimation—initial or repeated.................................................................................................

2.00

1161.

Glucose tolerance or tolbutamide (blood glucose response) test.................................................................

4.00

1165.

Xylose absorption test..................................................................................................................................

4.00

1169.

Congo red test for amyloids.........................................................................................................................

6.00

1173.

Estimation of alcohol, urea, chlorides, creatinine, cholesterol, phosphatase or similar substance—one substance 

2.00

1177.

Estimation of any two substances referred to in the last preceding item.....................................................

4.00

1181.

Estimation of any three substances referred to in item 1173 in this Schedule.............................................

6.00

1185.

Estimation of any four substances referred to in item 1173 in this Schedule..............................................

8.00

1189.

Estimation of any five or more substances referred to in item 1173 in this Schedule.................................

10.00

1193.

Estimation of glucose-6-phosphate dehydrogenase in red cells..................................................................

2.00

1197.

Estimation of folic acid in serum or plasma................................................................................................

3.00

1201.

Estimation of total protein (by gravimetric methods)..................................................................................

1.00

1205.

Estimation of lead........................................................................................................................................

4.00

1209.

Blood volume (dye method)........................................................................................................................

3.00

1213.

Cytological sex determination from blood film...........................................................................................

2.00

1217.

Estimation of iron binding capacity.............................................................................................................

2.00

1225.

Van den Bergh reaction—qualitative test....................................................................................................

1.00

1229.

Van den Bergh reaction—quantitative test..................................................................................................

2.00

1233.

Spectroscopic tests for blood and blood derivatives....................................................................................

2.00

1237.

Estimation of carbon dioxide combining power..........................................................................................

2.00

1241.

Estimation by electrophoresis of serum protein, haemoglobin or similar substances.................................

3.00

1245.

Protein bound iodine test.............................................................................................................................

5.00

1249.

Thyroglobulin antibody estimation..............................................................................................................

2.00

1253.

Estimation of Vitamin B12 in serum or plasma...........................................................................................

3.00

1257.

Coombs’ test (direct)....................................................................................................................................

1.00

1261.

Coombs’ test (indirect).................................................................................................................................

2.00

1265.

Coombs’ titration test...................................................................................................................................

3.00

 

Item No.

Medical Service

Commonwealth Benefit

Part 7.—Pathological Servicescontinued

$

Division 2.—Pathological Services in Relation to Urine

1300.

General examination for reaction, specific gravity, blood, albumin, Bence-Jones protein and sugar, with microscopical examination of centrifuged deposit with or without qualitative tests for urobilin, acetone, indican or bile pigment (where patient is referred by another medical practitioner for this service)........................................

1.00

1303.

Microscopical examination of centrifuged deposit (where patient is referred by another medical practitioner for this service).................................................................................................................................................

0.80

1306.

Microscopical and cultural examination for micro-organisms..................................................................

2.00

1309.

Urinary white cell excretion test................................................................................................................

2.00

1312.

Quantitative chemical estimation of sugar, albumin, urea, phosphates or similar substances—one substance 

2.00

1315.

Quantitative chemical estimation of any two substances referred to in the last preceding item...............

4.00

1318.

Quantitative chemical estimation of any three or more substances referred to in item 1312 in this Schedule 

6.00

1321.

Quantitative test for presence of any pigment or substance not covered by any other item in this Part...

2.00

1324.

Urea concentration or clearance test..........................................................................................................

3.00

1327.

Water elimination or Mosenthal kidney function test................................................................................

1.50

1330.

Protamine sulphate titration........................................................................................................................

1.00

1333.

Pressor amine test......................................................................................................................................

4.00

1336.

Estimation of lead or urinary steroids, thallium or porphyrins..................................................................

4.00

1339.

Chemical examination for increased porphyrins in urine (semi-quantitative) .........................................

1.00

1342.

Assay of ascorbic acid excretion................................................................................................................

2.00

Division 3.—Pathological Services in Relation to Synovial Fluids, Other Exudates, Pus and Other Morbid Fluids

1360.

Microscopical examination of smear for cellular content and micro-organisms.......................................

0.80

1363.

Cultural examination for, and identification of, aerobic micro-organisms................................................

1.00

1366.

Cultural examination for, and identification of, CL. tetani and other anaerobes.......................................

2.00

1369.

Microscopical and cultural examination and animal inoculation in connexion with the pathological examination of pus, exudations and other morbid fluids.....................................................................................................

5.00

1372.

Microscopical examination of vaginal and cervical discharge..................................................................

0.80

1375.

Microscopical and cultural examination of vaginal discharge...................................................................

1.00

1378.

Examination for T. vaginalis......................................................................................................................

0.80

1381.

Serological typing of streptococci including Sir. Pneumonlae..................................................................

2.00

1384.

Serological grouping (Lancefield) of streptococci.....................................................................................

2.00

1387.

White cell count.........................................................................................................................................

0.80

1390.

White cell count and differential count......................................................................................................

1.00

1393.

Chemical estimation of body fluids not covered by any other item in this Part........................................

2.00

Division 4.—Serological Tests

1400.

Agglutination test, including agglutination test for enteric fever or Brucella infection—each antigen....

0.80

1403.

Flocculation tests for syphilis, including Kline, Kahn, Eagle and similar tests—each test.......................

0.80

1406.

Complement fixation test for syphilis (qualitative or quantitative)............................................................

2.00

1409.

Complement fixation test for gonorrhoea or hydatid.................................................................................

2.00

1412.

Latex flocculation test for rheumatoid arthritis or other conditions—each test........................................

0.80

1415.

Complement fixation test for toxoplasmosis.............................................................................................

2.00

1418.

Methylene blue dye test for toxoplasmosis................................................................................................

2.00

1421.

Complement fixation test to detect antibodies to other bacterial, viral or fungal infections or parasitic infestations not covered by any other item in this Part.................................................................................................

2.00

1424.

Haemagglutination or haemagglutination-inhibition test for the diagnosis of virus infection..................

2.00

Division 5.—Pathological Services in Relation to Faeces

1440.

Microscopical examination for pus cells...................................................................................................

0.80

1443.

Microscopical examination for helminthic infestation, worms and ova (all or any of them)....................

1.00

1446.

Microscopical examination for amoebae, flagellates, vegetative forms and cysts (all or any of them)....

1.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 7.—Pathological Servicescontinued

Division 5.—Pathological Services in Relation to Faeces—continued

1449.

Chemical examination, including chemical examination for occult blood or urobilin 

0.80

1452.

Estimation of lead or fat.....................................................................................

4.00

1455.

Cultural examination for S. typhi, dysentery bacilli or other intestinal pathogens, without full fermentation reaction or serological or other investigation for purpose of identification

1.00

1458.

Cultural examination for S. typhi, dysentery bacilli or other intestinal pathogens, with full fermentation reaction or serological or other investigation for purpose of identification

3.00

Division 6.—Skin Sensitivity Tests

1480.

