Health Insurance (General Medical Services Table) Regulations 2009

No longer in force

Administered by

Department of Health, Disability and Ageing

This item is authorised by the following title:

Health Insurance Act 1973

Latest version

View as made version

F2010C00472

01 July 2010 - 31 October 2010

Disallowed in Part

Table of contents

1 Name of Regulations [see Note 1]
2 Commencement
3 Repeal
4 Definitions
5 General medical services table
- Schedule 1 Table of general medical services
- Part 1 Prescription of table
1 Prescription of table
- Part 2 Rules for interpretation
2 Application of table
3 General
4 Meaning of symbols (S) and (G)
5 Meaning of symbol (H)
5A General practitioners to whom Group A2 items and items 598 and 600 in Group A11 apply
6 Meaning of a patient’s medical condition requires urgent treatment and responsible person in certain items
7 Application of items 448 and 449
7A Application of items 597 to 600
8 Meaning of single course of treatment in certain circumstances
9 Meaning of professional attendance in certain items
10 Interpretation of items 104 to 147, 289 to 388, 2801 to 2840, 3005 to 3028, 6007 to 6015, 16401, 16404, 17640, 17645, 17650 and 17655
11 Meaning of amount under rule 11 in certain items
12 Personal attendance by medical practitioners generally
13 Personal attendance by certain medical practitioners
14 Meaning of qualified medical acupuncturist in items 193, 195, 197 and 199
15 Restriction of telepsychiatry consultations to rural and remote areas
16 Consultant occupational physicians
17 Public health physicians
18 Meaning of recognised emergency department and problem focussed history in Group A21
19 Prolonged attendances by emergency physicians
19A Application of items 135 and 289
20 Application of items 701, 703, 705 and 707 to certain patients only
20A Application of item 715 to certain patients only
21 Healthy Kids Check
22 Type 2 Diabetes Risk Evaluation
23 45 year old Health Assessment
24 Older Person’s Health Assessment
24A Comprehensive Medical Assessment for permanent resident of residential aged care facility
25 Health assessment for a person with an intellectual disability
26 Health assessment for a refugee or other humanitarian entrant
27 Aboriginal and Torres Strait Islander child health assessment
27A Aboriginal and Torres Strait Islander adult health assessment
27B Aboriginal and Torres Strait Islander Older Person’s Health Assessment
28 Restrictions on health assessments in items 701, 703, 705, 707 and 715
29 Limitation on items 721, 723, 729, 731 and 732
30 Meaning of GP management plan
32 Meaning of team care arrangements
33 Meaning of associated medical practitioner
34 Review of GP management plan
35 Co ordinating review of GP management plan or team care arrangements
36 Meaning of contribute to a multidisciplinary care plan for items 729 and 731
37 Service by certain medical practitioners — items 729 to 866
38 Application of items in Group A15 to certain patients only
39 Meaning of multidisciplinary case conference
40 Meaning of multidisciplinary discharge case conference
41 Meaning of multidisciplinary case conference in a residential aged care facility
42 Meaning of multidisciplinary case conference team
43 Meaning of organise and co ordinate in a multidisciplinary case conference and participation in a multidisciplinary case conference
44 Meaning of co ordinate in item 880
45 Meaning of case conference team in item 880
46 Application of item 880
47 Meaning of living in a community setting in item 900
48 Meaning of residential medication management review in item 903
49 Meaning of amount under rule 49 in certain items
50 Application of items 2497, 2501, 2503, 2504, 2506, 2507, 2509, 2598, 2600, 2603, 2606, 2610, 2613 and 2616
51 Application of Subgroup 2 of Group A18 and Subgroup 2 of Group A19
52 Application of Subgroup 3 of Group A18 and Subgroup 3 of Group A19
53 Application of Group A24
54 Meaning of expressions used in rules 55 to 57 and Group A20
55 GP Mental Health Treatment Plans (Subgroup 1 of Group A20)
56 Application of items in Subgroup 1 of Group A20
57 Focussed psychological strategies
