Health Insurance (General Medical Services Table) Regulation 2012

No longer in force

Administered by

Department of Health, Disability and Ageing

This item is authorised by the following title:

Health Insurance Act 1973

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F2013C00360

01 March 2013 - 30 April 2013

Table of contents

1 Name of regulation
4 Dictionary
5 General medical services table
- 1 Name of regulation This regulation is the Health Insurance (General Medical Services Table) Regulation 2012. 4 Dictionary The Dictionary at the end of this regulation defines certain words and expressions that are used in this regulation, and includes references to certain words and expressions that are defined elsewhere in this regulation. 5 General medical services table For subsection 4(1) of the Act, this regulation prescribes a table of medical services set out in Schedule 1. Note Under section 4 of the Act, the table of medical services sets out the following: (a) items of medical services; (b) the amount of fees applicable for each item; (c) rules for the interpretation of the table. Schedule 1 General medical services table
- Part 1 Preliminary
1.1.1 Meaning of eligible non vocationally recognised medical practitioner
(2) In subclause (1): After Hours Other Medical Practitioners Program means a program administered by the Chief Executive Medicare that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits. MedicarePlus for Other Medical Practitioners Program means a program administered by the Chief Executive Medicare that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits. Outer Metropolitan (Other Medical Practitioners) Relocation Incentive Program means a program administered by the Department that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits. Rural Other Medical Practitioners’ Program means a program administered by the Chief Executive Medicare that, for medical services provided in accordance with the Program, provides a particular level of medicare benefits. 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 participating in a video conferencing consultation
- 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
2.4.1 Limitation of item 99
2.5.1 Limitation of items 112 to 114
2.5A.1 Meaning of eligible allied health provider and risk assessment
2.5A.2 Meaning of eligible disability
2.6.1 Limitation of item 149
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 Limitation of item 288
2.10.4 Meaning of eligible allied health provider and risk assessment
2.11.1 Limitation of items 384 and 389
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
2.18A.4 Limitation of items
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
2.21.5 Limitation of items
2.22.1 Application of item 4001
2.23.1 Application of Group A22
2.24.1 Application of Group A23
2.26.1 Limitation of items 6004 and 6016
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
2.30.6 Limitation of item 10983
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
2.37.10 Limitation of item 13210
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 Definitions for item 16400
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
2.40.5A Limitation of item 16399
2.40.6 Limitation of items 16590 and 16591
2.41.1 Application of Group T6
2.41.2 Limitation of item 17609
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
Dictionary
- Endnotes Endnote 1—Legislation history This endnote sets out details of the legislation history of the DOCPROPERTY ShortT \* MERGEFORMAT Health Insurance (General Medical Services Table) Regulation 2012 . Number and year FRLI registration date Commencement date Application, saving and transitional provisions 2012 No. 244 30 Oct 2012 (see F2012L02101) 1 Nov 2012 2012 No. 245 30 Oct 2012 (see F2012L02103) 1 Nov 2012 — 2012 No. 296 11 Dec 2012 (see F2012L02406) 1 Jan 2013 — 12, 2013 15 Feb 2013 (F2013L00201) Schedule 1: 1 Mar 2013 Schedule 2: [see Endnote 3] —

Health Insurance (General Medical Services Table) Regulation 2012

Legislation text