Federal Register of Legislation - Australian Government

Primary content

Regulations as made
This instrument amends the Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020, the Health Insurance (General Medical Services Table) Regulations 2021 and the Health Insurance (Pathology Services Table) Regulations 2020 to implement changes to colorectal surgery services and pathology services, introduce two new items for prostate-specific membrane antigen positron emission tomography and implement annual indexation of Medicare schedule fees.
Administered by: Health
Registered 22 Mar 2022
Tabling HistoryDate
Tabled Senate28-Mar-2022
Tabled HR29-Mar-2022
Table of contents.

Commonwealth Coat of Arms of Australia

 

Health Insurance Legislation Amendment (2022 Measures No. 1) Regulations 2022

I, General the Honourable David Hurley AC DSC (Retd), Governor‑General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following regulations.

Dated 17 March 2022

David Hurley

Governor‑General

By His Excellency’s Command

Greg Hunt

Minister for Health and Aged Care

 

 

 

  

  


Contents

1............ Name............................................................................................................................. 1

2............ Commencement............................................................................................................. 1

3............ Authority....................................................................................................................... 1

4............ Schedules...................................................................................................................... 1

Schedule 1—Amendments                                                                                                                          2

Part 1—Prostate‑specific membrane antigen positron emission tomography              2

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020                  2

Part 2—Bulk billing incentive—magnetic resonance imaging                                            3

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020                  3

Part 3—Genetic testing                                                                                                                          4

Health Insurance (Pathology Services Table) Regulations 2020                                                4

Part 4—Cervical screening tests                                                                                                       11

Health Insurance (Pathology Services Table) Regulations 2020                                              11

Part 5—Colorectal surgery services                                                                                                12

Health Insurance (General Medical Services Table) Regulations 2021                                   12

Part 6—Miscellaneous amendments                                                                                              17

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020                17

Health Insurance (General Medical Services Table) Regulations 2021                                   17

Part 7—Indexation                                                                                                                                 18

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020                18

Health Insurance (General Medical Services Table) Regulations 2021                                   18

Health Insurance (Pathology Services Table) Regulations 2020                                              39

 


1  Name

                   This instrument is the Health Insurance Legislation Amendment (2022 Measures No. 1) Regulations 2022.

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 and anything in this instrument not elsewhere covered by this table

The day after this instrument is registered.

23 March 2022

2.  Schedule 1, Parts 1 to 6

1 July 2022.

1 July 2022

3.  Schedule 1, Part 7

Immediately after the commencement of the provisions covered by table item 2.

1 July 2022

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 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 1Amendments

Part 1Prostate‑specific membrane antigen positron emission tomography

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020

1  Schedule 1 (after item 61560)

Insert:

 

61563

Whole body prostate‑specific membrane antigen PET study performed for the initial staging of intermediate to high‑risk prostate adenocarcinoma, for a previously untreated patient who is considered suitable for locoregional therapy with curative intent

Applicable once per lifetime (R)

1,300.00

61564

Whole body prostate‑specific membrane antigen PET study performed for the restaging of recurrent prostate adenocarcinoma, for a patient who:

(a) has undergone prior locoregional therapy; and

(b) is considered suitable for further locoregional therapy to determine appropriate therapeutic pathways and timing of treatment initiation

Applicable twice per lifetime (R)

1,300.00

Part 2Bulk billing incentive—magnetic resonance imaging

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020

2  Paragraph 1.2.18(1)(a) of Schedule 1

Omit “2.4”, substitute “2.5”.

3  Clause 1.2.19 of Schedule 1

Repeal the clause.

Part 3Genetic testing

Health Insurance (Pathology Services Table) Regulations 2020

4  Schedule 1 (item 73325)

Repeal the item, substitute:

 

73325

Determination of JAK2 V617F variant allele frequency in the diagnostic work‑up by, or on behalf of, a specialist or consultant physician, for a patient with clinical and laboratory evidence of a myeloproliferative neoplasm

90.00

5  Schedule 1 (cell at item 73385, column 2)

Repeal the cell, substitute:

 

Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A, of embryonic tissue from a sample from one embryo, if:

(a) the analysis is:

(i) requested by a specialist or consultant physician; and

(ii) for the purpose of providing a pre‑implantation genetic test; and

(iii) performed on an embryo that was produced in a single assisted reproductive treatment cycle; and

(b) the service is not a service to which item 73386 or 73387 applies for the same assisted reproductive treatment cycle

Applicable not more than once per embryo

6  Schedule 1 (cell at item 73386, column 2)

Repeal the cell, substitute:

 

Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A, of embryonic tissue from samples from 2 embryos, if:

(a) the analysis is:

(i) requested by a specialist or consultant physician; and

(ii) for the purpose of providing a pre‑implantation genetic test; and

(iii) performed on embryos that were produced in a single assisted reproductive treatment cycle; and

(b) the service is not a service to which item 73385 or 73387 applies for the same assisted reproductive treatment cycle

Applicable not more than once per assisted reproductive treatment cycle for the 2 embryos tested

7  Schedule 1 (cell at item 73387, column 2)

Repeal the cell, substitute:

 

Genetic analysis, for a patient who is eligible for this service under clause 2.7.3A, of embryonic tissue from samples from 3 or more embryos, if:

(a) the analysis is:

(i) requested by a specialist or consultant physician; and

(ii) for the purpose of providing a pre‑implantation genetic test; and

(iii) performed on embryos that were produced in a single assisted reproductive treatment cycle; and

(b) the service is not a service to which item 73385 or 73386 applies for the same assisted reproductive treatment cycle

Applicable not more than once per assisted reproductive treatment cycle for the 3 or more embryos tested

8  Clause 2.7.4 of Schedule 1 (at the end of the table)

Add:

 

73392

Characterisation of pathogenic or likely pathogenic germline gene variants, requested by a specialist or consultant physician:

(a) in at least the following genes:

(i) MYBPC3;

(ii) MYH7;

(iii) TNNI3;

(iv) TNNT2;

(v) TPM1;

(vi) ACTC1;

(vii) MYL2;

(viii) MYL3;

(ix) PRKAG2;

(x) LAMP2;

(xi) GLA;

(xii) LMNA;

(xiii) SCN5A;

(xiv) TTN;

(xv) RBM20;

(xvi) PLN;

(xvii) DSP;

(xviii) DSC2;

(xix) DSG2;

(xx) JUP;

(xxi) PKP2;

(xxii) TMEM43; and

(b) for a patient for whom clinical history, family history or laboratory findings suggest there is a high probability of one or more of the following heritable cardiomyopathies in the patient:

(i) hypertrophic cardiomyopathy;

(ii) dilated cardiomyopathy;

(iii) arrhythmogenic cardiomyopathy

Applicable once per lifetime

1,200.00

73393

Characterisation of one or more pathogenic or likely pathogenic germline gene variants, requested by a specialist or consultant physician, if:

(a) a service described in item 73392 has not previously been performed for the patient; and

(b) the patient is a first‑degree biological relative (or a second‑degree biological relative if a first‑degree biological relative is unavailable) of a person who has a pathogenic or likely pathogenic germline gene variant that is confirmed by laboratory findings; and

(c) the service is performed for the purpose of assessing present or future risk of any of the following heritable cardiomyopathies in the patient:

(i) hypertrophic cardiomyopathy;

(ii) dilated cardiomyopathy;

(iii) arrhythmogenic cardiomyopathy

Applicable once per variant per lifetime

400.00

73394

Characterisation of one or more recessive pathogenic or likely pathogenic germline genes, requested by a specialist or consultant physician, for the purpose of determining the reproductive risk of heritable cardiomyopathy in a patient:

