Statutory Rules 1994 No. 1121

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Health Insurance (1993-1994 General Medical Services Table) Regulations2 (Amendment)

I, The ADMINISTRATOR of the Government of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.

Dated 26 April 1994.

P. BENNETT

Administrator

By His Excellency’s Command,

B. HOWE

Minister for Housing and Regional Development for the

Minister for Human Services and Health

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1. Commencement

1.1 These Regulations commence on 1 May 1994.

2. Amendment

2.1 The Health Insurance (1993-1994 General Medical Services Table) Regulations are amended as set out in these Regulations.

3. Schedule (Part 1—Rules of interpretation):

3.1 Paragraph 2 (1) (b) (iii):

Omit “regulation 12”, substitute “regulation 31”.

3.2 Rule 27:

Omit “16506,”.

3.3 Rule 27:

Omit “, 16516”.

3.4 Rule 28:

Omit “16516,”.

4. Schedule (Part 2—Services and fees)

4.1 Item 11600:

Omit the item, substitute:

“11600	Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter—each day of monitoring for each pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) (AU 4)	$49.30
11601	Blood pressure monitoring (central venous, pulmonary arterial, systemic arterial or cardiac intracavity), by indwelling catheter—for each pressure up to a maximum of 4 pressures (not being a service to which item 13876 applies) performed in association with the administration of an anaesthetic relating to another discrete operation on the same day (AU 4)	$49.30”.

4.2 Item 11630:

Omit the item.

4.3 Item 11830:

Omit “$93.10”, substitute “$133.00”.

4.4 Items 12100, 12103, 12106, 12109, 12112 and 12115:

Omit the items.

4.5 After item 13503, insert:

“13506

Gastro-oesophageal balloon intubation, Minnesota, Sengstaken-Blakemore or similar, for control of bleeding from gastric oesophageal varices

$131.40”.

4.6 After item 13606, insert:

“13609

Cardioplegia, retrograde administration of, involving crystalloid or blood, via a roller pump or pump-oxygenator

$180.00”.

4.7 Subgroup 9 (heading):

Omit the heading, substitute:

“Subgroup 9—Procedures associated with intensive care

and cardiopulmonary support”.

4.8 Items 13809 and 13812:

Omit the items.

4.9 Item 13818:

Omit the item, substitute:

“13818

Right heart balloon catheter, insertion of, including pulmonary wedge pressure and cardiac output measurement

$81.00”.

4.10 Items 13819, 13821, 13824, and 13827:

Omit the items.

4.11 Omit items 13833 and 13836, substitute:

“13839	Arterial puncture and collection of blood for diagnostic purposes	$16.40
13842	Intra-arterial cannulisation for the purpose of taking multiple arterial blood samples for blood gas analysis	$49.30
13845	Counterpulsation by intra‑aortic balloon—management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters	$385.30
13848	Counterpulsation by intra‑aortic balloon—management on each day subsequent to the first, including associated consultations and monitoring of parameters	$93.30
13851	Circulatory support device, management of, on first day	$351.65
13854	Circulatory support device, management of, on each day subsequent to the first	$81.70

Subgroup 9A—Management and procedures undertaken

in an intensive care unit

13870	Management of a patient in an intensive care unit by a specialist or consultant physician—including initial and subsequent attendances, electrocardiograms, arterial sampling, bladder catheterisation and blood sampling—management on the first day	$217.35
13873	Management of a patient in an intensive care unit by a specialist or consultant physician—including all attendances, electrocardiograms, arterial sampling, bladder catheterisation and blood sampling —management on each day subsequent to the first day	$161.75
13876	Central venous pressure, pulmonary arterial pressure, systemic arterial pressure or cardiac intracavity pressure, continuous monitoring by indwelling catheter by a specialist or consultant physician in an intensive care unit—each day of monitoring for each pressure up to a maximum of 4 pressures	$49.30
13879	Mechanical ventilation, initiation of, by a specialist or consultant physician in conjunction with subsequent management of ventilatory support on the first day, in an intensive care unit	$157.70
13882	Ventilatory support in an intensive care unit, management of, by a specialist or consultant physician (not being a service to which item 13879 applies) each day	$53.60
13885	Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician—on the first day in an intensive care unit	$97.05
13888	Continuous arterio venous or veno venous haemofiltration, management by a specialist or consultant physician—on each day subsequent to the first day in an intensive care unit	$50.55”.