Skin sensitivity tests for allergens, including skin sensitivity tests for hay fever, asthma and other allergic conditions—not more than ten reagents or injections...........................

1.00

1483.

Skin sensitivity tests for allergens, including skin sensitivity tests for hay fever, asthma and other allergic conditions—more than ten reagents or injections.................................

2.00

1486.

Determination of Casoni reaction for hydatid infestation......................................

1.00

1489.

Determination of Von Pirquet, Mantoux or Vollmer patch reaction.......................

1.00

1492.

Determination of Schick or Frei antigen reaction..................................................

1.00

Division 7.—Autogenous Vaccines

1510.

Preparation of autogenous vaccines.....................................................................

2.00

Division 8.—Examinations for Special Pathogens

1520.

Dark ground examination for T. pallidum............................................................

2.00

Examination for Actinomyces

1530.

Microscopical examination.................................................................................

0.80

1533.

Microscopical examination with culture aerobic and anaerobic.............................

2.00

1536.

Microscopical examination with culture aerobic and anaerobic with animal inoculation 

6.00

Examination for Anthrax Bacilli

1550.

Microscopical examination.................................................................................

0.80

1553.

Microscopical examination with cultural examination..........................................

2.00

1556.

Microscopical examination with cultural examination and animal inoculation........

6.00

Examination for Diphtheria Bacilli

1570.

Microscopical examination of smear...................................................................

0.80

1573.

Microscopical examination, cultural examination and biochemical reaction...........

1.00

1576.

Microscopical examination, cultural examination, biochemical reaction and virulence test

6.00

1579.

Microscopical examination, cultural examination, biochemical reaction, virulence test and typing of strains.......................................................................................................

7.00

Examination for Mycobacterium Tuberculosis

1600.

Microscopical examination.................................................................................

0.80

1603.

Microscopical examination with cultural examination..........................................

3.00

1606.

Microscopical examination with cultural examination and animal inoculation........

6.00

Division 9.—Calculi, Faecal Concretions and Gallstones

1620.

Qualitative examination of calculi, faecal concretions or gallstones.......................

1.00

 

Item No.

Medical Service

Common-wealth Benefit

Part 7.—Pathological Servicescontinued

$

Division 10.—Pathological Services in Relation to Gastric Contents and Vomitus

1630.

Fractional meal test with analysis.................................................................................................

4.00

1633.

Stomach acid secretion test by ingestion of dye.........................................................................

1.50

1636.

General chemical and microscopical examination....................................................................

1.00

1639.

Chemical examination for metallic poisons—qualitative.........................................................

1.00

1642.

Chemical examination for metallic poisons—quantitative......................................................

3.00

Division 11.—Pathological Services in Relation to Hair and Skin

1660.

Microscopical examination, including examination for fungi.................................................

1.00

1663.

Microscopical examination with culture......................................................................................

2.00

1666.

Microscopical examination with culture and animal inoculation...........................................

6.00

1669.

Chemical examination of hair for metallic poisons—qualitative............................................

1.00

Division 12.—Pathological Services in Relation to Cerebrospinal Fluid

1690.

Chemical examination....................................................................................................................

1.00

1693.

Cytological examination................................................................................................................

0.80

1696.

Cytological and chemical examination.......................................................................................

2.00

1699.

Cytological examination, chemical examination and bacteriological examination, including culture.......................................................................................................................................................

3.00

1702.

Cytological examination, chemical examination and bacteriological examination, including culture with animal inoculation.....................................................................................................................

6.00

1705.

Lange colloidal gold reaction........................................................................................................

2.00

1708.

Flocculation tests for syphilis, including Kline, Kahn, Eagle and similar tests—each test

0.80

1711.

Wassermann reaction......................................................................................................................

2.00

Division 13.—Pathological Services in Relation to Sputum

1740.

General microscopical examination.............................................................................................

0.80

1743.

General microscopical examination with cultural examination..............................................

2.00

Division 14.—Pathological Services in Relation to Morbid Anatomy

1760.

Histopathological examination of biopsy specimens—each specimen..................................

4.00

1763.

Examination of specimen obtained by sternal puncture or biopsy..........................................

3.00

1766.

Cytological examination, including examination for cancer cells of pleural fluid, peritoneal fluid, bronchial or cervical exudates or urine....................................................................................................

3.00

1769.

Cytological sex chromatin studies other than from blood film................................................

2.00

Division 15.—Miscellaneous Tests

1830.

Electrolyte determination of body fluids not covered by any other item in this Part...........

2.00

1833.

Chemical analysis of human milk.................................................................................................

2.00

1836.

Chemical estimation of body fluids not covered by any other item in this Part...................

2.00

1839.

Estimation of basal metabolic rate................................................................................................

3.00

1842.

Pregnancy tests, or tests for chorionic cancer, using rabbits, mice or rats.............................

3.00

1845.

Pregnancy tests, or tests for chorionic cancer, using toads......................................................

2.00

1848.

Pregnancy tests, or tests for chorionic cancer, using immuno-chemical methods...............

100

1851.

Chromosome studies—including preparation, count and karyotyping..................................

7.00

1854.

Appraisal of semen or Huhner’s test............................................................................................

2.00

1857.

Quantitative assay of chorionic gonadotrophin..........................................................................

4.00

1860.

Liver function test............................................................................................................................

2.00

Division 16.—Investigation op Antibiotics and Chemotherapeutic Agents

1880.

Chromatographic examination of serum, urine or other body fluids......................................

2.00

1883.

Sensitivity tests of micro-organisms to antibiotics and chemotherapeutic agents

2.00

1886.

Assay of concentration of antibiotics and chemotherapeutic agents in body fluids

2.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 7.—Pathological Servicescontinued

Division 17.—Radio-Isotope Studies

1900.

Estimation of red cell survival or life—radio-active technique.....................................................

10.00

1902.

Estimation of blood volume—radio-active technique.....................................................................

4.00

1904.

Estimation of radio-iodine excretion in urine....................................................................................

3.00

1906.

Radio-immuno-assay of plasma protein hormones—each protein hormone..............................

4.00

1908.

Radio-iodine uptake test.......................................................................................................................

4.00

1910.

Radio-active Vitamin B12 absorption test.........................................................................................

4.00

1912.

Radio-active thyroidal clearance test..................................................................................................

5.00

1914.

Thyroid uptake test................................................................................................................................

4.00

1916.

T-3 resin uptake test..............................................................................................................................

4.00

1918.

Protein bound 131-I test........................................................................................................................

4.00

1920.

Cerebral scan..........................................................................................................................................

8.00

1922.

Spinal cord scan.....................................................................................................................................

6.00

1924.

Parathyroid scan.....................................................................................................................................

6.00

1926.

Thyroid scan...........................................................................................................................................

4.00

1928.

Mediastinal scan.....................................................................................................................................

