Statutory Rules 1990 No. 3421
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Health Insurance (1990-91 General Medical Services Table) 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 25 October 1990.
BILL HAYDEN
Governor-General
By His Excellency's Command,
B. HOWE
Minister of State for Community Services
and Health
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Citation
1. These Regulations may be cited as the Health Insurance (1990-91 General Medical Services Table) Regulations.
Commencement
2. These Regulations commence on 1 November 1990.
Repeal
3. Statutory Rules 1989 Nos. 230 and 329 and 1990 Nos. 83 and 250 are repealed.
General medical services table
4. The table of medical services in the Schedule is prescribed for the purposes of subsection 4 (2) of the Health Insurance Act 1973.
SCHEDULE Regulation 4
TABLE OF MEDICAL SERVICES
RULES OF INTERPRETATION
1. In this table:
"item" means an item in the list of services and fees in this table;
"Division" means a Division of a Part of that list;
"Part" means a Part of that list.
2. If an item in Part 1, in Division 3 of Part 3 or in Part 4 includes the symbol "(S)", the item is taken to relate to the service specified in the item when rendered by a specialist in the practice of his or her specialty.
3. If an item in Part 1, in Division 3 of Part 3 or in Part 4 includes the symbol "(G)", the item is taken to relate to the service specified in the item when rendered otherwise than by a specialist in the practice of his or her specialty.
4. If an item (other than an item in Part 1, in Division 3 of Part 3 or in Part 4) includes the symbol "(S)", the item is taken to relate to a service specified in the item when rendered by a specialist in the practice of his or her specialty:
(a) to a patient who has been referred to the specialist, where the service is the first service rendered to the patient by the specialist after the referral; or
(b) to a patient who has been referred to the specialist, where the service constitutes part of a single course of treatment rendered to the patient for the condition identified in the referral, or, if no condition was identified in the referral, for the condition identified by the specialist, and that service is rendered within the period of 12 months (or such lesser period, if any, specified by the medical practitioner who referred the patient) after the day on which the first service rendered pursuant to that referral was rendered; or
(c) to a patient who has declared that a written referral was completed by a specified medical practitioner and that the referral has been lost, stolen or destroyed before the rendering of the service, where that service is the first service rendered by the specialist pursuant to that referral or where that service constitutes part of a single course of treatment rendered to the patient for the condition identified by the specialist when he or she rendered the first service rendered to that patient after the making of the declaration and that service is rendered within the period of 12 months after the day on which the first service rendered pursuant to that referral was rendered; or
(d) to a patient who has not been referred to the specialist, where the specialist was, at the time that the service was rendered, of the opinion that it was necessary that that service be rendered as quickly as possible.
5. If an item (other than an item in Part 1, in Division 3 of Part 3 or in Part 4) includes the symbol "(G)", the item is taken to relate to the service specified in the item when rendered otherwise than by a specialist in accordance with rule 4.
6. A reference in rule 4 or 5 or in Part 1 to the referring of a patient to a specialist is a reference to a referring by a medical practitioner and:
(a) if the specialist concerned is an ophthalmologist—includes a reference to a referring by a registered optometrist or by a registered optician; and
SCHEDULE—continued
(b) if a referring arises out of a dental service rendered to the person who has been referred—includes a reference to a referring by a dental practitioner.
7. A reference in an item in Part 1 to an attendance by a specialist or consultant physician in the practice of his or her specialty if the patient is referred to him or her includes a reference to an attendance by a specialist or consultant physician in the practice of his or her specialty if:
(a) the patient has declared that a written referral in respect of the patient was completed by a medical practitioner named in the declaration and that the referral has been lost, stolen or destroyed before the attendance specified in the item; or
(b) the patient has not been referred to the specialist or consultant physician and the specialist or consultant physician was, at the time of the attendance specified in the item, of the opinion that it was necessary that that attendance occur as quickly as possible;
but does not include a reference to an attendance by a specialist or consultant physician in the practice of his or her specialty if the attendance forms part of a single course of treatment for which the first service was rendered on a day more than 12 months before the day on which that service was rendered, unless a later referral has been made.
8. (1) In the items in Parts 1, 2, 6 and 10 to which this rule applies, "attendance" means a physical attendance on not more than 1 person on a single occasion, other than an attendance on a person in the course of a group session.
(2) This rule applies to each of the following items:
(a) all items in Part 1 (other than items 170, 171 and 172);
(b) items 190, 192, 198, 246, 247, 248 and 273 in Part 2;
(c) items 821, 824, 890, 893 and 980 in Part 6;
(d) items 5264, 6835, 6904, 7601, 7605, 7694, 7697, 7701, 7706, 7774, 7781 and 7785 in Part 10.
9. (1) A service specified in:
(a) an item in Part 2, 3, 4, 5, 9 or 10; or
(b) an item in Part 6 to which rule 10 applies;
other than:
(c) item 290 in Part 2; or
(d) item 887, 888 or 889 in Part 6; or
(e) an item to which rule 8 applies; or
(f) an item in Part 10 that includes the symbol "D";
is a medical service only if the service is performed personally by a medical practitioner on not more than 1 patient on a single occasion.
(2) A service specified in:
(a) item 170, 171 or 172 in Part 1; or
(b) item 887, 888 or 889 in Part 6;
is a medical service only if the service is performed personally by a medical practitioner.
10. (1) A service specified in:
(a) an item in Part 1, 2, 3, 4, 5, 9 or 10; or
(b) an item in Part 6 to which this rule applies;
other than:
(c) item 180, 182, 184 or 186 in Part 1; or
(d) an item in Part 10 that includes the symbol "D";
SCHEDULE—continued
is a medical service for the purposes of the Act only if the service is rendered by a medical practitioner, being:
(e) a medical practitioner other than a medical practitioner employed by the proprietor of a hospital; or
(f) a medical practitioner who is employed by the proprietor of a hospital and renders that medical service otherwise than in the course of his or her employment by that proprietor;
whether or not essential assistance is provided, in accordance with accepted medical practice, to the medical practitioner rendering that service.
(2) This rule applies to each of the following items in Part 6, that is to say, items. 770, 774, 777, 787, 790, 810, 811, 813, 814, 819, 821, 824, 831, 833, 836, 839, 851, 852, 856, 886, 887, 888, 889, 890, 893, 895, 897, 902, 904, 907, 916, 917, 918, 922, 923, 924, 925, 931, 932, 934, 936, 938, 939, 940, 944, 947, 949, 950, 951, 953, 954, 956, 957, 960, 963, 968, 970, 974, 976, 977, 980, 987 and 989.
11. A service specified in item 290 or in an item in Part 6, 7A, 8, 8A, 9A or 11 (other than an item in Part 6 to which rule 10 applies) is a medical service for the purposes of this Act, whether the medical service is rendered by:
(a) a medical practitioner; or
(b) a person, other than a medical practitioner, who is employed by a medical practitioner or, in accordance with accepted medical practice, acts under the supervision of a medical practitioner.
12. A service to which an item in Division 5 of Part 6 relates (other than item 862, 877, 878, 879, 882, 883 or 884) is a medical service only if it is rendered:
(a) in conditions that allow the establishment of determinate thresholds; and
(b) in a sound-attenuated environment with background noise conditions that comply with Australian Standard AS 1269-1983 of the Standards Association of Australia, being that Standard as in force on 1 August 1987; and
(c) using calibrated equipment that complies with Australian Standard AS 2586-1983 of the Standards Association of Australia, being that Standard as in force on 1 August 1987.
13. In Part 1, "institution" means a place (not being a hospital, nursing home, aged persons accommodation attached to a nursing home or aged persons accommodation situated within a nursing home complex) at which residential accommodation or day care is, or both residential accommodation and day care are, made available to:
(a) disadvantaged children; or
(b) juvenile offenders; or
(c) aged persons; or
(d) chronically ill psychiatric patients; or
(e) homeless persons; or
(f) unemployed persons; or
(g) persons suffering from alcoholism; or
(h) persons addicted to drugs; or
(i) physically or mentally handicapped persons.
14. If an item in Part 9A includes the symbol "(HR)", the item relates to the service specified in the item when rendered with the use of magnetic resonance imaging equipment of a recognised hospital or a radiology unit included in a prescribed class of radiology units.
SCHEDULE—continued
15. If an item (other than an item in Part 3) includes a symbol in parentheses consisting of the letters "AU" followed by a number, that symbol refers to an item in Part 3 in respect of the administration of an anaesthetic in connection with the medical service to which the first-mentioned item relates, being:
(a) if the anaesthetic is administered by a medical practitioner other than a specialist anaesthetist—the relevant item in Division 1 of Part 3; or
(b) if the anaesthetic is administered by a specialist anaesthetist—the relevant item in Division 2 of Part 3.
16. For the purposes of rule 14, each of the following classes of radiology units is a prescribed class of radiology units:
(a) radiology units operated by the Commonwealth;
(b) radiology units operated by a State or an authority of a State;
(c) radiology units operated by the Northern Territory;
(d) radiology units operated by the Australian Capital Territory Community and Health Service;
(e) radiology units operated by Australian tertiary education institutions.
17. If an item includes the symbol "(D)", the item relates to the service specified in the item when rendered in the course of dental practice by a dental practitioner approved by the Minister for the purposes of the definition of "professional service" in subsection 3(1).
18. A reference in an item in Division 1 of Part 3 to the administration of an anaesthetic is a reference to the administration of an anaesthetic by a medical practitioner other than a specialist anaesthetist.
19. A reference in an item in Division 2 of Part 3 to the administration of an anaesthetic is a reference to the administration of an anaesthetic by a specialist anaesthetist.
20. A reference in an item in Division 3 of Part 3 to the administration of an anaesthetic is a reference to the administration of an anaesthetic in connection with a dental service other than a service that is a prescribed medical service for the purposes of paragraph (b) of the definition of "professional service" in subsection 3(1).
21. In item 793, "group of practitioners" has the same meaning as in section 16A.
22. A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to a radiographic examination of the kind referred to in the first-mentioned item and:
(a) in the case of item 2732—$19.80; or
(b) in the case of item 2782—$21.00; or
(c) in the case of item 2798—$12.60.
23. A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to a course of radiotherapy treatment of the kind referred to in the first-mentioned item when given to 1 field only and:
(a) in the case of item 2863—$11.40 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
(b) in the case of item 2877—$12.60 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
(c) in the case of item 2881—$15.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
SCHEDULE—continued
(d) in the case of item 2889—$20.00 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
(e) in the case of item 2893—$16.60 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
24. A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to treatment by a single dose of radiotherapy of the kind referred to in the first-mentioned item when given to 1 field only and:
(a) in the case of item 2871—$12.40 for each field separately treated in excess of 1 up to a maximum of 5 additional fields; and
(b) in the case of item 2885—$31.50 for each field separately treated in excess of 1 up to a maximum of 5 additional fields.