(a) who is a reproductive partner of a known carrier of a pathogenic or likely pathogenic germline gene that is confirmed by laboratory findings; and

(b) for whom carrier status of a pathogenic or likely pathogenic germline gene is unknown; and

(c) who has a clinical history, family history or laboratory findings suggesting there is a low probability of heritable cardiomyopathy

Applicable once per gene per lifetime

1,200.00

73395

Re‑analysis of whole exome or genome data that is obtained in performing a service to which item 73392 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if:

(a) the re‑analysis is requested by a consultant physician practising as a clinical geneticist or a cardiologist; and

(b) the patient is strongly suspected of having a heritable cardiomyopathy; and

(c) the re‑analysis is performed at least 18 months after a service to which item 73392 or this item applies is performed for the patient

Applicable twice per lifetime

500.00

73396

Characterisation of variants in the JAK2 exon 12 in the diagnostic work‑up of a patient with clinical and laboratory evidence of polycythaemia vera, requested by a specialist or consultant physician

90.00

73397

Characterisation of variants in both the CALR and MPL genes in the diagnostic work‑up of a patient with clinical and laboratory evidence of essential thrombocythaemia or primary myelofibrosis, requested by a specialist or consultant physician

200.00

73398

Characterisation of variants in at least 8 genes, which must include all of the following genes:

(a) JAK2 (including exons 12 and 14);

(b) CALR;

(c) MPL;

in the diagnostic work‑up of a patient with clinical and laboratory evidence of polycythaemia vera or essential thrombocythaemia, requested by a specialist or consultant physician

Applicable to one test per diagnostic episode

420.00

73399

Characterisation of variants in at least 20 genes, which must include all of the following genes:

(a) JAK2 (including exons 12 and 14);

(b) CALR;

(c) MPL;

in the diagnostic work‑up of a patient, with clinical and laboratory evidence of primary myelofibrosis, who is eligible for a stem cell transplant, requested by a specialist or consultant physician

Applicable to one test per diagnostic episode

700.00

73401

Characterisation, by whole exome or genome sequencing and analysis, of germline gene variants in one or more of the genes implicated in heritable cystic kidney disease, if:

(a) the service is requested by a consultant physician practising as:

(i) a clinical geneticist; or

(ii) a specialist nephrologist; and

(b) the patient has a renal abnormality and is strongly suspected of having a monogenic condition

Applicable once per lifetime

2,100.00

73402

Characterisation, by whole exome or genome sequencing and analysis, of germline gene variants in one or more of the genes implicated in heritable kidney disease, if:

(a) the service is requested by a consultant physician practising as:

(i) a clinical geneticist; or

(ii) a specialist nephrologist; and

(b) the patient has chronic kidney disease (other than cystic disease or Alport syndrome) and is strongly suspected of having a monogenic condition

Applicable once per lifetime

2,100.00

73403

Re‑analysis of genetic data obtained in performing a service to which item 73401 or 73402 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if:

(a) the re‑analysis is requested by a consultant physician practising as a clinical geneticist or a specialist paediatrician; and

(b) the patient has a strong clinical suspicion of a monogenic condition; and

(c) a service to which item 73401, 73402 or this item applies has not been performed for the patient in the previous 18 months

Applicable twice per lifetime

500.00

73404

Detection of a single gene variant in a patient, if:

(a) the service is requested by:

(i) a clinical geneticist; or

(ii) a specialist or consultant physician providing professional genetic counselling services; and

(b) the patient has a first‑degree relative with a known monogenic cause of kidney disease; and

(c) a service described in item 73401, 73402, or 73403 has identified the causative variant for the disease for the relative

Applicable once per variant per lifetime

400.00

73405

Detection of one or more variants of a single gene known to cause heritable kidney disease, for the purpose of reproductive decision making, if:

(a) the detection is requested by a consultant physician practising as:

(i) a clinical geneticist; or

(ii) a specialist nephrologist; and

(b) the patient is the reproductive partner of an individual known to be a carrier of a pathogenic variant that causes heritable kidney disease that has a recessive mode of inheritance; and

(c) a service described in item 73401, 73402, 73403 or 73404 has identified the causative gene for the patient’s partner; and

(d) the detection test methodology has sufficient diagnostic range and sensitivity to detect at least 95% of pathogenic variants likely to be present in the patient

1,200.00

73406

Testing of a pregnant patient, for the purpose of determining whether monogenic variants are present in the fetus, if:

(a) the service is requested by a consultant physician practising as:

(i) a clinical geneticist; or

(ii) a specialist nephrologist; and

(b) the patient or the patient’s reproductive partner (or both) are known to be affected by, or are carriers of, a known pathogenic variant that causes heritable kidney disease; and

(c) the fetus is at risk, of at least 25%, of inheriting a monogenic variant known to cause kidney disease

400.00

73410

Deletion testing of HBA1 and HBA2 for:

(a) the diagnosis of alpha thalassaemia in a patient of reproductive age:

(i) who has abnormal red cell indices; and

(ii) for whom thalassaemia screening for beta‑thalassaemia was not conclusive; and

(iii) who does not have a concurrent iron deficiency (or who, irrespective of iron status, is pregnant); and

(iv) who has no historic normal cell indices; or

(b) the determination of carrier status in a person:

(i) who is a reproductive partner of a person of child‑bearing potential with diagnosed alpha thalassaemia; and

(ii) who has abnormal red cell indices; and

(iii) who does not have a concurrent iron deficiency

100.00

73411

Sequencing of HBA1 or HBA2, if the results of deletion testing described in item 73410 were inconclusive and a less common or rare variant is suspected, either:

(a) for the diagnosis of alpha thalassaemia in a patient of reproductive age; or

(b) for the determination of carrier status in a reproductive partner of a person of child‑bearing potential with diagnosed alpha thalassaemia

Applicable once per gene per lifetime

400.00

73412

Deletion testing of HBA1 and HBA2, if the results of deletion testing described in item 73410 were inconclusive and a large deletion variant is suspected, either:

(a) for the diagnosis of alpha thalassaemia in a patient of reproductive age; or

(b) for the determination of carrier status in a reproductive partner of a person of child‑bearing potential with diagnosed alpha thalassaemia

250.00

73413

Non‑deletion testing of HBA1 and HBA2 using techniques other than sequencing, if the results of deletion testing described in item 73410 were inconclusive, either:

(a) for the diagnosis of alpha thalassaemia in a patient of reproductive age; or

(b) for the determination of carrier status in a reproductive partner of a person of child‑bearing potential with diagnosed alpha thalassaemia

250.00

73416

Detection of germline gene variants, including copy number variation, requested by a specialist or consultant physician:

(a) in at least the following genes:

(i) KCNQ1;

(ii) KCNH2;

(iii) SCN5A;

(iv) KCNE1;

(v) KCNE2;

(vi) KCNJ2;

(vii) CACNA1C;

(viii) RYR2;

(ix) CASQ2;

(x) CAV3;

(xi) SCN4B;

(xii) AKAP9;

(xiii) SNTA1;

(xiv) KCNJ5;

(xv) ALG10;

(xvi) CALM1;

(xvii) CALM2;

(xviii) ANK2;

(xix) TECRL;

(xx) TRDN; and

(b) for a patient for whom clinical or family history criteria is suggestive of inherited cardiac arrhythmias or channelopathies that place the patient at greater than 10% risk of having a pathogenic variant

Applicable once per lifetime

1,200.00

73417

Characterisation of one or more pathogenic or likely pathogenic germline gene variants, requested by a specialist or consultant physician, if:

(a) the patient is a first‑degree or second‑degree biological relative of a person with a pathogenic or likely pathogenic germline gene variant that is confirmed by laboratory findings; and

(b) the service is performed for the purpose of assessing present or future risk of a cardiac arrhythmia or channelopathy; and

(c) a service to which item 73416 applies has not previously been performed for the patient

Applicable once per variant per lifetime

400.00

73418

Characterisation of one or more recessive pathogenic or likely pathogenic germline genes, requested by a specialist or consultant physician, for the purpose of determining the reproductive risk of cardiac arrhythmia or channelopathy in a patient:

(a) who is a reproductive partner of a person who is a known carrier of a pathogenic or likely pathogenic germline gene variant of a gene confirmed by laboratory findings; and

(b) for whom a service to which item 73416 applies has not previously been performed; and

(c) for whom carrier status of a pathogenic or likely pathogenic germline gene variant is unknown; and

(d) who has a clinical history, family history or laboratory findings suggesting there is a low probability of cardiac arrhythmia or channelopathy

Applicable once per variant per lifetime

400.00

73419

Re‑analysis of whole exome or genome data that was obtained in performing a service to which item 73416 applies, for characterisation of previously unreported germline gene variants related to the clinical phenotype, if:

(a) the re‑analysis is requested by a consultant physician practising as a clinical geneticist or a cardiologist; and

(b) the patient is strongly suspected of having inheritable cardiac arrhythmia or channelopathies; and

(c) the service is performed at least 18 months after a service to which item 73416 or this item applies was performed for the patient

Applicable twice per lifetime

500.00

73420

Non‑invasive prenatal testing of blood from an RhD negative pregnant patient for the detection of the RHD gene from fetal DNA circulating in maternal blood

56.00

73421

Non‑invasive prenatal testing of blood from an RhD negative pregnant patient (in a singleton pregnancy) for the detection of the RHD gene from fetal DNA circulating in maternal blood, if the patient is alloimmunised with immune Anti‑D

550.00

Part 4Cervical screening tests

Health Insurance (Pathology Services Table) Regulations 2020

9  Schedule 1 (cell at item 73071, column 2)

Repeal the cell, substitute:

 

A test, including partial genotyping, for oncogenic human papillomavirus that may be associated with cervical pre‑cancer or cancer, if performed:

(a) on a self‑collected vaginal specimen; and

(b) for an asymptomatic patient who is at least 24 years and 9 months of age

For any particular patient, applicable once in 57 months

10  Schedule 1 (item 73073, column 2)

Omit “For any particular patient, once only in 21 months”.

Part 5Colorectal surgery services

Health Insurance (General Medical Services Table) Regulations 2021

11  Clause 5.10.14 of Schedule 1 (heading)

Omit “items 32220 and”, substitute “item”.

12  Clause 5.10.14 of Schedule 1

Omit “items 32220 and”, substitute “item”.

13  Schedule 1 (items 32004 and 32005, column 2)

Omit “or 32006”, substitute “, 32006 or 32030”.

14  Schedule 1 (cell at item 32006, column 2)

Repeal the cell, substitute:

 

Left hemicolectomy, including the descending and sigmoid colon (including formation of stoma), if associated with a service to which item 32024, 32025, 32026 or 32028 applies (H) (Anaes.) (Assist.)

15  Schedule 1 (items 32024 and 32025, column 2)

Omit “32103, 32104 or 32106”, substitute “32000, 32030, 32106 or 32232”.

16  Schedule 1 (item 32026)

Repeal the item, substitute:

 

32026

Rectum, ultra‑low restorative resection, with or without covering stoma and with or without colonic reservoir, if the anastomosis is sited in the anorectal region and is 6 cm or less from the anal verge, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H) (Anaes.) (Assist.)

2,160.65

17  Schedule 1 (item 32028)

Repeal the item, substitute:

 

32028

Rectum, low or ultra-low restorative resection, with per anal sutured coloanal anastomosis, with or without covering stoma and with or without colonic reservoir, not being a service associated with a service to which item 32000, 32030, 32106, 32117 or 32232 applies (H) (Anaes.) (Assist.)

2,295.15

18  Schedule 1 (item 32030, column 2)

Omit “—(Hartmann’s operation)”, substitute “, including formation of stoma”.

19  Schedule 1 (item 32033, column 2)

Omit “following Hartmann’s”, substitute “continuity following rectosigmoidectomy”.

20  Schedule 1 (cell at item 32060, column 2)

Repeal the cell, substitute:

 

Restorative proctectomy, involving rectal resection with formation of ileal reservoir and ileoanal anastomosis, including ileostomy mobilisation, with or without mucosectomy or temporary loop ileostomy, 1 surgeon (H) (Anaes.) (Assist.)

21  Schedule 1 (item 32096, column 2)

After “full thickness,”, insert “to diagnose or exclude Hirschsprung’s Disease,”.

22  Schedule 1 (cell at item 32106, column 2)

Repeal the cell, substitute:

 

Anterolateral intraperitoneal rectal tumour, per anal excision of, using rectoscopy digital viewing system and pneumorectum, if:

(a) clinically appropriate; and

(b) removal requires dissection within the peritoneal cavity;

excluding use of a colonoscope as the operating platform and not being a service associated with a service to which item 32024, 32025 or 32232 applies (Anaes.) (Assist.)

23  Schedule 1 (item 32117)

Repeal the item, substitute:

 

32117

Rectal prolapse, abdominal rectopexy of, excluding ventral mesh rectopexy, not being a service associated with a service to which item 32025 or 32026 applies (H) (Anaes.) (Assist.)

1,328.00

24  Schedule 1 (item 32129, column 2)

Omit “, direct repair of”, substitute “repair”.

25  Schedule 1 (cell at item 32135, column 2)

Repeal the cell, substitute:

 

Treatment of haemorrhoids or rectal prolapse, including rubber band ligation or sclerotherapy for, not being a service to which item 32139 applies (Anaes.)

26  Schedule 1 (cell at item 32139, column 2)

Repeal the cell, substitute:

 

Operative treatment of haemorrhoids involving third‑degree or fourth‑degree haemorrhoids, including excision of anal skin tags when performed, not being a service associated with a service to which item 32135 or 32233 applies (H) (Anaes.) (Assist.)

27  Schedule 1 (cell at item 32150, column 2)

Repeal the cell, substitute:

 

Operation for anal fissure, including excision, injection of Botulinum toxin or sphincterotomy, excluding dilatation (Anaes.) (Assist.)

28  Schedule 1 (item 32156, column 2)

Omit “Fistula‑in‑ano”, substitute “Anal fistula”.

29  Schedule 1 (cell at item 32165, column 2)

Repeal the cell, substitute:

 

Operative treatment of anal fistula, repair by mucosal advancement flap, including ligation of inter‑sphincteric fistula tract (LIFT) or other complex sphincter sparing surgery (Anaes.) (Assist.)

30  Schedule 1 (item 32171, column 2)

After “anaesthetic,”, insert “with or without faecal disimpaction,”.

31  Schedule 1 (cell at item 32213, column 2)

Repeal the cell, substitute:

 

Sacral nerve lead or leads, placement of, percutaneous or open, including intraoperative test stimulation and programming, for the management of faecal incontinence (H) (Anaes.)