4.12 Items 16500, 16503, 16506, and 16507:

Omit the items, substitute:

“16500	Antenatal care (not including any service or services to which item 16517 applies) where the attendances do not exceed 10—each attendance	$24.15
16503	Antenatal care (not including any service or services to which item 16517 applies) where the attendances exceed 10	$241.50
16507	Confinement and postnatal care for 9 days where the medical practitioner has not given the antenatal care	$290.00”.

4.13 Items 16516 and 16517:

Omit the items, substitute:

“16517

Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for 9 days

$621.55”.

4.14 Item 16552:

Omit the item, substitute:

“16552

Chorionic villus sampling using interventional imaging techniques

$182.65”.

4.15 Items 16558 and 16561:

Omit the items, substitute:

“16558	Version, external, under general anaesthesia, not being a service to which items 16507 to 16517 apply (AU 6)	$45.25
16561	Version, internal, under general anaesthesia, not being a service to which items 16507 to 16517 apply (AU 6)	$81.00”.

4.16 Item 30381:

Omit the item.

4.17 After item 30563, insert:

“30564

Small bowel strictureplasty for chronic inflammatory bowel disease (AU 14)

$550.00”.

4.18 Item 30609:

Omit “$328.55”, substitute “$330.75”.

4.19 Item 32027:

Omit the item, substitute:

“32025	Rectum, low restorative anterior resection with extraperitoneal anastomosis (of the rectum) less than 10 cm from the anal verge, with or without covering stoma (AU 27)	$1,300.00
32026	Rectum, ultra low restorative resection, with or without covering stoma, where the anastomosis is sited in the anorectal region and is 6 cm or less from the anal verge (AU 30)	$1,400.00
32028	Rectum, low or ultra low restorative resection, with peranal sutured coloanal anastomosis, with or without covering stoma (AU 34)	$1,500.00
32029	Colonic reservoir, construction of, being a service associated with a service to which any other item in this Subgroup applies (AU 20)	$300.00”.

4.20 Item 32048:

Omit the item.

4.21 After item 32111, insert:

“32112

Rectal prolapse, perineal recto-sigmoidectomy for (AU 17)

$550.00”.

4.22 Item 32117:

Omit “repair”, substitute “rectopexy”.

4.23 After item 32129, insert:

“32131

Rectocele, perineal repair of (AU 13)

$380.00”.

4.24 Item 32168:

Omit “wound—repair of,”, substitute “wound, review of,”.

4.25 Items 32183 and 32186:

Omit the items, substitute:

“32183	Intestinal sling procedure prior to radiotherapy (AU 19)	$400.00
32186	Colonic lavage, total, intra-operative (AU 19)	$400.00”.

4.26 Item 32500:

Omit all the words before “continuous”, substitute:

“Varicose veins (excluding telangiectases, starburst vessels, spider nevi or similar), multiple injections using”.

4.27 After item 35009, insert:

“35012

Sacral or pre-sacral sympathectomy (AU 11)

$503.45”.

4.28 Item 35567:

Omit the item, substitute:

“35567

Vaginal repair including 1 or more of anterior, posterior or enterocele repair, with sacrospinous colpopexy (AU 14)

$500.00”.