25. A reference in item 2953 to an amount under this rule, being an amount payable for assistance at an operation, is a reference to an amount equal to one-fifth of the sum of the fees payable under this Act for the services at that operation of the practitioner to whom the assistance was rendered.
26. (1) A reference in item 2957 to an amount under this rule, being an amount payable for assistance at a series or combination of operations, is a reference to an amount equal to one-fifth of the sum of the fees payable under this Act for the services at those operations of the practitioner to whom the assistance was rendered.
(2) For the purposes of subrule (1), the amount payable for the Caesarean section component of the operations is the fee applicable to item 210.
27. A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item that relates to a dislocation or fracture of the kind treated and:
(a) in the case of item 7483, 7809, 7812, 7817 or 7818—one-half of that fee; or
(b) in the case of item 7803, 7804, 7847 or 7849—one-third of that fee; or
(c) in the case of item 7823 or 7824—three-quarters of that fee.
28. A reference in item 482 or 553 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to a dislocation of the kind treated (being an item relating to a dislocation that is referred to in items 7397 to 7472 (inclusive)); and
(b) one-half of the fee referred to in paragraph (a).
29. A reference in item 484 or 556 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is referred to in items 7505 to 7798 (inclusive)); and
(b) one-half of the fee referred to in paragraph (a).
30. A reference in item 483 or 554 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is referred to in items 7505 to 7798 (inclusive)); and
SCHEDULE—continued
(b) one-third of the fee referred to in paragraph (a).
31. A reference in item 485 or 557 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to a fracture of the kind treated (being an item relating to a fracture that is referred to in items 7505 to 7798 (inclusive)); and
(b) three-quarters of the fee referred to in paragraph (a).
32. A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to:
(a) in the case of item 488 or 560—85% of the fee set out in the item relating to the administration of an anaesthetic that is referred to in the item relating to an amputation of the kind performed (being an item relating to an amputation that is referred to in items 4927 to 5055 (inclusive)); or
(b) in the case of item 5057—75% of the fee set out in the item relating to an amputation of the kind performed (being an item relating to an amputation that is referred to in items 4927 to 5055 (inclusive)).
33. A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to:
(a) in the case of item 7828, 7831, 7834 or 7836—one-half of the fee set out in the item that would, but for the first-mentioned item, relate to the reduction effected; or
(b) in the case of item 7839 or 7841—the fee set out in the item that would, but for that first-mentioned item, relate to the reduction effected; or
(c) in the case of item 7844—the fee set out in the item that relates to a simple and uncomplicated fracture of the part treated.
34. If an item in Part 11 includes the symbol "(C)", the item relates to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit that has computerised processing facilities capable of being used in the rendering of the service.
35. If an item in Part 11 includes the symbol "(NC)", the item relates to a service specified in the item when rendered with the use of a radioisotope imaging scanner at a nuclear medicine unit other than a nuclear medicine unit that has computerised processing facilities capable of being used in the rendering of the service.
36. If an item in Part 12 includes the symbol "(AD)", the item relates to the service specified in the item when rendered by an accredited dental practitioner.
37 (1). If an item in Part 12 includes the symbol "(AO)", the item relates to the service specified in the item when rendered by a recognised orthodontist.
(2) For the purposes of subrule (1) and Division 2 of Part 12, a person is a recognised orthodontist if the person is an accredited dental practitioner and:
(a) the person is registered or licensed as an orthodontist under a relevant law; or
(b) in the case of a person who is not so registered or licensed—the person, by means of his or her qualifications or experience, demonstrates to the Committee his or her competence in the field of orthodontics applicable to the rendering of the services specified in Division 1 of Part 12.
(3) In subrule (2):
"Committee" means the Medical Benefits (Dental Practitioners) Advisory Committee established under section 136 of the National Health Act 1953;
SCHEDULE—continued
"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 as orthodontists.
38. If an item in Part 12 includes the symbol "(AOS)", the item relates 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 subsection 3(1).
39. A reference in items 8658 to 8669 (inclusive) to maxilla includes a reference to the zygoma.
40. A reference in item 6931 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the squint operation performed (being an operation covered by item 6922, 6924 or 6930); and
(b) one-quarter of the fee referred to in paragraph (a).
41. A reference in item 2455 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the service (being a service in Part 7a) in conjunction with which the service referred to in item 2455 is performed; and
(b) $108.00.
42. A service specified in item 186 or 851 is a medical service for the purposes of this Act only if the service is performed upon a patient in any of the following classes of patients:
(a) patients with myopia of greater than 4.0 dioptres (spherical equivalent) in the dominant eye;
(b) patients with manifest hyperopia of greater than 5.0 dioptres (spherical equivalent) in the dominant eye;
(c) patients with astigmatism of greater than 4.0 dioptres in the dominant eye;
(d) patients with astigmatism of greater than 3.0 dioptres in the dominant eye, requiring, for distance correction, a lens of plus power plus 3.0 dioptres or greater in 1 meridian;
(e) patients with irregular astigmatism in either eye, being a condition the existence of which has been confirmed by keratometric observation, if the maximum visual acuity obtainable with spectacle correction is less than 6/12 and if that corrected acuity would be improved by more than 10% by the use of a contact lens;
(f) patients with anisometropia of greater than 4.0 dioptres (difference between spherical equivalents);
(g) patients with subnormal corrected visual acuity of not greater than 6/30 in either eye, being patients for whom a contact lens is prescribed as part of a telescopic system;
(h) patients for whom a wholly or segmentally opaque contact lens is prescribed for the alleviation of dazzle, distortion or diplopia caused by:
(i) pathological mydriasis; or
(ii) aniridia; or
(iii) coloboma of the iris; or
(iv) pupillary malformation or distortion;
whether congenital, traumatic or surgical in origin;
(i) patients who, by reason of physical deformity, are unable to wear spectacles and in respect of whom a medical practitioner has prescribed, or recommended the prescription of, contact lenses;
SCHEDULE—continued
(j) patients in respect of whom a participating optometrist (in the case of a service specified in item 186) or a medical practitioner (in the case of a service specified in item 851) has certified that an ocular or a medical condition (other than a condition referred to in paragraphs (a) to (h) (inclusive)), requiring for correction the use of contact lenses, is present.
43. In Parts 6 and 8, "report" means a report prepared by a medical practitioner.
44. In items 194, 196, 198, 201, 204 and 205 "confinement" includes:
(a) induction of labour by surgical or intravenous infusion methods; and
(b) forceps or vacuum extraction; and
(c) breech delivery; and
(d) management of multiple deliveries; and
(e) episiotomy; and
(f) repair of tears; and
(g) a medical service referred to in item 295 or 298 when performed at the time of delivery; and
(h) evacuation of the products of conception by manual removal;
but does not include a service referred to in an item in Division 2 of Part 2 (other than item 295 or 298).
45. In Part 1, "attendance of a minor nature" means an attendance by a consultant physician on a person, being an attendance that:
(a) is a second or subsequent attendance (in this rule called the "later attendance") in the course of a single course of treatment of that person by that consultant physician if it is not necessary for the consultant physician, in the course of the later attendance, to carry out a physical examination of the person; and
(b) does not result in a substantial alteration to the treatment of that person.
46. (1) In rules 4, 7 and 45 and items 104, 105, 107, 108, 110, 116, 119, 122, 128 and 131, a reference to a single course of treatment includes:
(a) the initial attendance by a specialist or consultant physician and the continuing management or treatment up to and including the stage when the patient is referred back to the care of the referring practitioner; and
(b) and any subsequent review of the patient's condition by the specialist or consultant physician that may be necessary, whether the review is initiated by either the referring practitioner of the specialist or consultant physician.
(2) For the purposes of subrule (1), occurrence in the patient of an unrelated illness, requiring referral of the patient to the specialist's or consultant physician's care, initiates a new course of treatment, in which case a new referral is required.
(3) For the purposes of subrule (1), if:
(a) the referring practitioner considers it necessary for the patient's condition to be reviewed; and
(b) the patient is seen by the specialist or consultant physician outside the currency of the last referral; and
(c) the patient was last seen by the specialist or consultant physician more than 9 months before the attendance;
the attendance initiates a new course of treatment.
(4) In subrule (3), "currency", in relation to the referral of a patient to a specialist, means the period of 12 months, or lesser period, applicable under paragraph 4 (b) or (c) to that referral.
SCHEDULE—continued
47. For the purposes of section 16, each operation referred to in item 204, 205, 210, 362, 363, 365 or 383 is a single operation.
48. A nuclear scanning service to which an item in Part 11 relates is a medical service for the purposes of this Act only if the preliminary examination of the patient, the estimation and administration of the dosage and performance of the scan are undertaken by a medical practitioner, or on behalf of a medical practitioner in the practitioner's presence, and the compilation of the final report is undertaken by the medical practioner.
49. A reference in item 8748 or 8749 to an amount under this rule is a reference to an amount equal to the sum of the fee set out in the item relating to the service (being a service in Part 11), in conjunction with which the service referred to in item 8748 or 8749 is performed and:
(a) in the case of item 8748—$84.00; and
(b) in the case of item 8749—$63.00.
50. A reference in item 8868 to an amount under this rule is a reference to an amount equal to the sum of:
(a) the fee set out in the item relating to the service (being a service in Part 11) in conjunction with which the service referred to in item 8868 is performed; and
(b) $168.00.
51. A reference in item 3, 4, 13, 19, 20, 23, 24, 25, 33, 35, 36, 37, 38, 40, 43, 44, 47, 48, 50 or 51 to a professional attendance may include (but is not limited to) the provision in relation to a patient of any 1 or more of the following services:
(a) the evaluation of the patient's medical condition or conditions including, if applicable, by use of the health screening services referred to in subsection 19(5);
(b) the formulation of a plan for the management and, if applicable, for the treatment of the medical condition or conditions present in the patient;
(c) the provision:
(i) of advice to the patient as to the medical condition or conditions present in the patient and, if applicable, their treatment; or
(ii) if the patient has so authorised, of advice to a person or persons other than the patient as to the medical condition or conditions present in the patient and, where applicable, their treatment;
(d) the recording of the clinical details of the service or services provided to the patient.