32  Schedule 1 (cell at item 32215, column 2)

Repeal the cell, substitute:

 

Sacral nerve electrode or electrodes, management, adjustment and electronic programming of the neurostimulator by a medical practitioner, to manage faecal incontinence, not being a service associated with a service to which item 32213, 32216, 32218 or 32237 applies

Applicable once per day for the same patient by the same practitioner

33  Schedule 1 (cell at item 32216, column 2)

Repeal the cell, substitute:

 

Sacral nerve lead or leads, inserted for the management of faecal incontinence in a patient with faecal incontinence refractory to conservative non‑surgical treatment, either:

(a) percutaneous surgical repositioning of the lead or leads, using fluoroscopic guidance; or

(b) open surgical repositioning of the lead or leads;

to correct displacement or unsatisfactory positioning (including intraoperative test stimulation), not being a service associated with a service to which item 32213 applies (H) (Anaes.)

34  Schedule 1 (cell at item 32218, column 2)

Repeal the cell, substitute:

 

Sacral nerve lead or leads, removal (H) (Anaes.)

35  Schedule 1 (at the end of Subgroup 2 of Group T8)

Add:

 

32231

Rectal tumour, per anal excision of (H) (Anaes.) (Assist.)

352.30

32232

Rectal tumour, per anal excision of, using a rectoscopy digital viewing system and pneumorectum if clinically appropriate and excluding use of a colonoscope as the operating platform, not being a service associated with a service to which item 32024, 32025 or 32106 applies (H) (Anaes.) (Assist.)

955.15

32233

Perineal repair of rectal prolapse, not being a service associated with a service to which item 32139 applies (H) (Anaes.) (Assist.)

678.40

32234

Rectal stricture, treatment of (H) (Anaes.)

134.15

32235

Anal skin tags or anal polyps, excision of one or more of (Anaes.)

129.50

32236

Anal warts, removal of, under general anaesthesia, or under regional or field nerve block (excluding pudendal block), not being a service associated with a service to which item 35507 or 35508 applies (H) (Anaes.)

184.20

32237

Neurostimulator or receiver, subcutaneous placement of, replacement of, or removal of, including programming and placement and connection of an extension wire or wires to sacral nerve electrode(s), for the management of faecal incontinence (H) (Anaes.) (Assist.)

298.75

36  Schedule 1 (items 35507 and 35508, column 2)

Omit “32177 or 32180”, substitute “32236”.

37  Amendments of listed provisions—repeals

Repeal the following table items in Schedule 1:

                     (a)  item 32029;

                     (b)  item 32099;

                     (c)  item 32102;

                     (d)  item 32103;

                     (e)  item 32104;

                      (f)  item 32111;

                     (g)  item 32112;

                     (h)  item 32114;

                      (i)  item 32115;

                      (j)  item 32120;

                     (k)  item 32126;

                      (l)  item 32132;

                    (m)  item 32138;

                     (n)  item 32142;

                     (o)  item 32145;

                     (p)  item 32153;

                     (q)  item 32168;

                      (r)  item 32177;

                      (s)  item 32180;

                      (t)  item 32200;

                     (u)  item 32203;

                     (v)  item 32206;

                    (w)  item 32209;

                     (x)  item 32210;

                     (y)  item 32214;

                     (z)  item 32217;

                    (za)  item 32220.

Part 6Miscellaneous amendments

 

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020

38  Paragraph 2.5.9A(1)(b) of Schedule 1

Omit “subsection”, substitute “subclause”.

39  Subclauses 2.5.9A(2), (3), (4), (5) and (6) of Schedule 1

Omit “subsection”, substitute “subclause”.

Health Insurance (General Medical Services Table) Regulations 2021

40  Subclause 1.1.6(1) of Schedule 1

Omit “131,”.

41  Schedule 1 (item 11607, column 2, paragraph (g))

Repeal the paragraph, substitute:

(g) the service:

(i) is not provided in association with ambulatory electrocardiogram recording; and

(ii) is not associated with a service to which any of the following items apply:

(A) 177;

(B) 224 to 228;

(C) 229 to 244;

(D) 699;

(E) 701 to 707;

(F) 715

(G) 721 to 732;

(H) 735 to 758.

42  Schedule 1 (item 35750, column 2)

Omit “applies. (Anaes.)”, substitute “applies (H) (Anaes.)”.

43  Paragraph 5.2.4(1)(b) of Schedule 1

After “Group T1”, insert “or item 73384, 73385, 73386 or 73387 of the pathology services table”.

Part 7Indexation

Health Insurance (Diagnostic Imaging Services Table) Regulations (No. 2) 2020

44  Clause 2.1.18 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group I1 are indexed in accordance with clause 2.7.1.

45  Clauses 2.5.10, 2.5.13, 2.5.14, 2.5.15 and 2.5.16 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group I5 are indexed in accordance with clause 2.7.1.

46  Subclause 2.7.1(1) of Schedule 1 (heading)

Omit “1 July 2021”, substitute “1 July 2022”.

47  Subclause 2.7.1(1) of Schedule 1 (including the note)

Repeal the subclause, substitute:

             (1)  On 1 July 2022 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount immediately before the indexation day end formula

Note:          The indexed fees could in 2022 be viewed on the Department of Health’s MBS Online website (http://www.health.gov.au).

48  Subparagraph 2.7.1(2)(a)(iv) of Schedule 1

Repeal the subparagraph, substitute:

                            (iv)  Group I5 (magnetic resonance imaging services);

                             (v)  Group I6 (bulk‑billed services);

Health Insurance (General Medical Services Table) Regulations 2021

49  Paragraph 1.2.4(2)(c) of Schedule 1

Omit “$312.15”, substitute “$317.15”.

50  At the end of Part 1 of Schedule 1

Add:

Division 1.3Indexation of fees

1.3.1  Indexation—1 July 2022

             (1)  On 1 July 2022 (the indexation day), each amount covered by subclause (2) is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount  immediately before the indexation day end formula

Note:          The indexed fees could in 2022 be viewed on the Department of Health’s MBS Online website (http://www.health.gov.au).

             (2)  The amounts covered by this subclause are the fee for each item in a Group in this Schedule, other than the fee for the following:

                     (a)  an item in Group A2;

                     (b)  item 173 in Group A7;

                     (c)  an item in Group A19;

                     (d)  an item in Group A23;

                     (e)  items 90092, 90093, 90095 and 90096 in Group A35;

                      (f)  items 90254, 90255, 90256, 90257, 90265, 90275, 90277, 90281 and 90282 in Group A36;

                     (g)  items 32026, 32028, 32117, 32231, 32232, 32233, 32234, 32235, 32236 and 32237 in Group T8;

                     (h)  an item in Group T10.

             (3)  To avoid doubt, a fee listed in any of the following items is not indexed under subclause (1):

                     (a)  items in a Group that list the fee as a percentage of a fee listed in another item in the Group;

                     (b)  items in a Group that list the fee as an amount under a specified clause in this Schedule;

                     (c)  a table item of the following tables:

                              (i)  table 2.1.1;

                             (ii)  table 2.20.2;

                            (iii)  table 5.3.1.

             (4)  An amount worked out under subclause (1) is to be rounded up or down to the nearest 5 cents (rounding down if the amount is an exact multiple of 2.5 cents).

51  Clause 2.2.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A1 are indexed in accordance with clause 1.3.1.

52  Clause 2.4.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A3 are indexed in accordance with clause 1.3.1.

53  Schedule 1 (item 111, column 2, paragraph (d))

Omit “$312.15”, substitute “$317.15”.

54  Schedule 1 (item 115, column 2, paragraph (c))

Omit “$312.15”, substitute “$317.15”.55  Clause 2.5.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A4 are indexed in accordance with clause 1.3.1.

56  Schedule 1 (item 117, column 2, paragraph (e))

Omit “$312.15”, substitute “$317.15”.

