Federal Register of Legislation - Australian Government

Primary content

SR 1999 No. 345 Regulations as made
These Regulations amend the Health Insurance (1999-2000 Diagnostic Imaging Services Table) Regulations 1999.
Tabling HistoryDate
Tabled HR15-Feb-2000
Tabled Senate15-Feb-2000
Gazetted 22 Dec 1999
Date of repeal 01 Nov 2000
Repealed by Health Insurance (Diagnostic Imaging Services Table) Regulations 2000
Table of contents.

Health Insurance (1999-2000 Diagnostic Imaging Services Table) Amendment Regulations 1999 (No. 1)

Statutory Rules 1999 No. 345

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 15 December 1999.

WILLIAM DEANE

Governor-General

By His Excellency’s Command,

MICHAEL WOOLDRIDGE


Health Insurance (1999-2000 Diagnostic Imaging Services Table) Amendment Regulations 1999 (No. 1)1

Statutory Rules 1999 No. 3452

made under the

 

 

 

Contents

                                                                                                                 Page

                        1  Name of Regulations                                                         3

                        2  Commencement                                                                3

                        3  Amendment of Health Insurance (1999-2000 Diagnostic Imaging Services Table) Regulations 1999                                                                                      3

Schedule 1       Amendments taken to have commenced on 1 November 1999            4

Schedule 2       Amendments commencing on
1 February 2000                                                         
5

 


Do not delete : Part placeholder

Do not delete : Division placeholder

1              Name of Regulations

                These Regulations are the Health Insurance (1999-2000 Diagnostic Imaging Services Table) Amendment Regulations 1999 (No. 1).

2              Commencement

                These Regulations commence, or are taken to have commenced, as follows:

                 (a)     on 1 November 1999 — regulations 1 to 3 and Schedule 1;

                (b)     on 1 February 2000 — Schedule 2.

3              Amendment of Health Insurance (1999-2000 Diagnostic Imaging Services Table) Regulations 1999

                Subject to regulation 2, Schedules 1 and 2 amend the Health Insurance (1999-2000 Diagnostic Imaging Services Table) Regulations 1999.

 


Schedule 1        Amendments taken to have commenced on 1 November 1999

Do not delete : Schedule Part placeholder

(regulation 3)

[1]         Schedule 1, Part 1, subrule 19 (2)

omit

, before 11 October 1999,

[2]         Schedule 1, Part 1, paragraph 19 (2) (d)

after

subrule 20 (3)

insert

or (4)

[3]         Schedule 1, Part 1, paragraph 20 (6) (a)

omit

and eligible provider

Schedule 2        Amendments commencing on 1 February 2000

Do not delete : Schedule Part placeholder

(regulation 3)

[1]         Schedule 1, Part 1, after rule 9B

insert

9C           Computed tomography services — exclusion of acoustic neuroma

                Where axial scans are undertaken for the exclusion of acoustic neuroma, medicare benefits are payable under item 56001 or 56007.

9D           Computed tomography — assessment of headache

         (1)   If the service described in item 56007 or 56047 is to be used for the assessment of headache of a patient to whom this rule applies, the fee mentioned in the item applies only if:

                (a)    a scan without intravenous contrast medium has been undertaken on the patient; and

               (b)    the service is required because the result of the scan mentioned in paragraph (a) is abnormal.

         (2)   This rule applies to a patient who:

                (a)    is under 50 years; and

               (b)    is (apart from the headache) otherwise well; and

                (c)    has no localising symptoms or signs; and

               (d)    has no history of malignancy or immunosuppression.

[2]         Schedule 1, Part 1, subrule 10AA (1)

omit

to 55603

insert

to 55739

[3]         Schedule 1, Part 1, after rule 10AA

insert

10AB      Obstetric and gynaecological ultrasound — limit on medicare benefits

                Medicare benefits are not payable for more than 3 items of NR-type diagnostic imaging services in Subgroup 5 of Group l1 in Part 2 that are performed on the same patient in any 1 pregnancy.