52. A reference in an item referred to in a paragraph of this rule to an amount under this rule is a reference to an amount equal to:
(a) in the case of item 13, 19 or 20—the sum of the fee set out in item 3 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $16.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.10; and
(b) in the case of item 25, 33 or 35—the sum of the fee set out in item 23 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $16.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.10; and
SCHEDULE—continued
(c) in the case of item 38, 40 or 43—the sum of the fee set out in item 36 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $16.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.10; and
(d) in the case of item 48, 50 or 51—the sum of the fee set out in item 44 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $16.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—$1.10; and
(e) in the case of item 81, 87 or 92—the sum of the fee set out in item 52 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—65 cents; and
(f) in the case of item 83, 89 or 93—the sum of ;the fee set out in item 53 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—65 cents; and
(g) in the case of item 84, 90 or 95—the sum of the fee set out in item 54 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number of patients so attended is in excess of 6—65 cents; and
(h) in the case of item 86, 91 or 96—the sum of the fee set out in item 57 and:
(i) for each patient attended at a single attendance up to a maximum of 6 patients—an amount equal to $10.00 divided by the number of patients so attended; or
(ii) for each patient attended at a single attendance if the number- of patients so attended is in excess of 6—65 cents.
53. A service that is rendered as part of a treatment cycle and specified in an item in Division 3A of Part 6 is not a medical service specified in an item that is not included in that Division.
54. A reference in an item in Division 3A of Part 6 to a treatment cycle is a reference to a series of treatments of a patient that begins:
(a) on the day on which the treatment with superovulatory drugs commences; or
(b) on the first day of a menstrual cycle of the patient;
and ends not more than 30 days after that day.
SCHEDULE—continued
55. A reference in item 840 or 842 to embryology laboratory services includes a reference to:
(a) egg recovery from aspirated follicular fluid; and
(b) insemination; and
(c) monitoring of fertilisation and embryo development; and
(d) preparation of gametes or embryos for transfer or freezing;
but does not include a reference to semen preparation.
56. A service in relation to a patient's pregnancy, or intended pregnancy, that is the subject of an arrangement under which the patient agrees that guardianship or custodial rights in respect of a child born as a result of the pregnancy will be transferred to another person, is not a medical service for the purposes of an item in Division 3A of Part 6.
SERVICES AND FEES
| Item | Medical service | Fee |
| | PART 1 | |
| | | $ |
| 3 | Professional attendance at consulting rooms (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—each attendance | 10.80 |
| 4 | Professional attendance, other than an attendance covered by any other item in this Part and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—each attendance | 27.00 |
| 13 | Professional attendance at an institution (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management— an attendance on one or more patients at the one institution on the one occasion—each patient | Amount under rule 52 |
| 19 | Professional attendance at a hospital (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on one or more patients at the one hospital on the one occasion—each patient | Amount under rule 52 |
SCHEDULE—continued
| Item | Medical service | Fee |
| 20 | Professional attendance (not being an attendance covered by any other item in this Part) at a nursing home including aged persons' accommodation attached to a nursing home or aged persons' accommodation' situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in a nursing home or aged persons' accommodation (not being accommodation in a self contained unit) by a vocationally registered general practitioner for an obvious problem characterised by the straightforward nature of the task that requires a short patient history and, if required, limited examination and management—an attendance on one or more patients at the one nursing home on the one occasion—each patient | Amount under rule 52 |
| | | $ |
| 23 | Professional attendance at consulting rooms (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of an attendance of the type otherwise covered by item 36 or 44—each attendance | 22.50 |
| 24 | Professional attendance, other than an attendance covered by any other item in this Part and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of an attendance of the type otherwise covered by item 37 or 47—each attendance | 38.50 |
| 25 | Professional attendance at an institution (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of an attendance of the type otherwise covered by item 38 or 48—an attendance on one or more patients at the one institution on the one occasion—each patient | Amount under rule 52 |
SCHEDULE—continued
| Item | Medical service | Fee |
| 33 | Professional attendance at a hospital (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of an attendance of the type otherwise covered by item 40 or 50—an attendance on one or more patients at the one hospital on the one occasion—each patient | Amount under rule 52 |
| 35 | Professional attendance (not being an attendance covered by any other item in this Part) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking a selective history, examination of the patient with implementation of a management plan in relation to one or more problems, OR a professional attendance of less than 20 minutes duration involving components of an attendance of the type otherwise covered by item 43 or 51—an attendance on one or more patients at the one nursing home on the one occasion—each patient | Amount under rule 52 |
| | | $ |
| 36 | Professional attendance at consulting rooms (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 44—each attendance | 41.00 |
| 37 | Professional attendance, other than an attendance covered by any other item in this Part and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 47— each attendance | 57.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| 38 | Professional attendance at an institution (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 48—an attendance on one or more patients at the one institution on the one occasion—each patient | Amount under rule 52 |
| 40 | Professional attendance at a hospital (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 50—an attendance on one or more patients at the one hospital on the one occasion—each patient | Amount under rule 52 |
| 43 | Professional attendance (not being an attendance covered by any other item in this Part) at a nursing, home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking a detailed history, an examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more problems, and lasting at least 20 minutes, OR a professional attendance of less than 40 minutes duration involving components of an attendance of the type otherwise covered by item 51— an attendance on one or more patients at the one nursing home on the one occasion—each patient | Amount under rule 52 |
| | | $ |
| 44 | Professional attendance at consulting rooms (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems, and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan—each attendance | 60.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 47 | Professional attendance, other than an attendance covered by any other item in this Part and not being an attendance at consulting rooms, an institution, a hospital or a nursing home by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan—each attendance | 76.00 |
| 48 | Professional attendance at an institution (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems, and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on one or more patients at the one institution on the one occasion— each patient | Amount under rule 52 |
| 50 | Professional attendance at a hospital (not being an attendance covered by any other item in this Part) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems, and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on one or more patients at the one hospital on the one occasion—each patient | Amount under rule 52 |
SCHEDULE—continued
| Item | Medical service | Fee |
| 51 | Professional attendance (not being an attendance covered by any other item in this Part) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) by a vocationally registered general practitioner involving taking an exhaustive history, a comprehensive examination of multiple systems, arranging any necessary investigations and implementing a management plan in relation to one or more complex problems, and lasting at least 40 minutes, OR a professional attendance of at least 40 minutes duration for implementation of a management plan—an attendance on one or more patients at the one nursing home on the one occasion—each patient | Amount under rule 52 |
| | | $ |
| 52 | Professional attendance at consulting rooms of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 10.60 |
| 53 | Professional attendance at consulting rooms of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 20.50 |
| 54 | Professional attendance at consulting rooms of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 37.00 |
| 57 | Professional attendance at consulting rooms of more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 59.00 |
| 58 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 23.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 59 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 30.50 |
| 60 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 49.50 |
| 65 | Professional attendance (not being an attendance at consulting rooms, an institution, a hospital or a nursing home) of more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—each attendance | 71.00 |
| 81 | Professional attendance at an institution of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one institution on the one occasion—each patient | Amount under rule 52 |
| 83 | Professional attendance at an institution of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one institution on the one occasion—each patient | Amount under rule 52 |
| 84 | Professional attendance at an institution of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one institution on the one occasion—each patient | Amount under rule 52 |
| 86 | Professional attendance at an institution of more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one institution on the one occasion—each patient | Amount under rule 52 |
| 87 | Professional attendance at a hospital of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one hospital on the one occasion—each patient | Amount under rule 52 |
SCHEDULE—continued
| Item | Medical service | Fee |
| 89 | Professional attendance at a hospital of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one hospital on the one occasion—each patient | Amount under rule 52 |
| 90 | Professional attendance at a hospital of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one hospital on the one occasion—each patient | Amount under rule 52 |
| 91 | Professional attendance at a hospital of more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one hospital on the one occasion—each patient | Amount under rule 52 |
| 92 | Professional attendance (not being an attendance covered by any other item in this Part) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of not more than 5 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one nursing home on the one occasion—each patient | Amount under rule 52 |
| 93 | Professional attendance (not being an attendance covered by any other item in this Part) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 5 minutes duration but not more than 25 minutes duration (not being an attendance covered by any other item in this Part) by $ medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one nursing home on the one occasion—each patient | Amount under rule 52 |
SCHEDULE—continued
| Item | Medical service | Fee |
| 95 | Professional attendance (not being an attendance covered by any other item in this Part) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 25 minutes duration but not more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one nursing home on the one occasion-each patient | Amount under rule 52 |
| 96 | Professional attendance (not being an attendance covered by any other item in this Part) at a nursing home, including aged persons' accommodation attached to a nursing home or aged persons' accommodation situated within a complex that includes a nursing home (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the nursing home or aged persons' accommodation (not being accommodation in a self-contained unit) of more than 45 minutes duration (not being an attendance covered by any other item in this Part) by a medical practitioner (not being a vocationally registered general practitioner)—an attendance on one or more patients at the one nursing home on the one occasion—each patient | Amount under rule 52 |
