Statutory Rules 1980 No. 3901
Health Insurance (Variation of Fees and Medical Services) (No. 19) Regulations
I, THE GOVERNOR-GENERAL of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulations under the Health Insurance Act 1973.
Dated 22 December 1980.
ZELMAN COWEN
Governor-General
By His Excellency’s Command,
MICHAEL MACKELLAR
Minister of State for Health
Citation
1. These Regulations may be cited as the Health Insurance (Variation of Fees and Medical Services) (No. 19) Regulations.
Commencement
2. These Regulations shall come into operation on 1 January 1981.
Amendment of Schedule to Health Insurance (Variation of Fees and Medical Services) (No. 17) Regulations
3. The Schedule to the Health Insurance (Variation of Fees and Medical Services) (No. 17) Regulations (being that Schedule as amended by the Health Insurance (Variation of Fees and Medical Services) (No. 18) Regulations) is amended as set out in the Schedule to these Regulations.
Schedule Regulation 3
AMENDMENTS OF THE SCHEDULE TO THE HEALTH INSURANCE (VARIATION (NO. 17) REGULATIONS
AMENDMENT OF THE RULES FOR THE INTERPRETATION OF THE TABLE OF MEDICAL SERVICES
After rule 40 add the following rules:
“41. Where an item in Part 12 includes the symbol ‘(AD)’, the item shall be taken to relate to the service specified in the item when rendered by an accredited dental practitioner.
“42. (1) Where an item in Part 12 includes the symbol ‘(AO)’, the item shall be taken to relate to the service specified in the item when rendered by a recognized orthodontist.
“(2) For the purposes of sub-rule (1) and Division 2 of Part 12, a person shall be taken to be a recognized orthodontist —
(a) where the relevant law makes provision for the separate registration or licensing of orthodontists — if the person is an accredited dental practitioner who is so separately registered or licensed;
(b) where the relevant law does not make provision as referred to in paragraph (a) but the authority having the responsibility under that law for the registration or licensing of dental practitioners or dentists recognizes certain practitioners as orthodontists — if the person is an accredited practitioner who is so recognized; or
(c) where paragraphs (a) and (b) do not apply — if the person is an accredited dental practitioner who practises exclusively as an orthodontist.
“(3) In sub-rule (2), ‘relevant law’ means a law of the State or Territory in which the service is rendered that provides for the registration or licensing of dental practitioners or dentists.
“43. Where an item in Part 12 includes the symbol ‘(AOS)’, the item shall be taken to relate to the service specified in the item when rendered by an accredited dental practitioner who is a dental practitioner approved by the Minister for the purposes of the definition of 'professional service' in sub-section 3 (1).”.
AMENDMENT OF THE TABLE OF MEDICAL SERVICES
After Part 11 add the following Part:
|
| Fees | |||||
Item No. | Medical service | N.S.W. | Vic. | Qld | S.A. | W.A. | Tas. |
|
| $ | $ | $ | $ | $ | $ |
PART 12 — SERVICES FOR THE TREATMENT OF CLEFT LIP AND CLEFT PALATE CONDITIONS | |||||||
Division 1 — Orthodontic Services | |||||||
8901 | Professional attendance not covered by item 8902 (AO) | 15.00 | 15.00 | 15.00 | 15.00 | 15.00 | 15.00 |
8902 | Professional attendance and treatment planning where treatment is deferred (AO) | 30.00 | 30.00 | 30.00 | 30.00 | 30.00 | 30.00 |
8903 | Production of dental study models not associated with item 8902 or with a service covered by item 8914, 8915, 8917, 8918, 8919, 8922, 8923, 8924, 8925, or 8928 (AO) | 15.00 | 15.00 | 15.00 | 15.00 | 15.00 | 15.00 |
8905 | Orthodontic radiography-orthopantomography (AO) | 25.00 | 25.00 | 25.00 | 25.00 | 25.00 | 25.00 |
8906 | Orthodontic radiography-anteroposterior cephalometric radiography with cephalometric tracings or lateral cephalometric radiography with cephalometric tracings (AO) | 40.00 | 40.00 | 40.00 | 40.00 | 40.00 | 40.00 |
8907 | Orthodontic radiography-anteroposterior and lateral cephalometric radiography, with cephalometric tracings (AO) | 55.00 | 55.00 | 55.00 | 55.00 | 55.00 | 55.00 |
8908 | Orthodontic radiography-anteroposterior and lateral cephalometric radiography, with cephalometric tracings and orthopantomography (AO) | 70.00 | 70.00 | 70.00 | 70.00 | 70.00 | 70.00 |