10AC      Clinical indications

         (1)   For items where clinical conditions are listed, or where a clinical indication is required for performance of subsequent scans (items 55712, 55715, 55721 or 55725), the referral must identify the relevant clinical indication for the service.

         (2)   If the service is self-determined, the clinical condition or indication must be recorded in the medical practitioner's clinical notes.

[4]         Schedule 1, Part 2, Group l1, items 55034 and 55035

omit

[5]         Schedule 1, Part 2, Group l1, item 55036, paragraph (c)

omit

55042 or 55044

insert

55038, 55044 or 55731

[6]         Schedule 1, Part 2, Group l1, item 55038, paragraph (b)

omit

member (R)

insert

member; and

[7]         Schedule 1, Part 2, Group l1, item 55038, after paragraph (b)

insert

 

(c)    the service is not performed with item 55036, 55044 or 55731 on the same patient within 24 hours (R)

 

[8]         Schedule 1, Part 2, Group l1, items 55040, 55041, 55042 and 55043

omit

[9]         Schedule 1, Part 2, Group l1, item 55044, paragraph (c)

after

55036

insert

or 55038

[10]      Schedule 1, Part 2, Group l1, items 55046 and 55047

omit

[11]      Schedule 1, Part 2, Group l1, after item 55058

insert

55070

Breast, one, ultrasound scan of, performed by or on behalf of a medical practitioner, where:

(a)    the patient is referred by a medical practitioner; and

(b)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(c)    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

90.00

55073

Breast, one, ultrasound scan of, where:

(a)   the patient is not referred by a medical practitioner; and

(b)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR)

31.20

55076

Breasts, both, ultrasound scan of, performed by or on behalf of a medical practitioner where:

(a)    the patient is referred by a medical practitioner; and

(b)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(c)    the referring medical practitioner is not a member of a group of practitioners of which the first mentioned practitioner is a member (R)

99.90

55079

Breasts, both, ultrasound scan of, where:

(a)    the patient is not referred by a medical practitioner; and

(b)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR)

34.65

[12]      Schedule 1, Part 2, Group l1, after Subgroup 4

insert

Subgroup 5 — Obstetric and gynaecological

 

55700

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:

(a)   the patient is referred by a medical practitioner; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

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

(e)   one or more of the following conditions are present:

(i)           hyperemesis gravidarum;

(ii)          diabetes mellitus;

(iii)         hypertension;

(iv)         toxaemia of pregnancy;

(v)          liver or renal disease;

(vi)         autoimmune disease;

(vii)        cardiac disease;

(viii)       alloimmunisation;

(ix)         maternal infection;

(x)          inflammatory bowel disease;

(xi)         bowel stoma;

(xii)        abdominal wall scarring;

(xiii)       previous spinal or pelvic trauma or disease;

(xiv)       drug dependency;

(xv)        thrombophilia;

(xvi)       gross maternal obesity;

(xvii)      advanced maternal age;

(xviii)     abdominal pain or mass;

(xix)       uncertain dates;

(xx)        high risk pregnancy;

(xxi)       previous post dates delivery;

(xxii)      previous caesarean section;

(xxiii)     poor obstetric history;

(xxiv)     suspicion of ectopic pregnancy;

(xxv)      risk of miscarriage;

(xxvi)     diminished symptoms of pregnancy;

(xxvii)    suspected or known cervical incompetence;

(xxviii)   suspected or known uterine abnormality;

60.00

 

(xxix)     pregnancy after assisted reproduction;

(xxx)      risk of fetal abnormality (R)

 

55703

Pelvis or abdomen, pregnancy related or pregnancy complication, ultrasound scan of, by any or all approaches, where:

(a)   the patient is not referred by a medical practitioner; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is less than 12 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d)   one or more of the following conditions are present:

(i)           hyperemesis gravidarum;

(ii)          diabetes mellitus;

(iii)         hypertension;

(iv)         toxaemia of pregnancy;

(v)          liver or renal disease;

(vi)         autoimmune disease;