| 97 | Professional attendance being an attendance at other than consulting rooms, on not more than one patient on the one occasion by a medical practitioner—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period and where the patient's medical condition requires immediate treatment | $ 42.50 |
| 98 | Professional attendance being an attendance at consulting rooms, on not more than one patient on the one occasion by a medical practitioner—each attendance on a public holiday, on a Sunday, before 8 a.m. or after 1 p.m. on a Saturday or at any time other than between 8 a.m. and 8 p.m. on a day not being a Saturday, Sunday or public holiday, where the attendance is initiated by or on behalf of the patient in the same unbroken after hours period, where the patient's medical condition requires immediate treatment, and where it is necessary for the doctor to return to, and specially open, consulting rooms for the attendance | 42.50 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 101 | Examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (G) | 20.50 |
| 102 | Examination of a patient in preparation for the administration of an anaesthetic, being an examination carried out at an attendance other than that at which the anaesthetic is administered (S) | 28.50 |
| 104 | Professional attendance by a specialist in the practice of his/her specialty where the patient is referred to him/ her—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at consulting rooms, hospital or nursing home | 57.00 |
| 105 | Professional attendance by a specialist in the practice of his/her specialty where the patient is referred to him/ her—each attendance subsequent to the first in a single course of treatment where that attendance is at consulting rooms, hospital or nursing home | 28.50 |
| 107 | Professional attendance by a specialist in the practice of his/her specialty where the patient is referred to his/ her—an attendance (other than a second or subsequent attendance in a single course of treatment) where that attendance is at a place other than consulting rooms, hospital or nursing home | 83.00 |
| 108 | Professional attendance by a specialist in the practice of his/her specialty where the patient is referred to him/ her—each attendance subsequent to the first in a single course of treatment where that attendance is at a place other than consulting rooms, hospital or nursing home | 53.00 |
| 110 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him/her by a medical practitioner— initial attendance in a single course of treatment. | 100.00 |
| 116 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him/her by a medical practitioner— each attendance (other than an attendance covered by item 119) subsequent to the first in a single course of treatment. | 50.00 |
| 119 | Professional attendance at consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than psychiatry) where the patient is referred to him/her by a medical practitioner— each minor attendance subsequent to the first in a single course of treatment. | 28.50 |
| 122 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than in psychiatry) where the patient is referred to him/her by a medical practitioner—initial attendance in a single course of treatment. | 122.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 128 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than in psychiatry) where the patient is referred to him/her by a medical practitioner—each attendance (other than an attendance covered by item 131) subsequent to the first in a single course of treatment. | 74.00 |
| 131 | Professional attendance at a place other than consulting rooms, hospital or nursing home by a consultant physician in the practice of his/her specialty (other than in psychiatry) where the patient is referred to him/her by a medical practitioner—each minor attendance subsequent to the first in a single course of treatment. | 53.00 |
| 134 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 29.00 |
| 136 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner— an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 58.00 |
| 138 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner—an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 84.00 |
| 140 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner—an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 116.00 |
| 142 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner— an attendance of more than 75 minutes duration where that attendance is at consulting rooms, hospital or nursing home | 142.00 |
| 144 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner—an attendance of not more than 15 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 53.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 146 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner— an attendance of more than 15 minutes duration but not more than 30 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 83.00 |
| 148 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner— an attendance of more than 30 minutes duration but not more than 45 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 116.00 |
| 150 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner— an attendance of more than 45 minutes duration but not more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 140.00 |
| 152 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner— an attendance of more than 75 minutes duration where that attendance is at a place other than consulting rooms, hospital or nursing home | 166.00 |
| 160 | Professional attendance for a period of not less than 1 hour but less than 2 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 82.00 |
| 161 | Professional attendance for a period of not less than 2 hours but less than 3 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 134.00 |
| 162 | Professional attendance for a period of not less than 3 hours but less than 4 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 186.00 |
| 163 | Professional attendance for a period of not less than 4 hours but less than 5 hours (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 235.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 164 | Professional attendance for a period of 5 hours or more (not being an attendance covered by any other item in this Part) on a patient in imminent danger of death requiring continuous life saving emergency treatment (not being treatment of a counselling nature) to the exclusion of all other patients | 285.00 |
| 170 | Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his/ her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of two patients | 87.00 |
| 171 | Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his/ her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of three patients | 92.00 |
| 172 | Professional attendance for the purpose of group therapy of not less than one hour's duration given under the direct continuous supervision of a medical practitioner, other than a consultant physician in the practice of his/ her specialty of psychiatry, involving members of a family and persons with close personal relationships with that family—each group of four or more patients | 112.00 |
| | Professional Attendances by Participating Optometrists | |
| 180 | Professional attendance by a participating optometrist that is the sole or first attendance in a single course of attention of a patient. The Medicare benefit is payable in respect of attendances by a participating optometrist at, or operating from, the same practice location, only once in a period of twenty four consecutive months unless the examining optometrist has certified that, in his/her professional opinion, the person had an ocular condition which necessitated a further course of attention being commenced within twenty four months of the previous initial consultation | 47.00 |
| 182 | Professional attendance by a participating optometrist (not being an attendance relating to the prescription and fitting of contact lenses) that is the second attendance in a single course of attention in respect of which the first attendance is covered by item 180 | 23.50 |
| 184 | Professional attendance by a participating optometrist (not being an attendance relating to the prescription and fitting of contact lenses) that is the third or a subsequent attendance in a single course of attention of a patient in respect of whom the attending optometrist has certified on the patient's account that, in his/her professional opinion, there is a need for that attendance, being a course of attention in respect of which the first attendance is covered by item 180 | 23.50 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 186 | Professional attendances by a participating optometrist after the first, being those attendances regarded as a single service, in a single course of attention involving the prescription and fitting of contact lenses, being a course of attention in respect of which the first attendance is covered by Item 180. The Medicare benefit is payable only once in a period of thirty six consecutive months unless the examining optometrist has certified on the patient's account that, in his/her professional opinion, the patient had an ocular condition which necessitated a further course of attention being commenced within thirty six months of the previous initial consultation | 118.00 |
| | PART 2—OBSTETRICS | |
| | Division 1—General | |
| 190 | Antenatal care (not including any service or services covered by item 204 or 205) where the attendances do not exceed ten—each attendance | 20.50 |
| 192 | Antenatal care (not including any service or services covered by item 204 or 205) where the attendances exceed ten | 205.00 |
| 194 | Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (G) | 158.00 |
| 196 | Confinement and postnatal care for nine days where the medical practitioner has not given the antenatal care (S) | 270.00 |
| 198 | Confinement as an independent procedure, including all related attendances (S) | 230.00 |
| 201 | Confinement, incomplete, with or without postnatal care for nine days where the patient is referred to a specialist in the practice of his or her specialty or the patient's care is transferred to another medical practitioner for completion of the delivery | 106.00 |
| 204 | Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (G) | 450.00 |
| 205 | Antenatal care, confinement with delivery by any means (including Caesarean section) and postnatal care for nine days (S) | 580.00 |
| 210 | Caesarean section and postnatal care for nine days where the patient has been referred to a specialist in the practice of his or her specialty or the patient's care has been transferred to another medical practitioner for management of the confinement and the practitioner who performed the Caesarean section did not provide the antenatal care | 415.00 |
| | Division 2—Special Services | |
| 242 | Treatment of habitual miscarriage by injection of hormones—each injection up to a maximum of twelve injections, where the injection is not administered during a routine antenatal attendance | 14.80 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 246 | Threatened abortion, threatened miscarriage or hyperemesis gravidarum, requiring admission to hospital, treatment of—each attendance that is not a routine antenatal attendance | 14.80 |
| 247 | Polyhydramnios, unstable lie, multiple pregnancy, pregnancy complicated by diabetes or anaemia, threatened premature labour treated by bed rest only or oral medication, requiring admission to hospital—each attendance that is not a routine antenatal attendance, to a maximum of two attendances in any seven day period | 14.80 |
| 248 | Pregnancy complicated by acute intercurrent infection, intrauterine growth retardation, threatened premature labour with ruptured membranes or threatened premature labour treated by intravenous therapy, requiring admission to hospital—each attendance that is not a routine antenatal attendance, to a maximum of one visit per day | 14.80 |
| 250 | Cervix, purse string ligation of, for threatened miscarriage (G) (AU 6) | 110.00 |
| 258 | Cervix, purse string ligation of, for threatened miscarriage (S) (AU 6) | 146.00 |
| 267 | Cervix, removal of purse string ligature of, under general anaesthesia (AU 5) | 42.00 |
| 273 | Pre-eclampsia, eclampsia or antepartum haemorrhage, treatment of—each attendance that is not a routine antenatal attendance | 14.80 |
| 274 | Management of second trimester labour, with or without induction (G) | 158.00 |
| 275 | Management of second trimester labour, with or without induction (S) | 196.00 |
| 278 | Amnioscopy or amniocentesis | 42.00 |
| 280 | Chorionic villus sampling including any associated imaging | 170.00 |
| 290 | Antenatal cardiotocography in the management of high risk pregnancy (not during the course of the confinement) | 24.50 |
| 295 | Version, external, under general anaesthesia (AU 6) | 42.00 |
| 298 | Version, internal, under general anaesthesia (AU 6) | 76.00 |
| 362 | Evacuation of products of conception (such as retained foetus, placenta, membranes or mole) by intrauterine manual removal as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 116.00 |
