Health Insurance (General Medical Services Table) Regulations 2011

No longer in force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Superseded version

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F2012C00129

01 March 2012 - 30 June 2012

Table of contents

1 Name of Regulations [see Note 1]
2 Commencement
3 Repeal
4 Dictionary
5 General medical services table
- Schedule 1 General medical services table
  - Part 1 Preliminary
1.1.1 Meaning of eligible non-vocationally recognised medical practitioner
1.1.1A Meaning of general practitioner
1.1.2 Meaning of multidisciplinary case conference
1.1.3 Meaning of multidisciplinary case conference team
1.1.4 Meaning of single course of treatment
1.1.5 Meaning of symbol (G)
1.1.6 Meaning of symbol (H)
1.1.7 Meaning of symbol (S)
1.2.1 Application
1.2.2 Attendance by specialist or consultant physician
1.2.3 Professional attendance services
1.2.4 Personal attendance by medical practitioners generally
1.2.5 Personal attendance by medical practitioners
1.2.6 Consultant occupational physician
1.2.7 Application of items 3 to 10943
1.2.8 Services that may be provided by persons other than medical practitioners
1.2.9 Meaning of by video conference
- Part 2 Services and fees
2.1.1 Meaning of amount under clause 2.1.1
2.3.1 Effect of determination under section 106TA of Act
2.5A.1 Meaning of eligible allied health provider and risk assessment
2.5A.2 Meaning of eligible disability
2.7.1 Application of items 160 to 164
2.9.1 Meaning of qualified medical acupuncturist
2.10.1 Application of items 291, 293 and 359
2.10.2 Application of items 342, 344 and 346
2.10.3 Restriction of telepsychiatry consultations to regional, rural and remote areas
2.10.4 Meaning of eligible allied health provider and risk assessment
2.12.1 Public health physicians
2.14.1 Meaning of recognised emergency department
2.14.2 Meaning of problem focussed history
2.14.3 Attendance for emergency evaluation of critically ill patients
2.15.1 Meaning of patient’s medical condition requires urgent treatment
2.15.2 Meaning of responsible person
2.15.3 Application of Group A11
2.15.4 Effect of determination under section 106TA of Act
2.16.1 Application of Group A14
2.16.2 Types of health assessments
2.16.3 Application of item 715 to certain patients only
2.16.4 Healthy Kids Check
2.16.5 Type 2 Diabetes Risk Evaluation
2.16.6 45 year old Health Assessment
2.16.7 Older Person’s Health Assessment
2.16.8 Comprehensive Medical Assessment for permanent resident of residential aged care facility
2.16.9 Health assessment for a person with an intellectual disability
2.16.10 Health assessment for a refugee or other humanitarian entrant
2.16.11 Aboriginal and Torres Strait Islander child health assessment
2.16.12 Aboriginal and Torres Strait Islander adult health assessment
2.16.13 Aboriginal and Torres Strait Islander Older Person’s Health Assessment
2.16.14 Restrictions on health assessments for Group A14
2.17.1 Service by medical practitioners
2.17.2 Meaning of associated medical practitioner
2.17.3 Meaning of contribute to a multidisciplinary care plan
2.17.4 Meaning of coordinating the development of team care arrangements
2.17.5 Meaning of coordinating a review of team care arrangements
2.17.6 Meaning of multidisciplinary care plan
2.17.7 Meaning of preparing a GP management plan
2.17.8 Meaning of reviewing a GP management plan
2.17.9 Application of items 721, 723, 729, 731 and 732
2.17.10 Application of items 701 to 723 and 732
2.17.11 Limitation on items 721, 723, 729, 731 and 732
2.17.12 Meaning of multidisciplinary discharge case conference
2.17.13 Meaning of multidisciplinary case conference in a residential aged care facility
2.17.14 Meaning of organise and coordinate
2.17.15 Meaning of participate
2.17.16 Meaning of coordinating
2.17.17 Meaning of case conference team
2.17.18 Application of item 880
2.18.1 Meaning of living in a community setting
2.18.2 Meaning of residential medication management review
2.18.3 Application of items 900 and 903
2.18A.1 Application of items
2.18A.2 Application of items 2125, 2138, 2179 and 2220
2.18A.3 Meaning of amount under clause 2.18A.3
2.19.2 Application of Subgroup 2 of Groups A18 and A19
2.19.3 Application of Subgroup 3 of Groups A18 and A19
2.20.1 Definitions
2.20.2 Meaning of amount under clause 2.20.2
2.20.3 Meaning of preparation of a GP mental health treatment plan
2.20.4 Meaning of review of a GP mental health treatment plan
2.20.5 Meaning of associated medical practitioner
2.20.6 Application of Subgroup 1 of Group A20