(vii)        cardiac disease;

(viii)       alloimmunisation;

(ix)         maternal infection;

(x)          inflammatory bowel disease;

(xi)         bowel stoma;

(xii)        abdominal wall scarring;

(xiii)       previous spinal or pelvic trauma or disease;

(xiv)       drug dependency;

(xv)        thrombophilia;

(xvi)       gross maternal obesity;

(xvii)      advanced maternal age;

(xviii)     abdominal pain or mass;

(xix)       uncertain dates;

(xx)        high risk pregnancy;

(xxi)       previous post dates delivery;

(xxii)      previous caesarean section;

(xxiii)     poor obstetric history;

(xxiv)     suspicion of ectopic pregnancy;

(xxv)      risk of miscarriage;

(xxvi)     diminished symptoms of pregnancy;

(xxvii)    suspected or known cervical incompetence;

(xxviii)   suspected or known uterine abnormality;

(xxix)     pregnancy after assisted reproduction;

(xxx)      risk of fetal abnormality (NR)

35.00

55704

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where:

(a)   the patient is referred by a medical practitioner; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

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

(e)   one or more of the following conditions are present:

(i)           hyperemesis gravidarum;

(ii)          diabetes mellitus;

(iii)         hypertension;

(iv)         toxaemia of pregnancy;

(v)          liver or renal disease;

(vi)         autoimmune disease;

(vii)        cardiac disease;

(viii)       alloimmunisation;

(ix)         maternal infection;

(x)          inflammatory bowel disease;

(xi)         bowel stoma;

(xii)        abdominal wall scarring;

(xiii)       previous spinal or pelvic trauma or disease;

(xiv)       drug dependency;

(xv)        thrombophilia;

(xvi)       gross maternal obesity;

(xvii)      advanced maternal age;

(xviii)     abdominal pain or mass;

(xix)       uncertain dates;

(xx)        high risk pregnancy;

(xxi)       previous post dates delivery;

(xxii)      previous caesarean section;

(xxiii)     poor obstetric history;

(xxiv)     suspicion of ectopic pregnancy;

(xxv)      risk of miscarriage;

(xxvi)     diminished symptoms of pregnancy;

(xxvii)    suspected or known cervical incompetence;

(xxviii)   suspected or known uterine abnormality;

(xxix)     pregnancy after assisted reproduction;

(xxx)      risk of fetal abnormality (R)

70.00

55705

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, where:

(a)   the patient is not referred by a medical practitioner; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is 12 to 16 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d)   one or more of the following conditions are present:

(i)           hyperemesis gravidarum;

(ii)          diabetes mellitus;

(iii)         hypertension;

(iv)         toxaemia of pregnancy;

(v)          liver or renal disease;

(vi)         autoimmune disease;

(vii)        cardiac disease;

(viii)       alloimmunisation;

(ix)         maternal infection;

(x)          inflammatory bowel disease;

(xi)         bowel stoma;

(xii)        abdominal wall scarring;

(xiii)       previous spinal or pelvic trauma or disease;

(xiv)       drug dependency;

(xv)        thrombophilia;

(xvi)       gross maternal obesity;

(xvii)      advanced maternal age;

(xviii)     abdominal pain or mass;

(xix)       uncertain dates;

(xx)        high risk pregnancy;

(xxi)       previous post dates delivery;

(xxii)      previous caesarean section;

(xxiii)     poor obstetric history;

(xxiv)     suspicion of ectopic pregnancy;

(xxv)      risk of miscarriage;

(xxvi)     diminished symptoms of pregnancy;

(xxvii)    suspected or known cervical incompetence;

(xxviii)   suspected or known uterine abnormality;

(xxix)     pregnancy after assisted reproduction;

(xxx)      risk of fetal abnormality (NR)

35.00

55706

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, where:

(a)   the patient is referred by a medical practitioner; and

(b)   the dating for the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

100.00

 

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

(e)    the service is not performed in the same pregnancy as item 55709 (R)

 

55709

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, with measurement of all parameters for dating purposes, where:

