Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2004 (No. 2)1
I, PHILIP MICHAEL JEFFERY, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Health Insurance Act 1973.
Dated 22 April 2004
P. M. JEFFERY
Governor-General
By His Excellency’s Command
TONY ABBOTT
1 Name of Regulations
These Regulations are the Health Insurance (Diagnostic Imaging Services Table) Amendment Regulations 2004 (No. 2).
2 Commencement
These Regulations commence on 1 May 2004.
3 Amendment of Health Insurance (Diagnostic Imaging Services Table) Regulations 2003
Schedule 1 amends the Health Insurance (Diagnostic Imaging Services Table) Regulations 2003.
Schedule 1 Amendments
(regulation 3)
[1] Schedule 1, Part 2, paragraph 28 (b)
substitute
(b) $125.25.
[2] Schedule 1, Part 3, after item 55079
insert
55084 | Urinary bladder, ultrasound scan of, by any or all approaches, if: (a) the patient is referred by a medical practitioner for ultrasonic examination; and (b) the referring medical practitioner is not a member of a group of practitioners of which the providing practitioner is a member; and (c) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and | 90.00 |
| (d) within 24 hours of the service, a service described in item 11917, 55036, 55038, 55044, 55600, 55603, or 55731 is not performed on the same patient by the providing practitioner (R) |
|
55085 | Urinary bladder, ultrasound scan of, by any or all approaches, if: (a) the patient is not referred by a medical practitioner; and (b) the service is not associated with a service to which an item in Subgroup 2 or 3 applies; and (c) within 24 hours of the service, a service described in item 11917, 55037, 55039, 55045, 55600, 55603, or 55733 is not performed on the same patient by the providing practitioner (NR) | 31.20 |
[3] Schedule 1, Part 3, item 55118, subparagraphs (a) (i) to (iii)
substitute
| (i) real time colour flow mapping and, if indicated, pulsed wave Doppler examination; and (ii) recordings on video tape or digital medium; and |
|
[4] Schedule 1, Part 3, item 55130, column 2
omit
surgical procedure
insert
surgical procedure, not being a service associated with a service to which item 55135 applies
[5] Schedule 1, Part 3, item 55130, column 3
omit
353.60
insert
170.00
[6] Schedule 1, Part 3, after item 55130
insert
55135 | Intra-operative 2 dimensional real time transoesophageal echocardiography incorporating Doppler techniques with colour flow mapping and recording onto video tape or digital medium, performed during cardiac valve surgery (replacement or repair) incorporating sequential assessment of cardiac function and valve competence before and after the surgical procedure, not being a service associated with a service to which item 55130 applies (R) (Anaes.) | 353.60 |
[7] Schedule 1, Part 3, item 56501
after
contrast medium,
insert
not for the purposes of virtual colonoscopy and
[8] Schedule 1, Part 3, item 56507
after
when performed,
insert
not for the purposes of virtual colonoscopy and
[9] Schedule 1, Part 3, item 56541
after
contrast medium,
insert
not for the purposes of virtual colonoscopy and
[10] Schedule 1, Part 3, item 56547
after
when performed,
insert
not for the purposes of virtual colonoscopy and
[11] Schedule 1, Part 3, items 59300 and 59303
substitute
59300 | Mammography of both breasts if there is reason to suspect the presence of malignancy because of: (a) the past occurrence of breast malignancy in the patient or members of the patient’s family; or (b) symptoms or indications of malignancy found on examination of the patient by a medical practitioner (R) | 82.00 |
59303 | Mammography of one breast if: (a) the patient is referred with a specific request for a unilateral mammogram; and (b) there is reason to suspect the presence of malignancy because of: (i) the past occurrence of breast malignancy in the patient or members of the patient’s family; or (ii) symptoms or indications of malignancy found on examination of the patient by a medical practitioner (R) | 49.45 |
[12] Schedule 1, Part 3, after item 63946
insert
Subgroup 31 — Scan of the pelvis and upper abdomen — for the further investigation of specified conditions | ||
63960 | MRI — scan of the pelvis for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Anaes.) | 475.00 |
63963 | MRI — scan of the pelvis and upper abdomen, in a single examination, for the staging of histologically diagnosed cervical cancer at FIGO stages 1B or greater (R) (Anaes.) | 475.00 |
[13] Schedule 1, Part 3 — Amendment of fees
Item | omit | insert |
61302 | 407.05 | 431.45 |
61303 | 512.65 | 543.40 |
61306 | 643.60 | 682.20 |
61307 | 757.10 | 802.55 |
61310 | 333.05 | 353.05 |
61313 | 275.10 | 291.60 |
61314 | 380.90 | 403.75 |
61316 | 345.65 | 366.40 |
61317 | 446.50 | 473.30 |
61320 | 207.60 | 220.05 |
61328 | 206.45 | 218.85 |
61340 | 229.45 | 243.20 |
61348 | 402.05 | 426.15 |
61352 | 235.20 | 249.30 |
61353 | 350.55 | 371.60 |
61356 | 356.20 | 377.55 |
61360 | 365.75 | 387.70 |
61361 | 418.45 | 443.55 |
61364 | 450.65 | 477.70 |
61368 | 202.30 | 214.45 |
61372 | 202.30 | 214.45 |
61373 | 444.10 | 470.75 |
61376 | 130.00 | 137.80 |
61381 | 520.85 | 552.10 |
61383 | 566.75 | 600.75 |
61384 | 623.65 | 661.05 |
61386 | 301.50 | 319.60 |
61387 | 390.65 | 414.10 |
61389 | 336.05 | 356.20 |
61390 | 371.80 | 394.10 |
61393 | 549.10 | 582.05 |
61397 | 223.85 | 237.30 |
61401 | 147.15 | 156.00 |
61402 | 548.70 | 581.60 |
61405 | 313.75 | 332.55 |
61409 | 792.10 | 839.65 |
61413 | 204.90 | 217.20 |
61417 | 107.75 | 114.20 |
61421 | 435.10 | 461.20 |
61425 | 544.75 | 577.45 |
61426 | 503.10 | 533.30 |
61429 | 492.40 | 521.95 |
61430 | 598.00 | 633.90 |
61433 | 450.65 | 477.70 |
61434 | 558.05 | 591.55 |
61437 | 492.20 | 521.75 |
61438 | 610.30 | 646.90 |
61441 | 444.10 | 470.75 |
61442 | 682.25 | 723.20 |
61445 | 260.10 | 275.70 |
61446 | 302.50 | 320.65 |
61449 | 413.75 | 438.55 |
61450 | 360.50 | 382.15 |
61453 | 466.75 | 494.75 |
61454 | 315.65 | 334.60 |
61457 | 426.65 | 452.25 |
61458 | 359.95 | 381.55 |
61461 | 478.70 | 507.40 |
61465 | 240.75 | 255.20 |
61469 | 315.65 | 334.60 |
61473 | 159.05 | 168.60 |
61480 | 350.80 | 371.85 |
61484 | 798.80 | 846.75 |
61485 | 906.15 | 960.50 |
61495 | 202.30 | 214.45 |
61499 | 229.45 | 243.20 |
Notes
1. These Regulations amend Statutory Rules 2003 No. 268, as amended by 2003 No. 358; 2004 No. 64.
2. Notified in the Commonwealth of Australia Gazette on 30 April 2004.