58 Application of Group A28
59 Item 4001
60 Meaning of outer metropolitan specialist trainee in items 5906, 5908, 5910 and 5912
61 Application of items 1 to 10943
62 Certain services may be provided by persons other than medical practitioners
63 Application of items 5000 to 5267
64 Items 10809 and 10929 not to apply in certain circumstances
64A Application of item 10986
64B Restrictions on item 10986
65 Application of item 10988
66 Application of item 10989
67 Application of items 10990, 10991 and 10992
68 Application of item 10993
69 Application of items 10994 and 10995
70 Application of item 10996
71 Meaning of expressions used in item 10997
72 Application of items 10998 and 10999
73 Limitation on certain items
74 Application of items 10900, 10940 and 10941
75 Application of items 10931, 10932 and 10933
76 Limitation of items 10943, 16590, 16591, 18360, 18364 and 50303
76A Application of items 11000 to 12217 and 12500 to 12533
77 Meaning of qualified sleep medicine practitioner
78 Meaning of report in Group D1 — Miscellaneous diagnostic procedures and investigations
78A Application of items 13020 to 51318
79 Meaning of treatment cycle of a patient
80 Items provided as part of treatment cycle relating to assisted reproductive services not to apply
81 Items relating to assisted reproductive services not to apply in certain pregnancy related circumstances
82 Meaning of embryology laboratory services in items 13200, 13201 and 13206
83 Application of items 14227, 14230, 14233, 14236, 14239 and 14242
84 Injection of immunomodulating agent
85 Meaning of amount under rule 85 in certain items
86 Meaning of approved site in items 15338 and 37220
87 Application of items 15556, 15559 and 15562
88 Meaning of delivery in certain items
89 Meaning of amount under rule 89 in items 16633 and 16636
90 Meaning of amount under rule 90 in items 18219 and 18227
91 Injection of botulinum toxin
92 Meaning of expressions used in rule 93 and item 16400
93 Application of item 16400
94 Group T10 applies only in connection with certain services
95 Services specified in Subgroups 21 to 25 of Group T10
96 Meaning of service time in Subgroups 21, 24, 25 and 26 of Group T10
97 Application of Subgroup 21 of Group T10
98 Application of Subgroups 22 and 23 of Group T10
99 Meaning of amount under rule 99 in items 25025, 25030 and 25050
100 Application of Subgroups 24 and 25 of Group T10
101 Meaning of complex paediatric case in item 25205
102 Meaning of amount under rule 102 in items 25200 and 25205
103 Group T8 services may be provided by a specialist trainee
104 Meaning of amount under rule 104 in item 30001
105 Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures
106 Meaning of amount under rule 106 in item 31340
108 Meaning of qualified surgeon in items 31539 and 31545
109 Meaning of qualified radiologist in item 31542
110 Meaning of foreign body in items 35360 to 35363
111 Application of items 35404, 35406 and 35408
112 Application of items 30299 and 30300
113 Application of items 30440, 30451, 30492 and 30495
113A Application of items 32500 to 32517 and 35321
114 Application of item 35412
115 Application of items 38365, 38368 and 38654
116 Application of items 38470 to 38766
117 Meaning of amount under rule 117 in certain items
118 Meaning of maxilla in certain items
119 Items 46300 to 46534 apply only in certain circumstances
120 Assistance at operations
121 Application of items 51700 to 53706
122 Meaning of amount under rule 122 in items 51303 and 51803
123 Meaning of amount under rule 123 in item 51309
124 Meaning of amount under rule 124 in item 51312
125 Meaning of previous significant surgical complication in item 51318
126 Cleft lip and cleft palate services
127 Meaning of (AD) in Group C2 — Oral and maxillofacial surgical services and Group C3 — General and prosthodontic services
128 Orthodontic services
129 Oral surgery services
- Part 3 Services and fees
- Part 4 Non medicare services
  - Notes to the STYLEREF Title Health Insurance (General Medical Services Table) Regulations 2009

Health Insurance (General Medical Services Table) Regulations 2009

Legislation text