6.00

1930.

Scan of lung or lungs.............................................................................................................................

6.00

1932.

Heart scan................................................................................................................................................

6.00

1934.

Liver scan................................................................................................................................................

8.00

1936.

Pancreas scan..........................................................................................................................................

8.00

1938.

Spleen scan.............................................................................................................................................

6.00

1940.

Renal scan...............................................................................................................................................

6.00

1942.

Differential renal scan...........................................................................................................................

4.00

1944.

Scan of bone or bones...........................................................................................................................

6.00

1946.

Scan of region or organ not covered by any other item in this Division.......................................

6.00

Part 8.—Radiological Services

Division 1.—Radiographic Examination of Extremities and Report

2000.

Digits or phalanges—all or any of either hand or either foot........................................................

2.00

2003.

Hand, wrist, forearm, elbow or arm (elbow to shoulder)................................................................

2.00

2006.

Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) 

3.00

2009.

Foot, ankle, lower leg, upper leg, knee or thigh (femur).................................................................

3.00

2012.

Foot, ankle and lower leg; or upper leg and knee............................................................................

3.00

Division 2.—Radiographic Examination of Shoulder or Hip Joint and Report

2030.

Shoulder region including clavicle and scapula...............................................................................

3.00

2033.

Hip joint...................................................................................................................................................

3.00

2036.

Pelvic girdle.............................................................................................................................................

3.00

2039.

Smith-Petersen nail—insertion or similar procedure......................................................................

6.00

Division 3.—Radiographic Examination of Head and Report

2050.

Skull, sinuses or mastoids....................................................................................................................

4.00

3053.

Maxilla or orbit, or both.......................................................................................................................

4.00

2056.

Mandible, malar bones or salivary calculus......................................................................................

4.00

2059.

Nose or eye..............................................................................................................................................

2.00

2062.

Palate or pharynx, or palate and pharynx, by direct radiography with fluoroscopic screening

4.00

2065.

Larynx......................................................................................................................................................

2.00

Division 4.—Radiographic Examination of Spine and Report

2080.

Spine—any one region..........................................................................................................................

4.00

2083.

Spine—two regions................................................................................................................................

5.00

2086.

Spine—three or more regions...............................................................................................................

7.00

2089

Hemiskeleton (bone age study)...........................................................................................................

4.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 8.—Radiological Servicescontinued

Division 5.—Radiographic Examination or Thoracic Region and Report

2100.

Chest (lung fields) by direct radiography.........................................................................................

3.00

2103.

Chest (lung fields) by direct radiography with fluoroscopic screening.......................................

4.00

2106.

Chest, by miniature radiography........................................................................................................

0.80

2109.

Pleura......................................................................................................................................................

3.00

2112.

Orthodiagraphy.....................................................................................................................................

3.00

2115.

Teleoroentgenography with cardiac measurements.......................................................................

3.00

2118.

Cardiac examination (including barium swallow)...........................................................................

4.00

2121.

Cardiac measurements and kymography.........................................................................................

4.00

2124.

Sternum or one or more ribs of any one side...................................................................................

3.00

2127.

One or more ribs of both sides............................................................................................................

4.00

Division 6.—Radiographic Examination of Urinary Tract and Report

2150.

Plain renal only.....................................................................................................................................

3.00

2153.

Drip-infusion pyelography..................................................................................................................

9.00

2156.

Intravenous pyelography, including preliminary plain film..........................................................

7.00’

2159.

Retrograde pyelography......................................................................................................................

3.00

2162.

Cystography, urethrography or vesiculography, as an independent procedure.........................

4.00

2165.

Micturating cysto-urethrography, as an independent procedure..................................................

6.00

2168.

Perirenal insufflations..........................................................................................................................

3.00

Division 7.—Radiographic Examination of Alimentary Tract and Biliary System (with or without Fluoroscopy) and Report

2180.

Plain abdominal only...........................................................................................................................

3.00

2183.

Pneumoperitoneum..............................................................................................................................

3.00

2186.

Oesophagus, with or without examination for foreign body or barium swallow.......................

3.00

2189.

Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest...........................................................................................................................................................

5.00

2192.

Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest............................................................................................................

6.00

2195.

Barium or other opaque meal, small bowel series only.................................................................

4.00

2198.

Barium or other opaque meal, appendix only.................................................................................

3.00

2201.

Opaque enema......................................................................................................................................

5.0O

2204.

Opaque enema, including air contrast study (two stages)..............................................................

7.00

2207.

Graham’s test (cholecystography).....................................................................................................

5.00

2210.

Cholangiography direct, operative or post-operative.....................................................................

5.00

2213.

Cholangiography—intravenous.........................................................................................................

6.00

Division 8.—Radiographic Examination for Localization of Foreign Bodies and Report

2300.

Foreign body in eye (special method, Sweet’s or other)................................................................

3.00

2303.

Foreign body, localization of and report, not covered by any other item in this Part—the amount of Commonwealth benefit payable for the radiographic examination of the area and report, plus 

1.00

Division 9.—Radiographic Examination of Breasts and Report

2340.

Radiographic examination of breast or breasts and report............................................................

3.00

Division 10.—Radiographic Examination in Connexion with Pregnancy and Report

2360.

Pregnant uterus......................................................................................................................................

3.00

2363.

Pelvimetry or placentography............................................................................................................

5.00

2366.

Control X-rays associated with intrauterine foetal blood transfusion.........................................

6.00

 

Item No.

Medical Service

Commonwealth Benefit

Part 8.—Radiological Servicescontinued

$

Division 11.—Radiographic Examination with Opaque or Contrast Media, and Report

Not including any service covered by Division 16 of this Part

2400.

Serial angiocardiography (rapid cassette changing).......................................................................

8.00

2403.

Serial angiocardiography (single plane—direct roll-film method).............................................

10.00

2406.

Serial angiocardiography (bi-plane—direct roll-film method)....................................................

10.00

2409.

Serial angiocardiography (indirect roll-film method)....................................................................

10.00

2412.

Discography...........................................................................................................................................

5.00

2415.

Intraosseous venography....................................................................................................................

3.00

2418.

Dacryocystography..............................................................................................................................

3.00

2421.

Myelography, encephalography, cerebral angiography or ventriculography ...........................

6.00

2424.

Hysterosalpingography.......................................................................................................................

3.00

2427.

Bronchography, arteriography, phlebography, aortography or splenography...........................

5.00

2430.

Sialography or vasoepididymyography...........................................................................................

3.00

2433.

Sinuses and fistulae—the amount of Commonwealth benefit payable for the radiographic examination of the area and report, plus.......................................................................................................................

1.00

2436.

Pneumarthrography—the amount of Commonwealth benefit payable for the radiographic examination of the area and report, plus.......................................................................................................................

1.00

2439.

Lymphangiography, including follow up radiography..................................................................

6.00

Division 12.—Tomography and Report

2480.