57  Schedule 1 (item 120, column 2, paragraph (d))

Omit “$312.15”, substitute “$317.15”.58  Clause 2.6.3 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A29 are indexed in accordance with clause 1.3.1.

59  Clause 2.7.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A28 are indexed in accordance with clause 1.3.1.

60  Clause 2.8.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A5 are indexed in accordance with clause 1.3.1.

61  Clause 2.9.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A6 are indexed in accordance with clause 1.3.1.

62  Clause 2.10.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A7 are indexed in accordance with clause 1.3.1.

63  Clause 2.11.5 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A8 are indexed in accordance with clause 1.3.1.

64  Clause 2.12.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A12 are indexed in accordance with clause 1.3.1.

65  Clause 2.13.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A13 are indexed in accordance with clause 1.3.1.

66  Clause 2.14.5 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A11 are indexed in accordance with clause 1.3.1.

67  Clause 2.15.15 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A14 are indexed in accordance with clause 1.3.1.

68  Clause 2.16.13 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A15 are indexed in accordance with clause 1.3.1.

69  Clause 2.16.20 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A15 are indexed in accordance with clause 1.3.1.

70  Clause 2.17.4 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A17 are indexed in accordance with clause 1.3.1.

71  Clause 2.19.3 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A18 are indexed in accordance with clause 1.3.1.

72  Clause 2.20.8 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A20 are indexed in accordance with clause 1.3.1.

73  Clause 2.21.4 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A24 are indexed in accordance with clause 1.3.1.

74  Clause 2.22.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A27 are indexed in accordance with clause 1.3.1.

75  Clause 2.23.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A21 are indexed in accordance with clause 1.3.1.

76  Clause 2.24.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A22 are indexed in accordance with clause 1.3.1.

77  Clause 2.26.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A26 are indexed in accordance with clause 1.3.1.

78  Clause 2.27.4 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A31 are indexed in accordance with clause 1.3.1.

79  Clause 2.28.3 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A32 are indexed in accordance with clause 1.3.1.

80  Clause 2.29.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A9 are indexed in accordance with clause 1.3.1.

81  Clause 2.30.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A35 are indexed in accordance with clause 1.3.1.

82  Clause 2.31.10 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A36 are indexed in accordance with clause 1.3.1.

83  Clause 2.32.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group A37 are indexed in accordance with clause 1.3.1.

84  Clause 3.1.4 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group M12 are indexed in accordance with clause 1.3.1.

85  Clause 3.2.3 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group M1 are indexed in accordance with clause 1.3.1.

86  Clause 4.1.5 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group D1 are indexed in accordance with clause 1.3.1.

87  Clause 4.2.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group D2 are indexed in accordance with clause 1.3.1.

88  Clause 5.2.10 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T1 are indexed in accordance with clause 1.3.1.

89  Clause 5.3.4 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T2 are indexed in accordance with clause 1.3.1.

90  Clause 5.4.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T3 are indexed in accordance with clause 1.3.1.

91  Clause 5.5.4 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T4 are indexed in accordance with clause 1.3.1.

92  Clause 5.6.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T6 are indexed in accordance with clause 1.3.1.

93  Subclause 5.7.1(1) of Schedule 1 (paragraph (b) of the definition of amount under clause 5.7.1)

Omit “$19.80”, substitute “$20.10”.

94  Subclause 5.7.1(2) of Schedule 1 (paragraph (b) of the definition of amount under clause 5.7.1)

Omit “$29.75”, substitute “$30.25”.

95  Clause 5.7.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T7 are indexed in accordance with clause 1.3.1.

96  Clause 5.8.3 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T11 are indexed in accordance with clause 1.3.1.

97  Clause 5.10.9 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T8 are indexed in accordance with clause 1.3.1.

98  Clause 5.10.16 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T8 are indexed in accordance with clause 1.3.1.

99  Clause 5.10.18 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T8 are indexed in accordance with clause 1.3.1.

100  Clause 5.10.19 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T8 are indexed in accordance with clause 1.3.1.

101  Clause 5.10.23 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T8 are indexed in accordance with clause 1.3.1.

102  Clause 5.10.24 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T8 are indexed in accordance with clause 1.3.1.

103  Clause 5.10.29 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T8 are indexed in accordance with clause 1.3.1.

104  Clause 5.11.5 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group T9 are indexed in accordance with clause 1.3.1.

105  Schedule 1 (items 51300 and 51303, column 2)

Omit “$580.95”, substitute “$590.25”.106  Clause 6.2.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O1 are indexed in accordance with clause 1.3.1.

107  Clause 6.3.3 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O2 are indexed in accordance with clause 1.3.1.

108  Schedule 1 (items 51800 and 51803, column 2)

Omit “$580.95”, substitute “$590.25”.109  Clause 6.4.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O3 are indexed in accordance with clause 1.3.1.

110  Clause 6.5.2 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O4 are indexed in accordance with clause 1.3.1.

111  Clause 6.6.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O5 are indexed in accordance with clause 1.3.1.

112  Clause 6.7.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O6 are indexed in accordance with clause 1.3.1.

113  Clause 6.8.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O7 are indexed in accordance with clause 1.3.1.

114  Clause 6.9.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O8 are indexed in accordance with clause 1.3.1.

115  Clause 6.10.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O9 are indexed in accordance with clause 1.3.1.

116  Clause 6.11.1 of Schedule 1 (before the table)

Insert:

Note:          The fees in Group O11 are indexed in accordance with clause 1.3.1.

117  Amendments of listed provisions—clause 2.1.1 of Schedule 1

The items of the table in clause 2.1.1 of Schedule 1 listed in the following table are amended as set out in the table.

 

Amendments relating to indexation—amounts if more, or not more, than 6 patients

Item

Table item

Omit

Substitute

1

Table item 1

27.40

27.85

2

Table item 1

2.15

2.20

3

Table item 2

27.40

27.85

4

Table item 2

2.15

2.20

5

Table item 3

27.40

27.85

6

Table item 3

2.15

2.20

7

Table item 4

27.40

27.85

8

Table item 4

2.15

2.20

9

Table item 10

26.90

27.35

10

Table item 10

2.10

2.15

11

Table item 11

26.90

27.35

12

Table item 11

2.10

2.15

13

Table item 12

26.90

27.35

14

Table item 12

2.10

2.15

15

Table item 13

26.90

27.35

16

Table item 13

2.10

2.15

17

Table item 14

27.00

27.45

18

Table item 14

2.10

2.15

19

Table item 15

27.00

27.45

20

Table item 15

2.10

2.15

21

Table item 16

27.00

27.45

22

Table item 16

2.10

2.15

23

Table item 17

27.00

27.45

24

Table item 17

2.10

2.15

25

Table item 18

27.00

27.45

26

Table item 18

2.10

2.15

27

Table item 19

27.00

27.45

28

Table item 19

2.10

2.15

29

Table item 20

27.00

27.45

30

Table item 20

2.10

2.15

31

Table item 21

27.00

27.45

32

Table item 21

2.10

2.15

33

Table item 22

27.00

27.45

34

Table item 22

2.10

2.15

35

Table item 23

27.00

27.45

36

Table item 23

2.10

2.15

37

Table item 24

48.60

49.40

38

Table item 24

3.45

3.50

39

Table item 25

27.00

27.45

40

Table item 25

2.10

2.15

41

Table item 26

48.60

49.40

42

Table item 26

3.45

3.50

43

Table item 27

27.00

27.45

44

Table item 27

2.10

2.15

45

Table item 28

48.60

49.40

46

Table item 28

3.45

3.50

47

Table item 29

27.00

27.45

48

Table item 29

2.10

2.15

49

Table item 30

48.60

49.40

50

Table item 30

3.45

3.50

51

Table item 39

27.00

27.45

52

Table item 39

2.10

2.15

53

Table item 40

27.00

27.45

54

Table item 40

2.10

2.15

55

Table item 41

21.60

21.95

56

Table item 41

1.70

1.75

57

Table item 42

21.60

21.95

58

Table item 42

1.70

1.75

118  Amendments of listed provisions—clause 2.20.2 of Schedule 1

The items of the table in clause 2.20.2 of Schedule 1 listed in the following table are amended as set out in the table.