8909 | Orthodontic radiography-anteroposterior and lateral cephalometric radiography, with cephalometric tracings, orthopantomography and hand-wrist studies including growth prediction) (AO) | 85.00 | 85.00 | 85.00 | 85.00 | 85.00 | 85.00 |
8914 | Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations-where one appliance is used (AO) | 200.00 | 200.00 | 200.00 | 200.00 | 200.00 | 200.00 |
8915 | Pre-surgical infant maxillary arch repositioning, including supply of appliances and all associated consultations-where two appliances are used (AO) | 240.00 | 240.00 | 240.00 | 240.00 | 240.00 | 240.00 |
8917 | Deciduous dentition treatment-maxillary arch expansion, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment (AO) | 270.00 | 270.00 | 270.00 | 270.00 | 270.00 | 270.00 |
8918 | Deciduous and permanent dentition treatment-incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment (AO) | 440.00 | 440.00 | 440.00 | 440.00 | 440.00 | 440.00 |
8919 | Deciduous and permanent dentition treatment (not being treatment associated with treatment covered by item 8918)-lateral arch expansion and incisor alignment using fixed appliances in maxillary arch, including supply of appliances and all associated attendances, treatment-planning and retention services beyond the period of active treatment (AO) | 610.00 | 610.00 | 610.00 | 610.00 | 610.00 | 610.00 |
8922 | Permanent dentition treatment (not being treatment associated with treatment covered by item 8924 or 8925)-single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment-initial three months of active treatment (AO) | 200.00 | 200.00 | 200.00 | 200.00 | 200.00 | 200.00 |
8923 | Permanent dentition treatment (not being treatment associated with treatment covered by item 8924 or 8925)-single arch (mandibular or maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment-each three months of active treatment after the first for a maximum of a further 33 months (AO) | 77.00 | 77.00 | 77.00 | 77.00 | 77.00 | 77.00 |
8924 | Permanent dentition treatment (not being treatment associated with treatment covered by item 8922 or 8923)-two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment-initial three months of active treatment (AO) | 400.00 | 400.00 | 400.00 | 400.00 | 400.00 | 400.00 |
8925 | Permanent dentition treatment (not being treatment associated with treatment covered by item 8922 or 8923)-two-arch (mandibular and maxillary) treatment (correction or alignment, or both) using fixed appliances, including supply of appliances and all associated consultations, treatment-planning and retention services beyond the period of active treatment-each three months of active treatment after the first for a maximum of a further 33 months (AO) | 105.00 | 105.00 | 105.00 | 105.00 | 105.00 | 105.00 |
8928 | Pre-surgical or post-surgical jaw growth guidance using removable appliances, including supply of appliances and all associated consultations and treatment-planning (AO) | 270.00 | 270.00 | 270.00 | 270.00 | 270.00 | 270.00 |
Division 2 — Oral Surgical Services | |||||||
8931 | Removal of tooth or tooth fragment (not being treatment covered by item 8936, 8937, 8938, 8939, 8940 or 8941), where the patient is referred by a recognized orthodontist (AD) | 20.00 | 20.00 | 20.00 | 20.00 | 20.00 | 20.00 |
8932 | Removal of tooth or tooth fragment under general anaesthesia, where the patient is referred by a recognized orthodontist (AD) | 30.00 | 30.00 | 30.00 | 30.00 | 30.00 | 30.00 |
8933 | Removal of each additional tooth or tooth fragment at the same attendance at which a service referred to in item 8931 or 8932 is rendered (AD) | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 |
Surgical Extractions | |||||||
8936 | Surgical removal of erupted tooth, where the patient is referred by a recognized orthodontist (AOS) | 60.00 | 60.00 | 60.00 | 60.00 | 60.00 | 60.00 |
8937 | Surgical removal of tooth with soft tissue impaction, where the patient is referred by a recognized orthodontist (AOS) | 70.00 | 70.00 | 70.00 | 70.00 | 70.00 | 70.00 |
8938 | Surgical removal of tooth with partial bone impaction, where the patient is referred by a recognized orthodontist (AOS) | 80.00 | 80.00 | 80.00 | 80.00 | 80.00 | 80.00 |
8939 | Surgical removal of tooth with complete bone impaction, where the patient is referred by a recognized orthodontist AOS) | 90.00 | 90.00 | 90.00 | 90.00 | 90.00 | 90.00 |