4.29 Item 35621, 35624 and 35625:

Omit the items, substitute:

“35619		Cervix, dilatation of, under general anaesthesia, not being a service to which item 35639, 35640 or 35643 applies (AU 5)	$57.90
35620	Endometrial biopsy where malignancy is suspected in patients with abnormal uterine bleeding or post menopausal bleeding (AU 5)			$37.95
35622	Endometrium, endoscopic ablation of, by laser or diathermy, for chronic refractory menorrhagia including any hysteroscopy performed on the same day, with or without uterine curettage, not being a service associated with a service to which item 30390 applies (AU 12)			$429.20
35623	Hysteroscopic resection of myoma or uterine septum followed by endometrial ablation by laser or diathermy (AU 15)			$583.45”.

4.30 Item 35636:

Omit “Hysteroscopy and laparoscopy”, substitute “Hysteroscopy, and laparoscopy where performed,”.

4.31 Item 35638:

Omit “dysmenorrhoea (AU 12)”, substitute “dysmenorrhoea—not being a service associated with any other intraperitoneal procedure (AU 14)”.

4.32 Item 36624:

Omit “including associated imaging”, substitute “using interventional imaging techniques”.

4.33 After item 37218, insert:

“37219

Prostate, transrectal needle biopsy of, using transrectal prostatic ultrasound techniques and obtaining 1 or more than 1 prostatic specimen, being a service associated with a service to which item 55300 or 55303 applies (AU 6)

$200.00”.

4.34 Item 40803:

Omit “another item in this Group applies”, substitute “item 40800 or 40801 applies”.

4.35 After item 41614, insert:

“41615

Oval window surgery, including repair of fistula, not being a service associated with a service to which any other item in this Group applies (AU 12)

$776.30”.

4.36 Items 41882 and 41883:

Omit the items, substitute:

“41883

Tracheostomy (AU 10)

$181.00”.

4.37 After item 42509, insert:

“42510

Eye, enucleation of, with insertion of hydroxyapatite implant (coral implant), by 1 or more stages (AU 13)

$500.00”.

4.38 Item 42587:

Omit the item, substitute:

“42587

Trichiasis, treatment of, by cryotherapy, laser or electrolysis—each eyelid

$36.95”.

4.39 After item 42608, insert:

“42610

Nasolacrimal tube (unilateral) replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage—under general anaesthesia (AU 4)

$68.50”.

4.40 Items 42611 and 42614:

Omit the items, substitute:

“42611	Nasolacrimal tube (bilateral) replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage—under general anaesthesia (AU 5)	$102.85
42614	Nasolacrimal tube (unilateral) replacement of, or lacrimal passages, probing for obstruction, unilateral, with or without lavage, not being a service associated with a service to which item 42610 applies (excluding after-care)	$34.30
42615	Nasolacrimal tube (bilateral) replacement of, or lacrimal passages, probing for obstruction, bilateral, with or without lavage, not being a service associated with a service to which item 42611 applies (excluding after-care)	$51.45”.

4.41 Item 47531:

Omit “internal”, substitute “intramedullary”.

4.42 After item 47564, insert:

“47565	Tibia, shaft of, treatment of fracture of, by internal fixation or external fixation (AU 14)	$507.30
47566	Tibia, shaft of, treatment of fracture of, by intramedullary fixation and cross fixation (AU 15)	$646.80”.

4.43 After item 49345, insert:

“49346

Hip, revision arthroplasty with replacement of acetabular liner or ceramic head, not requiring removal of femoral component or acetabular shell (AU 15)

$603.50”.

4.44 After item 49357, insert:

“49360	Hip, diagnostic arthroscopy of (AU 9)	$245.00
49363	Hip, diagnostic arthroscopy of, with synovial biopsy (AU 10)	$295.00
49366	Hip, arthroscopic surgery of (AU 12)	$435.85”.

4.45 After item 49566, insert:

“49569

Knee, mobilisation for post-traumatic stiffness, by multiple muscle or tendon release (quadricepsplasty) (AU 14)

$536.45”.

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NOTES

1. Notified in the Commonwealth of Australia Gazette on 29 April 1994.

2. Statutory Rules 1993 No. 272.