Statutory Rules 1993   No. 1521

__________________

Health Insurance (1992-1993 Diagnostic Imaging Services Table) Regulations2 (Amendment)

I, The Governor-General 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 22 June 1993.

 

 BILL HAYDEN

 Governor-General

By His Excellency’s Command,

 

 

GRAHAM RICHARDSON

Minister for Health

____________

1.   Commencement

1.1   These Regulations commence on 1 July 1993.

2.   Amendment

2.1   The Health Insurance (1992-1993 Diagnostic Imaging Services Table) Regulations are amended as set out in these Regulations.

3.   Schedule (Table of Diagnostic Imaging Services)

3.1   Rules of Interpretation:

Rule 7:

Omit “55000”, substitute “55028”.

3.2   Items 55000 to 55006:

Omit the items, substitute:

“55028

Head, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55029

Head, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55030

Orbital contents, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55031

Orbital contents, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55032

Neck, 1 or more structures of, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55033

Neck, 1 or more structures of, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55034

Breast, 1 or both, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55035

Breast, 1 or both, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55036

Abdomen, ultrasound scan of, including scan of urinary tract when undertaken, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55037

Abdomen, ultrasound scan of, including scan of urinary tract when undertaken, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55038

Urinary tract, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55039

Urinary tract, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55040

Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55041

Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner for ultrasonic examination—each ultrasonic examination, not exceeding 2 examinations in any 1 pregnancy, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55042

Pelvis, female, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55043

Pelvis, female, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55044

Pelvis, male, ultrasound scan of, by any or all approaches, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55045

Pelvis, male, ultrasound scan of, by any or all approaches, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55048

Scrotum, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55049

Scrotum, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55050

Musculo-skeletal, 1 or more regions, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55051

Musculo-skeletal, 1 or more regions, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55052

Joint, 1 or more, ultrasound scan of, performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not being a service associated with a service to which another item in this Group applies and where the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

95.00

55053

Joint, 1 or more, ultrasound scan of, where the patient is not referred by a medical practitioner, not being a service associated with a service to which another item in this Group applies (NR)

33.00

55054

Ultrasonic crosssectional echography, in conjunction with a surgical procedure using interventional techniques, not being a service associated with a service to which another item in this Group applies (R)

95.00

55055

Orbital contents, ultrasonic echography of, unidimensional, not being a service associated with a service to which another item in this Group applies (NR)

57.00

55056

Ultrasound scan not otherwise specified, not being a service associated with a service to which another item in this Group applies (R)

20.50

55057

Ultrasound scan not otherwise specified, not being a service associated with a service to which another item in this Group applies (NR)

5.00”.

3.3   Items 55102 to 55124:

Omit the items, substitute:

“55102

M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, with recordings on video tape, not being a service associated with a service to which items in Group I1, Subgroup 1 and Subgroup 4 apply (R)

156.00

55105

M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of cardiac dimensions, with recordings on video tape, not being a service associated with a service to which items in Group I1, Subgroup 1 and Subgroup 4 apply (R)

88.00

55112

M-Mode and 2 dimensional real time echocardiographic examination of the heart from at least 2 thoracic windows, performed using a mechanical sector scanner or phased array transducer, with measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous wave Doppler techniques, together with real time colour flow mapping from at least 2 thoracic windows, with recordings on video tape, not being a service associated with a service to which items in Group I1, Subgroup 1 and Subgroup 4 apply (R)

240.00

55118

Heart, 2 dimensional real time transoesophageal examination of, from at least 2 oesophageal windows:

 (i) performed using a mechanical sector scanner or phased array transducer; with:

 (a) measurement of blood flow velocities across the cardiac valves using pulsed wave and continuous Doppler techniques; and

 (b) real time colour flow mapping from at least 2 oesophageal windows; and

 (c) recordings on video tape; and

 (ii) not being a service associated with a service to which any item in Group I1, Subgroup 1 applies (R)

240.00

3.4   Items 55201 to 55237:

Omit the items, substitute:

“55201

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels (with or without vertebral arteries) or peripheral vessels (with or without intra-abdominal studies necessary for views of the lower aorta) or intra-thoracic or intra-abdominal vascular structures (excluding cardiac and pregnancy related studies), not being a service associated with a service to which items in Group I1, Subgroup 1 and Subgroup 4 apply—1 examination and report (R)

164.00

55204

2 or more examinations of the kind referred to in item 55201 and report, not being a service associated with a service to which items in Group I1, Subgroup 1 and Subgroup 4 apply (R)

280.00

55225

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography, not being a service associated with a service to which items in Group I1, Subgroup 1 and Subgroup 4 apply—examination and report (R)

196.00

55231

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels and carotid vessels, with oculoplethysmography, not being a service associated with a service to which items in Group I1, Subgroup 1 and Subgroup 4 apply—examination and report (R)

315.00

55234

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including a service referred to in item 11603, 11606 or 11609, not being a service associated with a service to which items in Group I1, Subgroup 1 and Subgroup 4 apply—examination and report (R)

190.00

55237

Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels before measured exercise using treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral), not being a service associated with a service to which items in Group I1, Subgroup 1 and Subgroup 4 apply—examination and report (R)

210.00”.

3.5   Insert after item 55237:

“Subgroup 4—Urological

55300

Prostate, bladder base and urethra, transrectal ultrasound scan of, where performed:

 (a) personally by a medical practitioner using a transducer probe or probes able to operate within a frequency range of 7 to 7.5 megahertz and able to obtain both transverse and longitudinal scans; and

 (b) following a digital rectal examination of the prostate by that medical practitioner; and

 (c) on a patient who has been assessed by a specialist surgeon or consultant physician who has:

 (i) examined the patient in the 60 days prior to the scan; and

 (ii) recommended the scan for the management of the patient’s current prostatic disease (R)

95.00”.

3.6   Items 59903 to 59909:

Omit the items, substitute:

“59903

Serial angiocardiography (single plane)—each series (R) (AU 8)

114.00

59906

Serial angiocardiography (biplane)—each series (R) (AU 8)

114.00”.

3.7   Item 59924:

Omit the item, substitute:

“59924

Selective arteriography—per injection and film or data acquisition run (R)

99.00”.

___________________________________________________________

NOTES

1. Notified in the Commonwealth of Australia Gazette on 29 June 1993.

2. Statutory Rules 1992 No. 337.