 

Amendments relating to indexation—amounts if more, or not more, than 6 patients

Item

Table item

Omit

Substitute

1

Table item 1

27.00

27.45

2

Table item 1

2.10

2.15

3

Table item 2

27.00

27.45

4

Table item 2

2.10

2.15

119  Amendments of listed provisions—clause 5.3.1 of Schedule 1

The items of the table in clause 5.3.1 of Schedule 1 listed in the following table are amended as set out in the table.

 

Amendments relating to indexation

Item

Table item

Omit

Substitute

1

Table item 1

17.75

18.05

2

Table item 2

19.30

19.60

3

Table item 3

19.55

19.85

4

Table item 4

23.60

24.00

5

Table item 5

49.20

50.00

6

Table item 6

33.20

33.75

7

Table item 7

39.50

40.15

8

Table item 8

39.50

40.15

9

Table item 9

39.50

40.15

10

Table item 10

39.50

40.15

11

Table item 11

39.50

40.15

12

Table item 12

39.50

40.15

13

Table item 13

39.50

40.15

14

Table item 14

39.50

40.15

15

Table item 15

39.50

40.15

16

Table item 16

39.50

40.15

120  Amendments of listed provisions—eating disorder services

The items of Schedule 1 listed in the following table are amended as set out in the table.

 

Amendments relating to indexation

Item

Item of Schedule 1

Omit

Substitute

1

Item 90254

59.70

60.65

2

Item 90255

87.90

89.30

3

Item 90256

75.80

77.00

4

Item 90257

111.65

113.45

5

Item 90265

59.70

60.65

6

Item 90275

77.20

78.45

7

Item 90277

110.50

112.25

8

Item 90281

77.20

78.45

9

Item 90282

110.50

112.25

121  Amendments of listed provisions—Group T10

The items of Schedule 1 listed in the following table are amended as set out in the table.

 

