Federal Register of Legislation - Australian Government

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SR 1999 No. 193 Regulations as made
These Regulations amend the Health Insurance (1998-99 Diagnostic Imaging Services Table) Regulations 1998.
Tabling HistoryDate
Tabled HR02-Sep-1999
Tabled Senate02-Sep-1999
Gazetted 01 Sep 1999
Date of repeal 01 Nov 1999
Repealed by Health Insurance (1999-2000 Diagnostic Imaging Services Table) Regulations 1999
Table of contents.

Health Insurance (1998-99 Diagnostic Imaging Services Table) Amendment Regulations 1999 (No. 2)

Statutory Rules 1999 No. 193

I, WILLIAM PATRICK DEANE, 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 25 August 1999.

WILLIAM DEANE
Governor-General

By His Excellency’s Command,

michael wooldridge

Minister for Health and Aged Care

 


Health Insurance (1998-99 Diagnostic Imaging Services Table) Amendment Regulations 1999 (No. 2)1

Statutory Rules 1999 No. 1932

made under the

 

 

 

Contents

                                                                                                                 Page

                        1  Name of Regulations                                                         2

                        2  Commencement                                                                2

                        3  Amendment of Health Insurance (1998-99 Diagnostic Imaging Services Table) Regulations 1998                                                                                      2

Schedule 1       Amendments                                                               3

 


Do not delete : Part placeholder

Do not delete : Division placeholder

1              Name of Regulations

                These Regulations are the Health Insurance (1998-99 Diagnostic Imaging Services Table) Amendment Regulations 1999 (No. 2).

2              Commencement

                These Regulations commence on 1 September 1999.

3              Amendment of Health Insurance (1998-99 Diagnostic Imaging Services Table) Regulations 1998

                Schedule 1 amends the Health Insurance (1998-99 Diagnostic Imaging Services Table) Regulations 1998.

 


Schedule 1        Amendments

Do not delete : Schedule Part placeholder

(regulation 3)

[1]         Schedule 1, Part 1, rule 10, paragraph (b)

omit

$21.75.

insert

$21.30.

[2]         Schedule 1, Part 1, after rule 10

insert

10AA      Ultrasound services — eligible services

         (1)   Items 55028 to 55603 apply only to an ultrasound service performed for items marked with the symbol (R):

                (a)    under the professional supervision of a specialist or a consultant physician in the practice of his or her specialty who is available:

                          (i)    to monitor and influence the conduct and diagnostic quality of the examination; and

                         (ii)    if necessary — to personally attend the patient; or

               (b)    if paragraph (a) cannot be complied with:

                          (i)    in an emergency; or

                         (ii)    in a remote location that is not less than 30 kilometres by the most direct road route from another practice where services that comply with subparagraph (a) are available; or

                (c)    by or on behalf of a practitioner who is not a specialist or consultant physician but who meets the requirements of subrule (2); or

               (d)    by or on behalf of a practitioner in circumstances mentioned in subrule (3).

         (2)   The requirements of this subrule are that, between 1 September 1997 and 31 August 1999, at least 50 services were rendered by or on behalf of the practitioner at the location where the service was rendered and the rendering of those services resulted in the payment of a medicare benefit.

         (3)   For paragraph (1) (d), the circumstances are that between 1 September 1997 and 31 August 1999, at least 50 services were rendered by or on behalf of the practitioner to a patient in a nursing home or at the patient’s residence and the rendering of those services resulted in the payment of a medicare benefit.

[3]         Schedule 1, Part 2, item 55036, paragraph (b)

omit

member (R)

insert

member; and

[4]         Schedule 1, Part 2, item 55036, after paragraph (b)

insert

                (c)    the service is not performed with item 55042 or 55044 on the same patient within 24 hours (R)

[5]         Schedule 1, Part 2, item 55042, paragraph (b)

omit

member (R)

insert

member; and

[6]         Schedule 1, Part 2, item 55042, after paragraph (b)

insert

                (c)    the service is not performed with item 55036 on the same patient within 24 hours (R)

[7]         Schedule 1, Part 2, item 55044, paragraph (b)

omit

member (R)

insert

member; and

[8]         Schedule 1, Part 2, item 55044, after paragraph (b)

insert

                (c)    the service is not performed with item 55036 on the same patient within 24 hours (R)

[9]         Schedule 1, Part 2, after item 55045

insert

55046

Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, performed by, or on behalf of, a medical practitioner where:

