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This determination amends the Health Insurance (Section 3C Diagnostic Imaging – Nuclear Medicine Services) Determination 2019 to clarify the item requirements of nuclear medicine services, and to introduce a new item for anatomic localisation or attenuation correction.
Administered by: Health
Registered 04 Oct 2019
Tabling HistoryDate
Tabled HR14-Oct-2019
Tabled Senate14-Oct-2019
To be repealed 06 Dec 2019
Repealed by Division 1 of Part 3 of Chapter 3 of the Legislation Act 2003
Table of contents.



Health Insurance (Section 3C Diagnostic Imaging – Nuclear Medicine Services) Amendment Determination 2019
__________________________________________________________________


I, Elizabeth Dowd, delegate of the Minister for Health, make the following determination. 

Dated           4 October 2019

 

 

Elizabeth Dowd  

A/g First Assistant Secretary

Medical Benefits Division

Health Financing Group

Department of Health

 

 



1.            Name

This instrument is the Health Insurance (Section 3C Diagnostic Imaging – Nuclear Medicine Services) Amendment 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.  Sections 1 to 4

Immediately after registration of this instrument

 

1.  Schedule 1

This Schedule is taken to have commenced immediately after commencement of the Health Insurance (Section 3C Diagnostic Imaging – Nuclear Medicine Services) Determination 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Note:          This table relates only to the provisions of this instrument as originally made.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 instrument is made under subsection 3C(1) of the Health Insurance Act 1973.

4.            Schedules

 

Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.


 

Schedule 1 – Amendments

Health Insurance (Section 3C Diagnostic Imaging – Nuclear Medicine Services) Determination 2019

 

1 Section 6 (below the heading)

Repeal the subsections, substitute:

(1)       Paragraphs 2.4.1(b) and (c) of the diagnostic imaging services table shall have effect as if items in Schedule 1 of this instrument were specified for the purpose of those paragraphs.

2 Schedule 1 (table)

            Repeal the table, substitute:

 

Group I4—Nuclear medicine imaging

Column 1

Item

Column 2

Description

Column 3

Fee ($)

61311

Single stress or rest myocardial perfusion study—with PET (R)

565.30

61332

Combined stress and rest, stress and re‑injection or rest and redistribution myocardial perfusion study, including delayed imaging or re‑injection protocol on a subsequent occasion—with PET (R)

834.90

61333

Lung perfusion study and lung ventilation study using galligas or 68Ga-MAA, with PET (R)

443.35

61336

Cerebral perfusion study, with PET (R)

605.05

61337

Bone study—whole body, with PET, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)

479.80

61341

Bone study—whole body and PET, with, when undertaken, blood flow, blood pool and delayed imaging on a separate occasion (R)

600.70

61344

Computed tomography performed at the same time and covering the same body area as positron emission tomography covered by items 61311, 61332, 61333, 61336, 61337 and 61341, for the purpose of anatomic localisation or attenuation correction if no separate diagnostic CT report is issued (R)

100.00