8940 | Surgical removal of tooth fragment requiring incision of soft tissue only, where the patient is referred by a recognized orthodontist (AOS) | 50.00 | 50.00 | 50.00 | 50.00 | 50.00 | 50.00 |
8941 | Surgical removal of tooth fragment requiring removal of bone, where the patient is referred by a recognized orthodontist (AOS) | 60.00 | 60.00 | 60.00 | 60.00 | 60.00 | 60.00 |
Other Surgical Procedures | |||||||
8945 | Surgical exposure, stimulation and packing of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS) | 85.00 | 85.00 | 85.00 | 85.00 | 85.00 | 85.00 |
8946 | Surgical exposure of unerupted tooth for the purpose of fitting a traction device, where the patient is referred by a recognized orthodontist (AOS) | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 |
8947 | Surgical repositioning of unerupted tooth, where the patient is referred by a recognized orthodontist (AOS) | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 |
8948 | Transplantation of tooth bud, where the patient is referred by a recognized orthodontist (AOS) | 150.00 | 150.00 | 150.00 | 150.00 | 150.00 | 150.00 |
Division 3 — General and Prosthodontic Services | |||||||
8960 | Attendance comprising consultation, preventive treatment and prophylaxis, of not more than thirty minutes duration-each attendance to a maximum of three attendances in any period of twelve months (AD) | 30.00 | 30.00 | 30.00 | 30.00 | 30.00 | 30.00 |
8961 | Provision and fitting of acrylic base partial denture, including retainers-one tooth (AD) | 121.00 | 121.00 | 121.00 | 121.00 | 121.00 | 121.00 |
8962 | Provision and fitting of acrylic base partial denture, including retainers-two teeth (AD) | 141.00 | 141.00 | 141.00 | 141.00 | 141.00 | 141.00 |
8963 | Provision and fitting of acrylic base partial denture, including retainers-three teeth (AD) | 166.00 | 166.00 | 166.00 | 166.00 | 166.00 | 166.00 |
8964 | Provision and fitting of acrylic base partial denture, including retainers-four teeth (AD) | 188.00 | 188.00 | 188.00 | 188.00 | 188.00 | 188.00 |
8965 | Provision and fitting of acrylic base partial denture, including retainers-five to nine teeth (AD) | 229.00 | 229.00 | 229.00 | 229.00 | 229.00 | 229.00 |
8966 | Provision and fitting of acrylic base partial denture, including retainers-ten to twelve teeth (AD) | 269.00 | 269.00 | 269.00 | 269.00 | 269.00 | 269.00 |
8971 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-one tooth (AD) | 214.00 | 214.00 | 214.00 | 214.00 | 214.00 | 214.00 |
8972 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-two teeth (AD) | 248.00 | 248.00 | 248.00 | 248.00 | 248.00 | 248.00 |
8973 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-three teeth (AD) | 289.00 | 289.00 | 289.00 | 289.00 | 289.00 | 289.00 |
8974 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-four teeth (AD) | 316.00 | 316.00 | 316.00 | 316.00 | 316.00 | 316.00 |
8975 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-five to nine teeth (AD) | 388.00 | 388.00 | 388.00 | 388.00 | 388.00 | 388.00 |
8976 | Provision and fitting of cast metal base (cobalt chromium alloy) partial denture including casting and retainers-ten to twelve teeth (AD) | 446.00 | 446.00 | 446.00 | 446.00 | 446.00 | 446.00 |
8980 | Provision and fitting of retainers (not being treatment associated with treatment covered by item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976)-each retainer (AD) | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 |
8982 | Adjustment of partial denture (not being treatment associated with treatment covered by item 8961, 8962, 8963, 8964, 8965, 8966, 8971, 8972, 8973, 8974, 8975 or 8976) (AD) | 15.00 | 15.00 | 15.00 | 15.00 | 15.00 | 15.00 |
8984 | Relining of partial denture by laboratory process and associated fitting (AD) | 75.00 | 75.00 | 75.00 | 75.00 | 75.00 | 75.00 |
8986 | Remodelling and fitting of partial denture of more than four teeth (AD) | 90.00 | 90.00 | 90.00 | 90.00 | 90.00 | 90.00 |
8988 | Repair to cast metal base of partial denture-one or more points (AD) | 45.00 | 45.00 | 45.00 | 45.00 | 45.00 | 45.00 |
8990 | Addition of a tooth or teeth to a partial denture to replace extracted tooth or teeth, including taking of necessary impression (AD) | 45.00 | 45.00 | 45.00 | 45.00 | 45.00 | 45.00 |
Note
1. Notified in the Commonwealth of Australia Gazette on 31 December 1980.