| 363 | Treatment of post-partum haemorrhage by special procedures such as packing of uterus as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 116.00 |
| 365 | Manipulative correction of acute inversion of uterus, by vaginal approach, with or without incision of cervix as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 230.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 383 | Third degree tear, repair of, involving anal sphincter muscles as an independent procedure where the medical practitioner has not managed the confinement, including all associated attendances | 172.00 |
| | PART 3—ANAESTHETICS | |
| Division 1—Anaesthetics Administered by a Medical Practitioner other than a Specialist Anaesthetist |
| 401 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1) | 11.00 |
| 403 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2) | 22.00 |
| 404 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3) | 33.00 |
| 405 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4) | 44.00 |
| 406 | Administration of an anaesthetic in connection with a | 55.00 |
| | medical service, being a medical service which contains | |
| | the reference (AU 5) | |
| 407 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6) | 66.00 |
| 408 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7) | 77.00 |
| 409 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8) | 88.00 |
| 443 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9) | 99.00 |
| 450 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10) | 110.00 |
| 453 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11) | 120.00 |
| 454 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12) | 132.00 |
| 457 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13) | 142.00 |
| 458 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14) | 154.00 |
| 459 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15) | 164.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 460 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16) | 176.00 |
| 461 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17) | 186.00 |
| 462 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18) | 198.00 |
| 463 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19) | 210.00 |
| 464 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20) | 220.00 |
| 465 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21) | 230.00 |
| 466 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22) | 240.00 |
| 467 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23) | 250.00 |
| 468 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24) | 265.00 |
| 469 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25) | 275.00 |
| 470 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26) | 285.00 |
| 471 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27) | 295.00 |
| 472 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28) | 305.00 |
| 473 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29) | 315.00 |
| 474 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30) | 330.00 |
| 475 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32) | 350.00 |
| 476 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36) | 395.00 |
| 477 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38) | 415.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 478 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39) | 425.00 |
| 479 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 40) | 440.00 |
| 480 | Administration of an anaesthetic in connection with radiotherapy | 66.00 |
| 481 | Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, delivery of second twin by manipulation, rotation of head followed by delivery—where an epidural needle or catheter has not been inserted earlier in labour | 77.00 |
| 482 | Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in items 7397 to 7472 | Amount under rule 28 |
| 483 | Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in items 7505 to 7798 | Amount under rule 30 |
| 484 | Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in items 7505 to 7798 | Amount under rule 29 |
| 485 | Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in items 7505 to 7798 | Amount under rule 31 |
| 486 | Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units | 11.00 |
| 487 | Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure | 110.00 |
| 488 | Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 5057 | Amount under rule 32 |
| | | $ |
| 489 | Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study | 88.00 |
| 490 | Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study | 88.00 |
| 492 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 34) | 370.00 |
| 493 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 35) | 385.00 |
| 497 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 47) | |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| | Division 2—Anaesthetic Administered by a Specialist Anaesthetist | |
| 500 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 1) | 12.20 |
| 505 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 2) | 24.50 |
| 506 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 3) | 36.50 |
| 509 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 4) | 48.50 |
| 510 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 5) | 61.00 |
| 513 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 6) | 73.00 |
| 514 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 7) | 85.00 |
| 517 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 8) | 97.00 |
| 518 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 9) | 110.00 |
| 521 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 10) | 122.00 |
| 522 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 11) | 134.00 |
| 523 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 12) | 146.00 |
| 524 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 13) | 158.00 |
| 525 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 14) | 170.00 |
| 526 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 15) | 182.00 |
| 527 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 16) | 194.00 |
| 528 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 17) | 205.00 |
| 529 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 18) | 220.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 531 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 19) | 230.00 |
| 533 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 20) | 245.00 |
| 535 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 21) | 255.00 |
| 537 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 22) | 270.00 |
| 538 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 23) | 280.00 |
| 539 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 24) | 290.00 |
| 540 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 25) | 305.00 |
| 541 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 26) | 315.00 |
| 542 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 27) | 330.00 |
| 543 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 28) | 340.00 |
| 544 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 29) | 355.00 |
| 545 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 30) | 365.00 |
| 546 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 32) | 390.00 |
| 547 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 36) | 440.00 |
| 548 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 38) | 465.00 |
| 549 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 39) | 475.00 |
| 550 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 40) | 485.00 |
| 551 | Administration of an anaesthetic in connection with radiotherapy | 73.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 552 | Administration of an anaesthetic in connection with forceps delivery, vacuum extraction delivery, breech delivery by manipulation, delivery of second twin by manipulation, rotation of head followed by delivery— where an epidural needle or catheter has not been inserted earlier in labour | 85.00 |
| 553 | Administration of an anaesthetic in connection with the treatment of a dislocation requiring open operation, being a dislocation referred to in items 7397 to 7472 | Amount under rule 28 |
| 554 | Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring open operation, being a fracture referred to in items 7505 to 7798 | Amount under rule 30 |
| 556 | Administration of an anaesthetic in connection with the treatment of a simple and uncomplicated fracture requiring internal fixation or in connection with the treatment of a compound fracture requiring open operation, being in either case a fracture referred to in items 7505 to 7798 | Amount under rule 29 |
| 557 | Administration of an anaesthetic in connection with the treatment of a complicated fracture involving viscera, blood vessels or nerves and requiring open operation, being a fracture referred to in items 7505 to 7798 | Amount under rule 31 |
| 558 | Administration of an anaesthetic in connection with a medical service, being a medical service that does not contain a reference to a number of anaesthetic units | 12.20 |
| 559 | Administration of an anaesthetic where the anaesthetic is administered as a therapeutic procedure | 122.00 |
| 560 | Administration of an anaesthetic in connection with reamputation of amputation stump referred to in item 5057 | Amount under rule 32 |
| | | $ |
| 561 | Administration of an anaesthetic in connection with computerised axial tomography—brain scan, plain study with or without contrast medium study | 97.00 |
| 562 | Administration of an anaesthetic in connection with computerised axial tomography—body scan, plain study with or without contrast medium study | 97.00 |
| 563 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 34) | 415.00 |
| 564 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 35) | 425.00 |
| 565 | Administration of an anaesthetic in connection with a medical service, being a medical service which contains the reference (AU 47) | 570.00 |
| | Division 3—Dental Anaesthetics | |
| 566 | Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (G) | 44.00 |
| 567 | Administration by a medical practitioner of an anaesthetic, other than an endotracheal anaesthetic, in connection with a dental operation (S) | 48.50 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 568 | Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by item 570 (G) | 66.00 |
| 569 | Administration by a medical practitioner of an endotracheal anaesthetic for extraction of a tooth or teeth, not being a service covered by item 571 (S) | 73.00 |
| 570 | Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (G) | 88.00 |
| 571 | Administration by a medical practitioner of an endotracheal anaesthetic for removal of a tooth or teeth requiring incision of soft tissue and removal of bone (S) | 97.00 |
| 572 | Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (G) | 66.00 |
| 573 | Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of not more than 30 minutes duration (S) | 73.00 |
| 574 | Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (G) | 110.00 |
| 575 | Administration by a medical practitioner of an endotracheal anaesthetic for restorative dental work where the procedure is of more than 30 minutes duration (S) | 122.00 |
| 576 | Administration by a medical practitioner of an endotracheal anaesthetic in connection with a dental operation, not covered by any other item in this Part (G) | 77.00 |
| 577 | Administration by a medical practitioner of an endotracheal anaesthetic in connection with a dental operation, not covered by any other item in this Part (S) | 85.00 |
| | PART 4—REGIONAL OR FIELD NERVE BLOCK | |
| 748 | Regional or field nerve block, being one of the following nerve blocks—abdominal (in association . with an intraperitoneal operation), brachial plexus, caudal, cervical plexus (not including the uterine cervix), epidural (peridural), ilio-inguinal, ilio-hypogastric, genito-femoral including all 3 nerves, intercostal (involving any four or more nerves, one or both sides) paravertebral (thoracic or lumbar), pudendal, retrobulbar with facial nerve; sacral or spinal (intrathecal) | 62.00 |
| 751 | Maintenance of a regional or field nerve block referred to in item 748 by the administration of local anaesthetic through an in situ needle or catheter, when performed other than by the operating surgeon | 26.50 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 752 | Introduction of a narcotic, for the control of post-operative pain, into the epidural or intrathecal space in association with an operation | 33.50 |
| 753 | Introduction at the end of an operation of a local anaesthetic into the caudal, lumbar or thoracic epidural space for the control of post-operative pain, in association with general anaesthesia | 33.50 |
| 754 | Maintenance of narcotic analgesia referred to in item 752 by the administration of a narcotic through an in situ needle or catheter, when performed other than by the operating surgeon | 26.50 |
| 755 | Nerve block with local anaesthetic agent of the coeliac plexus, the lumbar sympathetic chain, the thoracic sympathetic chain, the glossopharyngeal nerve or the obturator nerve, with or without X-ray control (AU 8) | 92.00 |
