Federal Register of Legislation - Australian Government

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Determinations/Health as made
This Determination provides for an additional twenty-five oral and maxillofacial services.
Administered by: Health
Registered 15 Oct 2007
Tabling HistoryDate
Tabled HR12-Feb-2008
Tabled Senate12-Feb-2008
Date of repeal 19 Mar 2014
Repealed by Health (Spent and Redundant Instruments) Repeal Regulation 2014

Health Insurance (Oral and Maxillofacial Surgery) Determination HS/2007

__________________________________________________________________

I, MEGAN MORRIS, Delegate of the Minister for Health and Ageing, make this Determination in accordance with the powers vested in the Minister under subsection 3C (1) of the Health Insurance Act 1973.

Dated          12 October 2007

 

 

MEGAN MORRIS

______________________________________________________

DELEGATE OF THE MINISTER FOR HEALTH AND AGEING


Contents

 

1.           Name of Determination                                                                             3

2.           Commencement                                                                                      3

3.           Cessation                                                                                               3

4.           Interpretation                                                                                           3

5.           Treatment of a relevant service                                                                  3

Schedule        Specified health services                                                             4

 


1.       Name of Determination

This Determination is the Health Insurance (Oral and Maxillofacial Surgery) Determination HS/2007.

2.       Commencement

This Determination commences on 1 November 2007.

3.       Cessation

This Determination will cease to have effect at the end of 31 October 2008.

4.       Interpretation

(1)          In this Determination:

relevant service means a health service, as defined in subsection 3C(8) of the Act, that is specified in the Schedule.

the Act means the Health Insurance Act 1973.

the Schedule means the Schedule to this Determination.

Note          Unless the contrary intention appears, expressions used in this Determination have the same meanings as in the Act—see section 13 of the Legislative Instruments Act 2003.

(2)          Unless the contrary intention appears, in this Determination a reference to a provision of the Act or the National Health Act 1953 or regulations made under the Act or under the National Health Act 1953 as applied, adopted or incorporated in relation to specifying a matter is a reference to those provisions as in force from time to time and any other reference to provisions of an Act or regulations is a reference to those provisions as in force from time to time.

5.       Treatment of a relevant service

A relevant service shall be treated for the purposes of all provisions of the Act, regulations made under the Act, the National Health Act 1953 and regulations made under the National Health Act 1953 as if:

(a)          it were both a professional service and a medical service; and

(b)          there were an item in the general medical services table that related to the relevant service and specified in respect of the service a fee in relation to a State, being the fee specified in the Schedule in relation to the State specified.

 

 


Schedule         Specified health services

 

Item

Health Service

Fee for all States

45882    

The treatment of a premalignant lesion of the oral mucosa by a treatment using cryotherapy, diathermy or carbon dioxide laser.

$38.80 

45885    

The ligation of a facial, mandibular or lingual artery or vein, or artery and vein.

$400.70     

45888    

The removal of a deep foreign body using interventional imaging techniques.

$373.45     

45891    

The repair to 1 defect using temporalis muscle by a single stage local flap.

$544.05     

45894    

The free grafting of a granulating area (mucosa or split skin).

$184.85     

45897    

The grafting of, including plastic closure of associated oro-nasal fistulae and ridge augmentation of a unilateral alveolar cleft (congenital).

$965.50     

45900    

The fixation of the mandible by intermaxillay wiring, excluding wiring for obesity.

$217.80     

45903    

The excision of the mandibular or palatal exotisis.

$305.55     

45906    

The reduction of the mylohyoid ridge.

$292.10     

45909    

The reduction of a maxillary tuberosity.

$222.80     

45912    

The removal of less than 5 lesions within the papillary hyperplasia of the palate.

$292.10     

45915    

The removal of 5 to 20 lesions within the papillary hyperplasia of the palate.

$366.70     

45918    

The removal of more than 20 lesions within the papillary hyperplasia of the palate.

$455.05     

45921    

Vestibuloplasty (submucosal or open) including the excision of muscle and skin or mucosal graft when performed either unilaterally or bilaterally.

$529.60     

45924    

The lowering of the floor of the mouth (Obwegeser or similar procedure). Including the excision of muscle and skin or mucosal graft when performed unilaterally.

$529.60     

45939    

Cryosurgery of the peripheral branches of the trigeminal nerve for pain relief.

$403.75

45945    

The treatment of a dislocation of the mandible requiring open reduction.

$107.25     

45975    

The treatment of a fracture of the unilateral or bilateral maxilla, not requiring splinting.

$116.65     

45978    

The treatment of a fracture of the mandible, not requiring splinting.

$142.50     

45981    

The treatment of the zygomatic bone, not requiring surgical reduction.

$77.35 

45984    

The treatment of a complicated fracture of the maxilla involving viscera, blood vessels or nerves, requiring open reduction not involving the use of plate(s).

$556.90     

45987    

The treatment of a complicated fracture of the mandible involving viscera, blood vessels or nerves, requiring open reduction not involving the use of plate(s).

$556.90     

45990    

The treatment of a complicated fracture of the maxilla including viscera, blood vessels or nerves requiring open reduction involving the use of plate(s).

$760.60     

45993    

The treatment of a complicated fracture of the mandible involving viscera, blood vessels or nerves requiring open reduction involving the use of plate(s).

$760.60     

45996    

The treatment of a closed fracture of the mandible involving a joint surface.

$215.70     

Note    Section 3C(7) of the Act deems an internal territory to form part of the State of New South Wales.