2.20.7 Focussed psychological strategies
2.21.1 Meaning of organise and coordinate
2.21.2 Meaning of participate
2.21.3 Application of Group A24
2.21.4 Limitation on items
2.22.1 Application of item 4001
2.23.1 Application of Group A22
2.24.1 Application of Group A23
2.25.1 Meaning of outer metropolitan specialist trainee
2.27.1 Application of item 10809
2.28.1 Application of items 10900, 10940 and 10941
2.28.2 Application of item 10929
2.28.3 Limitation on items
2.28.4 Application of items 10931, 10932 and 10933
2.28.5 Limitation of item 10943
2.30.1 Definitions for item 10997
2.30.2 Application of item 10986
2.30.3 Restrictions on item 10986
2.30.4 Application of item 10988
2.30.5 Application of item 10989
2.31.1 Definitions for Division 2.31
2.31.2 Application of items 10990, 10991 and 10992
2.34.1 Meaning of report
2.34.2 Meaning of qualified sleep medicine practitioner
2.34.3 Application of Group D1
2.35.1 Application of Group D2
2.36.1 Definition
2.36.2 Medical services that may be provided by medical practitioner or specialist trainee
2.37.1 Meaning of comprehensive hyperbaric medicine facility
2.37.2 Meaning of embryology laboratory services
2.37.3 Meaning of treatment cycle
2.37.4 Items provided as part of treatment cycle relating to assisted reproductive services not to apply
2.37.5 Application of items 13020 to 14245
2.37.6 Limitation on item 13104
2.37.7 Items relating to assisted reproductive services not to apply in certain pregnancy-related circumstances
2.37.8 Application of items 14227 to 14242
2.37.9 Application of item 14245
2.38.1 Meaning of amount under clause 2.38.1
2.38.2 Meaning of approved site
2.38.3 Application of Group T2
2.38.4 Application of items 15556, 15559 and 15562
2.39.1 Application of Group T3
2.40.1 Application of item 16400 to midwife or nurse
2.40.2 Meaning of amount under clause 2.40.2
2.40.3 Meaning of delivery
2.40.4 Application of Group T4
2.40.5 Application of item 16400
2.40.6 Limitation of items 16590 and 16591
2.41.1 Application of Group T6
2.42.1 Meaning of amount under clause 2.42.1
2.42.2 Application of Group T7
2.42A.1 Injection of botulinum toxin
2.42A.2 Limitation of items 18360 and 18364
2.43.1 Meaning of amount under clause 2.43.1
2.43.2 Meaning of amount under clause 2.43.2
2.43.3 Meaning of complex paediatric case
2.43.4 Meaning of service time
2.43.5 Application of Group T10
2.43.6 Application of Subgroup 21 of Group T10
2.43.7 Services mentioned in Subgroups 21 to 25 of Group T10
2.43.8 Application of Subgroups 22 and 23 of Group T10
2.43.9 Application of Subgroups 24 and 25 of Group T10
2.44.1 Meaning of approved site
2.44.2 Application of Group T8
2.44.4 Meaning of amount under clause 2.44.4
2.44.5 Meaning of amount under clause 2.44.5
2.44.6 Meaning of qualified surgeon
2.44.7 Meaning of qualified radiologist
2.44.8 Histopathological proof of malignancy in certain cases for purposes of certain items relating to surgical procedures
2.44.9 Application of items 30299 and 30300
2.44.10 Application of items 30440, 30451, 30492 and 30495
2.44.11 Application of items 30688, 30690, 30692 and 30694
2.44.12 Application of item 35412
2.44.13 Meaning of foreign body in items 35360 to 35363
2.44.14 Application of items 32500 to 32517 and 35321
2.44.15 Application of items 35404, 35406 and 35408
2.44.16 Application of items 38365, 38368 and 38654
2.44.17 Application of items 38470 to 38766
2.44.18 Meaning of amount under clause 2.44.18
2.44.19 Meaning of maxilla
2.44.20 Items 46300 to 46534 apply only in certain circumstances
2.44.21 Limitation of item 50303
2.45.1 Meaning of amount under clause 2.45.1
2.45.2 Meaning of amount under clause 2.45.2
2.45.3 Meaning of amount under clause 2.45.3
2.45.4 Meaning of previous significant surgical complication
2.45.5 Application of Group T9
2.45.6 Assistance at operations
2.46.1 Application of Groups O1 to O11
2.48.1 Meaning of amount under clause 2.48.1
2.48.2 Assistance at operations
2.50.1 Meaning of maxilla
2.59.1 Cleft lip and cleft palate services
2.59.2 Orthodontic services
2.60.1 Meaning of symbol (AD)
2.60.2 Meaning of symbol (AOS)
2.60.3 Meaning of accredited orthodontist
2.60.4 Cleft lip and cleft palate services
2.61.1 Meaning of symbol (AD)
2.61.2 Cleft lip and cleft palate services
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Health Insurance (General Medical Services Table) Regulations 2011

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Health Insurance (General Medical Services Table) Regulations 2011

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