| 756 | Nerve block with alcohol, phenol or other neurolytic agent of the coeliac plexus, the splanchnic nerves, the lumbar sympathetic chain, the thoracic sympathetic chain or a cranial nerve (other than the trigeminal nerve) or an epidural or caudal block with or without X-ray control, localization by electrical stimulator or preliminary block with local anaesthetic (AU 8) | 102.00 |
| 760 | Intravenous regional anaesthesia of limb by retrograde perfusion (G) | 46.00 |
| 764 | Intravenous regional anaesthesia of limb by retrograde perfusion (S) | 59.00 |
| PART 5—ASSISTANCE IN ADMINISTRATION OF AN ANAESTHETIC |
| 767 | Assistance in the administration of an anaesthetic where the administration of the anaesthetic is in connection with a medical service which contains the reference (AU 21), (AU 22), (AU 23), (AU 24), (AU 25), (AU 26), (AU 27), (AU 28), (AU 29), (AU 30), (AU 32), (AU 34), (AU 35), (AU 36), (AU 38), (AU 39), (AU 40) or (AU 47) | 90.00 |
| | PART 6—MISCELLANEOUS PROCEDURES | |
| | Division 1 | |
| 770 | Blood pressure monitoring by intravascular cannula (AU 4) | 46.00 |
| 774 | Hyperbaric oxygen therapy where the medical practitioner is not in the chamber | 92.00 |
| 777 | Hyperbaric oxygen therapy where the medical practitioner is confined in the chamber | 148.00 |
| 780 | Urine flow study including peak urine flow measurement, not associated with item 786 | 18.40 |
| 781 | Cystometrography, not associated with items 784, 785, 786 810-817, 839, 5840 or any item in Part 8 | 74.00 |
| 782 | Urethral pressure profilometry, not associated with items 783, 786, 810-817, 839, 5840 or any item in Part 8 | 74.00 |
| 783 | Urethral pressure profilometry with simultaneous measurement of urethral sphincter electromyography, not associated with items 782, 785, 786, 5840 or any item in Part 8 | 110.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 784 | Cystometrography with simultaneous measurement of rectal pressure, not associated with items 781, 785, 786, 810-817 839, 5840 or any item in Part 8 (AU 6) | 110.00 |
| 785 | Cystometrography with simultaneous measurement of urethral sphincter electromyography, not associated with items 781, 783, 784, 786, 810-817, 839, 5840 or any item in Part 8 (AU 6) | 110.00 |
| 786 | Cystometrography with simultaneous measurement of any one or more of urine flow rate, urethral pressure profile, rectal pressure, urethral sphincter electromyography; and all associated fluoroscopic imaging, not associated with items 780-785, 810-817, 839 and 5840 (AU 6) | 285.00 |
| 787 | Administration of a general anaesthetic (including the administration of oxygen ) during hyperbaric therapy where the medical practitioner is not confined in the chamber | 124.00 |
| 790 | Administration of a general anaesthetic (including the administration of oxygen) during hyperbaric therapy where the medical practitioner is confined in the chamber | 184.00 |
| | Division 2 | |
| 791 | Ultrasonic cross-sectional echography, not associated with item 793, 794 or 913, where the patient is not referred by a medical practitioner for ultrasonic examination each ultrasonic examination not exceeding two examinations in any one pregnancy | 32.00 |
| 793 | Ultrasonic cross-sectional echography performed by, or on behalf of, a medical practitioner where the patient is referred by a medical practitioner for ultrasonic examination not associated with item 791, 794 or 913 and where the referring medical practitioner is not a member of a group of practitioners of which the first-mentioned practitioner is a member | 93.00 |
| 794 | Ultrasonic echography, unidimensional not associated with item 791, 793 or 913 | 56.00 |
| 795 | Examination of peripheral vessels at rest (unilateral or bilateral) with hard copy recordings of wave forms, involving one of the following techniques—Doppler recordings (pulsed, continuous wave, or both) of blood flow velocity with or without pulse volume recordings; Doppler recordings involving real time fast fourier transform analysis; venous occlusion plethysmography; air plethysmography; strain-guage plethysmography; impedance plethysmography; or photo plethysmography (not associated with items 798 or 799)-—one examination and report | 34.50 |
| 796 | - two examinations of the kind referred to in item 795 and report (not associated with item 798 or 799) | 48.50 |
| 797 | - three or more examinations of the kind referred to in item 795 and report (not associated with item 798 or 799) | 63.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 798 | Examination of peripheral vessels and report, involving any of the techniques referred to in item 795, with hard copy recording of wave forms before measured exercise using a treadmill or bicycle ergometer, and measurement of pressure after exercise for 10 minutes or until pressure is normal (unilateral or bilateral) | 63.00 |
| 799 | Measurement of digital temperature, one or more digits, (unilateral or bilateral) and report, with hard copy recording of temperature before and for 10 minutes or more after cold stress testing | 50.00 |
| 800 | Examination of carotid vessels (unilateral or bilateral) with hard copy recordings of wave forms, involving one of the following techniques—Doppler real time fast fourier transform analysis; oculoplethysmography, phonoangiography or both; or periorbital Doppler examination (not associated with item 990, 991, 992 or 993)—one examination and report | 45.00 |
| 801 | - two examinations of the kind referred to in item 800, and report (not associated with item 990, 991, 992 or 993) | 68.00 |
| 802 | - three examinations of the kind referred to in item 800, and report (not associated with item 990, 991, 992 or 993) | 90.00 |
| 803 | Electroencephalography, not associated with item 804, 806 or 809 (AU 6) | 82.00 |
| 804 | Electroencephalography, prolonged recording of at least three hours duration, not associated with item 803, 806 or 809 | 215.00 |
| 806 | Electroencephalography, temporosphenoidal | 112.00 |
| 809 | Electrocorticography | 152.00 |
| 810 | Neuromuscular electrodiagnosis—conduction studies on one nerve or electromyography of one or more muscles using concentric needle electrodes or both these examinations (not associated with item 811 or 813) | 74.00 |
| 811 | Neuromuscular electrodiagnosis—conduction studies on two or three nerves with or without electromyography (not associated with item 810 or 813) | 100.00 |
| 813 | Neuromuscular electrodiagnosis—conduction studies on four or more nerves with or without electromyography or recordings from single fibres of nerves and muscles or both of these examinations (not associated with item 810 or 811) | 148.00 |
| 814 | Neuromuscular electrodiagnosis—repetitive stimulation for study of neuromuscular conduction or electromyography with quantitative computerised analysis or both of these examinations | 100.00 |
| 816 | Investigation of central nervous system evoked responses by computerised averaging techniques—one or two studies | 76.00 |
| 817 | Investigation of central nervous system evoked responses by computerised averaging techniques—three or more studies | 112.00 |
| 818 | Brain stem evoked response audiometry (AU 6) | 128.00 |
| 819 | Insertion of electrodes for the purpose of electrocochleography | 126.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| | Division 3 | |
| 821 | Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist exceeds 45 minutes in the one day | 91.00 |
| 824 | Supervision in hospital by a medical specialist of—haemodialysis, haemofiltration, haemoperfusion or peritoneal dialysis, including all professional attendances, where the total attendance time on the patient by the supervising medical specialist does not exceed 45 minutes in the one day | 47.50 |
| 831 | Declotting of an arteriovenous shunt | 81.00 |
| 833 | Indwelling peritoneal catheter (Tenckhoff or similar) for dialysis—insertion and fixation of (AU 8) | 152.00 |
| 836 | Peritoneal dialysis, establishment of by abdominal puncture and insertion of temporary catheter (including associated consultation) | 91.00 |
| 839 | Bladder washout test for localization of urinary infection— not including bacterial counts for organisms in specimens | 50.00 |
| | Division 3A | |
| 840 | Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures) involving the use of drugs to induce superovulation, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services—but excluding artificial insemination or transfer of frozen embryos or donated embryos or ova or a service provided under item 841, 842 or 847—being services rendered during 1 treatment cycle, if the duration of the treatment cycle is at least 9 days—a maximum of 6 claims per patient | 1475.00 |
| 841 | Ovulation monitoring services, for superovulated treatment cycles of less than 9 days' duration and artificial insemination—including quantitative estimation of hormones and ultrasound examinations, being services rendered during the 1 treatment cycle but excluding a service provided under item 840, 842, 845, 846 or 847 | 370.00 |
| 842 | Assisted reproductive services (such as in vitro fertilisation, gamete intra-fallopian transfer or similar procedures), using unstimulated ovulation or ovulation stimulated only by clomiphene citrate, and including quantitative estimation of hormones, ultrasound examinations, all treatment counselling and embryology laboratory services—but excluding artificial insemination, frozen embryo transfer or donated embryos or ova or treatment involving the use of drugs to induce superovulation— being services rendered during 1 treatment cycle but only if rendered in conjunction with item 845 | 635.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| 843 | Planning and management of a referred patient by a specialist for the purpose of treatment by assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian transfer and similar procedures, or for artificial insemination—payable once only during 1 treatment cycle | $ 63.00 |
| 845 | Oocyte retrieval by any means including laparoscopy or ultrasound-guided ova flushing, for the purposes of assisted reproductive technologies including in vitro fertilisation, gamete intra-fallopian or similar procedures—only if rendered in conjunction with item 840 or 842 only if (AU 9) | 270.00 |
| 846 | Transfer of embryos or both ova and sperm to the female reproductive system, by any means but excluding artificial insemination or the transfer of frozen or donated embryos—only if rendered in conjunction with item 840 or 842, being services rendered in 1 treatment cycle (AU 9) | 84.00 |
| 847 | Preparation and transfer of frozen or donated embryos or both ova and sperm, to the female reproductive system, by any means and including quantitative estimation of hormones and all treatment counselling but excluding artificial insemination services rendered in 1 treatment cycle but excluding a service provided under item 840, 841, 842, 845 or 846 (AU 9) | 635.00 |
| 848 | Preparation of semen for the purposes of assisted reproductive technologies or for artificial insemination | 38.50 |
| | Division 4 | |
| 849 | Provocative test or tests for glaucoma, including water drinking | 27.00 |
| 850 | Tonography—in the investigation or management of glaucoma, of one or both eyes—using an electrical tonography machine producing a directly recorded tracing | 46.00 |
| 851 | Investigation and evaluation of a patient for the fitting of contact lenses, with keratometry and testing with trial lenses* and the issue of a prescription—one service in any period of thirty six consecutive months | 81.00 |
| 852 | Refitting of contact lenses with keratometry and testing with trial lenses and the issue of a prescription being a subsequent fitting of contact lenses within a period of thirty six months of the initial fitting which is covered by item 851 | 5.80 |
| 853 | Electroretinography of one or both eyes or electro-oculography of one or both eyes | 73.00 |
| 854 | Electroretinography of one or both eyes and electro-oculography of one or both eyes | 108.00 |
| 856 | Optic fundi, examination of following intravenous dye injection | 46.50 |
| 859 | Retinal photography, multiple exposures, of one eye with intravenous dye injection | 91.00 |
| 860 | Retinal photography, multiple exposures of both eyes with intravenous dye injection | 112.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| | Division 5 | |
| 862 | Non-determinate audiometry | 14.60 |
| 863 | Audiogram, air conduction | 17.40 |
| 865 | Audiogram, air and bone conduction or air conduction and speech discrimination | 24.50 |
| 870 | Audiogram, air and bone conduction and speech | 33.00 |
| 874 | Audiogram, air and bone conduction and speech, with other cochlear tests | 40.50 |
| 875 | Glycerol induced cochlear function changes assessed by a minimum of four air conduction and speech discrimination tests (Klockoff's test) | 77.00 |
| 877 | Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner—not associated with a service covered by item 863, 865, 870 or 874 | 22.00 |
| 878 | Impedance audiogram involving tympanometry and measurement of static compliance and acoustic reflex performed by, or on behalf of, a specialist in the practice of his or her specialty, where the patient is referred by a medical practitioner—in association with a service covered by item 863, 865, 870 or 874 | 13.20 |
| 879 | Impedance audiogram where the patient is not referred by a medical practitioner—one examination in any four week period | 5.30 |
| 882 | Caloric test of labyrinth or labyrinths | 29.50 |