(a)   the patient is not referred by a medical practitioner; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d)   the service is not performed in the same pregnancy as item 55706 (NR)

38.00

55712

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner, where:

(a)   the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

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

115.00

 

(e)    further examination is clinically indicated in the same pregnancy to which item 55706 or 55709 applies (R)

 

55715

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, with measurement of all parameters for dating purposes, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where:

(a)   the patient is not referred by a medical practitioner; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is 17 to 22 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d)   further examination is clinically indicated in the same pregnancy to which item 55706 or 55709 applies (NR)

40.00

55718

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, performed by or on behalf of a medical practitioner, where:

(a)   the patient is referred by a medical practitioner; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

100.00


 

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

(e)   the service is not performed in the same pregnancy as item 55723; and

(f)   one or more of the following conditions are present:

(i)           known or suspected fetal abnormality or fetal cardiac arrhythmia;

(ii)          fetal anatomy (late booking or incomplete mid-trimester scan);

(iii)         malpresentation;

(iv)         cervical assessment;

(v)          clinical suspicion of amniotic fluid abnormality;

(vi)         clinical suspicion of placental or umbilical cord abnormality;

(vii)        previous complicated delivery;

(viii)       uterine scar assessment;

(ix)         uterine fibroid;

(x)          previous fetal death in utero or neonatal death;

(xi)         antepartum haemorrhage;

(xii)        clinical suspicion of intrauterine growth retardation;

(xiii)       clinical suspicion of macrosomia;

(xiv)       reduced fetal movements;

(xv)        suspected fetal death;

(xvi)       abnormal cardiotocography;

(xvii)      prolonged pregnancy;

(xviii)     premature labour;

(xix)       multiple pregnancy;

(xx)        fetal infection;

(xxi)       pregnancy after assisted reproduction;

(xxii)      trauma;

(xxiii)     diabetes mellitus;

(xxiv)     hypertension;

(xxv)      toxaemia of pregnancy;

(xxvi)     liver or renal disease;

(xxvii)    autoimmune disease;

(xxviii)   cardiac disease;

(xxix)     alloimmunisation;

(xxx)      maternal infection;

(xxxi)     inflammatory bowel disease;

(xxxii)    bowel stoma;

(xxxiii)   abdominal wall scarring;

(xxxiv)   previous spinal or pelvic trauma or disease;

(xxxv)    drug dependency;

(xxxvi)   thrombophilia;

(xxxvii)  gross maternal obesity;

(xxxviii) advanced maternal age;

(xxxix)   abdominal pain or mass (R)

 

55721

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where:

(a)   the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

115.00

 

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

(e)    further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (R)

 

55723

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan (not exceeding 1 service in any 1 pregnancy) of, by any or all approaches, where:

(a)   the patient is not referred by a medical practitioner; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d)   the service is not performed in the same pregnancy as item 55718; and

(e)   one or more of the following conditions are present:

(i)           known or suspected fetal abnormality or fetal cardiac arrhythmia;

(ii)          fetal anatomy (late booking or incomplete mid-trimester scan);

(iii)         malpresentation;

(iv)         cervical assessment;

(v)          clinical suspicion of amniotic fluid abnormality;

(vi)         clinical suspicion of placental or umbilical cord abnormality;

(vii)        previous complicated delivery;

(viii)       uterine scar assessment;

(ix)         uterine fibroid;

(x)          previous fetal death in utero or neonatal death;

(xi)         antepartum haemorrhage;

(xii)        clinical suspicion of intrauterine growth retardation;

(xiii)       clinical suspicion of macrosomia;

(xiv)       reduced fetal movements;

(xv)        suspected fetal death;

(xvi)       abnormal cardiotocography;

(xvii)      prolonged pregnancy;

(xviii)     premature labour;

(xix)       multiple pregnancy;

(xx)        fetal infection;

(xxi)       pregnancy after assisted reproduction;

(xxii)      trauma;

(xxiii)     diabetes mellitus;