Tomography of any part and report..................................................................................................

5.00

Division 13.—Stereoscopic Examination and Report

2500.

Stereoscopic examination and report—the amount of Commonwealth benefit payable for the radiographic examination of the area and report, plus....................................................................................

2.00

Division 14.—Fluoroscopic Examination (where Radiograph is not taken) and Report

Not including any service covered by any other item in this Part

2520.

Examination with general anaesthesia.............................................................................................

3.00

2525.

Examination without general anaesthesia.......................................................................................

2.00

Division 15.—Radiotherapy

2600.

Radiotherapy, superficial, (including treatment by means of X-rays, radium rays or other radio-active substances) not covered by any other item in this Part— each attendance at which treatment is given...........................................................................................................................................................

2.00

2605.

Radiotherapy, other than superficial, orthovoltage therapy or megavoltage therapy (including treatment by means of X-rays, radium rays or other radioactive substances) not covered by any other item in this Part—each attendance at which treatment is given..................................................................

3.00

2610.

Radiotherapy, orthovoltage therapy or megavoltage therapy under hyperbaric conditions (including treatment by means of X-rays, radium rays or other radio-active substances) not covered by any other item in this Part—each attendance at which treatment is given.............................................

7.00

Implantation of Radio-active Substances for Tumour

2650.

Globe of eye..........................................................................................................................................

20.00

2653.

Retina.....................................................................................................................................................

20.00

2656.

Lip...........................................................................................................................................................

7.00

2659.

Mouth or tongue or both.....................................................................................................................

12.00

2662.

Bladder...................................................................................................................................................

25.00

2665.

Prostate...................................................................................................................................................

20.00

2668.

Cervix or corpus uteri..........................................................................................................................

12.00

2676.

Any region or organ not referred to in a preceding item under this heading the implantation of which requires a major anaesthetic........................................................................................................................

12.00

2680.

Any region or organ referred to in the last preceding item the implantation of which does not require a major anaesthetic......................................................................................................................................

6.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 8.—Radiological Servicescontinued

Division 15.—Radiotherapy—continued

Application of Moulds of Radio-active Substances

2685.

Alveolus, palate or antrum...............................................................................................................

12.00

2690.

Scar following radical mastectomy................................................................................................

6.00

2695.

Hand or other skin area or mucous membrane.............................................................................

6.00

Injection of Radio-active Substances

2705.

Intracavitary administration of radio-active substances..............................................................

5.00

Division 16.—Preparation for Radiological Procedure, being the Injection of Opaque or Contrast Media or the Removal of Fluid and its Replacement by Air, Oxygen or other Contrast Media or other similar Preparation, including the Administration of an Anaesthetic for Radiotherapy

2800.

Encephalography................................................................................................................................

10.00

2803.

Cerebral angiography—percutaneous............................................................................................

10.00

2806.

Cerebral angiography—open exposure..........................................................................................

12.00

2809.

Cerebral ventriculography.................................................................................................................

15.00

2812.

Dacryocystography............................................................................................................................

3.00

2815.

Bronchography...................................................................................................................................

3.00

2818.

Aortography.........................................................................................................................................

10.00

2821.

Arteriography—peripheral, phlebography or splenography.......................................................

3.00

2824.

Perirenal insufflations........................................................................................................................

3.00

2827.

Pneumarthrography or radiography of pneumoperitoneum.......................................................

2.00

2830.

Pyelography, cholecystography or similar procedure by intravenous injection......................

2.00

2833.

Drip-infusion pyelography................................................................................................................

3.00

2836.

Retrograde pyelography, including cystoscopy with ureteric catheterization.........................

10.00

2839.

Hysterosalpingography......................................................................................................................

4.00

2842.

Discography.........................................................................................................................................

3.00

2845.

Intraosseous venography..................................................................................................................

3.00

2848.

Myelography.......................................................................................................................................

4.00

2851.

Sinus or fistula, injection into...........................................................................................................

1.00

2854.

Lymphangiography............................................................................................................................

6.00

2857.

Administration of an anaesthetic for radiotherapy under hyperbaric conditions.....................

6.00

Part 9.—Assistance at Operations

2900.

Assistance at any operation or series or combination of operations for which the Commonwealth benefit payable does not exceed $8.00...................................................................................................

2.00

2903.

Assistance at any operation or series or combination of operations for which the Commonwealth benefit payable exceeds $8.00 but does not exceed $18.00...............................................................

3.00

2906.

Assistance at any operation or series or combination of operations for which the Commonwealth benefit payable exceeds $18.00 but does not exceed 330.00.............................................................

5.00

2909.

Assistance at any operation or series or combination of operations for which the Commonwealth benefit payable exceeds $30.00 but does not exceed $40.00.............................................................

7.00

2912.

Assistance at any operation or series or combination of operations for which the Commonwealth benefit payable exceeds $40.00..............................................................................................................

9.00

Part 10.—Operations

Division 1.—General Surgical

3010.

Dressing of localized burns (not involving grafting)—each attendance at which the procedure is performed.........................................................................................................................................................

1.00

3013.

Dressing of burns, extensive, without anaesthesia (not involving grafting)— each attendance at which the procedure is performed...............................................................................................................

2.00

3016.

Dressing of localized burns under general anaesthesia (not involving grafting)— each attendance at which the procedure is performed.........................................................................................................

4.00

3019.

Dressing of burns, extensive, under general anaesthesia (not involving grafting)— each attendance at which the procedure is performed.........................................................................................................

7.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 10.—Operationscontinued

Division 1.—General Surgical—continued

3029.

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), superficial, not covered by Part 2 of this Schedule......................................

3.00

3032.

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, small (not more than 7 centimetres long), involving deeper tissue, not covered by Part 2 of this Schedule..................

5.00

3035.

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), superficial...............................................................................................................

5.00

3038.

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, small (not more than 7 centimetres long), involving deeper tissue...........................................................................................

8.00

3041.

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), superficial, not covered by Part 2 of this Schedule......................................

5.00

3044.

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, other than on face or neck, large (more than 7 centimetres long), involving deeper tissue, not covered by Part 2 of this Schedule..................

8.00

3047.

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), superficial...............................................................................................................

8.00

3050.

3060.

Skin and subcutaneous tissue or mucous membrane, repair of recent wound of, on face or neck, large (more than 7 centimetres long), involving deeper tissue...........................................................................................

Superficial foreign body, removal of, not covered by any other item in this Part.....................................

12.00

0.80

3063.

Subcutaneous foreign body, removal of, not covered by any other item in this Part.................................

3.00

3066.

Foreign body in muscle, tendon or other deep tissue, removal of, not covered by any other item in this Part 

10.00

3076.

Biopsy of skin or mucous membrane, as an independent procedure..........................................................

3.00

3079.

Biopsy of lymph gland, muscle or other deep tissue or organ, as an independent procedure....................