(a)    the patient is referred by a medical practitioner for ultrasound examination not being a service associated with a service to which an item in subgroup 2 or 3 of this group applies; and

(b)   the referring medical practitioner is not a member of a group of practitioners of which the first practitioner is a member; and

(c)    a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (R)

119.85

55047

Pelvis, female, ultrasound scan of, in association with saline infusion of the endometrial cavity, by any or all approaches, where:

(a)    the patient is not referred by a medical practitioner and the service is not associated with a service to which an item in subgroup 2 or 3 of this group applies; and

(b)   a previous transvaginal ultrasound has revealed an abnormality of the uterus or fallopian tube (NR)

 

49.15

[10]      Schedule 1, Part 2, item 55286

omit

[11]      Schedule 1, Part 2, item 55288

omit

55286 inclusive (excluding items 55282 and 55284)

insert

55280 inclusive

[12]      Schedule 1, Part 2, item 55290

omit

55286 inclusive (excluding items 55282 and 55284)

insert

55280 inclusive

[13]      Schedule 1, Part 2, item 56019

omit

[14]      Additional amendments of Schedule 1, Part 2

Item

                          omit

                            insert

 

 

 

55028

101.95

99.90

55029

35.35

34.65

55030

101.95

99.90

55031

35.35

34.65

55032

101.95

99.90

55033

35.35

34.65

55034

101.95

99.90

55035

35.35

34.65

55037

35.35

34.65

55038

101.95

99.90

55039

35.35

34.65

55040

101.95

99.90

55041

35.35

34.65

55043

35.35

34.65

55045

35.35

34.65

55048

102.35

100.30

55049

35.35

34.65

55050

102.35

100.30

55051

35.35

34.65

55052

101.95

99.90

55053

35.35

34.65

55054

101.95

99.90

55058

27.80

27.25

55102

167.25

163.90

55105

94.65

92.75

55112

262.90

257.65

55118

262.30

257.05

55130

379.80

372.20

55238

172.90

169.45

55240

201.00

197.00

55242

222.95

218.50

55244

172.90

169.45

55245

201.00

197.00

55246

172.90

169.45

55247

201.00

197.00

55248

172.90

169.45

55250

201.00

197.00

55252

172.90

169.45

55254

201.00

197.00

55256

172.90

169.45

55258

201.00

197.00

55260

222.95

218.50

55262

172.90

169.45

55263

201.00

197.00

55264

172.90

169.45

55265

201.00

197.00

55266

172.90

169.45

55268

201.00

197.00

55270

172.90

169.45

55272

201.00

197.00

55274

172.90

169.45

55276

172.90

169.45

55277

111.65

109.40

55278

172.90

169.45

55279

111.65

109.40

55280

172.90

169.45

55282

172.90

169.45

55284

172.90

169.45

55288

304.75

298.65

55290

304.75

298.65

55600

101.95

99.90

55603

101.95

99.90

56001

201.45

197.40

56007

257.25

252.10

56010

291.45

252.10

56013

291.45

252.10

56016

347.10

291.15

56022

230.90

226.30

56028

343.70

336.80

56041

100.75

98.75

56047

128.65

126.10

56050

145.75

128.15

56053

145.75

128.15

56056

173.55

155.40

56059

213.20

208.95

56062

115.45

113.15

56068

171.85

168.40

56101

237.45

232.70

56107

350.15

343.15

56141

118.75

116.40

56147

175.10

171.60

56210

249.95

242.45

56216

362.20

351.35

56219

336.30

326.20

56250

125.00

122.50

56256

181.10

177.50

56259

168.15

164.80

56301

305.05

299.40

56307

412.70

404.45

56341

152.55

149.50

56347

206.35

202.00

56401

258.80

253.60

56407

370.30

362.90

56409

258.80

253.60

56412

370.30

362.90

56441

129.40

126.80

56447

185.15

181.45

56449

129.40

126.80

56452

185.15

181.45

56501

394.10

386.20

56507

497.35

487.40

56541

197.05

193.10

56547

248.70

243.75

56619

228.75

224.15

56625

341.50

334.65

56659

114.40

112.10

56665

170.75

167.35

56801

476.05

466.55

56807

579.25

567.65

56841

238.05

233.30

56847

289.65

283.85

57001

476.15