| 883 | Simultaneous bithermal caloric test of labyrinths | 30.00 |
| 884 | Electronystagmography | 29.50 |
| | Division 6 | |
| 886 | Electroconvulsive therapy, including associated consultation (AU 3) | 38.00 |
| 887 | Group psychotherapy (including associated consultations) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his/her specialty of psychiatry, involving a group of 2-9 unrelated patients or a family group of more than 3 patients, each of whom is referred to the consultant physician by a medical practitioner— each patient | 33.00 |
| 888 | Group psychotherapy (including associated consultations) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his/her specialty of psychiatry, involving a family group of 3 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient | 43.50 |
| 889 | Group psychotherapy (including associated consultations) of not less than 1 hour's duration given under the continuous direct supervision of a consultant physician in the practice of his/her specialty of psychiatry, involving a family group of 2 patients, each of whom is referred to the consultant physician by a medical practitioner—each patient | 64.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 890 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner, involving an interview of a person other than the patient of not less than 20 minutes duration in the course of initial diagnostic evaluation of the patient, where that interview is at consulting rooms, hospital or nursing home | 34.50 |
| 893 | Professional attendance by a consultant physician in the practice of his/her specialty of psychiatry where the patient is referred to him/her by a medical practitioner, involving an interview of a person other than the patient of not less than 45 minutes duration in the course of initial diagnostic evaluation of the patient, where that interview is at consulting rooms, hospital or nursing home | 78.00 |
| | Division 7 | |
| 895 | Umbilical or scalp vein catheterisation in a neonate with or without infusion; or cannulation of a vein | 38.00 |
| 897 | Umbilical artery catheterisation with or without infusion | 56.00 |
| 902 | Blood transfusion with venesection and complete replacement of blood, including collection from donor | 220.00 |
| 904 | Blood transfusion with venesection and complete replacement of blood, using blood already collected | 190.00 |
| 907 | Blood for pathology test, collection of, by femoral or external jugular vein puncture in infants | 19.00 |
| | Division 8 | |
| 908 | Twelve-lead electrocardiography, tracing and report | 23.00 |
| 909 | Twelve-lead electrocardiography, report only where the tracing has been forwarded to another medical practitioner, not associated with an attendance item in Part 1, or twelve-lead electrocardiography, tracing only | 11.60 |
| 910 | Two dimensional real time transoesophageal echocardiographic examination of the heart, not associated with any other echocardiographic examination | 186.00 |
| 911 | Two dimensional real time transoesophageal echocardiographic examination of the heart, associated with another echocardiographic examination | 93.00 |
| 912 | Phonocardiography with electrocardiograph lead with indirect arterial or venous pulse tracing, with or without apex cardiogram—interpretation and report | 48.00 |
| 913 | Echocardiography, not covered by item 791 or 793 | 80.00 |
| 915 | Continuous ECG monitoring (Holter) of an ambulatory patient for twelve or more hours involving recording, scanning analysis, interpretation and report, including resting ECG and the recording of other parameters | 124.00 |
| 916 | Electrocardiographic monitoring during exercise, with apparatus such as bicycle ergometer or treadmill, involving the continuous attendance of a medical practitioner for not less than 20 minutes, including resting electrocardiography and with or without recording of other parameters, on premises equipped with mechanical respirator and defibrillator | 112.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 917 | Restoration of cardiac rhythm by electrical stimulation (cardioversion), other than in the course of cardiac surgery (AU4) | 64.00 |
| 918 | Bronchospirometry, including gas analysis | 112.00 |
| 920 | Measurement of the mechanical or gas exchange function of the respiratory system, or of respiratory muscle function, or of ventilatory control mechanisms, using measurements of various parameters including pressures, volumes, flow, gas concentrations in inspired or expired air, alveolar gas or blood, electrical activity of muscles— each occasion at which one or more such tests are performed | 92.00 |
| 921 | Measurement of respiratory function involving a permanently recorded tracing performed before and after inhalation of bronchodilator—each occasion at which one or more such tests are performed | 13.60 |
| 922 | Perfusion of limb or organ using heart-lung machine or equivalent | 295.00 |
| 923 | Whole body perfusion, cardiac bypass, using heart-lung machine or equivalent | 425.00 |
| 924 | Hyperthermic isolated limb perfusion including vascular cannulation by open operation and subsequent removal of catheters (AU 30) | 670.00 |
| 925 | Induced controlled hypothermia—total body | 73.00 |
| 926 | Measurement of respiratory function involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex respiratory function tests; the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital—each occasion at which one or more such tests are performed | 23.50 |
| 928 | Continuous measurement of the relationship between flow and volume during expiration or inspiration involving a permanently recorded tracing and written report, performed before and after inhalation of bronchodilator, with continuous technician attendance in a laboratory equipped to perform complex lung function tests; the tests being performed under the supervision of a specialist or consultant physician or in the respiratory laboratory of a hospital—each occasion at which one or more such tests are performed | 41.00 |
| 931 | Intra-arterial infusion or retrograde intravenous perfusion of a sympatholytic agent | 59.00 |
| 932 | Administration of a cytotoxic agent by intravenous drip infusion or by introduction into the bladder | 43.00 |
| 934 | Intra-arterial infusion or intra-arterial injection of a substance incorporating a cytotoxic agent, preparation for | 56.00 |
| 936 | Intralymphatic infusion or intralymphatic injection of a fluid containing a cytotoxic agent, with or without the incorporation of an opaque medium | 87.00 |
| 938 | Intralymphatic insertion of needle or cannula for the introduction of radio-active material | 87.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 939 | Harvesting of homologous (including allogeneic) or autologous bone marrow for the purpose of transplantation (AU 10) | 220.00 |
| 940 | Administration of blood including collection from donor | 79.00 |
| 944 | Administration of blood or bone marrow already collected | 55.00 |
| 947 | Intra-uterine foetal blood transfusion using blood already collected, including necessary amniocentesis | 152.00 |
| 949 | Collection of blood for autologous transfusion or when homologous blood is required for immediate transfusion in emergency situation | 32.00 |
| 950 | Central vein catheterisation (via jugular or subclavian vein) by open exposure, in a person under twelve years of age (AU 12) | 152.00 |
| 951 | Central vein catheterisation (via jugular or subclavian vein) by percutaneous or open exposure, not covered by Item 950 (AU 6) | 57.00 |
| 952 | Blood dye—dilution indicator test | 80.00 |
| 953 | Right heart balloon flotation using pulmonary artery catheter, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry— management on the first day | 158.00 |
| 954 | Right heart balloon flotation using pulmonary artery catheter, monitoring of right heart and pulmonary wedge pressures, cardiac output and blood oximetry— management on each day subsequent to the first day | 39.50 |
| 956 | Arterial puncture and collection of blood for diagnostic purposes | 15.40 |
| 957 | Intra-arterial cannulisation for purpose of taking multiple arterial blood samples for blood gas analysis | 46.00 |
| 958 | Collection of specimen of sweat by iontophoresis | 25.00 |
| 960 | Hormone or living tissue implantation—by incision | 34.00 |
| 963 | Hormone or living tissue implantation—by cannula | 23.50 |
| 966 | Oesophageal motility test, manometric | 116.00 |
| 968 | Gastric hypothermia by closed circuit circulation of refrigerant in the absence of gastrointestinal haemorrhage | 120.00 |
| 970 | Gastric hypothermia by closed circuit circulation of refrigerant for upper gastrointestinal haemorrhage | 240.00 |
| 974 | Gastric lavage in the treatment of ingested poison | 40.00 |
| 976 | Counterpulsation by intra-aortic balloon—management on the first day, including percutaneous insertion, initial and subsequent consultations and monitoring of parameters | 360.00 |
| 977 | Counterpulsation by intra-aortic balloon—management on each day subsequent to the first, including associated consultations and monitoring of parameters | 87.00 |
| 978 | PUVA therapy or UVB therapy administered in whole body cabinet not associated with item 979 including associated consultations other than an initial consultation | 39.00 |
| 979 | PUVA therapy or UVB therapy administered to localised body areas in a hand and foot cabinet not associated with item 978 including associated consultations other than an initial consultation | 39.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 980 | Attendance at which acupuncture is performed by a medical practitioner by application of stimuli on or through the surface of the skin by any means, including any consultation on the same occasion and any other attendance on the same day related to the condition for which the acupuncture was performed | 20.50 |
| | Division 9 | |
| 987 | Skin sensitivity testing for allergens, using one to twenty allergens | 26.00 |
| 989 | Skin sensitivity testing for allergens, using more than twenty allergens | 39.00 |
| 990 | 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), peripheral vessels, or intrathoracic or intra-abdominal vascular vessels (excluding cardiac and pregnancy related studies) (not associated with item 793)—one examination and report | 160.00 |
| 991 | - two or more examinations of the kind referred to in item 990 and report (not associated with item 793) | 275.00 |
| 992 | Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of carotid vessels, with oculoplethysmography (not associated with item 793)—examination and report | 192.00 |
| 993 | 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 associated with item 793)—examination and report | 310.00 |
| 995 | Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis, of peripheral vessels, including any of the investigations covered by item 795, 796 or 797 (not associated with item 793)—examination and report | 186.00 |
| 999 | Duplex scanning (unilateral or bilateral) involving B mode ultrasound imaging and integrated Doppler flow measurement by spectral analysis of peripheral vessels, including any of the investigations covered by item 798 (not associated with item 793—examination and report | 205.00 |
| | PART 7A—COMPUTERISED TOMOGRAPHY (EXCLUDING MAGNETIC RESONANCE IMAGING) | |
| | Division 1—Computerised Tomography on a Body Scanner | |
| 2400 | Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (not covered by item 2447 or 2450) | 138.00 |
| 2401 | Computerised tomography—scan of brain with or without scan of internal auditory meatus with intravenous contrast medium (not covered by item 2448 or 2451) | 192.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 2402 | Computerised tomography—scan of brain with or without scan of internal auditory meatus without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2449 or 2452) | 225.00 |
| 2403 | Computerised tomography—scan of pituitary fossa by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan | 460.00 |
| 2404 | Computerised tomography—scan of orbits by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan | 455.00 |
| 2405 | Computerised tomography—scan of middle ear and temporal bone, unilateral or bilateral, detailed study by multiple thin slices (including reconstructions) without or with intravenous contrast medium and with or without brain scan | 445.00 |
| 2406 | Computerised tomography—scan of temporal bones with air study (including reconstructions) and including intrathecal injection, not including an associated brain scan | 355.00 |
| 2407 | Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of one or more regions without intravenous contrast medium | 250.00 |
| 2408 | Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of one or more regions with intravenous contrast medium | 265.00 |
| 2409 | Computerised tomography—scan of facial bones, sinuses and salivary glands—scan of one or more regions without and with intravenous contrast medium | 375.00 |
| 2410 | Computerised tomography—scan of soft tissues of neck including, larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of one or more regions without intravenous contrast medium (not covered by item 2444) | 355.00 |
| 2411 | Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of one or more regions with intravenous contrast medium (not covered by item 2445) | 385.00 |
