Commonwealth Consolidated Regulations

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HEALTH INSURANCE REGULATIONS 2018 - REG 28

Entitlement to medicare benefit--services for which medicare benefit is 100% of Schedule fee

Services specified in the general medical services table

  (1)   For the purposes of paragraph   10(2)(aa) of the Act, a service specified in an item of the general medical services table that is listed in the following table is prescribed.

Note:   Some services are specified in a determination made under subsection   3C(1) of the Act.

 

Services for which medicare benefit is 100% of Schedule fee--items of the general medical services table

Item

Column 1

Group or subgroup

Column 2

Items of the general medical services table

1

A1

3, 4, 23, 24, 36, 37, 44, 47, 123, 124

2

A2

52, 53, 54, 57, 58, 59, 60, 65, 151, 165

3

A5

160, 161, 162, 163, 164

4

A6

170, 171, 172

5

Subgroup 1 of Group A7

173, 193, 195, 197, 199

6

Subgroup 2 of Group A7

179, 181, 185, 187, 189, 191, 203, 206, 301, 303

7

Subgroup 3 of Group A7

214, 215, 218, 219, 220

8

Subgroup 4 of Group A7

221, 222, 223

9

Subgroup 5 of Group A7

177, 224, 225, 226, 227, 228

10

Subgroup 6 of Group A7

229, 230, 231, 232, 233, 235, 236, 237, 238, 239, 240, 243, 244, 969, 971, 972, 973, 975, 986

11

Subgroup 7 of Group A7

245, 249

12

Subgroup 8 of Group A7

251, 252, 253, 254, 255, 256, 257, 259, 260, 261, 262, 263, 264, 265, 266, 268, 269, 270, 271

13

Subgroup 9 of Group A7

272, 276, 277, 279, 281, 282, 283, 285, 286, 287, 309, 311, 313, 315, 941, 942

14

Subgroup 10 of Group A7

733, 737, 741, 745, 761, 763, 766, 769, 772, 776, 788, 789, 2197, 2198, 2200

15

Subgroup 11 of Group A7

792

16

Subgroup 12 of Group A7

812, 827, 829, 867, 868, 869, 873, 876, 881, 885, 891, 892

17

A11

585, 588, 591, 594, 599, 600

18

A14

699, 701, 703, 705, 707, 715

19

A15

721, 723, 729, 731, 732, 735, 739, 743, 747, 750, 758, 930, 933, 935, 937, 943, 945

20

A17

900, 903

21

A18

2497, 2501, 2503, 2504, 2506, 2507, 2509, 2517, 2518, 2521, 2522, 2525, 2526, 2546, 2547, 2552, 2553, 2558, 2559

22

A19

2598, 2600, 2603, 2606, 2610, 2613, 2616, 2620, 2622, 2624, 2631, 2633, 2635, 2664, 2666, 2668, 2673, 2675, 2677

23

A20

2700, 2701, 2712, 2713, 2715, 2717, 2721, 2723, 2725, 2727, 2733, 2735, 2739, 2741, 2743, 2745

24

A22

5000, 5003, 5010, 5020, 5023, 5028, 5040, 5043, 5049, 5060, 5063, 5067, 5071, 5076, 5077

25

A23

5200, 5203, 5207, 5208, 5209, 5220, 5223, 5227, 5228, 5260, 5261, 5262, 5263, 5265, 5267

26

A27

4001

27

A29

139

28

A30

2100, 2122, 2125, 2126, 2137, 2138, 2143, 2147, 2179, 2195, 2199, 2220, 2461, 2463, 2464, 2465, 2471, 2472, 2475, 2478, 2480, 2481, 2482, 2483

28A

A35

90020, 90035, 90043, 90051, 90054, 90092, 90093, 90095, 90096, 90098, 90183, 90188, 90202, 90212, 90215

28B

A36

90250, 90251, 90252, 90253, 90254, 90255, 90256, 90257, 90264, 90265, 90271, 90272, 90273, 90274, 90275, 90276, 90277, 90278, 90279, 90280, 90281, 90282

28C

Subgroup 1 of Group A40

91790, 91800, 91801, 91802, 91792, 91803, 91804, 91805, 91794, 91806, 91807, 91808, 91920, 91923, 91926

28D

Subgroup 2 of Group A40

91890, 91891, 91892, 91893, 91894, 91895, 91900, 91903, 91906, 91910, 91913, 91916

28E

Subgroup 3 of Group A40

91818, 91819, 91820, 91821, 91859, 91861, 91862, 91863

28F

Subgroup 10 of Group A40

91842, 91843, 91844, 91845, 91864, 91865, 91866, 91867

28G

Subgroup 11 of Group A40

92004, 92011

28H

Subgroup 13 of Group A40

92024, 92025, 92026, 92027, 92028, 92055, 92056, 92057, 92058, 92059

28I

Subgroup 15 of Group A40

92136, 92137

28J

Subgroup 16 of Group A40

92138, 92139

28K

Subgroup 17 of Group A40

92142

28L

Subgroup 19 of Group A40

92112, 92113, 92114, 92115, 92116, 92117, 92118, 92119, 92120, 92121, 92122, 92123

28M

Subgroup 20 of Group A40

92126, 92127, 92132, 92133

28N

Subgroup 21 of Group A40

92146, 92147, 92148, 92149, 92150, 92151, 92152, 92153

28O

Subgroup 25 of Group A40

92170, 92171

28P

Subgroup 26 of Group A40

92176, 92177

28Q

Subgroup 27 of Group A40

92182, 92184, 92186, 92188

28R

Subgroup 28 of Group A40

92194, 92196, 92198, 92200

28S

Subgroup 29 of Group A40

92210, 92211

28T

Subgroup 39 of Group A40

92715, 92716, 92717, 92718, 92719, 92720, 92721, 92722, 92723, 92724, 92725, 92726

28U

Subgroup 40 of Group A40

92731, 92732, 92733, 92734, 92735, 92736, 92737, 92738, 92739, 92740, 92741, 92742

28V

Subgroup 41 of Group A40

92746, 92747

28W

Subgroup 1 of Group A41

93287, 93288, 93300, 93301, 93302, 93303, 93304, 93305

28X

Subgroup 2 of Group A41

93291, 93292, 93306, 93307, 93308, 93309, 93310, 93311

28Y

Subgroup 1 of Group A42

93400, 93401, 93402, 93403, 93404, 93405, 93406, 93407

28Z

Subgroup 2 of Group A42

93421, 93422, 93423

28ZA

Subgroup 3 of Group A42

93431, 93432, 93433, 93434, 93435, 93436, 93437, 93438

28ZB

Subgroup 4 of Group A42

93451, 93452, 93453

28ZC

Subgroup 1 of Group A43

93469, 93470

28ZD

Subgroup 2 of Group A43

93475, 93479

28ZE

Subgroup 1 of Group A45

93680, 93681, 93682, 93683, 93684, 93685

28ZF

Subgroup 2 of Group A45

93690, 93691, 93692, 93693, 93694, 93695

28ZG

Subgroup 3 of Group A45

93700, 93701, 93702, 93703, 93704, 93705

29

M12

10983, 10984, 10987, 10988, 10989, 10997

30

T1

13105

Services specified in the diagnostic imaging services table

  (2)   For the purposes of paragraph   10(2)(aa) of the Act, a service specified in an item of the diagnostic imaging services table to which clause   1.2.18 of that table applies is prescribed.



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