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Determinations/Health as made
This Determination revokes and replaces the Health Insurance (Radiation Oncology) Determination 2009 to amend items to assist in the appropriate management of Medicare expenditure for radiation oncology treatment verification procedures.
Administered by: Health
Made 12 Apr 2010
Registered 22 Apr 2010
Tabled HR 11 May 2010
Tabled Senate 11 May 2010
Date of repeal 17 Jun 2017
Repealed by Health Insurance Legislation Revocation (2017 Measures No.1) Determination 2017

 

 

Health Insurance (Radiation Oncology) Determination 2010

__________________________________________________________________

I, SAMANTHA ROBERTSON, 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 April 2010               

 

 

SAMANTHA ROBERTSON

Delegate of the Minister for Health and Ageing

______________________________________________________

 

 

 

 

 


1.                      Name of Determination

This Determination is the Health Insurance (Radiation Oncology) Determination 2010.

2.                      Commencement and revocation

(1)        This Determination commences on 1 May 2010. 

3.                      Revocation of the Health Insurance (Radiation Oncology) Determination 2009

This Determination revokes the Health Insurance (Radiation Oncology) Determination 2009.

4.                      Interpretation

(1)        In this Determination:

brachytherapy treatment verification means a quality assurance procedure designed to facilitate accurate and reproducible delivery of brachytherapy to a site or region of the body prescribed in the treatment prescription or associated dose plan and which utilises the capture and assessment of appropriate images using:

(a)          x-rays;

(b)                   computed tomography; or

(c)                    ultrasound, where the ultrasound equipment is capable of producing images in three dimensions;

together with a record of the assessment and any correction of significant treatment delivery inaccuracies detected.

radiation oncology treatment verification means a quality assurance procedure designed to facilitate accurate and reproducible delivery of radiation therapy to a site or region of the body prescribed in the treatment prescription or associated dose plan and which utilises the capture and assessment of appropriate images using:

(a)          x-rays;

(b)                   computed tomography; or

(c)                    ultrasound, where the ultrasound equipment is capable of producing images in three dimensions;

together with a record of the assessment and any correction of significant treatment delivery inaccuracies detected.

relevant provisions means all provisions, relating to professional services or to medical services, of the Act and regulations made under the Act, and the National Health Act 1953 and regulations made under that Act.

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, a reference in this Determination 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 provided in accordance with this Determination is to be treated, for the relevant provisions, as if:

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

(b)                   there were an item in Group T2 of the general medical services table that:

i.                related to the service; and

ii.              specified for the service a fee in relation to each State, being the fee specified in the Schedule in relation to the service.

 

 

Schedule          Radiation Oncology Items

 

Item

Health Service

Fee for all States

Subgroup 7- Radiation Oncology Treatment Verification

15700

RADIATION ONCOLOGY TREATMENT VERIFICATION - single projection acquisition (with single or double exposures), when prescribed and reviewed by a radiation oncologist and not associated with item 15705 or 15710 – each attendance at which treatment is verified.  

45.95

15705

RADIATION ONCOLOGY TREATMENT VERIFICATION - multiple projection acquisition, when prescribed and reviewed by a radiation oncologist and not associated with item 15700 or item 15710 – each attendance at which treatment involving three fields or more is verified.

76.60

15710

RADIATION ONCOLOGY TREATMENT VERIFICATION – volumetric acquisition, when prescribed and reviewed by a radiation oncologist and not associated with item 15700 or item 15705, – each attendance at which treatment involving three fields or more is verified.

76.60

Subgroup 8 – Brachytherapy Planning and Verification

15800

BRACHYTHERAPY TREATMENT VERIFICATION – maximum of one only for each attendance.

96.30

15850

RADIATION SOURCE LOCALISATION using a simulator, x-ray machine, CT or ultrasound of a single area, where views in more than one plane are required, for brachytherapy treatment planning, not being a service to which item 15513 applies.

199.50