Health Insurance (General Medical Services Table) Regulations 2005

No longer in force

Administered by

Department of Health, Disability and Ageing

This item is authorised by the following title:

Health Insurance Act 1973

Superseded version

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F2005L03110

26 October 2005 - 31 October 2005

Table of contents

1 Name of Regulations
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 of interpretation
2 Application of table
3 General
4 Meaning of symbols (S) and (G)
5 Meaning of symbol (H)
6 Meaning of single course of treatment in certain circumstances
7 Meaning of professional attendance in certain items
8 Interpretation of items 104 to 131 and 291 to 388
9 Meaning of amount under rule 9 in certain items
10 Items 10809 and 10929 not to apply in certain circumstances
11 Personal attendance by medical practitioners generally
12 Personal attendance by certain medical practitioners
12A Service by certain medical practitioners — items 729 to 866
13 Certain services may be provided by persons other than medical practitioners
14 Conditions under which certain services to be provided
15 Application of items 1 to 10943
15A Application of items 5000 to 5267
16 Application of items 51700 to 53706
17 Meaning of amount under rule 17 in certain items
18 Meaning of amount under rule 18 in certain items
19 Cleft lip and cleft palate services
20 Meaning of (AD) in Group C2 — Oral and maxillofacial surgical services and Group C3 — General and prosthodontic services
21 Orthodontic services
22 Oral surgery services
23 Meaning of report in Group D1 — Miscellaneous diagnostic procedures and investigations
24 Meaning of treatment cycle of a patient
25 Items provided as part of treatment cycle relating to assisted reproductive services not to apply
26 Items relating to assisted reproductive services not to apply in certain pregnancy-related circumstances
27 Meaning of embryology laboratory services in items 13200 and 13206
28 Meaning of delivery in certain items
29 Meaning of maxilla in certain items
30 Items 46300 to 46534 apply only in certain circumstances
31 Assistance at operations
32 Meaning of amount under rule 32 in items 51303 and 51803
33 Meaning of amount under rule 33 in item 51309
34 Meaning of amount under rule 34 in items 18219 and 18227
35 Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures
36 Meaning of amount under rule 36 in items 16633 and 16636
37 Meaning of amount under rule 37 in item 51312
38 Meaning of amount under rule 38 in item 31340
39 Meaning of previous significant surgical complication in item 51318
40 Meaning of amount under rule 40 in item 30001
41 Consultant occupational physicians
42 Meaning of qualified sleep medicine practitioner
43 Public health physicians
44 Application of items in Group A14 to certain patients only
45 Application of items in Group A15 to certain patients only
45A Limitation on items 721, 723, 725, 727, 729 and 731
46 Meaning of health assessment
47 Meaning of adult health check in item 710
48 Meaning of comprehensive medical assessment in item 712
49A Meaning of GP management plan
51 Meaning of multidisciplinary discharge care plan
51A Meaning of team care arrangements
51B Meaning of associated medical practitioner
52A Meaning of review of plans
53A Meaning of co-ordinate a review of team care arrangements or of a multidisciplinary care plan
53B Meaning of contribute to a multidisciplinary care plan for items 729 and 731
54 Meaning of multidisciplinary case conference
55 Meaning of multidisciplinary discharge case conference
56 Meaning of multidisciplinary case conference in a residential aged care facility
57 Meaning of multidisciplinary case conference team
58 Meaning of organise and co-ordinate in a multidisciplinary case conference and participation in a multidisciplinary case conference
59 Meaning of living in a community setting in item 900
60 Meaning of residential medication management review in item 903
61 Meaning of amount under rule 61 in certain items
62 Application of Subgroup 2 of Group A18 and Subgroup 2 of Group A19
63 Application of Subgroup 3 of Group A18 and Subgroup 3 of Group A19
64 Meaning of approved site in items 15338 and 37220
65 Group T10 applies only in connection with certain services
66 Services specified in Subgroups 21 to 25 of Group T10
67 Meaning of service time in Subgroups 21, 24, 25 and 26 of Group T10
68 Application of Subgroup 21 of Group T10
69 Application of Subgroups 22 and 23 of Group T10
70 Meaning of amount under rule 70 in items 25025, 25030 and 25050
71 Application of Subgroups 24 and 25 of Group T10
72 Meaning of complex paediatric case in item 25205
73 Meaning of amount under rule 73 in items 25200 and 25205
74 Restriction of telepsychiatry consultations to rural and remote areas
75 Meaning of recognised emergency department and problem focussed history in Group A21
76 Prolonged attendances by emergency physicians
77 Application of Subgroup 4 of Group A18 and Subgroup 4 of Group A19
78 Focussed psychological strategies
79 Meaning of qualified surgeon in items 31539 and 31545
80 Meaning of qualified radiologist in item 31542
81 Injection of botulinum toxin
82 Meaning of qualified medical acupuncturist in items 193, 195, 197 and 199
83 Application of items 10990, 10991 and 10992
84 Application of item 10993
85 Application of item 10996
86 Application of items 10998 and 10999
87 Meaning of foreign body in items 35360 to 35363
88 Limitation on certain items
89 Application of items 30440, 30451, 30492 and 30495
90 Application of items 10900, 10940 and 10941
91 Application of items 10931, 10932 and 10933
92 Limitation of items 10943, 16590, 18360, 18364 and 50303
93 Application of items 30299 and 30300
- Part 3 Services and fees
- Part 4 Non-medicare services

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Health Insurance (General Medical Services Table) Regulations 2005

Scheduled Maintenance Thursday 26 May from 9pm

Health Insurance (General Medical Services Table) Regulations 2005

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