Amendments relating to indexation

Item

Item of Schedule 1

Omit

Substitute

1

Item 20100

103.00

104.75

2

Item 20102

123.60

125.70

3

Item 20104

82.40

83.80

4

Item 20120

103.00

104.75

5

Item 20124

82.40

83.80

6

Item 20140

103.00

104.75

7

Item 20142

103.00

104.75

8

Item 20143

123.60

125.70

9

Item 20144

144.20

146.65

10

Item 20145

144.20

146.65

11

Item 20146

103.00

104.75

12

Item 20147

123.60

125.70

13

Item 20148

82.40

83.80

14

Item 20160

123.60

125.70

15

Item 20162

144.20

146.65

16

Item 20164

82.40

83.80

17

Item 20170

123.60

125.70

18

Item 20172

144.20

146.65

19

Item 20174

185.40

188.55

20

Item 20176

206.00

209.50

21

Item 20190

103.00

104.75

22

Item 20192

206.00

209.50

23

Item 20210

309.00

314.25

24

Item 20212

103.00

104.75

25

Item 20214

185.40

188.55

26

Item 20216

412.00

419.00

27

Item 20220

206.00

209.50

28

Item 20222

123.60

125.70

29

Item 20225

247.20

251.40

30

Item 20300

103.00

251.40

31

Item 20305

309.00

314.25

32

Item 20320

123.60

125.70

33

Item 20321

206.00

209.50

34

Item 20330

164.80

167.60

35

Item 20350

206.00

209.50

36

Item 20352

103.00

104.75

37

Item 20355

247.20

251.40

38

Item 20400

61.80

62.85

39

Item 20401

82.40

83.80

40

Item 20402

103.00

104.75

41

Item 20403

103.00

104.75

42

Item 20404

123.60

125.70

43

Item 20405

164.80

167.60

44

Item 20406

267.80

272.35

45

Item 20410

82.40

83.80

46

Item 20420

103.00

104.75

47

Item 20440

82.40

83.80

48

Item 20450

103.00

104.75

49

Item 20452

123.60

125.70

50

Item 20470

123.60

125.70

51

Item 20472

206.00

209.50

52

Item 20474

267.80

272.35

53

Item 20475

206.00

209.50

54

Item 20500

309.00

314.25

55

Item 20520

123.60

125.70

56

Item 20522

82.40

83.80

57

Item 20524

82.40

83.80

58

Item 20526

206.00

209.50

59

Item 20528

164.80

167.60

60

Item 20540

267.80

272.35

61

Item 20542

309.00

314.25

62

Item 20546

309.00

314.25

63

Item 20548

309.00

314.25

64

Item 20560

412.00

419.00

65

Item 20600

206.00

209.50

66

Item 20604

267.80

272.35

67

Item 20620

206.00

209.50

68

Item 20622

267.80

272.35

69

Item 20630

164.80

167.60

70

Item 20632

144.20

146.65

71

Item 20634

206.00

209.50

72

Item 20670

267.80

272.35

73

Item 20680

61.80

62.85

74

Item 20690

103.00

104.75

75

Item 20700

61.80

62.85

76

Item 20702

82.40

83.80

77

Item 20703

82.40

83.80

78

Item 20704

206.00

209.50

79

Item 20706

144.20

146.65

80

Item 20730

103.00

104.75

81

Item 20740

103.00

104.75

82

Item 20745

144.20

146.65

83

Item 20750

103.00

104.75

84

Item 20752

123.60

125.70

85

Item 20754

144.20

146.65

86

Item 20756

185.40

188.55

87

Item 20770

309.00

314.25

88

Item 20790

164.80

167.60

89

Item 20791

206.00

209.50

90

Item 20792

267.80

272.35

91

Item 20793

309.00

314.25

92

Item 20794

247.20

251.40

93

Item 20798

206.00

209.50

94

Item 20799

123.60

125.70

95

Item 20800

61.80

62.85

96

Item 20802

103.00

104.75

97

Item 20803

82.40

83.80

98

Item 20804

206.00

209.50

99

Item 20806

144.20

146.65

100

Item 20810

82.40

83.80

101

Item 20815

123.60

125.70

102

Item 20820

103.00

104.75

103

Item 20830

82.40

83.80

104

Item 20832

123.60

125.70

105

Item 20840

123.60

125.70

106

Item 20841

164.80

167.60

107

Item 20842

82.40

83.80

108

Item 20844

206.00

209.50

109

Item 20845

206.00

209.50

110

Item 20846

206.00

209.50

111

Item 20847

206.00

209.50

112

Item 20848

206.00

209.50

113

Item 20850

247.20

251.40

114

Item 20855

309.00

314.25

115

Item 20860

123.60

125.70

116

Item 20862

144.20

146.65

117

Item 20863

206.00

209.50

118

Item 20864

206.00

209.50

119

Item 20866

206.00

209.50

120

Item 20867

206.00

209.50

121

Item 20868

206.00

209.50

122

Item 20880

309.00

314.25

123

Item 20882

206.00

209.50

124

Item 20884

103.00

104.75

125

Item 20886

123.60

125.70

126

Item 20900

61.80

62.85

127

Item 20902

82.40

83.80

128

Item 20904

144.20

146.65

129

Item 20905

206.00

209.50

130

Item 20906

82.40

83.80

131

Item 20910

82.40

83.80

132

Item 20911

103.00

104.75

133

Item 20912

103.00

104.75

134

Item 20914

144.20

146.65

135

Item 20916

144.20

146.65

136

Item 20920

82.40

83.80

137

Item 20924

82.40

83.80

138

Item 20926

82.40

83.80

139

Item 20928

123.60

125.70

140

Item 20930

82.40

83.80

141

Item 20932

82.40

83.80

142

Item 20934

123.60

125.70

143

Item 20936

164.80

167.60

144

Item 20938

82.40

83.80

145

Item 20940

82.40

83.80

146

Item 20942

103.00

104.75

147

Item 20943

82.40

83.80

148

Item 20944

123.60

125.70

149

Item 20946

164.80

167.60

150

Item 20948

82.40

83.80

151

Item 20950

103.00

104.75

152

Item 20952

82.40

83.80

153

Item 20954

206.00

209.50

154

Item 20956

82.40

83.80

155

Item 20958

103.00

104.75

156

Item 20960

144.20

146.65

157

Item 21100

61.80

62.85

158

Item 21110

103.00

104.75

159

Item 21112

82.40

83.80

160

Item 21114

103.00

104.75

161

Item 21116

123.60

125.70

162

Item 21120

123.60

125.70

163

Item 21130

61.80

62.85

164

Item 21140

309.00

314.25

165

Item 21150

206.00

209.50

166

Item 21155

206.00

209.50

167

Item 21160

82.40

83.80

168

Item 21170

164.80

167.60

169

Item 21195

61.80

62.85

170

Item 21199

82.40

83.80

171

Item 21200

82.40

83.80

172

Item 21202

82.40

83.80

173

Item 21210

123.60

125.70

174

Item 21212

206.00

209.50

175

Item 21214

206.00

209.50

176

Item 21216

288.40

293.30

177

Item 21220

82.40

83.80

178

Item 21230

123.60

125.70

179

Item 21232

103.00

104.75

180

Item 21234

164.80

167.60

181

Item 21260

82.40

83.80

182

Item 21270

164.80

167.60

183

Item 21272

82.40

83.80

184

Item 21274

123.60

125.70

185

Item 21275

206.00

209.50

186

Item 21280

309.00

314.25

187

Item 21300

61.80

62.85

188

Item 21321

82.40

83.80

189

Item 21340

82.40

83.80

190

Item 21360

103.00

104.75

191

Item 21380

61.80

62.85

192

Item 21382

82.40

83.80

193

Item 21390

61.80

62.85

194

Item 21392

82.40

83.80

195

Item 21400

82.40

83.80

196

Item 21402

144.20

146.65

197

Item 21403

206.00

209.50

198

Item 21404

103.00

104.75

199

Item 21420

61.80

62.85

200

Item 21430

82.40

83.80

201

Item 21432

103.00

104.75

202

Item 21440

164.80

167.60

203

Item 21445

206.00

209.50

204

Item 21460

61.80

62.85

205

Item 21461

82.40

83.80

206

Item 21462

61.80

62.85

207

Item 21464

82.40

83.80

208

Item 21472

103.00

104.75

209

Item 21474

103.00

104.75

210

Item 21480

82.40

83.80

211

Item 21482

103.00

104.75

212

Item 21484

103.00

104.75

213

Item 21486

144.20

146.65

214

Item 21490

61.80

62.85

215

Item 21500

164.80

167.60

216

Item 21502

123.60

125.70

217

Item 21520

82.40

83.80

218

Item 21522

103.00

104.75

219

Item 21530

309.00

314.25

220

Item 21532

164.80

167.60

221

Item 21535

206.00

209.50

222

Item 21600

61.80

62.85

223

Item 21610

103.00

104.75

224

Item 21620

82.40

83.80

225

Item 21622

103.00

104.75

226

Item 21630

103.00

104.75

227

Item 21632

123.60

125.70

228

Item 21634

185.40

188.55

229

Item 21636

309.00

314.25

230

Item 21638

206.00

209.50

231

Item 21650

164.80

167.60

232

Item 21652

206.00

209.50

233

Item 21654

164.80

167.60

234

Item 21656

206.00

209.50

235

Item 21670

82.40

83.80

236

Item 21680

61.80

62.85

237

Item 21682

82.40

83.80

238

Item 21685

206.00

209.50

239

Item 21700

61.80

62.85

240

Item 21710

82.40

83.80

241

Item 21712

103.00

104.75

242

Item 21714

103.00

104.75

243

Item 21716

103.00

104.75

244

Item 21730

61.80

62.85

245

Item 21732

82.40

83.80

246

Item 21740

103.00

104.75

247

Item 21756

123.60

125.70

248

Item 21760

144.20

146.65

249

Item 21770

164.80

167.60

250

Item 21772

123.60

125.70

251

Item 21780

82.40

83.80

252

Item 21785

206.00

209.50

253

Item 21790

309.00