5.00

3082.

Biopsy (burr-hole), of sternum...................................................................................................................

5.00

3085.

3088.

Biopsy, aspiration, of bone marrow...........................................................................................................

Scalene node biopsy...................................................................................................................................

2.00

7.00

3098.

Sinus, excision of, involving superficial tissues only.................................................................................

3.00

3101.

Sinus, excision of, involving muscle and deep tissue................................................................................

8.00

3111.

Bursa, incision of........................................................................................................................................

2.00

3114.

Ganglion or small bursa, excision of..........................................................................................................

5.00

3117.

3120.

Bursa (large), including olecranon, calcaneum or patella, excision of......................................................

 Bursa, semimembranosus, (or Baker’s cyst), excision of.........................................................................

10.00

12.00

3130.

Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, up to 3 centimetres in diameter 

3.00

3133.

Tumour, cyst or scar, removal of cutaneous, subcutaneous or in mucous membrane, more than 3 centimetres in diameter..............................................................................................................................................................

5.00

3136.

Tumour, cyst or scar, removal of, not covered by any other item in this Part, involving muscle, bone or other deep tissue..............................................................................................................................................................

10.00

3139.

Tumour or deep cyst, removal of, not covered by any other item in this Part, requiring wide excision....

20.00

3142.

Tumours, malignant, operation for, not covered by any other item in this Part, requiring wide excision and dissection of glands or involving muscle, bone or viscera........................................................................................

40.00

3145.

Lipectomy for abdominal apron or similar condition.................................................................................

25.00

3148.

Plantar wart, simple removal of.................................................................................................................

3.00

3151.

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on not more than five lesions.........................................................................

2.00

3154.

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than five but not more than ten lesions............................................

3.00

3157.

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than ten but not more than fifteen lesions........................................

4.00

3160.

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than fifteen but not more than twenty lesions..................................

5.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 10.—Operationscontinued

Division 1.—General Surgical—continued

3163.

Keratoses, warts or similar lesions, electrosurgical destruction or chemotherapy of—each attendance at which the procedure is performed on more than twenty lesions.........................................................................

6.00

3173.

Haematoma, aspiration of..........................................................................................................................

1.00

3176.

Haematoma, furuncle, small abscess or similar lesion not requiring a general anaesthetic, incision with drainage of 

1.00

3179.

Large haematoma, abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic, incision with drainage of.........................................................................................................................................................

5.00

3189.

Muscle, excision of (limited).....................................................................................................................

7.00

3192.

Muscle, excision of (extensive).................................................................................................................

15.00

3195.

Muscle, ruptured, repair of, not associated with external wound.............................................................

15.00

3198.

Fascia, deep, repair of, for herniated muscle.............................................................................................

7.00

3205.

Anatomical compartment of extremity, extensive exploration of, not involving any other procedure.....

7.00

3215.

Bone tumour, innocent, excision of, not covered by any other item in this Part......................................

20.00

3218.

Styloid process of temporal bone, removal of...........................................................................................

20.00

3228.

Parotid gland, total extirpation of..............................................................................................................

40.00

3231.

Parotid gland, removal of tumour from.....................................................................................................

15.00

3234.

Parotid gland, superficial lobectomy or removal of tumour from, with exposure of facial nerve............

35.00

3237.

Sublingual or submandibular gland, extirpation of...................................................................................

15.00

3240.

Salivary gland, incision of, or transoral ligation of salivary duct..............................................................

3.00

3243.

Salivary gland, removal of calculus from..................................................................................................

12.00

3246.

Salivary gland, dilatation or diathermy of duct.........................................................................................

3.00

3249.

Salivary gland, removal of calculus from duct..........................................................................................

7.00

3252.

Salivary gland, repair of cutaneous fistula of............................................................................................

6.00

3262.

Tongue, partial or complete excision of....................................................................................................

40.00

3265.

Tongue tie, repair of..................................................................................................................................

15.00

6551.

Maxilla—with external fixation....................................................................................................................

20.00

6554.

Mandible—not requiring splinting...............................................................................................................

9.00

6557.

Mandible—with wiring of teeth or internal fixation....................................................................................

15.00

6560.

Mandible—skeletal pinning with external fixation......................................................................................

20.00

6563.

Zygoma.........................................................................................................................................................

7.00

6567.

Spine (excluding sacrum), transverse process or bone other than vertebral body, not requiring immobilization in plaster—each attendance.......................................................................................................................................

0.80

6570.

Spine (excluding sacrum), vertebral body, without involvement of cord, not requiring immobilization in plaster—each attendance...............................................................................................................................................

0.80

6573.

Spine (excluding sacrum), transverse process or bone other than vertebral body requiring immobilization in plaster 

12.00

6576.

Spine (excluding sacrum), vertebral body, without involvement of cord, requiring immobilization in plaster 

25.00

6579.

Spine (excluding sacrum), vertebral body, with involvement of cord.........................................................

50.00

Simple and Uncomplicated Fractures requiring Open Operation

6582.

Treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in an item under the last preceding heading—

(a)the amount specified in that item plus one-third of that amount; or

(b) Sixty dollars,

whichever is the less

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 10.—Operationscontinued

Division 10.—Treatment of Fractures—continued

Compound Fractures requiring Open Operation

6585.

Treatment of a compound fracture requiring open operation, being a fracture referred to in an item under the first heading in this Division—

(a) the amount specified in that item plus one-half of that amount; or

(b) Sixty dollars,

whichever is the less

Complicated Fractures requiring Open Operation

6588.

Treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in an item under the first heading in the Division—

(a)the amount specified in that item plus three-quarters of that amount; or

(b) Sixty dollars,

whichever is the less

General

6591.

Initial reduction (without full post-operative treatment) in a series of two or more reduction of a fracture, being a reduction that would, but for this item, be covered by an item under a preceding heading in this Division—one-half of the amount specified in that item

6594.

Each subsequent reduction (without full post-operative treatment) in the series (other than the final reduction), being a reduction that would, but for this item, be covered by an item under a preceding heading in this Division—one-half of the amount specified in that item

6597.

Final reduction (including full post-operative treatment) in the series, being a reduction that would, but for this item, be covered by an item under a preceding heading in this Division— the amount specified in that item

6600.

Treatment of avulsion of epiphysis of any part—the amount specified in this Division for the treatment of a simple and uncomplicated fracture of that part not requiring open operation

Division 11.—Orthopaedic

7000.

Accessory or sesamoid bone, removal of...................................................................................................

10.00

7003.

Epicondylitis, open operation for...............................................................................................................

10.00

7009.

Digital nail, removal of..............................................................................................................................

2.00

7012.

Incision of pulp space, paronychia or other acute infection of hands or feet, not covered by any other item in this Part 

2.00

7015.

Middle palmar, thenar or hypothenar spaces, drainage of.........................................................................

5.00

7018.

