Commonwealth Consolidated Regulations

HEALTH INSURANCE REGULATIONS 2018 - REG 50

General

  (1)   Subject to this section, a prescribed particular in relation to a professional service is a description of the service sufficient to identify the item that specifies the service.

Hospital treatment

  (2)   If the professional service is rendered as part of an episode of hospital treatment, then:

  (a)   the description mentioned in subsection   (1) must indicate that the service was rendered as part of an episode of hospital treatment; or

  (b)   a briefer description of the service may be used together with the number of the item that specifies the service, followed by an asterisk or the letter "H".

Hospital - substitute treatment

  (3)   If the professional service is rendered as part of an episode of hospital - substitute treatment, and the person who receives the treatment chooses to receive a benefit from a private health insurer in respect of the professional service, then:

  (a)   the description mentioned in subsection   (1) must be preceded by the words "hospital - substitute treatment"; or

  (b)   a briefer description of the service may be used together with the number of the item that specifies the service, followed by the words "hospital - substitute treatment".