Commonwealth Consolidated Regulations

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HEALTH INSURANCE REGULATIONS 2018 - REG 39

Requests by dental practitioners

  (1)   For the purposes of subsection   16B(2) of the Act, this section specifies R - type diagnostic imaging services.

All dental practitioners

  (2)   A service specified in an item of the diagnostic imaging services table that is listed in the following table is specified in relation to all dental practitioners.

 

R - type diagnostic imaging service--request by any dental practitioner

Item

Column 1

Group

Column 2

Items of the diagnostic imaging services table

1

I3

57509, 57515, 57521, 57523, 57527, 57901 to 57969, 58100, 58300, 58503, 58903, 59733, 59739, 59751, 60500, 60503

Dental practitioners approved for professional services

  (3)   A service specified in an item of the diagnostic imaging services table that is listed in the following table is specified in relation to a dental practitioner who is approved by the Minister under paragraph   (b) of the definition of professional service in subsection   3(1) of the Act.

 

R - type diagnostic imaging service--request by approved dental practitioner

Item

Column 1

Group

Column 2

Items of the diagnostic imaging services table

1

I1

55028, 55030, 55032

2

I2

56001 to 56220, 56224, 56301 to 56507, 56801 to 57007, 57341, 57362

3

I3

57703, 57709, 57712, 57715, 58103 to 58115, 58306, 58506, 58521 to 58527, 58909, 59103, 59703, 60000 to 60009, 60506, 60509, 61109

4

I4

61372, 61421, 61425, 61429, 61430, 61433, 61434, 61446, 61449, 61450, 61453, 61454, 61457, 61462

5

I5

63007, 63334

Prosthodontists

  (4)   A service specified in an item of the diagnostic imaging services table that is listed in the following table is specified in relation to a dental practitioner who is:

  (a)   registered or licensed as a prosthodontist under a law of a State or Territory; or

  (b)   registered or licensed as a dentist or dental practitioner under a law of State or Territory and recognised by the registering or licensing authority as a person who practises in the specialty of prosthodontics.

 

R - type diagnostic imaging service--request by prosthodontist

Item

Column 1

Group

Column 2

Items of the diagnostic imaging services table

1

I1

55028

2

I2

56013, 56016, 56022, 56028, 57362

3

I3

58306

4

I4

61421, 61425, 61429, 61430, 61433, 61434, 61446, 61449, 61450, 61453, 61454, 61457, 61462

5

I5

63334

Periodontists, endodontists, paediatric dentistry specialists and orthodontists

  (5)   A service specified in an item of the diagnostic imaging services table that is listed in the following table is specified in relation to a dental practitioner who is:

  (a)   registered or licensed as a periodontist, endodontist, paediatric dentistry specialist or orthodontist under a law of a State or Territory; or

  (b)   registered or licensed as a dental specialist under a law of a State or Territory and recognised by the registering or licensing authority as a person who practises in the specialty of periodontics, endodontics, paediatric dentistry, or orthodontics.

 

R - type diagnostic imaging service--request by periodontist, endodontist, paediatric dentistry specialist or orthodontist

Item

Column 1

Group

Column 2

Items of the diagnostic imaging services table

1

I2

56022, 57362

2

I3

58306

3

I4

61421, 61454, 61457

4

I5

63334

Oral medicine, oral and maxillofacial pathology, oral surgery and special needs dentistry specialists

  (6)   A service specified in an item of the diagnostic imaging services table that is listed in the following table is specified in relation to a dental practitioner who is:

  (a)   registered or licensed as an oral medicine specialist, oral and maxillofacial pathology specialist, oral surgery specialist or special needs dentistry specialist under a law of a State or Territory; or

  (b)   registered or licensed as a dental specialist under a law of a State or Territory and recognised by the registering or licensing authority as a person who practises in the specialty of oral medicine, oral and maxillofacial pathology, oral surgery or special needs dentistry.

 

R - type diagnostic imaging service--request by oral medicine, oral and maxillofacial pathology, oral surgery or special needs dentistry specialist

Item

Column 1

Group

Column 2

Items of the diagnostic imaging services table

1

I1

55028, 55030, 55032

2

I2

56001, 56007, 56010, 56013, 56016, 56022, 56028, 56101, 56107, 56301, 56307, 56401, 56407, 57341, 57362

3

I3

58306, 58506, 58909, 59103, 59703, 60000 to 60009, 60506, 60509, 61109

4

I4

61372, 61421, 61425, 61429, 61430, 61433, 61434, 61446, 61449, 61450, 61453, 61454, 61457, 61462

5

I5

63007, 63334



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