466.65

57007

579.35

567.75

57041

238.10

233.35

57047

289.70

283.90

57201

158.40

155.20

57247

79.20

77.60

57341

493.90

474.15

57345

246.95

242.00

57350

539.05

512.10

57355

269.55

264.15

57506

31.80

31.15

57509

42.50

41.65

57512

43.25

42.40

57515

57.70

56.55

57518

34.75

34.05

57521

46.40

45.45

57524

52.75

51.70

57527

70.30

68.90

57700

43.25

42.40

57703

57.70

56.55

57706

34.75

34.05

57709

46.40

45.45

57712

50.40

49.40

57715

65.15

63.85

57721

106.05

103.95

57901

68.95

67.55

57902

68.95

67.55

57903

50.40

49.40

57906

68.95

67.55

57909

68.95

67.55

57912

50.40

49.40

57915

50.40

49.40

57918

50.40

49.40

57921

50.40

49.40

57924

50.40

49.40

57927

53.05

52.00

57930

35.15

34.45

57933

83.60

81.95

57936

50.60

49.60

57939

68.95

67.55

57942

53.05

52.00

57945

46.40

45.45

58100

71.80

70.35

58103

58.95

57.75

58106

82.25

80.60

58109

50.20

49.20

58112

103.95

101.85

58115

142.10

139.25

58300

42.85

42.00

58306

95.50

93.60

58500

37.75

37.00

58503

50.40

49.40

58506

64.95

63.65

58509

42.50

41.65

58521

46.40

45.45

58524

60.35

59.15

58527

74.25

72.75

58700

49.20

48.20

58706

168.80

165.40

58715

161.95

158.70

58718

134.80

132.10

58721

147.75

144.80

58900

38.15

37.40

58903

50.85

49.85

58909

96.15

94.25

58912

117.85

115.50

58915

84.35

82.65

58916

148.00

145.05

58921

144.25

141.65

58924

89.80

88.00

58927

81.70

80.05

58933

219.75

215.35

58936

209.45

205.25

58939

148.90

145.90

59300

83.65

82.00

59303

50.45

49.45

59306

96.50

94.55

59309

192.95

189.10

59312

83.65

82.00

59314

50.45

49.45

59318

45.25

44.35

59503

95.50

93.60

59700

103.15

101.10

59703

81.10

79.50

59712

121.55

119.10

59715

153.40

150.35

59718

143.95

141.05

59724

242.00

237.15

59733

115.05

112.75

59736

66.30

64.95

59739

78.80

77.20

59751

148.70

145.75

59754

234.45

229.75

59760

123.05

120.60

59763

143.05

140.20

59900

89.35

87.55

59903

123.05

120.60

59906

123.05

120.60

59912

327.80

321.25

59915

83.60

81.95

59918

106.05

103.95

59921

106.05

103.95

59924

106.05

103.95

59970

161.90

158.65

60000

542.45

531.60

60003

795.50

779.60

60006

1131.20

1108.60

60009

1323.80

1297.30

60012

542.45

531.60

60015

795.50

779.60

60018

1131.20

1108.60

60021

1323.80

1297.30

60024

542.45

531.60

60027

795.50

779.60

60030

1131.20

1108.60

60033

1323.80

1297.30

60036

542.45

531.60

60039

795.50

779.60

60042

1131.20

1108.60

60045

1323.80

1297.30

60048

542.45

531.60

60051

795.50

779.60

60054

1131.20

1108.60

60057

1323.80

1297.30

60060

542.45

531.60

60063

795.50

779.60

60066

1131.20

1108.60

60069

1323.80

1297.30

60072

46.25

45.35

60075

92.45

90.60

60078

138.70

135.95

60100

64.95

63.65

60500

46.40

45.45

60503

31.80

31.15

60506

68.15

66.80

60509

105.65

103.55

60903

137.00

134.25

60915

75.45

73.95

60918

56.30

55.15

60927

46.45

44.50

61109

276.70

271.15

61303

504.75

492.75

61307

752.75

727.75

61313

269.45

264.45

61314

371.10

366.10

61316

337.20

332.20

61317

434.15

429.15

61348

388.95

386.45

61360

355.60

351.60

61361

407.20

402.20

61381

525.65

500.65

61383

569.80

544.80

61384

629.45

599.45

61387

397.45

375.45

61393

537.80

527.80

61421

422.70

418.20

61425

530.10

523.60

61430

586.80

574.80

61442

679.75

655.75

61446

294.25

290.75

61449

403.70

397.70

61453

460.60

448.60

61473

154.85

152.85

Notes

1.       These Regulations amend Statutory Rules 1998 No. 302, as amended by 1999 No. 20.

2.       Made by the Governor-General on 25 August 1999, and notified in the Commonwealth of Australia Gazette on 1 September 1999