Ingrowing toenail, excision of nail bed......................................................................................................

5.00

7021.

Insertion of orthopaedic pin or wire where no other surgical procedure is performed..............................

6.00

7024.

Osteosynthesis by Smith-Petersen nail.......................................................................................................

35.00

7027.

Temporo-mandibular meniscectomy..........................................................................................................

20.00

7030.

Joint (other than spine), manipulation of, under general anaesthesia.........................................................

7.00

7033.

Spine, manipulation of, under general anaesthesia.....................................................................................

10.00

7036.

Spine, application of plaster jacket.............................................................................................................

5.00

7039.

Spinal fusion for scoliosis..........................................................................................................................

60.00

7042.

Bone graft to spine, posterior, not covered by item 7045 or 7048 in this Schedule...................................

30.00

7045.

Bone graft to spine with interbody spinal fusion.......................................................................................

50.00

7048.

Bone graft to spine with laminectomy and posterior interbody fusion......................................................

60.00

7054.

Bone graft not covered by any other item in this Part................................................................................

30.00

7064.

Shoulder—removal of calcium deposit from cuff.....................................................................................

10.00

7067.

Shoulder—arthrotomy................................................................................................................................

20.00

7070.

Shoulder—arthroplasty or plastic reconstruction.......................................................................................

35.00

7073.

Shoulder—arthrodesis or arthrectomy........................................................................................................

35.00

7083.

Finger or other small joint—arthrodesis, arthrectomy or arthroplasty.......................................................

10.00

7086.

Small joint—arthrotomy.............................................................................................................................

5.00

7089.

Zygapophyseal joints, arthrectomy of........................................................................................................

25.00

7096.

Sacro-iliac joint—arthrodesis.....................................................................................................................

30.00

7099.

Other large joint—arthrodesis, arthrectomy or arthroplasty......................................................................

25.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 10.—Operationscontinued

Division 11.—Orthopaedic—continued

7102.

Other large joint—arthrotomy................................................................................................................

15.00

7112.

Hip—arthrodesis, arthrectomy or arthroplasty......................................................................................

60.00

7115.

Hip—arthrotomy....................................................................................................................................

25.00

7125.

Knee—arthrodesis, arthrectomy, arthroplasty or total synovectomy of................................................

40.00

7128.

Knee—arthrotomy..................................................................................................................................

15.00

7131.

Knee—operation for internal derangement............................................................................................

25.00

7134.

Knee—reconstruction of cruciate ligaments..........................................................................................

40.00

7137.

Knee—reconstruction of capsular ligaments.........................................................................................

30.00

7140.

Knee—excision of patella......................................................................................................................

20.00

7143.

Knee—operation for recurrent dislocation of patella.............................................................................

20.00

7153.

Joint, aspiration of, or intra-articular injection into, or both of those services......................................

2.00

7156.

Joint, repair of capsule or ligament of...................................................................................................

10.00

7166.

Foot or ankle region—triple arthrodesis................................................................................................

30.00

7169.

Calcanean spur, removal of...................................................................................................................

12.00

7172.

Hallux valgus, correction of..................................................................................................................

17.00

7175.

Hallux rigidus, correction of..................................................................................................................

17.00

7178.

Hammer toe, correction of.....................................................................................................................

12.00

7188.

Cervical rib, removal of.........................................................................................................................

25.00

7191.

Scalenotomy...........................................................................................................................................

12.00

7194.

Acromion or coraco-acromion ligament, removal of............................................................................

15.00

7204.

Excision of exostosis of small bone.......................................................................................................

10.00

7207.

Excision of exostosis of large bone.......................................................................................................

15.00

7217.

Osteotomy or osteectomy of phalanx, metacarpal or metatarsal............................................................

12.00

7220.

Osteotomy of phalanx, metacarpal or metatarsal, with internal fixation...............................................

17.00

7223.

Osteotomy or osteectomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus 

17.00

7226.

Osteotomy of fibula, radius, ulna, clavicle, scapula (other than acromion), rib, tarsus or carpus, with internal fixation.........................................................................................................................................................

25.00

7229.

Osteotomy or osteectomy of tibia, humerus, femur or pelvic bone.......................................................

25.00

7232.

Osteotomy of tibia, humerus, femur or pelvic bone, with internal fixation...........................................

35.00

7235.

Osteectomy of vertebral bodies.............................................................................................................

25.00

7245.

Flexor tendon of hand, primary suture of..............................................................................................

10.00

7248.

Flexor tendon of hand, secondary suture of...........................................................................................

12.00

7251.

Extensor tendon of hand, primary suture of..........................................................................................

7.00

7254. 7264.

Extensor tendon of hand, secondary suture of.......................................................................................

Achilles tendon or other large tendon, suture of....................................................................................

10.00

15.00

7267.

7270.

Tendon of foot, primary suture of..........................................................................................................

Tendon of foot, secondary suture of......................................................................................................

7.00

10.00

7273.

Tenotomy, subcutaneous, one or more tendons.....................................................................................

7.00

7276.

Tenotomy, open, with or without tenoplasty.........................................................................................

12.00

7279.

Tendon or ligament transplantation........................................................................................................

17.00

7282.

Tendon graft...........................................................................................................................................

25.00

7285.

Tendon splitting.....................................................................................................................................

15.00

7288.

Tendon sheath, incision of.....................................................................................................................

5.00

7291.

Stenosing tendovaginitis, open operation for........................................................................................

10.00

7294.

Tendon sheath of finger or thumb, synovectomy of..............................................................................

8.00

7300.

Cicatricial flexion contracture of joint, correction of, involving tissues deeper than skin and subcutaneous tissue.........................................................................................................................................................

20.00

7304.

Dupuytren’s contracture, subcutaneous fasciotomy..............................................................................

12.00

7307.

Dupuytren’s contracture, radical operation for......................................................................................

20.00

7310.

Volkmann’s contracture, operation for..................................................................................................

20.00

Division 12.—Paediatric

Manipulations and Plaster Work for correction of Congenital Abnormalities

7500.

Congenital dislocation of hip—manipulation and plaster (one hip)......................................................

7.00

7503.

Talipes equinovarus—manipulation under general anaesthesia............................................................

3.00

7506.

Talipes equinovarus—manipulation and plaster under general anaesthesia..........................................

4.00

7509.

Calcaneus valgus—manipulation under general anaesthesia.................................................................

3.00

7512.

Calcaneus valgus—manipulation and plaster under general anaesthesia..............................................

4.00

7515.

Pes planus—manipulation under general anaesthesia............................................................................

3.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 10.—Operationscontinued

Division 12.—Paediatric—continued

Manipulations and Plaster Work for correction of Congenital Abnormalities—continued

7518.

Pes planus—manipulation and plaster under general anaesthesia...........................................................

4.00

7521.

Genu varum or genu valgum—manipulation under general anaesthesia................................................

3.00

7524.

