Federal Register of Legislation - Australian Government

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Determinations/Health as made
This instrument lists four cystoscopy Medicare Benefits Schedule (MBS) services for the diagnosis, treatment and management of non-muscle invasive bladder cancer.
Administered by: Health
Registered 01 Apr 2019
Tabling HistoryDate
Tabled HR02-Apr-2019
Tabled Senate03-Apr-2019
Table of contents.



Health Insurance (Section 3C General Medical Services – Blue Light Cystoscopy) Determination 2019
__________________________________________________________________


I, ELIZABETH DOWD, delegate of the Minister for Health, make the following determination. 

Dated           27 March 2019

 

 

Elizabeth Dowd

Assistant Secretary

MBS Policy and Specialist Services Branch

Medical Benefits Division

Health Financing Group

Department of Health

 

 

 


Contents

1.               Name  3

2.               Commencement 3

3.               Authority  3

4.               Definitions  3

5.               Treatment of relevant services  4

6.               Application of items 36504, 36505, 36507 and 36508  4

Schedule 1 – relevant services  5


 

1.            Name

This Determination is the Health Insurance (Section 3C General Medical Services – Blue Light Cystoscopy) Determination 2019.

2.            Commencement

(1)        Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.

 

Commencement information

Column 1

Column 2

Column 3

Provisions

Commencement

Date/Details

1.  The whole of this instrument

1 May 2019

 

Note:          This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.

(2)        Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.

3.            Authority     

This Determination is made under subsection 3C(1) of the Health Insurance Act 1973.

4.            Definitions

(1)               In this Determination:

Act means the Health Insurance Act 1973.

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

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

Schedule means a Schedule to this Determination.

Note:       The following terms are defined in subsection 3(1) of the Act:

·         clinically relevant service

·         general medical services table

·         item

·         professional service

(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 relevant services

                   For subsection 3C(1) of the Act a relevant service, provided in accordance with this Determination and as a clinically relevant service, 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 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.

6.            Application of items 36504, 36505, 36507 and 36508

 

(1)        Clauses 1.2.5 and 1.2.6 of the general medical services table shall have effect as if items 36504, 36505, 36507 and 36508 contained in the Schedule were specified in subclauses 1.2.5(1) and 1.2.6(1).

 

(2)        Clause 2.45.2 of the general medical services table shall have effect as if items 36504, 36505, 36507 and 36508 contained in the Schedule were specified in clause 2.45.2.

 


 

Schedule 1 – relevant services

 

 

Group T8Surgical operations

Subgroup 5Urological

Column 1

Item

Column 2

Description

Column 3

Fee ($)

36504

Rigid cystoscopy using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with biopsy of bladder, not being a service associated with a service to which item 36505, 36507, 36508, 36812, 36830, 36836, 36840, 36845, 36848, 36854, 37203, 37206, 37215, 37230 or 37233 applies (Anaes.)

294.85

36505

Rigid cystoscopy using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with urethroscopy with or without urethral dilatation, not being a service associated with any other urological endoscopic procedure on the lower urinary tract except a service to which item 37327 applies (Anaes.)

231.70

36507

Rigid cystoscopy using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with resection, diathermy or visual laser destruction of bladder tumour or other lesion of the bladder, not being a service to which item 36840 or 36845 applies (Anaes.)

388.20

36508

Rigid cystoscopy using blue light with hexaminolevulinate as an adjunct to white light, including catheterisation, with diathermy, resection or visual laser destruction of multiple tumours in more than 2 quadrants of the bladder or solitary tumour greater than 2cm in diameter, not being a service to which item 36845 applies (Anaes.)

756.40