Health Insurance (General Medical Services Table) Amendment (Bariatric and Other Measures) Regulation 2013
Select Legislative Instrument No. 143, 2013
I, Quentin Bryce AC CVO, Governor‑General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following regulation under the Health Insurance Act 1973.
Dated 28 June 2013
Quentin Bryce
Governor‑General
By Her Excellency’s Command
Tanya Plibersek
Minister for Health
Contents
2 Commencement
3 Authority
4 Schedule(s)
Schedule 1—Amendments
Health Insurance (General Medical Services Table) Regulation 2012
This regulation is the Health Insurance (General Medical Services Table) Amendment (Bariatric and Other Measures) Regulation 2013.
This regulation commences on 1 July 2013.
This regulation is made under the Health Insurance Act 1973.
Each instrument that is specified in a Schedule to this instrument is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this instrument has effect according to its terms.
Health Insurance (General Medical Services Table) Regulation 2012
1 Subclauses 1.2.4(1) and 1.2.5(1) of Schedule 1
Omit “14215”, substitute “14212”.
2 Items 2497, 2598, 2600, 2603, 2606, 2610, 2613 and 2616 of Schedule 1
Omit “woman”, substitute “person”.
3 Item 14215 of Schedule 1
Repeal the item.
4 Item 20791 of Schedule 1
Omit “for gastric reduction or gastroplasty for the treatment of morbid obesity”, substitute “for a patient with clinically severe obesity”.
5 Item 20920 of Schedule 1
Omit “male”.
6 Items 30511, 30512 and 30514 of Schedule 1
Repeal the items.
7 Item 30515 of Schedule 1
After “enteroenterostomy”, insert “, not being a service to which any of items 31569 to 31581 apply”.
8 Item 30518 of Schedule 1
After “gastrectomy”, insert “, not being a service associated with a service to which any of items 31569 to 31581 apply”.
9 Item 30601 of Schedule 1
After “approach”, insert “, not being a service to which any of items 31569 to 31581 apply”.
10 Items 30653, 30656, 30659 and 30660 of Schedule 1
Omit “a male”, substitute “the penis, on a person”.
11 Item 31441 of Schedule 1
Repeal the item.
12 At the end of Subdivision B of Division 2.44 of Schedule 1 (after item 31566)
Add:
31569 | Adjustable gastric band, placement of, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.) (H) | 849.55 |
31572 | Gastric bypass by Roux‑en‑Y including associated anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity not being associated with a service to which item 30515 applies (Anaes.) (Assist.) (H) | 1,045.40 |
31575 | Sleeve gastrectomy, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.) (H) | 849.55 |
31578 | Gastroplasty (excluding by gastric plication), with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.) (H) | 849.55 |
31581 | Gastric bypass by biliopancreatic diversion with or without duodenal switch including gastric restriction and anastomoses, with or without crural repair taking 45 minutes or less, for a patient with clinically severe obesity (Anaes.) (Assist.) (H) | 1,045.40 |
31584 | Surgical reversal of adjustable gastric banding (removal or replacement of gastric band), gastric bypass, gastroplasty (excluding by gastric plication) or biliopancreatic diversion being services to which items 31569 to 31581 apply (Anaes.) (Assist.) (H) | 1,539.10 |
31587 | Adjustment of gastric band as an independent procedure including any associated consultation | 97.95 |
31590 | Adjustment of gastric band reservoir, repair, revision or replacement of (Anaes.) (Assist.) | 251.70 |
13 Items 37605 and 37606 of Schedule 1
Omit “in a man with”, substitute “for”.