| 2412 | Computerised tomography—scan of soft tissues of neck including larynx, pharynx and upper oesophagus (not associated with cervical spine)—scan of one or more regions without and with intravenous contrast medium (not covered by item 2446) | 420.00 |
| 2413 | Computerised tomography—scan of spine, one or more regions—25 slices or less without intravenous contrast medium | 176.00 |
| 2414 | Computerised tomography—scan of spine, one or more regions—25 slices or less with intravenous contrast medium | 205.00 |
| 2415 | Computerised tomography—scan of spine, one or more regions—25 slices or less without and with intravenous contrast medium | 275.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 2416 | Computerised tomography—scan of spine, one or more regions—26 or more slices without intravenous contrast medium | 250.00 |
| 2417 | Computerised tomography—scan of spine, one or more regions—26 or more slices with intravenous contrast medium | 275.00 |
| 2418 | Computerised tomography—scan of spine, one or more regions—26 or more slices without and with intravenous contrast medium | 385.00 |
| 2419 | Computerised tomography—scan of spine, one or more regions with intrathecal contrast medium (not including the preparation by intrathecal injection of contrast medium) | 250.00 |
| 2420 | Computerised tomography—scan of chest (including lungs, mediastinum and pleura) without intravenous contrast medium (not covered by item 2438, 2441, 2444, 2447 or 2450) | 250.00 |
| 2421 | Computerised tomography—scan of chest (including lungs, mediastinum and pleura) with intravenous contrast medium (not covered by item 2439, 2442, 2445, 2448 or 2451) | 285.00 |
| 2422 | Computerised tomography—scan of chest (including lungs, mediastinum and pleura) without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440 2443, 2446, 2449 or 2452) | 360.00 |
| 2423 | Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (not covered by item 2438, 2441, 2444 or 2450) | 138.00 |
| 2424 | Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451) | 168.00 |
| 2425 | Computerised tomography—scan of upper abdomen (diaphragm to iliac crest) or pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452) | 275.00 |
| 2426 | Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium (not covered by item 2438, 2441, 2444 or 2450) | 210.00 |
| 2427 | Computerised tomography—scan of upper abdomen and pelvis with intravenous contrast medium (not covered by item 2439, 2442, 2445 or 2451) | 255.00 |
| 2428 | Computerised tomography—scan of upper abdomen and pelvis without intravenous contrast medium (minimum of 8 slices) and with intravenous contrast medium (not covered by item 2440, 2443, 2446 or 2452) | 360.00 |
| 2429 | Computerised tomography—scan of extremities, one or more regions involving up to 20 slices without intravenous contrast medium | 138.00 |
| 2430 | Computerised tomography—scan of extremities, one or more regions involving up to 20 slices with intravenous contrast medium | 168.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 2431 | Computerised tomography—scan of extremities, one or more regions involving up to 20 slices without and with intravenous contrast medium | 205.00 |
| 2432 | Computerised tomography—scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices without intravenous contrast medium | 176.00 |
| 2433 | Computerised tomography—scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices with intravenous contrast medium | 205.00 |
| 2434 | Computerised tomography—scan of extremities, one or more regions involving more than 20 slices but not more than 40 slices without and with intravenous contrast medium | 275.00 |
| 2435 | Computerised tomography—scan of extremities, one or more regions involving more than 40 slices without intravenous contrast medium | 250.00 |
| 2436 | Computerised tomography—scan of extremities, one or more regions involving more than 40 slices with intravenous contrast medium | 275.00 |
| 2437 | Computerised tomography—scan of extremities, one or more regions involving more than 40 slices without and with intravenous contrast medium | 350.00 |
| 2438 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without intravenous contrast medium (not covered by item 2441, 2444 or 2450) | 250.00 |
| 2439 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) with intravenous contrast medium (not covered by item 2442, 2445 or 2451) | 290.00 |
| 2440 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) without and with intravenous contrast medium (not covered by item 2443 2446 or 2452) | 365.00 |
| 2441 | Computerised tomography—scan of chest, abdomen and pelvis without intravenous contrast medium (not covered by item 2444) | 325.00 |
| 2442 | Computerised tomography—scan of chest, abdomen and pelvis with intravenous contrast medium (not covered by item 2445) | 365.00 |
| 2443 | Computerised tomography—scan of chest, abdomen and pelvis without and with intravenous contrast medium (not covered by item 2446) | 510.00 |
| 2444 | Computerised tomography—scan of neck, chest, abdomen and pelvis without intravenous contrast medium | 465.00 |
| 2445 | Computerised tomography—scan of neck, chest, abdomen and pelvis with intravenous contrast medium | 510.00 |
| 2446 | Computerised tomography—scan of neck, chest, abdomen and pelvis without and with intravenous contrast medium | 615.00 |
| 2447 | Computerised tomography—scan of brain and chest without intravenous contrast medium | 250.00 |
| 2448 | Computerised tomography—scan of brain and chest with intravenous contrast medium | 290.00 |
SCHEDULE—continued
| Item | Medical service | Fee | |
| | | $ | |
| 2449 | Computerised tomography—scan of brain and chest without and with intravenous contrast medium | 400.00 | |
| 2450 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without intravenous contrast medium | 355.00 | |
| 2451 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain with intravenous contrast medium | 400.00 | |
| 2452 | Computerised tomography—scan of chest and upper abdomen (from lung apices to iliac crest) and scan of brain without and with intravenous contrast medium | 510.00 | |
| 2453 | Computerised tomography—pelvimetry | 138.00 | |
| 2454 | Computerised tomography—dynamic scan of region not associated with any other item in this part | 168.00 | |
| 2455 | Computerised tomography—dynamic scan of region when associated with another item in this Part | Amount under rule 41 | |
| | Division 2—Computerised Tomography on a Brain Scanner | | |
| 2458 | Computerised tomography—scan of brain without intravenous contrast medium | $ 70.00 | |
| 2459 | Computerised tomography—scan of brain with intravenous contrast medium | 85.00 | |
| 2460 | Computerised tomography—scan of brain without and with intravenous contrast medium | 132.00 | |
| | PART 8—RADIOLOGICAL SERVICES | | |
| Division 1—Radiographic Examination of Extremities and Report (with or without Fluoroscopy) | |
|
| 2502 | Digits or phalanges—all or any of either hand or either foot (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) | 29.00 | |
| 2505 | Digits or phalanges—all or any of either hand or either foot (when the service is rendered by a specialist in the practice of his/her specialty) | 38.50 | |
| 2508 | Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) | 29.00 | |
| 2512 | Hand, wrist, forearm, elbow or arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his/her specialty) | 38.50 | |
| 2516 | Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) | 39.50 | |
| 2520 | Hand, wrist and lower forearm; upper forearm and elbow; or elbow and arm (elbow to shoulder) (when the service is rendered by a specialist in the practice of his/her specialty) | 52.00 | |
| 2524 | Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) | 31.50 | |
| 2528 | Foot, ankle, lower leg, upper leg, knee or thigh (femur) (when the service is rendered by a specialist in the practice of his/her specialty) | 42.00 | |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 2532 | Foot, ankle and lower leg; or upper leg and knee (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) | 48.00 |
| 2537 | Foot, ankle and lower leg; or upper leg and knee (when the service is rendered by a specialist in the practice of his/her specialty) | |
| Division 2—Radiographic Examination of Shoulder or Hip Joint and Report |
| 2539 | Shoulder or scapula (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) | 39.50 |
| 2541 | Shoulder or scapula (when the service is rendered by a specialist in the practice of his/her specialty) | 52.00 |
| 2543 | Clavicle (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) | 31.50 |
| 2545 | Clavicle (when the service is rendered by a specialist in the practice of his/her specialty) | 42.00 |
| 2548 | Hip joint | 46.00 |
| 2551 | Pelvic girdle | 59.00 |
| 2554 | Sacro-iliac joints | 59.00 |
| 2557 | Femur, internal fixation of neck or intertrochanteric (pertrochanteric) fracture | 96.00 |
| | Division 3—Radiographic Examination of Head and Report | |
| 2560 | Skull (calvarium) | 63.00 |
| 2563 | Sinuses | 46.00 |
| 2566 | Mastoids | 63.00 |
| 2569 | Petrous temporal bones | 63.00 |
| 2573 | Facial bones—orbit, maxilla or malar—any or all | 46.00 |
| 2576 | Mandible | 46.00 |
| 2579 | Salivary calculus | 46.00 |
| 2581 | Nose | 46.00 |
| 2583 | Eye | 46.00 |
| 2585 | Temporo-mandibular joints | 48.00 |
| 2587 | Teeth—single area | 32.00 |
| 2589 | Teeth—full mouth | 76.00 |
| 2590 | Teeth—orthopantomography | 46.00 |
| 2591 | Palatopharyngeal studies with fluoroscopic screening | 63.00 |
| 2593 | Palatopharyngeal studies without fluoroscopic screening | 48.00 |
| 2595 | Larynx | 42.00 |
| | Division 4—Radiographic Examination of Spine and Report | |
| 2597 | Spine—cervical | 63.00 |
| 2599 | Spine—thoracic | 54.00 |
| 2601 | Spine—lumbo-sacral | 74.00 |
| 2604 | Spine—sacro-coccygeal | 45.00 |
| 2607 | Spine—two regions | 93.00 |
| 2609 | Spine—three or more regions | 128.00 |
| 2611 | Spine—functional views of one area | 20.00 |
| | Division 5—Bone Age Study and Skeletal Surveys | |
| 2614 | Bone age study, wrist and knee | 46.00 |
| 2617 | Bone age study, wrist | 38.50 |
| 2621 | Skeletal survey involving four or more regions | 87.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | |
| Division 6—Radiographic Examination of Thoracic Region and Report |
| 2625 | Chest (lung fields) by direct radiography (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) | 34.50 |
| 2627 | Chest (lung fields) by direct radiography (when the service is rendered by a specialist in the practice of his/her specialty) | 46.00 |
| 2630 | Chest (lung fields) by direct radiography with fluoroscopic screening | 59.00 |
| 2634 | Thoracic inlet or trachea | 38.50 |
| 2638 | Chest by miniature radiography | 21.00 |
| 2642 | Cardiac examination (including barium swallow) (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) | 44.50 |
| 2646 | Cardiac examination (including barium swallow) (when the service is rendered by a specialist in the practice of his/her specialty) | 59.00 |
| 2655 | Sternum or ribs on one side | 42.00 |
| 2656 | Sternum and ribs on one side, or ribs on both sides | 55.00 |
| 2657 | Sternum and ribs on both sides | 67.00 |
| Division 7—Radiographic Examination of Urinary Tract and Report |
| 2665 | Plain renal only | 46.00 |
| 2672 | Drip-infusion pyelography | 128.00 |
| 2676 | Intravenous pyelography, including preliminary plain film | 120.00 |
| 2678 | Intravenous pyelography, including preliminary plain film and limited tomography involving up to three tomographic cuts | 150.00 |
| 2681 | Intravenous pyelography, including preliminary plain film with delayed examination for the cysto-ureteric reflex | 152.00 |
| 2687 | Antegrade or retrograde pyelography including preliminary plain film | 96.00 |
| 2690 | Retrograde cystography or retrograde urethrography | 64.00 |
| 2694 | Retrograde micturating cysto-urethrography | 76.00 |
| 2697 | Retro-peritoneal pneumogram | 48.00 |
| Division 8—Radiographic Examination of Alimentary Tract and Biliary System (with or without Fluoroscopy) and Report |
| 2699 | Plain abdominal only (when the service is rendered otherwise than by a specialist in the practice of his/her specialty) not associated with item 2709, 2711, 2714 or 2720 | 34.50 |
| 2703 | Plain abdominal only (when the service is rendered by a specialist in the practice of his/her specialty) not associated with item 2709, 2711, 2714 or 2720 | 46.00 |
| 2706 | Oesophagus, with or without examination for foreign body or barium swallow | 65.00 |
| 2709 | Barium or other opaque meal of oesophagus, stomach and duodenum, with or without screening of chest and with or without preliminary plain film | 89.00 |
| 2711 | Barium or other opaque meal of oesophagus, stomach, duodenum and follow through to colon, with or without screening of chest and with or without preliminary plain film | 106.00 |
| 2714 | Barium or other opaque meal, small bowel series only, with or without preliminary plain film | 76.00 |
SCHEDULE—continued
| Item | Medical service | Fee |
| | | $ |
| 2716 | Opaque enema | 89.00 |
| 2718 | Opaque enema, including air contrast study | 106.00 |
| 2720 | Graham's test (cholecystography), with or without preliminary abdominal radiograph | 76.00 |
| 2722 | Cholegraphy direct—operative or post-operative | 74.00 |
| 2724 | Cholegraphy—intravenous | 106.00 |
| 2726 | Cholegraphy—percutaneous transhepatic | 87.00 |