(xxiv)     hypertension;

(xxv)      toxaemia of pregnancy;

(xxvi)     liver or renal disease;

(xxvii)    autoimmune disease;

(xxviii)   cardiac disease;

(xxix)     alloimmunisation;

(xxx)      maternal infection;

(xxxi)     inflammatory bowel disease;

(xxxii)    bowel stoma;

(xxxiii)   abdominal wall scarring;

(xxxiv)   previous spinal or pelvic trauma or disease;

(xxxv)    drug dependency;

(xxxvi)   thrombophilia;

(xxxvii)  gross maternal obesity;

(xxxviii) advanced maternal age;

(xxxix)   abdominal pain or mass (NR)

38.00

 

55725

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, where:

(a)   the patient is not referred by a medical practitioner; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

(d)   further examination is clinically indicated in the same pregnancy to which item 55718 or 55723 applies (NR)

40.00

55728

Pelvis or abdomen, pregnancy related or pregnancy complication, fetal development and anatomy, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where:

(a)   the patient is referred by a medical practitioner who is a Member or a Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists or who has a Diploma of Obstetrics; and

(b)   the dating of the pregnancy (as confirmed by ultrasound) is after 22 weeks of gestation; and

(c)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

100.00

 

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

(e)    it can be demonstrated that a clinical condition other than a condition mentioned in paragraph (f) of item 55718 or paragraph (e) of item 55723 is present (R)

 

55731

Pelvis, female, ultrasound scan of, by any or all approaches, performed by or on behalf of a medical practitioner, where:

(a)   the patient is referred by a medical practitioner; and

(b)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

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

(d)   the service is not performed with item 55036 or 55038 on the same patient within 24 hours (R)

98.00

55733

Pelvis, female, ultrasound scan of, by any or all approaches, where:

(a)   the patient is not referred by a medical practitioner; and

(b)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies (NR)

35.00

55736

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; and

(b)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

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

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

127.00

55739

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

(b)   the service is not associated with a service to which an item in Subgroup 2 or 3 of this group applies; and

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

57.00

[13]      Schedule 1, Part 2, Group l2, item 56016

substitute

56016

Computed tomography — scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without contrast medium, with or without scan of brain (R) (K)

291.15

[14]      Schedule 1, Part 2, Group l2, after item 56028

insert

56030

Computed tomography — scan of facial bones, paranasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (K)

300.00

56033

Computed tomography — scan of facial bones, paranasal sinuses or both, with scan of brain, without intravenous contrast medium (R) (NK)

150.00

56036

Computed tomography — scan of facial bones, paranasal sinuses or both, with scan of brain, with intravenous contrast medium, where:

(a)   a scan without intravenous contrast medium has been undertaken; and

(b)   the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (K)

375.00

56039

Computed tomography — scan of facial bones, paranasal sinuses or both, with scan of brain, with intravenous contrast medium, where:

(a)   a scan without intravenous contrast medium has been undertaken; and

(b)   the service is required because the result of the scan mentioned in paragraph (a) is abnormal (R) (NK)

187.50

[15]      Schedule 1, Part 2, Group l2, item 56056

substitute

56056

Computed tomography — scan of petrous bones in axial and coronal planes in 1 mm or 2 mm sections, with or without intravenous contrast medium, with or without scan of brain (R) (NK)

155.40

[16]      Schedule 1, Part 2, Group l2, item 57350

substitute

57350

Computed tomography — spiral angiography with intravenous contrast medium and with any scans prior to intravenous contrast injection when undertaken — 1 or more spiral data acquisitions, including image editing, and maximum intensity projections or 3 dimensional surface shaded display, with hardcopy recording of multiple projections, where:

(a)   the service is not a service to which another item in this group applies; and

(b)   the service is performed for the exclusion of arterial stenosis, occlusion, aneurysm or embolism; and

(c)   the service is not performed on the same patient within 12 months (R) (K)

512.10

[17]      Additional amendments of Schedule 1, Part 2, Group l1

The following provisions are amended by omitting ‘item 11240 or’:

·                                                                   item 55028, paragraph (a)

·                                                                   item 55029

·                                                                   item 55030, paragraph (a)

·                                                                   item 55031

·                                                                   item 55032, paragraph (a)

·                                                                   item 55033

·                                                                   item 55036, paragraph (a)

·                                                                   item 55037

·                                                                   item 55038, paragraph (a)

·                                                                   item 55039

·                                                                   item 55044, paragraph (a)

·                                                                   item 55045

·                                                                   item 55048, paragraph (a)

·                                                                   item 55049

·                                                                   item 55050, paragraph (a)

·                                                                   item 55051

·                                                                   item 55052, paragraph (a)

·                                                                   item 55053.

[18]      Additional amendments of Schedule 1, Part 2

Item

omit

insert

56001

197.40

195.00

56007

252.10

250.00

56013

252.10

250.00

56016

291.15

290.00

56022

226.30

225.00

56101

232.70

230.00

56107

343.20

340.00

56210

242.45

240.00

56301

299.40

295.00

56307

404.45

400.00

56401

253.60

250.00

56407

362.90

360.00

56409

253.60

250.00

56412

362.90

360.00

56501

386.20

385.00

56507

487.40

480.00

56619

224.15

220.00

56807

567.65

560.00

57341

474.15

470.00

57350

512.10

510.00

57506

31.15

28.05

57509

41.65

37.50

57512

42.40

38.15

57515

56.55

50.90

57518

34.05

30.65

57521

45.45

40.90

57524

51.70

46.55

57527

68.90

62.00

57700

42.40

38.15

57703

56.55

50.90

57706

34.05

30.65

57709

45.45

40.90

57712

49.40

44.45

57715

63.85

57.45

57721

103.95

93.55

57901

67.55

60.80

57902

67.55

60.80

57903

49.50

44.55

57906

67.55

60.80

57909

67.55

60.80

57912

49.40

44.45

57915

49.40

44.45

57918

49.40

44.45

57921

49.40

44.45

57924

49.40

44.45

57927

52.00

46.80

57930

34.45

31.00

57933

81.95

73.75

57936

49.60

44.65

57939

67.55

60.80

57942

52.00

46.80

57945

45.45

40.90

58100

70.35

63.30

58103

57.75

51.95

58106

80.60

72.55

58109

49.20

44.30

58112

101.85

91.65

58115

139.25

125.30

58300

42.00

37.80

58306

93.60

84.25

58500

37.00

33.30

58503

49.40

44.45

58506

63.65

57.30

58509

41.65

37.50

58521

45.45

40.90

58524

59.15

53.25

58527

72.75

65.45

58700

48.20

43.40

58706

165.40

148.85

58715

158.70

142.85

58718

132.10

118.90

58721

144.80

130.30

58900

37.40

33.65

58903

49.85

44.85

58909

94.25

84.80

58912

115.50

103.95

58915

82.65

74.40

58916

145.05

130.55

58921

141.65

127.50

58924

88.00

79.20

58927

80.05

72.05

58933

215.35

193.80

58936

205.25

184.70

58939

145.90

131.30

59503

93.60

84.25

59700

101.10

91.00

59703

79.50

71.55

59712

119.10

107.20

59715

150.35

135.30

59718

141.05

126.95

59724

237.15

213.45

59733

112.75

101.50

59736

64.95

58.45

59739

77.20

69.50

59751

145.75

131.15

59754

229.75

206.75

59760

120.60

108.55

59763

140.20

126.20

60100

63.65

57.30

60500

45.45

40.90

60503

31.15

28.05

60506

66.80

60.10

60509

103.55

93.20

60903

134.25

120.80

60915

73.95

66.55

60918

55.15

49.65

60927

44.50

40.05

61109

271.15

244.05

Notes

1.       These Regulations amend Statutory Rules 1999 No. 255.

2.       Made by the Governor-General on 15 December 1999, and notified in the Commonwealth of Australia Gazette on 22 December 1999