Genu varum or genu valgum—manipulation and plaster under general anaesthesia..............................

5.00

7527.

Genu varum or genu valgum—manipulation and plaster with osteoclasis.............................................

12.00

7530.

Contractures, manipulation under general anaesthesia, not covered by any other item in this Part.......

3.00

7533.

Contractures, manipulation and plaster under general anaesthesia, not covered by any other item in this Part 

4.00

7536.

Spastic paralysis—manipulation and plaster (one limb).........................................................................

4.00

Operations for correction of Congenital Abnormalities

7600.

Subdural haemorrhage, tap for................................................................................................................

3.00

7603.

Subdural haemorrhage, osteoplastic flap and excision of.......................................................................

50.00

7606.

Hydrocephalus—suboccipital decompression, third ventriculostomy or Tor-kildsen’s operation.........

50.00

7609.

Ventriculo-jugular shunt.........................................................................................................................

50.00

7612.

Ventriculo-atrial shunt for hydrocephalus...............................................................................................

50.00

7615.

Ventriculo-atrial shunt for hydrocephalus, revision of...........................................................................

30.00

7618.

Hydrocephalus, spino-ureteral, spino-peritoneal or spino-pleural anastomosis of, or ventricular cable shunt for..........................................................................................................................................................

40.00

7621.

Craniostenosis, operation for..................................................................................................................

40.00

7624.

Arachnoidal cyst, operation for...............................................................................................................

50.00

7627.

Hypertelorism, correction of...................................................................................................................

50.00

7630.

Choanal atresia, repair of—transpalatine.................................................................................................

30.00

7633.

Choanal atresia, repair of—intranasal.....................................................................................................

10.00

7636.

Macrocheilia, macroglossia or macrostomia, operation for....................................................................

25.00

7639.

Torticollis, operation for.........................................................................................................................

20.00

7642.

Oesophagus, radical correction of congenital stenosis of.......................................................................

60.00

7645.

Tracheo-oesophageal fistula, correction of.............................................................................................

60.00

7648.

Duodenal obstruction (congenital)—anastomosis or resection of..........................................................

40.00

7651.

Hypertrophic pyloric stenosis, operation for...........................................................................................

25.00

7654.

Congenital volvulus of the small intestine, correction of.......................................................................

30.00

7657.

Intestinal atresia or stenosis—excision or anastomosis (or both)...........................................................

40.00

7660.

Hirschsprung’s disease, rectosigmoidectomy for...................................................................................

50.00

7663.

Exomphalos, operation for......................................................................................................................

25.00

7666.

Exomphalos, operation for, by plastic flap.............................................................................................

35.00

7669.

Imperforate anus, abdomino-perineal correction of................................................................................

50.00

7672.

Imperforate anus, correction of (other than abdomino-perineal).............................................................

20.00

7675.

Contracted bladder neck (congenital), wedge excision or perurethral resection of................................

30.00

7678.

Urachal fistula.........................................................................................................................................

20.00

7681.

Ectopic bladder—“turning-in” operation................................................................................................

50.00

7684.

Pinhole urinary meatus—meatotomy.......................................................................................................

5.00

7687.

Urethral valves, open removal of............................................................................................................

40.00

7690.

Incontinence of urine (congenital)—plastic operation to sphincter........................................................

30.00

7693.

Lymphangiectasis of limb (Milroy’s disease)—excision of...................................................................

25.00

Operations for excision of Congenital Abnormalities

7700.

Abnormal limb, amputation of................................................................................................................

15.00

7703.

Extra digit, amputation of.......................................................................................................................

5.00

7706.

Dermoid, periorbital, excision of............................................................................................................

6.00

7709.

Dermoid, orbital, excision of..................................................................................................................

25.00

7712.

Dermoid of nose, superficial, excision of...............................................................................................

6.00

7715.

Dermoid of nose, excision of, with intranasal extension........................................................................

20.00

7718.

Sacrococcygeal dermoid or teratoma other than pilonidal sinus, excision of.........................................

30.00

7721.

Myelomeningocele—excision of sac......................................................................................................

30.00

Operations for acquired Conditions

7760.

Megacolon, colectomy.............................................................................................................................

40.00

7763.

Epiphysitis (Perthes’, Calve’s or Scheuermann’s), plaster for...............................................................

5.00

7766.

Epiphysitis (Sever’s, Kohler’s, Kienboch’s or Schlatter’s), plaster for..................................................

3.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 10.—Operationscontinued

Division 13.—Plastic and Reconstructive

Meticulous Plastic Repair designed to obtain maximal Functional or Cosmetic Results including the preparation of the Defect requiring Repair

8000.

Derma-fat fascia graft (including transplant or muscle flap)....................................................................

20.00

8003.

Abrasive therapy, limited area...................................................................................................................

10.00

8006.

Abrasive therapy, extensive area...............................................................................................................

20.00

8009.

Electrolysis epilation, each treatment........................................................................................................

2.00

8019.

Angioma, cauterization of or injection into, under general anaesthesia....................................................

3.00

8022.

Angioma of skin and subcutaneous tissue or mucous surface, small, excision and repair of...................

6.00

8025.

Angioma of skin and subcutaneous tissue or mucous surface, large, excision and repair of....................

10.00

8028.

Angioma involving deeper tissue, small, excision and repair of...............................................................

10.00

8031.

Angioma involving deeper tissue, large, excision and repair of...............................................................

20.00

8041.

Major excision and grafting for lymph-oedema........................................................................................

30.00

8044.

Foreign implants for contour reconstruction..............................................................................................

17.00

Meticulous Plastic Repair of Limb (above Hand or Foot) or of Trunk designed to obtain maximal Functional or Cosmetic Results including the preparation of the Defect requiring Repair

8100.

Single stage local flap repair, simple, small..............................................................................................

8.00

8103.

Single stage local flap repair, complicated or large...................................................................................

12.00

8106.

Direct flap repair (cross leg or similar), first stage....................................................................................

12.00

8109.

Direct flap repair (cross leg or similar), second stage...............................................................................

7.00

8112.

Direct flap repair, small, first stage...........................................................................................................

8.00

8115.

Direct flap repair, small, second stage.......................................................................................................

4.00

8118.

Indirect flap or tubed pedicle, formation of..............................................................................................

12.00

8121.

Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of...........................................

8.00

8124.

Indirect flap or tubed pedicle, preparation of site and attachment to site..................................................

17.00

8127.

Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure...........................................

12.00

8130.

Direct, indirect or local flap repair, revision of graft.................................................................................

8.00

8140.

Free grafts (split skin or pinch grafts) on granulating areas, small...........................................................

5.00

8143.

Free grafts (split skin) on granulating areas, extensive.............................................................................

12.00

8146.

Free grafts (split skin) to extensive burns.................................................................................................

20.00

8149.

Free grafts (split skin) including elective dissection, small.......................................................................

10.00

8152.

