Health Insurance (Section 3C General Medical Services – Medicare Indexation) Amendment Determination 2019
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I, ELIZABETH DOWD, delegate of the Minister for Health, make the following determination.
Elizabeth Dowd
Assistant Secretary
MBS Policy and Specialist Services Branch
Medical Benefits Division
Health Financing Group
Department of Health
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This Determination is the Health Insurance (Section 3C General Medical Services – Medicare Indexation) Amendment Determination 2019.
(1) Each provision of this instrument specified in column 1 of the table commences, or is taken to have commenced, in accordance with column 2 of the table. Any other statement in column 2 has effect according to its terms.
Commencement information | ||
Column 1 | Column 2 | Column 3 |
Provisions | Commencement | Date/Details |
1. The whole of this instrument | 1 July 2019 |
|
Note: This table relates only to the provisions of this instrument as originally made. It will not be amended to deal with any later amendments of this instrument.
(2) Any information in column 3 of the table is not part of this instrument. Information may be inserted in this column, or information in it may be edited, in any published version of this instrument.
This Determination is made under subsection 3C(1) of the Health Insurance Act 1973.
Each instrument that is specified in a Schedule to this Determination is amended or repealed as set out in the applicable items in the Schedule concerned, and any other item in a Schedule to this Determination has effect according to its terms.
Repeal the subsection, substitute:
(2) Clause 2.46.2 of the general medical services table shall have effect as if items 36504, 36505, 36507 and 36508 contained in the Schedule were specified in clause 2.46.2.
2. Schedule 1 (item 36504, column 3)
Omit “294.85”, substitute “299.55”.
3. Schedule 1 (item 36505, column 3)
Omit “231.70”, substitute “235.40”.
4. Schedule 1 (item 36507, column 3)
Omit “388.20”, substitute “394.40”.
5. Schedule 1 (item 36508, column 3)
Omit “756.40”, substitute “768.50”.
6. Subsection 6(1)
Omit “2.37.5”, substitute “2.38.5”.
7. Schedule 1 (item 13260, column 3)
Omit “415.00”, substitute “421.65”.
8. Schedule 1 (item 699, column 3)
Omit “85.60”, substitute “86.95”.
9. Schedule 1 (item 177, column 3)
Omit “68.50”, substitute “69.55”.
10. Schedule 1 (item 2729, column 3)
Omit “92.75”, substitute “94.25”.
11. Schedule 1 (item 2731, column 3)
Omit “132.75”, substitute “134.85”.
12. Schedule 1 (item 2121, column 3)
Omit “44.20”, substitute “44.90”.
13. Schedule 1 (item 2150, column 3)
Omit “85.60”, substitute “86.95”.
14. Schedule 1 (item 2196, column 3)
Omit “126.05”, substitute “128.05”.
15. Subsection 7(4)
Omit “2.45.2”, substitute “2.46.2”.
16. Schedule 1 (item 42505, column 3)
Omit “300.75”, substitute “305.55”.
17. Schedule 1 (item 42705, column 3)
Omit “911.10”, substitute “925.70”.
18. Schedule 1 (item 11219, column 3)
Omit “40.00”, substitute “40.65”.
19. Schedule 1 (item 6080, column 3)
Omit “50.90”, substitute “51.70”.
20. Schedule 1 (item 6081, column 3)
Omit “37.95”, substitute “38.55”.
21. Schedule 1 (item 38495, column 3)
Omit “1,432.20”, substitute “1,455.10”.
22. Schedule 1 (below the heading)
Repeal the table, substitute:
Group T8 – Surgical Operations | ||
Subgroup 4—Gynaecological | ||
Item | Service | Fee ($) |
35570 | Anterior vaginal compartment repair by vaginal approach for pelvic organ prolapse (involving repair of urethrocele and cystocele), using native tissue without graft, other than a service associated with a service to which item 35573, 35577 or 35578 applies (H) (Anaes.) (Assist.) | 562.70 |
35571 | Posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse involving repair of one or more of the following: (a) perineum; (b) rectocoele; (c) enterocoele; using native tissue without graft, other than a service associated with a service to which item 35573, 35577 or 35578 applies (H) (Anaes.) (Assist.) | 562.70 |
35573 | Anterior and posterior vaginal compartment repair by vaginal approach for pelvic organ prolapse (involving anterior and posterior compartment defects), using native tissue without graft, other than a service associated with a service to which item 35577 or 35578 applies (H) (Anaes.) (Assist.) | 844.20 |
35577 | Manchester (Donald Fothergill) operation for pelvic organ prolapse (includes cervical amputation, anterior and posterior native tissue vaginal wall repairs without graft) (H) (Anaes.) (Assist.) | 685.30 |
35581 | Vaginal procedure for excision of graft material in symptomatic patients with graft related complications, including graft related pain or discharge and bleeding related to graft exposure, less than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35582 or 35585 applies (H) (Anaes.) (Assist.) | 562.70 |
35582 | Vaginal procedure for excision of graft material in symptomatic patients with graft related complications, including graft related pain or discharge and bleeding related to graft exposure, more than 2cm2 in its maximum area, either singly or in multiple pieces, other than a service associated with a service to which item 35581 or 35585 applies (H) (Anaes.) (Assist.) | 844.20 |
35585 | Abdominal procedure either open, laparoscopic or robotic, for removal of graft material in patients symptomatic with graft related complications, including graft related pain or discharge and bleeding related to graft exposure or where the graft has penetrated adjacent organs such as the bladder (including urethra) or bowel, including retroperitoneal dissection and mobilisation of bladder and/or bowel, other than a service associated with a service to which item 35581 or 35582 applies (H) (Anaes.) (Assist.) | 1,496.75 |
23. Schedule 1 (item 115, column 3)
Omit “43.65”, substitute “44.35”.
24. Section 6 (below the heading)
Repeal the subsections, substitute:
(1) Clause 1.2.10 of the general medical services table shall have effect as if item 12254, 12258, 12261, 12265, 12268 and 12272 were also specified in the clause.
(2) Clause 2.36.2 of the general medical services table shall have effect as if item 12261 and 12265 were also specified in subclause 2.36.2(1).
(3) Clause 2.36.2 of the general medical services table shall have effect as if item 12268 and 12272 were also specified in subclause 2.36.2(2).
(4) Clause 2.36.2 of the general medical services table shall have effect as if item 12254 and 12258 were also specified in subclause 2.36.2(3).
25. Schedule 1 (item 12254, column 3)
Omit “913.70”, substitute “928.30”.
26. Schedule 1 (item 12258, column 3)
Omit “913.70”, substitute “928.30”.
27. Schedule 1 (item 12261, column 3)
Omit “958.00”, substitute “973.35”.
28. Schedule 1 (item 12265, column 3)
Omit “958.00”, substitute “973.35”.
29. Schedule 1 (item 12268, column 3)
Omit “1,027.55”, substitute “1,044.00”.
30. Schedule 1 (item 12272, column 3)
Omit “1,027.55”, substitute “1,044.00”.