314.25

254

Item 21800

61.80

62.85

255

Item 21810

82.40

83.80

256

Item 21820

61.80

62.85

257

Item 21830

82.40

83.80

258

Item 21832

144.20

146.65

259

Item 21834

82.40

83.80

260

Item 21840

164.80

167.60

261

Item 21842

123.60

125.70

262

Item 21850

82.40

83.80

263

Item 21860

61.80

62.85

264

Item 21865

206.00

209.50

265

Item 21870

309.00

314.25

266

Item 21872

164.80

167.60

267

Item 21878

61.80

62.85

268

Item 21879

103.00

104.75

269

Item 21880

144.20

146.65

270

Item 21881

185.40

188.55

271

Item 21882

226.60

230.45

272

Item 21883

267.80

272.35

273

Item 21884

309.00

314.25

274

Item 21885

350.20

356.15

275

Item 21886

391.40

398.05

276

Item 21887

432.60

439.95

277

Item 21900

61.80

62.85

278

Item 21906

103.00

104.75

279

Item 21908

123.60

125.70

280

Item 21910

185.40

188.55

281

Item 21912

103.00

104.75

282

Item 21914

123.60

125.70

283

Item 21915

103.00

104.75

284

Item 21916

103.00

104.75

285

Item 21918

103.00

104.75

286

Item 21922

123.60

125.70

287

Item 21925

82.40

83.80

288

Item 21926

82.40

83.80

289

Item 21930

123.60

125.70

290

Item 21935

103.00

104.75

291

Item 21936

103.00

104.75

292

Item 21939

61.80

62.85

293

Item 21941

144.20

146.65

294

Item 21942

206.00

209.50

295

Item 21943

103.00

104.75

296

Item 21945

103.00

104.75

297

Item 21949

103.00

104.75

298

Item 21952

82.40

83.80

299

Item 21955

103.00

104.75

300

Item 21959

103.00

104.75

301

Item 21962

103.00

104.75

302

Item 21965

103.00

104.75

303

Item 21969

164.80

167.60

304

Item 21970

309.00

314.25

305

Item 21973

103.00

104.75

306

Item 21976

103.00

104.75

307

Item 21980

103.00

104.75

308

Item 21990

61.80

62.85

309

Item 21992

82.40

83.80

310

Item 21997

82.40

83.80

311

Item 22002

82.40

83.80

312

Item 22007

82.40

83.80

313

Item 22008

82.40

83.80

314

Item 22012

61.80

62.85

315

Item 22014

61.80

62.85

316

Item 22015

123.60

125.70

317

Item 22020

82.40

83.80

318

Item 22025

82.40

83.80

319

Item 22031

103.00

104.75

320

Item 22036

61.80

62.85

321

Item 22041

41.20

41.90

322

Item 22042

20.60

20.95

323

Item 22051

185.40

188.55

324

Item 22055

247.20

251.40

325

Item 22060

618.00

628.50

326

Item 22065

103.00

104.75

327

Item 22075

309.00

314.25

328

Item 22900

123.60

125.70

329

Item 22905

123.60

125.70

330

Item 23010

20.60

20.95

331

Item 23025

41.20

41.90

332

Item 23035

61.80

62.85

333

Item 23045

82.40

83.80

334

Item 23055

103.00

104.75

335

Item 23065

123.60

125.70

336

Item 23075

144.20

146.65

337

Item 23085

164.80

167.60

338

Item 23091

185.40

188.55

339

Item 23101

206.00

209.50

340

Item 23111

226.60

230.45

341

Item 23112

247.20

251.40

342

Item 23113

267.80

272.35

343

Item 23114

288.40

293.30

344

Item 23115

309.00

314.25

345

Item 23116

329.60

335.20

346

Item 23117

350.20

356.15

347

Item 23118

370.80

377.10

348

Item 23119

391.40

398.05

349

Item 23121

412.00

419.00

350

Item 23170

432.60

439.95

351

Item 23180

453.20

460.90

352

Item 23190

473.80

481.85

353

Item 23200

494.40

502.80

354

Item 23210

515.00

523.75

355

Item 23220

535.60

544.70

356

Item 23230

556.20

565.65

357

Item 23240

576.80

586.60

358

Item 23250

597.40

607.55

359

Item 23260

618.00

628.50

360

Item 23270

638.60

649.45

361

Item 23280

659.20

670.40

362

Item 23290

679.80

691.35

363

Item 23300

700.40

712.30

364

Item 23310

721.00

733.25

365

Item 23320

741.60

754.20

366

Item 23330

762.20

775.15

367

Item 23340

782.80

796.10

368

Item 23350

803.40

817.05

369

Item 23360

824.00

838.00

370

Item 23370

844.60

858.95

371

Item 23380

865.20

879.90

372

Item 23390

885.80

900.85

373

Item 23400

906.40

921.80

374

Item 23410

927.00

942.75

375

Item 23420

947.60

963.70

376

Item 23430

968.20

984.65

377

Item 23440

988.80

1005.60

378

Item 23450

1,009.40

1026.55

379

Item 23460

1,030.00

1047.50

380

Item 23470

1,050.60

1068.45

381

Item 23480

1,071.20

1089.40

382

Item 23490

1,091.80

1110.35

383

Item 23500

1,112.40

1131.30

384

Item 23510

1,133.00

1152.25

385

Item 23520

1,153.60

1173.20

386

Item 23530

1,174.20

1194.15

387

Item 23540

1,194.80

1215.10

388

Item 23550

1,215.40

1236.05

389

Item 23560

1,236.00

1257.00

390

Item 23570

1,256.60

1277.95

391

Item 23580

1,277.20

1298.90

392

Item 23590

1,297.80

1319.85

393

Item 23600

1,318.40

1340.80

394

Item 23610

1,339.00

1361.75

395

Item 23620

1,359.60

1382.70

396

Item 23630

1,380.20

1403.65

397

Item 23640

1,400.80

1424.60

398

Item 23650

1,421.40

1445.55

399

Item 23660

1,442.00

1466.50

400

Item 23670

1,462.60

1487.45

401

Item 23680

1,483.20

1508.40

402

Item 23690

1,503.80

1529.35

403

Item 23700

1,524.40

1550.30

404

Item 23710

1,545.00

1571.25

405

Item 23720

1,565.60

1592.20

406

Item 23730

1,586.20

1613.15

407

Item 23740

1,606.80

1634.10

408

Item 23750

1,627.40

1655.05

409

Item 23760

1,648.00

1676.00

410

Item 23770

1,668.60

1696.95

411

Item 23780

1,689.20

1717.90

412

Item 23790

1,709.80

1738.85

413

Item 23800

1,730.40

1759.80

414

Item 23810

1,751.00

1780.75

415

Item 23820

1,771.60

1801.70

416

Item 23830

1,792.20

1822.65

417

Item 23840

1,812.80

1843.60

418

Item 23850

1,833.40

1864.55

419

Item 23860

1,854.00

1885.50

420

Item 23870

1,874.60

1906.45

421

Item 23880

1,895.20

1927.40

422

Item 23890

1,915.80

1948.35

423

Item 23900

1,936.40

1969.30

424

Item 23910

1,957.00

1990.25

425

Item 23920

1,977.60

2011.20

426

Item 23930

1,998.20

2032.15

427

Item 23940

2,018.80

2053.10

428

Item 23950

2,039.40

2074.05

429

Item 23960

2,060.00

2095.00

430

Item 23970

2,080.60

2115.95

431

Item 23980

2,101.20

2136.90

432

Item 23990

2,121.80

2157.85

433

Item 24100

2,142.40

2178.80

434

Item 24101

2,163.00

2199.75

435

Item 24102

2,183.60

2220.70

436

Item 24103

2,204.20

2241.65

437

Item 24104

2,224.80

2262.60

438

Item 24105

2,245.40

2283.55

439

Item 24106

2,266.00

2304.50

440

Item 24107

2,286.60

2325.45

441

Item 24108

2,307.20

2346.40

442

Item 24109

2,327.80

2367.35

443

Item 24110

2,348.40

2388.30

444

Item 24111

2,369.00

2409.25

445

Item 24112

2,389.60

2430.20

446

Item 24113

2,410.20

2451.15

447

Item 24114

2,430.80

2472.10

448

Item 24115

2,451.40

2493.05

449

Item 24116

2,472.00

2514.00

450

Item 24117

2,492.60

2534.95

451

Item 24118

2,513.20

2555.90

452

Item 24119

2,533.80

2576.85

453

Item 24120

2,554.40

2597.80

454

Item 24121

2,575.00

2618.75

455

Item 24122

2,595.60

2639.70

456

Item 24123

2,616.20

2660.65

457

Item 24124

2,636.80

2681.60

458

Item 24125

2,657.40

2702.55

459

Item 24126

2,678.00

2723.50

460

Item 24127

2,698.60

2744.45

461

Item 24128

2,719.20

2765.40

462

Item 24129

2,739.80

2786.35

463

Item 24130

2,760.40

2807.30

464

Item 24131

2,781.00

2828.25

465

Item 24132

2,801.60

2849.20

466

Item 24133

2,822.20

2870.15

467

Item 24134

2,842.80

2891.10

468

Item 24135

2,863.40

2912.05

469

Item 24136

2,884.00

2933.00

470

Item 25000

20.60

20.95

471

Item 25005

41.20

41.90

472

Item 25010

61.80

62.85

473

Item 25013

20.60

20.95

474

Item 25014

20.60

20.95

475

Item 25020

41.20

41.90

Health Insurance (Pathology Services Table) Regulations 2020

122  Subclause 2.14.1 of Schedule 1 (heading)

Omit “1 July 2021”, substitute “1 July 2022”.

123  Subclause 2.14.1(1) of Schedule

Repeal the subclause, substitute:

             (1)  On 1 July 2022 (the indexation day), the amount of a fee for an item in Group P12 is replaced by the amount worked out using the following formula:

Start formula 1.016 times the amount of the fee immediately before the indexation day end formula

Note:          The indexed fees could in 2022 be viewed on the Department of Health’s MBS Online website (http://www.health.gov.au).