Free grafts (split skin) including elective dissection, extensive................................................................

20.00

8155.

Free full thickness grafts...........................................................................................................................

15.00

8158.

Cineplasty for amputation stump...............................................................................................................

25.00

8168.

Mammaplasty, reduction or repositioning (unilateral)...............................................................................

35.00

8171.

Mammaplasty, augmentation, prosthetic (unilateral).................................................................................

30.00

8174.

Mammaplasty, derma-fat fascia (unilateral)..............................................................................................

50.00

Meticulous Plastic Repair of Hands, Feet, Scalp, Face or Neck designed to obtain maximal Functional or Cosmetic Results including the preparation of the Defect requiring Repair

8300.

Single stage local flap repair, simple, small..............................................................................................

12.00

8303.

Single stage local flap repair, complicated or large...................................................................................

18.00

8306.

Direct flap repair, small, (cross finger or similar), first stage...................................................................

12.00

8309.

Direct flap repair, small, (cross finger or similar), second stage...............................................................

6.00

8312.

Indirect flap or tubed pedicle, formation of..............................................................................................

18.00

8315.

Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of...........................................

12.00

8318.

Indirect flap or tubed pedicle, preparation of site and attachment to site..................................................

26.00

8321.

Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure...........................................

18.00

8324.

Direct, indirect or local flap repair, revision of graft.................................................................................

12.00

8334.

Free grafts (split skin or pinch grafts) on granulating areas, small...........................................................

8.00

8337.

Free grafts (split skin) on granulating areas, extensive.............................................................................

18.00

8340.

Free grafts (split skin) to extensive burns.................................................................................................

30.00

8343.

Free grafts (split skin) including elective dissection, small.......................................................................

15.00

8346.

Free grafts (split skin) including elective dissection, extensive................................................................

30.00

8349.

Free full thickness grafts...........................................................................................................................

22.00

8359.

Digit, transplantation of—complete procedure.........................................................................................

40.00

 

Item No.

Medical Service

Commonwealth Benefit

$

Part 10.—Operationscontinued

Division 13.—Plastic and Reconstructive—continued

Meticulous Plastic Repair of Hands, Feet, Scalp, Face or Neck designed to obtain maximal Functional or Cosmetic Results including the preparation of the Defect requiring Repair—continued

8369.

Face, operations involving supportive grafts............................................................................................

30.00

8372.

Suspension operation for facial paralysis..................................................................................................

30.00

8375.

Melonoplasty.............................................................................................................................................

30.00

8385.

Maxilla, resection of.................................................................................................................................

50.00

8388.

Mandible, resection of...............................................................................................................................

40.00

8391.

Mandible, segmental resection of, for tumours.........................................................................................

35.00

8394.

Mandible, section—fixation for prognathism or retrognathism................................................................

35.00

8397.

Mandible, condylectomy...........................................................................................................................

20.00

8410.

Osteotomy or osteectomy of mandible (other than alveolar margins) for congenital malformation not covered by any other item in this Part..........................................................................................................................

17.00

8413.

Osteotomy or osteectomy of maxilla (other than alveolar margins) for congenital malformation not covered by any other item in this Part...................................................................................................................................

18.00

Meticulous Plastic Repair of Eyelids, Nose, Ears, Lips, Palate or Pharynx designed to obtain maximal Functional or Cosmetic Results including the preparation of the Defect requiring Repair

8600.

Single stage local flap repair, simple, small..............................................................................................

16.00

8603.

Single stage local flap repair, complicated or large..................................................................................

24.00

8606.

Direct flap repair, first stage......................................................................................................................

24.00

8609.

Direct flap repair, second stage.................................................................................................................

14.00

8612.

Indirect flap or tubed pedicle, formation of..............................................................................................

24.00

8615.

Indirect flap or tubed pedicle, delay, intermediate transfer or detachment of..........................................

16.00

8618.

Indirect flap or tubed pedicle, preparation of site and attachment to site.................................................

34.00

8621.

Indirect flap or tubed pedicle, spreading of pedicle, as a separate procedure...........................................

24.00

8624.

Direct, indirect or local flap repair, revision of graft................................................................................

16.00

8634.

Free grafts (split skin or pinch grafts) on granulating areas, small...........................................................

10.00

8637.

Free grafts (split skin) on granulating areas, extensive.............................................................................

24.00

8640.

Free grafts (split skin) to extensive burns.................................................................................................

40.00

8643.

Free grafts (split skin) including elective dissection, small......................................................................

20.00

8646.

Free grafts (split skin) including elective dissection, extensive................................................................

40.00

8649.

Free full thickness grafts...........................................................................................................................

30.00

8659.

Whole thickness repair of eyelid...............................................................................................................

25.00

8662.

Partial reconstruction of eyelid or socket..................................................................................................

7.00

8665.

Correction of ptosis (unilateral).................................................................................................................

25.00

8668.

Ectropion or entropion, correction of, or reduction of eyelids..................................................................

20.00

8671.

Symblepharon, grafting for.......................................................................................................................

20.00

8681.

Nasal skeletal deformity (involving refracture or septoplasty), correction of..........................................

30.00

8684.

Rhinoplasty involving skeletal supportive grafts, with or without septal resection..................................

25.00

8687.

Rhinoplasty, cosmetic, with or without septal resection...........................................................................

30.00

8690.

Rhinoplasty, secondary revision of...........................................................................................................

10.00

8693.

Rhinophyma, correction of.......................................................................................................................

20.00

8703.

Composite graft to nose or ear..................................................................................................................

15.00

8706.

Lop ear, bat ear or similar deformity, correction of..................................................................................

25.00

8709.

Congenital atresia, reconstruction of external auditory canal...................................................................

35.00

8719.

Full thickness lip reconstruction, other than simple suture—complete procedure...................................

25.00

8729.

Cleft lip, complete primary repair, unilateral............................................................................................

30.00

8732.

Cleft lip, complete primary repair, one stage, bilateral.............................................................................

40.00

8735.

Cleft lip, incomplete primary repair, unilateral.........................................................................................

20.00

8738.

Cleft lip, secondary correction, partial or incomplete...............................................................................

15.00

8741.

Cleft lip, secondary correction, complete revision....................................................................................

25.00

8744.

Cleft lip, secondary correction, Abbé flap................................................................................................

35.00

8747.

Cleft lip, secondary correction of nostril or nasal tip................................................................................

15.00

8750.

Cleft palate, primary repair, partial cleft...................................................................................................

30.00

8753.

Cleft palate, primary repair, complete cleft...............................................................................................

40.00

8756.

Cleft palate, secondary repair, incomplete.................................................................................................

20.00

8759.

Cleft palate, secondary repair, lengthening procedure..............................................................................

35.00

8762.

Cleft palate, partial repair, complex cleft..................................................................................................

30.00

8765.

Pharyngeal flap or pharyngoplasty............................................................................................................

35.00

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